Therapists in Doylestown, PA

Photo of Annie Byrne, Clinical Social Work/Therapist in Doylestown, PA
Annie Byrne
Clinical Social Work/Therapist, LCSW
Verified Verified
Doylestown, PA 18902
Annie byrne is a licensed clinical social worker in pennsylvania who has been practicing since 2018. While therapists complete similar classes on counseling, theories, and techniques, annie believes it is their styles, experiences, and skills that can be different. Some specialize in their "Skill set" while others are eclectic and masters at utilizing different techniques. Their communication and the counseling style are what fuels the relationship. Annie's style is relaxed and conversational.
Annie byrne is a licensed clinical social worker in pennsylvania who has been practicing since 2018. While therapists complete similar classes on counseling, theories, and techniques, annie believes it is their styles, experiences, and skills that can be different. Some specialize in their "Skill set" while others are eclectic and masters at utilizing different techniques. Their communication and the counseling style are what fuels the relationship. Annie's style is relaxed and conversational.
(267) 930-1961 View (267) 930-1961
Photo of Alyson Greczyn, Licensed Professional Counselor in Doylestown, PA
Alyson Greczyn
Licensed Professional Counselor, LPC, MS
Verified Verified
Doylestown, PA 18902
Alyson graduated from Holy Family University with her Master's Degree in Counseling Psychology. She has her LPC in the state of PA and has a lot of experience working with adults who struggle with dual diagnosis issues. She is very passionate about helping others with their mental health.
Alyson graduated from Holy Family University with her Master's Degree in Counseling Psychology. She has her LPC in the state of PA and has a lot of experience working with adults who struggle with dual diagnosis issues. She is very passionate about helping others with their mental health.
(267) 641-5013 View (267) 641-5013
Photo of Lee Shadeck, Licensed Professional Counselor in Doylestown, PA
Lee Shadeck
Licensed Professional Counselor, LPC
Verified Verified
Doylestown, PA 18901  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(267) 641-8894 View (267) 641-8894
Photo of Tim Van Rheenen, Marriage & Family Therapist in Doylestown, PA
Tim Van Rheenen
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Doylestown, PA 18901
Maybe conflict with your spouse never seems to get resolved, or your secret sexual behavior isn't stopping as easily as you thought it would. If you're feeling confused and hopeless, I can help you get clear about who you were meant to be and to find peace. I want to help you find freedom and discard old ways of living. I work with people of all backgrounds but incorporate Christian principles and practices for those who share that worldview. Reach out today and let's develop a plan together based on your unique story and needs.
Maybe conflict with your spouse never seems to get resolved, or your secret sexual behavior isn't stopping as easily as you thought it would. If you're feeling confused and hopeless, I can help you get clear about who you were meant to be and to find peace. I want to help you find freedom and discard old ways of living. I work with people of all backgrounds but incorporate Christian principles and practices for those who share that worldview. Reach out today and let's develop a plan together based on your unique story and needs.
(267) 458-9250 View (267) 458-9250
Photo of Kristen Marie Pettinato, Licensed Professional Counselor in Doylestown, PA
Kristen Marie Pettinato
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Doylestown, PA 18901
I am a Licensed Professional Counselor utilizing a highly personalized approach supporting teens, adults, seniors & couples through change & life transitions. Incorporating complimentary therapies from a strengths & solution based approach, I assist clients in processing emotions, gaining strength & coping skills. I assist individuals dedicated to overall health & well-being to feel balanced, calm, empowered, connected and motivated to achieve change. I offer support to clients navigating through grief & loss, relationship issues, anxiety, recovery & mental health diagnosis traditionally & not traditionally covered by insurance.
I am a Licensed Professional Counselor utilizing a highly personalized approach supporting teens, adults, seniors & couples through change & life transitions. Incorporating complimentary therapies from a strengths & solution based approach, I assist clients in processing emotions, gaining strength & coping skills. I assist individuals dedicated to overall health & well-being to feel balanced, calm, empowered, connected and motivated to achieve change. I offer support to clients navigating through grief & loss, relationship issues, anxiety, recovery & mental health diagnosis traditionally & not traditionally covered by insurance.
(267) 454-2028 x510 View (267) 454-2028 x510
Photo of Lynne Welsh, Counselor in Doylestown, PA
Lynne Welsh
Counselor, M, S
Verified Verified
1 Endorsed
Doylestown, PA 18901
Hello, my name is Lynne Welsh and I am the Founder of Welsh Therapy. Our therapists work with clients who are experiencing anxiety, depression, ADHD, OCD (obsessive compulsive disorder), ODD(oppositional defiant disorder), ASD(autistic spectrum disorder), eating disorders, adolescent/young adults online gambling addiction, adoption trauma and mental health symptoms from concussions or TBIs. Our practice also has a psychologist who conducts evaluations for ADHD, ASD, and full comprehensive evaluations. Our practice has partnered with PS Psychiatry for our clients who request medication to assist with their mental health issues.
Hello, my name is Lynne Welsh and I am the Founder of Welsh Therapy. Our therapists work with clients who are experiencing anxiety, depression, ADHD, OCD (obsessive compulsive disorder), ODD(oppositional defiant disorder), ASD(autistic spectrum disorder), eating disorders, adolescent/young adults online gambling addiction, adoption trauma and mental health symptoms from concussions or TBIs. Our practice also has a psychologist who conducts evaluations for ADHD, ASD, and full comprehensive evaluations. Our practice has partnered with PS Psychiatry for our clients who request medication to assist with their mental health issues.
(215) 607-6844 View (215) 607-6844
Photo of Lael Rasch, Pre-Licensed Professional in Doylestown, PA
Lael Rasch
Pre-Licensed Professional, MA, CPC, MFT
Verified Verified
4 Endorsed
Doylestown, PA 18901  (Online Only)
Do you desire to awaken to your deepest passion, to your life purpose, to your potential? Are you ready to craft a life and relationship of your own creative and bold design? Are you in the midst of a life transition desiring to more fully align with your core values and make space for more peace, passion and pleasure? Are you ready to up-level and transform your relationships and more masterfully connect, communicate and cohabitate? I'd be honored to partner with you and support you in creating a life that is in full alignment with your deepest desires, a life infused with joy and abundance, a life that you absolutely love.
Do you desire to awaken to your deepest passion, to your life purpose, to your potential? Are you ready to craft a life and relationship of your own creative and bold design? Are you in the midst of a life transition desiring to more fully align with your core values and make space for more peace, passion and pleasure? Are you ready to up-level and transform your relationships and more masterfully connect, communicate and cohabitate? I'd be honored to partner with you and support you in creating a life that is in full alignment with your deepest desires, a life infused with joy and abundance, a life that you absolutely love.
(484) 249-6234 View (484) 249-6234
Photo of Amanda Walter in Doylestown, PA
Amanda Walter
MS, LPC
Verified Verified
Doylestown, PA 18901
The relationship we have with ourselves directly influences the relationships we have with others. Self love, or even meeting ourselves where we're at with self acceptance, can be incredibly difficult for various reasons. I assist my clients in nourishing their relationships with themselves through a mix of inner child work, cognitive behavioral therapy, and dialectical behavioral therapy techniques. I have worked with clients in various settings including outpatient office, intensive outpatient, and residential with a focus on trauma, anxiety, depression, bipolar, and borderline personality disorders.
The relationship we have with ourselves directly influences the relationships we have with others. Self love, or even meeting ourselves where we're at with self acceptance, can be incredibly difficult for various reasons. I assist my clients in nourishing their relationships with themselves through a mix of inner child work, cognitive behavioral therapy, and dialectical behavioral therapy techniques. I have worked with clients in various settings including outpatient office, intensive outpatient, and residential with a focus on trauma, anxiety, depression, bipolar, and borderline personality disorders.
(215) 544-3702 View (215) 544-3702
Photo of Dr. Maddie Roxandich, Pre-Licensed Professional in Doylestown, PA
Dr. Maddie Roxandich
Pre-Licensed Professional, PsyD, MEd
Verified Verified
1 Endorsed
Doylestown, PA 18902
Are you struggling with managing stress or the symptoms of anxiety or depression? Are you exhausted trying to find balance among the many roles you must play day-to-day and simultaneously be more present in your life? You deserve to stop “going through the motions,” and you deserve to experience more joy in your life. My goal is to help you navigate life with increased hope and resiliency, as you develop the tools to better manage your symptoms and wellness. I enjoy helping clients build new patterns and insights that help to restore balance and connection to their lives.
Are you struggling with managing stress or the symptoms of anxiety or depression? Are you exhausted trying to find balance among the many roles you must play day-to-day and simultaneously be more present in your life? You deserve to stop “going through the motions,” and you deserve to experience more joy in your life. My goal is to help you navigate life with increased hope and resiliency, as you develop the tools to better manage your symptoms and wellness. I enjoy helping clients build new patterns and insights that help to restore balance and connection to their lives.
(267) 710-8426 View (267) 710-8426
Photo of Billie-Jo (Bj) Sellman, Licensed Professional Counselor in Doylestown, PA
Billie-Jo (Bj) Sellman
Licensed Professional Counselor, LPC
Verified Verified
Doylestown, PA 18902
According to the National Center for PTSD, 6 out of every 10 men and 5 out of every 10 women will experience at least one trauma in their lives. Traumatic experiences can leave individuals feelings scared, overwhelmed and ashamed. Many do not seek help. We as individuals are hard wired to bounce back from bad stuff in our path. Recovery from the past is possible.
According to the National Center for PTSD, 6 out of every 10 men and 5 out of every 10 women will experience at least one trauma in their lives. Traumatic experiences can leave individuals feelings scared, overwhelmed and ashamed. Many do not seek help. We as individuals are hard wired to bounce back from bad stuff in our path. Recovery from the past is possible.
(484) 260-3300 View (484) 260-3300
Photo of Deborah Kleeman, Pre-Licensed Professional in Doylestown, PA
Deborah Kleeman
Pre-Licensed Professional, MA
Verified Verified
Doylestown, PA 18901
Sometimes life is not easy- it doesn't go the way we planned. Talking to someone who understands is the first step when things become difficult. I am a Certified School Counselor and Certified Student Assistance Counselor with 35 years of experience in assessing and addressing substance use, anxiety, depression, school avoidance, OCD, learning issues, ADHD, and autism spectrum disorders.
Sometimes life is not easy- it doesn't go the way we planned. Talking to someone who understands is the first step when things become difficult. I am a Certified School Counselor and Certified Student Assistance Counselor with 35 years of experience in assessing and addressing substance use, anxiety, depression, school avoidance, OCD, learning issues, ADHD, and autism spectrum disorders.
(267) 459-8889 View (267) 459-8889
Photo of Stephanie Drake, Clinical Social Work/Therapist in Doylestown, PA
Stephanie Drake
Clinical Social Work/Therapist, LCSW
Verified Verified
Doylestown, PA 18901
Stephanie has over 10 years experience working with individuals, couples, and families experiencing trauma, grief and loss, life transitions, low self-esteem, relationship difficulties, anxiety, depression, and addiction.
Stephanie has over 10 years experience working with individuals, couples, and families experiencing trauma, grief and loss, life transitions, low self-esteem, relationship difficulties, anxiety, depression, and addiction.
(267) 376-8302 x705 View (267) 376-8302 x705
Photo of Leyla Safavi, Marriage & Family Therapist in Doylestown, PA
Leyla Safavi
Marriage & Family Therapist, LMFT, MFA, MS
Verified Verified
4 Endorsed
Doylestown, PA 18901
As a couple who no longer can communicate or connect, you often find yourself wondering how did this relationship get to this point. You are hurt, lonely, and more importantly scared of what is next. Every conversation ends up in a fight and more disconnect and confusion follows, bringing a sense of hopelessness and frustration. You both may still love each other and feel really bad for where you are, but nothing seems to work anymore. You never imagined your relationship to look like this, both of you are smart, hard-working, kind and caring individuals - where did this go wrong?
As a couple who no longer can communicate or connect, you often find yourself wondering how did this relationship get to this point. You are hurt, lonely, and more importantly scared of what is next. Every conversation ends up in a fight and more disconnect and confusion follows, bringing a sense of hopelessness and frustration. You both may still love each other and feel really bad for where you are, but nothing seems to work anymore. You never imagined your relationship to look like this, both of you are smart, hard-working, kind and caring individuals - where did this go wrong?
(267) 656-7320 View (267) 656-7320
Photo of Shannon Minnick, Licensed Professional Counselor in Doylestown, PA
Shannon Minnick
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Doylestown, PA 18901
Over the past 19 years, I have worked with hundreds of adolescents in area community mental health agencies and as a visiting school counselor, and am now offering services privately, specializing in young adults, adolescents, parenting, & women's issues. I help with issues like stress, anxiety, depression, trauma, grief, parent-child relationships, peer issues, and self-esteem. I treat all of my clients with positive regard, warmth, and kindness. My approach is strengths based and holistic, incorporating evidenced based interventions. I want you to feel free and safe to talk about whatever you would like to in my office.
Over the past 19 years, I have worked with hundreds of adolescents in area community mental health agencies and as a visiting school counselor, and am now offering services privately, specializing in young adults, adolescents, parenting, & women's issues. I help with issues like stress, anxiety, depression, trauma, grief, parent-child relationships, peer issues, and self-esteem. I treat all of my clients with positive regard, warmth, and kindness. My approach is strengths based and holistic, incorporating evidenced based interventions. I want you to feel free and safe to talk about whatever you would like to in my office.
(215) 608-6227 View (215) 608-6227
Photo of Donna M. Kane, Licensed Professional Counselor in Doylestown, PA
Donna M. Kane
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Doylestown, PA 18902
I have a true passion for working with adults and adolescents who are suffering from an inability to form healthy relationships with their loved ones. My office offers a warm setting for people of all ages to feel safe and explore their "child within". I use play and art therapy as well as evidenced based techniques to empower parents and help them to connect with their child and unlock their full potential. I love helping families grow with healthy coping skills. I also truly enjoy working with adults to explore their own past and how it affects their relationships today.
I have a true passion for working with adults and adolescents who are suffering from an inability to form healthy relationships with their loved ones. My office offers a warm setting for people of all ages to feel safe and explore their "child within". I use play and art therapy as well as evidenced based techniques to empower parents and help them to connect with their child and unlock their full potential. I love helping families grow with healthy coping skills. I also truly enjoy working with adults to explore their own past and how it affects their relationships today.
(215) 874-5600 View (215) 874-5600
Photo of Jackie Silverhardt, Clinical Social Work/Therapist in Doylestown, PA
Jackie Silverhardt
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
Doylestown, PA 18902  (Online Only)
I have 15 years of experience working with all types of clients. I have worked with teens/adults with depression, anxiety, and life changes. I help give my clients the tools that they need to live their life with less stress and worry. I offer all my clients a supportive place to discuss anything on their mind. I also work with clients that have been suffering for some time and are ready for something different. If you are ready to make significant change to your lifestyle to feel better. I also offer a holistic approach looking at the root cause of mental health issues. I have studied nutrition and functional medicine.
I have 15 years of experience working with all types of clients. I have worked with teens/adults with depression, anxiety, and life changes. I help give my clients the tools that they need to live their life with less stress and worry. I offer all my clients a supportive place to discuss anything on their mind. I also work with clients that have been suffering for some time and are ready for something different. If you are ready to make significant change to your lifestyle to feel better. I also offer a holistic approach looking at the root cause of mental health issues. I have studied nutrition and functional medicine.
(267) 327-4039 View (267) 327-4039
Photo of Kindred Counseling Center in Doylestown, PA
Kindred Counseling Center
Verified Verified
2 Endorsed
Doylestown, PA 18901
Kindred Counseling Center focuses on addressing individual, family, couple and sexual issues. We are dedicated to helping you find ways to reconnect with yourself and with those around you, create more fulfilling relationships and overcome challenges that may have gotten you stuck along the way.
Kindred Counseling Center focuses on addressing individual, family, couple and sexual issues. We are dedicated to helping you find ways to reconnect with yourself and with those around you, create more fulfilling relationships and overcome challenges that may have gotten you stuck along the way.
(215) 977-4549 View (215) 977-4549
Photo of Trish R Martin, Licensed Professional Counselor in Doylestown, PA
Trish R Martin
Licensed Professional Counselor, MS, LPC
Verified Verified
Doylestown, PA 18901  (Online Only)
Everyone can use an objective voice to help them work out what is going on in their lives. Sometimes relief can begin just by deciding that a little help won’t hurt. “Beneath every behavior there is a feeling. And beneath each feeling is a need. And when we meet that need rather than focus on the behavior, we begin to deal with the cause, not the symptom” (Ashleigh Warner). This is my philosophy for counseling. I have done work with children/adolescents and their families. Mental health concerns manifest differently in children/teens than they do in adults, and I know what to look for and how to help find the skills to help.
Everyone can use an objective voice to help them work out what is going on in their lives. Sometimes relief can begin just by deciding that a little help won’t hurt. “Beneath every behavior there is a feeling. And beneath each feeling is a need. And when we meet that need rather than focus on the behavior, we begin to deal with the cause, not the symptom” (Ashleigh Warner). This is my philosophy for counseling. I have done work with children/adolescents and their families. Mental health concerns manifest differently in children/teens than they do in adults, and I know what to look for and how to help find the skills to help.
(267) 458-3361 View (267) 458-3361
Photo of Ariel Virk, Licensed Professional Counselor in Doylestown, PA
Ariel Virk
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Doylestown, PA 18901
In my work with adolescents, young adults, and adults, I assist them in understanding their feelings and behaviors in everyday life. I help them learn how to deal with their anxiety, family conflict, self-esteem issues, ADHD symptoms, and depression. I teach them tools to use in difficult situations in school, at home, and socially. Sometimes, clients experience depersonalization, where they are shut down from their emotions, which can result in feeling numb or a lack of motivation, so I will work with the client to help them "feel" again, and I teach them techniques and skills to manage daily stress or triggers.
In my work with adolescents, young adults, and adults, I assist them in understanding their feelings and behaviors in everyday life. I help them learn how to deal with their anxiety, family conflict, self-esteem issues, ADHD symptoms, and depression. I teach them tools to use in difficult situations in school, at home, and socially. Sometimes, clients experience depersonalization, where they are shut down from their emotions, which can result in feeling numb or a lack of motivation, so I will work with the client to help them "feel" again, and I teach them techniques and skills to manage daily stress or triggers.
(267) 214-7364 View (267) 214-7364
Photo of Taylor Deysher, Licensed Professional Counselor in Doylestown, PA
Taylor Deysher
Licensed Professional Counselor, MS, LPC, R-DMT
Verified Verified
1 Endorsed
Doylestown, PA 18902
My number one priority as a therapist is to offer a deep connection in a safe and supportive environment to allow each person to show up as their truest self. Starting from building this foundation, I can offer a variety of paths from there, including but not limited to CBT and DBT skills, grounding and mindfulness practice, addressing, depression, anxiety, general mood concerns, & more, or just a safe space. I primarily work with adults and teens in individual, couples, or family work. As part of the LGBTQIA+ community myself, I have a passion for working with the community.
My number one priority as a therapist is to offer a deep connection in a safe and supportive environment to allow each person to show up as their truest self. Starting from building this foundation, I can offer a variety of paths from there, including but not limited to CBT and DBT skills, grounding and mindfulness practice, addressing, depression, anxiety, general mood concerns, & more, or just a safe space. I primarily work with adults and teens in individual, couples, or family work. As part of the LGBTQIA+ community myself, I have a passion for working with the community.
(215) 261-5598 View (215) 261-5598

How does your Therapist compare?

Number of Therapists in Doylestown, PA

500+

Average cost per session

$130

Therapists in Doylestown, PA who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
72% Coping Skills
66% Relationship Issues
65% Trauma and PTSD
60% Grief

Average years in practice

13 Years

Top 3 insurances accepted

80% Aetna
74% UnitedHealthcare UHC | UBH
70% Cigna and Evernorth

How Therapists in Doylestown, PA see their clients

64% In Person and Online
36% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Doylestown?

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.