Therapists in Portage Park, Chicago, IL

Photo of Dusan Simic, Pre-Licensed Professional, MA
Dusan Simic
Pre-Licensed Professional, MA
1 Endorsed
Portage Park, Chicago, IL 60630
I am a psychotherapist under supervision providing services through New Insights Behavioral Health Services. I have several years of experience working in community mental health settings, as well as other outpatient settings and youth-residential care. I have worked extensively treating trauma, depression/bipolar depression, anxiety, substance use, relational issues, and more. I often work with duly-diagnosed patients. I am also trained in psychological assessment. I am presently based at New Insight's Portage Park outpatient offices in the NW side of Chicago.
I am a psychotherapist under supervision providing services through New Insights Behavioral Health Services. I have several years of experience working in community mental health settings, as well as other outpatient settings and youth-residential care. I have worked extensively treating trauma, depression/bipolar depression, anxiety, substance use, relational issues, and more. I often work with duly-diagnosed patients. I am also trained in psychological assessment. I am presently based at New Insight's Portage Park outpatient offices in the NW side of Chicago.
(708) 729-8623 View (708) 729-8623
Photo of Betsy Hercher, Licensed Social Worker, MSW, LSW
Betsy Hercher
Licensed Social Worker, MSW, LSW
Portage Park, Chicago, IL 60630
Finding the right therapist can be a challenge, and I am here to help. I work with children, teens, and adults, providing 1:1 or family therapy. Having worked with people across the lifespan, I see how therapy can be such a significant investment in your well being, and bears fruit for years to come. I enjoy working with those struggling with ADHD, anxiety, depression, general stress and trauma. I believe strongly in providing care for the caretakers as they cope with the stress of aging parents and medically complex children.
Finding the right therapist can be a challenge, and I am here to help. I work with children, teens, and adults, providing 1:1 or family therapy. Having worked with people across the lifespan, I see how therapy can be such a significant investment in your well being, and bears fruit for years to come. I enjoy working with those struggling with ADHD, anxiety, depression, general stress and trauma. I believe strongly in providing care for the caretakers as they cope with the stress of aging parents and medically complex children.
(773) 840-0101 View (773) 840-0101
Photo of Robert J VanTreeck, Counselor, MA, LCPC
Robert J VanTreeck
Counselor, MA, LCPC
1 Endorsed
Portage Park, Chicago, IL 60630
To engage in the work of psychotherapy is a profound act of courage. It requires risk, persistence, and often the willingness to look at very painful experiences. To seek positive change in one's life is a mark of health and strength. I am a Licensed Clinical Professional Counselor with New Insights Behavioral Health Services, located near the Blue line. I have 21 years of specialized experience providing therapy in English and Spanish to children, adolescents and adults. I utilize evidence-based therapies in my practice, focusing on issues that include anxiety, depression, trauma, and marital/ relationship concerns.
To engage in the work of psychotherapy is a profound act of courage. It requires risk, persistence, and often the willingness to look at very painful experiences. To seek positive change in one's life is a mark of health and strength. I am a Licensed Clinical Professional Counselor with New Insights Behavioral Health Services, located near the Blue line. I have 21 years of specialized experience providing therapy in English and Spanish to children, adolescents and adults. I utilize evidence-based therapies in my practice, focusing on issues that include anxiety, depression, trauma, and marital/ relationship concerns.
(847) 440-1410 View (847) 440-1410
Photo of Ritu Bedi, Psychologist, PhD
Ritu Bedi
Psychologist, PhD
Portage Park, Chicago, IL 60630
Dr. Ritu Bedi serves as the clinical director and co-owner of New Insights Behavioral Health Services. As a licensed clinical psychologist, she brings over 20 years of specialized training in therapy and assessment services for children, adolescents, adults, and families. Her experience spans community mental health centers and hospital environments, holding both clinical and supervisory roles.
Dr. Ritu Bedi serves as the clinical director and co-owner of New Insights Behavioral Health Services. As a licensed clinical psychologist, she brings over 20 years of specialized training in therapy and assessment services for children, adolescents, adults, and families. Her experience spans community mental health centers and hospital environments, holding both clinical and supervisory roles.
(847) 558-6149 View (847) 558-6149
Photo of Regina King, Clinical Social Work/Therapist, LCSW
Regina King
Clinical Social Work/Therapist, LCSW
Portage Park, Chicago, IL 60630
Parts of life are heartbreaking, challenging, and anxiety producing. Working together, we can find a way to enhance your ability to provide yourself empathy, discern life's most difficult choices, and heal painful wounds. Recognizing and utilizing our greatest strengths can enhance our ability to face life's toughest challenges. I look forward to being a supportive and compassionate therapist as you resiliently and thoughtfully examine your self, relationships, and mood or emotions. I work primarily with adults and couples.
Parts of life are heartbreaking, challenging, and anxiety producing. Working together, we can find a way to enhance your ability to provide yourself empathy, discern life's most difficult choices, and heal painful wounds. Recognizing and utilizing our greatest strengths can enhance our ability to face life's toughest challenges. I look forward to being a supportive and compassionate therapist as you resiliently and thoughtfully examine your self, relationships, and mood or emotions. I work primarily with adults and couples.
(630) 517-5877 View (630) 517-5877
Photo of Alejandro D. Solano Hermida., Counselor, LCPC
Alejandro D. Solano Hermida.
Counselor, LCPC
1 Endorsed
Portage Park, Chicago, IL 60630
Life events, many out of our control, such as trauma, relationship issues, life transitions, immigration, systemic oppression, and colonialism, might impact your wellbeing and mental health. I am a licensed clinical counselor with New Insights Behavioral Health Services. I focus my work on young adults to elderly, including couples, men’s issues, domestic violence, and acculturation stress. I use evidenced-based therapies, adapting them to address the needs of my clients, to provide treatment for anxiety, depression, relationship issues, sexual identity, anger, trauma, grief and psychoeducation in group and individual settings.
Life events, many out of our control, such as trauma, relationship issues, life transitions, immigration, systemic oppression, and colonialism, might impact your wellbeing and mental health. I am a licensed clinical counselor with New Insights Behavioral Health Services. I focus my work on young adults to elderly, including couples, men’s issues, domestic violence, and acculturation stress. I use evidenced-based therapies, adapting them to address the needs of my clients, to provide treatment for anxiety, depression, relationship issues, sexual identity, anger, trauma, grief and psychoeducation in group and individual settings.
(708) 740-2675 View (708) 740-2675
Photo of Lujuana Allen-Lightfoot, Licensed Professional Counselor, LPC
Lujuana Allen-Lightfoot
Licensed Professional Counselor, LPC
Portage Park, Chicago, IL 60630
Everyone can use a little help when things get complicated; conflict is a part of everyday life. Therapy is a space to genuinely connect and develop a deeper understanding of yourself, your emotions, your experiences, and your thoughts. Making the decision to start therapy can be a hard one. Whether you’re looking to work through trauma, relationship concerns, anxiety, or difficult emotions; my goal is to help you reach your highest potential, while helping you work through any barriers or obstacles along the way.
Everyone can use a little help when things get complicated; conflict is a part of everyday life. Therapy is a space to genuinely connect and develop a deeper understanding of yourself, your emotions, your experiences, and your thoughts. Making the decision to start therapy can be a hard one. Whether you’re looking to work through trauma, relationship concerns, anxiety, or difficult emotions; my goal is to help you reach your highest potential, while helping you work through any barriers or obstacles along the way.
(630) 634-7236 View (630) 634-7236
Photo of Lishan Rosen, Clinical Social Work/Therapist, LSW
Lishan Rosen
Clinical Social Work/Therapist, LSW
Portage Park, Chicago, IL 60641
You might be a child navigating school stress or friendships, a teen struggling with body image and anxiety, or a young adult overwhelmed by transitions. You want a space to feel seen, heard, and supported. Maybe you’ve experienced trauma, identify as LGBTQIA+, or are neurodivergent—and you’re looking for someone who gets that your healing won’t look like everyone else’s.
You might be a child navigating school stress or friendships, a teen struggling with body image and anxiety, or a young adult overwhelmed by transitions. You want a space to feel seen, heard, and supported. Maybe you’ve experienced trauma, identify as LGBTQIA+, or are neurodivergent—and you’re looking for someone who gets that your healing won’t look like everyone else’s.
(773) 974-8561 View (773) 974-8561
Photo of Amainavt Vixama, Licensed Professional Counselor, LPC
Amainavt Vixama
Licensed Professional Counselor, LPC
1 Endorsed
Portage Park, Chicago, IL 60630
We possess a level of resilience that allows us to navigate even the most challenging obstacles. While life often brings hardships, it is through these difficulties that we find the opportunity for growth, transformation, and deeper self-awareness. By embracing our challenges and seeking inner balance, we can emerge from tough times not only with a greater understanding of ourselves but also with a renewed sense of purpose and strength. The journey through self-discovery is ultimately a path to growth, helping us to discover our true potential and foster a deeper sense of peace within.
We possess a level of resilience that allows us to navigate even the most challenging obstacles. While life often brings hardships, it is through these difficulties that we find the opportunity for growth, transformation, and deeper self-awareness. By embracing our challenges and seeking inner balance, we can emerge from tough times not only with a greater understanding of ourselves but also with a renewed sense of purpose and strength. The journey through self-discovery is ultimately a path to growth, helping us to discover our true potential and foster a deeper sense of peace within.
(708) 671-6770 View (708) 671-6770
Photo of Darby Chamness, Pre-Licensed Professional, LSW
Darby Chamness
Pre-Licensed Professional, LSW
Portage Park, Chicago, IL 60630
As a therapist, I strive to create a warm, compassionate, and collaborative space where you can explore how you move through the world—especially the parts of yourself that may have gone unheard or unseen. I believe in meeting you exactly where you are, and in building a therapeutic relationship that affirms your needs while gently encouraging growth, curiosity, and change. I specialize in anxiety, depression, trauma, OCD, and relational concerns. Whether you're navigating internal struggles or seeking to improve your relationships, I’m here to support you with compassion, insight, and the tools to move forward.
As a therapist, I strive to create a warm, compassionate, and collaborative space where you can explore how you move through the world—especially the parts of yourself that may have gone unheard or unseen. I believe in meeting you exactly where you are, and in building a therapeutic relationship that affirms your needs while gently encouraging growth, curiosity, and change. I specialize in anxiety, depression, trauma, OCD, and relational concerns. Whether you're navigating internal struggles or seeking to improve your relationships, I’m here to support you with compassion, insight, and the tools to move forward.
(773) 904-1411 View (773) 904-1411
Photo of Mary Paterkiewicz, Clinical Social Work/Therapist, LCSW
Mary Paterkiewicz
Clinical Social Work/Therapist, LCSW
1 Endorsed
Portage Park, Chicago, IL 60630
Congratulations on taking such a significant step forward to take care of yourself and your loved ones. Whether you are here for your own well-being, or interested on behalf of your child, I look forward to being a supportive and compassionate therapist in your corner. I have a strong passion for working with children, teens, and adults to address barriers to success in various areas of life in order to enhance their overall wellness. I am passionate about working with those who are struggling with self image, ADHD, emotion regulation, frustration tolerance, anxiety, or feelings of depression and self esteem issues.
Congratulations on taking such a significant step forward to take care of yourself and your loved ones. Whether you are here for your own well-being, or interested on behalf of your child, I look forward to being a supportive and compassionate therapist in your corner. I have a strong passion for working with children, teens, and adults to address barriers to success in various areas of life in order to enhance their overall wellness. I am passionate about working with those who are struggling with self image, ADHD, emotion regulation, frustration tolerance, anxiety, or feelings of depression and self esteem issues.
(708) 847-9184 View (708) 847-9184
Photo of Amit Kakkar, Psychologist, PsyD
Amit Kakkar
Psychologist, PsyD
9 Endorsed
Portage Park, Chicago, IL 60630
Life can feel like too much—and not enough—all at the same time. You may be moving through your days feeling overwhelmed, disconnected, or burdened by emotions you can’t quite name. My clients often come to me seeking relief—but they’re also searching for deeper understanding, greater self-compassion, and a more fulfilling way of living. Whether you're struggling with anxiety, depression, relationship challenges, trauma, or identity-related stress, therapy can help you reconnect—with yourself, your values, and your path forward.
Life can feel like too much—and not enough—all at the same time. You may be moving through your days feeling overwhelmed, disconnected, or burdened by emotions you can’t quite name. My clients often come to me seeking relief—but they’re also searching for deeper understanding, greater self-compassion, and a more fulfilling way of living. Whether you're struggling with anxiety, depression, relationship challenges, trauma, or identity-related stress, therapy can help you reconnect—with yourself, your values, and your path forward.
(847) 278-4535 View (847) 278-4535
Photo of Leah Donahue, Clinical Social Work/Therapist, LCSW
Leah Donahue
Clinical Social Work/Therapist, LCSW
Portage Park, Chicago, IL 60641
You’re a teen, college student, adult, or couple navigating anxiety, identity, relationships, or major life changes. Maybe you’re feeling stuck, overwhelmed, or unsure how to cope. You want clarity, relief, and a therapist who will help you untangle what’s going on beneath the surface. You’re craving a safe space to process emotions, explore who you are, and finally feel like yourself again.
You’re a teen, college student, adult, or couple navigating anxiety, identity, relationships, or major life changes. Maybe you’re feeling stuck, overwhelmed, or unsure how to cope. You want clarity, relief, and a therapist who will help you untangle what’s going on beneath the surface. You’re craving a safe space to process emotions, explore who you are, and finally feel like yourself again.
(773) 747-3053 View (773) 747-3053
Photo of Jamey Arnold, Clinical Social Work/Therapist
Jamey Arnold
Clinical Social Work/Therapist
1 Endorsed
Portage Park, Chicago, IL 60630
Hi, my name is Jamey (she/her). I specialize in trauma therapy, helping people work through relationship harm, grief, and life's stressors. My approach is both creative and relational, meaning we will collaboratively foster a safe space for your healing. I have experience supporting older children, teens, and adults of all ages. I am an anti-oppressive and nonjudgemental therapist, therefore, I value your upbringing, cultural and racial identities, immigration journey, sexual orientation, and gender.
Hi, my name is Jamey (she/her). I specialize in trauma therapy, helping people work through relationship harm, grief, and life's stressors. My approach is both creative and relational, meaning we will collaboratively foster a safe space for your healing. I have experience supporting older children, teens, and adults of all ages. I am an anti-oppressive and nonjudgemental therapist, therefore, I value your upbringing, cultural and racial identities, immigration journey, sexual orientation, and gender.
(708) 797-7591 View (708) 797-7591
Photo of Lindsey Bach, Licensed Social Worker, LSW
Lindsey Bach
Licensed Social Worker, LSW
1 Endorsed
Portage Park, Chicago, IL 60630
You're not alone—whether you're navigating life transitions, relationship challenges, anxiety, or parenting stress, I offer a warm, supportive space to explore, grow, and heal. As a therapist, I bring a compassionate, client-centered approach to therapy, helping children, adults, and families reconnect with their strengths and move toward meaningful change. My clients reflect that I have an engaging, warm, down-to-earth style. She believes in meeting people where they are while working collaboratively to build tools for coping, communication, and emotional resilience.
You're not alone—whether you're navigating life transitions, relationship challenges, anxiety, or parenting stress, I offer a warm, supportive space to explore, grow, and heal. As a therapist, I bring a compassionate, client-centered approach to therapy, helping children, adults, and families reconnect with their strengths and move toward meaningful change. My clients reflect that I have an engaging, warm, down-to-earth style. She believes in meeting people where they are while working collaboratively to build tools for coping, communication, and emotional resilience.
(708) 765-6338 View (708) 765-6338
Photo of Nolynn Kaufman, Licensed Professional Counselor, MA, LPC
Nolynn Kaufman
Licensed Professional Counselor, MA, LPC
Portage Park, Chicago, IL 60630
Gratefully practicing at New Insights Behavioral Health Services. When people experience trauma or life stressors, it is not uncommon to become overwhelmed with emotions. My passion is to hold space and help facilitate healing in those who are feeling lost, lonely, or needing support. I collaborate with my adult clients to find healthy perceptions of themselves, explore their culture and intersectionality, and find liberation from their trauma by exploring their experiences with gentle curiosity. We will work together to gain skills, recognize core beliefs, reflect on life experiences as early as childhood, and reach goals.
Gratefully practicing at New Insights Behavioral Health Services. When people experience trauma or life stressors, it is not uncommon to become overwhelmed with emotions. My passion is to hold space and help facilitate healing in those who are feeling lost, lonely, or needing support. I collaborate with my adult clients to find healthy perceptions of themselves, explore their culture and intersectionality, and find liberation from their trauma by exploring their experiences with gentle curiosity. We will work together to gain skills, recognize core beliefs, reflect on life experiences as early as childhood, and reach goals.
(872) 259-7910 View (872) 259-7910
Photo of Theresa Pendergraff, Clinical Social Work/Therapist, LCSW, MSW
Theresa Pendergraff
Clinical Social Work/Therapist, LCSW, MSW
Portage Park, Chicago, IL 60630
Are you ready to take the next step in your life? I provide therapy to those who want to overcome struggles and trauma in their lives. I have experience aligning my person centered approach with individuals, families, couples, veterans, ex-gang members and professionals in the field of social work, nursing, and therapists. Private pay available, which keeps your therapy private from insurance companies and employers.
Are you ready to take the next step in your life? I provide therapy to those who want to overcome struggles and trauma in their lives. I have experience aligning my person centered approach with individuals, families, couples, veterans, ex-gang members and professionals in the field of social work, nursing, and therapists. Private pay available, which keeps your therapy private from insurance companies and employers.
(773) 207-8975 View (773) 207-8975
Photo of Natalie Sager, Clinical Social Work/Therapist, LCSW
Natalie Sager
Clinical Social Work/Therapist, LCSW
2 Endorsed
Portage Park, Chicago, IL 60630
I am a Licensed Clinical Social Worker with New Insights Behavioral Health Services. I provide therapy that is collaborative, creative, and understanding. I have extensive experience helping children, adolescents, and adults navigate challenges related to Anxiety, OCD, Depression, Traumatic Stress, shame, grief and loss, job and academic stress, sexual trauma, relationship difficulties, self esteem, and adjustment to life changes.
I am a Licensed Clinical Social Worker with New Insights Behavioral Health Services. I provide therapy that is collaborative, creative, and understanding. I have extensive experience helping children, adolescents, and adults navigate challenges related to Anxiety, OCD, Depression, Traumatic Stress, shame, grief and loss, job and academic stress, sexual trauma, relationship difficulties, self esteem, and adjustment to life changes.
(708) 607-9517 View (708) 607-9517
Photo of Barbara Murphy, Clinical Social Work/Therapist, LCSW
Barbara Murphy
Clinical Social Work/Therapist, LCSW
1 Endorsed
Portage Park, Chicago, IL 60630
I provide supervision for individuals needing hours toward a clinical license. Supervision can be provided individually; remotely or in-person. I have an LCSW and am certified by the National Association of Social Workers (NASW). I have a range of experience in a variety of settings (mental health agencies, private practice, treatment facilities, and nursing home settings, autism, childhood chronic illness)
I provide supervision for individuals needing hours toward a clinical license. Supervision can be provided individually; remotely or in-person. I have an LCSW and am certified by the National Association of Social Workers (NASW). I have a range of experience in a variety of settings (mental health agencies, private practice, treatment facilities, and nursing home settings, autism, childhood chronic illness)
(708) 742-8725 View (708) 742-8725
Photo of Caitlin Gay, Clinical Social Work/Therapist, LCSW
Caitlin Gay
Clinical Social Work/Therapist, LCSW
Portage Park, Chicago, IL 60630
Congratulations on taking such a meaningful step in your effort towards well being and peace. Working together, I will help you effectively discern what might be stopping you from a most satisfying and meaningful life. You may be facing the challenges of anxiety or depression, and I look forward to assisting you in addressing that painful experience. I work with people struggling with life's adjustments, including receiving a medical diagnosis, a change such as a death of a loved one or separation in a relationship, adjustment to parenting, and professional changes.
Congratulations on taking such a meaningful step in your effort towards well being and peace. Working together, I will help you effectively discern what might be stopping you from a most satisfying and meaningful life. You may be facing the challenges of anxiety or depression, and I look forward to assisting you in addressing that painful experience. I work with people struggling with life's adjustments, including receiving a medical diagnosis, a change such as a death of a loved one or separation in a relationship, adjustment to parenting, and professional changes.
(773) 830-3274 View (773) 830-3274

How does your Therapist compare?

Number of Therapists in Portage Park, Chicago, IL

100+

Average cost per session

$150

Therapists in Portage Park, Chicago, IL who prioritize treating:

94% Anxiety
92% Depression
83% Relationship Issues
77% Self Esteem
76% Life Transitions
74% Trauma and PTSD
69% Grief

Average years in practice

10 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
80% Aetna
61% UnitedHealthcare UHC | UBH

How Therapists in Portage Park, Chicago, IL see their clients

64% In Person and Online
36% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portage Park, Chicago?

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.