Therapists in Westby, WI

Photo of Dean Saner, Psychologist, PsyD
Dean Saner
Psychologist, PsyD
Serves Area
As a practicing clinical psychologist since 1998, I have developed expertise in several areas of therapy. In general practice, working with clientele ages 10 and up, I work with many individuals with depression, anxiety, and anger management issues. I also enjoy working with couples, utilizing the Gottman method frequently in improving relationships. Finally, working with parents on behavioral management of children rounds out my practice. I often consult with general practitioners to help with chronic pain and medical issues, along with local psychiatric professionals on clients requiring psychotropic medications.
As a practicing clinical psychologist since 1998, I have developed expertise in several areas of therapy. In general practice, working with clientele ages 10 and up, I work with many individuals with depression, anxiety, and anger management issues. I also enjoy working with couples, utilizing the Gottman method frequently in improving relationships. Finally, working with parents on behavioral management of children rounds out my practice. I often consult with general practitioners to help with chronic pain and medical issues, along with local psychiatric professionals on clients requiring psychotropic medications.
(608) 467-4531 View (608) 467-4531
Photo of Susan Kopp Townsley, Clinical Social Work/Therapist, LCSW
Susan Kopp Townsley
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Not accepting new clients
Susan is a Licensed Independent Clinical Social Worker and has been practicing since 1991. She has experience working with anxiety, post traumatic stress disorder, reactive attachment disorder, couples, families, individuals and children. Susan has specialized training in EMDR, Theraplay, Emotionally Focused Couples Therapy, Stress Management, and Guided Imagery. When you enter Susan's office you will find yourself in a peaceful place. Susan will be there to partner with you to help you find your own healing path.
Susan is a Licensed Independent Clinical Social Worker and has been practicing since 1991. She has experience working with anxiety, post traumatic stress disorder, reactive attachment disorder, couples, families, individuals and children. Susan has specialized training in EMDR, Theraplay, Emotionally Focused Couples Therapy, Stress Management, and Guided Imagery. When you enter Susan's office you will find yourself in a peaceful place. Susan will be there to partner with you to help you find your own healing path.
(608) 406-4901 View (608) 406-4901

More Therapists Nearby

Photo of Tracy Faust, Counselor, LPC
Tracy Faust
Counselor, LPC
Online Only
Hello, I am Tracy Faust, a Licensed Professional Counselor holding licenses to practice in Wisconsin, Vermont, and Delaware - and soon to be also in South Carolina. I work with various individuals from many different backgrounds and presenting with a myriad of symptoms and symptom sets. I am not trained in EMDR or treatment of eating disorders. I am a proponent of client-based services - person centered, as well as Cognitive Behavioral Therapy, Trauma Therapy, Solution Focused Therapy, and Mindfulness techniques. Working with me feels like one is being heard, and also challenged to improve.
Hello, I am Tracy Faust, a Licensed Professional Counselor holding licenses to practice in Wisconsin, Vermont, and Delaware - and soon to be also in South Carolina. I work with various individuals from many different backgrounds and presenting with a myriad of symptoms and symptom sets. I am not trained in EMDR or treatment of eating disorders. I am a proponent of client-based services - person centered, as well as Cognitive Behavioral Therapy, Trauma Therapy, Solution Focused Therapy, and Mindfulness techniques. Working with me feels like one is being heard, and also challenged to improve.
(414) 946-6494 View (414) 946-6494
Photo of Sheridan Kaatz, Marriage & Family Therapist, MA, MFT-IT
Sheridan Kaatz
Marriage & Family Therapist, MA, MFT-IT
2 Endorsed
Onalaska, WI 54650
Accepting new clients! You're ready to move beyond survival mode and step into a life where you can thrive. Maybe you’re exhausted from trying to hold it all together. You feel anxious about keeping up, worry you’re not enough, or question who you are in this season of life. Relationships feel complicated, your inner critic is loud, and even small decisions are overwhelming. It feels like too much to carry alone, and it’s natural to long for relief, clarity, and a sense of confidence again.
Accepting new clients! You're ready to move beyond survival mode and step into a life where you can thrive. Maybe you’re exhausted from trying to hold it all together. You feel anxious about keeping up, worry you’re not enough, or question who you are in this season of life. Relationships feel complicated, your inner critic is loud, and even small decisions are overwhelming. It feels like too much to carry alone, and it’s natural to long for relief, clarity, and a sense of confidence again.
(608) 470-8344 View (608) 470-8344
Photo of Jo Marie Thompson, Clinical Social Work/Therapist, MSW, APSW, RN, MN
Jo Marie Thompson
Clinical Social Work/Therapist, MSW, APSW, RN, MN
La Crosse, WI 54601
Waitlist for new clients
My practice focuses on individuals 30 and older, who are experiencing anxiety & depression, grief & loss, the effects of trauma, existential dilemmas, major life transitions including mid-life and end of life, or simply know they have inner work and exploration to do. I work primarily within a Jungian depth psychology tradition which reveals meaning, mystery and connection in the narratives of our lives, dreams and imagination. Dream work is a primary modality of this work.
My practice focuses on individuals 30 and older, who are experiencing anxiety & depression, grief & loss, the effects of trauma, existential dilemmas, major life transitions including mid-life and end of life, or simply know they have inner work and exploration to do. I work primarily within a Jungian depth psychology tradition which reveals meaning, mystery and connection in the narratives of our lives, dreams and imagination. Dream work is a primary modality of this work.
(608) 564-5289 View (608) 564-5289
Photo of Tracy Faust, Counselor, LPC
Tracy Faust
Counselor, LPC
Online Only
Hello, I am Tracy Faust, a Licensed Professional Counselor holding licenses to practice in Wisconsin, Vermont, and Delaware - and soon to be also in South Carolina. I work with various individuals from many different backgrounds and presenting with a myriad of symptoms and symptom sets. I am not trained in EMDR or treatment of eating disorders. I am a proponent of client-based services - person centered, as well as Cognitive Behavioral Therapy, Trauma Therapy, Solution Focused Therapy, and Mindfulness techniques. Working with me feels like one is being heard, and also challenged to improve.
Hello, I am Tracy Faust, a Licensed Professional Counselor holding licenses to practice in Wisconsin, Vermont, and Delaware - and soon to be also in South Carolina. I work with various individuals from many different backgrounds and presenting with a myriad of symptoms and symptom sets. I am not trained in EMDR or treatment of eating disorders. I am a proponent of client-based services - person centered, as well as Cognitive Behavioral Therapy, Trauma Therapy, Solution Focused Therapy, and Mindfulness techniques. Working with me feels like one is being heard, and also challenged to improve.
(414) 310-6542 View (414) 310-6542
Photo of George Lough, Psychologist, PhD, SEP, NARM
George Lough
Psychologist, PhD, SEP, NARM
Online Only
If you grew up in a dysfunctional family it is essential to understand and heal from the emotional wounds you suffered in that environment. You internalized bad relationship styles. Your wounds may appear in the form of excessive fears, unexplained sadness, inappropriate expressions of anger and an inability to be creative. Facing the truth about your emotional wounds can give you the freedom to be your true self. In our therapy I'll provide you with the support and guidance you need, bringing a spiritual perspective, giving you an understanding of how your past affects your present.
If you grew up in a dysfunctional family it is essential to understand and heal from the emotional wounds you suffered in that environment. You internalized bad relationship styles. Your wounds may appear in the form of excessive fears, unexplained sadness, inappropriate expressions of anger and an inability to be creative. Facing the truth about your emotional wounds can give you the freedom to be your true self. In our therapy I'll provide you with the support and guidance you need, bringing a spiritual perspective, giving you an understanding of how your past affects your present.
(323) 629-8121 View (323) 629-8121
Photo of JoLanda Rogers, Licensed Professional Counselor, LPC, SAC, CCTP, MS, MEd
JoLanda Rogers
Licensed Professional Counselor, LPC, SAC, CCTP, MS, MEd
Online Only
My therapeutic style is best for those yearning for more than surface-level solutions. You've tried to "power through" functioning depression, overwhelming stress, or the nagging sense of self-doubt and self-contempt. You are dedicated to your personal growth but need help to take the next step forward. I'm here. My style offers a safe place to be honest about your struggles and an authentic relationship honoring the deeper spiritual and emotional dimensions of your life.
My therapeutic style is best for those yearning for more than surface-level solutions. You've tried to "power through" functioning depression, overwhelming stress, or the nagging sense of self-doubt and self-contempt. You are dedicated to your personal growth but need help to take the next step forward. I'm here. My style offers a safe place to be honest about your struggles and an authentic relationship honoring the deeper spiritual and emotional dimensions of your life.
(414) 710-2961 View (414) 710-2961
Photo of Kristal Wichman, Clinical Social Work/Therapist, LCSW
Kristal Wichman
Clinical Social Work/Therapist, LCSW
Online Only
Let’s work together to help you regain balance. Whether you’re facing relationship issues, divorce, attachment concerns, or recent trauma and anxiety, I’m here to support you. I hold Bachelor’s and Master’s degrees in Social Work and am a Licensed Clinical Social Worker (LCSW), currently operating Balanced Solution Therapies. With 24 years of experience as a social worker and over 10 years in therapy, I’ve worked with individuals, couples, and groups across a wide age range, from 6 to 86. Currently, I focus on adults and individuals.
Let’s work together to help you regain balance. Whether you’re facing relationship issues, divorce, attachment concerns, or recent trauma and anxiety, I’m here to support you. I hold Bachelor’s and Master’s degrees in Social Work and am a Licensed Clinical Social Worker (LCSW), currently operating Balanced Solution Therapies. With 24 years of experience as a social worker and over 10 years in therapy, I’ve worked with individuals, couples, and groups across a wide age range, from 6 to 86. Currently, I focus on adults and individuals.
(920) 245-8529 View (920) 245-8529
Photo of Kayla Ryba, Licensed Professional Counselor, LPC
Kayla Ryba
Licensed Professional Counselor, LPC
1 Endorsed
Onalaska, WI 54650
I have experience with people from all stages of life. I work with clients to discuss trauma, effective communication skills, problem solving, grief, relationship issues, and self-esteem. I believe in a systems approach where I assist people with their presenting concerns and making lasting changes for their future. I am here to listen to what each person needs from therapy and adjusts my approach to best suit every client I sit with. Making it so that you have a partner in walking through whatever challenges have brought you to my couch.
I have experience with people from all stages of life. I work with clients to discuss trauma, effective communication skills, problem solving, grief, relationship issues, and self-esteem. I believe in a systems approach where I assist people with their presenting concerns and making lasting changes for their future. I am here to listen to what each person needs from therapy and adjusts my approach to best suit every client I sit with. Making it so that you have a partner in walking through whatever challenges have brought you to my couch.
(608) 903-1986 View (608) 903-1986
Photo of Shaylyn Goldbeck, LPC Intern, MS, LPC-IT
Shaylyn Goldbeck
LPC Intern, MS, LPC-IT
2 Endorsed
La Crosse, WI 54601
I provide free therapy services to uninsured and underserved individuals in our community. I work with people ages 12 and up, supporting them through challenges like anxiety, depression, trauma, behavioral concerns, and life transitions. Whether you’re feeling stuck, overwhelmed, or simply need someone to talk to—you don’t have to face it alone.
I provide free therapy services to uninsured and underserved individuals in our community. I work with people ages 12 and up, supporting them through challenges like anxiety, depression, trauma, behavioral concerns, and life transitions. Whether you’re feeling stuck, overwhelmed, or simply need someone to talk to—you don’t have to face it alone.
(608) 409-8019 View (608) 409-8019
Photo of Delaney Kauffman, Counselor, MS, LPC
Delaney Kauffman
Counselor, MS, LPC
3 Endorsed
La Crosse, WI 54601
Waitlist for new clients
Delaney is a licensed professional counselor and works with children, adolescents, and adults. She received her bachelor's degree from University of Wisconsin-Green Bay and her Master of Science in Clinical Mental Health Counseling from University of Wisconsin-Superior. Delaney has a special interest in working with those who are struggling with grief and loss, anxiety, trauma, OCD, ADHD and significant life changes. Delaney uses a person-centered approach which helps create a warm, compassionate, and safe environment so feelings can be shared without fear of judgement.
Delaney is a licensed professional counselor and works with children, adolescents, and adults. She received her bachelor's degree from University of Wisconsin-Green Bay and her Master of Science in Clinical Mental Health Counseling from University of Wisconsin-Superior. Delaney has a special interest in working with those who are struggling with grief and loss, anxiety, trauma, OCD, ADHD and significant life changes. Delaney uses a person-centered approach which helps create a warm, compassionate, and safe environment so feelings can be shared without fear of judgement.
(608) 453-8140 View (608) 453-8140
Photo of Tara Farmer, Licensed Professional Counselor, LPC, CSW
Tara Farmer
Licensed Professional Counselor, LPC, CSW
1 Endorsed
La Crosse, WI 54601
Accepting New Clients. Are you tired of your anxiety, worry, or intrusive thoughts ruining your life and getting in the way of what is actually important to you? I have a passion for working with some of the toughest themes of ANXIETY and/or OCD. I can help you create ways to cope and respond differently to the worry, doubt and uncertainty, so that you can be present in your life and work towards your values. Imagine what it would be like if your anxiety was not so powerful? What would be different?
Accepting New Clients. Are you tired of your anxiety, worry, or intrusive thoughts ruining your life and getting in the way of what is actually important to you? I have a passion for working with some of the toughest themes of ANXIETY and/or OCD. I can help you create ways to cope and respond differently to the worry, doubt and uncertainty, so that you can be present in your life and work towards your values. Imagine what it would be like if your anxiety was not so powerful? What would be different?
(608) 200-2683 View (608) 200-2683
Photo of Stephanie Varilek, Clinical Social Work/Therapist, APSW, MSW
Stephanie Varilek
Clinical Social Work/Therapist, APSW, MSW
1 Endorsed
La Crosse, WI 54601
Welcome—I'm Stephanie, an APSW providing therapy under the supervision of a licensed clinical provider. I’m committed to supporting individuals as they work toward emotional wellness and meaningful life change. My goal is to offer a warm, inclusive, and nonjudgmental space where you can feel safe, heard, and understood. I work with clients experiencing anxiety, depression, stress, life transitions, identity concerns, and self-esteem challenges. Whether you're navigating a difficult season or wanting to better understand yourself, we’ll move at a pace that feels right for you.
Welcome—I'm Stephanie, an APSW providing therapy under the supervision of a licensed clinical provider. I’m committed to supporting individuals as they work toward emotional wellness and meaningful life change. My goal is to offer a warm, inclusive, and nonjudgmental space where you can feel safe, heard, and understood. I work with clients experiencing anxiety, depression, stress, life transitions, identity concerns, and self-esteem challenges. Whether you're navigating a difficult season or wanting to better understand yourself, we’ll move at a pace that feels right for you.
(608) 927-6416 View (608) 927-6416
Photo of Areta Wasiunec, Counselor, LCPC
Areta Wasiunec
Counselor, LCPC
1 Endorsed
Serves Area
I bring nearly ten years of experience in guiding adults of all ages through their therapy journeys. My background spans inpatient hospital settings, outpatient community mental health centers, specialized outpatient clinics, and private practice, equipping me with a broad perspective on mental wellness. I hold a holistic view of therapy and emphasize the importance of nurturing overall health and wellness. I encourage clients to examine their habits, relationship dynamics, and lifestyle choices as integral components of mental health. I empower clients to uncover and overcome the barriers to their personal growth.
I bring nearly ten years of experience in guiding adults of all ages through their therapy journeys. My background spans inpatient hospital settings, outpatient community mental health centers, specialized outpatient clinics, and private practice, equipping me with a broad perspective on mental wellness. I hold a holistic view of therapy and emphasize the importance of nurturing overall health and wellness. I encourage clients to examine their habits, relationship dynamics, and lifestyle choices as integral components of mental health. I empower clients to uncover and overcome the barriers to their personal growth.
(773) 825-5243 View (773) 825-5243
Photo of Angel Olson, Clinical Social Work/Therapist, APSW, SAC-IT
Angel Olson
Clinical Social Work/Therapist, APSW, SAC-IT
1 Endorsed
Online Only
Feeling stuck or overwhelmed? You are not alone! When things get hard, we can all use a bit of inspiration and guidance. I’m here to help you take control of your life; to recognize your ability, to find meaning, and belonging.
Feeling stuck or overwhelmed? You are not alone! When things get hard, we can all use a bit of inspiration and guidance. I’m here to help you take control of your life; to recognize your ability, to find meaning, and belonging.
(608) 440-2263 View (608) 440-2263
Photo of Patricia L Weiner, Clinical Social Work/Therapist, MSW, LCSW
Patricia L Weiner
Clinical Social Work/Therapist, MSW, LCSW
Online Only
The most important thing I have learned from twenty years as a Licensed Clinical Social Worker is the power of relationships to transform lives. Connecting to your lived experience allows me to respond to your needs in a meaningful and productive way. Currently, I offer online services only and have succeeded in creating a virtual environment where you feel safe; accepted; and able to express yourself freely, take emotional risks, and challenge the mindsets that hold you back. Together, we will achieve your goals.
The most important thing I have learned from twenty years as a Licensed Clinical Social Worker is the power of relationships to transform lives. Connecting to your lived experience allows me to respond to your needs in a meaningful and productive way. Currently, I offer online services only and have succeeded in creating a virtual environment where you feel safe; accepted; and able to express yourself freely, take emotional risks, and challenge the mindsets that hold you back. Together, we will achieve your goals.
(608) 705-7644 View (608) 705-7644
Photo of Gregg Scharf, Licensed Professional Counselor, MS, LPC, CSAC
Gregg Scharf
Licensed Professional Counselor, MS, LPC, CSAC
La Crosse, WI 54601
I have experience working in a variety of clinical settings treating both mental health and addiction issues simultaneously or separately. I offer court-ordered alcohol and drug assessments, DOT assessments as a certified Substance Abuse Professional (SAP), as well as attorney-ordered assessments. What makes my approach unique, is my ability to adapt treatment to fit your specific needs thereby making a complicated process a little more manageable. When a problem is viewed in a way never considered before, is the beginning point for effective and meaningful therapy.
I have experience working in a variety of clinical settings treating both mental health and addiction issues simultaneously or separately. I offer court-ordered alcohol and drug assessments, DOT assessments as a certified Substance Abuse Professional (SAP), as well as attorney-ordered assessments. What makes my approach unique, is my ability to adapt treatment to fit your specific needs thereby making a complicated process a little more manageable. When a problem is viewed in a way never considered before, is the beginning point for effective and meaningful therapy.
(608) 466-4762 View (608) 466-4762
Photo of Heather Muntz, Clinical Social Work/Therapist, LISW, LCSW
Heather Muntz
Clinical Social Work/Therapist, LISW, LCSW
Serves Area
I support adults navigating anxiety, depression, trauma, grief, relationship challenges, and life transitions. My approach is compassionate, down-to-earth, and collaborative. I believe therapy should feel like a safe and genuine space to be fully yourself. A special passion of mine is supporting college students and young adults. I empathize how stressful it can be to juggle classes, relationships, expectations, and the pressure to “figure it all out.” I love helping clients slow down, reconnect with who they are, and discover what feels meaningful and energizing.
I support adults navigating anxiety, depression, trauma, grief, relationship challenges, and life transitions. My approach is compassionate, down-to-earth, and collaborative. I believe therapy should feel like a safe and genuine space to be fully yourself. A special passion of mine is supporting college students and young adults. I empathize how stressful it can be to juggle classes, relationships, expectations, and the pressure to “figure it all out.” I love helping clients slow down, reconnect with who they are, and discover what feels meaningful and energizing.
(563) 724-5074 View (563) 724-5074
Photo of Jay Clark, Licensed Professional Counselor, LPC, LPCC
Jay Clark
Licensed Professional Counselor, LPC, LPCC
La Crosse, WI 54601
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
(608) 302-6917 View (608) 302-6917

How does your Therapist compare?

Number of Therapists in Westby, WI

< 10

Therapists in Westby, WI who prioritize treating:

50% Relationship Issues
50% Depression
50% Anxiety
50% Child
50% Grief
50% Parenting
50% Trauma and PTSD

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Group Health Incorporated (GHI)
100% Medicaid

How Therapists in Westby, WI see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Westby?

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.