Therapists in Ferndale, MI

Photo of Nicole Massoud, Clinical Social Work/Therapist in Ferndale, MI
Nicole Massoud
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Ferndale, MI 48220
I was initially inspired to become a therapist after witnessing firsthand the positive effects of mental healthcare. As an experienced therapist today, I have worked with a wide range of ages and presenting issues. My skills are the sharpest when working with clients who may be struggling with self-esteem, interpersonal conflict, and mood disorders. I help clients connect the dots to understand the root of their issues, and help them identify tangible steps they can take to improve their quality of life.
I was initially inspired to become a therapist after witnessing firsthand the positive effects of mental healthcare. As an experienced therapist today, I have worked with a wide range of ages and presenting issues. My skills are the sharpest when working with clients who may be struggling with self-esteem, interpersonal conflict, and mood disorders. I help clients connect the dots to understand the root of their issues, and help them identify tangible steps they can take to improve their quality of life.
(248) 965-5955 View (248) 965-5955
Photo of Restoration U, Licensed Professional Counselor in Ferndale, MI
Restoration U
Licensed Professional Counselor, LPC
Verified Verified
Ferndale, MI 48220
Sometimes you may become overwhelmed due to changes in routine or major events such as a new school, grades, finances, becoming a new parent, losing a loved one, divorce, or conflict in relationships. These life events may lead to anxiety, low self esteem, lack of motivation, and loss of direction. These struggles appear in different ways for each person and lasts for varying amounts of time. However, we can not always recover on our own due to depression, anxiety, past trauma, or other underlying influence. I am a therapist (LPC), here to help you on your journey to healing and becoming your best self.
Sometimes you may become overwhelmed due to changes in routine or major events such as a new school, grades, finances, becoming a new parent, losing a loved one, divorce, or conflict in relationships. These life events may lead to anxiety, low self esteem, lack of motivation, and loss of direction. These struggles appear in different ways for each person and lasts for varying amounts of time. However, we can not always recover on our own due to depression, anxiety, past trauma, or other underlying influence. I am a therapist (LPC), here to help you on your journey to healing and becoming your best self.
(248) 970-1417 View (248) 970-1417
Photo of Sierra Shapiro, Licensed Professional Counselor in Ferndale, MI
Sierra Shapiro
Licensed Professional Counselor, MS
Verified Verified
Ferndale, MI 48220
My goal as your therapist is to provide a safe, affirming space where we can work collaboratively to identify current areas in which you are struggling, decrease your negative symptoms, and improve your overall quality of life. Using your individual strengths, needs, and preferences, we will formulate a personalized plan for your therapy experience. I have worked with many adolescents and adults struggling with anxiety, depression, trauma recovery, and challenges specific to members of the LGBTQIA+ community.
My goal as your therapist is to provide a safe, affirming space where we can work collaboratively to identify current areas in which you are struggling, decrease your negative symptoms, and improve your overall quality of life. Using your individual strengths, needs, and preferences, we will formulate a personalized plan for your therapy experience. I have worked with many adolescents and adults struggling with anxiety, depression, trauma recovery, and challenges specific to members of the LGBTQIA+ community.
(248) 397-9161 View (248) 397-9161
Photo of Jonathan Mullinix, Clinical Social Work/Therapist in Ferndale, MI
Jonathan Mullinix
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Ferndale, MI 48220
Not accepting new clients
Jon has worked in Community Mental Health since 2017 in a variety of settings, including Homeless Shelters, Drug Abuse Counseling Centers, Domestic Violence Shelters, and in the community as a Mental Health Advocate. Jon believes that anyone can strive for change they desire and achieve their goals, even if they need extra help or direction to get there.
Jon has worked in Community Mental Health since 2017 in a variety of settings, including Homeless Shelters, Drug Abuse Counseling Centers, Domestic Violence Shelters, and in the community as a Mental Health Advocate. Jon believes that anyone can strive for change they desire and achieve their goals, even if they need extra help or direction to get there.
(248) 453-6873 View (248) 453-6873
Photo of Loving Circle Counseling - Ashley Casalou, Licensed Professional Counselor in Ferndale, MI
Loving Circle Counseling - Ashley Casalou
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
Ferndale, MI 48220
You haven't felt relaxed or content in a long time because you keep replaying scenes from the past and find it hard to let go. You often feel drained and disconnected in your relationships. You find yourself worrying about the future, about finding meaning, and about the responsibility of defining your life. You feel as though you are simply going through the motions and find it hard to be motivated or engaged at work or home. You know you want more out of life but you feel stuck.
You haven't felt relaxed or content in a long time because you keep replaying scenes from the past and find it hard to let go. You often feel drained and disconnected in your relationships. You find yourself worrying about the future, about finding meaning, and about the responsibility of defining your life. You feel as though you are simply going through the motions and find it hard to be motivated or engaged at work or home. You know you want more out of life but you feel stuck.
(248) 965-1342 View (248) 965-1342
Photo of Teresa M. Turner, Psychologist in Ferndale, MI
Teresa M. Turner
Psychologist, PsyD, LP
Verified Verified
2 Endorsed
Ferndale, MI 48220  (Online Only)
Not accepting new clients
Opening up to discuss your emotions and difficulties can be an overwhelming feeling. In my office, I pride myself on being trustworthy and emphatic while providing a warm, safe, and accepting environment. As a psychologist, my main objective is to help you make the necessary changes in your life that will allow you to look forward to the future with confidence.
Opening up to discuss your emotions and difficulties can be an overwhelming feeling. In my office, I pride myself on being trustworthy and emphatic while providing a warm, safe, and accepting environment. As a psychologist, my main objective is to help you make the necessary changes in your life that will allow you to look forward to the future with confidence.
(248) 923-4309 View (248) 923-4309
Photo of Sarah Elizabeth Dubicki, Clinical Social Work/Therapist in Ferndale, MI
Sarah Elizabeth Dubicki
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Ferndale, MI 48220
You feel the pressure to look like you have it “all together,” but inside you are struggling to feel confident in yourself and your relationships. Struggling with FOMO, feeling like a fraud or a fake, the pressure of social media and saving face, this stage of life has so many challenges. It might be hard to even remember what life was like before you felt this way, but you know there’s hope. You know these problems don’t have to be permanent—you just need some help getting out of your own way. You’re ready to combat the negative self talk, improve your relationships, and work toward the potential you know you have inside of you.
You feel the pressure to look like you have it “all together,” but inside you are struggling to feel confident in yourself and your relationships. Struggling with FOMO, feeling like a fraud or a fake, the pressure of social media and saving face, this stage of life has so many challenges. It might be hard to even remember what life was like before you felt this way, but you know there’s hope. You know these problems don’t have to be permanent—you just need some help getting out of your own way. You’re ready to combat the negative self talk, improve your relationships, and work toward the potential you know you have inside of you.
(616) 254-0607 View (616) 254-0607
Photo of Madison Broadwell, Clinical Social Work/Therapist in Ferndale, MI
Madison Broadwell
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Ferndale, MI 48220
Are you struggling to find purpose and connection in life? It can be easy to go through the motions of life without taking a chance to check in with yourself. Your mental and emotional health is just as important as your physical health.
Are you struggling to find purpose and connection in life? It can be easy to go through the motions of life without taking a chance to check in with yourself. Your mental and emotional health is just as important as your physical health.
(248) 694-8517 View (248) 694-8517
Photo of Dominique A Hamilton ( Not Accepting New Clients Until 3-2024), Clinical Social Work/Therapist in Ferndale, MI
Dominique A Hamilton ( Not Accepting New Clients Until 3-2024)
Clinical Social Work/Therapist, LMSW
Verified Verified
Ferndale, MI 48220
Not accepting new clients
Throughout the course of our lives we will all experience life events that may cause stress, trauma or even grief. As a result of these events, it’s natural for them to weigh heavily on your mental and emotional well being. It is also very common to feel as if your life is unraveling and that you have no way of piecing things back together. With a concentration on Cognitive Behavior Therapy (CBT), Strength Based treatments, and Trauma Informed Care I strive to assist clients with mapping out their own unique journey to healing.
Throughout the course of our lives we will all experience life events that may cause stress, trauma or even grief. As a result of these events, it’s natural for them to weigh heavily on your mental and emotional well being. It is also very common to feel as if your life is unraveling and that you have no way of piecing things back together. With a concentration on Cognitive Behavior Therapy (CBT), Strength Based treatments, and Trauma Informed Care I strive to assist clients with mapping out their own unique journey to healing.
(248) 712-3405 View (248) 712-3405
Photo of Ellen S. Shansky, Clinical Social Work/Therapist in Ferndale, MI
Ellen S. Shansky
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Ferndale, MI 48220
Everyone has a story, with both highs and lows, both challenges and gifts and with infinite opportunities to grow. As in any story, the setting and other characters all influence you and what happens, including institutional systems, social constructs and family dynamics. The roles we take on and the patterns we develop to get through one chapter may not always be helpful to us in later ones. I believe there is power and healing in telling your story and that with guidance, you can own it, rewrite aspects of it, and choose what role you play. I believe we are all capable of changing our lives and that no change is insignificant.
Everyone has a story, with both highs and lows, both challenges and gifts and with infinite opportunities to grow. As in any story, the setting and other characters all influence you and what happens, including institutional systems, social constructs and family dynamics. The roles we take on and the patterns we develop to get through one chapter may not always be helpful to us in later ones. I believe there is power and healing in telling your story and that with guidance, you can own it, rewrite aspects of it, and choose what role you play. I believe we are all capable of changing our lives and that no change is insignificant.
(248) 422-0642 View (248) 422-0642
Photo of Stephanie P Williams, Psychologist in Ferndale, MI
Stephanie P Williams
Psychologist, PhD, LP, Owner
Verified Verified
8 Endorsed
Ferndale, MI 48220
As owner of Transcendence Behavioral Health, my personal mission is to provide a safe place for diverse people to find compassionate, caring and effective treatment for emotional challenges. My highest priority is to have each client be treated with the care I would wish to receive if I were myself a client. I strive to help people get to the root of their challenges for resolution of their pain to achieve life-long healing and recovery.
As owner of Transcendence Behavioral Health, my personal mission is to provide a safe place for diverse people to find compassionate, caring and effective treatment for emotional challenges. My highest priority is to have each client be treated with the care I would wish to receive if I were myself a client. I strive to help people get to the root of their challenges for resolution of their pain to achieve life-long healing and recovery.
(248) 504-4990 View (248) 504-4990
Photo of Stacy Bowman-Henry, Licensed Professional Counselor in Ferndale, MI
Stacy Bowman-Henry
Licensed Professional Counselor, MA, LPC
Verified Verified
Ferndale, MI 48220  (Online Only)
Everyone has times they feel “stuck” or overwhelmed. You might be anxious, sad, overwhelmed, isolating, using drugs and/or surrounding yourself with negative people and not sure how to break this “cycle.” Counseling can help you move forward and assist you with relearning new coping skills to break the cycle of self-sabotage. We will process past traumas. I will help you learn new techniques to utilize when you’re faced with a trigger. Imagine not feeling alone anymore. I will walk with you, so, you BECOME your most authentic self!
Everyone has times they feel “stuck” or overwhelmed. You might be anxious, sad, overwhelmed, isolating, using drugs and/or surrounding yourself with negative people and not sure how to break this “cycle.” Counseling can help you move forward and assist you with relearning new coping skills to break the cycle of self-sabotage. We will process past traumas. I will help you learn new techniques to utilize when you’re faced with a trigger. Imagine not feeling alone anymore. I will walk with you, so, you BECOME your most authentic self!
(248) 573-3948 View (248) 573-3948
Photo of Matthew John McCormick, Psychologist in Ferndale, MI
Matthew John McCormick
Psychologist, PhD, LP
Verified Verified
Ferndale, MI 48220
Waitlist for new clients
Hello! I'm a licensed psychologist experienced in helping people with adjustment problems, grief work, mood disorders, anxiety disorders, OCD, PTSD, and other psychological problems in individual therapy. I feel creating a supportive, judgment-free environment is key in developing a positive therapeutic relationship and have experience with cognitive, behavioral, psychodynamic, and humanistic perspectives. I also want to help clients understand how their body's stress response can impact their mental and physical well-being. I believe therapy works best when we can work collaboratively to tailor the treatment to best fit your needs.
Hello! I'm a licensed psychologist experienced in helping people with adjustment problems, grief work, mood disorders, anxiety disorders, OCD, PTSD, and other psychological problems in individual therapy. I feel creating a supportive, judgment-free environment is key in developing a positive therapeutic relationship and have experience with cognitive, behavioral, psychodynamic, and humanistic perspectives. I also want to help clients understand how their body's stress response can impact their mental and physical well-being. I believe therapy works best when we can work collaboratively to tailor the treatment to best fit your needs.
(248) 236-1105 View (248) 236-1105
Photo of America Gasca, Clinical Social Work/Therapist in Ferndale, MI
America Gasca
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Ferndale, MI 48220
Starting therapy can be a little bit frightening, and overwhelming, but I will provide a supportive and nonjudgmental space where you will be able to explore your past experiences, and current conflicts. It is a relief when you figure things out, put feelings into words, understand yourself, and build from your strengths. As a parent you will learn how to communicate with your kids and teens since they do not come with instruction manuals. There are no silly questions when it comes to parenting. I am trained in psychoanalytic psychotherapy, attachment-based, and mindfulness-based psychotherapy.
Starting therapy can be a little bit frightening, and overwhelming, but I will provide a supportive and nonjudgmental space where you will be able to explore your past experiences, and current conflicts. It is a relief when you figure things out, put feelings into words, understand yourself, and build from your strengths. As a parent you will learn how to communicate with your kids and teens since they do not come with instruction manuals. There are no silly questions when it comes to parenting. I am trained in psychoanalytic psychotherapy, attachment-based, and mindfulness-based psychotherapy.
(248) 791-9697 View (248) 791-9697
Photo of Teilor Duncan, Counselor in Ferndale, MI
Teilor Duncan
Counselor, MA, LLC
Verified Verified
1 Endorsed
Ferndale, MI 48220
I went into the mental health field to help people navigate their inner struggles and assist them in their journey to become whole and find peace. I am a believer in whole health, meaning I will address mental, physical, emotional and spiritual issues in sessions. I believe in providing a space where your voice can be heard and acknowledged, and I provide a constant stream of motivation and support in my client’s decision to choose themselves for once. I seek to assist my clients with their breakthroughs and answer the million-dollar questions of, “Who am I,” and “Why.”
I went into the mental health field to help people navigate their inner struggles and assist them in their journey to become whole and find peace. I am a believer in whole health, meaning I will address mental, physical, emotional and spiritual issues in sessions. I believe in providing a space where your voice can be heard and acknowledged, and I provide a constant stream of motivation and support in my client’s decision to choose themselves for once. I seek to assist my clients with their breakthroughs and answer the million-dollar questions of, “Who am I,” and “Why.”
(248) 453-7915 View (248) 453-7915
Photo of Ryan R Harms, Clinical Social Work/Therapist in Ferndale, MI
Ryan R Harms
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Ferndale, MI 48220
I am a clinical social worker and psychotherapist with over a decade of professional experience in various social work roles. I have provided psychotherapy to individuals with a range of concerns, including depression, anxiety, adjustment difficulties, complex trauma, and relationship issues. While my focus has mainly been on working with adult individuals, I also have experience and training in working with adolescents.
I am a clinical social worker and psychotherapist with over a decade of professional experience in various social work roles. I have provided psychotherapy to individuals with a range of concerns, including depression, anxiety, adjustment difficulties, complex trauma, and relationship issues. While my focus has mainly been on working with adult individuals, I also have experience and training in working with adolescents.
(248) 243-8104 View (248) 243-8104
Photo of Elise A DuBois, Counselor in Ferndale, MI
Elise A DuBois
Counselor, MA, LPC
Verified Verified
Ferndale, MI 48220
Please reach out to me if you're interested in Women in Recovery Group. The group is ongoing and rolling admission... In individual and/or group work we will work together and I will support you as you learn about yourself and how to authentically relate to and cope with the world we live in. There are times when life changes and transitions can leave you feeling lonely, anxious and just confused. As a therapist, I am passionate about encouraging you through these times.
Please reach out to me if you're interested in Women in Recovery Group. The group is ongoing and rolling admission... In individual and/or group work we will work together and I will support you as you learn about yourself and how to authentically relate to and cope with the world we live in. There are times when life changes and transitions can leave you feeling lonely, anxious and just confused. As a therapist, I am passionate about encouraging you through these times.
(248) 290-6467 View (248) 290-6467
Photo of Rachel L. Werthmann, Counselor in Ferndale, MI
Rachel L. Werthmann
Counselor, MA, LLC, ATR-P
Verified Verified
Ferndale, MI 48220
Not accepting new clients
Hello! My name is Rachel L. Werthmann, MA, LLC, ATR-P. As an art therapist and counselor, I offer art and talk therapy to individuals who are navigating mental, physical, and spiritual health journeys. I have worked with primarily children, teens, and young adults in hospitals, community mental health centers, and now in a not-for-profit group practice. We could be a good fit if you are interested in using the creative process to help work through difficult emotions, life or medical challenges, past trauma, or whatever is uniquely coming up for you in your life.
Hello! My name is Rachel L. Werthmann, MA, LLC, ATR-P. As an art therapist and counselor, I offer art and talk therapy to individuals who are navigating mental, physical, and spiritual health journeys. I have worked with primarily children, teens, and young adults in hospitals, community mental health centers, and now in a not-for-profit group practice. We could be a good fit if you are interested in using the creative process to help work through difficult emotions, life or medical challenges, past trauma, or whatever is uniquely coming up for you in your life.
(248) 629-1406 View (248) 629-1406
Photo of Linsey Higgins, Clinical Social Work/Therapist in Ferndale, MI
Linsey Higgins
Clinical Social Work/Therapist, LMSW, PMH-C
Verified Verified
3 Endorsed
Ferndale, MI 48220
Life transitions are stressful. Take time to pause, process, and grow. I have a particular interest in supporting new and growing families facing postpartum depression and anxiety. Growing your family has its ups and downs. I'm here to support you as you think about having a baby, as you progress through your pregnancy, or as you enter into parenthood. Maybe you are grieving a loss, struggling to cope with body or relationship changes, feeling anxious or depressed, or any of the other things that life throws your way. You are not alone.
Life transitions are stressful. Take time to pause, process, and grow. I have a particular interest in supporting new and growing families facing postpartum depression and anxiety. Growing your family has its ups and downs. I'm here to support you as you think about having a baby, as you progress through your pregnancy, or as you enter into parenthood. Maybe you are grieving a loss, struggling to cope with body or relationship changes, feeling anxious or depressed, or any of the other things that life throws your way. You are not alone.
(313) 924-3082 View (313) 924-3082
Photo of Nosa Obaseki, Limited Licensed Psychologist in Ferndale, MI
Nosa Obaseki
Limited Licensed Psychologist, MA, TLLP
Verified Verified
1 Endorsed
Ferndale, MI 48220
Not accepting new clients
Are you dealing with anxiety, depression, low self-esteem, relationship issues, work-related stress, or a difficult life transition? Life can be difficult and sometimes you encounter obstacles that are overwhelming, or you feel under-equipped to handle. You may be struggling and feel like you are alone, but I am here to help. I believe that therapy should be a collaborative experience between the client and the therapist. Therapy is a journey of self-discovery, understanding and acceptance. My job as a therapist is to be your guide on this journey, providing you with the tools to help you become the best version of yourself.
Are you dealing with anxiety, depression, low self-esteem, relationship issues, work-related stress, or a difficult life transition? Life can be difficult and sometimes you encounter obstacles that are overwhelming, or you feel under-equipped to handle. You may be struggling and feel like you are alone, but I am here to help. I believe that therapy should be a collaborative experience between the client and the therapist. Therapy is a journey of self-discovery, understanding and acceptance. My job as a therapist is to be your guide on this journey, providing you with the tools to help you become the best version of yourself.
(248) 278-0788 View (248) 278-0788

How does your Therapist compare?

Number of Therapists in Ferndale, MI

300+

Average cost per session

$150

Therapists in Ferndale, MI who prioritize treating:

94% Anxiety
92% Depression
84% Self Esteem
81% Relationship Issues
78% Trauma and PTSD
78% Stress
73% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
63% Blue Care Network
60% Aetna

How Therapists in Ferndale, MI see their clients

66% In Person and Online
34% Online Only

Gender breakdown

77% Female
18% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ferndale?

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.