Therapists in Cuyahoga Falls, OH

Photo of The Cole Center, Counselor in Cuyahoga Falls, OH
The Cole Center
Counselor, LPCC, PhD, LISW, LMFT
Not Verified Not Verified
Cuyahoga Falls, OH 44221
We are a small private practice, established to grow a brand based on transparency in therapy, clinicians who are passionate about their jobs and ongoing interpersonal and professional growth. Our clinicians are trained to treat all mental health diagnoses. Contact us for help selecting which therapist may meet your personal needs including scheduling, insurance coverage, and unique styles.
We are a small private practice, established to grow a brand based on transparency in therapy, clinicians who are passionate about their jobs and ongoing interpersonal and professional growth. Our clinicians are trained to treat all mental health diagnoses. Contact us for help selecting which therapist may meet your personal needs including scheduling, insurance coverage, and unique styles.
(216) 342-3771 View (216) 342-3771
Photo of Lindsay Ibos, Licensed Professional Counselor in Cuyahoga Falls, OH
Lindsay Ibos
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
Before entering the mental health field, I taught for almost a decade in the public school system, working with a diverse population of teens and emerging adults. I value and respect the autonomy of all of my clients, and believe each person already has within themselves the solutions which they seek.
Before entering the mental health field, I taught for almost a decade in the public school system, working with a diverse population of teens and emerging adults. I value and respect the autonomy of all of my clients, and believe each person already has within themselves the solutions which they seek.
(330) 975-6781 View (330) 975-6781
Photo of Katie Kontorchik, Counselor in Cuyahoga Falls, OH
Katie Kontorchik
Counselor, CT
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
Katie holds a Bachelor’s of Science in Human Development and Family Studies with a concentration in Family Life Education. She is currently pursuing her Master’s of Education at Kent State University in their Clinical Mental Health Counseling program. She has experience working with childhood trauma, anxiety, depression, PTSD, family violence, parenting, behavioral concerns, as well as supporting children and families involved in the foster care system. She also has experience working with individuals of all ages navigating family dynamics and interpersonal relationships that impact their lives.
Katie holds a Bachelor’s of Science in Human Development and Family Studies with a concentration in Family Life Education. She is currently pursuing her Master’s of Education at Kent State University in their Clinical Mental Health Counseling program. She has experience working with childhood trauma, anxiety, depression, PTSD, family violence, parenting, behavioral concerns, as well as supporting children and families involved in the foster care system. She also has experience working with individuals of all ages navigating family dynamics and interpersonal relationships that impact their lives.
(234) 657-3500 View (234) 657-3500
Photo of Adam Swed, Licensed Professional Counselor in Cuyahoga Falls, OH
Adam Swed
Licensed Professional Counselor, LPC
Verified Verified
Cuyahoga Falls, OH 44223
If you need guidance finding your way through a challenging period in your life, I would like to help. Our time together can be short and solution-focused or much longer, depending on the nature of your concerns and your progress in therapy. I use several approaches to therapy which include modalities such as trauma informed, DBT, cognitive behavioral therapy, and motivational interviewing.
If you need guidance finding your way through a challenging period in your life, I would like to help. Our time together can be short and solution-focused or much longer, depending on the nature of your concerns and your progress in therapy. I use several approaches to therapy which include modalities such as trauma informed, DBT, cognitive behavioral therapy, and motivational interviewing.
(330) 227-2997 View (330) 227-2997
Photo of Megan D Mitcheltree, Licensed Professional Counselor in Cuyahoga Falls, OH
Megan D Mitcheltree
Licensed Professional Counselor, MEd, LPC
Verified Verified
Cuyahoga Falls, OH 44221
Waitlist for new clients
As you read this, you may feel scared, confused, overwhelmed, or all of the above. However you feel, know you are brave for getting this far. I strive to help my clients in their walk with anxiety, trauma, depression, and grief with a variety of evidence-based techniques. For each client, we co-create a treatment plan that holistically addresses their individual needs. I enjoy working with individuals, couples, families and am a proud ally of the LGBT+ community. I believe that each person deserves to feel safe, confident, and at peace in their own mind and body, including you!
As you read this, you may feel scared, confused, overwhelmed, or all of the above. However you feel, know you are brave for getting this far. I strive to help my clients in their walk with anxiety, trauma, depression, and grief with a variety of evidence-based techniques. For each client, we co-create a treatment plan that holistically addresses their individual needs. I enjoy working with individuals, couples, families and am a proud ally of the LGBT+ community. I believe that each person deserves to feel safe, confident, and at peace in their own mind and body, including you!
(330) 222-3851 View (330) 222-3851
Photo of Laura DelSignore, Marriage & Family Therapist in Cuyahoga Falls, OH
Laura DelSignore
Marriage & Family Therapist, MEd, LPCC-S, IMFT-S
Verified Verified
Cuyahoga Falls, OH 44221  (Online Only)
Not accepting new clients
I am a graduate of The University of Akron with a Master’s of Education in Marriage and Family Therapy. I have experience working with adolescents, individuals, couples and families. I also have a passion for providing a safe space for mental health professionals seeking their own services. I am a humanistic and feminist therapist and I am trained in CBT, Dancing Mindfulness and Motivational Interviewing. I am an EMDR Certified Therapist and an EMDR Consultant-In-Training. I am able to assist with trauma, anxiety, depression, domestic violence and relationship issues. I am proud to support the LGBTQIA+ community.
I am a graduate of The University of Akron with a Master’s of Education in Marriage and Family Therapy. I have experience working with adolescents, individuals, couples and families. I also have a passion for providing a safe space for mental health professionals seeking their own services. I am a humanistic and feminist therapist and I am trained in CBT, Dancing Mindfulness and Motivational Interviewing. I am an EMDR Certified Therapist and an EMDR Consultant-In-Training. I am able to assist with trauma, anxiety, depression, domestic violence and relationship issues. I am proud to support the LGBTQIA+ community.
(234) 813-4500 View (234) 813-4500
Photo of Jen Yensel, Counselor in Cuyahoga Falls, OH
Jen Yensel
Counselor, PhD, LPCC-S
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
Do you feel stressed? Overwhelmed? Need someone to talk to? I pride myself on my listening skills and like to build relationships with my clients. I can help you feel heard, and together, we can help find balance in your life. I have broad experience with clients in inpatient, outpatient, and school settings. My training has provided me the education to treat individuals of all ages and most mental health disorders. If I am not the best fit for you, I'll help you find someone who is.
Do you feel stressed? Overwhelmed? Need someone to talk to? I pride myself on my listening skills and like to build relationships with my clients. I can help you feel heard, and together, we can help find balance in your life. I have broad experience with clients in inpatient, outpatient, and school settings. My training has provided me the education to treat individuals of all ages and most mental health disorders. If I am not the best fit for you, I'll help you find someone who is.
(216) 208-5102 View (216) 208-5102
Photo of Anderson R Hawes, Counselor in Cuyahoga Falls, OH
Anderson R Hawes
Counselor, LPCC, LICDC, LSW
Verified Verified
Cuyahoga Falls, OH 44223
Finding a compassionate and non-judgmental therapist is the first step to improve your quality of life and help you achieve outcomes that meet both present and future goals! I am an experienced Licensed Professional Clinical Counselor, Licensed Social Worker & Licensed Independent Chemical Dependency Counselor - with advanced professional training in Cognitive Behavioral Therapy, Clinical Hypnosis, Gestalt Therapy, Mindfulness, Trauma Recovery & Addictions - providing specialized psycho-social assessment, substance abuse assessments & effective treatments: addictions (heroin, opioid, rx drugs, alcohol, DUI, smoking, gambling, compulsive disorders), mental health, bi-polar, trauma recovery, depression, anxiety, family/couples/divorce, personality, emotional & adjustment problems. Free phone consultation!
Finding a compassionate and non-judgmental therapist is the first step to improve your quality of life and help you achieve outcomes that meet both present and future goals! I am an experienced Licensed Professional Clinical Counselor, Licensed Social Worker & Licensed Independent Chemical Dependency Counselor - with advanced professional training in Cognitive Behavioral Therapy, Clinical Hypnosis, Gestalt Therapy, Mindfulness, Trauma Recovery & Addictions - providing specialized psycho-social assessment, substance abuse assessments & effective treatments: addictions (heroin, opioid, rx drugs, alcohol, DUI, smoking, gambling, compulsive disorders), mental health, bi-polar, trauma recovery, depression, anxiety, family/couples/divorce, personality, emotional & adjustment problems. Free phone consultation!
(330) 391-7509 View (330) 391-7509
Photo of Nyema Bedell, Counselor in Cuyahoga Falls, OH
Nyema Bedell
Counselor, LPCC-S
Verified Verified
Cuyahoga Falls, OH 44223
Waitlist for new clients
We all need someone who will listen and walk alongside us. Someone that will provide support, healing, and encouragement during our difficult times in life." I strive to provide a safe, confidential and non-judgmental environment to assist individuals, couples and/or children during every season of life.
We all need someone who will listen and walk alongside us. Someone that will provide support, healing, and encouragement during our difficult times in life." I strive to provide a safe, confidential and non-judgmental environment to assist individuals, couples and/or children during every season of life.
(234) 386-1054 View (234) 386-1054
Photo of Andrew Linder, Counselor in Cuyahoga Falls, OH
Andrew Linder
Counselor, MAEd, LPCC
Verified Verified
Cuyahoga Falls, OH 44221  (Online Only)
You want to appear successful & like you have it “all together” but deep down are struggling to feel confident in who you are or cope with challenging experiences that have occurred in your life. Instead you just watch Star Wars, The Office, Friends, Big Bang, or any other things you've seen, done or played a million times. I get it. But you are ready to stop feeling numb and disassociating. You're ready to stop letting those intrusive negative thoughts dictate your life. You're ready to dig deep and change those "default settings" into something positive that you create.
You want to appear successful & like you have it “all together” but deep down are struggling to feel confident in who you are or cope with challenging experiences that have occurred in your life. Instead you just watch Star Wars, The Office, Friends, Big Bang, or any other things you've seen, done or played a million times. I get it. But you are ready to stop feeling numb and disassociating. You're ready to stop letting those intrusive negative thoughts dictate your life. You're ready to dig deep and change those "default settings" into something positive that you create.
(937) 813-6238 View (937) 813-6238
Photo of Samantha Miller, Licensed Professional Counselor in Cuyahoga Falls, OH
Samantha Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Cuyahoga Falls, OH 44223
Life is a journey full of joys and challenges. Some seasons can be harder than others and make everyday tasks feel impossible and overwhelming. Whether it is the search for identity, understanding your personal history, navigating shifting moods, or facing big life changes, there is always hope and healing to be found. Together we can work towards the life you want by understanding who you are and breaking down movement towards growth into small achievable steps. However you may feel right now, you are in the right place.
Life is a journey full of joys and challenges. Some seasons can be harder than others and make everyday tasks feel impossible and overwhelming. Whether it is the search for identity, understanding your personal history, navigating shifting moods, or facing big life changes, there is always hope and healing to be found. Together we can work towards the life you want by understanding who you are and breaking down movement towards growth into small achievable steps. However you may feel right now, you are in the right place.
(330) 302-1373 View (330) 302-1373
Photo of Kimberlee Barrella, Licensed Professional Clinical Counselor in Cuyahoga Falls, OH
Kimberlee Barrella
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
Cuyahoga Falls, OH 44221
I have a soft spot for working with adolescents and young adults, especially young women and individuals from the LGBTQ+ community. We collaboratively work together to identify goals and to create a plan to move toward them. In counseling, we work on enhancing self-esteem, self-worth, and independence by targeting negative beliefs. Clients and I have worked through a host of concerns including anxiety, depression, OCD, adjusting through life transitions, breakups, and identity issues.
I have a soft spot for working with adolescents and young adults, especially young women and individuals from the LGBTQ+ community. We collaboratively work together to identify goals and to create a plan to move toward them. In counseling, we work on enhancing self-esteem, self-worth, and independence by targeting negative beliefs. Clients and I have worked through a host of concerns including anxiety, depression, OCD, adjusting through life transitions, breakups, and identity issues.
(234) 230-1889 View (234) 230-1889
Photo of Amber N Schrade (Ray) in Cuyahoga Falls, OH
Amber N Schrade (Ray)
PhD, IMFT-S, LPCC-S
Verified Verified
Cuyahoga Falls, OH 44221  (Online Only)
Not accepting new clients
My goal as a clinician is to provide my clients with an environment where they can explore different ways of feeling, thinking, and being, with a focus on connecting with themselves and others. While I have some tools that I commonly use, I believe in tailoring my approach to your needs and making treatment a collaboration between us. I typically provide education on the counseling process and the techniques that I use (I am not a wizard working mysteriously behind a curtain). I have a passion for working with sexually marginalized populations and providing clients with a safe space where they can be themselves.
My goal as a clinician is to provide my clients with an environment where they can explore different ways of feeling, thinking, and being, with a focus on connecting with themselves and others. While I have some tools that I commonly use, I believe in tailoring my approach to your needs and making treatment a collaboration between us. I typically provide education on the counseling process and the techniques that I use (I am not a wizard working mysteriously behind a curtain). I have a passion for working with sexually marginalized populations and providing clients with a safe space where they can be themselves.
(234) 224-1643 View (234) 224-1643
Photo of Lindsey Conway, Licensed Professional Clinical Counselor in Cuyahoga Falls, OH
Lindsey Conway
Licensed Professional Clinical Counselor, MA, LPCC, LMFT
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
One of the most important aspects of therapy is the quality of the therapeutic relationship. With each client, couple and family I hope to create an empathic and trusting relationship to enrich strengths and your authentic self.
One of the most important aspects of therapy is the quality of the therapeutic relationship. With each client, couple and family I hope to create an empathic and trusting relationship to enrich strengths and your authentic self.
(234) 272-3202 View (234) 272-3202
Photo of Elias Decker, LPC Intern in Cuyahoga Falls, OH
Elias Decker
LPC Intern, CT, BA
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
Not accepting new clients
We've all seen the commercials; someone is shadowed by an angry black cloud. Rain and thunder only exists overtop their head while the world around them is bright and sunny. Smiling faces are everywhere, kids are laughing and playing, and friends are chatting together. You feel alone. Unseen, unheard, and soaking wet. But what if you had an umbrella? Something to keep you dry while the storm rages on? What if I told you that therapy could be that umbrella. Together, we might not be able to stop the storm. But we can weather it while we run for shelter. Somewhere warm and dry. Somewhere safe while the storm passes by.
We've all seen the commercials; someone is shadowed by an angry black cloud. Rain and thunder only exists overtop their head while the world around them is bright and sunny. Smiling faces are everywhere, kids are laughing and playing, and friends are chatting together. You feel alone. Unseen, unheard, and soaking wet. But what if you had an umbrella? Something to keep you dry while the storm rages on? What if I told you that therapy could be that umbrella. Together, we might not be able to stop the storm. But we can weather it while we run for shelter. Somewhere warm and dry. Somewhere safe while the storm passes by.
(234) 203-5663 View (234) 203-5663
Photo of Mary (Molly) Catherine Martin, Marriage & Family Therapist in Cuyahoga Falls, OH
Mary (Molly) Catherine Martin
Marriage & Family Therapist, IMFT-S, BCBA, COBA
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
"Who can take away suffering without entering it?" - Henri Nouwen. Many of the people who come to see me are suffering in some way, be it big or small, and are searching for a way to make sense of what is happening to them. Whether it is figuring out how to deal with your emotions, building better boundaries with the people you love, or finding your way towards healing after having been hurt, I am here to cheer you on and help you get where you want to be.
"Who can take away suffering without entering it?" - Henri Nouwen. Many of the people who come to see me are suffering in some way, be it big or small, and are searching for a way to make sense of what is happening to them. Whether it is figuring out how to deal with your emotions, building better boundaries with the people you love, or finding your way towards healing after having been hurt, I am here to cheer you on and help you get where you want to be.
(330) 574-6619 View (330) 574-6619
Photo of Olivia Hixson, Pre-Licensed Professional in Cuyahoga Falls, OH
Olivia Hixson
Pre-Licensed Professional, CT
Verified Verified
1 Endorsed
Cuyahoga Falls, OH 44221
Not accepting new clients
My approach to counseling is to look at you and the world around you very holistically. I think it is important to consider all parts of you and your life when working together to best understand how I can be the most helpful to you during your counseling experience. My speciality areas are LGBTQ+, trauma, and emerging adults.
My approach to counseling is to look at you and the world around you very holistically. I think it is important to consider all parts of you and your life when working together to best understand how I can be the most helpful to you during your counseling experience. My speciality areas are LGBTQ+, trauma, and emerging adults.
(234) 742-4314 View (234) 742-4314
Photo of Cultivate Counseling & Consulting, Counselor in Cuyahoga Falls, OH
Cultivate Counseling & Consulting
Counselor
Verified Verified
Cuyahoga Falls, OH 44223
2023 is here...Does that sound exciting or completely overwhelming? Does it feel like your life is less manageable? Are you struggling to express your wants and needs? If you need guidance finding your way through a challenging period in your life, we would like to help. Our time together can be short and solution-focused or much longer, depending on the nature of your concerns and your progress in therapy. We use several approaches to therapy which include modalities such as trauma informed, DBT, cognitive behavioral therapy, and motivational interviewing. Our staff are accepting new Medicaid clients as early as next week!
2023 is here...Does that sound exciting or completely overwhelming? Does it feel like your life is less manageable? Are you struggling to express your wants and needs? If you need guidance finding your way through a challenging period in your life, we would like to help. Our time together can be short and solution-focused or much longer, depending on the nature of your concerns and your progress in therapy. We use several approaches to therapy which include modalities such as trauma informed, DBT, cognitive behavioral therapy, and motivational interviewing. Our staff are accepting new Medicaid clients as early as next week!
(330) 237-4464 View (330) 237-4464
Photo of Olivia Clark, Counselor in Cuyahoga Falls, OH
Olivia Clark
Counselor, MA Ed, LPCC, BCN
Verified Verified
Cuyahoga Falls, OH 44223
Do you feel overwhelmed by life? Do you wake up every day discouraged about what the day will bring? Is your child’s behavior out of control? Maybe you are struggling with recent changes in life, or maybe you are striving to make a change. Life has a way of throwing curveballs, and I can help you get on the right track to face life head on.
Do you feel overwhelmed by life? Do you wake up every day discouraged about what the day will bring? Is your child’s behavior out of control? Maybe you are struggling with recent changes in life, or maybe you are striving to make a change. Life has a way of throwing curveballs, and I can help you get on the right track to face life head on.
(234) 230-7235 View (234) 230-7235
Photo of Andrea Lisowski, Clinical Social Work/Therapist in Cuyahoga Falls, OH
Andrea Lisowski
Clinical Social Work/Therapist, MSSA, LISW-S, LICDC
Verified Verified
3 Endorsed
Cuyahoga Falls, OH 44221
Not currently accepting new clients. I believe therapy should be unique to each client because everyone has different needs. I enjoy getting to know each of my clients and how I can best work with them. I enjoy working with clients of all ages, and have a special interest in working with trauma/ PTSD, dissociation and sexual abuse. I offer EMDR Intensive sessions (sessions over 1 hour) for self pay clients. I currently see client's ages 4 and above. I am also trained in the World Professional Association For Transgender Health (WPATH) standards to evaluate and write letters for life/gender affirming care.
Not currently accepting new clients. I believe therapy should be unique to each client because everyone has different needs. I enjoy getting to know each of my clients and how I can best work with them. I enjoy working with clients of all ages, and have a special interest in working with trauma/ PTSD, dissociation and sexual abuse. I offer EMDR Intensive sessions (sessions over 1 hour) for self pay clients. I currently see client's ages 4 and above. I am also trained in the World Professional Association For Transgender Health (WPATH) standards to evaluate and write letters for life/gender affirming care.
(440) 290-5428 View (440) 290-5428

See more therapy options for Cuyahoga Falls

How does your Therapist compare?

Number of Therapists in Cuyahoga Falls, OH

90+

Average cost per session

$130

Therapists in Cuyahoga Falls, OH who prioritize treating:

94% Anxiety
89% Depression
80% Trauma and PTSD
76% Self Esteem
75% Coping Skills
75% Stress
72% Relationship Issues

Average years in practice

8 Years

Top 3 insurances accepted

92% Medical Mutual
78% Anthem | Elevance
75% UnitedHealthcare UHC | UBH

How Therapists in Cuyahoga Falls, OH see their clients

82% In Person and Online
18% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cuyahoga Falls?

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.