Therapists in Fulton, MS

Photo of Debbie Pannell, Clinical Social Work/Therapist, LCSW
Debbie Pannell
Clinical Social Work/Therapist, LCSW
Fulton, MS 38843
Starting therapy can feel intimidating, but I believe it does not have to be that way. I have been told by my clients that I am not your typical therapist – I take that as a compliment. I am here to offer you a space where you feel truly heard, understood, and empowered. With a fresh perspective and a warm, outgoing approach I make it my mission to meet you where you are – no judgment, just real conversation and practical tools to help you thrive. If you are looking for something different that works for you, let’s work together to break through the barriers and start building a healthier happier you.
Starting therapy can feel intimidating, but I believe it does not have to be that way. I have been told by my clients that I am not your typical therapist – I take that as a compliment. I am here to offer you a space where you feel truly heard, understood, and empowered. With a fresh perspective and a warm, outgoing approach I make it my mission to meet you where you are – no judgment, just real conversation and practical tools to help you thrive. If you are looking for something different that works for you, let’s work together to break through the barriers and start building a healthier happier you.
(662) 540-8477 View (662) 540-8477
Photo of Melanie Kay Elmore, Licensed Professional Counselor, M Ed, LPC
Melanie Kay Elmore
Licensed Professional Counselor, M Ed, LPC
Serves Area
Since 2013, it has been my honor to walk alongside people on their journey to finding healing and peace. I truly believe in the power of the therapeutic relationship, and it is my goal to create a warm and compassionate space from the very first session. I specialize in working with adults and adolescents facing trauma and anxiety-related concerns, as well as co-occurring issues such as addiction, chronic pain, and mood-related challenges. Additionally, I have extensive experience working with LGBTQIA+ individuals and their families, and I am committed to providing an affirming space for all.
Since 2013, it has been my honor to walk alongside people on their journey to finding healing and peace. I truly believe in the power of the therapeutic relationship, and it is my goal to create a warm and compassionate space from the very first session. I specialize in working with adults and adolescents facing trauma and anxiety-related concerns, as well as co-occurring issues such as addiction, chronic pain, and mood-related challenges. Additionally, I have extensive experience working with LGBTQIA+ individuals and their families, and I am committed to providing an affirming space for all.
(662) 339-4894 View (662) 339-4894
Photo of Jennifer Kendrick, Clinical Social Work/Therapist, LCSW
Jennifer Kendrick
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
I specialize in working with adults navigating trauma, including religious trauma, and concerns related to sexual health and intimacy. I help people move through the hard stuff like anxiety, burnout, and big life changes so they can come home to themselves again. My approach is compassionate, personalized, and grounded in the belief that healing is a collaborative process. I create a safe, affirming space where clients can explore both emotional and sexual well-being without shame or judgment.
I specialize in working with adults navigating trauma, including religious trauma, and concerns related to sexual health and intimacy. I help people move through the hard stuff like anxiety, burnout, and big life changes so they can come home to themselves again. My approach is compassionate, personalized, and grounded in the belief that healing is a collaborative process. I create a safe, affirming space where clients can explore both emotional and sexual well-being without shame or judgment.
(662) 810-4154 View (662) 810-4154
Photo of Holly Ford Palmer, Licensed Professional Counselor, MA, LPC
Holly Ford Palmer
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
Have you found yourself dealing with experiences, thoughts, or emotions that feel out of control or overwhelming? Life is messy on this side of Heaven and you do not have to go through it alone. I believe we were created to be in connection with other people but often our experiences and unhealthy relationships have made that difficult. The support and connection from a skilled therapist can be invaluable when you find yourself in those broken moments. It is my hope that for at least one hour each week, you can come, sip on some coffee or tea and not feel like you have to fix everything on your own.
Have you found yourself dealing with experiences, thoughts, or emotions that feel out of control or overwhelming? Life is messy on this side of Heaven and you do not have to go through it alone. I believe we were created to be in connection with other people but often our experiences and unhealthy relationships have made that difficult. The support and connection from a skilled therapist can be invaluable when you find yourself in those broken moments. It is my hope that for at least one hour each week, you can come, sip on some coffee or tea and not feel like you have to fix everything on your own.
(769) 227-4022 View (769) 227-4022

More Therapists Nearby

Photo of Gretchen Petrie Graff, Licensed Professional Counselor, MA, LPC-S
Gretchen Petrie Graff
Licensed Professional Counselor, MA, LPC-S
10 Endorsed
Serves Area
At Wells Of Life Counseling, LLC we offer Christian Counseling, or as we like to call it, trauma informed soul care, to Louisiana and Mississippi residents. I believe God has called me to help assist and equip the saints in the darkest seasons of life. I have experience in working with adults, and couples covering a range of issues, including but not limited to; trauma, marriage counseling, faith based issues, singleness, post recovery of addiction and more. Often my clients leave feeling hopeful, empowered and encouraged that they are making impactful changes in their mind, body and soul.
At Wells Of Life Counseling, LLC we offer Christian Counseling, or as we like to call it, trauma informed soul care, to Louisiana and Mississippi residents. I believe God has called me to help assist and equip the saints in the darkest seasons of life. I have experience in working with adults, and couples covering a range of issues, including but not limited to; trauma, marriage counseling, faith based issues, singleness, post recovery of addiction and more. Often my clients leave feeling hopeful, empowered and encouraged that they are making impactful changes in their mind, body and soul.
(985) 244-3809 View (985) 244-3809
Photo of Rodney Farrar - Extra Mile Recovery, Licensed Professional Counselor, NCC, CADC-ll, LPC
Extra Mile Recovery
Licensed Professional Counselor, NCC, CADC-ll, LPC
1 Endorsed
Mantachie, MS 38855
Someone that truly wants to change their life and find the path to recovery but they just haven't found the way. Out goal is not to cover the symptoms of an addiction but to find the underlying causes of one. We want to heal from the inside out.
Someone that truly wants to change their life and find the path to recovery but they just haven't found the way. Out goal is not to cover the symptoms of an addiction but to find the underlying causes of one. We want to heal from the inside out.
(662) 246-2553 View (662) 246-2553
Photo of Denease Bishop, Marriage & Family Therapist, LPC-S, LMFT
Denease Bishop
Marriage & Family Therapist, LPC-S, LMFT
2 Endorsed
Serves Area
Welcome - I'm so glad you're here! If you're reading this, you're probably considering making an appointment with someone. Life is too precious to spend it burdened by fear, anxiety, pain, or depression. It's too short to surrender to anger or toxic relationships. It really is possible have peace and joy! I hope you will take a moment (and maybe a deep breath) and reach out. I am mindful of the courage it takes to deal with hard issues head-on, and that's why creating a warm, accepting, nonjudgmental environment is a top priority.
Welcome - I'm so glad you're here! If you're reading this, you're probably considering making an appointment with someone. Life is too precious to spend it burdened by fear, anxiety, pain, or depression. It's too short to surrender to anger or toxic relationships. It really is possible have peace and joy! I hope you will take a moment (and maybe a deep breath) and reach out. I am mindful of the courage it takes to deal with hard issues head-on, and that's why creating a warm, accepting, nonjudgmental environment is a top priority.
(662) 727-4122 View (662) 727-4122
Photo of Carrie A Carr - Hope Enrichment Center Corinth, Licensed Professional Counselor, LPC
Hope Enrichment Center Corinth
Licensed Professional Counselor, LPC
3 Endorsed
Serves Area
Hope Enrichment Center strives to inspire positive change in the lives of those they serve. We have assembled a caring, compassionate and competent staff of qualified mental health professional that specialize in a variety of populations, age groups, and clinical concerns. Our mission is to work along side our clients in guiding them towards their desired goals for health and healing. We look forward to serving you and the community of Alcorn County!
Hope Enrichment Center strives to inspire positive change in the lives of those they serve. We have assembled a caring, compassionate and competent staff of qualified mental health professional that specialize in a variety of populations, age groups, and clinical concerns. Our mission is to work along side our clients in guiding them towards their desired goals for health and healing. We look forward to serving you and the community of Alcorn County!
(662) 807-6197 View (662) 807-6197
Photo of Talia Webster, Pre-Licensed Professional, BA
Talia Webster
Pre-Licensed Professional, BA
1 Endorsed
Tupelo, MS 38804
Life can feel overwhelming—whether you're an adult navigating daily stress, a teen facing emotional challenges, or a couple working through relationship struggles. Counseling offers a safe, supportive space to gain clarity, heal, and grow. As a Christian counselor, my goal is to serve with compassion and care, helping you uncover tools and insights that align with your values. Whether you're seeking to strengthen your relationships, improve your emotional well-being, or simply feel more like yourself again, I’m here to support you.
Life can feel overwhelming—whether you're an adult navigating daily stress, a teen facing emotional challenges, or a couple working through relationship struggles. Counseling offers a safe, supportive space to gain clarity, heal, and grow. As a Christian counselor, my goal is to serve with compassion and care, helping you uncover tools and insights that align with your values. Whether you're seeking to strengthen your relationships, improve your emotional well-being, or simply feel more like yourself again, I’m here to support you.
(662) 508-3389 View (662) 508-3389
Photo of Dr. Selena K Jones, Clinical Social Work/Therapist, LCSW
Dr. Selena K Jones
Clinical Social Work/Therapist, LCSW
Online Only
Life’s challenges can feel overwhelming, whether you’re navigating anxiety, past trauma, life transitions, or emotional struggles. If you’re feeling stuck, alone, or uncertain about your next steps, you don’t have to face it alone. I offer a warm, compassionate space where you can explore your thoughts, build resilience, and move forward with confidence.
Life’s challenges can feel overwhelming, whether you’re navigating anxiety, past trauma, life transitions, or emotional struggles. If you’re feeling stuck, alone, or uncertain about your next steps, you don’t have to face it alone. I offer a warm, compassionate space where you can explore your thoughts, build resilience, and move forward with confidence.
(601) 228-6155 View (601) 228-6155
Photo of Adreanne Pugh, Licensed Professional Counselor, LPC, NCC, CCMHC
Adreanne Pugh
Licensed Professional Counselor, LPC, NCC, CCMHC
2 Endorsed
Serves Area
You don’t have to suffer in silence. “True compassion means not only feeling another’s pain but also being moved to help relieve it.”-Daniel Goleman. Does life feel too overwhelming? Are you contemplating on giving up? Are you struggling to find the motivation that you need to keep going? I am here to help you navigate through any life challenges that you are facing. You are not alone.
You don’t have to suffer in silence. “True compassion means not only feeling another’s pain but also being moved to help relieve it.”-Daniel Goleman. Does life feel too overwhelming? Are you contemplating on giving up? Are you struggling to find the motivation that you need to keep going? I am here to help you navigate through any life challenges that you are facing. You are not alone.
(662) 262-5600 View (662) 262-5600
Photo of Anne Carlew, Psychologist, PhD
Anne Carlew
Psychologist, PhD
Serves Area
Clients typically find me because they have noticed changes in their (or their loved one's) memory, focus, or word-finding and are unsure why. They may worry about dementia, ADHD, or how a medical condition like MS or Parkinson’s is affecting their thinking. They want answers, clarity, and a path forward. They’re looking for insight into what’s happening and what can be done—whether it’s for treatment, school or work support, or peace of mind for themselves and their families.
Clients typically find me because they have noticed changes in their (or their loved one's) memory, focus, or word-finding and are unsure why. They may worry about dementia, ADHD, or how a medical condition like MS or Parkinson’s is affecting their thinking. They want answers, clarity, and a path forward. They’re looking for insight into what’s happening and what can be done—whether it’s for treatment, school or work support, or peace of mind for themselves and their families.
(601) 803-8099 View (601) 803-8099
Photo of Kelly W Ferguson - Fair Park Counseling: Kelly W. Ferguson, LPC, SAP, Counselor, MA, LPC, SAP
Fair Park Counseling: Kelly W. Ferguson, LPC provides Professional Counseling Services to Individuals, Couples, and Families who are experiencing Anxiety, Depression, and Family conflict. DOT SAP Assessments are provided, also. 30+ years of experience. We are committed to working with couples who want to improve their relationship-identify destructive patterns, improve communication, and find win/win solutions.
Fair Park Counseling: Kelly W. Ferguson, LPC provides Professional Counseling Services to Individuals, Couples, and Families who are experiencing Anxiety, Depression, and Family conflict. DOT SAP Assessments are provided, also. 30+ years of experience. We are committed to working with couples who want to improve their relationship-identify destructive patterns, improve communication, and find win/win solutions.
(662) 576-1290 View (662) 576-1290
Photo of Colby Cuevas, Licensed Professional Counselor, LPC
Colby Cuevas
Licensed Professional Counselor, LPC
Tupelo, MS 38804
Just as the chrysalis holds the quiet mystery of metamorphosis, Chrysalis Therapy & Counseling is a place where change is nurtured in safety & stillness. Whether you're navigating grief, anxiety, trauma, or the complexities of life’s transitions, our work together honors the deep process of becoming—becoming whole, becoming free, becoming more fully yourself. Here, healing is not rushed. It unfolds with care, guided by the belief that within every struggle lies the seed of growth. I will walk alongside you with compassion, helping you reconnect to your inner wisdom, embrace your story, & move forward with renewed hope.
Just as the chrysalis holds the quiet mystery of metamorphosis, Chrysalis Therapy & Counseling is a place where change is nurtured in safety & stillness. Whether you're navigating grief, anxiety, trauma, or the complexities of life’s transitions, our work together honors the deep process of becoming—becoming whole, becoming free, becoming more fully yourself. Here, healing is not rushed. It unfolds with care, guided by the belief that within every struggle lies the seed of growth. I will walk alongside you with compassion, helping you reconnect to your inner wisdom, embrace your story, & move forward with renewed hope.
(662) 262-5957 View (662) 262-5957
Photo of Forrest Logan Crumby, Clinical Social Work/Therapist, Forrest, Crumby, LMSW
Forrest Logan Crumby
Clinical Social Work/Therapist, Forrest, Crumby, LMSW
Online Only
As a motivated and dedicated clinician with nearly 10 years of experience, I have been privileged to work alongside individuals as they navigate their unique journey toward healing. I firmly believe that our role as clinicians is not to "fix" problems, but rather to be a guiding light in the darkness, providing support and companionship to those who are struggling. I see my work as a partnership, where I help individuals uncover there strengths and find their own paths to recovery.
As a motivated and dedicated clinician with nearly 10 years of experience, I have been privileged to work alongside individuals as they navigate their unique journey toward healing. I firmly believe that our role as clinicians is not to "fix" problems, but rather to be a guiding light in the darkness, providing support and companionship to those who are struggling. I see my work as a partnership, where I help individuals uncover there strengths and find their own paths to recovery.
(662) 502-5982 View (662) 502-5982
Photo of Melanie Walsh - Clear Leaf Therapy, Licensed Professional Counselor, LPC, MHSP
Clear Leaf Therapy
Licensed Professional Counselor, LPC, MHSP
Online Only
Our clinicians work to expand mental health service options for marginalized communities through cultivating spaces that honor personal truths. We provide equitable services that are tailored to your individual needs & circumstances. Our values & ethics are rooted in feminist principles, sex & body positivity, & trauma-focus. We view therapy as a mutual process where we all learn & grow together. Our clinicians are affirming of experiences & worldviews shaped by race, LGBTQ+ identity, & disability in society. We routinely treat depression & anxiety, grief, neurodivergence, chronic illness, relationships, family issues, & addiction.
Our clinicians work to expand mental health service options for marginalized communities through cultivating spaces that honor personal truths. We provide equitable services that are tailored to your individual needs & circumstances. Our values & ethics are rooted in feminist principles, sex & body positivity, & trauma-focus. We view therapy as a mutual process where we all learn & grow together. Our clinicians are affirming of experiences & worldviews shaped by race, LGBTQ+ identity, & disability in society. We routinely treat depression & anxiety, grief, neurodivergence, chronic illness, relationships, family issues, & addiction.
(423) 436-5869 View (423) 436-5869
Photo of Shelley Young Jones, Clinical Social Work/Therapist, LICSW, LCSW
Shelley Young Jones
Clinical Social Work/Therapist, LICSW, LCSW
1 Endorsed
Tupelo, MS 38804
I am a 2001 graduate from The University of Alabama holding a Masters of Social Work with 21 years of experience working within community mental health and private settings. I am licensed to practice clinical social work in multiple states to include Alabama, Mississippi, Oklahoma, Tennessee, Texas, Ohio, and Maryland.
I am a 2001 graduate from The University of Alabama holding a Masters of Social Work with 21 years of experience working within community mental health and private settings. I am licensed to practice clinical social work in multiple states to include Alabama, Mississippi, Oklahoma, Tennessee, Texas, Ohio, and Maryland.
(662) 723-3924 View (662) 723-3924
Photo of Ellen Marie Frison, Clinical Social Work/Therapist, LCSW
Ellen Marie Frison
Clinical Social Work/Therapist, LCSW
2 Endorsed
Saltillo, MS 38866
Waitlist for new clients
Marie Frison, owner and lead clinician of Hearts of Healing Therapies, LLC, brings over 16 years of experience walking alongside individuals as they navigate a path to healing. Marie is passionate about helping clients ages 10 and up find healing and hope through evidence-based, compassionate care. Her specialties include trauma recovery, PTSD, depression, generalized anxiety, panic attacks, excessive worry, and grief and loss. Marie is Certified in Eye Movement Desensitization and Reprocessing (EMDR) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). She is also a Certified Clinical Anxiety Treatment Professional (CCATP).
Marie Frison, owner and lead clinician of Hearts of Healing Therapies, LLC, brings over 16 years of experience walking alongside individuals as they navigate a path to healing. Marie is passionate about helping clients ages 10 and up find healing and hope through evidence-based, compassionate care. Her specialties include trauma recovery, PTSD, depression, generalized anxiety, panic attacks, excessive worry, and grief and loss. Marie is Certified in Eye Movement Desensitization and Reprocessing (EMDR) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). She is also a Certified Clinical Anxiety Treatment Professional (CCATP).
(662) 214-9299 View (662) 214-9299
Photo of April Bailye - April Bailye Counseling (ABC) , Clinical Social Work/Therapist, LCSW
April Bailye Counseling (ABC)
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
If you're an individual looking for a therapist that is going to listen to understand while also helping you figure out causes and solutions to your struggles, then you have found the right therapist! I specialize in trauma and work with grief, anxiety, depression, self-esteem, and relationship issues. I'm also well versed in helping adults with ADHD. If you're seeking couples therapy because you're in a relationship that once was good and now is filled with hurt, fighting, misunderstanding, or loneliness, I know how to help. There is hope, and I will give you the tools you need to rebuild a happy and healthy relationship.
If you're an individual looking for a therapist that is going to listen to understand while also helping you figure out causes and solutions to your struggles, then you have found the right therapist! I specialize in trauma and work with grief, anxiety, depression, self-esteem, and relationship issues. I'm also well versed in helping adults with ADHD. If you're seeking couples therapy because you're in a relationship that once was good and now is filled with hurt, fighting, misunderstanding, or loneliness, I know how to help. There is hope, and I will give you the tools you need to rebuild a happy and healthy relationship.
(470) 837-2262 View (470) 837-2262
Photo of Tyler F. Stacy, Licensed Professional Counselor, MA, LPC
Tyler F. Stacy
Licensed Professional Counselor, MA, LPC
3 Endorsed
Serves Area
I love Mississippi and I love meeting the people who live here. I believe everyone has a story and I consider it an honor to be in a position to hear those stories. I come from a Christian perspective and the interventions I use are congruent with my beliefs and values. The primary interventions I use are from Cognitive Behavioral Therapy, Emotionally Focused Therapy, Eye Movement Desensitization Reprocessing (EMDR), and other proven family therapy models. I do not impose my personal beliefs and values onto my clients. This process is about you, not me.
I love Mississippi and I love meeting the people who live here. I believe everyone has a story and I consider it an honor to be in a position to hear those stories. I come from a Christian perspective and the interventions I use are congruent with my beliefs and values. The primary interventions I use are from Cognitive Behavioral Therapy, Emotionally Focused Therapy, Eye Movement Desensitization Reprocessing (EMDR), and other proven family therapy models. I do not impose my personal beliefs and values onto my clients. This process is about you, not me.
(769) 222-4034 View (769) 222-4034

See more therapy options for Fulton

How does your Therapist compare?

Number of Therapists in Fulton, MS

< 10

Therapists in Fulton, MS who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Self Esteem
100% Women's Issues
100% Stress
75% Bipolar Disorder

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
50% Aetna
25% Cigna and Evernorth

How Therapists in Fulton, MS see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Fulton?

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.