Therapists in Sandy Springs, GA

Photo of Dr. Cathy Lau-Barraco, Psychologist in Sandy Springs, GA
Dr. Cathy Lau-Barraco
Psychologist, PhD
Verified Verified
Sandy Springs, GA 30328  (Online Only)
I am trained as a clinical psychologist with over 20 years of experience in the mental health field. I have specialized training in the area of alcohol and other substance use. I have been conducting research to try to understand and help those dealing with substance use concerns for the last two decades. I use science and evidence-based approaches to help guide my work with my clients. As a clinician, my ultimate goals are to help ease my client’s suffering, help them recognize their strengths, reinforce their ability to navigate challenges, and help them reach a sense of peace.
I am trained as a clinical psychologist with over 20 years of experience in the mental health field. I have specialized training in the area of alcohol and other substance use. I have been conducting research to try to understand and help those dealing with substance use concerns for the last two decades. I use science and evidence-based approaches to help guide my work with my clients. As a clinician, my ultimate goals are to help ease my client’s suffering, help them recognize their strengths, reinforce their ability to navigate challenges, and help them reach a sense of peace.
(678) 928-8275 View (678) 928-8275
Photo of Emily Klein, Clinical Social Work/Therapist in Sandy Springs, GA
Emily Klein
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sandy Springs, GA 30328
Welcome to a safe place. My goal is to create a calm therapeutic environment, where each person can relax, feel supported and express whatever comes to mind. This is a judgment free zone, where no subject is off limits. I take a non-directive approach and allow you to be the boss. Whether you are wanting to learn about healthy boundaries, are open to understanding your emotional or physical distress and where your belief systems come from, we will work to help you reconnect with yourself, improve interpersonal relationships and enjoy your connection to the world around you.
Welcome to a safe place. My goal is to create a calm therapeutic environment, where each person can relax, feel supported and express whatever comes to mind. This is a judgment free zone, where no subject is off limits. I take a non-directive approach and allow you to be the boss. Whether you are wanting to learn about healthy boundaries, are open to understanding your emotional or physical distress and where your belief systems come from, we will work to help you reconnect with yourself, improve interpersonal relationships and enjoy your connection to the world around you.
(404) 948-3497 View (404) 948-3497
Photo of Counseling Services of Atlanta, Licensed Professional Counselor in Sandy Springs, GA
Counseling Services of Atlanta
Licensed Professional Counselor
Verified Verified
Sandy Springs, GA 30350
Counseling Services of Atlanta offers individual, couples, family, and group therapy. We offer therapy and counseling services for both adults and children of all ages including video sessions. We now have 4 male therapists and 20 female therapists! We can treat a wide variety of mental health concerns and sessions are available by phone if needed. We are centrally located to provide services for Marietta, Smyrna, Kennesaw, Powder Springs, Austell, Mableton, Dallas, Douglasville, Hiram, Acworth, Atlanta, Peachtree Corners, Lawrenceville, Alpharetta, Roswell, Dunwoody, Sandy Springs, Duluth, and Tucker areas.
Counseling Services of Atlanta offers individual, couples, family, and group therapy. We offer therapy and counseling services for both adults and children of all ages including video sessions. We now have 4 male therapists and 20 female therapists! We can treat a wide variety of mental health concerns and sessions are available by phone if needed. We are centrally located to provide services for Marietta, Smyrna, Kennesaw, Powder Springs, Austell, Mableton, Dallas, Douglasville, Hiram, Acworth, Atlanta, Peachtree Corners, Lawrenceville, Alpharetta, Roswell, Dunwoody, Sandy Springs, Duluth, and Tucker areas.
(678) 771-6943 View (678) 771-6943
Photo of Richard Blue, Psychologist in Sandy Springs, GA
Richard Blue
Psychologist, PhD, ABPP
Verified Verified
Sandy Springs, GA 30328
My approach is to accept that all people will see the world through their own filter. Everyone's belief system makes sense from their perspective. Unhappiness is caused by the view people take of things so the internal dialogue is the key to understanding people. Focus of therapy is to help indiviudals find a better way of looking at their current situation through empathy and cognitive restructuring. The ultimate goal is finding some joy in the journey.
My approach is to accept that all people will see the world through their own filter. Everyone's belief system makes sense from their perspective. Unhappiness is caused by the view people take of things so the internal dialogue is the key to understanding people. Focus of therapy is to help indiviudals find a better way of looking at their current situation through empathy and cognitive restructuring. The ultimate goal is finding some joy in the journey.
(404) 445-2418 View (404) 445-2418
Photo of Taylor Trussell, Counselor in Sandy Springs, GA
Taylor Trussell
Counselor, LPC, CAS, CCTP
Verified Verified
Sandy Springs, GA 30328
Are you feeling stuck? In your job? In your relationship? In life in general? Maybe you know your goals but can't move forward. Maybe you're unsure of even where to start with goal setting. Maybe you can't figure out why you're stuck. Or maybe you see what's keeping you stuck and know you need to do something--but aren't sure what.
Are you feeling stuck? In your job? In your relationship? In life in general? Maybe you know your goals but can't move forward. Maybe you're unsure of even where to start with goal setting. Maybe you can't figure out why you're stuck. Or maybe you see what's keeping you stuck and know you need to do something--but aren't sure what.
(678) 235-3914 View (678) 235-3914
Photo of Holly D McNinch, Licensed Professional Counselor in Sandy Springs, GA
Holly D McNinch
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Sandy Springs, GA 30328
As a counselor, I believe that working through issues such as depression, anxiety, co-dependency, addictions... in present time is very important, along with examining wounds from childhood that are barriers to moving forward. Through this work, healing can occur with understanding, self-compassion, authenticity, and positive change. Most people come to therapy related to feelings based on fear or pain. I provide a warm and compassionate place that allows my clients to openly share and have a voice that is respected and heard. I look forward to hearing your story.
As a counselor, I believe that working through issues such as depression, anxiety, co-dependency, addictions... in present time is very important, along with examining wounds from childhood that are barriers to moving forward. Through this work, healing can occur with understanding, self-compassion, authenticity, and positive change. Most people come to therapy related to feelings based on fear or pain. I provide a warm and compassionate place that allows my clients to openly share and have a voice that is respected and heard. I look forward to hearing your story.
(404) 381-8007 View (404) 381-8007
Photo of Rhondell W. McGuire, Licensed Professional Counselor in Sandy Springs, GA
Rhondell W. McGuire
Licensed Professional Counselor, MA, LPC
Verified Verified
Sandy Springs, GA 30328
My practical view of counseling is as a journey of self-exploration by the client, meant to increase his/her level of self-understanding and self-awareness. As a counselor, I act as the guide or facilitator of this journey.
My practical view of counseling is as a journey of self-exploration by the client, meant to increase his/her level of self-understanding and self-awareness. As a counselor, I act as the guide or facilitator of this journey.
(314) 403-2577 View (314) 403-2577
Photo of Sharday Fields, Clinical Social Work/Therapist in Sandy Springs, GA
Sharday Fields
Clinical Social Work/Therapist, LCSW, CCATP
Verified Verified
Sandy Springs, GA 30328
I am licensed in Georgia and Florida of experience working as a social worker and therapist.
I am licensed in Georgia and Florida of experience working as a social worker and therapist.
(470) 837-6016 View (470) 837-6016
Photo of Joshua D Cushing, Clinical Social Work/Therapist in Sandy Springs, GA
Joshua D Cushing
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Sandy Springs, GA 30328
I began my career path in Exercise and Sport Science and felt the need to change course to mental health when I first started working with the Autism population in Utah. Later, I received my Masters in Social Work at the University of South Carolina. My specialty areas include guiding clients to recovery from trauma, compulsive pornography and sex addiction recovery, healing betrayal trauma, and treating OCD, PTSD, and depression and anxiety.
I began my career path in Exercise and Sport Science and felt the need to change course to mental health when I first started working with the Autism population in Utah. Later, I received my Masters in Social Work at the University of South Carolina. My specialty areas include guiding clients to recovery from trauma, compulsive pornography and sex addiction recovery, healing betrayal trauma, and treating OCD, PTSD, and depression and anxiety.
(678) 719-4429 View (678) 719-4429
Photo of Serena Johnson, Counselor in Sandy Springs, GA
Serena Johnson
Counselor, APC, NCC
Verified Verified
1 Endorsed
Sandy Springs, GA 30342
Occasionally we all struggle to stay "on top" of things, or have a hard time keeping up with everything we need to do in a day. For some of us, it's a little more than that. It's constant scrolling through social media to give your brain a break, and that break turns into an hour. Or procrastinating simple tasks like going grocery shopping, or sending an email. Maybe you're having a hard time just waking up and getting out of bed in the morning. It's distressing to feel like you're struggling and not know how to fix it. If this sounds like you, just know: things can get better! Anxiety and depression don't have to rule your life.
Occasionally we all struggle to stay "on top" of things, or have a hard time keeping up with everything we need to do in a day. For some of us, it's a little more than that. It's constant scrolling through social media to give your brain a break, and that break turns into an hour. Or procrastinating simple tasks like going grocery shopping, or sending an email. Maybe you're having a hard time just waking up and getting out of bed in the morning. It's distressing to feel like you're struggling and not know how to fix it. If this sounds like you, just know: things can get better! Anxiety and depression don't have to rule your life.
(470) 688-2253 View (470) 688-2253
Photo of Peg Griffith, Licensed Professional Counselor in Sandy Springs, GA
Peg Griffith
Licensed Professional Counselor, MA, LCP, NCC
Verified Verified
8 Endorsed
Sandy Springs, GA 30328
Are you repeating the same behaviors over and over and getting the same unhappy results? Are you having relationship problems or trust issues? Do you have unresolved family history or trauma? Are you depressed or anxious? Therapy produces change, healing and growth. Healing occurs from the inside out. Together, we will find the answers you seek to find new ways of approaching your life and relationships. All people desire and can achieve a healthy life. The key is to find what is stopping you from achieving it, and removing those blockages.
Are you repeating the same behaviors over and over and getting the same unhappy results? Are you having relationship problems or trust issues? Do you have unresolved family history or trauma? Are you depressed or anxious? Therapy produces change, healing and growth. Healing occurs from the inside out. Together, we will find the answers you seek to find new ways of approaching your life and relationships. All people desire and can achieve a healthy life. The key is to find what is stopping you from achieving it, and removing those blockages.
(678) 389-7193 View (678) 389-7193
Photo of Katuschka Rakovec, Clinical Social Work/Therapist in Sandy Springs, GA
Katuschka Rakovec
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Sandy Springs, GA 30328
There are few things braver than acknowledging when we need help and can no longer do life on our own. As a therapist, I count it my highest privilege to be a part of your story, to come alongside you in the midst of pain, hurt, confusion, loss, or tension, and to help you make sense of it all. I have five key concepts that motivate me as a therapist: story, space, acknowledgement, celebration, and growth. Stories matter. Including yours. And your story isn’t finished yet. Every time we meet, I want you to know and experience that this is your space, a space where you are free and safe to bring any and all of who you are.
There are few things braver than acknowledging when we need help and can no longer do life on our own. As a therapist, I count it my highest privilege to be a part of your story, to come alongside you in the midst of pain, hurt, confusion, loss, or tension, and to help you make sense of it all. I have five key concepts that motivate me as a therapist: story, space, acknowledgement, celebration, and growth. Stories matter. Including yours. And your story isn’t finished yet. Every time we meet, I want you to know and experience that this is your space, a space where you are free and safe to bring any and all of who you are.
(678) 932-0786 View (678) 932-0786
Photo of Walena Bryant, Clinical Social Work/Therapist in Sandy Springs, GA
Walena Bryant
Clinical Social Work/Therapist, ICADC
Verified Verified
1 Endorsed
Sandy Springs, GA 30328
I am an LCSW and certified addiction counselor with over 25 years of providing behavioral health and addiction services. I began my career in behavioral health while serving in the United States Air Force. I have experience working with various populations including veterans, children, and the LGBTQ community. I assist in the management of trauma, anxiety, and depressive symptoms. I am currently providing child, adolescent, adult, and substance abuse assessments, I am a former case manager and can make referrals for services in the community. I accept referrals from Gwinnett, Fulton, and Dekalb.
I am an LCSW and certified addiction counselor with over 25 years of providing behavioral health and addiction services. I began my career in behavioral health while serving in the United States Air Force. I have experience working with various populations including veterans, children, and the LGBTQ community. I assist in the management of trauma, anxiety, and depressive symptoms. I am currently providing child, adolescent, adult, and substance abuse assessments, I am a former case manager and can make referrals for services in the community. I accept referrals from Gwinnett, Fulton, and Dekalb.
(404) 948-5102 View (404) 948-5102
Photo of Abundance of Peace (AOP) Counselling Services, LLC, Clinical Social Work/Therapist in Sandy Springs, GA
Abundance of Peace (AOP) Counselling Services, LLC
Clinical Social Work/Therapist, LCSW, RSW
Verified Verified
Sandy Springs, GA 30342
Did you know that stress is the culprit behind 70% of doctor's office visits and 85% of serious illnesses? It's time to take control of your well-being. Abundance Of Peace Counseling can provide you with the tools to manage your stress and live a balanced, fulfilling life. Don't let stress rob you of your joy. Contact Abundance Of Peace Counseling today and take the first step towards a happier, and healthier you.
Did you know that stress is the culprit behind 70% of doctor's office visits and 85% of serious illnesses? It's time to take control of your well-being. Abundance Of Peace Counseling can provide you with the tools to manage your stress and live a balanced, fulfilling life. Don't let stress rob you of your joy. Contact Abundance Of Peace Counseling today and take the first step towards a happier, and healthier you.
(770) 874-1728 View (770) 874-1728
Photo of Kelli R. Spencer, Licensed Professional Counselor in Sandy Springs, GA
Kelli R. Spencer
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Sandy Springs, GA 30328
Grounded in experiential and existential orientations, I work to understand the meaning you make of life. I walk with you to help identify purpose, values, and behaviors to live more authentically and deliberately. I foster a supportive, interpersonal therapeutic relationship, and my holistic approach taps into the body's innate wisdom to promote adaptive responses and facilitate healing. By choosing to move through discomfort--a normal and healthy response to life's uncertainties--you expand opportunities for growth. My prior career in business and technology enables me to understand the unique demands of corporate professionals.
Grounded in experiential and existential orientations, I work to understand the meaning you make of life. I walk with you to help identify purpose, values, and behaviors to live more authentically and deliberately. I foster a supportive, interpersonal therapeutic relationship, and my holistic approach taps into the body's innate wisdom to promote adaptive responses and facilitate healing. By choosing to move through discomfort--a normal and healthy response to life's uncertainties--you expand opportunities for growth. My prior career in business and technology enables me to understand the unique demands of corporate professionals.
(404) 998-5302 View (404) 998-5302
Photo of Michelle D Morris, Licensed Professional Counselor in Sandy Springs, GA
Michelle D Morris
Licensed Professional Counselor, MA, LPC
Verified Verified
Sandy Springs, GA 30328
Why is my marriage so difficult? Should we get couples counseling? Why are my other relationships leaving me feeling hopeless? Why me? You need understanding and answers and a way of being that brings you peace and happiness. I have worked with and helped many individuals and couples asking these very questions. Whether you are suffering from relationship difficulties, anxiety, depression, or overwhelming stress I understand and can help. You have the ability to make positive changes in your life you just need the tools to do so. Together we can understand these unwanted detours and learn how to manage next time more successfully.
Why is my marriage so difficult? Should we get couples counseling? Why are my other relationships leaving me feeling hopeless? Why me? You need understanding and answers and a way of being that brings you peace and happiness. I have worked with and helped many individuals and couples asking these very questions. Whether you are suffering from relationship difficulties, anxiety, depression, or overwhelming stress I understand and can help. You have the ability to make positive changes in your life you just need the tools to do so. Together we can understand these unwanted detours and learn how to manage next time more successfully.
(404) 383-0275 View (404) 383-0275
Photo of Shaqutia (Sha-Qwee-Tuh) Florence, Licensed Professional Counselor in Sandy Springs, GA
Shaqutia (Sha-Qwee-Tuh) Florence
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Sandy Springs, GA 30342
Life and our experiences change us, and those experiences alter who we are. Let’s work together to find a pathway back to a better version of yourself. With my expertise working with depression, anxiety, codependency issues, interpersonal conflict, bipolar disorder, and my favorite, grief, we will collaborate to develop realistic coping skills that you can apply to your every day life.
Life and our experiences change us, and those experiences alter who we are. Let’s work together to find a pathway back to a better version of yourself. With my expertise working with depression, anxiety, codependency issues, interpersonal conflict, bipolar disorder, and my favorite, grief, we will collaborate to develop realistic coping skills that you can apply to your every day life.
(404) 442-4703 View (404) 442-4703
Photo of Judy Cantwell, Licensed Professional Counselor in Sandy Springs, GA
Judy Cantwell
Licensed Professional Counselor, MEd, LPC, BCC, BC-TMH, MAC
Verified Verified
1 Endorsed
Sandy Springs, GA 30328
Are you springing into Spring, or do you need to boost your resilience to be your best? Have you been experiencing loneliness? Are strained relationships, parenting, balancing work/family, and worries about your health & the health of others now your top priorities? Are you a young professional trying to make your way in the work world? Unhappy or dissatisfied with work? Whether you need counseling or coaching, let's see if I can help virtually and in person. Contact me for a 30-minute $30 skill development sample to learn the basics of active listening, ending toxic relationships, resilience, assertive messages, or mindfulness.
Are you springing into Spring, or do you need to boost your resilience to be your best? Have you been experiencing loneliness? Are strained relationships, parenting, balancing work/family, and worries about your health & the health of others now your top priorities? Are you a young professional trying to make your way in the work world? Unhappy or dissatisfied with work? Whether you need counseling or coaching, let's see if I can help virtually and in person. Contact me for a 30-minute $30 skill development sample to learn the basics of active listening, ending toxic relationships, resilience, assertive messages, or mindfulness.
(678) 661-6937 View (678) 661-6937
Photo of Kristen N Sessoms, Pre-Licensed Professional in Sandy Springs, GA
Kristen N Sessoms
Pre-Licensed Professional, MA
Verified Verified
3 Endorsed
Sandy Springs, GA 30342
Hello, my name is Kristen Sessoms. I have a heart for helping those who feel unheard, lost, helpless, and alone. I assist individuals who have suffered from various degrees of trauma. My ultimate goal is to provide a safe open space to process and release. Any individual who needs assistance finding their voice can have comfort in the fact that I genuinely desire to see all of my clients break every chain that has kept them bounded. By providing tangible interventions that teach emotional regulation, emotional awareness, and distress tolerance my clients will take something constructive away every session.
Hello, my name is Kristen Sessoms. I have a heart for helping those who feel unheard, lost, helpless, and alone. I assist individuals who have suffered from various degrees of trauma. My ultimate goal is to provide a safe open space to process and release. Any individual who needs assistance finding their voice can have comfort in the fact that I genuinely desire to see all of my clients break every chain that has kept them bounded. By providing tangible interventions that teach emotional regulation, emotional awareness, and distress tolerance my clients will take something constructive away every session.
(404) 998-4269 View (404) 998-4269
Photo of Beth Manasra, Counselor in Sandy Springs, GA
Beth Manasra
Counselor, MS, APC
Verified Verified
Sandy Springs, GA 30342
I have worked in a variety of professional environments, which has helped me to cultivate me into the therapist I am today. I have a heart to come alongside hurting people with the use of an eclectic mix of therapeutic skills, including CBT, DBT, family systems, motivational interviewing and mindfulness, to give support and hope for a better future. Most recently, I have received my EMDR training through an EMDRIA approved program.
I have worked in a variety of professional environments, which has helped me to cultivate me into the therapist I am today. I have a heart to come alongside hurting people with the use of an eclectic mix of therapeutic skills, including CBT, DBT, family systems, motivational interviewing and mindfulness, to give support and hope for a better future. Most recently, I have received my EMDR training through an EMDRIA approved program.
(678) 981-9562 View (678) 981-9562

See more therapy options for Sandy Springs

How does your Therapist compare?

Number of Therapists in Sandy Springs, GA

400+

Average cost per session

$150

Therapists in Sandy Springs, GA who prioritize treating:

93% Anxiety
85% Depression
75% Self Esteem
74% Relationship Issues
71% Coping Skills
66% Trauma and PTSD
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
67% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in Sandy Springs, GA see their clients

74% In Person and Online
26% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sandy Springs?

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.