Therapists in Londonderry, NH

Photo of Felicia Walalis, Pre-Licensed Professional in Londonderry, NH
Felicia Walalis
Pre-Licensed Professional, MA
Verified Verified
Londonderry, NH 03053
I'm dedicated to working with folks ages 5+ experiencing a wide range of emotional distress including but not limited to trauma, ADHD, conduct concerns, and emotional regulation concerns. Embracing the transformative power of a client-centered therapeutic relationship, I encourage active client involvement in guiding therapy toward each client's unique set of goals. Core to my practice is emphasizing sensitivity, safety, trust, and empowerment.
I'm dedicated to working with folks ages 5+ experiencing a wide range of emotional distress including but not limited to trauma, ADHD, conduct concerns, and emotional regulation concerns. Embracing the transformative power of a client-centered therapeutic relationship, I encourage active client involvement in guiding therapy toward each client's unique set of goals. Core to my practice is emphasizing sensitivity, safety, trust, and empowerment.
(603) 207-8995 x123 View (603) 207-8995 x123
Photo of Callie Batkins, Pre-Licensed Professional in Londonderry, NH
Callie Batkins
Pre-Licensed Professional, MS
Verified Verified
4 Endorsed
Londonderry, NH 03053  (Online Only)
I work with clients in all walks of life, though I find myself working most often with pre-teens, teens, young adults and moms. My goal is to foster a safe, creative, and supportive space for clients to sift through those uncomfortable thoughts and feelings that always seem to pop up. Some areas that I focus in include anxiety, self-esteem, and stress. My approach to therapy is about collaboration: you and I are on the same team, working towards the same goals. My role is to provide coping skills, help you to discover your natural strengths, nurture positive mental health practices, and empower you to live your life to the fullest!
I work with clients in all walks of life, though I find myself working most often with pre-teens, teens, young adults and moms. My goal is to foster a safe, creative, and supportive space for clients to sift through those uncomfortable thoughts and feelings that always seem to pop up. Some areas that I focus in include anxiety, self-esteem, and stress. My approach to therapy is about collaboration: you and I are on the same team, working towards the same goals. My role is to provide coping skills, help you to discover your natural strengths, nurture positive mental health practices, and empower you to live your life to the fullest!
(603) 810-8219 View (603) 810-8219
Photo of Susan M Norton-Anderson, Clinical Social Work/Therapist in Londonderry, NH
Susan M Norton-Anderson
Clinical Social Work/Therapist, LICSW, ACSW
Verified Verified
1 Endorsed
Londonderry, NH 03053
I am a Licensed Independent Clinical Social Worker with over 30 years of experience working with children, adolescents and adults. Therapy is a collaborative relationship between client and therapist during which time we will identify the areas of your life that you would like to improve. We will also identify your strengths in therapy. I use a number of therapeutic approaches including Cognitive Behavioral Therapy, Solution-Focused therapy, and MIndfulness/Meditation practices. Clients often learn to more effectively communicate, and manage strong emotion during their therapy process. I look forward to meeting with you.
I am a Licensed Independent Clinical Social Worker with over 30 years of experience working with children, adolescents and adults. Therapy is a collaborative relationship between client and therapist during which time we will identify the areas of your life that you would like to improve. We will also identify your strengths in therapy. I use a number of therapeutic approaches including Cognitive Behavioral Therapy, Solution-Focused therapy, and MIndfulness/Meditation practices. Clients often learn to more effectively communicate, and manage strong emotion during their therapy process. I look forward to meeting with you.
(603) 818-8926 View (603) 818-8926
Photo of Jennifer Godin, Clinical Social Work/Therapist in Londonderry, NH
Jennifer Godin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Londonderry, NH 03053
As a Licensed Independent Clinical Social Worker, I have years of experience helping people generate change, improve relationships, and decrease worry, sadness, and frustration. My specialty is supporting adolescents and young adults as they strive to determine who they are and what they want out of life. I also excel at helping families, children, adolescents, and adults increase communication skills, cope with trauma, and manage anger, anxiety, impulsivity, and depression.
As a Licensed Independent Clinical Social Worker, I have years of experience helping people generate change, improve relationships, and decrease worry, sadness, and frustration. My specialty is supporting adolescents and young adults as they strive to determine who they are and what they want out of life. I also excel at helping families, children, adolescents, and adults increase communication skills, cope with trauma, and manage anger, anxiety, impulsivity, and depression.
(866) 516-4808 View (866) 516-4808
Photo of Carol Sutcliffe, Counselor in Londonderry, NH
Carol Sutcliffe
Counselor, LCMHC, LMHC, NCC
Verified Verified
Londonderry, NH 03053
Change is an integral part of life. At some point or other, we all face changes. Changes can be very difficult. I strive to help my clients to identify and understand their needs and steps they can take to begin to promote positive change in their lives. I work with people who are facing challenges in their relationships, with their jobs, with managing their weight and coping with anxiety. I enjoy working with all ages, and in particular focus on adolescents and adults. I have access to medication providers who may also be able to assist you with your coping skills and change process.
Change is an integral part of life. At some point or other, we all face changes. Changes can be very difficult. I strive to help my clients to identify and understand their needs and steps they can take to begin to promote positive change in their lives. I work with people who are facing challenges in their relationships, with their jobs, with managing their weight and coping with anxiety. I enjoy working with all ages, and in particular focus on adolescents and adults. I have access to medication providers who may also be able to assist you with your coping skills and change process.
(603) 346-4927 View (603) 346-4927
Photo of Kayleen Bowden, Counselor in Londonderry, NH
Kayleen Bowden
Counselor, MA, LCMHC
Verified Verified
Londonderry, NH 03053
I’m a passionate and dedicated therapist specializing in play therapy, geek therapy, and strengths/interests-based approaches across the lifespan. My goal is to give you the tools you need to find your voice. I’m here to make your therapy experience safe, calm, and less intimidating. Therapy can be like a cup of tea (or ice cream sundae)-it’s all how you make it. You deserve to have the best therapeutic experience you can, which includes finding the best fit. I believe that play has significant value in the therapeutic experience. Play enriches lives and we all play in various ways through the lifespan.
I’m a passionate and dedicated therapist specializing in play therapy, geek therapy, and strengths/interests-based approaches across the lifespan. My goal is to give you the tools you need to find your voice. I’m here to make your therapy experience safe, calm, and less intimidating. Therapy can be like a cup of tea (or ice cream sundae)-it’s all how you make it. You deserve to have the best therapeutic experience you can, which includes finding the best fit. I believe that play has significant value in the therapeutic experience. Play enriches lives and we all play in various ways through the lifespan.
(603) 625-0010 View (603) 625-0010
Photo of Brianna Spratt, Pre-Licensed Professional in Londonderry, NH
Brianna Spratt
Pre-Licensed Professional, MA
Verified Verified
Londonderry, NH 03053
I am a graduate of Southern New Hampshire University working toward licensure under the supervision of our director Steven Durost. I have experience in both community mental health as well as in private practice through my internship experience here at C.R.E.A.T.E! I have worked with a diverse group of clients of all age groups. In my free time, I enjoy theater, music, video games, and reading, and I love anything to do with animals. My goal as a therapist is to be open and accessible to anyone who feels like they would benefit from counseling, and I strive to do so in a way that is unique to each of my clients.
I am a graduate of Southern New Hampshire University working toward licensure under the supervision of our director Steven Durost. I have experience in both community mental health as well as in private practice through my internship experience here at C.R.E.A.T.E! I have worked with a diverse group of clients of all age groups. In my free time, I enjoy theater, music, video games, and reading, and I love anything to do with animals. My goal as a therapist is to be open and accessible to anyone who feels like they would benefit from counseling, and I strive to do so in a way that is unique to each of my clients.
(603) 625-0010 View (603) 625-0010
Photo of Kathryn Powers, Clinical Social Work/Therapist in Londonderry, NH
Kathryn Powers
Clinical Social Work/Therapist, LICSW, CCSW, ACSW
Verified Verified
Londonderry, NH 03053  (Online Only)
Waitlist for new clients
I bring a holistic approach to my work. My job is to help you get to where you want to go. My knowledge and training include a high degree of clinical expertise, work with empaths, spirituality and relationships. I work from a strength-based perspective. My style does not leave me with all the power. This work is teamwork. I have the questions. You will often know the answers. My length of experience and life experiences themselves are also an asset. What happens along our journeys is the curriculum. Our job is to use it to move forward to reduce suffering, and to elevate our experience along the way.
I bring a holistic approach to my work. My job is to help you get to where you want to go. My knowledge and training include a high degree of clinical expertise, work with empaths, spirituality and relationships. I work from a strength-based perspective. My style does not leave me with all the power. This work is teamwork. I have the questions. You will often know the answers. My length of experience and life experiences themselves are also an asset. What happens along our journeys is the curriculum. Our job is to use it to move forward to reduce suffering, and to elevate our experience along the way.
(603) 509-3088 View (603) 509-3088
Photo of Richard J DiNapoli, Psychologist in Londonderry, NH
Richard J DiNapoli
Psychologist, EdD
Verified Verified
Londonderry, NH 03053
Relationship concerns? Our relationships with others define us in many ways. Whether its marriage or other intimate relationships, co-workers, friends, or family members, we live in a world of connection with others. I can help you better understand yourself as a relational being and turn that understanding into improved satisfaction with yourself and those you are involved with. After all, isn't it the quality of our relationships that determines the quality of our lives for most of us?
Relationship concerns? Our relationships with others define us in many ways. Whether its marriage or other intimate relationships, co-workers, friends, or family members, we live in a world of connection with others. I can help you better understand yourself as a relational being and turn that understanding into improved satisfaction with yourself and those you are involved with. After all, isn't it the quality of our relationships that determines the quality of our lives for most of us?
(603) 952-3239 View (603) 952-3239
Photo of Casey Waltman, Pre-Licensed Professional in Londonderry, NH
Casey Waltman
Pre-Licensed Professional
Verified Verified
1 Endorsed
Londonderry, NH 03053  (Online Only)
To me, the most important part of therapy is the relationship between the client and counselor. I aim to create a safe, validating space to explore difficult emotions, process stressors, and navigate life experiences. I believe clients are the experts in their own life and my role is to walk beside you in your journey, working collaboratively towards achieving your goals.
To me, the most important part of therapy is the relationship between the client and counselor. I aim to create a safe, validating space to explore difficult emotions, process stressors, and navigate life experiences. I believe clients are the experts in their own life and my role is to walk beside you in your journey, working collaboratively towards achieving your goals.
(888) 839-4243 x115 View (888) 839-4243 x115
Photo of Valerie J Mazzola, Clinical Social Work/Therapist in Londonderry, NH
Valerie J Mazzola
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Londonderry, NH 03053
As the founder of Clear Balance Counseling, PLLC, I am happy to announce the opening of our new office in Londonderry, NH. My passion for helping others led me to pursue a career in mental health over 33 years ago. I have had the privilege of supporting adolescents, adults, families and couples on their journey to achieving clarity, balance, and emotional well-being. I provide a safe and nonjudgmental space for people to explore their thoughts emotions, concerns, challenges, and the underlying experiences that shape them. I believe that every individual has the strength and the ability to overcome adversity.
As the founder of Clear Balance Counseling, PLLC, I am happy to announce the opening of our new office in Londonderry, NH. My passion for helping others led me to pursue a career in mental health over 33 years ago. I have had the privilege of supporting adolescents, adults, families and couples on their journey to achieving clarity, balance, and emotional well-being. I provide a safe and nonjudgmental space for people to explore their thoughts emotions, concerns, challenges, and the underlying experiences that shape them. I believe that every individual has the strength and the ability to overcome adversity.
(603) 490-5338 View (603) 490-5338
Photo of Kelly Parsons, Counselor in Londonderry, NH
Kelly Parsons
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Londonderry, NH 03053
Anxiety? OCD? Sick of being anxious ALL the time? I developed a program for Anxiety/OCD that works! This is NOT a talk session. You need coping skills. In a few appointments, it will be much better! I have been working in mental health over 20 years. Specialties: Anxiety, OCD, phobias, depression, relationships/low self esteem, chronic pain. I give what I would want myself, answers & treatment that works! I respect that, having worked with thousands of clients with phobia's, OCD, chronic worry, marriage/relationships, loss, and communication problems. Panic attacks/phobias (highways, fear of medical etc.)
Anxiety? OCD? Sick of being anxious ALL the time? I developed a program for Anxiety/OCD that works! This is NOT a talk session. You need coping skills. In a few appointments, it will be much better! I have been working in mental health over 20 years. Specialties: Anxiety, OCD, phobias, depression, relationships/low self esteem, chronic pain. I give what I would want myself, answers & treatment that works! I respect that, having worked with thousands of clients with phobia's, OCD, chronic worry, marriage/relationships, loss, and communication problems. Panic attacks/phobias (highways, fear of medical etc.)
(603) 819-4733 View (603) 819-4733
Photo of Carly McKay, Pre-Licensed Professional in Londonderry, NH
Carly McKay
Pre-Licensed Professional, MSW, LCSW
Verified Verified
Londonderry, NH 03053  (Online Only)
Not accepting new clients
I am extremely passionate about supporting preteens, teens and adults ages 10+ who may be struggling in one or multiple areas of their lives. I recognize it may be difficult to take the first step in seeking out mental health support. I believe each individual client is unique and treatment modalities must vary based on each individual's needs. I offer a collaborative and warm environment while using a variety of modalities, often including aspects of CBT, EMDR and Narrative Therapy.
I am extremely passionate about supporting preteens, teens and adults ages 10+ who may be struggling in one or multiple areas of their lives. I recognize it may be difficult to take the first step in seeking out mental health support. I believe each individual client is unique and treatment modalities must vary based on each individual's needs. I offer a collaborative and warm environment while using a variety of modalities, often including aspects of CBT, EMDR and Narrative Therapy.
(603) 945-8202 View (603) 945-8202
Photo of Suzanne Kuchel, Psychologist in Londonderry, NH
Suzanne Kuchel
Psychologist, PhD
Verified Verified
Londonderry, NH 03053
I treat clients (both individuals and couples) with a wide range of issues, such as depression, anxiety, and general life stress. We all know life can be extremely stressful, and there are times when that can feel completely unmanageable. When that happens, it can help to talk with someone who can be impartial and help you think about things in a way you haven't considered. This can be a critical step towards making the changes that are important to you.
I treat clients (both individuals and couples) with a wide range of issues, such as depression, anxiety, and general life stress. We all know life can be extremely stressful, and there are times when that can feel completely unmanageable. When that happens, it can help to talk with someone who can be impartial and help you think about things in a way you haven't considered. This can be a critical step towards making the changes that are important to you.
(603) 276-3179 View (603) 276-3179
Photo of Bodhi Counseling Services, LLC, Counselor in Londonderry, NH
Bodhi Counseling Services, LLC
Counselor
Verified Verified
Londonderry, NH 03053
We work with clients who are ready to change their lives and awaken. We work with clients who have experienced depression, anxiety, trauma, or difficult change, big or small. We work with clients of all ages, and some of our specialties include gender therapy, work with adolescents, parenting support, play therapy, among others. We are a diverse practice and a core tenet of our work is that we embrace the diversity that each client brings to therapy. We look forward to working with you!
We work with clients who are ready to change their lives and awaken. We work with clients who have experienced depression, anxiety, trauma, or difficult change, big or small. We work with clients of all ages, and some of our specialties include gender therapy, work with adolescents, parenting support, play therapy, among others. We are a diverse practice and a core tenet of our work is that we embrace the diversity that each client brings to therapy. We look forward to working with you!
(603) 255-3877 View (603) 255-3877
Photo of Sarah Ahearn, Pre-Licensed Professional in Londonderry, NH
Sarah Ahearn
Pre-Licensed Professional, MA
Verified Verified
Londonderry, NH 03053
I believe that creativity and the imagination can help us heal. The arts are a powerful tool that can offer us a way to find ourselves and create transformation. I offer a safe place without judgment that is welcoming to people from all walks of life. I use a collaborative, client-centered, strength-based approach that allows each person to be able to feel comfortable in their own discovery and journey to well being.
I believe that creativity and the imagination can help us heal. The arts are a powerful tool that can offer us a way to find ourselves and create transformation. I offer a safe place without judgment that is welcoming to people from all walks of life. I use a collaborative, client-centered, strength-based approach that allows each person to be able to feel comfortable in their own discovery and journey to well being.
(603) 625-0010 View (603) 625-0010
Photo of Jessica Leonard, Psychologist in Londonderry, NH
Jessica Leonard
Psychologist, PhD
Verified Verified
Londonderry, NH 03053
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
(888) 299-2854 View (888) 299-2854
Photo of Morgan T Mierzwa-Winters, Pre-Licensed Professional in Londonderry, NH
Morgan T Mierzwa-Winters
Pre-Licensed Professional, MSW
Verified Verified
Londonderry, NH 03053
Waitlist for new clients
I work with clients 16 years or older. Therapy should be welcoming, warm, nonjudgmental, and it should feel safe. These are some of the things I'm focused on in the therapy room for my clients. I hope to provide you with the support you're looking for, from a real-life person who offers curiosity, humility, understanding, and a healthy dose of humor. I work with (but I am not limited to) mood disorders, trauma, substance use and co-occuring (both substance use and mental health), and LGBTQ+ issues.
I work with clients 16 years or older. Therapy should be welcoming, warm, nonjudgmental, and it should feel safe. These are some of the things I'm focused on in the therapy room for my clients. I hope to provide you with the support you're looking for, from a real-life person who offers curiosity, humility, understanding, and a healthy dose of humor. I work with (but I am not limited to) mood disorders, trauma, substance use and co-occuring (both substance use and mental health), and LGBTQ+ issues.
(603) 836-8973 View (603) 836-8973
Photo of Dahlia Rizk, Counselor in Londonderry, NH
Dahlia Rizk
Counselor, MA, LCMHC
Verified Verified
Londonderry, NH 03053  (Online Only)
1 Opening Available Next Week - Are you tired of going through the motions? I know the daily struggle feels overwhelming and out of control. Therapy is an place to talk openly about exactly what youre going through. I'm don't silently takes notes then say "mhhmm what else?" I understand how hard it is to call someone and ask for help. Our sessions will be goal oriented so we can both identify exactly what youre searching for and make sure you get there.
1 Opening Available Next Week - Are you tired of going through the motions? I know the daily struggle feels overwhelming and out of control. Therapy is an place to talk openly about exactly what youre going through. I'm don't silently takes notes then say "mhhmm what else?" I understand how hard it is to call someone and ask for help. Our sessions will be goal oriented so we can both identify exactly what youre searching for and make sure you get there.
(603) 819-4814 View (603) 819-4814
Photo of Ryan Aquilina, Counselor in Londonderry, NH
Ryan Aquilina
Counselor, LCMHC
Verified Verified
Londonderry, NH 03053  (Online Only)
Thank you for reaching out for support! I am a licensed clinical mental health counselor in the states of NH, VT, and ME. I am ready to help motivated clients who have experienced trauma, or are adjusting to new circumstances. I see clients only through Headway and over telehealth at this time.
Thank you for reaching out for support! I am a licensed clinical mental health counselor in the states of NH, VT, and ME. I am ready to help motivated clients who have experienced trauma, or are adjusting to new circumstances. I see clients only through Headway and over telehealth at this time.
(888) 818-5997 View (888) 818-5997

See more therapy options for Londonderry

How does your Therapist compare?

Number of Therapists in Londonderry, NH

80+

Average cost per session

$125

Therapists in Londonderry, NH who prioritize treating:

88% Anxiety
86% Depression
72% Self Esteem
68% Trauma and PTSD
66% Relationship Issues
65% Coping Skills
62% Grief

Average years in practice

11 Years

Top 3 insurances accepted

82% Anthem | Elevance
81% UnitedHealthcare UHC | UBH
79% Cigna and Evernorth

How Therapists in Londonderry, NH see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in Londonderry?

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.