Therapists in Maryland

View cities and counties in Maryland
Photo of Carrie Stofanak, Counselor in Maryland
Carrie Stofanak
Counselor, MA, LCPC, ICAADC
Verified Verified
1 Endorsed
Elkton, MD 21921  (Online Only)
I am passionate about working with LGBTQIA+ individuals, couples, and families. I also enjoy working with people in recovery. I have spent the majority of my career in the field of addiction counseling. I genuinely believe that as a therapist, my job is to help people become the best version of themselves. People come to therapy to discover new things about themselves. Sometimes it's wonderful, other times it's difficult but, I am not only willing, I am passionate about talking about the things that they have not been able to share with anyone else and getting to witness the growth that comes with facing those demons together.
I am passionate about working with LGBTQIA+ individuals, couples, and families. I also enjoy working with people in recovery. I have spent the majority of my career in the field of addiction counseling. I genuinely believe that as a therapist, my job is to help people become the best version of themselves. People come to therapy to discover new things about themselves. Sometimes it's wonderful, other times it's difficult but, I am not only willing, I am passionate about talking about the things that they have not been able to share with anyone else and getting to witness the growth that comes with facing those demons together.
(410) 883-7307 View (410) 883-7307
Photo of Amanda Steinhorn, Counselor in Maryland
Amanda Steinhorn
Counselor, LCPC, ATR-BC
Verified Verified
1 Endorsed
Owings Mills, MD 21117
I specialize in attachment based therapy for adults struggling with addiction, anxiety, depression, life challenges, co-dependency and/or relationship issues. I work from a holistic, client centered perspective merging clinical approaches such as EMDR, Attachment-Based, CBT and Inner-Child work . Additionally, I have experience working with adolescents struggling with a variety of mental health issues such as, anxiety, depression and/or anger management.
I specialize in attachment based therapy for adults struggling with addiction, anxiety, depression, life challenges, co-dependency and/or relationship issues. I work from a holistic, client centered perspective merging clinical approaches such as EMDR, Attachment-Based, CBT and Inner-Child work . Additionally, I have experience working with adolescents struggling with a variety of mental health issues such as, anxiety, depression and/or anger management.
(443) 232-1934 View (443) 232-1934
Photo of Desiree Ducharme, Licensed Clinical Professional Counselor in Maryland
Desiree Ducharme
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
3 Endorsed
Potomac, MD 20854  (Online Only)
Not accepting new clients
Seeking out a therapist is hard, and yet you're here! You've already completed the first step and now we can work together on the next ones. If you are someone dealing with stress, depression, anxiety, emotional regulation difficulties, life transition issues, identity issues and development, self-esteem or peer relationship issues, or are living with ADHD or other neurodivergent identities, then you have come to the right place. With my background, training, and clinical experiences, I can assist you in meeting your goals and moving forward, even if it doesn't feel possible yet. We got this.
Seeking out a therapist is hard, and yet you're here! You've already completed the first step and now we can work together on the next ones. If you are someone dealing with stress, depression, anxiety, emotional regulation difficulties, life transition issues, identity issues and development, self-esteem or peer relationship issues, or are living with ADHD or other neurodivergent identities, then you have come to the right place. With my background, training, and clinical experiences, I can assist you in meeting your goals and moving forward, even if it doesn't feel possible yet. We got this.
(410) 835-7972 View (410) 835-7972
Photo of Bianca Lee-Ribbon In The Sky Wellness Center, Licensed Clinical Professional Counselor in Maryland
Bianca Lee-Ribbon In The Sky Wellness Center
Licensed Clinical Professional Counselor, LCPC-S
Verified Verified
Baltimore, MD 21216  (Online Only)
Hello there! If you are ready to explore strategies to improve your mental health as well as create a more balanced and cohesive lifestyle, you’ve come to the right place. Thank you for being brave. RITS Wellness Center serves children, youth, & adults in the following areas: depression, anxiety, trauma, and social/relationship challenges. Together, we will create goals and action steps catered to focus areas that you identify. The hope is that as a result of this collaboration, you will learn how to utilize the tools needed to provide growth in your area of struggle. We look forward to partnering with you on this journey.
Hello there! If you are ready to explore strategies to improve your mental health as well as create a more balanced and cohesive lifestyle, you’ve come to the right place. Thank you for being brave. RITS Wellness Center serves children, youth, & adults in the following areas: depression, anxiety, trauma, and social/relationship challenges. Together, we will create goals and action steps catered to focus areas that you identify. The hope is that as a result of this collaboration, you will learn how to utilize the tools needed to provide growth in your area of struggle. We look forward to partnering with you on this journey.
(410) 498-8221 View (410) 498-8221
Photo of Angela Ware, Licensed Clinical Professional Counselor in Maryland
Angela Ware
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Smithsburg, MD 21783  (Online Only)
I utilize an integrated and collaborative approach to meet clients wherever they are at in their life’s journey. I provide a warm, caring, and respectful environment for individuals to explore and process the emotions, thoughts, and behaviors that contribute to the problems that lead them to therapy.
I utilize an integrated and collaborative approach to meet clients wherever they are at in their life’s journey. I provide a warm, caring, and respectful environment for individuals to explore and process the emotions, thoughts, and behaviors that contribute to the problems that lead them to therapy.
(240) 471-6574 View (240) 471-6574
Photo of Rachel D’Agostino, Pre-Licensed Professional in Maryland
Rachel D’Agostino
Pre-Licensed Professional, MS, LGPC
Verified Verified
Baltimore, MD 21211  (Online Only)
Hello! I am a Licensed Graduate Professional Counselor in Maryland. I graduated from Thomas Jefferson University with a Master's in Community Trauma Counseling. My work primarily focuses on trauma, attachment issues and sex addiction. I support adults and couples who are struggling with relationship issues. I also support adults struggling with anxiety and depression. I believe that we all face barriers and struggles throughout our lives and we deserve to be seen, heard, and validated in these experiences. In therapy, we can help challenge and process these behaviors and experiences.
Hello! I am a Licensed Graduate Professional Counselor in Maryland. I graduated from Thomas Jefferson University with a Master's in Community Trauma Counseling. My work primarily focuses on trauma, attachment issues and sex addiction. I support adults and couples who are struggling with relationship issues. I also support adults struggling with anxiety and depression. I believe that we all face barriers and struggles throughout our lives and we deserve to be seen, heard, and validated in these experiences. In therapy, we can help challenge and process these behaviors and experiences.
(301) 747-0035 View (301) 747-0035
Photo of Christine Kuhlman, Clinical Social Work/Therapist in Maryland
Christine Kuhlman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Lutherville Timonium, MD 21093  (Online Only)
Have you experienced trauma? Do you worry excessively? Are you depressed? Has a loved one died and the loss is too much to handle? Do you avoid people & places because you're afraid? Are you dealing with issues around your sexuality & gender? Do you sense that something's "just not right" with your world, but you cannot put your finger on it? *If you answered "yes" to any of these questions, maybe it's time to try therapy?
Have you experienced trauma? Do you worry excessively? Are you depressed? Has a loved one died and the loss is too much to handle? Do you avoid people & places because you're afraid? Are you dealing with issues around your sexuality & gender? Do you sense that something's "just not right" with your world, but you cannot put your finger on it? *If you answered "yes" to any of these questions, maybe it's time to try therapy?
(443) 681-7124 View (443) 681-7124
Photo of Jay C Fisher, Clinical Social Work/Therapist in Maryland
Jay C Fisher
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Timonium, MD 21093
Not accepting new clients
I see frustration, sadness, and fear as information and energy for change. I bring compassion and empathy to create a safe place for you to look carefully at what's causing difficulties in your personal or work life. Those come from self-doubt, grief, changing circumstances. I know different people need different approaches. I help people find more skillful ways to think and act. I help parents regain leadership in their families. I know young people don't need lectures. To quiet traumatic memories without re-exposure, I use EMDR. My clients learn Mindfulness Stress Reduction to manage stress daily.
I see frustration, sadness, and fear as information and energy for change. I bring compassion and empathy to create a safe place for you to look carefully at what's causing difficulties in your personal or work life. Those come from self-doubt, grief, changing circumstances. I know different people need different approaches. I help people find more skillful ways to think and act. I help parents regain leadership in their families. I know young people don't need lectures. To quiet traumatic memories without re-exposure, I use EMDR. My clients learn Mindfulness Stress Reduction to manage stress daily.
(410) 983-3134 View (410) 983-3134
Photo of Shelby Murtagh, Marriage & Family Therapist in Maryland
Shelby Murtagh
Marriage & Family Therapist, LMFT
Verified Verified
Catonsville, MD 21228  (Online Only)
I thrive when working with clients who are open to the idea of healing from their trauma. They don't need to be ready to do all the work just yet, but rather be willing to engage in the therapeutic journey, recognizing the importance of addressing past wounds to foster personal growth, and be ready to give therapy a chance. Clients receptivity to self-discovery and a collaborative approach allows us to navigate the complexities of their history together. This client values the opportunity to build a supportive and empowering therapeutic relationship, enabling us to cultivate a foundation for lasting change.
I thrive when working with clients who are open to the idea of healing from their trauma. They don't need to be ready to do all the work just yet, but rather be willing to engage in the therapeutic journey, recognizing the importance of addressing past wounds to foster personal growth, and be ready to give therapy a chance. Clients receptivity to self-discovery and a collaborative approach allows us to navigate the complexities of their history together. This client values the opportunity to build a supportive and empowering therapeutic relationship, enabling us to cultivate a foundation for lasting change.
(240) 617-4088 View (240) 617-4088
Photo of Mary Sims in Maryland
Mary Sims
LCPC
Verified Verified
1 Endorsed
Easton, MD 21601
Are you or your child struggling at home, school, work, or within relationships? You are not alone, and I am here to walk alongside you on your journey to healing. I specialize in empowering clients of all ages to navigate life transitions such as divorce, grief, stress, anxiety, depression, and trauma with a sense of hope. My role as therapist is provide support as you develop the skills and confidence to become the best version of yourself. Reaching out for help can be intimidating, but please know my goal is to create a safe space in which you feel validated and empowered to make the changes you've always desired.
Are you or your child struggling at home, school, work, or within relationships? You are not alone, and I am here to walk alongside you on your journey to healing. I specialize in empowering clients of all ages to navigate life transitions such as divorce, grief, stress, anxiety, depression, and trauma with a sense of hope. My role as therapist is provide support as you develop the skills and confidence to become the best version of yourself. Reaching out for help can be intimidating, but please know my goal is to create a safe space in which you feel validated and empowered to make the changes you've always desired.
(410) 642-5758 View (410) 642-5758
Photo of SeunCares Therapy Center, Licensed Clinical Professional Counselor in Maryland
SeunCares Therapy Center
Licensed Clinical Professional Counselor, MA, LCPC, LPC
Verified Verified
Jessup, MD 20794  (Online Only)
At SeunCares Therapy Center Inc., our goal is to provide compassionate and quality mental health therapy using a person-centered approach to help you achieve your therapy goals in a nonjudgmental and safe therapeutic environment. We believe that you have the inner strength to overcome your challenges and to define your own life.
At SeunCares Therapy Center Inc., our goal is to provide compassionate and quality mental health therapy using a person-centered approach to help you achieve your therapy goals in a nonjudgmental and safe therapeutic environment. We believe that you have the inner strength to overcome your challenges and to define your own life.
(443) 493-7609 View (443) 493-7609
Photo of Be Yourself Therapy Services, Clinical Social Work/Therapist in Maryland
Be Yourself Therapy Services
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21206
Not accepting new clients
Do you want to feel seen, heard, respected, and not judged? Be Yourself Therapy Services allow you to “BE YOURSELF” in a non-judgmental space and provides you with the potential to open a world of incredible growth and healing.
Do you want to feel seen, heard, respected, and not judged? Be Yourself Therapy Services allow you to “BE YOURSELF” in a non-judgmental space and provides you with the potential to open a world of incredible growth and healing.
(443) 383-4958 View (443) 383-4958
Photo of Jessica Decker Kramer, Counselor in Maryland
Jessica Decker Kramer
Counselor, LCPC, NCC
Verified Verified
Bethesda, MD 20814
Suffering from anxiety feels like being trapped in a cycle of hopelessness and worry. Many have had it for so long they don't know what it feels like to be "normal". I have helped hundreds of people learn how to successfully manage their anxiety and I can help you as well. My active, collaborative approach will help you develop effective coping strategies and improve your quality of life so that you can experience relief from the symptoms of stress and have joy back in your life. You don't have to suffer for one more day, call me so that we can work together. I can be reached at 301-744-9299.
Suffering from anxiety feels like being trapped in a cycle of hopelessness and worry. Many have had it for so long they don't know what it feels like to be "normal". I have helped hundreds of people learn how to successfully manage their anxiety and I can help you as well. My active, collaborative approach will help you develop effective coping strategies and improve your quality of life so that you can experience relief from the symptoms of stress and have joy back in your life. You don't have to suffer for one more day, call me so that we can work together. I can be reached at 301-744-9299.
(301) 744-9299 View (301) 744-9299
Photo of Monocacy Therapy, LLC, Clinical Social Work/Therapist in Maryland
Monocacy Therapy, LLC
Clinical Social Work/Therapist
Verified Verified
Barnesville, MD 20838  (Online Only)
I strive to help people manage distressing emotions so that they can live a fuller life. I am committed to providing quality mental health care in individual, family, and group settings. As a PhD-level anthropologist, I strive to learn as much as I can about your culture and worldview in order to tailor my therapeutic approach to your values, needs, and goals. I have effectively utilized cognitive behavioral, psychodynamic, play- and art-based, and trauma-informed approaches to support individuals living with a variety of conditions and problems, including depression, anxiety, bipolar disorder, and post-traumatic stress disorder.
I strive to help people manage distressing emotions so that they can live a fuller life. I am committed to providing quality mental health care in individual, family, and group settings. As a PhD-level anthropologist, I strive to learn as much as I can about your culture and worldview in order to tailor my therapeutic approach to your values, needs, and goals. I have effectively utilized cognitive behavioral, psychodynamic, play- and art-based, and trauma-informed approaches to support individuals living with a variety of conditions and problems, including depression, anxiety, bipolar disorder, and post-traumatic stress disorder.
(240) 283-5777 View (240) 283-5777
Photo of Atar Stav, Counselor in Maryland
Atar Stav
Counselor, LCPC, NCC
Verified Verified
1 Endorsed
Gaithersburg, MD 20878
Has your partner become a roommate instead of a romantic partner? Do one or both of you lack physical desire for each other? Are you struggling with how to reconnect sexually and regain the intimacy you once shared? Or perhaps you want to work individually, feel empowered, and have more joy and pleasure in your life? Working from a strengths based & holistic perspective, I am skilled at creating a warm, open space to help individuals and couples increase intimacy, enhance understanding, navigate changing roles, set boundaries, resolve conflicts, heal trauma, and create satisfying relationships.
Has your partner become a roommate instead of a romantic partner? Do one or both of you lack physical desire for each other? Are you struggling with how to reconnect sexually and regain the intimacy you once shared? Or perhaps you want to work individually, feel empowered, and have more joy and pleasure in your life? Working from a strengths based & holistic perspective, I am skilled at creating a warm, open space to help individuals and couples increase intimacy, enhance understanding, navigate changing roles, set boundaries, resolve conflicts, heal trauma, and create satisfying relationships.
(240) 202-2410 View (240) 202-2410
Photo of Farah VanGenderen, Clinical Social Work/Therapist in Maryland
Farah VanGenderen
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Salisbury, MD 21801
Not accepting new clients
When people experience severe life stressors and change, it's not uncommon for things to unravel in the shakeup. My passion is bringing healing to those in these seasons of life and to help in supporting and promoting healthy growth and change. I also love teaching and supervision and am on the Maryland Supervisors listing. I have been trained in a range of modalities and am a certified EMDR and TF-CBT therapist with extensive work with Sleep and Dreaming Practices to Heal as a Lucid Dream Facilitator, as well as decades working with grief, attachment theory and trauma.
When people experience severe life stressors and change, it's not uncommon for things to unravel in the shakeup. My passion is bringing healing to those in these seasons of life and to help in supporting and promoting healthy growth and change. I also love teaching and supervision and am on the Maryland Supervisors listing. I have been trained in a range of modalities and am a certified EMDR and TF-CBT therapist with extensive work with Sleep and Dreaming Practices to Heal as a Lucid Dream Facilitator, as well as decades working with grief, attachment theory and trauma.
(410) 376-8836 View (410) 376-8836
Photo of Karey Skinner-Steiner, Clinical Social Work/Therapist in Maryland
Karey Skinner-Steiner
Clinical Social Work/Therapist, MSW, MS, LCSW-C, RPT tm
Verified Verified
2 Endorsed
Bel Air, MD 21014  (Online Only)
Are you feeling overwhelmed, lost, or emotionally stuck? I want to hear your story and assist you in your journey towards healing. Currently I am providing therapy to children (4 years and older), adolescents, and adults.
Are you feeling overwhelmed, lost, or emotionally stuck? I want to hear your story and assist you in your journey towards healing. Currently I am providing therapy to children (4 years and older), adolescents, and adults.
(443) 903-2885 View (443) 903-2885
Photo of Diana Gomez, Counselor in Maryland
Diana Gomez
Counselor, LGPC
Verified Verified
Bethesda, MD 20816
I am a Dialectical Behavior Therapy (DBT) trained therapist who works with adolescents. Therapy with me looks like providing you tools to progress on your goals, especially when you may need that extra nudge. Just like any other therapist, I use active listening, yet, I believe there has to be more than that in therapy. Don’t get me wrong, active listening is so needed! But I also find guidance towards goals to be just as important. My hope is that you feel you are talking to someone who understands both where you are coming from and where you want to go.
I am a Dialectical Behavior Therapy (DBT) trained therapist who works with adolescents. Therapy with me looks like providing you tools to progress on your goals, especially when you may need that extra nudge. Just like any other therapist, I use active listening, yet, I believe there has to be more than that in therapy. Don’t get me wrong, active listening is so needed! But I also find guidance towards goals to be just as important. My hope is that you feel you are talking to someone who understands both where you are coming from and where you want to go.
(301) 381-4381 x130 View (301) 381-4381 x130
Photo of Gina Pennington, Counselor in Maryland
Gina Pennington
Counselor, LCPC
Verified Verified
Annapolis, MD 21401  (Online Only)
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life. Or, it could be you just don’t feel like yourself and you’re not sure why. You are not alone. To have problems means that you are human; but there is hope. I provide a warm, accepting space for people to explore what matters to them and what’s getting in their way. In 2008, I graduated from Johns Hopkins University with a Masters in Clinical Community Counseling.
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life. Or, it could be you just don’t feel like yourself and you’re not sure why. You are not alone. To have problems means that you are human; but there is hope. I provide a warm, accepting space for people to explore what matters to them and what’s getting in their way. In 2008, I graduated from Johns Hopkins University with a Masters in Clinical Community Counseling.
(866) 738-3081 View (866) 738-3081
Photo of Coleia Simpson, Clinical Social Work/Therapist in Maryland
Coleia Simpson
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi, I am Coleia, and I am so pleased that you are here! Are you looking for a safe, humorous space to be affirmed and heard? If so, read on! As a licensed clinical social worker in the state of Maryland and Washington D.C., I practice with a client-centered focal point, where the client leads the sessions while I provide support and guidance throughout. I believe in full autonomy and self-determination of my clients because change comes through the work of us together, with you as the pilot. Think of yourself as the athlete and me as your coach!
Hi, I am Coleia, and I am so pleased that you are here! Are you looking for a safe, humorous space to be affirmed and heard? If so, read on! As a licensed clinical social worker in the state of Maryland and Washington D.C., I practice with a client-centered focal point, where the client leads the sessions while I provide support and guidance throughout. I believe in full autonomy and self-determination of my clients because change comes through the work of us together, with you as the pilot. Think of yourself as the athlete and me as your coach!
(240) 670-1808 View (240) 670-1808

How does your Therapist compare?

Average cost per session

$150

Therapists in Maryland who prioritize treating:

92% Anxiety
88% Depression
75% Relationship Issues
75% Self Esteem
69% Coping Skills
67% Stress
65% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
71% CareFirst
67% Cigna and Evernorth

How Therapists in Maryland see their clients

59% In Person and Online
41% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Maryland?

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.