Therapists in Brewster, NY

Photo of Nicki Huebbe, Clinical Social Work/Therapist, LCSW-R
Nicki Huebbe
Clinical Social Work/Therapist, LCSW-R
Brewster, NY 10509
My style is active and collaborative, warm and respectful. These factors consistently combine to help clients clarify their goals and supports them in the process of making these goals a reality. I have experience with children, adults, and families in a variety of settings. These settings include private practice, community mental health, school-based special education, home-based early intervention, and advocacy.
My style is active and collaborative, warm and respectful. These factors consistently combine to help clients clarify their goals and supports them in the process of making these goals a reality. I have experience with children, adults, and families in a variety of settings. These settings include private practice, community mental health, school-based special education, home-based early intervention, and advocacy.
(845) 481-2202 View (845) 481-2202
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Brewster, NY 10509
We specialize in helping couples affected and damaged by PORNOGRAPHY, SEX ADDICTION, SEXTING, PROSTITUTION, EMOTIONAL/PHYSICAL AFFAIRS, and more. We help couples to quickly heal and repair the damages these problems have caused in their relationships. If you or your relationship is at risk because of these issues, feel free to call or email us to get immediate help.
We specialize in helping couples affected and damaged by PORNOGRAPHY, SEX ADDICTION, SEXTING, PROSTITUTION, EMOTIONAL/PHYSICAL AFFAIRS, and more. We help couples to quickly heal and repair the damages these problems have caused in their relationships. If you or your relationship is at risk because of these issues, feel free to call or email us to get immediate help.
(845) 640-3570 View (845) 640-3570
Photo of Patrick W Ford, Psychologist, PhD
Patrick W Ford
Psychologist, PhD
Brewster, NY 10509
I am a clinical psychologist working with adults, children, and couples. For over 6 years I have worked with combat veterans and their families. Prior to becoming a psychologist I was in the Marine Corps for 14 years. As therapist, my job is to meet you wherever you are and use my professional training and personal experience to help you move forward in the direction of your choosing to achieve your objectives. My goal is to give you the tools you need so that you don't need me. Therapy is about making you stronger, not making me feel smarter.
I am a clinical psychologist working with adults, children, and couples. For over 6 years I have worked with combat veterans and their families. Prior to becoming a psychologist I was in the Marine Corps for 14 years. As therapist, my job is to meet you wherever you are and use my professional training and personal experience to help you move forward in the direction of your choosing to achieve your objectives. My goal is to give you the tools you need so that you don't need me. Therapy is about making you stronger, not making me feel smarter.
(845) 745-6980 View (845) 745-6980
Photo of Jeff Davidoff, Clinical Social Work/Therapist, LCSW-R
Jeff Davidoff
Clinical Social Work/Therapist, LCSW-R
Online Only
Hi, I'm Jeff Davidoff LCSW. I am a Licensed Psychotherapist in the State of New York. I use a client centered approach to therapy. You will always be treated with respect, in a non judgmental way, and with unconditional positive regard. We will address the issues and areas of your life you would like help with. We will use a blend of cognitive, dialectic behavioral and talk therapies to help you reduce stress, anxiety and depression.
Hi, I'm Jeff Davidoff LCSW. I am a Licensed Psychotherapist in the State of New York. I use a client centered approach to therapy. You will always be treated with respect, in a non judgmental way, and with unconditional positive regard. We will address the issues and areas of your life you would like help with. We will use a blend of cognitive, dialectic behavioral and talk therapies to help you reduce stress, anxiety and depression.
(845) 547-0680 View (845) 547-0680
Sharee Skalsky
Clinical Social Work/Therapist, LCSW
Online Only
I am a NYS-licensed psychotherapist with 21 years of post-masters experience. I received my graduate training at the University of Hawai‘i at Mānoa, where I was strongly influenced by a holistic and culturally responsive perspective on healing. My work is grounded in a non–medical-model approach, emphasizing whole-person wellness rather than symptom labels. I integrate mind–body awareness, emotional regulation skills, and meaningful lifestyle practices to support lasting change.
I am a NYS-licensed psychotherapist with 21 years of post-masters experience. I received my graduate training at the University of Hawai‘i at Mānoa, where I was strongly influenced by a holistic and culturally responsive perspective on healing. My work is grounded in a non–medical-model approach, emphasizing whole-person wellness rather than symptom labels. I integrate mind–body awareness, emotional regulation skills, and meaningful lifestyle practices to support lasting change.
(845) 851-1342 View (845) 851-1342
Photo of Ruth Baron, Psychologist, PsyD
Ruth Baron
Psychologist, PsyD
Online Only
If you have gotten this far in your search for a therapist, you have made an important decision to get some help. This next step - finding someone you can trust to do this work with you - can be somewhat daunting. How do you make this choice? You really won't know who will be a good match for you until you sit down and speak with someone.
If you have gotten this far in your search for a therapist, you have made an important decision to get some help. This next step - finding someone you can trust to do this work with you - can be somewhat daunting. How do you make this choice? You really won't know who will be a good match for you until you sit down and speak with someone.
(845) 379-0059 View (845) 379-0059
Photo of Christy M Gotto, Clinical Social Work/Therapist, LCSWR
Christy M Gotto
Clinical Social Work/Therapist, LCSWR
Online Only
I am fortunate to work in a field where I have met amazing people on their path of self discovery . I am a therapist / clinical social worker with over twenty years I enjoy working with various populations at developmental stages . My focus is on helping clients identify goals and develop strategies and coping skills that will help them overall . We all have strengths and areas that we can improve . My approach is solution based with symptom relief as a primary focus , my style is collaborative and interactive . Establishing a rapport with someone in a safe supportive environment is so important when beginning therapy .
I am fortunate to work in a field where I have met amazing people on their path of self discovery . I am a therapist / clinical social worker with over twenty years I enjoy working with various populations at developmental stages . My focus is on helping clients identify goals and develop strategies and coping skills that will help them overall . We all have strengths and areas that we can improve . My approach is solution based with symptom relief as a primary focus , my style is collaborative and interactive . Establishing a rapport with someone in a safe supportive environment is so important when beginning therapy .
(914) 529-6354 View (914) 529-6354
Photo of Paola Bekker, Clinical Social Work/Therapist, LCSW
Paola Bekker
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I am bilingual/bicultural, graduate from Fordham University. I have specialized training in trauma and family violence with an emphasis on the study of victimology. My clinical experience is focused with treating children, adolescents and adult survivors of trauma. In addition to my work with this specialized population, I have treated adults presenting with marital conflict and individuals with concerns around anxiety, depression and difficulty with mood regulation. I place a strong emphasis on the patient being the change agent and focuses on bringing patient’s individual strengths and interests to the surface.
I am bilingual/bicultural, graduate from Fordham University. I have specialized training in trauma and family violence with an emphasis on the study of victimology. My clinical experience is focused with treating children, adolescents and adult survivors of trauma. In addition to my work with this specialized population, I have treated adults presenting with marital conflict and individuals with concerns around anxiety, depression and difficulty with mood regulation. I place a strong emphasis on the patient being the change agent and focuses on bringing patient’s individual strengths and interests to the surface.
(718) 303-2418 View (718) 303-2418
Photo of Irwin Leibowitz, Psychologist, PhD
Irwin Leibowitz
Psychologist, PhD
Online Only
Feeling somewhat overwhelmed? Let's just sit and talk; help me understand where you are and how I might best assist you. I have been practicing for 30+ years, having served not only as therapist/supervisor but as Chief Psychologist at a major mental health facility, educational consultant to a variety of metropolitan school systems and as an Associate Professor of Psychology. I specialize in areas of personal development, academic achievement/educational testing, behavioral management and autism. Perhaps we can work together to discover more efficient ways of navigating life issues other than by simply having to endure them.
Feeling somewhat overwhelmed? Let's just sit and talk; help me understand where you are and how I might best assist you. I have been practicing for 30+ years, having served not only as therapist/supervisor but as Chief Psychologist at a major mental health facility, educational consultant to a variety of metropolitan school systems and as an Associate Professor of Psychology. I specialize in areas of personal development, academic achievement/educational testing, behavioral management and autism. Perhaps we can work together to discover more efficient ways of navigating life issues other than by simply having to endure them.
(914) 930-4951 View (914) 930-4951
Photo of Jessica Salvatore, Clinical Social Work/Therapist, LCSW
Jessica Salvatore
Clinical Social Work/Therapist, LCSW
1 Endorsed
Brewster, NY 10509
Stepping outside our comfort zone can be empowering. Therapy can be the first step to finding your inner strength. Currently, I work with adolescents and adults via telehealth or in person. I also work with children ages 10-13 in person only. I specialize in Anxiety, Adjustment disorders, Depression, and the general stressors of life. Life can be complicated and overwhelming, but through the therapeutic process it can feel more manageable and enjoyable. As a certified Animal Intervention Specialist, when appropriate, I also offer Animal Assisted Therapy.
Stepping outside our comfort zone can be empowering. Therapy can be the first step to finding your inner strength. Currently, I work with adolescents and adults via telehealth or in person. I also work with children ages 10-13 in person only. I specialize in Anxiety, Adjustment disorders, Depression, and the general stressors of life. Life can be complicated and overwhelming, but through the therapeutic process it can feel more manageable and enjoyable. As a certified Animal Intervention Specialist, when appropriate, I also offer Animal Assisted Therapy.
(718) 618-6746 View (718) 618-6746
Photo of Lora Sant, Marriage & Family Therapist, LMFT
Lora Sant
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
My expertise is working with couples and individuals who want to improve their communication and resolve conflict harmoniously. Strong emotions such as anger, depression, and anxiety can stymie resolution or reconciliation. Are you both committed to your relationship, but struggling to resolve a conflict or get along? Learning how to process the dynamics in your relationships can empower you to make the changes you desire - including recovery from infidelity. I get excited when I have the opportunity to help couples find connection in the midst of the conflict.
My expertise is working with couples and individuals who want to improve their communication and resolve conflict harmoniously. Strong emotions such as anger, depression, and anxiety can stymie resolution or reconciliation. Are you both committed to your relationship, but struggling to resolve a conflict or get along? Learning how to process the dynamics in your relationships can empower you to make the changes you desire - including recovery from infidelity. I get excited when I have the opportunity to help couples find connection in the midst of the conflict.
(845) 839-4025 View (845) 839-4025
Photo of Jarlene Cabrera, Clinical Social Work/Therapist, LCSW
Jarlene Cabrera
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I’m Jarlene Cabrera, a licensed clinical social worker and the founder of Empowered Path Therapy. With over 16 years of experience, I’ve had the privilege of walking alongside individuals through some of their most difficult—and most transformative—moments. I believe therapy should feel like a safe, judgment-free space where you can show up exactly as you are. Whether you’re navigating anxiety, trauma, life transitions, or just feeling overwhelmed, my goal is to help you feel supported, understood, and empowered to grow at your own pace.
Hi, I’m Jarlene Cabrera, a licensed clinical social worker and the founder of Empowered Path Therapy. With over 16 years of experience, I’ve had the privilege of walking alongside individuals through some of their most difficult—and most transformative—moments. I believe therapy should feel like a safe, judgment-free space where you can show up exactly as you are. Whether you’re navigating anxiety, trauma, life transitions, or just feeling overwhelmed, my goal is to help you feel supported, understood, and empowered to grow at your own pace.
(845) 470-5607 View (845) 470-5607
Photo of Kristin Manusama, Counselor, LMHC-D, NCC
Kristin Manusama
Counselor, LMHC-D, NCC
Online Only
I am a Licensed Mental Health Counselor in New York specializing in the treatment of anxiety and OCD, particularly when worry, overthinking, guilt, or mental loops begin to interfere with daily life, relationships, and self-confidence. Many of the clients I work with feel stuck in patterns of needing certainty, control, or reassurance—and feel exhausted by how much mental space anxiety takes up. I also support individuals navigating life transitions, including relationship challenges, family dynamics, and the pregnancy, prenatal, and postpartum period.
I am a Licensed Mental Health Counselor in New York specializing in the treatment of anxiety and OCD, particularly when worry, overthinking, guilt, or mental loops begin to interfere with daily life, relationships, and self-confidence. Many of the clients I work with feel stuck in patterns of needing certainty, control, or reassurance—and feel exhausted by how much mental space anxiety takes up. I also support individuals navigating life transitions, including relationship challenges, family dynamics, and the pregnancy, prenatal, and postpartum period.
(845) 203-0261 View (845) 203-0261
Photo of Jacqueline K Lintzeris - Jacqueline K. Lintzeris , Clinical Social Work/Therapist, LCSW
Jacqueline K. Lintzeris
Clinical Social Work/Therapist, LCSW
Brewster, NY 10509
Have you been struggling with anxiety or depression, substance use, trauma, or feel like you can't manage stress lately? At Serene Soul, I address these concerns with client centered and compassionate psychotherapy to help guide you through the therapeutic process. I use (CBT) Cognitive Behavioral Therapy, (ACT) Acceptance and Commitment Therapy, and (MI) Motivational Interviewing, as well as holistic elements to treat adults through individual and group therapy sessions. I've been a practicing therapist for 10 years and I believe my success comes from my authenticity with clients.
Have you been struggling with anxiety or depression, substance use, trauma, or feel like you can't manage stress lately? At Serene Soul, I address these concerns with client centered and compassionate psychotherapy to help guide you through the therapeutic process. I use (CBT) Cognitive Behavioral Therapy, (ACT) Acceptance and Commitment Therapy, and (MI) Motivational Interviewing, as well as holistic elements to treat adults through individual and group therapy sessions. I've been a practicing therapist for 10 years and I believe my success comes from my authenticity with clients.
(845) 409-8037 View (845) 409-8037
Photo of David J. Parr, Psychologist, PsyD
David J. Parr
Psychologist, PsyD
2 Endorsed
Brewster, NY 10509
If you find that a problem continues to surface in your life despite your best efforts to solve it, I can help. My principal goal is to help you and/or your family members find effective solutions to get through difficult times and get back on track. I am a licensed clinical psychologist with extensive specialized training and over 25 years of experience in crisis management and teaching practical coping and interpersonal skills. I provide a solution-focused, flexible and time-limited approach to problem solving in a safe, supportive, non-judgmental and private setting.
If you find that a problem continues to surface in your life despite your best efforts to solve it, I can help. My principal goal is to help you and/or your family members find effective solutions to get through difficult times and get back on track. I am a licensed clinical psychologist with extensive specialized training and over 25 years of experience in crisis management and teaching practical coping and interpersonal skills. I provide a solution-focused, flexible and time-limited approach to problem solving in a safe, supportive, non-judgmental and private setting.
(917) 746-7344 View (917) 746-7344
Photo of Gary J Edelstein, Clinical Social Work/Therapist, LCSW-R
Gary J Edelstein
Clinical Social Work/Therapist, LCSW-R
Brewster, NY 10509
My clinical areas of specialization include: the treatment of neuro-psychological and developmental disorders, anxiety, depression, attention deficit disorders, and the management of emotional and behavioral dysregulation in children, adolescents, and adults. I utilize a range of strategies and techniques to address these problems including: structured family therapy, strategic therapy, interpersonal therapy, and cognitive behavior interventions. A large portion of my practice is devoted to helping families and couples resolve conflicts and relate in a more meaningful and positive manner. It is my belief that healthy family relationships are the basis of mental health and well being.
My clinical areas of specialization include: the treatment of neuro-psychological and developmental disorders, anxiety, depression, attention deficit disorders, and the management of emotional and behavioral dysregulation in children, adolescents, and adults. I utilize a range of strategies and techniques to address these problems including: structured family therapy, strategic therapy, interpersonal therapy, and cognitive behavior interventions. A large portion of my practice is devoted to helping families and couples resolve conflicts and relate in a more meaningful and positive manner. It is my belief that healthy family relationships are the basis of mental health and well being.
(845) 538-4046 View (845) 538-4046
Photo of Janis M Voltmer - Janis M.VoltmerLCSWR, Clinical Social Work/Therapist, BSW, MSW, LCSWR
Janis M.VoltmerLCSWR
Clinical Social Work/Therapist, BSW, MSW, LCSWR
Brewster, NY 10509
It's hard to think about starting therapy. And maybe it's never worked in the past. And often it can be more difficult when you've experienced what is considered a trauma, even if you don't think of your life that way. You just know you're not happy and haven't been in a long time. Sometimes therapy works when you try one more time. Maybe you just have to be ready.
It's hard to think about starting therapy. And maybe it's never worked in the past. And often it can be more difficult when you've experienced what is considered a trauma, even if you don't think of your life that way. You just know you're not happy and haven't been in a long time. Sometimes therapy works when you try one more time. Maybe you just have to be ready.
(845) 267-7051 View (845) 267-7051
Photo of Sejginha Williams-Abaku - Personal Life Wellness Marriage and Family Therapy, Marriage & Family Therapist, MS, LMFT, C-DBT, ADHD-CP
Personal Life Wellness Marriage and Family Therapy
Marriage & Family Therapist, MS, LMFT, C-DBT, ADHD-CP
6 Endorsed
Online Only
If you're seeking a therapist who understands the importance of finding the right fit and is dedicated to helping you make significant changes in your life and relationships, you've come to the right place. As experienced therapists, we specialize in empowering our clients to take action and create meaningful transformations. We have years of experience working with high-functioning and high-net-worth individuals, so we practice with the highest levels of confidentiality in mind. Sejginha is a Gottman Level 2-trained therapist. She is certified in DBT, ADHD treatment, and trauma treatment. She incorporates somatic interventions.
If you're seeking a therapist who understands the importance of finding the right fit and is dedicated to helping you make significant changes in your life and relationships, you've come to the right place. As experienced therapists, we specialize in empowering our clients to take action and create meaningful transformations. We have years of experience working with high-functioning and high-net-worth individuals, so we practice with the highest levels of confidentiality in mind. Sejginha is a Gottman Level 2-trained therapist. She is certified in DBT, ADHD treatment, and trauma treatment. She incorporates somatic interventions.
(914) 984-4598 View (914) 984-4598
Photo of Frances Anastasi, Clinical Social Work/Therapist, LCSW-R
Frances Anastasi
Clinical Social Work/Therapist, LCSW-R
Brewster, NY 10509
I believe that many difficulties are related to our unconscious thoughts, feelings, and experiences, and the unhealthy defenses that we erect, usually in childhood, to protect ourselves against hurt. Once helpful, but now outdated, these defenses prevent self-awareness and the constructive resolution of our problems. These blocks to awareness can contribute to symptoms such as low self-esteem, anxiety, depression, interpersonal problems, addictive behaviors, etc. I can assist you in developing healthier coping skills, i.e, to identify your defenses, explore your underlying feelings, and rediscover your authentic self.
I believe that many difficulties are related to our unconscious thoughts, feelings, and experiences, and the unhealthy defenses that we erect, usually in childhood, to protect ourselves against hurt. Once helpful, but now outdated, these defenses prevent self-awareness and the constructive resolution of our problems. These blocks to awareness can contribute to symptoms such as low self-esteem, anxiety, depression, interpersonal problems, addictive behaviors, etc. I can assist you in developing healthier coping skills, i.e, to identify your defenses, explore your underlying feelings, and rediscover your authentic self.
(631) 660-9698 View (631) 660-9698
Photo of Samantha Schnell, Counselor, LMHC, MS
Samantha Schnell
Counselor, LMHC, MS
1 Endorsed
Brewster, NY 10509
My approach is to not only develop a warm relationship with every client, based on trust, honesty, and understanding; but to also apply treatment methods that work and help improve your quality of life. I believe therapy can help every person reduce negative thoughts and emotions, improve relationships, and increase personal insight and awareness. Most people who are looking for a therapist are searching for an ally and someone who can help them get relief as soon as possible. I work with every client to develop attainable goals and bring about the change you have been looking for.
My approach is to not only develop a warm relationship with every client, based on trust, honesty, and understanding; but to also apply treatment methods that work and help improve your quality of life. I believe therapy can help every person reduce negative thoughts and emotions, improve relationships, and increase personal insight and awareness. Most people who are looking for a therapist are searching for an ally and someone who can help them get relief as soon as possible. I work with every client to develop attainable goals and bring about the change you have been looking for.
(914) 861-3532 View (914) 861-3532

See more therapy options for Brewster

How does your Therapist compare?

Number of Therapists in Brewster, NY

100+

Average cost per session

$150

Therapists in Brewster, NY who prioritize treating:

93% Anxiety
89% Depression
72% Trauma and PTSD
64% Grief
48% ADHD
45% Family Conflict
43% Relationship Issues

Average years in practice

15 Years

Top 3 insurances accepted

94% Aetna
87% Cigna and Evernorth
57% BlueCross and BlueShield

How Therapists in Brewster, NY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brewster?

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.