Therapists in Genesee, MI

Photo of Ashley Hopkins, MS, LPC, Counselor
Ashley Hopkins
Counselor, MS, LPC
Verified Verified
2 Endorsed
Genesee, MI 48437
“Sometimes the bravest and most important thing you can do is just show up.” - Brene Brown. Life is complicated yet a very beautiful journey. Lets work together to explore the dynamics of life. I have experience with inpatient substance abuse treatment, community mental health and currently private practice outpatient services working with trauma, grief, interpersonal relationships, couples, life span development with teenagers to adults as well as end of life care. Let's do this together and focus on being the most authentic and genuine self.
“Sometimes the bravest and most important thing you can do is just show up.” - Brene Brown. Life is complicated yet a very beautiful journey. Lets work together to explore the dynamics of life. I have experience with inpatient substance abuse treatment, community mental health and currently private practice outpatient services working with trauma, grief, interpersonal relationships, couples, life span development with teenagers to adults as well as end of life care. Let's do this together and focus on being the most authentic and genuine self.
View

More Therapists Nearby

Photo of Cathy Crittenden, LLMFT, Marriage & Family Therapist
Cathy Crittenden
Marriage & Family Therapist, LLMFT
Verified Verified
Flint, MI 48503
Understanding that we do not live in a bubble and that many things can affect our thoughts, feelings, and behaviors is the basis of how I approach therapy. Instead of focusing on the problem, my focus in therapy is on the strengths of a family, couple, or individual, which can lead to a solution-focused collaboration between the therapist and client(s). As a therapist, it is my responsibility to provide a safe, non-judgmental space for my clients to begin the process of change that will eventually lead them to more complete, happier lives.
Understanding that we do not live in a bubble and that many things can affect our thoughts, feelings, and behaviors is the basis of how I approach therapy. Instead of focusing on the problem, my focus in therapy is on the strengths of a family, couple, or individual, which can lead to a solution-focused collaboration between the therapist and client(s). As a therapist, it is my responsibility to provide a safe, non-judgmental space for my clients to begin the process of change that will eventually lead them to more complete, happier lives.
(810) 255-4990 View (810) 255-4990
Photo of Scott Michael Turner, LMSW, CADC, Clinical Social Work/Therapist
Scott Michael Turner
Clinical Social Work/Therapist, LMSW, CADC
Verified Verified
1 Endorsed
Flint, MI 48502
I have been working in the field for 12 years providing therapy to adults and children. I have helped people with a variety of issues such as trauma, panic attacks, anxiety, depression, autism, grief and loss, addiction, and anger. I am a certified trauma specialist, as well as a certified alcohol and drug counselor. Also, I served in the armed forces for 6 years and feel privileged to work with veterans today.
I have been working in the field for 12 years providing therapy to adults and children. I have helped people with a variety of issues such as trauma, panic attacks, anxiety, depression, autism, grief and loss, addiction, and anger. I am a certified trauma specialist, as well as a certified alcohol and drug counselor. Also, I served in the armed forces for 6 years and feel privileged to work with veterans today.
(989) 481-1493 View (989) 481-1493
Photo of Christine McCullough - The Lighted Path, PLLC, LMSW, CDP, QMHP, QIDP, Clinical Social Work/Therapist
The Lighted Path, PLLC
Clinical Social Work/Therapist, LMSW, CDP, QMHP, QIDP
Verified Verified
2 Endorsed
Burton, MI 48509
Hello. My name is Christine McCullough and I am here for you. I want to help you overcome anything that is creating stress for you. I have several years of experience in mental health and have been told that I am a good listener. My experience includes trauma treatment, marriage concerns, anxiety, and depression. I want to use my experience to help you have the life you desire.
Hello. My name is Christine McCullough and I am here for you. I want to help you overcome anything that is creating stress for you. I have several years of experience in mental health and have been told that I am a good listener. My experience includes trauma treatment, marriage concerns, anxiety, and depression. I want to use my experience to help you have the life you desire.
(810) 657-1425 View (810) 657-1425
Photo of Kimberly Donahue, MA, LPC, NCC, Counselor
Kimberly Donahue
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Davison, MI 48423  (Online Only)
Not accepting new clients
A job change. A new baby. A divorce. Depression and anxiety. Whether it's navigating life's transitions, or addressing a particular issue that has become a roadblock in your way, counseling can help you overcome the challenges, and get back on track. At Healing Path Counseling I help people on the journey to wholeness, peace and well-being. I approach therapy with an client-centered integrative mix of therapeutic techniques, with a special emphasis on Humanistic Therapy, Existential Therapy, Wellness Therapy, Cognitive Behavioral Therapy, and Rational Motive Behavior Therapy. It all depends on what is best for you.
A job change. A new baby. A divorce. Depression and anxiety. Whether it's navigating life's transitions, or addressing a particular issue that has become a roadblock in your way, counseling can help you overcome the challenges, and get back on track. At Healing Path Counseling I help people on the journey to wholeness, peace and well-being. I approach therapy with an client-centered integrative mix of therapeutic techniques, with a special emphasis on Humanistic Therapy, Existential Therapy, Wellness Therapy, Cognitive Behavioral Therapy, and Rational Motive Behavior Therapy. It all depends on what is best for you.
(248) 639-4477 View (248) 639-4477
Photo of Samantha McCullough, LMSW, CAADC, CCS, Clinical Social Work/Therapist
Samantha McCullough
Clinical Social Work/Therapist, LMSW, CAADC, CCS
Verified Verified
1 Endorsed
Flushing, MI 48433
Waitlist for new clients
Hey, I'm Sam. My goal is to help you navigate through life when it just keeps showing up - whether that is processing through past experiences and traumas, or working through current obstacles to reach your goals. We'll work together to figure out ways to use your strengths and skills to find new ways to cope with stress, anxiety and depression, difficult relationships, addictive behaviors, or just get through one of life's many transitions.
Hey, I'm Sam. My goal is to help you navigate through life when it just keeps showing up - whether that is processing through past experiences and traumas, or working through current obstacles to reach your goals. We'll work together to figure out ways to use your strengths and skills to find new ways to cope with stress, anxiety and depression, difficult relationships, addictive behaviors, or just get through one of life's many transitions.
(810) 777-7476 View (810) 777-7476
Photo of Heather Sheidler - River Rock Mental Health Services, PLLC, Licensed Professional Counselor
River Rock Mental Health Services, PLLC
Licensed Professional Counselor
Verified Verified
Flint, MI 48503
Ready to break free from anxiety, depression, or relationships struggles? Let's embark on a journey of self-discovery and healing together. With a compassionate ear and evidenced-based techniques, I'll help you unlock your potential and live a life aligned with your values. Take the first step towards positive change today.
Ready to break free from anxiety, depression, or relationships struggles? Let's embark on a journey of self-discovery and healing together. With a compassionate ear and evidenced-based techniques, I'll help you unlock your potential and live a life aligned with your values. Take the first step towards positive change today.
(810) 641-1266 View (810) 641-1266
Photo of Anne Wininger - Trauma and Mood Recovery Center, LLC, LMSW, Clinical Social Work/Therapist
Trauma and Mood Recovery Center, LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Clio, MI 48420
Not accepting new clients
Many of my clients initially seek treatment because they know something isn't quite right....they know they aren't functioning as the best version of themselves, or living their best possible lives. Often, they have struggled with their mood off and on for years or even decades. Most are feeling a lot of stress, low self-worth, the belief that somehow there is something "wrong" with them, or lack the confidence to do the things they want to do. Some have the insight that they need to resolve past events or circumstances in order to live a truly fulfilling life. They suffer even if they might have that picture perfect life.
Many of my clients initially seek treatment because they know something isn't quite right....they know they aren't functioning as the best version of themselves, or living their best possible lives. Often, they have struggled with their mood off and on for years or even decades. Most are feeling a lot of stress, low self-worth, the belief that somehow there is something "wrong" with them, or lack the confidence to do the things they want to do. Some have the insight that they need to resolve past events or circumstances in order to live a truly fulfilling life. They suffer even if they might have that picture perfect life.
(989) 265-2999 View (989) 265-2999
Photo of Kathy Barton Brown, PhD, MSW,  ACSW, Clinical Social Work/Therapist
Kathy Barton Brown
Clinical Social Work/Therapist, PhD, MSW, ACSW
Verified Verified
Flint, MI 48504
I am a down to earth easy to talk to therapist, who has been in the field for 40 years. My approach is practical and relatable, with a touch of humor! It is my belief that the whole person must be considered to resolve issues, including those from childhood. I believe in inspiring, empowering and encouraging. Negatively is an enemy that robs us of peace and joy. It is my focus to help you get free from emotional bondage, process grief, establish improved self-esteem and grow in every area of your life. I’m passionate about building healthy relationships, improving marriages, and developing better communication skills.
I am a down to earth easy to talk to therapist, who has been in the field for 40 years. My approach is practical and relatable, with a touch of humor! It is my belief that the whole person must be considered to resolve issues, including those from childhood. I believe in inspiring, empowering and encouraging. Negatively is an enemy that robs us of peace and joy. It is my focus to help you get free from emotional bondage, process grief, establish improved self-esteem and grow in every area of your life. I’m passionate about building healthy relationships, improving marriages, and developing better communication skills.
(810) 213-2126 View (810) 213-2126
Photo of Mary Ellen Villareal, MA, LPC, Licensed Professional Counselor
Mary Ellen Villareal
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Davison, MI 48423
Are you feeling overwhelmed or out of control? Does life feel out of balance? Maybe you don't like the way you feel about yourself and negativity weighs you down. Perhaps relationships with others are difficult and it’s hard to tell people no, even when you want to. Do simple things feel unmanageable right now? What is sleep like? Maybe it's difficult to fall or stay asleep. Perhaps you feel like your brain just won't rest or you have nightmares. You keep trying to push it all down, but it’s getting harder and harder to pretend everything is okay. When we struggle, it can feel lonely and isolating. You don't have to feel so alone.
Are you feeling overwhelmed or out of control? Does life feel out of balance? Maybe you don't like the way you feel about yourself and negativity weighs you down. Perhaps relationships with others are difficult and it’s hard to tell people no, even when you want to. Do simple things feel unmanageable right now? What is sleep like? Maybe it's difficult to fall or stay asleep. Perhaps you feel like your brain just won't rest or you have nightmares. You keep trying to push it all down, but it’s getting harder and harder to pretend everything is okay. When we struggle, it can feel lonely and isolating. You don't have to feel so alone.
(810) 407-9086 View (810) 407-9086
Photo of Bionca Taylor-Miller, MA,  LPC, Counselor
Bionca Taylor-Miller
Counselor, MA, LPC
Verified Verified
1 Endorsed
Flint, MI 48504  (Online Only)
Not accepting new clients
I am currently only accepting inquires for LLPC supervision, please send me an email to discuss how I may be able to assist you in meeting licensure requirements and your career goals. Some people will never understand what it is like to be raised by parents who don’t see you. The pain you feel when they put everything and everyone before you. How small and invisible it made you feel when they ignore the love you have for them and choose “it” instead. The “it” could have been drugs, partners, friends, siblings, work, etc…no matter what you did they never seemed to choose you.
I am currently only accepting inquires for LLPC supervision, please send me an email to discuss how I may be able to assist you in meeting licensure requirements and your career goals. Some people will never understand what it is like to be raised by parents who don’t see you. The pain you feel when they put everything and everyone before you. How small and invisible it made you feel when they ignore the love you have for them and choose “it” instead. The “it” could have been drugs, partners, friends, siblings, work, etc…no matter what you did they never seemed to choose you.
(313) 631-4573 View (313) 631-4573
Photo of Diane Allen, LMSW, Clinical Social Work/Therapist
Diane Allen
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Clio, MI 48420
I have found that everyone can hit a bump in the road. The hardest part of this experience is to walk in the door and ask for help. I value the therapeutic process between my clients and myself, and enjoy as well am honored in getting you into a healthier place. Everyone comes with a different story and event, and I can help you with this. Together we will forge through whatever it is you are struggling with, and I look forward to empowering you on this non judgmental journey. Please feel free to text 810-350-9111 my office hours are Monday-Friday 5-8 and Saturday 10-3
I have found that everyone can hit a bump in the road. The hardest part of this experience is to walk in the door and ask for help. I value the therapeutic process between my clients and myself, and enjoy as well am honored in getting you into a healthier place. Everyone comes with a different story and event, and I can help you with this. Together we will forge through whatever it is you are struggling with, and I look forward to empowering you on this non judgmental journey. Please feel free to text 810-350-9111 my office hours are Monday-Friday 5-8 and Saturday 10-3
(810) 255-0481 View (810) 255-0481
Photo of John P Varani, PhD, Psychologist
John P Varani
Psychologist, PhD
Verified Verified
Flint, MI 48501  (Online Only)
I provide a sacred space for clients who are searching for their authentic selves in the midst of daily distractions, pressures from family members, work issues, health concerns, etc. Psychotherapy is a form of spirituality in which a client discovers their pathway to spiritual growth. In this therapeutic process one can be healed of the debilitating symptoms that indicate one is out of balance. I help clients find their unique selves and center and explore the beliefs and values that ground them as a person. I provide them with direction and support to maintain continued growth.
I provide a sacred space for clients who are searching for their authentic selves in the midst of daily distractions, pressures from family members, work issues, health concerns, etc. Psychotherapy is a form of spirituality in which a client discovers their pathway to spiritual growth. In this therapeutic process one can be healed of the debilitating symptoms that indicate one is out of balance. I help clients find their unique selves and center and explore the beliefs and values that ground them as a person. I provide them with direction and support to maintain continued growth.
(810) 356-6411 View (810) 356-6411
Photo of Steven M Brooks, MSLLP, Limited Licensed Psychologist
Steven M Brooks
Limited Licensed Psychologist, MSLLP
Verified Verified
2 Endorsed
Davison, MI 48423
I enjoy a good challenge. I enjoy working with several different type clients. Lately I have been working with gamblers and really enjoy the challenges they present. I have a long history of working with children and know a lot about ADHD. Additionally, I enjoy discussing how GOD can change us and How to be Free. If you want to discuss your concerns please contact me. I have developed a private office where I can do a sliding scale for people who want counseling but may be limited in resources.
I enjoy a good challenge. I enjoy working with several different type clients. Lately I have been working with gamblers and really enjoy the challenges they present. I have a long history of working with children and know a lot about ADHD. Additionally, I enjoy discussing how GOD can change us and How to be Free. If you want to discuss your concerns please contact me. I have developed a private office where I can do a sliding scale for people who want counseling but may be limited in resources.
(810) 991-4464 x810278 View (810) 991-4464 x810278
Photo of James Rogers, MA, LLPC, Counselor
James Rogers
Counselor, MA, LLPC
Verified Verified
Flushing, MI 48433
My goal as a counselor is to provide understanding, relatability, compassion, and genuineness. There are a multitude of situations in life we do not have control over; however, there are many things in life we can control. When we arm ourselves with tools and resources to manage the things we can control in life, our mental health begins to experience the benefits of our efforts. In adulthood, we exhibit behaviors of survival that has helped us survive as an individual. Carrying wounds (abuse, neglect, abandonment, etc.) that has warped our worldview leading to cycles passed on through relationships, interactions, and generations.
My goal as a counselor is to provide understanding, relatability, compassion, and genuineness. There are a multitude of situations in life we do not have control over; however, there are many things in life we can control. When we arm ourselves with tools and resources to manage the things we can control in life, our mental health begins to experience the benefits of our efforts. In adulthood, we exhibit behaviors of survival that has helped us survive as an individual. Carrying wounds (abuse, neglect, abandonment, etc.) that has warped our worldview leading to cycles passed on through relationships, interactions, and generations.
(810) 394-7815 View (810) 394-7815
Photo of Krystin J Sankey, MS, LPC, Licensed Professional Counselor
Krystin J Sankey
Licensed Professional Counselor, MS, LPC
Verified Verified
8 Endorsed
Davison, MI 48423
Struggling with anxiety, feeling low, or carrying the weight of past experiences? I'm here to help you navigate these challenges and find your way to a brighter, more balanced life. I'm Krystin, a compassionate therapist specializing in anxiety, depression, trauma, and Eye Movement Desensitization and Reprocessing (EMDR) therapy. I work with adults and teens, providing a safe space where you can explore your thoughts and feelings without judgment.
Struggling with anxiety, feeling low, or carrying the weight of past experiences? I'm here to help you navigate these challenges and find your way to a brighter, more balanced life. I'm Krystin, a compassionate therapist specializing in anxiety, depression, trauma, and Eye Movement Desensitization and Reprocessing (EMDR) therapy. I work with adults and teens, providing a safe space where you can explore your thoughts and feelings without judgment.
(810) 277-9874 View (810) 277-9874
Photo of Danielle Wray, LMSW, Clinical Social Work/Therapist
Danielle Wray
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Davison, MI 48423  (Online Only)
I enjoy working with people from all walks of life, backgrounds, beliefs, and cultures. I have experience working with men, women, and children. I believe showing up authentically with ourselves and others is one of the bravest and most liberating things we can do in our lives. Therapy is a safe place to remember who we truly are and discover the power that each of us possess to create a life that we enjoy.
I enjoy working with people from all walks of life, backgrounds, beliefs, and cultures. I have experience working with men, women, and children. I believe showing up authentically with ourselves and others is one of the bravest and most liberating things we can do in our lives. Therapy is a safe place to remember who we truly are and discover the power that each of us possess to create a life that we enjoy.
(810) 209-9117 View (810) 209-9117
Photo of Alexis McDonald - Living Well Home Services LLC, LCMSW, Clinical Social Work/Therapist
Living Well Home Services LLC
Clinical Social Work/Therapist, LCMSW
Verified Verified
Flint, MI 48504
My training and experience has allowed me to work with clients with an array of mental health concerns, as well as develop an understanding of the importance of mental health, social service, and quality customer service as it relates to one’s personal development.
My training and experience has allowed me to work with clients with an array of mental health concerns, as well as develop an understanding of the importance of mental health, social service, and quality customer service as it relates to one’s personal development.
(810) 369-6001 View (810) 369-6001
Photo of Debra Lee Strong - Strong Inspirations, LLC, MA, LPC, Counselor
Strong Inspirations, LLC
Counselor, MA, LPC
Verified Verified
Clio, MI 48420
I am a Licensed Professional Counselor. I received my Master's in Counseling from Spring Arbor University. I enjoy working with many diverse issues and clients. I am trained in DBT, as well as Play Therapy and Grief/Trauma. I have previously worked as a Clinical Therapist in a hospital behavioral health unit, as an adjunct professor and for a community mental health organization.
I am a Licensed Professional Counselor. I received my Master's in Counseling from Spring Arbor University. I enjoy working with many diverse issues and clients. I am trained in DBT, as well as Play Therapy and Grief/Trauma. I have previously worked as a Clinical Therapist in a hospital behavioral health unit, as an adjunct professor and for a community mental health organization.
(810) 209-8321 View (810) 209-8321
Photo of Brent Andrew Hughes, LMSW, CDP, CADDCT, Clinical Social Work/Therapist
Brent Andrew Hughes
Clinical Social Work/Therapist, LMSW, CDP, CADDCT
Verified Verified
Flint, MI 48503
I truly enjoy creating a genuinely caring, non-judgmental environment to foster feelings of hope and confidence that things ARE going to get better. I’ve overcome challenges, setbacks, failures, deaths, etc. I try to use my life experiences, when appropriate, as well as my professional experience of about 20 years spent in multiple human service fields. Areas of specialization: caregiver burnout, geriatric issues, depression, anxiety, stress management, dementia/Alzheimer's (certified trainer of care providers), ADD/ADHD, young adults feeling lost, special needs, grief and loss, chronic health challenges, marital/family issues, etc.
I truly enjoy creating a genuinely caring, non-judgmental environment to foster feelings of hope and confidence that things ARE going to get better. I’ve overcome challenges, setbacks, failures, deaths, etc. I try to use my life experiences, when appropriate, as well as my professional experience of about 20 years spent in multiple human service fields. Areas of specialization: caregiver burnout, geriatric issues, depression, anxiety, stress management, dementia/Alzheimer's (certified trainer of care providers), ADD/ADHD, young adults feeling lost, special needs, grief and loss, chronic health challenges, marital/family issues, etc.
(810) 844-1123 View (810) 844-1123

How does your Therapist compare?

Number of Therapists in Genesee, MI

< 10

Therapists in Genesee, MI who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Domestic Abuse
100% Grief
100% Trauma and PTSD
100% Divorce

Average years in practice

7 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% McLaren
100% ASR Health Benefits

How Therapists in Genesee, MI see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Genesee?

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.