Photo of Nicole Vykoukal, LCSW, MSSW, RYT, Clinical Social Work/Therapist
Nicole Vykoukal
Clinical Social Work/Therapist, LCSW, MSSW, RYT
Verified Verified
10 Endorsed
Austin, TX 78721
Welcome. I am a psychotherapist and yoga teacher with over 15 years of experience and training in trauma, grief, the human-animal bond, and body-mind-spirit wellness. My specialties are grief and loss (including pet loss), anxiety, depression, trauma, and people who consider themselves highly sensitive. My approach resonates with people who are intuitive, empathetic and crave a deeper, relational, and more intuitive approach to psychotherapy and healing.
Welcome. I am a psychotherapist and yoga teacher with over 15 years of experience and training in trauma, grief, the human-animal bond, and body-mind-spirit wellness. My specialties are grief and loss (including pet loss), anxiety, depression, trauma, and people who consider themselves highly sensitive. My approach resonates with people who are intuitive, empathetic and crave a deeper, relational, and more intuitive approach to psychotherapy and healing.
(512) 271-4068 View (512) 271-4068
Photo of Nicole Powell, LCSW, Clinical Social Work/Therapist
Nicole Powell
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78721  (Online Only)
Unfortunately, I am not able to accept new clients at this time - Hello, I’m Nicole, a therapist licensed to practice in Texas and offering teletherapy. I have experience treating many issues, including childhood trauma, strategies to manage ADHD, and Body-Focused Repetitive Behaviors such as skin-picking and hair-pulling. I am a proud social and racial justice advocate, LGBTQ+ ally, sex positive, and HAES- and poly-affirming. My primary approach to therapy is relational and client-centered, meaning I believe that the therapist/client relationship is central and that each individual client is the expert on their own life.
Unfortunately, I am not able to accept new clients at this time - Hello, I’m Nicole, a therapist licensed to practice in Texas and offering teletherapy. I have experience treating many issues, including childhood trauma, strategies to manage ADHD, and Body-Focused Repetitive Behaviors such as skin-picking and hair-pulling. I am a proud social and racial justice advocate, LGBTQ+ ally, sex positive, and HAES- and poly-affirming. My primary approach to therapy is relational and client-centered, meaning I believe that the therapist/client relationship is central and that each individual client is the expert on their own life.
(512) 598-5119 View (512) 598-5119
Photo of Ashleigh Smith, LCSW, Clinical Social Work/Therapist
Ashleigh Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78721  (Online Only)
I specialize in helping people who are dealing with depression, anxiety, and problems with interpersonal relationships. My goal with every client is to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I aim to develop a strong therapeutic relationship built on mutual-respect, empathy, authenticity, and trust. I enjoy helping people realize how their past affects the present and the value of learning to recognize, process and manage their emotions in ways that improve their functioning and quality of life.
I specialize in helping people who are dealing with depression, anxiety, and problems with interpersonal relationships. My goal with every client is to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I aim to develop a strong therapeutic relationship built on mutual-respect, empathy, authenticity, and trust. I enjoy helping people realize how their past affects the present and the value of learning to recognize, process and manage their emotions in ways that improve their functioning and quality of life.
(512) 942-5536 View (512) 942-5536
Photo of Sofie Loring Cardinal, LCSW, Clinical Social Work/Therapist
Sofie Loring Cardinal
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78721  (Online Only)
I offer somatic therapy to all folks and freaks seeking to deepen connection with their authentic self, to create more spaciousness for play, for possibility, and the unknown. So often we find ourselves in lives defined by the ways we have had to fracture from our core selves in order to survive. As your therapist, I strive to serve as your witness and mirror, assisting you to tap into your body’s innate wisdom to help guide you back home. Throughout our work together, we will build reverence for the ways you have learned to protect yourself, and explore how we may build or rebuild safety in order to seek out more possibilities.
I offer somatic therapy to all folks and freaks seeking to deepen connection with their authentic self, to create more spaciousness for play, for possibility, and the unknown. So often we find ourselves in lives defined by the ways we have had to fracture from our core selves in order to survive. As your therapist, I strive to serve as your witness and mirror, assisting you to tap into your body’s innate wisdom to help guide you back home. Throughout our work together, we will build reverence for the ways you have learned to protect yourself, and explore how we may build or rebuild safety in order to seek out more possibilities.
(737) 259-7284 View (737) 259-7284
Photo of Ryan Authier, MA, LPC-S, Counselor
Ryan Authier
Counselor, MA, LPC-S
Verified Verified
Austin, TX 78721
I have over a decade of experience in the mental health field in Austin, working with an immensely diverse range of clients in an equally diverse range of environments—from public elementary schools to trails and pastures. I began my career as a campus-based therapist and case manager working in schools providing trauma therapy to children deemed at-risk. From there, I switched from the school setting to working on a horse ranch providing trauma-focused equine therapy to children and families. Prior to opening my own private practice, I was the clinical director of a group practice in Austin focused on inclusive mental healthcare.
I have over a decade of experience in the mental health field in Austin, working with an immensely diverse range of clients in an equally diverse range of environments—from public elementary schools to trails and pastures. I began my career as a campus-based therapist and case manager working in schools providing trauma therapy to children deemed at-risk. From there, I switched from the school setting to working on a horse ranch providing trauma-focused equine therapy to children and families. Prior to opening my own private practice, I was the clinical director of a group practice in Austin focused on inclusive mental healthcare.
(512) 886-8320 View (512) 886-8320
Photo of Distinguished Sex Therapist Rhiannon Beauregard, LMFT-S, CST-S, CPSBT, DST, Marriage & Family Therapist
Distinguished Sex Therapist Rhiannon Beauregard
Marriage & Family Therapist, LMFT-S, CST-S, CPSBT, DST
Verified Verified
14 Endorsed
Austin, TX 78721  (Online Only)
The sexual part of your life is not where you want it to be and you are desperate for change. You and your partner are worried that something might be wrong with you or your relationship. You don’t know where to go for help. This sexual issue is keeping you from being happy and you and/or your partner are depressed and anxious all the time. You think about this all the time. You feel like you don’t know enough about sex and you certainly don’t know how to solve this problem, even though you have tried. No one taught you how to have a healthy and positive sexual identity, so how are you supposed to know how to fix this?
The sexual part of your life is not where you want it to be and you are desperate for change. You and your partner are worried that something might be wrong with you or your relationship. You don’t know where to go for help. This sexual issue is keeping you from being happy and you and/or your partner are depressed and anxious all the time. You think about this all the time. You feel like you don’t know enough about sex and you certainly don’t know how to solve this problem, even though you have tried. No one taught you how to have a healthy and positive sexual identity, so how are you supposed to know how to fix this?
(737) 258-7952 View (737) 258-7952
Photo of Sandra Rivera, MEd, LPC-S, Licensed Professional Counselor
Sandra Rivera
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Austin, TX 78721  (Online Only)
Not accepting new clients
Life is not easy. It's a journey filled with unexpected challenges, worry, and stressors that can be difficult to navigate...and you don't have to do it all on your own. I see you. I hear you. I'm here to help. My goal is to create a safe space where you feel comfortable, accepted, supported, and encouraged to open up to the hurt, develop a different experience by finding solutions aligned with your values, and create rich, meaningful, and lasting change. Your story matters.
Life is not easy. It's a journey filled with unexpected challenges, worry, and stressors that can be difficult to navigate...and you don't have to do it all on your own. I see you. I hear you. I'm here to help. My goal is to create a safe space where you feel comfortable, accepted, supported, and encouraged to open up to the hurt, develop a different experience by finding solutions aligned with your values, and create rich, meaningful, and lasting change. Your story matters.
(512) 559-8345 View (512) 559-8345
Photo of Laura Potter, LCSW-S, Clinical Social Work/Therapist
Laura Potter
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Austin, TX 78721  (Online Only)
I am most interested in supporting LMSW students on their journey towards becoming an LCSW. I provide practical insights to navigate the complexities of the field and I aim to empower LMSW students by offering mentorship and supervision essential for professional development, ultimately facilitating their successful transition to LCSW status.
I am most interested in supporting LMSW students on their journey towards becoming an LCSW. I provide practical insights to navigate the complexities of the field and I aim to empower LMSW students by offering mentorship and supervision essential for professional development, ultimately facilitating their successful transition to LCSW status.
(512) 886-6839 View (512) 886-6839
Photo of Dana Brode, LCSW , Clinical Social Work/Therapist
Dana Brode
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78721  (Online Only)
Not accepting new clients
Hello and welcome! My name is Dana and I am currently accepting new clients for tele-therapy services throughout Texas.
Hello and welcome! My name is Dana and I am currently accepting new clients for tele-therapy services throughout Texas.
(512) 229-0132 View (512) 229-0132
Photo of Ashlei Bowman, LCSW, Clinical Social Work/Therapist
Ashlei Bowman
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78721  (Online Only)
I enjoy working with women who view themselves as people pleasers. These same women want to reverse self-doubt and overthinking. I also work with motivated adults who want to understand how their past has impacted them. If you are a young adult who is looking for goal-oriented therapy that can help you move toward your future with confidence, I can help! Do you feel like you care a lot about the thoughts and opinions of others and would like to change that? We can talk through that too. You might feel like you can't talk about how you're feeling with those around you. Let's talk about it.
I enjoy working with women who view themselves as people pleasers. These same women want to reverse self-doubt and overthinking. I also work with motivated adults who want to understand how their past has impacted them. If you are a young adult who is looking for goal-oriented therapy that can help you move toward your future with confidence, I can help! Do you feel like you care a lot about the thoughts and opinions of others and would like to change that? We can talk through that too. You might feel like you can't talk about how you're feeling with those around you. Let's talk about it.
(469) 778-3941 View (469) 778-3941
Photo of Roger Wisard, MS, LPC, Licensed Professional Counselor
Roger Wisard
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Austin, TX 78721
Feeling like you don't know what to do? People telling you to cheer up or give advice that just does not fit your personality? As a guy, do you feel like you are lost or don't know where you fit? Do you feel like your kid is not acting like him or herself? Do you feel that meeting in the community feels more comfortable? Guess what, I am here to help and provide the support that you might need.
Feeling like you don't know what to do? People telling you to cheer up or give advice that just does not fit your personality? As a guy, do you feel like you are lost or don't know where you fit? Do you feel like your kid is not acting like him or herself? Do you feel that meeting in the community feels more comfortable? Guess what, I am here to help and provide the support that you might need.
(512) 686-4258 View (512) 686-4258
Photo of Zachary Durham, LPC, Licensed Professional Counselor
Zachary Durham
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78721
Welcome! My name is Zachary Durham, M.S. and I am Licensed Professional Counselor in the state of Texas. I have been an active counselor for the past 15 years and have specialized in marriage and family therapy for most of my career. My areas of focus include anxiety, coping skills, depression, family conflict, stress, relationship issues, trauma and PTSD, and self esteem, amongst others. I have also worked in the hospital setting for 12 years and specialized in brain injury recovery and grief therapy.
Welcome! My name is Zachary Durham, M.S. and I am Licensed Professional Counselor in the state of Texas. I have been an active counselor for the past 15 years and have specialized in marriage and family therapy for most of my career. My areas of focus include anxiety, coping skills, depression, family conflict, stress, relationship issues, trauma and PTSD, and self esteem, amongst others. I have also worked in the hospital setting for 12 years and specialized in brain injury recovery and grief therapy.
(737) 377-6128 View (737) 377-6128
Photo of Ky Hoelscher, LCSW-S, Clinical Social Work/Therapist
Ky Hoelscher
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Austin, TX 78721  (Online Only)
I collaborate with clients to resolve problems in living, promote emotional growth, and facilitate personal and professional success. I work with individuals, couples, and groups across the life cycle, addressing concerns including (but not limited to); anxiety/depression, interpersonal skills, work/life balance, parenting, chronic/acute illness, and relationships issues for heterosexual, queer, gay and lesbian couples.
I collaborate with clients to resolve problems in living, promote emotional growth, and facilitate personal and professional success. I work with individuals, couples, and groups across the life cycle, addressing concerns including (but not limited to); anxiety/depression, interpersonal skills, work/life balance, parenting, chronic/acute illness, and relationships issues for heterosexual, queer, gay and lesbian couples.
(361) 326-5237 View (361) 326-5237
Photo of Lisa L Vanderpool, LPC , Licensed Professional Counselor
Lisa L Vanderpool
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78721
Hello, I’m Lisa! My name is Lisa Vanderpool, and I am a Licensed Professional Counselor (LPC) based in Texas and working with clients statewide via telehealth. I work with adults and teenagers and specialize in anxiety, stress, depression, substance issues, life transitions, trauma, and LGBTQ+ issues. I use a blend of therapy techniques, including Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy (SFT), and Mindfulness techniques, to help my clients make progress, start feeling better, and navigate life more successfully. I am a licensed professional counselor (LPC) based in Texas. I work
Hello, I’m Lisa! My name is Lisa Vanderpool, and I am a Licensed Professional Counselor (LPC) based in Texas and working with clients statewide via telehealth. I work with adults and teenagers and specialize in anxiety, stress, depression, substance issues, life transitions, trauma, and LGBTQ+ issues. I use a blend of therapy techniques, including Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy (SFT), and Mindfulness techniques, to help my clients make progress, start feeling better, and navigate life more successfully. I am a licensed professional counselor (LPC) based in Texas. I work
(737) 345-3316 View (737) 345-3316
Photo of Alexandria Hays, MA
Alexandria Hays
Licensed Professional Counselor Associate, MA
Verified Verified
2 Endorsed
Austin, TX 78721  (Online Only)
You might be feeling overwhelmed by the pain of loss or struggling to find a way forward after a major life change. I want you to know that you're not alone and that with the right support, healing, and growth are possible. I fully believe in the capacity for change and understand that everyone at times is subject to the whims of a randomly cruel universe. I hope to help my clients realize that although life happens to all of us, that does not mean it has to define you. Whether you're dealing with feelings of sadness, anger, guilt, or a mix of emotions, I'm here to help you find a way to move forward with strength and resilience.
You might be feeling overwhelmed by the pain of loss or struggling to find a way forward after a major life change. I want you to know that you're not alone and that with the right support, healing, and growth are possible. I fully believe in the capacity for change and understand that everyone at times is subject to the whims of a randomly cruel universe. I hope to help my clients realize that although life happens to all of us, that does not mean it has to define you. Whether you're dealing with feelings of sadness, anger, guilt, or a mix of emotions, I'm here to help you find a way to move forward with strength and resilience.
(512) 790-7043 View (512) 790-7043
Photo of Keith E Hampton, MA, LCDC
Keith E Hampton
Licensed Professional Counselor Associate, MA, LCDC
Verified Verified
1 Endorsed
Austin, TX 78721
My goal as a counselor is to offer a safe space for you to be heard, understood, and respected. In addition to counseling and psychotherapy, I have a background in education and performing arts. I enjoy approaching your unique situation in a creative way, in order to help you to meet your goals while gaining new learning and understanding.
My goal as a counselor is to offer a safe space for you to be heard, understood, and respected. In addition to counseling and psychotherapy, I have a background in education and performing arts. I enjoy approaching your unique situation in a creative way, in order to help you to meet your goals while gaining new learning and understanding.
(512) 548-7937 View (512) 548-7937
Photo of May Villarreal - May Villarreal, LCSW, PLLC, LCSW-S, Clinical Social Work/Therapist
May Villarreal, LCSW, PLLC
Clinical Social Work/Therapist, LCSW-S
Verified Verified
2 Endorsed
Austin, TX 78721
Hello, my name is May Villarreal, LCSW-S(she/her), a Chicana, parent, Tia, and therapist. I have 10 years of experience working with youth and adults who have experienced trauma. My focus is to help individuals address and heal trauma, racial and generational trauma, relationship issues, grief, and low self-esteem, just to name a few.
Hello, my name is May Villarreal, LCSW-S(she/her), a Chicana, parent, Tia, and therapist. I have 10 years of experience working with youth and adults who have experienced trauma. My focus is to help individuals address and heal trauma, racial and generational trauma, relationship issues, grief, and low self-esteem, just to name a few.
(737) 637-5812 View (737) 637-5812
Photo of Laura Binagia, MEd, LPC, Licensed Professional Counselor
Laura Binagia
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Austin, TX 78721  (Online Only)
Are you a compassionate, deep-thinking individual looking for a therapist to help you process your experiences without putting you in a box? I love helping smart, multi-layered, sensitive/empathetic people who want to heal their hearts and move toward their dreams. Life can start to pile on layers of painful emotions, fears that the past will repeat itself, and endless messages from other people or from society that can leave you feeling stifled, like you aren't living out your full potential. You might sense that emotional baggage or self-limiting beliefs are holding you back. You might just want to be HAPPIER and more joyful!
Are you a compassionate, deep-thinking individual looking for a therapist to help you process your experiences without putting you in a box? I love helping smart, multi-layered, sensitive/empathetic people who want to heal their hearts and move toward their dreams. Life can start to pile on layers of painful emotions, fears that the past will repeat itself, and endless messages from other people or from society that can leave you feeling stifled, like you aren't living out your full potential. You might sense that emotional baggage or self-limiting beliefs are holding you back. You might just want to be HAPPIER and more joyful!
(682) 223-4570 View (682) 223-4570
Photo of Erica Bones, LCSW, Clinical Social Work/Therapist
Erica Bones
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78721
Erica Bones is a Licensed Clinical Social Worker in the State of Texas with over 10 years of experience in a variety of settings and with diverse clients, including both long-term and brief interventions. Erica finds joy in empowering others to reach their full potential. Life is full of changes and Erica is here to help you on a journey of balancing those transitions. Erica’s experience includes providing individual and group therapy for self-esteem, anxiety, depression, life stressors, relationship and family challenges, domestic violence, and parenting challenges.
Erica Bones is a Licensed Clinical Social Worker in the State of Texas with over 10 years of experience in a variety of settings and with diverse clients, including both long-term and brief interventions. Erica finds joy in empowering others to reach their full potential. Life is full of changes and Erica is here to help you on a journey of balancing those transitions. Erica’s experience includes providing individual and group therapy for self-esteem, anxiety, depression, life stressors, relationship and family challenges, domestic violence, and parenting challenges.
(737) 345-4911 View (737) 345-4911
Photo of Carrie J Visger, LPC, Licensed Professional Counselor
Carrie J Visger
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Austin, TX 78721  (Online Only)
Life can be so challenging. Even when "good" things happen to us, it can bring stress and grief. Deciding to work with a counselor is a bold and brave step toward coping with whatever life is giving you. Having a person to help you process issues is liberating. By learning about your strengths and by learning how to use them effectively, you can begin to heal and transform into the person you were meant to be. I have worked with many different presenting issues including anxiety, depression, lgbtqia+ issues, family and parenting issues, school related issues/microaggressions, and many more.
Life can be so challenging. Even when "good" things happen to us, it can bring stress and grief. Deciding to work with a counselor is a bold and brave step toward coping with whatever life is giving you. Having a person to help you process issues is liberating. By learning about your strengths and by learning how to use them effectively, you can begin to heal and transform into the person you were meant to be. I have worked with many different presenting issues including anxiety, depression, lgbtqia+ issues, family and parenting issues, school related issues/microaggressions, and many more.
(210) 879-1342 View (210) 879-1342

See more therapy options for 78721

How does your Therapist compare?

Number of Therapists in 78721

20+

Average cost per session

$150

Therapists in 78721 who prioritize treating:

85% Depression
85% Anxiety
81% Relationship Issues
81% Self Esteem
74% Stress
70% Coping Skills
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
72% Aetna
72% UnitedHealthcare UHC | UBH

How Therapists in 78721 see their clients

62% Online Only
38% In Person and Online

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78721?

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.