Photo of Jennifer Tripp-Herring, MS, MFT-I, Pre-Licensed Professional
Jennifer Tripp-Herring
Pre-Licensed Professional, MS, MFT-I
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Now accepting clients Tuesday afternoons! “The only evidence of life is growth." Is life bringing growth in the form of overwhelming change/ challenges? I hear you. Here, you are offered a truly unique space: one of empathy, acceptance, and growth! We'll explore your experience to create a plan that leads to the clarity and well-being you deserve. You CAN attain peace and progress! All this and more is gained through validating support and empowering solutions tailored to you. Even good changes can seem intimidating; I commend your courageous first step of venturing into this expressive and progressive journey...
Now accepting clients Tuesday afternoons! “The only evidence of life is growth." Is life bringing growth in the form of overwhelming change/ challenges? I hear you. Here, you are offered a truly unique space: one of empathy, acceptance, and growth! We'll explore your experience to create a plan that leads to the clarity and well-being you deserve. You CAN attain peace and progress! All this and more is gained through validating support and empowering solutions tailored to you. Even good changes can seem intimidating; I commend your courageous first step of venturing into this expressive and progressive journey...
(702) 291-9576 View (702) 291-9576
Photo of Allison Vigil, MS, Marriage & Family Therapist
Allison Vigil
Marriage & Family Therapist, MS
Verified Verified
2 Endorsed
Las Vegas, NV 89144
*Now accepting clients* When challenges occur, finding hope can seem impossible. The process of overcoming these challenges can feel difficult and overwhelming, but you do not have to go through it alone. I collaborate with my clients to find what works in therapy, and what does not work. My hope is that together we can create a safe, inviting space where you can feel understood and supported. My goal is to work with you to make sure that your goals for therapy are met, and I will adapt treatment to meet your individual needs. Feel free to check out my website for additional information about my therapeutic style.
*Now accepting clients* When challenges occur, finding hope can seem impossible. The process of overcoming these challenges can feel difficult and overwhelming, but you do not have to go through it alone. I collaborate with my clients to find what works in therapy, and what does not work. My hope is that together we can create a safe, inviting space where you can feel understood and supported. My goal is to work with you to make sure that your goals for therapy are met, and I will adapt treatment to meet your individual needs. Feel free to check out my website for additional information about my therapeutic style.
(702) 903-4686 View (702) 903-4686
Photo of Celeste Turner, MSW, LCSW, Clinical Social Work/Therapist
Celeste Turner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Las Vegas, NV 89144  (Online Only)
Not accepting new clients
Not Accepting New Clients..Having a safe and nonjudgemental space to share your thoughts and feelings is not something everyone has but we all deserve. Online sessions makes attending therapy more feasible for you. If you are seeking therapy to heal from past traumas, manage daily stressors, or personal development you have come to the right place. Your thoughts, feelings and experiences are important. I am dedicated to meeting you where you are at in life and walking along side you to get you to where you want to be.
Not Accepting New Clients..Having a safe and nonjudgemental space to share your thoughts and feelings is not something everyone has but we all deserve. Online sessions makes attending therapy more feasible for you. If you are seeking therapy to heal from past traumas, manage daily stressors, or personal development you have come to the right place. Your thoughts, feelings and experiences are important. I am dedicated to meeting you where you are at in life and walking along side you to get you to where you want to be.
(702) 842-1579 View (702) 842-1579
Photo of Payton Freund, Pre-Licensed Professional
Payton Freund
Pre-Licensed Professional
Verified Verified
1 Endorsed
Las Vegas, NV 89144
With a firm belief in everyone’s potential for personal development and a dedication to collaborative growth, I foster a supportive client-therapist relationship. Together, we work towards empowering you to lead a fulfilling life by exploring your strengths, navigating challenges, and unlocking your fullest potential. I am deeply committed to creating a safe and inclusive space where you feel heard, understood, and supported as you embark on your journey of meaningful self-discovery.
With a firm belief in everyone’s potential for personal development and a dedication to collaborative growth, I foster a supportive client-therapist relationship. Together, we work towards empowering you to lead a fulfilling life by exploring your strengths, navigating challenges, and unlocking your fullest potential. I am deeply committed to creating a safe and inclusive space where you feel heard, understood, and supported as you embark on your journey of meaningful self-discovery.
(702) 357-3076 View (702) 357-3076
Photo of Mimi Samayoa, Pre-Licensed Professional
Mimi Samayoa
Pre-Licensed Professional
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Hello! I am a proud first-generation Latina and have a passion for helping promote and educate our community about mental wellness. I truly believe that my clients have the capacity to create beautiful, long-lasting change. I pay close attention to patterns and look to understand a person’s full story. I listen to understand and use a collaborative approach so that my clients and I can explore, discuss, challenge thoughts and feelings, and create goals. I specialize in working with teenagers, individuals, and couples to manage anxiety, depression, trauma, stress, and challenging life situations.
Hello! I am a proud first-generation Latina and have a passion for helping promote and educate our community about mental wellness. I truly believe that my clients have the capacity to create beautiful, long-lasting change. I pay close attention to patterns and look to understand a person’s full story. I listen to understand and use a collaborative approach so that my clients and I can explore, discuss, challenge thoughts and feelings, and create goals. I specialize in working with teenagers, individuals, and couples to manage anxiety, depression, trauma, stress, and challenging life situations.
(702) 466-1702 View (702) 466-1702
Photo of Garrett Engle, Marriage & Family Therapist Intern
Garrett Engle
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Las Vegas, NV 89144
I am eager to work with individuals and couples from various backgrounds and help guide them through any challenges, struggles, and unexpected life changes. I especially have a passion for working with children, teens, and adolescents. I take an evidence-based approach that combines well researched interventions from emotionally focused family therapy and brief strategic models to help guide and inform the delivery of treatment and services.
I am eager to work with individuals and couples from various backgrounds and help guide them through any challenges, struggles, and unexpected life changes. I especially have a passion for working with children, teens, and adolescents. I take an evidence-based approach that combines well researched interventions from emotionally focused family therapy and brief strategic models to help guide and inform the delivery of treatment and services.
(702) 553-1949 View (702) 553-1949
Photo of Katrina Harris, PhD, CPC-I, LPC Intern
Katrina Harris
LPC Intern, PhD, CPC-I
Verified Verified
Las Vegas, NV 89144
I believe each client has the potential for transformation and growth. My approach to counseling is holistic, collaborative and client centered taking into consideration that the mind, body and spirit influence an individual’s view of the world. My areas of focus are working with adults and adolescents experiencing anxiety and depression and individuals who need guidance with life transitions (i.e., divorce, midlife changes, parenthood). Clients can expect a non-judgmental and warm environment that seeks to promote empowerment and meaningful change.
I believe each client has the potential for transformation and growth. My approach to counseling is holistic, collaborative and client centered taking into consideration that the mind, body and spirit influence an individual’s view of the world. My areas of focus are working with adults and adolescents experiencing anxiety and depression and individuals who need guidance with life transitions (i.e., divorce, midlife changes, parenthood). Clients can expect a non-judgmental and warm environment that seeks to promote empowerment and meaningful change.
(702) 819-8511 View (702) 819-8511
Photo of Dr. Kit Didericksen, PhD, LMFT, Marriage & Family Therapist
Dr. Kit Didericksen
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Las Vegas, NV 89144  (Online Only)
Are you experiencing stress from life transitions or chronic illness? Or are you a fellow therapist or medical provider? Stress can come from life, family, social identities, society/culture, trauma and/or relationships. It can make it harder to cope, connect with people, increase anxiety, and make ourselves unrecognizable. Healing from stress and anxiety is mental, emotional, physical, relational, and spiritual. My work as a therapist is to promote holistic healing, build insight, help you strengthen your important relationships, and build the life you want. I can help, and I have immediate openings for residents in NV and NC!
Are you experiencing stress from life transitions or chronic illness? Or are you a fellow therapist or medical provider? Stress can come from life, family, social identities, society/culture, trauma and/or relationships. It can make it harder to cope, connect with people, increase anxiety, and make ourselves unrecognizable. Healing from stress and anxiety is mental, emotional, physical, relational, and spiritual. My work as a therapist is to promote holistic healing, build insight, help you strengthen your important relationships, and build the life you want. I can help, and I have immediate openings for residents in NV and NC!
(725) 215-6499 View (725) 215-6499
Photo of Linny Le, MA, Marriage & Family Therapist Intern
Linny Le
Marriage & Family Therapist Intern, MA
Verified Verified
5 Endorsed
Las Vegas, NV 89144
Linny's educational background and experiences give her the opportunity to work with clients of different ages and backgrounds. She is equipped to help individuals, couples, and families cope with a variety of mental health issues. Her passion is helping individuals navigate through their struggles and see healthy changes in their lives- it can be anything from dealing with inter-generational trauma, improving relationships, gaining self-confidence, overcoming major life experiences or acute life transitions- healing and change is possible!
Linny's educational background and experiences give her the opportunity to work with clients of different ages and backgrounds. She is equipped to help individuals, couples, and families cope with a variety of mental health issues. Her passion is helping individuals navigate through their struggles and see healthy changes in their lives- it can be anything from dealing with inter-generational trauma, improving relationships, gaining self-confidence, overcoming major life experiences or acute life transitions- healing and change is possible!
(702) 830-9413 View (702) 830-9413
Photo of Teri Becchetti Raven, MFT, MBA, Marriage & Family Therapist Intern
Teri Becchetti Raven
Marriage & Family Therapist Intern, MFT, MBA
Verified Verified
2 Endorsed
Las Vegas, NV 89144
Accepting New Clients. Thank you for visiting! I work with individuals, couples, and families, with a heartfelt love for working with children. I work with clients experiencing anxiety, depression, relationship issues, divorce, blended families, infidelity, career and academic pressures, and trauma.
Accepting New Clients. Thank you for visiting! I work with individuals, couples, and families, with a heartfelt love for working with children. I work with clients experiencing anxiety, depression, relationship issues, divorce, blended families, infidelity, career and academic pressures, and trauma.
(725) 303-1256 View (725) 303-1256
Photo of Jocelyne Giron, Pre-Licensed Professional
Jocelyne Giron
Pre-Licensed Professional
Verified Verified
1 Endorsed
Las Vegas, NV 89144
As a couple and family student therapist, I strive to create a comfortable and supportive environment for clients to change and grow in. In my work with individuals, couples, and families, I take the time to understand each person's unique experiences, worries, hopes, and goals.
As a couple and family student therapist, I strive to create a comfortable and supportive environment for clients to change and grow in. In my work with individuals, couples, and families, I take the time to understand each person's unique experiences, worries, hopes, and goals.
(702) 276-6591 View (702) 276-6591
Photo of Susan Dow, LCADC, MFT, Marriage & Family Therapist
Susan Dow
Marriage & Family Therapist, LCADC, MFT
Verified Verified
3 Endorsed
Las Vegas, NV 89144
New clients by referral only - Are you worried that substance use may be negatively impacting your relationships and your ability to be the best version of yourself? Are you looking for a renewed sense of hope for yourself and your family? Conveniently located in Summerlin near the Red Rock Hotel & Casino, I am here to provide you with a safe and supportive environment for you or your loved one to explore and overcome challenges. I use an emotionally focused, systemic approach to helping couples and families rebuild trust and connectedness for a strong and resilient future.
New clients by referral only - Are you worried that substance use may be negatively impacting your relationships and your ability to be the best version of yourself? Are you looking for a renewed sense of hope for yourself and your family? Conveniently located in Summerlin near the Red Rock Hotel & Casino, I am here to provide you with a safe and supportive environment for you or your loved one to explore and overcome challenges. I use an emotionally focused, systemic approach to helping couples and families rebuild trust and connectedness for a strong and resilient future.
(702) 466-1839 View (702) 466-1839
Photo of Katrina Rizvanova - Red Rock Counseling , Pre-Licensed Professional
Red Rock Counseling
Pre-Licensed Professional
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Graduate level marriage and family student therapist. I am passionate about understanding the complexities of life's challenges and committed to helping individuals, couples, and children build self-compassion, improve mindset, and create meaningful relationships. One of my goals is to help clients achieve a higher quality of life through creating change and building a strong foundation . My approach to therapy is highly personalized, utilizing holistic wellness and person centered techniques.
Graduate level marriage and family student therapist. I am passionate about understanding the complexities of life's challenges and committed to helping individuals, couples, and children build self-compassion, improve mindset, and create meaningful relationships. One of my goals is to help clients achieve a higher quality of life through creating change and building a strong foundation . My approach to therapy is highly personalized, utilizing holistic wellness and person centered techniques.
(725) 356-6408 View (725) 356-6408
Photo of Ariana N Throne, MFT-S, Pre-Licensed Professional
Ariana N Throne
Pre-Licensed Professional, MFT-S
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Ariana is a Marriage and Family Therapist graduate student who is dedicated to creating a safe space for people of all walks of life to work on their goals. She works through Red Rock Counseling with couples, children, teens, families, and individuals. Her areas of focus include CNM/Poly/Alternative relationships, sexual assault, trauma, LQBTQ+ issues, sex and relational counseling, depression and anxiety, stress, cultural diversity, and personal growth. Through a collaborative, creative and open-minded approach, she strives to empower her clients to harness their inner strengths through a variety of therapeutic techniques.
Ariana is a Marriage and Family Therapist graduate student who is dedicated to creating a safe space for people of all walks of life to work on their goals. She works through Red Rock Counseling with couples, children, teens, families, and individuals. Her areas of focus include CNM/Poly/Alternative relationships, sexual assault, trauma, LQBTQ+ issues, sex and relational counseling, depression and anxiety, stress, cultural diversity, and personal growth. Through a collaborative, creative and open-minded approach, she strives to empower her clients to harness their inner strengths through a variety of therapeutic techniques.
(725) 234-3279 View (725) 234-3279
Photo of Erica Nicole Zaldivar, MS, LMFT, Marriage & Family Therapist
Erica Nicole Zaldivar
Marriage & Family Therapist, MS, LMFT
Verified Verified
Las Vegas, NV 89144  (Online Only)
Waitlist for new clients
I am very passionate about helping people better their relationships and their emotional health. Seeking out support from someone in the helping field is actually a very courageous act. Additionally, reaching out shouldn't be limited to problematic times, but also in times we may wish to grow as an individual or increase our level of concentration and productivity. Whether you are looking to explore how limiting beliefs and past traumas may be holding you back, or seeking to grow emotionally, counseling could be a great option for you.
I am very passionate about helping people better their relationships and their emotional health. Seeking out support from someone in the helping field is actually a very courageous act. Additionally, reaching out shouldn't be limited to problematic times, but also in times we may wish to grow as an individual or increase our level of concentration and productivity. Whether you are looking to explore how limiting beliefs and past traumas may be holding you back, or seeking to grow emotionally, counseling could be a great option for you.
(702) 744-9548 View (702) 744-9548
Photo of Irina Stoynoff, CPC, Student, Pre-Licensed Professional
Irina Stoynoff
Pre-Licensed Professional, CPC, Student
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Ever feel like the joy that once lit up your days has slipped away? Maybe life feels like it's running on autopilot, and you're struggling to be fully present. If you're using avoidance, food, substances, or just keeping busy around the clock to cope, and the future seems a bit dim, remember, there's hope. In those moments of overwhelm, irritation, or even panic, it's a signal to pause and rethink where you're headed. Together, let's rediscover balance and regain control, cultivating a sense of hope and purpose. I have openings on Tuesdays, Wednesdays, Thursdays, Fridays and Sundays.
Ever feel like the joy that once lit up your days has slipped away? Maybe life feels like it's running on autopilot, and you're struggling to be fully present. If you're using avoidance, food, substances, or just keeping busy around the clock to cope, and the future seems a bit dim, remember, there's hope. In those moments of overwhelm, irritation, or even panic, it's a signal to pause and rethink where you're headed. Together, let's rediscover balance and regain control, cultivating a sense of hope and purpose. I have openings on Tuesdays, Wednesdays, Thursdays, Fridays and Sundays.
(702) 904-8377 View (702) 904-8377
Photo of Elisa G Straub, BS, MS, LMFT, Marriage & Family Therapist
Elisa G Straub
Marriage & Family Therapist, BS, MS, LMFT
Verified Verified
Las Vegas, NV 89144
**NOW ACCEPTING NEW CLIENTS** Anxiety and depression can be crippling to ones ability to succeed in life. I strive to help individuals to not only overcome these challanges, yet to be able to find new pathways of thinking that they can use throughout their life. Using techniques derived from cognitive behavioral therapy (CBT) and solution focused therapy, I work with clients and tailor my treatment to each clients individual needs. I aim to provide a positive, encouraging and comfortable space for my clients to engage in therapy.
**NOW ACCEPTING NEW CLIENTS** Anxiety and depression can be crippling to ones ability to succeed in life. I strive to help individuals to not only overcome these challanges, yet to be able to find new pathways of thinking that they can use throughout their life. Using techniques derived from cognitive behavioral therapy (CBT) and solution focused therapy, I work with clients and tailor my treatment to each clients individual needs. I aim to provide a positive, encouraging and comfortable space for my clients to engage in therapy.
(702) 728-4366 View (702) 728-4366
Photo of Jeff Smith - No Limits Counseling, LCSW, Clinical Social Work/Therapist
No Limits Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Las Vegas, NV 89144
Specializing in adolescents and men's issues....Accepting new clients now.....Most of us seek improvement in some area of our life at one point or another. So if you are feeling anxious or down, restless or upset, or just seeking change in yourself or in your personal relationships, I'm here to help.
Specializing in adolescents and men's issues....Accepting new clients now.....Most of us seek improvement in some area of our life at one point or another. So if you are feeling anxious or down, restless or upset, or just seeking change in yourself or in your personal relationships, I'm here to help.
(725) 269-5472 View (725) 269-5472
Photo of Alyssa Rochon - Jus' Talk Therapy, PLLC, MS, Marriage & Family Therapist Intern
Jus' Talk Therapy, PLLC
Marriage & Family Therapist Intern, MS
Verified Verified
7 Endorsed
Las Vegas, NV 89144
Are you ready to embrace your truth and live authentically in a world filled with societal pressures? I specialize in working with individuals who are seeking to cultivate self-esteem, improve relationships, navigate family dynamics, enhance communication skills, explore identity, and discover their sense of purpose. My clients are courageous souls who are eager to step into their truth, break free from limiting beliefs, and create a life aligned with their authentic selves.
Are you ready to embrace your truth and live authentically in a world filled with societal pressures? I specialize in working with individuals who are seeking to cultivate self-esteem, improve relationships, navigate family dynamics, enhance communication skills, explore identity, and discover their sense of purpose. My clients are courageous souls who are eager to step into their truth, break free from limiting beliefs, and create a life aligned with their authentic selves.
(725) 356-1601 View (725) 356-1601
Photo of Desiree Clarice Hanache, Pre-Licensed Professional
Desiree Clarice Hanache
Pre-Licensed Professional
Verified Verified
8 Endorsed
Las Vegas, NV 89144
We often find ourselves standing at a crossroads burdened by the weight of our struggles. Addiction, depression, anxiety, negative thought spirals disembodiment (to name a few) don’t just affect us as isolated individuals but ripple through our relationships, families, and the communities we’re part of. At these crossroads, I come forward not only as an MFT but as a collaborator in your journey toward holistic healing. My passion lies in working with individuals, relationships & families seeking to navigate the turbulent waters of mental & emotional challenges. Promoting whole-person, multifaceted healing is a pillar of my practice.
We often find ourselves standing at a crossroads burdened by the weight of our struggles. Addiction, depression, anxiety, negative thought spirals disembodiment (to name a few) don’t just affect us as isolated individuals but ripple through our relationships, families, and the communities we’re part of. At these crossroads, I come forward not only as an MFT but as a collaborator in your journey toward holistic healing. My passion lies in working with individuals, relationships & families seeking to navigate the turbulent waters of mental & emotional challenges. Promoting whole-person, multifaceted healing is a pillar of my practice.
(702) 297-6301 View (702) 297-6301

How does your Therapist compare?

Number of Therapists in 89144

100+

Average cost per session

$130

Therapists in 89144 who prioritize treating:

95% Anxiety
87% Depression
86% Relationship Issues
82% Self Esteem
77% Coping Skills
77% Stress
76% Family Conflict

Average years in practice

9 Years

Top 3 insurances accepted

66% Aetna
56% Cigna and Evernorth
54% UnitedHealthcare UHC | UBH

How Therapists in 89144 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 89144?

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.