Photo of Judi Bellomo, LCSW-R, Clinical Social Work/Therapist
Judi Bellomo
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Amityville, NY 11701  (Online Only)
I have been a practicing clinical social worker for over 15 years. I have extensive experience working as a school social worker, addiction counselor and private practitioner. I incorporate different types of treatment modalities into my sessions, based on the issues and people that I am working with. My client base consists of tweens to adults and I work with individuals, couples and families.
I have been a practicing clinical social worker for over 15 years. I have extensive experience working as a school social worker, addiction counselor and private practitioner. I incorporate different types of treatment modalities into my sessions, based on the issues and people that I am working with. My client base consists of tweens to adults and I work with individuals, couples and families.
(516) 853-0103 View (516) 853-0103
Photo of Marissa L. Felder, MA, LMHC, NCC, CMHIMP, Counselor
Marissa L. Felder
Counselor, MA, LMHC, NCC, CMHIMP
Verified Verified
Amityville, NY 11701
Waitlist for new clients
Therapy is a wonderful vehicle that transports you from where you are to where you want to be. I have a listening ear, a compassionate heart and the desire to help you conquer your greatest challenges. The best therapeutic relationship is one where you, the client, finds your voice, determine your goals and then develop into your best self. Embrace the thought that change is good! Let's untie all the knots that life brings and create your peace of mind.
Therapy is a wonderful vehicle that transports you from where you are to where you want to be. I have a listening ear, a compassionate heart and the desire to help you conquer your greatest challenges. The best therapeutic relationship is one where you, the client, finds your voice, determine your goals and then develop into your best self. Embrace the thought that change is good! Let's untie all the knots that life brings and create your peace of mind.
(833) 361-4926 View (833) 361-4926
Photo of Jacqueline Rosario, LCSW-R, Clinical Social Work/Therapist
Jacqueline Rosario
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Amityville, NY 11701  (Online Only)
Do you ever feel overwhelmed with life's challenges and do not know who to turn for help? I am a bilingual Psychotherapist who is known for her warmth and comfortable approach to therapy. Therapy is a personal journey that can lead to emotional well-being, improved self-esteem, rewarding relationships, and overall capacity to cope with life's various stressors. My style is to work with you and/or your significant other, in a collaborative manner, to help you develop greater insight into your unique challenges and to help you to identify and enhance the strengths you already possess.
Do you ever feel overwhelmed with life's challenges and do not know who to turn for help? I am a bilingual Psychotherapist who is known for her warmth and comfortable approach to therapy. Therapy is a personal journey that can lead to emotional well-being, improved self-esteem, rewarding relationships, and overall capacity to cope with life's various stressors. My style is to work with you and/or your significant other, in a collaborative manner, to help you develop greater insight into your unique challenges and to help you to identify and enhance the strengths you already possess.
(929) 226-6439 View (929) 226-6439
Photo of Trisha Rousseau - Trisha Rousseau, Psy.D. Licensed Psychologist, PsyD, Psychologist
Trisha Rousseau, Psy.D. Licensed Psychologist
Psychologist, PsyD
Verified Verified
Amityville, NY 11701
Are you feeling overwhelmed and anxious, or do you have difficulty turning off these thoughts? Maybe you are so preoccupied wi these worries that you find you can’t enjoy being with your loved ones or friends? Maybe you are transitioning into a new season of life, and finding it hard to adjust to your new normal.
Are you feeling overwhelmed and anxious, or do you have difficulty turning off these thoughts? Maybe you are so preoccupied wi these worries that you find you can’t enjoy being with your loved ones or friends? Maybe you are transitioning into a new season of life, and finding it hard to adjust to your new normal.
(516) 830-4856 View (516) 830-4856
Photo of Elissa Grunblatt, LCSW-R, SAP, Clinical Social Work/Therapist
Elissa Grunblatt
Clinical Social Work/Therapist, LCSW-R, SAP
Verified Verified
1 Endorsed
Amityville, NY 11701
Are you doing well in your relationship with your partner? Are you respected at work? How about getting along with friends? Success in relationships, work and friendships have one thing in common: good communication. Being skillful in what you say and how you say it in the moment, is not easy. If you figure out the perfect response later on, you missed the opportunity. Do you have the courage and good verbal skills to create better relationships? Are you taken seriously at work? Are you sought after by friends? Are you seeking a love relationship or trying to get to the next level? Self-confidence comes from articulation.
Are you doing well in your relationship with your partner? Are you respected at work? How about getting along with friends? Success in relationships, work and friendships have one thing in common: good communication. Being skillful in what you say and how you say it in the moment, is not easy. If you figure out the perfect response later on, you missed the opportunity. Do you have the courage and good verbal skills to create better relationships? Are you taken seriously at work? Are you sought after by friends? Are you seeking a love relationship or trying to get to the next level? Self-confidence comes from articulation.
(516) 350-5693 View (516) 350-5693
Photo of Joanna Toto, LMHC
Joanna Toto
Licensed Mental Health Counselor, LMHC
Verified Verified
6 Endorsed
Amityville, NY 11701  (Online Only)
Are you a 20-something adult experiencing anxiety, OCD, and/or perfectionism? Do you want to improve your self-esteem and ability to cope with life transitions? Is your anxiety or OCD becoming overwhelming and now's the time you need help? I provide a warm, collaborative environment to help you work through your thoughts, feelings, and behaviors while pursuing your values-driven goals. These may include facing your fears, managing the "what-if's" that run rampant in your mind, and disengaging from rigid routines or behaviors.
Are you a 20-something adult experiencing anxiety, OCD, and/or perfectionism? Do you want to improve your self-esteem and ability to cope with life transitions? Is your anxiety or OCD becoming overwhelming and now's the time you need help? I provide a warm, collaborative environment to help you work through your thoughts, feelings, and behaviors while pursuing your values-driven goals. These may include facing your fears, managing the "what-if's" that run rampant in your mind, and disengaging from rigid routines or behaviors.
(631) 529-6970 View (631) 529-6970
Photo of Juliet Ahl - Juliet Ahl, LCSW, Clinical Social Work/Therapist
Juliet Ahl
Clinical Social Work/Therapist, LCSW
Verified Verified
Amityville, NY 11701
Within a safe and supportive environment, I will work with you to help identify your needs and goals in therapy. I utilize an integrative approach, emphasizing compassion, empathy and respect coupled with evidence based practices to provide person-centered care. My mission is to empower you to achieve the changes you desire. Together, we will develop a plan to achieve these changes.
Within a safe and supportive environment, I will work with you to help identify your needs and goals in therapy. I utilize an integrative approach, emphasizing compassion, empathy and respect coupled with evidence based practices to provide person-centered care. My mission is to empower you to achieve the changes you desire. Together, we will develop a plan to achieve these changes.
(631) 817-4885 View (631) 817-4885
Photo of Alexandria Neil, MA, LMHC, NCC, Counselor
Alexandria Neil
Counselor, MA, LMHC, NCC
Verified Verified
2 Endorsed
Amityville, NY 11701  (Online Only)
Hello, I appreciate your interest in taking this journey with me! I work with ages 14 and up that are dealing with challenges such as depression, anxiety, low self-esteem, relational difficulties, and many other areas through an integrative approach. I work with clients to manage and process traumatic experiences, adjust their communication, learn and implement boundaries, and so much more! Oftentimes, the areas of change are directly linked to unresolved experiences from our past, we will identify, discuss, set a plan, and follow through the journey to establish a resolution. At this time, I only see clients in NY.
Hello, I appreciate your interest in taking this journey with me! I work with ages 14 and up that are dealing with challenges such as depression, anxiety, low self-esteem, relational difficulties, and many other areas through an integrative approach. I work with clients to manage and process traumatic experiences, adjust their communication, learn and implement boundaries, and so much more! Oftentimes, the areas of change are directly linked to unresolved experiences from our past, we will identify, discuss, set a plan, and follow through the journey to establish a resolution. At this time, I only see clients in NY.
(631) 641-7364 View (631) 641-7364
Photo of Melissa Massimo, LCSW, Clinical Social Work/Therapist
Melissa Massimo
Clinical Social Work/Therapist, LCSW
Verified Verified
Amityville, NY 11701  (Online Only)
Not accepting new clients
Hello! Thanks for reading my bio! I received my Master’s degree from Fordham University. I have been actively working in the field of clinical social work since 2001 and have experience working in a variety of settings. I hope I can provide you with a safe, nurturing space to help you address whatever you are going through! I have treated adults who have dealt with a range of issues, i.e. anxiety, addiction, trauma, relationship and career instability, bereavement and more. I have also worked successfully with couples to help them learn skills for improved communication.
Hello! Thanks for reading my bio! I received my Master’s degree from Fordham University. I have been actively working in the field of clinical social work since 2001 and have experience working in a variety of settings. I hope I can provide you with a safe, nurturing space to help you address whatever you are going through! I have treated adults who have dealt with a range of issues, i.e. anxiety, addiction, trauma, relationship and career instability, bereavement and more. I have also worked successfully with couples to help them learn skills for improved communication.
(631) 202-0865 View (631) 202-0865
Photo of Candice Jarvis - Chat&Change Counseling Services. LLC, LCSW-R, Clinical Social Work/Therapist
Chat&Change Counseling Services. LLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Amityville, NY 11701  (Online Only)
Are you seeking support on your path towards emotional well-being and empowerment? As an African American therapist, I understand the unique challenges that can arise from our diverse backgrounds and experiences. I'm here to offer you a safe and nurturing space to explore and overcome the hurdles that life can bring.If you're battling depression, anxiety, or the weight of past traumas, remember that you don't have to face these struggles alone. Together, we can work towards understanding the roots of your feelings and developing effective coping strategies.
Are you seeking support on your path towards emotional well-being and empowerment? As an African American therapist, I understand the unique challenges that can arise from our diverse backgrounds and experiences. I'm here to offer you a safe and nurturing space to explore and overcome the hurdles that life can bring.If you're battling depression, anxiety, or the weight of past traumas, remember that you don't have to face these struggles alone. Together, we can work towards understanding the roots of your feelings and developing effective coping strategies.
(631) 983-3316 View (631) 983-3316
Photo of Lorrie Beshlian, LCSW, CASAC, Clinical Social Work/Therapist
Lorrie Beshlian
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
Amityville, NY 11701  (Online Only)
Whether it be life changes, relationship/family issues, anxiety/depression issues, or your everyday stress, we all can benefit from an open, non-judgmental environment for support. Everyone's experience in life is unique to them and their treatment should also be as unique. My experience in substance abuse, disease management, perinatal/post partum issues, mood disorders, and anxiety disorders provide me the ability to offer clients a wide variety of knowledge and therapeutic approaches.
Whether it be life changes, relationship/family issues, anxiety/depression issues, or your everyday stress, we all can benefit from an open, non-judgmental environment for support. Everyone's experience in life is unique to them and their treatment should also be as unique. My experience in substance abuse, disease management, perinatal/post partum issues, mood disorders, and anxiety disorders provide me the ability to offer clients a wide variety of knowledge and therapeutic approaches.
(516) 715-3072 View (516) 715-3072
Photo of Kevin Lee, LCSW, Clinical Social Work/Therapist
Kevin Lee
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Amityville, NY 11701
Are you wondering if it’s time to do something about the way you feel or the way your life is going? Are you feeling stuck and frustrated that things aren’t going how you’d like? Perhaps you find yourself feeling disconnected, regularly overthinking and worrying, or in an emotional dip. Could there be something specific that’s been difficult to resolve, a thought you can’t get rid of, relationship concerns, an unease about life circumstances?
Are you wondering if it’s time to do something about the way you feel or the way your life is going? Are you feeling stuck and frustrated that things aren’t going how you’d like? Perhaps you find yourself feeling disconnected, regularly overthinking and worrying, or in an emotional dip. Could there be something specific that’s been difficult to resolve, a thought you can’t get rid of, relationship concerns, an unease about life circumstances?
(631) 366-7085 View (631) 366-7085
Photo of Mary Starke, LMHC, Counselor
Mary Starke
Counselor, LMHC
Verified Verified
Amityville, NY 11701
I work with clients to achieve desired goals with a focus on solutions; I enjoy helping clients identify barriers to self growth and discover personal strengths. We all struggle at times with anxiety, depression and low self worth which can sabotage our best efforts to develop and shape the life we want. I provide a supportive, accepting and nurturing space where you can explore your thoughts, feelings and behaviors to enhance self fulfillment.
I work with clients to achieve desired goals with a focus on solutions; I enjoy helping clients identify barriers to self growth and discover personal strengths. We all struggle at times with anxiety, depression and low self worth which can sabotage our best efforts to develop and shape the life we want. I provide a supportive, accepting and nurturing space where you can explore your thoughts, feelings and behaviors to enhance self fulfillment.
(516) 226-7837 View (516) 226-7837
Photo of Amanda Egan, LCSW, Clinical Social Work/Therapist
Amanda Egan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Amityville, NY 11701  (Online Only)
My name is Amanda Egan and I am a Licensed Clinical Social Worker. I have always had a passion of helping others and I am constantly inspired by listening to people’s stories. There are many reasons people look into therapy and whether you just need someone to listen and help you talk things out or you are struggling with something currently, I can help. I have over a decade of clinical experience. I have worked with all ages and populations. Currently I also work as a Middle School Social Worker and assist adolescents in managing their school related stress and anxiety symptoms on a daily basis.
My name is Amanda Egan and I am a Licensed Clinical Social Worker. I have always had a passion of helping others and I am constantly inspired by listening to people’s stories. There are many reasons people look into therapy and whether you just need someone to listen and help you talk things out or you are struggling with something currently, I can help. I have over a decade of clinical experience. I have worked with all ages and populations. Currently I also work as a Middle School Social Worker and assist adolescents in managing their school related stress and anxiety symptoms on a daily basis.
(631) 355-6935 View (631) 355-6935
Photo of Claire Marie Lopardo, LCSW, LMSW, Clinical Social Work/Therapist
Claire Marie Lopardo
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Amityville, NY 11701  (Online Only)
Thank you for taking the first step in your therapeutic journey. Whether you're new to therapy or returning, welcome. It can be so difficult to first acknowledge challenges that we face and then ask for help with those challenges. Creating a non-judgemental, inviting space for my clients is my number one priority. If you're struggling with interpersonal issues, mental health related concerns, substance misuse, or traumatic past events, I'm hoping to provide assistance in your journey.
Thank you for taking the first step in your therapeutic journey. Whether you're new to therapy or returning, welcome. It can be so difficult to first acknowledge challenges that we face and then ask for help with those challenges. Creating a non-judgemental, inviting space for my clients is my number one priority. If you're struggling with interpersonal issues, mental health related concerns, substance misuse, or traumatic past events, I'm hoping to provide assistance in your journey.
(631) 825-9162 View (631) 825-9162
Photo of D. Vaillancourt - Psychotherapist- Life Coach, MA
I have specialized in treating patients with history of trauma . I provide psychotherapy and coaching to victims of narcissistic abuse. I have intensive experience to identify and coach you to thrive during and after; smear campaigns, blame shifting, gas-lighting, PTSD, victim playing, projecting and other tactics used by character disordered people. I work with people who have been harmed by the people who they believed they could trust. I understand the depth of pain caused by Narcissistic Abuse. I also has many years of experience with victims of sexual/physical abuse and neglect.
I have specialized in treating patients with history of trauma . I provide psychotherapy and coaching to victims of narcissistic abuse. I have intensive experience to identify and coach you to thrive during and after; smear campaigns, blame shifting, gas-lighting, PTSD, victim playing, projecting and other tactics used by character disordered people. I work with people who have been harmed by the people who they believed they could trust. I understand the depth of pain caused by Narcissistic Abuse. I also has many years of experience with victims of sexual/physical abuse and neglect.
(631) 201-1166 View (631) 201-1166
Photo of Sherry Mederos, LCSW-R, CASAC, Clinical Social Work/Therapist
Sherry Mederos
Clinical Social Work/Therapist, LCSW-R, CASAC
Verified Verified
Amityville, NY 11701
I'm a dynamic and seasoned professional with over 20 years of clinical experience. I specialize in working with clients who struggle with addiction and substance use, have experienced trauma and/or suffer from Post Traumatic Stress Disorder (PTSD). My practice consists of individual, family, couples and adolescent therapy. I am certified in Multi-Dimensional Family Therapy (MDFT) and Credentialed Alcoholism Substance Counselor (CASAC).
I'm a dynamic and seasoned professional with over 20 years of clinical experience. I specialize in working with clients who struggle with addiction and substance use, have experienced trauma and/or suffer from Post Traumatic Stress Disorder (PTSD). My practice consists of individual, family, couples and adolescent therapy. I am certified in Multi-Dimensional Family Therapy (MDFT) and Credentialed Alcoholism Substance Counselor (CASAC).
(631) 956-4820 View (631) 956-4820
Photo of Tatum J. Brogan - Tatum J. Brogan, PSC Inc. , MS, R-DMT, LCAT
Tatum J. Brogan, PSC Inc.
MS, R-DMT, LCAT
Verified Verified
Amityville, NY 11701
I find that an empathetic approach is the best way to build rapport and trust with a client. I am fortunate to have worked across many populations (infants, children, adolescents, adults, geriatrics, military personnel, special needs, etc) and feel that creative arts therapy is universal. I have experience in a myriad of diagnoses ranging from anxiety and depression to acute psychiatric disorders.
I find that an empathetic approach is the best way to build rapport and trust with a client. I am fortunate to have worked across many populations (infants, children, adolescents, adults, geriatrics, military personnel, special needs, etc) and feel that creative arts therapy is universal. I have experience in a myriad of diagnoses ranging from anxiety and depression to acute psychiatric disorders.
(516) 321-4809 View (516) 321-4809
Photo of Kenneth Francis Corbin - Therapy Is Self Discovery LCSW P.C., BCCC, BCPC, LCSW-R, Clinical Social Work/Therapist
Therapy Is Self Discovery LCSW P.C.
Clinical Social Work/Therapist, BCCC, BCPC, LCSW-R
Verified Verified
Amityville, NY 11701
How many of us have issues past or present which cause pain in our life? Therapy is an opportunity for us to be freed by processing our feelings and thoughts in a safe environment so that we can move on and grow. I offer over 20 years experience of working with those who have suffered with trauma, addiction, mental health and spiritual pain. Those who have come to me find the journey to inner peace which leads to emotional wellness is achievable as long as the person is willing to share and be honest with them self. Why stay in pain when there is a way to feel at peace?
How many of us have issues past or present which cause pain in our life? Therapy is an opportunity for us to be freed by processing our feelings and thoughts in a safe environment so that we can move on and grow. I offer over 20 years experience of working with those who have suffered with trauma, addiction, mental health and spiritual pain. Those who have come to me find the journey to inner peace which leads to emotional wellness is achievable as long as the person is willing to share and be honest with them self. Why stay in pain when there is a way to feel at peace?
(631) 956-8658 View (631) 956-8658
Photo of Eric Falkman, LCSW, Clinical Social Work/Therapist
Eric Falkman
Clinical Social Work/Therapist, LCSW
Verified Verified
Amityville, NY 11701  (Online Only)
Welcome. My name is Eric Falkman, and I am a Licensed Clinical Social Worker, in the state of New York. I have over 8 years of experience providing treatment to children, adolescents, and adults. I have worked with various populations, including individuals in crisis and others with anxiety, depression, ADHD, anger management issues, self-harm, psychosis, among many others. I have completed trainings in the areas of acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), as well as solution focused brief therapy (SFBT).
Welcome. My name is Eric Falkman, and I am a Licensed Clinical Social Worker, in the state of New York. I have over 8 years of experience providing treatment to children, adolescents, and adults. I have worked with various populations, including individuals in crisis and others with anxiety, depression, ADHD, anger management issues, self-harm, psychosis, among many others. I have completed trainings in the areas of acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), as well as solution focused brief therapy (SFBT).
(631) 540-1879 View (631) 540-1879
1

How does your Therapist compare?

Number of Therapists in 11701

60+

Average cost per session

$125

Therapists in 11701 who prioritize treating:

95% Anxiety
90% Depression
85% Coping Skills
84% Self Esteem
77% Relationship Issues
75% Stress
66% Family Conflict

Average years in practice

9 Years

Top 3 insurances accepted

81% Aetna
81% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH

How Therapists in 11701 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 11701?

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.