Therapists in Rensselaer, NY

Photo of Hope Perlman, Clinical Social Work/Therapist in Rensselaer, NY
Hope Perlman
Clinical Social Work/Therapist, MEd, LMSW
Verified Verified
Rensselaer, NY 12144
Do you feel that something in your life needs to change? I can help. I am a psychotherapist working in private practice who works with all ages and genders, with individuals, couples, and families. Maybe you need help with communication, chronic stress, or coping with life changes. My approach to each person is to meet you where you are, address your symptoms, and empower you to become the full expression of who you are meant to be. I incorporate psychodynamic psychotherapy, family systems approaches, bodywork, mindfulness, and cognitive and behavioral strategies as appropriate. My philosophy is client-centered and trauma-informed.
Do you feel that something in your life needs to change? I can help. I am a psychotherapist working in private practice who works with all ages and genders, with individuals, couples, and families. Maybe you need help with communication, chronic stress, or coping with life changes. My approach to each person is to meet you where you are, address your symptoms, and empower you to become the full expression of who you are meant to be. I incorporate psychodynamic psychotherapy, family systems approaches, bodywork, mindfulness, and cognitive and behavioral strategies as appropriate. My philosophy is client-centered and trauma-informed.
(518) 302-2551 View (518) 302-2551
Photo of Keli Rugenstein, Clinical Social Work/Therapist in Rensselaer, NY
Keli Rugenstein
Clinical Social Work/Therapist, PhD, LCSW, LMFT
Verified Verified
Rensselaer, NY 12144
Not currently taking new clients. Are you struggling with relationships in your life? Are you a leader that sometimes struggles with the interpersonal parts of your work? Good relationships are important in every part of one's life. A meaningful relationship with someone who knows all about you and that lasts a life time can be elusive. Whether you want to improve your personnel skills or personal relationships, let's talk!
Not currently taking new clients. Are you struggling with relationships in your life? Are you a leader that sometimes struggles with the interpersonal parts of your work? Good relationships are important in every part of one's life. A meaningful relationship with someone who knows all about you and that lasts a life time can be elusive. Whether you want to improve your personnel skills or personal relationships, let's talk!
(518) 333-7993 x1001 View (518) 333-7993 x1001
Photo of Noah James DeTurris Poust, Clinical Social Work/Therapist in Rensselaer, NY
Noah James DeTurris Poust
Clinical Social Work/Therapist
Verified Verified
Rensselaer, NY 12144
Currently accepting new clients. People who determine that they want help deserve every ounce of effort and attention. I work with people struggling with their peers, friends, and other relationships. I have experience working with with issues relating to anxiety and depression. I am also here for everyone no matter if you struggle with other issues such as eating and body image, work-related stress, and more. Clients for whom matters of spirituality and faith are important can feel comfortable and safe with discussing them in sessions. I will engage with you to find the best possible path to your success in therapy.
Currently accepting new clients. People who determine that they want help deserve every ounce of effort and attention. I work with people struggling with their peers, friends, and other relationships. I have experience working with with issues relating to anxiety and depression. I am also here for everyone no matter if you struggle with other issues such as eating and body image, work-related stress, and more. Clients for whom matters of spirituality and faith are important can feel comfortable and safe with discussing them in sessions. I will engage with you to find the best possible path to your success in therapy.
(518) 254-8274 View (518) 254-8274
Photo of Pakatar LCSW Counseling Services, PLLC, Clinical Social Work/Therapist in Rensselaer, NY
Pakatar LCSW Counseling Services, PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rensselaer, NY 12144  (Online Only)
My approach to therapy is client centered, compassionate and non judgmental. I focus on helping you understand the roots of your current struggle and helping you use your inner resources to develop ways to respond to the world that benefit your life and relationships. I will work with you to practice techniques to enhance peace of mind and gain a sense of calm as well as gaining perspective on your life experiences and understand their context. I do this by using multiple treatment modalities such as Cognitive Behavioral Therapy, Strength Based approaches, Solution Focused techniques, and mindfulness practices.
My approach to therapy is client centered, compassionate and non judgmental. I focus on helping you understand the roots of your current struggle and helping you use your inner resources to develop ways to respond to the world that benefit your life and relationships. I will work with you to practice techniques to enhance peace of mind and gain a sense of calm as well as gaining perspective on your life experiences and understand their context. I do this by using multiple treatment modalities such as Cognitive Behavioral Therapy, Strength Based approaches, Solution Focused techniques, and mindfulness practices.
(518) 302-2134 View (518) 302-2134
Photo of Martin Lyden, Ph.D., Psychologist in Rensselaer, NY
Martin Lyden, Ph.D.
Psychologist, Martin, Lyden, PhD
Verified Verified
Rensselaer, NY 12144  (Online Only)
I have helped thousands of persons who suffered from a variety of difficulties such as depression, anxiety, stress, trauma, grief, attention deficit disorder, and health problems. I have assisted many couples in learning how to reduce destructive conflict and improve healthy communication and cooperation.
I have helped thousands of persons who suffered from a variety of difficulties such as depression, anxiety, stress, trauma, grief, attention deficit disorder, and health problems. I have assisted many couples in learning how to reduce destructive conflict and improve healthy communication and cooperation.
(518) 318-9857 View (518) 318-9857
Photo of Amber Kline, Clinical Social Work/Therapist in Rensselaer, NY
Amber Kline
Clinical Social Work/Therapist, LCSW
Verified Verified
Rensselaer, NY 12144
Do you feel overwhelmed by trying to do it all and balancing the responsibilities of work, family & friendships? Do you feel constant pressure to be the one that always holds everything together and if you don’t, everything around you will fall apart? Do you find that you spend so much of your time taking care of everyone and everything else that you don’t know who you are anymore? Do you struggle with maintaining healthy relationships and wonder, “when will I ever get it right?” If you answered yes to any of these questions, you are not alone!
Do you feel overwhelmed by trying to do it all and balancing the responsibilities of work, family & friendships? Do you feel constant pressure to be the one that always holds everything together and if you don’t, everything around you will fall apart? Do you find that you spend so much of your time taking care of everyone and everything else that you don’t know who you are anymore? Do you struggle with maintaining healthy relationships and wonder, “when will I ever get it right?” If you answered yes to any of these questions, you are not alone!
(518) 351-2943 View (518) 351-2943
Photo of Jenny Love, Pre-Licensed Professional in Rensselaer, NY
Jenny Love
Pre-Licensed Professional, MHC-LP
Verified Verified
Rensselaer, NY 12144
I am now accepting clients for EMDR! Please contact me for information. Are you an individual struggling with anxiety, depression, self-esteem or unresolved trauma? Are you a couple who has drifted apart over time, or are you facing separation? Are you a family that struggles to communicate effectively, and you are looking to rebuild your relationships? If so, I can help! I am a limited permit holder in Mental Health Counseling providing counseling to couples, families and individuals from pre-teen to adult by utilizing an integrative approach that is tailored to your needs.
I am now accepting clients for EMDR! Please contact me for information. Are you an individual struggling with anxiety, depression, self-esteem or unresolved trauma? Are you a couple who has drifted apart over time, or are you facing separation? Are you a family that struggles to communicate effectively, and you are looking to rebuild your relationships? If so, I can help! I am a limited permit holder in Mental Health Counseling providing counseling to couples, families and individuals from pre-teen to adult by utilizing an integrative approach that is tailored to your needs.
(518) 333-9705 View (518) 333-9705
Photo of Jennifer Merritt, Clinical Social Work/Therapist in Rensselaer, NY
Jennifer Merritt
Clinical Social Work/Therapist, LCSW
Verified Verified
Rensselaer, NY 12144  (Online Only)
Hi, I'm Jen. I'm a clinical social worker who has worked with children, adolescents and parents for twenty years. My goal in each session is to make my patients feel comfortable and identify their feelings. Each session begins with an emotional check-in and an update of what has happened in life since the last session. From there, together we can determine what the specific goal of the session will be, or continue to expand on skills and strategies introduced earlier. I believe in the need to be flexible depending on what the needs are in the moment of the patient. I craft a judgment free zone to help people be their best self.
Hi, I'm Jen. I'm a clinical social worker who has worked with children, adolescents and parents for twenty years. My goal in each session is to make my patients feel comfortable and identify their feelings. Each session begins with an emotional check-in and an update of what has happened in life since the last session. From there, together we can determine what the specific goal of the session will be, or continue to expand on skills and strategies introduced earlier. I believe in the need to be flexible depending on what the needs are in the moment of the patient. I craft a judgment free zone to help people be their best self.
(518) 760-6355 View (518) 760-6355
Photo of EMHC (Experiential Mental Health Counseling), Counselor in Rensselaer, NY
EMHC (Experiential Mental Health Counseling)
Counselor, LMHC
Not Verified Not Verified
Rensselaer, NY 12144
Waitlist for new clients
We are a practice of mental health counselors who utilizes an integrated approach. We offer individual, couple, and family therapy to those who are looking to work on their emotional, behavioral, and mental health. We provide a safe and genuine space to help clients improve skills to manage symptoms of anxiety, depression, and trauma and work on interpersonal relationships.
We are a practice of mental health counselors who utilizes an integrated approach. We offer individual, couple, and family therapy to those who are looking to work on their emotional, behavioral, and mental health. We provide a safe and genuine space to help clients improve skills to manage symptoms of anxiety, depression, and trauma and work on interpersonal relationships.
View
Photo of Janice Wieczorek, Counselor in Rensselaer, NY
Janice Wieczorek
Counselor, LMHC
Verified Verified
Rensselaer, NY 12144  (Online Only)
The goal in therapy is to create a compassionate and trusting space for clients to get through difficult periods in their lives and support healing. I work towards empowering clients with new tools to break old cycles and to help change what is not working in their lives. To begin counseling, clients describe goals and needs. Then we work together to create a new model of living integrating the Holistic Model of treating the mind, body and spirit as a whole.
The goal in therapy is to create a compassionate and trusting space for clients to get through difficult periods in their lives and support healing. I work towards empowering clients with new tools to break old cycles and to help change what is not working in their lives. To begin counseling, clients describe goals and needs. Then we work together to create a new model of living integrating the Holistic Model of treating the mind, body and spirit as a whole.
(518) 319-1085 View (518) 319-1085
Photo of Cognitive Care Psychotherapy, Clinical Social Work/Therapist in Rensselaer, NY
Cognitive Care Psychotherapy
Clinical Social Work/Therapist, LCSW, MBA
Verified Verified
1 Endorsed
Rensselaer, NY 12144  (Online Only)
Welcome to Cognitive Care Psychotherapy! My name is Dara Miller, owner and clinician. I have over 8 years of experience in the field, providing both counseling and crisis services.
Welcome to Cognitive Care Psychotherapy! My name is Dara Miller, owner and clinician. I have over 8 years of experience in the field, providing both counseling and crisis services.
(518) 855-6876 View (518) 855-6876
Photo of Prism Counseling & Advocacy in Rensselaer, NY
Prism Counseling & Advocacy
PhD, LMFT, LMSW, CASAC
Verified Verified
Rensselaer, NY 12144
When life feels impossible, you deserve somewhere that can offer safety, care, and empowerment to help you face the challenges of this world. Our mission at Prism Counseling & Advocacy is to give the LGBTQIA+ community a space to feel validated with clinicians who understand the difficulties our community is facing. We offer individual therapy, family therapy, couple/partner therapy, group therapy, and harm reduction services for both substance use difficulties and disordered eating. We believe in every persons right to live a full and beautiful life - with the right support and understanding we hope to make this a reality.
When life feels impossible, you deserve somewhere that can offer safety, care, and empowerment to help you face the challenges of this world. Our mission at Prism Counseling & Advocacy is to give the LGBTQIA+ community a space to feel validated with clinicians who understand the difficulties our community is facing. We offer individual therapy, family therapy, couple/partner therapy, group therapy, and harm reduction services for both substance use difficulties and disordered eating. We believe in every persons right to live a full and beautiful life - with the right support and understanding we hope to make this a reality.
(838) 444-5847 View (838) 444-5847

More Therapists Nearby

Photo of Bruce Margolis, Clinical Social Work/Therapist in Rensselaer, NY
Bruce Margolis
Clinical Social Work/Therapist, LMSW
Verified Verified
Albany, NY 12210
Waitlist for new clients
In four plus decades of counseling a wide variety of people I have learned a great deal about the human condition and how the psychological, physical, familial, and social contexts in which we live can cause our lives to feel like an overwhelming fight for survival. As human beings we should be able to expect more. In this counseling practice you will have my full respect and caring as a base on which to build a therapeutic relationship in which you can remember and discover a more authentic, alive version of yourself.
In four plus decades of counseling a wide variety of people I have learned a great deal about the human condition and how the psychological, physical, familial, and social contexts in which we live can cause our lives to feel like an overwhelming fight for survival. As human beings we should be able to expect more. In this counseling practice you will have my full respect and caring as a base on which to build a therapeutic relationship in which you can remember and discover a more authentic, alive version of yourself.
(518) 963-6737 View (518) 963-6737
Photo of Melissa M. Ten Eyck Hall, Counselor in Rensselaer, NY
Melissa M. Ten Eyck Hall
Counselor, LMHC
Verified Verified
3 Endorsed
Albany, NY 12210
Not accepting new clients
"Never say never" is one of my favorite expressions. No matter where you are in your life, it is never too late to ask for help and take the necessary steps to make your life better. No matter what you are experiencing, there is a safe place to talk about it and make changes for yourself. I have experience working with children, families and adults. If you want to be supported and empowered to make better choices in your life, please call me. I am here to listen and help you achieve your goals!
"Never say never" is one of my favorite expressions. No matter where you are in your life, it is never too late to ask for help and take the necessary steps to make your life better. No matter what you are experiencing, there is a safe place to talk about it and make changes for yourself. I have experience working with children, families and adults. If you want to be supported and empowered to make better choices in your life, please call me. I am here to listen and help you achieve your goals!
(518) 531-3957 View (518) 531-3957
Photo of Dr. Mitch and Lisa Marriages/Couples Workshops in Rensselaer, NY
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Albany, NY 12207
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 6 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 6 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(518) 901-2753 View (518) 901-2753
Photo of Samuel Adam, Counselor in Rensselaer, NY
Samuel Adam
Counselor, LMHC
Verified Verified
Albany, NY 12201  (Online Only)
Holding the conviction that as human beings we develop across the lifespan—emotionally, mentally, spiritually and so on—where some may see illness or pathology, I might see a pivotal moment, an opportunity disguised as a crisis, or a stuck-point seeking a breakthrough. Consequently, my view is very holistic—maintaining that the body-mind-spirit is a complex, interwoven field of energy. If you believe that wellness, fulfillment and contentment is the result of finding balance in the emotional, occupational, physical, social, intellectual, and spiritual domains of life, we would probably be a good fit to work together.
Holding the conviction that as human beings we develop across the lifespan—emotionally, mentally, spiritually and so on—where some may see illness or pathology, I might see a pivotal moment, an opportunity disguised as a crisis, or a stuck-point seeking a breakthrough. Consequently, my view is very holistic—maintaining that the body-mind-spirit is a complex, interwoven field of energy. If you believe that wellness, fulfillment and contentment is the result of finding balance in the emotional, occupational, physical, social, intellectual, and spiritual domains of life, we would probably be a good fit to work together.
(518) 363-6554 View (518) 363-6554
Photo of Alicia McDonough in Rensselaer, NY
Alicia McDonough
MHC-LP
Verified Verified
Albany, NY 12201  (Online Only)
We are inherently social creatures that yearn for connectedness but sometimes it is difficult to connect with ourselves. Even when we desire to understand our own pain and struggles, that inner connection doesn't always come how or when we hoped. I believe that a connectedness to one's self and others can be achieved; and can come more naturally with practice. As your therapist, I will foster a warm and supportive therapeutic environment for us to work together. This is a place where you can gently peel back layers of awareness so that you can more easily reach your authentic self.
We are inherently social creatures that yearn for connectedness but sometimes it is difficult to connect with ourselves. Even when we desire to understand our own pain and struggles, that inner connection doesn't always come how or when we hoped. I believe that a connectedness to one's self and others can be achieved; and can come more naturally with practice. As your therapist, I will foster a warm and supportive therapeutic environment for us to work together. This is a place where you can gently peel back layers of awareness so that you can more easily reach your authentic self.
(718) 550-8665 View (718) 550-8665
Photo of Michael S Slik, Counselor in Rensselaer, NY
Michael S Slik
Counselor, LMHC, CRC
Verified Verified
1 Endorsed
Albany, NY 12210  (Online Only)
I practice solution-based therapy. During our first meeting, we will discuss your goals and determine if I am the right therapist to assist you in meeting them. If so, I will work with you in a safe, collaborative, confidential space to solve the issues that bring us together. We assess our progress as we go to make sure that I am hearing and understanding you, and that you are getting what you need from our work together.
I practice solution-based therapy. During our first meeting, we will discuss your goals and determine if I am the right therapist to assist you in meeting them. If so, I will work with you in a safe, collaborative, confidential space to solve the issues that bring us together. We assess our progress as we go to make sure that I am hearing and understanding you, and that you are getting what you need from our work together.
(518) 730-4559 View (518) 730-4559
Photo of Benjamin Candib, Pre-Licensed Professional in Rensselaer, NY
Benjamin Candib
Pre-Licensed Professional
Verified Verified
Albany, NY 12201
Not accepting new clients
You are not broken, and you are not wrong for the thoughts and feelings you experience. As you navigate through life and its various struggles and challenges, you are trying to become the best version of yourself that you can. I am here to support you in overcoming the barriers that stand in the way of you getting there. Together, we will explore ways to help you gain a better understanding of your thoughts and feelings, and equip you with the tools to manage them more effectively while life becomes overwhelming
You are not broken, and you are not wrong for the thoughts and feelings you experience. As you navigate through life and its various struggles and challenges, you are trying to become the best version of yourself that you can. I am here to support you in overcoming the barriers that stand in the way of you getting there. Together, we will explore ways to help you gain a better understanding of your thoughts and feelings, and equip you with the tools to manage them more effectively while life becomes overwhelming
(518) 667-8025 View (518) 667-8025
Photo of Nancy E Dano, Counselor in Rensselaer, NY
Nancy E Dano
Counselor, LMHC
Verified Verified
Albany, NY 12202  (Online Only)
Hello and Welcome to Dano Counseling Services PLLC. Dano Counseling Services PLLC practices a client centered approach to therapy which consists of a compassionate, non-judgmental focus. Understanding how life experiences drive your thoughts, feelings and behaviors is key to peace and calmness. Dano Counseling Services works with you in focusing on your inner resources that will help you in developing positive interactions in your life. We will assist you in developing and maintaining positive coping skills and techniques that you will find supportive, engaging and calming.
Hello and Welcome to Dano Counseling Services PLLC. Dano Counseling Services PLLC practices a client centered approach to therapy which consists of a compassionate, non-judgmental focus. Understanding how life experiences drive your thoughts, feelings and behaviors is key to peace and calmness. Dano Counseling Services works with you in focusing on your inner resources that will help you in developing positive interactions in your life. We will assist you in developing and maintaining positive coping skills and techniques that you will find supportive, engaging and calming.
(518) 840-1016 View (518) 840-1016

See more therapy options for Rensselaer

How does your Therapist compare?

Number of Therapists in Rensselaer, NY

10+

Average cost per session

$100

Therapists in Rensselaer, NY who prioritize treating:

83% Depression
83% Anxiety
75% Self Esteem
67% Trauma and PTSD
67% Coping Skills
67% Stress
58% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

67% Cigna and Evernorth
67% Empire BlueCross BlueShield
67% CDPHP

How Therapists in Rensselaer, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

67% Female
17% Male
16% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Rensselaer?

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.