Therapists in Bloomington, IN

Photo of Supportive Community Innovations, Psychologist in Bloomington, IN
Supportive Community Innovations
Psychologist
Verified Verified
Bloomington, IN 47403
Supportive Community Innovations is a local business that offers a wide range of therapies to a wide range of individuals and families! Our director is Dr. Julie Chapin–a Licensed Psychologist who oversees our Mental Health Counselors. We have many openings right now for adults and children due to new hires. Please check out our therapists below for more information by clicking on the pics.
Supportive Community Innovations is a local business that offers a wide range of therapies to a wide range of individuals and families! Our director is Dr. Julie Chapin–a Licensed Psychologist who oversees our Mental Health Counselors. We have many openings right now for adults and children due to new hires. Please check out our therapists below for more information by clicking on the pics.
(812) 389-0593 View (812) 389-0593
Photo of Fiora Pizzo, Clinical Social Work/Therapist in Bloomington, IN
Fiora Pizzo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bloomington, IN 47404
Not accepting new clients
ACCEPTING CLIENTS As an LCSW for almost 20 years, I look forward to the opportunity to work with you on your goals. Each of us has the potential for positive change and it is often easier to achieve this with a therapist. I primarily utilize strength-based, systems, trauma, and cognitive behavioral therapy. I have experience empowering individuals facing grief & loss, addiction, MAT, trauma, depression, anxiety, bipolar disorders, as well as other life stressors. Clients include teenagers, young adults, adults, and older adults."When we are no longer able to change the situation, we are challenged to change ourselves" V. Frankl.
ACCEPTING CLIENTS As an LCSW for almost 20 years, I look forward to the opportunity to work with you on your goals. Each of us has the potential for positive change and it is often easier to achieve this with a therapist. I primarily utilize strength-based, systems, trauma, and cognitive behavioral therapy. I have experience empowering individuals facing grief & loss, addiction, MAT, trauma, depression, anxiety, bipolar disorders, as well as other life stressors. Clients include teenagers, young adults, adults, and older adults."When we are no longer able to change the situation, we are challenged to change ourselves" V. Frankl.
(812) 316-6856 View (812) 316-6856
Photo of Daniel Cates, Psychologist in Bloomington, IN
Daniel Cates
Psychologist, PhD
Verified Verified
Bloomington, IN 47404
Do you ever feel "stuck?" We can recognize that something isn't right. But we can't always know exactly what troubles us, how our patterns continue to hamper us, or how we can get "unstuck." Our work together centers on helping you get unstuck. Often, we are the person struggling. Or, it might be that our relationship has reached its endpoint, and we need some help redefining how we will parent our children while no longer living together with our partner. Even more difficult, we might recognize that our children are the ones struggling and we feel helpless to reach them or provide any relief. Feeling stuck can be painful.
Do you ever feel "stuck?" We can recognize that something isn't right. But we can't always know exactly what troubles us, how our patterns continue to hamper us, or how we can get "unstuck." Our work together centers on helping you get unstuck. Often, we are the person struggling. Or, it might be that our relationship has reached its endpoint, and we need some help redefining how we will parent our children while no longer living together with our partner. Even more difficult, we might recognize that our children are the ones struggling and we feel helpless to reach them or provide any relief. Feeling stuck can be painful.
(812) 615-2690 View (812) 615-2690
Photo of Sean Abraham, Clinical Social Work/Therapist in Bloomington, IN
Sean Abraham
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bloomington, IN 47401  (Online Only)
My name is Sean Abraham and I'm a Licensed Clinical Social Worker in Indiana with a Bachelor’s and a Master’s degree in Social Work from Indiana University Bloomington. I have been in the field of social work and therapy for 4 years working with people to solve real problems in their lives. My experience includes working with those who have struggled with substance use, depression, anxiety, loss, communication problems, student life, as well as other mental health concerns. I enjoy being able to work one on one with individuals and witness the life changing journeys that everyone is capable of.
My name is Sean Abraham and I'm a Licensed Clinical Social Worker in Indiana with a Bachelor’s and a Master’s degree in Social Work from Indiana University Bloomington. I have been in the field of social work and therapy for 4 years working with people to solve real problems in their lives. My experience includes working with those who have struggled with substance use, depression, anxiety, loss, communication problems, student life, as well as other mental health concerns. I enjoy being able to work one on one with individuals and witness the life changing journeys that everyone is capable of.
(317) 647-1323 View (317) 647-1323
Photo of Deborah Fisher, Counselor in Bloomington, IN
Deborah Fisher
Counselor, LMHCA
Verified Verified
Bloomington, IN 47401
We all need help at times. Asking for it is not always easy - it is a vulnerable, brave act that requires courage and self-knowledge. Whether you are struggling with anxiety, depression, trauma, life changes (such as immigration, parenthood, loss of a loved one), career or university challenges, suicidal ideation, engaging in addictive, self-harming behaviors or feeling overwhelmed, directionless and lonely, my aim is to help you pay attention to your inner world, and to walk alongside you with kindness and respect to encourage clarity and healing so that you can live the life you desire.
We all need help at times. Asking for it is not always easy - it is a vulnerable, brave act that requires courage and self-knowledge. Whether you are struggling with anxiety, depression, trauma, life changes (such as immigration, parenthood, loss of a loved one), career or university challenges, suicidal ideation, engaging in addictive, self-harming behaviors or feeling overwhelmed, directionless and lonely, my aim is to help you pay attention to your inner world, and to walk alongside you with kindness and respect to encourage clarity and healing so that you can live the life you desire.
(812) 203-5528 View (812) 203-5528
Photo of Cheyann Peckinpaugh, Pre-Licensed Professional in Bloomington, IN
Cheyann Peckinpaugh
Pre-Licensed Professional, MAC
Verified Verified
1 Endorsed
Bloomington, IN 47404  (Online Only)
Have you felt stuck for years, like your foot sinking deeper into a muddy river, making it increasingly difficult to find your way? Life can leave us feeling the same way. The more reactive we become, fighting stress and painful emotions, the harder it is to see clearly through the mud, and we lose sight of who we are.A lack of clarity about yourself can lead to suffering. For years, you may have measured your self-worth through the eyes of others, longing to live in your truth and not someone else's version of who they think you should be.Trauma, dysfunctional families, unmet needs, and chronic anxiety can all muddy the water.
Have you felt stuck for years, like your foot sinking deeper into a muddy river, making it increasingly difficult to find your way? Life can leave us feeling the same way. The more reactive we become, fighting stress and painful emotions, the harder it is to see clearly through the mud, and we lose sight of who we are.A lack of clarity about yourself can lead to suffering. For years, you may have measured your self-worth through the eyes of others, longing to live in your truth and not someone else's version of who they think you should be.Trauma, dysfunctional families, unmet needs, and chronic anxiety can all muddy the water.
(812) 220-3736 View (812) 220-3736
Photo of Kate Minelli, Marriage & Family Therapist in Bloomington, IN
Kate Minelli
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
Bloomington, IN 47408  (Online Only)
I help clients build insight about the barriers keeping them from the life and connection they desire while also developing the tools necessary to make empowered and lasting change. My supportive yet direct style is authentic and compassionate while also being appropriately challenging — creating space for the self-exploration that allows clients to build positive internal & external relationships and experience foundational healing. This collaborative process deepens clients' self-understanding in order to connect them with their own wisdom and ability to navigate life's many challenges and maintain meaningful connections.
I help clients build insight about the barriers keeping them from the life and connection they desire while also developing the tools necessary to make empowered and lasting change. My supportive yet direct style is authentic and compassionate while also being appropriately challenging — creating space for the self-exploration that allows clients to build positive internal & external relationships and experience foundational healing. This collaborative process deepens clients' self-understanding in order to connect them with their own wisdom and ability to navigate life's many challenges and maintain meaningful connections.
(812) 347-4620 View (812) 347-4620
Photo of Cindy Ooley, Clinical Social Work/Therapist in Bloomington, IN
Cindy Ooley
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Bloomington, IN 47401
"I am currently not accepting new clients" Experiencing distress as a result of depression, anxiety, strained relationships, PTSD, women's issues, child sexual abuse, behavioral concerns or issues related to military service? I invite you to contact me to schedule an initial assessment. With more than 10 years experience in mental health services I have worked with many individuals & families to decrease their symptoms, improve their functioning and strengthen their relationships. I would like to help you too. I am a graduate of the University of Missouri-Columbia and licensed in the state of Indiana.
"I am currently not accepting new clients" Experiencing distress as a result of depression, anxiety, strained relationships, PTSD, women's issues, child sexual abuse, behavioral concerns or issues related to military service? I invite you to contact me to schedule an initial assessment. With more than 10 years experience in mental health services I have worked with many individuals & families to decrease their symptoms, improve their functioning and strengthen their relationships. I would like to help you too. I am a graduate of the University of Missouri-Columbia and licensed in the state of Indiana.
(812) 362-5731 View (812) 362-5731
Photo of Dr. Stephanie Trent, Counselor in Bloomington, IN
Dr. Stephanie Trent
Counselor, PhD , LMHC , LCAC
Verified Verified
Bloomington, IN 47405
I specialize in helping those with anxiety, depression, & relationship issues. Whether it is a relational, work, school, or family issue, talking about it with someone often aids in clarity and change. I want to help those individuals/families who are struggling to make sense of the chaos, look for understanding insight, and make those changes that will help them to start feeling more hopeful and excited about life again.
I specialize in helping those with anxiety, depression, & relationship issues. Whether it is a relational, work, school, or family issue, talking about it with someone often aids in clarity and change. I want to help those individuals/families who are struggling to make sense of the chaos, look for understanding insight, and make those changes that will help them to start feeling more hopeful and excited about life again.
(463) 583-9886 View (463) 583-9886
Photo of Kristin Sheikh, Clinical Social Work/Therapist in Bloomington, IN
Kristin Sheikh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bloomington, IN 47404
Welcome to The Center For Somatic Healing! If you feel like you've tried everything to move beyond the pain, loss, or abuse you've experienced, you're not alone. Regular talk therapy can help, but sometimes you need more.
Welcome to The Center For Somatic Healing! If you feel like you've tried everything to move beyond the pain, loss, or abuse you've experienced, you're not alone. Regular talk therapy can help, but sometimes you need more.
(812) 301-8752 View (812) 301-8752
Photo of Eric Esters, Counselor in Bloomington, IN
Eric Esters
Counselor, MA, LMHC, NCC, LPC, MHSP
Verified Verified
1 Endorsed
Bloomington, IN 47408
Waitlist for new clients
As a counselor, I am committed to being present, open, and accepting with you. Much of my practice consists of helping clients heal from trauma and/or substance use. I also work with professionals who are over-stressed or who are adjusting to life with a mental illness or psychological injury.
As a counselor, I am committed to being present, open, and accepting with you. Much of my practice consists of helping clients heal from trauma and/or substance use. I also work with professionals who are over-stressed or who are adjusting to life with a mental illness or psychological injury.
(812) 534-1168 View (812) 534-1168
Photo of Emma Jean McEvilly, Counselor in Bloomington, IN
Emma Jean McEvilly
Counselor, MSEd, CYT1000
Verified Verified
Bloomington, IN 47403
I specialize in helping people of all ages in managing the symptoms of trauma, stress, depression, anxiety, neurodiversity, disordered eating, body image, and more. I am particularly keen on working with people interested in spirtual wellness. I serve all ages, but especially kids to young adults and older adults. I am passionate about working with veterans, LGBTQIA folx, and culturally diverse peoples. I bring warmth, positivity,  kindness, and compassion to my work. I have the utmost regard for each client's unique life story, personality, and goals. I aspire to make you feel seen, heard, and valued as the individual that you are.
I specialize in helping people of all ages in managing the symptoms of trauma, stress, depression, anxiety, neurodiversity, disordered eating, body image, and more. I am particularly keen on working with people interested in spirtual wellness. I serve all ages, but especially kids to young adults and older adults. I am passionate about working with veterans, LGBTQIA folx, and culturally diverse peoples. I bring warmth, positivity,  kindness, and compassion to my work. I have the utmost regard for each client's unique life story, personality, and goals. I aspire to make you feel seen, heard, and valued as the individual that you are.
(812) 502-5234 View (812) 502-5234
Photo of Pamalee Michele Larr, Counselor in Bloomington, IN
Pamalee Michele Larr
Counselor, EdS, LMHC, BCBA
Verified Verified
Bloomington, IN 47401  (Online Only)
My name is Pam Larr EdS, LMHC, BCBA. I have been working with adults and children for over 20 years. I am a Board Certified Behavior Analyst as well as a Licensed Mental Health Counselor. I strive to aid clients in achieving their goals in a safe and welcoming therapeutic space. I specialize in treating both adults and children with autism, anxiety, depression, personality disorders, behavioral challenges, adjustment issues as well as other transitional issues. I conduct parenting training and support parents to learn alternative ways to interact with their child.
My name is Pam Larr EdS, LMHC, BCBA. I have been working with adults and children for over 20 years. I am a Board Certified Behavior Analyst as well as a Licensed Mental Health Counselor. I strive to aid clients in achieving their goals in a safe and welcoming therapeutic space. I specialize in treating both adults and children with autism, anxiety, depression, personality disorders, behavioral challenges, adjustment issues as well as other transitional issues. I conduct parenting training and support parents to learn alternative ways to interact with their child.
(812) 203-4376 View (812) 203-4376
Photo of Sheri Benham, Clinical Social Work/Therapist in Bloomington, IN
Sheri Benham
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Bloomington, IN 47404
Accepting new clients via telehealth and in-person. Building a trusting therapeutic relationship is important in the healing process so I collaborate with you to develop and pursue goals along the way. We will explore self reflection and awareness to build your sense of agency and empowerment.
Accepting new clients via telehealth and in-person. Building a trusting therapeutic relationship is important in the healing process so I collaborate with you to develop and pursue goals along the way. We will explore self reflection and awareness to build your sense of agency and empowerment.
(812) 608-4854 View (812) 608-4854
Photo of Dr. Brad Stepp, Psychologist in Bloomington, IN
Dr. Brad Stepp
Psychologist, PsyD, HSPP
Verified Verified
Bloomington, IN 47408  (Online Only)
Waitlist for new clients
I am only offering telehealth (video and/or phone) services at this time. I am a licensed clinical psychologist with over 18 years of experience treating a wide variety of concerns. These include depression, anxiety, mild to moderate disordered eating, identity issues (LGBTQ+), and difficulties in relationships among others. Prior to March 2023, I served as Director of Indiana University's Counseling and Psychological Services before moving into private practice full-time.
I am only offering telehealth (video and/or phone) services at this time. I am a licensed clinical psychologist with over 18 years of experience treating a wide variety of concerns. These include depression, anxiety, mild to moderate disordered eating, identity issues (LGBTQ+), and difficulties in relationships among others. Prior to March 2023, I served as Director of Indiana University's Counseling and Psychological Services before moving into private practice full-time.
View
Photo of Jennifer Halloran, Clinical Social Work/Therapist in Bloomington, IN
Jennifer Halloran
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bloomington, IN 47404
My practice focuses on teenagers and young adults who struggle with anxiety disorders, including generalized anxiety, social anxiety, phobias, panic and OCD. Our initial meeting will include a phone consultation where I will work to understand what is bringing you to therapy at this time. I am currently seeing clients both in-person and virtually. My office is conveniently located in downtown Bloomington within walking distance of Indiana University.
My practice focuses on teenagers and young adults who struggle with anxiety disorders, including generalized anxiety, social anxiety, phobias, panic and OCD. Our initial meeting will include a phone consultation where I will work to understand what is bringing you to therapy at this time. I am currently seeing clients both in-person and virtually. My office is conveniently located in downtown Bloomington within walking distance of Indiana University.
(812) 969-1911 View (812) 969-1911
Photo of Corinne Qualkinbush, Clinical Social Work/Therapist in Bloomington, IN
Corinne Qualkinbush
Clinical Social Work/Therapist, LSW
Verified Verified
Bloomington, IN 47404
Waitlist for new clients
Corinne will begin accepting new clients in July 2024. Corinne, resident therapist at Compassionate Living Now, believes strongly in cultivating a warm atmosphere where clients can feel heard, validated, and understood. She has a direct and compassionate approach rooted in a desire to see clients build a life worth living. By creating a non-judgmental space, she aims to empower clients to explore their personal histories, build resilience, and discover their inner strengths. Her work centers on facilitating greater self-awareness and insight into the origins of a person’s challenges as a means to lasting change.
Corinne will begin accepting new clients in July 2024. Corinne, resident therapist at Compassionate Living Now, believes strongly in cultivating a warm atmosphere where clients can feel heard, validated, and understood. She has a direct and compassionate approach rooted in a desire to see clients build a life worth living. By creating a non-judgmental space, she aims to empower clients to explore their personal histories, build resilience, and discover their inner strengths. Her work centers on facilitating greater self-awareness and insight into the origins of a person’s challenges as a means to lasting change.
(812) 793-5106 View (812) 793-5106
Photo of Sandy K. Tucker, MS, LMHC, Counselor in Bloomington, IN
Sandy K. Tucker, MS, LMHC
Counselor, MS, LMHC, RPT
Verified Verified
Bloomington, IN 47403
Waitlist for new clients
Therapy is a time to reach out and begin to make changes for how you want your life to be different . . . and a therapist helps you find the courage, gather the tools necessary and choose a path to go after it. I have over 25 years experience working with children, families and individuals to assist them in getting back on track with their lives. Specialty areas include children with behavior issues, recovering from abuse and trauma, and coping with divorce, along with all ages of adults wanting a higher quality of life as a result of anxiety and depression.
Therapy is a time to reach out and begin to make changes for how you want your life to be different . . . and a therapist helps you find the courage, gather the tools necessary and choose a path to go after it. I have over 25 years experience working with children, families and individuals to assist them in getting back on track with their lives. Specialty areas include children with behavior issues, recovering from abuse and trauma, and coping with divorce, along with all ages of adults wanting a higher quality of life as a result of anxiety and depression.
(812) 496-3228 View (812) 496-3228
Photo of Chris Ann Meno, Psychologist in Bloomington, IN
Chris Ann Meno
Psychologist, PhD, HSPP
Verified Verified
Bloomington, IN 47404
Do you want to change something about your life but don't know how? Whether you want to improve your mood, reduce worries/anxious thoughts, change an unwanted behavior, or better manage a tough relationship, individual (one-on-one) counseling can be a very effective tool to help you. My job is to help you identify realistic, concrete steps you can take to make these changes. A client who works with me can expect to identify goal(s) for your counseling, and then together, we'll create a plan for working toward your goals.
Do you want to change something about your life but don't know how? Whether you want to improve your mood, reduce worries/anxious thoughts, change an unwanted behavior, or better manage a tough relationship, individual (one-on-one) counseling can be a very effective tool to help you. My job is to help you identify realistic, concrete steps you can take to make these changes. A client who works with me can expect to identify goal(s) for your counseling, and then together, we'll create a plan for working toward your goals.
(812) 220-3154 View (812) 220-3154
Photo of Lisa Autry, Clinical Social Work/Therapist in Bloomington, IN
Lisa Autry
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Bloomington, IN 47403
We all have challenges we face and in moving through those it is so helpful to have guidance. I see my role as providing a safe space for you to feel comfortable sharing your journey. I can assist you in discovering new insights into your situation, bringing clarity regarding your challenges, recognizing unhelpful ways of thinking, developing new skills and cultivating optimal potential for growth and desired changes. Our relationship that develops and grows is the foundation of the collaborative work we can do offering encouragement and support along the way.
We all have challenges we face and in moving through those it is so helpful to have guidance. I see my role as providing a safe space for you to feel comfortable sharing your journey. I can assist you in discovering new insights into your situation, bringing clarity regarding your challenges, recognizing unhelpful ways of thinking, developing new skills and cultivating optimal potential for growth and desired changes. Our relationship that develops and grows is the foundation of the collaborative work we can do offering encouragement and support along the way.
(812) 732-0087 View (812) 732-0087

How does your Therapist compare?

Number of Therapists in Bloomington, IN

200+

Average cost per session

$125

Therapists in Bloomington, IN who prioritize treating:

94% Anxiety
87% Depression
76% Relationship Issues
76% Trauma and PTSD
73% Coping Skills
73% Self Esteem
72% Stress

Average years in practice

10 Years

Top 3 insurances accepted

80% Anthem | Elevance
78% BlueCross and BlueShield
68% UnitedHealthcare UHC | UBH

How Therapists in Bloomington, IN see their clients

65% In Person and Online
35% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bloomington?

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.