Therapists in Cary, NC

Photo of Whitney Draper, Psychologist in Cary, NC
Whitney Draper
Psychologist, PsyD
Verified Verified
Cary, NC 27518
*I am not currently accepting new therapy clients at this time*. I specialize in both short and long-term therapies for children, adolescents, and adults. Over the past 12 years I have worked in various settings including: community clinics, schools, inpatient hospitals, correctional facilities, and day treatment centers. I currently work in private practice treating individuals who struggle with various emotional and behavioral issues. In addition to therapy, I also provide psychological testing and evaluations. For more information about me please visit my website www.whitneydraper.com
*I am not currently accepting new therapy clients at this time*. I specialize in both short and long-term therapies for children, adolescents, and adults. Over the past 12 years I have worked in various settings including: community clinics, schools, inpatient hospitals, correctional facilities, and day treatment centers. I currently work in private practice treating individuals who struggle with various emotional and behavioral issues. In addition to therapy, I also provide psychological testing and evaluations. For more information about me please visit my website www.whitneydraper.com
(919) 724-4069 View (919) 724-4069
Photo of Piedmont Behavioral Services, Counselor in Cary, NC
Piedmont Behavioral Services
Counselor, LPCA, LCAS
Verified Verified
Cary, NC 27513
We provide all kind of therapy (individual and DBT groups) and psychiatry services for Children and Adult, including medication management, Partial hospitalization (PHP) substance abuse, Suboxone treatment and TMS (Transcranial Magnetic Stimulation) for Depression and OCD. Our clinic is in Cary and has easy access to Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina).
We provide all kind of therapy (individual and DBT groups) and psychiatry services for Children and Adult, including medication management, Partial hospitalization (PHP) substance abuse, Suboxone treatment and TMS (Transcranial Magnetic Stimulation) for Depression and OCD. Our clinic is in Cary and has easy access to Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina).
(984) 205-2767 View (984) 205-2767
Photo of Quintosha Cox, Licensed Professional Counselor in Cary, NC
Quintosha Cox
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27519  (Online Only)
Not accepting new clients
Life can feel overwhelming at times! It comes hard, quick, unsolicited, and is indiscriminate. Am I doing enough? Am I good enough? What’s next? You may feel as though you want to seek refuge by hiding in your office away from others or perhaps in the bathroom away from family. Your plate is overflowing and trying to balance it all can be a challenge. You are barely getting by, haunted by mistakes and events of the past. Your relationships are suffering, and your concept of self is dwindling. You wish you could find balance and take care of self, all while being an amazing parent, child, spouse, or coworker, etc.
Life can feel overwhelming at times! It comes hard, quick, unsolicited, and is indiscriminate. Am I doing enough? Am I good enough? What’s next? You may feel as though you want to seek refuge by hiding in your office away from others or perhaps in the bathroom away from family. Your plate is overflowing and trying to balance it all can be a challenge. You are barely getting by, haunted by mistakes and events of the past. Your relationships are suffering, and your concept of self is dwindling. You wish you could find balance and take care of self, all while being an amazing parent, child, spouse, or coworker, etc.
(704) 912-0751 View (704) 912-0751
Photo of Patrisha A Campbell, Clinical Social Work/Therapist in Cary, NC
Patrisha A Campbell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
My name is Patrisha Campbell, a Licensed Clinical Social Worker (LCSW #C010533). I have a total of 8 years of clinical experience providing treatment for children/adolescents, adults and families for the following clinical areas: early childhood trauma, anxiety, mood disorder, ADHD, PTSD, conduct disorders, death and bereavement, and sexual offending.
My name is Patrisha Campbell, a Licensed Clinical Social Worker (LCSW #C010533). I have a total of 8 years of clinical experience providing treatment for children/adolescents, adults and families for the following clinical areas: early childhood trauma, anxiety, mood disorder, ADHD, PTSD, conduct disorders, death and bereavement, and sexual offending.
(919) 694-6259 View (919) 694-6259
Photo of MBS Restorative Centre PLLC, Clinical Social Work/Therapist in Cary, NC
MBS Restorative Centre PLLC
Clinical Social Work/Therapist, MSW, LCSW, LPC, CCTP
Verified Verified
Cary, NC 27511  (Online Only)
Has life challenges, left you feeling overwhelm, unable to cope? MBS Restorative Centre employs a holistic approach of psycho-therapy counseling by incorporating the mind, body and spirit. Strength is the ability to recognize when to ask for help as asking for helping is the number one coping skill MBS Restorative Centre is a three clinicians, you can visit our website at MBs Restorative Centre Instagram.
Has life challenges, left you feeling overwhelm, unable to cope? MBS Restorative Centre employs a holistic approach of psycho-therapy counseling by incorporating the mind, body and spirit. Strength is the ability to recognize when to ask for help as asking for helping is the number one coping skill MBS Restorative Centre is a three clinicians, you can visit our website at MBs Restorative Centre Instagram.
(919) 336-0334 View (919) 336-0334
Photo of Jay Cook, Counselor in Cary, NC
Jay Cook
Counselor, LCMHCA
Verified Verified
Cary, NC 27511
Having a hard time with life’s hurts? Getting stuck in a cycle or hung up and can’t seem to get past something? Sometimes it feels like it’s all you can do to survive, and when that happens you don’t feel like you have the ability to deal with the deeper issues that are leading to your struggles. Counseling is a place where you can carve out that time to do the work that will change your life in deep and long lasting ways. I understand that reaching out for counseling can be a difficult and vulnerable step, and so I'm committed to creating a safe and supportive space for my clients to explore their thoughts and emotions.
Having a hard time with life’s hurts? Getting stuck in a cycle or hung up and can’t seem to get past something? Sometimes it feels like it’s all you can do to survive, and when that happens you don’t feel like you have the ability to deal with the deeper issues that are leading to your struggles. Counseling is a place where you can carve out that time to do the work that will change your life in deep and long lasting ways. I understand that reaching out for counseling can be a difficult and vulnerable step, and so I'm committed to creating a safe and supportive space for my clients to explore their thoughts and emotions.
(984) 409-7363 View (984) 409-7363
Photo of Ashlie Kingston, Clinical Social Work/Therapist in Cary, NC
Ashlie Kingston
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511
When you are finding it difficult to get through the day, it can be hard to know how to continue on. Maybe you are struggling to complete basic everyday tasks, and you become overwhelmed and hard on yourself as a result. Perhaps you find yourself struggling in relationships with others and feel stuck, with no clue where to begin. But you deserve to live a life you love; one where you feel capable and confident in yourself and your abilities.
When you are finding it difficult to get through the day, it can be hard to know how to continue on. Maybe you are struggling to complete basic everyday tasks, and you become overwhelmed and hard on yourself as a result. Perhaps you find yourself struggling in relationships with others and feel stuck, with no clue where to begin. But you deserve to live a life you love; one where you feel capable and confident in yourself and your abilities.
(984) 207-5786 View (984) 207-5786
Photo of Melissa Snodgrass, Clinical Social Work/Therapist in Cary, NC
Melissa Snodgrass
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
My approach revolves around creating a supportive and empathetic environment with clients. I prioritize establishing a safe and confidential space where clients feel comfortable sharing their challenges and concerns. Recognizing the unique needs of this demographic, I employ a person-centered approach that values individual experiences and fosters a sense of validation. By actively listening and tailoring therapeutic interventions to each client's specific circumstances, I aim to instill a sense of hope and optimism about the future.
My approach revolves around creating a supportive and empathetic environment with clients. I prioritize establishing a safe and confidential space where clients feel comfortable sharing their challenges and concerns. Recognizing the unique needs of this demographic, I employ a person-centered approach that values individual experiences and fosters a sense of validation. By actively listening and tailoring therapeutic interventions to each client's specific circumstances, I aim to instill a sense of hope and optimism about the future.
(704) 459-3833 View (704) 459-3833
Photo of Gabrielle Petersen, Clinical Social Work/Therapist in Cary, NC
Gabrielle Petersen
Clinical Social Work/Therapist, LCMHC-I
Verified Verified
2 Endorsed
Cary, NC 27513
My goal is to help every client who walks into my office overcome their issues. With the use of my integrative approach, we will problem-solve as a team to arrive at possible solutions to benefit the client.
My goal is to help every client who walks into my office overcome their issues. With the use of my integrative approach, we will problem-solve as a team to arrive at possible solutions to benefit the client.
(984) 213-5637 View (984) 213-5637
Photo of Well Marriage Center Cary, Marriage & Family Therapist in Cary, NC
Well Marriage Center Cary
Marriage & Family Therapist
Verified Verified
2 Endorsed
Cary, NC 27518
At Well Marriage, our clinicians are committed to preserving relationships and avoiding separation whenever possible. If you are both willing to put in the work, we’ll be there to help you solve your relationship woes. In the midst of connection trouble and distress, we’ll support the hope that you can heal and save your relationship. We’ve seen countless couples who are convinced their relationship is too far dead and gone, only to see it be rediscovered and revitalized before their very eyes (and hearts). We’ve seen it happen. We know how to help it happen for you.
At Well Marriage, our clinicians are committed to preserving relationships and avoiding separation whenever possible. If you are both willing to put in the work, we’ll be there to help you solve your relationship woes. In the midst of connection trouble and distress, we’ll support the hope that you can heal and save your relationship. We’ve seen countless couples who are convinced their relationship is too far dead and gone, only to see it be rediscovered and revitalized before their very eyes (and hearts). We’ve seen it happen. We know how to help it happen for you.
(984) 205-1136 View (984) 205-1136
Photo of James S Miazga in Cary, NC
James S Miazga
LCMHC, MA, BS-Psy
Verified Verified
2 Endorsed
Cary, NC 27511
With all of the changes recently occurring in our daily lives, feeling lost and uncertain about life is becoming a very real part of your reality. Looking at yourself today, you realize that you are a shell of what you once used to be. The happiness, joy, and fulfillment of life that you once knew has become a distant memory. So much so that you no longer recognize the person staring back at you in the mirror. As each day passes, the feelings of being "stuck" have taken hold and it seems likely that there is no hope in sight. It's almost like being stuck in a bad dream that you can't wake up from.
With all of the changes recently occurring in our daily lives, feeling lost and uncertain about life is becoming a very real part of your reality. Looking at yourself today, you realize that you are a shell of what you once used to be. The happiness, joy, and fulfillment of life that you once knew has become a distant memory. So much so that you no longer recognize the person staring back at you in the mirror. As each day passes, the feelings of being "stuck" have taken hold and it seems likely that there is no hope in sight. It's almost like being stuck in a bad dream that you can't wake up from.
(919) 504-5323 View (919) 504-5323
Photo of KSA Mental Health Services, PLLC, Clinical Social Work/Therapist in Cary, NC
KSA Mental Health Services, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511  (Online Only)
Hi, I'm Krista, and have been a practicing Licensed Clinical Social Worker since 2015. I believe individuals seek therapy because they are seeking some extra support with accepting something in their life and/or wanting to think, feel and/or have something be different. Whatever that may be for you, I am ready to support you in rediscovering your inherent abilities and strengths, teach you new skills if needed and help support you in achieving your goals.
Hi, I'm Krista, and have been a practicing Licensed Clinical Social Worker since 2015. I believe individuals seek therapy because they are seeking some extra support with accepting something in their life and/or wanting to think, feel and/or have something be different. Whatever that may be for you, I am ready to support you in rediscovering your inherent abilities and strengths, teach you new skills if needed and help support you in achieving your goals.
(919) 752-4274 View (919) 752-4274
Photo of Tameka L McFarland, Marriage & Family Therapist in Cary, NC
Tameka L McFarland
Marriage & Family Therapist, MS, LMFT, NCC, CPLC
Verified Verified
Cary, NC 27511
My name is Tameka McFarland. I treat individuals, couples who are dating, planning to get married, currently married, or are considering divorce. I will treat emotional concerns that are affecting intimacy between a client and their partner. I provide support to families who have concerns about parenting. I will see any client ages 16 and up of all ethnicities and sexual orientations. My ideal client would be a couple or family, however, when seeing individuals, I encourage that the client bring another support person that they trust to their sessions. I also provide life coaching services. Telehealth services are also offered.
My name is Tameka McFarland. I treat individuals, couples who are dating, planning to get married, currently married, or are considering divorce. I will treat emotional concerns that are affecting intimacy between a client and their partner. I provide support to families who have concerns about parenting. I will see any client ages 16 and up of all ethnicities and sexual orientations. My ideal client would be a couple or family, however, when seeing individuals, I encourage that the client bring another support person that they trust to their sessions. I also provide life coaching services. Telehealth services are also offered.
(919) 504-5030 View (919) 504-5030
Photo of Kara Marshburn, Licensed Clinical Mental Health Counselor in Cary, NC
Kara Marshburn
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Cary, NC 27519
I love working with children, adolescents, teenagers, and their families and I try to make therapy sessions fun by utilizing creative interventions and techniques. I understand the importance of building trust in the early stages of therapy, particularly with children, adolescents, and teenagers. With children and teens, I utilize a collaborative approach and work with the parents to help recognize behavioral patterns and put systems into place for lasting change and results.
I love working with children, adolescents, teenagers, and their families and I try to make therapy sessions fun by utilizing creative interventions and techniques. I understand the importance of building trust in the early stages of therapy, particularly with children, adolescents, and teenagers. With children and teens, I utilize a collaborative approach and work with the parents to help recognize behavioral patterns and put systems into place for lasting change and results.
(919) 583-6226 View (919) 583-6226
Photo of Family Solutions and Wellness Center, Marriage & Family Therapist in Cary, NC
Family Solutions and Wellness Center
Marriage & Family Therapist, LMFT, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511
FSWC is a private practice serving Cary & Wilmington, NC, as well as state-wide telehealth services. We offer daytime, evening, and weekend appointments, and use an online scheduler to make booking appointments easy! If you don't see an available time online, please contact us and we will do our best to accommodate your needs. Please read more about each of our therapist on our website - www.FamilySolutionsAndWellness.com. Finding a good fit is important!
FSWC is a private practice serving Cary & Wilmington, NC, as well as state-wide telehealth services. We offer daytime, evening, and weekend appointments, and use an online scheduler to make booking appointments easy! If you don't see an available time online, please contact us and we will do our best to accommodate your needs. Please read more about each of our therapist on our website - www.FamilySolutionsAndWellness.com. Finding a good fit is important!
(919) 648-1438 View (919) 648-1438
Photo of Annie Ford, Marriage & Family Therapist in Cary, NC
Annie Ford
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Cary, NC 27511
Waitlist for new clients
As a licensed marriage and family therapist (LMFT), I work with those that are feeling stuck, unsatisfied, frustrated, or distressed and seeking a change. I specialize in relational work, whether those relationships are with your romantic partners, family members, friends, or yourself. I work collaboratively with you to identify those places of change so that you can live in a way that feels more authentic and meaningful. I fully believe in the inherent value and worthiness of all people and this value guides my practice.
As a licensed marriage and family therapist (LMFT), I work with those that are feeling stuck, unsatisfied, frustrated, or distressed and seeking a change. I specialize in relational work, whether those relationships are with your romantic partners, family members, friends, or yourself. I work collaboratively with you to identify those places of change so that you can live in a way that feels more authentic and meaningful. I fully believe in the inherent value and worthiness of all people and this value guides my practice.
(919) 897-7206 View (919) 897-7206
Photo of Metamorphosis Collaborative in Cary, NC
Metamorphosis Collaborative
PsyD
Verified Verified
Cary, NC 27519
Many of life's issues are related to difficulties within the life tasks (e.g., work, social, and intimacy). With Life Coaching, goals are created and worked towards in order to address these difficulties. I believe that a safe, supportive environment is primary for life coaching. It’s my goal to express warmth and empathy towards the struggles that clients bring into session, while also empowering them to make choices for themselves. Unlike traditional therapy, life coaching is more directive with feedback that allows others to see blindspots quicker and make greater gains more readily.
Many of life's issues are related to difficulties within the life tasks (e.g., work, social, and intimacy). With Life Coaching, goals are created and worked towards in order to address these difficulties. I believe that a safe, supportive environment is primary for life coaching. It’s my goal to express warmth and empathy towards the struggles that clients bring into session, while also empowering them to make choices for themselves. Unlike traditional therapy, life coaching is more directive with feedback that allows others to see blindspots quicker and make greater gains more readily.
(919) 694-6654 View (919) 694-6654
Photo of Natalie Fewell, Licensed Professional Counselor in Cary, NC
Natalie Fewell
Licensed Professional Counselor, LCMHCS, ACS, NCC
Verified Verified
Cary, NC 27511  (Online Only)
I had a dream to own a private practice & make money doing it after graduation. I thought I had to pay my dues, become fully licensed & have lots of clinical experience before I could think about starting a practice. I also thought & was told making money in this field wasn’t the goal but only serving the community & low income clients. I couldn’t understand how I could take care of my bills & provide therapy at a low rate. It didn’t make sense. If you don’t want to have a traditional supervision experience & are ready to start your practice sooner than later, let’s get started today. Your career is waiting on you! CONTACT me
I had a dream to own a private practice & make money doing it after graduation. I thought I had to pay my dues, become fully licensed & have lots of clinical experience before I could think about starting a practice. I also thought & was told making money in this field wasn’t the goal but only serving the community & low income clients. I couldn’t understand how I could take care of my bills & provide therapy at a low rate. It didn’t make sense. If you don’t want to have a traditional supervision experience & are ready to start your practice sooner than later, let’s get started today. Your career is waiting on you! CONTACT me
(984) 205-3922 View (984) 205-3922
Photo of Lee Davis, Counselor in Cary, NC
Lee Davis
Counselor, MS, LCMHCA, CRC
Verified Verified
2 Endorsed
Cary, NC 27518
Seeking out a new counselor can be an overwhelming process and my hope is to assist you in this endeavor. My name is Lee Davis, LCMHCA, CRC and I am an associate Licensed Clinical Mental Health Counselor and Certified Rehabilitation Counselor in the state of North Carolina. I approach counseling from a person-centered perspective where the client is seen as the expert in their own lives. I use a wide range of evidence-based practices specifically tailored to each client’s needs, goals, and preferences to help facilitate the most desired outcomes. I believe in incorporating the client’s feedback to assist in the therapeutic process.
Seeking out a new counselor can be an overwhelming process and my hope is to assist you in this endeavor. My name is Lee Davis, LCMHCA, CRC and I am an associate Licensed Clinical Mental Health Counselor and Certified Rehabilitation Counselor in the state of North Carolina. I approach counseling from a person-centered perspective where the client is seen as the expert in their own lives. I use a wide range of evidence-based practices specifically tailored to each client’s needs, goals, and preferences to help facilitate the most desired outcomes. I believe in incorporating the client’s feedback to assist in the therapeutic process.
(919) 233-4131 View (919) 233-4131
Photo of Ashley Denton, Clinical Social Work/Therapist in Cary, NC
Ashley Denton
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cary, NC 27518
Therapy is for everyone, whether you’ve experienced trauma, want to learn skills to better your relationships or regulate your own emotions and reactions. As your therapist I will meet you exactly where you are without judgement. I feel honored to walk through your life with you and learn about the events both helpful and harmful that have shaped you into who you are today. I am interested in your goals and will help you work towards them with a strengths-based approach.
Therapy is for everyone, whether you’ve experienced trauma, want to learn skills to better your relationships or regulate your own emotions and reactions. As your therapist I will meet you exactly where you are without judgement. I feel honored to walk through your life with you and learn about the events both helpful and harmful that have shaped you into who you are today. I am interested in your goals and will help you work towards them with a strengths-based approach.
(919) 646-2411 View (919) 646-2411

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
78% Self Esteem
72% Coping Skills
69% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
72% Aetna
53% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

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.