Photo of Regina Underwood, MAMFT, LPC, EMDR, Licensed Professional Counselor
Regina Underwood
Licensed Professional Counselor, MAMFT, LPC, EMDR
Verified Verified
Tulsa, OK 74145
ReGina believes everyone carries their own baggage. Some baggage is heavy & might consist of unresolved conflicts, destructive behaviors, poor self esteem, sadness, worries, relationship dissatisfaction, divorce, loss, trauma, or other adverse life experience. Is your family struggling through transition? She helps individuals and families navigate through a variety of difficulties when their coping skills fail. She believes that everyone brings their own unique story to counseling, and to honor each client's story, she uses a variety of therapeutic approaches, to fit individual client needs.
ReGina believes everyone carries their own baggage. Some baggage is heavy & might consist of unresolved conflicts, destructive behaviors, poor self esteem, sadness, worries, relationship dissatisfaction, divorce, loss, trauma, or other adverse life experience. Is your family struggling through transition? She helps individuals and families navigate through a variety of difficulties when their coping skills fail. She believes that everyone brings their own unique story to counseling, and to honor each client's story, she uses a variety of therapeutic approaches, to fit individual client needs.
(918) 205-7635 x000 View (918) 205-7635 x000
Photo of Whitney Breshears, LPC, SEP, Licensed Professional Counselor
Whitney Breshears
Licensed Professional Counselor, LPC, SEP
Verified Verified
1 Endorsed
Tulsa, OK 74145
Whitney Breshears, LPC, Somatic Attachment Therapist. I come to Palo Santo with more than 10 years of experience in trauma therapy after working with an Inpatient Facility for children and an outpatient therapist with TFC. I also work with children, adolescents and adults at Anchored in Hope, focusing on developmental and attachment trauma. I offer an intuitive and highly skilled healing process that blends trauma training with traditional and holistic modalities to meet the needs of each unique individual and nervous system.
Whitney Breshears, LPC, Somatic Attachment Therapist. I come to Palo Santo with more than 10 years of experience in trauma therapy after working with an Inpatient Facility for children and an outpatient therapist with TFC. I also work with children, adolescents and adults at Anchored in Hope, focusing on developmental and attachment trauma. I offer an intuitive and highly skilled healing process that blends trauma training with traditional and holistic modalities to meet the needs of each unique individual and nervous system.
(539) 200-6226 View (539) 200-6226
Photo of Letitia Cammon - Unshackled, LPC, Licensed Professional Counselor
Unshackled
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74145
I have been working in the field for more than 15 years, this many years of boots to the ground has given me the opportunity to help many people find their own personal way to heal and be their best selves. Being well versed in the language of trauma I excel in building steps to help clients get out of their dark painful places.
I have been working in the field for more than 15 years, this many years of boots to the ground has given me the opportunity to help many people find their own personal way to heal and be their best selves. Being well versed in the language of trauma I excel in building steps to help clients get out of their dark painful places.
(539) 217-3441 View (539) 217-3441
Photo of Lacey Grinnell, LPC, Licensed Professional Counselor
Lacey Grinnell
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74145
I have worked for ten years with adolescents and adults, with an emphasis on women's issues. I have experience working with individuals struggling with depression, anxiety and life transitions.
I have worked for ten years with adolescents and adults, with an emphasis on women's issues. I have experience working with individuals struggling with depression, anxiety and life transitions.
(918) 276-8669 View (918) 276-8669
Photo of Brandi Inda, LCSW, Clinical Social Work/Therapist
Brandi Inda
Clinical Social Work/Therapist, LCSW
Verified Verified
Tulsa, OK 74145  (Online Only)
Do you feel like life is overwhelming and you have no one to talk to? Do you feel as if you are not worthy of others time to ask for help? Or is it as if you have forgotten how to take care of yourself or never even knew how to begin with?
Do you feel like life is overwhelming and you have no one to talk to? Do you feel as if you are not worthy of others time to ask for help? Or is it as if you have forgotten how to take care of yourself or never even knew how to begin with?
(539) 800-3059 View (539) 800-3059
Photo of Stacie E Costa - Stacie Costa, LPC           , LPC, CSAT, CCPS, C-SASI, Licensed Professional Counselor
Stacie Costa, LPC
Licensed Professional Counselor, LPC, CSAT, CCPS, C-SASI
Verified Verified
Tulsa, OK 74145
Trauma occurs in many lives. Healing can occur. Infidelity, betrayal, and sexual addiction are devastating and can create trauma. I am sorry you are having to seek this help. I know the pain. My area of focus is working with individuals and couples dealing with trauma from sexual addiction and betrayal. I am dedicated to helping you overcome this devastation. I have formal training in navigating these complex issues and experience with this area of care. Individual work, groups, intensives, and workshops available. I utilize EMDR and the Safe and Sound Protocol to aid in healing.
Trauma occurs in many lives. Healing can occur. Infidelity, betrayal, and sexual addiction are devastating and can create trauma. I am sorry you are having to seek this help. I know the pain. My area of focus is working with individuals and couples dealing with trauma from sexual addiction and betrayal. I am dedicated to helping you overcome this devastation. I have formal training in navigating these complex issues and experience with this area of care. Individual work, groups, intensives, and workshops available. I utilize EMDR and the Safe and Sound Protocol to aid in healing.
(918) 844-4008 View (918) 844-4008
Photo of Geoffrey Hanley, MHR, LPC, Licensed Professional Counselor
Geoffrey Hanley
Licensed Professional Counselor, MHR, LPC
Verified Verified
2 Endorsed
Tulsa, OK 74145
The mission in my practice is for your needs, goals, and values to come first. We will do our best to make sure they are well-defined, carefully explored, and given a sense of purpose. As a therapist, I am here to listen to your story, offer guidance, and help you decide the next step. Let's discuss your situation and decide which path is right for you.
The mission in my practice is for your needs, goals, and values to come first. We will do our best to make sure they are well-defined, carefully explored, and given a sense of purpose. As a therapist, I am here to listen to your story, offer guidance, and help you decide the next step. Let's discuss your situation and decide which path is right for you.
(918) 928-5160 View (918) 928-5160
Photo of Linda Russell, MHR, LPC, CCE, NCC, CCFC, Licensed Professional Counselor
Linda Russell
Licensed Professional Counselor, MHR, LPC, CCE, NCC, CCFC
Verified Verified
2 Endorsed
Tulsa, OK 74145
Accepting new patients two weeks out. Trauma from adoption, adverse childhood experiences, unhealthy attachment, difficult family dynamics, depression, divorce, military trauma, pain management typically result in difficulty making choices, unhealthy relationships and high anxiety. Getting relief may seem impossible. I am a certified EMDR (trauma) therapist who has years of experience in helping clients find a safer, calmer quality of life. "Successful counseling happens in a safe and relational environment." Find a safe person in a safe place to speak your deepest fears, you can be restored at Breakthrough Counseling.
Accepting new patients two weeks out. Trauma from adoption, adverse childhood experiences, unhealthy attachment, difficult family dynamics, depression, divorce, military trauma, pain management typically result in difficulty making choices, unhealthy relationships and high anxiety. Getting relief may seem impossible. I am a certified EMDR (trauma) therapist who has years of experience in helping clients find a safer, calmer quality of life. "Successful counseling happens in a safe and relational environment." Find a safe person in a safe place to speak your deepest fears, you can be restored at Breakthrough Counseling.
(918) 286-3278 View (918) 286-3278
Photo of Jason L Williams - Jason L Williams, LMFT, MA, LMFT, Marriage & Family Therapist
Jason L Williams, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tulsa, OK 74145
With today's constant demands and pressures streaming in from every direction, it's easy to feel overwhelmed, depressed, anxious, enraged, and/or addicted--basically, symptomatic. Navigating life today can be terrifying. I specialize in helping co-create more effective, enjoyable ways of engaging life and dwelling deeply in one's unique existence. I accompany individuals, couples and families as a professional, experienced and effective guide through these difficult times. With the proper attention, cultivation and realization the difficult times can become the nutrient rich soil for growth and meaning.
With today's constant demands and pressures streaming in from every direction, it's easy to feel overwhelmed, depressed, anxious, enraged, and/or addicted--basically, symptomatic. Navigating life today can be terrifying. I specialize in helping co-create more effective, enjoyable ways of engaging life and dwelling deeply in one's unique existence. I accompany individuals, couples and families as a professional, experienced and effective guide through these difficult times. With the proper attention, cultivation and realization the difficult times can become the nutrient rich soil for growth and meaning.
(539) 444-5182 View (539) 444-5182
Photo of Jenifer Gray - Jenifer Gray Counseling, LLC , LPC, Licensed Professional Counselor
Jenifer Gray Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Tulsa, OK 74145
Finding the right therapist is a must in the journey towards healing. Call and interview me to see if I am the best fit for you. I strive to create a trusting, warm, and accepting environment. Therapy is a sacred time dedicated to gaining self-awareness. My hope is that as you gain self-awareness you will become empowered to overcome whatever problems come your way. I am human too and have experienced difficult times in my life, hence why I became a therapist. I realize that life can become overwhelming. Sometimes we may be missing insights that may connect us to a more fulfilling life. Let's uncover those insights together!
Finding the right therapist is a must in the journey towards healing. Call and interview me to see if I am the best fit for you. I strive to create a trusting, warm, and accepting environment. Therapy is a sacred time dedicated to gaining self-awareness. My hope is that as you gain self-awareness you will become empowered to overcome whatever problems come your way. I am human too and have experienced difficult times in my life, hence why I became a therapist. I realize that life can become overwhelming. Sometimes we may be missing insights that may connect us to a more fulfilling life. Let's uncover those insights together!
(539) 233-4277 View (539) 233-4277
Photo of Trey Trotter - Trey Trotter, LMFT, MS, LMFT, Marriage & Family Therapist
Trey Trotter, LMFT
Marriage & Family Therapist, MS, LMFT
Verified Verified
Tulsa, OK 74145
It's a beautiful thing when a career & a passion come together! I’m passionate about conducting marriage counseling, couples counseling, counseling with families, individuals, adults, adolescents, & kids. I treat a variety of issues- ADHD, divorce, anxiety, & depression. I also treat relationship issues- sexual difficulties, anger issues, domestic violence, co-parenting problems, aging issues, communication & conflict resolution difficulties. I also conduct forensic services (see my sister company liferemedies.net)- Custody Evaluations, Supervised Visitation, Parenting Coordination, Mediation & Adoption Home Studies. LGBT friendly
It's a beautiful thing when a career & a passion come together! I’m passionate about conducting marriage counseling, couples counseling, counseling with families, individuals, adults, adolescents, & kids. I treat a variety of issues- ADHD, divorce, anxiety, & depression. I also treat relationship issues- sexual difficulties, anger issues, domestic violence, co-parenting problems, aging issues, communication & conflict resolution difficulties. I also conduct forensic services (see my sister company liferemedies.net)- Custody Evaluations, Supervised Visitation, Parenting Coordination, Mediation & Adoption Home Studies. LGBT friendly
(580) 247-9210 View (580) 247-9210
Photo of Tiffany Renee Shoemaker - Be Still Counseling, LPC, NCC, Licensed Professional Counselor
Be Still Counseling
Licensed Professional Counselor, LPC, NCC
Verified Verified
Tulsa, OK 74145
I believe in the value of the therapeutic relationship and respect the courage it takes for you to enter into counseling. My approach in the therapeutic relationship is simple: to meet my client where they are and my therapeutic style is an extension of myself: genuine and accepting. I strive to create an atmosphere that will allow you the freedom to explore and process your thoughts, feelings, and behaviors.
I believe in the value of the therapeutic relationship and respect the courage it takes for you to enter into counseling. My approach in the therapeutic relationship is simple: to meet my client where they are and my therapeutic style is an extension of myself: genuine and accepting. I strive to create an atmosphere that will allow you the freedom to explore and process your thoughts, feelings, and behaviors.
(539) 210-3851 View (539) 210-3851
Photo of Christina Fischer-Conrad, LPC, SEP, Licensed Professional Counselor
Christina Fischer-Conrad
Licensed Professional Counselor, LPC, SEP
Not Verified Not Verified
2 Endorsed
Tulsa, OK 74145
I have extensive training in the leading trauma interventions, such as Somatic Experiencing, EMDR, iRest meditation and Ketamine and Cannabis Assisted Psychotherapy. I work primarily from a holistic, body centered perspective, but I am aware that every person and nervous system needs its own unique blend of therapy. Therefore, I use an eclectic blend of tools, such as Attachment, Transpersonal, Existential, and Psychodynamic to name a few. I hold a deep belief that our body and mind has the capacity to heal, so I work to provide a safe container to restore the innate wisdom of your body to heal and move through what is in the way.
I have extensive training in the leading trauma interventions, such as Somatic Experiencing, EMDR, iRest meditation and Ketamine and Cannabis Assisted Psychotherapy. I work primarily from a holistic, body centered perspective, but I am aware that every person and nervous system needs its own unique blend of therapy. Therefore, I use an eclectic blend of tools, such as Attachment, Transpersonal, Existential, and Psychodynamic to name a few. I hold a deep belief that our body and mind has the capacity to heal, so I work to provide a safe container to restore the innate wisdom of your body to heal and move through what is in the way.
(918) 856-6324 View (918) 856-6324
Photo of Tiara Shoals, LPC, MHR, Licensed Professional Counselor
Tiara Shoals
Licensed Professional Counselor, LPC, MHR
Verified Verified
Tulsa, OK 74145
I help individuals that experience anxiety, trauma, and general transitions in life who want to operate in alignment with their goals in life from a healthier place.
I help individuals that experience anxiety, trauma, and general transitions in life who want to operate in alignment with their goals in life from a healthier place.
(539) 352-4858 View (539) 352-4858
Photo of Courtney Dolan, MS, LPC, NCC, Licensed Professional Counselor
Courtney Dolan
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
3 Endorsed
Tulsa, OK 74145
Are you struggling with your relationship? You are not alone. I’m here to walk along side you through your journey. Using a warm, empathic approach, I work with both married and non-married couples to help identify emotions and create a more positive, meaningful life together. Whatever hardship you have endured, I'm here to support you. I will sit by you in the darkness or in the light as we navigate through your journey as a couple. In my office, you are welcome just as you are and free to speak your truth without judgment.
Are you struggling with your relationship? You are not alone. I’m here to walk along side you through your journey. Using a warm, empathic approach, I work with both married and non-married couples to help identify emotions and create a more positive, meaningful life together. Whatever hardship you have endured, I'm here to support you. I will sit by you in the darkness or in the light as we navigate through your journey as a couple. In my office, you are welcome just as you are and free to speak your truth without judgment.
(539) 208-1304 View (539) 208-1304
Photo of Debbie Wade, LPC-S, Licensed Professional Counselor
Debbie Wade
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Tulsa, OK 74145
I am a Licensed Professional Counselor (LPC) and have 18 years experience working with adults from all backgrounds and throughout the lifespan. Getting through this thing called life can be difficult. In our hurried, stressful world, it's easy to become overwhelmed and even lose sight of what's important to us. Many times, we fail to take good care of ourselves, fail to listen to our bodies, and fail to give ourselves permission to rest. Please let me help you get on (or back on) your path to wellness.
I am a Licensed Professional Counselor (LPC) and have 18 years experience working with adults from all backgrounds and throughout the lifespan. Getting through this thing called life can be difficult. In our hurried, stressful world, it's easy to become overwhelmed and even lose sight of what's important to us. Many times, we fail to take good care of ourselves, fail to listen to our bodies, and fail to give ourselves permission to rest. Please let me help you get on (or back on) your path to wellness.
(539) 999-0448 View (539) 999-0448
Photo of Elizabeth Davies, LPC, CSAT, CMAT, EMDR II, Licensed Professional Counselor
Elizabeth Davies
Licensed Professional Counselor, LPC, CSAT, CMAT, EMDR II
Verified Verified
Tulsa, OK 74145
Have you been betrayed in love due to infidelity, online sexual behavior or porn? Are you stuck in the pain of discovering the infidelity and are having difficulty making sense of the betrayal? Are you second guessing your sense of reality and feel fear, anxiety, self blame, decreased confidence and distrust? Have you been to other therapists for these problems with no resolve? Getting help from a skilled clinician, that has been trained to work with Trauma Informed Response Betrayal Trauma for Betrayed Partners, Sexual Addiction, and complex trauma is essential. This is not your fault. I can help you get through this.
Have you been betrayed in love due to infidelity, online sexual behavior or porn? Are you stuck in the pain of discovering the infidelity and are having difficulty making sense of the betrayal? Are you second guessing your sense of reality and feel fear, anxiety, self blame, decreased confidence and distrust? Have you been to other therapists for these problems with no resolve? Getting help from a skilled clinician, that has been trained to work with Trauma Informed Response Betrayal Trauma for Betrayed Partners, Sexual Addiction, and complex trauma is essential. This is not your fault. I can help you get through this.
(540) 306-4349 View (540) 306-4349
Photo of Rachel Obadiah, LPC-S, Licensed Professional Counselor
Rachel Obadiah
Licensed Professional Counselor, LPC-S
Verified Verified
2 Endorsed
Tulsa, OK 74145
We've all heard phrases like, "Pull yourself up by your bootstraps!" or "You have a lot to be thankful for!" Often times these phrases are more hurtful than helpful. They make you feel alone and unsure if what you're feeling is real. I love being able to help my clients realize that they're not alone, their feelings are valid, and that they do matter. When you make the steps to seek help. You are not weak, you are BRAVE!
We've all heard phrases like, "Pull yourself up by your bootstraps!" or "You have a lot to be thankful for!" Often times these phrases are more hurtful than helpful. They make you feel alone and unsure if what you're feeling is real. I love being able to help my clients realize that they're not alone, their feelings are valid, and that they do matter. When you make the steps to seek help. You are not weak, you are BRAVE!
(918) 205-7098 View (918) 205-7098
Photo of Jared D Whitmire, MS, LPC, LMHC, Licensed Professional Counselor
Jared D Whitmire
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
2 Endorsed
Tulsa, OK 74145
Deep inside of you there is a story worth listening to and understanding. We may come into treatment feeling anxious and depressed but unsure why and how it came to be this way. Often our symptoms are interwoven into our interpersonal lives. We may find ourselves feeling love for someone and not liking them, fearing we chose the wrong path in life or fearing that we are fundamentally flawed and in no shape to be with others. Therapy may come to be a place where we both seek to untangle and unravel these struggles.
Deep inside of you there is a story worth listening to and understanding. We may come into treatment feeling anxious and depressed but unsure why and how it came to be this way. Often our symptoms are interwoven into our interpersonal lives. We may find ourselves feeling love for someone and not liking them, fearing we chose the wrong path in life or fearing that we are fundamentally flawed and in no shape to be with others. Therapy may come to be a place where we both seek to untangle and unravel these struggles.
(918) 233-8295 View (918) 233-8295
Photo of Amanda Christian, LPC, CCTP, Licensed Professional Counselor
Amanda Christian
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Tulsa, OK 74145
Not accepting new clients
Are you are struggling with addiction, anxiety, or traumatic stress? Do you have difficulty communicating, resolving conflict, or managing anger? As a Licensed Professional Counselor and Field Traumatologist, I can help you find effective strategies to overcome life's challenges. Together, we will find the solutions that work best for you. I listen without judgment and provide therapy that complements your personal strengths, needs and goals. I believe healing requires authentic connection, so I deeply value the therapeutic alliance. I also use experiential therapy to provide productive, highly interactive, and memorable sessions.
Are you are struggling with addiction, anxiety, or traumatic stress? Do you have difficulty communicating, resolving conflict, or managing anger? As a Licensed Professional Counselor and Field Traumatologist, I can help you find effective strategies to overcome life's challenges. Together, we will find the solutions that work best for you. I listen without judgment and provide therapy that complements your personal strengths, needs and goals. I believe healing requires authentic connection, so I deeply value the therapeutic alliance. I also use experiential therapy to provide productive, highly interactive, and memorable sessions.
(539) 217-0607 View (539) 217-0607

See more therapy options for 74145

How does your Therapist compare?

Number of Therapists in 74145

50+

Average cost per session

$140

Therapists in 74145 who prioritize treating:

94% Anxiety
87% Depression
85% Trauma and PTSD
83% Relationship Issues
73% Coping Skills
73% Self Esteem
69% Grief

Average years in practice

13 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH
77% Health Choice

How Therapists in 74145 see their clients

97% In Person and Online
3% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 74145?

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.