Therapists in Greektown, Detroit, MI

Photo of Calder Kaufman - Kaufman Psychological Services, PLLC, PsyD, Psychologist
Kaufman Psychological Services, PLLC
Psychologist, PsyD
Verified Verified
Greektown, Detroit, MI 48226
Choose the therapist, not the therapy. Quality mental health care is a real, human exchange; an opportunity to explore, strengthen, and change aspects of who you are. When psychotherapy is effective, the therapist and patient are creating openings, not closures. This is what heals.
Choose the therapist, not the therapy. Quality mental health care is a real, human exchange; an opportunity to explore, strengthen, and change aspects of who you are. When psychotherapy is effective, the therapist and patient are creating openings, not closures. This is what heals.
(313) 444-7084 View (313) 444-7084
Photo of Staci Kent, LCSW, Clinical Social Work/Therapist
Staci Kent
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Greektown, Detroit, MI 48226  (Online Only)
Anxiety, depression, imposter syndrome, and other various mental health concerns can feel so defeating. A common saying is "the first step to healing is talking about it", and I find this to be so true. Finding support in another person to share this concerns with, like myself, can open up so many doors for you to begin your journey of healing. As a person also struggling with anxiety and imposter syndrome, I know that asking for help is the biggest barrier. But once you finally do, the tension you hold will release and you can become your best self!
Anxiety, depression, imposter syndrome, and other various mental health concerns can feel so defeating. A common saying is "the first step to healing is talking about it", and I find this to be so true. Finding support in another person to share this concerns with, like myself, can open up so many doors for you to begin your journey of healing. As a person also struggling with anxiety and imposter syndrome, I know that asking for help is the biggest barrier. But once you finally do, the tension you hold will release and you can become your best self!
(248) 560-6613 View (248) 560-6613
Photo of Susan E. Bolton, MS, MA, TLLP, Limited Licensed Psychologist
Susan E. Bolton
Limited Licensed Psychologist, MS, MA, TLLP
Verified Verified
Greektown, Detroit, MI 48226
Life can be unpredictable and overwhelming at times for all of us. My goal is to help support you through these moments. Therapy can seem scary but by providing a trusting, validating, safe and collaborative relationship, I can help support you through these challenges. Everyone comes with their own unique story and my approach is very client centered to find the best approach for you. Together, we can work to stop negative cycles and manage those challenges!
Life can be unpredictable and overwhelming at times for all of us. My goal is to help support you through these moments. Therapy can seem scary but by providing a trusting, validating, safe and collaborative relationship, I can help support you through these challenges. Everyone comes with their own unique story and my approach is very client centered to find the best approach for you. Together, we can work to stop negative cycles and manage those challenges!
(313) 634-0975 View (313) 634-0975
Photo of Kelli Warren - Essential Wellness Complete LLC, LMSW-C, LICSW, Clinical Social Work/Therapist
Essential Wellness Complete LLC
Clinical Social Work/Therapist, LMSW-C, LICSW
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
Do you feel like you are just surviving and not thriving? Are you ready to get to know yourself better, overcome challenges and start TRULY enjoying life? Are you ready to increase self-esteem, confront body image issues, depression, anxiety, relationship issues, career & life changes? If you said yes, consider creating the life you want with us, where we will identify goals together & support you in your evolvement to living a FULL life...that is Healed, Elevated & Renewed! Life can take you through challenges but with a new perspective, new mindset & new skills you will have the understanding to make necessary & valuable changes.
Do you feel like you are just surviving and not thriving? Are you ready to get to know yourself better, overcome challenges and start TRULY enjoying life? Are you ready to increase self-esteem, confront body image issues, depression, anxiety, relationship issues, career & life changes? If you said yes, consider creating the life you want with us, where we will identify goals together & support you in your evolvement to living a FULL life...that is Healed, Elevated & Renewed! Life can take you through challenges but with a new perspective, new mindset & new skills you will have the understanding to make necessary & valuable changes.
(734) 999-3396 View (734) 999-3396
Photo of Melissa Gray, LPC, Licensed Professional Counselor
Melissa Gray
Licensed Professional Counselor, LPC
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
Melissa Gray is an experienced licensed therapist with competence in a variety of settings and with various mental health concerns including, bipolar disorder, anxiety, Autism, depression, anger management, ADHD, and traumatic experience, just to name a few. She enjoys working with and is very knowledgeable in all age groups, from young children to adults. Melissa's goal as a therapist is to work alongside you, assisting you in finding meaningful solutions to the obstacles life may throw your way.
Melissa Gray is an experienced licensed therapist with competence in a variety of settings and with various mental health concerns including, bipolar disorder, anxiety, Autism, depression, anger management, ADHD, and traumatic experience, just to name a few. She enjoys working with and is very knowledgeable in all age groups, from young children to adults. Melissa's goal as a therapist is to work alongside you, assisting you in finding meaningful solutions to the obstacles life may throw your way.
(313) 251-5805 View (313) 251-5805
Photo of Dr. Courtney Washington, LPC, Licensed Professional Counselor
Dr. Courtney Washington
Licensed Professional Counselor, LPC
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
Dr. Courtney Washington, also known as Dr. C, has been providing counseling services for over 14 years. She enjoys working with a diverse population, and is able to provide services to fit the individual need of the client served. Dr. Washington has worked in the specialty areas of depression, stress/anxiety, trauma, grief and loss, self-esteem, relationships, marital, couples, families, anger management, addictions, substance abuse, ADHD, and PTSD. Dr. Courtney Washington has a Doctoral degree in Pastoral and Community Counseling from Argosy University, and a Master's degree in Mental Health Counseling.
Dr. Courtney Washington, also known as Dr. C, has been providing counseling services for over 14 years. She enjoys working with a diverse population, and is able to provide services to fit the individual need of the client served. Dr. Washington has worked in the specialty areas of depression, stress/anxiety, trauma, grief and loss, self-esteem, relationships, marital, couples, families, anger management, addictions, substance abuse, ADHD, and PTSD. Dr. Courtney Washington has a Doctoral degree in Pastoral and Community Counseling from Argosy University, and a Master's degree in Mental Health Counseling.
(313) 464-0468 View (313) 464-0468
Photo of Danni H. - The Lost child , MA, LMSW, Clinical Social Work/Therapist
The Lost child
Clinical Social Work/Therapist, MA, LMSW
Verified Verified
1 Endorsed
Greektown, Detroit, MI 48226
Here is where your inner child will meet its Match! As a Traveling Therapist, I can meet you and your inner child in your natural setting. My goal is to identify challenges and triggers that will help me identify and connect with your inner child. This will guide me to identify the barriers affecting your ability to communicate, relate and create healthy relationships. My Therapy approaches are perfect for Friends, Family, Parenting, Marriage and Pre Marital Couples.
Here is where your inner child will meet its Match! As a Traveling Therapist, I can meet you and your inner child in your natural setting. My goal is to identify challenges and triggers that will help me identify and connect with your inner child. This will guide me to identify the barriers affecting your ability to communicate, relate and create healthy relationships. My Therapy approaches are perfect for Friends, Family, Parenting, Marriage and Pre Marital Couples.
(313) 513-1658 View (313) 513-1658
Photo of Glenda Martinez, LMSW, Clinical Social Work/Therapist
Glenda Martinez
Clinical Social Work/Therapist, LMSW
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
Glenda Martinez is a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the mental health field. Glenda completed her Bachelor of Social Work (BSW) at Saginaw Valley University and her Master of Social Work (MSW) at Eastern University with Honors. Glenda is certified as an Advanced Alcohol and Drug Counselor (AADC) and holds a certificate for Nutrition and Holistic Health. She has a passion for helping others and provides individualized assessments and treatment plans to guide the therapy process for adults, including family therapy sessions per request.
Glenda Martinez is a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the mental health field. Glenda completed her Bachelor of Social Work (BSW) at Saginaw Valley University and her Master of Social Work (MSW) at Eastern University with Honors. Glenda is certified as an Advanced Alcohol and Drug Counselor (AADC) and holds a certificate for Nutrition and Holistic Health. She has a passion for helping others and provides individualized assessments and treatment plans to guide the therapy process for adults, including family therapy sessions per request.
(313) 484-2125 View (313) 484-2125
Photo of Kiesha Jackson, MS, LLPC, NCC, Licensed Professional Counselor
Kiesha Jackson
Licensed Professional Counselor, MS, LLPC, NCC
Verified Verified
Greektown, Detroit, MI 48207
My deep passion in mental health is fueled by my lived experiences in supporting loved ones and others around me. My clinical priority is to help youth live, thrive, and accomplish their goals in life by helping them work through the everyday stressors and distresses that, if not addressed, can cause one to contemplate positive choices. I work with children, youth, families, and adults. I am a people person and have a knack for connecting and building trust.
My deep passion in mental health is fueled by my lived experiences in supporting loved ones and others around me. My clinical priority is to help youth live, thrive, and accomplish their goals in life by helping them work through the everyday stressors and distresses that, if not addressed, can cause one to contemplate positive choices. I work with children, youth, families, and adults. I am a people person and have a knack for connecting and building trust.
(313) 395-1281 View (313) 395-1281
Photo of Deja Moore-Grant, MA, LLPC, Counselor
Deja Moore-Grant
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Greektown, Detroit, MI 48207  (Online Only)
Potential clients will work well with me if they are ready to better themselves and explore those conscious or unconscious thoughts and feelings that may be affecting their everyday life and behaviors. The client who is willingly to cater to their mental health and who is open to receiving the help, will gain the most out of our sessions.
Potential clients will work well with me if they are ready to better themselves and explore those conscious or unconscious thoughts and feelings that may be affecting their everyday life and behaviors. The client who is willingly to cater to their mental health and who is open to receiving the help, will gain the most out of our sessions.
(734) 280-5979 View (734) 280-5979
Photo of Violida Elaine Barnett, MA, LPC, NCC, Licensed Professional Counselor
Violida Elaine Barnett
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Greektown, Detroit, MI 48207  (Online Only)
Not accepting new clients
I’m passionate about empowering individuals to be their personal best. Throughout our lifespan, we all experience emotional challenges. It takes courage to ask for help, but the rewards of doing so can lead to greater self-awareness, self-esteem, and most importantly, a more fulfilling life. Working in collaboration with each client, we will cultivate growth by understanding the difficulties that you face and develop solutions that can help you gain control of your life and achieve your goals. I look forward to working with you.
I’m passionate about empowering individuals to be their personal best. Throughout our lifespan, we all experience emotional challenges. It takes courage to ask for help, but the rewards of doing so can lead to greater self-awareness, self-esteem, and most importantly, a more fulfilling life. Working in collaboration with each client, we will cultivate growth by understanding the difficulties that you face and develop solutions that can help you gain control of your life and achieve your goals. I look forward to working with you.
(313) 908-8759 View (313) 908-8759
Photo of Alexis Mitchell, LMSW-C, Clinical Social Work/Therapist
Alexis Mitchell
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
Alexis Mitchell is a Licensed Clinical Social worker practicing in Detroit, Michigan who has a wealth of experience working with adults seeking assistance with improving self-esteem, setting boundaries, managing stress, anxiety, depression, coping with life transitions, and improving relationships. Alexis utilizes various modalities for treatment including cognitive behavioral interventions, solution focused, emotionally focused, and logo therapeutic approaches depending on the need of the client.
Alexis Mitchell is a Licensed Clinical Social worker practicing in Detroit, Michigan who has a wealth of experience working with adults seeking assistance with improving self-esteem, setting boundaries, managing stress, anxiety, depression, coping with life transitions, and improving relationships. Alexis utilizes various modalities for treatment including cognitive behavioral interventions, solution focused, emotionally focused, and logo therapeutic approaches depending on the need of the client.
(313) 474-5423 View (313) 474-5423
Photo of Erinn Vittum, LLMSW, Clinical Social Work/Therapist
Erinn Vittum
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Greektown, Detroit, MI 48226  (Online Only)
Do you feel disconnected from yourself and/or others? Would you like to navigate your thoughts, emotions, burdens - your internal & external world(s) - with more ease, understanding or expansion? Do you identify with being neurodivergent, highly sensitive, burned out, a people-pleaser, perfectionist, excessively anxious, chronic-fatigue, masking, deep thinker, (blocked) creative, old soul, late bloomer, or feel “broken”? Want a space to process your human experience & co-create a path forward, from the comfort of your home? I offer online therapy to women (cis, non-binary, trans, LGBTQ+) in Michigan.
Do you feel disconnected from yourself and/or others? Would you like to navigate your thoughts, emotions, burdens - your internal & external world(s) - with more ease, understanding or expansion? Do you identify with being neurodivergent, highly sensitive, burned out, a people-pleaser, perfectionist, excessively anxious, chronic-fatigue, masking, deep thinker, (blocked) creative, old soul, late bloomer, or feel “broken”? Want a space to process your human experience & co-create a path forward, from the comfort of your home? I offer online therapy to women (cis, non-binary, trans, LGBTQ+) in Michigan.
(586) 244-8226 View (586) 244-8226
Photo of Deirdre Conroy, PhD,  , PCC, Psychologist
Deirdre Conroy
Psychologist, PhD, , PCC
Verified Verified
Greektown, Detroit, MI 48226
Do you dread going to sleep because it's just another night to struggle? Have you been plagued with insomnia for years? I am a board certified behavioral sleep medicine specialist and certified integrative nutrition health coach with over 20 years of experience treating insomnia. I focus on busy professionals using an integrative approach to improve sleep, mood, and health. We'll work together so you can finally learn to sleep well and reach your goals. I work virtually so I can meet you whereever you are!
Do you dread going to sleep because it's just another night to struggle? Have you been plagued with insomnia for years? I am a board certified behavioral sleep medicine specialist and certified integrative nutrition health coach with over 20 years of experience treating insomnia. I focus on busy professionals using an integrative approach to improve sleep, mood, and health. We'll work together so you can finally learn to sleep well and reach your goals. I work virtually so I can meet you whereever you are!
View
Photo of Sandra K Johnson, PhD, Psychologist
Sandra K Johnson
Psychologist, PhD
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
The key to growth is love. All that is helping, caring, sharing, restoring, forgiving is love. A psychotherapist is a conduit to change. I believe that everyone has the ability and desire to improve her or his life; to maximize the gift that is life. I seek to facilitate such development through compassionate, dynamic participation in the transformation process.
The key to growth is love. All that is helping, caring, sharing, restoring, forgiving is love. A psychotherapist is a conduit to change. I believe that everyone has the ability and desire to improve her or his life; to maximize the gift that is life. I seek to facilitate such development through compassionate, dynamic participation in the transformation process.
(313) 879-0546 View (313) 879-0546
Photo of Caitlin Fleming, MA, LPC, Licensed Professional Counselor
Caitlin Fleming
Licensed Professional Counselor, MA, LPC
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
Are you looking for more out of therapy than just venting space? I provide a confidential, supportive and non-judgmental environment for my clients to work towards identifying life-long patterns that contribute to distress and learning new ways of being that foster wellness.
Are you looking for more out of therapy than just venting space? I provide a confidential, supportive and non-judgmental environment for my clients to work towards identifying life-long patterns that contribute to distress and learning new ways of being that foster wellness.
(313) 942-4161 View (313) 942-4161
Photo of Jayelin Parker, MPH, Pre-Licensed Professional
Jayelin Parker
Pre-Licensed Professional, MPH
Verified Verified
1 Endorsed
Greektown, Detroit, MI 48226  (Online Only)
Waitlist for new clients
My goal as a therapist is to support clients in connecting to themselves, building resilience, and enhancing their overall well-being using a strengths-based approach. My clients are looking for care regarding sexual health, LGBTQ+ health, women's health, relationship and intimacy concerns, and attachment concerns. I best serve transitional-aged youth and adults. I'm also involved in cat rescue and can't wait to see your furry friends in the background.
My goal as a therapist is to support clients in connecting to themselves, building resilience, and enhancing their overall well-being using a strengths-based approach. My clients are looking for care regarding sexual health, LGBTQ+ health, women's health, relationship and intimacy concerns, and attachment concerns. I best serve transitional-aged youth and adults. I'm also involved in cat rescue and can't wait to see your furry friends in the background.
(313) 800-8141 View (313) 800-8141
Photo of Devin Maurice Trevathan - One Recovery Company, LLC, EMDR Tr, CSAT, Licensed Professional Counselor
One Recovery Company, LLC
Licensed Professional Counselor, EMDR Tr, CSAT
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
Is your relationship with a loved one or spouse suffering? Are you keeping secrets from loved ones or feel you are at the place where you need intervention? At One Recovery Company, I specialize in addressing internal and external systems that create dysfunction in relationships. Furthermore, I help my clients reconstruct the parts of themselves that seem to fall short of achieving healthy attachment. If your goal is to establish recovery that can restore your relationships, mental health, and overall life satisfaction, here is your invitation. The space I offer is one that is safe, judgment-free, and equipped to help you succeed.
Is your relationship with a loved one or spouse suffering? Are you keeping secrets from loved ones or feel you are at the place where you need intervention? At One Recovery Company, I specialize in addressing internal and external systems that create dysfunction in relationships. Furthermore, I help my clients reconstruct the parts of themselves that seem to fall short of achieving healthy attachment. If your goal is to establish recovery that can restore your relationships, mental health, and overall life satisfaction, here is your invitation. The space I offer is one that is safe, judgment-free, and equipped to help you succeed.
(313) 825-5087 View (313) 825-5087
Photo of Persia Coleman, PMHNP
Persia Coleman
PMHNP
Verified Verified
Greektown, Detroit, MI 48226  (Online Only)
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP), which entails responsibilities similar to those of a psychiatrist. In my practice, I conduct comprehensive evaluations, accurately diagnose a variety of mental health conditions, and prescribe appropriate medications. I want to ensure that this is what you are looking for, as I have been receiving numerous therapy requests, and I am not a therapist.
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP), which entails responsibilities similar to those of a psychiatrist. In my practice, I conduct comprehensive evaluations, accurately diagnose a variety of mental health conditions, and prescribe appropriate medications. I want to ensure that this is what you are looking for, as I have been receiving numerous therapy requests, and I am not a therapist.
(313) 513-5751 View (313) 513-5751
Photo of Lori A Mello, MA,  LPC, Counselor
Lori A Mello
Counselor, MA, LPC
Verified Verified
1 Endorsed
Greektown, Detroit, MI 48226
Ever since you experienced that profound loss, your life has been turned upside down. In some ways, the initial shock and disorientation were easier to handle than this. You were devastated, but that was expected, so the whirlwind of emotions was justifiable. But the dust has begun to settle, and it’s time to start thinking about how you’ll get on with the rest of your life. “What do I do now?” “Who am I?” “Will things ever feel right again?” You used to feel confident and full of purpose, but now insecurity and uncertainty plague you night and day. You can’t imagine yourself ever getting past this profound grief. It feels hopeless.
Ever since you experienced that profound loss, your life has been turned upside down. In some ways, the initial shock and disorientation were easier to handle than this. You were devastated, but that was expected, so the whirlwind of emotions was justifiable. But the dust has begun to settle, and it’s time to start thinking about how you’ll get on with the rest of your life. “What do I do now?” “Who am I?” “Will things ever feel right again?” You used to feel confident and full of purpose, but now insecurity and uncertainty plague you night and day. You can’t imagine yourself ever getting past this profound grief. It feels hopeless.
(313) 251-8985 View (313) 251-8985

See more therapy options for Greektown, Detroit

How does your Therapist compare?

Number of Therapists in Greektown, Detroit, MI

100+

Average cost per session

$150

Therapists in Greektown, Detroit, MI who prioritize treating:

87% Anxiety
83% Depression
73% Self Esteem
73% Stress
70% Relationship Issues
68% Coping Skills
61% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
56% Blue Care Network
50% Aetna

How Therapists in Greektown, Detroit, MI see their clients

55% Online Only
45% In Person and Online

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Greektown, Detroit?

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.