Therapists in Louisville, KY

View neighborhoods in Louisville
Photo of Dr. Olivia Hilchey in Louisville, KY
Dr. Olivia Hilchey
PhD
Verified Verified
2 Endorsed
Louisville, KY 40243
It’s my passion to help individuals and couples improve their quality of life. I'm a specialist in helping couples with marital problems and individuals with depression or anxiety. As a clinical psychologist, I am dedicated to helping you live a happier, healthier, and more authentic life both individually and in your romantic relationship. For individuals, I am trained in evidence-based therapy methods including Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). For couples, I'm trained in the Gottman Method which was created to prevent divorce and improve the overall quality of your marriage.
It’s my passion to help individuals and couples improve their quality of life. I'm a specialist in helping couples with marital problems and individuals with depression or anxiety. As a clinical psychologist, I am dedicated to helping you live a happier, healthier, and more authentic life both individually and in your romantic relationship. For individuals, I am trained in evidence-based therapy methods including Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). For couples, I'm trained in the Gottman Method which was created to prevent divorce and improve the overall quality of your marriage.
(502) 273-0291 View (502) 273-0291
Photo of Amy Turner, Counselor in Louisville, KY
Amy Turner
Counselor, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40272
I’m a person-centered therapist, giving the client the power to direct where we go during session. Giving power back to the person is my highest priority. I want people to feel comfortable and safe to express themselves and process what they’re feeling. The conversation will have challenges to thought processes that aren’t working and to practice skills that are outside of what they may have tried in the past.
I’m a person-centered therapist, giving the client the power to direct where we go during session. Giving power back to the person is my highest priority. I want people to feel comfortable and safe to express themselves and process what they’re feeling. The conversation will have challenges to thought processes that aren’t working and to practice skills that are outside of what they may have tried in the past.
(502) 628-3918 View (502) 628-3918
Photo of Laurel Sims-Stewart, Counselor in Louisville, KY
Laurel Sims-Stewart
Counselor, MEd, LPCC-S, ATR, IMHP
Verified Verified
1 Endorsed
Louisville, KY 40204
Waitlist for new clients
Taking the first step toward your own healing or help for your teen can feel overwhelming, but with the right support it doesn't have to be. I strive to create a safe, welcoming, and person-centered environment for each of my clients. My goal is to walk with you on this journey, empowering you or your teen to feel confident in making positive changes.
Taking the first step toward your own healing or help for your teen can feel overwhelming, but with the right support it doesn't have to be. I strive to create a safe, welcoming, and person-centered environment for each of my clients. My goal is to walk with you on this journey, empowering you or your teen to feel confident in making positive changes.
(502) 309-2913 View (502) 309-2913
Photo of Jaime Seelmeyer - Somatic & Energy Therapy, Licensed Professional Clinical Counselor in Louisville, KY
Jaime Seelmeyer - Somatic & Energy Therapy
Licensed Professional Clinical Counselor, MEd, LPCC, Reiki, Yoga
Verified Verified
1 Endorsed
Louisville, KY 40205  (Online Only)
I support clients who identify as sensitive, empathic, intuitive or creative. With a decade of experience providing trauma-focused support, I weave together talk therapy with somatic (body-focused) techniques, energy psychology, therapeutic meditation and energy therapies including reiki and shamanism. My approach supports the holistic self by meeting body, mind, emotion, energy and soul. We all experience ebbs and flows in life, times of thriving and times of struggle. Times of struggle can often manifest as anxiety, depression, post-traumatic stress, or feeling disconnected from the true self.
I support clients who identify as sensitive, empathic, intuitive or creative. With a decade of experience providing trauma-focused support, I weave together talk therapy with somatic (body-focused) techniques, energy psychology, therapeutic meditation and energy therapies including reiki and shamanism. My approach supports the holistic self by meeting body, mind, emotion, energy and soul. We all experience ebbs and flows in life, times of thriving and times of struggle. Times of struggle can often manifest as anxiety, depression, post-traumatic stress, or feeling disconnected from the true self.
(502) 771-8844 View (502) 771-8844
Photo of Calli Weis, Clinical Social Work/Therapist in Louisville, KY
Calli Weis
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40243
I have been in social work for more than 18 years, working with many different populations with a myriad of struggles and issues. I enjoy working with children of all ages struggling with behavior issues, anxiety, and depression. I also work with adults struggling with trauma, anxiety, depression, and substance abuse. When deciding on a plan of treatment, I consider what the client wants, what their life experience is, and what my experience is to identify the best fit for each individual.
I have been in social work for more than 18 years, working with many different populations with a myriad of struggles and issues. I enjoy working with children of all ages struggling with behavior issues, anxiety, and depression. I also work with adults struggling with trauma, anxiety, depression, and substance abuse. When deciding on a plan of treatment, I consider what the client wants, what their life experience is, and what my experience is to identify the best fit for each individual.
(502) 230-4622 x3 View (502) 230-4622 x3
Photo of Caroline Church, Licensed Professional Counselor in Louisville, KY
Caroline Church
Licensed Professional Counselor, LPCA
Verified Verified
Louisville, KY 40222
Hello and welcome! I'm an EMDR trained, dedicated counselor who is focused on creating a warm and supportive space where you can navigate your past and find healing in the present. My focus extends to aiding individuals dealing with anxiety, depression, relational issues, trauma, infertility, and I hold a special passion for helping those who've experienced birth trauma. Guiding you towards a brighter future is a true joy for me, and I'm here to celebrate every step of your journey.
Hello and welcome! I'm an EMDR trained, dedicated counselor who is focused on creating a warm and supportive space where you can navigate your past and find healing in the present. My focus extends to aiding individuals dealing with anxiety, depression, relational issues, trauma, infertility, and I hold a special passion for helping those who've experienced birth trauma. Guiding you towards a brighter future is a true joy for me, and I'm here to celebrate every step of your journey.
(502) 427-6194 View (502) 427-6194
Photo of Nancy Leigh Plymale, Art Therapist in Louisville, KY
Nancy Leigh Plymale
Art Therapist, MA, ATR-BC, LPAT
Not Verified Not Verified
Louisville, KY 40205
I absolutely am passionate about encouraging others to make the time to nurture their mental well being and health, across all ages and populations. Adding the expressive and creative techniques I am trained in accelerates growth and change by tapping into the right part of the brain and provides a fun and creative way to problem solve and engage with each other. The sand tray, storytellling, and expessive arts are for all ages and no talent needed just an open mind. Traditional talk therapy is always an option and I meet each client where they are at for that session.
I absolutely am passionate about encouraging others to make the time to nurture their mental well being and health, across all ages and populations. Adding the expressive and creative techniques I am trained in accelerates growth and change by tapping into the right part of the brain and provides a fun and creative way to problem solve and engage with each other. The sand tray, storytellling, and expessive arts are for all ages and no talent needed just an open mind. Traditional talk therapy is always an option and I meet each client where they are at for that session.
(502) 215-3346 View (502) 215-3346
Photo of Alyxander Clifford, Counselor in Louisville, KY
Alyxander Clifford
Counselor, LPCA
Verified Verified
Louisville, KY 40207
Starting therapy can be a daunting task, between the fear of being judged and the dread of spending half your session explaining terms or acronyms that make up an integral part of your identity. All you want is to talk to someone who gets you. Maybe you’re navigating the process of coming out; maybe you’re on the cusp of a major transition; or maybe you’re tired of trying to fit yourself in a box that doesn’t seem made for people like you. It can feel lonely, frustrating, and even scary sometimes. I understand.
Starting therapy can be a daunting task, between the fear of being judged and the dread of spending half your session explaining terms or acronyms that make up an integral part of your identity. All you want is to talk to someone who gets you. Maybe you’re navigating the process of coming out; maybe you’re on the cusp of a major transition; or maybe you’re tired of trying to fit yourself in a box that doesn’t seem made for people like you. It can feel lonely, frustrating, and even scary sometimes. I understand.
(502) 398-9153 View (502) 398-9153
Photo of Rebecca Rector, Licensed Professional Clinical Counselor in Louisville, KY
Rebecca Rector
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Louisville, KY 40241
Rebecca Rector is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2018. She has a BA in Communications and an MS in Clinical and Counseling Psychology specializing in children and adolescents. Rebecca provides a warm and inviting space allowing clients to explore their feelings and emotions in a safe and judgement free environment. When she's not in the office you can find Rebecca exploring one of Louisville's parks with her dogs or trying a new restaurant with friends.
Rebecca Rector is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2018. She has a BA in Communications and an MS in Clinical and Counseling Psychology specializing in children and adolescents. Rebecca provides a warm and inviting space allowing clients to explore their feelings and emotions in a safe and judgement free environment. When she's not in the office you can find Rebecca exploring one of Louisville's parks with her dogs or trying a new restaurant with friends.
(502) 306-3647 View (502) 306-3647
Photo of Katie Phillips Regan, Art Therapist in Louisville, KY
Katie Phillips Regan
Art Therapist, LCADC, ATR-BC, LPAT, IMHP
Verified Verified
Louisville, KY 40204
Waitlist for new clients
I believe everyone deserves to be safe, respected, and heard. I believe in providing a client-centered space where you are the expert of your own lived experience. I believe that clinicians come alongside our clients and bring our skills to complement your own self-knowledge. I believe in the infinite potential for growth and healing.
I believe everyone deserves to be safe, respected, and heard. I believe in providing a client-centered space where you are the expert of your own lived experience. I believe that clinicians come alongside our clients and bring our skills to complement your own self-knowledge. I believe in the infinite potential for growth and healing.
(502) 334-1351 View (502) 334-1351
Photo of Denise A Greene, Clinical Social Work/Therapist in Louisville, KY
Denise A Greene
Clinical Social Work/Therapist, MSSW, LCSW, RPT-S
Verified Verified
2 Endorsed
Louisville, KY 40222
Not accepting new clients
Denise Greene will be offering virtual therapy to women and children. In addition to offering sessions online, I do see children in the office. Masks may be worn. I offer up-to-date therapy techniques for Women and Children with a specialization in pre-school and elementary school ages. I offer EMDR treatment along with Play Therapy to aid women and children dealing with trauma, stress, and anxiety. I am a Registered Play Therapist and have training in Sand Tray Therapy, AutPlay Therapy (treatment for Autism Spectrum Disorders and Developmental Disabilities). I have extensive experience working with children.
Denise Greene will be offering virtual therapy to women and children. In addition to offering sessions online, I do see children in the office. Masks may be worn. I offer up-to-date therapy techniques for Women and Children with a specialization in pre-school and elementary school ages. I offer EMDR treatment along with Play Therapy to aid women and children dealing with trauma, stress, and anxiety. I am a Registered Play Therapist and have training in Sand Tray Therapy, AutPlay Therapy (treatment for Autism Spectrum Disorders and Developmental Disabilities). I have extensive experience working with children.
(502) 281-4402 View (502) 281-4402
Photo of Revive Counseling & Wellness , Clinical Social Work/Therapist in Louisville, KY
Revive Counseling & Wellness
Clinical Social Work/Therapist
Verified Verified
Louisville, KY 40243
Do you want something different in your marriage, relationship or work life but just can't figure out how to make it happen? Are you tired of being tired and stressed? I am passionate about helping individuals and couples discover when old ways of coping no longer work and replace them with new, more productive alternatives. I coach my clients to recognize problem patterns, effectively communicate their needs, relieve stress, and improve relationships with the important people in their lives.
Do you want something different in your marriage, relationship or work life but just can't figure out how to make it happen? Are you tired of being tired and stressed? I am passionate about helping individuals and couples discover when old ways of coping no longer work and replace them with new, more productive alternatives. I coach my clients to recognize problem patterns, effectively communicate their needs, relieve stress, and improve relationships with the important people in their lives.
(502) 427-1042 View (502) 427-1042
Photo of Dr. Shantel Crosby, Clinical Social Work/Therapist in Louisville, KY
Dr. Shantel Crosby
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40229  (Online Only)
My practice, West Rose Therapy & Consultation, LLC, is currently accepting clients in KY & MI via telehealth videoconferencing only! I work with individual adults dealing with conflict, depression, anxiety, past/present trauma, relationship or family issues, or difficult life transitions. West Rose also has clinicians available to offer reduced fee services (i.e., $75 per session) for individual adult and adolescent clients.
My practice, West Rose Therapy & Consultation, LLC, is currently accepting clients in KY & MI via telehealth videoconferencing only! I work with individual adults dealing with conflict, depression, anxiety, past/present trauma, relationship or family issues, or difficult life transitions. West Rose also has clinicians available to offer reduced fee services (i.e., $75 per session) for individual adult and adolescent clients.
(502) 306-0692 View (502) 306-0692
Photo of Katie H Smith, Psychologist in Louisville, KY
Katie H Smith
Psychologist, PsyD
Verified Verified
Louisville, KY 40207
Dr. Smith focuses her practice on treating a number of clinical issues including: anxiety disorders (generalized anxiety, social anxiety, obsessive-compulsive disorder, and specific phobias), depression, Attention Deficit Hyperactivity Disorder (ADHD), and traumatic events including abuse and domestic violence. Dr. Smith works with children who are having difficulty adjusting to life stressors including divorce, school environments, and peer relationship development. She assists children and teens in developing effective coping skills to manage their emotions and behaviors.
Dr. Smith focuses her practice on treating a number of clinical issues including: anxiety disorders (generalized anxiety, social anxiety, obsessive-compulsive disorder, and specific phobias), depression, Attention Deficit Hyperactivity Disorder (ADHD), and traumatic events including abuse and domestic violence. Dr. Smith works with children who are having difficulty adjusting to life stressors including divorce, school environments, and peer relationship development. She assists children and teens in developing effective coping skills to manage their emotions and behaviors.
(502) 653-8312 View (502) 653-8312
Photo of Jordan Gage, Licensed Professional Clinical Counselor in Louisville, KY
Jordan Gage
Licensed Professional Clinical Counselor, LPCC, NCC
Verified Verified
Louisville, KY 40217
Have you been struggling with emotions that feel outside of your control? Are you having difficulties making the changes you want to make? Sometimes the tools that used to work just don't cut it anymore. I work with clients to help them take care of themselves, tolerate stress in new ways, and make changes toward the lives they want. I also serve fellow therapists who have, understandably, recognized their own need for support in unprecedented times. Where appropriate, I provide self pay Ketamine Assisted Psychotherapy to help clients explore pieces of their stories they may not otherwise be able to access with talk therapy alone.
Have you been struggling with emotions that feel outside of your control? Are you having difficulties making the changes you want to make? Sometimes the tools that used to work just don't cut it anymore. I work with clients to help them take care of themselves, tolerate stress in new ways, and make changes toward the lives they want. I also serve fellow therapists who have, understandably, recognized their own need for support in unprecedented times. Where appropriate, I provide self pay Ketamine Assisted Psychotherapy to help clients explore pieces of their stories they may not otherwise be able to access with talk therapy alone.
(502) 237-0564 View (502) 237-0564
Photo of Elizabeth Scott, Clinical Social Work/Therapist in Louisville, KY
Elizabeth Scott
Clinical Social Work/Therapist, CCM, LCSW
Verified Verified
Louisville, KY 40222
You are welcome here- Navigating this crazy rollercoaster of life comes with unexpected twist and turns. Do you find yourself giving and taking care of others often times neglecting your own needs? Feeling stressed, confused, and overwhelmed in your current situation? I offer a supportive place to process and sort things out- change and growth opportunities can come from some of our most challenging times. My hope is to offer guidance and support to find the solution within you. This is a compassionate judgement free zone. I believe BLM & Love is Love.
You are welcome here- Navigating this crazy rollercoaster of life comes with unexpected twist and turns. Do you find yourself giving and taking care of others often times neglecting your own needs? Feeling stressed, confused, and overwhelmed in your current situation? I offer a supportive place to process and sort things out- change and growth opportunities can come from some of our most challenging times. My hope is to offer guidance and support to find the solution within you. This is a compassionate judgement free zone. I believe BLM & Love is Love.
(502) 208-5596 View (502) 208-5596
Photo of Kelly Fleischer, Art Therapist in Louisville, KY
Kelly Fleischer
Art Therapist, MEd, ATR-BC, LPAT
Verified Verified
1 Endorsed
Louisville, KY 40205
I am an experienced art therapist with a passion for guiding children 5+, teens, and young adults on a journey of self-discovery and healing through art, talk therapy and other expressive modalities such as movement, play, and mindfulness. Clients can expect a safe and nurturing space to explore their emotions, thoughts, and challenges. These clients may be grappling with issues such as anxiety, depression, trauma, self-expression, or communication difficulties.
I am an experienced art therapist with a passion for guiding children 5+, teens, and young adults on a journey of self-discovery and healing through art, talk therapy and other expressive modalities such as movement, play, and mindfulness. Clients can expect a safe and nurturing space to explore their emotions, thoughts, and challenges. These clients may be grappling with issues such as anxiety, depression, trauma, self-expression, or communication difficulties.
(502) 317-1268 View (502) 317-1268
Photo of Kaye Gallagher, Marriage & Family Therapist in Louisville, KY
Kaye Gallagher
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40207
Kaye Gallagher is a Licensed Marriage and Family Therapist in Kentucky who has been practicing since 2016. Taking the first step toward your own healing or help can feel overwhelming, but with the right support it doesn't have to. Kaye strives to create a safe, welcoming, and person-centered environment for each of her clients. Kaye's goal is to walk with you on this journey, empowering you to feel confident in making positive changes. She specializes in the treatment of anxiety, trauma, mood disorders, life transitions, body image, and disordered eating.
Kaye Gallagher is a Licensed Marriage and Family Therapist in Kentucky who has been practicing since 2016. Taking the first step toward your own healing or help can feel overwhelming, but with the right support it doesn't have to. Kaye strives to create a safe, welcoming, and person-centered environment for each of her clients. Kaye's goal is to walk with you on this journey, empowering you to feel confident in making positive changes. She specializes in the treatment of anxiety, trauma, mood disorders, life transitions, body image, and disordered eating.
(502) 369-7928 View (502) 369-7928
Photo of Leslie Richardson, Marriage & Family Therapist Associate in Louisville, KY
Leslie Richardson
Marriage & Family Therapist Associate
Verified Verified
Louisville, KY 40205
My approach to therapy is to meet you where you are at in your life. I view you as the expert. I know from my own life experiences and several years of helping others that to put yourself first and reach out for help can place you in a vulnerable state. Change can take a huge leap of faith. I would welcome the opportunity to be a part of your journey, wherever that may take you.
My approach to therapy is to meet you where you are at in your life. I view you as the expert. I know from my own life experiences and several years of helping others that to put yourself first and reach out for help can place you in a vulnerable state. Change can take a huge leap of faith. I would welcome the opportunity to be a part of your journey, wherever that may take you.
(502) 806-8591 View (502) 806-8591
Photo of Grace Psychological Services, LLC in Louisville, KY
Grace Psychological Services, LLC
PsyD
Verified Verified
1 Endorsed
Louisville, KY 40243
We are psychologists specializing in Couples Counseling (premarital and marital), Individual Counseling, and Christian Counseling. As trained and experienced clinical psychologists, we are committed to the belief that fostering well-being includes paying attention to all parts of the self: physical, emotional, relational, and spiritual. We can help couples rebuild intimacy, repair communication, and recover from betrayals. For individuals, we can assess and provide therapy for anxiety, depression, panic attacks, trauma, relational issues, stress, and many other day-to-day issues.
We are psychologists specializing in Couples Counseling (premarital and marital), Individual Counseling, and Christian Counseling. As trained and experienced clinical psychologists, we are committed to the belief that fostering well-being includes paying attention to all parts of the self: physical, emotional, relational, and spiritual. We can help couples rebuild intimacy, repair communication, and recover from betrayals. For individuals, we can assess and provide therapy for anxiety, depression, panic attacks, trauma, relational issues, stress, and many other day-to-day issues.
(502) 513-7428 View (502) 513-7428

How does your Therapist compare?

Number of Therapists in Louisville, KY

1,000+

Average cost per session

$120

Therapists in Louisville, KY who prioritize treating:

92% Anxiety
86% Depression
72% Self Esteem
70% Trauma and PTSD
69% Coping Skills
59% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

72% Humana
71% Aetna
69% UnitedHealthcare UHC | UBH

How Therapists in Louisville, KY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Louisville?

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.