Therapists in Gurnee, IL

Photo of Joann Jacobs, Counselor in Gurnee, IL
Joann Jacobs
Counselor, MA, LPC
Verified Verified
Gurnee, IL 60031
“Wellness involves all aspects of the human experience including mental, physical, social/emotional, spiritual and financial”. As part of my approach to working with clients, all of these aspects work together in tandem to create balance and wholeness. If one area is out of sync, it impacts all other areas. I facilitate the healing journey by providing comprehensive care. Through the use of compassion, collaboration, and reflective listening, I create a safe, non judgemental environment while integrating therapeutic techniques to address client needs.
“Wellness involves all aspects of the human experience including mental, physical, social/emotional, spiritual and financial”. As part of my approach to working with clients, all of these aspects work together in tandem to create balance and wholeness. If one area is out of sync, it impacts all other areas. I facilitate the healing journey by providing comprehensive care. Through the use of compassion, collaboration, and reflective listening, I create a safe, non judgemental environment while integrating therapeutic techniques to address client needs.
(224) 507-5549 View (224) 507-5549
Photo of Brenda Marwede, Counselor in Gurnee, IL
Brenda Marwede
Counselor, MA, LCPC, CMHIMP
Verified Verified
1 Endorsed
Gurnee, IL 60031
Not accepting new clients
Brenda's primary focus is on Individual, Family and Child Counseling. She works with a broad spectrum of clients, including those with Anxiety, Depression, Attachment Disorders, Trauma, ADHD and Oppositional Defiant Disorder (ODD). Brenda is also passionate about nutrition and the role it plays in mental health.
Brenda's primary focus is on Individual, Family and Child Counseling. She works with a broad spectrum of clients, including those with Anxiety, Depression, Attachment Disorders, Trauma, ADHD and Oppositional Defiant Disorder (ODD). Brenda is also passionate about nutrition and the role it plays in mental health.
(224) 268-1515 View (224) 268-1515
Photo of Christine Pope, Counselor in Gurnee, IL
Christine Pope
Counselor, LCPC, CADC
Verified Verified
Gurnee, IL 60031
I am a Licensed Clinical Professional Counselor, as well as a Certified Alcohol and Drug Counselor. I use a strengths based approach and have worked with clients of all ages. My specialties include behavioral disorders, substance use, anxiety, depression, and life transitions. I have also worked with clients that have experienced trauma ranging from physical and sexual abuse, assault, and experiencing and witnessing violence and negligence. I do not believe there is a one size fits all approach to therapy and believe that every client is the expert on themselves.
I am a Licensed Clinical Professional Counselor, as well as a Certified Alcohol and Drug Counselor. I use a strengths based approach and have worked with clients of all ages. My specialties include behavioral disorders, substance use, anxiety, depression, and life transitions. I have also worked with clients that have experienced trauma ranging from physical and sexual abuse, assault, and experiencing and witnessing violence and negligence. I do not believe there is a one size fits all approach to therapy and believe that every client is the expert on themselves.
(224) 458-2401 x126 View (224) 458-2401 x126
Photo of Lorena Maposito, Clinical Social Work/Therapist in Gurnee, IL
Lorena Maposito
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Gurnee, IL 60031
Welcome! Let us take a moment to acknowledge you for taking the first steps towards seeking help. I imagine this is not easy, but it is a sign of strength. I believe that everyone has the capacity to grow, heal and change, and learn new ways for improving their well-being. You can begin to heal by recognizing how important your thoughts and feelings are in navigating this world. Often, we can attempt to solve everything and sometimes we "solve" ourselves into various situations that take a piece out of us, leaving us fragmented and further away from tending to our whole selves.
Welcome! Let us take a moment to acknowledge you for taking the first steps towards seeking help. I imagine this is not easy, but it is a sign of strength. I believe that everyone has the capacity to grow, heal and change, and learn new ways for improving their well-being. You can begin to heal by recognizing how important your thoughts and feelings are in navigating this world. Often, we can attempt to solve everything and sometimes we "solve" ourselves into various situations that take a piece out of us, leaving us fragmented and further away from tending to our whole selves.
(224) 676-9800 x31 View (224) 676-9800 x31
Photo of Amy Slutzky, Licensed Clinical Professional Counselor in Gurnee, IL
Amy Slutzky
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Gurnee, IL 60031
As a therapist and educational advocate, I work with tweens, teens, adults and families to bring out their best selves by using successes in the past to confront and conquer current life challenges. It is okay to struggle with anxiety; the goal is to make sure you don't suffer from it. Parent coaching means understanding great kids can also make bad decisions. We work together to learn practical strategies to put in your parent toolbox. I'm also passionate about helping parents trust their instincts by decoding specialized vocabulary of IEPs and help parents assert their expertise when it comes to the special needs of special kids.
As a therapist and educational advocate, I work with tweens, teens, adults and families to bring out their best selves by using successes in the past to confront and conquer current life challenges. It is okay to struggle with anxiety; the goal is to make sure you don't suffer from it. Parent coaching means understanding great kids can also make bad decisions. We work together to learn practical strategies to put in your parent toolbox. I'm also passionate about helping parents trust their instincts by decoding specialized vocabulary of IEPs and help parents assert their expertise when it comes to the special needs of special kids.
(847) 440-3347 View (847) 440-3347
Photo of Great Lakes Psychology Group - Gurnee, Psychologist in Gurnee, IL
Great Lakes Psychology Group - Gurnee
Psychologist
Verified Verified
Gurnee, IL 60031
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(847) 243-6594 View (847) 243-6594
Photo of Harry Speer, Licensed Professional Counselor in Gurnee, IL
Harry Speer
Licensed Professional Counselor, LPC, NCC
Not Verified Not Verified
Gurnee, IL 60031  (Online Only)
Harry Speer is a Board Certified Licensed Professional Counselor practicing in Illinois since 2018. He earned his Bachelor of Arts degree in Psychology and his Master of Arts degree in Clinical Mental Health from Northeastern Illinois University in Chicago. Harry focuses on developing a trusting relationship with clients that is therapeutic and helpful. He integrates applied psychology and proven counseling approaches in his practice. Harry's goal is to help clients learn to respond to their difficult feelings, relationships, and circumstances more effectively. He focuses on individual adults and on couples.
Harry Speer is a Board Certified Licensed Professional Counselor practicing in Illinois since 2018. He earned his Bachelor of Arts degree in Psychology and his Master of Arts degree in Clinical Mental Health from Northeastern Illinois University in Chicago. Harry focuses on developing a trusting relationship with clients that is therapeutic and helpful. He integrates applied psychology and proven counseling approaches in his practice. Harry's goal is to help clients learn to respond to their difficult feelings, relationships, and circumstances more effectively. He focuses on individual adults and on couples.
(224) 276-5502 View (224) 276-5502
Photo of Alison Koehler, Counselor in Gurnee, IL
Alison Koehler
Counselor, LCPC
Verified Verified
1 Endorsed
Gurnee, IL 60031
As a psychotherapist, my approach with clients is very down to earth. Not all clients and problems are the same which is why I tend to be a bit more eclectic in style. Life is stressful and filled with enormous challenges; our strength is put to the test daily. We all face dilemmas in our personal and professional lives often causing conflict in ourselves and our relationships. What is often most comforting is knowing that we are not alone. Through the course of therapy, I have one objective: to reach your goals together.
As a psychotherapist, my approach with clients is very down to earth. Not all clients and problems are the same which is why I tend to be a bit more eclectic in style. Life is stressful and filled with enormous challenges; our strength is put to the test daily. We all face dilemmas in our personal and professional lives often causing conflict in ourselves and our relationships. What is often most comforting is knowing that we are not alone. Through the course of therapy, I have one objective: to reach your goals together.
(847) 786-2047 View (847) 786-2047
Photo of Brina N Auguste in Gurnee, IL
Brina N Auguste
MA
Verified Verified
Gurnee, IL 60031
Do you often feel defeated? Overwhelmed by life’s challenges? You are not alone! I am very passionate about utilizing a client centered approach to assist you in navigating these situations. You are the the anchor in your life. My goal is to be your guide to help you accomplish your goals and to fulfill your purpose. I utilize CBT, Narrative therapy, Mindfulness practices and the ARC model when dealing with children and families.
Do you often feel defeated? Overwhelmed by life’s challenges? You are not alone! I am very passionate about utilizing a client centered approach to assist you in navigating these situations. You are the the anchor in your life. My goal is to be your guide to help you accomplish your goals and to fulfill your purpose. I utilize CBT, Narrative therapy, Mindfulness practices and the ARC model when dealing with children and families.
(847) 474-9345 View (847) 474-9345
Photo of Lisa Alexoff, Counselor in Gurnee, IL
Lisa Alexoff
Counselor, MS, LCPC, CIMHP
Verified Verified
3 Endorsed
Gurnee, IL 60031  (Online Only)
Feeling overwhelmed, frustrated? Trying to move forward on your journey, but getting derailed, sidetracked or stuck? I believe we all have the power within us to bring about the change we wish for in our lives, we may just need someone to help us tap into our inner wisdom and strength. I work with others as they find the best ways to recognize, accept and overcome any roadblocks to creating the life they want. Whether you are dealing with a personal growth, parenting issue, medical problem, ADHD or anxiety, we will create a judgement free zone where your strengths are valued, unhelpful patterns are replaced and you are empowered!
Feeling overwhelmed, frustrated? Trying to move forward on your journey, but getting derailed, sidetracked or stuck? I believe we all have the power within us to bring about the change we wish for in our lives, we may just need someone to help us tap into our inner wisdom and strength. I work with others as they find the best ways to recognize, accept and overcome any roadblocks to creating the life they want. Whether you are dealing with a personal growth, parenting issue, medical problem, ADHD or anxiety, we will create a judgement free zone where your strengths are valued, unhelpful patterns are replaced and you are empowered!
(224) 803-3160 View (224) 803-3160
Photo of Lynda Throm, Counselor in Gurnee, IL
Lynda Throm
Counselor, MEd, LCPC
Verified Verified
7 Endorsed
Gurnee, IL 60031
I want to commend you for your bravery in taking the first step towards reaching out for help. Counseling can give you a non-judgmental place to vent as well as a place to learn about new ways to manage overwhelming feelings. As a therapist, my main way of understanding how people work is through Cognitive Behavioral Therapy. It can help us challenge our negative thoughts and utilize healthy coping skills. I primarily take a humanistic approach with my clients and make sure to address psychosocial, biological, developmental, spiritual, and cultural issues as needed since every client is unique.
I want to commend you for your bravery in taking the first step towards reaching out for help. Counseling can give you a non-judgmental place to vent as well as a place to learn about new ways to manage overwhelming feelings. As a therapist, my main way of understanding how people work is through Cognitive Behavioral Therapy. It can help us challenge our negative thoughts and utilize healthy coping skills. I primarily take a humanistic approach with my clients and make sure to address psychosocial, biological, developmental, spiritual, and cultural issues as needed since every client is unique.
(224) 231-6951 View (224) 231-6951
Photo of Larisa Leader, Clinical Social Work/Therapist in Gurnee, IL
Larisa Leader
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gurnee, IL 60031
I have worked with adolescents, children, and adults in mental health and social work for over 20 years. I have extensive experience helping those who struggle with anxiety, depression, identity development, non-heterosexuality or non-cis gender (LGBTQI+), and ethically non-monogamous (polyamorous) relationships. I also have a history working with people with substance abuse problems and women in transition, as well as those coping with grief and loss. I have supported individuals who happen to be neurodivergent in terms of their unique needs. I believe everyone is deserving of respect, care and support.
I have worked with adolescents, children, and adults in mental health and social work for over 20 years. I have extensive experience helping those who struggle with anxiety, depression, identity development, non-heterosexuality or non-cis gender (LGBTQI+), and ethically non-monogamous (polyamorous) relationships. I also have a history working with people with substance abuse problems and women in transition, as well as those coping with grief and loss. I have supported individuals who happen to be neurodivergent in terms of their unique needs. I believe everyone is deserving of respect, care and support.
(847) 796-6755 View (847) 796-6755
Photo of Jerry A Blecha, Counselor in Gurnee, IL
Jerry A Blecha
Counselor, MS, LCPC, CADC
Verified Verified
Gurnee, IL 60031
I have a depth of knowledge and experience in a number of areas including adult children of alcoholics, alcoholism, family of origin issues, victims of abuse, and trauma. Having worked in community services for over 30 years I have treated a wide range of populations. I enjoy working with individuals toward a more meaningful and satisfying life. I believe I can listen, learn, provide trust, make sound professional assessments and help the individual achieve goals.
I have a depth of knowledge and experience in a number of areas including adult children of alcoholics, alcoholism, family of origin issues, victims of abuse, and trauma. Having worked in community services for over 30 years I have treated a wide range of populations. I enjoy working with individuals toward a more meaningful and satisfying life. I believe I can listen, learn, provide trust, make sound professional assessments and help the individual achieve goals.
(224) 323-6724 View (224) 323-6724
Photo of Shaun Saville, Clinical Social Work/Therapist in Gurnee, IL
Shaun Saville
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Gurnee, IL 60031
Sometimes you need someone to help you find a way through the tough times. When the stresses of getting through another day start to feel insurmountable. When life’s challenges become overwhelming. Too much work. Not enough money. Past hurts left untended. Fears and insecurities that are emotionally crippling if you don’t know how to cope.
Sometimes you need someone to help you find a way through the tough times. When the stresses of getting through another day start to feel insurmountable. When life’s challenges become overwhelming. Too much work. Not enough money. Past hurts left untended. Fears and insecurities that are emotionally crippling if you don’t know how to cope.
(224) 204-0562 View (224) 204-0562
Photo of Gurnee Counseling Center in Gurnee, IL
Gurnee Counseling Center
Not Verified Not Verified
Gurnee, IL 60031
Our goal is simple. To offer people a center that is dedicated to the wellness of the mind, body and spirit. We are focused on solutions that build healthy skills to last a lifetime.
Our goal is simple. To offer people a center that is dedicated to the wellness of the mind, body and spirit. We are focused on solutions that build healthy skills to last a lifetime.
(847) 641-2217 View (847) 641-2217
Photo of Daniel Ross, Clinical Social Work/Therapist in Gurnee, IL
Daniel Ross
Clinical Social Work/Therapist, LCSW
Verified Verified
Gurnee, IL 60031
Danny Ross is a Licensed Clinical Social Worker in Illinois who has been practicing since 2014. He received both his undergraduate and Graduate Degree in Social Work from New Mexico Highland University with a clinical concentration in 2014. Danny has worked with children (8-12), adolescents (12-17), and adults (18+). Most of his experience has been dealing with addictions, anxiety, depression, abuse and/or neglect, domestic violence, behavioral problems, anger, self-esteem, self-worth, stress, communications, family issues, Trauma/PTSD, veteran issues and first responder issues.
Danny Ross is a Licensed Clinical Social Worker in Illinois who has been practicing since 2014. He received both his undergraduate and Graduate Degree in Social Work from New Mexico Highland University with a clinical concentration in 2014. Danny has worked with children (8-12), adolescents (12-17), and adults (18+). Most of his experience has been dealing with addictions, anxiety, depression, abuse and/or neglect, domestic violence, behavioral problems, anger, self-esteem, self-worth, stress, communications, family issues, Trauma/PTSD, veteran issues and first responder issues.
(847) 641-2634 View (847) 641-2634
Photo of Steven Bloomfield, Licensed Professional Counselor in Gurnee, IL
Steven Bloomfield
Licensed Professional Counselor, LPC
Not Verified Not Verified
Gurnee, IL 60031
I am a Licensed Professional Counselor (LPC), National Certified Counselor (NCC) with a Master of Science (MS) in Educational Psychology and a Bachelor's in Psychology from Duquesne University in Pittsburgh. In addition to my education, I have worked with clients from adolescence through adulthood using both individual and group therapy. I also hold a Certificate in Clinical Hypnosis from the Adler School of Professional Psychology in Chicago. I have had a private practice utilizing Clinical Hypnosis to aid clients in weight management, PTSD, dealing with phobias and smoking cessation.
I am a Licensed Professional Counselor (LPC), National Certified Counselor (NCC) with a Master of Science (MS) in Educational Psychology and a Bachelor's in Psychology from Duquesne University in Pittsburgh. In addition to my education, I have worked with clients from adolescence through adulthood using both individual and group therapy. I also hold a Certificate in Clinical Hypnosis from the Adler School of Professional Psychology in Chicago. I have had a private practice utilizing Clinical Hypnosis to aid clients in weight management, PTSD, dealing with phobias and smoking cessation.
(847) 865-9360 View (847) 865-9360
Photo of Ashley Grob, Clinical Social Work/Therapist in Gurnee, IL
Ashley Grob
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Gurnee, IL 60031  (Online Only)
Hello and welcome! My name is Ashley, I am a Licensed Clinical Social Worker and have been providing therapy services since 2015. My hope for you and your therapeutic experience is that you begin to feel empowered, validated, understood and heard. If you find that you are struggling to move forward from a conflict, a relationship, a complicated time of your life, it could be because this was actually traumatizing for you. Trauma can be difficult to understand and overcome as it so often manifests in many ways.
Hello and welcome! My name is Ashley, I am a Licensed Clinical Social Worker and have been providing therapy services since 2015. My hope for you and your therapeutic experience is that you begin to feel empowered, validated, understood and heard. If you find that you are struggling to move forward from a conflict, a relationship, a complicated time of your life, it could be because this was actually traumatizing for you. Trauma can be difficult to understand and overcome as it so often manifests in many ways.
(312) 647-2250 View (312) 647-2250
Photo of Stephanie M Russo, Counselor in Gurnee, IL
Stephanie M Russo
Counselor, MA, LCPC
Verified Verified
Gurnee, IL 60031
Making the decision to talk with someone can be difficult and sometimes even scary for clients, "It's really important to me to build trust with my clients and help them feel comfortable in the therapy process." I am dedicated to helping people achieve positive change and personal growth. I see my role in the therapy process as being a guide and an encourager.
Making the decision to talk with someone can be difficult and sometimes even scary for clients, "It's really important to me to build trust with my clients and help them feel comfortable in the therapy process." I am dedicated to helping people achieve positive change and personal growth. I see my role in the therapy process as being a guide and an encourager.
(847) 941-0985 x139 View (847) 941-0985 x139
Photo of Jessie Knoble, Clinical Social Work/Therapist in Gurnee, IL
Jessie Knoble
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Gurnee, IL 60031
To my core, I believe each individual deserves to be heard, respected, and validated, regardless of their history. We each have the capability for and are deserving of peace and healing despite where we are at on our individual journeys. There will be times when we might feel unstoppable and other times when life will be most humbling. We cannot change where we came from. Each person’s story is uniquely personal, painful, and beautiful. But there is strength in picking up our metaphorical pens and learning to rewrite our stories.
To my core, I believe each individual deserves to be heard, respected, and validated, regardless of their history. We each have the capability for and are deserving of peace and healing despite where we are at on our individual journeys. There will be times when we might feel unstoppable and other times when life will be most humbling. We cannot change where we came from. Each person’s story is uniquely personal, painful, and beautiful. But there is strength in picking up our metaphorical pens and learning to rewrite our stories.
(224) 676-9800 x32 View (224) 676-9800 x32

How does your Therapist compare?

Number of Therapists in Gurnee, IL

100+

Average cost per session

$150

Therapists in Gurnee, IL who prioritize treating:

94% Depression
92% Anxiety
79% Self Esteem
75% Relationship Issues
71% Coping Skills
69% Grief
67% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
67% Aetna
56% UnitedHealthcare UHC | UBH

How Therapists in Gurnee, IL see their clients

82% In Person and Online
18% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Gurnee?

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.