Therapists in Great Neck, NY

Photo of Jacklyn Krol, Clinical Social Work/Therapist in Great Neck, NY
Jacklyn Krol
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Great Neck, NY 11020  (Online Only)
WWW.PsychotherapistJackie.COM .....Are you finding yourself in the same relationship patterns that just aren't working for you? Are you struggling in your relationships with your partner, family, or friends? I am an attachment-based therapist and work with both individuals and couples. I help my clients recognize unhealthy patterns in their relationships and improve their communication skills. In addition, I also treat OCD by using the gold standard in treatment which is ERP.
WWW.PsychotherapistJackie.COM .....Are you finding yourself in the same relationship patterns that just aren't working for you? Are you struggling in your relationships with your partner, family, or friends? I am an attachment-based therapist and work with both individuals and couples. I help my clients recognize unhealthy patterns in their relationships and improve their communication skills. In addition, I also treat OCD by using the gold standard in treatment which is ERP.
(516) 418-8845 View (516) 418-8845
Photo of David Perry, Clinical Social Work/Therapist in Great Neck, NY
David Perry
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
3 Endorsed
Great Neck, NY 11021
Since you have come to this place I will assume that you are struggling with something very difficult for you and that you are searching for effective ways to ease or finally end the pain. Sometimes your suffering can be traced to emotional, physical or spiritual injury, trauma or loss that you experienced many years ago, or it may have been very recent. At this moment only you know how you are suffering, what it is doing to you and your loved ones and the price that you are paying. Dealing with it alone can be very challenging, frustrating and frightening. This does not have to continue. Support is available.
Since you have come to this place I will assume that you are struggling with something very difficult for you and that you are searching for effective ways to ease or finally end the pain. Sometimes your suffering can be traced to emotional, physical or spiritual injury, trauma or loss that you experienced many years ago, or it may have been very recent. At this moment only you know how you are suffering, what it is doing to you and your loved ones and the price that you are paying. Dealing with it alone can be very challenging, frustrating and frightening. This does not have to continue. Support is available.
(516) 715-4548 View (516) 715-4548
Photo of Mindy Gorman-Plutzer in Great Neck, NY
Mindy Gorman-Plutzer
FNLP, CEPC, CHC, AADP
Verified Verified
Great Neck, NY 11021  (Online Only)
Wouldn't you love to know WHAT to eat, HOW to eat and WHY your past efforts haven't brought you lasting results? Wouldn't you love to know that you can transform your relationship with food from one that is mired in fear and confusion to one that is joyous, loving and free? The Freedom Promise program teaches powerful strategies related to letting go of behaviors and limiting beliefs that keep you pouring the best of your energy into food, weight and the size of your thighs.You'll examine what you eat and who you are as an eater, while uncovering root causes of the pesky symptoms that are related to or a result of such behaviors.
Wouldn't you love to know WHAT to eat, HOW to eat and WHY your past efforts haven't brought you lasting results? Wouldn't you love to know that you can transform your relationship with food from one that is mired in fear and confusion to one that is joyous, loving and free? The Freedom Promise program teaches powerful strategies related to letting go of behaviors and limiting beliefs that keep you pouring the best of your energy into food, weight and the size of your thighs.You'll examine what you eat and who you are as an eater, while uncovering root causes of the pesky symptoms that are related to or a result of such behaviors.
(646) 832-2558 View (646) 832-2558
Photo of Izabelle Reyhanian Hakim, Clinical Social Work/Therapist in Great Neck, NY
Izabelle Reyhanian Hakim
Clinical Social Work/Therapist, LCSW-R, EMPA
Verified Verified
Great Neck, NY 11021
Seeking help is hard. I am a Licensed Clinical Social Worker who has practiced for decades focusing on assisting Individuals of teenagers, adults, couples and families. I utilize insight oriented and cognitive behavioral techniques, psycho-education, as well as many other therapeutic concepts to promote a supportive atmosphere so that my clients gain acceptance and control over their issues. People are not the same, neither is their treatment. When facing hard times, it's a good idea to ask for help.
Seeking help is hard. I am a Licensed Clinical Social Worker who has practiced for decades focusing on assisting Individuals of teenagers, adults, couples and families. I utilize insight oriented and cognitive behavioral techniques, psycho-education, as well as many other therapeutic concepts to promote a supportive atmosphere so that my clients gain acceptance and control over their issues. People are not the same, neither is their treatment. When facing hard times, it's a good idea to ask for help.
(516) 265-7101 View (516) 265-7101
Photo of Nira S Nafisi, Psychologist in Great Neck, NY
Nira S Nafisi
Psychologist, PhD
Verified Verified
2 Endorsed
Great Neck, NY 11021
I work with children, adolescents, and adults with a variety of behavioral, mood, and anxiety issues, including depression, panic, social anxiety, ADHD, and obsessive-compulsive disorder. I also work with individuals to cope more effectively with life stressors and to grieve the situations that cannot be altered. The therapy process is collaborative; I listen intently to my clients symptoms and, empathically and non-judgmentally, I help them work through their pain to achieve their goals.
I work with children, adolescents, and adults with a variety of behavioral, mood, and anxiety issues, including depression, panic, social anxiety, ADHD, and obsessive-compulsive disorder. I also work with individuals to cope more effectively with life stressors and to grieve the situations that cannot be altered. The therapy process is collaborative; I listen intently to my clients symptoms and, empathically and non-judgmentally, I help them work through their pain to achieve their goals.
(516) 693-8156 View (516) 693-8156
Jennifer Padrone
Psychologist, PsyD
Verified Verified
1 Endorsed
Great Neck, NY 11021
Dr. Padrone is a NYS Licensed Clinical Psychologist. Psychotherapy for adults, seniors, young adults and couples utilizing psychodynamic, attachment-based, Internal Family Systems and Mindfulness-based approaches. Treatment of anxiety disorders (including panic, OCD, and generalized anxiety), mood disorders (including major depression and bipolar disorders), eating disorders and psychological correlates of chronic pain. Addiction recovery strategies as well as harm reduction approach to substance misuse. Trauma-informed psychotherapy with neuropsychology patient education.
Dr. Padrone is a NYS Licensed Clinical Psychologist. Psychotherapy for adults, seniors, young adults and couples utilizing psychodynamic, attachment-based, Internal Family Systems and Mindfulness-based approaches. Treatment of anxiety disorders (including panic, OCD, and generalized anxiety), mood disorders (including major depression and bipolar disorders), eating disorders and psychological correlates of chronic pain. Addiction recovery strategies as well as harm reduction approach to substance misuse. Trauma-informed psychotherapy with neuropsychology patient education.
(516) 375-4176 View (516) 375-4176
Photo of Danielle Knafo, Psychologist in Great Neck, NY
Danielle Knafo
Psychologist, PhD
Verified Verified
2 Endorsed
Great Neck, NY 11021
My style of therapy involves the provision of a safe, nurturing, warm and professional environment in which to help people explore and gain insight into their behaviors and problems. Every person who enters my office is treated as a unique individual and I work together with that person to gently approach the most difficult or painful subjects and to gain mastery over them.
My style of therapy involves the provision of a safe, nurturing, warm and professional environment in which to help people explore and gain insight into their behaviors and problems. Every person who enters my office is treated as a unique individual and I work together with that person to gently approach the most difficult or painful subjects and to gain mastery over them.
(516) 367-0184 View (516) 367-0184
Photo of Barbara M. Kaplan, Ph.D., Psychologist in Great Neck, NY
Barbara M. Kaplan, Ph.D.
Psychologist, PhD
Verified Verified
1 Endorsed
Great Neck, NY 11021
I have always been passionate about my work and derive a tremendous satisfaction helping others. If you are feeling lost, alone and confused, you may not want to share that with others, yet therapy provides a safe haven. Working together on your goals can result in tremendous comfort and relief. It's risky to feel vulnerable but hopeful that you are working towards resolving what needs to be repaired in your most meaningful relationships. I'll be there to hear what concerns you, in your own words without judgment and join you in all celebrations along the way.
I have always been passionate about my work and derive a tremendous satisfaction helping others. If you are feeling lost, alone and confused, you may not want to share that with others, yet therapy provides a safe haven. Working together on your goals can result in tremendous comfort and relief. It's risky to feel vulnerable but hopeful that you are working towards resolving what needs to be repaired in your most meaningful relationships. I'll be there to hear what concerns you, in your own words without judgment and join you in all celebrations along the way.
(917) 832-1757 View (917) 832-1757
Photo of Gayle Berman, Psychologist in Great Neck, NY
Gayle Berman
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021
Hi, I'm Gayle. If you're feeling alone, overwhelmed, or just plain stuck, you might not want to talk to your friends about it or you might worry that your family won't understand. That's where I come in: I believe in the power of listening and the resilience of people. I can help you dig in, move forward, and get un-stuck! I specialize in couples counseling, anxiety and depression, and life transitions, and whether you're in crisis or just need some guidance, I can help.
Hi, I'm Gayle. If you're feeling alone, overwhelmed, or just plain stuck, you might not want to talk to your friends about it or you might worry that your family won't understand. That's where I come in: I believe in the power of listening and the resilience of people. I can help you dig in, move forward, and get un-stuck! I specialize in couples counseling, anxiety and depression, and life transitions, and whether you're in crisis or just need some guidance, I can help.
(516) 604-3810 View (516) 604-3810
Photo of Elissa Siony, Psychologist in Great Neck, NY
Elissa Siony
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021
I have been a clinical psychologist for over 20 years and have experience with a myriad of circumstances, disorders, and difficulties people face in life. I believe in establishing a safe environment in which one can freely express what they feel, think, believe, question, and share anything without worrying about judgment. Many circumstances in life have clouded one's ability to fulfill one's true potential and live life as one's best self. Together we will gain insight into the genesis of what troubles you and work to strengthen skills and strategies to cope effectively and establish personal growth.
I have been a clinical psychologist for over 20 years and have experience with a myriad of circumstances, disorders, and difficulties people face in life. I believe in establishing a safe environment in which one can freely express what they feel, think, believe, question, and share anything without worrying about judgment. Many circumstances in life have clouded one's ability to fulfill one's true potential and live life as one's best self. Together we will gain insight into the genesis of what troubles you and work to strengthen skills and strategies to cope effectively and establish personal growth.
(516) 217-2219 View (516) 217-2219
Photo of Dina Eva Kalnicki, Psychologist in Great Neck, NY
Dina Eva Kalnicki
Psychologist, PsyD
Verified Verified
1 Endorsed
Great Neck, NY 11021  (Online Only)
I believe in the power of our therapeutic relationship, the ultimate yet genuine collaborative problem solving process. Together we will create positive change. I draw from my diverse psychology experiences, spanning schools, hospitals, day treatment programs, assessment centers, community mental health clinics, and private practice to tailor my interventions to meet your unique needs. My focus is providing concrete life skills while working through underlying issues and improving our everyday relationships. I view relationships as essential for helping to create change. The office has a room for testing and therapy and another for play therapy and PCIT.
I believe in the power of our therapeutic relationship, the ultimate yet genuine collaborative problem solving process. Together we will create positive change. I draw from my diverse psychology experiences, spanning schools, hospitals, day treatment programs, assessment centers, community mental health clinics, and private practice to tailor my interventions to meet your unique needs. My focus is providing concrete life skills while working through underlying issues and improving our everyday relationships. I view relationships as essential for helping to create change. The office has a room for testing and therapy and another for play therapy and PCIT.
(516) 806-6814 View (516) 806-6814
Photo of Elaine Abramovich, Clinical Social Work/Therapist in Great Neck, NY
Elaine Abramovich
Clinical Social Work/Therapist, LCSW
Verified Verified
Great Neck, NY 11021
As a psychotherapist and healer for many years it has been my privilege to offer and provide help and comfort to people in distress. Experience has taught me that we all struggle to recover from the pains of the past, deal with the challenges of the present and the insecurities of the future, in our efforts to live the best lives that we can. This often seems very difficult if not impossible to accomplish alone. A strong and nurturing therapeutic relationship is a powerful and stable foundation for dealing with these challenges to our well-being, especially in these very troubling and uncertain times.
As a psychotherapist and healer for many years it has been my privilege to offer and provide help and comfort to people in distress. Experience has taught me that we all struggle to recover from the pains of the past, deal with the challenges of the present and the insecurities of the future, in our efforts to live the best lives that we can. This often seems very difficult if not impossible to accomplish alone. A strong and nurturing therapeutic relationship is a powerful and stable foundation for dealing with these challenges to our well-being, especially in these very troubling and uncertain times.
(516) 701-3271 View (516) 701-3271
Photo of Wendy Paisner, Psychologist in Great Neck, NY
Wendy Paisner
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021
I help people understand how one's thoughts and feelings are connected and how self knowledge can alter behavior and mood. You can begin to redefine how you view yourself in the world by building an interpersonal, here-and-now relationship. Together, we will explore your history and your interpersonal dynamics to better understand your current concerns. Our work together will serve as the backbone for personal growth and it will help you navigate changes in your life.
I help people understand how one's thoughts and feelings are connected and how self knowledge can alter behavior and mood. You can begin to redefine how you view yourself in the world by building an interpersonal, here-and-now relationship. Together, we will explore your history and your interpersonal dynamics to better understand your current concerns. Our work together will serve as the backbone for personal growth and it will help you navigate changes in your life.
(516) 308-6983 View (516) 308-6983
Photo of Nicole Dicker, Counselor in Great Neck, NY
Nicole Dicker
Counselor, MS, LMHC
Verified Verified
5 Endorsed
Great Neck, NY 11023  (Online Only)
Life has no shortage of stressors; therapy is an opportunity to process challenges which can lead to self-discovery and growth. Whether it’s anxiety, relationship problems, diminished self-worth, mood difficulties, school-related obstacles, parenting issues, life transitions or the like, I am committed to utilizing a personalized approach, tailoring my work and interventions to focus on each individual client – with their particular struggles and strengths. As such, I help clients become better equipped to effect change – large or small - leading to better relationships, more fulfillment and improved feelings of self-worth.
Life has no shortage of stressors; therapy is an opportunity to process challenges which can lead to self-discovery and growth. Whether it’s anxiety, relationship problems, diminished self-worth, mood difficulties, school-related obstacles, parenting issues, life transitions or the like, I am committed to utilizing a personalized approach, tailoring my work and interventions to focus on each individual client – with their particular struggles and strengths. As such, I help clients become better equipped to effect change – large or small - leading to better relationships, more fulfillment and improved feelings of self-worth.
(516) 980-4327 View (516) 980-4327
Photo of Lori Zlotoff, Clinical Social Work/Therapist in Great Neck, NY
Lori Zlotoff
Clinical Social Work/Therapist, LCSW
Verified Verified
Great Neck, NY 11021
Waitlist for new clients
Are you or your child: Emotionally exhausted? Struggling socially? Having a hard time in school or work? Unable to express themselves? Anxious? Experiencing a major life change? Experienced a trauma? Nervous about going to camp? The victim of bullying or conflictual sibling relationships? Being the bully? Struggling with learning disabilities or ADHD? Unable to communicate properly? A sibling of a child with a disability? Are you ready to make a change? If you answer yes to these questions, you and/or your child are ready to get to work!
Are you or your child: Emotionally exhausted? Struggling socially? Having a hard time in school or work? Unable to express themselves? Anxious? Experiencing a major life change? Experienced a trauma? Nervous about going to camp? The victim of bullying or conflictual sibling relationships? Being the bully? Struggling with learning disabilities or ADHD? Unable to communicate properly? A sibling of a child with a disability? Are you ready to make a change? If you answer yes to these questions, you and/or your child are ready to get to work!
(917) 924-5191 View (917) 924-5191
Photo of Janice Kalin, Clinical Social Work/Therapist in Great Neck, NY
Janice Kalin
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
1 Endorsed
Great Neck, NY 11021  (Online Only)
My twenty years of practicing psychoanalytic therapy have made it clear to me that people want to be happy, feel optimistic, and create a more satisfying life. It is my clinical intention to help resolve the problems that prevent you from achieving these goals. As a therapist, it is my responsibility to help you speak freely so you are more comfortable with your thoughts and feelings, leading to improved relationships and a better state of mind.
My twenty years of practicing psychoanalytic therapy have made it clear to me that people want to be happy, feel optimistic, and create a more satisfying life. It is my clinical intention to help resolve the problems that prevent you from achieving these goals. As a therapist, it is my responsibility to help you speak freely so you are more comfortable with your thoughts and feelings, leading to improved relationships and a better state of mind.
(516) 596-8061 View (516) 596-8061
Photo of Chaim Levtov, Counselor in Great Neck, NY
Chaim Levtov
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Great Neck, NY 11023
Are you struggling with an Anxiety or Depressive disorder and are seeking evidence- based treatment ? Are you experiencing a challenging time with your partner and seeking a genuine and sensitive ear ?
Are you struggling with an Anxiety or Depressive disorder and are seeking evidence- based treatment ? Are you experiencing a challenging time with your partner and seeking a genuine and sensitive ear ?
(516) 289-9416 View (516) 289-9416
Photo of Adam Holstein, Licensed Psychoanalyst in Great Neck, NY
Adam Holstein
Licensed Psychoanalyst, PD, LP
Verified Verified
Great Neck, NY 11021
We construct our emotional world based on our past experience. What we attend to in the present, and what we expect in the future, is also based on our past experience. Our initial work is to understand your past and how it shapes your perceptions of challenges. As we learn how these perceptions came into existence, we then work toward making different choices in our interactions with others. In this manner we attain understanding and acceptance of our "self" and others.
We construct our emotional world based on our past experience. What we attend to in the present, and what we expect in the future, is also based on our past experience. Our initial work is to understand your past and how it shapes your perceptions of challenges. As we learn how these perceptions came into existence, we then work toward making different choices in our interactions with others. In this manner we attain understanding and acceptance of our "self" and others.
(516) 882-6443 View (516) 882-6443
Photo of Camilo Ortiz, Psychologist in Great Neck, NY
Camilo Ortiz
Psychologist, PhD, MS, BS
Verified Verified
3 Endorsed
Great Neck, NY 11021
With all the therapists out there, why see me? 1) I have trained and supervised hundreds of psychologists, so you are seeing an expert 2) I have a Ph.D. in Clinical Psychology, am a tenured psychology professor at Long Island University, with 20 years of clinical experience 3) I am a cognitive-behavioral (CBT) psychologist with specialized training and I only accept a limited number of clients at any one time. This means that unlike many other overcommitted psychologists, I will give you my full attention, every time 4) I am a recognized expert, having appeared on MSNBC, Parents magazine, the Washington Post and other media outlets.
With all the therapists out there, why see me? 1) I have trained and supervised hundreds of psychologists, so you are seeing an expert 2) I have a Ph.D. in Clinical Psychology, am a tenured psychology professor at Long Island University, with 20 years of clinical experience 3) I am a cognitive-behavioral (CBT) psychologist with specialized training and I only accept a limited number of clients at any one time. This means that unlike many other overcommitted psychologists, I will give you my full attention, every time 4) I am a recognized expert, having appeared on MSNBC, Parents magazine, the Washington Post and other media outlets.
(917) 324-9503 View (917) 324-9503
Photo of Phyllis Schalet, Clinical Social Work/Therapist in Great Neck, NY
Phyllis Schalet
Clinical Social Work/Therapist, LCSW, BCD, ACSW
Verified Verified
Great Neck, NY 11027
Not accepting new clients
I believe in empowering people to help themselves through self-understanding. Only when we know what is wrong do we have the potential to change it. Understanding that change is difficult even when it is for the better, I provide a safe, supportive environment where my clients can grow, achieve positive self-acceptance, and find peace and fulfillment in their lives. I work with adult individuals and couples who are facing relationship problems, life crises and change, loss, anxiety, and depression.
I believe in empowering people to help themselves through self-understanding. Only when we know what is wrong do we have the potential to change it. Understanding that change is difficult even when it is for the better, I provide a safe, supportive environment where my clients can grow, achieve positive self-acceptance, and find peace and fulfillment in their lives. I work with adult individuals and couples who are facing relationship problems, life crises and change, loss, anxiety, and depression.
(516) 806-5458 View (516) 806-5458

How does your Therapist compare?

Number of Therapists in Great Neck, NY

200+

Average cost per session

$200

Therapists in Great Neck, NY who prioritize treating:

94% Anxiety
88% Depression
85% Relationship Issues
76% Self Esteem
68% Coping Skills
64% Grief
64% Family Conflict

Average years in practice

18 Years

Top 3 insurances accepted

75% Aetna
65% UnitedHealthcare UHC | UBH
63% Cigna and Evernorth

How Therapists in Great Neck, NY see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
22% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Great Neck?

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.