Therapists in San Ramon, CA

Photo of Julie Kraft, Marriage & Family Therapist in San Ramon, CA
Julie Kraft
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Ramon, CA 94583
My approach is collaborative, compassionate, and completely nonjudgmental. I have 14 years of experience treating relationship problems, stress, anxiety, addictions, parenting issues, and depression. Clients who come to see me tell me they “feel seen." I consider it an honor to hear your stories and to help you find greater peace and joy in your life. I am passionate about therapy and devoted to each and every client I see.
My approach is collaborative, compassionate, and completely nonjudgmental. I have 14 years of experience treating relationship problems, stress, anxiety, addictions, parenting issues, and depression. Clients who come to see me tell me they “feel seen." I consider it an honor to hear your stories and to help you find greater peace and joy in your life. I am passionate about therapy and devoted to each and every client I see.
(925) 558-9970 View (925) 558-9970
Photo of Sexual Recovery Program at CPCC, Marriage & Family Therapist in San Ramon, CA
Sexual Recovery Program at CPCC
Marriage & Family Therapist, LMFT, CSAT
Verified Verified
2 Endorsed
San Ramon, CA 94583
Our team of specialists is passionate about working with people whose lives have been impacted by compulsive behavior and/or sexual trauma. The team is committed to helping individuals understand their behaviors and assist them in finding recovery through developing new habits for self-care, coping and personal insight. Taking this transformational journey can help individuals and couples move from a place of chaos into a life of wholeness and new relationships of trust and intimacy. The team uses evidence-based treatments to educate, motivate and equip individuals and couples to work towards healing.
Our team of specialists is passionate about working with people whose lives have been impacted by compulsive behavior and/or sexual trauma. The team is committed to helping individuals understand their behaviors and assist them in finding recovery through developing new habits for self-care, coping and personal insight. Taking this transformational journey can help individuals and couples move from a place of chaos into a life of wholeness and new relationships of trust and intimacy. The team uses evidence-based treatments to educate, motivate and equip individuals and couples to work towards healing.
(925) 326-4911 View (925) 326-4911
Photo of Maria N Toscano, Marriage & Family Therapist in San Ramon, CA
Maria N Toscano
Marriage & Family Therapist, LMFT
Verified Verified
San Ramon, CA 94583
When we are struggling to decide what direction to take in our lives, talking to a professional could help us to clarify our ideas. I have been working with couples, individuals, children, adolescents and families for 7 years. I have been treating anxiety, depression, trauma, infidelity, relational problems, etc. I use client centered models and I am trained in EMDR for trauma. My work is based on my clients goals, supporting them on the way to achieve those goals in a gentle manner. Connection is very important between clients and therapist as an any relationship this will facilitate communication and trust.
When we are struggling to decide what direction to take in our lives, talking to a professional could help us to clarify our ideas. I have been working with couples, individuals, children, adolescents and families for 7 years. I have been treating anxiety, depression, trauma, infidelity, relational problems, etc. I use client centered models and I am trained in EMDR for trauma. My work is based on my clients goals, supporting them on the way to achieve those goals in a gentle manner. Connection is very important between clients and therapist as an any relationship this will facilitate communication and trust.
(925) 799-2304 View (925) 799-2304
Photo of Eon Jean Newquist, Marriage & Family Therapist Associate in San Ramon, CA
Eon Jean Newquist
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
San Ramon, CA 94583
Relationship is the foundation of the therapeutic experience. Through compassion and empathy, I strive to build an alliance with my clients to explore the areas of your life that feel challenging or overwhelming. Whatever you are dealing with, depression, anxiety, divorce, blended families, life transitions, self-esteem, grief, sexual identity, OCD, ADHD, I will walk alongside you as you learn to live a more centered and joyful life. You don't need to struggle alone. I am passionate about working with women and couples experiencing infertility or pregnancy loss and children and teens with divorced parents.
Relationship is the foundation of the therapeutic experience. Through compassion and empathy, I strive to build an alliance with my clients to explore the areas of your life that feel challenging or overwhelming. Whatever you are dealing with, depression, anxiety, divorce, blended families, life transitions, self-esteem, grief, sexual identity, OCD, ADHD, I will walk alongside you as you learn to live a more centered and joyful life. You don't need to struggle alone. I am passionate about working with women and couples experiencing infertility or pregnancy loss and children and teens with divorced parents.
(925) 261-4711 View (925) 261-4711
Photo of Brianna Calvert, Clinical Social Work/Therapist in San Ramon, CA
Brianna Calvert
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
San Ramon, CA 94583  (Online Only)
I believe that everyone has the capacity to heal, change, and grow. Sometimes life brings us more than we can manage, and seeking help to navigate through these difficult times is often a key component for the healing process. I have extensive experience working with children, adolescents and parents, helping them work together, so the whole family can gain therapeutic benefit during challenging seasons. By providing a supportive and compassionate environment, I encourage a space where one can freely explore their feelings and challenge themselves using a client-centered and mindfulness-based approach.
I believe that everyone has the capacity to heal, change, and grow. Sometimes life brings us more than we can manage, and seeking help to navigate through these difficult times is often a key component for the healing process. I have extensive experience working with children, adolescents and parents, helping them work together, so the whole family can gain therapeutic benefit during challenging seasons. By providing a supportive and compassionate environment, I encourage a space where one can freely explore their feelings and challenge themselves using a client-centered and mindfulness-based approach.
(925) 386-2271 View (925) 386-2271
Photo of Carol Axton, Marriage & Family Therapist in San Ramon, CA
Carol Axton
Marriage & Family Therapist, MS, MFT
Verified Verified
San Ramon, CA 94583  (Online Only)
Therapy is a process, a collaborative effort between the therapist and the client. After 20 years of experience with adults, children and adolescents, success in therapy comes from the client's relationship with the therapist, along with the client's involvement in the process. We can work together to bring the change you are hoping for.
Therapy is a process, a collaborative effort between the therapist and the client. After 20 years of experience with adults, children and adolescents, success in therapy comes from the client's relationship with the therapist, along with the client's involvement in the process. We can work together to bring the change you are hoping for.
(925) 380-1378 View (925) 380-1378
Photo of Brain Wellness Center, Psychologist in San Ramon, CA
Brain Wellness Center
Psychologist, PhD, BCIA, ABPP
Verified Verified
1 Endorsed
San Ramon, CA 94583
PLEASE VISIT OUR WEBSITE BEFORE CONTACTING ME. I offer non-medication-based options such as neurofeedback to address issues of anxiety, depression, ADHD, and autism. I am a licensed psychologist with specializations in scientifically based assessments such as qEEG Brain Mapping and non-medication based solutions such as neurofeedback, tDCS, TMS, and Auditory Integration Training. I am part of a multidisciplinary group and we treat children, adolescents, and adults. Please visit our website https://brain123.com to better understand what we do before calling.
PLEASE VISIT OUR WEBSITE BEFORE CONTACTING ME. I offer non-medication-based options such as neurofeedback to address issues of anxiety, depression, ADHD, and autism. I am a licensed psychologist with specializations in scientifically based assessments such as qEEG Brain Mapping and non-medication based solutions such as neurofeedback, tDCS, TMS, and Auditory Integration Training. I am part of a multidisciplinary group and we treat children, adolescents, and adults. Please visit our website https://brain123.com to better understand what we do before calling.
(925) 233-8318 View (925) 233-8318
Photo of Natalie Hendricks, Marriage & Family Therapist in San Ramon, CA
Natalie Hendricks
Marriage & Family Therapist, LMFT
Verified Verified
San Ramon, CA 94583  (Online Only)
In my practice, I typically see clients seeking support with life transitions, work and school stress, and feelings of Anxiety and Depression. I use therapeutic modalities that include but are not limited to: Cognitive Behavior Therapy (CBT), Client-Centered Therapy, Solution-Focused Therapy, Humanistic Therapy, and Motivational Interviewing.
In my practice, I typically see clients seeking support with life transitions, work and school stress, and feelings of Anxiety and Depression. I use therapeutic modalities that include but are not limited to: Cognitive Behavior Therapy (CBT), Client-Centered Therapy, Solution-Focused Therapy, Humanistic Therapy, and Motivational Interviewing.
(925) 319-6692 View (925) 319-6692
Photo of Christine R Melendres, Clinical Social Work/Therapist in San Ramon, CA
Christine R Melendres
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
San Ramon, CA 94582
Are you a burned out, high-achieving woman of color? Does it seem like you are constantly overwhelmed and have been putting your mental health last on your “to do” list? Are you struggling with placing healthy boundaries and making yourself a priority? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by being here. I know seeking help can be hard. You’ve likely been debating seeking help for months, if not years, but I'm so glad you have taken the courageous step of being here.
Are you a burned out, high-achieving woman of color? Does it seem like you are constantly overwhelmed and have been putting your mental health last on your “to do” list? Are you struggling with placing healthy boundaries and making yourself a priority? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by being here. I know seeking help can be hard. You’ve likely been debating seeking help for months, if not years, but I'm so glad you have taken the courageous step of being here.
(510) 822-8521 View (510) 822-8521
Photo of Torey Collins, Clinical Social Work/Therapist in San Ramon, CA
Torey Collins
Clinical Social Work/Therapist, LCSW
Verified Verified
San Ramon, CA 94583
Are you a teen, parent or young adult who struggles with anxiety, depression and family conflict that affect your relationships and day-to day life? Do you feel overwhelmed and frustrated about your current stage in life and unclear about how to get yourself feeling better? If you find yourself saying "yes," to any of these challenges, I would love to work with you. I am passionate about supporting individuals and families who would like to learn ways to manage their emotions by creating boundaries, routines or learning ways to change the behavior that leads you feeling stuck and frustrated.
Are you a teen, parent or young adult who struggles with anxiety, depression and family conflict that affect your relationships and day-to day life? Do you feel overwhelmed and frustrated about your current stage in life and unclear about how to get yourself feeling better? If you find yourself saying "yes," to any of these challenges, I would love to work with you. I am passionate about supporting individuals and families who would like to learn ways to manage their emotions by creating boundaries, routines or learning ways to change the behavior that leads you feeling stuck and frustrated.
(209) 689-2523 View (209) 689-2523
Photo of Clarissa Chui, Clinical Social Work/Therapist in San Ramon, CA
Clarissa Chui
Clinical Social Work/Therapist
Verified Verified
San Ramon, CA 94582  (Online Only)
Throughout the years, I have worked with a wide range of clients, including addiction, severe mental health, postpartum, and chronic illness. I have learned I am most passionate about working with those who struggle with intergenerational trauma or acculturation conflict, parenting issues, or life transitions. My clients may internally struggle with not conforming to what's expected of them and as a result find themselves feeling anxious, depressed, or dissatisfied with their current state. Together, we will identify goals and with some guidance embrace change to achieve success.
Throughout the years, I have worked with a wide range of clients, including addiction, severe mental health, postpartum, and chronic illness. I have learned I am most passionate about working with those who struggle with intergenerational trauma or acculturation conflict, parenting issues, or life transitions. My clients may internally struggle with not conforming to what's expected of them and as a result find themselves feeling anxious, depressed, or dissatisfied with their current state. Together, we will identify goals and with some guidance embrace change to achieve success.
(925) 666-6468 View (925) 666-6468
Photo of Laura Maciuika, Psychologist in San Ramon, CA
Laura Maciuika
Psychologist, EdD
Verified Verified
San Ramon, CA 94583
Are you feeling stressed or anxious, or can't quiet your mind? Or kind of stuck, even though you've tried different things? I have 30 years of experience helping people like you find relief from anxiety, stress and worry, and get clarity about next steps in your life. We all get stuck sometimes. If you're ready for relief, more true control and inner freedom, contact me for a free 15 minute phone consult to talk about what emotional freedom can mean for you and your life.
Are you feeling stressed or anxious, or can't quiet your mind? Or kind of stuck, even though you've tried different things? I have 30 years of experience helping people like you find relief from anxiety, stress and worry, and get clarity about next steps in your life. We all get stuck sometimes. If you're ready for relief, more true control and inner freedom, contact me for a free 15 minute phone consult to talk about what emotional freedom can mean for you and your life.
(925) 308-5559 View (925) 308-5559
Photo of Brent Robery, Marriage & Family Therapist in San Ramon, CA
Brent Robery
Marriage & Family Therapist, LMFT, CSAT, CMAT, MA
Verified Verified
San Ramon, CA 94583
I am passionate about helping people build their lives. Why? Because working for over 30 years in the construction industry I have seen how reconstruction can revitalize. Now instead of building homes with bricks and wood, I help people to find the tools they need to build and restore their lives and relationships.
I am passionate about helping people build their lives. Why? Because working for over 30 years in the construction industry I have seen how reconstruction can revitalize. Now instead of building homes with bricks and wood, I help people to find the tools they need to build and restore their lives and relationships.
(925) 397-2199 View (925) 397-2199
Photo of Rachel Ingram, Marriage & Family Therapist Associate in San Ramon, CA
Rachel Ingram
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Ramon, CA 94583
Hi! I have spent time training with children, teens, and adults facing various challenges in their lives. It is my belief that therapy is a collaborative space where each client is confident that they are seen and known. My hope is that sessions provide a space for healing, growing awareness, self-discovery and development of tools that can be used to empower you in your everyday life. I approach each of my clients with wholehearted curiosity and compassion for their life experiences. I place high value on developing a therapeutic relationship that emphasizes care, trust and understanding. It is my honor to be part of your journey!
Hi! I have spent time training with children, teens, and adults facing various challenges in their lives. It is my belief that therapy is a collaborative space where each client is confident that they are seen and known. My hope is that sessions provide a space for healing, growing awareness, self-discovery and development of tools that can be used to empower you in your everyday life. I approach each of my clients with wholehearted curiosity and compassion for their life experiences. I place high value on developing a therapeutic relationship that emphasizes care, trust and understanding. It is my honor to be part of your journey!
(925) 397-5148 View (925) 397-5148
Photo of Dr. Jean Scurria, Clinical Social Work/Therapist in San Ramon, CA
Dr. Jean Scurria
Clinical Social Work/Therapist, PhD
Verified Verified
San Ramon, CA 94583
Often, those who come to a therapist want to feel better, solve a problem, make sense of a past or current difficulty. Are you ready to learn to communicate or listen more effectively ? Do you want to enjoy more fulfilling relationships? Is stress interfering with you living your best life?
Often, those who come to a therapist want to feel better, solve a problem, make sense of a past or current difficulty. Are you ready to learn to communicate or listen more effectively ? Do you want to enjoy more fulfilling relationships? Is stress interfering with you living your best life?
(925) 515-4942 View (925) 515-4942
Photo of Dr. Rosemary Puerto, Psychologist in San Ramon, CA
Dr. Rosemary Puerto
Psychologist, PsyD
Verified Verified
1 Endorsed
San Ramon, CA 94583  (Online Only)
Thank you for taking the first step towards improving your mental health! Finding a provider who is an appropriate fit for you can feel overwhelming, so I want to acknowledge your effort at this moment. As a Bay Area, California native, I have a unique background in working with folks of different backgrounds, and particularly have a passion working with BIPOC (Black/Indigenous People of Color) individuals. I also consider myself an ally to the LGBTQIA+ community and have extensive experience proudly serving those community members as well.
Thank you for taking the first step towards improving your mental health! Finding a provider who is an appropriate fit for you can feel overwhelming, so I want to acknowledge your effort at this moment. As a Bay Area, California native, I have a unique background in working with folks of different backgrounds, and particularly have a passion working with BIPOC (Black/Indigenous People of Color) individuals. I also consider myself an ally to the LGBTQIA+ community and have extensive experience proudly serving those community members as well.
(925) 332-1081 View (925) 332-1081
Photo of Dr. Gregory E Hamlin, Psychologist in San Ramon, CA
Dr. Gregory E Hamlin
Psychologist, PhD
Verified Verified
San Ramon, CA 94583  (Online Only)
You want to be listened to--really heard. You are sick and tired of conflict that creates lonely distance between you and your partner. You would like fewer angry moments and more times when you feel close and connected to your partner. You want the tools and skills to have RESPECTFUL conflict conversations that bring you closer. You are ready to grow, if only someone really understood you and had the expertise to coach both of you each step of the way. You may be feeling discouraged: "We've tried everything." So you want couples therapy rooted in solid research and a therapist who tailors it to your unique situation.
You want to be listened to--really heard. You are sick and tired of conflict that creates lonely distance between you and your partner. You would like fewer angry moments and more times when you feel close and connected to your partner. You want the tools and skills to have RESPECTFUL conflict conversations that bring you closer. You are ready to grow, if only someone really understood you and had the expertise to coach both of you each step of the way. You may be feeling discouraged: "We've tried everything." So you want couples therapy rooted in solid research and a therapist who tailors it to your unique situation.
(925) 392-6268 View (925) 392-6268
Photo of Amber Hooper - West Coast Counseling Services LLC, Marriage & Family Therapist in San Ramon, CA
Amber Hooper - West Coast Counseling Services LLC
Marriage & Family Therapist, LMFT
Verified Verified
San Ramon, CA 94583
I have learned over the past 15 years how different and unique each one of us are and how every person has their own story to tell. I have also found people to have an amazing ability to learn, adapt, heal and grow through even the most difficult of times. Assisting in the process of learning, adapting, healing and growing, I use several different therapy approaches tailored to each person's needs. I primarily use Acceptance Commitment Therapy (ACT) which focused on values and goals. I also use Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization Reprocessing (EMDR)as well as solution focused and person centered therapy.
I have learned over the past 15 years how different and unique each one of us are and how every person has their own story to tell. I have also found people to have an amazing ability to learn, adapt, heal and grow through even the most difficult of times. Assisting in the process of learning, adapting, healing and growing, I use several different therapy approaches tailored to each person's needs. I primarily use Acceptance Commitment Therapy (ACT) which focused on values and goals. I also use Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization Reprocessing (EMDR)as well as solution focused and person centered therapy.
(458) 241-5991 View (458) 241-5991
Photo of Greg Konick, Marriage & Family Therapist in San Ramon, CA
Greg Konick
Marriage & Family Therapist, MFT
Verified Verified
San Ramon, CA 94583  (Online Only)
My therapy style is to create a safe, warm, supportive, and empathetic environment in order for the client to be able to talk about the issues they are facing in their lives. I understand it takes courage to come to therapy and it is important to have a safe space to process things. I treat each person I meet with respect. My approach is mainly using Cognitive Behavior Therapy, so the client can learn to become aware of and shift thinking patterns that may be contributing to their symptoms, so they can feel more relief. In addition, using mindfulness strategies can help them to feel better.
My therapy style is to create a safe, warm, supportive, and empathetic environment in order for the client to be able to talk about the issues they are facing in their lives. I understand it takes courage to come to therapy and it is important to have a safe space to process things. I treat each person I meet with respect. My approach is mainly using Cognitive Behavior Therapy, so the client can learn to become aware of and shift thinking patterns that may be contributing to their symptoms, so they can feel more relief. In addition, using mindfulness strategies can help them to feel better.
(925) 369-7949 View (925) 369-7949
Photo of Marjan Soltani, Marriage & Family Therapist in San Ramon, CA
Marjan Soltani
Marriage & Family Therapist, LMFT
Verified Verified
San Ramon, CA 94583
I am an Iranian American woman, with the goal of helping individuals with challenges we face daily. I believe humans are fascinating and learning about how our brain works with our body based on different life experiences creates the person we are today. My goal is to help individuals understand themselves better and improve their quality of life. I speak also Farsi fluently and have understanding of being a Middle Eastern woman Living in today's society.
I am an Iranian American woman, with the goal of helping individuals with challenges we face daily. I believe humans are fascinating and learning about how our brain works with our body based on different life experiences creates the person we are today. My goal is to help individuals understand themselves better and improve their quality of life. I speak also Farsi fluently and have understanding of being a Middle Eastern woman Living in today's society.
(925) 430-6982 View (925) 430-6982

How does your Therapist compare?

Number of Therapists in San Ramon, CA

200+

Average cost per session

$180

Therapists in San Ramon, CA who prioritize treating:

94% Anxiety
87% Depression
79% Relationship Issues
78% Self Esteem
73% Coping Skills
65% Stress
64% Grief

Average years in practice

13 Years

Top 3 insurances accepted

61% Optum
60% Aetna
55% UnitedHealthcare UHC | UBH

How Therapists in San Ramon, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
18% Male

FAQs - About Therapy and Counseling

How can I find a therapist in San Ramon?

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.