Therapists in Savannah, GA

Photo of Julie Gumban Roberts, Clinical Social Work/Therapist, MA, MSW, LCSW, LISW-CP, LISW-S
Julie Gumban Roberts
Clinical Social Work/Therapist, MA, MSW, LCSW, LISW-CP, LISW-S
Savannah, GA 31410
Receiving a serious or uncertain medical diagnosis shakes everything you know. You feel fear, anger, and disbelief. Daily routines become overwhelming, and it’s hard to explain what you’re going through. You want to protect those you love from your pain, yet you also long for their support. It’s hard to know how to let others in while trying to shield them from hurt. You worry about the future, struggle to make decisions, or feel distant from the people you love most. It’s exhausting to hold it all together when your body and emotions are at odds. For caregivers, the pain is different but just as heavy.
Receiving a serious or uncertain medical diagnosis shakes everything you know. You feel fear, anger, and disbelief. Daily routines become overwhelming, and it’s hard to explain what you’re going through. You want to protect those you love from your pain, yet you also long for their support. It’s hard to know how to let others in while trying to shield them from hurt. You worry about the future, struggle to make decisions, or feel distant from the people you love most. It’s exhausting to hold it all together when your body and emotions are at odds. For caregivers, the pain is different but just as heavy.
(912) 452-2583 View (912) 452-2583
Photo of Betsy R Kammerud, Clinical Social Work/Therapist, LCSW, ACHP-SW
Betsy R Kammerud
Clinical Social Work/Therapist, LCSW, ACHP-SW
Online Only
Hi! My name is Betsy. I am a licensed clinical social worker with 20 years experience in the field of trauma informed grief and loss which includes working with clients who have concerns surrounding depression and anxiety. I have a Masters in Social Work degree from Ohio State University. I am also a Certified Clinical Trauma Professional. I have worked with individuals, couples, and groups promoting a healthy grief journey as well as healthy perceptions of self-image and strengthening core relationships for a more complete sense of self.
Hi! My name is Betsy. I am a licensed clinical social worker with 20 years experience in the field of trauma informed grief and loss which includes working with clients who have concerns surrounding depression and anxiety. I have a Masters in Social Work degree from Ohio State University. I am also a Certified Clinical Trauma Professional. I have worked with individuals, couples, and groups promoting a healthy grief journey as well as healthy perceptions of self-image and strengthening core relationships for a more complete sense of self.
(912) 291-8571 View (912) 291-8571
Photo of Debra Cone, Clinical Social Work/Therapist, LCSW, C-DBT, MSW, C-SSW
Debra Cone
Clinical Social Work/Therapist, LCSW, C-DBT, MSW, C-SSW
Savannah, GA 31406
Waitlist for new clients
Start Your Journey to Healing Today! We specialize in Anxiety Disorders, OCD, PANDAS, and panic disorders. We offer Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), CBT-AR (AFRID exposure), and Exposure Response Prevention (ERP). We provide tailored sessions for children ages 8+, as well as individual therapy for adults 18+. We customize sessions and personalize goals to meet your unique needs. Our therapist also provide sensory integration and developmental therapy as needed for our neurodivergent patients.
Start Your Journey to Healing Today! We specialize in Anxiety Disorders, OCD, PANDAS, and panic disorders. We offer Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), CBT-AR (AFRID exposure), and Exposure Response Prevention (ERP). We provide tailored sessions for children ages 8+, as well as individual therapy for adults 18+. We customize sessions and personalize goals to meet your unique needs. Our therapist also provide sensory integration and developmental therapy as needed for our neurodivergent patients.
(912) 616-8051 View (912) 616-8051
Photo of Syndie Wallace, Licensed Professional Counselor, MEd, LPC, NCC, CIEC
Syndie Wallace
Licensed Professional Counselor, MEd, LPC, NCC, CIEC
1 Endorsed
Savannah, GA 31401
Life can be beautiful and wonderful, but unpredictable and messy too. Sometimes we need help to gain perspective and insight in order to address what’s not working and make the necessary changes. I believe people are incredibly resilient and have great capacity to make the changes that can help them create the life they want.
Life can be beautiful and wonderful, but unpredictable and messy too. Sometimes we need help to gain perspective and insight in order to address what’s not working and make the necessary changes. I believe people are incredibly resilient and have great capacity to make the changes that can help them create the life they want.
(912) 205-3798 View (912) 205-3798
Photo of Megan Ross, Licensed Professional Counselor, MS, LPC, NCC
Megan Ross
Licensed Professional Counselor, MS, LPC, NCC
Savannah, GA 31405
Megan Ross helps children, teens, adults, and older adults build practical skills to manage emotional challenges, strengthen relationships, and move toward meaningful change. She provides evidence-based mental health care for individuals and families across Georgia, offering a supportive, structured approach that blends compassion with clinical clarity. At LifeStance Health, Megan provides individual therapy and family therapy for children (ages 6–10), adolescents and teens (ages 11–17), young adults, adults, and seniors.
Megan Ross helps children, teens, adults, and older adults build practical skills to manage emotional challenges, strengthen relationships, and move toward meaningful change. She provides evidence-based mental health care for individuals and families across Georgia, offering a supportive, structured approach that blends compassion with clinical clarity. At LifeStance Health, Megan provides individual therapy and family therapy for children (ages 6–10), adolescents and teens (ages 11–17), young adults, adults, and seniors.
(912) 504-5676 View (912) 504-5676
Photo of Kaylen Conley, Counselor, LAPC
Kaylen Conley
Counselor, LAPC
2 Endorsed
Savannah, GA 31401
Hi, I’m Kaylen! I care about creating a space where you can finally breathe, slow down, and just be yourself. Life gets heavy, and tough, and most of us don’t realize how much we’re carrying until we finally sit somewhere that feels safe enough to put it down for a minute. I hope that being with me feels steady, calm, and genuinely supportive. Like, you can stop pretending everything’s fine for a minute.
Hi, I’m Kaylen! I care about creating a space where you can finally breathe, slow down, and just be yourself. Life gets heavy, and tough, and most of us don’t realize how much we’re carrying until we finally sit somewhere that feels safe enough to put it down for a minute. I hope that being with me feels steady, calm, and genuinely supportive. Like, you can stop pretending everything’s fine for a minute.
(912) 417-3228 View (912) 417-3228
Photo of Stacy Winter, Clinical Social Work/Therapist, LCSW
Stacy Winter
Clinical Social Work/Therapist, LCSW
Online Only
You’ve spent years trying to hold things together, but the distance, loss, or change in your relationships has left a quiet ache that never seems to fade. Whether it’s estrangement from an adult child, the end of a relationship, or another painful life transition, you find yourself questioning your role and wondering how to move forward. You long for peace, connection, and a sense of purpose again — to feel like you in your own life.
You’ve spent years trying to hold things together, but the distance, loss, or change in your relationships has left a quiet ache that never seems to fade. Whether it’s estrangement from an adult child, the end of a relationship, or another painful life transition, you find yourself questioning your role and wondering how to move forward. You long for peace, connection, and a sense of purpose again — to feel like you in your own life.
(470) 517-8991 View (470) 517-8991
Photo of Kendra Phoumivong - Hillside Intensive Outpatient DBT Programs, LCSW
Hillside Intensive Outpatient DBT Programs
Verified Verified
2 Endorsed
Online Only
Hillside's Intensive Dialectical Behavior Therapy (DBT) Program offers two treatment options: Intensive In-Home Therapy (IIH) for ages 5-25 and Virtual Intensive Outpatient Program (VIOP) for teens, ages 13-17. We work with young people who need more therapeutic support than typical once-a-week therapy. Our intensive treatment programs are designed to engage clients who are struggling to manage their daily responsibilities and/or interpersonal relationships with family members or peers due to their mental health. Our therapists are experienced in working with clients who struggle with self-harming or suicidal ideations/gestures.
Hillside's Intensive Dialectical Behavior Therapy (DBT) Program offers two treatment options: Intensive In-Home Therapy (IIH) for ages 5-25 and Virtual Intensive Outpatient Program (VIOP) for teens, ages 13-17. We work with young people who need more therapeutic support than typical once-a-week therapy. Our intensive treatment programs are designed to engage clients who are struggling to manage their daily responsibilities and/or interpersonal relationships with family members or peers due to their mental health. Our therapists are experienced in working with clients who struggle with self-harming or suicidal ideations/gestures.
(912) 207-9285 View (912) 207-9285
Photo of Terri M. Evans, Licensed Professional Counselor, NCC, LPC
Terri M. Evans
Licensed Professional Counselor, NCC, LPC
Savannah, GA 31419
Do your relationships feel unhealthy, unproductive, or even toxic? Have you found yourself stuck on an emotional roller coaster, desperate to get off—and stay off? Does “walking on eggshells” feel all too familiar? Learning to set healthy boundaries and process difficult emotions like anger isn't easy. And allowing yourself to be vulnerable? That can feel even harder. But healing is possible—and change is within reach. Anxiety, depression, low self-worth, brain fog, and difficulty with trust or boundaries are all common responses to trauma.
Do your relationships feel unhealthy, unproductive, or even toxic? Have you found yourself stuck on an emotional roller coaster, desperate to get off—and stay off? Does “walking on eggshells” feel all too familiar? Learning to set healthy boundaries and process difficult emotions like anger isn't easy. And allowing yourself to be vulnerable? That can feel even harder. But healing is possible—and change is within reach. Anxiety, depression, low self-worth, brain fog, and difficulty with trust or boundaries are all common responses to trauma.
(912) 574-2081 View (912) 574-2081
Photo of Erica S Cherry, Clinical Social Work/Therapist, LCSW
Erica S Cherry
Clinical Social Work/Therapist, LCSW
Savannah, GA 31406
Waitlist for new clients
Ever feel as if you have to muster up the energy to “muscle” through another day? Have you noticed that you are overreacting to the small stuff and under-reacting to those who want your attention and the things that need to be done? Sometimes life experiences can stifle and impede our personal growth. This can prevent us from experiencing real JOY(happiness regardless of circumstances), LOVE (Love of thy Self ),and PEACE (The feeling of a deep exhale.) Emotions are real mind-body experiences. Future (anxiety) and Past (depression).
Ever feel as if you have to muster up the energy to “muscle” through another day? Have you noticed that you are overreacting to the small stuff and under-reacting to those who want your attention and the things that need to be done? Sometimes life experiences can stifle and impede our personal growth. This can prevent us from experiencing real JOY(happiness regardless of circumstances), LOVE (Love of thy Self ),and PEACE (The feeling of a deep exhale.) Emotions are real mind-body experiences. Future (anxiety) and Past (depression).
(912) 400-4014 View (912) 400-4014
Photo of Karen Brown, Licensed Professional Counselor, LPC
Karen Brown
Licensed Professional Counselor, LPC
Savannah, GA 31406
It is indeed a pleasure to support you on your journey of healing. Transformation works with individuals and couples to decrease toxic communication, intergenerational trauma, anxiety, depression, and addiction. Life challenges can be tough, but together we can build a transformation that is foundational & long-lasting. Life is a journey, not a race. If you struggle with anxiety, trauma, infidelity, pre-marital expectations, battle fatigue, isolation, addiction, or grief, explore and resolve the answers you seek in a safe, caring, empathic, and nurturing environment.
It is indeed a pleasure to support you on your journey of healing. Transformation works with individuals and couples to decrease toxic communication, intergenerational trauma, anxiety, depression, and addiction. Life challenges can be tough, but together we can build a transformation that is foundational & long-lasting. Life is a journey, not a race. If you struggle with anxiety, trauma, infidelity, pre-marital expectations, battle fatigue, isolation, addiction, or grief, explore and resolve the answers you seek in a safe, caring, empathic, and nurturing environment.
(912) 301-5947 View (912) 301-5947
Photo of Whitney Merritt, Licensed Professional Counselor, LPC, NCC
Whitney Merritt
Licensed Professional Counselor, LPC, NCC
Savannah, GA 31401
I believe in creating a space where you don’t have to perform, pretend, or have everything figured out. Therapy with me is collaborative and deeply human — a place where emotions are welcomed, questions are explored, and growth unfolds naturally. I help individuals navigate anxiety, life transitions, relationship challenges, and seasons of feeling stuck or overwhelmed. Together, we work toward clarity, emotional resilience, and a stronger connection to who you truly are. I don’t see therapy as fixing people. I see it as helping people rediscover their identity, strength and their capacity for healing.
I believe in creating a space where you don’t have to perform, pretend, or have everything figured out. Therapy with me is collaborative and deeply human — a place where emotions are welcomed, questions are explored, and growth unfolds naturally. I help individuals navigate anxiety, life transitions, relationship challenges, and seasons of feeling stuck or overwhelmed. Together, we work toward clarity, emotional resilience, and a stronger connection to who you truly are. I don’t see therapy as fixing people. I see it as helping people rediscover their identity, strength and their capacity for healing.
(912) 483-0569 View (912) 483-0569
Photo of Haley Johnson, Counselor, LAPC
Haley Johnson
Counselor, LAPC
Savannah, GA 31405
It's important that you feel your best, that you know and love your most authentic self in order to make your unique impact on the world around you. I hold a safe and judgement free space for you to have a positive emotional experience where you will gain the skills and insight to move through the world as your best self.
It's important that you feel your best, that you know and love your most authentic self in order to make your unique impact on the world around you. I hold a safe and judgement free space for you to have a positive emotional experience where you will gain the skills and insight to move through the world as your best self.
(470) 828-2648 View (470) 828-2648
Photo of Tammy Cauthern, Clinical Social Work/Therapist, LCSW, BSW
Tammy Cauthern
Clinical Social Work/Therapist, LCSW, BSW
Savannah, GA 31401
My therapeutic philosophy is based on the belief that we all have an optimal self; a self that is the best version of who we are and who we can be. It is my mission to help people uncover or re-discover their best selves. My past clinical positions provided opportunities to work with diverse populations and people from all walks of life. I am experienced with working with individuals with anxiety, depression, lack of self-esteem, trauma, personality disorders, and more. I have advanced training in LGBTQI+ mental health and gender transitioning.
My therapeutic philosophy is based on the belief that we all have an optimal self; a self that is the best version of who we are and who we can be. It is my mission to help people uncover or re-discover their best selves. My past clinical positions provided opportunities to work with diverse populations and people from all walks of life. I am experienced with working with individuals with anxiety, depression, lack of self-esteem, trauma, personality disorders, and more. I have advanced training in LGBTQI+ mental health and gender transitioning.
(912) 325-7968 View (912) 325-7968
Photo of Michele M Fairconnetue, Pre-Licensed Professional
Michele M Fairconnetue
Pre-Licensed Professional
Savannah, GA 31404
Hello! My name is Michele, I believe no one knows you better than YOU and as we live, our view of self can become clouded by the challenges and choices we face in life. This causes us to have a distorted view of ourselves, our loved ones, and people in general. These distorted views originate from the choices we make and the hand we were dealt in life. No matter the cause, the true version of you exists right now and waiting patiently to be expressed and embraced. I would be honored to embark on a journey of discovering the version you want to express - your authentic self.
Hello! My name is Michele, I believe no one knows you better than YOU and as we live, our view of self can become clouded by the challenges and choices we face in life. This causes us to have a distorted view of ourselves, our loved ones, and people in general. These distorted views originate from the choices we make and the hand we were dealt in life. No matter the cause, the true version of you exists right now and waiting patiently to be expressed and embraced. I would be honored to embark on a journey of discovering the version you want to express - your authentic self.
(912) 455-7565 View (912) 455-7565
Photo of Andrea Celeste Blackshear, Clinical Social Work/Therapist, LCSW , MAC, CACII
Andrea Celeste Blackshear
Clinical Social Work/Therapist, LCSW , MAC, CACII
Online Only
My clients come to me for a variety of issues, with goals that support regaining a sense of control over their own lives and helping to discover a sense of identity. Persistent feelings of anxiety, hopeless reliving past experiences, and a desire for something more but not knowing how to get there are all some of the common themes I work with. You may not know exactly what you need or how to get there, but you know that something needs to change.
My clients come to me for a variety of issues, with goals that support regaining a sense of control over their own lives and helping to discover a sense of identity. Persistent feelings of anxiety, hopeless reliving past experiences, and a desire for something more but not knowing how to get there are all some of the common themes I work with. You may not know exactly what you need or how to get there, but you know that something needs to change.
(912) 504-3264 View (912) 504-3264
Photo of Annetta Scott, Pre-Licensed Professional
Annetta Scott
Pre-Licensed Professional
Savannah, GA 31405
My journey into clinical mental health counseling has been shaped by both academic training and hands-on experience with individuals navigating some of life’s most difficult challenges. I recently earned my Master’s degree in Clinical Mental Health Counseling from South University, and I am a Certified Addiction Drug and Alcohol Counselor. Before entering private practice, I worked extensively with the prison population as a substance abuse counselor. That experience taught me the importance of meeting people where they are, listening without judgment, and recognizing the resilience it takes to begin again after setbacks. I carry
My journey into clinical mental health counseling has been shaped by both academic training and hands-on experience with individuals navigating some of life’s most difficult challenges. I recently earned my Master’s degree in Clinical Mental Health Counseling from South University, and I am a Certified Addiction Drug and Alcohol Counselor. Before entering private practice, I worked extensively with the prison population as a substance abuse counselor. That experience taught me the importance of meeting people where they are, listening without judgment, and recognizing the resilience it takes to begin again after setbacks. I carry
(912) 913-7516 View (912) 913-7516
Photo of Rebecca Stanchfield, Licensed Professional Counselor, LPC
Rebecca Stanchfield
Licensed Professional Counselor, LPC
Savannah, GA 31406
I have over 35 years experience helping children, adolescents, as well as adults overcome difficult emotional & behavioral struggles. I am committed to working towards healing & change - not only for the child or adolescent, but for the family as well. By providing parent education, I work to identify specific problem areas experienced at home and to develop a plan that ensures lasting success. I have a Masters degree in Counseling & studied Early Childhood Education as an undergraduate.
I have over 35 years experience helping children, adolescents, as well as adults overcome difficult emotional & behavioral struggles. I am committed to working towards healing & change - not only for the child or adolescent, but for the family as well. By providing parent education, I work to identify specific problem areas experienced at home and to develop a plan that ensures lasting success. I have a Masters degree in Counseling & studied Early Childhood Education as an undergraduate.
(770) 766-8765 View (770) 766-8765
Photo of Gina Marshall, Licensed Professional Counselor, LPC, NCC, CCMHC
Gina Marshall
Licensed Professional Counselor, LPC, NCC, CCMHC
1 Endorsed
Savannah, GA 31406
Not accepting new clients
Hello! I am a Licensed Professional Counselor (LPC) dedicated to supporting individuals through life's challenges with a warm, empathetic, and client-centered approach. With 10 years of experience in the mental health field, I specialize in helping clients navigate anxiety, depression, trauma, relationship issues, LGBTQ, life transitions, grief, fertility issues, and self-esteem concerns.
Hello! I am a Licensed Professional Counselor (LPC) dedicated to supporting individuals through life's challenges with a warm, empathetic, and client-centered approach. With 10 years of experience in the mental health field, I specialize in helping clients navigate anxiety, depression, trauma, relationship issues, LGBTQ, life transitions, grief, fertility issues, and self-esteem concerns.
(912) 915-2585 View (912) 915-2585
Photo of Courtney Sapp, Pre-Licensed Professional
Courtney Sapp
Pre-Licensed Professional
1 Endorsed
Savannah, GA 31406
You’ve been holding it together for everybody else. Somewhere in all of that, you lost yourself. Maybe you just had a baby and nobody warned you it would feel like this. Maybe you’re pregnant and scared and trying to stay strong. Maybe life just got heavy and you’re not even sure how you got here. Whatever brought you to this moment - I’m glad you’re here. I built this space because women - at every age and stage - deserve somewhere to finally land. Somewhere to exhale. And if you’re tired of holding it all together alone, you belong here too.
You’ve been holding it together for everybody else. Somewhere in all of that, you lost yourself. Maybe you just had a baby and nobody warned you it would feel like this. Maybe you’re pregnant and scared and trying to stay strong. Maybe life just got heavy and you’re not even sure how you got here. Whatever brought you to this moment - I’m glad you’re here. I built this space because women - at every age and stage - deserve somewhere to finally land. Somewhere to exhale. And if you’re tired of holding it all together alone, you belong here too.
(912) 809-5908 View (912) 809-5908

See more therapy options for Savannah

How does your Therapist compare?

Number of Therapists in Savannah, GA

600+

Average cost per session

$128

Therapists in Savannah, GA who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
82% Depression
69% Trauma and PTSD
69% Complex PTSD

Average years in practice

12 Years

Top 3 insurances accepted

90% Aetna
78% Cigna and Evernorth
75% BlueCross and BlueShield

How Therapists in Savannah, GA see their clients

53% In Person and Online
47% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Savannah?

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.