Therapists in Rosebud, MO

Photo of Courtney Kempker, LPC, Licensed Professional Counselor
Courtney Kempker
Licensed Professional Counselor, LPC
Verified Verified
Rosebud, MO 63091  (Online Only)
Do you have struggles in relationships or have a trauma history that is still impacting you? I can help you to break out of unhealthy patterns and cope and integrate negative experiences in positive ways. I can help clients to have healthier relationships, a stronger sense of self, better ways to cope with and manage symptoms, and to resolve unprocessed trauma. Achieving these goals means experiencing a higher quality of life. My ideal client is also able to be open minded in exploring their emotions in psychosomatic ways through interventions like brain spotting.
Do you have struggles in relationships or have a trauma history that is still impacting you? I can help you to break out of unhealthy patterns and cope and integrate negative experiences in positive ways. I can help clients to have healthier relationships, a stronger sense of self, better ways to cope with and manage symptoms, and to resolve unprocessed trauma. Achieving these goals means experiencing a higher quality of life. My ideal client is also able to be open minded in exploring their emotions in psychosomatic ways through interventions like brain spotting.
(314) 834-6372 View (314) 834-6372
Photo of Patrick Cleveland, LMFT, LPC, Licensed Professional Counselor
Patrick Cleveland
Licensed Professional Counselor, LMFT, LPC
Verified Verified
Rosebud, MO 63091  (Online Only)
He is currently working to complete the Licensed Addiction Counselor Credential. He accepts in-person and on-line clients. He is a Licensed Professional Counselor in Colorado and Missouri, a Licensed Marriage and Family Therapist in Colorado and Michigan, and a Licensed Professional Clinical Mental Health Counselor in New Mexico. He has 21 years of experience counseling children, adolescents and adults. He has extensive training in communication skills for couples. He uses solution-focused treatment, cognitive behavioral therapy and motivational interviewing. He speaks English.
He is currently working to complete the Licensed Addiction Counselor Credential. He accepts in-person and on-line clients. He is a Licensed Professional Counselor in Colorado and Missouri, a Licensed Marriage and Family Therapist in Colorado and Michigan, and a Licensed Professional Clinical Mental Health Counselor in New Mexico. He has 21 years of experience counseling children, adolescents and adults. He has extensive training in communication skills for couples. He uses solution-focused treatment, cognitive behavioral therapy and motivational interviewing. He speaks English.
(314) 912-0629 View (314) 912-0629
Photo of Deedra Ivie, LPC, Licensed Professional Counselor
Deedra Ivie
Licensed Professional Counselor, LPC
Verified Verified
Rosebud, MO 63091  (Online Only)
Greetings! If you're seeking support to uncover the strength that lies within you and find peace amidst life's challenges, you're in the right place. You recognize that each person's journey is unique, shaped by their past experiences and current circumstances, and you're eager to explore your own path towards progress and healing. You value a therapist who takes the time to understand your individual needs and works collaboratively with you to achieve your goals.
Greetings! If you're seeking support to uncover the strength that lies within you and find peace amidst life's challenges, you're in the right place. You recognize that each person's journey is unique, shaped by their past experiences and current circumstances, and you're eager to explore your own path towards progress and healing. You value a therapist who takes the time to understand your individual needs and works collaboratively with you to achieve your goals.
(314) 936-3244 View (314) 936-3244

More Therapists Nearby

Photo of Ashley Kopp, MSW, LCSW, Clinical Social Work/Therapist
Ashley Kopp
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Owensville, MO 65066
Hi, I’m Ashley! As a former athlete and life long runner, I have always been very passionate about women’s health and overall wellness. I was drawn to this work after my own experiences as a young woman and now mother and wife. I truly love working with women of all ages, who are ready to make a positive lifestyle change to physical, mental and emotional health and wellness. I love spending time with my family and friends, being outside, listening to music, and cheering on my boys sports events. I am passionate about living a happy, healthy lifestyle and helping others to live one too!
Hi, I’m Ashley! As a former athlete and life long runner, I have always been very passionate about women’s health and overall wellness. I was drawn to this work after my own experiences as a young woman and now mother and wife. I truly love working with women of all ages, who are ready to make a positive lifestyle change to physical, mental and emotional health and wellness. I love spending time with my family and friends, being outside, listening to music, and cheering on my boys sports events. I am passionate about living a happy, healthy lifestyle and helping others to live one too!
(636) 241-9608 View (636) 241-9608
Photo of Emily Hansen, LPC , Licensed Professional Counselor
Emily Hansen
Licensed Professional Counselor, LPC
Verified Verified
Owensville, MO 65066  (Online Only)
Along with being a Licensed Professional Counselor, I have been a Professional School Counselor for 14 years. I have experience working with school aged children all the way to late adulthood. My approach seems to work very well with a variety of life challenges, especially anxiety, depression, grief and loss, stress, and life transitions.
Along with being a Licensed Professional Counselor, I have been a Professional School Counselor for 14 years. I have experience working with school aged children all the way to late adulthood. My approach seems to work very well with a variety of life challenges, especially anxiety, depression, grief and loss, stress, and life transitions.
(636) 556-6931 View (636) 556-6931
Photo of Michelle Glenda Boatman, LPC, MA, Licensed Professional Counselor
Michelle Glenda Boatman
Licensed Professional Counselor, LPC, MA
Verified Verified
Owensville, MO 65066  (Online Only)
I love working with people who want to improve their day to day life. To work on their goals that help them manage their lives. My goal is to Aspire Change!
I love working with people who want to improve their day to day life. To work on their goals that help them manage their lives. My goal is to Aspire Change!
(573) 250-4159 View (573) 250-4159
Photo of Darlene Wilson, LPC, Licensed Professional Counselor
Darlene Wilson
Licensed Professional Counselor, LPC
Verified Verified
Gerald, MO 63037  (Online Only)
Hello. I am Darlene Wilson. I am a Licensed Professional Counselor. My therapeutic approach is individualized to meet the needs of clients. I have worked with children, adolescents and adults. This included individual and family therapy. I use an assortment of therapy techniques based on the need of the client. The most common is Cognitive Behavioral Therapy. CBT can be used to treat a variety of issues. As an LPC, I have worked with children, adolescents, and adults. Most of the clients I have worked with are adolescents who are dealing with anxiety, depression, grief, self-esteem issues, or trauma.
Hello. I am Darlene Wilson. I am a Licensed Professional Counselor. My therapeutic approach is individualized to meet the needs of clients. I have worked with children, adolescents and adults. This included individual and family therapy. I use an assortment of therapy techniques based on the need of the client. The most common is Cognitive Behavioral Therapy. CBT can be used to treat a variety of issues. As an LPC, I have worked with children, adolescents, and adults. Most of the clients I have worked with are adolescents who are dealing with anxiety, depression, grief, self-esteem issues, or trauma.
(323) 643-8569 View (323) 643-8569

Online Therapists

Photo of Nicole Rae Buesse, MA, LPC, Licensed Professional Counselor
Nicole Rae Buesse
Licensed Professional Counselor, MA, LPC
Verified Verified
Wildwood, MO 63040
The first step to change is deciding you are ready. Life is beautiful, but it can also be hard. If things feel out of control, you aren't reaching your goals, or you simply need someone to talk to, therapy might be for you. In my practice, I aspire to help each of my clients better understand their struggles, set goals, and begin the often difficult work of growth through an eclectic, client-centered approach that focuses on strengths and solutions and incorporates elements of Cognitive Behavioral Therapy.
The first step to change is deciding you are ready. Life is beautiful, but it can also be hard. If things feel out of control, you aren't reaching your goals, or you simply need someone to talk to, therapy might be for you. In my practice, I aspire to help each of my clients better understand their struggles, set goals, and begin the often difficult work of growth through an eclectic, client-centered approach that focuses on strengths and solutions and incorporates elements of Cognitive Behavioral Therapy.
(636) 238-2627 View (636) 238-2627
Photo of Erin Phoenix, MA, LPC, Licensed Professional Counselor
Erin Phoenix
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Webster Groves, MO 63119
It might be time for you to focus on your healing if you are overwhelmed by your emotions or struggle with triggers. Therapy allows you to unpack yourself. Together, we will heal the wounds from the past to create change in current relationships with kids, your partner, friends, co-workers, and family. My clients are unsatisfied and want to dive deeper into themselves. I offer a safe, trusting relationship so clients can be vulnerable and look inward. During our sessions, I will challenge you to get curious about yourself; by doing that, you will show up within your relationships more connected, authentic, and regulated.
It might be time for you to focus on your healing if you are overwhelmed by your emotions or struggle with triggers. Therapy allows you to unpack yourself. Together, we will heal the wounds from the past to create change in current relationships with kids, your partner, friends, co-workers, and family. My clients are unsatisfied and want to dive deeper into themselves. I offer a safe, trusting relationship so clients can be vulnerable and look inward. During our sessions, I will challenge you to get curious about yourself; by doing that, you will show up within your relationships more connected, authentic, and regulated.
(314) 949-5770 View (314) 949-5770
Photo of Bruce C Miller, LCSW, Clinical Social Work/Therapist
Bruce C Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63125
I'm open to helping all clients of all problems, issues, and temperaments. I tend to prioritize by engaging and building rapport. I utilized a great deal of listening, reflecting and understanding a person's issues and problems. From there we collaborate in exploring and identifying the problem(s) that are creating the stress, anxiety, sadness depression and other emotions. An ideal client is anyone that seeks help; someone who is open to seeking positive change or at least contemplating needing to change
I'm open to helping all clients of all problems, issues, and temperaments. I tend to prioritize by engaging and building rapport. I utilized a great deal of listening, reflecting and understanding a person's issues and problems. From there we collaborate in exploring and identifying the problem(s) that are creating the stress, anxiety, sadness depression and other emotions. An ideal client is anyone that seeks help; someone who is open to seeking positive change or at least contemplating needing to change
(314) 648-2938 View (314) 648-2938
Photo of Tiffany J Walehwa, MA, LPC, Licensed Professional Counselor
Tiffany J Walehwa
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63105
I am trauma-informed therapist that has experience working with a diverse population that includes children, adolescents and adults. Dedicated to creating an inclusive environment, I continue my training throughout the year to effectively serve marginalized communities, including those related to the LGBTQIA community. Born and raised in St. Louis City, I am aware of some of the treasures and challenges that come from living in the area. However, I remain committed to serving the systemic issues that face the clientele in other states, including California and Texas. I strive to provide a safe, client-focused environment.
I am trauma-informed therapist that has experience working with a diverse population that includes children, adolescents and adults. Dedicated to creating an inclusive environment, I continue my training throughout the year to effectively serve marginalized communities, including those related to the LGBTQIA community. Born and raised in St. Louis City, I am aware of some of the treasures and challenges that come from living in the area. However, I remain committed to serving the systemic issues that face the clientele in other states, including California and Texas. I strive to provide a safe, client-focused environment.
(314) 701-7058 View (314) 701-7058
Photo of Laura Cook - Laura Cook , LPC, Counselor
Laura Cook
Counselor, LPC
Verified Verified
3 Endorsed
Ellisville, MO 63021
Mental health therapy is able to help you in many aspects of your life. Some of those aspects might be life transitions, anxiety, depression, past trauma, and relationship issues. In the presence of a trusted therapist, you are able to discuss what might be keeping you from leading a more contented, peaceful life while working to form a deeper understanding of yourself. In therapy, we will discuss self-talk, mind-body connections, and patterns that are prevalent in your life. We will also explore past trauma that might be manifesting itself in symptoms such as anxiety and depression.
Mental health therapy is able to help you in many aspects of your life. Some of those aspects might be life transitions, anxiety, depression, past trauma, and relationship issues. In the presence of a trusted therapist, you are able to discuss what might be keeping you from leading a more contented, peaceful life while working to form a deeper understanding of yourself. In therapy, we will discuss self-talk, mind-body connections, and patterns that are prevalent in your life. We will also explore past trauma that might be manifesting itself in symptoms such as anxiety and depression.
(636) 228-6460 View (636) 228-6460
Photo of Sara Johnson-Cardona, LCSW, Clinical Social Work/Therapist
Sara Johnson-Cardona
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Saint Louis, MO 63117  (Online Only)
No matter how hard you try, you feel like you aren't good enough. You are trying so hard to figure out how to make everything fall into place, but you just can’t find the solution. You try to be everything to everyone, but there is a part of you that knows this really isn’t working. You are scared there might be something wrong with you. You are ready for relief; you just really want life to feel easier. Yet, you aren’t sure if that is possible, or how others would react if you did change. You learned this way of being because you had to.
No matter how hard you try, you feel like you aren't good enough. You are trying so hard to figure out how to make everything fall into place, but you just can’t find the solution. You try to be everything to everyone, but there is a part of you that knows this really isn’t working. You are scared there might be something wrong with you. You are ready for relief; you just really want life to feel easier. Yet, you aren’t sure if that is possible, or how others would react if you did change. You learned this way of being because you had to.
(314) 526-0327 View (314) 526-0327
Photo of Melissa V Taylor, MA, LPC, Licensed Professional Counselor
Melissa V Taylor
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
If early morning sessions would help for scheduling, I have those available. I help people to work through things that may be getting in the way of what they want for their life. My hope for everyone is that they find more peace, strength, and joy in life. I have a passion for working with lesbian, gay, queer, and transgender populations.
If early morning sessions would help for scheduling, I have those available. I help people to work through things that may be getting in the way of what they want for their life. My hope for everyone is that they find more peace, strength, and joy in life. I have a passion for working with lesbian, gay, queer, and transgender populations.
(314) 485-4767 View (314) 485-4767
Photo of Courtney Cox, ATR, LPC, Licensed Professional Counselor
Courtney Cox
Licensed Professional Counselor, ATR, LPC
Verified Verified
Saint Charles, MO 63303
Are you looking for an art therapist in Saint Charles County? Do you ever struggle to find the words to fully express yourself? I'm here to help. Hi! I’m Courtney, a Licensed Professional Counselor (LPC) and Art Therapist. I work with individuals ages 6 and up to find their voice, inner strengths, and make powerful changes. Here, you can freely express yourself and navigate your inner world in a supportive and inspiring environment.
Are you looking for an art therapist in Saint Charles County? Do you ever struggle to find the words to fully express yourself? I'm here to help. Hi! I’m Courtney, a Licensed Professional Counselor (LPC) and Art Therapist. I work with individuals ages 6 and up to find their voice, inner strengths, and make powerful changes. Here, you can freely express yourself and navigate your inner world in a supportive and inspiring environment.
(636) 339-3633 View (636) 339-3633
Photo of Julie Maples, LCSW, Clinical Social Work/Therapist
Julie Maples
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63131  (Online Only)
Hi! I’m Julie. Can we first take a moment to celebrate the fact that you are on this website right now? Seriously, congratulations! Searching for a therapist is no easy feat, my friend. It’s awesome that you are here taking the first step to work through some of life’s challenges. Life is hard enough; you don’t have to do it alone. So, let’s see if we’d be a good fit for each other! Some of my greatest joys in life include puppies, coffee, and, most importantly, seeing my clients have the breakthroughs they are looking for and freedom from the things that hold them back or hurt them.
Hi! I’m Julie. Can we first take a moment to celebrate the fact that you are on this website right now? Seriously, congratulations! Searching for a therapist is no easy feat, my friend. It’s awesome that you are here taking the first step to work through some of life’s challenges. Life is hard enough; you don’t have to do it alone. So, let’s see if we’d be a good fit for each other! Some of my greatest joys in life include puppies, coffee, and, most importantly, seeing my clients have the breakthroughs they are looking for and freedom from the things that hold them back or hurt them.
(636) 206-7860 View (636) 206-7860
Photo of Heather Barker, MEd, LPC, Licensed Professional Counselor
Heather Barker
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63105
Waitlist for new clients
As a licensed professional counselor, I bring 18 years of clinical experience to my private practice and use a variety of treatment modalities to help clients navigate a wide range of issues including stress, anxiety, depression, grief and relationship problems. I believe that relationships are central to our well-being and am passionate about working with all of the individual pieces of a family – children, teens, parents, couples – and the family unit itself. On a personal level, I bring unconditional acceptance, an emphasis on grace for self and others, and genuine compassion to each one of my clients.
As a licensed professional counselor, I bring 18 years of clinical experience to my private practice and use a variety of treatment modalities to help clients navigate a wide range of issues including stress, anxiety, depression, grief and relationship problems. I believe that relationships are central to our well-being and am passionate about working with all of the individual pieces of a family – children, teens, parents, couples – and the family unit itself. On a personal level, I bring unconditional acceptance, an emphasis on grace for self and others, and genuine compassion to each one of my clients.
(314) 858-5163 View (314) 858-5163
Photo of Taylor Jacks, MA, CIT, Pre-Licensed Professional
Taylor Jacks
Pre-Licensed Professional, MA, CIT
Verified Verified
3 Endorsed
Saint Louis, MO 63129
So much of life involves experiencing pivotal moments that attempt to define our stories and our personhood. These moments can range from powerful and beautiful to crushing and discouraging, but it is those painful encounters that can leave us feeling confused, angry, and grieved. Whether you are dealing with struggles in the present, grappling with trials from your past, or just looking for a safe space to process and grow, you are more than the pain you have endured, and healing. is. possible. If this story feels all too familiar for you, I understand, and I am glad you are here.
So much of life involves experiencing pivotal moments that attempt to define our stories and our personhood. These moments can range from powerful and beautiful to crushing and discouraging, but it is those painful encounters that can leave us feeling confused, angry, and grieved. Whether you are dealing with struggles in the present, grappling with trials from your past, or just looking for a safe space to process and grow, you are more than the pain you have endured, and healing. is. possible. If this story feels all too familiar for you, I understand, and I am glad you are here.
(314) 350-8131 View (314) 350-8131
Photo of Ginny Kappel, MA, LPC, NCC, Coach, Licensed Professional Counselor
Ginny Kappel
Licensed Professional Counselor, MA, LPC, NCC, Coach
Verified Verified
1 Endorsed
Ballwin, MO 63011
Most of my clients come for therapy and stay for the coaching support. My "typical" or ideal client is often someone that feels stuck or overwhelmed. Sometimes these are feelings of anxiety or unmanageable stress. My clients are self-sufficient, high-functioning, and in many cases, people pleasers. Clients that want more out of life and don't know where to start. I specialize in anxiety disorders and absolutely love watching people begin to live the life they desire! Aside from traditional therapy, I offer coaching services. I'm passionate about helping others achieve their health and wellness goals. I hope we can work together!
Most of my clients come for therapy and stay for the coaching support. My "typical" or ideal client is often someone that feels stuck or overwhelmed. Sometimes these are feelings of anxiety or unmanageable stress. My clients are self-sufficient, high-functioning, and in many cases, people pleasers. Clients that want more out of life and don't know where to start. I specialize in anxiety disorders and absolutely love watching people begin to live the life they desire! Aside from traditional therapy, I offer coaching services. I'm passionate about helping others achieve their health and wellness goals. I hope we can work together!
(314) 403-2960 View (314) 403-2960
Photo of Deborah S Scallorn, MA, LPC, EMDR, Licensed Professional Counselor
Deborah S Scallorn
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
2 Endorsed
Ellisville, MO 63011
Please consider allowing me to help guide you to live your life to the fullest, to live the life you have always wanted, to become all you are meant to be. Do you find that joy and happiness are missing from your life? Are negative beliefs holding you back from living the life you truly want? You do not have to live like this any longer. Let me help you discover your true potential and awaken to the life you have always imagined. A life with more happiness, joy and gratitude.
Please consider allowing me to help guide you to live your life to the fullest, to live the life you have always wanted, to become all you are meant to be. Do you find that joy and happiness are missing from your life? Are negative beliefs holding you back from living the life you truly want? You do not have to live like this any longer. Let me help you discover your true potential and awaken to the life you have always imagined. A life with more happiness, joy and gratitude.
(636) 779-3820 View (636) 779-3820

See more therapy options for Rosebud

How does your Therapist compare?

Number of Therapists in Rosebud, MO

< 10

Therapists in Rosebud, MO who prioritize treating:

100% Depression
100% Anxiety
100% Stress
100% Life Transitions
67% Spirituality
67% Trauma and PTSD
33% ADHD

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Rosebud, MO see their clients

100% Online Only
FAQs - About Therapy and Counseling

How can I find a therapist in Rosebud?

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.