Therapists in South Amboy, NJ

Photo of Brian S. Ruiz, Clinical Social Work/Therapist, MSW, LCSW
Brian S. Ruiz
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Waitlist for new clients
Hi, I’m Brian Ruiz, a licensed clinical social worker passionate about supporting individuals, especially young adults, through stress, anxiety, and life’s challenges. My approach is rooted in compassion, dignity, and service, values inspired by both personal and professional experiences. After serving in the military and mentoring youth, I earned my MSW in 2013. Since then, I’ve worked with immigrant families, child protection, addiction recovery, and in-home counseling. I aim to create a safe, respectful space where your beliefs and goals are honored as we work toward resilience and growth.
Hi, I’m Brian Ruiz, a licensed clinical social worker passionate about supporting individuals, especially young adults, through stress, anxiety, and life’s challenges. My approach is rooted in compassion, dignity, and service, values inspired by both personal and professional experiences. After serving in the military and mentoring youth, I earned my MSW in 2013. Since then, I’ve worked with immigrant families, child protection, addiction recovery, and in-home counseling. I aim to create a safe, respectful space where your beliefs and goals are honored as we work toward resilience and growth.
(732) 466-6726 View (732) 466-6726
Photo of Lisa Marcelino, Marriage & Family Therapist, LMFT
Lisa Marcelino
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
My name is Lisa Marcelino, PhD, LMFT. I am a Certified Clinical Trauma Professional (CCTP). I primarily use solution-focused and emotion-focused modalities to help clients suffering from trauma, depression, anxiety, OCD, PTSD, and bipolar disorder. I love helping others and making a difference. I have extensive experience working with individuals, couples, and families suffering from trauma, depression, anxiety, OCD, PTSD, Bipolar Disorder, and relational issues.
My name is Lisa Marcelino, PhD, LMFT. I am a Certified Clinical Trauma Professional (CCTP). I primarily use solution-focused and emotion-focused modalities to help clients suffering from trauma, depression, anxiety, OCD, PTSD, and bipolar disorder. I love helping others and making a difference. I have extensive experience working with individuals, couples, and families suffering from trauma, depression, anxiety, OCD, PTSD, Bipolar Disorder, and relational issues.
(732) 217-7330 View (732) 217-7330
Photo of Helana Gage - Lifebulb Counseling & Therapy, Clinical Social Work/Therapist, LCSW
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Online Only
Finding the right therapist can be life-changing. At Lifebulb, we connect you with licensed, highly trained clinicians who genuinely enjoy helping others. We’ve built a supportive environment where therapists thrive—so you can thrive too. Whether you meet online or in person, we’re here to help you achieve your goals and feel your best every step of the way.
Finding the right therapist can be life-changing. At Lifebulb, we connect you with licensed, highly trained clinicians who genuinely enjoy helping others. We’ve built a supportive environment where therapists thrive—so you can thrive too. Whether you meet online or in person, we’re here to help you achieve your goals and feel your best every step of the way.
(732) 226-1358 View (732) 226-1358
Photo of Lauren Siegel, Clinical Social Work/Therapist, LCSW
Lauren Siegel
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
It took an immense amount of courage for you to be on here right now, searching for help and allowing yourself to be vulnerable. Without even meeting you, I'm already proud of you. This doesn't have to be a scary process and I'm here to guide you each step of the way. My passion lies in helping individuals manage depression, anxiety, grief and loss, personality disorders, psychotic disorders, addiction, and navigating life transitions. My clients describe me as down-to-earth, with a combination of empathy and practical guidance. I believe that therapy has the power to transform lives and I'm ready to meet you where you are at!
It took an immense amount of courage for you to be on here right now, searching for help and allowing yourself to be vulnerable. Without even meeting you, I'm already proud of you. This doesn't have to be a scary process and I'm here to guide you each step of the way. My passion lies in helping individuals manage depression, anxiety, grief and loss, personality disorders, psychotic disorders, addiction, and navigating life transitions. My clients describe me as down-to-earth, with a combination of empathy and practical guidance. I believe that therapy has the power to transform lives and I'm ready to meet you where you are at!
(732) 607-5723 View (732) 607-5723
Photo of Jacob Ventricelli, Licensed Associate Counselor
Jacob Ventricelli
Licensed Associate Counselor
South Amboy, NJ 08879
Change starts with feeling understood. Jacob is a Licensed Associate Counselor and National Certified Counselor with a strong foundation in psychology and clinical mental health counseling. I earned my Bachelor of Arts in Psychology from Ramapo College of New Jersey and my Master of Arts in Clinical Mental Health Counseling from Montclair State University. I bring several years of experience supporting individuals with substance use and co-occurring disorders, as well as children and adolescents through in-community services.
Change starts with feeling understood. Jacob is a Licensed Associate Counselor and National Certified Counselor with a strong foundation in psychology and clinical mental health counseling. I earned my Bachelor of Arts in Psychology from Ramapo College of New Jersey and my Master of Arts in Clinical Mental Health Counseling from Montclair State University. I bring several years of experience supporting individuals with substance use and co-occurring disorders, as well as children and adolescents through in-community services.
(732) 335-6764 View (732) 335-6764
Photo of Maria Giera, Licensed Professional Counselor, MA, LPC, NCC
Maria Giera
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Online Only
Hi! I am Maria Giera, a Licensed Professional Counselor (LPC) in New Jersey and a Nationally Board Certified Counselor(NCC). Using a wide range of therapeutic interventions, I help clients implement new coping strategies to help reduce their symptoms. We all desire to be heard. Listening, creating a safe and supportive environment to explore your emotions and experiences, I meet you where you are. I believe that it is important to create a supportive environment while achieving individual goals.
Hi! I am Maria Giera, a Licensed Professional Counselor (LPC) in New Jersey and a Nationally Board Certified Counselor(NCC). Using a wide range of therapeutic interventions, I help clients implement new coping strategies to help reduce their symptoms. We all desire to be heard. Listening, creating a safe and supportive environment to explore your emotions and experiences, I meet you where you are. I believe that it is important to create a supportive environment while achieving individual goals.
(732) 844-8457 View (732) 844-8457
Photo of Lanette Rozier - Multimental Health, Clinical Social Work/Therapist, LCSW
Multimental Health
Clinical Social Work/Therapist, LCSW
Online Only
Feeling unseen and unheard can be exhausting. If you're overwhelmed by life's demands, struggling to set boundaries, or unable to express your true feelings, know that you're not alone. The rapid changes in our world can outpace the support once offered by family and cultural norms, leaving many feeling purposeless and disconnected. I recognize these challenges and am committed to helping you navigate these obstacles to find peace and serenity.
Feeling unseen and unheard can be exhausting. If you're overwhelmed by life's demands, struggling to set boundaries, or unable to express your true feelings, know that you're not alone. The rapid changes in our world can outpace the support once offered by family and cultural norms, leaving many feeling purposeless and disconnected. I recognize these challenges and am committed to helping you navigate these obstacles to find peace and serenity.
(732) 962-6327 View (732) 962-6327
Photo of Mc Laney Moise, Clinical Social Work/Therapist, LCSW
Mc Laney Moise
Clinical Social Work/Therapist, LCSW
Online Only
Understanding our past, navigating our present, and hoping for a better tomorrow has and will always one's biggest challenge. My goals is to be there with you throughout this journey, helping you make sense of everything. I have been working with children, adults, families, and couples in various settings. I am confident that I can assist you with developing the necessary tools you need to manage your issues at hand.
Understanding our past, navigating our present, and hoping for a better tomorrow has and will always one's biggest challenge. My goals is to be there with you throughout this journey, helping you make sense of everything. I have been working with children, adults, families, and couples in various settings. I am confident that I can assist you with developing the necessary tools you need to manage your issues at hand.
(732) 592-5809 View (732) 592-5809
Photo of Rajitha Pillai, Licensed Professional Counselor, LPC
Rajitha Pillai
Licensed Professional Counselor, LPC
Online Only
My ideal clients are individuals, couples, and families seeking support to overcome challenges and create a meaningful change. You may be struggling with anxiety, depression, stress, trauma, grief, relationship difficulties, life transitions, low self-esteem, or feeling overwhelmed and stuck. I provide compassionate, evidence-based care tailored to your unique needs and goals. Together, we can work collaboratively to build coping skills, strengthen resilience, improve relationships, increase self-awareness, and support lasting emotional growth in a safe, nonjudgmental environment.
My ideal clients are individuals, couples, and families seeking support to overcome challenges and create a meaningful change. You may be struggling with anxiety, depression, stress, trauma, grief, relationship difficulties, life transitions, low self-esteem, or feeling overwhelmed and stuck. I provide compassionate, evidence-based care tailored to your unique needs and goals. Together, we can work collaboratively to build coping skills, strengthen resilience, improve relationships, increase self-awareness, and support lasting emotional growth in a safe, nonjudgmental environment.
(848) 375-1525 View (848) 375-1525
Photo of Daniel Noll, Psychologist, PhD
Daniel Noll
Psychologist, PhD
South Amboy, NJ 08879
I have been a Licensed Psychologist in Massachusetts since 1996 and recently returned to my home state of New Jersey. I bring a wealth of knowledge, experience and skills in counseling people with mental health, substance abuse, and relationship issues. I practiced in mental health outpatient clinics, substance abuse clinics, and in group practices. I work with individuals, couples, families, different age groups, and people from various backgrounds. I work with different issues and utilize different methods. I have a special interest in doing Couple Therapy and Substance Abuse Treatment.
I have been a Licensed Psychologist in Massachusetts since 1996 and recently returned to my home state of New Jersey. I bring a wealth of knowledge, experience and skills in counseling people with mental health, substance abuse, and relationship issues. I practiced in mental health outpatient clinics, substance abuse clinics, and in group practices. I work with individuals, couples, families, different age groups, and people from various backgrounds. I work with different issues and utilize different methods. I have a special interest in doing Couple Therapy and Substance Abuse Treatment.
(732) 410-4296 View (732) 410-4296
Photo of Leslie Owens, Licensed Professional Counselor, MA, LPC
Leslie Owens
Licensed Professional Counselor, MA, LPC
Online Only
Looking to explore personal growth and find your own path to well-being? I’m Leslie, a Licensed Mental Health Professional with a Bachelor’s in Psychology (minor in Criminology) from Fairleigh Dickinson University and a Master’s in Clinical and Counseling Psychology from William Paterson University. With 8 years of experience across inpatient, partial hospitalization, outpatient, and respite settings, I am passionate about helping clients make meaningful discoveries and supporting their growth every step of the way.
Looking to explore personal growth and find your own path to well-being? I’m Leslie, a Licensed Mental Health Professional with a Bachelor’s in Psychology (minor in Criminology) from Fairleigh Dickinson University and a Master’s in Clinical and Counseling Psychology from William Paterson University. With 8 years of experience across inpatient, partial hospitalization, outpatient, and respite settings, I am passionate about helping clients make meaningful discoveries and supporting their growth every step of the way.
(848) 371-1012 View (848) 371-1012
Photo of Barbara Devin Rodriguez, Clinical Social Work/Therapist, LCSW, CCM
Barbara Devin Rodriguez
Clinical Social Work/Therapist, LCSW, CCM
Online Only
Talking about our problems is never easy, let alone acknowledging we may need help and support, but I hope to make that process a little easier by providing a safe and supportive environment for you to heal and grow in. Just like your local Planet Fitness, this too is a judgment free zone! If you’re looking for a space where you can talk openly and honestly, sarcasm included, then I can help create that space for you. I also offer ESA Letters for housing purposes. Call or message me to ask how we can set up a consult to be screened.
Talking about our problems is never easy, let alone acknowledging we may need help and support, but I hope to make that process a little easier by providing a safe and supportive environment for you to heal and grow in. Just like your local Planet Fitness, this too is a judgment free zone! If you’re looking for a space where you can talk openly and honestly, sarcasm included, then I can help create that space for you. I also offer ESA Letters for housing purposes. Call or message me to ask how we can set up a consult to be screened.
(848) 253-6272 View (848) 253-6272
Photo of Rama Jiandani - Rama\'s Counseling Center Inc., Clinical Social Work/Therapist, LCSW, SAP, MSW
Rama\'s Counseling Center Inc.
Clinical Social Work/Therapist, LCSW, SAP, MSW
South Amboy, NJ 08879
I specialize in counseling to individuals and families coping with relationship issues, parent-child issues, and extended family issues that are exacerbated by alcohol and substance abuse.
I specialize in counseling to individuals and families coping with relationship issues, parent-child issues, and extended family issues that are exacerbated by alcohol and substance abuse.
(732) 391-1215 View (732) 391-1215
Photo of Denise R Miguel - Denise R Miguel, LCSW, LLC, Clinical Social Work/Therapist, LCSW
Denise R Miguel, LCSW, LLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I offer holistic, client-centered psychotherapy that weaves together mindfulness practices and DBT-informed skills to support healing and emotional balance. My approach creates a grounded, compassionate space where you can explore your experiences, understand your inner world, and build practical tools for navigating life’s challenges. I approach each client with empathy, presence, and a deep respect for their unique experiences. Together, we work at a pace that feels safe and empowering, helping you cultivate resilience, self-awareness, and a deeper sense of well-being.
I offer holistic, client-centered psychotherapy that weaves together mindfulness practices and DBT-informed skills to support healing and emotional balance. My approach creates a grounded, compassionate space where you can explore your experiences, understand your inner world, and build practical tools for navigating life’s challenges. I approach each client with empathy, presence, and a deep respect for their unique experiences. Together, we work at a pace that feels safe and empowering, helping you cultivate resilience, self-awareness, and a deeper sense of well-being.
(848) 294-1667 View (848) 294-1667
Photo of Brittany Rose DiFalco, Licensed Professional Counselor, LMHC, LPC
Brittany Rose DiFalco
Licensed Professional Counselor, LMHC, LPC
South Amboy, NJ 08879
Healing is not achieved through having all the answers, but through the willingness to explore the questions we often avoid. Within a safe, unbiased, and judgment-free therapeutic relationship, clients are supported in examining both past experiences and current presenting concerns. The focus of psychotherapy is not on fixing the client, but on cultivating a therapeutic relationship, complete with insight and skills, that clients can utilize as a foundation for self-understanding and personal growth.
Healing is not achieved through having all the answers, but through the willingness to explore the questions we often avoid. Within a safe, unbiased, and judgment-free therapeutic relationship, clients are supported in examining both past experiences and current presenting concerns. The focus of psychotherapy is not on fixing the client, but on cultivating a therapeutic relationship, complete with insight and skills, that clients can utilize as a foundation for self-understanding and personal growth.
(732) 641-6852 View (732) 641-6852
Photo of Christopher Drew Frka, Counselor, LAC
Christopher Drew Frka
Counselor, LAC
1 Endorsed
South Amboy, NJ 08879
You’ve been holding it together for a long time—on the outside, at least. Inside, it might feel like a mess: anxiety, low motivation, difficulty managing emotions, relationship confusion, or just not feeling like yourself. You want more than coping—you want clarity, confidence, and peace of mind. My ideal client is committed to growth and wants a therapist who will be real with them, not just nod and smile. They're curious about themselves and are committed to making the changes they want to see in their lives. If you’re ready to look inward and start living with more awareness and strength then I may be a good fit for you.
You’ve been holding it together for a long time—on the outside, at least. Inside, it might feel like a mess: anxiety, low motivation, difficulty managing emotions, relationship confusion, or just not feeling like yourself. You want more than coping—you want clarity, confidence, and peace of mind. My ideal client is committed to growth and wants a therapist who will be real with them, not just nod and smile. They're curious about themselves and are committed to making the changes they want to see in their lives. If you’re ready to look inward and start living with more awareness and strength then I may be a good fit for you.
(732) 696-7667 x1 View (732) 696-7667 x1
Photo of Stephanie Mastorio, Clinical Social Work/Therapist, MSW, LCSW
Stephanie Mastorio
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
I'm so glad you're here! Taking the first step toward seeking support is a brave and meaningful choice. As a therapist, I am deeply committed to creating a safe, non-judgmental space where you can explore your thoughts, feelings and experiences. My approach is grounded in empathy, curiosity and genuine connection. Whether you're navigating anxiety, stress, relationships, or life transitions, I'm here to support you every step of the way. Together, we'll uncover insights, build coping strategies, and empower you toward healing and growth.
I'm so glad you're here! Taking the first step toward seeking support is a brave and meaningful choice. As a therapist, I am deeply committed to creating a safe, non-judgmental space where you can explore your thoughts, feelings and experiences. My approach is grounded in empathy, curiosity and genuine connection. Whether you're navigating anxiety, stress, relationships, or life transitions, I'm here to support you every step of the way. Together, we'll uncover insights, build coping strategies, and empower you toward healing and growth.
(848) 315-1936 View (848) 315-1936
Photo of Azalea Howard, Counselor, LSW, MSW
Azalea Howard
Counselor, LSW, MSW
Online Only
I am a Licensed Social Worker (LSW), who is well experienced working with children, teens, families, elders, and their caregivers for 10 + years. I graduated from Rutgers, The State University of NJ, with my Master’s Degree in Social Work, with high honors over 10 years ago. I also have an Undergraduate Degree in Psychology. I am grateful that I have had the privilege to have worked in multiple capacities from Residential Group Homes for children, teens, and young adults to working with toddlers and parents in Preschools and Head Start.
I am a Licensed Social Worker (LSW), who is well experienced working with children, teens, families, elders, and their caregivers for 10 + years. I graduated from Rutgers, The State University of NJ, with my Master’s Degree in Social Work, with high honors over 10 years ago. I also have an Undergraduate Degree in Psychology. I am grateful that I have had the privilege to have worked in multiple capacities from Residential Group Homes for children, teens, and young adults to working with toddlers and parents in Preschools and Head Start.
(609) 293-4069 View (609) 293-4069
Photo of Jessica Trucillo, Counselor, LMHC, LPC, MA
Jessica Trucillo
Counselor, LMHC, LPC, MA
2 Endorsed
Online Only
Hello! I'm Jessica, a psychotherapist here to help you learn more about yourself and live a more fulfilling life. I work primarily with young adults, adults and teenagers. I specialize in anxiety and depression, as well as trauma, relationship issues and women's issues. My approach to therapy is helping my clients learn more about themselves and empowering them to make changes that will meet their goals. My clients can expect to feel more self-aware and at peace with themselves. They can also expect to have a greater understanding of their emotions and triggers. With therapy, I hope to help others feel more authentic and confident.
Hello! I'm Jessica, a psychotherapist here to help you learn more about yourself and live a more fulfilling life. I work primarily with young adults, adults and teenagers. I specialize in anxiety and depression, as well as trauma, relationship issues and women's issues. My approach to therapy is helping my clients learn more about themselves and empowering them to make changes that will meet their goals. My clients can expect to feel more self-aware and at peace with themselves. They can also expect to have a greater understanding of their emotions and triggers. With therapy, I hope to help others feel more authentic and confident.
(646) 759-1511 View (646) 759-1511
Photo of Melody C Smith, Licensed Professional Counselor, MA, LPC, PMH-C, NCC
Melody C Smith
Licensed Professional Counselor, MA, LPC, PMH-C, NCC
1 Endorsed
Online Only
Life looks steady on the outside — but internally, you feel anxious, self-critical, or stretched thin. You may be navigating perfectionism, people-pleasing, relational stress, or a major life transition like pregnancy or postpartum. Perhaps you’re carrying cultural expectations, professional burnout, or old patterns rooted in past experiences. You want to feel more grounded, confident, and connected to yourself — but you’re not sure how to quiet the constant overthinking or self-doubt.
Life looks steady on the outside — but internally, you feel anxious, self-critical, or stretched thin. You may be navigating perfectionism, people-pleasing, relational stress, or a major life transition like pregnancy or postpartum. Perhaps you’re carrying cultural expectations, professional burnout, or old patterns rooted in past experiences. You want to feel more grounded, confident, and connected to yourself — but you’re not sure how to quiet the constant overthinking or self-doubt.
(732) 365-4137 View (732) 365-4137

See more therapy options for South Amboy

How does your Therapist compare?

Number of Therapists in South Amboy, NJ

20+

Average cost per session

$150

Therapists in South Amboy, NJ who prioritize treating:

96% Anxiety
96% Social Anxiety
96% Health Anxiety
96% Driving Anxiety
93% Depression
74% Grief
74% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
92% Cigna and Evernorth
72% UnitedHealthcare UHC | UBH

How Therapists in South Amboy, NJ see their clients

63% Online Only
37% In Person and Online

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in South Amboy?

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.