Therapists in Kensington, MD

Photo of Ayana Manzanares, LCSW-C, Clinical Social Work/Therapist
Ayana Manzanares
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Kensington, MD 20895
Greetings. I am a licensed clinical social worker (LCSW-C) in Maryland. I earned my master of social work from the University of Maryland, at Baltimore and have been practicing for 12 years.
Greetings. I am a licensed clinical social worker (LCSW-C) in Maryland. I earned my master of social work from the University of Maryland, at Baltimore and have been practicing for 12 years.
(301) 691-2875 View (301) 691-2875
Photo of Dr. Cheryl Holland - Cheryl Holland, Ph.D. & Associates, LLC, PhD, Psychologist
Cheryl Holland, Ph.D. & Associates, LLC
Psychologist, PhD
Verified Verified
Kensington, MD 20895
I am a licensed psychologist with over 30 years of experience helping children, adults, and families to grow, connect, and experience more joy in their lives. My treatment and consultation services range from evaluation and short term support to comprehensive intervention. I am guided by the belief that individuals and families possess great strength that is fully expressed through nurturing relationships, empathic listening, and collaborative problem solving. Supporting insight and skill building, I aim to help others develop positive well-being, cultivate healthy relationships, and navigate life challenges.
I am a licensed psychologist with over 30 years of experience helping children, adults, and families to grow, connect, and experience more joy in their lives. My treatment and consultation services range from evaluation and short term support to comprehensive intervention. I am guided by the belief that individuals and families possess great strength that is fully expressed through nurturing relationships, empathic listening, and collaborative problem solving. Supporting insight and skill building, I aim to help others develop positive well-being, cultivate healthy relationships, and navigate life challenges.
(301) 945-7534 View (301) 945-7534
Photo of Stuart Weinstein, MS, Pre-Licensed Professional
Stuart Weinstein
Pre-Licensed Professional, MS
Verified Verified
Kensington, MD 20895
When individuals experience anxiety, depression, stress, relational discord, substance abuse issues and trauma, they tend to seek a therapist they can trust, feel safe speaking with and a therapist they can relate to. As a therapist I can assure you that I bring personal experience, education, knowledge and most of all passion to your sessions with one main goal in mind: to have you live the life you hope to live. I bring my 27+ years of Yoga and Meditation to any therapy sessions you so desire. I incorporate mind-body interventions to assist clients in discovering their inner strengths as they align with mind, body and spirit.
When individuals experience anxiety, depression, stress, relational discord, substance abuse issues and trauma, they tend to seek a therapist they can trust, feel safe speaking with and a therapist they can relate to. As a therapist I can assure you that I bring personal experience, education, knowledge and most of all passion to your sessions with one main goal in mind: to have you live the life you hope to live. I bring my 27+ years of Yoga and Meditation to any therapy sessions you so desire. I incorporate mind-body interventions to assist clients in discovering their inner strengths as they align with mind, body and spirit.
(301) 478-8652 View (301) 478-8652
Photo of Laurieann Frazier-Duarte, MSW, LCSW-C, Clinical Social Work/Therapist
Laurieann Frazier-Duarte
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Kensington, MD 20891  (Online Only)
I offer couple's and individual counseling. For those who are curious, I am African American. As a couple, are you seeking help to resolve the continuing conflict or unresolved differences in your relationship? As an individual, do you want to explore feelings that create a sense of overwhelm? Are you challenged with understanding how to move forward with or through events in your life? Explore new ways to better manage your life. I believe you can do this. I provide a warm and safe environment. No judgment here; only encouragement and hope. View my website for further information.
I offer couple's and individual counseling. For those who are curious, I am African American. As a couple, are you seeking help to resolve the continuing conflict or unresolved differences in your relationship? As an individual, do you want to explore feelings that create a sense of overwhelm? Are you challenged with understanding how to move forward with or through events in your life? Explore new ways to better manage your life. I believe you can do this. I provide a warm and safe environment. No judgment here; only encouragement and hope. View my website for further information.
(240) 292-6127 View (240) 292-6127
Photo of Jennifer Reynolds, LCSW-C, Clinical Social Work/Therapist
Jennifer Reynolds
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Kensington, MD 20895
Not accepting new clients
Cognitive behavioral therapy in its various forms is central to my practice, with a focus on thoughts and behaviors. Therapy is an active, collaborative process and I invite clients to participate as much as possible in their own treatment.
Cognitive behavioral therapy in its various forms is central to my practice, with a focus on thoughts and behaviors. Therapy is an active, collaborative process and I invite clients to participate as much as possible in their own treatment.
(301) 710-9988 View (301) 710-9988
Photo of Michael Milgraum, PhD, JD, Psychologist
Michael Milgraum
Psychologist, PhD, JD
Verified Verified
Kensington, MD 20895
I provide psychological evaluations and psychotherapy. The psychological evaluations are in two specialized areas: immigration cases and psychoeducational. The psychotherapy takes the form of individual, couples, family or group sessions. I have over 15 years of experience working closely with immigrants who require evaluation of their functioning or the functioning of their family members, for the purposes of an immigration petition. These evaluations include filing for asylum, extreme hardship impacting families of immigrants, domestic abuse petitions and waiver of citizenship exam.
I provide psychological evaluations and psychotherapy. The psychological evaluations are in two specialized areas: immigration cases and psychoeducational. The psychotherapy takes the form of individual, couples, family or group sessions. I have over 15 years of experience working closely with immigrants who require evaluation of their functioning or the functioning of their family members, for the purposes of an immigration petition. These evaluations include filing for asylum, extreme hardship impacting families of immigrants, domestic abuse petitions and waiver of citizenship exam.
(301) 980-3997 View (301) 980-3997
Photo of Deborah Austin, NCC, LCPC, Counselor
Deborah Austin
Counselor, NCC, LCPC
Verified Verified
1 Endorsed
Kensington, MD 20895  (Online Only)
Not accepting new clients
Drawing from extensive experience, I strive to assist my clients in identifying and improving in the areas of their lives where they are struggling. My specialties include anxiety, depression, anger management, communication skills, establishing/building relationships and problem solving. I provide individual therapy to adults ages 18 and over. I offer tele-health video sessions. I accept CareFirst BCBS, Blue Cross Blue Shield, Cigna, Johns Hopkins Healthcare, UHC, Aetna & Aetna EAP and Magellan insurances. My website can be found at innerpeacetherapy.life.
Drawing from extensive experience, I strive to assist my clients in identifying and improving in the areas of their lives where they are struggling. My specialties include anxiety, depression, anger management, communication skills, establishing/building relationships and problem solving. I provide individual therapy to adults ages 18 and over. I offer tele-health video sessions. I accept CareFirst BCBS, Blue Cross Blue Shield, Cigna, Johns Hopkins Healthcare, UHC, Aetna & Aetna EAP and Magellan insurances. My website can be found at innerpeacetherapy.life.
(301) 637-3442 View (301) 637-3442
Photo of Meghan Renzi, LCSW-C, LICSW, CCTP, Clinical Social Work/Therapist
Meghan Renzi
Clinical Social Work/Therapist, LCSW-C, LICSW, CCTP
Verified Verified
6 Endorsed
Kensington, MD 20895
Do you see your teen or young adult child grappling with anxiety on a daily basis? Do you wish you could help them manage their painful emotions, but you keep getting shut out? Perhaps there's been a traumatic event, like a difficult divorce, a challenging medical diagnosis, or even the profound shifts that come with life transitions. Alternatively, it may be the relentless pace of today's world that's taking its toll. Would you like to see your kid thriving and managing the challenges of life in a healthy way?
Do you see your teen or young adult child grappling with anxiety on a daily basis? Do you wish you could help them manage their painful emotions, but you keep getting shut out? Perhaps there's been a traumatic event, like a difficult divorce, a challenging medical diagnosis, or even the profound shifts that come with life transitions. Alternatively, it may be the relentless pace of today's world that's taking its toll. Would you like to see your kid thriving and managing the challenges of life in a healthy way?
(240) 230-3003 View (240) 230-3003
Photo of Kevin Schick, MA, LCPC
Kevin Schick
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Kensington, MD 20895
Are you struggling with uncertainty or anxiety? Are you feeling stressed or depressed? Do you have unhealthy patterns of living such as addictive behaviors? Do you have a relationship overwhelmed with unhealthy dynamics? Have you experienced losses in life? It is my honor to walk alongside my clients helping them overcome these issues. My approach is to engage each person with the utmost of care, support, and encouragement; leading toward improvements, restoration, and growth. I am committed to the emotional, spiritual, and relational health in individuals, and couples.
Are you struggling with uncertainty or anxiety? Are you feeling stressed or depressed? Do you have unhealthy patterns of living such as addictive behaviors? Do you have a relationship overwhelmed with unhealthy dynamics? Have you experienced losses in life? It is my honor to walk alongside my clients helping them overcome these issues. My approach is to engage each person with the utmost of care, support, and encouragement; leading toward improvements, restoration, and growth. I am committed to the emotional, spiritual, and relational health in individuals, and couples.
(301) 852-5893 View (301) 852-5893
Photo of Bridget Kuzma, MPS, LCAT, LCPAT, ATR-BC, Art Therapist
Bridget Kuzma
Art Therapist, MPS, LCAT, LCPAT, ATR-BC
Verified Verified
4 Endorsed
Kensington, MD 20895
I provide art therapy, psychotherapy, and trauma therapy. Services are personalized in a compassionate supportive environment that encourages curiosity. Art-making is optional. Expressive and somatic techniques are woven into our dialogue to connect elements of your experience and promote regulation in the nervous system. Art provides a tangible way to work with inner experiences that neurologically integrates emotional, sensory, kinesthetic, spatial and cognitive levels of processing. No skills or experience are required.
I provide art therapy, psychotherapy, and trauma therapy. Services are personalized in a compassionate supportive environment that encourages curiosity. Art-making is optional. Expressive and somatic techniques are woven into our dialogue to connect elements of your experience and promote regulation in the nervous system. Art provides a tangible way to work with inner experiences that neurologically integrates emotional, sensory, kinesthetic, spatial and cognitive levels of processing. No skills or experience are required.
(301) 719-5778 View (301) 719-5778
Photo of Sarah Charmchi - Serenity Psychotherapy Group, LLC , LCSW-C, LCSW, LICSW, Clinical Social Work/Therapist
Serenity Psychotherapy Group, LLC
Clinical Social Work/Therapist, LCSW-C, LCSW, LICSW
Verified Verified
Kensington, MD 20895  (Online Only)
Welcome! Our practice is dedicated to providing high-quality, compassionate care to individuals, families and couples seeking support for concerns related to anxiety, depression, trauma and other life transitions .
Welcome! Our practice is dedicated to providing high-quality, compassionate care to individuals, families and couples seeking support for concerns related to anxiety, depression, trauma and other life transitions .
(301) 396-7462 View (301) 396-7462
Photo of Tiffani Stevenson Lloyd - Tiffani Stevenson Lloyd & Associates, PhD, MS, LCMFT, Marriage & Family Therapist
Tiffani Stevenson Lloyd & Associates
Marriage & Family Therapist, PhD, MS, LCMFT
Verified Verified
7 Endorsed
Kensington, MD 20895
I am a warm, supportive, and enthusiastic therapist ready to help you heal and overcome your challenges. I have extensive experience helping couples with various issues in all stages of life. Issues include concerns about commitment, communication, trust, intimacy, sex, mental/physical illness, parenting, infidelity, infertility, grief/loss, etc. I also love helping individuals who are struggling with any moods, behaviors, or thoughts that are a burden and difficult to manage alone. I am also the owner of Tiffani Stevenson Lloyd & Associates. We are a group of highly skilled mental health therapists ready to help.
I am a warm, supportive, and enthusiastic therapist ready to help you heal and overcome your challenges. I have extensive experience helping couples with various issues in all stages of life. Issues include concerns about commitment, communication, trust, intimacy, sex, mental/physical illness, parenting, infidelity, infertility, grief/loss, etc. I also love helping individuals who are struggling with any moods, behaviors, or thoughts that are a burden and difficult to manage alone. I am also the owner of Tiffani Stevenson Lloyd & Associates. We are a group of highly skilled mental health therapists ready to help.
(240) 201-2601 View (240) 201-2601
Photo of Megan Miller Gray, MA, LCPC
Megan Miller Gray
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Kensington, MD 20895  (Online Only)
Through the support of therapy, people can live full and meaningful lives while managing mental health symptoms and the challenges they bring. Focusing on patient-centered goals, I will guide you in exploring anxiety and mood issues, cognitive distortions, behaviors that may no longer be serving you, and relationship patterns. We will work together to address your current challenges, with consideration of past experiences (where you come from) and identifying values to support motivation to change (where you want to go).
Through the support of therapy, people can live full and meaningful lives while managing mental health symptoms and the challenges they bring. Focusing on patient-centered goals, I will guide you in exploring anxiety and mood issues, cognitive distortions, behaviors that may no longer be serving you, and relationship patterns. We will work together to address your current challenges, with consideration of past experiences (where you come from) and identifying values to support motivation to change (where you want to go).
(240) 647-9560 View (240) 647-9560
Photo of Mary Cadden, LCPC, NCC, Counselor
Mary Cadden
Counselor, LCPC, NCC
Verified Verified
3 Endorsed
Kensington, MD 20895
As a cognitive-behavioral and integrative therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. I am a woman of faith, grounded in Christian principles. I work with adults (individuals and groups) of many faith traditions and am respectful to all.
As a cognitive-behavioral and integrative therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. I am a woman of faith, grounded in Christian principles. I work with adults (individuals and groups) of many faith traditions and am respectful to all.
(240) 753-2889 View (240) 753-2889
Photo of Adena Miller, LCSW-C, LICSW, LCSW, Clinical Social Work/Therapist
Adena Miller
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
Kensington, MD 20895
I am passionate about my role as a therapist to provide support and a safe environment for processing life's challenges. I have a passion for working with first responders, as I spent some time as a first responder myself. I also hold a passion for working with survivors of trauma. I feel strongly that every person is whole and has everything they need for success when given the right circumstances. While the stress and trauma presented by life can seem overwhelming, there are many ways to move forward. My goal is to help provide hope and a foundation for each client to reach their destination.
I am passionate about my role as a therapist to provide support and a safe environment for processing life's challenges. I have a passion for working with first responders, as I spent some time as a first responder myself. I also hold a passion for working with survivors of trauma. I feel strongly that every person is whole and has everything they need for success when given the right circumstances. While the stress and trauma presented by life can seem overwhelming, there are many ways to move forward. My goal is to help provide hope and a foundation for each client to reach their destination.
(301) 287-6171 View (301) 287-6171
Photo of Claire J. Engers, LCSW-C, Clinical Social Work/Therapist
Claire J. Engers
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Kensington, MD 20895
I work with individuals and couples facing challenges associated with life changes and crises and those exploring new ways of dealing with old patterns. I have a specific interest in working with people struggling with depression, anxiety, loss, relationship issues and illness. I also work with women with postpartum depression and counsel around parenting issues. I believe that people have a great capacity to change and grow. We work together to access strengths and identify patterns of coping that may no longer be productive. My style is interactive, supportive and collaborative.
I work with individuals and couples facing challenges associated with life changes and crises and those exploring new ways of dealing with old patterns. I have a specific interest in working with people struggling with depression, anxiety, loss, relationship issues and illness. I also work with women with postpartum depression and counsel around parenting issues. I believe that people have a great capacity to change and grow. We work together to access strengths and identify patterns of coping that may no longer be productive. My style is interactive, supportive and collaborative.
(240) 392-1574 View (240) 392-1574
Photo of Jonah Green - Jonah Green and Associates, LLC, LCSW-C, LCMFT, Clinical Social Work/Therapist
Jonah Green and Associates, LLC
Clinical Social Work/Therapist, LCSW-C, LCMFT
Verified Verified
10 Endorsed
Kensington, MD 20895
Ours is a highly regarded group of experienced, compassionate, skilled therapists working with children, adolescents, adults, and families. Washingtonian and Washington Parent magazines cited us as top therapists in the DMV area. We collaborate with our clients to address emotional, family, and relationship concerns. We welcome clients with various ethnic/racial/religious backgrounds, family structures (single parent, divorced, etc.), and sexual, gender, and developmental differences.
Ours is a highly regarded group of experienced, compassionate, skilled therapists working with children, adolescents, adults, and families. Washingtonian and Washington Parent magazines cited us as top therapists in the DMV area. We collaborate with our clients to address emotional, family, and relationship concerns. We welcome clients with various ethnic/racial/religious backgrounds, family structures (single parent, divorced, etc.), and sexual, gender, and developmental differences.
(240) 813-9203 View (240) 813-9203
Photo of Ann Lee, LCSW-C, MDiv, BCN, Clinical Social Work/Therapist
Ann Lee
Clinical Social Work/Therapist, LCSW-C, MDiv, BCN
Verified Verified
Kensington, MD 20895  (Online Only)
Waitlist for new clients
Life is full of challenges, and some of them feel overwhelming and even impossible. This may be one of the hardest periods of your life or in the life of a child you love. PRHP supports individuals, parents, adolescents, and children in finding healing and greater functioning through mind and body therapies. Together we can work to find healing, deeper understanding and greater functionality for you and those you love. You do not have to go through this time alone. Reach out and find the support you need to heal.
Life is full of challenges, and some of them feel overwhelming and even impossible. This may be one of the hardest periods of your life or in the life of a child you love. PRHP supports individuals, parents, adolescents, and children in finding healing and greater functioning through mind and body therapies. Together we can work to find healing, deeper understanding and greater functionality for you and those you love. You do not have to go through this time alone. Reach out and find the support you need to heal.
(240) 392-4519 View (240) 392-4519
Photo of Robert F Scuka - Rob Scuka, PhD, PhD, Clinical Social Work/Therapist
Rob Scuka, PhD
Clinical Social Work/Therapist, PhD
Verified Verified
Kensington, MD 20895  (Online Only)
I always seek to bring a passionate engagement to my work with individuals, couples and families. I specialize in helping people with relationship issues and am devoted to helping people develop deeply satisfying and fulfilling intimate and family relationships. I am especially committed to helping couples preserve their primary intimate relationship in the face of challenging life circumstances and relationship issues. I have helped couples in crisis come back from the brink of divorce, I have helped couples recover from the trauma of infidelity, and I have helped couples navigate the process of grief over a lost family member.
I always seek to bring a passionate engagement to my work with individuals, couples and families. I specialize in helping people with relationship issues and am devoted to helping people develop deeply satisfying and fulfilling intimate and family relationships. I am especially committed to helping couples preserve their primary intimate relationship in the face of challenging life circumstances and relationship issues. I have helped couples in crisis come back from the brink of divorce, I have helped couples recover from the trauma of infidelity, and I have helped couples navigate the process of grief over a lost family member.
(301) 830-4131 View (301) 830-4131
Photo of Jessica Rotem, LCSW-C, Clinical Social Work/Therapist
Jessica Rotem
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Kensington, MD 20895
I have been honored to work with families, young children, and adults for nearly ten years. In my practice I lean on the tenets of trauma-informed practices, the neuroscience of connection, and attachment research. As a result of our work together, I have witnessed clients’ immense personal growth, improvements in social and family relationships, decreases in work issues, and a healthy integration of tools learned in therapy. I believe that through our work together, we can unearth the keys to you having more ease in your day-to-day and shift away from unhelpful patterns of thoughts and actions.
I have been honored to work with families, young children, and adults for nearly ten years. In my practice I lean on the tenets of trauma-informed practices, the neuroscience of connection, and attachment research. As a result of our work together, I have witnessed clients’ immense personal growth, improvements in social and family relationships, decreases in work issues, and a healthy integration of tools learned in therapy. I believe that through our work together, we can unearth the keys to you having more ease in your day-to-day and shift away from unhelpful patterns of thoughts and actions.
(301) 381-1773 View (301) 381-1773
1

How does your Therapist compare?

Number of Therapists in Kensington, MD

100+

Average cost per session

$175

Therapists in Kensington, MD who prioritize treating:

92% Anxiety
88% Depression
71% Relationship Issues
64% Self Esteem
63% Coping Skills
62% Grief
58% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
74% CareFirst
62% Cigna and Evernorth

How Therapists in Kensington, MD see their clients

79% In Person and Online
21% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kensington?

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.