Therapists in Skowhegan, ME

Photo of undefined - Dalicia, Healthy Minds Counseling Inc, LCSW, Clinical Social Work/Therapist
Dalicia, Healthy Minds Counseling Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Skowhegan, ME 04976  (Online Only)
Greetings! My name is Dr. Dalicia Watson, and I am a Licensed Master Social Worker (LMSW). I received my bachelor of science degree in Psychology from North Greenville University in 2014, where my career began with servicing children and families. I furthered my educational career by receiving my Master of Social Work degree from Walden University in 2018. After receiving my master's degree, I received my doctorate of social work degree in 2022, where I was able to publish my dissertation in February 2022, "Funding Impacts on Existing Social Workers Providing Services to African American Battered Women."
Greetings! My name is Dr. Dalicia Watson, and I am a Licensed Master Social Worker (LMSW). I received my bachelor of science degree in Psychology from North Greenville University in 2014, where my career began with servicing children and families. I furthered my educational career by receiving my Master of Social Work degree from Walden University in 2018. After receiving my master's degree, I received my doctorate of social work degree in 2022, where I was able to publish my dissertation in February 2022, "Funding Impacts on Existing Social Workers Providing Services to African American Battered Women."
(207) 820-2001 View (207) 820-2001
Photo of undefined - Terrell, Healthy Minds Counseling Inc , LCSW, Clinical Social Work/Therapist
Terrell, Healthy Minds Counseling Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Skowhegan, ME 04976  (Online Only)
Finding the right fit in therapy can be a challenging process. I provide a client-centered approach by working alongside you to achieve a greater sense of self-worth and a higher quality of life. It is my goal to help you gain relevant insight about yourself and also learn skills to cope with life’s stressors. I have experience helping clients address anxiety, depression, PTSD and other mental health challenges.
Finding the right fit in therapy can be a challenging process. I provide a client-centered approach by working alongside you to achieve a greater sense of self-worth and a higher quality of life. It is my goal to help you gain relevant insight about yourself and also learn skills to cope with life’s stressors. I have experience helping clients address anxiety, depression, PTSD and other mental health challenges.
(207) 496-1911 View (207) 496-1911
Photo of undefined - Steve, Healthy Minds Counseling Inc , LCSW, Clinical Social Work/Therapist
Steve, Healthy Minds Counseling Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Skowhegan, ME 04976  (Online Only)
I work in partnership with folks that are wanting to make change and sometimes need the support, skills, and empowerment to work towards their goals for wellness. I enjoy using easy approaches, developing trusting relationships, and breaking down the challenges that may feel overwhelming into smaller achievable goals. I have had the privilege to work with a vast population of people and multiple age ranges, but find myself gravitating most to young to middle age adults.
I work in partnership with folks that are wanting to make change and sometimes need the support, skills, and empowerment to work towards their goals for wellness. I enjoy using easy approaches, developing trusting relationships, and breaking down the challenges that may feel overwhelming into smaller achievable goals. I have had the privilege to work with a vast population of people and multiple age ranges, but find myself gravitating most to young to middle age adults.
(207) 489-2572 View (207) 489-2572
Photo of undefined - Joanna, Healthy Minds Counseling Inc, Inc, LCSW, Clinical Social Work/Therapist
Joanna, Healthy Minds Counseling Inc, Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
Skowhegan, ME 04976  (Online Only)
Hello! My name is Joanna, and I received my Master’s in Social Work from Columbia University. My passion is working with adults and young adults with mental illness and substance use challenges. I believe in collaborative therapy—together, we will find what uniquely works for you. Whether you need to unpack life stressors or find the power within you to heal from trauma, I hope to be a safe space for you!
Hello! My name is Joanna, and I received my Master’s in Social Work from Columbia University. My passion is working with adults and young adults with mental illness and substance use challenges. I believe in collaborative therapy—together, we will find what uniquely works for you. Whether you need to unpack life stressors or find the power within you to heal from trauma, I hope to be a safe space for you!
(207) 496-1608 View (207) 496-1608
Photo of Jacqueline Wolinski, LCPC, GAL, Counselor
Jacqueline Wolinski
Counselor, LCPC, GAL
Verified Verified
Skowhegan, ME 04976
My small independent practice is set in central Maine downtown Skowhegan. With a quiet feel many clients comment on how relaxed and homey it feels during their sessions. My goal is to make others feel safe and welcome into the space. I thoroughly enjoy working with Clients to discover their goals, increase their quality of life and unwrap their feelings of self-worth. In a world that is constantly on the go I feel that it is important to take sometime to understand oneself and needs.
My small independent practice is set in central Maine downtown Skowhegan. With a quiet feel many clients comment on how relaxed and homey it feels during their sessions. My goal is to make others feel safe and welcome into the space. I thoroughly enjoy working with Clients to discover their goals, increase their quality of life and unwrap their feelings of self-worth. In a world that is constantly on the go I feel that it is important to take sometime to understand oneself and needs.
(207) 614-7701 View (207) 614-7701
Photo of undefined - Jonelle- Healthy Minds Counseling, Inc. , LCSW, Clinical Social Work/Therapist
Jonelle- Healthy Minds Counseling, Inc.
Clinical Social Work/Therapist, LCSW
Verified Verified
Skowhegan, ME 04976  (Online Only)
Hi, my name is Jonelle. I am a Licensed Master Social Worker passionate about empowering you to improve your mental health and make positive behavior changes. I graduated with my Master of Social Work from Adelphi University, with a degree specialization in Mental Health, Substance Abuse, and Trauma in Context.
Hi, my name is Jonelle. I am a Licensed Master Social Worker passionate about empowering you to improve your mental health and make positive behavior changes. I graduated with my Master of Social Work from Adelphi University, with a degree specialization in Mental Health, Substance Abuse, and Trauma in Context.
(207) 687-1156 View (207) 687-1156
Photo of Martha Carolyn Maloney, MA, LADC, Drug & Alcohol Counselor
Martha Carolyn Maloney
Drug & Alcohol Counselor, MA, LADC
Verified Verified
Skowhegan, ME 04976
My focus is helping people who have substance use issues or are affected by another's substance use. I work to support a person through the challenges of recovery and the associated trauma, anxiety, depression, and losses. To help people identify needs and build on strengths and self compassion.
My focus is helping people who have substance use issues or are affected by another's substance use. I work to support a person through the challenges of recovery and the associated trauma, anxiety, depression, and losses. To help people identify needs and build on strengths and self compassion.
(207) 417-4121 View (207) 417-4121
Photo of Gerald W Thibault, LCPC, Counselor
Gerald W Thibault
Counselor, LCPC
Verified Verified
Skowhegan, ME 04976
I approach therapy from a strong person centered perspective. I believe that all persons have the ability to change. I utilize an active listening, non-judgmental approach that allows clients to utilize their own native ability to solve their own problems. I believe that every person has a strong drive to expand and grow and to achieve their fullest potential. This potential can be frustrated by many of the challenges presented by life but it can never be eliminated. As I see therapy, it is a vehicle for a person to realize and release that innate potential.
I approach therapy from a strong person centered perspective. I believe that all persons have the ability to change. I utilize an active listening, non-judgmental approach that allows clients to utilize their own native ability to solve their own problems. I believe that every person has a strong drive to expand and grow and to achieve their fullest potential. This potential can be frustrated by many of the challenges presented by life but it can never be eliminated. As I see therapy, it is a vehicle for a person to realize and release that innate potential.
(207) 613-2260 View (207) 613-2260
Photo of undefined - Shanice-Healthy Minds Counseling, Inc, LCSW, Clinical Social Work/Therapist
Shanice-Healthy Minds Counseling, Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
Skowhegan, ME 04976  (Online Only)
Welcome! I am so glad that you came across my page. If you're here, you must be thinking about getting support, and I want you to know that you’re worth it. I specialize in working with women who experience high-functioning anxiety, people-pleasing, and perfectionism tendencies. These habits tend to leave you feeling overwhelmed, frustrated, and powerless. I help my clients to understand where these behaviors come from, why they continue them, and how to find the balance.
Welcome! I am so glad that you came across my page. If you're here, you must be thinking about getting support, and I want you to know that you’re worth it. I specialize in working with women who experience high-functioning anxiety, people-pleasing, and perfectionism tendencies. These habits tend to leave you feeling overwhelmed, frustrated, and powerless. I help my clients to understand where these behaviors come from, why they continue them, and how to find the balance.
(207) 495-7801 View (207) 495-7801
Photo of undefined - Akamin - Healthy Minds Counseling, Inc, LCSW, Clinical Social Work/Therapist
Akamin - Healthy Minds Counseling, Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Skowhegan, ME 04976  (Online Only)
I'm Dr. Akamin Nkengaka, a License Clinical Social Worker and a License Advanced Alcohol & Drugs Counselor with 15 years of clinical experience. I have experience in helping clients with stress and anxiety, coping with addictions, trauma-informed care, suicidal ideation, abuse, self-esteem, and relationships. I believe that you are the expert of your story and that you have many strengths that will assist you to overcome negative challenges in your life. My theoretical approach is based on cognitive-behavioral therapy model.
I'm Dr. Akamin Nkengaka, a License Clinical Social Worker and a License Advanced Alcohol & Drugs Counselor with 15 years of clinical experience. I have experience in helping clients with stress and anxiety, coping with addictions, trauma-informed care, suicidal ideation, abuse, self-esteem, and relationships. I believe that you are the expert of your story and that you have many strengths that will assist you to overcome negative challenges in your life. My theoretical approach is based on cognitive-behavioral therapy model.
(207) 705-8311 View (207) 705-8311
Photo of undefined - Jade, Healthy Minds Counseling Inc, LCSW, Clinical Social Work/Therapist
Jade, Healthy Minds Counseling Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
Skowhegan, ME 04976  (Online Only)
My name is Jade, and I have spent nearly a decade in the helping profession. I began my career as a Child Protective Worker in the roles of Permanency Planning and Investigating severe abuse and death cases. I later shifted my focus to clinical work. I moved into the role of a Multi-Systemic Therapist providing intensive family-focused therapy treatment to those who have experienced child abuse, neglect,drug abuse, violent behaviors, and psychiatric disorders. I have experience providing Social work services in early interventions, serving children ages 0-3 and their families.I am a certified Integrated Mental Health Therapist.
My name is Jade, and I have spent nearly a decade in the helping profession. I began my career as a Child Protective Worker in the roles of Permanency Planning and Investigating severe abuse and death cases. I later shifted my focus to clinical work. I moved into the role of a Multi-Systemic Therapist providing intensive family-focused therapy treatment to those who have experienced child abuse, neglect,drug abuse, violent behaviors, and psychiatric disorders. I have experience providing Social work services in early interventions, serving children ages 0-3 and their families.I am a certified Integrated Mental Health Therapist.
(207) 579-8307 View (207) 579-8307
Photo of undefined - Tammy, Healthy Minds Counseling Inc- EMDR, Clinical Social Work/Therapist
Tammy, Healthy Minds Counseling Inc- EMDR
Clinical Social Work/Therapist
Verified Verified
Skowhegan, ME 04976  (Online Only)
Hello! My name is Tammy and I am a Licensed Master Social Worker (LMSW). I earned my Master’s degree from New Mexico Highlands University in 2008. While attending New Mexico Highlands University, I focused on mental health and theories in behavior. I have experience in various mental health diagnoses, trauma treatment, and extensive grief therapy. I also have experience and knowledge in interdisciplinary leadership, family-centered practices, and grief interventions which have provided me with the tools to help those who are facing mental stressors, behavioral disturbances, and/or grief-related depression and anxiety.
Hello! My name is Tammy and I am a Licensed Master Social Worker (LMSW). I earned my Master’s degree from New Mexico Highlands University in 2008. While attending New Mexico Highlands University, I focused on mental health and theories in behavior. I have experience in various mental health diagnoses, trauma treatment, and extensive grief therapy. I also have experience and knowledge in interdisciplinary leadership, family-centered practices, and grief interventions which have provided me with the tools to help those who are facing mental stressors, behavioral disturbances, and/or grief-related depression and anxiety.
(207) 598-4547 View (207) 598-4547
Photo of Tamara Mello, MEd, LCPC, CCTP, CCATP, CTMH, Counselor
Tamara Mello
Counselor, MEd, LCPC, CCTP, CCATP, CTMH
Verified Verified
1 Endorsed
Skowhegan, ME 04976  (Online Only)
The style I use is eclectic and offers compassionate understanding in a relaxed environment that supports growth and personal exploration for adult individuals over age 18. I offer traditional talk therapies designed for clients to develop solution-focused ideas to their own concerns as the goal is for each client to become their own best expert. With talk therapy combined with evidence based modalities, I am able to help people discover their personal truth.
The style I use is eclectic and offers compassionate understanding in a relaxed environment that supports growth and personal exploration for adult individuals over age 18. I offer traditional talk therapies designed for clients to develop solution-focused ideas to their own concerns as the goal is for each client to become their own best expert. With talk therapy combined with evidence based modalities, I am able to help people discover their personal truth.
(207) 209-1661 View (207) 209-1661
Photo of Robyn A Belcher, LCPC, Counselor
Robyn A Belcher
Counselor, LCPC
Verified Verified
Skowhegan, ME 04976  (Online Only)
I enjoy working with people to help them reach their potential in life. Many people live through difficult experiences which tend to negatively impact them and stunt their ability to move forward. My goal is to help you overcome these obstacles to help you flourish. Whether it is anxiety, depression, anger or fear, I will work on determining what the underlying cause of the distress is. Counseling does not have to be long term. Many of my clients have had success over a short period of time in counseling while others have needed long term support.
I enjoy working with people to help them reach their potential in life. Many people live through difficult experiences which tend to negatively impact them and stunt their ability to move forward. My goal is to help you overcome these obstacles to help you flourish. Whether it is anxiety, depression, anger or fear, I will work on determining what the underlying cause of the distress is. Counseling does not have to be long term. Many of my clients have had success over a short period of time in counseling while others have needed long term support.
(207) 358-3518 View (207) 358-3518

More Therapists Nearby

Photo of Hope Hanron, MA, LCPC, CADC, TIRF, Counselor
Hope Hanron
Counselor, MA, LCPC, CADC, TIRF
Verified Verified
Madison, ME 04950  (Online Only)
Welcome. The "OLD NORMAL" is gone. The "NEW NORMAL" is what is. Let me help you to re-invent your NEW, NEW NORMAL. Life is a gift. Everyone is special in their own way. I assist individuals by helping them to realize what their positive attributes and potential abilities are within and assist obtaining their goals in life. I believe that It's not the lessons we are given in life that count. It's the way that we handle these challenges that are important. As a result, my clients receive tools of wellness to help them to live in optimal wellness. I am eclectic. Free phone consult to determine if I am a good fit to meet your needs.
Welcome. The "OLD NORMAL" is gone. The "NEW NORMAL" is what is. Let me help you to re-invent your NEW, NEW NORMAL. Life is a gift. Everyone is special in their own way. I assist individuals by helping them to realize what their positive attributes and potential abilities are within and assist obtaining their goals in life. I believe that It's not the lessons we are given in life that count. It's the way that we handle these challenges that are important. As a result, my clients receive tools of wellness to help them to live in optimal wellness. I am eclectic. Free phone consult to determine if I am a good fit to meet your needs.
(207) 730-2870 View (207) 730-2870

Online Therapists

Photo of Jennifer Maeverde, LCPC, Counselor
Jennifer Maeverde
Counselor, LCPC
Verified Verified
Falmouth, ME 04105
I now have immediate openings Tuesdays in-person in our Falmouth office! Energy for change is created when there is space to reflect upon and explore your life. I appreciate being able to co-create this space for curiosity and inquiry with you. Maybe you want to embody more joy, love, and health in your life. Maybe you want to build more skills in navigating the day to day emotions that permeate your mind, body and spirt. Whatever your goals, my work is to support you on your particular path, with the ups and downs that are an inevitable part of your process.
I now have immediate openings Tuesdays in-person in our Falmouth office! Energy for change is created when there is space to reflect upon and explore your life. I appreciate being able to co-create this space for curiosity and inquiry with you. Maybe you want to embody more joy, love, and health in your life. Maybe you want to build more skills in navigating the day to day emotions that permeate your mind, body and spirt. Whatever your goals, my work is to support you on your particular path, with the ups and downs that are an inevitable part of your process.
(207) 503-3789 x8 View (207) 503-3789 x8
Photo of Kristen D Smith, LCSW, Clinical Social Work/Therapist
Kristen D Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
South Portland, ME 04106  (Online Only)
I often hear my clients tell me that they feel lost, sad, and hopeless. They are people from all different situations and are looking for meaning, connection, and help deciding what they want to do next. Life can be hard and scary, but by working together to understand trauma and what is impacting you, you will start to decide on solutions that feel good. You are taking the first step now, and you don't have to do this alone.
I often hear my clients tell me that they feel lost, sad, and hopeless. They are people from all different situations and are looking for meaning, connection, and help deciding what they want to do next. Life can be hard and scary, but by working together to understand trauma and what is impacting you, you will start to decide on solutions that feel good. You are taking the first step now, and you don't have to do this alone.
(207) 640-2336 View (207) 640-2336
Photo of Gordon Krantz, LCSW, Clinical Social Work/Therapist
Gordon Krantz
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101  (Online Only)
You can bring anything to the table and I will accept you as you are. I will listen and provide a warm, supportive and caring approach to therapy. My goal is to provide therapy that is suited to your needs.
You can bring anything to the table and I will accept you as you are. I will listen and provide a warm, supportive and caring approach to therapy. My goal is to provide therapy that is suited to your needs.
(207) 389-3245 View (207) 389-3245
Photo of Roland B. Mendiola, PsyD, Psychologist
Roland B. Mendiola
Psychologist, PsyD
Verified Verified
11 Endorsed
Portland, ME 04103
Waitlist for new clients
It's a joy, passion, and privilege doing this work. Over the past 20 years, I've practiced in school settings, community mental health, managed care, VA hospitals, university counseling centers, and private practice. My clinical interests are in fear, stress, depression, and suicide; creativity and the expressive arts; issues of intimacy and vulnerability in relationships; and issues of culture, identity, and liberation - especially regarding race, gender, sexuality, and spirituality. My specialized training (20 years) is in Buddhist psychology, trauma-informed creative art therapy, and exposure therapy for anxiety and trauma.
It's a joy, passion, and privilege doing this work. Over the past 20 years, I've practiced in school settings, community mental health, managed care, VA hospitals, university counseling centers, and private practice. My clinical interests are in fear, stress, depression, and suicide; creativity and the expressive arts; issues of intimacy and vulnerability in relationships; and issues of culture, identity, and liberation - especially regarding race, gender, sexuality, and spirituality. My specialized training (20 years) is in Buddhist psychology, trauma-informed creative art therapy, and exposure therapy for anxiety and trauma.
(207) 517-2390 View (207) 517-2390
Photo of John E. Wood, LADC, Drug & Alcohol Counselor
John E. Wood
Drug & Alcohol Counselor, LADC
Verified Verified
Windham, ME 04062
Most of my clients have used alcohol or drugs as a crutch over the years and that has progressed into a daily habit that becomes a way of coping with life. This eventually leads to excessive drinking and drug use and can cause chaos in a person's life...and the lives of the people that love them. My goal is to help you develop coping skills that allow you to deal with life's difficulties without picking up a drink or a drug. Life can be so much better when you are not tethered to a drink or a drug in order to get through your day.
Most of my clients have used alcohol or drugs as a crutch over the years and that has progressed into a daily habit that becomes a way of coping with life. This eventually leads to excessive drinking and drug use and can cause chaos in a person's life...and the lives of the people that love them. My goal is to help you develop coping skills that allow you to deal with life's difficulties without picking up a drink or a drug. Life can be so much better when you are not tethered to a drink or a drug in order to get through your day.
(207) 305-9659 View (207) 305-9659

See more therapy options for Skowhegan

How does your Therapist compare?

Number of Therapists in Skowhegan, ME

10+

Average cost per session

$95

Therapists in Skowhegan, ME who prioritize treating:

93% Anxiety
93% Trauma and PTSD
86% Depression
79% Relationship Issues
79% ADHD
71% Grief
71% Obsessive-Compulsive (OCD)

Average years in practice

16 Years

Top 3 insurances accepted

100% MaineCare
93% Anthem | Elevance
86% BlueCross and BlueShield

How Therapists in Skowhegan, ME see their clients

78% Online Only
22% In Person and Online

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Skowhegan?

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.