Therapists in Terrell Heights, San Antonio, TX

Photo of Ms. Zainub (Zani) Fatta - Zainub Fatta, LMFT @ Evolve Psychiatry, Marriage & Family Therapist, LMFT
Zainub Fatta, LMFT @ Evolve Psychiatry
Marriage & Family Therapist, LMFT
Terrell Heights, San Antonio, TX 78258
Are relationship dynamics, family tension, or the patterns you keep repeating leaving you feeling stuck and disconnected from who you truly are? Whether the struggle is personal, between partners, or felt across the whole family, it rarely exists in isolation — and neither should the solution. You don't have to untangle it alone, and you don't have to choose between getting help as an individual or getting help together. In addition to individual therapy, I specialize in couples and family therapy, helping you gain deeper insight into your patterns and become more of who you truly are.
Are relationship dynamics, family tension, or the patterns you keep repeating leaving you feeling stuck and disconnected from who you truly are? Whether the struggle is personal, between partners, or felt across the whole family, it rarely exists in isolation — and neither should the solution. You don't have to untangle it alone, and you don't have to choose between getting help as an individual or getting help together. In addition to individual therapy, I specialize in couples and family therapy, helping you gain deeper insight into your patterns and become more of who you truly are.
(210) 361-7998 View (210) 361-7998
Photo of Raymond Montoya - Raymond Montoya- Wings Specialized Services, LLC, Clinical Social Work/Therapist, MS , LMSW
Raymond Montoya- Wings Specialized Services, LLC
Clinical Social Work/Therapist, MS , LMSW
1 Endorsed
Terrell Heights, San Antonio, TX 78209
You may be feeling overwhelmed, shut down, or unsure how to talk about what’s really going on. Many men are expected to “handle it,” even when anxiety, anger, or relationship stress builds up inside. You don’t have to carry it alone. I’m Raymike, a Licensed Master Social Worker in San Antonio, TX, and I specialize in supporting men, LGBTQ+ individuals, and youth through life’s challenges, offering a space where you can feel understood, grounded, and supported without judgment.
You may be feeling overwhelmed, shut down, or unsure how to talk about what’s really going on. Many men are expected to “handle it,” even when anxiety, anger, or relationship stress builds up inside. You don’t have to carry it alone. I’m Raymike, a Licensed Master Social Worker in San Antonio, TX, and I specialize in supporting men, LGBTQ+ individuals, and youth through life’s challenges, offering a space where you can feel understood, grounded, and supported without judgment.
(210) 985-7475 View (210) 985-7475
Photo of Abigail Lopez, Licensed Professional Counselor, LPC, NCC
Abigail Lopez
Licensed Professional Counselor, LPC, NCC
Terrell Heights, San Antonio, TX 78209
Are you caught in a cycle of anxious thoughts, avoidance, and the quiet dread that things will never change? Whether you're managing OCD, social anxiety, or the kind of persistent worry that follows you everywhere, you deserve more than white-knuckling through another day. You don't need to have it all figured out to start — you just need to be willing. I'll meet you exactly where you are, with warmth, a clear game plan, and the occasional laugh along the way.
Are you caught in a cycle of anxious thoughts, avoidance, and the quiet dread that things will never change? Whether you're managing OCD, social anxiety, or the kind of persistent worry that follows you everywhere, you deserve more than white-knuckling through another day. You don't need to have it all figured out to start — you just need to be willing. I'll meet you exactly where you are, with warmth, a clear game plan, and the occasional laugh along the way.
(833) 750-2647 View (833) 750-2647
Photo of Rhonda LeAnne Hoover - Rhonda Hoover, LPC-A @ Evolve Psychiatry, Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Rhonda Hoover, LPC-A @ Evolve Psychiatry
Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Terrell Heights, San Antonio, TX 78209
Are you caught between emotional pain and substance use, feeling like one keeps feeding the other with no clear way out? Whether you're navigating addiction, mood challenges, or the complicated place where both meet, you deserve care that sees the whole picture — not just one piece of it. Recovery isn't only about stopping something. It's about building a life that makes stopping possible.
Are you caught between emotional pain and substance use, feeling like one keeps feeding the other with no clear way out? Whether you're navigating addiction, mood challenges, or the complicated place where both meet, you deserve care that sees the whole picture — not just one piece of it. Recovery isn't only about stopping something. It's about building a life that makes stopping possible.
(726) 213-6638 View (726) 213-6638
Photo of Jessy Chatha, Clinical Social Work/Therapist, LCSW
Jessy Chatha
Clinical Social Work/Therapist, LCSW
Terrell Heights, San Antonio, TX 78209
Feeling overwhelmed? Do your thoughts and emotions feel all consuming? Are relationship stressors, work, or life transitions, making it hard to feel grounded or hopeful? You don’t have to face it alone. Together, let's explore recurring patterns and develop tools to manage stress more effectively. I provide a warm, culturally sensitive, and collaborative space where my 25+ years of experience guide you in untangling the challenges of trauma, difficult transitions, and emotional blocks—helping you move from feeling stuck to finding clarity. You’ve carried this long enough—let’s take the next step together.
Feeling overwhelmed? Do your thoughts and emotions feel all consuming? Are relationship stressors, work, or life transitions, making it hard to feel grounded or hopeful? You don’t have to face it alone. Together, let's explore recurring patterns and develop tools to manage stress more effectively. I provide a warm, culturally sensitive, and collaborative space where my 25+ years of experience guide you in untangling the challenges of trauma, difficult transitions, and emotional blocks—helping you move from feeling stuck to finding clarity. You’ve carried this long enough—let’s take the next step together.
(469) 523-9284 View (469) 523-9284
Photo of Maryam Siddiqui - Maryam Siddiqui, LPC-S @ Evolve Psychiatry, Licensed Professional Counselor, LPC-S
Maryam Siddiqui, LPC-S @ Evolve Psychiatry
Licensed Professional Counselor, LPC-S
Terrell Heights, San Antonio, TX 78209
Are you carrying the weight of trauma, grief, or a mental health diagnosis that has made it hard to feel stable, safe, or like yourself? Whether you're an adult navigating PTSD and emotional upheaval or a parent watching your child struggle with behavioral challenges, the path to clarity can feel impossibly far away. You don't have to find your way there alone — and with the right support, it is closer than you think.
Are you carrying the weight of trauma, grief, or a mental health diagnosis that has made it hard to feel stable, safe, or like yourself? Whether you're an adult navigating PTSD and emotional upheaval or a parent watching your child struggle with behavioral challenges, the path to clarity can feel impossibly far away. You don't have to find your way there alone — and with the right support, it is closer than you think.
(877) 865-2141 View (877) 865-2141
Photo of Ms. Zainub (Zani) Fatta - Zainub Fatta, LMFT @ Evolve Psychiatry, Marriage & Family Therapist, LMFT
Zainub Fatta, LMFT @ Evolve Psychiatry
Marriage & Family Therapist, LMFT
Terrell Heights, San Antonio, TX 78209
Are relationship dynamics, family tension, or the patterns you keep repeating leaving you feeling stuck and disconnected from who you truly are? Whether the struggle is personal, between partners, or felt across the whole family, it rarely exists in isolation — and neither should the solution. You don't have to untangle it alone, and you don't have to choose between getting help as an individual or getting help together. In addition to individual therapy, I specialize in couples and family therapy, helping you gain deeper insight into your patterns and become more of who you truly are.
Are relationship dynamics, family tension, or the patterns you keep repeating leaving you feeling stuck and disconnected from who you truly are? Whether the struggle is personal, between partners, or felt across the whole family, it rarely exists in isolation — and neither should the solution. You don't have to untangle it alone, and you don't have to choose between getting help as an individual or getting help together. In addition to individual therapy, I specialize in couples and family therapy, helping you gain deeper insight into your patterns and become more of who you truly are.
(979) 300-7015 View (979) 300-7015
Photo of Bianca Sanchez - Bianca Sanchez, LPC at Evolve Psychiatry, Licensed Professional Counselor, LPC
Bianca Sanchez, LPC at Evolve Psychiatry
Licensed Professional Counselor, LPC
Terrell Heights, San Antonio, TX 78209
Are emotional highs and lows leaving you drained, disconnected, or at odds with the people you care about most? Whether you're navigating mood swings, negative self-talk, disrupted sleep, or relationship strain, sometimes all it takes is one honest outside perspective to start making sense of it. You don't have to carry this alone — and you don't have to have it all figured out before you reach out.
Are emotional highs and lows leaving you drained, disconnected, or at odds with the people you care about most? Whether you're navigating mood swings, negative self-talk, disrupted sleep, or relationship strain, sometimes all it takes is one honest outside perspective to start making sense of it. You don't have to carry this alone — and you don't have to have it all figured out before you reach out.
(726) 627-5133 View (726) 627-5133
Photo of Ms. Winona Rapose - Winona Rapose, LPC - Evolve Psychiatry, Licensed Professional Counselor, LPC
Winona Rapose, LPC - Evolve Psychiatry
Licensed Professional Counselor, LPC
Terrell Heights, San Antonio, TX 78209
Taking the first step toward therapy is already an act of courage — and you already have more strength than you may realize. Whether you're struggling with anxiety, depression, relationship conflict, or a life transition that's left you feeling unmoored, you deserve a space where that strength is seen, reflected back, and built upon. You are the expert of your own story. I'm here to help you hear it more clearly. During our work together, you'll be treated holistically — encompassing your physical, mental, and spiritual well-being.
Taking the first step toward therapy is already an act of courage — and you already have more strength than you may realize. Whether you're struggling with anxiety, depression, relationship conflict, or a life transition that's left you feeling unmoored, you deserve a space where that strength is seen, reflected back, and built upon. You are the expert of your own story. I'm here to help you hear it more clearly. During our work together, you'll be treated holistically — encompassing your physical, mental, and spiritual well-being.
(844) 796-1214 View (844) 796-1214
Photo of Chelsea Dickson - Chelsea Dickson, PMHNP @ Evolve Psychiatry, MSN, APRN, FNP-C, PMHNP
Chelsea Dickson, PMHNP @ Evolve Psychiatry
Verified Verified
Terrell Heights, San Antonio, TX 78209
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
(210) 940-3989 View (210) 940-3989
Photo of Andrew D. Reichert, Psychologist, PhD, PLLC
Andrew D. Reichert
Psychologist, PhD, PLLC
Terrell Heights, San Antonio, TX 78209
Not accepting new clients
A native of San Antonio, I am a semi-retired Licensed Psychologist with a specialty in completing psychological evaluations for veterans, which I do on a contract basis for a company called Veteran's Evaluation Services (VES). I am no longer taking private therapy clients. My degrees are from Texas A&M University and Duke University.
A native of San Antonio, I am a semi-retired Licensed Psychologist with a specialty in completing psychological evaluations for veterans, which I do on a contract basis for a company called Veteran's Evaluation Services (VES). I am no longer taking private therapy clients. My degrees are from Texas A&M University and Duke University.
(210) 879-3894 View (210) 879-3894

Online Therapists

Dr. Ronald Moore
Verified Verified
San Antonio, TX 78258
Dr. Moore is a Christian practitioner board certified in both Psychiatry and Family Practice and specializes in psychiatric medication management. Although Dr. Moore treats patients across the lifespan, he has a special interest in treating the geriatric population. Dr. Moore has expertise in treating treatment-resistant depression with Transcranial Magnetic Stimulation (TMS). Dr Moore is an Associate Clinical Professor at Johns Hopkins University, South Alabama University, and Texas State University.
Dr. Moore is a Christian practitioner board certified in both Psychiatry and Family Practice and specializes in psychiatric medication management. Although Dr. Moore treats patients across the lifespan, he has a special interest in treating the geriatric population. Dr. Moore has expertise in treating treatment-resistant depression with Transcranial Magnetic Stimulation (TMS). Dr Moore is an Associate Clinical Professor at Johns Hopkins University, South Alabama University, and Texas State University.
(210) 858-5553 View (210) 858-5553
Photo of Svetlana Rangel, Licensed Professional Counselor, LPC
Svetlana Rangel
Licensed Professional Counselor, LPC
San Antonio, TX 78228
Hi there! Welcome to my practice. Do you often find yourself feeling tired and overwhelmed? Therapy can help to feel more connected to yourself and others, to create boundaries, and find more joy. I want to invite you to start the journey of self-discovery, of healing, and finding your path in this life. It could be scary but is so worth it! As someone said," The strongest people are not those who show strength in front of the world but those who fight and win battles others do not know anything about."
Hi there! Welcome to my practice. Do you often find yourself feeling tired and overwhelmed? Therapy can help to feel more connected to yourself and others, to create boundaries, and find more joy. I want to invite you to start the journey of self-discovery, of healing, and finding your path in this life. It could be scary but is so worth it! As someone said," The strongest people are not those who show strength in front of the world but those who fight and win battles others do not know anything about."
(210) 972-1556 View (210) 972-1556
Photo of Rocketa Grace Naron, Marriage & Family Therapist, MA, LMFT
Rocketa Grace Naron
Marriage & Family Therapist, MA, LMFT
1 Endorsed
San Antonio, TX 78258
I see both therapy and coaching as personal training for the psyche. My ideal client is one that is motivated to talk and work with me to develop deeper understandings of themselves and others and create positive changes within themselves and the systems within which they interact. I am also very excited to have added dating coaching to my list of services offered and would love to discuss with you all that dating coaching is and all that it can potentially do for you! Recently added Generating Possibility, Together! to the practice, check out this great group!
I see both therapy and coaching as personal training for the psyche. My ideal client is one that is motivated to talk and work with me to develop deeper understandings of themselves and others and create positive changes within themselves and the systems within which they interact. I am also very excited to have added dating coaching to my list of services offered and would love to discuss with you all that dating coaching is and all that it can potentially do for you! Recently added Generating Possibility, Together! to the practice, check out this great group!
(210) 526-0660 View (210) 526-0660
Photo of Deborah M Daily, Licensed Professional Counselor, MEd, LPC, EMDR
Deborah M Daily
Licensed Professional Counselor, MEd, LPC, EMDR
4 Endorsed
San Antonio, TX 78213
In order to build a mutually cooperative relationship, I develop a safe environment that is supportive, trustworthy, and accepting. I will help you envision a future where today's problems seem manageable, using your personal strengths and experiences to bring about reasonable and realistic outcomes. I believe that individuals have the potential to create solutions suited for them. I will assist you in seeing what may not be working for you, what practices to do more of, as well as celebrate your successes. I will also encourage you to experiment with new approaches to problems and entertain new possibilities for your life.
In order to build a mutually cooperative relationship, I develop a safe environment that is supportive, trustworthy, and accepting. I will help you envision a future where today's problems seem manageable, using your personal strengths and experiences to bring about reasonable and realistic outcomes. I believe that individuals have the potential to create solutions suited for them. I will assist you in seeing what may not be working for you, what practices to do more of, as well as celebrate your successes. I will also encourage you to experiment with new approaches to problems and entertain new possibilities for your life.
(210) 741-8521 View (210) 741-8521
Photo of Amber Santellana, Counsel, Grad, Assoc
Amber Santellana
Verified Verified
San Antonio, TX 78258
Hello! A little about me and the work I enjoy practicing with my clients. I have experience in utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Wellness-Oriented practices to encourage balance in mind, body and lifestyle for optimal health and wellbeing. I have a great passion for supporting children and families, adolescents and young adults through life’s challenges, transitions and big emotions.
Hello! A little about me and the work I enjoy practicing with my clients. I have experience in utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Wellness-Oriented practices to encourage balance in mind, body and lifestyle for optimal health and wellbeing. I have a great passion for supporting children and families, adolescents and young adults through life’s challenges, transitions and big emotions.
(210) 934-4073 View (210) 934-4073
Photo of Jasmine Marie Wagoner, Licensed Professional Counselor Associate
Jasmine Marie Wagoner
Licensed Professional Counselor Associate
1 Endorsed
San Antonio, TX 78232
I work with children, adolescents, and adults who feel overwhelmed, stuck, or are navigating difficult seasons of life. With both personal and professional experience, I strive to meet clients where they are and create a space where they feel understood, supported, and free from judgment. Many people are trying to make sense of what they’re going through and want a way forward, but may not know where to begin.
I work with children, adolescents, and adults who feel overwhelmed, stuck, or are navigating difficult seasons of life. With both personal and professional experience, I strive to meet clients where they are and create a space where they feel understood, supported, and free from judgment. Many people are trying to make sense of what they’re going through and want a way forward, but may not know where to begin.
(210) 934-5237 View (210) 934-5237
Photo of Dr. Kirleen Neely, Licensed Professional Counselor, PhD, LPC-S
Dr. Kirleen Neely
Licensed Professional Counselor, PhD, LPC-S
1 Endorsed
San Antonio, TX 78253
Making the decision to get counseling for your relationship, your self, or teen is one of the hardest things to do. It's even more challenging to find someone you can relate to, and who has the expertise to really help you. At my practice, you're not just another client. I am laser focused on serving a FEW clients extraordinary well. Helping you tackle the insecurities and anxiety that block their success is my specialty. After twenty years of helping clients, I've figured out a thing or two about how to help people change their lives. I'd love to walk with you on this journey, please give me a call.
Making the decision to get counseling for your relationship, your self, or teen is one of the hardest things to do. It's even more challenging to find someone you can relate to, and who has the expertise to really help you. At my practice, you're not just another client. I am laser focused on serving a FEW clients extraordinary well. Helping you tackle the insecurities and anxiety that block their success is my specialty. After twenty years of helping clients, I've figured out a thing or two about how to help people change their lives. I'd love to walk with you on this journey, please give me a call.
(210) 881-7718 View (210) 881-7718
Photo of Alicia Moran, Licensed Professional Counselor, LPC
Alicia Moran
Licensed Professional Counselor, LPC
San Antonio, TX 78253
There can be no transforming of darkness into light ... without emotion." -Jung Emotional Intelligence (EI) is the core of my training. It embraces the past's belief systems that affect your present. It's a state of mind that defines thinking that affects emotion. To become aware is not to change, but to understand and accept.
There can be no transforming of darkness into light ... without emotion." -Jung Emotional Intelligence (EI) is the core of my training. It embraces the past's belief systems that affect your present. It's a state of mind that defines thinking that affects emotion. To become aware is not to change, but to understand and accept.
(210) 966-4051 View (210) 966-4051
Photo of Andrea M Latham, LMSW
Andrea M Latham
Verified Verified
1 Endorsed
San Antonio, TX 78254
I am Andrea Latham, LMSW (Supervised by Charmaine Pigue, LCSW-S). I am a compassionate, empathetic, and active listener with previous experiences working with individuals, families, and groups. In my practice, I use Cognitive Behavioral Therapy, Motivational Interviewing, and Solution-Focused therapy. I am currently working toward obtaining my LCSW by offering psychotherapy and telehealth therapy. My focus is on anxiety, depression, and trauma. I provide a safe space where you can be vulnerable and authentic. My desire is to help you become the best version of yourself and reach a healthy overall well-being.
I am Andrea Latham, LMSW (Supervised by Charmaine Pigue, LCSW-S). I am a compassionate, empathetic, and active listener with previous experiences working with individuals, families, and groups. In my practice, I use Cognitive Behavioral Therapy, Motivational Interviewing, and Solution-Focused therapy. I am currently working toward obtaining my LCSW by offering psychotherapy and telehealth therapy. My focus is on anxiety, depression, and trauma. I provide a safe space where you can be vulnerable and authentic. My desire is to help you become the best version of yourself and reach a healthy overall well-being.
(830) 580-2922 View (830) 580-2922

How does your Therapist compare?

Number of Therapists in Terrell Heights, San Antonio, TX

10+

Average cost per session

$115

Therapists in Terrell Heights, San Antonio, TX who prioritize treating:

100% Depression
100% Anxiety
82% ADHD
82% Grief
82% Trauma and PTSD
82% Women's Issues
73% Parenting

Average years in practice

5 Years

Top 3 insurances accepted

100% Aetna
90% BHS | Behavioral Health Systems
90% Cigna and Evernorth

How Therapists in Terrell Heights, San Antonio, TX see their clients

100% In Person and Online

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Terrell Heights?

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.