Therapists in Annapolis, MD

Photo of Elizabeth Cush, Counselor in Annapolis, MD
Elizabeth Cush
Counselor, MA, LCPC
Verified Verified
6 Endorsed
Annapolis, MD 21403  (Online Only)
What prevents you from living your life with ease and purpose? Maybe you're feeling stressed out, anxious, overwhelmed, and disconnected from yourself and those you feel closest to. Always moving from one thing to the next with little time for yourself now just feels exhausting. You'd like to know yourself better, to show up in your life in more authentic ways but you're not sure how. Together using therapeutic and mindfulness strategies we find ways to help you feel more connected with yourself and the people you care about.
What prevents you from living your life with ease and purpose? Maybe you're feeling stressed out, anxious, overwhelmed, and disconnected from yourself and those you feel closest to. Always moving from one thing to the next with little time for yourself now just feels exhausting. You'd like to know yourself better, to show up in your life in more authentic ways but you're not sure how. Together using therapeutic and mindfulness strategies we find ways to help you feel more connected with yourself and the people you care about.
(667) 270-8706 View (667) 270-8706
Photo of Accepting New Clients! Contact Us to Schedule!, Counselor in Annapolis, MD
Accepting New Clients! Contact Us to Schedule!
Counselor
Verified Verified
Annapolis, MD 21401  (Online Only)
As a therapist I provide a safe and supportive space where you can explore your concerns and find healing and growth. With years of experience and specialized training, I offer expertise in treating a wide range of mental health issues such as anxiety, depression and trauma. I tailor the therapy to your unique needs, using a personalized and holistic approach that takes into account your individual circumstances and strengths. I prioritize your well-being and work with you to develop practical strategies and tools that can be applied to real-life situations, enabling lasting change. Together, we will put you on a path toward healing
As a therapist I provide a safe and supportive space where you can explore your concerns and find healing and growth. With years of experience and specialized training, I offer expertise in treating a wide range of mental health issues such as anxiety, depression and trauma. I tailor the therapy to your unique needs, using a personalized and holistic approach that takes into account your individual circumstances and strengths. I prioritize your well-being and work with you to develop practical strategies and tools that can be applied to real-life situations, enabling lasting change. Together, we will put you on a path toward healing
(240) 376-5877 View (240) 376-5877
Photo of Lakeside Wellness , Clinical Social Work/Therapist in Annapolis, MD
Lakeside Wellness
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW
Verified Verified
Annapolis, MD 21401  (Online Only)
Licensed in Maryland, Virginia and the District of Columbia, LaKeisha Jackson of Lakeside Wellness, offers mental healthcare to adults, adolescents, couples & families to help you with coping and making more affirming life choices. Lakeside Wellness is a safe space for you to explore your feelings, behaviors, better solve problems, relieve stress and to do the work of achieving healing.
Licensed in Maryland, Virginia and the District of Columbia, LaKeisha Jackson of Lakeside Wellness, offers mental healthcare to adults, adolescents, couples & families to help you with coping and making more affirming life choices. Lakeside Wellness is a safe space for you to explore your feelings, behaviors, better solve problems, relieve stress and to do the work of achieving healing.
(667) 200-1238 View (667) 200-1238
Photo of Terry Nunley & Associates (Co-Occurring Treatment) in Annapolis, MD
Terry Nunley & Associates (Co-Occurring Treatment)
PMHNP, FNP-C, LCSW-C, LCAD-C, ADT
Verified Verified
Annapolis, MD 21401  (Online Only)
Terry Nunley & Associates are available to explore your behavioral health needs, to include counseling and medication management with a focus on medicated assisted treatment (MAT). All too often people are asked to “tough it out” when it comes to mental health challenges or addiction.
Terry Nunley & Associates are available to explore your behavioral health needs, to include counseling and medication management with a focus on medicated assisted treatment (MAT). All too often people are asked to “tough it out” when it comes to mental health challenges or addiction.
(667) 660-5267 View (667) 660-5267
Photo of Karla Rienecke-Sargent, Pre-Licensed Professional in Annapolis, MD
Karla Rienecke-Sargent
Pre-Licensed Professional
Verified Verified
1 Endorsed
Annapolis, MD 21403
Taking the step to begin counseling can be difficult. Deciding on a therapist to work with can be equally as difficult. I strive to make clients feel at ease and work best with clients that seeking aid in managing anxiety, depression, stress, ADHD, and relationship concerns. In counseling being open and honest is one of the most important aspects of the process. As it can be very difficult to be vulnerable, I strive to create a welcoming atmosphere and will always be honest in return to my clients.
Taking the step to begin counseling can be difficult. Deciding on a therapist to work with can be equally as difficult. I strive to make clients feel at ease and work best with clients that seeking aid in managing anxiety, depression, stress, ADHD, and relationship concerns. In counseling being open and honest is one of the most important aspects of the process. As it can be very difficult to be vulnerable, I strive to create a welcoming atmosphere and will always be honest in return to my clients.
(667) 843-7581 View (667) 843-7581
Photo of Jerry Januszewski, Drug & Alcohol Counselor in Annapolis, MD
Jerry Januszewski
Drug & Alcohol Counselor, LCADC, NCAC, I
Verified Verified
Annapolis, MD 21401
I help the family, loved ones, and friends of those with substance abuse disorders. I also provide one-on-one therapeutic support for adults actively working on recovery from addiction. Apart from substance abuse issues, I work with adult clients experiencing depression, anxiety, trauma, or anyone in a difficult life transition, such as grief, separation or divorce.
I help the family, loved ones, and friends of those with substance abuse disorders. I also provide one-on-one therapeutic support for adults actively working on recovery from addiction. Apart from substance abuse issues, I work with adult clients experiencing depression, anxiety, trauma, or anyone in a difficult life transition, such as grief, separation or divorce.
(410) 793-1671 View (410) 793-1671
Photo of Helaine F. Betnun, Clinical Social Work/Therapist in Annapolis, MD
Helaine F. Betnun
Clinical Social Work/Therapist, LCSW--C
Verified Verified
Annapolis, MD 21401
Not accepting new clients
Providing Confidential Caring Counseling for over 40 years Helping people who have: Losses and loneliness, rejection and divorce, depression, stress and anxiety, low self-esteem, relationship difficulties, family conflicts,co-dependency issues, workplace issues and mood disorders. Affiliated with many employee assistance programs. Accepts most insurances including Medicare.
Providing Confidential Caring Counseling for over 40 years Helping people who have: Losses and loneliness, rejection and divorce, depression, stress and anxiety, low self-esteem, relationship difficulties, family conflicts,co-dependency issues, workplace issues and mood disorders. Affiliated with many employee assistance programs. Accepts most insurances including Medicare.
(410) 449-4993 View (410) 449-4993
Photo of Jeanne Garrett, Counselor in Annapolis, MD
Jeanne Garrett
Counselor, NCC, LGPC
Verified Verified
Annapolis, MD 21401
Do you grapple with an unshakeable sense of discontentment, feeling that something vital is missing in life? Do you recognize a void within yourself despite your achievements that is driving you to seek therapy? Do you seek to unravel the complexities of your identity, motivations, and desires, hoping to uncover the root cause of your dissatisfaction? You may want to address surface-level issues and embark on a journey of self-exploration and understanding. I specialize in anxiety, depression, college mental health, ADHD, and life transitions, making me equipped to address a wide range of concerns.
Do you grapple with an unshakeable sense of discontentment, feeling that something vital is missing in life? Do you recognize a void within yourself despite your achievements that is driving you to seek therapy? Do you seek to unravel the complexities of your identity, motivations, and desires, hoping to uncover the root cause of your dissatisfaction? You may want to address surface-level issues and embark on a journey of self-exploration and understanding. I specialize in anxiety, depression, college mental health, ADHD, and life transitions, making me equipped to address a wide range of concerns.
(667) 222-3321 View (667) 222-3321
Photo of William (Cary) Lukens, Clinical Social Work/Therapist in Annapolis, MD
William (Cary) Lukens
Clinical Social Work/Therapist, LCSW
Verified Verified
Annapolis, MD 21401
Cary graduated from John’s Hopkins in 1998 and went directly into a Masters in Social Work program at the University of Maryland. At the time of his graduation from the University of Maryland Cary was a member of the Honor Society with a 4. 0 grade point average. His first of four challenging professional internships began during his undergraduate program in 1996 at the Sheppard and Enoch Pratt Hospital. Cary gained expertise in working with severe psychiatric concerns at the inpatient level learning crucial crisis management skills and effective interventions to increase stabilization and safety for his adult patients.
Cary graduated from John’s Hopkins in 1998 and went directly into a Masters in Social Work program at the University of Maryland. At the time of his graduation from the University of Maryland Cary was a member of the Honor Society with a 4. 0 grade point average. His first of four challenging professional internships began during his undergraduate program in 1996 at the Sheppard and Enoch Pratt Hospital. Cary gained expertise in working with severe psychiatric concerns at the inpatient level learning crucial crisis management skills and effective interventions to increase stabilization and safety for his adult patients.
(410) 936-5365 View (410) 936-5365
Photo of Carmen Getty, Counselor in Annapolis, MD
Carmen Getty
Counselor, LCPC
Verified Verified
Annapolis, MD 21401
Carmen Getty, LCPC Carmen Getty is a Licensed Professional Counselor in Maryland who started practicing in 1990. She has a background in Clinical Psychology and Clinical Counseling, including Addiction Counseling and Substance Use Disorder. Carmen believes in a treatment approach that incudes motivational interviewing, cognitive behavioral therapy, psychodynamic, and solution focus therapy among others.
Carmen Getty, LCPC Carmen Getty is a Licensed Professional Counselor in Maryland who started practicing in 1990. She has a background in Clinical Psychology and Clinical Counseling, including Addiction Counseling and Substance Use Disorder. Carmen believes in a treatment approach that incudes motivational interviewing, cognitive behavioral therapy, psychodynamic, and solution focus therapy among others.
(410) 429-2026 View (410) 429-2026
Photo of Keith T Foster, Psychologist in Annapolis, MD
Keith T Foster
Psychologist, PhD
Verified Verified
Annapolis, MD 21401
Waitlist for new clients
My years of experience and training have taught me the importance of good listening. By learning who you are and what you want in your life, I am best able to help you restore or enhance the quality of life you seek. I limit my practice to adults in individual therapy or relationship counseling. While there is no magic in therapy, there is an opportunity to feel better now, avoid future emotional pitfalls and be better able to deal with those that cannot be avoided. As a compassionate and experienced professional, I look forward to assisting you.
My years of experience and training have taught me the importance of good listening. By learning who you are and what you want in your life, I am best able to help you restore or enhance the quality of life you seek. I limit my practice to adults in individual therapy or relationship counseling. While there is no magic in therapy, there is an opportunity to feel better now, avoid future emotional pitfalls and be better able to deal with those that cannot be avoided. As a compassionate and experienced professional, I look forward to assisting you.
(410) 415-1431 View (410) 415-1431
Photo of Theresa Shank, Psychologist in Annapolis, MD
Theresa Shank
Psychologist, PhD
Verified Verified
1 Endorsed
Annapolis, MD 21401
As a fellow parent, I understand that there is no greater pleasure than to see your child happy and healthy. But excessive worrying, relentlessly demanding OCD rituals, the fear of vomiting, social anxiety, and self-harming behaviors like hair pulling and skin picking can rip away the joy of childhood and bring anguish to the family. I am a warm, compassionate, and very active cognitive-behavioral therapist with many years of success in helping children and teens recover from these challenges. I work as a team with parents, including them in at least part of every session.
As a fellow parent, I understand that there is no greater pleasure than to see your child happy and healthy. But excessive worrying, relentlessly demanding OCD rituals, the fear of vomiting, social anxiety, and self-harming behaviors like hair pulling and skin picking can rip away the joy of childhood and bring anguish to the family. I am a warm, compassionate, and very active cognitive-behavioral therapist with many years of success in helping children and teens recover from these challenges. I work as a team with parents, including them in at least part of every session.
(410) 753-4421 View (410) 753-4421
Photo of Katherine Heines Therapy, Clinical Social Work/Therapist in Annapolis, MD
Katherine Heines Therapy
Clinical Social Work/Therapist, LCSW-C, PhD
Verified Verified
Annapolis, MD 21401
Therapy is an invitation to learn about ourselves and our world. This search, both joyful and difficult, can be hard to tackle alone. In therapy we explore together the questions that confront us, such as: Who am I? Why do I often act in ways I can’t explain? How can I learn to feel comfortable in my own skin? How can I find greater meaning in my work? Why is it sometimes difficult to love the people close to me? How can I imagine a new way of living? Delving into these questions with a therapist can help clear away impediments and give us courage to live, love, and learn well.
Therapy is an invitation to learn about ourselves and our world. This search, both joyful and difficult, can be hard to tackle alone. In therapy we explore together the questions that confront us, such as: Who am I? Why do I often act in ways I can’t explain? How can I learn to feel comfortable in my own skin? How can I find greater meaning in my work? Why is it sometimes difficult to love the people close to me? How can I imagine a new way of living? Delving into these questions with a therapist can help clear away impediments and give us courage to live, love, and learn well.
(410) 267-4249 View (410) 267-4249
Photo of Erin Connolly-Igoe, Clinical Social Work/Therapist in Annapolis, MD
Erin Connolly-Igoe
Clinical Social Work/Therapist, LCSW-C, CCDC
Verified Verified
1 Endorsed
Annapolis, MD 21401
I have 20 years of experience working with Individuals, Couples and Families. Over the years I have worked with a wide variety of concerns including; Addictions, Depression, Anxiety, Relationship Issues, and Loss and Grief. I utilize a combination of approaches with clients, based on what works for the individual. My role is to provide education and guidance in a supportive environment. I help clients identify concerns and together we set realistic goals. While my focus is on the present, I recognize that issues from the past may need to be addressed to achieve stated goals. .
I have 20 years of experience working with Individuals, Couples and Families. Over the years I have worked with a wide variety of concerns including; Addictions, Depression, Anxiety, Relationship Issues, and Loss and Grief. I utilize a combination of approaches with clients, based on what works for the individual. My role is to provide education and guidance in a supportive environment. I help clients identify concerns and together we set realistic goals. While my focus is on the present, I recognize that issues from the past may need to be addressed to achieve stated goals. .
(410) 202-8434 View (410) 202-8434
Photo of Erin Wical, Licensed Clinical Professional Counselor in Annapolis, MD
Erin Wical
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Annapolis, MD 21401
Not accepting new clients
Hi there! I'm a Licensed Clinical Professional Counselor specializing in perinatal mood and anxiety disorders, as well as trauma/PTSD. I also have several years of experience working with anxiety, depression, self-esteem and life transitions. I am passionate about women's mental health and creating a safe space for women to feel empowered throughout their healing journey, especially throughout motherhood. The transition throughout pregnancy and into postpartum can be very difficult and you don't have to do it alone.
Hi there! I'm a Licensed Clinical Professional Counselor specializing in perinatal mood and anxiety disorders, as well as trauma/PTSD. I also have several years of experience working with anxiety, depression, self-esteem and life transitions. I am passionate about women's mental health and creating a safe space for women to feel empowered throughout their healing journey, especially throughout motherhood. The transition throughout pregnancy and into postpartum can be very difficult and you don't have to do it alone.
(667) 226-0407 View (667) 226-0407
Photo of Mother Hunger Group, Clinical Social Work/Therapist in Annapolis, MD
Mother Hunger Group
Clinical Social Work/Therapist, Lisa Eschbach
Verified Verified
Annapolis, MD 21401
Mother Hunger (trademarked by Kelly McDaniel, author of the book Mother Hunger)“is a term that helps women name the unspeakable heartbreak that emerges from missing essential elements of maternal care. When we grow up with inadequate nurturance, protection or guidance, we struggle with symptoms of depression or anxiety as we yearn for a certain type of love.” Understanding what a mother provides in such a detailed and profound way creates the path to fully understanding what you may have not gotten and what you did receive. In this space we will expand your view as daughters through the lens of protection, guidance and nurturance.
Mother Hunger (trademarked by Kelly McDaniel, author of the book Mother Hunger)“is a term that helps women name the unspeakable heartbreak that emerges from missing essential elements of maternal care. When we grow up with inadequate nurturance, protection or guidance, we struggle with symptoms of depression or anxiety as we yearn for a certain type of love.” Understanding what a mother provides in such a detailed and profound way creates the path to fully understanding what you may have not gotten and what you did receive. In this space we will expand your view as daughters through the lens of protection, guidance and nurturance.
(667) 222-1954 View (667) 222-1954
Photo of Jason Hovey, Licensed Clinical Professional Counselor in Annapolis, MD
Jason Hovey
Licensed Clinical Professional Counselor, LCPC, CSAT
Verified Verified
6 Endorsed
Annapolis, MD 21401
"Fear lives in the head. And courage lives in the heart. The job is to get from one to the other" - Louis Penny. It is inevitable that we will be wounded during the journey of life. Many of those wounds generally heal on their own. However some wounds cut deeper. They are unable to heal themselves and leave scars causing broken relationships, anxiety, addiction, insecurity, fear, and pain. Facing these wounds can be frightening and overwhelming, especially when facing them alone. Together we find the courage and strength to face and heal these wounds.
"Fear lives in the head. And courage lives in the heart. The job is to get from one to the other" - Louis Penny. It is inevitable that we will be wounded during the journey of life. Many of those wounds generally heal on their own. However some wounds cut deeper. They are unable to heal themselves and leave scars causing broken relationships, anxiety, addiction, insecurity, fear, and pain. Facing these wounds can be frightening and overwhelming, especially when facing them alone. Together we find the courage and strength to face and heal these wounds.
(410) 734-2187 View (410) 734-2187
Photo of Phillip Lambert, Counselor in Annapolis, MD
Phillip Lambert
Counselor, LCPC, MA, MS
Verified Verified
Annapolis, MD 21401  (Online Only)
If you entrust me, I offer support on your path to transformation, providing a secure, judgment-free space for reflection and processing. Together, we'll peel back the layers, unveiling the essence of who you truly are and empowering you to embrace your unique self.
If you entrust me, I offer support on your path to transformation, providing a secure, judgment-free space for reflection and processing. Together, we'll peel back the layers, unveiling the essence of who you truly are and empowering you to embrace your unique self.
(667) 291-8411 View (667) 291-8411
Photo of Fearlessly Inspired Therapeutic Solutions, LLC, Counselor in Annapolis, MD
Fearlessly Inspired Therapeutic Solutions, LLC
Counselor, EdD, LCPC, LPC
Verified Verified
1 Endorsed
Annapolis, MD 21401
You are always so strong and support everyone you know. Sometimes, it is you that is needing support and a listening ear, but where are all the people for you? The aftermath of a traumatic experience can leave you feeling out of control, withdrawn, uncertain about the world and people around you. The depression may have you feeling as though you are not thinking straight or so down that you just can’t get dressed nor be productive. The anxiety may have you so overwhelmed that you feel stuck and unable to complete your daily tasks.
You are always so strong and support everyone you know. Sometimes, it is you that is needing support and a listening ear, but where are all the people for you? The aftermath of a traumatic experience can leave you feeling out of control, withdrawn, uncertain about the world and people around you. The depression may have you feeling as though you are not thinking straight or so down that you just can’t get dressed nor be productive. The anxiety may have you so overwhelmed that you feel stuck and unable to complete your daily tasks.
(301) 760-2245 View (301) 760-2245
Photo of Darin R Ford, Marriage & Family Therapist in Annapolis, MD
Darin R Ford
Marriage & Family Therapist, LGMFT
Verified Verified
Annapolis, MD 21403  (Online Only)
Are you feeling hopeless and powerless? Have you lost interest in activities you used to enjoy? Do you feel dejected and trapped when you are alone and with others? Do you get test anxiety or find it difficult to start new relationships? Are you easily irritated and angered? Are you in need of support after experiencing the loss of a relationship or a loved one? Do you and your partner feel stuck in your relationship? Do you want to learn how to face challenges without fear? Do you want help with discovering how to live your best life?
Are you feeling hopeless and powerless? Have you lost interest in activities you used to enjoy? Do you feel dejected and trapped when you are alone and with others? Do you get test anxiety or find it difficult to start new relationships? Are you easily irritated and angered? Are you in need of support after experiencing the loss of a relationship or a loved one? Do you and your partner feel stuck in your relationship? Do you want to learn how to face challenges without fear? Do you want help with discovering how to live your best life?
(667) 226-0883 View (667) 226-0883

How does your Therapist compare?

Number of Therapists in Annapolis, MD

500+

Average cost per session

$150

Therapists in Annapolis, MD who prioritize treating:

94% Anxiety
87% Depression
78% Relationship Issues
76% Self Esteem
69% Trauma and PTSD
69% Coping Skills
69% Stress

Average years in practice

12 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
74% CareFirst
65% Cigna and Evernorth

How Therapists in Annapolis, MD see their clients

62% In Person and Online
38% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Annapolis?

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.