Therapists in Lexington, KY

View neighborhoods in Lexington
Photo of Sarah Miller, Clinical Social Work/Therapist in Lexington, KY
Sarah Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40503
I chose to pursue a career in mental health because of my passion for helping people to experience wholeness and to walk in freedom. Throughout my time in practice, I have had the privilege of working with individuals of all ages and in many different seasons of life by offering hope, support, and new tools to empower and equip on the journey toward health and healing. I use a client-centered approach and have a strengths-based perspective that emphasizes the value of each individual.
I chose to pursue a career in mental health because of my passion for helping people to experience wholeness and to walk in freedom. Throughout my time in practice, I have had the privilege of working with individuals of all ages and in many different seasons of life by offering hope, support, and new tools to empower and equip on the journey toward health and healing. I use a client-centered approach and have a strengths-based perspective that emphasizes the value of each individual.
(859) 374-2974 View (859) 374-2974
Photo of Leeann Hayslett (She-Her), Clinical Social Work/Therapist in Lexington, KY
Leeann Hayslett (She-Her)
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40503
My name is Leeann, I obtained my Master's in Social Work from the University of Kentucky in 2002. I've spent the last 18 years working with adolescents and adults who have experienced gender based violence, abuse and assault. I have a non-judgmental, collaborative approach to working with people. I offer interventions for individuals who struggle with issues including trauma, low self-image, sexual abuse, domestic violence, depression, anger, anxiety, relational problems, shame and PTSD. In addition, I am also retired from the military with 3 years Active and 17 years in the Reserves. I will ALWAYS support a Soldier!
My name is Leeann, I obtained my Master's in Social Work from the University of Kentucky in 2002. I've spent the last 18 years working with adolescents and adults who have experienced gender based violence, abuse and assault. I have a non-judgmental, collaborative approach to working with people. I offer interventions for individuals who struggle with issues including trauma, low self-image, sexual abuse, domestic violence, depression, anger, anxiety, relational problems, shame and PTSD. In addition, I am also retired from the military with 3 years Active and 17 years in the Reserves. I will ALWAYS support a Soldier!
(859) 237-7525 View (859) 237-7525
Photo of Tina Jones-Wallace, Licensed Professional Clinical Counselor in Lexington, KY
Tina Jones-Wallace
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Lexington, KY 40504  (Online Only)
My name is Tina Jones-Wallace and I am a LPCC-S in the state of KY. I have been a therapist for more than 15 years and I have a well versed amount of experience in a lot of different areas. I originally worked at a community mental health center where I gained a large portion of this experience. I have been doing telehealth in some form for 3 years now.
My name is Tina Jones-Wallace and I am a LPCC-S in the state of KY. I have been a therapist for more than 15 years and I have a well versed amount of experience in a lot of different areas. I originally worked at a community mental health center where I gained a large portion of this experience. I have been doing telehealth in some form for 3 years now.
(859) 681-9075 View (859) 681-9075
Photo of Courtney Hammond, Licensed Professional Clinical Counselor in Lexington, KY
Courtney Hammond
Licensed Professional Clinical Counselor, LPCC, LCADC
Verified Verified
Lexington, KY 40515  (Online Only)
My approach is laid-back, and person centered; the majority of the sessions I conduct are typically directed by the client. I am a dual diagnosis specialist. I specialize in Anxiety, Depression, Attention Deficit Disorder and Substance use. My training and experience allow me to handle complex issues, so that you get the care you need.
My approach is laid-back, and person centered; the majority of the sessions I conduct are typically directed by the client. I am a dual diagnosis specialist. I specialize in Anxiety, Depression, Attention Deficit Disorder and Substance use. My training and experience allow me to handle complex issues, so that you get the care you need.
(859) 955-4905 View (859) 955-4905
Photo of Paul D Dalton, MS, LPCC-S, LCADC, Licensed Professional Clinical Counselor in Lexington, KY
Paul D Dalton, MS, LPCC-S, LCADC
Licensed Professional Clinical Counselor, MS, LPCC-S, LCADC
Verified Verified
Lexington, KY 40509
Hello! Our office of over 35 counselors, therapists, nurse practitioners and psychologists provide counseling, therapy, psychological, and psychiatric services to all ages. We are committed to helping you. We care about our professional roles and the people we serve. We help all ages and most every mental health and life issue. Our goal is your success and well being. Most of our referrals come from the thousands of people we have helped like you. Please call today. If we can't help, we will find someone that can. Never, ever give up! Over 20 years. Four locations. Hundreds of years of combined experience. Call 859.338.0466 today.
Hello! Our office of over 35 counselors, therapists, nurse practitioners and psychologists provide counseling, therapy, psychological, and psychiatric services to all ages. We are committed to helping you. We care about our professional roles and the people we serve. We help all ages and most every mental health and life issue. Our goal is your success and well being. Most of our referrals come from the thousands of people we have helped like you. Please call today. If we can't help, we will find someone that can. Never, ever give up! Over 20 years. Four locations. Hundreds of years of combined experience. Call 859.338.0466 today.
(859) 308-6896 View (859) 308-6896
Photo of KayEllen McKenzie, Counselor in Lexington, KY
KayEllen McKenzie
Counselor, MA, LPCA, NCC
Verified Verified
Lexington, KY 40503
I believe that each person has strengths and resources that therapy can help them to discover and apply to current life challenges as well as building resilience to help them manage future problems. I utilize evidence-based practices to help clients increase their self-awareness and self-compassion, understand their immense value as a human being, and learn how to better care for themselves holistically - mind, body, and spirit. I have experience working with adolescents and adults who are struggling with low self-esteem, stress, anxiety, depression, problem-solving, communication, and relationship issues.
I believe that each person has strengths and resources that therapy can help them to discover and apply to current life challenges as well as building resilience to help them manage future problems. I utilize evidence-based practices to help clients increase their self-awareness and self-compassion, understand their immense value as a human being, and learn how to better care for themselves holistically - mind, body, and spirit. I have experience working with adolescents and adults who are struggling with low self-esteem, stress, anxiety, depression, problem-solving, communication, and relationship issues.
(859) 549-7699 View (859) 549-7699
Photo of Ray C Coates, Marriage & Family Therapist in Lexington, KY
Ray C Coates
Marriage & Family Therapist
Verified Verified
Lexington, KY 40509
Certain events in life can leave you feeling stuck, and in these instances I can help. I works with individuals, couples and families to help them get "unstuck" in love, work and life.
Certain events in life can leave you feeling stuck, and in these instances I can help. I works with individuals, couples and families to help them get "unstuck" in love, work and life.
(859) 605-3908 View (859) 605-3908
Photo of Krystal King, Marriage & Family Therapist Associate in Lexington, KY
Krystal King
Marriage & Family Therapist Associate, MS
Verified Verified
3 Endorsed
Lexington, KY 40517
I envision my ideal client as someone who seeks a safe and empathetic space to explore their inner struggles, personal growth, and emotional well-being. They come with a genuine desire for self-discovery, a need for guidance in navigating life's challenges, and the goal of achieving greater mental and emotional balance. My aim is to help them understand themselves, find clarity in their objectives, and support them in their journey towards a happier and more fulfilling life.
I envision my ideal client as someone who seeks a safe and empathetic space to explore their inner struggles, personal growth, and emotional well-being. They come with a genuine desire for self-discovery, a need for guidance in navigating life's challenges, and the goal of achieving greater mental and emotional balance. My aim is to help them understand themselves, find clarity in their objectives, and support them in their journey towards a happier and more fulfilling life.
(859) 340-5836 View (859) 340-5836
Photo of Amber Miller, Licensed Professional Clinical Counselor in Lexington, KY
Amber Miller
Licensed Professional Clinical Counselor, MRC, CRC, LPCC
Verified Verified
Lexington, KY 40515
I am a Licensed Professional Clinical Counselor in the state of Kentucky and a Nationally Certified Rehabilitation Counselor. I am qualified and trained to provide mental health counseling services to adults and adolescents.I have experience helping individuals address a variety of concerns related to depression, anxiety, stress, substance use disorders, mood disorders, developmental disabilities, career and vocational issues, grief, relationship and family issues, and personal adjustment.
I am a Licensed Professional Clinical Counselor in the state of Kentucky and a Nationally Certified Rehabilitation Counselor. I am qualified and trained to provide mental health counseling services to adults and adolescents.I have experience helping individuals address a variety of concerns related to depression, anxiety, stress, substance use disorders, mood disorders, developmental disabilities, career and vocational issues, grief, relationship and family issues, and personal adjustment.
(859) 904-5284 View (859) 904-5284
Photo of Michael Anthony Holmes, Counselor in Lexington, KY
Michael Anthony Holmes
Counselor, LPCC
Verified Verified
1 Endorsed
Lexington, KY 40517  (Online Only)
Are you struggling with depression?Are you with anxiety?Are you struggling with understanding grief and how it works?Have you ever encountered anything internally and/or externally that posed a threat against your physical, spiritual, mental, and/or emotional well being? Are you struggling with your trauma(s)?Do you always think the worst of situation before it even takes place and think that everyone thinking negatively about you?Are you struggling with low self-esteem?Do you have trouble with expressing yourself to others? Are you struggling with telling others no and enforcing boundaries?Minority facing discrimination? I’m here.
Are you struggling with depression?Are you with anxiety?Are you struggling with understanding grief and how it works?Have you ever encountered anything internally and/or externally that posed a threat against your physical, spiritual, mental, and/or emotional well being? Are you struggling with your trauma(s)?Do you always think the worst of situation before it even takes place and think that everyone thinking negatively about you?Are you struggling with low self-esteem?Do you have trouble with expressing yourself to others? Are you struggling with telling others no and enforcing boundaries?Minority facing discrimination? I’m here.
(859) 305-3848 View (859) 305-3848
Photo of Iris Gutierrez,LCSW, Clinical Social Work/Therapist in Lexington, KY
Iris Gutierrez,LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40503
I am originally from Argentina and I live and work in Kentucky since August 2000,serving individuals. couples and families to diagnose and treat Mental Illness, Work issues, Anger Management, Relationships issues, Parenting classes , Domestic Violence and LGBT. My practice offers services in English and Spanish and include Psychological Evaluations for the courts. If you are an Attorney and are in need of a professional expert opinion I can be consulted for criminal and civil cases counting on a strong work ethics, professionalism and more than 10 years of experience and cultural sensitivity. I will be honored to work with you
I am originally from Argentina and I live and work in Kentucky since August 2000,serving individuals. couples and families to diagnose and treat Mental Illness, Work issues, Anger Management, Relationships issues, Parenting classes , Domestic Violence and LGBT. My practice offers services in English and Spanish and include Psychological Evaluations for the courts. If you are an Attorney and are in need of a professional expert opinion I can be consulted for criminal and civil cases counting on a strong work ethics, professionalism and more than 10 years of experience and cultural sensitivity. I will be honored to work with you
(859) 534-9191 View (859) 534-9191
Photo of Janelle McNeal, Psychologist in Lexington, KY
Janelle McNeal
Psychologist, PhD
Verified Verified
4 Endorsed
Lexington, KY 40505
Hi! I’m Janelle. I’m a licensed psychologist, and I specialize in working with entrepreneurial women. I understand the pressure and stress that come along with owning a business. It’s easy to be consumed by your work and to struggle with balancing work with all the other areas of your life. You often feel spread too thin and like you’re not doing a good enough job in any of the areas in your life. You feel you’re not a “good enough” business owner, partner, mother, daughter, colleague, etc. even though you're trying so hard!
Hi! I’m Janelle. I’m a licensed psychologist, and I specialize in working with entrepreneurial women. I understand the pressure and stress that come along with owning a business. It’s easy to be consumed by your work and to struggle with balancing work with all the other areas of your life. You often feel spread too thin and like you’re not doing a good enough job in any of the areas in your life. You feel you’re not a “good enough” business owner, partner, mother, daughter, colleague, etc. even though you're trying so hard!
(859) 740-7374 View (859) 740-7374
Photo of Marisol Weaver, Licensed Professional Clinical Counselor in Lexington, KY
Marisol Weaver
Licensed Professional Clinical Counselor, LPC
Verified Verified
Lexington, KY 40503
"Healing doesn't mean the damage never existed, it means the damage no longer controls our lives" (Unknown). I seek to provide a safe place where you can heal in order that the damage that was done no longer controls your life. Email today and get started. You will begin to heal when you are in an environment that is safe and caring enough to allow you the confidence and courage to move forward.
"Healing doesn't mean the damage never existed, it means the damage no longer controls our lives" (Unknown). I seek to provide a safe place where you can heal in order that the damage that was done no longer controls your life. Email today and get started. You will begin to heal when you are in an environment that is safe and caring enough to allow you the confidence and courage to move forward.
View
Photo of Joanna Rodes, Clinical Social Work/Therapist in Lexington, KY
Joanna Rodes
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40509
I offer individual psychotherapy with an emphasis on clinical hypnosis. I welcome adults and adolescents to my practice seeking a positive approach to addressing anxiety, depression, irrational beliefs, fears, and other limiting thoughts, feelings and behaviors. My goal is to guide you towards a deeper understanding of your own internal resources that when accessed, can help you make the changes you want for yourself. In addition to clinical hypnosis, my approach is influenced by solution-focussed, cognitive-behavioral, attachment, mindfulness, and Dialectical Behavior Therapy (DBT) practices.
I offer individual psychotherapy with an emphasis on clinical hypnosis. I welcome adults and adolescents to my practice seeking a positive approach to addressing anxiety, depression, irrational beliefs, fears, and other limiting thoughts, feelings and behaviors. My goal is to guide you towards a deeper understanding of your own internal resources that when accessed, can help you make the changes you want for yourself. In addition to clinical hypnosis, my approach is influenced by solution-focussed, cognitive-behavioral, attachment, mindfulness, and Dialectical Behavior Therapy (DBT) practices.
(859) 712-7464 View (859) 712-7464
Photo of Madison Miller, Clinical Social Work/Therapist in Lexington, KY
Madison Miller
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
3 Endorsed
Lexington, KY 40517
Waitlist for new clients
I help clients feel more connected, engaged, and excited about living their beautiful, messy lives! Together we'll work to build a sense of anchoring, security, and resilience in an unpredictable world. I trust in the ability of our minds and nervous systems to heal from traumatic experiences, unlearn negative beliefs, and lean into compassion and understanding. As you increase your insight, confront barriers, and unburden wounded parts of yourself, we will honor the creative & adaptive ways your brain has protected you. We'll build cohesion between your parts to help them better serve you as you work towards the future you want.
I help clients feel more connected, engaged, and excited about living their beautiful, messy lives! Together we'll work to build a sense of anchoring, security, and resilience in an unpredictable world. I trust in the ability of our minds and nervous systems to heal from traumatic experiences, unlearn negative beliefs, and lean into compassion and understanding. As you increase your insight, confront barriers, and unburden wounded parts of yourself, we will honor the creative & adaptive ways your brain has protected you. We'll build cohesion between your parts to help them better serve you as you work towards the future you want.
(859) 600-6085 View (859) 600-6085
Photo of Keith Haas, LCSW, LLC, Clinical Social Work/Therapist in Lexington, KY
Keith Haas, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lexington, KY 40513
Seeking out a helping relationship can be a significant first step toward lasting positive change. I believe that by providing you with a safe, understanding and collaborative relationship together we can help you achieve your goals. Whether it's finding ways to reduce stress and be more effective, overcoming problematic behaviors, healing trauma or developing a better understanding of your past and how it affects the present, I can help.
Seeking out a helping relationship can be a significant first step toward lasting positive change. I believe that by providing you with a safe, understanding and collaborative relationship together we can help you achieve your goals. Whether it's finding ways to reduce stress and be more effective, overcoming problematic behaviors, healing trauma or developing a better understanding of your past and how it affects the present, I can help.
(859) 545-3196 View (859) 545-3196
Photo of Kay Hubbard, Clinical Social Work/Therapist in Lexington, KY
Kay Hubbard
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Lexington, KY 40504
I enjoy working with persons of all ages (early childhood through adult.) My approach to treatment is eclectic and contingent upon the client's personality and therapeutic goals. I am committed to using scientifically based treatment interventions to ensure patients are provided the most dynamic techniques to achieve maximum outcomes in the least amount of time. Particular areas of interest include but are not limited to: parent child relational problems, child behavioral difficulties, issues related to emotional dysregulation, depression, anxiety and trauma related stress.
I enjoy working with persons of all ages (early childhood through adult.) My approach to treatment is eclectic and contingent upon the client's personality and therapeutic goals. I am committed to using scientifically based treatment interventions to ensure patients are provided the most dynamic techniques to achieve maximum outcomes in the least amount of time. Particular areas of interest include but are not limited to: parent child relational problems, child behavioral difficulties, issues related to emotional dysregulation, depression, anxiety and trauma related stress.
(859) 449-7187 View (859) 449-7187
Photo of Southland Child, Adult, and Family Counseling, Clinical Social Work/Therapist in Lexington, KY
Southland Child, Adult, and Family Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40503
We are a private counseling practice in Lexington. Our remarkable team of clinical social workers and clinical counselors consist of Jessica Jaramillo, Vicki Von Almen Gray, Jennifer Congleton, Emma Lovely, Leeann Hayslett, Monica Stewart, Dr. Imelda Bratton, Joan Scales, Emily Porter, Dr. Becky Hill, and Rachel O'Farrell . We have a variety of specialties, experiences, and skills. As our name reflects, we focus on the clinical needs for all ages: young children, school aged children, adolescents, adults, couples, and families. We offer day, evening, and Saturday sessions, to support diverse individual and family needs.
We are a private counseling practice in Lexington. Our remarkable team of clinical social workers and clinical counselors consist of Jessica Jaramillo, Vicki Von Almen Gray, Jennifer Congleton, Emma Lovely, Leeann Hayslett, Monica Stewart, Dr. Imelda Bratton, Joan Scales, Emily Porter, Dr. Becky Hill, and Rachel O'Farrell . We have a variety of specialties, experiences, and skills. As our name reflects, we focus on the clinical needs for all ages: young children, school aged children, adolescents, adults, couples, and families. We offer day, evening, and Saturday sessions, to support diverse individual and family needs.
(859) 904-5796 View (859) 904-5796
Photo of Larry Vaughan, Counselor in Lexington, KY
Larry Vaughan
Counselor, MEd, LPCC, CEAP, SAP
Verified Verified
7 Endorsed
Lexington, KY 40515
No judgement, only solutions! I work with adolescents and adults (families and couples too) to navigate some of life's challenges. I'd love to talk with you by phone or email to see if we might be a good fit. If we're not, I bet I know who might be.
No judgement, only solutions! I work with adolescents and adults (families and couples too) to navigate some of life's challenges. I'd love to talk with you by phone or email to see if we might be a good fit. If we're not, I bet I know who might be.
(859) 340-8201 View (859) 340-8201
Photo of Lynn Squicciarini, Clinical Social Work/Therapist in Lexington, KY
Lynn Squicciarini
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40513
Hello. I am a Licensed Clinical Social Worker (LCSW) who has been practicing for over 20 years. I have worked with adults, couples and families including children, adolescents. My goal is to work with each person individually from a person-centered perspective. By identifying your needs and focusing on your strengths I want you to feel that you are in control of your progress. My specialties include depression, anxiety, relationship issues, behavioral challenges, post-partum depression, parenting, chronic illness, and grief.
Hello. I am a Licensed Clinical Social Worker (LCSW) who has been practicing for over 20 years. I have worked with adults, couples and families including children, adolescents. My goal is to work with each person individually from a person-centered perspective. By identifying your needs and focusing on your strengths I want you to feel that you are in control of your progress. My specialties include depression, anxiety, relationship issues, behavioral challenges, post-partum depression, parenting, chronic illness, and grief.
(859) 350-6758 View (859) 350-6758

How does your Therapist compare?

Number of Therapists in Lexington, KY

700+

Average cost per session

$120

Therapists in Lexington, KY who prioritize treating:

91% Anxiety
88% Depression
71% Trauma and PTSD
71% Self Esteem
67% Coping Skills
63% Relationship Issues
59% Grief

Average years in practice

9 Years

Top 3 insurances accepted

76% Aetna
76% UnitedHealthcare UHC | UBH
71% Humana

How Therapists in Lexington, KY see their clients

69% In Person and Online
31% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lexington?

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.