Therapists in Mount Pleasant, MI

Photo of Ally Ramon, MA,  LLC, Counselor
Ally Ramon
Counselor, MA, LLC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
Life can be a challenging journey, and sometimes we all need a little guidance and support to navigate its twists and turns. I'm here to help you find your path to wellness, resilience, and personal growth. I'm not just a therapist; I'm a compassionate "ally" on your journey. I've had the privilege of assisting many individuals like you in overcoming life's obstacles and embracing their full potential.
Life can be a challenging journey, and sometimes we all need a little guidance and support to navigate its twists and turns. I'm here to help you find your path to wellness, resilience, and personal growth. I'm not just a therapist; I'm a compassionate "ally" on your journey. I've had the privilege of assisting many individuals like you in overcoming life's obstacles and embracing their full potential.
(989) 674-7639 View (989) 674-7639
Photo of Shawn Larry - VIP Counseling / Shawn Larry, LMSW, Clinical Social Work/Therapist
VIP Counseling / Shawn Larry
Clinical Social Work/Therapist, LMSW
Verified Verified
Mount Pleasant, MI 48858
Sometimes life is hard and seems to pile up. Other times it throws a curve ball and we feel blind-sided. It may feel as if everything is out of control, in chaos, or hopeless. I can help. We will work together to bring healing to emotional wounds, deeper understanding/acceptance of life experiences, and increased peace in your life. There is hope.
Sometimes life is hard and seems to pile up. Other times it throws a curve ball and we feel blind-sided. It may feel as if everything is out of control, in chaos, or hopeless. I can help. We will work together to bring healing to emotional wounds, deeper understanding/acceptance of life experiences, and increased peace in your life. There is hope.
(989) 863-4597 View (989) 863-4597
Photo of Camille Sumpter, LMSW, CAADC, Clinical Social Work/Therapist
Camille Sumpter
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Online Only
Hello my name is a Camille, I’m have been a licensed Social worker in the state of Michigan for the past 19 years as well as a certified addictions counselor. I specialize in anxiety, depression, life transitions, work stress, and addiction issues. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started.
Hello my name is a Camille, I’m have been a licensed Social worker in the state of Michigan for the past 19 years as well as a certified addictions counselor. I specialize in anxiety, depression, life transitions, work stress, and addiction issues. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started.
(989) 248-1353 View (989) 248-1353
Photo of Katie Most, LMSW, Clinical Social Work/Therapist
Katie Most
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
I have been working in the field of Social Work/Mental Health since 2011. I am passionate about supporting individuals in learning about and processing through the ways life experiences and traumas have impacted them. I find that often times (not always) people develop symptoms related to anxiety, depression, anger & other behavioral issues because of how they have learned to respond to and survive through traumas and adverse life experiences.
I have been working in the field of Social Work/Mental Health since 2011. I am passionate about supporting individuals in learning about and processing through the ways life experiences and traumas have impacted them. I find that often times (not always) people develop symptoms related to anxiety, depression, anger & other behavioral issues because of how they have learned to respond to and survive through traumas and adverse life experiences.
(989) 200-4379 View (989) 200-4379
Photo of Nicole Koch, MA, SCL, LPC, Licensed Professional Counselor
Nicole Koch
Licensed Professional Counselor, MA, SCL, LPC
Verified Verified
Mount Pleasant, MI 48858
Hello! (Currently not accepting new clients until January 2025) During my over 20 years of therapeutic experience I've learned that counseling is something everyone can utilize throughout life for a multitude of reasons. I hope that through the process we will build a strong relationship and work together to set and meet goals. It is through this treatment process where we learn about your unique personal characteristics, emotional needs, life experiences, thoughts, beliefs, feelings, and personal challenges. I believe it is crucial to provide a comfortable, confidential, and professional environment.
Hello! (Currently not accepting new clients until January 2025) During my over 20 years of therapeutic experience I've learned that counseling is something everyone can utilize throughout life for a multitude of reasons. I hope that through the process we will build a strong relationship and work together to set and meet goals. It is through this treatment process where we learn about your unique personal characteristics, emotional needs, life experiences, thoughts, beliefs, feelings, and personal challenges. I believe it is crucial to provide a comfortable, confidential, and professional environment.
(989) 662-1360 View (989) 662-1360
Photo of Tim Popma, MA, LLPC, Counselor
Tim Popma
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Online Only
My name is Tim and I am looking forward to working with you! To me, counseling is a shared partnership in which we work together to explore solutions that work for your life. My role as your counselor is to be a listener, witness, and facilitator in assisting you with your goals. I believe positive change and positive outcomes are possible and that you possess strengths to find solutions to your concerns and problems.
My name is Tim and I am looking forward to working with you! To me, counseling is a shared partnership in which we work together to explore solutions that work for your life. My role as your counselor is to be a listener, witness, and facilitator in assisting you with your goals. I believe positive change and positive outcomes are possible and that you possess strengths to find solutions to your concerns and problems.
(989) 500-0428 View (989) 500-0428
Photo of Kirsten Thayer, LMSW, Clinical Social Work/Therapist
Kirsten Thayer
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Mount Pleasant, MI 48858
My passion & experience is working with adults navigating life’s challenges. Life can be hard, the right support & tools can help. While each journey looks different, my goal is to create a safe, compassionate space for you to gain self-understanding through healing. I feel its important to understand patterns in your behavior & thinking to be able to develop strategies & perspectives to better handle life's challenges. I certainly don't have all the answers, I aim to understand your experiences & empower you with tools to live according to your values. With patience & consistency, small changes can lead to profound growth.
My passion & experience is working with adults navigating life’s challenges. Life can be hard, the right support & tools can help. While each journey looks different, my goal is to create a safe, compassionate space for you to gain self-understanding through healing. I feel its important to understand patterns in your behavior & thinking to be able to develop strategies & perspectives to better handle life's challenges. I certainly don't have all the answers, I aim to understand your experiences & empower you with tools to live according to your values. With patience & consistency, small changes can lead to profound growth.
(989) 843-2909 View (989) 843-2909
Photo of Emily R Brown, LMSW, QMHP, CMHP, QIDP, Clinical Social Work/Therapist
Emily R Brown
Clinical Social Work/Therapist, LMSW, QMHP, CMHP, QIDP
Verified Verified
1 Endorsed
Online Only
I have worked in the mental health field since 2019 and have a strong background in assessment as well as DBT and CBT focuses. I primarily work with people who struggle with anxiety, depression, bipolar, and BPD. For me, the focus of behavioral health treatment is balancing between acceptance and change - working hard together to embrace the things we cannot control, and problem-solve the things that we can. In addition to processing, cognitive reframing, and challenging thoughts, I place a strong value in skills-based psycho-education. So if you are looking to enhance your tool-belt of coping skills, I may be the right fit for you!
I have worked in the mental health field since 2019 and have a strong background in assessment as well as DBT and CBT focuses. I primarily work with people who struggle with anxiety, depression, bipolar, and BPD. For me, the focus of behavioral health treatment is balancing between acceptance and change - working hard together to embrace the things we cannot control, and problem-solve the things that we can. In addition to processing, cognitive reframing, and challenging thoughts, I place a strong value in skills-based psycho-education. So if you are looking to enhance your tool-belt of coping skills, I may be the right fit for you!
(317) 740-7151 View (317) 740-7151
Photo of Taylor Kilbourn, MA, LPC, NCC, Licensed Professional Counselor
Taylor Kilbourn
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Mount Pleasant, MI 48858
As a Licensed Professional Counselor, I currently offer both in-person and telemental health services to folks experiencing anxiety, depression, grief, trauma, adjustment concerns and more. I work with children, adolescents, and adults - providing therapy individually, as a couple, or as a family!
As a Licensed Professional Counselor, I currently offer both in-person and telemental health services to folks experiencing anxiety, depression, grief, trauma, adjustment concerns and more. I work with children, adolescents, and adults - providing therapy individually, as a couple, or as a family!
(989) 795-5813 View (989) 795-5813
Photo of Kristina Coffinger -  Bee Happy Therapy, LMSW, Clinical Social Work/Therapist
Bee Happy Therapy
Clinical Social Work/Therapist, LMSW
Verified Verified
Online Only
Now Serving Michigan and Wisconsin, Evening and weekend hours available Life is hard, entering therapy is a brave step forward on your journey to health and happiness. I recognize it is not easy to share your concerns but opening up to a therapist is a safe way to help work through those concerns. I would be honored to partner with you on your journey of healing, self-acceptance, understanding, and growth. We will work together to identify what is important to you to focus on, and the steps to take to pursue the goals you have identified. There is hope and we can work together to find what best works for you.
Now Serving Michigan and Wisconsin, Evening and weekend hours available Life is hard, entering therapy is a brave step forward on your journey to health and happiness. I recognize it is not easy to share your concerns but opening up to a therapist is a safe way to help work through those concerns. I would be honored to partner with you on your journey of healing, self-acceptance, understanding, and growth. We will work together to identify what is important to you to focus on, and the steps to take to pursue the goals you have identified. There is hope and we can work together to find what best works for you.
(906) 212-8894 View (906) 212-8894
Photo of Tanya R Stanley, LLMSW, Clinical Social Work/Therapist
Tanya R Stanley
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
You’ve maintained this far. You keep pushing: just one more dish, one more email, one more day until the weekend. You’re holding on by a thread and you feel ready to unravel. The typical things you do to ‘reboot’ aren’t working. You feel disconnected, off, worn incredibly thin, and are very aware that this feeling is just lurking under the surface. With years of experience in mental health and a passion for helping people regain their inner strength, you can escape that slow drowning feeling you are currently experiencing. You are the expert of your life, even if right now you feel anything but, and I can help you find that path.
You’ve maintained this far. You keep pushing: just one more dish, one more email, one more day until the weekend. You’re holding on by a thread and you feel ready to unravel. The typical things you do to ‘reboot’ aren’t working. You feel disconnected, off, worn incredibly thin, and are very aware that this feeling is just lurking under the surface. With years of experience in mental health and a passion for helping people regain their inner strength, you can escape that slow drowning feeling you are currently experiencing. You are the expert of your life, even if right now you feel anything but, and I can help you find that path.
(989) 200-4815 View (989) 200-4815
Photo of Kevin Daum, LPC, CAADC, Licensed Professional Counselor
Kevin Daum
Licensed Professional Counselor, LPC, CAADC
Verified Verified
Mount Pleasant, MI 48858
As a counselor, it is my honor to bear witness to your experience. Yours is the grand story; you are the author of your life. I intend to see you in a way that respects all that you are and have experienced. I can help you dig, to find the roots of your struggles and to explore your strengths. I can also be a mirror, helping you to see yourself and your life more clearly. Once you can see what you want to change, together we'll figure out how you can use your strengths to make it happen. I will remind you that you are worth the time and attention.
As a counselor, it is my honor to bear witness to your experience. Yours is the grand story; you are the author of your life. I intend to see you in a way that respects all that you are and have experienced. I can help you dig, to find the roots of your struggles and to explore your strengths. I can also be a mirror, helping you to see yourself and your life more clearly. Once you can see what you want to change, together we'll figure out how you can use your strengths to make it happen. I will remind you that you are worth the time and attention.
(989) 342-2752 View (989) 342-2752
Photo of Luke Worgess, MA, LLC, SCL, Counselor
Luke Worgess
Counselor, MA, LLC, SCL
Verified Verified
Mount Pleasant, MI 48858
Luke Worgess is a mental health counselor in Mt. Pleasant, focused on supporting children, adolescents, adults, and families. He helps clients navigate challenges like depression, anxiety, relationships, issues in school, and behavioral issues. Luke is passionate about creating a safe space for individuals to explore their thoughts and emotions, empowering personal growth and well-being. Whether you're facing difficult transitions or seeking help with relationships, Luke is committed to providing the support you need to move forward.
Luke Worgess is a mental health counselor in Mt. Pleasant, focused on supporting children, adolescents, adults, and families. He helps clients navigate challenges like depression, anxiety, relationships, issues in school, and behavioral issues. Luke is passionate about creating a safe space for individuals to explore their thoughts and emotions, empowering personal growth and well-being. Whether you're facing difficult transitions or seeking help with relationships, Luke is committed to providing the support you need to move forward.
(989) 747-1616 View (989) 747-1616
Photo of Lisa Cullen, LMSW, Clinical Social Work/Therapist
Lisa Cullen
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
Hi, I’m Lisa. I am a LMSW certified to provide clinical therapy, counseling, and mental health services in-person and virtually. I offer a non-judgmental, fully present approach to therapy designed to meet individual needs for adults of all ages. Our life experiences can at times leave us feeling confused, unhappy, overwhelmed, lost, lonely, scared, or just wondering where to start. Therapy can help us navigate such challenges in healthy and meaningful ways.
Hi, I’m Lisa. I am a LMSW certified to provide clinical therapy, counseling, and mental health services in-person and virtually. I offer a non-judgmental, fully present approach to therapy designed to meet individual needs for adults of all ages. Our life experiences can at times leave us feeling confused, unhappy, overwhelmed, lost, lonely, scared, or just wondering where to start. Therapy can help us navigate such challenges in healthy and meaningful ways.
(989) 559-7457 View (989) 559-7457
Photo of Pam Myslivec - Core Counseling Services, LLC / Pam Myslivec, MA, LPC, CAADC, Licensed Professional Counselor
Core Counseling Services, LLC / Pam Myslivec
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
Hello! Have you been looking for someone to talk to? My therapeutic approach is person centered and eclectic in nature. I believe all human beings have the need to be heard and understood. I provide a safe space that is based on mutual respect and trust. I see myself as a mirror for reflection and a guide to different paths of choice. My goal is to help clients become the best version of themselves by healing old wounds, having awareness in the present and hope for the future.
Hello! Have you been looking for someone to talk to? My therapeutic approach is person centered and eclectic in nature. I believe all human beings have the need to be heard and understood. I provide a safe space that is based on mutual respect and trust. I see myself as a mirror for reflection and a guide to different paths of choice. My goal is to help clients become the best version of themselves by healing old wounds, having awareness in the present and hope for the future.
(989) 349-6543 View (989) 349-6543
Photo of Sara Sroufe, MSW, LMSW, Clinical Social Work/Therapist
Sara Sroufe
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Online Only
Reaching out for help with life's issues can be intimidating. It's important that you find someone who is a good fit for you. When you are ready to explore changes, I'm here to meet you where you're at. I became a therapist after seeing how powerful outside support can be during difficult times. I am ready to work with a variety of client needs, and am experienced in working with trauma, anxiety, depression, relational problems, and social conflict, among other things. I view myself as a directive therapist, and will lead you patiently through determining fit, setting goals, and exploring options to work toward those goals.
Reaching out for help with life's issues can be intimidating. It's important that you find someone who is a good fit for you. When you are ready to explore changes, I'm here to meet you where you're at. I became a therapist after seeing how powerful outside support can be during difficult times. I am ready to work with a variety of client needs, and am experienced in working with trauma, anxiety, depression, relational problems, and social conflict, among other things. I view myself as a directive therapist, and will lead you patiently through determining fit, setting goals, and exploring options to work toward those goals.
(989) 662-1490 View (989) 662-1490
Photo of Amylynn Theisen, MA, LPC, Licensed Professional Counselor
Amylynn Theisen
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, MI 48858
Amylynn enjoys working with adults of all ages, spanning from just entering adulthood to older adults ripe with wisdom. She is a great fit for clients who enjoy a relaxed, friendly environment. Issues may include, but are not limited to anxiety, obsessive compulsive disorder, bi-polar disorder, depression, and trauma. Clients may be seeking self exploration, understanding, relaxation, mindfulness, coping skills, rejuvenation and stress relief. Amylynn also loves working with clients who are interested in having yoga philosophy or movement incorporated into their counseling services.
Amylynn enjoys working with adults of all ages, spanning from just entering adulthood to older adults ripe with wisdom. She is a great fit for clients who enjoy a relaxed, friendly environment. Issues may include, but are not limited to anxiety, obsessive compulsive disorder, bi-polar disorder, depression, and trauma. Clients may be seeking self exploration, understanding, relaxation, mindfulness, coping skills, rejuvenation and stress relief. Amylynn also loves working with clients who are interested in having yoga philosophy or movement incorporated into their counseling services.
(989) 342-2307 View (989) 342-2307
Photo of Kaylee Ott, MA, LLC, Licensed Professional Counselor
Kaylee Ott
Licensed Professional Counselor, MA, LLC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
I believe the purpose of counseling children is to help them empower themselves to make their own choices and have their voices be heard. I have a degree in Licensed Professional Counseling from Central Michigan University, and a bachelor's degree in psychology and child development. After graduation, I found my passion helping children and parents navigate challenges in grief and trauma. I have found that allowing children to be who they are during sessions, allows them to feel safe and secure to express their true emotions.
I believe the purpose of counseling children is to help them empower themselves to make their own choices and have their voices be heard. I have a degree in Licensed Professional Counseling from Central Michigan University, and a bachelor's degree in psychology and child development. After graduation, I found my passion helping children and parents navigate challenges in grief and trauma. I have found that allowing children to be who they are during sessions, allows them to feel safe and secure to express their true emotions.
(989) 850-2009 View (989) 850-2009
Photo of Valerie Austin - Valerie Austin at Willow Oak Counseling Services, LMSW, Clinical Social Work/Therapist
Valerie Austin at Willow Oak Counseling Services
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Val has been honored to serve parents, couples, children, and individuals for over a decade in clinical practice. Her work has been in treating families and children with emotional impairments, attachment-based work around maternal/paternal trauma, maternal depression, and anxiety, and/or other factors that impact relationships in pregnancy, infancy and early childhood, and working with people who need help anchoring to a life worth living that have engaged in self-harm or suicidal ideation. She uses a range of practice tools and knowledge that include active participation, mindfulness practice, and validation in heavy doses.
Val has been honored to serve parents, couples, children, and individuals for over a decade in clinical practice. Her work has been in treating families and children with emotional impairments, attachment-based work around maternal/paternal trauma, maternal depression, and anxiety, and/or other factors that impact relationships in pregnancy, infancy and early childhood, and working with people who need help anchoring to a life worth living that have engaged in self-harm or suicidal ideation. She uses a range of practice tools and knowledge that include active participation, mindfulness practice, and validation in heavy doses.
(989) 533-5553 View (989) 533-5553
Photo of Donal James Dwyer V - Chapters Counseling, LLC, LPC, Counselor
Chapters Counseling, LLC
Counselor, LPC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
I have a lot of experience helping teenagers and adults through therapy focused on trauma. I offer therapy for individuals, couples, and families. I use different approaches, such as cognitive behavioral therapy, dialectical behavioral therapy, motivational interviewing, and EMDR, to ensure the best outcomes.
I have a lot of experience helping teenagers and adults through therapy focused on trauma. I offer therapy for individuals, couples, and families. I use different approaches, such as cognitive behavioral therapy, dialectical behavioral therapy, motivational interviewing, and EMDR, to ensure the best outcomes.
(989) 373-2775 View (989) 373-2775
1

See more therapy options for Mount Pleasant

How does your Therapist compare?

Number of Therapists in Mount Pleasant, MI

90+

Average cost per session

$140

Therapists in Mount Pleasant, MI who prioritize treating:

89% Anxiety
85% Depression
77% Coping Skills
74% Stress
73% Trauma and PTSD
72% Relationship Issues
69% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
83% Aetna
61% Priority Health

How Therapists in Mount Pleasant, MI see their clients

70% In Person and Online
30% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Pleasant?

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.