Therapists in West Haven, CT

Photo of Marsha A Techeira, Marriage & Family Therapist in West Haven, CT
Marsha A Techeira
Marriage & Family Therapist, LMFT
Verified Verified
West Haven, CT 06516  (Online Only)
We are in this together; you don’t have to do this alone. Now, more than ever, women are feeling the overwhelming demands of having a good work-life balance. Whether you are struggling with anxiety, depression, low self-esteem, relationship conflict, parenting challenges, life transitions or trauma, I am here to help you flip the page to a new chapter in your life. This can be done in session with just you or with those most important to you.
We are in this together; you don’t have to do this alone. Now, more than ever, women are feeling the overwhelming demands of having a good work-life balance. Whether you are struggling with anxiety, depression, low self-esteem, relationship conflict, parenting challenges, life transitions or trauma, I am here to help you flip the page to a new chapter in your life. This can be done in session with just you or with those most important to you.
(203) 902-4849 View (203) 902-4849
Photo of Heather Knox, Licensed Professional Counselor in West Haven, CT
Heather Knox
Licensed Professional Counselor, MA, PhD(c), LPC, She/Her
Verified Verified
West Haven, CT 06516  (Online Only)
Hi, I'm glad you have sought out help. I know that picking a provider can be a difficult process. I have been working as a counselor for the past 8 years. My primary focus is in mental health disorders and substance abuse. I currently hold a Masters degree in Mental Health Counseling and am in the process of obtaining a PhD in Psychology.
Hi, I'm glad you have sought out help. I know that picking a provider can be a difficult process. I have been working as a counselor for the past 8 years. My primary focus is in mental health disorders and substance abuse. I currently hold a Masters degree in Mental Health Counseling and am in the process of obtaining a PhD in Psychology.
(475) 256-6127 View (475) 256-6127
Photo of Sheila Hebert, Marriage & Family Therapist in West Haven, CT
Sheila Hebert
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
West Haven, CT 06516
Not accepting new clients
Welcome! Your journey toward healing, change, and self-care has already begun with taking your first step in finding a compatible therapist. Not only am I educated as a therapist, but I too have taken this same leap of faith. I have invested time in my own therapeutic process of change and have reaped the benefits of having a professional guide me through some of the most challenging and difficult times of my life. I am passionate about providing a space where we can work together to explore your needs and co-create goals and a treatment plan that will empower you to embrace and embody the best version of yourself.
Welcome! Your journey toward healing, change, and self-care has already begun with taking your first step in finding a compatible therapist. Not only am I educated as a therapist, but I too have taken this same leap of faith. I have invested time in my own therapeutic process of change and have reaped the benefits of having a professional guide me through some of the most challenging and difficult times of my life. I am passionate about providing a space where we can work together to explore your needs and co-create goals and a treatment plan that will empower you to embrace and embody the best version of yourself.
(203) 936-7152 View (203) 936-7152
Photo of Melina G. Infantino, Clinical Social Work/Therapist in West Haven, CT
Melina G. Infantino
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
West Haven, CT 06516
Melina Infantino is a Bilingual Licensed Clinical Social Worker (LCSW) who believes in helping people to find and capitalize on their own internal strengths as a way to assist them in dealing with all the challenges that come with living life. She partners with her clients to create meaningful goals and supports them in making progress toward them.
Melina Infantino is a Bilingual Licensed Clinical Social Worker (LCSW) who believes in helping people to find and capitalize on their own internal strengths as a way to assist them in dealing with all the challenges that come with living life. She partners with her clients to create meaningful goals and supports them in making progress toward them.
(855) 780-0283 View (855) 780-0283
Photo of Jennifer Brothers, Drug & Alcohol Counselor in West Haven, CT
Jennifer Brothers
Drug & Alcohol Counselor, MS, LADC
Verified Verified
2 Endorsed
West Haven, CT 06516
Sometimes in life you lose your way. Perhaps it is getting adjusted to a new job, a change in your living situation or just feeling a bit off. It could be as simple as wanting someone to listen to you, to empathize with what you are feeling. Other times it could be dealing with a break up, a loss of a loved one or an addition of some type. Life Navigation can help you find your way back to a place where you can enjoy life and regain serenity
Sometimes in life you lose your way. Perhaps it is getting adjusted to a new job, a change in your living situation or just feeling a bit off. It could be as simple as wanting someone to listen to you, to empathize with what you are feeling. Other times it could be dealing with a break up, a loss of a loved one or an addition of some type. Life Navigation can help you find your way back to a place where you can enjoy life and regain serenity
(203) 903-9879 View (203) 903-9879
Photo of Andonia D Clessas, Marriage & Family Therapist in West Haven, CT
Andonia D Clessas
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
West Haven, CT 06516
Waitlist for new clients
Good afternoon! After 40 years, I offer many tools as a professional with a brief, positive, solution focused approach. For individuals who have experienced trauma, and find themselves depressed, anxious, fatigued, and in joint pain, with hair loss, digestive ills and/or headaches, I specialize in treating people with compassion who are experiencing these issues.
Good afternoon! After 40 years, I offer many tools as a professional with a brief, positive, solution focused approach. For individuals who have experienced trauma, and find themselves depressed, anxious, fatigued, and in joint pain, with hair loss, digestive ills and/or headaches, I specialize in treating people with compassion who are experiencing these issues.
(203) 275-0487 View (203) 275-0487
Photo of Yasmin Perez-Maddelena, Licensed Professional Counselor in West Haven, CT
Yasmin Perez-Maddelena
Licensed Professional Counselor, LPC, MS
Verified Verified
1 Endorsed
West Haven, CT 06516  (Online Only)
The empowering decision to pursue counseling sets the stage for a transformative journey of growth and healing. I am a bilingual Licensed Professional Counselor with over 25 years of experience working with children, adolescents and families.
The empowering decision to pursue counseling sets the stage for a transformative journey of growth and healing. I am a bilingual Licensed Professional Counselor with over 25 years of experience working with children, adolescents and families.
(475) 256-0467 View (475) 256-0467
Photo of Minds in Motion LLC , Clinical Social Work/Therapist in West Haven, CT
Minds in Motion LLC
Clinical Social Work/Therapist, MSW, LCSW, CIMHP
Verified Verified
1 Endorsed
West Haven, CT 06516
Do you often feel weighed down by feelings of anxiety and depression? or life has you feeling stuck? Minds in Motion LLC, is a mental health practice servicing Connecticut residences. Our mission is to support and encourage personal growth to individuals that struggle with social and emotional challenges by moving forward. As a fully Licensed Clinical Social Worker (LCSW) and a Certified Integrative Mental Health Provider (CIMHP), I understand the importance of combining different therapeutic approaches to fit the needs of each individual person in order to strengthen their overall wellbeing.
Do you often feel weighed down by feelings of anxiety and depression? or life has you feeling stuck? Minds in Motion LLC, is a mental health practice servicing Connecticut residences. Our mission is to support and encourage personal growth to individuals that struggle with social and emotional challenges by moving forward. As a fully Licensed Clinical Social Worker (LCSW) and a Certified Integrative Mental Health Provider (CIMHP), I understand the importance of combining different therapeutic approaches to fit the needs of each individual person in order to strengthen their overall wellbeing.
(203) 904-2023 View (203) 904-2023
Photo of Tracy L. Dempsey, Counselor in West Haven, CT
Tracy L. Dempsey
Counselor, LPC
Verified Verified
West Haven, CT 06516  (Online Only)
I like to have an open discussion with clients and make it a safe and inviting place for them to speak freely and voice any concerns they may have. I believe goals that are attainable for clients are best so they can see true growth and positive outcomes.
I like to have an open discussion with clients and make it a safe and inviting place for them to speak freely and voice any concerns they may have. I believe goals that are attainable for clients are best so they can see true growth and positive outcomes.
(203) 633-7015 View (203) 633-7015
Photo of Martine Saintilus, Clinical Social Work/Therapist in West Haven, CT
Martine Saintilus
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
1 Endorsed
West Haven, CT 06516  (Online Only)
There is so much power, and strength in one's voice. Imagine being able to release the burden that you have been carrying for years. My goal is to empower my clients to improve themselves by providing a space for healing, helping them to identify healthy coping skills, and address life stressors in a healthy way. It is important for me to hear your story, and encourage you to uncover your greatest potential. My passion is to help you to identify your obstacles, while empowering you to find healthy ways to address them. I also provide Christian Counseling!
There is so much power, and strength in one's voice. Imagine being able to release the burden that you have been carrying for years. My goal is to empower my clients to improve themselves by providing a space for healing, helping them to identify healthy coping skills, and address life stressors in a healthy way. It is important for me to hear your story, and encourage you to uncover your greatest potential. My passion is to help you to identify your obstacles, while empowering you to find healthy ways to address them. I also provide Christian Counseling!
(203) 601-7540 View (203) 601-7540
Photo of Donnamarie Rivera, Drug & Alcohol Counselor in West Haven, CT
Donnamarie Rivera
Drug & Alcohol Counselor, LMFT, LADC, PGS, ADS
Verified Verified
West Haven, CT 06516
Taking new Client's and offering telehealth. As a therapist I understand that people's lives can get off track, sometimes leaving them feeling stuck and unsure about which direction to take. Counseling is an opportunity to discover what is preventing you from moving forward. Whether it is events from the past, current challenges, or that your future looks bleak, we can take the journey together to discover what is blocking your ability to move forward. As a Licensed Alcohol and Drug Counselor and a Licensed Marriage and Family Therapist I understand that not everything that happens in our lives is totally our fault.
Taking new Client's and offering telehealth. As a therapist I understand that people's lives can get off track, sometimes leaving them feeling stuck and unsure about which direction to take. Counseling is an opportunity to discover what is preventing you from moving forward. Whether it is events from the past, current challenges, or that your future looks bleak, we can take the journey together to discover what is blocking your ability to move forward. As a Licensed Alcohol and Drug Counselor and a Licensed Marriage and Family Therapist I understand that not everything that happens in our lives is totally our fault.
(203) 612-5880 View (203) 612-5880
Photo of Talitha Tramuta Individual Therapy, Marriage & Family Therapist in West Haven, CT
Talitha Tramuta Individual Therapy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
West Haven, CT 06516
Do you feel stuck? My approach to helping: Choosing to begin therapy and meet a new therapist can be one of the most stressful things a person can do. It is also one of the most courageous! The journey of counseling and therapy is a path of growth. I love working with people who have the courage to engage in therapy and helping them learn, grow, and heal. By becoming more aware of yourself and the people around you, you are able to choose new ways of being and interacting, and feel calmer and more content day to day.
Do you feel stuck? My approach to helping: Choosing to begin therapy and meet a new therapist can be one of the most stressful things a person can do. It is also one of the most courageous! The journey of counseling and therapy is a path of growth. I love working with people who have the courage to engage in therapy and helping them learn, grow, and heal. By becoming more aware of yourself and the people around you, you are able to choose new ways of being and interacting, and feel calmer and more content day to day.
(203) 680-3762 View (203) 680-3762
Photo of Diane E. Casalaina, MA, LADC, CAC,, Drug & Alcohol Counselor in West Haven, CT
Diane E. Casalaina, MA, LADC, CAC,
Drug & Alcohol Counselor, MA, LADC, CAC
Verified Verified
West Haven, CT 06516
If you are living and struggling with the pain of drug and/or alcohol abuse or dependence, then you may have experienced a broken spirit which can lead to feelings of hopelessness. I do not believe this disease is hopeless. If you are using alcohol to cope with life transitions, such as aging, grief, divorce, illness or adjusting to an empty nest, I will work with you in a safe, confidential and supportive environment to address your feelings and bring about positive change and hope. We will work together to establish goals that you believe are achievable in your individual journey towards recovery and wellness.
If you are living and struggling with the pain of drug and/or alcohol abuse or dependence, then you may have experienced a broken spirit which can lead to feelings of hopelessness. I do not believe this disease is hopeless. If you are using alcohol to cope with life transitions, such as aging, grief, divorce, illness or adjusting to an empty nest, I will work with you in a safe, confidential and supportive environment to address your feelings and bring about positive change and hope. We will work together to establish goals that you believe are achievable in your individual journey towards recovery and wellness.
(203) 985-5634 View (203) 985-5634
Photo of ABA A Step At A Time Care in West Haven, CT
ABA A Step At A Time Care
MS, BCBA, LBA
Verified Verified
West Haven, CT 06516
A Step At A Time Care is a provider of best-in-class behavioral therapeutic services to support children with autism and related disorders and their families. We are evidence-based, outcome-driven, professionally run, and parent-owned. We provide a focused behavioral program that consists of direct 1:1 sessions with a Master's level Behavior Analyst and parent/caregiver coaching (if applicable). IEP advocacy and consultation are also available.
A Step At A Time Care is a provider of best-in-class behavioral therapeutic services to support children with autism and related disorders and their families. We are evidence-based, outcome-driven, professionally run, and parent-owned. We provide a focused behavioral program that consists of direct 1:1 sessions with a Master's level Behavior Analyst and parent/caregiver coaching (if applicable). IEP advocacy and consultation are also available.
(203) 403-6245 x1 View (203) 403-6245 x1
Photo of Tawanna Woolfolk, Clinical Social Work/Therapist in West Haven, CT
Tawanna Woolfolk
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
6 Endorsed
West Haven, CT 06516
Not accepting new clients
Are you searching for a dedicated therapist to start counseling with? Or, are you working towards licensure in a counseling related field and looking for a supervisor? Regardless of your path, I am thrilled that your journey has led you here, to me. No matter which service you are interested in, you will get the best of my humanistic self, skills and talents. I will connect with your heart and spirit and cultivate a relationship with you that will nurture optimal growth and life progression. I deeply know from personal experience, the benefits of doing the personal and professional work with a dedicated and experienced therapist.
Are you searching for a dedicated therapist to start counseling with? Or, are you working towards licensure in a counseling related field and looking for a supervisor? Regardless of your path, I am thrilled that your journey has led you here, to me. No matter which service you are interested in, you will get the best of my humanistic self, skills and talents. I will connect with your heart and spirit and cultivate a relationship with you that will nurture optimal growth and life progression. I deeply know from personal experience, the benefits of doing the personal and professional work with a dedicated and experienced therapist.
(203) 409-1829 View (203) 409-1829
Photo of Cornerstone Counseling Services, LLC, Licensed Professional Counselor in West Haven, CT
Cornerstone Counseling Services, LLC
Licensed Professional Counselor, MSc, MS, LPC
Verified Verified
West Haven, CT 06516
Welcome to Cornerstone Counseling Services! This is a private practice with a team of trained and experienced mental health clinicians. We have worked with adults who have co-occurring Substance Abuse and Mental Health concerns. We have extensive experience working with children and teenagers who have academic difficulties, behavioral problems and mental health issues. Our clinicians have significant experience working with couples and families who struggle with both mental health and life issues that prevent them from moving forward in life. Remember, everyone experiences life struggles at one point in life
Welcome to Cornerstone Counseling Services! This is a private practice with a team of trained and experienced mental health clinicians. We have worked with adults who have co-occurring Substance Abuse and Mental Health concerns. We have extensive experience working with children and teenagers who have academic difficulties, behavioral problems and mental health issues. Our clinicians have significant experience working with couples and families who struggle with both mental health and life issues that prevent them from moving forward in life. Remember, everyone experiences life struggles at one point in life
(475) 258-8047 View (475) 258-8047
Photo of Elizabeth Morris, Counselor in West Haven, CT
Elizabeth Morris
Counselor, LPC
Verified Verified
West Haven, CT 06516  (Online Only)
Hello, I'm Elizabeth. As a therapist over the last 10 years I have worked with a wide variety of people in helping them heal and grow through the therapy process. I am an advocate and an ally for those who don't feel that their voices are heard including: LGBTQIA+, TBI survivors, Neurodivergent individuals, parents, college students, and people looking to find their self-worth. I tailor my sessions to fit each person's individual needs and take time to learn about the people I work with and what makes them full of joy and feel authentic. Together we will work to make the therapy process a time of healing and a time of growth.
Hello, I'm Elizabeth. As a therapist over the last 10 years I have worked with a wide variety of people in helping them heal and grow through the therapy process. I am an advocate and an ally for those who don't feel that their voices are heard including: LGBTQIA+, TBI survivors, Neurodivergent individuals, parents, college students, and people looking to find their self-worth. I tailor my sessions to fit each person's individual needs and take time to learn about the people I work with and what makes them full of joy and feel authentic. Together we will work to make the therapy process a time of healing and a time of growth.
(203) 902-4687 View (203) 902-4687
Photo of Marsha Saintilus, Licensed Professional Counselor in West Haven, CT
Marsha Saintilus
Licensed Professional Counselor, MA, LMHC, LPC
Verified Verified
West Haven, CT 06516  (Online Only)
Do you need help with managing your stress, a transition, practicing self care, processing trauma, navigating relationship challenges or taking the next step towards your purpose? Maybe you’ve tried many ways to cope and you need a different prospective, a listening ear, someone to help you create a plan that will yield a change so you can live a better life?
Do you need help with managing your stress, a transition, practicing self care, processing trauma, navigating relationship challenges or taking the next step towards your purpose? Maybe you’ve tried many ways to cope and you need a different prospective, a listening ear, someone to help you create a plan that will yield a change so you can live a better life?
(203) 457-6460 View (203) 457-6460
Photo of Shoreline Wellness Center, Licensed Professional Counselor in West Haven, CT
Shoreline Wellness Center
Licensed Professional Counselor, LPC, LCSW, LMFT, APRN, MD
Verified Verified
West Haven, CT 06516
Shoreline Wellness Center is a behavioral health practice located in the center of West Haven. We are conveniently located one block from the West Haven green. Our team of Licensed Professional Counselors, Licensed Clinical Social Workers and Licensed Marriage and Family Therapists offer numerous mental health services for adults, children, and adolescents. Our services include: individual, group, family, marriage/couples counseling, medication management, and wellness services such as; massage therapy, yoga, meditation, and therapy dogs. In addition, we have two board certified Psychiatrists on staff, one that specializes in adult Psychiatry and one that specializes in child and adolescent Psychiatry. We also have Nurse Practitioners on staff to assist with medication management and evaluation. Our practice's main focus is on wellness and helping our clients achieve wellness for themselves both physically and mentally. Our staff strives to deliver professional and excellent care in a kind, caring, and warm environment. We accept most commercial insurances, as well as Medicaid/Husky, Medicare, and we offer a sliding scale payment option for those without insurance. Call us today for a free, confidential, intake we are open Monday-Thursday 9AM-8PM, Fridays 9AM-6PM and Saturdays 9AM-4PM. We have evening and Saturday appointments available!
Shoreline Wellness Center is a behavioral health practice located in the center of West Haven. We are conveniently located one block from the West Haven green. Our team of Licensed Professional Counselors, Licensed Clinical Social Workers and Licensed Marriage and Family Therapists offer numerous mental health services for adults, children, and adolescents. Our services include: individual, group, family, marriage/couples counseling, medication management, and wellness services such as; massage therapy, yoga, meditation, and therapy dogs. In addition, we have two board certified Psychiatrists on staff, one that specializes in adult Psychiatry and one that specializes in child and adolescent Psychiatry. We also have Nurse Practitioners on staff to assist with medication management and evaluation. Our practice's main focus is on wellness and helping our clients achieve wellness for themselves both physically and mentally. Our staff strives to deliver professional and excellent care in a kind, caring, and warm environment. We accept most commercial insurances, as well as Medicaid/Husky, Medicare, and we offer a sliding scale payment option for those without insurance. Call us today for a free, confidential, intake we are open Monday-Thursday 9AM-8PM, Fridays 9AM-6PM and Saturdays 9AM-4PM. We have evening and Saturday appointments available!
(203) 794-7083 View (203) 794-7083
Photo of Jessica Trzaska, Licensed Professional Counselor in West Haven, CT
Jessica Trzaska
Licensed Professional Counselor, LPC, ATR-BC, RYT-200
Verified Verified
1 Endorsed
West Haven, CT 06516  (Online Only)
Currently accepting new clients. Telehealth only at this time. “We can always begin again” -Sharon Salzberg
Currently accepting new clients. Telehealth only at this time. “We can always begin again” -Sharon Salzberg
View

How does your Therapist compare?

Number of Therapists in West Haven, CT

90+

Average cost per session

$140

Therapists in West Haven, CT who prioritize treating:

93% Anxiety
91% Depression
81% Relationship Issues
79% Coping Skills
72% Trauma and PTSD
72% Self Esteem
64% Stress

Average years in practice

14 Years

Top 3 insurances accepted

75% Aetna
72% Husky | CT BHP
66% Cigna and Evernorth

How Therapists in West Haven, CT see their clients

78% In Person and Online
22% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in West Haven?

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.