Therapists in Montague, MA

Photo of Tiana Tovah Bella Mirapae, Clinical Social Work/Therapist, MEd, , LCSW
Tiana Tovah Bella Mirapae
Clinical Social Work/Therapist, MEd, , LCSW
Montague, MA 01351
I treat all genders and specialize in Women’s Health Issues throughout the lifecycle. You want to explore and heal the root causes of your physical-mental-emotional-sexual health issues and live your best Life: mind, body, emotions, spirit, sexuality and soul. You don’t want to be a victim defined by your traumas or other people’s bad behavior towards you. You want to be Healthy in your Sovereignty, in loving Relationships, with joyful Reciprocity. You want to learn about and integrate Self-care and Holistic Natural Medicine. individual, couples, marital & sex therapy, LGBTQ, entheogenic spirit plant medicine guidance and journeys.
I treat all genders and specialize in Women’s Health Issues throughout the lifecycle. You want to explore and heal the root causes of your physical-mental-emotional-sexual health issues and live your best Life: mind, body, emotions, spirit, sexuality and soul. You don’t want to be a victim defined by your traumas or other people’s bad behavior towards you. You want to be Healthy in your Sovereignty, in loving Relationships, with joyful Reciprocity. You want to learn about and integrate Self-care and Holistic Natural Medicine. individual, couples, marital & sex therapy, LGBTQ, entheogenic spirit plant medicine guidance and journeys.
(413) 728-1002 View (413) 728-1002
Photo of Rachel L Greenberg, Clinical Social Work/Therapist, LICSW
Rachel L Greenberg
Clinical Social Work/Therapist, LICSW
Online Only
Life presents us with many opportunities through crisis, life transitions, or spiritual questioning to search for answers about ourselves and the world. I believe that through self understanding and gaining tools to cope with daily stressors, the impact of racism, classism and other "isms," as well as historical trauma, we can turn crisis into opportunities for growth, improved self esteem and improved functioning. I also work on strengthening romantic partnerships, family relationships, and friendships. I direct treatment toward individual needs and interests, utilizing CBT as well as psychodynamic, and creative therapies.
Life presents us with many opportunities through crisis, life transitions, or spiritual questioning to search for answers about ourselves and the world. I believe that through self understanding and gaining tools to cope with daily stressors, the impact of racism, classism and other "isms," as well as historical trauma, we can turn crisis into opportunities for growth, improved self esteem and improved functioning. I also work on strengthening romantic partnerships, family relationships, and friendships. I direct treatment toward individual needs and interests, utilizing CBT as well as psychodynamic, and creative therapies.
(617) 544-3334 View (617) 544-3334
Photo of Ryan Richards, Clinical Social Work/Therapist, LCSW
Ryan Richards
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
An important purpose of a committed relationship is to help us grow. Intimate relationships have the potential to make us stronger, support us to hold a broader perspective, and engage with a presence in the world that reflects who we are and what we care about. With a foundation in the Developmental Model of couples therapy, I offer couples a broader context and developmental arc to the challenges and longings that you may be experiencing.
An important purpose of a committed relationship is to help us grow. Intimate relationships have the potential to make us stronger, support us to hold a broader perspective, and engage with a presence in the world that reflects who we are and what we care about. With a foundation in the Developmental Model of couples therapy, I offer couples a broader context and developmental arc to the challenges and longings that you may be experiencing.
(413) 402-6835 View (413) 402-6835
Photo of Heather Kuhn, Counselor, MA, LMHC, MSMT, EMDR
Heather Kuhn
Counselor, MA, LMHC, MSMT, EMDR
Serves Area
I work with people from incredibly diverse backgrounds who have carried pain without the support they needed, whether the trauma is recent, formed early in life, or ongoing. Stuck patterns that repeat again and again, despite attempts to heal. Numbness, anxiety, shutdown, or a sense that you're living slightly away from yourself. Maybe you long for ease, connection, agency, possibility, integrity, and confidence but have no idea how to get them in a way that sticks for good. Beware of "somatic" quick fixes for trauma. In a culture that treats tenderness like a liability, maybe you could gift yourself a good process to finally heal.
I work with people from incredibly diverse backgrounds who have carried pain without the support they needed, whether the trauma is recent, formed early in life, or ongoing. Stuck patterns that repeat again and again, despite attempts to heal. Numbness, anxiety, shutdown, or a sense that you're living slightly away from yourself. Maybe you long for ease, connection, agency, possibility, integrity, and confidence but have no idea how to get them in a way that sticks for good. Beware of "somatic" quick fixes for trauma. In a culture that treats tenderness like a liability, maybe you could gift yourself a good process to finally heal.
(413) 207-9985 View (413) 207-9985
Photo of Dana Bottari, Clinical Social Work/Therapist, LICSW
Dana Bottari
Clinical Social Work/Therapist, LICSW
2 Endorsed
Serves Area
I specialize in helping people with anxiety, overthinking, self-doubt, & ADHD. Do you feel overwhelmed easily? Are you constantly second-guessing yourself or expecting the worst? Do you feel drained by stress, worry, or your own thoughts? Do you struggle with frustration or feeling “not good enough”? These experiences are more common than you think.
I specialize in helping people with anxiety, overthinking, self-doubt, & ADHD. Do you feel overwhelmed easily? Are you constantly second-guessing yourself or expecting the worst? Do you feel drained by stress, worry, or your own thoughts? Do you struggle with frustration or feeling “not good enough”? These experiences are more common than you think.
(413) 613-4362 View (413) 613-4362
Photo of Mateusz Marcinowski, Licensed Mental Health Counselor, LMHC, LPC
Mateusz Marcinowski
Licensed Mental Health Counselor, LMHC, LPC
3 Endorsed
Online Only
Not accepting new clients
I am a Certified EMDR Therapist with advanced training in Internal Family Systems (IFS), specializing in PTSD, trauma, mood disorders, anxiety and other challenges. My approach is relational and humanistic, offering a warm, compassionate, and safe space where your story is honored without judgment. As an LGBTQIA+ ally, I affirm all identities and acknowledge the impact of systemic injustices, helping clients move toward healing, clarity, and deeper self-connection
I am a Certified EMDR Therapist with advanced training in Internal Family Systems (IFS), specializing in PTSD, trauma, mood disorders, anxiety and other challenges. My approach is relational and humanistic, offering a warm, compassionate, and safe space where your story is honored without judgment. As an LGBTQIA+ ally, I affirm all identities and acknowledge the impact of systemic injustices, helping clients move toward healing, clarity, and deeper self-connection
(413) 414-5589 View (413) 414-5589
Photo of Laura A Cos - Sage Serenity Counseling, Counselor, LMHC
Sage Serenity Counseling
Counselor, LMHC
1 Endorsed
Online Only
Do you feel stressed, overwhelmed, or burnt out and feel lost with what to do about it? Perhaps you struggle with using substances or simply wish to have a healthier relationship with them. Have you considered the ways in which stress, anxiety, or other mental health symptoms have an impact? Managing all of this while functioning in your other roles (partner, family member, employee, student, etc.) can sometimes feel like too much. It sometimes is! Therapy can provide a space to offload and sift through what you are facing and walk away feeling relieved.
Do you feel stressed, overwhelmed, or burnt out and feel lost with what to do about it? Perhaps you struggle with using substances or simply wish to have a healthier relationship with them. Have you considered the ways in which stress, anxiety, or other mental health symptoms have an impact? Managing all of this while functioning in your other roles (partner, family member, employee, student, etc.) can sometimes feel like too much. It sometimes is! Therapy can provide a space to offload and sift through what you are facing and walk away feeling relieved.
(508) 422-5790 View (508) 422-5790

More Therapists Nearby

Photo of Kel Maisenbacher, Clinical Social Work/Therapist, LCSW
Kel Maisenbacher
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Waitlist for new clients
Many of my clients come to therapy feeling stuck, overwhelmed, or like they’ve lost touch with themselves. I provide therapy to adults and LGBTQ+ folks facing depression, anxiety or PTSD. As a trans identifying therapist, I believe in cultivating safety and trust, providing space for you to feel fully seen and affirmed. I will work with you to develop personalized tools to help you feel deeper connections to yourself, the people in your life and things that you love. Now offering in person and virtual sessions!
Many of my clients come to therapy feeling stuck, overwhelmed, or like they’ve lost touch with themselves. I provide therapy to adults and LGBTQ+ folks facing depression, anxiety or PTSD. As a trans identifying therapist, I believe in cultivating safety and trust, providing space for you to feel fully seen and affirmed. I will work with you to develop personalized tools to help you feel deeper connections to yourself, the people in your life and things that you love. Now offering in person and virtual sessions!
(347) 830-7170 View (347) 830-7170
Photo of Siobhan Silver, Counselor, MA, BC-DMT, LMHC
Siobhan Silver
Counselor, MA, BC-DMT, LMHC
Northampton, MA 01060
Psychotherapy offers the opportunity to gain insight into ourselves, and to move forward in our lives. My approach combines talk therapy with expressive arts and a body/mind focus as it suits the needs of the client. First we focus on conversations to clarify what your needs are and how we would best work together. Active listening and being present and responsive to you is the foundation for the therapeutic relationship. In my work with children 4 to 12 years old I combine play therapy with expressive arts, as they naturally express themselves this way.
Psychotherapy offers the opportunity to gain insight into ourselves, and to move forward in our lives. My approach combines talk therapy with expressive arts and a body/mind focus as it suits the needs of the client. First we focus on conversations to clarify what your needs are and how we would best work together. Active listening and being present and responsive to you is the foundation for the therapeutic relationship. In my work with children 4 to 12 years old I combine play therapy with expressive arts, as they naturally express themselves this way.
(413) 270-4285 View (413) 270-4285
Photo of Terri Connors-MacMillan, Counselor, LMHC, ATR
Terri Connors-MacMillan
Counselor, LMHC, ATR
Gardner, MA 01440
In an average day there are often many things to think about. It is not always easy to consistently remain in touch with what nurtures your mind, body and spirit. Therapy can be a compass point that offers sustained self-support for how you move through life. In sessions, we explore ways to understand how thoughts, feelings and behaviors are connected, and build the ability to hold life with more acceptance. Therapy can nurture the story that helps us find a way back toward ourselves, to define something we unaware of, or find a metaphor that can guide us from where we feel stuck toward the next steps.
In an average day there are often many things to think about. It is not always easy to consistently remain in touch with what nurtures your mind, body and spirit. Therapy can be a compass point that offers sustained self-support for how you move through life. In sessions, we explore ways to understand how thoughts, feelings and behaviors are connected, and build the ability to hold life with more acceptance. Therapy can nurture the story that helps us find a way back toward ourselves, to define something we unaware of, or find a metaphor that can guide us from where we feel stuck toward the next steps.
(978) 480-6488 View (978) 480-6488
Photo of Betsy Young - Betsy Young, LICSW, Clinical Social Work/Therapist, MSW, LICSW
Betsy Young, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Easthampton, MA 01027
Waitlist for new clients
I offer therapeutic support through the many challenges of being alive, while celebrating the successes, beauty and resilience that often grows from our struggles. Together, we will tune into your true voice and natural rhythms to create a meaningful life vision. I offer a calm presence and a spirit of curiosity and acceptance, while noticing patterns that may or may not be useful in the quest for personal growth and wellness.
I offer therapeutic support through the many challenges of being alive, while celebrating the successes, beauty and resilience that often grows from our struggles. Together, we will tune into your true voice and natural rhythms to create a meaningful life vision. I offer a calm presence and a spirit of curiosity and acceptance, while noticing patterns that may or may not be useful in the quest for personal growth and wellness.
(413) 456-6408 View (413) 456-6408
Photo of Erin Tottenham, Counselor, LMHC
Erin Tottenham
Counselor, LMHC
Northampton, MA 01060
Hi there, special human! I would be honored to support you on your journey. What I already know about you: You are deserving of less burden. In therapy, people are able to develop insights and action plans that transform their capacity to manage the turbulence of this life. Together, let's work on your relationship with yourself and the challenges you are facing. Let’s manage your inner critic, sadness/loss, and unhelpful habits. And, equally, let’s identify your strengths and resiliencies that might have gotten lost in the shuffle. I work within a relational, collaborative framework informed by CBT, DBT, & am strength based.
Hi there, special human! I would be honored to support you on your journey. What I already know about you: You are deserving of less burden. In therapy, people are able to develop insights and action plans that transform their capacity to manage the turbulence of this life. Together, let's work on your relationship with yourself and the challenges you are facing. Let’s manage your inner critic, sadness/loss, and unhelpful habits. And, equally, let’s identify your strengths and resiliencies that might have gotten lost in the shuffle. I work within a relational, collaborative framework informed by CBT, DBT, & am strength based.
(413) 347-4910 View (413) 347-4910
Photo of Rahel Stein, Clinical Social Work/Therapist, LICSW
Rahel Stein
Clinical Social Work/Therapist, LICSW
Northampton, MA 01060
Hi, my name is Rahel. I see therapy as an invitation to be fully present together—to slow down, tune in, and notice what wants to emerge in the space. What shows up in your daily life and inner world will naturally reveal itself in our sessions, through the mind and body. With mindful presence, the therapeutic space becomes a mirror, reflecting the wounds and wisdom already present within you. My guidance and the quality of our shared presence has the power to invite your higher self forward and create new ways of relating to long-held patterns and beliefs.
Hi, my name is Rahel. I see therapy as an invitation to be fully present together—to slow down, tune in, and notice what wants to emerge in the space. What shows up in your daily life and inner world will naturally reveal itself in our sessions, through the mind and body. With mindful presence, the therapeutic space becomes a mirror, reflecting the wounds and wisdom already present within you. My guidance and the quality of our shared presence has the power to invite your higher self forward and create new ways of relating to long-held patterns and beliefs.
(413) 393-2714 View (413) 393-2714
Photo of Stephen D Sacco, Clinical Social Work/Therapist, LICSW
Stephen D Sacco
Clinical Social Work/Therapist, LICSW
Northampton, MA 01060
What is your preferred future? Have you allowed yourself to consider your best hopes and believe that your life can be different? Therapy is an opportunity for you to create and realize your preferred future. There is no one size fits all approach as all individuals have their own specific wants, needs, strengths and barriers. I strive to ensure focus on YOUR specific wants and needs and instill confidence in your capacity to meet them.
What is your preferred future? Have you allowed yourself to consider your best hopes and believe that your life can be different? Therapy is an opportunity for you to create and realize your preferred future. There is no one size fits all approach as all individuals have their own specific wants, needs, strengths and barriers. I strive to ensure focus on YOUR specific wants and needs and instill confidence in your capacity to meet them.
(413) 923-6045 View (413) 923-6045
Photo of Rudy Eiland, Pre-Licensed Professional, MA
Rudy Eiland
Pre-Licensed Professional, MA
Online Only
You may be struggling with anxiety, depression, or stress that feels overwhelming. Perhaps you’re facing a crisis, healing from trauma, or navigating identity and relationship challenges. You want to feel more grounded, connected, and confident, with a clear path toward meaningful change in your life.
You may be struggling with anxiety, depression, or stress that feels overwhelming. Perhaps you’re facing a crisis, healing from trauma, or navigating identity and relationship challenges. You want to feel more grounded, connected, and confident, with a clear path toward meaningful change in your life.
(413) 591-7014 View (413) 591-7014
Photo of Patricia Ann Watts-Scheffel, Clinical Social Work/Therapist, LCSW
Patricia Ann Watts-Scheffel
Clinical Social Work/Therapist, LCSW
Sunderland, MA 01375
I believe we are all born whole and therefore inherently know our own truth. Through years of external judgements and internal doubts, we lose this connection. Healing comes from within. My role is to facilitate the reconnection with your core self to promote healthier, satisfying relationships within yourself, family friends and the world at large.
I believe we are all born whole and therefore inherently know our own truth. Through years of external judgements and internal doubts, we lose this connection. Healing comes from within. My role is to facilitate the reconnection with your core self to promote healthier, satisfying relationships within yourself, family friends and the world at large.
(844) 769-2824 View (844) 769-2824
Photo of Doug Wessel, Counselor, MA, M Ed, LMHC
Doug Wessel
Counselor, MA, M Ed, LMHC
1 Endorsed
Orange, MA 01364
If you have been looking for a dependable sense of well-being in your life, knowing that how you feel and function in the world isn’t what what you’d like it to be, I offer professional and compassionate help. Your feelings and behaviors make sense and healing is possible. I help you become your own source of support and growth. Internal Family Systems (IFS), EMDR, and somatic awareness inform my practice. We all have parts that can become less extreme, and a Self that is wise and compassionate. Trauma, attachment wounds, shame, self-hate and feeling insecure about ourselves can frequently be at the root of our struggles.
If you have been looking for a dependable sense of well-being in your life, knowing that how you feel and function in the world isn’t what what you’d like it to be, I offer professional and compassionate help. Your feelings and behaviors make sense and healing is possible. I help you become your own source of support and growth. Internal Family Systems (IFS), EMDR, and somatic awareness inform my practice. We all have parts that can become less extreme, and a Self that is wise and compassionate. Trauma, attachment wounds, shame, self-hate and feeling insecure about ourselves can frequently be at the root of our struggles.
(978) 231-9609 View (978) 231-9609
Photo of Demi McLaren - Demi McLaren LICSW, LGBTQ+ Safe Space Therapy, Clinical Social Work/Therapist, LICSW
Demi McLaren LICSW, LGBTQ+ Safe Space Therapy
Clinical Social Work/Therapist, LICSW
5 Endorsed
Online Only
Now Accepting In-Person Clients for 2026! I hold a Master’s Degree in Social Work from the University of Chicago. I have over a decade of clinical experience supporting LGBTQ folks and those who love them. I work to create a safe space for clients using a strength-based, trauma-informed lens. I often work with clients coping with anxiety and depression, identity shifts and life transitions.
Now Accepting In-Person Clients for 2026! I hold a Master’s Degree in Social Work from the University of Chicago. I have over a decade of clinical experience supporting LGBTQ folks and those who love them. I work to create a safe space for clients using a strength-based, trauma-informed lens. I often work with clients coping with anxiety and depression, identity shifts and life transitions.
(774) 208-0589 View (774) 208-0589
Photo of Dennis J Meehan, Clinical Social Work/Therapist, LICSW
Dennis J Meehan
Clinical Social Work/Therapist, LICSW
1 Endorsed
Easthampton, MA 01027
You might be looking for help because you are experiencing stress, sadness, shame, self-doubt, trauma or something else that you want to work through. Maybe you are in the midst of a challenging life transition. Perhaps you are feeling stuck in unhealthy patterns. Whatever you are experiencing, I provide a calm, therapeutic space for us to work together to address pain from the past and to work through present challenges. I believe you are the expert in your own life. If you'd like to feel better about yourself and your circumstances, I can help you get there.
You might be looking for help because you are experiencing stress, sadness, shame, self-doubt, trauma or something else that you want to work through. Maybe you are in the midst of a challenging life transition. Perhaps you are feeling stuck in unhealthy patterns. Whatever you are experiencing, I provide a calm, therapeutic space for us to work together to address pain from the past and to work through present challenges. I believe you are the expert in your own life. If you'd like to feel better about yourself and your circumstances, I can help you get there.
(413) 771-4445 View (413) 771-4445
Photo of Sasha Statman-Weil, Clinical Social Work/Therapist, LICSW
Sasha Statman-Weil
Clinical Social Work/Therapist, LICSW
Northampton, MA 01060
Focus: Couples & teens on the spectrum - Having the same fight nightly? Feel stuck and unable to leave a hard relationship? Painful patterns may come out of well-intentioned attempts to care for yourself and your relationships. We can explore how these patterns influence your life today in ways you like and don’t like and expand the parts that are serving you and evolve the ones that aren’t. The results may include building new boundaries, shrinking shame or evolving your self-narratives to be richer and more honest. I offer a safe, trusting space so that you can feel settled and can explore your life vulnerably.
Focus: Couples & teens on the spectrum - Having the same fight nightly? Feel stuck and unable to leave a hard relationship? Painful patterns may come out of well-intentioned attempts to care for yourself and your relationships. We can explore how these patterns influence your life today in ways you like and don’t like and expand the parts that are serving you and evolve the ones that aren’t. The results may include building new boundaries, shrinking shame or evolving your self-narratives to be richer and more honest. I offer a safe, trusting space so that you can feel settled and can explore your life vulnerably.
(413) 331-7226 View (413) 331-7226

See more therapy options for Montague

How does your Therapist compare?

Number of Therapists in Montague, MA

< 10

Therapists in Montague, MA who prioritize treating:

100% Stress
86% Relationship Issues
86% Depression
86% Anxiety
86% Self Esteem
71% Trauma and PTSD
71% Peer Relationships

Average years in practice

10 Years

Top 3 insurances accepted

80% Aetna
80% BlueCross and BlueShield
80% Harvard Pilgrim

How Therapists in Montague, MA see their clients

57% Online Only
43% In Person and Online

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Montague?

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.