Therapists in Charleston, IL

Photo of Dave Hunter, Clinical Social Work/Therapist in Charleston, IL
Dave Hunter
Clinical Social Work/Therapist, LCPC
Verified Verified
1 Endorsed
Charleston, IL 61920  (Online Only)
I am an independent contractor working with Neuro Harmony, LLC. I most enjoy working with folks struggling with trauma, ADD, BPD, NDE's, and who consider themselves "quirky" or "misfits." Often they are simply seeking validation - reassurance that they are not actually "crazy" - and have the curiosity, sense of humor and resilience needed to undertake existential adventures. Like most of us, what they are basically seeking is contentment and peace of mind.
I am an independent contractor working with Neuro Harmony, LLC. I most enjoy working with folks struggling with trauma, ADD, BPD, NDE's, and who consider themselves "quirky" or "misfits." Often they are simply seeking validation - reassurance that they are not actually "crazy" - and have the curiosity, sense of humor and resilience needed to undertake existential adventures. Like most of us, what they are basically seeking is contentment and peace of mind.
(217) 634-6690 View (217) 634-6690
Photo of Pamela R. Miller, Counselor in Charleston, IL
Pamela R. Miller
Counselor, LCPC, NCC
Verified Verified
Charleston, IL 61920
If you're ready to make a change and move in a new direction or if you're just looking for extra support and guidance with daily stressors, I can assist you in making changes toward a positive direction. Whether it is relationship, divorce or marriage issues, anxiety/depression, grief/loss or parenting problems, we can help. As a nationally licensed, clinical therapist, I use evidence based treatments to help you learn healthy life choices for a healthy balance! Today you are one step closer to a new you, on a path to health, well-being and life balance.
If you're ready to make a change and move in a new direction or if you're just looking for extra support and guidance with daily stressors, I can assist you in making changes toward a positive direction. Whether it is relationship, divorce or marriage issues, anxiety/depression, grief/loss or parenting problems, we can help. As a nationally licensed, clinical therapist, I use evidence based treatments to help you learn healthy life choices for a healthy balance! Today you are one step closer to a new you, on a path to health, well-being and life balance.
(217) 919-0395 View (217) 919-0395
Karen Eyman Kinder
Licensed Professional Counselor, LCPC, LMHC, CSAT
Verified Verified
1 Endorsed
Charleston, IL 61920
In our culture today eating disorders, sexual and porn addiction are constantly a topic in the media, conversations and of general interest to most individuals. Many times these issues, as well as others, are kept as secrets and only come to light when a crisis occurs with loved ones or in relationships. Clients want a therapist that has comprehensive knowledge and understanding of these difficulties and can lead them and/or family members into a better understanding, recovery, and healing.
In our culture today eating disorders, sexual and porn addiction are constantly a topic in the media, conversations and of general interest to most individuals. Many times these issues, as well as others, are kept as secrets and only come to light when a crisis occurs with loved ones or in relationships. Clients want a therapist that has comprehensive knowledge and understanding of these difficulties and can lead them and/or family members into a better understanding, recovery, and healing.
(618) 226-5088 View (618) 226-5088
Photo of David Ehlers, Counselor in Charleston, IL
David Ehlers
Counselor, LCPC
Verified Verified
Charleston, IL 61920
We aim to provide a level of care that enables everyone who walks through our doors to be better equipped to live the life they were meant for. Firmly grounded in hope and compassion, we exist for all people to thrive and experience wholeness in mind, body, and spirit. Whether you’re looking to overcome past experiences, seeking personal growth, or are in the midst of marital challenges, we are committed to fostering a safe space for you to share your story.
We aim to provide a level of care that enables everyone who walks through our doors to be better equipped to live the life they were meant for. Firmly grounded in hope and compassion, we exist for all people to thrive and experience wholeness in mind, body, and spirit. Whether you’re looking to overcome past experiences, seeking personal growth, or are in the midst of marital challenges, we are committed to fostering a safe space for you to share your story.
(217) 765-8157 View (217) 765-8157
Photo of Sarah Malak, Clinical Social Work/Therapist in Charleston, IL
Sarah Malak
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Charleston, IL 61920  (Online Only)
If you're looking to work through trauma that is making it hard for you to breathe, to function, to know and be yourself, you've come to the right place. I often treat individuals who are recognizing how past ways of functioning just aren't working for them anymore and want to make real and lasting change. If you're struggling with anxiety, depression or mood disorders, dissociation, and possibly some ADHD too, I'm here for you. Together we can work through the things that are bothering you and get you to a place where you can truly feel that your past is in your past and you have the skills and strength to keep moving forward.
If you're looking to work through trauma that is making it hard for you to breathe, to function, to know and be yourself, you've come to the right place. I often treat individuals who are recognizing how past ways of functioning just aren't working for them anymore and want to make real and lasting change. If you're struggling with anxiety, depression or mood disorders, dissociation, and possibly some ADHD too, I'm here for you. Together we can work through the things that are bothering you and get you to a place where you can truly feel that your past is in your past and you have the skills and strength to keep moving forward.
(217) 615-2944 View (217) 615-2944
Photo of Lisa M. Rankin, Counselor in Charleston, IL
Lisa M. Rankin
Counselor, LCPC, NCC, LSOTP, LSOE
Verified Verified
Charleston, IL 61920
I appreciate a person who is ready to work on becoming the best they can be. I have a "get real" approach to what matters and that is you! I utilize your strengths to identify interfering issues and will help you to develop effective coping strategies in a confidential setting.
I appreciate a person who is ready to work on becoming the best they can be. I have a "get real" approach to what matters and that is you! I utilize your strengths to identify interfering issues and will help you to develop effective coping strategies in a confidential setting.
(217) 885-4151 View (217) 885-4151
Photo of Angie Patton, Counselor in Charleston, IL
Angie Patton
Counselor, LPC
Verified Verified
Charleston, IL 61920
Angie Patton has a Master of Science degree in Community Counseling, and is a Licensed Professional Counselor. Her expertise extends to addictions (food, drugs, alcohol, etc.) and codependency/family issue around addictions. Angie can work with all presenting issues for couples, individuals and families. She provides assessments for substance abuse and anger issues and is an expert public speaker.
Angie Patton has a Master of Science degree in Community Counseling, and is a Licensed Professional Counselor. Her expertise extends to addictions (food, drugs, alcohol, etc.) and codependency/family issue around addictions. Angie can work with all presenting issues for couples, individuals and families. She provides assessments for substance abuse and anger issues and is an expert public speaker.
(217) 724-8474 View (217) 724-8474
Photo of Sandra Slayton, Licensed Professional Counselor in Charleston, IL
Sandra Slayton
Licensed Professional Counselor, MS, LCPC, NCC
Verified Verified
Charleston, IL 61920
As a highly skilled, empathetic, and Solution-Focused therapist, I am committed to providing exceptional care to individuals who are experiencing difficulty navigating relationships, managing depression or anxiety, or experiencing substance related issues. I am dedicated to establishing a strong therapeutic rapport where clients feel safe and willing to share their innermost feelings, thoughts, and fears by providing them with confidential, compassionate, and personalized treatment to meet client's individual needs and goals.
As a highly skilled, empathetic, and Solution-Focused therapist, I am committed to providing exceptional care to individuals who are experiencing difficulty navigating relationships, managing depression or anxiety, or experiencing substance related issues. I am dedicated to establishing a strong therapeutic rapport where clients feel safe and willing to share their innermost feelings, thoughts, and fears by providing them with confidential, compassionate, and personalized treatment to meet client's individual needs and goals.
(217) 733-5410 View (217) 733-5410
Photo of Alexis Dearing, Counselor in Charleston, IL
Alexis Dearing
Counselor, LCPC
Verified Verified
2 Endorsed
Charleston, IL 61920  (Online Only)
Trying to find the counselor that best suits you can be frightening. It takes courage to try to seek help. Thank you for being here. Levels of resistance and vulnerability vary, but they are both important to understand for each unique individual. Whatever you bring to therapy, that is where I will meet you. I am here for who you are, and to meet you where you are at. This perspective speaks to my eclectic role as a therapist. I analyze a client and use the research and knowledge I have to apply the best theory or approach to help my client. I focus on what the client's goals are and how to help them reach them in healthy ways.
Trying to find the counselor that best suits you can be frightening. It takes courage to try to seek help. Thank you for being here. Levels of resistance and vulnerability vary, but they are both important to understand for each unique individual. Whatever you bring to therapy, that is where I will meet you. I am here for who you are, and to meet you where you are at. This perspective speaks to my eclectic role as a therapist. I analyze a client and use the research and knowledge I have to apply the best theory or approach to help my client. I focus on what the client's goals are and how to help them reach them in healthy ways.
(618) 232-4744 View (618) 232-4744
Photo of Anna Farris, Licensed Clinical Professional Counselor in Charleston, IL
Anna Farris
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
2 Endorsed
Charleston, IL 61920
First and foremost, if you are reading this, I want you to know that I see the strength it took for you to take this step in asking for help. I work with clients ages 3 and up to navigate many life challenges - whether that is reprocessing past trauma, struggling in relationships, infertility/perinatal struggles, or navigating the day to day stressors of life. Being a member of the military/veteran community, I am also passionate about working with military/veterans and their family members on the unique challenges they face in their day to day life. I hope to help each person rewrite their story into something they can be proud of.
First and foremost, if you are reading this, I want you to know that I see the strength it took for you to take this step in asking for help. I work with clients ages 3 and up to navigate many life challenges - whether that is reprocessing past trauma, struggling in relationships, infertility/perinatal struggles, or navigating the day to day stressors of life. Being a member of the military/veteran community, I am also passionate about working with military/veterans and their family members on the unique challenges they face in their day to day life. I hope to help each person rewrite their story into something they can be proud of.
(217) 599-5367 View (217) 599-5367
Photo of Michael Kleppin, Counselor in Charleston, IL
Michael Kleppin
Counselor, MSEd, LCPC, CADC
Verified Verified
Charleston, IL 61920
Not accepting new clients
Kleppin & Associates specializes in the care of clients with compulsive, addictive or deviant behaviors which have caused consequences in the client's personl life, with their family, at work and possibly within the judicial system. These issues may include; pornography & sexual addiction/disorders, substance abuse & chemical dependency struggles, in addition to general mental health issues such as anxiety or depression. In therapy we assist the individual in addressing their specific issues while exploring new cognitive and behavioral changes in an effort to develop a healthier and more functional lifestyle.
Kleppin & Associates specializes in the care of clients with compulsive, addictive or deviant behaviors which have caused consequences in the client's personl life, with their family, at work and possibly within the judicial system. These issues may include; pornography & sexual addiction/disorders, substance abuse & chemical dependency struggles, in addition to general mental health issues such as anxiety or depression. In therapy we assist the individual in addressing their specific issues while exploring new cognitive and behavioral changes in an effort to develop a healthier and more functional lifestyle.
(217) 574-5174 View (217) 574-5174
Photo of Carol Claxon Counseling LLC, Clinical Social Work/Therapist in Charleston, IL
Carol Claxon Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Charleston, IL 61920
I believe we all have the capacity to change and grow. Therapy offers a safe, supportive space to develop awareness and understanding of life experiences and provides guidance in facing the changes and challenges that can become overwhelming in our lives. It’s during these times that we can feel alone, misunderstood, and overwhelmed. I would be happy to partner with you to discover new strategies for healthy coping, challenge patterns of negative beliefs and behaviors, increase healthy relationships, and discover your strengths. I can help to provide support and resources that will lead to personal growth and fulfillment in life.
I believe we all have the capacity to change and grow. Therapy offers a safe, supportive space to develop awareness and understanding of life experiences and provides guidance in facing the changes and challenges that can become overwhelming in our lives. It’s during these times that we can feel alone, misunderstood, and overwhelmed. I would be happy to partner with you to discover new strategies for healthy coping, challenge patterns of negative beliefs and behaviors, increase healthy relationships, and discover your strengths. I can help to provide support and resources that will lead to personal growth and fulfillment in life.
(217) 203-4165 View (217) 203-4165

More Therapists Nearby

Photo of Federico Parola, Marriage & Family Therapist in Charleston, IL
Federico Parola
Marriage & Family Therapist, LMFT
Verified Verified
Mattoon, IL 61938
I started my journey as a family therapist in 2017. I have been providing direct care in a variety of settings to children, adolescents and adults. My approach includes modalities that are attachment based, experiential, and trauma informed. I have experience working with clients battling with anxiety, family challenges, life transitions, and parenting.
I started my journey as a family therapist in 2017. I have been providing direct care in a variety of settings to children, adolescents and adults. My approach includes modalities that are attachment based, experiential, and trauma informed. I have experience working with clients battling with anxiety, family challenges, life transitions, and parenting.
(217) 687-1318 View (217) 687-1318

Online Therapists

Photo of Stephanie Perkins, Licensed Clinical Professional Counselor in Charleston, IL
Stephanie Perkins
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Springfield, IL 62711
Stephanie Perkins, LCPC, is personable, empathetic, and genuinely cares about client progress throughout the therapeutic process. She meets clients where they are and makes sure they have the opportunity to share and rewrite their story in a safe, comfortable space. Stephanie supports adolescents and adults struggling with depression, anxiety, grief, substance abuse, and more. In therapy, Stephanie uses CBT along with cognitive restructuring, guided imagery, journaling, role playing, and various relaxation techniques to help clients reach their goals.
Stephanie Perkins, LCPC, is personable, empathetic, and genuinely cares about client progress throughout the therapeutic process. She meets clients where they are and makes sure they have the opportunity to share and rewrite their story in a safe, comfortable space. Stephanie supports adolescents and adults struggling with depression, anxiety, grief, substance abuse, and more. In therapy, Stephanie uses CBT along with cognitive restructuring, guided imagery, journaling, role playing, and various relaxation techniques to help clients reach their goals.
(217) 993-8101 View (217) 993-8101
Photo of Lawisha Dulski, Counselor in Charleston, IL
Lawisha Dulski
Counselor, MS, LCPC, NCC
Verified Verified
Champaign, IL 61822
I believe in a person centered and narrative approach, as you are the expert of your own life. You have your own story to tell. Talking to a stranger about issues you’re facing can be extremely difficult and challenging but it shows enormous amounts of strength and bravery. My goal as a therapist is to provide a safe, nonjudgmental space where you can express yourself, discuss challenges that you are facing, explore new ideas and new chapters, and to help promote growth and wellness. I want my clients to feel heard and understood.
I believe in a person centered and narrative approach, as you are the expert of your own life. You have your own story to tell. Talking to a stranger about issues you’re facing can be extremely difficult and challenging but it shows enormous amounts of strength and bravery. My goal as a therapist is to provide a safe, nonjudgmental space where you can express yourself, discuss challenges that you are facing, explore new ideas and new chapters, and to help promote growth and wellness. I want my clients to feel heard and understood.
(833) 659-1321 View (833) 659-1321
Photo of Ashley Reynolds, Counselor in Charleston, IL
Ashley Reynolds
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Bloomington, IL 61701
Waitlist for new clients
Do you feel like you're stuck no matter how hard you try to move forward? Our brains can leave us feeling like we are at the mercy of our past. When disturbing or traumatizing events happen, those events can become locked in our nervous system as if we are frozen in time with all same uncomfortable feelings. People, situations, or events can subconsciously trigger those stuck memories leaving you feeling anxious, paranoid, irritable, depressed, or otherwise fearful without an obvious cause. Together we can heal your trauma and allow you to move on from your pain.
Do you feel like you're stuck no matter how hard you try to move forward? Our brains can leave us feeling like we are at the mercy of our past. When disturbing or traumatizing events happen, those events can become locked in our nervous system as if we are frozen in time with all same uncomfortable feelings. People, situations, or events can subconsciously trigger those stuck memories leaving you feeling anxious, paranoid, irritable, depressed, or otherwise fearful without an obvious cause. Together we can heal your trauma and allow you to move on from your pain.
(217) 689-1755 View (217) 689-1755
Photo of Sheerine Bazargani, Licensed Professional Counselor in Charleston, IL
Sheerine Bazargani
Licensed Professional Counselor, LPC
Verified Verified
Champaign, IL 61820
I am a Licensed Professional Counselor and a Certified Alcohol and Drug Counselor with a Masters Degree from the University of Illinois Springfield. I started my field work as an addiction counselor in outpatient and residential settings. I have great knowledge and expertise working with addictions and recovery, but also specialize in treating ADHD, especially in adults. Other areas of experience include anxiety disorders, depression, trauma, couples therapy, and family therapy. I am a certified Yoga Instructor, and often use yoga as a therapeutic modality in my sessions.
I am a Licensed Professional Counselor and a Certified Alcohol and Drug Counselor with a Masters Degree from the University of Illinois Springfield. I started my field work as an addiction counselor in outpatient and residential settings. I have great knowledge and expertise working with addictions and recovery, but also specialize in treating ADHD, especially in adults. Other areas of experience include anxiety disorders, depression, trauma, couples therapy, and family therapy. I am a certified Yoga Instructor, and often use yoga as a therapeutic modality in my sessions.
(855) 618-5618 View (855) 618-5618
Photo of Debra Fanning in Charleston, IL
Debra Fanning
LCPC
Verified Verified
Tremont, IL 61568
Debi is a Licensed Clinical Professional Counselor, who has been practicing since 1987. She graduated from Bradley University with a Master's Degree In Human development Counseling. Debi believes in a family systems approach, that focuses on problem solving thru the idea of the relationships and patterns of our families. In addition she also works to build on the strengths of individuals. Her main areas of interest include; grief and loss along with anxiety and depression. In her spare time Debi likes to spend time with her children and grandchildren along with running. She recently completed her 3rd marathon.
Debi is a Licensed Clinical Professional Counselor, who has been practicing since 1987. She graduated from Bradley University with a Master's Degree In Human development Counseling. Debi believes in a family systems approach, that focuses on problem solving thru the idea of the relationships and patterns of our families. In addition she also works to build on the strengths of individuals. Her main areas of interest include; grief and loss along with anxiety and depression. In her spare time Debi likes to spend time with her children and grandchildren along with running. She recently completed her 3rd marathon.
(309) 869-8324 View (309) 869-8324
Photo of Mary Adams, Clinical Social Work/Therapist in Charleston, IL
Mary Adams
Clinical Social Work/Therapist, LCSW
Verified Verified
Savoy, IL 61874
My approach to therapy is grounded in a deep, interdisciplinary understanding of the human experience. In my work with clients, we address underlying issues by using multiple areas and functions of the brain and nervous system. Rather than solely relying on thinking or talking your way out of anxiety, depression or trauma - our collaboration focuses on creating an environment to help rewire the brain and support real, lasting change.
My approach to therapy is grounded in a deep, interdisciplinary understanding of the human experience. In my work with clients, we address underlying issues by using multiple areas and functions of the brain and nervous system. Rather than solely relying on thinking or talking your way out of anxiety, depression or trauma - our collaboration focuses on creating an environment to help rewire the brain and support real, lasting change.
(217) 712-3689 View (217) 712-3689
Photo of Carolynne Jorgenson, Licensed Clinical Professional Counselor in Charleston, IL
Carolynne Jorgenson
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Mount Vernon, IL 62864  (Online Only)
Carolynne Jorgenson Counseling, PLLC is a practice focused on supporting clients to actualize their vision of themselves. Services include private and group counseling, the reference book Parables From Daily Living - Storytelling as Counseling, and vocational rehabilitation services, including cover letter and resume writing services. Carolynne focuses on you as a whole person, guiding you towards achieving your goals: emotional, personal, physical, and professional. Why not choose a counselor that considers all of the aspects of your life to help you actualize your vision for yourself? Consider choosing a counselor focused on you
Carolynne Jorgenson Counseling, PLLC is a practice focused on supporting clients to actualize their vision of themselves. Services include private and group counseling, the reference book Parables From Daily Living - Storytelling as Counseling, and vocational rehabilitation services, including cover letter and resume writing services. Carolynne focuses on you as a whole person, guiding you towards achieving your goals: emotional, personal, physical, and professional. Why not choose a counselor that considers all of the aspects of your life to help you actualize your vision for yourself? Consider choosing a counselor focused on you
(618) 827-5280 View (618) 827-5280

See more therapy options for Charleston

How does your Therapist compare?

Number of Therapists in Charleston, IL

10+

Average cost per session

$187

Therapists in Charleston, IL who prioritize treating:

100% Anxiety
83% Trauma and PTSD
83% Stress
75% Life Transitions
67% Relationship Issues
67% Depression
67% Behavioral Issues

Average years in practice

23 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Health Alliance
83% HealthLink

How Therapists in Charleston, IL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Charleston?

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.