Therapists in Michigan Center, MI

Photo of Lissa Lynn Cole, Counselor, MA, LPC, NCC
Lissa Lynn Cole
Counselor, MA, LPC, NCC
1 Endorsed
Michigan Center, MI 49254
What brings you to my office? The answers to this question are as varied as are the people who seek counseling with me. You may have a problem or disappointment with your health, self-esteem/worth, relationships, school, work, mood, or boundaries. People reach out to me when, despite being very capable, they have not been able to get their lives on the course that they desire. I believe that the changes and healing you want to accomplish can be brought about by the combination of my skills, your knowledge of yourself, and the strong working relationship that we will establish together.
What brings you to my office? The answers to this question are as varied as are the people who seek counseling with me. You may have a problem or disappointment with your health, self-esteem/worth, relationships, school, work, mood, or boundaries. People reach out to me when, despite being very capable, they have not been able to get their lives on the course that they desire. I believe that the changes and healing you want to accomplish can be brought about by the combination of my skills, your knowledge of yourself, and the strong working relationship that we will establish together.
(517) 245-0948 View (517) 245-0948
Photo of Summer Cartwright, Licensed Professional Counselor, MS, LPC
Summer Cartwright
Licensed Professional Counselor, MS, LPC
Serves Area
I am a licensed professional counselor who works with individuals and couples. I am licensed in Texas and Michigan. I have extensive experience working with different mental health struggles. I provide a safe and welcoming space where we can explore your thoughts, feelings, and experiences together. By tuning into your body, emotions, desires, and thoughts, we can better understand your core needs and find new ways to meet them. I believe that your life experiences are meaningful, and I’m here to help you use them as tools for growth, healing, and self-awareness.
I am a licensed professional counselor who works with individuals and couples. I am licensed in Texas and Michigan. I have extensive experience working with different mental health struggles. I provide a safe and welcoming space where we can explore your thoughts, feelings, and experiences together. By tuning into your body, emotions, desires, and thoughts, we can better understand your core needs and find new ways to meet them. I believe that your life experiences are meaningful, and I’m here to help you use them as tools for growth, healing, and self-awareness.
(469) 632-1957 View (469) 632-1957
Photo of Dr. Karen Muhammad - The Center for Family and Couples Therapy, Marriage & Family Therapist, DMFT, LMFT, RMFT, CAS, PMP
The Center for Family and Couples Therapy
Marriage & Family Therapist, DMFT, LMFT, RMFT, CAS, PMP
Online Only
Our trained & qualified therapists and clinical psychotherapists offer a range of services addressing general relationship issues across couples, families, and individuals, as well as supporting clients with more complex needs. With a focus on healing and strengthening relationships, we support couples and families in overcoming communication obstacles, resolving disputes, and addressing intimacy concerns. Our approach prioritizes healing, empowerment, and self-awareness by leveraging clients’ inherent strengths while concurrently addressing mental health issues through solution-oriented techniques.
Our trained & qualified therapists and clinical psychotherapists offer a range of services addressing general relationship issues across couples, families, and individuals, as well as supporting clients with more complex needs. With a focus on healing and strengthening relationships, we support couples and families in overcoming communication obstacles, resolving disputes, and addressing intimacy concerns. Our approach prioritizes healing, empowerment, and self-awareness by leveraging clients’ inherent strengths while concurrently addressing mental health issues through solution-oriented techniques.
(862) 415-0421 View (862) 415-0421
Photo of Chris Fred Kobesko, Licensed Professional Counselor, MSed , LPC
Chris Fred Kobesko
Licensed Professional Counselor, MSed , LPC
Serves Area
I’m Chris Kobesko, a Licensed Professional Counselor (LPC) with over 20 years of experience helping people gain a deeper understanding of their behaviors and overcome challenges like chronic insomnia. Using cognitive restructuring techniques, I work with clients to shift unhelpful thought patterns and develop healthier sleep habits. With a Master’s in Community Counseling, I bring both expertise and compassion to my work. If you’re struggling with sleep, I’m here to help you find real, lasting solutions.
I’m Chris Kobesko, a Licensed Professional Counselor (LPC) with over 20 years of experience helping people gain a deeper understanding of their behaviors and overcome challenges like chronic insomnia. Using cognitive restructuring techniques, I work with clients to shift unhelpful thought patterns and develop healthier sleep habits. With a Master’s in Community Counseling, I bring both expertise and compassion to my work. If you’re struggling with sleep, I’m here to help you find real, lasting solutions.
(313) 908-8938 View (313) 908-8938
Photo of Michelle Fuller Harris, Clinical Social Work/Therapist, MSW, LCSW, BACS, CTMH, CIMHP
Michelle Fuller Harris
Clinical Social Work/Therapist, MSW, LCSW, BACS, CTMH, CIMHP
1 Endorsed
Online Only
I have a background in mental health, primarily with adults and geriatrics who also have chronic medical conditions. I have over 25 years of experience , providing in-person & telehealth sessions to clients & their family members, as well as locating resources to assist in improving levels of functioning. Focus on medical trauma & illness, anxiety, grief, loss & bereavement counseling. I will challenge you to get to know yourself & to find your joy & purpose. I am licensed in Louisiana ,Michigan, Mississippi, Missouri,& Arkansas (if appropriate for client's needs & based on insurance requirements) .
I have a background in mental health, primarily with adults and geriatrics who also have chronic medical conditions. I have over 25 years of experience , providing in-person & telehealth sessions to clients & their family members, as well as locating resources to assist in improving levels of functioning. Focus on medical trauma & illness, anxiety, grief, loss & bereavement counseling. I will challenge you to get to know yourself & to find your joy & purpose. I am licensed in Louisiana ,Michigan, Mississippi, Missouri,& Arkansas (if appropriate for client's needs & based on insurance requirements) .
(225) 314-8241 View (225) 314-8241
Photo of Kathryn Fehr, Clinical Social Work/Therapist, LCSW, CCE Sup, CTRS
Kathryn Fehr
Clinical Social Work/Therapist, LCSW, CCE Sup, CTRS
3 Endorsed
Online Only
Not accepting new clients
Over the past 15+ years, I have dedicated my career to helping individuals, couples, and families navigate life’s challenges with compassion and evidence-based care. I believe in a holistic approach to healing that integrates emotional and physical well-being, empowering clients to build resilience and achieve personal growth.
Over the past 15+ years, I have dedicated my career to helping individuals, couples, and families navigate life’s challenges with compassion and evidence-based care. I believe in a holistic approach to healing that integrates emotional and physical well-being, empowering clients to build resilience and achieve personal growth.
(505) 393-2385 View (505) 393-2385
Photo of Dr. Karen Muhammad, Marriage & Family Therapist, DMFT, LMFT, RMFT, CAS, PMP
Dr. Karen Muhammad
Marriage & Family Therapist, DMFT, LMFT, RMFT, CAS, PMP
Online Only
I am a Licensed Marriage and Family Therapist in private practice. I provide therapeutic services to diverse populations, including couples, families, individuals, and groups. My specialization is in couple's therapy. As a Gottman Relationship Checkup therapist, I incorporate various therapeutic modalities, including Internal Family Systems, Emotion-Focused Therapy, Solution-Focused Therapy, and Bowen. In addition, I provide Mental Health Evaluations for schools, hospitals, State and court cases. In my practice, I prioritize healing, empowerment, and self-awareness in strengthening-based techniques.
I am a Licensed Marriage and Family Therapist in private practice. I provide therapeutic services to diverse populations, including couples, families, individuals, and groups. My specialization is in couple's therapy. As a Gottman Relationship Checkup therapist, I incorporate various therapeutic modalities, including Internal Family Systems, Emotion-Focused Therapy, Solution-Focused Therapy, and Bowen. In addition, I provide Mental Health Evaluations for schools, hospitals, State and court cases. In my practice, I prioritize healing, empowerment, and self-awareness in strengthening-based techniques.
(848) 244-8818 View (848) 244-8818
Photo of Julie Skokna, Licensed Clinical Professional Counselor, LCPC, RN, EMDR, Cert, therapy
Julie Skokna
Licensed Clinical Professional Counselor, LCPC, RN, EMDR, Cert, therapy
1 Endorsed
Online Only
Licensed in Illinois, Michigan, Wisconsin! Certified EMDR. Feel like you just Can't Do It Anymore! Would like to improve work and personal relationships? At times we get to this point and know it's time to reach out for SUPPORT. Time for change. I work with those who may have experienced difficult childhood events, trauma, anxiety, depression, medical conditions, or mental health disorders that create stress keeping you from enjoying your life. I can teach you techniques to create the calm required to pursue your career or relationship dreams. You can prepare for the next life challenge, even if it's scary or seems impossible.
Licensed in Illinois, Michigan, Wisconsin! Certified EMDR. Feel like you just Can't Do It Anymore! Would like to improve work and personal relationships? At times we get to this point and know it's time to reach out for SUPPORT. Time for change. I work with those who may have experienced difficult childhood events, trauma, anxiety, depression, medical conditions, or mental health disorders that create stress keeping you from enjoying your life. I can teach you techniques to create the calm required to pursue your career or relationship dreams. You can prepare for the next life challenge, even if it's scary or seems impossible.
(630) 448-8912 View (630) 448-8912
Photo of Abby Hasberry, Marriage & Family Therapist, LMFT, LCMFT
Abby Hasberry
Marriage & Family Therapist, LMFT, LCMFT
1 Endorsed
Online Only
LMFT: MD, TX, MI I am a former educator and school principal turned therapist. My joy is working with all types of adults. My ideal client is reflective and purposeful. My clients are typically professionals navigating life transitions, entrepreneurs balancing work and life, young adults exploring careers and learning to “adult”, adoptees of all ages discovering their identities and processing trauma, and birth/first mothers navigating grief and loss. I support my clients through reflection, trauma processing, self-discovery, and identity development so that they can embrace mental clarity live purposefully.
LMFT: MD, TX, MI I am a former educator and school principal turned therapist. My joy is working with all types of adults. My ideal client is reflective and purposeful. My clients are typically professionals navigating life transitions, entrepreneurs balancing work and life, young adults exploring careers and learning to “adult”, adoptees of all ages discovering their identities and processing trauma, and birth/first mothers navigating grief and loss. I support my clients through reflection, trauma processing, self-discovery, and identity development so that they can embrace mental clarity live purposefully.
(210) 871-9834 View (210) 871-9834
Photo of Madison Boyce, Mental Health Counselor, LMHC
Madison Boyce
Mental Health Counselor, LMHC
Serves Area
I work with individuals from the age of 14 and up struggling with issues of self-worth, trauma, grief, interpersonal conflict, and those who feel ‘stuck’ in life.
I work with individuals from the age of 14 and up struggling with issues of self-worth, trauma, grief, interpersonal conflict, and those who feel ‘stuck’ in life.
(360) 776-6328 View (360) 776-6328
Photo of Theresa Champion, Licensed Professional Counselor, LPC
Theresa Champion
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
I am a Michigan-based therapist who works with children, adolescents, and adults experiencing anxiety, stress, trauma, grief, and family-related concerns. My approach is warm, collaborative, and strengths-based, helping clients feel supported while building practical tools for emotional regulation and resilience. I integrate mindfulness-based and evidence-informed therapies, including interpersonal, problem-solving, and exposure-based approaches, to meet each client’s unique needs. My goal is to create a safe, compassionate space where clients can heal, grow, and move toward meaningful change.
I am a Michigan-based therapist who works with children, adolescents, and adults experiencing anxiety, stress, trauma, grief, and family-related concerns. My approach is warm, collaborative, and strengths-based, helping clients feel supported while building practical tools for emotional regulation and resilience. I integrate mindfulness-based and evidence-informed therapies, including interpersonal, problem-solving, and exposure-based approaches, to meet each client’s unique needs. My goal is to create a safe, compassionate space where clients can heal, grow, and move toward meaningful change.
(906) 936-3148 View (906) 936-3148
Photo of Emily Paparazzo, Associate Professional Counselor, LAPC, MS, NCC
Emily Paparazzo
Associate Professional Counselor, LAPC, MS, NCC
4 Endorsed
Serves Area
“Don’t try to be good, try to understand.” I am a Licensed Associate Professional Counselor with Lavender Wellness. I hold the belief that everyone deserves the opportunity to invest in their well-being, and that therapy is one of the greatest investments one could make. I work to create a safe, cathartic outlet for everyone who comes through my door; I encourage reframing of negative thought patterns, and strive to meet every client with the empathetic understanding that they deserve.
“Don’t try to be good, try to understand.” I am a Licensed Associate Professional Counselor with Lavender Wellness. I hold the belief that everyone deserves the opportunity to invest in their well-being, and that therapy is one of the greatest investments one could make. I work to create a safe, cathartic outlet for everyone who comes through my door; I encourage reframing of negative thought patterns, and strive to meet every client with the empathetic understanding that they deserve.
(272) 808-0935 View (272) 808-0935
Women's OCD Wellness, Ltd
Psychologist, PhD
Michigan Center, MI 49254
(517) 317-6473 View (517) 317-6473

More Therapists Nearby

Photo of Breanne Roberts, Clinical Social Work/Therapist, LCSW, CBIS
Breanne Roberts
Clinical Social Work/Therapist, LCSW, CBIS
1 Endorsed
Serves Area
I believe that everyone deserves support to release emotions and regain control. My experiences include mood management, anxiety, depression, trauma, attachment styles, personality traits, relationships, and ADHD. I have over 15 years of diagnostic experience. I use several approaches to guide clients in managing their decisions, conflicts, and behaviors. It is my goal to provide clients with an environment where they can balance emotions with logic and have tools to feel calm and in control, while maintaining a collaborative , approachable, and engaged style.
I believe that everyone deserves support to release emotions and regain control. My experiences include mood management, anxiety, depression, trauma, attachment styles, personality traits, relationships, and ADHD. I have over 15 years of diagnostic experience. I use several approaches to guide clients in managing their decisions, conflicts, and behaviors. It is my goal to provide clients with an environment where they can balance emotions with logic and have tools to feel calm and in control, while maintaining a collaborative , approachable, and engaged style.
(231) 432-5526 View (231) 432-5526
Photo of Katie Osgood, Counselor, MS, LPC
Katie Osgood
Counselor, MS, LPC
3 Endorsed
Ann Arbor, MI 48108
I love working with people who are ready to look inward and create meaningful change. Maybe you’re feeling overwhelmed by school, work, or relationships. Maybe anxiety is loud, depression feels heavy, ADHD makes things harder than they “should” be, or you keep finding yourself stuck in the same frustrating patterns. You might struggle with setting boundaries, overthinking everything, or feeling like your emotions are running the show. Whatever brings you here, you don’t have to sort through it alone.
I love working with people who are ready to look inward and create meaningful change. Maybe you’re feeling overwhelmed by school, work, or relationships. Maybe anxiety is loud, depression feels heavy, ADHD makes things harder than they “should” be, or you keep finding yourself stuck in the same frustrating patterns. You might struggle with setting boundaries, overthinking everything, or feeling like your emotions are running the show. Whatever brings you here, you don’t have to sort through it alone.
(734) 526-4819 View (734) 526-4819
Photo of Gina M Verseman, Licensed Professional Counselor, MA, LPC
Gina M Verseman
Licensed Professional Counselor, MA, LPC
Serves Area
I work with thoughtful, growth-oriented people who feel stuck in repetitive emotional, relational, or behavioral patterns. Many are highly self-aware, yet still find themselves reacting, shutting down, overthinking, people-pleasing, or losing connection with themselves under stress. My work integrates relational psychology, somatic awareness, and the Recovery Blueprint - a structured approach that helps people recognize patterns, stay present with themselves, and respond intentionally in their lives and relationships.
I work with thoughtful, growth-oriented people who feel stuck in repetitive emotional, relational, or behavioral patterns. Many are highly self-aware, yet still find themselves reacting, shutting down, overthinking, people-pleasing, or losing connection with themselves under stress. My work integrates relational psychology, somatic awareness, and the Recovery Blueprint - a structured approach that helps people recognize patterns, stay present with themselves, and respond intentionally in their lives and relationships.
(734) 627-1564 View (734) 627-1564
Photo of Lauren Valdez, Clinical Social Work/Therapist, LMSW, LSW
Lauren Valdez
Clinical Social Work/Therapist, LMSW, LSW
5 Endorsed
Chelsea, MI 48118
You’re capable, driven, and full of potential — but you also want more than just “getting by.” You’re craving balance, clarity, and deeper fulfillment in your life and relationships. Even with your strength and ambition, you sometimes feel weighed down by stress, self-doubt, or old patterns that hold you back. Deep down, you know you’re capable of creating the life you want — you just need the space, support, and tools to get there. Therapy with me is about reconnecting with yourself and building a foundation for the life you’re ready to step into.
You’re capable, driven, and full of potential — but you also want more than just “getting by.” You’re craving balance, clarity, and deeper fulfillment in your life and relationships. Even with your strength and ambition, you sometimes feel weighed down by stress, self-doubt, or old patterns that hold you back. Deep down, you know you’re capable of creating the life you want — you just need the space, support, and tools to get there. Therapy with me is about reconnecting with yourself and building a foundation for the life you’re ready to step into.
View
Photo of Michael Wenisch, Counselor, LPC
Michael Wenisch
Counselor, LPC
Online Only
I specialize in sex and internet pornography addiction. I work one-on-one with indivuals, couples, families, and those attracted to minors. My primary treatment goal is to help the sexually addicted individual overcome the addiction and find inner healing. Additionally, I work to promote healing within badly damaged intimate relationships. Initially, I aim to help clients gain immediate relief from the feelings of overwhelm and distress that brought them to counseling to begin with. Subsequently, I collaborate with clients to diagnose and heal the deeper sources and causes of their suffering and addiction.
I specialize in sex and internet pornography addiction. I work one-on-one with indivuals, couples, families, and those attracted to minors. My primary treatment goal is to help the sexually addicted individual overcome the addiction and find inner healing. Additionally, I work to promote healing within badly damaged intimate relationships. Initially, I aim to help clients gain immediate relief from the feelings of overwhelm and distress that brought them to counseling to begin with. Subsequently, I collaborate with clients to diagnose and heal the deeper sources and causes of their suffering and addiction.
(517) 594-4966 View (517) 594-4966
Photo of Sarah Maurer, Clinical Social Work/Therapist, LMSW, CAADC
Sarah Maurer
Clinical Social Work/Therapist, LMSW, CAADC
1 Endorsed
Jackson, MI 49203
Are you feeling anxious, depressed, or overwhelmed by daily life? Do you often prioritize others' needs over your own? Have you ever wondered if life could be more fulfilling and joyful? In today’s fast-paced world, many struggle with stress, uncertainty, and challenges in their relationships, careers, and overall well-being. Neglecting self-care can take a toll on both mental and physical health but you deserve a life that feels meaningful and satisfying.
Are you feeling anxious, depressed, or overwhelmed by daily life? Do you often prioritize others' needs over your own? Have you ever wondered if life could be more fulfilling and joyful? In today’s fast-paced world, many struggle with stress, uncertainty, and challenges in their relationships, careers, and overall well-being. Neglecting self-care can take a toll on both mental and physical health but you deserve a life that feels meaningful and satisfying.
(517) 837-7615 View (517) 837-7615
Photo of Sacha Feirstein - Sacha Feirstein, LMSW, ACSW, Clinical Social Work/Therapist, LMSW, ACSW
Sacha Feirstein, LMSW, ACSW
Clinical Social Work/Therapist, LMSW, ACSW
1 Endorsed
Online Only
I provide a safe, supportive, non-judgmental environment for you to explore personal issues, dilemmas, and concerns in a professional setting. I utilize a highly empathic approach, keeping in mind your comfort level & sense of security. I believe that psychotherapy can be deeply transformative and healing. I offer an opportunity to embark upon a process of personal exploration and growth in an atmosphere of compassion and support. Therapy can be used to address personal crises as well as existential concerns, losses, anxiety, and life transitions. I welcome people of any race, ethnicity, sexual orientation, or gender identity.
I provide a safe, supportive, non-judgmental environment for you to explore personal issues, dilemmas, and concerns in a professional setting. I utilize a highly empathic approach, keeping in mind your comfort level & sense of security. I believe that psychotherapy can be deeply transformative and healing. I offer an opportunity to embark upon a process of personal exploration and growth in an atmosphere of compassion and support. Therapy can be used to address personal crises as well as existential concerns, losses, anxiety, and life transitions. I welcome people of any race, ethnicity, sexual orientation, or gender identity.
(734) 237-6801 View (734) 237-6801

See more therapy options for Michigan Center

How does your Therapist compare?

Number of Therapists in Michigan Center, MI

10+

Average cost per session

$150

Therapists in Michigan Center, MI who prioritize treating:

92% Anxiety
69% Self Esteem
69% Life Transitions
69% Stress
62% Relationship Issues
62% Grief
62% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

90% Aetna
90% BlueCross and BlueShield
70% Optum

How Therapists in Michigan Center, MI see their clients

54% Online Only
46% In Person and Online

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Michigan Center?

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.