Therapists in Bixby, OK

Photo of Megan Murray, Licensed Professional Counselor, LPC
Megan Murray
Licensed Professional Counselor, LPC
Online Only
I'm a Licensed Professional Counselor (LPC) in the states of Oklahoma and Texas. I received my Masters Degree from Oral Roberts University and have been practicing for 7 years. I help people quit settling for the lives they have and start crafting the lives they dream of. This forward movement helps people become unstuck and often significantly reduces anxiety and depression.
I'm a Licensed Professional Counselor (LPC) in the states of Oklahoma and Texas. I received my Masters Degree from Oral Roberts University and have been practicing for 7 years. I help people quit settling for the lives they have and start crafting the lives they dream of. This forward movement helps people become unstuck and often significantly reduces anxiety and depression.
(918) 387-8319 View (918) 387-8319
Photo of Molly Hedgepeth, Clinical Social Work/Therapist, LCSW
Molly Hedgepeth
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Now accepting new clients! Hi, I’m Molly and I help teens and adults (ages 15+) who feel emotionally overwhelmed or stuck find steadiness during grief, life changes, and hard seasons. I work with adults navigating depression, anxiety, grief, low self esteem, trauma, or major transitions that leave them feeling unsure of themselves. Even when someone looks fine on the outside, it can feel isolating on the inside, and I care deeply about helping people make sense of what they are carrying.
Now accepting new clients! Hi, I’m Molly and I help teens and adults (ages 15+) who feel emotionally overwhelmed or stuck find steadiness during grief, life changes, and hard seasons. I work with adults navigating depression, anxiety, grief, low self esteem, trauma, or major transitions that leave them feeling unsure of themselves. Even when someone looks fine on the outside, it can feel isolating on the inside, and I care deeply about helping people make sense of what they are carrying.
(918) 818-7015 View (918) 818-7015
Photo of Shawn Alyea - Ellie Mental Health, Licensed Professional Counselor, MS, MEd, LPC
Ellie Mental Health
Licensed Professional Counselor, MS, MEd, LPC
6 Endorsed
Bixby, OK 74008
Shawn applies grace, and faith in the counseling process for all seeking wholeness and a better quality of life. Whatever brings you to seek faith based counseling; depression, anxiety, loss, individual, couples, family, career, or stage of life issues you will find God’s love, and acceptance in the counseling process. Shawn believes this is essential to effective counseling; so there’s no need to be anxious in seeking support. Clients will experience an atmosphere of care, compassion, and encouragement as we walk through the issues of life. The more we can see ourselves as God sees us, the healthier we become.
Shawn applies grace, and faith in the counseling process for all seeking wholeness and a better quality of life. Whatever brings you to seek faith based counseling; depression, anxiety, loss, individual, couples, family, career, or stage of life issues you will find God’s love, and acceptance in the counseling process. Shawn believes this is essential to effective counseling; so there’s no need to be anxious in seeking support. Clients will experience an atmosphere of care, compassion, and encouragement as we walk through the issues of life. The more we can see ourselves as God sees us, the healthier we become.
(539) 224-2889 View (539) 224-2889
Photo of Masyn Griffith, LPC Candidate, MS, LPC-C
Masyn Griffith
LPC Candidate, MS, LPC-C
6 Endorsed
Bixby, OK 74008
Do you ever feel overwhelmed for no clear reason? Like everyone else has it figured out and you’re just trying to keep up? Or maybe you feel alone in what you’re going through, even when you’re surrounded by people? Life can feel like a lot, especially when you’re juggling relationships, family, social pressure, or just trying to figure out who you are. If you’re feeling anxious, stuck, emotionally drained, or isolated, you don’t have to go through it alone. So many people feel this way, even if it doesn’t always look like it from the outside.
Do you ever feel overwhelmed for no clear reason? Like everyone else has it figured out and you’re just trying to keep up? Or maybe you feel alone in what you’re going through, even when you’re surrounded by people? Life can feel like a lot, especially when you’re juggling relationships, family, social pressure, or just trying to figure out who you are. If you’re feeling anxious, stuck, emotionally drained, or isolated, you don’t have to go through it alone. So many people feel this way, even if it doesn’t always look like it from the outside.
(918) 943-0025 View (918) 943-0025
Photo of Victoria Aviv, Licensed Professional Counselor, MA, LPC
Victoria Aviv
Licensed Professional Counselor, MA, LPC
6 Endorsed
Bixby, OK 74008
The clients who find their way to my practice come in feeling overwhelmed, unsure of what’s really going on, and worried they may be missing something important. I offer a calm, thoughtful space to slow things down and make sense of patterns that feel confusing or exhausting. My work focuses on helping individuals and families understand what’s driving anxiety, behavior challenges, or learning struggles, and then building practical, realistic strategies that actually fit real life. I take a collaborative, straightforward approach. No jargon, no judgment, just clear guidance, skill-building, and support that helps families.
The clients who find their way to my practice come in feeling overwhelmed, unsure of what’s really going on, and worried they may be missing something important. I offer a calm, thoughtful space to slow things down and make sense of patterns that feel confusing or exhausting. My work focuses on helping individuals and families understand what’s driving anxiety, behavior challenges, or learning struggles, and then building practical, realistic strategies that actually fit real life. I take a collaborative, straightforward approach. No jargon, no judgment, just clear guidance, skill-building, and support that helps families.
(918) 303-7406 View (918) 303-7406
Photo of Shawna Kerr, Clinical Social Work/Therapist, LMSW, U/S
Shawna Kerr
Clinical Social Work/Therapist, LMSW, U/S
6 Endorsed
Bixby, OK 74008
Have you reached a point where 'just trying harder' isn't working anymore? What would life look like if you finally stopped waiting for the 'other shoe to drop'? Who would you be if you weren't constantly trying to meet everyone else's expectations? You aren't broken for feeling this way; you are responding to a world that asks a lot of you. If any of that sounds like your reality, please know we can navigate it-together.
Have you reached a point where 'just trying harder' isn't working anymore? What would life look like if you finally stopped waiting for the 'other shoe to drop'? Who would you be if you weren't constantly trying to meet everyone else's expectations? You aren't broken for feeling this way; you are responding to a world that asks a lot of you. If any of that sounds like your reality, please know we can navigate it-together.
(918) 380-3245 View (918) 380-3245
Photo of Natalie Fernandez, Licensed Professional Counselor, LPC
Natalie Fernandez
Licensed Professional Counselor, LPC
Bixby, OK 74008
I provide a space where you can express your story, process deep-rooted wounds, navigate life transitions, and rebuild self-trust. My approach to therapy is safe, gentle, and non-judgmental. In practice, I blend clinical skills, spiritual sensitivity, and practical insight to support meaningful and lasting healing. I have experience working with individuals, couples, & families facing grief, low self-worth, anxiety, depression, childhood trauma, and codependency—especially those from marginalized or underserved backgrounds.
I provide a space where you can express your story, process deep-rooted wounds, navigate life transitions, and rebuild self-trust. My approach to therapy is safe, gentle, and non-judgmental. In practice, I blend clinical skills, spiritual sensitivity, and practical insight to support meaningful and lasting healing. I have experience working with individuals, couples, & families facing grief, low self-worth, anxiety, depression, childhood trauma, and codependency—especially those from marginalized or underserved backgrounds.
(918) 276-8036 View (918) 276-8036
Photo of Ashley Pena, LPC Candidate, LPC-C
Ashley Pena
LPC Candidate, LPC-C
15 Endorsed
Bixby, OK 74008
Holding a lot inside? Need a space where you can finally exhale and not be alone with your thoughts? I'm here to listen, support you, and walk alongside you through whatever you are facing. Let me help you get unstuck, feel less overwhelmed, and understood. You don't have to figure it all out on your own. Whether you are a parent seeking guidance for your child, a teen, or an adult, dealing with things like anxiety, depression, past hurts, fear, or even big life changes, together, we'll take the time to sort through what's coming up for you and find a way forward-at a pace that feels right for you.
Holding a lot inside? Need a space where you can finally exhale and not be alone with your thoughts? I'm here to listen, support you, and walk alongside you through whatever you are facing. Let me help you get unstuck, feel less overwhelmed, and understood. You don't have to figure it all out on your own. Whether you are a parent seeking guidance for your child, a teen, or an adult, dealing with things like anxiety, depression, past hurts, fear, or even big life changes, together, we'll take the time to sort through what's coming up for you and find a way forward-at a pace that feels right for you.
(918) 601-4922 View (918) 601-4922
Photo of Kimberly Coats, Licensed Professional Counselor, LPC
Kimberly Coats
Licensed Professional Counselor, LPC
1 Endorsed
Bixby, OK 74008
I enjoy working with children, families, adults, and couples and strive to provide a therapeutic environment in which each client can become happier and healthier. I have experience treating depression, anxiety, PTSD, behavioral issues, family and marital conflict, ADHD, and other issues. As a Licensed Professional Counselor, my goal is to support and empower my clients to reach the goals they set for themselves.
I enjoy working with children, families, adults, and couples and strive to provide a therapeutic environment in which each client can become happier and healthier. I have experience treating depression, anxiety, PTSD, behavioral issues, family and marital conflict, ADHD, and other issues. As a Licensed Professional Counselor, my goal is to support and empower my clients to reach the goals they set for themselves.
(918) 818-3241 View (918) 818-3241
Photo of Felicia Howlett, Clinical Social Work/Therapist, LCSW
Felicia Howlett
Clinical Social Work/Therapist, LCSW
Online Only
I am passionate about providing empathetic and client-centered care that addresses the unique needs of each individual. My therapeutic style is collaborative, compassionate, and designed to empower clients to take an active role in their healing process. I understand that each person’s journey is personal, and I work with clients to create a safe, confidential, and supportive space for them to explore their challenges and grow. My primary area of focus is Adults, and I enjoy working across the lifespan.
I am passionate about providing empathetic and client-centered care that addresses the unique needs of each individual. My therapeutic style is collaborative, compassionate, and designed to empower clients to take an active role in their healing process. I understand that each person’s journey is personal, and I work with clients to create a safe, confidential, and supportive space for them to explore their challenges and grow. My primary area of focus is Adults, and I enjoy working across the lifespan.
(918) 332-9769 View (918) 332-9769
Photo of Ashley Beers - Anchored In Hope, LLC, Licensed Professional Counselor, MHR, LPC-S
Anchored In Hope, LLC
Licensed Professional Counselor, MHR, LPC-S
2 Endorsed
Bixby, OK 74008
Areas of focus include but are not limited to: adult and child counseling, couples and parenting. ADHD/ADD, Anxiety, Depression, Trauma, Perinatal & Postpartum mental health, OCD, Self harm, eating disorders, play therapy, EMDR, Sex Therapy, Grief & Loss, family therapy, pain management, life transitions, neuro-developmental disorders, combat trauma, bi-polar, ODD, women's issues, self esteem, and many more. Call for details to determine which of our amazing practitioners will be the best fit for your needs.
Areas of focus include but are not limited to: adult and child counseling, couples and parenting. ADHD/ADD, Anxiety, Depression, Trauma, Perinatal & Postpartum mental health, OCD, Self harm, eating disorders, play therapy, EMDR, Sex Therapy, Grief & Loss, family therapy, pain management, life transitions, neuro-developmental disorders, combat trauma, bi-polar, ODD, women's issues, self esteem, and many more. Call for details to determine which of our amazing practitioners will be the best fit for your needs.
(918) 578-4423 View (918) 578-4423
Photo of Ashley Adair, LMFT Candidate, LMFT-C
Ashley Adair
LMFT Candidate, LMFT-C
10 Endorsed
Bixby, OK 74008
Do you feel stuck having the same arguments or drifting apart from your partner or family? Maybe it’s hard to talk without things escalating, or to rebuild trust after what you’ve been through. You don’t have to figure it out alone. I offer a space where you can slow down, feel heard, and start making sense of things at your own pace. I respect what matters to you and the life you’re trying to build. I’ve also worked with first responders and their families and understand those pressures. Together, we’ll work toward stronger, more connected relationships—something steady, real, and better.
Do you feel stuck having the same arguments or drifting apart from your partner or family? Maybe it’s hard to talk without things escalating, or to rebuild trust after what you’ve been through. You don’t have to figure it out alone. I offer a space where you can slow down, feel heard, and start making sense of things at your own pace. I respect what matters to you and the life you’re trying to build. I’ve also worked with first responders and their families and understand those pressures. Together, we’ll work toward stronger, more connected relationships—something steady, real, and better.
(918) 676-7871 View (918) 676-7871
Photo of Chris Condrin, Counselor, MA, LPC-S
Chris Condrin
Counselor, MA, LPC-S
Bixby, OK 74008
I take a more proactive approach to our mental health, believing that if we practice consistently, and not just when we are struggling, we can experience greater well-being. With consistent action over time, we can begin to face our challenges, learn to cope with them, and in turn, live a more fulfilling life. I love mindfulness as an emotional management tool, Cognitive Based Therapy to improve resilience and self esteem, and I also like Internal Family Systems and EMDR. Talk therapy is my primary intervention, as expressing one's self is essential.
I take a more proactive approach to our mental health, believing that if we practice consistently, and not just when we are struggling, we can experience greater well-being. With consistent action over time, we can begin to face our challenges, learn to cope with them, and in turn, live a more fulfilling life. I love mindfulness as an emotional management tool, Cognitive Based Therapy to improve resilience and self esteem, and I also like Internal Family Systems and EMDR. Talk therapy is my primary intervention, as expressing one's self is essential.
(918) 201-1045 View (918) 201-1045
Photo of Casey Martinez, Clinical Social Work/Therapist, LCSW
Casey Martinez
Clinical Social Work/Therapist, LCSW
Online Only
As a talk therapist, I prioritize creating a supportive and nonjudgemental space. I specialize in working with individuals navigating anxiety, sleep disorders, trauma, and anger. I also work with clients who may not be facing a specific issue but want to improve their overall quality of life, gain clarity, or feel more grounded and fulfilled.
As a talk therapist, I prioritize creating a supportive and nonjudgemental space. I specialize in working with individuals navigating anxiety, sleep disorders, trauma, and anger. I also work with clients who may not be facing a specific issue but want to improve their overall quality of life, gain clarity, or feel more grounded and fulfilled.
(918) 723-2760 View (918) 723-2760
Photo of Krystal Crockett, Pre-Licensed Professional
Krystal Crockett
Pre-Licensed Professional
Bixby, OK 74008
I’m here to help individuals and families strengthen their relationships and feel more supported in everyday life. My work is shaped by attachment theory and a simple belief: when we feel safe and connected, we do better. Therapy is a place to sort through what’s overwhelming, understand where patterns come from, and learn new ways of relating that actually work. My style is straightforward, compassionate, and collaborative. We’ll focus on what’s happening right now, without judgment, and move at a pace that feels comfortable. You don’t have to have everything figured out to start—just a willingness to show up and be honest.
I’m here to help individuals and families strengthen their relationships and feel more supported in everyday life. My work is shaped by attachment theory and a simple belief: when we feel safe and connected, we do better. Therapy is a place to sort through what’s overwhelming, understand where patterns come from, and learn new ways of relating that actually work. My style is straightforward, compassionate, and collaborative. We’ll focus on what’s happening right now, without judgment, and move at a pace that feels comfortable. You don’t have to have everything figured out to start—just a willingness to show up and be honest.
(918) 553-5987 View (918) 553-5987
Photo of Valerie Moore, Clinical Social Work/Therapist, LCSW
Valerie Moore
Clinical Social Work/Therapist, LCSW
1 Endorsed
Bixby, OK 74008
Are there things you wish were different? Your energy level, relationships, outlook for the future? I help adults navigate life's challenges: anxiety, depression, and unique transitions with parenting adult children - so you can feel more grounded, confident, and at peace. I believe real change happens when we slow down, look at the experiences that shaped us, and explore beliefs we carry about ourselves. From there, we can break free from old patterns and create a space for joy. This is your time, and we'll move at your pace. My style is supportive, caring, and non-judgmental, with a dash of humor to make the process feel lighter.
Are there things you wish were different? Your energy level, relationships, outlook for the future? I help adults navigate life's challenges: anxiety, depression, and unique transitions with parenting adult children - so you can feel more grounded, confident, and at peace. I believe real change happens when we slow down, look at the experiences that shaped us, and explore beliefs we carry about ourselves. From there, we can break free from old patterns and create a space for joy. This is your time, and we'll move at your pace. My style is supportive, caring, and non-judgmental, with a dash of humor to make the process feel lighter.
(918) 380-3110 View (918) 380-3110
Photo of Brittain Keifer, Marriage & Family Therapist, LMFT, SLP
Brittain Keifer
Marriage & Family Therapist, LMFT, SLP
Online Only
Hello, my name is Brittain Keifer and we offer premium mental health services. I have been a therapist since 2009, and I have extensive experience in helping individuals, couples, adolescents and families navigate through various seasons in life. Therapy is a place where you can come and there are no expectations of you. I take a client-centered approach implementing a variety of therapeutic techniques, assisting you to discover healthy ways of communicating, resolving conflict and establishing boundaries and self-discovery. This is YOUR time and it is my passion to help you on your journey! Come and experience the change.
Hello, my name is Brittain Keifer and we offer premium mental health services. I have been a therapist since 2009, and I have extensive experience in helping individuals, couples, adolescents and families navigate through various seasons in life. Therapy is a place where you can come and there are no expectations of you. I take a client-centered approach implementing a variety of therapeutic techniques, assisting you to discover healthy ways of communicating, resolving conflict and establishing boundaries and self-discovery. This is YOUR time and it is my passion to help you on your journey! Come and experience the change.
(918) 417-1255 View (918) 417-1255
Photo of Jehalin Anandam, Licensed Professional Counselor, LPC
Jehalin Anandam
Licensed Professional Counselor, LPC
Online Only
Hi, my name is Jehalin and I am a Licensed Professional Counselor and Registered Play Therapist with 15 years of experience working with adults, children, adolescents, and families from various walks of life. I have experience with helping people who are experiencing various hardships in life and difficulty adjusting, as well as people experiencing symptoms of anxiety, depression, anger, low self-esteem, mood disorders, etc. I am known for being a good listener, caring, accepting, and compassionate, regardless of the challenges one might be experiencing.
Hi, my name is Jehalin and I am a Licensed Professional Counselor and Registered Play Therapist with 15 years of experience working with adults, children, adolescents, and families from various walks of life. I have experience with helping people who are experiencing various hardships in life and difficulty adjusting, as well as people experiencing symptoms of anxiety, depression, anger, low self-esteem, mood disorders, etc. I am known for being a good listener, caring, accepting, and compassionate, regardless of the challenges one might be experiencing.
(918) 268-7661 View (918) 268-7661
Photo of Brittny Baldwin, Clinical Social Work/Therapist, LCSW
Brittny Baldwin
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I’m Brittny — a therapist who believes healing starts with feeling truly seen and understood (and sometimes laughing through the mess a little). I help adults navigate life’s stressors with compassion, humor, and practical tools that actually make sense in real life — not just in therapy textbooks.
Hi, I’m Brittny — a therapist who believes healing starts with feeling truly seen and understood (and sometimes laughing through the mess a little). I help adults navigate life’s stressors with compassion, humor, and practical tools that actually make sense in real life — not just in therapy textbooks.
(918) 233-8788 View (918) 233-8788
Photo of Jessica Marsh, LPC Candidate, LPC-C, MCMHC
Jessica Marsh
LPC Candidate, LPC-C, MCMHC
11 Endorsed
Bixby, OK 74008
Do you feel stuck in your head—replaying conversations, overthinking every decision, or never feeling “good enough”? Anxiety, intrusive thoughts, and perfectionism can be exhausting, but it doesn’t have to stay this way. I help children (10+), teens, adults, and couples break free from overthinking and self-doubt so they can feel calmer, more confident, and in control. Using practical, effective tools, we’ll work together to quiet the noise in your mind and create real, lasting change. You don’t have to keep doing this alone—change is possible.
Do you feel stuck in your head—replaying conversations, overthinking every decision, or never feeling “good enough”? Anxiety, intrusive thoughts, and perfectionism can be exhausting, but it doesn’t have to stay this way. I help children (10+), teens, adults, and couples break free from overthinking and self-doubt so they can feel calmer, more confident, and in control. Using practical, effective tools, we’ll work together to quiet the noise in your mind and create real, lasting change. You don’t have to keep doing this alone—change is possible.
(918) 393-3342 View (918) 393-3342

See more therapy options for Bixby

How does your Therapist compare?

Number of Therapists in Bixby, OK

100+

Average cost per session

$150

Therapists in Bixby, OK who prioritize treating:

94% Anxiety
90% Depression
82% Trauma and PTSD
81% Relationship Issues
79% Self Esteem
77% Stress
64% Grief

Average years in practice

12 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
76% Aetna
73% UnitedHealthcare UHC | UBH

How Therapists in Bixby, OK see their clients

81% In Person and Online
19% Online Only

Gender breakdown

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

How can I find a therapist in Bixby?

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.