Therapists in Melville, NY

Photo of Lisa Ray, Psychologist in Melville, NY
Lisa Ray
Psychologist, PsyD
Verified Verified
Melville, NY 11747
Lisa Ray is a Psychologist in New York who has been practicing since 2016. She obtained her Bachelor's Degree in Psychology from SUNY Binghamton and also holds Master's and Doctorate Degrees in Clinical Psychology from Midwestern University. She has been practicing since 2016 working with the full age spectrum, from children to geriatrics. Lisa has experience working in schools, residential treatment facilities, diagnostic centers, mental health clinics, group homes, private practice, and nursing homes.
Lisa Ray is a Psychologist in New York who has been practicing since 2016. She obtained her Bachelor's Degree in Psychology from SUNY Binghamton and also holds Master's and Doctorate Degrees in Clinical Psychology from Midwestern University. She has been practicing since 2016 working with the full age spectrum, from children to geriatrics. Lisa has experience working in schools, residential treatment facilities, diagnostic centers, mental health clinics, group homes, private practice, and nursing homes.
(631) 856-5962 View (631) 856-5962
Photo of Marlaena Corso, Psychologist in Melville, NY
Marlaena Corso
Psychologist, PsyD
Verified Verified
Melville, NY 11747  (Online Only)
Most of the clients I see are ready to create change in their lives. They feel defeated, stressed, overwhelmed, out of control, afraid, spread too thin, unorganized, and sometimes hopeless. Many are of college age; seniors in high school getting ready for their next big life transition and managing related stress, or college students who are having difficulty balancing all of the demands placed on them. I also treat many clients experiencing stressors in all stages of adult life beyond college, including identity development, relationship issues, anxiety, depression, stress management, illness, parenting, and family issues.
Most of the clients I see are ready to create change in their lives. They feel defeated, stressed, overwhelmed, out of control, afraid, spread too thin, unorganized, and sometimes hopeless. Many are of college age; seniors in high school getting ready for their next big life transition and managing related stress, or college students who are having difficulty balancing all of the demands placed on them. I also treat many clients experiencing stressors in all stages of adult life beyond college, including identity development, relationship issues, anxiety, depression, stress management, illness, parenting, and family issues.
(631) 250-2768 View (631) 250-2768
Photo of Alyssa Slansky, Marriage & Family Therapist in Melville, NY
Alyssa Slansky
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Melville, NY 11747
Waitlist for new clients
The decision to begin therapy can be an emotional one. I am sensitive to the concerns people have about therapy and provide a non-intimidating, supportive and empowering environment for self-exploration and change. I encourage my clients to become active participants in their own lives and to create opportunities for themselves that lead to life enhancing change. Therapy is a challenging but rewarding process and we can work together toward positive outcomes.
The decision to begin therapy can be an emotional one. I am sensitive to the concerns people have about therapy and provide a non-intimidating, supportive and empowering environment for self-exploration and change. I encourage my clients to become active participants in their own lives and to create opportunities for themselves that lead to life enhancing change. Therapy is a challenging but rewarding process and we can work together toward positive outcomes.
(631) 892-6129 View (631) 892-6129
Photo of Dr. Laura Damico, Psychologist in Melville, NY
Dr. Laura Damico
Psychologist, PsyD
Verified Verified
Melville, NY 11747  (Online Only)
I provide psychotherapy for adolescents, college students, and adults; and I have over 20 years of experience working in clinical & academic settings. I address the following concerns: anxiety, depression, relationships, PTSD/trauma, education/career, grief/loss, marriage/family, separation/divorce, parenting, adoption/fertility, and disabilities. I presented research at the American Psychological Association in Boston, and I keep abreast of changes in the field. As a professor, I taught a myriad of graduate courses including psychotherapy, psychological testing, and ethics.
I provide psychotherapy for adolescents, college students, and adults; and I have over 20 years of experience working in clinical & academic settings. I address the following concerns: anxiety, depression, relationships, PTSD/trauma, education/career, grief/loss, marriage/family, separation/divorce, parenting, adoption/fertility, and disabilities. I presented research at the American Psychological Association in Boston, and I keep abreast of changes in the field. As a professor, I taught a myriad of graduate courses including psychotherapy, psychological testing, and ethics.
(631) 570-8858 View (631) 570-8858
Photo of Noreen Digiose, Psychologist in Melville, NY
Noreen Digiose
Psychologist, PsyD
Verified Verified
Melville, NY 11747
Noreen B. Anderson-Digiose, PsyD Noreen B. Anderson-Digiose is a Psychologist in New York who has been practicing since 2010. She has a Doctor of Psychology from St. John's University. Noreen's mission is to help alleviate strain and suffering for people and support healing and growth with the knowledge, skills, and experience she has acquired. She loves any activities in nature, time enjoying music, art and films and connecting with animals and people she enjoys and can laugh with.
Noreen B. Anderson-Digiose, PsyD Noreen B. Anderson-Digiose is a Psychologist in New York who has been practicing since 2010. She has a Doctor of Psychology from St. John's University. Noreen's mission is to help alleviate strain and suffering for people and support healing and growth with the knowledge, skills, and experience she has acquired. She loves any activities in nature, time enjoying music, art and films and connecting with animals and people she enjoys and can laugh with.
(631) 621-3912 View (631) 621-3912
Photo of Michael Marzo, Marriage & Family Therapist in Melville, NY
Michael Marzo
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Melville, NY 11747
I work closely with individuals, couples, and families who are looking to improve the quality of their personal lives and relationships. Often, feelings of anxiety, sadness, or hopelessness can either result from or lead to difficulties in the quality of our interpersonal relationships. My therapeutic approach is a strength-based and solution-focused model of support that is geared toward identifying strategies to help people better manage their own personal emotions, while simultaneously strengthening their bonds with partners and other loved ones.
I work closely with individuals, couples, and families who are looking to improve the quality of their personal lives and relationships. Often, feelings of anxiety, sadness, or hopelessness can either result from or lead to difficulties in the quality of our interpersonal relationships. My therapeutic approach is a strength-based and solution-focused model of support that is geared toward identifying strategies to help people better manage their own personal emotions, while simultaneously strengthening their bonds with partners and other loved ones.
(631) 459-4529 View (631) 459-4529
Photo of Loretta Avallone-Goerke, Clinical Social Work/Therapist in Melville, NY
Loretta Avallone-Goerke
Clinical Social Work/Therapist, LCSW
Verified Verified
Melville, NY 11747
Loretta M. Avallone-Goerke, LCSW-R is a licensed, clinical, social worker in the State of NY who enjoys providing client's the opportunity to address their mental health concerns in a safe, compassionate, non judgmental environment using up to date, effective techniques such as DBT and CBT to promote healing and growth.
Loretta M. Avallone-Goerke, LCSW-R is a licensed, clinical, social worker in the State of NY who enjoys providing client's the opportunity to address their mental health concerns in a safe, compassionate, non judgmental environment using up to date, effective techniques such as DBT and CBT to promote healing and growth.
(631) 614-6218 View (631) 614-6218
Photo of Shaun Dieterich, Counselor in Melville, NY
Shaun Dieterich
Counselor, LMHC
Verified Verified
Melville, NY 11747
Mutual trust and respect between one another is the most important component to successful therapy. Because I also believe that therapy is a collaborative process, I am not going to convey to you that I have all the answers to your concerns and you don't. Instead, as we get to know each other I am going to work as hard as I can to listen, learn, remember, explore, talk, and after a strong degree of trust and respect is developed between us, challenge you. Working together, we will reduce the barriers preventing you from making adjustments necessary for change.
Mutual trust and respect between one another is the most important component to successful therapy. Because I also believe that therapy is a collaborative process, I am not going to convey to you that I have all the answers to your concerns and you don't. Instead, as we get to know each other I am going to work as hard as I can to listen, learn, remember, explore, talk, and after a strong degree of trust and respect is developed between us, challenge you. Working together, we will reduce the barriers preventing you from making adjustments necessary for change.
(516) 346-5744 View (516) 346-5744
Photo of Jessica Weller, Marriage & Family Therapist in Melville, NY
Jessica Weller
Marriage & Family Therapist, LMFT
Verified Verified
Melville, NY 11747
Are you feeling lost trying to figure out where to go in your life? Do you feel stuck in the same patterns? Are you struggling with big life transitions? I am a Licensed Therapist who specializes in helping adults and older teens heal their anxiety and depression, improve self esteem, and change old patterns. I help guide people towards a life they want for themselves. Whatever that looks like for you, I will work beside you to get there!
Are you feeling lost trying to figure out where to go in your life? Do you feel stuck in the same patterns? Are you struggling with big life transitions? I am a Licensed Therapist who specializes in helping adults and older teens heal their anxiety and depression, improve self esteem, and change old patterns. I help guide people towards a life they want for themselves. Whatever that looks like for you, I will work beside you to get there!
(516) 415-2326 View (516) 415-2326
Photo of WellQor New York, Psychologist in Melville, NY
WellQor New York
Psychologist, PsyD
Verified Verified
1 Endorsed
Melville, NY 11747  (Online Only)
WellQor is a new model in online therapy marrying the best of traditional and innovative approaches. We’re a full service psychology practice accessible online with a uniquely collaborative approach to care. This means your personal therapist works with a PsyD Clinical Director to review your care plan and and adjust your treatment to ensure you’re on the fastest path to living your best life. Whether it’s anxiety, depression, burnout, major life changes, or just finding a sense of purpose, our diverse multi-specialty team of therapists is here to help.
WellQor is a new model in online therapy marrying the best of traditional and innovative approaches. We’re a full service psychology practice accessible online with a uniquely collaborative approach to care. This means your personal therapist works with a PsyD Clinical Director to review your care plan and and adjust your treatment to ensure you’re on the fastest path to living your best life. Whether it’s anxiety, depression, burnout, major life changes, or just finding a sense of purpose, our diverse multi-specialty team of therapists is here to help.
(631) 364-7888 View (631) 364-7888
Photo of Alaa M. Shareef, Pre-Licensed Professional in Melville, NY
Alaa M. Shareef
Pre-Licensed Professional, MA, EdM
Verified Verified
1 Endorsed
Melville, NY 11747
I believe that every individual has great potential and deserves to live a fulfilling life; I also recognize that difficulties and obstacles are inevitable. My goal for therapy is to create a safe space for my clients to explore how those difficulties and obstacles may affect them — physically, mentally, emotionally, or spiritually — and to use the therapeutic space to practice bringing forward their strengths so that they can see themselves beyond their problems. When you come to me, you’re not just my client. You’re a fellow human with hopes, dreams, vulnerabilities, strengths, weaknesses and ultimately potential.
I believe that every individual has great potential and deserves to live a fulfilling life; I also recognize that difficulties and obstacles are inevitable. My goal for therapy is to create a safe space for my clients to explore how those difficulties and obstacles may affect them — physically, mentally, emotionally, or spiritually — and to use the therapeutic space to practice bringing forward their strengths so that they can see themselves beyond their problems. When you come to me, you’re not just my client. You’re a fellow human with hopes, dreams, vulnerabilities, strengths, weaknesses and ultimately potential.
(516) 788-6170 View (516) 788-6170
Photo of Jason Kreisberg, Clinical Social Work/Therapist in Melville, NY
Jason Kreisberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Melville, NY 11747
The stress from your external or inner world can sometimes make life feel overwhelming. Whether it’s stress related to family, work, relationships or the pressure you put on yourself - you deserve to receive support to take on these challenges. I provide an empathetic, compassionate, non-judgmental therapeutic environment to assist you with the stressors you are facing.
The stress from your external or inner world can sometimes make life feel overwhelming. Whether it’s stress related to family, work, relationships or the pressure you put on yourself - you deserve to receive support to take on these challenges. I provide an empathetic, compassionate, non-judgmental therapeutic environment to assist you with the stressors you are facing.
(631) 250-5586 View (631) 250-5586
Photo of Jonathan Ruffus, Psychologist in Melville, NY
Jonathan Ruffus
Psychologist, PsyD
Verified Verified
Melville, NY 11747
Talking to someone about a problem can be a very difficult thing to do, especially when that someone is new. Thus, my goal as a clinician is to foster a relationship that will allow you to be comfortable, develop clear objectives, and ultimately address root problems that are causing negative life experiences. Since past and/or current behaviors can serve as major drivers for maladaptive functioning, my theoretical approach emphasizes cognitive-behavioral, psychodynamic, and systems theory techniques depending on the presenting problem.
Talking to someone about a problem can be a very difficult thing to do, especially when that someone is new. Thus, my goal as a clinician is to foster a relationship that will allow you to be comfortable, develop clear objectives, and ultimately address root problems that are causing negative life experiences. Since past and/or current behaviors can serve as major drivers for maladaptive functioning, my theoretical approach emphasizes cognitive-behavioral, psychodynamic, and systems theory techniques depending on the presenting problem.
(631) 856-2503 View (631) 856-2503
Photo of Jodi Kerwin, Clinical Social Work/Therapist in Melville, NY
Jodi Kerwin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Melville, NY 11747  (Online Only)
As a seasoned psychotherapist, I provide my clients with confidential therapy to assist them with managing the challenges they are facing. Whether you have been in therapy before or are new to the process, I can provide a safe and supportive setting for you to work towards deepening your understanding of your current situation and dealing with obstacles to change. My advanced clinical training at NYC's Ackerman Institute for the Family has shaped my treatment approach. While I work extensively with individuals, I have an expertise in working with couples and families as well.
As a seasoned psychotherapist, I provide my clients with confidential therapy to assist them with managing the challenges they are facing. Whether you have been in therapy before or are new to the process, I can provide a safe and supportive setting for you to work towards deepening your understanding of your current situation and dealing with obstacles to change. My advanced clinical training at NYC's Ackerman Institute for the Family has shaped my treatment approach. While I work extensively with individuals, I have an expertise in working with couples and families as well.
(516) 219-9432 View (516) 219-9432
Photo of Lori B Miller, Counselor in Melville, NY
Lori B Miller
Counselor, LMHC, MS
Verified Verified
Melville, NY 11747
I am a Licensed Mental Health Counselor with over 30 years of experience. How often do you wish you could just speak with a therapist who actually listens and understands? Or these days, someone who returns your calls? I do and I care. If you are experiencing anxiety and depression or looking to make changes but haven't been able to, then we are a great fit. I've helped hundreds of clients take the next step in their journey through the use of a combination of therapies including Cognitive-Behavioral Therapy. This means we work together to identify what's holding you back so you can live your life, not spend it in treatment.
I am a Licensed Mental Health Counselor with over 30 years of experience. How often do you wish you could just speak with a therapist who actually listens and understands? Or these days, someone who returns your calls? I do and I care. If you are experiencing anxiety and depression or looking to make changes but haven't been able to, then we are a great fit. I've helped hundreds of clients take the next step in their journey through the use of a combination of therapies including Cognitive-Behavioral Therapy. This means we work together to identify what's holding you back so you can live your life, not spend it in treatment.
(516) 550-4666 View (516) 550-4666
Photo of Bobby Burns, Clinical Social Work/Therapist in Melville, NY
Bobby Burns
Clinical Social Work/Therapist, LCSW
Verified Verified
Melville, NY 11747
Bobby Burns is a Licensed Clinical Social Worker in New York who has been practicing since 2018. He earned his Bachelor's in Sociology/Criminology from Mount Saint Mary College and his Master's degree in Social Work from Adelphi University. He has 5 years of experience working with individuals and their families in the community. During this time, he focused on treating substance abuse and assisted with family reunification and positive family functioning. Bobby also has 2 years of experience of working with children/families associated with foster care in New York State.
Bobby Burns is a Licensed Clinical Social Worker in New York who has been practicing since 2018. He earned his Bachelor's in Sociology/Criminology from Mount Saint Mary College and his Master's degree in Social Work from Adelphi University. He has 5 years of experience working with individuals and their families in the community. During this time, he focused on treating substance abuse and assisted with family reunification and positive family functioning. Bobby also has 2 years of experience of working with children/families associated with foster care in New York State.
(631) 250-6158 View (631) 250-6158
Photo of Carol A. Cannella, Psychologist in Melville, NY
Carol A. Cannella
Psychologist, PsyD
Verified Verified
1 Endorsed
Melville, NY 11747
Not accepting new clients
Life's struggles and challenges can often be overwhelming to such a degree that you may sometimes feel stuck and doubtful that change is possible. I have spent many years dedicated to helping people feel more empowered to overcome unhealthy thinking patterns and behaviors, heal from painful experiences, develop more meaningful and satisfying relationships, and identify and enhance their strengths. I have worked with individuals, couples, and families with various psychologically distressing problems and issues, including depression, anxiety, trauma, loss, social phobia, educational and career challenges, grief, and marital and family conflict.
Life's struggles and challenges can often be overwhelming to such a degree that you may sometimes feel stuck and doubtful that change is possible. I have spent many years dedicated to helping people feel more empowered to overcome unhealthy thinking patterns and behaviors, heal from painful experiences, develop more meaningful and satisfying relationships, and identify and enhance their strengths. I have worked with individuals, couples, and families with various psychologically distressing problems and issues, including depression, anxiety, trauma, loss, social phobia, educational and career challenges, grief, and marital and family conflict.
(516) 629-5414 View (516) 629-5414
Photo of Stacey Katz, Counselor in Melville, NY
Stacey Katz
Counselor, LMHC, MSEd
Verified Verified
Melville, NY 11747
You feel stressed out all the time. You have managed to keep everything together for years but you feel like you are barely holding on. You are exhausted all the time and often think you just can't do it anymore. On the outside, it seems like you have it all it. You’re accomplished, driven, and dependable. But on the inside, you never feel good enough and the voice in your head often reminds you of all the ways you’re falling short. You're tired of giving so much to everyone else while you continue to come last on your list. Not anymore. Now is the time to prioritize yourself and make a positive change.
You feel stressed out all the time. You have managed to keep everything together for years but you feel like you are barely holding on. You are exhausted all the time and often think you just can't do it anymore. On the outside, it seems like you have it all it. You’re accomplished, driven, and dependable. But on the inside, you never feel good enough and the voice in your head often reminds you of all the ways you’re falling short. You're tired of giving so much to everyone else while you continue to come last on your list. Not anymore. Now is the time to prioritize yourself and make a positive change.
(516) 362-2621 View (516) 362-2621
Photo of Rachel Siegel-Joffe LCSW-R , Clinical Social Work/Therapist in Melville, NY
Rachel Siegel-Joffe LCSW-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Melville, NY 11747
Going through Bariatric Surgery? Frustratrated with the ups and downs of dieting? I get it! Being overweight can have an enormous impact on us not only physically but so often mentally as well. Let's get real- it is never really about the food is it? We manage so much on a daily basis yet this issue remains so hard for us even when we work tirelessly to manage it. We can become so self- critical and simply feel defeated. You are not alone. You may be very surprised to learn how much of the way we think and feel directly impact this process. Truth be told, the answers are not always so obvious.
Going through Bariatric Surgery? Frustratrated with the ups and downs of dieting? I get it! Being overweight can have an enormous impact on us not only physically but so often mentally as well. Let's get real- it is never really about the food is it? We manage so much on a daily basis yet this issue remains so hard for us even when we work tirelessly to manage it. We can become so self- critical and simply feel defeated. You are not alone. You may be very surprised to learn how much of the way we think and feel directly impact this process. Truth be told, the answers are not always so obvious.
(917) 809-7114 View (917) 809-7114
Photo of Mark D. Lerner, Psychologist in Melville, NY
Mark D. Lerner
Psychologist, PhD
Verified Verified
Melville, NY 11747
Dr. Lerner is a clinical and forensic psychologist, author, speaker, and international consultant who focuses on helping people through challenging times. He specializes in working with attorneys and pro se parties with cases involving emotional distress and emotional damages, fitness for duty, fitness to practice, and the independent evaluation of all law enforcement candidates (e.g., NOPD with the NYPD).
Dr. Lerner is a clinical and forensic psychologist, author, speaker, and international consultant who focuses on helping people through challenging times. He specializes in working with attorneys and pro se parties with cases involving emotional distress and emotional damages, fitness for duty, fitness to practice, and the independent evaluation of all law enforcement candidates (e.g., NOPD with the NYPD).
(631) 823-5086 View (631) 823-5086

How does your Therapist compare?

Number of Therapists in Melville, NY

100+

Average cost per session

$150

Therapists in Melville, NY who prioritize treating:

92% Anxiety
90% Depression
75% Relationship Issues
75% Self Esteem
73% Coping Skills
61% Life Transitions
60% Family Conflict

Average years in practice

20 Years

Top 3 insurances accepted

70% Aetna
68% UnitedHealthcare UHC | UBH
63% Cigna and Evernorth

How Therapists in Melville, NY see their clients

80% In Person and Online
20% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Melville?

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.