Therapists in Cumberland County, NC

View cities in Cumberland County
Nadesha Crumbie
Clinical Social Work/Therapist, LCSW
Online Only
Hey! I hold a license as a Clinical Social Worker in both North Carolina and Virginia, with my current practice centered in the Fayetteville area. My journey spans over 3 years as a Social Worker and extends to more than 7 years in the broader Social Services realm. Columbia University is where I earned my Masters. My passion lies in assisting adults and youth navigating challenges related to mental health, personal struggles, and emotional well-being.
Hey! I hold a license as a Clinical Social Worker in both North Carolina and Virginia, with my current practice centered in the Fayetteville area. My journey spans over 3 years as a Social Worker and extends to more than 7 years in the broader Social Services realm. Columbia University is where I earned my Masters. My passion lies in assisting adults and youth navigating challenges related to mental health, personal struggles, and emotional well-being.
(910) 613-5492 View (910) 613-5492
Photo of Shannon S Wiggins, Clinical Social Work/Therapist, LCSW
Shannon S Wiggins
Clinical Social Work/Therapist, LCSW
1 Endorsed
Fayetteville, NC 28303
You are NOT WEAK. You simply realize there’s a BETTER WAY to tackle your CHALLENGES. You are NOT CRAZY. You have challenges like EVERYONE else and just want a SAFE place to WORK THEM OUT. You DO NOT want anyone’s PITY; you simply want to BETTER your LIFE. You expect ELITE care, and that’s what I provide. I work with PROFESSIONAL MILLENIALS that want the BEST out of LIFE and are MOTIVATED for change. I provide clients with PRACTICAL TOOLS they can use NOW to start FEELING BETTER FASTER. And I keep WORKING WITH YOU to ensure those changes stick. I help you LIVE YOUR BEST LIFE!
You are NOT WEAK. You simply realize there’s a BETTER WAY to tackle your CHALLENGES. You are NOT CRAZY. You have challenges like EVERYONE else and just want a SAFE place to WORK THEM OUT. You DO NOT want anyone’s PITY; you simply want to BETTER your LIFE. You expect ELITE care, and that’s what I provide. I work with PROFESSIONAL MILLENIALS that want the BEST out of LIFE and are MOTIVATED for change. I provide clients with PRACTICAL TOOLS they can use NOW to start FEELING BETTER FASTER. And I keep WORKING WITH YOU to ensure those changes stick. I help you LIVE YOUR BEST LIFE!
(910) 501-2641 View (910) 501-2641
Photo of Imani N Johnson, Clinical Social Work/Therapist, MS, MSW, LCSW, LCAS
Imani N Johnson
Clinical Social Work/Therapist, MS, MSW, LCSW, LCAS
1 Endorsed
Fayetteville, NC 28304
With approximately 14 years of combined, prior experience as a Qualified Professional (QP) and Family Case Manager in both the Georgia and North Carolina systems of Mental Health and Human Services, I've had the privilege of working with adults, children, families, and groups with compassion and professionalism. Since 2012, I've served as a Licensed Clinical Social Worker providing in-home, office, and community-based therapy.
With approximately 14 years of combined, prior experience as a Qualified Professional (QP) and Family Case Manager in both the Georgia and North Carolina systems of Mental Health and Human Services, I've had the privilege of working with adults, children, families, and groups with compassion and professionalism. Since 2012, I've served as a Licensed Clinical Social Worker providing in-home, office, and community-based therapy.
(910) 247-4721 View (910) 247-4721
Photo of Elizabeth Gamble, Psychologist, PsyD
Elizabeth Gamble
Psychologist, PsyD
Fayetteville, NC 28303
Elizabeth Gamble, Psy.D. is a clinical neuropsychologist with experience at a major regional medical center and in private practice. She evaluates and treats adult patients with mental illness and neurological impairment, preferring cognitive-behavioral and hypnotherapeutic techniques during individual psychotherapy sessions. From her more than 30 years of assisting those with significant mental and physical suffering, she has learned that the capacity for resilience lies within each of us, sometimes needing a spark, and sometimes a candle, to light the fire within. She is honored to accompany fellow travelers on their journeys!
Elizabeth Gamble, Psy.D. is a clinical neuropsychologist with experience at a major regional medical center and in private practice. She evaluates and treats adult patients with mental illness and neurological impairment, preferring cognitive-behavioral and hypnotherapeutic techniques during individual psychotherapy sessions. From her more than 30 years of assisting those with significant mental and physical suffering, she has learned that the capacity for resilience lies within each of us, sometimes needing a spark, and sometimes a candle, to light the fire within. She is honored to accompany fellow travelers on their journeys!
(910) 812-1129 View (910) 812-1129
Photo of Larry Darnell Florence, Clinical Social Work/Therapist, MSW, LCSWA, LCAS-A
Larry Darnell Florence
Clinical Social Work/Therapist, MSW, LCSWA, LCAS-A
1 Endorsed
Eastover, NC 28312
I work with children, teens, and adults navigating anxiety, depression, trauma, or life transitions. I provide a safe, supportive space and practical tools to help them heal, grow, and thrive.
I work with children, teens, and adults navigating anxiety, depression, trauma, or life transitions. I provide a safe, supportive space and practical tools to help them heal, grow, and thrive.
(910) 718-9293 View (910) 718-9293
Photo of Tabitha Lynn Russ, Clinical Social Work/Therapist, LCSW-A, MSW
Tabitha Lynn Russ
Clinical Social Work/Therapist, LCSW-A, MSW
1 Endorsed
Fayetteville, NC 28303
Hello, I'm Tabitha! I’m a warm and empathetic therapist dedicated to supporting children, adolescents, teens, and older adults in navigating life's challenges. Whether you're struggling with anxiety, depression, or life transitions, I strive to create a safe, non-judgmental space where you can feel heard, understood, and empowered.
Hello, I'm Tabitha! I’m a warm and empathetic therapist dedicated to supporting children, adolescents, teens, and older adults in navigating life's challenges. Whether you're struggling with anxiety, depression, or life transitions, I strive to create a safe, non-judgmental space where you can feel heard, understood, and empowered.
(910) 994-5582 View (910) 994-5582
Photo of LaTina Edmonds, Licensed Professional Counselor, MA, LCMHC-S, CST, RYT
LaTina Edmonds
Licensed Professional Counselor, MA, LCMHC-S, CST, RYT
1 Endorsed
Fayetteville, NC 28303
Hello? Are you doing life, "adulting," making the decisions, yet something doesn't feel quite right? Are you feeling the adulting is ghetto? You may feel like you are wearing a mask, pretending all is well. You tried "self-care," the books, yoga, and talking to your friends, yet you are feeling like a burden, or worse...damaged. If there is no one else to turn to, where do you go? You want to have somebody who will understand how your past traumas impact your present life. Along with a trained trauma specialist and a sex therapist, we can process these silent hurts together and find your renewed, confident self, full of self-esteem.
Hello? Are you doing life, "adulting," making the decisions, yet something doesn't feel quite right? Are you feeling the adulting is ghetto? You may feel like you are wearing a mask, pretending all is well. You tried "self-care," the books, yoga, and talking to your friends, yet you are feeling like a burden, or worse...damaged. If there is no one else to turn to, where do you go? You want to have somebody who will understand how your past traumas impact your present life. Along with a trained trauma specialist and a sex therapist, we can process these silent hurts together and find your renewed, confident self, full of self-esteem.
(910) 597-4494 View (910) 597-4494
Photo of Doretha Sakil, LCSW Associate , MSW, LCSWA, LCASA
Doretha Sakil
LCSW Associate , MSW, LCSWA, LCASA
1 Endorsed
Fayetteville, NC 28303
I serve clients who desire help, education, and healing in living life's obstacles due to their mental health concerns and diagnoses and the impact they have had on their day-to-day activities. My passion is providing an ear and a voice to those who can not but want to hear, understand, and speak through their problems, concerns, and pleas for help.
I serve clients who desire help, education, and healing in living life's obstacles due to their mental health concerns and diagnoses and the impact they have had on their day-to-day activities. My passion is providing an ear and a voice to those who can not but want to hear, understand, and speak through their problems, concerns, and pleas for help.
(910) 776-1753 View (910) 776-1753
Photo of Jason Branch, Clinical Social Work/Therapist, MSW, LCSW, CCTP
Jason Branch
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Fayetteville, NC 28304
I am a warm and empathetic psychotherapist who takes a humanistic approach. My goal is to provide curious inquiry through a non-pathologizing lens filled with compassion and care. I view therapy as a heart-centered, shared journey focused on healing and wellness.
I am a warm and empathetic psychotherapist who takes a humanistic approach. My goal is to provide curious inquiry through a non-pathologizing lens filled with compassion and care. I view therapy as a heart-centered, shared journey focused on healing and wellness.
(910) 565-9743 View (910) 565-9743
Photo of Jessica R Soler, Licensed Professional Counselor, LCMHCS
Jessica R Soler
Licensed Professional Counselor, LCMHCS
7 Endorsed
Fayetteville, NC 28305
Waitlist for new clients
I'm Jessica Soler LCMHCS and I am a Certified Geek Therapist. With 10 years of experience in the field, I work primarily with adults and teens, helping them address various issues such as anxiety, depression, and PTSD. As an LGBTQ+ allied therapist, creating a safe and inclusive space for all my clients is of utmost importance to me. I believe in fostering an environment where individuals from diverse backgrounds can feel comfortable sharing their experiences and emotions openly. Aside from my professional work, I'm also an unapologetic geek with a passion for video games and tabletop role-playing games (TTRPGs).
I'm Jessica Soler LCMHCS and I am a Certified Geek Therapist. With 10 years of experience in the field, I work primarily with adults and teens, helping them address various issues such as anxiety, depression, and PTSD. As an LGBTQ+ allied therapist, creating a safe and inclusive space for all my clients is of utmost importance to me. I believe in fostering an environment where individuals from diverse backgrounds can feel comfortable sharing their experiences and emotions openly. Aside from my professional work, I'm also an unapologetic geek with a passion for video games and tabletop role-playing games (TTRPGs).
(910) 356-2030 View (910) 356-2030
Photo of LaTonya L Crumwell, Licensed Professional Counselor, MEd, LCMHC, NCC
LaTonya L Crumwell
Licensed Professional Counselor, MEd, LCMHC, NCC
1 Endorsed
Fayetteville, NC 28303
Are you someone who is motivated and committed to your personal growth and wellbeing? Recognized that you are facing challenges in your life and have the desire to make positive change? While specific issues may vary you may be dealing with, anxiety, stress, depression, low mood, relationship difficulties, self-esteem and self-confidence, life transitions, trauma and past experiences. Are you ready to embark on a journey of self-discovery, personal growth, and transformation, and are willing to invest time, effort, and openness into the therapeutic process because you understand the value of your mental and emotional well-being?
Are you someone who is motivated and committed to your personal growth and wellbeing? Recognized that you are facing challenges in your life and have the desire to make positive change? While specific issues may vary you may be dealing with, anxiety, stress, depression, low mood, relationship difficulties, self-esteem and self-confidence, life transitions, trauma and past experiences. Are you ready to embark on a journey of self-discovery, personal growth, and transformation, and are willing to invest time, effort, and openness into the therapeutic process because you understand the value of your mental and emotional well-being?
(910) 537-6092 View (910) 537-6092
Photo of Dr. Bianca Ramosdelrio, Marriage & Family Therapist, PhD, LMFT, LMFTS, EMDR, Gottman
Dr. Bianca Ramosdelrio
Marriage & Family Therapist, PhD, LMFT, LMFTS, EMDR, Gottman
1 Endorsed
Online Only
We ALL carry baggage. Both the past and the present can weigh us down. MAKE time for self-care whenever you can. Why not get going right Now? I/We can serve you to be the best version of yourself or in relationships. We are physically connected to Cumberland, Moore, Harnett, and Robinson county, but serve all of North Carolina. Through Dr Bs involvement in and with the military and 1st responder community, we understand the unique challenges that 1st responder, military personnel, and their families face and are proud to serve those who serve us. CONTACT us to let go of the PAST, take CONTROL of the present, and plan for the future.
We ALL carry baggage. Both the past and the present can weigh us down. MAKE time for self-care whenever you can. Why not get going right Now? I/We can serve you to be the best version of yourself or in relationships. We are physically connected to Cumberland, Moore, Harnett, and Robinson county, but serve all of North Carolina. Through Dr Bs involvement in and with the military and 1st responder community, we understand the unique challenges that 1st responder, military personnel, and their families face and are proud to serve those who serve us. CONTACT us to let go of the PAST, take CONTROL of the present, and plan for the future.
(910) 714-9065 View (910) 714-9065
Photo of Dr. Wiley Hughes, Licensed Clinical Mental Health Counselor, DMin, PsyD, LCMHC, FBPPC, NCC
Dr. Wiley Hughes
Licensed Clinical Mental Health Counselor, DMin, PsyD, LCMHC, FBPPC, NCC
1 Endorsed
Fayetteville, NC 28306
I offer a wide variety of counseling services. If you are not sure what kind of counseling you want or need, start with me! I will help you through the process and help make it as easy as possible for you to get back to feeling like "you" again. In addition to a variety of therapeutic approaches to psychotherapy I also integrate measurement-based care into the treatment of our clients. Using approved and tried-and-true assessments I offer a full-approach to whole-person counseling. Give me a call today for available session times guaranteed within the month.
I offer a wide variety of counseling services. If you are not sure what kind of counseling you want or need, start with me! I will help you through the process and help make it as easy as possible for you to get back to feeling like "you" again. In addition to a variety of therapeutic approaches to psychotherapy I also integrate measurement-based care into the treatment of our clients. Using approved and tried-and-true assessments I offer a full-approach to whole-person counseling. Give me a call today for available session times guaranteed within the month.
(910) 506-3005 View (910) 506-3005
Photo of Eric Hall, Clinical Social Work/Therapist, MS, MSW, LCSW, LCAS, NADD-CC
Eric Hall
Clinical Social Work/Therapist, MS, MSW, LCSW, LCAS, NADD-CC
Fayetteville, NC 28303
I started in the field of counseling in hopes of creating change in the community. Since starting in the field of counseling, I have dedicated my time and effort to making a positive impact in the lives served.
I started in the field of counseling in hopes of creating change in the community. Since starting in the field of counseling, I have dedicated my time and effort to making a positive impact in the lives served.
(910) 415-7698 View (910) 415-7698
Photo of Monica Brown, Licensed Professional Counselor, MA, MPhil, LCMHC
Monica Brown
Licensed Professional Counselor, MA, MPhil, LCMHC
1 Endorsed
Fayetteville, NC 28303
I am a Licensed Clinical Mental Health Counselor with over 30 years of experience in the mental health field. I have experience in counseling children, adolescents, adults, and couples. My expertise in counseling active duty service members to include special forces soldiers and their families along with veterans have given me the confidence in addressing your specific mental health needs. My treatment approaches are eclectic as everyone has different needs. My approach includes CBT, DBT, trauma-focused, family systems, solution focused, client-centered as well as other evidenced based therapeutic practices.
I am a Licensed Clinical Mental Health Counselor with over 30 years of experience in the mental health field. I have experience in counseling children, adolescents, adults, and couples. My expertise in counseling active duty service members to include special forces soldiers and their families along with veterans have given me the confidence in addressing your specific mental health needs. My treatment approaches are eclectic as everyone has different needs. My approach includes CBT, DBT, trauma-focused, family systems, solution focused, client-centered as well as other evidenced based therapeutic practices.
(910) 778-1575 View (910) 778-1575
Photo of Tonya Becker, Licensed Professional Counselor, MS, LCMHC
Tonya Becker
Licensed Professional Counselor, MS, LCMHC
1 Endorsed
Online Only
Hello there! Feeling like life's throwing you curveballs? Stress, feeling stuck, uncertainty or just the daily grind getting you down? You're not alone. Taking this step towards healing is huge, and I'm here to cheer you on! Serving 15+ years in the mental health field with 7 exclusively being devoted to counseling, I've walked alongside folks from all walks of life. No challenge is too big when you've got someone in your corner. You do not have to go through this alone! Let's team up and tackle whatever life is throwing your way, one step at a time.
Hello there! Feeling like life's throwing you curveballs? Stress, feeling stuck, uncertainty or just the daily grind getting you down? You're not alone. Taking this step towards healing is huge, and I'm here to cheer you on! Serving 15+ years in the mental health field with 7 exclusively being devoted to counseling, I've walked alongside folks from all walks of life. No challenge is too big when you've got someone in your corner. You do not have to go through this alone! Let's team up and tackle whatever life is throwing your way, one step at a time.
(910) 537-6166 View (910) 537-6166
Photo of Nastasia Street, Lic Clinical Mental Health Counselor Associate, LCMHCA
Nastasia Street
Lic Clinical Mental Health Counselor Associate, LCMHCA
Online Only
I have immediate openings! I can help you work through depression, anxiety, major life changes, divorce, parenting and so much more. My mission is to create a safe place for you to process through a wide range of life’s challenges and struggles.
I have immediate openings! I can help you work through depression, anxiety, major life changes, divorce, parenting and so much more. My mission is to create a safe place for you to process through a wide range of life’s challenges and struggles.
(910) 485-6336 View (910) 485-6336
Photo of Crystal McInnis, Lic Clinical Mental Health Counselor Associate, LCMHCA
Crystal McInnis
Lic Clinical Mental Health Counselor Associate, LCMHCA
1 Endorsed
Fayetteville, NC 28305
My work is rooted in creating a light-hearted, compassionate space where you can slow down, make meaning of what you're experiencing, then reconnect with your true Self. I draw from evidence-based strategies while staying attuned to the emotional, relational and spiritual layers of healing. As a Christian, I value faith as a source of meaning and works best when it honors where you are. Whether faith is central, complicated or off in the distance, my goal is to help you listen more closely to yourself and move towards wellness.
My work is rooted in creating a light-hearted, compassionate space where you can slow down, make meaning of what you're experiencing, then reconnect with your true Self. I draw from evidence-based strategies while staying attuned to the emotional, relational and spiritual layers of healing. As a Christian, I value faith as a source of meaning and works best when it honors where you are. Whether faith is central, complicated or off in the distance, my goal is to help you listen more closely to yourself and move towards wellness.
(910) 606-5712 View (910) 606-5712
Photo of Laura D Lawyer - A Peace of Mind Counseling, PLLC, Clinical Social Work/Therapist, MSW, LCSW
A Peace of Mind Counseling, PLLC
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Fayetteville, NC 28314
Looking for a space where you can truly feel seen, heard, and supported? At A Peace of Mind Counseling, PLLC, we’ve been helping individuals, couples, and families heal and grow since 2011—backed by over 17 years of professional experience and training. Clients often share how safe and empowered they feel to explore, practice, and create lasting change once they are equipped with evidence based tools. We specialize in the Gottman Method, EMDR, Hypnosis, Anxiety, Depression, Parenting Support, and more. Ready to take the first step toward peace of mind? Please visit our website and let’s get you scheduled today!
Looking for a space where you can truly feel seen, heard, and supported? At A Peace of Mind Counseling, PLLC, we’ve been helping individuals, couples, and families heal and grow since 2011—backed by over 17 years of professional experience and training. Clients often share how safe and empowered they feel to explore, practice, and create lasting change once they are equipped with evidence based tools. We specialize in the Gottman Method, EMDR, Hypnosis, Anxiety, Depression, Parenting Support, and more. Ready to take the first step toward peace of mind? Please visit our website and let’s get you scheduled today!
(910) 994-6732 View (910) 994-6732
Photo of Raniya Shakir, Counselor, MA, LCMHC-A, NCC
Raniya Shakir
Counselor, MA, LCMHC-A, NCC
Fayetteville, NC 28312
I strive to create a safe and supportive environment for all my clients by facilitating a space where you are open to be yourself and express your true emotions with zero judgment and unconditional empathy and positive regard. I believe in establishing a collaborative therapeutic relationship in which we work together to create and work towards goals for further growth. My goal in every session is to make you feel heard and supported, and have you leaving feeling a little better than when you came initially came in.
I strive to create a safe and supportive environment for all my clients by facilitating a space where you are open to be yourself and express your true emotions with zero judgment and unconditional empathy and positive regard. I believe in establishing a collaborative therapeutic relationship in which we work together to create and work towards goals for further growth. My goal in every session is to make you feel heard and supported, and have you leaving feeling a little better than when you came initially came in.
(910) 838-5996 View (910) 838-5996

See more therapy options for Cumberland County

How does your Therapist compare?

Number of Therapists in Cumberland County, NC

500+

Average cost per session

$126

Therapists in Cumberland County, NC who prioritize treating:

90% Anxiety
85% Depression
70% Self Esteem
68% Trauma and PTSD
66% Stress
62% Relationship Issues
54% Grief

Average years in practice

9 Years

Top 3 insurances accepted

88% Aetna
86% BlueCross and BlueShield
68% Cigna and Evernorth

How Therapists in Cumberland County, NC see their clients

51% In Person and Online
49% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cumberland 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.