Therapists in Baywood-Aragon, San Mateo, CA

Photo of Doreen R Maller, MA, MFT, Marriage & Family Therapist
Doreen R Maller
Marriage & Family Therapist, MA, MFT
Verified Verified
4 Endorsed
Baywood-Aragon, San Mateo, CA 94401
Waitlist for new clients
I believe that all people have innate skills and strengths and have the potential to live rich and meaningful lives but sometimes get stuck in patterns and behaviors that interfere with their ability to grow. I believe psychotherapy is an important tool to help people discover their natural ability to heal, to love and to live healthy and fulfilling lives. Our fast-paced and demanding lives can create uncomfortable stressors in individuals and families. My time with each client provides an opportunity for calm and reflection in challenging and stressful lives.
I believe that all people have innate skills and strengths and have the potential to live rich and meaningful lives but sometimes get stuck in patterns and behaviors that interfere with their ability to grow. I believe psychotherapy is an important tool to help people discover their natural ability to heal, to love and to live healthy and fulfilling lives. Our fast-paced and demanding lives can create uncomfortable stressors in individuals and families. My time with each client provides an opportunity for calm and reflection in challenging and stressful lives.
(415) 800-1718 View (415) 800-1718
Photo of Anna Caitlin Izzo, MA, Marriage & Family Therapist
Anna Caitlin Izzo
Marriage & Family Therapist, MA
Verified Verified
Baywood-Aragon, San Mateo, CA 94402
What a time to be alive. Are you feeling isolated and alone, or like your situation is hopeless? Do you struggle to balance family and work and joy in our current world? Does your child seem to be losing their zest? If you are willing to try one more thing, I would love to be your ally. The journey has become gruesome. So is every hero’s tale, and what a tale we are living though. You are not alone!
What a time to be alive. Are you feeling isolated and alone, or like your situation is hopeless? Do you struggle to balance family and work and joy in our current world? Does your child seem to be losing their zest? If you are willing to try one more thing, I would love to be your ally. The journey has become gruesome. So is every hero’s tale, and what a tale we are living though. You are not alone!
(650) 753-5148 View (650) 753-5148
Photo of Martina Friedrich, LMFT, Marriage & Family Therapist
Martina Friedrich
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Baywood-Aragon, San Mateo, CA 94402  (Online Only)
I specialize in Eye Movement Desensitization and Reprocessing (EMDR). I find this type of trauma therapy to be helpful in treating depression, anxiety, and past painful experiences that have resulted in negative thoughts and beliefs about ourselves. My goal is to help you look at yourself and your pain differently, in a way that will create hope for you and help you to reach your goals and your "best self."
I specialize in Eye Movement Desensitization and Reprocessing (EMDR). I find this type of trauma therapy to be helpful in treating depression, anxiety, and past painful experiences that have resulted in negative thoughts and beliefs about ourselves. My goal is to help you look at yourself and your pain differently, in a way that will create hope for you and help you to reach your goals and your "best self."
(415) 225-6290 View (415) 225-6290
Photo of Deanna Wong, PsyD, Psychologist
Deanna Wong
Psychologist, PsyD
Verified Verified
2 Endorsed
Baywood-Aragon, San Mateo, CA 94402  (Online Only)
Welcome! We all face stress at some point in our lives. It may be caused by transitions, major life events, or day-to-day life itself. You may be struggling to cope more than usual and may benefit from additional support. I hope to collaborate with you towards understanding your emotions and feeling you have better control of them, improving your experience of life, changing unhealthy behaviors, relieving emotional distress, and improving your role in relationships.
Welcome! We all face stress at some point in our lives. It may be caused by transitions, major life events, or day-to-day life itself. You may be struggling to cope more than usual and may benefit from additional support. I hope to collaborate with you towards understanding your emotions and feeling you have better control of them, improving your experience of life, changing unhealthy behaviors, relieving emotional distress, and improving your role in relationships.
(650) 830-3073 View (650) 830-3073
Photo of Sonia Paz, MFT, Marriage & Family Therapist
Sonia Paz
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
Baywood-Aragon, San Mateo, CA 94402
Congratulations on taking the first step towards a happier, fuller and more fulfilling life that you deserve. I have been working with individuals, couples and families since 2008. As a Marriage and Family Therapist I am committed to help you resolve your life, career, family and relationship challenges.
Congratulations on taking the first step towards a happier, fuller and more fulfilling life that you deserve. I have been working with individuals, couples and families since 2008. As a Marriage and Family Therapist I am committed to help you resolve your life, career, family and relationship challenges.
(650) 547-8908 View (650) 547-8908
Photo of Marissa Nasca, LCSW, RYT, Clinical Social Work/Therapist
Marissa Nasca
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
Baywood-Aragon, San Mateo, CA 94402
My philosophy in working with youth and adults is to share cognitive and mindfulness techniques, in a supportive setting, to help my clients make positive changes in their thoughts and actions. Utilizing personal accountability, combined with humor and lightness, I aim to help clients cultivate compassion for themselves, so they may be willing to experiment with new tools. I strive to help clients come back into their bodies, more effectively process their feelings, and move decisively toward wellness. My theory is to be flexible and sensitive in my approach while moving clients toward a more confident, realized version of themselves.
My philosophy in working with youth and adults is to share cognitive and mindfulness techniques, in a supportive setting, to help my clients make positive changes in their thoughts and actions. Utilizing personal accountability, combined with humor and lightness, I aim to help clients cultivate compassion for themselves, so they may be willing to experiment with new tools. I strive to help clients come back into their bodies, more effectively process their feelings, and move decisively toward wellness. My theory is to be flexible and sensitive in my approach while moving clients toward a more confident, realized version of themselves.
(440) 740-3387 View (440) 740-3387
Photo of Kristin Holbrook Donato, MFT, Marriage & Family Therapist
Kristin Holbrook Donato
Marriage & Family Therapist, MFT
Verified Verified
Baywood-Aragon, San Mateo, CA 94402  (Online Only)
Waitlist for new clients
Feel empowered to transform your relationships and become the person you want to be at work, at home, and in your social life. Build extraordinary relationships, recover from toxic ones, navigate difficult life transitions, and learn how to change the reactions and thoughts that are preventing you from getting what you want. I actively participate in your growth process and ensure you feel compassionately held accountable for your goals. Experiences include: former marketing professional, mother, and partner in cultivating a hard-earned, great marriage. As a counselor and coach, I work with couples, individuals, and families.
Feel empowered to transform your relationships and become the person you want to be at work, at home, and in your social life. Build extraordinary relationships, recover from toxic ones, navigate difficult life transitions, and learn how to change the reactions and thoughts that are preventing you from getting what you want. I actively participate in your growth process and ensure you feel compassionately held accountable for your goals. Experiences include: former marketing professional, mother, and partner in cultivating a hard-earned, great marriage. As a counselor and coach, I work with couples, individuals, and families.
(650) 517-7362 View (650) 517-7362
Photo of Cosmin I Gheorghe, LMFT, Marriage & Family Therapist
Cosmin I Gheorghe
Marriage & Family Therapist, LMFT
Verified Verified
Baywood-Aragon, San Mateo, CA 94402  (Online Only)
I have 20+ years experience assisting clients to overcome issues related to Anxiety, Mid-Life Crisis, Burnout, Anger, Depression, Addictive/Compulsive Behavior. My clients say they appreciate my "genuine, therapuetic connection", my "warm, grounded, interactive therapy sessions"; my "solid multi-cultural competency". I am not the kind of therapist that sits and nods. I actively work with you to explore what is hapening and identify the best possible solutions. Finding the right therapist is tricky. This is why I am happy to talk with you on the phone before we decide to work together.
I have 20+ years experience assisting clients to overcome issues related to Anxiety, Mid-Life Crisis, Burnout, Anger, Depression, Addictive/Compulsive Behavior. My clients say they appreciate my "genuine, therapuetic connection", my "warm, grounded, interactive therapy sessions"; my "solid multi-cultural competency". I am not the kind of therapist that sits and nods. I actively work with you to explore what is hapening and identify the best possible solutions. Finding the right therapist is tricky. This is why I am happy to talk with you on the phone before we decide to work together.
(415) 323-3058 View (415) 323-3058
Photo of Michael Immerman, LCSW, Clinical Social Work/Therapist
Michael Immerman
Clinical Social Work/Therapist, LCSW
Verified Verified
Baywood-Aragon, San Mateo, CA 94402
I bring 30 years of experience to think with and about you, so that together we can find a way. I listen carefully, and I also speak up. The power of therapy is in both the teaching and the relationship.
I bring 30 years of experience to think with and about you, so that together we can find a way. I listen carefully, and I also speak up. The power of therapy is in both the teaching and the relationship.
(650) 290-6857 View (650) 290-6857
Photo of Kimberly Wheeler Rich, MFT, Marriage & Family Therapist
Kimberly Wheeler Rich
Marriage & Family Therapist, MFT
Verified Verified
Baywood-Aragon, San Mateo, CA 94402  (Online Only)
The stress of our fast-paced lives can challenge our most import relationships. Families are juggling so many responsibilities that its easy to let relationships take a back seat. Don't let stressful times derail you from living the life you always envisioned. I work with clients to manage stress, learn new problem solving tools, improve their relationships with loved ones and be the partner and/or parent you always wanted to be.
The stress of our fast-paced lives can challenge our most import relationships. Families are juggling so many responsibilities that its easy to let relationships take a back seat. Don't let stressful times derail you from living the life you always envisioned. I work with clients to manage stress, learn new problem solving tools, improve their relationships with loved ones and be the partner and/or parent you always wanted to be.
(650) 643-5319 View (650) 643-5319
Photo of Carolee Stabno, PsyD, LMFT, Marriage & Family Therapist
Carolee Stabno
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Baywood-Aragon, San Mateo, CA 94402
As a solution-focused, culturally sensitive therapist, my treatment approach is to provide support and feedback to clients to help them resolve current problems, and work through life transitions and issues. Additionally, I have had extensive experience in the treatment of depression, panic disorder, anxiety, addiction, trauma, and loss & grief. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues.
As a solution-focused, culturally sensitive therapist, my treatment approach is to provide support and feedback to clients to help them resolve current problems, and work through life transitions and issues. Additionally, I have had extensive experience in the treatment of depression, panic disorder, anxiety, addiction, trauma, and loss & grief. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues.
(650) 209-7713 View (650) 209-7713
Photo of Vera Kugel, MA, MFT, Marriage & Family Therapist
Vera Kugel
Marriage & Family Therapist, MA, MFT
Verified Verified
Baywood-Aragon, San Mateo, CA 94402
Congratulations! You have made a very important decision in your life - you decided to invite professional help into your life. The reasons behind your decision can vary. It can be your feeling of loneliness, difficulties to "fit in", or maybe the demons from the past affecting your life today and you feel like you stuck? Or the main goal you've had all your life seems more and more unreachable and you feel like a failure? Whatever it is, you are the only one who has the answers. You are the only expert of you. But sometimes these answers are buried too deep, so you need professional help to reach them.
Congratulations! You have made a very important decision in your life - you decided to invite professional help into your life. The reasons behind your decision can vary. It can be your feeling of loneliness, difficulties to "fit in", or maybe the demons from the past affecting your life today and you feel like you stuck? Or the main goal you've had all your life seems more and more unreachable and you feel like a failure? Whatever it is, you are the only one who has the answers. You are the only expert of you. But sometimes these answers are buried too deep, so you need professional help to reach them.
(408) 717-4116 View (408) 717-4116
Photo of John T Duda, LMFT, Marriage & Family Therapist
John T Duda
Marriage & Family Therapist, LMFT
Verified Verified
Baywood-Aragon, San Mateo, CA 94402
I have been doing individual and couples therapy for over 25 years. I help clients reduce anxiety and depression through cognitive behavioral therapy. I work with substance abuse and addiction issues and teach coping skills. Helping couples improve communication and teach problem solving skills is one of my primary objectives. My ability to connect with people is very strong and I am often told that I am very easy to talk to and confide in and trust.
I have been doing individual and couples therapy for over 25 years. I help clients reduce anxiety and depression through cognitive behavioral therapy. I work with substance abuse and addiction issues and teach coping skills. Helping couples improve communication and teach problem solving skills is one of my primary objectives. My ability to connect with people is very strong and I am often told that I am very easy to talk to and confide in and trust.
(650) 469-8751 View (650) 469-8751
Photo of Brenda Joe-Matsuo, MS, LMFT, Marriage & Family Therapist
Brenda Joe-Matsuo
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Baywood-Aragon, San Mateo, CA 94402
We often have good intentions to take care of ourselves, but too often, we put ourselves last. There will never be a perfect time to start, but now is the time to make an investment in yourself for a happier future. Maybe you're depressed, anxious or unhappy about your relationship, work or life. Don't delay your chance for a happier life. Learn ways to manage stress and your mental health. Call me for a free brief phone consult to find out if I am the right therapist for you.
We often have good intentions to take care of ourselves, but too often, we put ourselves last. There will never be a perfect time to start, but now is the time to make an investment in yourself for a happier future. Maybe you're depressed, anxious or unhappy about your relationship, work or life. Don't delay your chance for a happier life. Learn ways to manage stress and your mental health. Call me for a free brief phone consult to find out if I am the right therapist for you.
(650) 681-0878 View (650) 681-0878
Photo of Sarah Rose Nagle, LCSW, Clinical Social Work/Therapist
Sarah Rose Nagle
Clinical Social Work/Therapist, LCSW
Verified Verified
Baywood-Aragon, San Mateo, CA 94402  (Online Only)
With 22 years of experience of working with family upheaval, foster care and physical and sexual abuse, Post Traumatic Stress Disorder, and domestic violence, I enjoy being present for those working on the above issues. Issues of loss and grief, parenting skills or a new life direction. In recent years, I have come to love working with families and siblings of children diagnosed with Autism. Many times these family members are left with no support in the day in and day out living with a child or sibling with Autism. Chronic pain is also a major interest of mine.
With 22 years of experience of working with family upheaval, foster care and physical and sexual abuse, Post Traumatic Stress Disorder, and domestic violence, I enjoy being present for those working on the above issues. Issues of loss and grief, parenting skills or a new life direction. In recent years, I have come to love working with families and siblings of children diagnosed with Autism. Many times these family members are left with no support in the day in and day out living with a child or sibling with Autism. Chronic pain is also a major interest of mine.
(650) 209-7692 View (650) 209-7692
Photo of Bradford Leary, LCSW, CT, Clinical Social Work/Therapist
Bradford Leary
Clinical Social Work/Therapist, LCSW, CT
Verified Verified
2 Endorsed
Baywood-Aragon, San Mateo, CA 94402
Not accepting new clients
My practice is 100% virtual. I am able to treat clients residing in California. I enjoy working with individuals facing a variety of issues including loss of all types. This includes the death of a loved one, divorce or separation, job loss, infertility, and retirement. I have an understanding of the stress and anxiety as a lifelong resident of the peninsula. My approach is practical and supportive.
My practice is 100% virtual. I am able to treat clients residing in California. I enjoy working with individuals facing a variety of issues including loss of all types. This includes the death of a loved one, divorce or separation, job loss, infertility, and retirement. I have an understanding of the stress and anxiety as a lifelong resident of the peninsula. My approach is practical and supportive.
(650) 864-8965 View (650) 864-8965
Photo of Ann Rawley - Olivos - a division of Caminar for Mental Health, PhD, Psychologist
Olivos - a division of Caminar for Mental Health
Psychologist, PhD
Verified Verified
Baywood-Aragon, San Mateo, CA 94402
Olivos is a welcoming strengths-based treatment program that focuses on empowerment and collaborative goal setting. Mental health, substance use, and trauma-related issues are addressed on the journey to recovery, wellness, and reaching each person's full potential. Problems range from depression, anxiety, job stress, and relationship issues to hearing voices, difficulty managing money, compulsive behaviors and addiction. Our multidisciplinary team provides services in our offices, community settings, and client homes. Olivos also coordinates services with acute care (such as hospitals) and community residential programs and can provide services similar to a transitional residential program in the client's home if needed.
Olivos is a welcoming strengths-based treatment program that focuses on empowerment and collaborative goal setting. Mental health, substance use, and trauma-related issues are addressed on the journey to recovery, wellness, and reaching each person's full potential. Problems range from depression, anxiety, job stress, and relationship issues to hearing voices, difficulty managing money, compulsive behaviors and addiction. Our multidisciplinary team provides services in our offices, community settings, and client homes. Olivos also coordinates services with acute care (such as hospitals) and community residential programs and can provide services similar to a transitional residential program in the client's home if needed.
(650) 642-9680 View (650) 642-9680
Photo of Marcos Chacon Jr, MS , LMFT, Marriage & Family Therapist
Marcos Chacon Jr
Marriage & Family Therapist, MS , LMFT
Verified Verified
Baywood-Aragon, San Mateo, CA 94402
In a marriage most people would like to feel appreciated and understood. Experiencing enjoyable moments and memories in our relationships. The confidence that we can receive support from our spouse and that we can share our needs. Being able to have moments of connection and intimacy. If you are struggling with relationship problems and find yourself feeling: lonely, frustrated unloved, insecure, angry, disconnected, empty, unfulfilled, and under appreciated, I would like to be your guide taking steps decrease relationship pain.
In a marriage most people would like to feel appreciated and understood. Experiencing enjoyable moments and memories in our relationships. The confidence that we can receive support from our spouse and that we can share our needs. Being able to have moments of connection and intimacy. If you are struggling with relationship problems and find yourself feeling: lonely, frustrated unloved, insecure, angry, disconnected, empty, unfulfilled, and under appreciated, I would like to be your guide taking steps decrease relationship pain.
(415) 570-8440 View (415) 570-8440
Photo of Jocelyn Cremer, PhD, Psychologist
Jocelyn Cremer
Psychologist, PhD
Verified Verified
3 Endorsed
Baywood-Aragon, San Mateo, CA 94402
I am a psychologist with 25 years of experience helping individuals lead more fulfilled and balanced lives. I work collaboratively with adults, and teens/kids to see how we may uncover a more meaningful and less stressful life. I am committed to assisting people in finding tools to help them figure out what is getting in their way. I also suggest tools to use outside of session. I am a co-founder of Potrero Hill Psychotherapy which operated for 20 years. Psychotherapy is usually once per week and I offer a complimentary 20 minute phone consultation to see if there is a good fit between psychologist and client.
I am a psychologist with 25 years of experience helping individuals lead more fulfilled and balanced lives. I work collaboratively with adults, and teens/kids to see how we may uncover a more meaningful and less stressful life. I am committed to assisting people in finding tools to help them figure out what is getting in their way. I also suggest tools to use outside of session. I am a co-founder of Potrero Hill Psychotherapy which operated for 20 years. Psychotherapy is usually once per week and I offer a complimentary 20 minute phone consultation to see if there is a good fit between psychologist and client.
(415) 800-2852 View (415) 800-2852
Photo of Karin Sponholz, MSW, PhD, Psychologist
Karin Sponholz
Psychologist, MSW, PhD
Verified Verified
1 Endorsed
Baywood-Aragon, San Mateo, CA 94402
We would work well together if you are someone who is ready, open, and willing to do the "hard work" to make changes in whatever realm you want. To be able to face the brutal truths about your life and how things got to be the way they are is not a process for the faint of heart. How I work? I focus on the "whole being" by addressing inner and outer worlds, the mind, the heart, as well as the body. I encourage you, for whatever reasons you have to seek therapy, to allow yourself the time to finding both a good fit with a therapist and an approach to therapy that feels helpful to you.
We would work well together if you are someone who is ready, open, and willing to do the "hard work" to make changes in whatever realm you want. To be able to face the brutal truths about your life and how things got to be the way they are is not a process for the faint of heart. How I work? I focus on the "whole being" by addressing inner and outer worlds, the mind, the heart, as well as the body. I encourage you, for whatever reasons you have to seek therapy, to allow yourself the time to finding both a good fit with a therapist and an approach to therapy that feels helpful to you.
(650) 383-3970 View (650) 383-3970
1

How does your Therapist compare?

Number of Therapists in Baywood-Aragon, San Mateo, CA

50+

Average cost per session

$200

Therapists in Baywood-Aragon, San Mateo, CA who prioritize treating:

98% Anxiety
91% Depression
82% Relationship Issues
70% Grief
70% Self Esteem
68% Trauma and PTSD
60% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

52% Other
43% Cigna and Evernorth
39% Aetna

How Therapists in Baywood-Aragon, San Mateo, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Baywood-Aragon, San Mateo?

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.