Therapists in Arvin, CA

Photo of Robin Chancer, LCSW, Clinical Social Work/Therapist
Robin Chancer
Clinical Social Work/Therapist, LCSW
Verified Verified
Arvin, CA 93203
Whatever you are going through, I am here to listen and help! I strive to create a non-judgmental, nurturing environment where you can feel safe to talk freely.
Whatever you are going through, I am here to listen and help! I strive to create a non-judgmental, nurturing environment where you can feel safe to talk freely.
(310) 361-5232 View (310) 361-5232
Photo of Tiffany Williams, LPCC
Tiffany Williams
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Arvin, CA 93203
I am a Licensed Professional Clinical Counselor; I offer a welcoming, empathetic, and thoughtful approach while working with my clients. I strive to create a collaborative and safe space to heal and process. I have an honest and authentic approach to therapy, including accountability to and from my clients and ownership of self-identified concerns and goals. I value the importance of having a therapeutic relationship. I support you by providing education, coping strategies, grounding techniques, goal setting, and skill building to help you feel knowledgeable and empowered while in therapy.
I am a Licensed Professional Clinical Counselor; I offer a welcoming, empathetic, and thoughtful approach while working with my clients. I strive to create a collaborative and safe space to heal and process. I have an honest and authentic approach to therapy, including accountability to and from my clients and ownership of self-identified concerns and goals. I value the importance of having a therapeutic relationship. I support you by providing education, coping strategies, grounding techniques, goal setting, and skill building to help you feel knowledgeable and empowered while in therapy.
(619) 914-6564 View (619) 914-6564
Photo of Susana Calderon, LMFT, Marriage & Family Therapist
Susana Calderon
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Arvin, CA 93203
Have you recently experienced a big change in your life, lost a loved one, are feeling anxious, depressed or just simply feeling overwhelmed? ¿Ha tenido recientemente un gran cambio en su vida, ha perdido a un ser querido, se siente ansioso, deprimido o simplemente se siente abrumado?
Have you recently experienced a big change in your life, lost a loved one, are feeling anxious, depressed or just simply feeling overwhelmed? ¿Ha tenido recientemente un gran cambio en su vida, ha perdido a un ser querido, se siente ansioso, deprimido o simplemente se siente abrumado?
(661) 557-8798 View (661) 557-8798

More Therapists Nearby

Photo of Joyce Siler, LMFT, Marriage & Family Therapist
Joyce Siler
Marriage & Family Therapist, LMFT
Verified Verified
Tehachapi, CA 93561
Every day you find yourself wondering if you will ever be able to find a cure for your anxiety. You struggle just to show up in your personal and professional life. You smile on the outside but have a constant worry tape running in the background. You find yourself feeling alone. You've made the decision that something needs to change, but you wonder who could help you get to the other side so you can truly enjoy your relationships, your work and your life again.
Every day you find yourself wondering if you will ever be able to find a cure for your anxiety. You struggle just to show up in your personal and professional life. You smile on the outside but have a constant worry tape running in the background. You find yourself feeling alone. You've made the decision that something needs to change, but you wonder who could help you get to the other side so you can truly enjoy your relationships, your work and your life again.
(661) 370-2675 View (661) 370-2675
Photo of Rose M. Lester, MFT, Marriage & Family Therapist
Rose M. Lester
Marriage & Family Therapist, MFT
Verified Verified
Lamont, CA 93241
Waitlist for new clients
"It's never to late to have a happy childhood" This quote embodies the core belief and hope that I bring into my practice. Most people bring wounds from childhood into their adulthood. These wounds show up in their lives as depression, anxiety, low-self-esteem and unhealthy relationships. In therapy, you can become aware of those wound and how they limit your life today, grieve your losses and learn healthier ways to get those childhood needs met. As this healing occurs, we can explore ways to live life more fully and joyfully and to thrive rather than just survive.
"It's never to late to have a happy childhood" This quote embodies the core belief and hope that I bring into my practice. Most people bring wounds from childhood into their adulthood. These wounds show up in their lives as depression, anxiety, low-self-esteem and unhealthy relationships. In therapy, you can become aware of those wound and how they limit your life today, grieve your losses and learn healthier ways to get those childhood needs met. As this healing occurs, we can explore ways to live life more fully and joyfully and to thrive rather than just survive.
(661) 903-8559 View (661) 903-8559
Photo of Nick Steven Garcia, PhD, BCBA, Psychologist
Nick Steven Garcia
Psychologist, PhD, BCBA
Verified Verified
Lamont, CA 93241
I work with children, adolescents and adults with behavioral and emotional difficulties, academic problems, and intellectual deficits. I provide therapy as well as assessments. I am the owner of California Spectrum Services. We provide psychological and behavioral services for individuals on the the autism spectrum as well as those that are not on the spectrum.
I work with children, adolescents and adults with behavioral and emotional difficulties, academic problems, and intellectual deficits. I provide therapy as well as assessments. I am the owner of California Spectrum Services. We provide psychological and behavioral services for individuals on the the autism spectrum as well as those that are not on the spectrum.
(661) 579-4748 View (661) 579-4748
Photo of Corey S Gonzales - Dr. Corey Gonzales, PhD, PhD, Psychologist
Dr. Corey Gonzales, PhD
Psychologist, PhD
Verified Verified
Lamont, CA 93241
My practice is predominantly adults and adolescents. My areas of emphasis are in anxiety/trauma, relationship issues, interpersonal growth, grief and loss, health issues and depression. I also work closely with Psychiatrists and Primary Treating Physicians which makes coordination of care efficient if medication is necessary. Trust, support, empathy, education and insight are an important emphasis in my work.
My practice is predominantly adults and adolescents. My areas of emphasis are in anxiety/trauma, relationship issues, interpersonal growth, grief and loss, health issues and depression. I also work closely with Psychiatrists and Primary Treating Physicians which makes coordination of care efficient if medication is necessary. Trust, support, empathy, education and insight are an important emphasis in my work.
(661) 247-0218 View (661) 247-0218
Photo of Barby Rodriguez, MS, LMFT, Marriage & Family Therapist
Barby Rodriguez
Marriage & Family Therapist, MS, LMFT
Verified Verified
5 Endorsed
Bakersfield, CA 93307  (Online Only)
Hello there, and welcome! If you’re here it’s because you’re searching for more and I want to first credit the bravery in that search. This whole ‘life thing’ is weird and difficult. It’s okay that we sometimes feel lost, afraid, angry, or hopeless with ourselves or all the moving parts around us. It’s okay that we don’t always understand our own feelings or thoughts or needs. And it is absolutely okay to need some support sometimes, and I’m humbled to be that support. In my time as a therapist (and my time in therapy) I have seen the process awaken a wisdom, and strength, and healing capacity that we don’t yet know is there.
Hello there, and welcome! If you’re here it’s because you’re searching for more and I want to first credit the bravery in that search. This whole ‘life thing’ is weird and difficult. It’s okay that we sometimes feel lost, afraid, angry, or hopeless with ourselves or all the moving parts around us. It’s okay that we don’t always understand our own feelings or thoughts or needs. And it is absolutely okay to need some support sometimes, and I’m humbled to be that support. In my time as a therapist (and my time in therapy) I have seen the process awaken a wisdom, and strength, and healing capacity that we don’t yet know is there.
(661) 493-8861 View (661) 493-8861
Photo of Lourdes T Cortez, MSW, LCSW, Clinical Social Work/Therapist
Lourdes T Cortez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bakersfield, CA 93307  (Online Only)
<I have Saturday and evening appointments available> My name is Lourdes T. Cortez and have experience assisting adults, children, teenagers, and their families improving their lives. I firmly believe in every person’s inner strength and resiliency in overcoming any obstacles or challenging situations in their lives. I am fluent in Spanish and as an immigrant I can relate to the Hispanic cultural values and spiritual beliefs as well as other cultural diverse groups. I am skilled in working with Adolescents, Adults, Children, Young Adults Transitioning into Adulthood, ADHD, Anxiety/Depressive Disorders, Domestic Violence and Trauma.
<I have Saturday and evening appointments available> My name is Lourdes T. Cortez and have experience assisting adults, children, teenagers, and their families improving their lives. I firmly believe in every person’s inner strength and resiliency in overcoming any obstacles or challenging situations in their lives. I am fluent in Spanish and as an immigrant I can relate to the Hispanic cultural values and spiritual beliefs as well as other cultural diverse groups. I am skilled in working with Adolescents, Adults, Children, Young Adults Transitioning into Adulthood, ADHD, Anxiety/Depressive Disorders, Domestic Violence and Trauma.
(661) 490-9681 View (661) 490-9681
Photo of Felix Cruz, MS, LMFT, Marriage & Family Therapist
Felix Cruz
Marriage & Family Therapist, MS, LMFT
Verified Verified
Lamont, CA 93241
More than 20 years of experience assisting the Mexican/Latino families in their own language has been one of the most rewarding experiences in my life. It has been a privilege for me to help families not only from Bakersfield, but from all cities of Kern County and its surroundings. Entender la cultura Mexicana/Latina y respetar todos sus valores, ya que estan basados en una etica de Honestidad, Respeto y Prosperidad, son factores importantes para comprender y saber como ayudar a estas personas y familias cuando estan pasando por momentos dificiles que les impide amar en su totalidad y lograr sus metas.
More than 20 years of experience assisting the Mexican/Latino families in their own language has been one of the most rewarding experiences in my life. It has been a privilege for me to help families not only from Bakersfield, but from all cities of Kern County and its surroundings. Entender la cultura Mexicana/Latina y respetar todos sus valores, ya que estan basados en una etica de Honestidad, Respeto y Prosperidad, son factores importantes para comprender y saber como ayudar a estas personas y familias cuando estan pasando por momentos dificiles que les impide amar en su totalidad y lograr sus metas.
(661) 446-7591 View (661) 446-7591

Online Therapists

Photo of Dr. John Drimmer, PsyD, Psychologist
Dr. John Drimmer
Psychologist, PsyD
Verified Verified
Los Angeles, CA 90049
I'm told I'm warm, down to earth, and that I have a good sense of humor. I specialize in helping people to melt obstacles and to fulfill their potential. I believe therapy has to show results. I see both individuals and couples. My approach combines Positive Psychology and CBT (cognitive behavioral therapy), with mindfulness and a powerful mix of the best approaches known to modern psychology. I take an uplifting holistic approach.
I'm told I'm warm, down to earth, and that I have a good sense of humor. I specialize in helping people to melt obstacles and to fulfill their potential. I believe therapy has to show results. I see both individuals and couples. My approach combines Positive Psychology and CBT (cognitive behavioral therapy), with mindfulness and a powerful mix of the best approaches known to modern psychology. I take an uplifting holistic approach.
(424) 294-8165 View (424) 294-8165
Photo of Karen Tinsley, LCSW, Clinical Social Work/Therapist
Karen Tinsley
Clinical Social Work/Therapist, LCSW
Verified Verified
South Pasadena, CA 91030
As a mental healthcare professional, educator, and advocate, I am always looking for new ways to provide care for anyone seeking help. Many factors contribute to your life story including trauma, family history, relationship problems, health, and societal issues. My approach is based on understanding each person as a whole, not just the trials or diagnosis they’re facing. I firmly believe in delivering treatment that is both empathetic and uplifting for everyone I have the honor to work with.
As a mental healthcare professional, educator, and advocate, I am always looking for new ways to provide care for anyone seeking help. Many factors contribute to your life story including trauma, family history, relationship problems, health, and societal issues. My approach is based on understanding each person as a whole, not just the trials or diagnosis they’re facing. I firmly believe in delivering treatment that is both empathetic and uplifting for everyone I have the honor to work with.
(424) 351-1208 View (424) 351-1208
Photo of Bren J Fraser, MA, LMFT, Marriage & Family Therapist
Bren J Fraser
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Santa Barbara, CA 93109
I am passionate about working with children, adolescents, families and young adults. I believe that one of the most powerful aspects of the therapy process is the relationship between the therapist and client, the therapeutic relationship. our work together needs to be collaborative so that you feel both supported and safe. To achieve this I will adjust my style in order to best fit your needs and help you reach your counseling goals. I invite and encourage you to ask questions about your session. I honor your inquisitiveness about your own process.
I am passionate about working with children, adolescents, families and young adults. I believe that one of the most powerful aspects of the therapy process is the relationship between the therapist and client, the therapeutic relationship. our work together needs to be collaborative so that you feel both supported and safe. To achieve this I will adjust my style in order to best fit your needs and help you reach your counseling goals. I invite and encourage you to ask questions about your session. I honor your inquisitiveness about your own process.
(805) 266-7660 View (805) 266-7660
Photo of Jeannette A Burr, PhD, Psychologist
Jeannette A Burr
Psychologist, PhD
Verified Verified
Thousand Oaks, CA 91320  (Online Only)
As a clinical psychologist, I help individuals who are struggling with feelings of anxiety, depression, and loss. I teach my clients to practice what I call "the reverse golden rule": treat yourself as you would treat others! We are often so critical of ourselves, while with a friend we would be kind, supportive, compassionate. My 20+ years of experience have given me the tools to work using an eclectic approach that I tailor to each client. I offer a comfortable, safe environment where you can explore your thoughts and feelings, where you can feel heard, understood, and validated.
As a clinical psychologist, I help individuals who are struggling with feelings of anxiety, depression, and loss. I teach my clients to practice what I call "the reverse golden rule": treat yourself as you would treat others! We are often so critical of ourselves, while with a friend we would be kind, supportive, compassionate. My 20+ years of experience have given me the tools to work using an eclectic approach that I tailor to each client. I offer a comfortable, safe environment where you can explore your thoughts and feelings, where you can feel heard, understood, and validated.
(585) 672-7194 View (585) 672-7194
Photo of Casey Weitzman, MA, LMFT, Marriage & Family Therapist
Casey Weitzman
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Sherman Oaks, CA 91403
Welcome to Gender Wellness of Los Angeles, where I've dedicated 30 years supporting individuals navigating the complexities of gender and sexual identity. Our world has expanded to include a beautiful spectrum of gender-diverse experiences. I choose to embrace a holistic approach that goes beyond traditional binaries of Male-to-Female (MtF) and Female-to-Male (FtM) transitions. Whether you resonate with terms like "trans," "non-binary," or use your own unique identifier, I'm here to walk alongside you. Everyone's path is unique, and self-acceptance is the compass guiding us forward.
Welcome to Gender Wellness of Los Angeles, where I've dedicated 30 years supporting individuals navigating the complexities of gender and sexual identity. Our world has expanded to include a beautiful spectrum of gender-diverse experiences. I choose to embrace a holistic approach that goes beyond traditional binaries of Male-to-Female (MtF) and Female-to-Male (FtM) transitions. Whether you resonate with terms like "trans," "non-binary," or use your own unique identifier, I'm here to walk alongside you. Everyone's path is unique, and self-acceptance is the compass guiding us forward.
(310) 895-9205 View (310) 895-9205
Photo of Ashley Ray Bishop, LCSW, Clinical Social Work/Therapist
Ashley Ray Bishop
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Santa Barbara, CA 93101  (Online Only)
The pressure of being a woman in today’s society can be challenging, even for the most successful. The idea that we have to “do it all” in order to “have it all” can be overwhelming. Each stage of a woman's life can present a different set of challenges. Are you struggling as you are entering into adulthood or find retirement to be a challenge? Somewhere in-between? Do you feel guilty because you chose a career over a family, or a family over a career? Maybe you chose both but feel you are not living up to your or everyone else's expectations? Do you feel like part of your life is missing but you are not sure how to find it?
The pressure of being a woman in today’s society can be challenging, even for the most successful. The idea that we have to “do it all” in order to “have it all” can be overwhelming. Each stage of a woman's life can present a different set of challenges. Are you struggling as you are entering into adulthood or find retirement to be a challenge? Somewhere in-between? Do you feel guilty because you chose a career over a family, or a family over a career? Maybe you chose both but feel you are not living up to your or everyone else's expectations? Do you feel like part of your life is missing but you are not sure how to find it?
(979) 310-4377 View (979) 310-4377
Photo of Shana B. Diskant, LMFT, CBIS, Marriage & Family Therapist
Shana B. Diskant
Marriage & Family Therapist, LMFT, CBIS
Verified Verified
2 Endorsed
Los Angeles, CA 90039
A client once told me, "If you have someone to whom you are willing to confess the foolish things you do, then count yourself among the blessed." Life can be hard, let's talk it out together. I understand that choosing a therapist is a difficult decision. Being a good match to your specific needs is important to me. My goal is to make the process as comfortable, safe, and simple as possible. Therapy is a collaborative process and I want to be on your team.
A client once told me, "If you have someone to whom you are willing to confess the foolish things you do, then count yourself among the blessed." Life can be hard, let's talk it out together. I understand that choosing a therapist is a difficult decision. Being a good match to your specific needs is important to me. My goal is to make the process as comfortable, safe, and simple as possible. Therapy is a collaborative process and I want to be on your team.
(323) 745-2239 View (323) 745-2239
Photo of Richard Achiro, PhD, Psychologist
Richard Achiro
Psychologist, PhD
Verified Verified
1 Endorsed
Beverly Hills, CA 90211
This stuckness…dread…panic…numbness…confusion... Whatever it is you’re experiencing, there may be a sense that the problem is unrelenting. Perhaps your old ways of resolving the pain or filling the emptiness aren’t doing the trick anymore. There is a reckoning brewing inside of you and the more you try to side-step it, the more your symptoms rage. This reckoning is troublesome, no doubt, but it’s also a profound opportunity…an opportunity to respond to a voice deep down inside of you that somehow knows something better is possible…
This stuckness…dread…panic…numbness…confusion... Whatever it is you’re experiencing, there may be a sense that the problem is unrelenting. Perhaps your old ways of resolving the pain or filling the emptiness aren’t doing the trick anymore. There is a reckoning brewing inside of you and the more you try to side-step it, the more your symptoms rage. This reckoning is troublesome, no doubt, but it’s also a profound opportunity…an opportunity to respond to a voice deep down inside of you that somehow knows something better is possible…
(424) 395-2844 View (424) 395-2844
Photo of Gayle M Samples, PhD, LMFT, LPCC, Marriage & Family Therapist
Gayle M Samples
Marriage & Family Therapist, PhD, LMFT, LPCC
Verified Verified
2 Endorsed
San Dimas, CA 91773  (Online Only)
Finding the right therapist is often a challenging experience, especially for those who identify as Christian and want their beliefs and values understood and incorporated into their counseling sessions. My work involves coming alongside you as we figure out together who God made you to be and what obstacles might be in the way of you fully understanding and embracing yourself made in the Image of God during this season of your life. My goal is to get to know you, your hopes and dreams. We may look at events in your life that have shaped you or created a version of you that you're struggling with. We'll work together to heal!
Finding the right therapist is often a challenging experience, especially for those who identify as Christian and want their beliefs and values understood and incorporated into their counseling sessions. My work involves coming alongside you as we figure out together who God made you to be and what obstacles might be in the way of you fully understanding and embracing yourself made in the Image of God during this season of your life. My goal is to get to know you, your hopes and dreams. We may look at events in your life that have shaped you or created a version of you that you're struggling with. We'll work together to heal!
(626) 784-6103 View (626) 784-6103
Photo of Jennifer Lopez, MA, LPCC, Counselor
Jennifer Lopez
Counselor, MA, LPCC
Verified Verified
Northridge, CA 91325  (Online Only)
Hi! My name is Jennifer Lopez and I am a Licensed Professional Clinical Counselor in the state of California. I have fifteen (15) years of clinical counseling experience and several years of Christian counseling experience as well. Working with diverse clients over the years has given me opportunities to learn about people and their unique individuality. Respect and learning about your culture and how it affects your worldview and experience without judgment or assumption is important in deepening my understanding of where you are coming from.
Hi! My name is Jennifer Lopez and I am a Licensed Professional Clinical Counselor in the state of California. I have fifteen (15) years of clinical counseling experience and several years of Christian counseling experience as well. Working with diverse clients over the years has given me opportunities to learn about people and their unique individuality. Respect and learning about your culture and how it affects your worldview and experience without judgment or assumption is important in deepening my understanding of where you are coming from.
(805) 519-7675 View (805) 519-7675

See more therapy options for Arvin

How does your Therapist compare?

Number of Therapists in Arvin, CA

< 10

Therapists in Arvin, CA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Parenting
100% Trauma and PTSD
100% Stress
100% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
67% BlueCross and BlueShield
67% Cigna and Evernorth

How Therapists in Arvin, CA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Arvin?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.