Therapists in Catawba, NC

Photo of Elizabeth Vaughan, Licensed Clinical Mental Health Counselor, MA, LCMHC
Elizabeth Vaughan
Licensed Clinical Mental Health Counselor, MA, LCMHC
Catawba, NC 28609
Elizabeth Vaughan holds a Bachelor of Arts degree in Spanish from Messiah College. Once her three children were grown, she furthered her education by obtaining a Master's degree in Professional Counseling from Liberty University. Elizabeth is a Licensed Clinical Mental Health Counselor who enjoys working with children, young adults and women and has previous work experience as a high school Spanish Teacher and a Homeschooling mom as well as 20 years of combined experience as a Children's Ministry Leader and Youth Pastor.
Elizabeth Vaughan holds a Bachelor of Arts degree in Spanish from Messiah College. Once her three children were grown, she furthered her education by obtaining a Master's degree in Professional Counseling from Liberty University. Elizabeth is a Licensed Clinical Mental Health Counselor who enjoys working with children, young adults and women and has previous work experience as a high school Spanish Teacher and a Homeschooling mom as well as 20 years of combined experience as a Children's Ministry Leader and Youth Pastor.
(704) 859-0662 View (704) 859-0662
Photo of Helen Dula, Counselor, MA, LCMHC
Helen Dula
Counselor, MA, LCMHC
Catawba, NC 28609
History of Helen “Lynn” Dula Helen “Lynn” Dula graduated with her Bachelors of Arts Degree in Human and Community Services with a minor in Psychology and Sociology from Lenoir-Rhyne University. She furthered her education by obtaining her Special Education Certification at University of North Carolina at Charlotte. Lynn graduated with her Masters of Arts Degree in Clinical Mental Health Counseling from Lenoir Rhyne University. She is a fully Licensed Clinical Mental Health Counselor and National Board Certified Counselor.
History of Helen “Lynn” Dula Helen “Lynn” Dula graduated with her Bachelors of Arts Degree in Human and Community Services with a minor in Psychology and Sociology from Lenoir-Rhyne University. She furthered her education by obtaining her Special Education Certification at University of North Carolina at Charlotte. Lynn graduated with her Masters of Arts Degree in Clinical Mental Health Counseling from Lenoir Rhyne University. She is a fully Licensed Clinical Mental Health Counselor and National Board Certified Counselor.
(980) 332-6143 View (980) 332-6143
Photo of Sueann Brown - LifeStance Health, Clinical Social Work/Therapist, LCSW
LifeStance Health
Clinical Social Work/Therapist, LCSW
Catawba, NC 28609
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(980) 427-8785 View (980) 427-8785
Sue Ann Brown
Clinical Social Work/Therapist, MSW, LCSW
Catawba, NC 28609
Sue Ann earned her Bachelor's Degree (BA) in Sociology and Anthropology from the University of Mississippi and her Master of Social Work Degree (MSW) with a concentration in geriatric and elderly issues from the University of Alabama. Sue Ann has provided Critical Incident Stress Management (CISM) to individuals and groups as a certified CISM specialist since 2003. Sue Ann has clinical experience working with clients of all ages, with the goal of helping clients better their lives by making sense of life stressors through personal growth and gaining new perspecitives and insights.
Sue Ann earned her Bachelor's Degree (BA) in Sociology and Anthropology from the University of Mississippi and her Master of Social Work Degree (MSW) with a concentration in geriatric and elderly issues from the University of Alabama. Sue Ann has provided Critical Incident Stress Management (CISM) to individuals and groups as a certified CISM specialist since 2003. Sue Ann has clinical experience working with clients of all ages, with the goal of helping clients better their lives by making sense of life stressors through personal growth and gaining new perspecitives and insights.
(704) 251-6458 View (704) 251-6458
Photo of Christian Davidson, Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Christian Davidson
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Catawba, NC 28609
C. Noel Davidson treats patients starting at 10 years old. Noel graduated with her Bachelors of Arts in English from Gardner-Webb University and her Master’s Degree in Mental Health Counseling from Lenoir-Rhyne University. She is both a Licensed Clinical Mental Health Professional and a Licensed Clinical Addictions Specialist through the state of North Carolina. Her previous counseling experiences include outpatient Substance Abuse and Mental Health counseling, Career and Personal Development counseling in a university setting, and working with evidence based children’s programs through Smart Start Services.
C. Noel Davidson treats patients starting at 10 years old. Noel graduated with her Bachelors of Arts in English from Gardner-Webb University and her Master’s Degree in Mental Health Counseling from Lenoir-Rhyne University. She is both a Licensed Clinical Mental Health Professional and a Licensed Clinical Addictions Specialist through the state of North Carolina. Her previous counseling experiences include outpatient Substance Abuse and Mental Health counseling, Career and Personal Development counseling in a university setting, and working with evidence based children’s programs through Smart Start Services.
(704) 703-3022 View (704) 703-3022
Photo of Heather Herrig, Counselor, MA, LCMHC, LCAS
Heather Herrig
Counselor, MA, LCMHC, LCAS
Catawba, NC 28609
Heather is a Licensed Substance Abuse Counselor as well as a Licensed Clinical Mental Health Counselor, who has been practicing since 2014. They graduated from Lenoir Rhyne University in Hickory, NC with a degree in Mental Health Counseling. Heather’s undergraduate degree is from The Ohio State University in Columbus Ohio. With a degree in Human Development and Family Sciences. Heather believes in Cognitive Behavioral Therapy (CBT) and Person Centered Therapy approaches. Heather feels it is best to meet someone where they are at emotionally in life and help them on their journey to mental wellness.
Heather is a Licensed Substance Abuse Counselor as well as a Licensed Clinical Mental Health Counselor, who has been practicing since 2014. They graduated from Lenoir Rhyne University in Hickory, NC with a degree in Mental Health Counseling. Heather’s undergraduate degree is from The Ohio State University in Columbus Ohio. With a degree in Human Development and Family Sciences. Heather believes in Cognitive Behavioral Therapy (CBT) and Person Centered Therapy approaches. Heather feels it is best to meet someone where they are at emotionally in life and help them on their journey to mental wellness.
(704) 741-5617 View (704) 741-5617
Photo of Angela Wooten, Counselor, MA, LCHMC, NCC
Angela Wooten
Counselor, MA, LCHMC, NCC
Catawba, NC 28609
Angela graduated with her Master’s in Clinical Mental Health Counseling from Lenoir-Rhyne University. Her previous work experience includes seeing children, adolescents, and adults in an outpatient setting where she gained much experience with various mental health issues. Having been trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization Reprocessing (EMDR), Angela has a passion for working with individuals who have experienced traumatic life events.
Angela graduated with her Master’s in Clinical Mental Health Counseling from Lenoir-Rhyne University. Her previous work experience includes seeing children, adolescents, and adults in an outpatient setting where she gained much experience with various mental health issues. Having been trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization Reprocessing (EMDR), Angela has a passion for working with individuals who have experienced traumatic life events.
(704) 610-5783 View (704) 610-5783
Photo of Chaqueenia Livingston, Licensed Clinical Mental Health Counselor, MA, LCMHCA
Chaqueenia Livingston
Licensed Clinical Mental Health Counselor, MA, LCMHCA
Catawba, NC 28609
Chaqueenia treats patients starting 10 years old. Chaqueenia graduated from Lenoir Rhyne University with a Master's Degree in Mental Health counseling. She is licensed in the state of North Carolina as a Clinical Mental Health Counselor Associate. She enjoys working with children, adolescents, and adults. Chaqueenia believes that effective therapy is about a number of things: experience, expertise, a clear diagnosis, concise goals, and the knowledge and the tools that may effectively help clients navigate difficult life issues.
Chaqueenia treats patients starting 10 years old. Chaqueenia graduated from Lenoir Rhyne University with a Master's Degree in Mental Health counseling. She is licensed in the state of North Carolina as a Clinical Mental Health Counselor Associate. She enjoys working with children, adolescents, and adults. Chaqueenia believes that effective therapy is about a number of things: experience, expertise, a clear diagnosis, concise goals, and the knowledge and the tools that may effectively help clients navigate difficult life issues.
(704) 389-2346 View (704) 389-2346

More Therapists Nearby

Photo of Candace Rogers, Clinical Social Work/Therapist, MSW, LCSW
Candace Rogers
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
I'm truly glad you're here. Taking the step to seek support is a courageous and important decision, and I'm honored to be part of your journey. My approach is rooted in empathy, understanding, and respect, and I strive to create a safe, non-judgmental space where you can feel heard and valued. Whether you're navigating challenges, seeking personal growth, or just need a space to talk, I'm here to walk alongside you. Together, we can explore your thoughts and feelings, develop strategies to achieve your goals, and work towards a more fulfilling and balanced life.
I'm truly glad you're here. Taking the step to seek support is a courageous and important decision, and I'm honored to be part of your journey. My approach is rooted in empathy, understanding, and respect, and I strive to create a safe, non-judgmental space where you can feel heard and valued. Whether you're navigating challenges, seeking personal growth, or just need a space to talk, I'm here to walk alongside you. Together, we can explore your thoughts and feelings, develop strategies to achieve your goals, and work towards a more fulfilling and balanced life.
(828) 809-1967 View (828) 809-1967
Photo of Ashley M King, Marriage & Family Therapist, MA, LMFT
Ashley M King
Marriage & Family Therapist, MA, LMFT
Charlotte, NC 28214
I believe that secure and safe connection is an agent of healing. We are all created with deep needs and desires for connection, intimacy, vulnerability, and safety. When any of those essential components of the human experience are broken or entangled with trauma, it can cause dysfunction in our systems and remove health and thriving from our lives. However, it is possible to redeem, restore, and recapture our minds, hearts, and bodies and reclaim health. When clients are able to process their hardest hurts and wounds within the safety of the therapeutic relationship, healing can happen!
I believe that secure and safe connection is an agent of healing. We are all created with deep needs and desires for connection, intimacy, vulnerability, and safety. When any of those essential components of the human experience are broken or entangled with trauma, it can cause dysfunction in our systems and remove health and thriving from our lives. However, it is possible to redeem, restore, and recapture our minds, hearts, and bodies and reclaim health. When clients are able to process their hardest hurts and wounds within the safety of the therapeutic relationship, healing can happen!
(704) 389-9742 View (704) 389-9742
Photo of Jessica Cratch, Counselor, LCMHC
Jessica Cratch
Counselor, LCMHC
Online Only
Hi! I'm a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed School Counselor. I received my Masters Degree from North Carolina A & T State University and have been practicing for 6 years. I have experience in both clinical and school settings. I help children, adolescents and young adults struggling with Anxiety, life transitions, relationships and coping with life's challenges.
Hi! I'm a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed School Counselor. I received my Masters Degree from North Carolina A & T State University and have been practicing for 6 years. I have experience in both clinical and school settings. I help children, adolescents and young adults struggling with Anxiety, life transitions, relationships and coping with life's challenges.
(980) 485-6022 View (980) 485-6022
Photo of Elizabeth Nailling, Clinical Social Work/Therapist, LCSW
Elizabeth Nailling
Clinical Social Work/Therapist, LCSW
Online Only
Are you feeling stuck in a cycle that feels impossible to get out of? Or maybe you're holding on to hope of becoming your best self, but there's always something getting in the way. If you are a young adult who is ready to let go of the unnecessary weight holding you back, you've come to the right place. I specialize in working with adolescents and young adults with trauma, anxiety, depression, & general life stress.
Are you feeling stuck in a cycle that feels impossible to get out of? Or maybe you're holding on to hope of becoming your best self, but there's always something getting in the way. If you are a young adult who is ready to let go of the unnecessary weight holding you back, you've come to the right place. I specialize in working with adolescents and young adults with trauma, anxiety, depression, & general life stress.
(704) 397-3950 View (704) 397-3950
Photo of Nichell Newton, Counselor, LCMHC
Nichell Newton
Counselor, LCMHC
Online Only
My name is Nichell Newton. I hold the following licenses, NC, LCMHC 10586, and SC LPC 8193. Together, we will bridge the gap between mental health and physical health and take an integrated coaching approach to better improve your overall well-being. Whatever it is you may be experiencing, I can help you move beyond your struggles and guide you on a new path. We will work together to challenge the thoughts, beliefs, and patterns that prevent you from moving forward. I focus my work with my clients on creating long-lasting cognitive and behavioral changes.
My name is Nichell Newton. I hold the following licenses, NC, LCMHC 10586, and SC LPC 8193. Together, we will bridge the gap between mental health and physical health and take an integrated coaching approach to better improve your overall well-being. Whatever it is you may be experiencing, I can help you move beyond your struggles and guide you on a new path. We will work together to challenge the thoughts, beliefs, and patterns that prevent you from moving forward. I focus my work with my clients on creating long-lasting cognitive and behavioral changes.
(803) 368-5622 View (803) 368-5622
Photo of Caitlyn Yesavage, Clinical Social Work/Therapist, MSW, LCSW
Caitlyn Yesavage
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Davidson, NC 28036
I work with deeply feeling and highly sensitive teens and adults looking to improve their confidence and coping. Improving confidence in who we are and in our daily functioning has a positive impact on all aspects of our daily life. This includes our mood, relationships, functioning, and self-talk. My goal is to provide a safe and accepting space for my clients to rediscover who they are and why they function the way that they do, gain confidence in themselves and their abilities, as well as learn new coping strategies to help themselves through their deep and highly sensitive feelings.
I work with deeply feeling and highly sensitive teens and adults looking to improve their confidence and coping. Improving confidence in who we are and in our daily functioning has a positive impact on all aspects of our daily life. This includes our mood, relationships, functioning, and self-talk. My goal is to provide a safe and accepting space for my clients to rediscover who they are and why they function the way that they do, gain confidence in themselves and their abilities, as well as learn new coping strategies to help themselves through their deep and highly sensitive feelings.
(704) 912-0240 View (704) 912-0240
Photo of Laura Escalada Dunston, Clinical Social Work/Therapist, MSW, LCSW
Laura Escalada Dunston
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Online Only
I enjoy working with clients motivated to work on the issues they identify as having had negative impact in their lives or issues that they feel are holding them back from living the life they want. I work a great deal with clients struggling with anxiety or depression with the goal of working jointly to learn the tools to move forward successfully and with confidence in their strengths and abilities.
I enjoy working with clients motivated to work on the issues they identify as having had negative impact in their lives or issues that they feel are holding them back from living the life they want. I work a great deal with clients struggling with anxiety or depression with the goal of working jointly to learn the tools to move forward successfully and with confidence in their strengths and abilities.
(704) 548-1328 View (704) 548-1328
Photo of Shuantia Barber, Clinical Social Work/Therapist, MSW, LCSW, LCAS, SAP
Shuantia Barber
Clinical Social Work/Therapist, MSW, LCSW, LCAS, SAP
2 Endorsed
Online Only
Now Accepting Weekend Appointments! Feeling stuck on and off the relationship roller coaster again? You have the education, career, but you still feel empty. Maybe you have the house, husband and kids but still feel overwhelmed and alone. You want change. Today. I understand, I've been there. I want to help you navigate change to become a better you. There is a way out; path towards a more fulfilled life. Anxiety, depression, pressure from spouse and kids or pressure because you have no spouse or kids. It does not have to be this way. Call me lets talk. Lets go on this journey together to create your change.
Now Accepting Weekend Appointments! Feeling stuck on and off the relationship roller coaster again? You have the education, career, but you still feel empty. Maybe you have the house, husband and kids but still feel overwhelmed and alone. You want change. Today. I understand, I've been there. I want to help you navigate change to become a better you. There is a way out; path towards a more fulfilled life. Anxiety, depression, pressure from spouse and kids or pressure because you have no spouse or kids. It does not have to be this way. Call me lets talk. Lets go on this journey together to create your change.
(980) 888-8361 View (980) 888-8361
Photo of Morgan Brawley, Counselor, MA, LCMHCA, NCC
Morgan Brawley
Counselor, MA, LCMHCA, NCC
Mooresville, NC 28115
I help women who look like they have it all together—but quietly carry a lot beneath the surface. Maybe you’re navigating a big life shift like divorce, grief, or caring for aging parents. Maybe you’re feeling the weight of perfectionism, battling imposter syndrome, or wondering who you are now that the kids are out of the house. You’re successful, driven, and deeply capable… but lately, it’s just been a lot. That’s where I come in.
I help women who look like they have it all together—but quietly carry a lot beneath the surface. Maybe you’re navigating a big life shift like divorce, grief, or caring for aging parents. Maybe you’re feeling the weight of perfectionism, battling imposter syndrome, or wondering who you are now that the kids are out of the house. You’re successful, driven, and deeply capable… but lately, it’s just been a lot. That’s where I come in.
(704) 459-3575 View (704) 459-3575
Photo of Ellen Bertanzetti, Licensed Clinical Mental Health Counselor, LCMHC, LPC, OMC, BCN
Ellen Bertanzetti
Licensed Clinical Mental Health Counselor, LCMHC, LPC, OMC, BCN
Charlotte, NC 28269
As a Counselor, I will work hard to help clients gain insight into both past and present experiences in order to empower themselves to make informed choices that lead to meaningful change. Talk therapy can be either in-person or online. I will accommodate what is most comfortable for my clients. I also offer Neurofeedback in my practice. Neurofeedback is a brain training technique that has been shown to be safe and effective for over 30 years. It is a form of biofeedback that offers the brain information about its own electrical activity, which has a profound impact on an individual's stress response.
As a Counselor, I will work hard to help clients gain insight into both past and present experiences in order to empower themselves to make informed choices that lead to meaningful change. Talk therapy can be either in-person or online. I will accommodate what is most comfortable for my clients. I also offer Neurofeedback in my practice. Neurofeedback is a brain training technique that has been shown to be safe and effective for over 30 years. It is a form of biofeedback that offers the brain information about its own electrical activity, which has a profound impact on an individual's stress response.
(980) 243-4468 View (980) 243-4468
Photo of Terra Edgerton, Clinical Social Work/Therapist, LCSWA, LCASA
Terra Edgerton
Clinical Social Work/Therapist, LCSWA, LCASA
Mooresville, NC 28117
You might be feeling stuck, tired of holding everything together, or unsure how to move forward—but something in you still hopes for change. Whether you're navigating anxiety, relationship stress, trauma, or a major life shift, you're not alone—and you don’t have to carry it all by yourself anymore.
You might be feeling stuck, tired of holding everything together, or unsure how to move forward—but something in you still hopes for change. Whether you're navigating anxiety, relationship stress, trauma, or a major life shift, you're not alone—and you don’t have to carry it all by yourself anymore.
(980) 689-3707 View (980) 689-3707
Photo of Carolyn Lanier, Counselor, LCMHC
Carolyn Lanier
Counselor, LCMHC
Online Only
I am a Licensed Professional Clinical Counselor with a passion for providing the highest quality of services to individuals struggling with mental health issues and substance use disorders. Imagine living with less anxiety and doing what’s important to you. My approach to therapy utilizes Family and Couples therapy. Are you searching for someone who can culturally empathize and can meet you where you are in life? Often we are unsure of the next steps to take when dealing with life stressors. My core belief is that everyone possesses the resiliency needed to overcome such barriers.
I am a Licensed Professional Clinical Counselor with a passion for providing the highest quality of services to individuals struggling with mental health issues and substance use disorders. Imagine living with less anxiety and doing what’s important to you. My approach to therapy utilizes Family and Couples therapy. Are you searching for someone who can culturally empathize and can meet you where you are in life? Often we are unsure of the next steps to take when dealing with life stressors. My core belief is that everyone possesses the resiliency needed to overcome such barriers.
(980) 577-3210 View (980) 577-3210

See more therapy options for Catawba

How does your Therapist compare?

Number of Therapists in Catawba, NC

< 10

Therapists in Catawba, NC who prioritize treating:

100% Anxiety
88% Depression
88% Trauma and PTSD
75% Grief
63% ADHD
63% Life Transitions
50% Bipolar Disorder

Top 3 insurances accepted

100% Aetna
100% BHS | Behavioral Health Systems
100% BlueCross and BlueShield

How Therapists in Catawba, NC see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Catawba?

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.