Therapists in North Huntingdon, PA

Photo of Alexis Connors, MS, LPC
Alexis Connors
Verified Verified
2 Endorsed
North Huntingdon, PA 15642
Are you feeling stuck in cycles of anxiety or intrusive thoughts that won’t let up? Maybe you’re navigating a major life transition — a new career, relationship changes, or questioning your next chapter — and everything feels uncertain or overwhelming. If so, you’re not alone, and you don’t have to figure it out by yourself. I specialize in working with individuals struggling with OCD, anxiety, and life transitions. OCD and anxiety can be exhausting — the constant doubt, mental rituals, avoidance, or need for reassurance can take over your day and leave you feeling frustrated or ashamed.
Are you feeling stuck in cycles of anxiety or intrusive thoughts that won’t let up? Maybe you’re navigating a major life transition — a new career, relationship changes, or questioning your next chapter — and everything feels uncertain or overwhelming. If so, you’re not alone, and you don’t have to figure it out by yourself. I specialize in working with individuals struggling with OCD, anxiety, and life transitions. OCD and anxiety can be exhausting — the constant doubt, mental rituals, avoidance, or need for reassurance can take over your day and leave you feeling frustrated or ashamed.
View
Photo of Jessica Beatty, Clinical Social Work/Therapist, LCSW
Jessica Beatty
Clinical Social Work/Therapist, LCSW
1 Endorsed
North Huntingdon, PA 15642
Jessica Beatty, LCSW is a EMDR (Eye Movement Desensitization and Reprocessing) Certified Therapist. She got certified in 2021 through "EMDRIA." Her EMDR training and consulation was through "The Institute For Creative Mindfulness." Jessica's passion is working with people who have experienced stressful events or trauma in their lives using EMDR to treat them.
Jessica Beatty, LCSW is a EMDR (Eye Movement Desensitization and Reprocessing) Certified Therapist. She got certified in 2021 through "EMDRIA." Her EMDR training and consulation was through "The Institute For Creative Mindfulness." Jessica's passion is working with people who have experienced stressful events or trauma in their lives using EMDR to treat them.
(833) 930-0603 View (833) 930-0603
Photo of Seema Chaubey, Licensed Professional Counselor, MA, LPC, NCC
Seema Chaubey
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Online Only
As a counselor I have 20+ years of experience working with adults and children. I treat my clients in a compassionate and professional manner and my approach is usually eclectic as I choose them according to the needs of my client. Techniques used by me are CBT, REBT, ACT, Motivational, Gestalt approach, meditation, relaxation and guided imagery. My expertise is in mood disorders such as depression, bipolar disorders, and on anxiety disorders such as OCD, panic disorder, and phobias. Anger management in relationships and marriage and relationship therapy are also my interest areas as well as resolution of trauma issues, whether acute or chronic. I have and continue to treat dually diagnosed substance abuse clients.
As a counselor I have 20+ years of experience working with adults and children. I treat my clients in a compassionate and professional manner and my approach is usually eclectic as I choose them according to the needs of my client. Techniques used by me are CBT, REBT, ACT, Motivational, Gestalt approach, meditation, relaxation and guided imagery. My expertise is in mood disorders such as depression, bipolar disorders, and on anxiety disorders such as OCD, panic disorder, and phobias. Anger management in relationships and marriage and relationship therapy are also my interest areas as well as resolution of trauma issues, whether acute or chronic. I have and continue to treat dually diagnosed substance abuse clients.
(609) 778-1512 View (609) 778-1512
Photo of Steven Reinoehl, Counselor, MA, LPC
Steven Reinoehl
Counselor, MA, LPC
North Huntingdon, PA 15642
Above all, people need to know that you care, and that you know how to help them. I provide both of these, by building solid rapport with my clients, to show them what is perhaps the most important aspect of counseling- that they have a therapist who is someone who wilI truly listen to them, show them empathy, and be a sincere partner in helping them reach their counseling goals. My motto is "Anyone can be helped, after they realize that you truly care, and that they can trust in you." I provide treatment for a wide variety of mental health problems, including trauma, anxiety, depression, and mood disorders.
Above all, people need to know that you care, and that you know how to help them. I provide both of these, by building solid rapport with my clients, to show them what is perhaps the most important aspect of counseling- that they have a therapist who is someone who wilI truly listen to them, show them empathy, and be a sincere partner in helping them reach their counseling goals. My motto is "Anyone can be helped, after they realize that you truly care, and that they can trust in you." I provide treatment for a wide variety of mental health problems, including trauma, anxiety, depression, and mood disorders.
(610) 590-9044 View (610) 590-9044
Photo of Marcella Krance, Clinical Social Work/Therapist, LCSW
Marcella Krance
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed clinical social worker (LCSW) in Pennsylvania with 20 years of professional experience. I help clients cope with grief and loss, medical diagnoses, and parenting challenges. I’ve worked with children and families in medical settings for over two decades and have supported many affected by cancer. Clients often seek therapy during illness, loss, stress, or major transitions, looking for a compassionate space to feel understood and regain stability. Many are resilient yet overwhelmed, and benefit from practical coping tools and support.
I am a licensed clinical social worker (LCSW) in Pennsylvania with 20 years of professional experience. I help clients cope with grief and loss, medical diagnoses, and parenting challenges. I’ve worked with children and families in medical settings for over two decades and have supported many affected by cancer. Clients often seek therapy during illness, loss, stress, or major transitions, looking for a compassionate space to feel understood and regain stability. Many are resilient yet overwhelmed, and benefit from practical coping tools and support.
(724) 968-4466 View (724) 968-4466
Photo of Tracey Lynn Boyle - Tracey Lynn Boyle, Licensed Professional Counselor, MA, LPC
Tracey Lynn Boyle
Licensed Professional Counselor, MA, LPC
North Huntingdon, PA 15642
I offer a judgement free ear for listening to all of life's hardships. I promote responsibility taking and accountability, while encouraging self-development and expression. I work to connect with individuals and create an open forum to explore topics and situations that may have long been misinterpreted as shameful or embarrassing.
I offer a judgement free ear for listening to all of life's hardships. I promote responsibility taking and accountability, while encouraging self-development and expression. I work to connect with individuals and create an open forum to explore topics and situations that may have long been misinterpreted as shameful or embarrassing.
(724) 973-2790 View (724) 973-2790
Photo of Barbara Penn, Clinical Social Work/Therapist, LCSW
Barbara Penn
Clinical Social Work/Therapist, LCSW
North Huntingdon, PA 15642
One of the greatest things about challenges in life is that we’re given the opportunity to discover we’re stronger than we ever imagined. Understanding that we can develop the skills necessary to conquer life’s challenges is critical to creating the life we want for ourselves. I have twenty years of experience in the mental health field having worked in a hospital setting at UPMC Western Psychiatric Hospital, residential treatment and outpatient levels of care.
One of the greatest things about challenges in life is that we’re given the opportunity to discover we’re stronger than we ever imagined. Understanding that we can develop the skills necessary to conquer life’s challenges is critical to creating the life we want for ourselves. I have twenty years of experience in the mental health field having worked in a hospital setting at UPMC Western Psychiatric Hospital, residential treatment and outpatient levels of care.
(724) 997-4263 View (724) 997-4263
Photo of Bethany L Ackerman, Licensed Professional Counselor, PhD, LPC
Bethany L Ackerman
Licensed Professional Counselor, PhD, LPC
North Huntingdon, PA 15642
I have worked in a variety of mental health settings throughout my career and I have extensive experience working with children, teens, and adults with a wide range of mental health disorders. I have several years of experience working with individuals with drug and alcohol addictions, including those who use medication-assisted therapies. I enjoy working with clients with a variety of diagnoses including depression, anxiety, and personality disorders. I believe there is hope for any mental health challenge.
I have worked in a variety of mental health settings throughout my career and I have extensive experience working with children, teens, and adults with a wide range of mental health disorders. I have several years of experience working with individuals with drug and alcohol addictions, including those who use medication-assisted therapies. I enjoy working with clients with a variety of diagnoses including depression, anxiety, and personality disorders. I believe there is hope for any mental health challenge.
(724) 948-0902 View (724) 948-0902
Photo of Michael Stephens, Licensed Professional Counselor, PhD, LPC
Michael Stephens
Licensed Professional Counselor, PhD, LPC
1 Endorsed
North Huntingdon, PA 15642
I enjoy working with clients who want to explore patterns in their lives, reflect on past experiences, and navigate relationship dynamics to better understand themselves. We look closely at recurring patterns around struggles and explore the changes they hope to make. Together, we identify practical steps to cultivate self-compassion, deepen self-awareness, and strengthen relationships. We also explore values and beliefs, build resilience, and discover what helps clients live authentic, balanced, and meaningful lives aligned with what matters most, guided by their strengths and hopes for the future.
I enjoy working with clients who want to explore patterns in their lives, reflect on past experiences, and navigate relationship dynamics to better understand themselves. We look closely at recurring patterns around struggles and explore the changes they hope to make. Together, we identify practical steps to cultivate self-compassion, deepen self-awareness, and strengthen relationships. We also explore values and beliefs, build resilience, and discover what helps clients live authentic, balanced, and meaningful lives aligned with what matters most, guided by their strengths and hopes for the future.
(412) 301-9099 View (412) 301-9099
Photo of Joyce Kuczma, Marriage & Family Therapist, MA, LMFT
Joyce Kuczma
Marriage & Family Therapist, MA, LMFT
1 Endorsed
North Huntingdon, PA 15642
Because I believe initiating therapy is a courageous and admirable movement toward improving a person's life and relationships, I strive to provide an atmosphere of respect, security, acceptance-- and above all... hope! I am committed to creating an experience in which clients feel empowered through coaching, modeling, and multi-media education that makes learning new concepts understandable and easily incorporated into everyday life. (Please scroll down to view accepted insurance plans.)
Because I believe initiating therapy is a courageous and admirable movement toward improving a person's life and relationships, I strive to provide an atmosphere of respect, security, acceptance-- and above all... hope! I am committed to creating an experience in which clients feel empowered through coaching, modeling, and multi-media education that makes learning new concepts understandable and easily incorporated into everyday life. (Please scroll down to view accepted insurance plans.)
(412) 307-5776 View (412) 307-5776
Photo of Jennifer Strohm, Clinical Social Work/Therapist, LCSW, BCD
Jennifer Strohm
Clinical Social Work/Therapist, LCSW, BCD
Serves Area
We all have times when we feel like we’re on repeat, stuck, overwhelmed or stressed. I offer a safe and supportive environment to help you make positive changes in your life. While we work together, we’ll explore your goals and tailor therapy to your needs while focusing on your strengths as a basis for change. During my 25 years working with clients, I have worked in traditional outpatient settings and non-traditional settings such as PCP offices and schools.
We all have times when we feel like we’re on repeat, stuck, overwhelmed or stressed. I offer a safe and supportive environment to help you make positive changes in your life. While we work together, we’ll explore your goals and tailor therapy to your needs while focusing on your strengths as a basis for change. During my 25 years working with clients, I have worked in traditional outpatient settings and non-traditional settings such as PCP offices and schools.
(878) 777-4406 View (878) 777-4406
Photo of Missie Young, Marriage & Family Therapist, MA, LMFT
Missie Young
Marriage & Family Therapist, MA, LMFT
Serves Area
Starting therapy is hard, finding a therapist that is the right fit for YOU can feel daunting! Many people seeking therapy just feel stuck, unmotivated and lost. Others seek therapy to learn ways to cope with a specific event or life circumstance. Please know, I am happy to answer questions as you start this journey. Individuals seeking therapy with me will be open to learning ways of responding to themselves with kindness and love. You will be receptive to connecting the ways previous experiences inform current relationships. Ideally, you will come ready to feel challenged, heard and seen.
Starting therapy is hard, finding a therapist that is the right fit for YOU can feel daunting! Many people seeking therapy just feel stuck, unmotivated and lost. Others seek therapy to learn ways to cope with a specific event or life circumstance. Please know, I am happy to answer questions as you start this journey. Individuals seeking therapy with me will be open to learning ways of responding to themselves with kindness and love. You will be receptive to connecting the ways previous experiences inform current relationships. Ideally, you will come ready to feel challenged, heard and seen.
(724) 395-7865 View (724) 395-7865
Photo of Kerry Reed, Licensed Professional Counselor, LPC, NCC
Kerry Reed
Licensed Professional Counselor, LPC, NCC
2 Endorsed
Serves Area
Do you have something happening right now in your life that you feel stuck with - a problem you can't get past? Are you having problems with sadness, nervousness, or are you struggling to cope with everyday life? You don't have to try to figure it out on your own. I believe people want to do their best, but sometimes they need someone to help them get back on track. As a professional counselor, I want to help you through your problems as I have successfully helped many others, to help you succeed in your goals for your life.
Do you have something happening right now in your life that you feel stuck with - a problem you can't get past? Are you having problems with sadness, nervousness, or are you struggling to cope with everyday life? You don't have to try to figure it out on your own. I believe people want to do their best, but sometimes they need someone to help them get back on track. As a professional counselor, I want to help you through your problems as I have successfully helped many others, to help you succeed in your goals for your life.
(724) 832-1700 View (724) 832-1700
Photo of Caroline Franko, Licensed Professional Counselor, MS, LPC
Caroline Franko
Licensed Professional Counselor, MS, LPC
Serves Area
Managing life's stressors can feel impossible alone. If you are feeling overwhelmed, worried, or seeking healing from a difficult life event, I am here to support you. I focus on treating you as a whole person, prioritizing a trusting therapeutic relationship where you feel safe to explore. My goal is to help you cultivate deep self-awareness while challenging the unhealthy thoughts and beliefs that hold you back. Together, we will work on reducing self-criticism, fostering healthy interpersonal relationships, and developing the vital skill of boundary setting. Let’s collaborate to help you heal and live with newfound clarity and c
Managing life's stressors can feel impossible alone. If you are feeling overwhelmed, worried, or seeking healing from a difficult life event, I am here to support you. I focus on treating you as a whole person, prioritizing a trusting therapeutic relationship where you feel safe to explore. My goal is to help you cultivate deep self-awareness while challenging the unhealthy thoughts and beliefs that hold you back. Together, we will work on reducing self-criticism, fostering healthy interpersonal relationships, and developing the vital skill of boundary setting. Let’s collaborate to help you heal and live with newfound clarity and c
(724) 286-7264 View (724) 286-7264
Photo of Mark B Eidemiller, Clinical Social Work/Therapist, LCSW
Mark B Eidemiller
Clinical Social Work/Therapist, LCSW
Serves Area
Not accepting new clients
I believe in empowering a greater sense of responsibility so a person can manage and cope with life's trials and difficulties. If you are an individual struggling with depression or anxiety, a couple seeking a greater bond after some form of crisis, or a family in need of resolving various forms of conflict, then I am confident I can assist you. I also have done a lot of work with military veterans. I chose this line of work in mid-life. My other real life experience includes: a dairy farmer, a quality control inspector in manufacturing, a high school teacher, and an MCSE in the computer field. I know what it is like out there.
I believe in empowering a greater sense of responsibility so a person can manage and cope with life's trials and difficulties. If you are an individual struggling with depression or anxiety, a couple seeking a greater bond after some form of crisis, or a family in need of resolving various forms of conflict, then I am confident I can assist you. I also have done a lot of work with military veterans. I chose this line of work in mid-life. My other real life experience includes: a dairy farmer, a quality control inspector in manufacturing, a high school teacher, and an MCSE in the computer field. I know what it is like out there.
(878) 645-3195 View (878) 645-3195
Photo of Mike Iwinski, Associate Professional Counselor, MCMHC, LAPC
Mike Iwinski
Associate Professional Counselor, MCMHC, LAPC
Serves Area
Many of the men I work with are successful on the outside but privately overwhelmed. They’re disciplined, intelligent, and used to pushing through—yet something in their system isn’t resetting the way it used to. They feel stuck, disconnected, or caught in patterns that no longer match the life they’re trying to build. They want more than symptom relief; they want meaningful, lasting change that helps them feel steady, present, and in control again.
Many of the men I work with are successful on the outside but privately overwhelmed. They’re disciplined, intelligent, and used to pushing through—yet something in their system isn’t resetting the way it used to. They feel stuck, disconnected, or caught in patterns that no longer match the life they’re trying to build. They want more than symptom relief; they want meaningful, lasting change that helps them feel steady, present, and in control again.
(724) 952-2802 View (724) 952-2802
Photo of Celeste Tempo-Innersight, Licensed Professional Counselor, LPC
Celeste Tempo-Innersight
Licensed Professional Counselor, LPC
Serves Area
“You’ve always had the power, my dear. You just had to learn it for yourself.” – L. Frank Baum. I’m glad you’re here. You may be feeling overwhelmed by anxiety, past trauma, or major life transitions and unsure how to move forward. Perhaps stress, emotions, or relationships feel unmanageable, or you’re seeking clarity and balance in your life. Adults and adolescents I work with often want relief from emotional distress, stronger coping skills, and a greater sense of confidence and control over their thoughts and behaviors.
“You’ve always had the power, my dear. You just had to learn it for yourself.” – L. Frank Baum. I’m glad you’re here. You may be feeling overwhelmed by anxiety, past trauma, or major life transitions and unsure how to move forward. Perhaps stress, emotions, or relationships feel unmanageable, or you’re seeking clarity and balance in your life. Adults and adolescents I work with often want relief from emotional distress, stronger coping skills, and a greater sense of confidence and control over their thoughts and behaviors.
(878) 645-3799 View (878) 645-3799
Photo of A Lynne Castle, RN, CNS
A Lynne Castle
Verified Verified
Serves Area
Are you looking for a fresh approach to anxiety and/or depression? Are you grieving? Have you suffered trauma? I will be an attentive listener while you describe the problems in your life, and I will also offer you a unique set of skills tailored to your problem and your emotions. Sometimes just talking isn’t enough—you need help to know what to do differently. My nursing background helps me to see you as a whole person and to understand the relationship between your physical and emotional health.
Are you looking for a fresh approach to anxiety and/or depression? Are you grieving? Have you suffered trauma? I will be an attentive listener while you describe the problems in your life, and I will also offer you a unique set of skills tailored to your problem and your emotions. Sometimes just talking isn’t enough—you need help to know what to do differently. My nursing background helps me to see you as a whole person and to understand the relationship between your physical and emotional health.
(724) 740-4210 View (724) 740-4210
Photo of Tara Saunders, Licensed Professional Counselor, MA, LPC, ATR
Tara Saunders
Licensed Professional Counselor, MA, LPC, ATR
Serves Area
Waitlist for new clients
My ideal client is someone going through a transition of life. These can include career changes, relationship shifts, unexpected losses, college students, childbirth/parenting stages, spiritual exploration...etc. These major life changes, whether planned or unplanned, can cause a feeling of uncertainty and bring up existential questions of life. Feeling lost, depressed, anxious, feelings of what to do next and you just don't want to feel this way anymore!
My ideal client is someone going through a transition of life. These can include career changes, relationship shifts, unexpected losses, college students, childbirth/parenting stages, spiritual exploration...etc. These major life changes, whether planned or unplanned, can cause a feeling of uncertainty and bring up existential questions of life. Feeling lost, depressed, anxious, feelings of what to do next and you just don't want to feel this way anymore!
(724) 564-6779 View (724) 564-6779
Photo of Christopher L Stough, Clinical Social Work/Therapist, LCSW
Christopher L Stough
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Hello! Welcome to "Stough Counseling Services!" My name is Christopher Stough, LCSW. Are you looking for a therapist for your child, family, or individually as an adult, who has a lot of energy and a desire to help all people in reaching their fullest potential? If so, I am the child/family/individual therapist for you! Currently, I have worked as a social worker/mental health therapist specializing in child and family therapy for 22 years. I am looking forward to being of service for anyone seeking support, guidance, and a desire for reaching contentment in their lives.
Hello! Welcome to "Stough Counseling Services!" My name is Christopher Stough, LCSW. Are you looking for a therapist for your child, family, or individually as an adult, who has a lot of energy and a desire to help all people in reaching their fullest potential? If so, I am the child/family/individual therapist for you! Currently, I have worked as a social worker/mental health therapist specializing in child and family therapy for 22 years. I am looking forward to being of service for anyone seeking support, guidance, and a desire for reaching contentment in their lives.
(878) 205-0446 View (878) 205-0446

See more therapy options for North Huntingdon

How does your Therapist compare?

Number of Therapists in North Huntingdon, PA

30+

Average cost per session

$120

Therapists in North Huntingdon, PA who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
85% Depression
71% Relationship Issues
71% Self Esteem

Average years in practice

17 Years

Top 3 insurances accepted

97% Highmark
81% University of Pittsburgh Medical Center (UPMC) Hea
78% Optum

How Therapists in North Huntingdon, PA see their clients

85% In Person and Online
15% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in North Huntingdon?

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.