Therapists in Carnegie, PA

Photo of Kyle W. Wagner, Licensed Professional Counselor in Carnegie, PA
Kyle W. Wagner
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Carnegie, PA 15106
Hello, and Congrats on taking your first step towards self-improvement! My main approaches are cognitive and trauma therapies. Our thoughts, our beliefs, and even our inner voice strongly shape our emotions. When unfortunate events happen in our lives, we try our best to make sense of these events and what our lives have now become. As we adjust our thoughts and beliefs, our emotions have to follow. I combine CBT, trauma therapy, brief/solution focused, and EMDR. I work with traumas, grief/loss, anxiety, depression, addictive behaviors, toxic work places, toxic relationships, adjusting to changes in life, and low self confidence.
Hello, and Congrats on taking your first step towards self-improvement! My main approaches are cognitive and trauma therapies. Our thoughts, our beliefs, and even our inner voice strongly shape our emotions. When unfortunate events happen in our lives, we try our best to make sense of these events and what our lives have now become. As we adjust our thoughts and beliefs, our emotions have to follow. I combine CBT, trauma therapy, brief/solution focused, and EMDR. I work with traumas, grief/loss, anxiety, depression, addictive behaviors, toxic work places, toxic relationships, adjusting to changes in life, and low self confidence.
(412) 727-8281 View (412) 727-8281
Photo of Diane Peters Mayer, Clinical Social Work/Therapist in Carnegie, PA
Diane Peters Mayer
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Carnegie, PA 15106  (Online Only)
If you have anxiety attacks the distressing physical and mental symptoms may leave you feeling frightened, exhausted and even "crazy" at times. Depression may make it hard to just get out of bed in the morning. Conflict in your personal or professional life could have made you angry, dissatisfied, feeling lost or trapped. This is where I come in. Through our therapeutic relationship based on my deep respect for your feelings and uniqueness and with my clinical expertise, we journey down a path of healing toward a more rewarding and freer life for you.
If you have anxiety attacks the distressing physical and mental symptoms may leave you feeling frightened, exhausted and even "crazy" at times. Depression may make it hard to just get out of bed in the morning. Conflict in your personal or professional life could have made you angry, dissatisfied, feeling lost or trapped. This is where I come in. Through our therapeutic relationship based on my deep respect for your feelings and uniqueness and with my clinical expertise, we journey down a path of healing toward a more rewarding and freer life for you.
(215) 688-5858 View (215) 688-5858
Photo of Melissa Cole, Licensed Professional Counselor in Carnegie, PA
Melissa Cole
Licensed Professional Counselor, MS, LPC, PMH-C
Verified Verified
2 Endorsed
Carnegie, PA 15106
Something has to change ... you recognize it is time to make a change but actually making that change can be overwhelming. We become comfortable with those unhealthy/unhelpful thoughts and behaviors because at least we know what to expect ... the same disappointments. With over 20 years of experience working with individuals and families, addressing anxiety, depression, life transitions and family conflicts, allow me to help you to identify the life patterns that are no longer serving you and help you to write a new life script.
Something has to change ... you recognize it is time to make a change but actually making that change can be overwhelming. We become comfortable with those unhealthy/unhelpful thoughts and behaviors because at least we know what to expect ... the same disappointments. With over 20 years of experience working with individuals and families, addressing anxiety, depression, life transitions and family conflicts, allow me to help you to identify the life patterns that are no longer serving you and help you to write a new life script.
(412) 204-6259 View (412) 204-6259
Photo of Mark Brandebura, Licensed Professional Counselor in Carnegie, PA
Mark Brandebura
Licensed Professional Counselor, MA, LPC
Verified Verified
Carnegie, PA 15106
Experiences like a persistent state of sadness, anxiety or even anger/resentment can leave you feeling stuck. After a while, being stuck can create frustration and feelings of loneliness. Over a decade of experience in the mental health field has taught me the strength of the therapeutic relationship in supporting people to free themselves from excessive emotional pain and to create new opportunities for happiness, excitement and peace of mind.
Experiences like a persistent state of sadness, anxiety or even anger/resentment can leave you feeling stuck. After a while, being stuck can create frustration and feelings of loneliness. Over a decade of experience in the mental health field has taught me the strength of the therapeutic relationship in supporting people to free themselves from excessive emotional pain and to create new opportunities for happiness, excitement and peace of mind.
(412) 386-0080 View (412) 386-0080
Photo of Metanoia Wellness LLC, Licensed Professional Counselor in Carnegie, PA
Metanoia Wellness LLC
Licensed Professional Counselor, MS, NCC, CFRC, LPC
Verified Verified
Carnegie, PA 15106
Full body wellness is the ultimate goal at Metanoia Wellness. If your mind isn’t well, your body isn’t well; and if your body isn’t well, your mind isn’t well. The Licensed Professional Counselors on staff are knowledgeable about depression, anxiety, ADHD, PTSD, stress, grief, and the challenges life throws your way that not only affect your mental health, but also your physical health. Metanoia’s counselors want to support you every step of the way to not just feeling better but getting better.
Full body wellness is the ultimate goal at Metanoia Wellness. If your mind isn’t well, your body isn’t well; and if your body isn’t well, your mind isn’t well. The Licensed Professional Counselors on staff are knowledgeable about depression, anxiety, ADHD, PTSD, stress, grief, and the challenges life throws your way that not only affect your mental health, but also your physical health. Metanoia’s counselors want to support you every step of the way to not just feeling better but getting better.
(412) 634-8102 View (412) 634-8102
Photo of Noah Mickey at Self Care Conversations LLC, Licensed Professional Counselor in Carnegie, PA
Noah Mickey at Self Care Conversations LLC
Licensed Professional Counselor, LPC, MA
Verified Verified
Carnegie, PA 15106
I see therapy as a collaborative effort. In my therapeutic relationships, I look to build a strong rapport as a base for powerful therapy. I believe that introspection and awareness of the self are paramount for growth and happiness. I would love to help guide you through your own experience of self-awareness and growth. Together we will learn new coping skills, overcome fears, embrace who we are and understand Self Care at a deeper level.
I see therapy as a collaborative effort. In my therapeutic relationships, I look to build a strong rapport as a base for powerful therapy. I believe that introspection and awareness of the self are paramount for growth and happiness. I would love to help guide you through your own experience of self-awareness and growth. Together we will learn new coping skills, overcome fears, embrace who we are and understand Self Care at a deeper level.
(412) 561-9458 View (412) 561-9458
Photo of Amy Lee Saunier, Licensed Professional Counselor in Carnegie, PA
Amy Lee Saunier
Licensed Professional Counselor, MS, LPC
Verified Verified
Carnegie, PA 15106
Waitlist for new clients
Hello! Thank you for taking the time to read about me. I'm a licensed professional counselor who loves working with children, teenagers, families, and adults. If you or your child are struggling with depression, anxiety, low self-esteem, stress, and self-defeating behaviors, or emotional pain, please know that I am here and would love to help you. My intervention strategies are client-driven and relationship focused. I am also certified to counsel women and families during pregnancy, the post partum period, and support to those experiencing fertility issues. I am a passionate and firm believer in providing support to parents.
Hello! Thank you for taking the time to read about me. I'm a licensed professional counselor who loves working with children, teenagers, families, and adults. If you or your child are struggling with depression, anxiety, low self-esteem, stress, and self-defeating behaviors, or emotional pain, please know that I am here and would love to help you. My intervention strategies are client-driven and relationship focused. I am also certified to counsel women and families during pregnancy, the post partum period, and support to those experiencing fertility issues. I am a passionate and firm believer in providing support to parents.
(412) 324-3119 View (412) 324-3119
Photo of David Loeffler, Licensed Professional Counselor in Carnegie, PA
David Loeffler
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Carnegie, PA 15106
Not accepting new clients
I believe we're all natural storytellers. Our stories are self-created and influenced by the people and world around us. These stories help us to make meaning of our lives and experiences. Sometimes they help us to feel comfort and strength, while other times we may feel distressing and uncomfortable emotions. It's possible that they can even get in the way of how we want to live our lives. When this happens, we may feel stuck and hopeless. Together, let’s explore how they are affecting you and help you to begin living your preferred story.
I believe we're all natural storytellers. Our stories are self-created and influenced by the people and world around us. These stories help us to make meaning of our lives and experiences. Sometimes they help us to feel comfort and strength, while other times we may feel distressing and uncomfortable emotions. It's possible that they can even get in the way of how we want to live our lives. When this happens, we may feel stuck and hopeless. Together, let’s explore how they are affecting you and help you to begin living your preferred story.
(412) 365-4465 View (412) 365-4465
Photo of Caroline Degnan, Licensed Professional Counselor in Carnegie, PA
Caroline Degnan
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Carnegie, PA 15106
Not accepting new clients
Being able to ask for help takes a lot of courage. So, first and foremost, let me commend you for taking these first steps in the therapeutic process. I believe therapy is so important because while life can be incredibly beautiful, it can also be confusing, lonely and bleak. My job is to help you tackle the emotional obstacles that are hindering you from enjoying the life that you want and deserve.
Being able to ask for help takes a lot of courage. So, first and foremost, let me commend you for taking these first steps in the therapeutic process. I believe therapy is so important because while life can be incredibly beautiful, it can also be confusing, lonely and bleak. My job is to help you tackle the emotional obstacles that are hindering you from enjoying the life that you want and deserve.
(412) 329-4718 View (412) 329-4718
Photo of Adam Krizanik, Licensed Professional Counselor in Carnegie, PA
Adam Krizanik
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
Carnegie, PA 15106  (Online Only)
Hello! My name is Adam and I am a Licensed Professional Counselor in the state of Pennsylvania. I have 10-plus years of experience working with a range of clients from childhood through late adulthood. My experience has come in many different arenas such as non-profit work, psychiatric outpatient, and work with veterans. I believe that therapy and coaching are great ways to help create new habits or build on habits already established in your life.
Hello! My name is Adam and I am a Licensed Professional Counselor in the state of Pennsylvania. I have 10-plus years of experience working with a range of clients from childhood through late adulthood. My experience has come in many different arenas such as non-profit work, psychiatric outpatient, and work with veterans. I believe that therapy and coaching are great ways to help create new habits or build on habits already established in your life.
(412) 218-3018 View (412) 218-3018
Photo of Gregory Troup, Clinical Social Work/Therapist in Carnegie, PA
Gregory Troup
Clinical Social Work/Therapist, LCSW
Verified Verified
Carnegie, PA 15106
Waitlist for new clients
It is my goal to make you feel welcomed and comfortable as you begin the therapy process. I can offer treatment for a variety of needs including: anxiety, adjustment disorders, ADHD, depression, family issues, intimacy issues, mood disorders, parenting needs, relationship challenges, school/workplace stress, and trauma related disorders. To fast track scheduling please send message with insurance name, preference for in person/video session and best times/days for an appointment.
It is my goal to make you feel welcomed and comfortable as you begin the therapy process. I can offer treatment for a variety of needs including: anxiety, adjustment disorders, ADHD, depression, family issues, intimacy issues, mood disorders, parenting needs, relationship challenges, school/workplace stress, and trauma related disorders. To fast track scheduling please send message with insurance name, preference for in person/video session and best times/days for an appointment.
(412) 504-7198 View (412) 504-7198
Photo of Brittany DiLulio, Clinical Social Work/Therapist in Carnegie, PA
Brittany DiLulio
Clinical Social Work/Therapist, LCSW
Verified Verified
Carnegie, PA 15106
I have experience working with children, adolescents, and adults. I strive to create a safe, relaxed, and non-judgmental space for my clients to process and overcome a variety of concerns including anxiety, depression, grief and loss, life stressors/adjustments, trauma, ADHD, and other behavioral concerns. I believe that therapy cannot be successful without a positive therapeutic relationship.
I have experience working with children, adolescents, and adults. I strive to create a safe, relaxed, and non-judgmental space for my clients to process and overcome a variety of concerns including anxiety, depression, grief and loss, life stressors/adjustments, trauma, ADHD, and other behavioral concerns. I believe that therapy cannot be successful without a positive therapeutic relationship.
(412) 547-5956 View (412) 547-5956
Photo of Chrysalis Mental Health & Trauma Specialists, LLC, Licensed Professional Counselor in Carnegie, PA
Chrysalis Mental Health & Trauma Specialists, LLC
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Carnegie, PA 15106
Hello, my name is Lindsey & my experience includes treating people of all ages, genders and sexual preferences with various problems including, but not limited to, grief, physical, sexual and verbal abuse, sexual identity, self-esteem, anger, depression & anxiety. I believe, for therapy to be most effective, it is imperative to uncover the underlying beliefs and events that are the root of one's present day problem(s). I view the therapeutic relationship as one in which a team effort is required; the therapist and client and in some situations, one's family and/or significant other, must work together to make change.
Hello, my name is Lindsey & my experience includes treating people of all ages, genders and sexual preferences with various problems including, but not limited to, grief, physical, sexual and verbal abuse, sexual identity, self-esteem, anger, depression & anxiety. I believe, for therapy to be most effective, it is imperative to uncover the underlying beliefs and events that are the root of one's present day problem(s). I view the therapeutic relationship as one in which a team effort is required; the therapist and client and in some situations, one's family and/or significant other, must work together to make change.
(412) 516-3378 View (412) 516-3378
Photo of Briana Whitehead, Clinical Social Work/Therapist in Carnegie, PA
Briana Whitehead
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Carnegie, PA 15106  (Online Only)
Briana is a Licensed Social Worker, gaining her Master’s at The University of Pittsburgh. Briana has worked at Western Psychiatric Hospital as an intern and inpatient social worker for over 7 years, working with clients with chronic psychosis, bipolar disorder, depression, anxiety, and trauma. Briana also has a background in child development, utilizing her education to help individuals identify how their development effects them today.
Briana is a Licensed Social Worker, gaining her Master’s at The University of Pittsburgh. Briana has worked at Western Psychiatric Hospital as an intern and inpatient social worker for over 7 years, working with clients with chronic psychosis, bipolar disorder, depression, anxiety, and trauma. Briana also has a background in child development, utilizing her education to help individuals identify how their development effects them today.
(412) 435-4374 View (412) 435-4374
Photo of Sarah Hazlett, Clinical Social Work/Therapist in Carnegie, PA
Sarah Hazlett
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Carnegie, PA 15106
Immediate openings for daytime availability 10am-2pm. Do you feel like anxiety or OCD is holding you and your family hostage from living the life you want to live? Is OCD or anxiety impacting your relationships, job, or daily routine? I have over 12 years of experience and specialized training to treat anxiety/OCD. In 2021, I became trained in the SPACE approach helping parents of anxious children. SPACE is particularly helpful if you have an anxious child who refuses to go to therapy or hasn't found therapy to be helpful. I am also trained in Exposure Response Prevention (ERP) to treat OCD/phobias.
Immediate openings for daytime availability 10am-2pm. Do you feel like anxiety or OCD is holding you and your family hostage from living the life you want to live? Is OCD or anxiety impacting your relationships, job, or daily routine? I have over 12 years of experience and specialized training to treat anxiety/OCD. In 2021, I became trained in the SPACE approach helping parents of anxious children. SPACE is particularly helpful if you have an anxious child who refuses to go to therapy or hasn't found therapy to be helpful. I am also trained in Exposure Response Prevention (ERP) to treat OCD/phobias.
(412) 504-7482 View (412) 504-7482
Photo of Thomas Lindquist, Psychologist in Carnegie, PA
Thomas Lindquist
Psychologist, PsyD
Verified Verified
2 Endorsed
Carnegie, PA 15106
We all want to experience happiness and satisfaction in our lives. I believe that most people have a theory about themselves and their problems, but have struggled to make or sustain progress on their own. That is where having a therapist can be tremendously helpful and where I can provide support and expertise to help you reach your goals. I have been successful in helping people develop healthy coping strategies, and I coach people to try out new behaviors in their daily lives. I have a calm, yet attentive therapeutic style and I strive to empower my clients to experience greater confidence and agency.
We all want to experience happiness and satisfaction in our lives. I believe that most people have a theory about themselves and their problems, but have struggled to make or sustain progress on their own. That is where having a therapist can be tremendously helpful and where I can provide support and expertise to help you reach your goals. I have been successful in helping people develop healthy coping strategies, and I coach people to try out new behaviors in their daily lives. I have a calm, yet attentive therapeutic style and I strive to empower my clients to experience greater confidence and agency.
(412) 900-8168 View (412) 900-8168
Photo of Sam Adams, Licensed Professional Counselor in Carnegie, PA
Sam Adams
Licensed Professional Counselor, LPC, NCC
Verified Verified
Carnegie, PA 15106
Not accepting new clients
Meeting someone where they're at is the greatest gift a counselor can offer. Maybe life has been changing so fast it’s hard to keep up, or it feels like your mind is always racing. Perhaps it's been this way for a long time, or maybe things have changed recently; regardless I am here to support those in their journey. Together we would focus on building and enhancing the foundations of overall wellness.
Meeting someone where they're at is the greatest gift a counselor can offer. Maybe life has been changing so fast it’s hard to keep up, or it feels like your mind is always racing. Perhaps it's been this way for a long time, or maybe things have changed recently; regardless I am here to support those in their journey. Together we would focus on building and enhancing the foundations of overall wellness.
(724) 200-8702 View (724) 200-8702
Photo of Kristin Lindquist, Psychologist in Carnegie, PA
Kristin Lindquist
Psychologist, PsyD , LP
Verified Verified
1 Endorsed
Carnegie, PA 15106
Not accepting new clients
I believe that you have the courage to voice your opinions and beliefs without anxiety or apprehension, and this will lead you to the life you envision for yourself and toward the future you desire. As we work together, you will build a more substantial capacity to fully engage and experience your life by successfully navigating challenges and developing deeper meaning that will allow you to become who you indeed are.
I believe that you have the courage to voice your opinions and beliefs without anxiety or apprehension, and this will lead you to the life you envision for yourself and toward the future you desire. As we work together, you will build a more substantial capacity to fully engage and experience your life by successfully navigating challenges and developing deeper meaning that will allow you to become who you indeed are.
(878) 205-8240 View (878) 205-8240
Photo of Jaimie Parker, Licensed Professional Counselor in Carnegie, PA
Jaimie Parker
Licensed Professional Counselor, MS, NCC, LPC, CPRP
Verified Verified
Carnegie, PA 15106
I am a Licensed Professional Counselor who believes that client's are able to make real, lasting changes in a therapeutic environment that is supportive and nonjudgmental. I strive to provide a safe and insightful space for individuals, couples, and families who are ready to make those changes.
I am a Licensed Professional Counselor who believes that client's are able to make real, lasting changes in a therapeutic environment that is supportive and nonjudgmental. I strive to provide a safe and insightful space for individuals, couples, and families who are ready to make those changes.
(412) 339-1999 View (412) 339-1999
Photo of Angela K Joyce, Licensed Professional Counselor in Carnegie, PA
Angela K Joyce
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Carnegie, PA 15106
Is anxiety keeping you awake at night? Are you feeling like you no longer enjoy the things you used to? Are you and your partner frequently arguing about the same things? If so, please know that you are not alone. Despite our best efforts, life can become overwhelming and leave us feeling stuck. With over 15 years of counseling experience, I can help you take a holistic approach to your mental health that allows you to address the problem areas of your life and become the best possible version of yourself. We'll not only build coping skills, but also cultivate self awareness, positive thought patterns, and meaning into your life.
Is anxiety keeping you awake at night? Are you feeling like you no longer enjoy the things you used to? Are you and your partner frequently arguing about the same things? If so, please know that you are not alone. Despite our best efforts, life can become overwhelming and leave us feeling stuck. With over 15 years of counseling experience, I can help you take a holistic approach to your mental health that allows you to address the problem areas of your life and become the best possible version of yourself. We'll not only build coping skills, but also cultivate self awareness, positive thought patterns, and meaning into your life.
(412) 564-3037 View (412) 564-3037

See more therapy options for Carnegie

How does your Therapist compare?

Number of Therapists in Carnegie, PA

30+

Average cost per session

$120

Therapists in Carnegie, PA who prioritize treating:

100% Anxiety
97% Depression
87% Relationship Issues
85% Coping Skills
79% Self Esteem
69% Trauma and PTSD
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

79% Highmark
79% University of Pittsburgh Medical Center
76% Aetna

How Therapists in Carnegie, PA see their clients

85% In Person and Online
15% Online Only

Gender breakdown

69% Female
29% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Carnegie?

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.