Therapists in San Martin, CA

Photo of Erin Murray, Marriage & Family Therapist Associate in San Martin, CA
Erin Murray
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
San Martin, CA 95046
Do you find that you are questioning yourself constantly? Or feeling as if you have no motivation for the things you enjoy? Or struggling in your relationships? Are you feeling lost in this phase of life and trying to figure out what makes you happy? You may be wondering where these feelings are coming from. They may feel like familiar patterns, or these experiences might be new for you. Either way, you know something needs to shift. You want to feel more at ease within yourself and in your relationships. You are ready to quiet the inner critic and be more understanding of where, and who, you are.
Do you find that you are questioning yourself constantly? Or feeling as if you have no motivation for the things you enjoy? Or struggling in your relationships? Are you feeling lost in this phase of life and trying to figure out what makes you happy? You may be wondering where these feelings are coming from. They may feel like familiar patterns, or these experiences might be new for you. Either way, you know something needs to shift. You want to feel more at ease within yourself and in your relationships. You are ready to quiet the inner critic and be more understanding of where, and who, you are.
(669) 356-8984 View (669) 356-8984
Photo of Greg Boyd Whittaker, Marriage & Family Therapist in San Martin, CA
Greg Boyd Whittaker
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Martin, CA 95046
Conflict in marriage often builds over time and your relationship can deteriorate into constant arguing, power struggles, and lack of intimacy. Even simple problems become fights. You may even be concerned that your children are being damaged by the tension in your home. Some times its even difficult difficult to understand how things have gotten so bad, and even harder to change it. With the help of outside intervention, you can change patterns of behavior and communication. By obtaining new information,and skills its possible to resolve conflict in a healthy manner and rebuild intimacy in your marriage.
Conflict in marriage often builds over time and your relationship can deteriorate into constant arguing, power struggles, and lack of intimacy. Even simple problems become fights. You may even be concerned that your children are being damaged by the tension in your home. Some times its even difficult difficult to understand how things have gotten so bad, and even harder to change it. With the help of outside intervention, you can change patterns of behavior and communication. By obtaining new information,and skills its possible to resolve conflict in a healthy manner and rebuild intimacy in your marriage.
(408) 647-6987 View (408) 647-6987
Photo of Jill Lopez, Marriage & Family Therapist in San Martin, CA
Jill Lopez
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Martin, CA 95046  (Online Only)
Therapy is about building a new relationship - usually a better and healthier one - than the ones we experienced in our families of origin. This takes time, but it's good work, because working with a therapist is a way to heal the past, fix the present and look more confidently toward the future. I help people develop better coping skills, as well as understanding and compassion for where they've been.
Therapy is about building a new relationship - usually a better and healthier one - than the ones we experienced in our families of origin. This takes time, but it's good work, because working with a therapist is a way to heal the past, fix the present and look more confidently toward the future. I help people develop better coping skills, as well as understanding and compassion for where they've been.
(408) 638-2249 View (408) 638-2249
Photo of Lucy M Brooks, Marriage & Family Therapist in San Martin, CA
Lucy M Brooks
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Martin, CA 95046
Are you living, or just existing? Do you feel like you're just going through the motions, doing whatever it takes to get through the day, only to find the next day is more of the same? Sometimes things get in the way of us really living our lives. It could be any number of things, including relationship problems, things from the past invading our thoughts, depression, anger, or addiction. Whatever it is, we find we're simply existing. Sometimes we need help moving past that. I'd like to help you get back into living your life.
Are you living, or just existing? Do you feel like you're just going through the motions, doing whatever it takes to get through the day, only to find the next day is more of the same? Sometimes things get in the way of us really living our lives. It could be any number of things, including relationship problems, things from the past invading our thoughts, depression, anger, or addiction. Whatever it is, we find we're simply existing. Sometimes we need help moving past that. I'd like to help you get back into living your life.
(408) 868-5746 View (408) 868-5746
Photo of Angela V Fowler, Marriage & Family Therapist in San Martin, CA
Angela V Fowler
Marriage & Family Therapist, MA
Verified Verified
San Martin, CA 95046
Are you feeling anxious? Are you having a hard time concentrating or enjoying the things you used to. Are you experiencing anxiety attacks, OCD, or depression. If you said yes to any of these, you might be experiencing an Anxiety Disorder or a Depression Disorder. I've been treating anxiety and depression successfully in private practice since 2001. I also specialize in relationship issues. Feel free to call me to make an appointment for yourself.
Are you feeling anxious? Are you having a hard time concentrating or enjoying the things you used to. Are you experiencing anxiety attacks, OCD, or depression. If you said yes to any of these, you might be experiencing an Anxiety Disorder or a Depression Disorder. I've been treating anxiety and depression successfully in private practice since 2001. I also specialize in relationship issues. Feel free to call me to make an appointment for yourself.
(408) 641-6077 View (408) 641-6077
Photo of Amanda Mousalam, Marriage & Family Therapist in San Martin, CA
Amanda Mousalam
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
San Martin, CA 95046
I specialize in working with children & teens ages 2-12 for defiance, trauma, anxiety, depression, low self-esteem, attachment issues, child abuse, grief & loss, and life adjustments. I provide effective, research-based counseling in a warm and inviting environment. I offer practical strategies and activities to help children and families meet their goals and improve their lives. Modalities used include Parent Child Interaction Therapy (PCIT) and Parent Child CARE (PC-CARE), Cognitive Behavioral Therapy (CBT), Triple P Parenting, play therapy (directive, non-directive, and experiential), and therapeutic expressive art activities.
I specialize in working with children & teens ages 2-12 for defiance, trauma, anxiety, depression, low self-esteem, attachment issues, child abuse, grief & loss, and life adjustments. I provide effective, research-based counseling in a warm and inviting environment. I offer practical strategies and activities to help children and families meet their goals and improve their lives. Modalities used include Parent Child Interaction Therapy (PCIT) and Parent Child CARE (PC-CARE), Cognitive Behavioral Therapy (CBT), Triple P Parenting, play therapy (directive, non-directive, and experiential), and therapeutic expressive art activities.
(408) 217-2973 View (408) 217-2973
Photo of Jenna Warnock, Marriage & Family Therapist Associate in San Martin, CA
Jenna Warnock
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Martin, CA 95046
I find it a privilege to work with adolescents and adults during periods of growth, transition, or challenge in their lives. My approach to therapy is primarily psychodynamic and depth-oriented, incorporating attachment theory, object relations, narrative therapy, and family systems. I believe we are wired for connection but breaks in relationship to ourselves and others can lead to depression, anxiety, numbing, distorting, shame, anger, addictions, and compulsions.
I find it a privilege to work with adolescents and adults during periods of growth, transition, or challenge in their lives. My approach to therapy is primarily psychodynamic and depth-oriented, incorporating attachment theory, object relations, narrative therapy, and family systems. I believe we are wired for connection but breaks in relationship to ourselves and others can lead to depression, anxiety, numbing, distorting, shame, anger, addictions, and compulsions.
(949) 979-5502 View (949) 979-5502

More Therapists Nearby

Photo of Tiffany Altamirano, Marriage & Family Therapist in San Martin, CA
Tiffany Altamirano
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Gilroy, CA 95020
Not accepting new clients
Guiding women in developing wholeness, rejuvenation, and hope. Doing life can be hard and at times, numbing, chaotic, hopeless, draining, and overdone. This is where I’d like to meet you, to help reignite your passion for life again, exploring your strengths, and listening to your needs with care. I believe each woman can create their own rhythm of life that feels balanced, authentic, and healing. My specialities are in the following areas; life-transitions, co-dependency, motherhood, postpartum, adulthood, anxiety, depression, and parenting.
Guiding women in developing wholeness, rejuvenation, and hope. Doing life can be hard and at times, numbing, chaotic, hopeless, draining, and overdone. This is where I’d like to meet you, to help reignite your passion for life again, exploring your strengths, and listening to your needs with care. I believe each woman can create their own rhythm of life that feels balanced, authentic, and healing. My specialities are in the following areas; life-transitions, co-dependency, motherhood, postpartum, adulthood, anxiety, depression, and parenting.
(408) 351-7439 View (408) 351-7439
Photo of Carolina Sang, Marriage & Family Therapist Associate in San Martin, CA
Carolina Sang
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Morgan Hill, CA 95037
Are you finding it difficult to express your needs with someone in your life? Are you concerned that you and your loved one keep misunderstanding each other due to differences in cultural or gendered communication styles? Maybe you're going through a life transition that's adding to your stress levels, and leaving you both feeling in the dark about how to give and receive support? Or perhaps you are happy in your partnership, but are eager to grow together and deepen your bond even further? I can shine a light on those areas of difficulty for you both that remain obscured from view, and illuminate a new way forward.
Are you finding it difficult to express your needs with someone in your life? Are you concerned that you and your loved one keep misunderstanding each other due to differences in cultural or gendered communication styles? Maybe you're going through a life transition that's adding to your stress levels, and leaving you both feeling in the dark about how to give and receive support? Or perhaps you are happy in your partnership, but are eager to grow together and deepen your bond even further? I can shine a light on those areas of difficulty for you both that remain obscured from view, and illuminate a new way forward.
(408) 583-5437 View (408) 583-5437
Photo of Tina Wolff, Clinical Social Work/Therapist in San Martin, CA
Tina Wolff
Clinical Social Work/Therapist, LCSW
Verified Verified
Gilroy, CA 95020
Are you feeling burnout, depressed, anxious and feeling as though your life is stagnant? I am here to be a gentle hand to guide and support you through the different challenges that arise throughout your life. I believe that every individual is unique and has a set of strengths, experiences and challenges. When it comes to treatment, no one size fits all. For this reason, I tailor therapy to fit every individual’s unique needs and use empowerment as a tool to help you achieve the best version of yourself.
Are you feeling burnout, depressed, anxious and feeling as though your life is stagnant? I am here to be a gentle hand to guide and support you through the different challenges that arise throughout your life. I believe that every individual is unique and has a set of strengths, experiences and challenges. When it comes to treatment, no one size fits all. For this reason, I tailor therapy to fit every individual’s unique needs and use empowerment as a tool to help you achieve the best version of yourself.
(661) 463-9213 View (661) 463-9213
Photo of Jayme Kabelac, LCSW, Clinical Social Work/Therapist in San Martin, CA
Jayme Kabelac, LCSW
Clinical Social Work/Therapist, LCSW, PPSC
Verified Verified
1 Endorsed
Morgan Hill, CA 95037
Growing up is hard and sometimes tough to navigate, for kids and parents! Between early childhood and young adulthood, there are many challenges that children face on a daily basis. Often times, daily tasks and transitions bring on stress and sometimes depression and anxiety. Events ranging from separation to assault can provoke traumatic stress in the youngest child. This stress may lead to behaviors like isolating, self harm, crying, bed wetting, refusing to participate in activities or acting out. Your child has their own way of coping with change, which may negatively affect their relationships with teachers, friends or parents.
Growing up is hard and sometimes tough to navigate, for kids and parents! Between early childhood and young adulthood, there are many challenges that children face on a daily basis. Often times, daily tasks and transitions bring on stress and sometimes depression and anxiety. Events ranging from separation to assault can provoke traumatic stress in the youngest child. This stress may lead to behaviors like isolating, self harm, crying, bed wetting, refusing to participate in activities or acting out. Your child has their own way of coping with change, which may negatively affect their relationships with teachers, friends or parents.
(408) 767-6192 View (408) 767-6192
Photo of Theresa Dinkins, Marriage & Family Therapist in San Martin, CA
Theresa Dinkins
Marriage & Family Therapist, LMFT
Verified Verified
Gilroy, CA 95020
Hello, I am Theresa Dinkins a Licensed Marriage Family Child Therapist based in the Bay Area and working with clients throughout the state of California via telehealth. I with a diverse population of clients toward helping them find resources and clarity on their issues. My primary approach is Cognitive Behavioral Therapy depending on the client's needs and presenting problem along with a variety of other therapeutic theories available to reach resolve for the client. I assist them in understanding and navigating the speed bumps of life.
Hello, I am Theresa Dinkins a Licensed Marriage Family Child Therapist based in the Bay Area and working with clients throughout the state of California via telehealth. I with a diverse population of clients toward helping them find resources and clarity on their issues. My primary approach is Cognitive Behavioral Therapy depending on the client's needs and presenting problem along with a variety of other therapeutic theories available to reach resolve for the client. I assist them in understanding and navigating the speed bumps of life.
(669) 322-1615 View (669) 322-1615
Photo of Pavandeep Sandhu, Marriage & Family Therapist in San Martin, CA
Pavandeep Sandhu
Marriage & Family Therapist, LMFT
Verified Verified
Gilroy, CA 95020  (Online Only)
Finding the right therapist can be scary, so I'm glad you're here! Welcome! I am a Licensed Marriage and Family Therapist with a passion for helping individuals, children, and families navigate life’s challenges. I see health in a holistic way, where there are many pieces to what make up our whole well-being. Mental health is one part of that whole, and my hope for you is that we can partner together to get you the support you need to reach your goals in a compassionate way.
Finding the right therapist can be scary, so I'm glad you're here! Welcome! I am a Licensed Marriage and Family Therapist with a passion for helping individuals, children, and families navigate life’s challenges. I see health in a holistic way, where there are many pieces to what make up our whole well-being. Mental health is one part of that whole, and my hope for you is that we can partner together to get you the support you need to reach your goals in a compassionate way.
(408) 539-6516 View (408) 539-6516
Photo of Sheri Russell, Marriage & Family Therapist in San Martin, CA
Sheri Russell
Marriage & Family Therapist, MS, MFT
Verified Verified
4 Endorsed
Gilroy, CA 95020
There are times when life hurts and help is needed. When experiencing pain you want help to rise above the challenges of life and move forward. Sheri Russell is here to help you through those difficult challenges, whether it be trauma, depression, anxiety, or relational issues.
There are times when life hurts and help is needed. When experiencing pain you want help to rise above the challenges of life and move forward. Sheri Russell is here to help you through those difficult challenges, whether it be trauma, depression, anxiety, or relational issues.
(408) 868-5540 View (408) 868-5540
Photo of Felicia Santiago, Marriage & Family Therapist in San Martin, CA
Felicia Santiago
Marriage & Family Therapist, LMFT
Verified Verified
Morgan Hill, CA 95037
*Email is preferred way of contact* First off, I want to commend anyone who is taking the initiative to search and scour the Internet for extra support. I know how daunting the process can be, but you are here and this is the first step. Life can be stressful and scary at times. We all come from different walks of life, and sometimes we can not take on the world alone. My name is Felicia Santiago, and I hope to be a support to you by creating a safe space for you to express yourself. I am versatile in my approach and use a variety of therapeutic approaches based on individual clients and their presenting concerns.
*Email is preferred way of contact* First off, I want to commend anyone who is taking the initiative to search and scour the Internet for extra support. I know how daunting the process can be, but you are here and this is the first step. Life can be stressful and scary at times. We all come from different walks of life, and sometimes we can not take on the world alone. My name is Felicia Santiago, and I hope to be a support to you by creating a safe space for you to express yourself. I am versatile in my approach and use a variety of therapeutic approaches based on individual clients and their presenting concerns.
(855) 967-1238 View (855) 967-1238
Photo of Shannon Saltzman, Clinical Social Work/Therapist in San Martin, CA
Shannon Saltzman
Clinical Social Work/Therapist, LCSW
Verified Verified
Morgan Hill, CA 95037
Welcome! My name is Shannon Saltzman, a Licensed Clinical Social Worker with more than 15 years of clinical social work experience and over 20 years in the field of social work, I specialize in treating adults and older adults. As a therapist, I provide a warm, supportive, empathetic, non-judgemental, safe space for healing and recovery. I help clients move through whatever it is they may be struggling with and help them develop coping tools that they can continue to use beyond our time together.
Welcome! My name is Shannon Saltzman, a Licensed Clinical Social Worker with more than 15 years of clinical social work experience and over 20 years in the field of social work, I specialize in treating adults and older adults. As a therapist, I provide a warm, supportive, empathetic, non-judgemental, safe space for healing and recovery. I help clients move through whatever it is they may be struggling with and help them develop coping tools that they can continue to use beyond our time together.
(925) 732-1441 View (925) 732-1441
Photo of Raymond Coffin, Psychologist in San Martin, CA
Raymond Coffin
Psychologist, LCP
Verified Verified
Gilroy, CA 95020
I'm Dr. Ray Coffin, a Southern California psychologist with over 30 years of experience helping people get their lives back in balance when it's gotten to be too much to handle alone. If that sounds like you and what's worked for you in the past just isn't cutting it anymore, let's talk! I provide a confidential place to sort out what's not working in your life. We'll work together to clarify what you have the power to change, reinforce skills critical to your success, and support you as you build the confidence you need to make those changes.
I'm Dr. Ray Coffin, a Southern California psychologist with over 30 years of experience helping people get their lives back in balance when it's gotten to be too much to handle alone. If that sounds like you and what's worked for you in the past just isn't cutting it anymore, let's talk! I provide a confidential place to sort out what's not working in your life. We'll work together to clarify what you have the power to change, reinforce skills critical to your success, and support you as you build the confidence you need to make those changes.
(916) 775-9804 View (916) 775-9804
Photo of Renee Bynum, Marriage & Family Therapist in San Martin, CA
Renee Bynum
Marriage & Family Therapist, MS, LMFT
Verified Verified
10 Endorsed
Gilroy, CA 95020  (Online Only)
Are you grappling with the overwhelming pressures of daily life, work commitments, and family duties? Struggling to heal from the aftermath of a divorce, childhood trauma, or unexpected distressing events? Do you feel trapped in a cycle of fears and anxieties, finding it difficult to break free? Despite your best efforts, seeking relief may feel like an uphill battle. Feeling isolated in your constant state of sadness, anxiety, and overwhelm, with nobody truly understanding your struggle, can be draining. Don't you deserve to find peace and feel better?
Are you grappling with the overwhelming pressures of daily life, work commitments, and family duties? Struggling to heal from the aftermath of a divorce, childhood trauma, or unexpected distressing events? Do you feel trapped in a cycle of fears and anxieties, finding it difficult to break free? Despite your best efforts, seeking relief may feel like an uphill battle. Feeling isolated in your constant state of sadness, anxiety, and overwhelm, with nobody truly understanding your struggle, can be draining. Don't you deserve to find peace and feel better?
(408) 840-4390 View (408) 840-4390
Photo of Jake Clevenger, Marriage & Family Therapist Associate in San Martin, CA
Jake Clevenger
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
5 Endorsed
Gilroy, CA 95020  (Online Only)
Are you recovering from narcissistic abuse? I know this can be an incredibly challenging process. You deserve a therapeutic relationship that honors your story and gives you a safe place to process what you're going through. You can reduce the trauma.
Are you recovering from narcissistic abuse? I know this can be an incredibly challenging process. You deserve a therapeutic relationship that honors your story and gives you a safe place to process what you're going through. You can reduce the trauma.
(530) 240-7415 View (530) 240-7415
Photo of Stephanie M Dorsey, Clinical Social Work/Therapist in San Martin, CA
Stephanie M Dorsey
Clinical Social Work/Therapist, LCSW
Verified Verified
Morgan Hill, CA 95037  (Online Only)
It’s hard right now, that’s why you are here reading through profiles looking for someone who might be able to help. I know it can be overwhelming, I’ve been there too. I want to partner with you to help you through whatever you are facing. I believe that every person is unique and as such deserves a unique approach in treatment. I will listen with compassion and empathy to help guide you towards your desired outcomes. I don't have all the answers but together we can find solutions.
It’s hard right now, that’s why you are here reading through profiles looking for someone who might be able to help. I know it can be overwhelming, I’ve been there too. I want to partner with you to help you through whatever you are facing. I believe that every person is unique and as such deserves a unique approach in treatment. I will listen with compassion and empathy to help guide you towards your desired outcomes. I don't have all the answers but together we can find solutions.
(209) 219-3818 View (209) 219-3818

See more therapy options for San Martin

How does your Therapist compare?

Number of Therapists in San Martin, CA

< 10

Therapists in San Martin, CA who prioritize treating:

86% Relationship Issues
86% Depression
71% Anxiety
71% Parenting
71% Trauma and PTSD
71% Coping Skills
57% Grief

Average years in practice

30 Years

Top 3 insurances accepted

33% ComPsych
33% Health Net
33% MHN | Health Net

How Therapists in San Martin, CA see their clients

86% In Person and Online
14% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in San Martin?

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.