Therapists in Albany, NY

View neighborhoods in Albany
Photo of Aimee O’Keefe, Clinical Social Work/Therapist in Albany, NY
Aimee O’Keefe
Clinical Social Work/Therapist, LCSW-R, BCD
Verified Verified
Albany, NY 12205
Aimee is a Licensed Clinical Social Worker, Board Certified Diplomate and Certified School Social Worker. Aimee has met the highest standards in clinical education, training and experience. She has been a Clinical Social Worker for 25 years. She has extensive experience working with children, adolescents, adults and families. Aimee’s clinical focus is on anxiety, depression, interpersonal, adjustment and family issues.
Aimee is a Licensed Clinical Social Worker, Board Certified Diplomate and Certified School Social Worker. Aimee has met the highest standards in clinical education, training and experience. She has been a Clinical Social Worker for 25 years. She has extensive experience working with children, adolescents, adults and families. Aimee’s clinical focus is on anxiety, depression, interpersonal, adjustment and family issues.
(518) 413-1298 View (518) 413-1298
Photo of Cassandra Wells, Clinical Social Work/Therapist in Albany, NY
Cassandra Wells
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12204  (Online Only)
You did it, you made the difficult step of starting your search for a therapist. Finding a good match for a therapist can depend on many things from atmosphere, form of treatment used, training, and above all the therapeutic relationship.
You did it, you made the difficult step of starting your search for a therapist. Finding a good match for a therapist can depend on many things from atmosphere, form of treatment used, training, and above all the therapeutic relationship.
(518) 407-5188 View (518) 407-5188
Photo of Ranjit Bhagwat, Psychologist in Albany, NY
Ranjit Bhagwat
Psychologist, PhD
Verified Verified
7 Endorsed
Albany, NY 12205
Not accepting new clients
I'm a licensed clinical psychologist with 15+ years in the field specializing in trauma, post-traumatic stress, and substance use / addiction issues. I have particular experience supporting healthcare providers like physicians, psychologists, nurses, social workers, and other medical/mental healthcare workers or allied professions. Clients who seek my help have often had unusual or extraordinary exposures to traumatic violence, assault, war, genocide, hate crimes, abuse, neglect, and/or other significantly harmful stressors that have had a major impact on their lives.
I'm a licensed clinical psychologist with 15+ years in the field specializing in trauma, post-traumatic stress, and substance use / addiction issues. I have particular experience supporting healthcare providers like physicians, psychologists, nurses, social workers, and other medical/mental healthcare workers or allied professions. Clients who seek my help have often had unusual or extraordinary exposures to traumatic violence, assault, war, genocide, hate crimes, abuse, neglect, and/or other significantly harmful stressors that have had a major impact on their lives.
(518) 839-2347 View (518) 839-2347
Photo of Tara McCoy, Clinical Social Work/Therapist in Albany, NY
Tara McCoy
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12203  (Online Only)
For some of us, the challenges around managing our stress, anxiety, and feelings of depression seem extraordinary. Life's challenges can feel dark, heavy, or even impossible to deal with sometimes. Maybe you are experiencing negative and intense mood swings. Maybe you are finding it difficult to carry on at school or work. Maybe you are having trouble connecting with others and are experiencing conflict in your relationships. You might feel inadequate, hopeless, fearful, anxious, and stressed. If this sounds true to you, I want you to know that even though you may feel alone, you are Not.
For some of us, the challenges around managing our stress, anxiety, and feelings of depression seem extraordinary. Life's challenges can feel dark, heavy, or even impossible to deal with sometimes. Maybe you are experiencing negative and intense mood swings. Maybe you are finding it difficult to carry on at school or work. Maybe you are having trouble connecting with others and are experiencing conflict in your relationships. You might feel inadequate, hopeless, fearful, anxious, and stressed. If this sounds true to you, I want you to know that even though you may feel alone, you are Not.
(518) 941-8578 View (518) 941-8578
Photo of Natacha Moten At Nassau Psychology Pc, Licensed Master Social Worker in Albany, NY
Natacha Moten At Nassau Psychology Pc
Licensed Master Social Worker, LMSW
Verified Verified
Albany, NY 12208  (Online Only)
Book an appointment online through our website www.nassaupsychology.org! Natacha graduated with a Master of Social Work from Syracuse University with a focus on child development and family systems. She trained in a variety of settings such as high schools, group homes and foster care while working with adolescents in crisis due to trauma. Natacha has 20+ years of experience supporting women, children and families in various applications of therapy.
Book an appointment online through our website www.nassaupsychology.org! Natacha graduated with a Master of Social Work from Syracuse University with a focus on child development and family systems. She trained in a variety of settings such as high schools, group homes and foster care while working with adolescents in crisis due to trauma. Natacha has 20+ years of experience supporting women, children and families in various applications of therapy.
(518) 989-5851 View (518) 989-5851
Photo of Langlois mental health counseling pllc, Counselor in Albany, NY
Langlois mental health counseling pllc
Counselor, LMHC
Verified Verified
Albany, NY 12203
Feeling lost and not sure which direction to go in? Feeling anxious, depressed, stressed and not sure how to handle it or what to do? Are you having difficulty in a relationship and need some guidance? I can help..
Feeling lost and not sure which direction to go in? Feeling anxious, depressed, stressed and not sure how to handle it or what to do? Are you having difficulty in a relationship and need some guidance? I can help..
(518) 543-4117 View (518) 543-4117
Photo of Jamie Coscia, Clinical Social Work/Therapist in Albany, NY
Jamie Coscia
Clinical Social Work/Therapist, LCSW-R, ACC
Verified Verified
Albany, NY 12203  (Online Only)
If you are looking for real change in your life but feel stuck, you are not alone. I work with people who want to live a different version of their life but feel hopeless that it can change. Sometimes anxiety, depression, childhood trauma or relationship trauma have knocked us down along the journey of life. It is not your fault. Sometimes its hard to get started. Whether you are new to therapy or have been working on your goals already, I can help you live the life you want to live. I can help you unpack, process and move forward.
If you are looking for real change in your life but feel stuck, you are not alone. I work with people who want to live a different version of their life but feel hopeless that it can change. Sometimes anxiety, depression, childhood trauma or relationship trauma have knocked us down along the journey of life. It is not your fault. Sometimes its hard to get started. Whether you are new to therapy or have been working on your goals already, I can help you live the life you want to live. I can help you unpack, process and move forward.
(518) 620-5039 View (518) 620-5039
Photo of Dr. Mitch and Lisa Marriages/Couples Workshops in Albany, NY
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Albany, NY 12207
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 6 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 6 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(518) 901-2753 View (518) 901-2753
Photo of Wounded Healers Institute in Albany, NY
Wounded Healers Institute
PhD
Verified Verified
1 Endorsed
Albany, NY 12210
From our research, we offer the Path of the Wounded Healer for those who are looking for ongoing support, mental wellness, and spiritual care. Through the lens of Positive Psychology and Recovery, we support healing through bodywork, regulation, and psychedelic cannabis as plant medicine. We are a co-op of healers that provide services like somatic-based approaches like Polarity Therapy, Brainspotting, BEMER, Neuro/biofeedback, Reiki, and Cranio-Sacral sessions. We are a spiritual health spa/gym where anyone can exercise their minds, heal through Mindfulness, get accountability for self-care, and individual support.
From our research, we offer the Path of the Wounded Healer for those who are looking for ongoing support, mental wellness, and spiritual care. Through the lens of Positive Psychology and Recovery, we support healing through bodywork, regulation, and psychedelic cannabis as plant medicine. We are a co-op of healers that provide services like somatic-based approaches like Polarity Therapy, Brainspotting, BEMER, Neuro/biofeedback, Reiki, and Cranio-Sacral sessions. We are a spiritual health spa/gym where anyone can exercise their minds, heal through Mindfulness, get accountability for self-care, and individual support.
(518) 757-9734 View (518) 757-9734
Photo of Rebecca Cohen, Mental Health Counselor in Albany, NY
Rebecca Cohen
Mental Health Counselor, MA, LMHC
Verified Verified
Albany, NY 12203
I have a passion for working in the counseling field and have dedicated my career to assisting individuals, couples, and families to live a happier, healthier and more balanced life. I have a great deal of experience in the counseling profession with an extensive background working with depression, bipolarity, anxiety, stress management, communication and life skills, healthy relationships, learning disabilities, ADD/ ADHD, addiction and substance abuse treatment and recovery and more. Additionally, I have facilitated groups in relapse prevention, healthy relationships, anger and emotion management, and problem solving.
I have a passion for working in the counseling field and have dedicated my career to assisting individuals, couples, and families to live a happier, healthier and more balanced life. I have a great deal of experience in the counseling profession with an extensive background working with depression, bipolarity, anxiety, stress management, communication and life skills, healthy relationships, learning disabilities, ADD/ ADHD, addiction and substance abuse treatment and recovery and more. Additionally, I have facilitated groups in relapse prevention, healthy relationships, anger and emotion management, and problem solving.
(518) 348-5615 View (518) 348-5615
Photo of Dr. Brian Freidenberg, Psychologist in Albany, NY
Dr. Brian Freidenberg
Psychologist, PhD
Verified Verified
14 Endorsed
Albany, NY 12205
Hello! I'm Dr. Brian Freidenberg. In therapy, I place the therapeutic relationship above all else. The relationship is the vehicle for change. I believe that a good therapist listens well; is empathic; and provides a safe, empowering, and judgement-free environment. The client and I form a partnership to help the client navigate this great adventure called life. My primary areas of expertise are ADDICTIONS (e.g., substances, sex, video games, phone, social media), ANXIETY, CHILDHOOD and ADOLESCENCE, COLLEGE students, VETERANS, RELATIONSHIPS, TRAUMA, GROUPS, PSYCHOLOGICAL EVALUATIONS, and COGNITIVE BEHAVIORAL THERAPY.
Hello! I'm Dr. Brian Freidenberg. In therapy, I place the therapeutic relationship above all else. The relationship is the vehicle for change. I believe that a good therapist listens well; is empathic; and provides a safe, empowering, and judgement-free environment. The client and I form a partnership to help the client navigate this great adventure called life. My primary areas of expertise are ADDICTIONS (e.g., substances, sex, video games, phone, social media), ANXIETY, CHILDHOOD and ADOLESCENCE, COLLEGE students, VETERANS, RELATIONSHIPS, TRAUMA, GROUPS, PSYCHOLOGICAL EVALUATIONS, and COGNITIVE BEHAVIORAL THERAPY.
(518) 348-8689 View (518) 348-8689
Photo of Desiree Ghisolfi, Licensed Master Social Worker in Albany, NY
Desiree Ghisolfi
Licensed Master Social Worker, LMSW
Verified Verified
Albany, NY 12203
Not accepting new clients
Welcome to the next chapter in your healing story. It takes courage to admit when we are struggling and make that bold first step towards seeking change. I know both personally and through my years of experience counseling others how difficult this can be, and I will guide you through it every step of the way. First and foremost, I provide a warm, genuine, non-judgmental environment for my clients to facilitate healing based on a trusting therapeutic relationship. Fostering a personalized treatment model for each individual client, we collaborate and decide together what style of treatment works best for you.
Welcome to the next chapter in your healing story. It takes courage to admit when we are struggling and make that bold first step towards seeking change. I know both personally and through my years of experience counseling others how difficult this can be, and I will guide you through it every step of the way. First and foremost, I provide a warm, genuine, non-judgmental environment for my clients to facilitate healing based on a trusting therapeutic relationship. Fostering a personalized treatment model for each individual client, we collaborate and decide together what style of treatment works best for you.
View
Photo of Geraldine Gutierrez, Clinical Social Work/Therapist in Albany, NY
Geraldine Gutierrez
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Albany, NY 12205
Not accepting new clients
What would your life look like if you were safe with your mind, body and spirit? What areas of your life feel disconnected from your true values and authentic self? Are you looking for support and tools while navigating anxiety, depression, self-doubt? The stressors and challenges of life can sometimes leave us feeling unequipped. In the therapeutic relationship, we build a trusting space; getting curious about your beliefs, habits and environment. Why are you stuck? What thoughts, beliefs and relationships are nourishing you? What's blocking you from developing new healthy habits, connecting with loved ones, practicing self care?
What would your life look like if you were safe with your mind, body and spirit? What areas of your life feel disconnected from your true values and authentic self? Are you looking for support and tools while navigating anxiety, depression, self-doubt? The stressors and challenges of life can sometimes leave us feeling unequipped. In the therapeutic relationship, we build a trusting space; getting curious about your beliefs, habits and environment. Why are you stuck? What thoughts, beliefs and relationships are nourishing you? What's blocking you from developing new healthy habits, connecting with loved ones, practicing self care?
(518) 840-0609 View (518) 840-0609
Photo of Michelle Williams, Licensed Master Social Worker in Albany, NY
Michelle Williams
Licensed Master Social Worker, LMSW
Verified Verified
4 Endorsed
Albany, NY 12205
Are you struggling with Family Issues, Anxiety, Depression or you just need a safe space to talk? I aspire to help individuals and families that are strained by various behavioral concerns and relationship conflicts. My goal is to enable individuals and families to identify and understand the problem. All problems, issues or worries can have achievable outcomes as you are willing to do the work. As your therapist I believe in you, your strength and willingness to overcome and accomplish the goals you desire.
Are you struggling with Family Issues, Anxiety, Depression or you just need a safe space to talk? I aspire to help individuals and families that are strained by various behavioral concerns and relationship conflicts. My goal is to enable individuals and families to identify and understand the problem. All problems, issues or worries can have achievable outcomes as you are willing to do the work. As your therapist I believe in you, your strength and willingness to overcome and accomplish the goals you desire.
(518) 519-3761 View (518) 519-3761
Photo of Tatiana Taylor, Clinical Social Work/Therapist in Albany, NY
Tatiana Taylor
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Albany, NY 12203  (Online Only)
Help! What can I do when my thoughts leave me feeling overwhelmed and trapped in my own head? Enhancing your coping skills is a great start! I can help you unpack your negative thoughts, and empower you to create positive, affirming ones. Together, we will get you better acquainted with your emotions, and help you gain a sense of clarity and peace. I support individuals of all ages who need help managing and overcoming Anxiety, Depression, Mood disorders, Bi-polar disorder, and ADHD. I am also LGBTQIA+ and BIPOC aligned.
Help! What can I do when my thoughts leave me feeling overwhelmed and trapped in my own head? Enhancing your coping skills is a great start! I can help you unpack your negative thoughts, and empower you to create positive, affirming ones. Together, we will get you better acquainted with your emotions, and help you gain a sense of clarity and peace. I support individuals of all ages who need help managing and overcoming Anxiety, Depression, Mood disorders, Bi-polar disorder, and ADHD. I am also LGBTQIA+ and BIPOC aligned.
(845) 439-2062 View (845) 439-2062
Photo of Maria Bove, Clinical Social Work/Therapist in Albany, NY
Maria Bove
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12204  (Online Only)
I believe that therapy is a process meant to help people achieve greater peace and happiness, living the life they envision. With guidance you are in charge of your treatment. Therapy will help you tap into your innate strengths and talents. I have 25 years of experience counseling individuals, families and couples. I will bring compassion and knowledge to our work using a patient-centered approach.
I believe that therapy is a process meant to help people achieve greater peace and happiness, living the life they envision. With guidance you are in charge of your treatment. Therapy will help you tap into your innate strengths and talents. I have 25 years of experience counseling individuals, families and couples. I will bring compassion and knowledge to our work using a patient-centered approach.
(518) 285-0760 View (518) 285-0760
Photo of Thelma Costello,MS,LMHC, SAP, PC, Counselor in Albany, NY
Thelma Costello,MS,LMHC, SAP, PC
Counselor, MS, LMHC, PC, MAC, SAP
Verified Verified
Albany, NY 12205
If you would like to Book an appointment please visit my website at.... www.thelmacostello.com I work with a wide range of behavioral approaches that provide and improve the quality of life people are looking for in their lives. In a quiet comfortable and supportive office, I offer an advanced personalized approach tailored to each individuals needs to help attain the individual growth people are striving for. At the present time in addition to face to face counseling , I am now available for Virtual and Telehealth sessions.at www.thelmacostello.com
If you would like to Book an appointment please visit my website at.... www.thelmacostello.com I work with a wide range of behavioral approaches that provide and improve the quality of life people are looking for in their lives. In a quiet comfortable and supportive office, I offer an advanced personalized approach tailored to each individuals needs to help attain the individual growth people are striving for. At the present time in addition to face to face counseling , I am now available for Virtual and Telehealth sessions.at www.thelmacostello.com
(518) 255-8788 View (518) 255-8788
Photo of New Day Intervention Strategies, LLC, Clinical Social Work/Therapist in Albany, NY
New Day Intervention Strategies, LLC
Clinical Social Work/Therapist, LCSW-R, CAMSII
Verified Verified
Albany, NY 12206  (Online Only)
New Day Intervention Strategies, LLC is committed to providing anger management treatment, individual counseling and education services that utilize simple, effective strategies to overcome barriers to healing and further promote successful outcomes for children and families.
New Day Intervention Strategies, LLC is committed to providing anger management treatment, individual counseling and education services that utilize simple, effective strategies to overcome barriers to healing and further promote successful outcomes for children and families.
(518) 412-3061 View (518) 412-3061
Photo of Karen Johnson-Williams, Clinical Social Work/Therapist in Albany, NY
Karen Johnson-Williams
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12205
Over the course of the past 20 years, I have had the honor of treating youth, adults, families, and couples who have worked through adjustment issues, grief, trauma, anxiety, depression, identity, relationship challenges, infertility, coping with a chronic illness, and conflict resolution.
Over the course of the past 20 years, I have had the honor of treating youth, adults, families, and couples who have worked through adjustment issues, grief, trauma, anxiety, depression, identity, relationship challenges, infertility, coping with a chronic illness, and conflict resolution.
(518) 760-6632 View (518) 760-6632
Photo of Joshua L Gelber, Clinical Social Work/Therapist in Albany, NY
Joshua L Gelber
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Albany, NY 12205
I offer support and guidance to children, adolescents, families and individual adults utilizing my training and experience with family-systems and cognitive-behavioral therapies. My clinical orientation is person-centered, meaning, I am guided by genuine positive regard for my clients and a firm belief that my clients are capable of improving their quality of life. I have a reputation for warmth, compassion and good humor among the many individuals and families with whom I have worked.
I offer support and guidance to children, adolescents, families and individual adults utilizing my training and experience with family-systems and cognitive-behavioral therapies. My clinical orientation is person-centered, meaning, I am guided by genuine positive regard for my clients and a firm belief that my clients are capable of improving their quality of life. I have a reputation for warmth, compassion and good humor among the many individuals and families with whom I have worked.
(518) 621-4634 x108 View (518) 621-4634 x108

How does your Therapist compare?

Number of Therapists in Albany, NY

500+

Average cost per session

$130

Therapists in Albany, NY who prioritize treating:

94% Anxiety
87% Depression
76% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
74% Stress
70% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
57% UnitedHealthcare UHC | UBH
51% Cigna and Evernorth

How Therapists in Albany, NY see their clients

51% In Person and Online
49% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Albany?

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.