Therapists in Perkasie, PA

Photo of Emily Hallahan, Licensed Professional Counselor, LPC, NCC, CCTP, MA
Emily Hallahan
Licensed Professional Counselor, LPC, NCC, CCTP, MA
3 Endorsed
Online Only
Are you tired of feeling like you have to hold it all together? Maybe you tell yourself it’s not that bad, or feel guilty asking for help when it feels like "others seem to have it worse." The truth is—you don’t need to justify your pain to deserve support. You’re allowed to take up space, to feel, to heal. I offer a safe, compassionate space where your experiences are valid and your healing matters. Therapy with me is personalized, judgment-free, and rooted in the belief that you don’t have to do this alone. Wherever you are, we’ll start there—together.
Are you tired of feeling like you have to hold it all together? Maybe you tell yourself it’s not that bad, or feel guilty asking for help when it feels like "others seem to have it worse." The truth is—you don’t need to justify your pain to deserve support. You’re allowed to take up space, to feel, to heal. I offer a safe, compassionate space where your experiences are valid and your healing matters. Therapy with me is personalized, judgment-free, and rooted in the belief that you don’t have to do this alone. Wherever you are, we’ll start there—together.
(215) 234-7760 View (215) 234-7760
Photo of Deborah Ann DePolo - Compass Counseling and Associates , Licensed Professional Counselor, LPC
Compass Counseling and Associates
Licensed Professional Counselor, LPC
Perkasie, PA 18944
During the processes of individual, child, teen, couple, family, and group counseling, our counselors at Compass Counseling and Associates, Inc. make it a priority to fully understand the nature of your concerns and experiences. We continually strive to create a space in which you feel heard, develop a sense of trust in the counseling process, and find resolution to personal and relational challenges.
During the processes of individual, child, teen, couple, family, and group counseling, our counselors at Compass Counseling and Associates, Inc. make it a priority to fully understand the nature of your concerns and experiences. We continually strive to create a space in which you feel heard, develop a sense of trust in the counseling process, and find resolution to personal and relational challenges.
(484) 447-7255 View (484) 447-7255
Photo of Ryan Hickox, Licensed Professional Counselor, LPC, CAADC
Ryan Hickox
Licensed Professional Counselor, LPC, CAADC
1 Endorsed
Perkasie, PA 18944
I am a seasoned and successful therapist who has worked with people from many backgrounds and have had success helping them with complex and varied issues. I work well with mood disorders, whether anxiety, depression, or anger, and have also had success helping couples struggling with their communication and reactivity to one another. I have also been told that my guidance about parenting and interpersonal boundaries, whether with our children, coworkers, or family, has been very helpful.
I am a seasoned and successful therapist who has worked with people from many backgrounds and have had success helping them with complex and varied issues. I work well with mood disorders, whether anxiety, depression, or anger, and have also had success helping couples struggling with their communication and reactivity to one another. I have also been told that my guidance about parenting and interpersonal boundaries, whether with our children, coworkers, or family, has been very helpful.
(267) 551-5772 View (267) 551-5772
Photo of Tamika Johnson, Clinical Social Work/Therapist, LCSW
Tamika Johnson
Clinical Social Work/Therapist, LCSW
Online Only
My name is Tamika Johnson-Ogbu and I am a Licensed Clinical Social Worker (LCSW) with extensive training in cognitive behavioral therapy (CBT), trauma informed therapy, reality therapy and motivational interviewing. I have also earned a Masters in Divinity where I have received a solid knowledge of pastoral care and Christian counseling. My focus is on the whole person, body, soul and spirit. My aim is to help you regain a sense of hope for your life that is found in Jesus Christ.
My name is Tamika Johnson-Ogbu and I am a Licensed Clinical Social Worker (LCSW) with extensive training in cognitive behavioral therapy (CBT), trauma informed therapy, reality therapy and motivational interviewing. I have also earned a Masters in Divinity where I have received a solid knowledge of pastoral care and Christian counseling. My focus is on the whole person, body, soul and spirit. My aim is to help you regain a sense of hope for your life that is found in Jesus Christ.
(267) 653-6351 View (267) 653-6351
Photo of Erin R. Eagles, Clinical Social Work/Therapist, MSS, LCSW, CEDS
Erin R. Eagles
Clinical Social Work/Therapist, MSS, LCSW, CEDS
5 Endorsed
Perkasie, PA 18944
Waitlist for new clients
It takes courage to start therapy—to show up, be open, and trust someone with your story. I have deep respect for the people who choose this work and am committed to creating a space that feels safe, affirming, and real. The personal is political, and I’m attentive to the ways systems—like oppression, identity, power, and privilege—shape how we see ourselves and move through the world. With warmth and curiosity, I help clients untangle what’s been painful and move toward compassion, clarity, and meaningful change.
It takes courage to start therapy—to show up, be open, and trust someone with your story. I have deep respect for the people who choose this work and am committed to creating a space that feels safe, affirming, and real. The personal is political, and I’m attentive to the ways systems—like oppression, identity, power, and privilege—shape how we see ourselves and move through the world. With warmth and curiosity, I help clients untangle what’s been painful and move toward compassion, clarity, and meaningful change.
(215) 398-7325 View (215) 398-7325
Photo of Susan R Hansen - Susan R. Hansen LCSW, Clinical Social Work/Therapist, LCSW, BCD, TEAM L3
Susan R. Hansen LCSW
Clinical Social Work/Therapist, LCSW, BCD, TEAM L3
2 Endorsed
Online Only
With deep empathy, and understanding of the issues that are difficult for you, you and I will take a look at the quiet messages you are giving yourself. My practice is unique because of the techniques I use. My ideal client will discover and practice new ways of thinking outside of our sessions; that may include reading or completing method forms to help with deeper insight into the negative thoughts which are the root of the problem. Our sessions will focus on your experience. My clients report recognizing the bad thinking habits, and we then consider the many healthier options of thought.
With deep empathy, and understanding of the issues that are difficult for you, you and I will take a look at the quiet messages you are giving yourself. My practice is unique because of the techniques I use. My ideal client will discover and practice new ways of thinking outside of our sessions; that may include reading or completing method forms to help with deeper insight into the negative thoughts which are the root of the problem. Our sessions will focus on your experience. My clients report recognizing the bad thinking habits, and we then consider the many healthier options of thought.
(215) 995-0026 View (215) 995-0026
Photo of Melanie Shustack, Licensed Professional Counselor, LPC
Melanie Shustack
Licensed Professional Counselor, LPC
Perkasie, PA 18944
Walking this journey called life can be difficult for anyone. I’m here to walk alongside you, encouraging you to take the sometimes confusing and complicated parts of your life and make them meaningful and significant. The broken pieces, your life’s “ashes”, can actually be made beautiful. I utilize a faith-based approach, but welcome any belief system. You have a right to your own beliefs. My goal is to help you explore your own core values and beliefs, while giving space for you to grow in a non-judgmental environment. If you have breathe in your lungs, your life isn’t over yet. Call now to set up an appointment.
Walking this journey called life can be difficult for anyone. I’m here to walk alongside you, encouraging you to take the sometimes confusing and complicated parts of your life and make them meaningful and significant. The broken pieces, your life’s “ashes”, can actually be made beautiful. I utilize a faith-based approach, but welcome any belief system. You have a right to your own beliefs. My goal is to help you explore your own core values and beliefs, while giving space for you to grow in a non-judgmental environment. If you have breathe in your lungs, your life isn’t over yet. Call now to set up an appointment.
(267) 382-4685 View (267) 382-4685
Photo of Brianna Howe, Licensed Professional Counselor, LPC
Brianna Howe
Licensed Professional Counselor, LPC
1 Endorsed
Perkasie, PA 18944
Beginning therapy and finding the right therapist for you can be challenging, but the right fit can bring about incredible change. Do you feel overwhelmed with the transition to parenthood or uncertain about your identity after building a family? Have you and your partner seen an increase in conflict or disconnection? Have you noticed persistent anxious thoughts or low mood, making it hard to enjoy this phase of your life? Do you find yourself being incredibly self-critical or at war with your own body and mind? Needing a place to share your thoughts without judgment? If any of these sound familiar, I may be the right fit for you.
Beginning therapy and finding the right therapist for you can be challenging, but the right fit can bring about incredible change. Do you feel overwhelmed with the transition to parenthood or uncertain about your identity after building a family? Have you and your partner seen an increase in conflict or disconnection? Have you noticed persistent anxious thoughts or low mood, making it hard to enjoy this phase of your life? Do you find yourself being incredibly self-critical or at war with your own body and mind? Needing a place to share your thoughts without judgment? If any of these sound familiar, I may be the right fit for you.
(267) 458-5754 View (267) 458-5754
Photo of Alexandra Pattison, Marriage & Family Therapist, MS, LMFT, CEDS
Alexandra Pattison
Marriage & Family Therapist, MS, LMFT, CEDS
Online Only
Hi! My name is Alex (she/her). I am a licensed family and marriage therapist and work with individuals, couples, and families. I offer a safe place for you as you explore your feelings and your ways of coping. We will work together in therapy to support you in embracing yourself, your needs, and your desires. Every person has a unique story and experiences, which is why I work from a person-centered approach. I honor each individual where they are and believe that each person is the expert on themself. I will not have all of the answers, but we will work together so that you can find the answers and wisdom inside of you.
Hi! My name is Alex (she/her). I am a licensed family and marriage therapist and work with individuals, couples, and families. I offer a safe place for you as you explore your feelings and your ways of coping. We will work together in therapy to support you in embracing yourself, your needs, and your desires. Every person has a unique story and experiences, which is why I work from a person-centered approach. I honor each individual where they are and believe that each person is the expert on themself. I will not have all of the answers, but we will work together so that you can find the answers and wisdom inside of you.
(267) 459-8176 View (267) 459-8176
Photo of Maura Farrell, Clinical Social Work/Therapist, MSS, LCSW, CAADC
Maura Farrell
Clinical Social Work/Therapist, MSS, LCSW, CAADC
Perkasie, PA 18944
In partnership with stables at 2 locations, I am offering individual and group Equine Assisted Therapy in Newtown Square and Perkasie! It would be my honor to help you to begin the process of identifying the issues that are preventing you from living with a happy, content and free mind. I specialize in the treatment of Substance Use Disorders, Trauma, Grief and Loss and Women's Issues. I can help you to work toward achieving recovery, stability and balance. I am experienced and available to provide LCSW and LPC Clinical Supervision.
In partnership with stables at 2 locations, I am offering individual and group Equine Assisted Therapy in Newtown Square and Perkasie! It would be my honor to help you to begin the process of identifying the issues that are preventing you from living with a happy, content and free mind. I specialize in the treatment of Substance Use Disorders, Trauma, Grief and Loss and Women's Issues. I can help you to work toward achieving recovery, stability and balance. I am experienced and available to provide LCSW and LPC Clinical Supervision.
(215) 631-8673 View (215) 631-8673
Photo of Aly Rice, Clinical Social Work/Therapist, LCSW, OSW-C
Aly Rice
Clinical Social Work/Therapist, LCSW, OSW-C
Online Only
Finding the right counselor/therapist is hard. It's vulnerable. It's daunting. When you're ready to make that leap, I hope I can put your fears to rest. Sometimes you just need someone to help break it all down for you, make goals, talk it through, know that there is someone else to help you through whatever is maybe holding you back, or causing stress.
Finding the right counselor/therapist is hard. It's vulnerable. It's daunting. When you're ready to make that leap, I hope I can put your fears to rest. Sometimes you just need someone to help break it all down for you, make goals, talk it through, know that there is someone else to help you through whatever is maybe holding you back, or causing stress.
(267) 729-9928 View (267) 729-9928
Photo of Elizabeth Otto - Introspective Alliance, LLC, Licensed Professional Counselor, LPC, CCTP
Introspective Alliance, LLC
Licensed Professional Counselor, LPC, CCTP
1 Endorsed
Perkasie, PA 18944
Today's world is plagued by distractions that take us away from what is fundamentally important. Learning to separate from an illogical need to please others may allow us to determine our path and help us to be true to ourselves. Clients need only have a desire for self-understanding and an openness to accountability to start their therapeutic journey.
Today's world is plagued by distractions that take us away from what is fundamentally important. Learning to separate from an illogical need to please others may allow us to determine our path and help us to be true to ourselves. Clients need only have a desire for self-understanding and an openness to accountability to start their therapeutic journey.
(267) 354-8264 View (267) 354-8264
Photo of Deborah Ann DePolo, Licensed Professional Counselor, LPC, DMFT
Deborah Ann DePolo
Licensed Professional Counselor, LPC, DMFT
Perkasie, PA 18944
Are you looking for someone to guide, support, and assist you in your life's journey? If so, I am the therapist you've been looking for! I'm passionate about helping and I see counseling as an opportunity for us to work together on overcoming obstacles to help you reach your goals. I specialize in several different treatment modalities and tend to use a combination of techniques to match your unique wants and needs. At Compass Counseling and Associates, our team of professional counselors provides high-quality, affordable individual, couple & marriage, family, and group counseling services for adults, teens, and children.
Are you looking for someone to guide, support, and assist you in your life's journey? If so, I am the therapist you've been looking for! I'm passionate about helping and I see counseling as an opportunity for us to work together on overcoming obstacles to help you reach your goals. I specialize in several different treatment modalities and tend to use a combination of techniques to match your unique wants and needs. At Compass Counseling and Associates, our team of professional counselors provides high-quality, affordable individual, couple & marriage, family, and group counseling services for adults, teens, and children.
(484) 447-7255 View (484) 447-7255
Photo of Jenna Desrosiers, Clinical Social Work/Therapist, LCSW
Jenna Desrosiers
Clinical Social Work/Therapist, LCSW
1 Endorsed
Perkasie, PA 18944
Not accepting new clients
Are you a mom or a future mom who is trying to adjust to pregnancy and life after having a child? Are you neurodivergent and trying to process dealing with a world that feels like it just does not get you? Are you a young adult who is adjusting to life after college? Do you struggle with negative feelings about your body? Are you feeling hopeless or worried about the future? So much is unknown and is constantly changing in this world. By working on coping skills and ways to be more self-compassionate, I can help you feel like "you" again.
Are you a mom or a future mom who is trying to adjust to pregnancy and life after having a child? Are you neurodivergent and trying to process dealing with a world that feels like it just does not get you? Are you a young adult who is adjusting to life after college? Do you struggle with negative feelings about your body? Are you feeling hopeless or worried about the future? So much is unknown and is constantly changing in this world. By working on coping skills and ways to be more self-compassionate, I can help you feel like "you" again.
(919) 585-1069 View (919) 585-1069
Photo of Dr. Adrianna Vernace, Psychologist, PhD
Dr. Adrianna Vernace
Psychologist, PhD
2 Endorsed
Perkasie, PA 18944
Scheduling now for December and January! I do my best to respond within 24 hours. I would love to help you feel your best. I treat my clients with empathy and open-mindedness, so they feel heard and understood. Using Person-Centered Therapy, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT), I help my clients experience relief from their symptoms and foster meaningful change. I strive to create a therapeutic space that is authentic and comfortable for all. Whether you're feeling overwhelmed, stuck in unhelpful patterns, or just not sure where to start, we’ll figure it out together.
Scheduling now for December and January! I do my best to respond within 24 hours. I would love to help you feel your best. I treat my clients with empathy and open-mindedness, so they feel heard and understood. Using Person-Centered Therapy, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT), I help my clients experience relief from their symptoms and foster meaningful change. I strive to create a therapeutic space that is authentic and comfortable for all. Whether you're feeling overwhelmed, stuck in unhelpful patterns, or just not sure where to start, we’ll figure it out together.
(267) 362-8075 View (267) 362-8075
Photo of Dr. DEBORAH DePolo - Compass Counseling and Associates, Licensed Professional Counselor, LPC, DMFT
Compass Counseling and Associates
Licensed Professional Counselor, LPC, DMFT
Perkasie, PA 18944
During the processes of individual, child, teen, couple, family, and group counseling, our counselors at Compass Counseling and Associates, Inc. make it a priority to fully understand the nature of your concerns and experiences. We continually strive to create a space in which you feel heard, develop a sense of trust in the counseling process, and find resolution to personal and relational challenges.
During the processes of individual, child, teen, couple, family, and group counseling, our counselors at Compass Counseling and Associates, Inc. make it a priority to fully understand the nature of your concerns and experiences. We continually strive to create a space in which you feel heard, develop a sense of trust in the counseling process, and find resolution to personal and relational challenges.
(484) 673-6702 View (484) 673-6702
Photo of Lisa Mahoney, Licensed Professional Counselor, LPC, LBS
Lisa Mahoney
Licensed Professional Counselor, LPC, LBS
Perkasie, PA 18944
Accepting New Clients. It is crucial to meet individuals where they are and help guide them to find what they need or are looking for in life. I work with adults and children 10 and older to help cope with depression, anxiety, ADHD, PANDAS, Autism, trauma, relationships, stress, life transitions, and parenting issues. The ultimate goal is to feel happy and fulfilled. I can also help with special education needs and school concerns, including attending school meetings. In addition, I am bilingual and work with Spanish speaking clients.
Accepting New Clients. It is crucial to meet individuals where they are and help guide them to find what they need or are looking for in life. I work with adults and children 10 and older to help cope with depression, anxiety, ADHD, PANDAS, Autism, trauma, relationships, stress, life transitions, and parenting issues. The ultimate goal is to feel happy and fulfilled. I can also help with special education needs and school concerns, including attending school meetings. In addition, I am bilingual and work with Spanish speaking clients.
(786) 244-7347 View (786) 244-7347
Photo of Jennifer Crall, Psychologist, PhD
Jennifer Crall
Psychologist, PhD
2 Endorsed
Serves Area
I have a deep admiration for my clients' willingness to share their lives with me in order to see changes. I strive to understand the individual needs of each person with whom I work, emphasizing the therapeutic relationship as primary to any treatment, while integrating the best of what the science of clinical psychology offers. I am committed to helping my clients build on their strengths so they may improve their interpersonal relationships, generate a healthy self image, and manage clinical symptoms.
I have a deep admiration for my clients' willingness to share their lives with me in order to see changes. I strive to understand the individual needs of each person with whom I work, emphasizing the therapeutic relationship as primary to any treatment, while integrating the best of what the science of clinical psychology offers. I am committed to helping my clients build on their strengths so they may improve their interpersonal relationships, generate a healthy self image, and manage clinical symptoms.
(215) 974-0111 View (215) 974-0111
Photo of Dr. David Butman, Psychologist, PsyD
Dr. David Butman
Psychologist, PsyD
Serves Area
Dr. David Butman is a licensed clinical psychologist and owner of Keystone Psychological Testing & Consulting, an intentionally small private practice in Doylestown, PA. Our practice specializes in providing high-quality, comprehensive psychological evaluations for children and adults. Dr. Butman specializes in the assessment and diagnosis of ADHD, Autism, and learning differences, as well as mood and anxiety disorders, behavioral difficulties in children, and problems in executive functioning.
Dr. David Butman is a licensed clinical psychologist and owner of Keystone Psychological Testing & Consulting, an intentionally small private practice in Doylestown, PA. Our practice specializes in providing high-quality, comprehensive psychological evaluations for children and adults. Dr. Butman specializes in the assessment and diagnosis of ADHD, Autism, and learning differences, as well as mood and anxiety disorders, behavioral difficulties in children, and problems in executive functioning.
(215) 515-6121 View (215) 515-6121
Photo of Susan M Thompson, Licensed Professional Counselor
Susan M Thompson
Licensed Professional Counselor
Serves Area
I have over 30 years experience helping adolescents and adults who struggle with depression, anxiety, substance abuse, and communication issues. My approach is very straight forward and down to earth. I believe adolescents seek a place to express themselves where they will be heard and not judged. I help them develop strategies to overcome their challenges by identifying feelings, developing and practicing coping skills, and increasing positive communication skills in their relationships. When appropriate, I work closely with parents, schools and probation to ensure we're all working toward the same goal.
I have over 30 years experience helping adolescents and adults who struggle with depression, anxiety, substance abuse, and communication issues. My approach is very straight forward and down to earth. I believe adolescents seek a place to express themselves where they will be heard and not judged. I help them develop strategies to overcome their challenges by identifying feelings, developing and practicing coping skills, and increasing positive communication skills in their relationships. When appropriate, I work closely with parents, schools and probation to ensure we're all working toward the same goal.
(215) 337-4511 View (215) 337-4511

See more therapy options for Perkasie

How does your Therapist compare?

Number of Therapists in Perkasie, PA

40+

Average cost per session

$140

Therapists in Perkasie, PA who prioritize treating:

89% Depression
89% Anxiety
87% Self Esteem
78% Relationship Issues
78% Coping Skills
69% Trauma and PTSD
67% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

82% Aetna
76% Highmark
73% Cigna and Evernorth

How Therapists in Perkasie, PA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Perkasie?

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.