Therapists in Westlake, OH

Photo of Beyond Healthcare - Westlake, OH - New location! in Westlake, OH
Beyond Healthcare - Westlake, OH - New location!
LPCC-S
Verified Verified
Westlake, OH 44145
Opening in April! No Wait! Call today at 440- 616-7783 to get enrolled! Beyond Healthcare specializes in full-day and afterschool mental health programs, we support youth navigating complex emotional and behavioral challenges. Our comprehensive programs cater to adolescents struggling with issues like ODD, ADHD, depression, anxiety, and more. By offering both diagnosis and targeted treatment, we ensure each youth receives the personalized care they need in a structured, nurturing environment.
Opening in April! No Wait! Call today at 440- 616-7783 to get enrolled! Beyond Healthcare specializes in full-day and afterschool mental health programs, we support youth navigating complex emotional and behavioral challenges. Our comprehensive programs cater to adolescents struggling with issues like ODD, ADHD, depression, anxiety, and more. By offering both diagnosis and targeted treatment, we ensure each youth receives the personalized care they need in a structured, nurturing environment.
(330) 574-8647 View (330) 574-8647
Photo of Liz O'Donnell, Counselor in Westlake, OH
Liz O'Donnell
Counselor, PhD, LPCC-S , PT, MHC, FL
Verified Verified
Westlake, OH 44145
I am a PhD level professional clinical counselor, physical therapist, certified professional coach and (RYT), with expertise in individual, group, and relationship therapy licensed in OH and FL. I have been working with infertility for 25+ years and a neonatal developmental specialist. I am a member of the American Society for Reproductive Medicine, and co- founder of Dare2Care, a Cleveland based LGBTQ focused anti-bullying organization, now an embedded program of the Cleveland Leadership Center. I have significant experience working with grief, loss and relationship betrayal and approach this work from a trauma model.
I am a PhD level professional clinical counselor, physical therapist, certified professional coach and (RYT), with expertise in individual, group, and relationship therapy licensed in OH and FL. I have been working with infertility for 25+ years and a neonatal developmental specialist. I am a member of the American Society for Reproductive Medicine, and co- founder of Dare2Care, a Cleveland based LGBTQ focused anti-bullying organization, now an embedded program of the Cleveland Leadership Center. I have significant experience working with grief, loss and relationship betrayal and approach this work from a trauma model.
(440) 336-8870 View (440) 336-8870
Photo of Torrie Giovinazzi, Counselor in Westlake, OH
Torrie Giovinazzi
Counselor, MEd, LPCC, NCC
Verified Verified
Westlake, OH 44145
I graduated from Kent State with a Master's degree in Community Counseling. I am an independently Licensed Professional Clinical Counselor in Ohio and am endorsed by the National Board for Certified Counselors. I have provided therapy for variety of mental health issues in outpatient and community settings. My specialties include early childhood, trauma, sexual behavior problems, adjustment issues, anxiety, depression, and behavioral concerns. I utilize an array of therapeutic techniques and interventions to individually tailor to each clients' needs. I enjoy working with people of all ages, and make sure my clients understand the therapy process through psychoeducation and a collaborative treatment approach.
I graduated from Kent State with a Master's degree in Community Counseling. I am an independently Licensed Professional Clinical Counselor in Ohio and am endorsed by the National Board for Certified Counselors. I have provided therapy for variety of mental health issues in outpatient and community settings. My specialties include early childhood, trauma, sexual behavior problems, adjustment issues, anxiety, depression, and behavioral concerns. I utilize an array of therapeutic techniques and interventions to individually tailor to each clients' needs. I enjoy working with people of all ages, and make sure my clients understand the therapy process through psychoeducation and a collaborative treatment approach.
(440) 703-6454 View (440) 703-6454
Photo of Danielle Kloeppel, Counselor in Westlake, OH
Danielle Kloeppel
Counselor, M Ed, LPCC-S
Verified Verified
9 Endorsed
Westlake, OH 44145
Do you feel ready to make a change but don’t know how to start? Have you found yourself setting personal goals but struggling to meet them? Therapy is a place to explore your goals, identify barriers and learn skills to better manage life’s hurdles. I offer a safe, non-judgmental space where we can explore your personal challenges and work collaboratively to help you achieve your goals. Together, we can identify patterns of thoughts and behaviors that have become difficult to manage on your own.
Do you feel ready to make a change but don’t know how to start? Have you found yourself setting personal goals but struggling to meet them? Therapy is a place to explore your goals, identify barriers and learn skills to better manage life’s hurdles. I offer a safe, non-judgmental space where we can explore your personal challenges and work collaboratively to help you achieve your goals. Together, we can identify patterns of thoughts and behaviors that have become difficult to manage on your own.
(216) 446-7494 View (216) 446-7494
Photo of Kellyn Beese, Licensed Professional Counselor in Westlake, OH
Kellyn Beese
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Westlake, OH 44145
Do you often feel stuck or that your emotions are too difficult to understand? Together, we will create strategies which allow you to address the root causes of your difficulties and build a life worth living. As your therapist, I will provide a non-judgmental, supportive, and safe environment allowing you to work through the challenges you face. I believe you are your own expert and I am here to help guide you on a journey toward improving your quality of life.
Do you often feel stuck or that your emotions are too difficult to understand? Together, we will create strategies which allow you to address the root causes of your difficulties and build a life worth living. As your therapist, I will provide a non-judgmental, supportive, and safe environment allowing you to work through the challenges you face. I believe you are your own expert and I am here to help guide you on a journey toward improving your quality of life.
(440) 496-7526 View (440) 496-7526
Photo of Megan Andrews, Licensed Professional Counselor in Westlake, OH
Megan Andrews
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Westlake, OH 44145  (Online Only)
I became a therapist because I feel that every person deserves someone to show up for them at even the most difficult times in life. It is my true feeling that any person could benefit from an empathetic, respectful, and nurturing environment to process thoughts, feelings, fears, and goals. It is my goal to facilitate the type of environment to best suit the needs of my client by meeting them where they’re at in their healing and wellness journey, and to take that road with them, whatever the pace.
I became a therapist because I feel that every person deserves someone to show up for them at even the most difficult times in life. It is my true feeling that any person could benefit from an empathetic, respectful, and nurturing environment to process thoughts, feelings, fears, and goals. It is my goal to facilitate the type of environment to best suit the needs of my client by meeting them where they’re at in their healing and wellness journey, and to take that road with them, whatever the pace.
(440) 294-6491 View (440) 294-6491
Photo of Kristin Atzberger Hunt LISW/S, Clinical Social Work/Therapist in Westlake, OH
Kristin Atzberger Hunt LISW/S
Clinical Social Work/Therapist, LISW-S
Verified Verified
Westlake, OH 44145
I have been in clinical practice for 20 years and I specialize in treating individuals, couples, and families that are stuck in painful, old patterns and crave increased emotional, spiritual, and physical health. I am a Humanistic therapist and I approach therapy as a collaborative process in which I help you improve coping skills and gain insight about your own experience. You are the expert of your own life, and together we can cultivate new ground, and explore your personal themes in a safe, confidential environment.
I have been in clinical practice for 20 years and I specialize in treating individuals, couples, and families that are stuck in painful, old patterns and crave increased emotional, spiritual, and physical health. I am a Humanistic therapist and I approach therapy as a collaborative process in which I help you improve coping skills and gain insight about your own experience. You are the expert of your own life, and together we can cultivate new ground, and explore your personal themes in a safe, confidential environment.
(216) 496-1255 View (216) 496-1255
Photo of Nichole J Wilson, Clinical Social Work/Therapist in Westlake, OH
Nichole J Wilson
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
Westlake, OH 44145
Co-founder of Cleveland Therapy Group. I have earned a Master of Social Work from The Ohio State University in 2015 and is also an independent licensed social worker (LISW). I have experience working with adults and adolescents in an individual therapy setting, mentoring programs, group therapy services, community outreach and social service agencies.
Co-founder of Cleveland Therapy Group. I have earned a Master of Social Work from The Ohio State University in 2015 and is also an independent licensed social worker (LISW). I have experience working with adults and adolescents in an individual therapy setting, mentoring programs, group therapy services, community outreach and social service agencies.
(216) 373-8805 View (216) 373-8805
Photo of Meryl Schor, Licensed Professional Counselor in Westlake, OH
Meryl Schor
Licensed Professional Counselor, MS Ed
Verified Verified
Westlake, OH 44145
My greatest passion, knowledge, and affinity are for the population of athletes and performers on any level. I have firsthand experience as a student-athlete in multiple sports as well as being an accomplished musician. I have trained under and collaborated with numerous sport and performance psychologists to better understand the unique complexity of challenges that are specific to performance. I have experience working with clients experiencing anxiety and depression. As a certified life coach, I have a broadened scope for how to assist clients in achieving their goals and dreams.
My greatest passion, knowledge, and affinity are for the population of athletes and performers on any level. I have firsthand experience as a student-athlete in multiple sports as well as being an accomplished musician. I have trained under and collaborated with numerous sport and performance psychologists to better understand the unique complexity of challenges that are specific to performance. I have experience working with clients experiencing anxiety and depression. As a certified life coach, I have a broadened scope for how to assist clients in achieving their goals and dreams.
(440) 276-2638 View (440) 276-2638
Photo of Laura R. Davis, Counselor in Westlake, OH
Laura R. Davis
Counselor, LPC
Verified Verified
1 Endorsed
Westlake, OH 44145
Laura received her master’s degree in Clinical Mental Health Counseling from Youngstown State University and is a Licensed Professional Counselor (LPC) in the state of Ohio. She has provided counseling services to adolescents, emerging adults and adults in the school, college and community counseling settings. She has experience treating anxiety, depression, self-harm, and self-esteem issues, as well as supporting those who are navigating life transitions, family conflict, and interpersonal relationships.
Laura received her master’s degree in Clinical Mental Health Counseling from Youngstown State University and is a Licensed Professional Counselor (LPC) in the state of Ohio. She has provided counseling services to adolescents, emerging adults and adults in the school, college and community counseling settings. She has experience treating anxiety, depression, self-harm, and self-esteem issues, as well as supporting those who are navigating life transitions, family conflict, and interpersonal relationships.
(440) 455-1511 View (440) 455-1511
Photo of Samantha Willi, Counselor in Westlake, OH
Samantha Willi
Counselor, LPCC-S
Verified Verified
8 Endorsed
Westlake, OH 44145
Has life become unmanageable? Do you feel that you aren't able to handle the stress of your life? Do you feel like past events or feelings are showing up in random present events? Let me help! Our time is your space to share whatever is going on, learn some coping skills, and process traumatic and negative events. My goal is to help you keep moving forward without letting the past hold you down.
Has life become unmanageable? Do you feel that you aren't able to handle the stress of your life? Do you feel like past events or feelings are showing up in random present events? Let me help! Our time is your space to share whatever is going on, learn some coping skills, and process traumatic and negative events. My goal is to help you keep moving forward without letting the past hold you down.
(440) 379-1274 View (440) 379-1274
Photo of Suzana Figueira, Counselor in Westlake, OH
Suzana Figueira
Counselor, MA, LPCC
Verified Verified
Westlake, OH 44145
The most important aspect of my work is building a therapeutic relationship with you the client. The goal is for you to move towards self-awareness, to become free of misconceptions and to become aligned within your total self. I have developed a warm, centered approach to counseling through more than 20 years of experience, counseling in agencies and private practice. I also conduct my sessions in Spanish and Portuguese. My goal is to provide a safe and welcoming environment where you'll feel comfortable exploring your thoughts and feelings and developing your strengths to achieve your goals. Currently offering Tele health .
The most important aspect of my work is building a therapeutic relationship with you the client. The goal is for you to move towards self-awareness, to become free of misconceptions and to become aligned within your total self. I have developed a warm, centered approach to counseling through more than 20 years of experience, counseling in agencies and private practice. I also conduct my sessions in Spanish and Portuguese. My goal is to provide a safe and welcoming environment where you'll feel comfortable exploring your thoughts and feelings and developing your strengths to achieve your goals. Currently offering Tele health .
(216) 584-9797 View (216) 584-9797
Photo of Jennifer Knetig, Psychologist in Westlake, OH
Jennifer Knetig
Psychologist, PhD
Verified Verified
1 Endorsed
Westlake, OH 44145
Women often come to my office with a feeling that their cups are “running over.” As a woman and licensed clinical psychologist, I can relate to the feeling of running from appointment to appointment, from commitment to commitment, from day to day. Too much of modern living is about “getting by,” and “just getting through things” at the expense of joy. My work focuses upon supporting women in connecting more deeply with their experiences, with loved ones, and with themselves.
Women often come to my office with a feeling that their cups are “running over.” As a woman and licensed clinical psychologist, I can relate to the feeling of running from appointment to appointment, from commitment to commitment, from day to day. Too much of modern living is about “getting by,” and “just getting through things” at the expense of joy. My work focuses upon supporting women in connecting more deeply with their experiences, with loved ones, and with themselves.
(216) 925-4108 View (216) 925-4108
Photo of Pamela Neumann, Clinical Social Work/Therapist in Westlake, OH
Pamela Neumann
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Westlake, OH 44145
Hi there! If you come see me you will find I offer hope, acceptance, kindness, compassion and insight with 25 plus years of experience with practical, down to earth psychosocial therapy and excellent listening skills. I offer psychoeducation on topics like domestic violence, work place bullying, coping skills for anxiety and depression, psychiatric referrals as needed for medication assisted treatment. I offer insight and practical solutions into parenting and communication with teenagers, as well as working with clients to improve self worth.
Hi there! If you come see me you will find I offer hope, acceptance, kindness, compassion and insight with 25 plus years of experience with practical, down to earth psychosocial therapy and excellent listening skills. I offer psychoeducation on topics like domestic violence, work place bullying, coping skills for anxiety and depression, psychiatric referrals as needed for medication assisted treatment. I offer insight and practical solutions into parenting and communication with teenagers, as well as working with clients to improve self worth.
(440) 588-8581 View (440) 588-8581
Photo of Janet Dutton, Clinical Social Work/Therapist in Westlake, OH
Janet Dutton
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
Westlake, OH 44145
My clients' past trauma gets in the way of the life they want in so many ways. They aren’t the kind of person they want to be. They feel like they’re failing as a partner, friend, sister, daughter. And their confidence at work is tanking. Before they came to see me, they felt guilty for not being happy and wanting more intimate relationships. They worried about blaming their past and others for the current issues with intimate relationships. And they were pretty certain it would be too overwhelming to share with a stranger what happened to them and what has been going on.
My clients' past trauma gets in the way of the life they want in so many ways. They aren’t the kind of person they want to be. They feel like they’re failing as a partner, friend, sister, daughter. And their confidence at work is tanking. Before they came to see me, they felt guilty for not being happy and wanting more intimate relationships. They worried about blaming their past and others for the current issues with intimate relationships. And they were pretty certain it would be too overwhelming to share with a stranger what happened to them and what has been going on.
(440) 271-8114 View (440) 271-8114
Photo of Hannah Mansell, Licensed Professional Clinical Counselor in Westlake, OH
Hannah Mansell
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
Westlake, OH 44145
As you leave our sessions, I strive to leave you feeling valued, accepted, and heard. To me, it is of the utmost importance to build genuine and trusting relationships with clients. This creates the foundation for healing. Together we will unpack what is getting in the way of you functioning at your best and determine a path forward. I will help you to connect with your feelings, build upon your strengths, reconstruct limiting beliefs, and determine which coping strategies make sense for you. Through our work together, you will gain a deeper understanding of yourself and learn to honor your most authentic you.
As you leave our sessions, I strive to leave you feeling valued, accepted, and heard. To me, it is of the utmost importance to build genuine and trusting relationships with clients. This creates the foundation for healing. Together we will unpack what is getting in the way of you functioning at your best and determine a path forward. I will help you to connect with your feelings, build upon your strengths, reconstruct limiting beliefs, and determine which coping strategies make sense for you. Through our work together, you will gain a deeper understanding of yourself and learn to honor your most authentic you.
(440) 538-1815 View (440) 538-1815
Photo of Erika Richardson, Licensed Professional Clinical Counselor in Westlake, OH
Erika Richardson
Licensed Professional Clinical Counselor, LPCC
Verified Verified
1 Endorsed
Westlake, OH 44145
At some point in our lives, we all need a helping hand, but are not always sure where to turn to. I believe that everyone deserves and has the right to mental health care, no matter who they are. I strive to make my practice as inclusive as possible and I am committed to creating an affirming, safe, and judgement free environment for all of my clients. All while creating a partnership that helps them feel heard, validated, and is committed to helping them reach their goals. I encourage my clients to be their authentic selves during the healing process, utilizing our sessions to express themselves openly without fear of judgement.
At some point in our lives, we all need a helping hand, but are not always sure where to turn to. I believe that everyone deserves and has the right to mental health care, no matter who they are. I strive to make my practice as inclusive as possible and I am committed to creating an affirming, safe, and judgement free environment for all of my clients. All while creating a partnership that helps them feel heard, validated, and is committed to helping them reach their goals. I encourage my clients to be their authentic selves during the healing process, utilizing our sessions to express themselves openly without fear of judgement.
(440) 586-3144 View (440) 586-3144
Photo of Hannah Bacon, Licensed Professional Clinical Counselor in Westlake, OH
Hannah Bacon
Licensed Professional Clinical Counselor, LPCC, LSW
Verified Verified
3 Endorsed
Westlake, OH 44145
My philosophy as a counselor is to provide unconditional support and a willingness to enter into your personal experience alongside you. I create a judgement free and confidential space for you to express yourself and your emotional needs. I work with a variety of mental health issues including but not limited to anxiety, depression, trauma, relationship issues as well as mood disorders. I believe that counseling is a way towards growth and healing.
My philosophy as a counselor is to provide unconditional support and a willingness to enter into your personal experience alongside you. I create a judgement free and confidential space for you to express yourself and your emotional needs. I work with a variety of mental health issues including but not limited to anxiety, depression, trauma, relationship issues as well as mood disorders. I believe that counseling is a way towards growth and healing.
(440) 306-3659 View (440) 306-3659
Photo of Michelle M Paul, Counselor in Westlake, OH
Michelle M Paul
Counselor, MEd, LPCC-S
Verified Verified
5 Endorsed
Westlake, OH 44145
I am a licensed professional clinical counselor supervisor in the state of Ohio. My specialties include the treatment of anxiety disorders, depressive disorders, personality disorders, and trauma-related disorders. I offer diagnostic assessment and empirically based treatment for children, adolescents, and adults. I am certified in Dialectical Behavior Therapy (DBT), but use a combination of therapy techniques based on patients’ needs including cognitive-behavioral therapy (CBT) and Mindfulness techniques with an emphasis on social skills training. We also offer therapeutic/relaxation massage, Reiki therapy, and guided meditation.
I am a licensed professional clinical counselor supervisor in the state of Ohio. My specialties include the treatment of anxiety disorders, depressive disorders, personality disorders, and trauma-related disorders. I offer diagnostic assessment and empirically based treatment for children, adolescents, and adults. I am certified in Dialectical Behavior Therapy (DBT), but use a combination of therapy techniques based on patients’ needs including cognitive-behavioral therapy (CBT) and Mindfulness techniques with an emphasis on social skills training. We also offer therapeutic/relaxation massage, Reiki therapy, and guided meditation.
(440) 455-1511 View (440) 455-1511
Photo of Jordan Oberholtzer, Counselor in Westlake, OH
Jordan Oberholtzer
Counselor, LPC
Verified Verified
1 Endorsed
Westlake, OH 44145  (Online Only)
Not accepting new clients
I am currently on maternity leave as of 11/3/2023. Are you looking for someone who will listen without judgment and provide a space where you can reflect, learn, and grow as a person? In our day and age, a person who will actually listen to us is a rarity so I want to provide that for you as a clinician and provide a space of respite for you.
I am currently on maternity leave as of 11/3/2023. Are you looking for someone who will listen without judgment and provide a space where you can reflect, learn, and grow as a person? In our day and age, a person who will actually listen to us is a rarity so I want to provide that for you as a clinician and provide a space of respite for you.
(440) 616-9645 View (440) 616-9645

How does your Therapist compare?

Number of Therapists in Westlake, OH

200+

Average cost per session

$125

Therapists in Westlake, OH who prioritize treating:

96% Anxiety
92% Depression
81% Coping Skills
79% Self Esteem
78% Relationship Issues
76% Stress
69% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

92% Medical Mutual
84% Aetna
83% UnitedHealthcare UHC | UBH

How Therapists in Westlake, OH see their clients

80% In Person and Online
20% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Westlake?

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.