Therapists in Wheeling, IL

Photo of Diana Ruiz, Counselor in Wheeling, IL
Diana Ruiz
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Wheeling, IL 60090
Does it feel like you can’t stop feeling anxious, overthinking, and sometimes self-doubt, and feeling “not enough” take over your life? Self-doubt and anxiety are overwhelming. It feels that you can’t stop overthinking and thinking about everything that can go wrong. You think about the bad things that can happen, the mistakes you can make, and the negative situations that can occur. Worry and overanalyzing take over, and you end up anxious and panicked. Questioning and doubting yourself makes you feel defeated. You overthink your abilities and self-worth, which makes you feel low and defeated.
Does it feel like you can’t stop feeling anxious, overthinking, and sometimes self-doubt, and feeling “not enough” take over your life? Self-doubt and anxiety are overwhelming. It feels that you can’t stop overthinking and thinking about everything that can go wrong. You think about the bad things that can happen, the mistakes you can make, and the negative situations that can occur. Worry and overanalyzing take over, and you end up anxious and panicked. Questioning and doubting yourself makes you feel defeated. You overthink your abilities and self-worth, which makes you feel low and defeated.
(312) 548-8281 View (312) 548-8281
Photo of Sevil Arin, Licensed Clinical Professional Counselor in Wheeling, IL
Sevil Arin
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Wheeling, IL 60090  (Online Only)
One of the bravest things you can do is begin to understand your own story. There is so much value, understanding, and growth in developing a healthy relationship with yourself. If you think about it, the longest and most important relationship we will ever have is the one we have with ourselves. I am here to help you begin or continue that journey. I am the type of therapist you want to reach out to if you are struggling with perfectionism or low self-esteem, situations that make you feel anxious, depressed, and easily overwhelmed, or that feeling of being completely burned out and in need of self-care.
One of the bravest things you can do is begin to understand your own story. There is so much value, understanding, and growth in developing a healthy relationship with yourself. If you think about it, the longest and most important relationship we will ever have is the one we have with ourselves. I am here to help you begin or continue that journey. I am the type of therapist you want to reach out to if you are struggling with perfectionism or low self-esteem, situations that make you feel anxious, depressed, and easily overwhelmed, or that feeling of being completely burned out and in need of self-care.
(224) 802-3167 View (224) 802-3167
Photo of Julie A Xiques-Prieto, Psychologist in Wheeling, IL
Julie A Xiques-Prieto
Psychologist, PsyD, ACht
Verified Verified
Wheeling, IL 60090
My name is Dr. Julie A. Xiques-Prieto. I am a bilingual clinical psychologist that has been providing bilingual services in the Chicago area for more than fifteen years. I completed my doctoral degree in clinical psychology at the Illinois School of Professional Psychology in 1996. My career path has guided me towards highly unique and experiential training that allow me to create for you a "therapeutic experience" that goes beyond traditional "talk therapy". I am certified in hypnotherapy and EMDR and currently pursuing a certification in Breathwork. Spanish is my native language but I am also fluent in English.
My name is Dr. Julie A. Xiques-Prieto. I am a bilingual clinical psychologist that has been providing bilingual services in the Chicago area for more than fifteen years. I completed my doctoral degree in clinical psychology at the Illinois School of Professional Psychology in 1996. My career path has guided me towards highly unique and experiential training that allow me to create for you a "therapeutic experience" that goes beyond traditional "talk therapy". I am certified in hypnotherapy and EMDR and currently pursuing a certification in Breathwork. Spanish is my native language but I am also fluent in English.
(847) 465-1582 View (847) 465-1582
Photo of OMNI in Wheeling, IL
OMNI
Verified Verified
Wheeling, IL 60090
OMNI offers transformative counseling services for individuals, youth, families, and couples in our local communities. Our mission is to help clients create lifelong change for better and brighter futures through research-based and compassionate counseling. Services are offered in both 1-on-1 and group settings. Some services may be available in Spanish. Some services offered virtually. We are dedicated to accessibility and accept all Medicaid managed insurance plans.
OMNI offers transformative counseling services for individuals, youth, families, and couples in our local communities. Our mission is to help clients create lifelong change for better and brighter futures through research-based and compassionate counseling. Services are offered in both 1-on-1 and group settings. Some services may be available in Spanish. Some services offered virtually. We are dedicated to accessibility and accept all Medicaid managed insurance plans.
(847) 558-1302 View (847) 558-1302
Photo of Lindsay Orlowski, Clinical Social Work/Therapist in Wheeling, IL
Lindsay Orlowski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wheeling, IL 60090
Hi, I'm Lindsay Orlowski. I am a Licensed Clinical Social Worker with over 5 years of clinical experience. I specialize in working with adults, children, and teens who have experienced Trauma, PTSD, Addiction, Adolescents/Teens, Depression, Anxiety, and many more. The techniques I most often utilize are Cognitive Behavioral Therapy and person-centered therapy. However, I am also trained in Dialectical Behavioral Therapy, Motivational Interviewing, and Parent Management Training. I believe and practice the saying "The only way out is through" (Robert Frost) and use this perspective as a guiding light in my work.
Hi, I'm Lindsay Orlowski. I am a Licensed Clinical Social Worker with over 5 years of clinical experience. I specialize in working with adults, children, and teens who have experienced Trauma, PTSD, Addiction, Adolescents/Teens, Depression, Anxiety, and many more. The techniques I most often utilize are Cognitive Behavioral Therapy and person-centered therapy. However, I am also trained in Dialectical Behavioral Therapy, Motivational Interviewing, and Parent Management Training. I believe and practice the saying "The only way out is through" (Robert Frost) and use this perspective as a guiding light in my work.
(815) 454-5118 View (815) 454-5118
Photo of David Carr, Psychologist in Wheeling, IL
David Carr
Psychologist, PsyD
Verified Verified
Wheeling, IL 60090
We all experience difficult emotions throughout the course of our lives. Pain, of all kinds, is a part of the human experience. Significant problems arise when pain turns into suffering. I believe by changing the way we view ourselves and view the world, we can alleviate suffering. My goal in therapy is to create a space for you to explore new ways of experiencing life's most difficult emotions.
We all experience difficult emotions throughout the course of our lives. Pain, of all kinds, is a part of the human experience. Significant problems arise when pain turns into suffering. I believe by changing the way we view ourselves and view the world, we can alleviate suffering. My goal in therapy is to create a space for you to explore new ways of experiencing life's most difficult emotions.
(847) 453-3523 View (847) 453-3523
Photo of Lindy Meyer, Psychologist in Wheeling, IL
Lindy Meyer
Psychologist, PsyD
Verified Verified
Wheeling, IL 60090
I have been deeply interested in the field of psychology from a very young age. My respect and commitment to this field have never wavered. For over 30 years, I have seen clients improve their lives in ways both large and small. Change may occur by learning new coping strategies, grieving a past loss, working through trauma or abuse, or by beginning to trust another.
I have been deeply interested in the field of psychology from a very young age. My respect and commitment to this field have never wavered. For over 30 years, I have seen clients improve their lives in ways both large and small. Change may occur by learning new coping strategies, grieving a past loss, working through trauma or abuse, or by beginning to trust another.
(847) 398-9884 View (847) 398-9884
Photo of Abby Watel, Clinical Social Work/Therapist in Wheeling, IL
Abby Watel
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
Wheeling, IL 60090
I am a seasoned therapist with 25+ years of experience working in community mental health, hospital, child welfare, and private practice settings; I have both direct practice and supervisory experience. I currently enjoy dividing my caseload between working with children, adolescents, parents and families and working with individual adults and couples. I believe in helping people of all ages to continue learning and developing throughout their lives. I use play therapy with young children; I use behavioral and solution focused treatment with all clients.; for adults and adolescents more insight oriented approaches are available.
I am a seasoned therapist with 25+ years of experience working in community mental health, hospital, child welfare, and private practice settings; I have both direct practice and supervisory experience. I currently enjoy dividing my caseload between working with children, adolescents, parents and families and working with individual adults and couples. I believe in helping people of all ages to continue learning and developing throughout their lives. I use play therapy with young children; I use behavioral and solution focused treatment with all clients.; for adults and adolescents more insight oriented approaches are available.
(847) 920-7810 View (847) 920-7810
Photo of Jean Kim-Snyder, Clinical Social Work/Therapist in Wheeling, IL
Jean Kim-Snyder
Clinical Social Work/Therapist, LCSW
Verified Verified
Wheeling, IL 60090
Not accepting new clients
Do you ever feel like there's a part of you that wants to move forward and another part that just feels stuck in the past? My ideal client(s) are looking for a therapist who is practical, warm, funny and authentic. I have over 20 years experience helping people get "unstuck" by holding a safe space, connecting with their body, and acting as a hope merchant. I also have sweet, fuzzy therapy partner, Charlie the Goldendoodle, who facilitates.
Do you ever feel like there's a part of you that wants to move forward and another part that just feels stuck in the past? My ideal client(s) are looking for a therapist who is practical, warm, funny and authentic. I have over 20 years experience helping people get "unstuck" by holding a safe space, connecting with their body, and acting as a hope merchant. I also have sweet, fuzzy therapy partner, Charlie the Goldendoodle, who facilitates.
(847) 558-1525 View (847) 558-1525
Photo of Whitney Smith, Psychologist in Wheeling, IL
Whitney Smith
Psychologist, PsyD
Verified Verified
1 Endorsed
Wheeling, IL 60090
Not accepting new clients
I believe that therapy can assist clients with a variety of challenges whether related to a diagnosed mental illness, life transition, relationship, or other. There are many things that can interfere with a feeling of satisfaction or fulfillment in one's life. In my work, I aim to help clients uncover and better navigate these barriers by first understanding their goals and getting to know the whole person. I then utilize evidence-based treatment to assist clients with developing a plan for meeting their personal, professional, and relational needs.
I believe that therapy can assist clients with a variety of challenges whether related to a diagnosed mental illness, life transition, relationship, or other. There are many things that can interfere with a feeling of satisfaction or fulfillment in one's life. In my work, I aim to help clients uncover and better navigate these barriers by first understanding their goals and getting to know the whole person. I then utilize evidence-based treatment to assist clients with developing a plan for meeting their personal, professional, and relational needs.
(847) 744-8785 View (847) 744-8785
Photo of Mindy Herskovitz, Counselor in Wheeling, IL
Mindy Herskovitz
Counselor, LCPC
Verified Verified
Wheeling, IL 60090
My goal as a therapist is to provide a caring, confidential setting where the client can make positive changes, develop effective coping skills and improve self- acceptance and self-image. A trusting relationship between client and therapist is a key element for growth. I use a gentle, nurturing approach and provide a non judgmental environment where clients can explore feelings and develop insight into their lives.
My goal as a therapist is to provide a caring, confidential setting where the client can make positive changes, develop effective coping skills and improve self- acceptance and self-image. A trusting relationship between client and therapist is a key element for growth. I use a gentle, nurturing approach and provide a non judgmental environment where clients can explore feelings and develop insight into their lives.
(847) 920-7725 View (847) 920-7725
Photo of Gaby Gurtz, Counselor in Wheeling, IL
Gaby Gurtz
Counselor, MS, LCPC
Verified Verified
Wheeling, IL 60090
Congratulations on taking the first step to get counseling! This is often the hardest step which may be filled with mixed emotions. I encourage you to approach counseling as a journey through self-awareness and self-fulfillment. With over 18 years of experience working in the mental health field, I have helped numerous individuals, couples and families struggling to cope with a range of issues, such as depression, anxiety, relationship issues, special needs and stress management. I aim to meet each client where they are and assist them in working towards their personal goals.
Congratulations on taking the first step to get counseling! This is often the hardest step which may be filled with mixed emotions. I encourage you to approach counseling as a journey through self-awareness and self-fulfillment. With over 18 years of experience working in the mental health field, I have helped numerous individuals, couples and families struggling to cope with a range of issues, such as depression, anxiety, relationship issues, special needs and stress management. I aim to meet each client where they are and assist them in working towards their personal goals.
(847) 829-0931 View (847) 829-0931
Photo of Rebecca Rice, Clinical Social Work/Therapist in Wheeling, IL
Rebecca Rice
Clinical Social Work/Therapist, LCSW, R-DMT, MA, MFA
Verified Verified
Wheeling, IL 60090
Sometimes life presents us with difficult challenges and we feel lost. We may be haunted by trauma, feel stuck in relationships, have negative thoughts cycling around in our minds, and find that we are sabotaging ourselves. Changing life circumstances-both positive (like the birth of a child) or negative (loss of a job)-can cause anxiety and despair. I address these issues by fostering a warm and trusting therapeutic relationship where clients become more aware of their thoughts and feelings, make sense of their experiences, and move forward in their lives.
Sometimes life presents us with difficult challenges and we feel lost. We may be haunted by trauma, feel stuck in relationships, have negative thoughts cycling around in our minds, and find that we are sabotaging ourselves. Changing life circumstances-both positive (like the birth of a child) or negative (loss of a job)-can cause anxiety and despair. I address these issues by fostering a warm and trusting therapeutic relationship where clients become more aware of their thoughts and feelings, make sense of their experiences, and move forward in their lives.
(847) 807-1280 View (847) 807-1280
Photo of Edie Kleinman, Licensed Professional Counselor in Wheeling, IL
Edie Kleinman
Licensed Professional Counselor, LCPC
Verified Verified
Wheeling, IL 60090
I have a lot of experience working with women who have lost a spouse or partner through death or divorce, needing help with grief and becoming independent I also. work well with adults trying to cope with marital, career or anger management issues. I provide a good listening ear, give suggestions if the client is open to it. . My ideal client is one that is committed to therapy,has a goal and some idea of what he/she want to receive and will follow up with appointments and homework and begin to take some positive steps
I have a lot of experience working with women who have lost a spouse or partner through death or divorce, needing help with grief and becoming independent I also. work well with adults trying to cope with marital, career or anger management issues. I provide a good listening ear, give suggestions if the client is open to it. . My ideal client is one that is committed to therapy,has a goal and some idea of what he/she want to receive and will follow up with appointments and homework and begin to take some positive steps
(847) 272-7379 View (847) 272-7379
Photo of Katrina Gelazius, Counselor in Wheeling, IL
Katrina Gelazius
Counselor, LCPC
Verified Verified
3 Endorsed
Wheeling, IL 60090
Currently providing in-person and/or virtual sessions for all Medicaid and private plans. I strive to create a therapeutic environment to help others heal and explore different challenges life may bring. My goal is to provide a warm, understanding, and safe environment where my clients can process their feelings and increase self-awareness, confidence, and learn new coping skills to manage stressors. This may include current problems or long lasting patterns. I understand that life can get busy, so I will do my best to accommodate your schedule. I accept private insurance as well as Medicaid (all plans).
Currently providing in-person and/or virtual sessions for all Medicaid and private plans. I strive to create a therapeutic environment to help others heal and explore different challenges life may bring. My goal is to provide a warm, understanding, and safe environment where my clients can process their feelings and increase self-awareness, confidence, and learn new coping skills to manage stressors. This may include current problems or long lasting patterns. I understand that life can get busy, so I will do my best to accommodate your schedule. I accept private insurance as well as Medicaid (all plans).
(872) 213-7502 View (872) 213-7502
Photo of Ninfa A. Martinez, Marriage & Family Therapist in Wheeling, IL
Ninfa A. Martinez
Marriage & Family Therapist, PhD, LMFT, LCPC
Verified Verified
1 Endorsed
Wheeling, IL 60090
I have over twenty years of experience working with children, families, couples, individuals, and groups. I have ample experience working Latinx clients, immigrant families, and multiracial couples. If you suffer issues such as: depression, anxiety, or relational issues ( couples problems, mother/father and children disagreements, siblings fights) give yourself the opportunity to improve your relationships. For years, I have been working with children who have suffered traumatic events and their families. I am an American Association for Marriage and Family Therapy Approved Supervisor, and I supervise Therapy students.
I have over twenty years of experience working with children, families, couples, individuals, and groups. I have ample experience working Latinx clients, immigrant families, and multiracial couples. If you suffer issues such as: depression, anxiety, or relational issues ( couples problems, mother/father and children disagreements, siblings fights) give yourself the opportunity to improve your relationships. For years, I have been working with children who have suffered traumatic events and their families. I am an American Association for Marriage and Family Therapy Approved Supervisor, and I supervise Therapy students.
(773) 717-2970 View (773) 717-2970
Photo of Audrey Grahame Raden, Counselor in Wheeling, IL
Audrey Grahame Raden
Counselor, MA, LCPC, PMH-C
Verified Verified
9 Endorsed
Wheeling, IL 60090
You're tossing and turning with your mind churning over What Ifs or moments that haunt. You feel stressed or overwhelmed; a sense of dread always lurking in the background. Maybe you're snapping at people or pushing them away. It might seem like everyone else is able to do things so much easier or better. Sometimes it seems like you're moving through thick fog. But it doesn't have to be this way.
You're tossing and turning with your mind churning over What Ifs or moments that haunt. You feel stressed or overwhelmed; a sense of dread always lurking in the background. Maybe you're snapping at people or pushing them away. It might seem like everyone else is able to do things so much easier or better. Sometimes it seems like you're moving through thick fog. But it doesn't have to be this way.
(224) 875-6536 View (224) 875-6536
Photo of Megan Schalk, Pre-Licensed Professional in Wheeling, IL
Megan Schalk
Pre-Licensed Professional
Verified Verified
Wheeling, IL 60090
Not accepting new clients
Megan is a pre-licensed professional Counselor and received her Master of Arts in Clinical Psychology and Counseling from Roosevelt University. Megan has experience working with adults, adolescents, couples, LGTBQ individuals, and various ethnic backgrounds.
Megan is a pre-licensed professional Counselor and received her Master of Arts in Clinical Psychology and Counseling from Roosevelt University. Megan has experience working with adults, adolescents, couples, LGTBQ individuals, and various ethnic backgrounds.
(224) 328-1557 View (224) 328-1557
Photo of Maria Yakimchuk, Marriage & Family Therapist Associate in Wheeling, IL
Maria Yakimchuk
Marriage & Family Therapist Associate, MA, ALMFT, cEFT M, CTP
Verified Verified
1 Endorsed
Wheeling, IL 60090
Working with moms and their families is my passion. While becoming a mother is often a long-awaited and magical experience, it can also be a vulnerable time for many of us. When we become mothers, we often re-experience childhood trauma which causes unresolved emotional pain to unexpectedly surface. These triggers may disrupt what would otherwise be a smooth transition into our parental role. Without understanding why, we may become increasingly anxious or depressed as new mothers and need additional support. Or we may feel that we have lost our identity somewhere between dishes, nap times, and ferrying kids to their activities.
Working with moms and their families is my passion. While becoming a mother is often a long-awaited and magical experience, it can also be a vulnerable time for many of us. When we become mothers, we often re-experience childhood trauma which causes unresolved emotional pain to unexpectedly surface. These triggers may disrupt what would otherwise be a smooth transition into our parental role. Without understanding why, we may become increasingly anxious or depressed as new mothers and need additional support. Or we may feel that we have lost our identity somewhere between dishes, nap times, and ferrying kids to their activities.
(847) 865-9424 View (847) 865-9424
Photo of Felix Laevsky in Wheeling, IL
Felix Laevsky
Verified Verified
1 Endorsed
Wheeling, IL 60090
I have been specializing in Biofeedback since 2004, with a primary focus on chronic pain, anxiety and stress management. Through the use of Biofeedback techniques and technology, relaxation, breathing, and other mind-body techniques, I have helped many people struggling with stress, pain and pain-related symptoms such as sleep problems, anxiety, muscle tension and breathing difficulties. Biofeedback principles and technology are amazing! If you would like to know how stress affects your body you can see it in your own " biofeedback physiological mirror" which works similar to your bathroom mirror.
I have been specializing in Biofeedback since 2004, with a primary focus on chronic pain, anxiety and stress management. Through the use of Biofeedback techniques and technology, relaxation, breathing, and other mind-body techniques, I have helped many people struggling with stress, pain and pain-related symptoms such as sleep problems, anxiety, muscle tension and breathing difficulties. Biofeedback principles and technology are amazing! If you would like to know how stress affects your body you can see it in your own " biofeedback physiological mirror" which works similar to your bathroom mirror.
(847) 960-3313 View (847) 960-3313

See more therapy options for Wheeling

How does your Therapist compare?

Number of Therapists in Wheeling, IL

30+

Average cost per session

$160

Therapists in Wheeling, IL who prioritize treating:

100% Anxiety
90% Depression
87% Self Esteem
77% Relationship Issues
73% Coping Skills
70% Trauma and PTSD
67% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
59% Cigna and Evernorth
48% Aetna

How Therapists in Wheeling, IL see their clients

97% In Person and Online
3% Online Only

Gender breakdown

89% Female
11% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Wheeling?

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.