Therapists in Encinitas, CA

Photo of Sarah Brezden, Marriage & Family Therapist in Encinitas, CA
Sarah Brezden
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Encinitas, CA 92024  (Online Only)
I enjoy working with adult individuals struggling with anxiety, depression, and relationship issues. I find that those seeking mental health often benefit from active listening and connection, helping them see their issues from a different perspective. Goals for therapy can be ever changing and evolving as we move through the therapeutic process, I will tailor therapy to fit your needs. Client's want freedom from the burdens that weigh heavily on their hearts and minds, they want to feel empowered to make active change in their lives and they can do so with the right set of tools.
I enjoy working with adult individuals struggling with anxiety, depression, and relationship issues. I find that those seeking mental health often benefit from active listening and connection, helping them see their issues from a different perspective. Goals for therapy can be ever changing and evolving as we move through the therapeutic process, I will tailor therapy to fit your needs. Client's want freedom from the burdens that weigh heavily on their hearts and minds, they want to feel empowered to make active change in their lives and they can do so with the right set of tools.
(760) 334-5980 View (760) 334-5980
Photo of Miranda Linden, Marriage & Family Therapist Associate in Encinitas, CA
Miranda Linden
Marriage & Family Therapist Associate, AMFT, I43240
Verified Verified
Encinitas, CA 92024
For couples seeking therapy, ideal clients are those who recognize the value of enhancing their relationship dynamics. They may be grappling with communication issues, trust issues, or simply navigating the complexities of maintaining a healthy partnership. Ideal clients are willing to engage in the therapeutic process, fostering a commitment to growth and connection. They may be individuals or groups navigating the challenges of multiple concurrent relationships, seeking to establish effective communication and mutual understanding and willing to exploring various motional dynamics and a commitment to developing healthy connections
For couples seeking therapy, ideal clients are those who recognize the value of enhancing their relationship dynamics. They may be grappling with communication issues, trust issues, or simply navigating the complexities of maintaining a healthy partnership. Ideal clients are willing to engage in the therapeutic process, fostering a commitment to growth and connection. They may be individuals or groups navigating the challenges of multiple concurrent relationships, seeking to establish effective communication and mutual understanding and willing to exploring various motional dynamics and a commitment to developing healthy connections
(619) 789-4902 View (619) 789-4902
Photo of Wendy Hill in Encinitas, CA
Wendy Hill
PhD
Not Verified Not Verified
Encinitas, CA 92024
Hypnotherapy and psychotherapy. Inner child healing and core belief transformation. I specialize in identifying and transforming the subconscious self-defeating core beliefs that cause relationship/personal conflict, depression, anxiety, low self-esteem, addiction, and general unhappiness for individuals and couples. Intuitive, compassionate, experienced. I focus on the root of the problem, not the just symptoms. Holistic focus on emotional and spiritual health and healing. Most sessions are two hours. One hour sessions are too short to make real progress. Over 40 years private practice.
Hypnotherapy and psychotherapy. Inner child healing and core belief transformation. I specialize in identifying and transforming the subconscious self-defeating core beliefs that cause relationship/personal conflict, depression, anxiety, low self-esteem, addiction, and general unhappiness for individuals and couples. Intuitive, compassionate, experienced. I focus on the root of the problem, not the just symptoms. Holistic focus on emotional and spiritual health and healing. Most sessions are two hours. One hour sessions are too short to make real progress. Over 40 years private practice.
(760) 563-5268 View (760) 563-5268
Photo of Kelli Olds, Marriage & Family Therapist in Encinitas, CA
Kelli Olds
Marriage & Family Therapist, MA, LMFT, HHP
Verified Verified
Encinitas, CA 92024
I am a Licensed Marriage and Family Therapist with 20 years experience in the health and wellness industry. I have a BA in Elementary Education, a MA in Counseling Psychology and I sat on the Board of the San Diego North County chapter of the California Association of Marriage and Family Therapists. I practice Telehealth Online Therapy and have an office in Encinitas. I enjoy helping individuals create and maintain healthy relationships with themselves, their spouses, children, family members, friends, colleagues, and ex-spouses. I also love helping individuals navigate divorce recovery and co-parenting.
I am a Licensed Marriage and Family Therapist with 20 years experience in the health and wellness industry. I have a BA in Elementary Education, a MA in Counseling Psychology and I sat on the Board of the San Diego North County chapter of the California Association of Marriage and Family Therapists. I practice Telehealth Online Therapy and have an office in Encinitas. I enjoy helping individuals create and maintain healthy relationships with themselves, their spouses, children, family members, friends, colleagues, and ex-spouses. I also love helping individuals navigate divorce recovery and co-parenting.
(760) 840-2018 View (760) 840-2018
Photo of Joanne Wolf, Psychologist in Encinitas, CA
Joanne Wolf
Psychologist, PhD
Verified Verified
Encinitas, CA 92024
Choosing a therapist is an important decision. My goal as your therapist is to help you find healthy ways to engage in life and use your strengths to help understand, uncover, and dismantle what is creating anxiety, depression and other emotional concerns you may find yourself living with. Therapy can help to create an environment to move through the process of self-discovery and self-awareness in a safe way. The treatments I work with have proven to be effective, including psychodynamic psychotherapy, mindfulness therapy, and EMDR. I believe therapy is foremost, about building a trusting relationship with a qualified person.
Choosing a therapist is an important decision. My goal as your therapist is to help you find healthy ways to engage in life and use your strengths to help understand, uncover, and dismantle what is creating anxiety, depression and other emotional concerns you may find yourself living with. Therapy can help to create an environment to move through the process of self-discovery and self-awareness in a safe way. The treatments I work with have proven to be effective, including psychodynamic psychotherapy, mindfulness therapy, and EMDR. I believe therapy is foremost, about building a trusting relationship with a qualified person.
(858) 386-4230 View (858) 386-4230
Photo of Marjorie Miller, Psychologist in Encinitas, CA
Marjorie Miller
Psychologist, PhD
Verified Verified
Encinitas, CA 92024
Seeking Psychotherapy is a courageous and hopeful act. While each of us comes to therapy for different reasons, we all need acceptance, empathy, and support to examine our lives and make change. I work with children, adolescents, and adults and tailor my approach to the individual needs of my client. I have helped people with a wide range of issues, including depression, anxiety, loss, trauma, addiction, parenting, and navigating difficult life transitions, such as divorce and remarriage.
Seeking Psychotherapy is a courageous and hopeful act. While each of us comes to therapy for different reasons, we all need acceptance, empathy, and support to examine our lives and make change. I work with children, adolescents, and adults and tailor my approach to the individual needs of my client. I have helped people with a wide range of issues, including depression, anxiety, loss, trauma, addiction, parenting, and navigating difficult life transitions, such as divorce and remarriage.
(760) 712-3922 View (760) 712-3922
Photo of Victoria Shaw, Counselor in Encinitas, CA
Victoria Shaw
Counselor, PhD, NCC
Verified Verified
2 Endorsed
Encinitas, CA 92024
I am an intuitive coach and spiritual guide. My work combines my background and training in counseling and psychology with intuitive guidance to help clients heal, grow, and realize their full spiritual and personal potential. For years, I have supported children, teens and adults in connecting with their spiritual wisdom and enhancing all aspects of their lives. I can teach you how to tap into your inner resources, and help you to find strength, clarity and growth through your life’s challenges. I help you in healing your deepest hurts and connecting with your own inner healer.
I am an intuitive coach and spiritual guide. My work combines my background and training in counseling and psychology with intuitive guidance to help clients heal, grow, and realize their full spiritual and personal potential. For years, I have supported children, teens and adults in connecting with their spiritual wisdom and enhancing all aspects of their lives. I can teach you how to tap into your inner resources, and help you to find strength, clarity and growth through your life’s challenges. I help you in healing your deepest hurts and connecting with your own inner healer.
(619) 492-5612 View (619) 492-5612
Photo of Amy Dong, Marriage & Family Therapist Associate in Encinitas, CA
Amy Dong
Marriage & Family Therapist Associate, AMFT
Verified Verified
Encinitas, CA 92024  (Online Only)
I’m glad you’re here! Finding the right therapist can be challenging, so here’s a little about how I work to help you decide if we might be a good fit. I specialize in working with adults and couples navigating what can sometimes be an overwhelming existence. Whether it’s managing anxiety, healing burnout, traversing relationship difficulties, navigating a life transition, or living with grief, I’m here to hold a warm, supportive space.
I’m glad you’re here! Finding the right therapist can be challenging, so here’s a little about how I work to help you decide if we might be a good fit. I specialize in working with adults and couples navigating what can sometimes be an overwhelming existence. Whether it’s managing anxiety, healing burnout, traversing relationship difficulties, navigating a life transition, or living with grief, I’m here to hold a warm, supportive space.
(760) 463-0484 x3 View (760) 463-0484 x3
Photo of Jamie Grundstrom-Frazee, Marriage & Family Therapist in Encinitas, CA
Jamie Grundstrom-Frazee
Marriage & Family Therapist, MA, LMFT
Verified Verified
Encinitas, CA 92024
Jamie has supported thousands of people in overcoming obstacles and making breakthroughs using a blend of clinical practices within a warm and safe environment.
Jamie has supported thousands of people in overcoming obstacles and making breakthroughs using a blend of clinical practices within a warm and safe environment.
(760) 359-9318 View (760) 359-9318
Photo of Kevin Murphy, Psychologist in Encinitas, CA
Kevin Murphy
Psychologist, PsyD
Verified Verified
Encinitas, CA 92024  (Online Only)
Relying on more than 15 years of clinical experience, I treat depression, anxiety, and addictions, among other issues. While I utilize evidence-based treatments, I practice from a client-centered perspective. My approach rests on compassion, as I fundamentally practice from a humanistic slant. I go to great lengths to avoid the type of stigmatizing language that especially plagues the addiction industry. There are no "addicts."
Relying on more than 15 years of clinical experience, I treat depression, anxiety, and addictions, among other issues. While I utilize evidence-based treatments, I practice from a client-centered perspective. My approach rests on compassion, as I fundamentally practice from a humanistic slant. I go to great lengths to avoid the type of stigmatizing language that especially plagues the addiction industry. There are no "addicts."
(858) 346-5943 View (858) 346-5943
Photo of Valerie L. Zar, Psychologist in Encinitas, CA
Valerie L. Zar
Psychologist, PsyD
Verified Verified
5 Endorsed
Encinitas, CA 92024
Is your pre-teen or teen-age child unusually irritable, withdrawn, sad, angry or tearful? Teens will often open up to therapists when they don't talk to parents. If your teen is refusing school, or not enjoying life, s/he may be struggling with anxiety or depression, inadequate social skills, bullies, feeling different, sexual identity, parental divorce, or body image worries. I offer a warm, nurturing and safe environment for adolescents to share their feelings and start to feel better about themselves. I enjoy helping adolescents and parents find their way during these difficult times.
Is your pre-teen or teen-age child unusually irritable, withdrawn, sad, angry or tearful? Teens will often open up to therapists when they don't talk to parents. If your teen is refusing school, or not enjoying life, s/he may be struggling with anxiety or depression, inadequate social skills, bullies, feeling different, sexual identity, parental divorce, or body image worries. I offer a warm, nurturing and safe environment for adolescents to share their feelings and start to feel better about themselves. I enjoy helping adolescents and parents find their way during these difficult times.
(760) 621-0547 View (760) 621-0547
Photo of Jenifer Finkelstein, Counselor in Encinitas, CA
Jenifer Finkelstein
Counselor, MEd, LPCC 44, NCC
Verified Verified
5 Endorsed
Encinitas, CA 92023  (Online Only)
New Moms - I’m happy to talk with you about transitioning to parenthood, growing your family, and how these early days, weeks, months, and even years can bring so many challenges and even emotional pain. Being responsible for a new little human can feel overwhelming. It’s not your fault, you can do this, and you don’t need to go at it alone. There may be other relationships to manage with a partner or other children, a lack of sleep, and lots of self-doubt fed by the opinions of others and contradictory information to untangle. Let’s figure things out in a way that puts you on a path to parenting success that is just right for you.
New Moms - I’m happy to talk with you about transitioning to parenthood, growing your family, and how these early days, weeks, months, and even years can bring so many challenges and even emotional pain. Being responsible for a new little human can feel overwhelming. It’s not your fault, you can do this, and you don’t need to go at it alone. There may be other relationships to manage with a partner or other children, a lack of sleep, and lots of self-doubt fed by the opinions of others and contradictory information to untangle. Let’s figure things out in a way that puts you on a path to parenting success that is just right for you.
(760) 417-7285 View (760) 417-7285
Photo of Renee Price, Clinical Social Work/Therapist in Encinitas, CA
Renee Price
Clinical Social Work/Therapist, LCSW
Verified Verified
Encinitas, CA 92024  (Online Only)
Sometimes life can feel overwhelming. An unexpected event can suddenly throw everything off balance, or many smaller stresses can build up until it seems impossible to cope with them. These places can feel especially alone and may challenge your ability to cope. You are not alone. At times, everyone needs help navigating through life's passages. I believe we all have the capacity to find a deeper, more meaningful life. I can work with you to help you regain your footing to continue your journey stronger than you were before.
Sometimes life can feel overwhelming. An unexpected event can suddenly throw everything off balance, or many smaller stresses can build up until it seems impossible to cope with them. These places can feel especially alone and may challenge your ability to cope. You are not alone. At times, everyone needs help navigating through life's passages. I believe we all have the capacity to find a deeper, more meaningful life. I can work with you to help you regain your footing to continue your journey stronger than you were before.
(760) 309-6106 View (760) 309-6106
Photo of Jamie Clear in Encinitas, CA
Jamie Clear
MA
Verified Verified
Encinitas, CA 92024
Not accepting new clients
Whether you are struggling in relationships, going through a season of transition or seeking a greater sense of purpose and meaning in your life, I would be honored to work with you. My intention as a counselor is to be a healing presence in the life of my clients by offering unconditional acceptance and holding the space for you to be your truest self. I believe that every challenge is an invitation to transformation, and together we will seek wisdom and reflect on the growth that longs to occur in your life.
Whether you are struggling in relationships, going through a season of transition or seeking a greater sense of purpose and meaning in your life, I would be honored to work with you. My intention as a counselor is to be a healing presence in the life of my clients by offering unconditional acceptance and holding the space for you to be your truest self. I believe that every challenge is an invitation to transformation, and together we will seek wisdom and reflect on the growth that longs to occur in your life.
(760) 957-0618 View (760) 957-0618
Photo of Jade Arbelo, Marriage & Family Therapist in Encinitas, CA
Jade Arbelo
Marriage & Family Therapist, LMFT, MA, CADC
Verified Verified
2 Endorsed
Encinitas, CA 92024
Do you LOVE your life? If not, let's meet soon. I can provide a space for us to determine where you are, where you would like to be, and create a road-map for how to get to there. I have a passion for joining others in their journey to making positive change, achieving balance and living authentically. I partner with individuals, couples, and families to establish new ways of coping with life transitions and living with intention.
Do you LOVE your life? If not, let's meet soon. I can provide a space for us to determine where you are, where you would like to be, and create a road-map for how to get to there. I have a passion for joining others in their journey to making positive change, achieving balance and living authentically. I partner with individuals, couples, and families to establish new ways of coping with life transitions and living with intention.
(442) 300-9256 View (442) 300-9256
Photo of Elana Remas Zagorsky, Clinical Social Work/Therapist in Encinitas, CA
Elana Remas Zagorsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Encinitas, CA 92024
In life, challenges arise — relationship conflict, life transitions, fertility struggles and complicated pregnancies, postpartum anxiety, depression, anger. What do you do? Even the most supportive and loving relationships face difficulties. Many couples and individuals ignore the issues, assuming “things will work themselves out on their own,” and continue to suffer in silence. But you deserve to feel heard and understood. The ability to turn adversity into strength is an empowering skill available to everyone, with the right tools. I offer teletherapy as well as in-person therapy, for your convenience.
In life, challenges arise — relationship conflict, life transitions, fertility struggles and complicated pregnancies, postpartum anxiety, depression, anger. What do you do? Even the most supportive and loving relationships face difficulties. Many couples and individuals ignore the issues, assuming “things will work themselves out on their own,” and continue to suffer in silence. But you deserve to feel heard and understood. The ability to turn adversity into strength is an empowering skill available to everyone, with the right tools. I offer teletherapy as well as in-person therapy, for your convenience.
(619) 319-9924 View (619) 319-9924
Photo of Dr. Mackenzie Clark, Marriage & Family Therapist in Encinitas, CA
Dr. Mackenzie Clark
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Encinitas, CA 92024  (Online Only)
Are you constantly concerned about dating and relationships? Do you find yourself repeating unhealthy patterns despite being self-aware? Are you watching the people around you succeed in life and love and feel like you're falling behind? I help millennial women just like you gain confidence and create authentic, meaningful connections. With my support, you will identify the root of your insecurities, heal underlying traumas, and learn to understand and communicate your emotional needs. You will leave each session with greater clarity and specific tools to address your challenge areas.
Are you constantly concerned about dating and relationships? Do you find yourself repeating unhealthy patterns despite being self-aware? Are you watching the people around you succeed in life and love and feel like you're falling behind? I help millennial women just like you gain confidence and create authentic, meaningful connections. With my support, you will identify the root of your insecurities, heal underlying traumas, and learn to understand and communicate your emotional needs. You will leave each session with greater clarity and specific tools to address your challenge areas.
(619) 344-8378 View (619) 344-8378
Photo of Hope Interventions, Drug & Alcohol Counselor in Encinitas, CA
Hope Interventions
Drug & Alcohol Counselor
Verified Verified
Encinitas, CA 92024
We are dedicated to supporting those confronting addiction as they aspire to change paths and foster wellness. Take the first step today, and let us be your trusted partner in embracing a healthier, addiction-free life.
We are dedicated to supporting those confronting addiction as they aspire to change paths and foster wellness. Take the first step today, and let us be your trusted partner in embracing a healthier, addiction-free life.
(760) 412-8254 View (760) 412-8254
Photo of Tiffany Trent, Marriage & Family Therapist in Encinitas, CA
Tiffany Trent
Marriage & Family Therapist, MS, LMFT
Verified Verified
Encinitas, CA 92024
Welcome, I’m glad you’re here. Looking for and choosing a therapist can feel scary and intimidating. If you landed on my page that means you’re searching for something. Relief from emotional torment. Help for your child. Hoping to save your marriage. Recovery from an eating disorder. Maybe you’re searching for healing from trauma that keeps inhibiting your life and relationships. Or for self discovery and your true, authentic self. Whatever you are seeking, you don’t have to do it alone. Humans are relational creatures and we all heal more effectively and achieve goals faster when we are in connection to others.
Welcome, I’m glad you’re here. Looking for and choosing a therapist can feel scary and intimidating. If you landed on my page that means you’re searching for something. Relief from emotional torment. Help for your child. Hoping to save your marriage. Recovery from an eating disorder. Maybe you’re searching for healing from trauma that keeps inhibiting your life and relationships. Or for self discovery and your true, authentic self. Whatever you are seeking, you don’t have to do it alone. Humans are relational creatures and we all heal more effectively and achieve goals faster when we are in connection to others.
(760) 760-1836 View (760) 760-1836
Photo of Tara L Vincent Davidson, Marriage & Family Therapist in Encinitas, CA
Tara L Vincent Davidson
Marriage & Family Therapist, LMFT
Verified Verified
Encinitas, CA 92024
Life can become quite a mess- sometimes you know why it's happened and sometimes you don't. Therapy can help. Are you having trouble with your relationship? Are you feeling overwhelmed? Are your kids struggling and you feel lost? These are just a few of the questions we can work on in therapy. Discussing your situation honestly and directly, we create a plan to help you feel better and be better equipped to manage whatever life hands you.The tools acquired in therapy will assist you throughout your life. Sessions center around your needs and the goals you wish to accomplish.
Life can become quite a mess- sometimes you know why it's happened and sometimes you don't. Therapy can help. Are you having trouble with your relationship? Are you feeling overwhelmed? Are your kids struggling and you feel lost? These are just a few of the questions we can work on in therapy. Discussing your situation honestly and directly, we create a plan to help you feel better and be better equipped to manage whatever life hands you.The tools acquired in therapy will assist you throughout your life. Sessions center around your needs and the goals you wish to accomplish.
(760) 970-8209 View (760) 970-8209

How does your Therapist compare?

Number of Therapists in Encinitas, CA

500+

Average cost per session

$175

Therapists in Encinitas, CA who prioritize treating:

92% Anxiety
88% Depression
78% Relationship Issues
70% Trauma and PTSD
70% Self Esteem
65% Stress
64% Grief

Average years in practice

14 Years

Top 3 insurances accepted

69% Aetna
61% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Encinitas, CA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Encinitas?

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.