Therapists in Salem, OR

Photo of Kerry Moyer, Licensed Professional Counselor in Salem, OR
Kerry Moyer
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
My goal as a therapist is to provide a safe and non judgmental environment in which one can develop insight, build healthy relationships, and accomplish desired goals. I see counseling as a collaborative process and my eclectic approach to therapy is tailored to meet your needs. I have over 15 years experience working with teens, children, adults, and families.
My goal as a therapist is to provide a safe and non judgmental environment in which one can develop insight, build healthy relationships, and accomplish desired goals. I see counseling as a collaborative process and my eclectic approach to therapy is tailored to meet your needs. I have over 15 years experience working with teens, children, adults, and families.
(503) 536-1057 View (503) 536-1057
Photo of Erin van der Veen, Licensed Professional Counselor in Salem, OR
Erin van der Veen
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Salem, OR 97301
Not accepting new clients
Are you looking for increased peace and trust in yourself? Maybe life is going generally well, but you have a sense that something is missing or you struggle with feeling you are not enough. Do you wonder if there is a way to feel deeper connection with others and yourself? If any of this sounds familiar, I would be honored to partner with you in exploring your concerns and listening on a deep level to what your heart and soul is longing for.
Are you looking for increased peace and trust in yourself? Maybe life is going generally well, but you have a sense that something is missing or you struggle with feeling you are not enough. Do you wonder if there is a way to feel deeper connection with others and yourself? If any of this sounds familiar, I would be honored to partner with you in exploring your concerns and listening on a deep level to what your heart and soul is longing for.
(503) 664-4347 View (503) 664-4347
Photo of Molly Mayes, Licensed Professional Counselor in Salem, OR
Molly Mayes
Licensed Professional Counselor
Verified Verified
Salem, OR 97317  (Online Only)
Hi! I’m Molly and I’m so excited you found your way here. Taking the first step can be intimidating, and you’ve already made it this far. Let me tell you a little about myself. I was born and raised in Texas but am recently a South Carolina transplant. I am a neurodiversity affirming therapist, licensed in both Texas and South Carolina. I love finding new adventures and trying different things every day…which influenced my desire to become an assessor for Autism and ADHD. I get to meet and talk with new people all the time and be a part of their journey! I’d love to be a part of yours too.
Hi! I’m Molly and I’m so excited you found your way here. Taking the first step can be intimidating, and you’ve already made it this far. Let me tell you a little about myself. I was born and raised in Texas but am recently a South Carolina transplant. I am a neurodiversity affirming therapist, licensed in both Texas and South Carolina. I love finding new adventures and trying different things every day…which influenced my desire to become an assessor for Autism and ADHD. I get to meet and talk with new people all the time and be a part of their journey! I’d love to be a part of yours too.
(503) 868-2477 View (503) 868-2477
Photo of Hayaun Chung, Clinical Social Work Associate in Salem, OR
Hayaun Chung
Clinical Social Work Associate, MSW, CSWA
Verified Verified
Salem, OR 97301  (Online Only)
My name is HaYaun, and I am a Clinical Social Work Associate working in Oregon. My professional background involves graduating with a Master’s in Social Work from Portland State University in 2019, working in an inpatient psychiatric setting to support clients experiencing serious and persistent mental illness (SPMI), and working with families experiencing various mental health needs. I also have experience working with veterans, children, families, people of color, and I offer Korean-speaking sessions when needed.
My name is HaYaun, and I am a Clinical Social Work Associate working in Oregon. My professional background involves graduating with a Master’s in Social Work from Portland State University in 2019, working in an inpatient psychiatric setting to support clients experiencing serious and persistent mental illness (SPMI), and working with families experiencing various mental health needs. I also have experience working with veterans, children, families, people of color, and I offer Korean-speaking sessions when needed.
(503) 563-8511 View (503) 563-8511
Photo of Bonnie Asher, Marriage & Family Therapist in Salem, OR
Bonnie Asher
Marriage & Family Therapist, LMFT
Verified Verified
Salem, OR 97301
I operate from a strengths-based perspective and use multiple approaches to help children, adolescents, and families feel supported. My role is to be a non-judgmental observer. I believe that humans are innately good and capable of reaching potential when given a therapeutic environment based on empathy and positive regard.
I operate from a strengths-based perspective and use multiple approaches to help children, adolescents, and families feel supported. My role is to be a non-judgmental observer. I believe that humans are innately good and capable of reaching potential when given a therapeutic environment based on empathy and positive regard.
(503) 300-2905 View (503) 300-2905
Photo of Niko Delgado-McGee, Licensed Professional Counselor in Salem, OR
Niko Delgado-McGee
Licensed Professional Counselor, LPC, LMHC, MA, CADCI
Verified Verified
4 Endorsed
Salem, OR 97301  (Online Only)
Waitlist for new clients
"What are you?" was a question I quickly became accustomed to growing up in the Pacific Northwest. With roots in Chamoru, Irish and Armenian heritage, there is no box for me to check. This question has been a lifelong journey in understanding who I am in the context of others, and more importantly how I define myself. I hope to work with others who are embarking on their own cultural journey and are seeking deeper answers to questions about themselves.
"What are you?" was a question I quickly became accustomed to growing up in the Pacific Northwest. With roots in Chamoru, Irish and Armenian heritage, there is no box for me to check. This question has been a lifelong journey in understanding who I am in the context of others, and more importantly how I define myself. I hope to work with others who are embarking on their own cultural journey and are seeking deeper answers to questions about themselves.
(503) 308-7726 View (503) 308-7726
Photo of Night Sky Therapy, LLC, Licensed Professional Counselor in Salem, OR
Night Sky Therapy, LLC
Licensed Professional Counselor, LPC, CADCI
Verified Verified
1 Endorsed
Salem, OR 97301  (Online Only)
Living in a society that is both sexually repressed and obsessed with sex is confusing at the best of times. Overwhelmingly we weren’t offered the correct information about our natural urges or bodies, and we are sometimes even shamed for asking. This can often result in low self-esteem, depression, anxiety, guilt, shame, and isolation. I can help you navigate in improving your courage, mastery, and gaining healthier boundaries (that you are worthy of!) in order to be your most genuine self. We will work together at your pace in order to identify strengths and barriers and to gain confidence in making life choices and transitions.
Living in a society that is both sexually repressed and obsessed with sex is confusing at the best of times. Overwhelmingly we weren’t offered the correct information about our natural urges or bodies, and we are sometimes even shamed for asking. This can often result in low self-esteem, depression, anxiety, guilt, shame, and isolation. I can help you navigate in improving your courage, mastery, and gaining healthier boundaries (that you are worthy of!) in order to be your most genuine self. We will work together at your pace in order to identify strengths and barriers and to gain confidence in making life choices and transitions.
(503) 854-5626 View (503) 854-5626
Photo of Jessica Fintak, Licensed Master Social Work in Salem, OR
Jessica Fintak
Licensed Master Social Work, LCSW, MSDRL, QMHP
Verified Verified
1 Endorsed
Salem, OR 97301
Do you feel stuck? Isolated? Just need someone to talk to? I'm here to help. Call me or text me for a free consult to see if we'd be a good fit.
Do you feel stuck? Isolated? Just need someone to talk to? I'm here to help. Call me or text me for a free consult to see if we'd be a good fit.
(503) 455-7967 View (503) 455-7967
Photo of Jack Montana Lander, Licensed Professional Counselor in Salem, OR
Jack Montana Lander
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Salem, OR 97301
Do you or your child need a help? Are you going through a difficult time? Or are you concerned for you or your child's mental health? Seeking help can be difficult and frustrating for both you and your loved ones. I believe that youth and young adults need counselors who truly care about them. In my experience with this demographic I have come to learn how important it is for them to have a safe place where they can open up and express themselves without shame or judgement. I want to help you and your loved ones find freedom and safety and I believe that counseling is a wonderful way to do that.
Do you or your child need a help? Are you going through a difficult time? Or are you concerned for you or your child's mental health? Seeking help can be difficult and frustrating for both you and your loved ones. I believe that youth and young adults need counselors who truly care about them. In my experience with this demographic I have come to learn how important it is for them to have a safe place where they can open up and express themselves without shame or judgement. I want to help you and your loved ones find freedom and safety and I believe that counseling is a wonderful way to do that.
(971) 273-1658 View (971) 273-1658
Photo of Lorinda L Sanders, Clinical Social Work/Therapist in Salem, OR
Lorinda L Sanders
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97301
Hello and Welcome! I am Lorinda Sanders and I'm a Licensed Clinical Social Worker practicing in Idaho and Oregon. I've been in practice 23 years. I graduated from Walla Walla University with a Master in Social Work in 2000. My experience includes working with individuals with anxiety, depression, trauma, self-esteem, career challenges, LGBTQ, relational conflict, grief and loss, and adjustment/transitional challenges. I use a number of therapeutic techniques including Motivational Interviewing, CBT, ACT, Trauma Informed Care, Mindfulness and strengths based techniques. My goal is to help you become a better version of yourself.
Hello and Welcome! I am Lorinda Sanders and I'm a Licensed Clinical Social Worker practicing in Idaho and Oregon. I've been in practice 23 years. I graduated from Walla Walla University with a Master in Social Work in 2000. My experience includes working with individuals with anxiety, depression, trauma, self-esteem, career challenges, LGBTQ, relational conflict, grief and loss, and adjustment/transitional challenges. I use a number of therapeutic techniques including Motivational Interviewing, CBT, ACT, Trauma Informed Care, Mindfulness and strengths based techniques. My goal is to help you become a better version of yourself.
(208) 875-5417 View (208) 875-5417
Photo of Trevor Mcmurray, Clinical Social Work/Therapist in Salem, OR
Trevor Mcmurray
Clinical Social Work/Therapist, MSW, LCSW, MAC
Verified Verified
1 Endorsed
Salem, OR 97304
I have served in the mental health field for nearly two decades, assisting countless people overcome challenges and lead more fulfilling lives. I am a Licensed Clinical Social Worker and Master Addiction Counselor assisting. My practice is grounded in Cognitive Behavioral Therapy, and other evidence - based interventions. I also use EMDR to assist clients experiencing the emotional and physical impact of traumatic events.
I have served in the mental health field for nearly two decades, assisting countless people overcome challenges and lead more fulfilling lives. I am a Licensed Clinical Social Worker and Master Addiction Counselor assisting. My practice is grounded in Cognitive Behavioral Therapy, and other evidence - based interventions. I also use EMDR to assist clients experiencing the emotional and physical impact of traumatic events.
(503) 376-6734 View (503) 376-6734
Photo of Laura Z Weldon in Salem, OR
Laura Z Weldon
ND, MS
Verified Verified
Salem, OR 97317  (Online Only)
Laura Z Weldon (she/they) is an autistic naturopathic physician who loves supporting others in their exploration of how they think, feel, sense, and connect. In her work, she advocates for a neurodiversity paradigm shift across both medicine and society, researches the pathophysiology and treatment of autistic burnout, and particularly enjoys working with clients on the intersection of neurodivergence and chronic physical and/or mental health conditions. Laura is interested in exploring the relationship between disability and wellness as she deeply believes it is possible to be autistic, disabled, and well.
Laura Z Weldon (she/they) is an autistic naturopathic physician who loves supporting others in their exploration of how they think, feel, sense, and connect. In her work, she advocates for a neurodiversity paradigm shift across both medicine and society, researches the pathophysiology and treatment of autistic burnout, and particularly enjoys working with clients on the intersection of neurodivergence and chronic physical and/or mental health conditions. Laura is interested in exploring the relationship between disability and wellness as she deeply believes it is possible to be autistic, disabled, and well.
(503) 470-2431 View (503) 470-2431
Photo of Evergreen Behavioral Health, Clinical Social Work/Therapist in Salem, OR
Evergreen Behavioral Health
Clinical Social Work/Therapist
Verified Verified
Salem, OR 97302
Evergreen Behavioral Health is a growing group practice of trauma trained clinicians located in Salem, OR. Evergreen provides counseling services that specialize not only in standard trauma treatment, but in providing therapeutic services focused on attachment trauma and breaking up the cycle of intergenerational trauma. Evergreen provides services to children, adolescents, adults and families experiencing a variety of mental health challenges. Here at Evergreen we value the experience and healing that face-to-face, in-person sessions provide. While we offer telehealth as a backup option, we encourage clients to attend in person.
Evergreen Behavioral Health is a growing group practice of trauma trained clinicians located in Salem, OR. Evergreen provides counseling services that specialize not only in standard trauma treatment, but in providing therapeutic services focused on attachment trauma and breaking up the cycle of intergenerational trauma. Evergreen provides services to children, adolescents, adults and families experiencing a variety of mental health challenges. Here at Evergreen we value the experience and healing that face-to-face, in-person sessions provide. While we offer telehealth as a backup option, we encourage clients to attend in person.
(503) 782-8257 View (503) 782-8257
Photo of Jonathan Anderson, Pre-Licensed Professional in Salem, OR
Jonathan Anderson
Pre-Licensed Professional
Verified Verified
2 Endorsed
Salem, OR 97317  (Online Only)
Life can be difficult at times. Sometimes we are able to navigate it alone and other times we need someone to walk through it with us, helping us navigate its ups and downs with all its turns and surprises. I am a person centered, existential therapist influenced by object relations therapy, cognitive behavioral therapy and dialectical behavioral therapy. I would like to help you. I would be privileged to enter into your life, listen to you with empathy and understanding and be there with you as you go through all that life may bring you.
Life can be difficult at times. Sometimes we are able to navigate it alone and other times we need someone to walk through it with us, helping us navigate its ups and downs with all its turns and surprises. I am a person centered, existential therapist influenced by object relations therapy, cognitive behavioral therapy and dialectical behavioral therapy. I would like to help you. I would be privileged to enter into your life, listen to you with empathy and understanding and be there with you as you go through all that life may bring you.
(503) 966-3758 View (503) 966-3758
Photo of Ali Layton, Pre-Licensed Professional in Salem, OR
Ali Layton
Pre-Licensed Professional
Verified Verified
Salem, OR 97301
By introduction I am a proponent of using life as the best teacher. For over thirty years I have learned through many personal experiences with family mental illness and crisis that telling our stories is crucial to healing. Solution-focused brief therapy (SFBT) is my chosen counseling approach that aids you as the client to discover solutions in your journey of therapy. Collaboratively my goal is to be a guide in your personal work to healing. I aspire to include Mindfulness techniques and integrating various interventions best suited to the individual to create a safe haven for positive change and growth.
By introduction I am a proponent of using life as the best teacher. For over thirty years I have learned through many personal experiences with family mental illness and crisis that telling our stories is crucial to healing. Solution-focused brief therapy (SFBT) is my chosen counseling approach that aids you as the client to discover solutions in your journey of therapy. Collaboratively my goal is to be a guide in your personal work to healing. I aspire to include Mindfulness techniques and integrating various interventions best suited to the individual to create a safe haven for positive change and growth.
(503) 832-4628 View (503) 832-4628
Photo of Beth Armstrong, Professional Counselor Associate in Salem, OR
Beth Armstrong
Professional Counselor Associate, MA
Verified Verified
Salem, OR 97302
Not accepting new clients
Welcome to the first step of your healing journey. I am so glad you are here. I believe that the therapeutic power of relationship and connecting with each client authentically is foundational. My goal is to facilitate a dynamic partnership in which each client is an active participant in their own growth. Together we will explore personal strengths and key supports, determine goals, and evaluate progress along the way. I believe in an integrative approach to counseling, recognizing the complex interactions of mind, body, emotions, and soul. It is my desire that clients will gain insight, understanding, and experience healing.
Welcome to the first step of your healing journey. I am so glad you are here. I believe that the therapeutic power of relationship and connecting with each client authentically is foundational. My goal is to facilitate a dynamic partnership in which each client is an active participant in their own growth. Together we will explore personal strengths and key supports, determine goals, and evaluate progress along the way. I believe in an integrative approach to counseling, recognizing the complex interactions of mind, body, emotions, and soul. It is my desire that clients will gain insight, understanding, and experience healing.
(503) 370-8050 x203 View (503) 370-8050 x203
Photo of Sarah Archer, Licensed Professional Counselor in Salem, OR
Sarah Archer
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
If you feel like you're carrying the weight of the world on your shoulders, or that your traumatic experiences are robbing the color from life, or that you just don't know how to function anymore, I am here to extend a warm invitation to contact me. I work with people who are struggling with adulting, anxiety and depression, relationship hardships, self esteem, and traumatic experiences. I understand that asking for help can be a hard first step, and I offer a free consultation and a soft place to land. I come from the approach that our relationship is the most important aspect of our work together.
If you feel like you're carrying the weight of the world on your shoulders, or that your traumatic experiences are robbing the color from life, or that you just don't know how to function anymore, I am here to extend a warm invitation to contact me. I work with people who are struggling with adulting, anxiety and depression, relationship hardships, self esteem, and traumatic experiences. I understand that asking for help can be a hard first step, and I offer a free consultation and a soft place to land. I come from the approach that our relationship is the most important aspect of our work together.
(503) 300-5517 View (503) 300-5517
Photo of Julie O'Connor, Clinical Social Work/Therapist in Salem, OR
Julie O'Connor
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Salem, OR 97306  (Online Only)
Welcome! I currently work with OHP clients who reside primarily in Marion & Polk County. I am genuinely glad you are considering counseling. I have a broad range of experience working with clients across the life span from children to adults, including those in their 80's or older. I currently serve clients 16 or older. I enjoy working with a wide range of client ages and concerns including but not limited to; trauma, life transitions, grief & loss, relationship concerns and self-esteem issues. I currently work as an independent contractor for Valley Mental Health as a Certified Clinician for Oregon Health Plan.
Welcome! I currently work with OHP clients who reside primarily in Marion & Polk County. I am genuinely glad you are considering counseling. I have a broad range of experience working with clients across the life span from children to adults, including those in their 80's or older. I currently serve clients 16 or older. I enjoy working with a wide range of client ages and concerns including but not limited to; trauma, life transitions, grief & loss, relationship concerns and self-esteem issues. I currently work as an independent contractor for Valley Mental Health as a Certified Clinician for Oregon Health Plan.
(503) 486-4943 View (503) 486-4943
Photo of Silver Falls Trauma Recovery; Melinda Anne Cooper, Licensed Professional Counselor in Salem, OR
Silver Falls Trauma Recovery; Melinda Anne Cooper
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Salem, OR 97301
My ideal client is an adult or mature teen who is serious about change. They don't need to know what they want; they can be afraid. They can be tired, and lack confidence, but when they come see me, they are ready to eliminate barriers, resist rigid thought patterns and become something amazing. They show up and work-eagerly. They read the books I suggest, they listen to the podcasts, they take the strategies we create and they use them outside of session-so they get better. Life changes as they change, and, eventually, they have no need to come back!
My ideal client is an adult or mature teen who is serious about change. They don't need to know what they want; they can be afraid. They can be tired, and lack confidence, but when they come see me, they are ready to eliminate barriers, resist rigid thought patterns and become something amazing. They show up and work-eagerly. They read the books I suggest, they listen to the podcasts, they take the strategies we create and they use them outside of session-so they get better. Life changes as they change, and, eventually, they have no need to come back!
(503) 966-2523 View (503) 966-2523
Photo of Lee Ann Nail, Clinical Social Work/Therapist in Salem, OR
Lee Ann Nail
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salem, OR 97301
I work with a large number of other therapists and we always have the ability to see you, usually the same week. My approach is narrative and person centered with a focus on introspection. If you haven't found the right fit - where you feel honored and heard, reach out and connect. Sometimes the most difficult part of finding a therapist is making the first phone call.
I work with a large number of other therapists and we always have the ability to see you, usually the same week. My approach is narrative and person centered with a focus on introspection. If you haven't found the right fit - where you feel honored and heard, reach out and connect. Sometimes the most difficult part of finding a therapist is making the first phone call.
(503) 300-2776 View (503) 300-2776

How does your Therapist compare?

Number of Therapists in Salem, OR

400+

Average cost per session

$150

Therapists in Salem, OR who prioritize treating:

89% Anxiety
86% Depression
73% Relationship Issues
73% Trauma and PTSD
70% Self Esteem
70% Stress
65% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

63% PacificSource
50% Providence
48% Oregon Health Plan (OHP)

How Therapists in Salem, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Salem?

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.