Photo of Marlyne L. DeLima, MS, LMHC, Counselor
Marlyne L. DeLima
Counselor, MS, LMHC
Verified Verified
Miami, FL 33176
I am a Licensed Psychotherapist with a private practice in Miami, Florida. I offer individual, couples, family, and group counseling for adolescents and adults. I take a holistic and integrative approach that is tailored to your specific needs. I do not hide behind silence or position; instead I provide you with some useful tools as I guide you through this process with unconditional respect and empathy. My ultimate goal is to inspire and motivate you to make the necessary changes required to live a happy and healthy life.
I am a Licensed Psychotherapist with a private practice in Miami, Florida. I offer individual, couples, family, and group counseling for adolescents and adults. I take a holistic and integrative approach that is tailored to your specific needs. I do not hide behind silence or position; instead I provide you with some useful tools as I guide you through this process with unconditional respect and empathy. My ultimate goal is to inspire and motivate you to make the necessary changes required to live a happy and healthy life.
(786) 565-3296 View (786) 565-3296
Photo of Ana M Ferran, MS, LMHC, Coach, Counselor
Ana M Ferran
Counselor, MS, LMHC, Coach
Verified Verified
Miami, FL 33176
I am a licensed mental health counselor and certified life coach with over 16 years of professional experience. I specialize in working with adolescents and adults experiencing anxiety, depression, and transitional life issues. My desire and intention is to provide a safe place in which you and your loved ones can feel safe expressing your thoughts and feelings, and to provide the supports and tools to guide you into living your desired life.
I am a licensed mental health counselor and certified life coach with over 16 years of professional experience. I specialize in working with adolescents and adults experiencing anxiety, depression, and transitional life issues. My desire and intention is to provide a safe place in which you and your loved ones can feel safe expressing your thoughts and feelings, and to provide the supports and tools to guide you into living your desired life.
(786) 613-4704 View (786) 613-4704
Photo of Audrey Bloom, LCSW, MMTCP, Clinical Social Work/Therapist
Audrey Bloom
Clinical Social Work/Therapist, LCSW, MMTCP
Verified Verified
1 Endorsed
Palmetto Bay, FL 33176  (Online Only)
If an old behavior is not serving you, if you are unsure, unclear or troubled about any part of your life, if you need to express your emotions or refrain from expressing them, if you are going through a difficult passage, if some part of you is conflicted or constricted, I may be the most effective counselor for you. I take into consideration the body, emotions, mind and spirit, in order to identify barriers to living freely, peacefully and productively. Stress, anxiety, depression, grief, trauma, mood changes, self-esteem, sexuality, divorce, health changes, relationships, and life transition are all "treatable".
If an old behavior is not serving you, if you are unsure, unclear or troubled about any part of your life, if you need to express your emotions or refrain from expressing them, if you are going through a difficult passage, if some part of you is conflicted or constricted, I may be the most effective counselor for you. I take into consideration the body, emotions, mind and spirit, in order to identify barriers to living freely, peacefully and productively. Stress, anxiety, depression, grief, trauma, mood changes, self-esteem, sexuality, divorce, health changes, relationships, and life transition are all "treatable".
(305) 240-6591 View (305) 240-6591
Photo of Dr. Jane Janer, PsyD, MBA, CPA, Psychologist
Dr. Jane Janer
Psychologist, PsyD, MBA, CPA
Verified Verified
1 Endorsed
Miami, FL 33176
Are you looking for CHANGE in some aspect of your life? Welcome to the KEY Mental Health Institute. KEY stands for Knowledge and Empowerment for You. Knowledge Empowers us. It creates awareness and understanding, and assists us to seek better alternatives. Awareness helps us to make better choices. We will assist you in achieving your desired outcome. Looking forward to working with you. Success!!
Are you looking for CHANGE in some aspect of your life? Welcome to the KEY Mental Health Institute. KEY stands for Knowledge and Empowerment for You. Knowledge Empowers us. It creates awareness and understanding, and assists us to seek better alternatives. Awareness helps us to make better choices. We will assist you in achieving your desired outcome. Looking forward to working with you. Success!!
(786) 440-4211 View (786) 440-4211
Photo of Maya Duffy, LCSW, Clinical Social Work/Therapist
Maya Duffy
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33176
Greetings! My name is Maya Duffy. I am a Licensed Clinical Social Worker with over 13 years of clinical experience assisting various with Addiction, Anxiety, Bipolar Disorder, Coping Skills, and Depression through their journey of self-discovery, healing, and growth. In sessions, I utilize active listening, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused, and Person-Centered therapy to assist clients in breaking cognitive distortions, gaining emotional intelligence, and building healthy coping skills. I believe in meeting the client where they are in the process of their therapeutic journey.
Greetings! My name is Maya Duffy. I am a Licensed Clinical Social Worker with over 13 years of clinical experience assisting various with Addiction, Anxiety, Bipolar Disorder, Coping Skills, and Depression through their journey of self-discovery, healing, and growth. In sessions, I utilize active listening, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused, and Person-Centered therapy to assist clients in breaking cognitive distortions, gaining emotional intelligence, and building healthy coping skills. I believe in meeting the client where they are in the process of their therapeutic journey.
(904) 906-4932 View (904) 906-4932
Photo of Alicia C. Medina Clinical Master Hypnotherapist, CHt,, MCH
Alicia C. Medina Clinical Master Hypnotherapist
CHt,, MCH
Verified Verified
Miami, FL 33176
Some challenges where hypnotherapy can help: Anxiety Panic Attacks, Self Esteem, Self Confidence, Fears, Phobias, Grief, Insecurities, Relationship Issues, Traumas (PTSD), Forgiveness, Guilt, Negative Habits, Insomnia, OCD, Body Image, Anger, Addictions, Emotional Physical Abuse, IBS/CHRONS, Asperger's Autism, Exam nerves, Anti-Social Skills, Negative Thoughts.
Some challenges where hypnotherapy can help: Anxiety Panic Attacks, Self Esteem, Self Confidence, Fears, Phobias, Grief, Insecurities, Relationship Issues, Traumas (PTSD), Forgiveness, Guilt, Negative Habits, Insomnia, OCD, Body Image, Anger, Addictions, Emotional Physical Abuse, IBS/CHRONS, Asperger's Autism, Exam nerves, Anti-Social Skills, Negative Thoughts.
(786) 833-6050 View (786) 833-6050
Photo of Lauren Amigo, MA, LMHC, LCAT, ATR-BC, Counselor
Lauren Amigo
Counselor, MA, LMHC, LCAT, ATR-BC
Verified Verified
1 Endorsed
Miami, FL 33176  (Online Only)
Beginning therapy can feel like a challenging process, so I am happy to help ease the process in any way that I can. I enjoy working with children, adolescents, and young adult clients to feel more comfortable accessing and working through their emotional and cognitive processing in hopes of strengthening coping skills and practicing authentic self-reflection. My therapeutic and humanistic approach focuses on encouraging agency, supporting goals, and facilitating healing. I believe that a thoughtful and psychodynamic process of individualized or group art therapy creates a space for safe emotional and creative exploration.
Beginning therapy can feel like a challenging process, so I am happy to help ease the process in any way that I can. I enjoy working with children, adolescents, and young adult clients to feel more comfortable accessing and working through their emotional and cognitive processing in hopes of strengthening coping skills and practicing authentic self-reflection. My therapeutic and humanistic approach focuses on encouraging agency, supporting goals, and facilitating healing. I believe that a thoughtful and psychodynamic process of individualized or group art therapy creates a space for safe emotional and creative exploration.
(347) 727-0664 View (347) 727-0664
Photo of Anais Torres, LMHC, Counselor
Anais Torres
Counselor, LMHC
Verified Verified
Miami, FL 33176  (Online Only)
Welcome to Braving Vulnerability Counseling. I specialize in helping those seeking to live authentically as they navigate struggles such as: eating disorders, anxiety, depression, PTSD, suicidality, and medical comorbidities. I provide a safe and inclusive space to be yourself while working towards your healed version.
Welcome to Braving Vulnerability Counseling. I specialize in helping those seeking to live authentically as they navigate struggles such as: eating disorders, anxiety, depression, PTSD, suicidality, and medical comorbidities. I provide a safe and inclusive space to be yourself while working towards your healed version.
(786) 891-1341 View (786) 891-1341
Photo of Astrid Pena, RMHCI
Astrid Pena
Registered Mental Health Counselor Intern, RMHCI
Verified Verified
Miami, FL 33176
As a bilingual therapist, I specialize in helping clients navigate anxiety, depression, and trauma. Whether you are struggling with overwhelming worry, persistent sadness, or the effects of traumatic experiences, I provide a compassionate and supportive space to explore these challenges. My approach focuses on helping you identify the root causes of distress, develop practical coping strategies, and work towards emotional healing and stability. I understand the unique ways in which anxiety, depression, and trauma can impact your life, and I am dedicated to guiding you towards a healthier, more fulfilling future.
As a bilingual therapist, I specialize in helping clients navigate anxiety, depression, and trauma. Whether you are struggling with overwhelming worry, persistent sadness, or the effects of traumatic experiences, I provide a compassionate and supportive space to explore these challenges. My approach focuses on helping you identify the root causes of distress, develop practical coping strategies, and work towards emotional healing and stability. I understand the unique ways in which anxiety, depression, and trauma can impact your life, and I am dedicated to guiding you towards a healthier, more fulfilling future.
(786) 686-2407 View (786) 686-2407
Photo of Angie Dominguez, IMH, Pre-Licensed Professional
Angie Dominguez
Pre-Licensed Professional, IMH
Verified Verified
1 Endorsed
Miami, FL 33176
Are you or a loved one struggling with trauma, anxiety, or major life changes? I provide therapy to help navigate challenges and foster personal growth. Whether you're dealing with unresolved trauma, chronic stress, or emotional difficulties, I offer a safe and compassionate space for you to explore these feelings. Together, we’ll work on developing coping strategies, improving communication, and building resilience. Let’s move toward greater self-awareness, emotional balance, and healthier relationships. Start your journey to a more empowered life today.
Are you or a loved one struggling with trauma, anxiety, or major life changes? I provide therapy to help navigate challenges and foster personal growth. Whether you're dealing with unresolved trauma, chronic stress, or emotional difficulties, I offer a safe and compassionate space for you to explore these feelings. Together, we’ll work on developing coping strategies, improving communication, and building resilience. Let’s move toward greater self-awareness, emotional balance, and healthier relationships. Start your journey to a more empowered life today.
(786) 998-5402 View (786) 998-5402
Photo of Andrea Garcia, LCMHC, Counselor
Andrea Garcia
Counselor, LCMHC
Verified Verified
Miami, FL 33176
Hello, my name is Andrea Garcia, and I am a licensed mental health therapist with a specialization in holistic modalities of healing. With over 8 years of experience, I have dedicated myself to helping women empower themselves and change their lives by integrating mind, body, and spirit. With a BA in Psychology, Master's in Mental Health Counseling, yoga certification, shamanic background & a specialty in women's wellness through holistic modalities, I use my combined experiences through an integrative approach of mind, body & spirit.
Hello, my name is Andrea Garcia, and I am a licensed mental health therapist with a specialization in holistic modalities of healing. With over 8 years of experience, I have dedicated myself to helping women empower themselves and change their lives by integrating mind, body, and spirit. With a BA in Psychology, Master's in Mental Health Counseling, yoga certification, shamanic background & a specialty in women's wellness through holistic modalities, I use my combined experiences through an integrative approach of mind, body & spirit.
(904) 231-9594 View (904) 231-9594
Photo of Cherise Watson, LMHC-QS, CCTP, Licensed Professional Counselor
Cherise Watson
Licensed Professional Counselor, LMHC-QS, CCTP
Verified Verified
3 Endorsed
Miami, FL 33176  (Online Only)
Are you feeling stuck or stagnant in your life? Are you struggling to find purpose and meaning in your career? Do you suffer from Imposter Syndrome, Burn-Out, or lack a Work/Life balance? Well, you are not alone! Maybe all you need is a warm, supportive, empowering, trained professional to provide you with the knowledge and tools to move forward.
Are you feeling stuck or stagnant in your life? Are you struggling to find purpose and meaning in your career? Do you suffer from Imposter Syndrome, Burn-Out, or lack a Work/Life balance? Well, you are not alone! Maybe all you need is a warm, supportive, empowering, trained professional to provide you with the knowledge and tools to move forward.
(786) 998-4199 View (786) 998-4199
Photo of Gema Santana - Santana Psych- Educational Services, LSP, EdS, SSP
Santana Psych- Educational Services
LSP, EdS, SSP
Verified Verified
Miami, FL 33176
Is your child struggling with academic work and/or cannot focus due to hyperactivity behaviors that affect their learning? Is your child displaying social/emotional difficulties that affect their interactions with peers and adults? Or, is your child an overachiever and a leader that is motivated to learn new things no matter how challenging it can be? Overcoming these obstacles or maximizing your child's potential is not easy, and being able to provide them with the proper support is KEY. A Psycho-Educational Evaluation can help answer many of your questions and provide your child with a plan to address his needs or strengths.
Is your child struggling with academic work and/or cannot focus due to hyperactivity behaviors that affect their learning? Is your child displaying social/emotional difficulties that affect their interactions with peers and adults? Or, is your child an overachiever and a leader that is motivated to learn new things no matter how challenging it can be? Overcoming these obstacles or maximizing your child's potential is not easy, and being able to provide them with the proper support is KEY. A Psycho-Educational Evaluation can help answer many of your questions and provide your child with a plan to address his needs or strengths.
(305) 590-5369 View (305) 590-5369
Photo of Gabriela Cabrera, MS
Gabriela Cabrera
Registered Mental Health Counselor Intern, MS
Verified Verified
Miami, FL 33176
I'm Gabriela, a Registered Mental Health Counseling Intern with a passion for supporting children, adolescents, and young adults. I aim to create a safe and nurturing environment where my clients can feel seen, heard, and understood without judgment to explore various developmental and psychological challenges and build emotional resilience.
I'm Gabriela, a Registered Mental Health Counseling Intern with a passion for supporting children, adolescents, and young adults. I aim to create a safe and nurturing environment where my clients can feel seen, heard, and understood without judgment to explore various developmental and psychological challenges and build emotional resilience.
(786) 692-4943 View (786) 692-4943
Photo of A Sonia Neale Family Systems Therapy Associates, MS, LMFT, CCTP, Marriage & Family Therapist
A Sonia Neale Family Systems Therapy Associates
Marriage & Family Therapist, MS, LMFT, CCTP
Verified Verified
Miami, FL 33176  (Online Only)
My approach to therapy is based on the belief that behaviors are a function of our relations with others. Thus, a person's environment and history influences one's sense of self and the way we express ourselves as part of a group and as individuals. I try to learn from my client's experiences to develop a better understanding of who they are, how they developed their sense of self, their worldview, and behavior.
My approach to therapy is based on the belief that behaviors are a function of our relations with others. Thus, a person's environment and history influences one's sense of self and the way we express ourselves as part of a group and as individuals. I try to learn from my client's experiences to develop a better understanding of who they are, how they developed their sense of self, their worldview, and behavior.
(305) 570-4574 View (305) 570-4574
Photo of Dr. Libia Casas - Dr. Libia Casas, DSW, LCSW-QS , DSW, LCSW, BCD, Clinical Social Work/Therapist
Dr. Libia Casas, DSW, LCSW-QS
Clinical Social Work/Therapist, DSW, LCSW, BCD
Verified Verified
Miami, FL 33176  (Online Only)
I have been working in mental health since 1986 and have been a psychotherapist since 1990. I am truly bi-cultural/bi-lingual. I can jump from one session in English to the another in Spanish and then one in Spanglish. I work with children, teens and adults as well as senior adults. I am a true solo practioner, you will call and schedule with me, and later see me. Good old-fashioned psychotherapy. Experienced in ADHD, divorce, relationship/marital, depression bipolar disorders. Parenting Coordinator. Psychosocial/Psychological Evaluations to assist individuals/families in their immigration process.
I have been working in mental health since 1986 and have been a psychotherapist since 1990. I am truly bi-cultural/bi-lingual. I can jump from one session in English to the another in Spanish and then one in Spanglish. I work with children, teens and adults as well as senior adults. I am a true solo practioner, you will call and schedule with me, and later see me. Good old-fashioned psychotherapy. Experienced in ADHD, divorce, relationship/marital, depression bipolar disorders. Parenting Coordinator. Psychosocial/Psychological Evaluations to assist individuals/families in their immigration process.
(305) 270-6100 View (305) 270-6100
Photo of Brian Adderley, LCSW , Clinical Social Work/Therapist
Brian Adderley
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33176  (Online Only)
Feeling stuck? Dealing with constant worry, fear and or the belief that bad things are going to happen? Struggling with believing in yourself, feeling misunderstood or having intrusive negative thoughts? These are normal thoughts but when not addressed can leave you feeling nervous, tense, joyless and perceiving life to be a never ending pattern of dread. I can help you regain energy to do the things you want to do, feel the happiness you want to experience and gain peace with your thoughts. Together we can explore to help you reach your goals, some peace of mind and understanding.
Feeling stuck? Dealing with constant worry, fear and or the belief that bad things are going to happen? Struggling with believing in yourself, feeling misunderstood or having intrusive negative thoughts? These are normal thoughts but when not addressed can leave you feeling nervous, tense, joyless and perceiving life to be a never ending pattern of dread. I can help you regain energy to do the things you want to do, feel the happiness you want to experience and gain peace with your thoughts. Together we can explore to help you reach your goals, some peace of mind and understanding.
(786) 833-6924 View (786) 833-6924
Photo of Faramroze Burjor Sarkari - Miami Clinical Psychotherapy, MS, LMHC, Counselor
Miami Clinical Psychotherapy
Counselor, MS, LMHC
Verified Verified
Kendall, FL 33176
Miami Clinical Psychotherapy (MCP) specializes in Life Coaching, Motivational Interviewing Strategies, Mindfulness, Meditation to nurture and facilitate individual personal growth and enhance self-awareness where you learn ways to minimize daily stress levels and develop new coping skills. We promote a positive lifestyle by improving interactions between self and others around you. We provide a welcoming and accepting environment where diversity is respected.
Miami Clinical Psychotherapy (MCP) specializes in Life Coaching, Motivational Interviewing Strategies, Mindfulness, Meditation to nurture and facilitate individual personal growth and enhance self-awareness where you learn ways to minimize daily stress levels and develop new coping skills. We promote a positive lifestyle by improving interactions between self and others around you. We provide a welcoming and accepting environment where diversity is respected.
(786) 661-1740 View (786) 661-1740
Photo of Claudia M Perez, LMHC, MS, CCTP, Counselor
Claudia M Perez
Counselor, LMHC, MS, CCTP
Verified Verified
Miami, FL 33176
I am a Licensed Mental Health Counselor with more than 25 years of experience working with individuals and families dealing with Codependence, Addictions, Adult Children of Alcoholics and other issues. I strive to establish a strong relationship based on mutual trust, empathy, and respect.
I am a Licensed Mental Health Counselor with more than 25 years of experience working with individuals and families dealing with Codependence, Addictions, Adult Children of Alcoholics and other issues. I strive to establish a strong relationship based on mutual trust, empathy, and respect.
(786) 244-6249 View (786) 244-6249
Photo of Amy J Jacobstein, PsyD, Psychologist
Amy J Jacobstein
Psychologist, PsyD
Verified Verified
Miami, FL 33176
I am a clinical psychologist who treats children, adolescents and adults. My approach is collaborative and goal oriented, informed by training in family therapy, cognitive behavioral therapy, play therapy, psychodrama and insight-oriented therapies. I have worked for many years with adults and also with children and adolescents who have significant emotional and behavioral problems. Areas of particular clinical interest and expertise include family therapy, parent education, treatment of depression, mood disorders, trauma, anxiety, stress management and coping with life changes.
I am a clinical psychologist who treats children, adolescents and adults. My approach is collaborative and goal oriented, informed by training in family therapy, cognitive behavioral therapy, play therapy, psychodrama and insight-oriented therapies. I have worked for many years with adults and also with children and adolescents who have significant emotional and behavioral problems. Areas of particular clinical interest and expertise include family therapy, parent education, treatment of depression, mood disorders, trauma, anxiety, stress management and coping with life changes.
(305) 834-4425 View (305) 834-4425
1

How does your Therapist compare?

Number of Therapists in 33176

100+

Average cost per session

$150

Therapists in 33176 who prioritize treating:

94% Anxiety
88% Depression
75% Self Esteem
71% Relationship Issues
71% Coping Skills
65% Trauma and PTSD
64% Grief

Average years in practice

17 Years

Top 3 insurances accepted

85% Aetna
83% Cigna and Evernorth
82% UnitedHealthcare UHC | UBH

How Therapists in 33176 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 33176?

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.