Therapists in Greensburg, PA

Photo of Krysta Best, Marriage & Family Therapist in Greensburg, PA
Krysta Best
Marriage & Family Therapist, LMFT
Verified Verified
Greensburg, PA 15601
Hello there you beautiful human! My name is Krysta and I am most excited and passionate about helping humans find their whole authentic selves. Whether you're struggling with a lifelong diagnosis, traumatic experiences that are interfering with your life, a recent crisis or setback, or are struggling to find your place in this life, I would be honored to work with you and help support you in all the next steps you are made to take. Life is hard enough as it is, throwing anything else on top of that can not only be overwhelming but often times incredibly lonely.
Hello there you beautiful human! My name is Krysta and I am most excited and passionate about helping humans find their whole authentic selves. Whether you're struggling with a lifelong diagnosis, traumatic experiences that are interfering with your life, a recent crisis or setback, or are struggling to find your place in this life, I would be honored to work with you and help support you in all the next steps you are made to take. Life is hard enough as it is, throwing anything else on top of that can not only be overwhelming but often times incredibly lonely.
(724) 471-5193 View (724) 471-5193
Photo of Deb Cole Warnick, Clinical Social Work/Therapist in Greensburg, PA
Deb Cole Warnick
Clinical Social Work/Therapist, MSW, LSW, ACSW
Verified Verified
Greensburg, PA 15601  (Online Only)
I work with clients identifying and resolving problems with eating disorders (anorexia, bulimia, compulsive overeating/binge eating),trauma related issues, anxiety or panic attacks, depression, OCD, relationship issues, low self-esteem, difficulties with mood swings, and in need of coping techiques to deal with stress. I enjoy working with both women and men, adults, college students, adolescents and children. I often work closely with treatment teams professionals, such as medical professionals, nutritionists, and school counselors.. I offer individual & family counseling. My caring and supportive manner is balanced with a challenging and motivating style to help clients successfully meet their treatment goals.
I work with clients identifying and resolving problems with eating disorders (anorexia, bulimia, compulsive overeating/binge eating),trauma related issues, anxiety or panic attacks, depression, OCD, relationship issues, low self-esteem, difficulties with mood swings, and in need of coping techiques to deal with stress. I enjoy working with both women and men, adults, college students, adolescents and children. I often work closely with treatment teams professionals, such as medical professionals, nutritionists, and school counselors.. I offer individual & family counseling. My caring and supportive manner is balanced with a challenging and motivating style to help clients successfully meet their treatment goals.
(724) 472-4360 View (724) 472-4360
Photo of Kimberly Broaddus, Licensed Professional Counselor in Greensburg, PA
Kimberly Broaddus
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Greensburg, PA 15601
We all experience difficulties, and at times it can be tough to sort through our thoughts and feelings alone. I believe that we all have patterns of reactions that arise in our thoughts and behaviors. Some of these patterns may be healthy and some unhealthy. I like to think of the therapeutic environment as a safe place to sort through what makes us, “us”. Within this environment we hope to become more aware of our patterns and decision making. With increased awareness we can make the decisions on what continues to work for us and what no longer serves us well.
We all experience difficulties, and at times it can be tough to sort through our thoughts and feelings alone. I believe that we all have patterns of reactions that arise in our thoughts and behaviors. Some of these patterns may be healthy and some unhealthy. I like to think of the therapeutic environment as a safe place to sort through what makes us, “us”. Within this environment we hope to become more aware of our patterns and decision making. With increased awareness we can make the decisions on what continues to work for us and what no longer serves us well.
(878) 203-0867 View (878) 203-0867
Photo of Sarah M Eidemiller, Clinical Social Work/Therapist in Greensburg, PA
Sarah M Eidemiller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Greensburg, PA 15601
If you’re looking for a safe place to discuss life challenges and to explore ways to better your overall sense of well-being, then entering therapy may be the right choice for you! I offer counseling for adults going through life transitions, grief-related issues, anxiety, depression, LGBTQ-related issues, as well as a range of other needs. I'm passionate about working with people who are hesitant to ask for help and feel that everyone, no matter who they are, really deserve someone to hear them. Entering therapy is a brave step. "If there is no struggle, there is no progress." - Frederick Douglass.
If you’re looking for a safe place to discuss life challenges and to explore ways to better your overall sense of well-being, then entering therapy may be the right choice for you! I offer counseling for adults going through life transitions, grief-related issues, anxiety, depression, LGBTQ-related issues, as well as a range of other needs. I'm passionate about working with people who are hesitant to ask for help and feel that everyone, no matter who they are, really deserve someone to hear them. Entering therapy is a brave step. "If there is no struggle, there is no progress." - Frederick Douglass.
(724) 221-9526 View (724) 221-9526
Photo of Celeste Tempo-Innersight, Licensed Professional Counselor in Greensburg, PA
Celeste Tempo-Innersight
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
"You've always had the power my dear, you just had to learn it for yourself." L. Frank Baum. Welcome to my page! I am a Certified Clinical Anxiety Treatment Professional, also certified in TF-CBT (Trauma Focused Cognitive Behavioral Therapy) and a Board Certified Licensed Professional Counselor. Throughout sessions, I treat my clients in a compassionate and professional manner, taking a collaborative approach to assist with empowerment in order to achieve personal and treatment plan goals. I offer a non-judgemental, safe space to work toward your specific goals.
"You've always had the power my dear, you just had to learn it for yourself." L. Frank Baum. Welcome to my page! I am a Certified Clinical Anxiety Treatment Professional, also certified in TF-CBT (Trauma Focused Cognitive Behavioral Therapy) and a Board Certified Licensed Professional Counselor. Throughout sessions, I treat my clients in a compassionate and professional manner, taking a collaborative approach to assist with empowerment in order to achieve personal and treatment plan goals. I offer a non-judgemental, safe space to work toward your specific goals.
(878) 645-3799 View (878) 645-3799
Photo of Tayler Flores, Licensed Professional Counselor in Greensburg, PA
Tayler Flores
Licensed Professional Counselor, MS, LPC, NCC, PMH-C
Verified Verified
Greensburg, PA 15601
While individuals are often aware of the many twists and turns life can take them, they are often led to believe that they must travel these paths alone. Life can bring about a variety of emotions including anxiety, depression, anger, guilt, shame, embarrassment, etc. that can negatively impact the view we have of ourselves and the world around us. Allow me to provide you with support along your journey. - I specialize in Perinatal Mental Health and I am also partially trained in EMDR.
While individuals are often aware of the many twists and turns life can take them, they are often led to believe that they must travel these paths alone. Life can bring about a variety of emotions including anxiety, depression, anger, guilt, shame, embarrassment, etc. that can negatively impact the view we have of ourselves and the world around us. Allow me to provide you with support along your journey. - I specialize in Perinatal Mental Health and I am also partially trained in EMDR.
(724) 399-3746 View (724) 399-3746
Photo of New Directions Mental Health Greensburg, Licensed Professional Counselor in Greensburg, PA
New Directions Mental Health Greensburg
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Greensburg area. At our Greensburg clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Greensburg area. At our Greensburg clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(724) 670-2768 View (724) 670-2768
Photo of Kimberly Ann Stenson, Marriage & Family Therapist in Greensburg, PA
Kimberly Ann Stenson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Greensburg, PA 15601
Kim has over seven years of experience working with individuals, couples, families and groups of all ages. Her treatment of those with loved ones who suffer from substances use issues challenges individual thought processes and family patterns that keep people vulnerable to addiction. Kim has personal and professional experience and training to work with families formed through foster and kinship care and adoption. She can help you to define what you want in your relationships to help create lasting and rewarding relationships. Kim practices from an approach to therapy that considers relational dynamics.
Kim has over seven years of experience working with individuals, couples, families and groups of all ages. Her treatment of those with loved ones who suffer from substances use issues challenges individual thought processes and family patterns that keep people vulnerable to addiction. Kim has personal and professional experience and training to work with families formed through foster and kinship care and adoption. She can help you to define what you want in your relationships to help create lasting and rewarding relationships. Kim practices from an approach to therapy that considers relational dynamics.
(724) 987-5172 View (724) 987-5172
Photo of Lisa M Pope, Clinical Social Work/Therapist in Greensburg, PA
Lisa M Pope
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Greensburg, PA 15601
Not accepting new clients
Worried? Anxious? Depressed? Relationship issues and parenting concerns making you bonkers? I can help! Lisa Pope is a Licensed Clinical Social Worker with over 25 years of experience providing effective, quality counseling services for individuals, couples and families. Using a skills based approach to treatment, Lisa TEACHES clients how to decrease their symptoms, restore balance and improve the overall quality of life! "My vision as a counselor is to teach clients the coping skills they need in order to be more effective in their day to day lives. Awareness without action is useless.
Worried? Anxious? Depressed? Relationship issues and parenting concerns making you bonkers? I can help! Lisa Pope is a Licensed Clinical Social Worker with over 25 years of experience providing effective, quality counseling services for individuals, couples and families. Using a skills based approach to treatment, Lisa TEACHES clients how to decrease their symptoms, restore balance and improve the overall quality of life! "My vision as a counselor is to teach clients the coping skills they need in order to be more effective in their day to day lives. Awareness without action is useless.
(724) 230-8749 View (724) 230-8749
Photo of Krystal Edgreen, Licensed Professional Counselor in Greensburg, PA
Krystal Edgreen
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Greensburg, PA 15601
We all need support at times and be proud of yourself for reaching out as it can be difficult. Stress, anxiety, depression, and trouble with life situations can lead to less satisfaction with life. Sometimes having healthy relationships and boundaries are difficult to achieve and having some help can make the process easier. I work with people who struggle with anxiety, depression, trauma-related disorders, autism and ADHD.
We all need support at times and be proud of yourself for reaching out as it can be difficult. Stress, anxiety, depression, and trouble with life situations can lead to less satisfaction with life. Sometimes having healthy relationships and boundaries are difficult to achieve and having some help can make the process easier. I work with people who struggle with anxiety, depression, trauma-related disorders, autism and ADHD.
(412) 844-5565 View (412) 844-5565
Photo of Mandy Horwat, Licensed Professional Counselor in Greensburg, PA
Mandy Horwat
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
“A smile says a thousand words.” Helping others heal from emotional wounds and traumatic experiences is a true passion of mine.
“A smile says a thousand words.” Helping others heal from emotional wounds and traumatic experiences is a true passion of mine.
(724) 213-3212 View (724) 213-3212
Photo of Alyssa Williams, Pre-Licensed Professional in Greensburg, PA
Alyssa Williams
Pre-Licensed Professional, MA
Verified Verified
Greensburg, PA 15601
Curiouser and curiouser, how curious are you about yourself? Are you willing to fall down the rabbit hole to meet different parts of yourself and make discoveries that will aid in inner healing? Are you willing to ask questions, make wrong turns, and meet different characters within yourself? Are you willing to allow your inner child to come out to play? Are you willing to fall down the rabbit hole and go off the beaten path?
Curiouser and curiouser, how curious are you about yourself? Are you willing to fall down the rabbit hole to meet different parts of yourself and make discoveries that will aid in inner healing? Are you willing to ask questions, make wrong turns, and meet different characters within yourself? Are you willing to allow your inner child to come out to play? Are you willing to fall down the rabbit hole and go off the beaten path?
View
Photo of Megan A Caraballo, LPC, Licensed Professional Counselor in Greensburg, PA
Megan A Caraballo, LPC
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Greensburg, PA 15601
I am a licensed professional counselor who has a straightforward approach that is combined with empathy and understanding. I will take a person where they are, not where I want them to be or where others' tell them they should be. I have worked for the past 10+ years with individuals who experience a combination of symptoms/stressors. I have worked with many different individuals with varying diagnoses, to include depression, anxiety, bipolar, PTSD, trauma, and personality disorders. I use a combination of therapies to be most effective in approaching treatment with others.
I am a licensed professional counselor who has a straightforward approach that is combined with empathy and understanding. I will take a person where they are, not where I want them to be or where others' tell them they should be. I have worked for the past 10+ years with individuals who experience a combination of symptoms/stressors. I have worked with many different individuals with varying diagnoses, to include depression, anxiety, bipolar, PTSD, trauma, and personality disorders. I use a combination of therapies to be most effective in approaching treatment with others.
(724) 755-4288 View (724) 755-4288
Photo of Morgan Paul, Licensed Professional Counselor in Greensburg, PA
Morgan Paul
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Greensburg, PA 15601
Healing isn’t easy & taking the first step of seeking a therapist takes a lot of courage. Healing involves being patient & kind with yourself, along with stepping out of your comfort zone in order to talk about tough things so you can grow. Often in life we are faced with many challenges and feel like we are just stuck. My role as your therapist is to help you sort out these emotions and experiences that have you feeling like you are hitting a wall. Together we will work to identify unhealthy patterns and develop skills to help you take control of your life.
Healing isn’t easy & taking the first step of seeking a therapist takes a lot of courage. Healing involves being patient & kind with yourself, along with stepping out of your comfort zone in order to talk about tough things so you can grow. Often in life we are faced with many challenges and feel like we are just stuck. My role as your therapist is to help you sort out these emotions and experiences that have you feeling like you are hitting a wall. Together we will work to identify unhealthy patterns and develop skills to help you take control of your life.
(724) 264-3283 View (724) 264-3283
Photo of Jessica Howard, Clinical Social Work/Therapist in Greensburg, PA
Jessica Howard
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Greensburg, PA 15601
Hi, I’m Jes. My clinical and professional experience is rooted in community service, and I value a client-centered and collaborative approach to therapy. Life can be hard at times, and we all experience difficult and challenging events that we need help navigating. I received my Master's in Social Work from the University of Pittsburgh in 2015, and have been working in the field for 15+ years.
Hi, I’m Jes. My clinical and professional experience is rooted in community service, and I value a client-centered and collaborative approach to therapy. Life can be hard at times, and we all experience difficult and challenging events that we need help navigating. I received my Master's in Social Work from the University of Pittsburgh in 2015, and have been working in the field for 15+ years.
(724) 278-8915 View (724) 278-8915
Photo of Amy L Needham, Marriage & Family Therapist in Greensburg, PA
Amy L Needham
Marriage & Family Therapist, LMFT
Verified Verified
Greensburg, PA 15601
Through the lens of Bowen Systems Theory I work towards providing insight and awareness into the emotional process that we often find ourselves intensely reacting from. Building on that insight and awareness, decreasing the emotional reactivity while increasing calmer and more rational choices. Looking at our emotional patterns to better understand them allows us then to think in a way that can provide an openness to making different choices. To know better is to do better! To understand why we react to our situations and where those patterns have been learned, we can then start to look at each new moment as it’s own.
Through the lens of Bowen Systems Theory I work towards providing insight and awareness into the emotional process that we often find ourselves intensely reacting from. Building on that insight and awareness, decreasing the emotional reactivity while increasing calmer and more rational choices. Looking at our emotional patterns to better understand them allows us then to think in a way that can provide an openness to making different choices. To know better is to do better! To understand why we react to our situations and where those patterns have been learned, we can then start to look at each new moment as it’s own.
(724) 221-9623 View (724) 221-9623
Photo of Sarah Ludwig, Licensed Professional Counselor in Greensburg, PA
Sarah Ludwig
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Greensburg, PA 15601
Not accepting new clients
We are often told to “just get over it”. Although often well-intentioned, this saying is neither helpful or realistic. It is my firm belief that we don’t “get over” things, but we make meaning and learn to live with our experiences. As a certified EMDR therapist, I take pride in helping people do just that. Trauma impacts us all in unique ways and EMDR can help people achieve a variety of their personal goals related to healing, growth, and becoming “unstuck” from past experiences. From minor to major traumas, I am committed to helping you overcome your past and look forward to your future without fear and distress.
We are often told to “just get over it”. Although often well-intentioned, this saying is neither helpful or realistic. It is my firm belief that we don’t “get over” things, but we make meaning and learn to live with our experiences. As a certified EMDR therapist, I take pride in helping people do just that. Trauma impacts us all in unique ways and EMDR can help people achieve a variety of their personal goals related to healing, growth, and becoming “unstuck” from past experiences. From minor to major traumas, I am committed to helping you overcome your past and look forward to your future without fear and distress.
(878) 847-0024 View (878) 847-0024
Photo of Heather Lee- Innersight Llc, Licensed Professional Counselor in Greensburg, PA
Heather Lee- Innersight Llc
Licensed Professional Counselor, LPC, ATR, CAADC
Verified Verified
1 Endorsed
Greensburg, PA 15601  (Online Only)
Have you been struggling with trying to figure out a better way to manage your life and situations? Do you find it hard to have motivation to do things? Do you struggle with adversity and managing stressors? Do you have issues with addictions? I try to be non-judgmental and supportive to validate people and help them learn new ways of coping and living to improve their quality of life. I also run Art Therapy groups to increase insight and mindfulness about symptoms/coping skills, which have been effective in improving moods and decreasing stress, creating a sense of community, and a family away from family (but not during COVID).
Have you been struggling with trying to figure out a better way to manage your life and situations? Do you find it hard to have motivation to do things? Do you struggle with adversity and managing stressors? Do you have issues with addictions? I try to be non-judgmental and supportive to validate people and help them learn new ways of coping and living to improve their quality of life. I also run Art Therapy groups to increase insight and mindfulness about symptoms/coping skills, which have been effective in improving moods and decreasing stress, creating a sense of community, and a family away from family (but not during COVID).
(878) 201-0437 View (878) 201-0437
Photo of Christina M Sadoski, Psychologist in Greensburg, PA
Christina M Sadoski
Psychologist, DEd, NCSP
Verified Verified
Greensburg, PA 15601
The ideal client wants to take an active role and make change happen for themselves. They have concerns about their feelings and interactions with others and how to make improvements to daily life. They take the strategies presented to them and use them day to day as the need arises.
The ideal client wants to take an active role and make change happen for themselves. They have concerns about their feelings and interactions with others and how to make improvements to daily life. They take the strategies presented to them and use them day to day as the need arises.
(878) 645-3645 View (878) 645-3645
Photo of Insightful Therapy, LLC, Licensed Professional Counselor in Greensburg, PA
Insightful Therapy, LLC
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Greensburg, PA 15601
Are you feeling overwhelmed? Anxious? Depressed? Wanting to make life changes and not sure where to begin? Each person has their own journey to take in life. Life can be stressful at times and I can help. Together we can find ways to help you feel better and make the changes you want in your life. Each person deserves to be fulfilled, find their purpose and be happy.
Are you feeling overwhelmed? Anxious? Depressed? Wanting to make life changes and not sure where to begin? Each person has their own journey to take in life. Life can be stressful at times and I can help. Together we can find ways to help you feel better and make the changes you want in your life. Each person deserves to be fulfilled, find their purpose and be happy.
(724) 560-3830 View (724) 560-3830

How does your Therapist compare?

Number of Therapists in Greensburg, PA

200+

Average cost per session

$100

Therapists in Greensburg, PA who prioritize treating:

96% Anxiety
94% Depression
82% Coping Skills
80% Relationship Issues
76% Trauma and PTSD
72% Grief
72% Stress

Average years in practice

11 Years

Top 3 insurances accepted

83% Highmark
81% Aetna
78% BlueCross and BlueShield

How Therapists in Greensburg, PA see their clients

91% In Person and Online
9% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Greensburg?

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.