Therapists in Littleton, CO

Photo of Kathryn Marie Mathis, Licensed Professional Counselor in Littleton, CO
Kathryn Marie Mathis
Licensed Professional Counselor, MA, LPC, RPT, SPT
Verified Verified
Littleton, CO 80127
If you are struggling and feel helpless in knowing how to best support your child, there is hope. Whatever your situation--whether your child has anxiety, recurring outbursts, or he/she is exhibiting physical symptoms like an upset stomach or bed wetting--I can help by creating a welcoming space for your child to communicate via play therapy. Play is the language of children and by using research informed methods & building authentic relationships, I can help your child (and you) learn to regulate through challenging emotions, process painful experiences, and learn new ways of relating and becoming his/her authentic self.
If you are struggling and feel helpless in knowing how to best support your child, there is hope. Whatever your situation--whether your child has anxiety, recurring outbursts, or he/she is exhibiting physical symptoms like an upset stomach or bed wetting--I can help by creating a welcoming space for your child to communicate via play therapy. Play is the language of children and by using research informed methods & building authentic relationships, I can help your child (and you) learn to regulate through challenging emotions, process painful experiences, and learn new ways of relating and becoming his/her authentic self.
(844) 824-1748 View (844) 824-1748
Photo of Keri Hanson, Clinical Social Work/Therapist in Littleton, CO
Keri Hanson
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
Littleton, CO 80120
Not accepting new clients
Keri is a Licensed Clinical Social Worker with a certification in perinatal mental health through Postpartum Support International; Keri completed her graduate degree at the University of Denver School of Social Work in 2000 and has devoted her practice toward supporting the wellbeing and journeys of women and new families.
Keri is a Licensed Clinical Social Worker with a certification in perinatal mental health through Postpartum Support International; Keri completed her graduate degree at the University of Denver School of Social Work in 2000 and has devoted her practice toward supporting the wellbeing and journeys of women and new families.
(720) 613-2761 View (720) 613-2761
Photo of Alexis Chiani, Clinical Social Work/Therapist in Littleton, CO
Alexis Chiani
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
Littleton, CO 80120  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(720) 806-9482 View (720) 806-9482
Photo of Jackson Morehead, Licensed Professional Counselor in Littleton, CO
Jackson Morehead
Licensed Professional Counselor, MA, LPC, RN
Verified Verified
Littleton, CO 80160  (Online Only)
No one should hurt alone. Unfortunately, the mental pain, haunting memories, shame, fear, anxiety, depression and so much more can leave us feeling just that, alone. The war you are fighting may be invisible to everyone else but to you it is real. You and your story matter here. If you're trying to put shape to a fractured past, make sense of a chaotic present or find purpose in an unknown future I am here to help. Together, we will work to equip you with the tools you need to navigate your life with more freedom, joy and, perhaps most important of all, a sense of hope.
No one should hurt alone. Unfortunately, the mental pain, haunting memories, shame, fear, anxiety, depression and so much more can leave us feeling just that, alone. The war you are fighting may be invisible to everyone else but to you it is real. You and your story matter here. If you're trying to put shape to a fractured past, make sense of a chaotic present or find purpose in an unknown future I am here to help. Together, we will work to equip you with the tools you need to navigate your life with more freedom, joy and, perhaps most important of all, a sense of hope.
(720) 902-7796 View (720) 902-7796
Photo of Lisa Morgione, Licensed Professional Counselor in Littleton, CO
Lisa Morgione
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Littleton, CO 80120
Hello! I’m AnnaLisa (“Lisa”) Morgione, MA, NCC, LPC. I am a mindfulness-based mental health counselor who uses Cognitive Behavioral Therapy (CBT), Eye Movement Desensitisation Reprocessing (EMDR), and Internal Family Systems (IFS) to compassionately attend to pain, trauma, depression, anxiety, and grieving. I currently work with individuals, ages 16 & up, and couples. My demeanor tends to be warm, gentle, and connecting. My approach is honest, respectful, and without judgment of you and the issues that are bringing you to therapy. I look forward to walking alongside you on your journey of self-care and improvement.
Hello! I’m AnnaLisa (“Lisa”) Morgione, MA, NCC, LPC. I am a mindfulness-based mental health counselor who uses Cognitive Behavioral Therapy (CBT), Eye Movement Desensitisation Reprocessing (EMDR), and Internal Family Systems (IFS) to compassionately attend to pain, trauma, depression, anxiety, and grieving. I currently work with individuals, ages 16 & up, and couples. My demeanor tends to be warm, gentle, and connecting. My approach is honest, respectful, and without judgment of you and the issues that are bringing you to therapy. I look forward to walking alongside you on your journey of self-care and improvement.
(720) 738-5218 View (720) 738-5218
Photo of Melinda Harriman LCSW, Clinical Social Work/Therapist in Littleton, CO
Melinda Harriman LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Littleton, CO 80120
I have over 30 years of experience as a clinical social worker. I have worked in school, hospital and outpatient mental health settings. I am very passionate about the work I have done as a clinical social worker and all the learning experiences it as provided and contributed to my personal and professional growth . My aim is to provide a safe, calm and affirming environment for us to discuss what brought you into therapy. I will work with you in creating a plan to support your healing and growth .
I have over 30 years of experience as a clinical social worker. I have worked in school, hospital and outpatient mental health settings. I am very passionate about the work I have done as a clinical social worker and all the learning experiences it as provided and contributed to my personal and professional growth . My aim is to provide a safe, calm and affirming environment for us to discuss what brought you into therapy. I will work with you in creating a plan to support your healing and growth .
(720) 789-8316 View (720) 789-8316
Photo of Chris Miller in Littleton, CO
Chris Miller
MDiv, DMin
Verified Verified
Littleton, CO 80120
My ideal client is someone who wants to grow and change, hungry for the truth, and willing to do what it takes to press through and be transformed.
My ideal client is someone who wants to grow and change, hungry for the truth, and willing to do what it takes to press through and be transformed.
(303) 835-9180 x101 View (303) 835-9180 x101
Photo of Liz Rosenzweig, Clinical Social Work/Therapist in Littleton, CO
Liz Rosenzweig
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Littleton, CO 80120  (Online Only)
I am an LCSW in Colorado with over 20 years of experience. I specialize in Women's Issues; relationships, pre/post partum, LGBTQIA+, parenting, sexual functioning, caring for aging parents, and so many more. All within the context of the invisible labor that we manage. Therapy does not always consider women's unique challenges. This is invalidating and blocks effective solutions. I will help you work within this bigger picture, so we can develop better strategies and facilitate real change.
I am an LCSW in Colorado with over 20 years of experience. I specialize in Women's Issues; relationships, pre/post partum, LGBTQIA+, parenting, sexual functioning, caring for aging parents, and so many more. All within the context of the invisible labor that we manage. Therapy does not always consider women's unique challenges. This is invalidating and blocks effective solutions. I will help you work within this bigger picture, so we can develop better strategies and facilitate real change.
(720) 927-8758 View (720) 927-8758
Photo of Greta Brooks, Licensed Professional Counselor in Littleton, CO
Greta Brooks
Licensed Professional Counselor, LPC
Verified Verified
Littleton, CO 80120  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(303) 529-8562 View (303) 529-8562
Photo of Caitlin Opland, Clinical Social Work/Therapist in Littleton, CO
Caitlin Opland
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80123  (Online Only)
Caitlin Opland is a compassionate and empathetic Licensed Clinical Social Worker (LCSW) with over 8 years of experience dedicated to helping individuals overcome mental health challenges. With a background at a community hospital, Caitlin has developed a deep understanding of mental health issues and the importance of providing non-judgmental care. Specializing in anxiety, depression, substance use, grief, stress, and work/life balance, Caitlin prioritizes a person-centered and strengths-based approach in her practice. She believes in creating a safe and supportive environment where clients feel respected, valued, and understood.
Caitlin Opland is a compassionate and empathetic Licensed Clinical Social Worker (LCSW) with over 8 years of experience dedicated to helping individuals overcome mental health challenges. With a background at a community hospital, Caitlin has developed a deep understanding of mental health issues and the importance of providing non-judgmental care. Specializing in anxiety, depression, substance use, grief, stress, and work/life balance, Caitlin prioritizes a person-centered and strengths-based approach in her practice. She believes in creating a safe and supportive environment where clients feel respected, valued, and understood.
(720) 571-4685 View (720) 571-4685
Photo of Charity Rauls, Licensed Professional Counselor in Littleton, CO
Charity Rauls
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Littleton, CO 80120  (Online Only)
Hello and welcome! My name is Charity Rauls and I'm a licensed therapist specializing in helping adults heal from trauma and PTSD. I believe that everyone has the capacity to heal and grow, and I'm dedicated to helping my clients overcome their past experiences and live fulfilling lives. My primary modalities are EMDR and parts work, both of which are evidence-based and effective in treating trauma-related conditions.
Hello and welcome! My name is Charity Rauls and I'm a licensed therapist specializing in helping adults heal from trauma and PTSD. I believe that everyone has the capacity to heal and grow, and I'm dedicated to helping my clients overcome their past experiences and live fulfilling lives. My primary modalities are EMDR and parts work, both of which are evidence-based and effective in treating trauma-related conditions.
(720) 797-8557 View (720) 797-8557
Photo of Samantha Becker, Licensed Professional Counselor Candidate in Littleton, CO
Samantha Becker
Licensed Professional Counselor Candidate, MA, NCC, LPCC
Verified Verified
Littleton, CO 80120
I work with children, teens, and young adults. I believe the most important first step to meaningful counseling is building an authentic therapeutic relationship with my clients. I want you to feel safe, heard, understood, encouraged, and hopeful. You deserve counseling that is firmly rooted in the most effective theories, yet creatively customized especially for you. My goal is to be authentic, attentive, honest, trustworthy, empathetic, unconditional, and fully present.
I work with children, teens, and young adults. I believe the most important first step to meaningful counseling is building an authentic therapeutic relationship with my clients. I want you to feel safe, heard, understood, encouraged, and hopeful. You deserve counseling that is firmly rooted in the most effective theories, yet creatively customized especially for you. My goal is to be authentic, attentive, honest, trustworthy, empathetic, unconditional, and fully present.
(720) 594-6051 View (720) 594-6051
Photo of Camille L. Reich, Marriage & Family Therapist in Littleton, CO
Camille L. Reich
Marriage & Family Therapist, PhD, MS, LMFT
Verified Verified
Littleton, CO 80128
COUPLES, FAMILY, CHILD and INDIVIDUAL THERAPY. True Happiness and Stability Stems from the Quality of our Significant Relationships! I work from a strength-based, solution-focused, and systemic or relational orientation, all are evidence-based approaches. I focus on people's strengths and possibilities while addressing their real life difficulties. I also practice child-centered play therapy and provide personality, relationship (couple) and career assessments. I believe in a holistic approach to the therapeutic process that incorporates biological, psychological, social, and spiritual dimensions empowering a person or family towards mastering life to its fullest. I look forward to consulting with you!
COUPLES, FAMILY, CHILD and INDIVIDUAL THERAPY. True Happiness and Stability Stems from the Quality of our Significant Relationships! I work from a strength-based, solution-focused, and systemic or relational orientation, all are evidence-based approaches. I focus on people's strengths and possibilities while addressing their real life difficulties. I also practice child-centered play therapy and provide personality, relationship (couple) and career assessments. I believe in a holistic approach to the therapeutic process that incorporates biological, psychological, social, and spiritual dimensions empowering a person or family towards mastering life to its fullest. I look forward to consulting with you!
(303) 625-7879 View (303) 625-7879
Photo of Susan Boley, Ph.D., Psychologist in Littleton, CO
Susan Boley, Ph.D.
Psychologist, PhD
Verified Verified
Littleton, CO 80120
I enjoy working collaboratively with clients to develop goals and a treatment plan that fits their individual needs. During the first couple of appointments we will discuss the client's reasons for seeking therapy, their personal history, and what they would like to see change. I see my role as helping clients build their inner resources so they have the confidence, strength and sense of peace to live a happy, fulfilling and satisfying life. It is important to achieve a balance in life and know that one can cope with the challenges that lie ahead.
I enjoy working collaboratively with clients to develop goals and a treatment plan that fits their individual needs. During the first couple of appointments we will discuss the client's reasons for seeking therapy, their personal history, and what they would like to see change. I see my role as helping clients build their inner resources so they have the confidence, strength and sense of peace to live a happy, fulfilling and satisfying life. It is important to achieve a balance in life and know that one can cope with the challenges that lie ahead.
(720) 571-1576 View (720) 571-1576
Photo of Phil Jason Stone, Clinical Social Work/Therapist in Littleton, CO
Phil Jason Stone
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80123
Welcome to the next phase of your life! My name is Phil and I am honored to be your guide in healing and transformation. I will help you heal from past traumas, overcome obstacles, manage mental health & substance abuse issues and grow to become the person you have always wanted to be. I have had the privilege of serving as a Therapist in a variety of settings for the past 20 years. I enjoy working with adolescents (12+), adults and couples. I offer individual therapy, group therapy, life coaching and video therapy.
Welcome to the next phase of your life! My name is Phil and I am honored to be your guide in healing and transformation. I will help you heal from past traumas, overcome obstacles, manage mental health & substance abuse issues and grow to become the person you have always wanted to be. I have had the privilege of serving as a Therapist in a variety of settings for the past 20 years. I enjoy working with adolescents (12+), adults and couples. I offer individual therapy, group therapy, life coaching and video therapy.
(855) 712-8543 View (855) 712-8543
Photo of David Adames, MA, LPC, NCC, Licensed Professional Counselor in Littleton, CO
David Adames, MA, LPC, NCC
Licensed Professional Counselor, MA, LPC, NCC, EMDR
Verified Verified
3 Endorsed
Littleton, CO 80120
Change is not easy; it is difficult; it takes courage. Although challenging, change is possible. In order to change, the individual must have the motivation & be given the opportunity to do so. I will work with you in a collaborative effort to improve your emotional state. My goal is to provide you with an appropriate, caring, & supportive environment where the steps towards change can become a possibility. Empathy is paramount to my practice. My theoretical orientations are primarily Cognitive-behavioral & Person-centered; although, I also use various eclectic & insight/awareness-oriented approaches.
Change is not easy; it is difficult; it takes courage. Although challenging, change is possible. In order to change, the individual must have the motivation & be given the opportunity to do so. I will work with you in a collaborative effort to improve your emotional state. My goal is to provide you with an appropriate, caring, & supportive environment where the steps towards change can become a possibility. Empathy is paramount to my practice. My theoretical orientations are primarily Cognitive-behavioral & Person-centered; although, I also use various eclectic & insight/awareness-oriented approaches.
(720) 336-4191 View (720) 336-4191
Photo of Mo Cacace, Marriage & Family Therapist in Littleton, CO
Mo Cacace
Marriage & Family Therapist, MA, LMFT
Verified Verified
Littleton, CO 80120
Waitlist for new clients
Clients struggling through a transition in their life(job change/status, relationship change; educational decisions; family conflict; lack of motivation to move forward; adolescent challenges) and needing an objective perspective and goal setting to assist them in moving through the transition in an effort to continue to the next stage in their personal development. Identifying goals and assisting clients develop a strategy to work towards those goals and periodically re-evaluating in an effort to identify what has been accomplished and what needs to be altered. Please identify your first name, ins, current issue and TEXT only.
Clients struggling through a transition in their life(job change/status, relationship change; educational decisions; family conflict; lack of motivation to move forward; adolescent challenges) and needing an objective perspective and goal setting to assist them in moving through the transition in an effort to continue to the next stage in their personal development. Identifying goals and assisting clients develop a strategy to work towards those goals and periodically re-evaluating in an effort to identify what has been accomplished and what needs to be altered. Please identify your first name, ins, current issue and TEXT only.
(844) 985-0376 View (844) 985-0376
Photo of Sheridan Hall, Counselor in Littleton, CO
Sheridan Hall
Counselor, LPC
Verified Verified
Littleton, CO 80120
You are probably here because there is part of you that knows you were made for deeper connections, more freedom and laughter, and a greater sense of purpose and fullness of life. But life is hard. And somewhere along the way we often begin relating to ourselves and others from a place of fear and woundedness. We numb ourselves or make ourselves small to hide the parts that we fear will be rejected. We get stuck in patterns of feeling unlovable, unworthy, and disconnect from joy.
You are probably here because there is part of you that knows you were made for deeper connections, more freedom and laughter, and a greater sense of purpose and fullness of life. But life is hard. And somewhere along the way we often begin relating to ourselves and others from a place of fear and woundedness. We numb ourselves or make ourselves small to hide the parts that we fear will be rejected. We get stuck in patterns of feeling unlovable, unworthy, and disconnect from joy.
(303) 653-9554 View (303) 653-9554
Photo of Catherine Bitney, Psychologist in Littleton, CO
Catherine Bitney
Psychologist, PhD
Verified Verified
Littleton, CO 80120  (Online Only)
Therapy is a safe place to explore challenges in our lives & find strengths that we never knew we had. It has the potential to lift us out of our rut so that we can finally make the changes we've longed for. Whether you are working to decrease your anxiety, unmasking and living authentically, changing careers, exploring your gender or sexual identity, or trying to change your relationships, therapy can be a great place to get a fresh perspective & face these challenges with a champion by your side. My own identity as a multiracial, queer, gender nonconforming therapist enables me to understand clients who feel like outsiders.
Therapy is a safe place to explore challenges in our lives & find strengths that we never knew we had. It has the potential to lift us out of our rut so that we can finally make the changes we've longed for. Whether you are working to decrease your anxiety, unmasking and living authentically, changing careers, exploring your gender or sexual identity, or trying to change your relationships, therapy can be a great place to get a fresh perspective & face these challenges with a champion by your side. My own identity as a multiracial, queer, gender nonconforming therapist enables me to understand clients who feel like outsiders.
(512) 337-4185 View (512) 337-4185
Photo of Sarah Sterling, Licensed Professional Counselor in Littleton, CO
Sarah Sterling
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Littleton, CO 80120
My practice focuses on working with children, youth, adults, and families; specializing in behavioral support, school/academic issues, relationship issues, development of social and emotional life skills, trauma informed care, and management of attention deficit issues, stress, anxiety and depression. I am a Licensed Professional Counselor through the Department of Regulatory Agency (DORA) as well as a Licensed School Counselor through the Colorado Department of Education.
My practice focuses on working with children, youth, adults, and families; specializing in behavioral support, school/academic issues, relationship issues, development of social and emotional life skills, trauma informed care, and management of attention deficit issues, stress, anxiety and depression. I am a Licensed Professional Counselor through the Department of Regulatory Agency (DORA) as well as a Licensed School Counselor through the Colorado Department of Education.
(720) 571-1858 View (720) 571-1858

How does your Therapist compare?

Number of Therapists in Littleton, CO

600+

Average cost per session

$150

Therapists in Littleton, CO who prioritize treating:

94% Anxiety
88% Depression
78% Relationship Issues
75% Trauma and PTSD
74% Self Esteem
68% Grief
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

72% Aetna
69% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in Littleton, CO see their clients

79% In Person and Online
21% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Littleton?

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.