Therapists in Burke County, NC

View cities in Burke County
Photo of Jeff Hunsucker, Clinical Social Work/Therapist, LCSW, LCAS, CCS, NCCPSS
Jeff Hunsucker
Clinical Social Work/Therapist, LCSW, LCAS, CCS, NCCPSS
Online Only
If you are seeking healing and wellness from addiction and/or other mental health struggles, I'm here to assist. I believe each person inherently possesses many strengths and tools necessary to overcome life's challenges. My clients are often seeking to enter and maintain recovery from mental health and/or addictive struggles.
If you are seeking healing and wellness from addiction and/or other mental health struggles, I'm here to assist. I believe each person inherently possesses many strengths and tools necessary to overcome life's challenges. My clients are often seeking to enter and maintain recovery from mental health and/or addictive struggles.
(828) 519-4887 View (828) 519-4887
Photo of Mariana R Glass, Licensed Professional Counselor, MA, LCMHC
Mariana R Glass
Licensed Professional Counselor, MA, LCMHC
Morganton, NC 28655
I offer professional counseling services from a Christian perspective. I work with adults 18+ years of age, and enjoy the collaborative process of working together. This work includes developing a trusting relationship, exploring interests and concerns, and identifying goals and strategies for these areas. The work of counseling can be deeply meaningful, healing, and liberating as we invest together in the process.
I offer professional counseling services from a Christian perspective. I work with adults 18+ years of age, and enjoy the collaborative process of working together. This work includes developing a trusting relationship, exploring interests and concerns, and identifying goals and strategies for these areas. The work of counseling can be deeply meaningful, healing, and liberating as we invest together in the process.
(828) 523-8695 View (828) 523-8695
Photo of Shelley Haney, Pastoral Counselor, BS, BCCC
Shelley Haney
Pastoral Counselor, BS, BCCC
2 Endorsed
Online Only
My life experiences and personal testimony is evidence of God's ability to restore and redeem. My journey in becoming a counselor has given me an understanding for the need to see others through God's perspective, a holistic view in providing care and compassion, while ministering to individuals using various resources and methods. No one person or situation is alike. The uniqueness to your story requires personal insight while allowing the Holy Spirit to heal the inner person. I use biblically based teaching intertwined with psychological tools, to minister to the entire person: mind, body, spirit, soul. (Ephesians 3:14-21)
My life experiences and personal testimony is evidence of God's ability to restore and redeem. My journey in becoming a counselor has given me an understanding for the need to see others through God's perspective, a holistic view in providing care and compassion, while ministering to individuals using various resources and methods. No one person or situation is alike. The uniqueness to your story requires personal insight while allowing the Holy Spirit to heal the inner person. I use biblically based teaching intertwined with psychological tools, to minister to the entire person: mind, body, spirit, soul. (Ephesians 3:14-21)
(828) 949-1267 View (828) 949-1267
Photo of Araby Boykin, Licensed Professional Counselor, LCMHC
Araby Boykin
Licensed Professional Counselor, LCMHC
Online Only
Hello! I’ve worked as a licensed counselor since 2017, with previous experience as a social worker. My focus is working with adults who have experienced trauma, anxiety, depressive symptoms, relational difficulties, family issues, substance use, and severe mental illnesses. My theoretical orientation is an integration of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution Focused Behavioral Therapy (SFBT), Motivational Interviewing (MI), and Mindfulness. I have learned that no two people are the same and that everyone must be treated individually and holistically.
Hello! I’ve worked as a licensed counselor since 2017, with previous experience as a social worker. My focus is working with adults who have experienced trauma, anxiety, depressive symptoms, relational difficulties, family issues, substance use, and severe mental illnesses. My theoretical orientation is an integration of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution Focused Behavioral Therapy (SFBT), Motivational Interviewing (MI), and Mindfulness. I have learned that no two people are the same and that everyone must be treated individually and holistically.
(336) 652-3497 View (336) 652-3497
Photo of Tami Grossens, Clinical Social Work/Therapist, LCSW, ACSW, RPT
Tami Grossens
Clinical Social Work/Therapist, LCSW, ACSW, RPT
1 Endorsed
Morganton, NC 28655
Every situation presents us with the opportunity to view things from 2 perspectives. My goal is to help each client find their own clear perspective. I work with the person's own strengths and abilities to help each person achieve their fullest potential. I have experience working with and enjoy treating a variety of symptoms and issues including depression and other mood disorders, anxiety, victims of abuse, PTSD, stress management, phase of life issues, grief and loss, relationship stressors, academic and vocational issues.
Every situation presents us with the opportunity to view things from 2 perspectives. My goal is to help each client find their own clear perspective. I work with the person's own strengths and abilities to help each person achieve their fullest potential. I have experience working with and enjoy treating a variety of symptoms and issues including depression and other mood disorders, anxiety, victims of abuse, PTSD, stress management, phase of life issues, grief and loss, relationship stressors, academic and vocational issues.
(828) 615-4074 View (828) 615-4074
Photo of Michelle S Rogers, Clinical Social Work/Therapist, LCSW
Michelle S Rogers
Clinical Social Work/Therapist, LCSW
Online Only
At A Moment for Me Therapy, is a space where high-achieving adults can finally exhale. You’ve spent your life being the strong one—the dependable, capable, do-it-all person. But even the strongest need space to slow down, reflect, and reconnect with themselves. Sometimes, the very strength that has carried you this far begins to feel like a burden—one that keeps you from accessing the deeper clarity and calm you deserve. This practice was born from the belief that everyone deserves a moment—without pressure, judgment, or performance. A moment to feel, to be heard, and to rediscover your own inner strength.
At A Moment for Me Therapy, is a space where high-achieving adults can finally exhale. You’ve spent your life being the strong one—the dependable, capable, do-it-all person. But even the strongest need space to slow down, reflect, and reconnect with themselves. Sometimes, the very strength that has carried you this far begins to feel like a burden—one that keeps you from accessing the deeper clarity and calm you deserve. This practice was born from the belief that everyone deserves a moment—without pressure, judgment, or performance. A moment to feel, to be heard, and to rediscover your own inner strength.
(828) 332-5394 View (828) 332-5394
Photo of Bethany Marie Hart, Clinical Social Work/Therapist, MSW, LCSW
Bethany Marie Hart
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Morganton, NC 28655
Bethany’s background primarily focuses in treating adults, adolescents, and children affected by physical, sexual, and psychological abuse/trauma. Her new focus is serving first responders, military, and law enforcement. She has always been fascinated by how the brain works and the “why” behind just about everything, including human behavior. This curiosity, combined with a genuine passion for helping people navigate and heal from trauma, drives her work. She is committed to supporting clients in understanding their experiences and in accepting themselves as part of their healing journey, and desire to move forward with confidence.
Bethany’s background primarily focuses in treating adults, adolescents, and children affected by physical, sexual, and psychological abuse/trauma. Her new focus is serving first responders, military, and law enforcement. She has always been fascinated by how the brain works and the “why” behind just about everything, including human behavior. This curiosity, combined with a genuine passion for helping people navigate and heal from trauma, drives her work. She is committed to supporting clients in understanding their experiences and in accepting themselves as part of their healing journey, and desire to move forward with confidence.
(828) 392-9178 View (828) 392-9178
Photo of Susan O Arrowood - arrowood Counseling and consulting Inc, Licensed Professional Counselor, LCMHC
arrowood Counseling and consulting Inc
Licensed Professional Counselor, LCMHC
2 Endorsed
Morganton, NC 28655
"I utilize a variety of therapeutic techniques, including cognitive-behavioral therapy, mindfulness practices, and trauma-focused interventions, tailored to each individual's unique needs and goals. My ultimate goal is to provide a safe and supportive space for my clients to explore their emotions, gain insight into their patterns of thinking and behavior, and develop coping strategies to better navigate their challenges." "If you are ready to take the first steps towards healing and growth, I am here to support you every step of the way. Together, we can work towards creating a more fulfilling and balanced life for you."
"I utilize a variety of therapeutic techniques, including cognitive-behavioral therapy, mindfulness practices, and trauma-focused interventions, tailored to each individual's unique needs and goals. My ultimate goal is to provide a safe and supportive space for my clients to explore their emotions, gain insight into their patterns of thinking and behavior, and develop coping strategies to better navigate their challenges." "If you are ready to take the first steps towards healing and growth, I am here to support you every step of the way. Together, we can work towards creating a more fulfilling and balanced life for you."
(828) 761-3287 View (828) 761-3287
Photo of Dr. Kristen Payne, Psychologist, PsyD, LP, HSP-P
Dr. Kristen Payne
Psychologist, PsyD, LP, HSP-P
1 Endorsed
Morganton, NC 28655
My idea client is a person seeking a therapeutic relationship grounded in depth, curiosity, and compassion. They may have a history of complex life experiences, recurring symptoms, or long-standing struggles with mood, thought patterns, or relationships. They are often navigating feelings of isolation, uncertainty, or frustration with previous treatments. My clients are open to exploring the underlying emotional roots of their distress. They value a collaborative, safe space where they can be understood, where their inner world is honored, and where we can work together toward greater self-awareness, stability, and meaning in life.
My idea client is a person seeking a therapeutic relationship grounded in depth, curiosity, and compassion. They may have a history of complex life experiences, recurring symptoms, or long-standing struggles with mood, thought patterns, or relationships. They are often navigating feelings of isolation, uncertainty, or frustration with previous treatments. My clients are open to exploring the underlying emotional roots of their distress. They value a collaborative, safe space where they can be understood, where their inner world is honored, and where we can work together toward greater self-awareness, stability, and meaning in life.
(828) 770-8649 View (828) 770-8649
Photo of Debra Kay Peters - Wisdom Path, PLLC, Psychologist
Wisdom Path, PLLC
Psychologist
Morganton, NC 28655
If you are looking for quality therapy by clinicians who treat you as a whole, unique person (body, mind, and spirit), Wisdom Path is a good fit for you. Everyone is exposed to multiple stresses, and we struggle with the demands of a fast-paced society. Often, we develop unhealthy ways of compulsively numbing ourselves though work, food, sex, gambling, shopping, substances, or social media. At Wisdom Path, we facilitate you becoming fully present in your life, creating meaning, and developing intimate connections with others. We don't just treat mental health issues; we promote wellness and growth.
If you are looking for quality therapy by clinicians who treat you as a whole, unique person (body, mind, and spirit), Wisdom Path is a good fit for you. Everyone is exposed to multiple stresses, and we struggle with the demands of a fast-paced society. Often, we develop unhealthy ways of compulsively numbing ourselves though work, food, sex, gambling, shopping, substances, or social media. At Wisdom Path, we facilitate you becoming fully present in your life, creating meaning, and developing intimate connections with others. We don't just treat mental health issues; we promote wellness and growth.
(828) 475-8940 View (828) 475-8940
Photo of Janella Poda-Henry, Licensed Professional Counselor, LPC, LCMHC
Janella Poda-Henry
Licensed Professional Counselor, LPC, LCMHC
Morganton, NC 28655
Feeling overwhelmed by anxiety, depression, or life's transitions? Struggling to cope with stress, relationship issues, or parenting challenges? You don’t have to face these alone. I’m here to help you find effective coping skills, boost your self-esteem, and improve your mood and relationships in a supportive, consistent, and encouraging environment.
Feeling overwhelmed by anxiety, depression, or life's transitions? Struggling to cope with stress, relationship issues, or parenting challenges? You don’t have to face these alone. I’m here to help you find effective coping skills, boost your self-esteem, and improve your mood and relationships in a supportive, consistent, and encouraging environment.
(828) 268-3899 View (828) 268-3899
Photo of Richard Donlavage, Counselor, LCMHC-S, RPT-S, NCC
Richard Donlavage
Counselor, LCMHC-S, RPT-S, NCC
Morganton, NC 28655
As a Register Play Therapist Supervisor, I utilize the power of play to create a welcoming and creative environment for my clients. Families often call me due to feeling overwhelmed and exhausted. I utilize evidenced based practices grounded in play to help your family sort through these challenges and explore solutions. “We speak with more than our mouths. We listen with more than our ears.” Mr. Rogers
As a Register Play Therapist Supervisor, I utilize the power of play to create a welcoming and creative environment for my clients. Families often call me due to feeling overwhelmed and exhausted. I utilize evidenced based practices grounded in play to help your family sort through these challenges and explore solutions. “We speak with more than our mouths. We listen with more than our ears.” Mr. Rogers
(828) 330-8625 View (828) 330-8625
Photo of Margaret Huss, Licensed Professional Counselor, MA, NCC, LCMHC
Margaret Huss
Licensed Professional Counselor, MA, NCC, LCMHC
Morganton, NC 28655
Life transitions are a part of our journey and, while some are rewarding, some are a challenge. Whether you are struggling with something personally or professionally, you could benefit from working with a therapist who understands and can help guide you through the work to initiate change in your life. My approach is holistic, honest, and interactive with a little humor thrown in when needed. Clients appreciate my authenticity and ability to “be real” with them regarding how best to tackle current issues and concerns. I encourage my clients to start with small steps and move toward what speaks to their heart and their values.
Life transitions are a part of our journey and, while some are rewarding, some are a challenge. Whether you are struggling with something personally or professionally, you could benefit from working with a therapist who understands and can help guide you through the work to initiate change in your life. My approach is holistic, honest, and interactive with a little humor thrown in when needed. Clients appreciate my authenticity and ability to “be real” with them regarding how best to tackle current issues and concerns. I encourage my clients to start with small steps and move toward what speaks to their heart and their values.
(828) 554-7720 x101 View (828) 554-7720 x101
Photo of Tom McDaniel, Clinical Social Work/Therapist, LCSW
Tom McDaniel
Clinical Social Work/Therapist, LCSW
Online Only
Waitlist for new clients
I assist adults seeking help with mild dysthymia, situational depression or anxiety, stress, relationship problems, career concerns, loss, meaning, mortality and other existential issues. I tailor an approach specific to your need. Existential therapy is my foundation though I use an eclectic approach and draw upon various therapies. Therapy may be brief in duration or lengthy. It is sometimes uncomfortable - the "price" of honest introspection and change. I don't have your "answer" but will help you seek it. I strive - in the words of Irvin Yalom - to help "remove obstacles blocking the patient's path".
I assist adults seeking help with mild dysthymia, situational depression or anxiety, stress, relationship problems, career concerns, loss, meaning, mortality and other existential issues. I tailor an approach specific to your need. Existential therapy is my foundation though I use an eclectic approach and draw upon various therapies. Therapy may be brief in duration or lengthy. It is sometimes uncomfortable - the "price" of honest introspection and change. I don't have your "answer" but will help you seek it. I strive - in the words of Irvin Yalom - to help "remove obstacles blocking the patient's path".
(704) 380-9245 View (704) 380-9245
Photo of Jessica Elliot Stevens, Licensed Clinical Mental Health Counselor, LCMHC
Jessica Elliot Stevens
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
Hi! My name Is Jessica Stevens, but you can call me Niki. I am a North Carolina Licensed Clinical Mental Health Counselor. My approach to therapy is Rogerian, (Person-Centered) along with Cognitive Behavioral Therapy. I have 6 years of experience with children and adults in areas of depression, anxiety, anger management and children who also have struggles with emotional regulation and attention deficits. I have 6 years of experience with children and adults in areas of depression, anxiety, and anger management. I have 20 years total experience with children who struggle with emotional regulation and attention deficits.
Hi! My name Is Jessica Stevens, but you can call me Niki. I am a North Carolina Licensed Clinical Mental Health Counselor. My approach to therapy is Rogerian, (Person-Centered) along with Cognitive Behavioral Therapy. I have 6 years of experience with children and adults in areas of depression, anxiety, anger management and children who also have struggles with emotional regulation and attention deficits. I have 6 years of experience with children and adults in areas of depression, anxiety, and anger management. I have 20 years total experience with children who struggle with emotional regulation and attention deficits.
(704) 396-4037 View (704) 396-4037
Photo of Jeffrey Hunsucker, Clinical Social Work/Therapist, LCSW
Jeffrey Hunsucker
Clinical Social Work/Therapist, LCSW
Online Only
I'm Jeff Hunsucker. I'm a licensed clinical social worker and addiction specialist. I am also a certified peer support specialist. I've been working in substance use and mental health treatment for 13 years, and I value the inherent worth of every person. Each client will be treated with respect and dignity as they strive to reach their full potential. I'm a compassionate guide in the recovery process that walks along side of my clients in their journey.
I'm Jeff Hunsucker. I'm a licensed clinical social worker and addiction specialist. I am also a certified peer support specialist. I've been working in substance use and mental health treatment for 13 years, and I value the inherent worth of every person. Each client will be treated with respect and dignity as they strive to reach their full potential. I'm a compassionate guide in the recovery process that walks along side of my clients in their journey.
(828) 827-4843 View (828) 827-4843
Photo of Jill Brooks, Marriage & Family Therapist, MS, LMFT
Jill Brooks
Marriage & Family Therapist, MS, LMFT
3 Endorsed
Online Only
Many of my clients say that, in one way or another, their life just seems disjointed, frustrating, overwhelming, lonely and confusing. Sometimes that is a description of their inner state of mind, or it could describe how they feel within their most personal relationships. Others report a significant life change that has thrown them off course. It could be a career crossroad, a traumatic event/upbringing, a relational struggle, or a spiritual battle that brings them to seek therapy.
Many of my clients say that, in one way or another, their life just seems disjointed, frustrating, overwhelming, lonely and confusing. Sometimes that is a description of their inner state of mind, or it could describe how they feel within their most personal relationships. Others report a significant life change that has thrown them off course. It could be a career crossroad, a traumatic event/upbringing, a relational struggle, or a spiritual battle that brings them to seek therapy.
(828) 414-2505 View (828) 414-2505
Photo of Callie Bridges Perez, Counselor, LCMHC, NCC
Callie Bridges Perez
Counselor, LCMHC, NCC
Morganton, NC 28655
Everyone has a story. Sometimes the story has a happy ending, but often it is a journey filled with ups and downs. You or your child’s story may include depression, anxiety, trauma, ADHD, or family and relationship issues. Therapy is a great place to start processing your unique story. Talking in a confidential, supportive space can provide the perspective needed to heal and to find hope and clarity again.
Everyone has a story. Sometimes the story has a happy ending, but often it is a journey filled with ups and downs. You or your child’s story may include depression, anxiety, trauma, ADHD, or family and relationship issues. Therapy is a great place to start processing your unique story. Talking in a confidential, supportive space can provide the perspective needed to heal and to find hope and clarity again.
(828) 622-4262 View (828) 622-4262
Photo of Deb Peters, Psychologist, PhD
Deb Peters
Psychologist, PhD
Morganton, NC 28655
If you are seeking personal growth, deeper meaning, and intimacy in your relationships, you may need a different type of psychotherapy. You may not need need treatment for a mental health diagnosis, but feel like something is missing in your life. I would be honored to help you find it. I specialize in psychospiritual psychotherapy for people who are searching for answers: How can I understand my life on a deeper level? How do I find meaning? What aspects of myself are getting in my way of having peace? What is my purpose in this world? What are my dreams trying to tell me?
If you are seeking personal growth, deeper meaning, and intimacy in your relationships, you may need a different type of psychotherapy. You may not need need treatment for a mental health diagnosis, but feel like something is missing in your life. I would be honored to help you find it. I specialize in psychospiritual psychotherapy for people who are searching for answers: How can I understand my life on a deeper level? How do I find meaning? What aspects of myself are getting in my way of having peace? What is my purpose in this world? What are my dreams trying to tell me?
(828) 656-5955 View (828) 656-5955
Photo of Payton Saine, Counselor, LCMHC
Payton Saine
Counselor, LCMHC
Online Only
I have experience working with adolescents, adults, and the elderly, as well as couples and families. I deal primarily with clients who have mood and anxiety disorders or issues such as depression, anxiety, trauma, PTSD, anger, grief, and body image issues, and work collaboratively with these clients to create clear goals that will provide them with a brighter, happier future.
I have experience working with adolescents, adults, and the elderly, as well as couples and families. I deal primarily with clients who have mood and anxiety disorders or issues such as depression, anxiety, trauma, PTSD, anger, grief, and body image issues, and work collaboratively with these clients to create clear goals that will provide them with a brighter, happier future.
(828) 373-2824 View (828) 373-2824

See more therapy options for Burke County

How does your Therapist compare?

Number of Therapists in Burke County, NC

80+

Average cost per session

$140

Therapists in Burke County, NC who prioritize treating:

91% Anxiety
85% Depression
73% Trauma and PTSD
73% Self Esteem
68% Grief
67% Relationship Issues
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
86% Aetna
59% Cigna and Evernorth

How Therapists in Burke County, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Burke County?

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.