Therapists in Wareham, MA

Photo of Judy Gabriel-Card, Counselor, LMHC
Judy Gabriel-Card
Counselor, LMHC
Verified Verified
Wareham, MA 02571
Life can be very challenging at times. Often, we find ourselves in places, wondering how did I get here? Or not again? Although the details may be different, you will find repeated themes in your life. The first step in solving any problem is to identify the problem. We will work together to gain an understanding of: why you are where you are at this time in your life, what you would like to change, and learn the tools needed in order to effectively make the changes and establish long and short term goals.
Life can be very challenging at times. Often, we find ourselves in places, wondering how did I get here? Or not again? Although the details may be different, you will find repeated themes in your life. The first step in solving any problem is to identify the problem. We will work together to gain an understanding of: why you are where you are at this time in your life, what you would like to change, and learn the tools needed in order to effectively make the changes and establish long and short term goals.
(774) 208-0663 View (774) 208-0663
Photo of Phil Myers, Counselor, LMHC
Phil Myers
Counselor, LMHC
Verified Verified
Online Only
I am a licensed counselor in the state of Massachusetts with 10 years of professional work experience. I have experience in helping clients with relationship issues, anxiety, depression, coping with grief and loss, parenting issues, self esteem, confidence, men's issues, sexual addiction and motivation issues. I believe everyone deserves respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out help when life is challenging. Everyone needs someone in their corner on their journey and I am here to support & empower you right where you are.
I am a licensed counselor in the state of Massachusetts with 10 years of professional work experience. I have experience in helping clients with relationship issues, anxiety, depression, coping with grief and loss, parenting issues, self esteem, confidence, men's issues, sexual addiction and motivation issues. I believe everyone deserves respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out help when life is challenging. Everyone needs someone in their corner on their journey and I am here to support & empower you right where you are.
(774) 413-7801 View (774) 413-7801
Photo of Stephanie Gildea, Counselor
Stephanie Gildea
Counselor
Verified Verified
Online Only
My name is Stephanie Gildea. I am a Licenced Mental Health Counselor. I have weekend availability to start services. I have the ability to work with all ages and use different types of therapeutic services to help support needs that you as the client identifies.
My name is Stephanie Gildea. I am a Licenced Mental Health Counselor. I have weekend availability to start services. I have the ability to work with all ages and use different types of therapeutic services to help support needs that you as the client identifies.
(413) 408-5610 View (413) 408-5610
Photo of Paul A Barnes - southcoast Relationship Center, Clinical Social Work/Therapist, LICSW, CCBT
southcoast Relationship Center
Clinical Social Work/Therapist, LICSW, CCBT
Verified Verified
Wareham, MA 02571
Couples: Are you feeling disconnected in your relationships? Is there a continuous power struggle? I am a certified Imago relationship therapist. I specialize in a structured couples therapy that will help you find that lost connection and break free of patterns that haven't worked while learning a new way to communicate that will transform your relationship.
Couples: Are you feeling disconnected in your relationships? Is there a continuous power struggle? I am a certified Imago relationship therapist. I specialize in a structured couples therapy that will help you find that lost connection and break free of patterns that haven't worked while learning a new way to communicate that will transform your relationship.
(508) 348-9464 View (508) 348-9464
Photo of Melissa Nascimento, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Melissa Nascimento
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Wareham, MA 02571
Daytime appts only at this time. We all deserve to have someone in our life who can help us from a non-judgmental, human approach. If you need support and are serious about changing your life, I am here to work with you. I have extensive experience in the Counseling/Mental Health/ Social Work Field. I work with clients, ages 22-60. I will help you build and strengthen your own natural abilities. My Client Centered, Solution Focused, holistic and "outside the box" therapeutic approach helps support my clients to grow and develop into the person they want to be. Please have insurance ID available during phone screening.
Daytime appts only at this time. We all deserve to have someone in our life who can help us from a non-judgmental, human approach. If you need support and are serious about changing your life, I am here to work with you. I have extensive experience in the Counseling/Mental Health/ Social Work Field. I work with clients, ages 22-60. I will help you build and strengthen your own natural abilities. My Client Centered, Solution Focused, holistic and "outside the box" therapeutic approach helps support my clients to grow and develop into the person they want to be. Please have insurance ID available during phone screening.
(508) 603-7850 View (508) 603-7850
Photo of Kathy M Gayoski, Drug & Alcohol Counselor, RN, LADC, CADC, EdD
Kathy M Gayoski
Drug & Alcohol Counselor, RN, LADC, CADC, EdD
Verified Verified
Online Only
I provide holistic counseling to assist you to explore root causes for your addictions or other events that bring you into counseling. Together we will work with your entirety to provide you with the healing only you can attain. As you explore events in your life you will begin to make the connections and learn ways to release and retrieve lost energies in your life. Once you work together with the causes and effects you will attain a healthy lifestyle free from addictions and a newest about yourself and your outlook on life and living.
I provide holistic counseling to assist you to explore root causes for your addictions or other events that bring you into counseling. Together we will work with your entirety to provide you with the healing only you can attain. As you explore events in your life you will begin to make the connections and learn ways to release and retrieve lost energies in your life. Once you work together with the causes and effects you will attain a healthy lifestyle free from addictions and a newest about yourself and your outlook on life and living.
(508) 471-5861 View (508) 471-5861
Photo of Nina L Soares, Clinical Social Work/Therapist, MSW, LICSW, CCM
Nina L Soares
Clinical Social Work/Therapist, MSW, LICSW, CCM
Verified Verified
Online Only
I am currently offering outpatient mental health counseling from the comfort of your own home. Although virtual therapy is not an ideal fit for all clients, teletherapy enables more convenient access to mental health care. It allows for increased flexibility around a busy work schedule as well as around periods of time when a client may be experiencing illness or other life circumstances that limit their ability to meet in person with a mental health provider. Advancements in technology allow for more clients to access this needed mental health service. Call or email me to explore if teletherapy is the best option for you!
I am currently offering outpatient mental health counseling from the comfort of your own home. Although virtual therapy is not an ideal fit for all clients, teletherapy enables more convenient access to mental health care. It allows for increased flexibility around a busy work schedule as well as around periods of time when a client may be experiencing illness or other life circumstances that limit their ability to meet in person with a mental health provider. Advancements in technology allow for more clients to access this needed mental health service. Call or email me to explore if teletherapy is the best option for you!
(508) 501-3854 View (508) 501-3854
Photo of Kelly Marissa Cunningham - Healing Connections Hypnotherapy, CHT
Healing Connections Hypnotherapy
CHT
Verified Verified
Wareham, MA 02571
Do you have anxiety? Self esteem issues? Do you struggle to change your negative patterns? Do you struggle to stay motivated? I’m sure by now you’ve said yes to one of these. I am Kelly, and I am a hypnotherapist. Hypnotherapy is an amazing and natural way to create the changes you want to see in your life and remove the old negative patterns that have been holding you back.
Do you have anxiety? Self esteem issues? Do you struggle to change your negative patterns? Do you struggle to stay motivated? I’m sure by now you’ve said yes to one of these. I am Kelly, and I am a hypnotherapist. Hypnotherapy is an amazing and natural way to create the changes you want to see in your life and remove the old negative patterns that have been holding you back.
(508) 869-4176 View (508) 869-4176
Photo of Tracey Ward - Fight Back addiction and mental health counseling, Drug & Alcohol Counselor, M, Ed, LADC
Fight Back addiction and mental health counseling
Drug & Alcohol Counselor, M, Ed, LADC
Verified Verified
Wareham, MA 02571
Tracey Ward, M Ed, LADC 1, is a enthusiastic counselor whom offers versatile strengths in her practice. Her education, training and personal experiences allows her the ability to work with individuals of all ages and challenges. Mood swings, anxiety, relationships, depression, substance abuse matters , as well as group work are some of her specialties. It is her belief that people need to be validated, respected and heard, to feel valued and productive. She strives to assist people in meeting their goals effectively, by improving sense of self and wellbeing.
Tracey Ward, M Ed, LADC 1, is a enthusiastic counselor whom offers versatile strengths in her practice. Her education, training and personal experiences allows her the ability to work with individuals of all ages and challenges. Mood swings, anxiety, relationships, depression, substance abuse matters , as well as group work are some of her specialties. It is her belief that people need to be validated, respected and heard, to feel valued and productive. She strives to assist people in meeting their goals effectively, by improving sense of self and wellbeing.
(508) 709-7289 View (508) 709-7289
Photo of Cynthia R Horan, Clinical Social Work/Therapist, LICSW
Cynthia R Horan
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Online Only
With over twenty years of experience, I specialize in supporting individuals and families in transition, whether due to divorce, remarriage, or blended family situations. My work as a guardian ad litem in probate courts has given me deep insights into the complexities of family dynamics during challenging times. I am trained in divorce mediation, helping couples create effective and workable parenting plans. Additionally, I utilize the IMAGO techniques to foster healthy communication and understanding between partners
With over twenty years of experience, I specialize in supporting individuals and families in transition, whether due to divorce, remarriage, or blended family situations. My work as a guardian ad litem in probate courts has given me deep insights into the complexities of family dynamics during challenging times. I am trained in divorce mediation, helping couples create effective and workable parenting plans. Additionally, I utilize the IMAGO techniques to foster healthy communication and understanding between partners
(978) 631-1611 View (978) 631-1611
Photo of Rita Nocera, Counselor, LMHC, LADC-1
Rita Nocera
Counselor, LMHC, LADC-1
Verified Verified
Wareham, MA 02571
I am a board-Licensed Mental Health Counselor and an Alcohol and Drug Counselor. I received a Bachelor's degree in Human Development/Education from Lesley College and a Master's degree in Mental Health Counseling from Springfield College. My experience includes advocacy work for children and families, parenting education groups, family education assemblies on substance abuse as well as individual and group therapy in community mental health settings and in private practice. I have also worked with individuals struggling with addiction and co-occurring disorders in residential/inpatient settings and partial hospitalization programs.
I am a board-Licensed Mental Health Counselor and an Alcohol and Drug Counselor. I received a Bachelor's degree in Human Development/Education from Lesley College and a Master's degree in Mental Health Counseling from Springfield College. My experience includes advocacy work for children and families, parenting education groups, family education assemblies on substance abuse as well as individual and group therapy in community mental health settings and in private practice. I have also worked with individuals struggling with addiction and co-occurring disorders in residential/inpatient settings and partial hospitalization programs.
(774) 619-8328 View (774) 619-8328
Photo of Tracy Lynn Rosen, Counselor, LMHC, LPC
Tracy Lynn Rosen
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Wareham, MA 02571
As of 8/1/24 I am accepting In-Person clients in my new Colorado Springs office for Aetna, United (or other Optum), Medicare, and Cigna clients. I am a LMHC (in Massachusetts) / LPC (in Colorado), accepting new clients for AM/PM for either Telehealth or In-Person for Colorado or for Telehealth for Massachusetts. I am passionate about helping children, adolescents, and adults to find their voice, enhance their coping behaviors, and achieve their full potential. We are resilient and with help, guidance, and tools we can learn to better manage our emotions, behaviors, trauma, and life experiences with greater confidence and ease.
As of 8/1/24 I am accepting In-Person clients in my new Colorado Springs office for Aetna, United (or other Optum), Medicare, and Cigna clients. I am a LMHC (in Massachusetts) / LPC (in Colorado), accepting new clients for AM/PM for either Telehealth or In-Person for Colorado or for Telehealth for Massachusetts. I am passionate about helping children, adolescents, and adults to find their voice, enhance their coping behaviors, and achieve their full potential. We are resilient and with help, guidance, and tools we can learn to better manage our emotions, behaviors, trauma, and life experiences with greater confidence and ease.
(508) 286-7602 View (508) 286-7602
Photo of Anitra N Myers, Counselor, MA, LMHC
Anitra N Myers
Counselor, MA, LMHC
Verified Verified
Online Only
Feeling immobilized by anxiety and depression? Suffering from mood swings or relationship issues? Having difficulty communicating or setting boundaries? Everyone wants to feel secure and confident in successfully managing their own lives, but sometimes even day-to-day tasks can seem insurmountable when dealing with these issues. Reaching your goals sometimes requires the help of an empathic partner with the knowledge and expertise to listen and guide you toward your goals, providing tools and techniques that will be with you for a lifetime. I am here to help.
Feeling immobilized by anxiety and depression? Suffering from mood swings or relationship issues? Having difficulty communicating or setting boundaries? Everyone wants to feel secure and confident in successfully managing their own lives, but sometimes even day-to-day tasks can seem insurmountable when dealing with these issues. Reaching your goals sometimes requires the help of an empathic partner with the knowledge and expertise to listen and guide you toward your goals, providing tools and techniques that will be with you for a lifetime. I am here to help.
(774) 458-9620 View (774) 458-9620
Photo of Jose A Morell, Counselor, MEd, CAGS, LMHC, LPC, LADC I
Jose A Morell
Counselor, MEd, CAGS, LMHC, LPC, LADC I
Verified Verified
2 Endorsed
Wareham, MA 02571
Therapy is an act of strength, hope, and resiliency. Even the happiest and most well-adjusted people may encounter problems resulting from unexpected life challenges and demands. My goal is to work in collaboration and partnership with my clients to bring about positive changes, growth, and healing from past painful events. I have 15 years of clinical experience as a psychotherapist. I received both my Master's degree and Continued Advanced Graduate Study Degree in Counseling Psychology from Cambridge College. I am also certified as a cognitive behavioral therapist from Boston University School of Social Work.
Therapy is an act of strength, hope, and resiliency. Even the happiest and most well-adjusted people may encounter problems resulting from unexpected life challenges and demands. My goal is to work in collaboration and partnership with my clients to bring about positive changes, growth, and healing from past painful events. I have 15 years of clinical experience as a psychotherapist. I received both my Master's degree and Continued Advanced Graduate Study Degree in Counseling Psychology from Cambridge College. I am also certified as a cognitive behavioral therapist from Boston University School of Social Work.
(781) 277-3300 View (781) 277-3300
Photo of Susan Creamer, Clinical Social Work/Therapist, LICSW
Susan Creamer
Clinical Social Work/Therapist, LICSW
Verified Verified
Online Only
Iam a licensed clinical social worker with over 30 years of experience working with people from all walks of life. My work has been in community health centers, medical and psychiatric hospitals, community mental health programs, substance abuse treatment programs, and in private practice. I pride myself in being easy to talk to, a great listener, and an excellent "asker" of the right questions to help people move out of limited or stuck patterns of thinking and being. I have learned so much from doing this work and have also benefitted greatly from being a client of psychotherapy myself, so I am a firm believer in our innate abilit
Iam a licensed clinical social worker with over 30 years of experience working with people from all walks of life. My work has been in community health centers, medical and psychiatric hospitals, community mental health programs, substance abuse treatment programs, and in private practice. I pride myself in being easy to talk to, a great listener, and an excellent "asker" of the right questions to help people move out of limited or stuck patterns of thinking and being. I have learned so much from doing this work and have also benefitted greatly from being a client of psychotherapy myself, so I am a firm believer in our innate abilit
(508) 978-4562 View (508) 978-4562
Photo of Victoria Grace, Clinical Social Work/Therapist, MSW, LICSW
Victoria Grace
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Online Only
Hi, I’m Victoria and I have been practicing for about 20 years in residential, hospital and outpatient settings. I have worked with many diagnoses but I specialize in trauma and substance abuse and recovery from each. Associated with these are certainly anxiety, depression and mood disorders. I also enjoy adolescents and their unique challenges and issues. I practice individual, couples and family therapy.
Hi, I’m Victoria and I have been practicing for about 20 years in residential, hospital and outpatient settings. I have worked with many diagnoses but I specialize in trauma and substance abuse and recovery from each. Associated with these are certainly anxiety, depression and mood disorders. I also enjoy adolescents and their unique challenges and issues. I practice individual, couples and family therapy.
(508) 709-6908 View (508) 709-6908
Photo of Candace Gaeta, Clinical Social Work/Therapist
Candace Gaeta
Clinical Social Work/Therapist
Verified Verified
Online Only
What does your typical day look like? What has been a roadblock that’s prevented you from feeling happy? Are you willing to set goals to achieve a new sense of happiness? I am not going to sugarcoat it; therapy can be challenging. Change is hard, and you will face new challenges that will test your ability to try something new. When you put the work and effort into it, you will discover a new sense of well-being and make a positive change in your life. I am a LICSW with more than 15 years working with children, teens, adolescents, and adults with social-emotional behavioral disabilities, generalized anxiety, depression, trauma
What does your typical day look like? What has been a roadblock that’s prevented you from feeling happy? Are you willing to set goals to achieve a new sense of happiness? I am not going to sugarcoat it; therapy can be challenging. Change is hard, and you will face new challenges that will test your ability to try something new. When you put the work and effort into it, you will discover a new sense of well-being and make a positive change in your life. I am a LICSW with more than 15 years working with children, teens, adolescents, and adults with social-emotional behavioral disabilities, generalized anxiety, depression, trauma
(413) 465-2146 View (413) 465-2146
Photo of D. Beth Keough - Color Your Path Counseling , Clinical Social Work/Therapist, MSW, LICSW
Color Your Path Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Wareham, MA 02571
I have over 15 years of experience working with various ages and backgrounds as a clinician, clinical supervisor, and family therapist. I have dedicated my career to helping others and have an immense passion and commitment to my work. My expertise is working with a range of diagnoses including adjustment, anxiety, depression, ADHD, trauma, grief, and family systems. I utilize an integrated, strength-based approach that is rooted in building strong therapeutic relationships.
I have over 15 years of experience working with various ages and backgrounds as a clinician, clinical supervisor, and family therapist. I have dedicated my career to helping others and have an immense passion and commitment to my work. My expertise is working with a range of diagnoses including adjustment, anxiety, depression, ADHD, trauma, grief, and family systems. I utilize an integrated, strength-based approach that is rooted in building strong therapeutic relationships.
(774) 220-9288 View (774) 220-9288
Photo of Sarah Elaine Oliver, MS, BCBA, LABA
Sarah Elaine Oliver
MS, BCBA, LABA
Verified Verified
Wareham, MA 02571
Children who are navigating the challenges associated with Autism, ADHD, or learning disabilities possess immense potential, waiting to be unlocked. They may struggle with communication, socialization, difficulty maintaining focus, impulsive actions, or hyperactivity. These children want to feel understood, accepted, and valued for who they are. They desire opportunities for connection, meaningful relationships, and the chance to engage fully in social and educational settings. They yearn to express themselves authentically and to be celebrated for their strengths.
Children who are navigating the challenges associated with Autism, ADHD, or learning disabilities possess immense potential, waiting to be unlocked. They may struggle with communication, socialization, difficulty maintaining focus, impulsive actions, or hyperactivity. These children want to feel understood, accepted, and valued for who they are. They desire opportunities for connection, meaningful relationships, and the chance to engage fully in social and educational settings. They yearn to express themselves authentically and to be celebrated for their strengths.
(774) 341-4384 View (774) 341-4384
Photo of Tiffany Menard, Drug & Alcohol Counselor, LADC I, MLADC, LC
Tiffany Menard
Drug & Alcohol Counselor, LADC I, MLADC, LC
Verified Verified
Online Only
With many years of being an ally to those who suffer with substance use and mental health, I have made the decision to use my personal experiences to try and help others. I provide support to adolescents, young adults and adults who may struggle with substance use, codependency concerns or allies of those who struggle with substance use. Those who eventually make their way to see me are usually experiencing a difficult time within their life, which will be met within a judgment free zone with compassion and best clinical practices.
With many years of being an ally to those who suffer with substance use and mental health, I have made the decision to use my personal experiences to try and help others. I provide support to adolescents, young adults and adults who may struggle with substance use, codependency concerns or allies of those who struggle with substance use. Those who eventually make their way to see me are usually experiencing a difficult time within their life, which will be met within a judgment free zone with compassion and best clinical practices.
(774) 278-5420 View (774) 278-5420
1

How does your Therapist compare?

Number of Therapists in Wareham, MA

40+

Average cost per session

$140

Therapists in Wareham, MA who prioritize treating:

96% Anxiety
92% Depression
81% Trauma and PTSD
73% Relationship Issues
73% Coping Skills
71% Grief
71% Self Esteem

Average years in practice

16 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
81% UnitedHealthcare UHC | UBH
79% Tufts

How Therapists in Wareham, MA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wareham?

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.