Photo of Velina Villarreal, LPC-S, RPT-S, CSAT, Licensed Professional Counselor
Velina Villarreal
Licensed Professional Counselor, LPC-S, RPT-S, CSAT
Verified Verified
Austin, TX 78758  (Online Only)
We’ve all had sexual encounters we regret. It’s normal. However, what if you engage in sexual behaviors time after time despite the fact you don’t want to anymore? What if hating yourself for it or hurting someone you love by doing it isn’t convincing enough to refrain? I help those whose love and sex experiences are driven by compulsion and preoccupation rather than spontaneity and freedom. Many might identify as addicts or describe their behavior as out of control. Others call it problematic, while some may not really know what it is. In any case, sex, porn, or intimacy has become an overpowering force in your daily life.
We’ve all had sexual encounters we regret. It’s normal. However, what if you engage in sexual behaviors time after time despite the fact you don’t want to anymore? What if hating yourself for it or hurting someone you love by doing it isn’t convincing enough to refrain? I help those whose love and sex experiences are driven by compulsion and preoccupation rather than spontaneity and freedom. Many might identify as addicts or describe their behavior as out of control. Others call it problematic, while some may not really know what it is. In any case, sex, porn, or intimacy has become an overpowering force in your daily life.
(512) 717-5945 View (512) 717-5945
Photo of Fatima Williams, MS
Fatima Williams
LPC-Associate, MS
Verified Verified
1 Endorsed
Austin, TX 78758  (Online Only)
Not accepting new clients
Life can consist of many twists and turns, and it can be overwhelming to face things alone. Oftentimes, these difficulties can be emotionally challenging, a trigger to past experiences and leave us unbalanced, revealing some of the coping behaviors we use to deal with them. If you are here you have probably had your share of the twists and turns that life has to offer. Congratulations on taking the first step to a "new beginning". I want to walk with you on the journey of becoming your true authentic self and live a life filled with new possibilities.
Life can consist of many twists and turns, and it can be overwhelming to face things alone. Oftentimes, these difficulties can be emotionally challenging, a trigger to past experiences and leave us unbalanced, revealing some of the coping behaviors we use to deal with them. If you are here you have probably had your share of the twists and turns that life has to offer. Congratulations on taking the first step to a "new beginning". I want to walk with you on the journey of becoming your true authentic self and live a life filled with new possibilities.
(210) 864-5740 View (210) 864-5740
Photo of Ewa Marcinkiewicz, LPC, Licensed Professional Counselor
Ewa Marcinkiewicz
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Austin, TX 78758  (Online Only)
I believe there is a higher wisdom within us all, and accessing this place of inner authority is essential to the process of healing and aligning with one’s authentic self.  My goal as a counselor is to help you connect with your personal wisdom and unlock your innate ability to heal. My invitation is for you to be curious with me about your experiences as I offer feedback to spark the discovery of your own answers.
I believe there is a higher wisdom within us all, and accessing this place of inner authority is essential to the process of healing and aligning with one’s authentic self.  My goal as a counselor is to help you connect with your personal wisdom and unlock your innate ability to heal. My invitation is for you to be curious with me about your experiences as I offer feedback to spark the discovery of your own answers.
(512) 648-5124 View (512) 648-5124
Photo of Tiara Blackwood - Accepting New Clients, LPC, MA, ADHD, CCSP, Licensed Professional Counselor
Tiara Blackwood - Accepting New Clients
Licensed Professional Counselor, LPC, MA, ADHD, CCSP
Verified Verified
1 Endorsed
Austin, TX 78758  (Online Only)
Do you want to be heard, validated, and challenged to grow? We can collaborate to expand upon perceptions, outlooks, and hope for the future. We can process past and current experiences in order to develop goals for your future! I am especially interested in working with adults with ADHD, and am a certified ADHD Clinical Services Provider.
Do you want to be heard, validated, and challenged to grow? We can collaborate to expand upon perceptions, outlooks, and hope for the future. We can process past and current experiences in order to develop goals for your future! I am especially interested in working with adults with ADHD, and am a certified ADHD Clinical Services Provider.
(512) 360-9069 View (512) 360-9069
Photo of Ruth Saenz, MA, LPC, Licensed Professional Counselor
Ruth Saenz
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Austin, TX 78758  (Online Only)
It is our unique life experiences that influence our perspective. Most of us confront our problems based on our life experiences. At PAZ Behavioral Health, PLLC, it is our belief that life is a tapestry and it is beautiful, even with its imperfections. Like a tapestry, our lives are woven differently, which makes us all unique.
It is our unique life experiences that influence our perspective. Most of us confront our problems based on our life experiences. At PAZ Behavioral Health, PLLC, it is our belief that life is a tapestry and it is beautiful, even with its imperfections. Like a tapestry, our lives are woven differently, which makes us all unique.
(512) 202-1121 View (512) 202-1121
Photo of Melanie Faith Hunter, MA, LPC, LPCC, Licensed Professional Counselor
Melanie Faith Hunter
Licensed Professional Counselor, MA, LPC, LPCC
Verified Verified
Austin, TX 78758  (Online Only)
Waitlist for new clients
Do you have trouble concentrating or sleeping because you spend time worrying you either said or did something wrong, or you will in the future? Is anger becoming your go-to reaction in the face of frustration or being disregarded? Not sure how to make tough decisions in relationships or at work? These are some common concerns I hear from clients. We will work together to make sense of these experiences and plan a way toward the goals you want to reach.
Do you have trouble concentrating or sleeping because you spend time worrying you either said or did something wrong, or you will in the future? Is anger becoming your go-to reaction in the face of frustration or being disregarded? Not sure how to make tough decisions in relationships or at work? These are some common concerns I hear from clients. We will work together to make sense of these experiences and plan a way toward the goals you want to reach.
(512) 607-9423 View (512) 607-9423
Photo of Bianca Diaz, MA, LPC, Licensed Professional Counselor
Bianca Diaz
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Austin, TX 78758  (Online Only)
We humans are all too familiar with dismissing or ignoring our own feelings for the sake of others. Between work roles, kids, family members, and romantic partners, it can be difficult to find time to tune into our own individual wants and needs. If you've woken up and realized that you don't always call the shots in your own life and you'd like that to change, there's meaningful work that we can do!
We humans are all too familiar with dismissing or ignoring our own feelings for the sake of others. Between work roles, kids, family members, and romantic partners, it can be difficult to find time to tune into our own individual wants and needs. If you've woken up and realized that you don't always call the shots in your own life and you'd like that to change, there's meaningful work that we can do!
(726) 215-8167 View (726) 215-8167
Photo of Laura Poulter, LCSW, MSW, Clinical Social Work/Therapist
Laura Poulter
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Austin, TX 78758
If you have hopes and dreams for yourself but all you know is that whatever you do, it’s never enough; if you avoid facing the mirror because you don’t like who you see; or if you don’t know where to go but all you know is that you don’t want to be where you are: then searching for a therapist is an excellent first step to something new.
If you have hopes and dreams for yourself but all you know is that whatever you do, it’s never enough; if you avoid facing the mirror because you don’t like who you see; or if you don’t know where to go but all you know is that you don’t want to be where you are: then searching for a therapist is an excellent first step to something new.
(512) 213-6825 View (512) 213-6825
Photo of Brad Kennington - Brad Kennington at Austin Sports Behavioral Health, LMFT-S, LPC-S, Marriage & Family Therapist
Brad Kennington at Austin Sports Behavioral Health
Marriage & Family Therapist, LMFT-S, LPC-S
Verified Verified
Austin, TX 78758
Are you an athlete constantly worried about your sport performance? Have you recently been injured and find your mood has taken a nose dive as you wait for your body to heal, afraid you will not return to the same level of fitness as before? Are body image issues or your relationship to food having a negative impact on your sport? Or maybe you are at the end of your sport career, struggling to let it go and confused about your identity outside of your sport. Have you turned to substances to cope? Is your team less cohesive and more conflicted, losing focus and competing more with each other than against your actual opponents?
Are you an athlete constantly worried about your sport performance? Have you recently been injured and find your mood has taken a nose dive as you wait for your body to heal, afraid you will not return to the same level of fitness as before? Are body image issues or your relationship to food having a negative impact on your sport? Or maybe you are at the end of your sport career, struggling to let it go and confused about your identity outside of your sport. Have you turned to substances to cope? Is your team less cohesive and more conflicted, losing focus and competing more with each other than against your actual opponents?
(512) 960-3593 View (512) 960-3593
Photo of Greer Culbertson, MSSW, LCSW-S, Clinical Social Work/Therapist
Greer Culbertson
Clinical Social Work/Therapist, MSSW, LCSW-S
Verified Verified
3 Endorsed
Austin, TX 78758
Not accepting new clients
Are you struggling with anxiety, depression, shame, loneliness, or grief? Do you feel "stuck" in life? Are your relationships weighing you down rather than building you up? You have taken a brave and difficult step—you have acknowledged that there is a problem. As your therapist, we develop a safe and nonjudgmental therapeutic relationship. I have a holistic, client-centered, intuitive and direct approach. Having battled my own anxiety and depression, I use many techniques that have been helpful on my own journey, including mindfulness-based tools, CBT, and relational psychotherapy. I also provide ketamine assisted psychotherapy.
Are you struggling with anxiety, depression, shame, loneliness, or grief? Do you feel "stuck" in life? Are your relationships weighing you down rather than building you up? You have taken a brave and difficult step—you have acknowledged that there is a problem. As your therapist, we develop a safe and nonjudgmental therapeutic relationship. I have a holistic, client-centered, intuitive and direct approach. Having battled my own anxiety and depression, I use many techniques that have been helpful on my own journey, including mindfulness-based tools, CBT, and relational psychotherapy. I also provide ketamine assisted psychotherapy.
(512) 823-1112 View (512) 823-1112
Photo of Michelle Lowder, LPC , Licensed Professional Counselor
Michelle Lowder
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78758  (Online Only)
Hi! My name is Michelle Lowder, and I am a Licensed Professional Counselor. I have 18 + years of experience in the mental health field. I provide compassionate & professional support to individuals seeking guidance & healing. Whether you're facing personal challenges, seeking self-discovery, or navigating through difficult times, I am here to support you every step of the way whether through traditional talk therapy or through Ketamine Assisted Psychotherapy.
Hi! My name is Michelle Lowder, and I am a Licensed Professional Counselor. I have 18 + years of experience in the mental health field. I provide compassionate & professional support to individuals seeking guidance & healing. Whether you're facing personal challenges, seeking self-discovery, or navigating through difficult times, I am here to support you every step of the way whether through traditional talk therapy or through Ketamine Assisted Psychotherapy.
(737) 214-3166 View (737) 214-3166
Photo of Earnell McGhaney, LPC, Licensed Professional Counselor
Earnell McGhaney
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78758  (Online Only)
You are the expert on you." This is a statement that I love sharing with my clients because I feel it emphasizes that you are the most important part of this relationship. Therapy is an opportunity to grow and explore oneself, and I feel that the relationship between a client and therapist is of the utmost importance. I hold this relationship in high regard and look forward to walking alongside you during this journey. I specialize in trauma counseling and marriage counseling. My goal in therapy is not just symptom reduction, but liberation from suffering.
You are the expert on you." This is a statement that I love sharing with my clients because I feel it emphasizes that you are the most important part of this relationship. Therapy is an opportunity to grow and explore oneself, and I feel that the relationship between a client and therapist is of the utmost importance. I hold this relationship in high regard and look forward to walking alongside you during this journey. I specialize in trauma counseling and marriage counseling. My goal in therapy is not just symptom reduction, but liberation from suffering.
(908) 488-5169 View (908) 488-5169
Photo of Victoria Jane Coronado, MA, LPC, Licensed Professional Counselor
Victoria Jane Coronado
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78758  (Online Only)
It can be so difficult to enjoy a “normal” life when your mind is preoccupied with diet, weight, or the size and shape of your body. It’s hard to concentrate at work or school when you can’t stop fixating on your muffin top, and how many calories or “points” you have left for the day. You feel anxious when it comes to being around other people because you fear they’re judging you. You have no idea how you got into this vicious cycle, or how to get out.
It can be so difficult to enjoy a “normal” life when your mind is preoccupied with diet, weight, or the size and shape of your body. It’s hard to concentrate at work or school when you can’t stop fixating on your muffin top, and how many calories or “points” you have left for the day. You feel anxious when it comes to being around other people because you fear they’re judging you. You have no idea how you got into this vicious cycle, or how to get out.
(507) 481-1631 View (507) 481-1631
Photo of Jason Ian Frazier, MA, LPC, Licensed Professional Counselor
Jason Ian Frazier
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78758  (Online Only)
I have been successful in the past with all manner of clients through many different settings – male, female, transgender, heterosexual, LGBTQ+, in inpatient, outpatient, technician, assessment, or even consulting settings. I also really enjoy working with teens and adolescents, since early brain-based interventions help everyone succeed even more in their lifetime. I find that my personality and style seem to fit best with clients who feel they are trapped in a negative routine, have no one with which to talk, or no way out of the situation from which they suffer.
I have been successful in the past with all manner of clients through many different settings – male, female, transgender, heterosexual, LGBTQ+, in inpatient, outpatient, technician, assessment, or even consulting settings. I also really enjoy working with teens and adolescents, since early brain-based interventions help everyone succeed even more in their lifetime. I find that my personality and style seem to fit best with clients who feel they are trapped in a negative routine, have no one with which to talk, or no way out of the situation from which they suffer.
(737) 204-6293 View (737) 204-6293
Photo of Leah Walter, MA, LPC, LMFT, Licensed Professional Counselor
Leah Walter
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
Austin, TX 78758  (Online Only)
Now Offering Retreats! See Website for more details! I help individuals struggling to find joy and satisfaction in life who may be lacking support from loved ones, feeling isolated from a community, and pressured to live a standard lifestyle. I do this by exploring your relationship with others and yourself and unpacking societal pressures and internalized barriers holding you back from authenticity and fulfillment. I believe everyone has the right to live a fulfilling and rewarding life. My values are rooted in authenticity, freedom, and respect. These values have driven my practice and work with my clients.
Now Offering Retreats! See Website for more details! I help individuals struggling to find joy and satisfaction in life who may be lacking support from loved ones, feeling isolated from a community, and pressured to live a standard lifestyle. I do this by exploring your relationship with others and yourself and unpacking societal pressures and internalized barriers holding you back from authenticity and fulfillment. I believe everyone has the right to live a fulfilling and rewarding life. My values are rooted in authenticity, freedom, and respect. These values have driven my practice and work with my clients.
(512) 601-5794 View (512) 601-5794
Photo of Nica Ayala, MA, LPC_A
Nica Ayala
Licensed Professional Counselor Associate, MA, LPC_A
Verified Verified
Austin, TX 78758  (Online Only)
You are looking for happiness and purpose but you are feeling drained and overwhelmed. You want to change but maybe you don’t know how to make that happen or even where to start. You are having difficulty figuring out where you belong. You feel like you don’t have a space to discuss the difficult aspects of your life. You don't want to be judged or feel like a burden, but you don’t want to feel isolated and alone either. You’re looking to strengthen your ability to communicate and connect with other people. I try to create a relaxed and trust-based space where my clients can guide the way to explore anything they want.
You are looking for happiness and purpose but you are feeling drained and overwhelmed. You want to change but maybe you don’t know how to make that happen or even where to start. You are having difficulty figuring out where you belong. You feel like you don’t have a space to discuss the difficult aspects of your life. You don't want to be judged or feel like a burden, but you don’t want to feel isolated and alone either. You’re looking to strengthen your ability to communicate and connect with other people. I try to create a relaxed and trust-based space where my clients can guide the way to explore anything they want.
(737) 530-4765 View (737) 530-4765
Katy Bruce
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Austin, TX 78758  (Online Only)
Not accepting new clients
I believe that people often operate from the basis of their story: what has happened in their lives and what they know and feel. I will help you understand your collection of experiences, your thoughts and feelings in order to assist you in reaching goals, and essentially, in getting where you want to go. I will help you ask yourself hard questions and deal with the weirdness and pain of daily life. In addition to therapy, I provide education about mental health, and other human issues that may help you evolve your process and get “un-stuck”. Connection and compassion are essential to healing and so I will offer that to you.
I believe that people often operate from the basis of their story: what has happened in their lives and what they know and feel. I will help you understand your collection of experiences, your thoughts and feelings in order to assist you in reaching goals, and essentially, in getting where you want to go. I will help you ask yourself hard questions and deal with the weirdness and pain of daily life. In addition to therapy, I provide education about mental health, and other human issues that may help you evolve your process and get “un-stuck”. Connection and compassion are essential to healing and so I will offer that to you.
(512) 688-6357 View (512) 688-6357
Photo of Benjamin Jones, MS, LPC, Licensed Professional Counselor
Benjamin Jones
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Austin, TX 78758  (Online Only)
As a member of the LGBTQ+ community, a survivor of religious trauma, and someone who suffers from a chronic physical illness, I know that life is full of ups and downs. These ups and downs shape us into who we are, for better or worse, but that doesn't mean you can't make positive changes. In the past couple years I had the privilege to work with a therapist who helped me work through the best and worst parts of who I am and become proud of who I am. That is why I want to be your therapist. I want to be able to provide you with the opportunity that I had, the opportunity to become the best and most authentic person you can be.
As a member of the LGBTQ+ community, a survivor of religious trauma, and someone who suffers from a chronic physical illness, I know that life is full of ups and downs. These ups and downs shape us into who we are, for better or worse, but that doesn't mean you can't make positive changes. In the past couple years I had the privilege to work with a therapist who helped me work through the best and worst parts of who I am and become proud of who I am. That is why I want to be your therapist. I want to be able to provide you with the opportunity that I had, the opportunity to become the best and most authentic person you can be.
(512) 607-9238 View (512) 607-9238
Photo of Jill Rene Arechiga, LCSW, Clinical Social Work/Therapist
Jill Rene Arechiga
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78758  (Online Only)
Not accepting new clients
Has a loved one died recently or even many years ago? Do you feel you should “move on” or “be past it”? Are friends telling you it is time to start dating again? Perhaps you are tired of being told “you’re doing so good” when you feel lost, scared and upside down. Would you like a deeper understanding of your grief and its process?
Has a loved one died recently or even many years ago? Do you feel you should “move on” or “be past it”? Are friends telling you it is time to start dating again? Perhaps you are tired of being told “you’re doing so good” when you feel lost, scared and upside down. Would you like a deeper understanding of your grief and its process?
(512) 402-6165 View (512) 402-6165
Photo of Jaime Nichols, LCSW, Clinical Social Work/Therapist
Jaime Nichols
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78758
Hardly anybody I know aspires to be that average, center-of-the-bell-curve person. In different ways, we all deviate from the norm, which explains our own uniqueness. My aim as a therapist is to work with individuals, couples, triads, and families in a way that celebrates their uniqueness and "incurable deviance." By meeting you where you are, with who you are, in a way that makes best use of your unique strengths, hopes, dreams, and quirks, we can work together as client(s) and therapist to help you address your current challenges, get lots more of what you want, develop skills, transform, and explore new choices available to you.
Hardly anybody I know aspires to be that average, center-of-the-bell-curve person. In different ways, we all deviate from the norm, which explains our own uniqueness. My aim as a therapist is to work with individuals, couples, triads, and families in a way that celebrates their uniqueness and "incurable deviance." By meeting you where you are, with who you are, in a way that makes best use of your unique strengths, hopes, dreams, and quirks, we can work together as client(s) and therapist to help you address your current challenges, get lots more of what you want, develop skills, transform, and explore new choices available to you.
(512) 872-2241 View (512) 872-2241
1

How does your Therapist compare?

Number of Therapists in 78758

100+

Average cost per session

$150

Therapists in 78758 who prioritize treating:

95% Anxiety
89% Depression
88% Relationship Issues
80% Coping Skills
77% Stress
74% Self Esteem
71% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

79% Aetna
70% UnitedHealthcare UHC | UBH
59% BlueCross and BlueShield

How Therapists in 78758 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78758?

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.