Therapists in Brookline, MA

Photo of Rebecca Suschitzky, Clinical Social Work/Therapist in Brookline, MA
Rebecca Suschitzky
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Brookline, MA 02446
My goal is to provide a safe, warm, and secure environment where inner exploration can be possible. I specialize in perinatal mood disorders, attachment issues, trauma, depression and anxiety, working with adults in all stages of life. I have a particular interest in supporting women and their partners through the transition and journey into parenthood.
My goal is to provide a safe, warm, and secure environment where inner exploration can be possible. I specialize in perinatal mood disorders, attachment issues, trauma, depression and anxiety, working with adults in all stages of life. I have a particular interest in supporting women and their partners through the transition and journey into parenthood.
(617) 906-8004 View (617) 906-8004
Photo of Jonathan Abrams, Clinical Social Work/Therapist in Brookline, MA
Jonathan Abrams
Clinical Social Work/Therapist, LICSW, MEd
Verified Verified
4 Endorsed
Brookline, MA 02446
I will have a few openings starting in June. I'm scheduling initial consultations throughout May. During an initial consultation you'll have the opportunity to share about what you hope to achieve in therapy and to ask me questions about my practice. After hearing from you, I'll let you know my initial thoughts about how I can be helpful.
I will have a few openings starting in June. I'm scheduling initial consultations throughout May. During an initial consultation you'll have the opportunity to share about what you hope to achieve in therapy and to ask me questions about my practice. After hearing from you, I'll let you know my initial thoughts about how I can be helpful.
(857) 263-2109 View (857) 263-2109
Photo of Stacey Salyers, Clinical Social Work/Therapist in Brookline, MA
Stacey Salyers
Clinical Social Work/Therapist, LICSW
Verified Verified
Brookline, MA 02446
I consider my style to be a delicate balance of easy-going and down-to-business. I help create an inviting and open atmosphere, so together we can unpack what is happening in your relationships and with yourself. I work with children and adults that have experienced trauma, depression, anxiety, and identity concerns. My goal is to ensure that you have the best support you can get, wherever that may be. I invite you to reach out to me to schedule an initial consultation call, and to see how I can best support you as you walk down your path of curiosity and healing. You've already taken the first step.
I consider my style to be a delicate balance of easy-going and down-to-business. I help create an inviting and open atmosphere, so together we can unpack what is happening in your relationships and with yourself. I work with children and adults that have experienced trauma, depression, anxiety, and identity concerns. My goal is to ensure that you have the best support you can get, wherever that may be. I invite you to reach out to me to schedule an initial consultation call, and to see how I can best support you as you walk down your path of curiosity and healing. You've already taken the first step.
(617) 841-3889 View (617) 841-3889
Photo of Boston Post Adoption Resources, Clinical Social Work/Therapist in Brookline, MA
Boston Post Adoption Resources
Clinical Social Work/Therapist, LICSW
Verified Verified
Brookline, MA 02445
Boston Post Adoption Resources is a non-profit organization that was founded to support all individuals and families who are touched by adoption. We understand the challenges and impact that adoption can have on relationships, family dynamics, and identity. Our team of licensed mental health professionals is specifically trained to deal with post-adoption challenges. We recognize that every situation is different and our goal is to provide support to you and your family on your journey through adoption.
Boston Post Adoption Resources is a non-profit organization that was founded to support all individuals and families who are touched by adoption. We understand the challenges and impact that adoption can have on relationships, family dynamics, and identity. Our team of licensed mental health professionals is specifically trained to deal with post-adoption challenges. We recognize that every situation is different and our goal is to provide support to you and your family on your journey through adoption.
(617) 420-7064 View (617) 420-7064
Photo of Amy G Fleischer, Clinical Social Work/Therapist in Brookline, MA
Amy G Fleischer
Clinical Social Work/Therapist, LICSW
Verified Verified
Brookline, MA 02446
I am a seasoned psychotherapist, with 25 plus years of Clinical experience. I have worked extensively with individuals struggling with anxiety, depression, self-esteem, feelings of isolation, grief, relationship issues, and life stage transitions. Individuals and families facing parenting and adoption challenges are an additional focus of my practice. I also offer psychodynamically oriented Clinical Supervision to therapists at all levels of experience. I am committed to working with you to ensure therapy is financially accessible.
I am a seasoned psychotherapist, with 25 plus years of Clinical experience. I have worked extensively with individuals struggling with anxiety, depression, self-esteem, feelings of isolation, grief, relationship issues, and life stage transitions. Individuals and families facing parenting and adoption challenges are an additional focus of my practice. I also offer psychodynamically oriented Clinical Supervision to therapists at all levels of experience. I am committed to working with you to ensure therapy is financially accessible.
(857) 574-4970 View (857) 574-4970
Photo of Hilla Breiman, Clinical Social Work/Therapist in Brookline, MA
Hilla Breiman
Clinical Social Work/Therapist, LICSW, JD, MA
Verified Verified
Brookline, MA 02446
Reaching out to a therapist requires courage and readiness for wanting to make changes. Perhaps you are feeling trapped in your own mind, maybe a tough circumstance forces you to face what is not working anymore in your life, or an inner pain becomes so loud that you can no longer ignore it. In my work, I strive to help you discover yourself, and look at patterns and habits that no longer serve you. My hope is to guide you to break free from whatever is holding you back to become who you truly are.
Reaching out to a therapist requires courage and readiness for wanting to make changes. Perhaps you are feeling trapped in your own mind, maybe a tough circumstance forces you to face what is not working anymore in your life, or an inner pain becomes so loud that you can no longer ignore it. In my work, I strive to help you discover yourself, and look at patterns and habits that no longer serve you. My hope is to guide you to break free from whatever is holding you back to become who you truly are.
(857) 371-3808 View (857) 371-3808
Photo of Roberta Brucker, Clinical Social Work/Therapist in Brookline, MA
Roberta Brucker
Clinical Social Work/Therapist, LICSW
Verified Verified
Brookline, MA 02446  (Online Only)
As a Clinician with over two decades of experience working in Psychiatry at Newton-Wellesley Hospital, I have also been in Private Practice as a Therapist specializing in the assessment and treatment of Obsessive Compulsive Disorder, Anxiety Disorders, Depression and Stress/Loss of Chronic Illness. Because I found there were few if any professionally led groups for OCD Sufferers, I developed an active Group Program for Adults with OCD. My style is warm and direct with a desire to work together to build on your strengths using Cognitive Behavioral Treatment/Exposure & Response Prevention and Psychotherapy. OCD Family Guidance also.
As a Clinician with over two decades of experience working in Psychiatry at Newton-Wellesley Hospital, I have also been in Private Practice as a Therapist specializing in the assessment and treatment of Obsessive Compulsive Disorder, Anxiety Disorders, Depression and Stress/Loss of Chronic Illness. Because I found there were few if any professionally led groups for OCD Sufferers, I developed an active Group Program for Adults with OCD. My style is warm and direct with a desire to work together to build on your strengths using Cognitive Behavioral Treatment/Exposure & Response Prevention and Psychotherapy. OCD Family Guidance also.
(617) 405-8213 View (617) 405-8213
Photo of Sherry Ceridan, Counselor in Brookline, MA
Sherry Ceridan
Counselor, Psya, D, MA, LMHC, RN
Verified Verified
Brookline, MA 02446
Appointment are available. Are you feeling depressed or anxious? Do you or someone close to you have a substance use concern? Has a traumatic event occurred? Are you wondering about your career? Are educational concerns a worry to you? Life is complex and transitions sometimes difficult to navigate. Starting or renewing a therapy endeavor might be something to investigate. We can navigate and ferret out what you would like to discuss.
Appointment are available. Are you feeling depressed or anxious? Do you or someone close to you have a substance use concern? Has a traumatic event occurred? Are you wondering about your career? Are educational concerns a worry to you? Life is complex and transitions sometimes difficult to navigate. Starting or renewing a therapy endeavor might be something to investigate. We can navigate and ferret out what you would like to discuss.
(617) 981-7419 View (617) 981-7419
Photo of Jen Wofford, Clinical Social Work/Therapist in Brookline, MA
Jen Wofford
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Brookline, MA 02445
In these challenging times, you may feel more stress, couples may have tensions. I am here to help and support you. Working in-person and online, couples and clients feel better, like themselves better, make healthier choices, develop self-compassion and compassion for others. I help people and couples work through challenges and emerge more confident, peaceful and happy. My clients grow and feel supported and challenged as they grow. My work helps you identify core patterns, treat yourself kindly, improve your most important relationships, understand and resolve old conflicts and trauma, and feel better. Please start on my Website
In these challenging times, you may feel more stress, couples may have tensions. I am here to help and support you. Working in-person and online, couples and clients feel better, like themselves better, make healthier choices, develop self-compassion and compassion for others. I help people and couples work through challenges and emerge more confident, peaceful and happy. My clients grow and feel supported and challenged as they grow. My work helps you identify core patterns, treat yourself kindly, improve your most important relationships, understand and resolve old conflicts and trauma, and feel better. Please start on my Website
(202) 656-1908 View (202) 656-1908
Photo of Sarah L. Darghouth, Psychologist in Brookline, MA
Sarah L. Darghouth
Psychologist, PhD
Verified Verified
Brookline, MA 02446
Update 4/15/24: I have an every other week virtual opening. I am a clinical psychologist, staff psychologist the Department of Psychiatry at Massachusetts General Hospital/Harvard Medical School, with a small private practice in Brookline. I provide cognitive-behavioral therapy(CBT), dialectical behavioral therapy (DBT) and psychodynamic therapy. I use skills training where it can be helpful. I work on tailoring my approach to patients' specific needs, and take on a pragmatic, engaged role in the therapy process. Please note- I am not in network with insurance but can provide claim forms.
Update 4/15/24: I have an every other week virtual opening. I am a clinical psychologist, staff psychologist the Department of Psychiatry at Massachusetts General Hospital/Harvard Medical School, with a small private practice in Brookline. I provide cognitive-behavioral therapy(CBT), dialectical behavioral therapy (DBT) and psychodynamic therapy. I use skills training where it can be helpful. I work on tailoring my approach to patients' specific needs, and take on a pragmatic, engaged role in the therapy process. Please note- I am not in network with insurance but can provide claim forms.
(857) 382-3089 View (857) 382-3089
Photo of Venetia Breene, Clinical Social Work/Therapist in Brookline, MA
Venetia Breene
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brookline, MA 02446
I specialize in working with adolescents and adults who are struggling with anxiety, depression, eating disorders & trauma. I particularly enjoy supporting young people as they grapple through the transition to adulthood & the related issues that arise including identity, relationship and conflict navigation. I believe that my clients are experts in their own experiences & I feel privileged to be allowed into their lives. I strive to create a warm, safe & non-judgmental space for my clients, in which I bring curiosity & compassion to every session.
I specialize in working with adolescents and adults who are struggling with anxiety, depression, eating disorders & trauma. I particularly enjoy supporting young people as they grapple through the transition to adulthood & the related issues that arise including identity, relationship and conflict navigation. I believe that my clients are experts in their own experiences & I feel privileged to be allowed into their lives. I strive to create a warm, safe & non-judgmental space for my clients, in which I bring curiosity & compassion to every session.
(857) 374-7466 View (857) 374-7466
Photo of Dr. Kai Le Page Bekkeli, Psychologist in Brookline, MA
Dr. Kai Le Page Bekkeli
Psychologist, PhD
Verified Verified
Brookline, MA 02446
I am a licensed psychologist who is trained in psychodynamic psychotherapy. Patients who come to me are looking to understand the significance and meaning of their most difficult-to-solve problems—problems like anxiety, depression, trauma, grief, relational struggles, and self-harm. They are often patients who have not had success with short-term and/or cognitive therapies, and they have a sense that their struggles signify something more than mere dysfunction—that their problems point to something unique and unknown about themselves.
I am a licensed psychologist who is trained in psychodynamic psychotherapy. Patients who come to me are looking to understand the significance and meaning of their most difficult-to-solve problems—problems like anxiety, depression, trauma, grief, relational struggles, and self-harm. They are often patients who have not had success with short-term and/or cognitive therapies, and they have a sense that their struggles signify something more than mere dysfunction—that their problems point to something unique and unknown about themselves.
(857) 280-1613 View (857) 280-1613
Photo of Olga E De Armas, Clinical Social Work/Therapist in Brookline, MA
Olga E De Armas
Clinical Social Work/Therapist, LICSW
Verified Verified
Brookline, MA 02445  (Online Only)
Not accepting new clients
Perhaps I can best summarize my therapy approach by saying that therapy is an invitation to dare to dream of meeting your heart's longing" and "to know what sustains you from the inside when all else falls away". Taking the courageous step to engage in a journey of inner exploration for the purpose of remapping ourselves, re-assess our limiting beliefs, re organizing our interpersonal ways of relating, and understanding/fulfilling our life's purpose.You'll chisel out the best version of you.
Perhaps I can best summarize my therapy approach by saying that therapy is an invitation to dare to dream of meeting your heart's longing" and "to know what sustains you from the inside when all else falls away". Taking the courageous step to engage in a journey of inner exploration for the purpose of remapping ourselves, re-assess our limiting beliefs, re organizing our interpersonal ways of relating, and understanding/fulfilling our life's purpose.You'll chisel out the best version of you.
(857) 663-7769 View (857) 663-7769
Photo of Rivka Perlmann, Psychologist in Brookline, MA
Rivka Perlmann
Psychologist, PhD
Verified Verified
Brookline, MA 02446  (Online Only)
Waitlist for new clients
Many of the individuals I see want to develop a better self-image and free themselves from paralyzing doubts and uncertainties. Others want to achieve a greater sense of satisfaction in intimate relationships, gain relief from anxiety and depression, or reduce the blocks that stop them from pursuing goals and dreams. Through conversation in psychotherapy you increase clarity and understanding - - of thoughts, feelings, and actions -- and thereby gain a greater sense of realism and optimism about your future.
Many of the individuals I see want to develop a better self-image and free themselves from paralyzing doubts and uncertainties. Others want to achieve a greater sense of satisfaction in intimate relationships, gain relief from anxiety and depression, or reduce the blocks that stop them from pursuing goals and dreams. Through conversation in psychotherapy you increase clarity and understanding - - of thoughts, feelings, and actions -- and thereby gain a greater sense of realism and optimism about your future.
(617) 738-8027 View (617) 738-8027
Mitchell Pomerantz
Psychologist, PsyD
Verified Verified
Brookline, MA 02445
I actively and empathically work to create a collaborative alliance with clients. It is my goal to provide focus and support and increase one's self-awareness in identifying ways to manage issues of concern.
I actively and empathically work to create a collaborative alliance with clients. It is my goal to provide focus and support and increase one's self-awareness in identifying ways to manage issues of concern.
(857) 342-3522 View (857) 342-3522
Photo of Bobbi Lynn Perkins, Counselor in Brookline, MA
Bobbi Lynn Perkins
Counselor, MA, LMHC
Verified Verified
Brookline, MA 02445
With sixteen years of experience working with adults of all ages, I have helped many individuals find their way through symptoms of anxiety and depression with gentleness and compassion. Often my work focuses on how we relate to ourselves and the world. By cultivating self-compasssion and challenging negative self perceptions, I believe we can begin to realize and feel our intrinsic wholeness. I also help clients to navigate interpersonal relationships and transitions, which can challenge us and impact our sense of community and our place in the world. Additionally, I focus on health, wellness and humor for psychological healing.
With sixteen years of experience working with adults of all ages, I have helped many individuals find their way through symptoms of anxiety and depression with gentleness and compassion. Often my work focuses on how we relate to ourselves and the world. By cultivating self-compasssion and challenging negative self perceptions, I believe we can begin to realize and feel our intrinsic wholeness. I also help clients to navigate interpersonal relationships and transitions, which can challenge us and impact our sense of community and our place in the world. Additionally, I focus on health, wellness and humor for psychological healing.
(617) 206-1938 View (617) 206-1938
Photo of Sara Danitz-Steinhardt, Psychologist in Brookline, MA
Sara Danitz-Steinhardt
Psychologist, PhD
Verified Verified
2 Endorsed
Brookline, MA 02446  (Online Only)
Experiencing emotional pain, worry about the future, and feeling stuck are common human conditions. Through therapy you can find new ways to change and relate differently to your feelings, thoughts, and actions. It is possible to live the life you’d like to live, and our work together can bring you closer to that. I provide a warm, supportive, collaborative and non-judgmental space where it is possible not only to reduce mental health symptomatology, but also to enhance the quality of your life through engagement in valued living. I offer both structured, time-limited treatment, and more exploratory, supportive work.
Experiencing emotional pain, worry about the future, and feeling stuck are common human conditions. Through therapy you can find new ways to change and relate differently to your feelings, thoughts, and actions. It is possible to live the life you’d like to live, and our work together can bring you closer to that. I provide a warm, supportive, collaborative and non-judgmental space where it is possible not only to reduce mental health symptomatology, but also to enhance the quality of your life through engagement in valued living. I offer both structured, time-limited treatment, and more exploratory, supportive work.
(617) 936-7899 View (617) 936-7899
Photo of Frieda Wong, Psychologist in Brookline, MA
Frieda Wong
Psychologist, PhD
Verified Verified
Brookline, MA 02446
I am a licensed clinical psychologist with over 20 years experience and have the privilege of working with adults from diverse backgrounds. Currently, we live in unprecedented and trying times that can lead to increased stress, burnout, and strain on relationships. I can help you with worry/anxiety, sadness/depression, relationship struggles, parenting, work-home life balance, stress, making career changes, shame, grief, and life transitions. I will help you learn more about yourself, understand better the way you think and feel, and live more consciously so that you can feel more empowered and centered in your choices and life.
I am a licensed clinical psychologist with over 20 years experience and have the privilege of working with adults from diverse backgrounds. Currently, we live in unprecedented and trying times that can lead to increased stress, burnout, and strain on relationships. I can help you with worry/anxiety, sadness/depression, relationship struggles, parenting, work-home life balance, stress, making career changes, shame, grief, and life transitions. I will help you learn more about yourself, understand better the way you think and feel, and live more consciously so that you can feel more empowered and centered in your choices and life.
(857) 746-4167 View (857) 746-4167
Photo of Michael Schonberg, Psychologist in Brookline, MA
Michael Schonberg
Psychologist, PhD
Verified Verified
Brookline, MA 02445
Change is hard, but less so with help. I hope I can be your guide through the change process. I am a clinical psychologist trained in CBT. I have a faculty appointment at Harvard Medical School and am on staff in the Department of Psychiatry at Massachusetts General Hospital. I run a private practice on Sunday mornings and have intermittent availability during the rest of the week. I am comfortable providing treatment in an individual or family context, whichever better fits your needs. I am results driven, but also warm and sensitive.
Change is hard, but less so with help. I hope I can be your guide through the change process. I am a clinical psychologist trained in CBT. I have a faculty appointment at Harvard Medical School and am on staff in the Department of Psychiatry at Massachusetts General Hospital. I run a private practice on Sunday mornings and have intermittent availability during the rest of the week. I am comfortable providing treatment in an individual or family context, whichever better fits your needs. I am results driven, but also warm and sensitive.
(412) 419-2743 View (412) 419-2743
Photo of Gabriella Bergonzi, Clinical Social Work/Therapist in Brookline, MA
Gabriella Bergonzi
Clinical Social Work/Therapist, LICSW
Verified Verified
Brookline, MA 02446  (Online Only)
As a Licensed Independent Clinical Social Worker (LICSW) I am dedicated to providing personalized, compassionate treatment for adolescents (18+) and adults. With expertise in addressing a wide range of experiences, including anxiety, depression, trauma, ADHD, transitions, loss, stress, substance use, and relationship concerns, I am committed to guiding clients towards healing and growth. Through warm and collaborative care, I strive to create a safe and nurturing environment, empowering clients to foster meaning, hopefulness, and joy in their lives.
As a Licensed Independent Clinical Social Worker (LICSW) I am dedicated to providing personalized, compassionate treatment for adolescents (18+) and adults. With expertise in addressing a wide range of experiences, including anxiety, depression, trauma, ADHD, transitions, loss, stress, substance use, and relationship concerns, I am committed to guiding clients towards healing and growth. Through warm and collaborative care, I strive to create a safe and nurturing environment, empowering clients to foster meaning, hopefulness, and joy in their lives.
(781) 678-7385 View (781) 678-7385

How does your Therapist compare?

Number of Therapists in Brookline, MA

700+

Average cost per session

$177

Therapists in Brookline, MA who prioritize treating:

94% Anxiety
90% Depression
82% Relationship Issues
76% Self Esteem
65% Trauma and PTSD
64% Grief
64% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
42% UnitedHealthcare UHC | UBH
41% Aetna

How Therapists in Brookline, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brookline?

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.