Therapists in Diamond Point, Las Vegas, NV
![Photo of Lani Chipman - Kaleidoscope of Creative Healing, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/262b05e8-3003-4ed6-a0f8-396ac3a37cf6/3/320x400.jpeg)
Kaleidoscope of Creative Healing
Marriage & Family Therapist, MS, LMFT
Verified Verified
Diamond Point, Las Vegas, NV 89106 (Online Only)
Everyone has a sense of personal identify. How do you think about yourself? What is important to you? Identities are often imposed or at the very least encouraged by environmental or cultural forces. As a child, were you routinely told, "You can do it!,” or were you more often told; “You can’t do anything right?” The things we hear as children are usually the very things that create our sense of self. Early in life, sense of self is associated with security, protection, and acceptance. If our identity is strongly developed in the early years of life, this helps to protect us against the challenges in life.
Everyone has a sense of personal identify. How do you think about yourself? What is important to you? Identities are often imposed or at the very least encouraged by environmental or cultural forces. As a child, were you routinely told, "You can do it!,” or were you more often told; “You can’t do anything right?” The things we hear as children are usually the very things that create our sense of self. Early in life, sense of self is associated with security, protection, and acceptance. If our identity is strongly developed in the early years of life, this helps to protect us against the challenges in life.
![Photo of Juanita Nelson-Brown, MA, MFTI, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/fdaed7a9-b0ee-4f42-8c91-a37ec39c7327/2/320x400.jpeg)
Juanita Nelson-Brown
Marriage & Family Therapist Intern, MA, MFTI
Verified Verified
1 Endorsed
Diamond Point, Las Vegas, NV 89106
I am particularly interested in clients that are open to cultivating the garden of their life. Our life can represent a garden; in any garden there are beautiful flowers and unfortunately there are thorns and thistles. My client must be willing to smell the aroma of the flowers as we travel through the thorns and thistles of the garden life also.
I am particularly interested in clients that are open to cultivating the garden of their life. Our life can represent a garden; in any garden there are beautiful flowers and unfortunately there are thorns and thistles. My client must be willing to smell the aroma of the flowers as we travel through the thorns and thistles of the garden life also.
![Photo of Donna M Ingraham, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cef3d86-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Donna M Ingraham
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Diamond Point, Las Vegas, NV 89106
Sometimes our lives get out of balance. Life throws more on our plate than we believe we can handle and our ability to cope starts to deteriorate. You're willing to work, but it may be difficult to find your way out of the box you feel trapped in. When you're in crisis, you don't want to wait for services and you certainly don't want to feel like just another number in line. You want help right away so you can get on with your life. My commitment is to provide that quality of care in a timely manner.
Sometimes our lives get out of balance. Life throws more on our plate than we believe we can handle and our ability to cope starts to deteriorate. You're willing to work, but it may be difficult to find your way out of the box you feel trapped in. When you're in crisis, you don't want to wait for services and you certainly don't want to feel like just another number in line. You want help right away so you can get on with your life. My commitment is to provide that quality of care in a timely manner.
![Photo of Natasha Mosby, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4b2003b9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Natasha Mosby
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Diamond Point, Las Vegas, NV 89106
Waitlist for new clients
As a therapist I have learned every client is unique in their experiences. Their sense of themselves, their outlook on life, needs and expectations are individualized and no single method or theory is helpful to everyone. I approach each client and session with an open mind, and self awareness while exploring with the client what was, what is, and what can be.
As a therapist I have learned every client is unique in their experiences. Their sense of themselves, their outlook on life, needs and expectations are individualized and no single method or theory is helpful to everyone. I approach each client and session with an open mind, and self awareness while exploring with the client what was, what is, and what can be.
![Photo of Chris P Cathey - Chris Cathey, LMFT, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3dd6c127-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Chris Cathey, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
Diamond Point, Las Vegas, NV 89106
I worked the Mandalay mass shooting. I provided crisis response immediately after the crisis. I have previous experience providing support for mass shooting survivors.
I worked the Mandalay mass shooting. I provided crisis response immediately after the crisis. I have previous experience providing support for mass shooting survivors.
![Photo of Gary D Alexander, MS, MFT, CADCIII, NCC, Marriage & Family Therapist](https://photos.psychologytoday.com/65f8b754-7268-4fa1-a98b-d755f898c9a9/1/320x400.jpeg)
Gary D Alexander
Marriage & Family Therapist, MS, MFT, CADCIII, NCC
Verified Verified
15 Endorsed
Diamond Point, Las Vegas, NV 89106
While some of the issues leading us to start psychotherapy might be relieved relatively quickly, I have found that many issues are more complex and sometimes require time and the right attention to effectively work through. I believe the best work ahead of us isn't to alleviate our negative symptoms, but to help create real, lasting change; change that helps bring us closer to what we want for ourselves. I strive to create the connection, attunement, and sense of care needed for us to do this work together.
While some of the issues leading us to start psychotherapy might be relieved relatively quickly, I have found that many issues are more complex and sometimes require time and the right attention to effectively work through. I believe the best work ahead of us isn't to alleviate our negative symptoms, but to help create real, lasting change; change that helps bring us closer to what we want for ourselves. I strive to create the connection, attunement, and sense of care needed for us to do this work together.
![Photo of Erik Keime, LMFT, MS, Marriage & Family Therapist](https://photos.psychologytoday.com/ab7485f3-324f-4765-b396-007c8b8b468b/2/320x400.jpeg)
Erik Keime
Marriage & Family Therapist, LMFT, MS
Verified Verified
4 Endorsed
Diamond Point, Las Vegas, NV 89106
Accepting new clients. Please feel free to contact me for scheduling or a phone consultation to make sure we are good fit. I tend to work best with clients who have experienced trauma, are experiencing relationship concerns, those who are feeling stuck, and those who experience anxiety and depression. In our work together we will explore the parts of yourself and your life that are working and the parts that are holding you back from the life experience you are wanting to have.
Accepting new clients. Please feel free to contact me for scheduling or a phone consultation to make sure we are good fit. I tend to work best with clients who have experienced trauma, are experiencing relationship concerns, those who are feeling stuck, and those who experience anxiety and depression. In our work together we will explore the parts of yourself and your life that are working and the parts that are holding you back from the life experience you are wanting to have.
![Photo of Yceychie Fields, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5e0849bc-d504-495f-b524-642266b4e9a6/1/320x400.jpeg)
Yceychie Fields
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Diamond Point, Las Vegas, NV 89106 (Online Only)
Today, is the day that you choose YOU! Allow me to join, support, and guide you along your journey to finding peace, tranquility, happiness, and alignment with the version of yourself that you want to become! My mission as a clinician, is to reduce the stigma associated with mental health and it is through your commitment and the therapeutic relationship that change can happen.
Today, is the day that you choose YOU! Allow me to join, support, and guide you along your journey to finding peace, tranquility, happiness, and alignment with the version of yourself that you want to become! My mission as a clinician, is to reduce the stigma associated with mental health and it is through your commitment and the therapeutic relationship that change can happen.
![Photo of Insight Therapy Solutions - Insight Therapy Solutions, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/13a98fad-4e69-4bb6-95c5-8340d2fa04df/2/320x400.png)
Insight Therapy Solutions
Clinical Social Work/Therapist, LCSW
Verified Verified
Diamond Point, Las Vegas, NV 89106 (Online Only)
Feeling angry, sad, or lost is a natural part of life's ups and downs, and it's perfectly okay to experience those emotions. You don't have to face them alone. With the right support, you can overcome challenges and emerge stronger. I'm here to provide that support, specializing in guiding individuals through the complexities of emotions such as anger, anxiety, depression, grief, and significant life changes.
Feeling angry, sad, or lost is a natural part of life's ups and downs, and it's perfectly okay to experience those emotions. You don't have to face them alone. With the right support, you can overcome challenges and emerge stronger. I'm here to provide that support, specializing in guiding individuals through the complexities of emotions such as anger, anxiety, depression, grief, and significant life changes.
![Photo of Sharonda Henry, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/de5c9d23-fff5-49b7-af65-02d7ab863a89/2/320x400.jpeg)
Sharonda Henry
Clinical Social Work/Therapist, LCSW
Verified Verified
Diamond Point, Las Vegas, NV 89106
Waitlist for new clients
Do you feel alone or stuck? Do you feel like you may be experiencing symptoms of anxiety or depression? Sometimes we reach a point in life when we need to talk to someone to help us process our feelings to help us navigate through life's challenges. Those challenges may be grief, trauma, a difficult relationship or low self esteem. As your therapist, I am here to provide support, a listening ear and my clinical expertise to help you reach your fullest potential. I want to help you grow and develop the coping skills you need to help you manage difficult emotions and overcome barriers so you can achieve the happiness you deserve.
Do you feel alone or stuck? Do you feel like you may be experiencing symptoms of anxiety or depression? Sometimes we reach a point in life when we need to talk to someone to help us process our feelings to help us navigate through life's challenges. Those challenges may be grief, trauma, a difficult relationship or low self esteem. As your therapist, I am here to provide support, a listening ear and my clinical expertise to help you reach your fullest potential. I want to help you grow and develop the coping skills you need to help you manage difficult emotions and overcome barriers so you can achieve the happiness you deserve.
![Photo of Lonniel L Myles, LMFT, LPCC, LCADC, Marriage & Family Therapist](https://photos.psychologytoday.com/1d8b4130-13c8-43c6-90ef-4590aa85fa5d/1/320x400.jpeg)
Lonniel L Myles
Marriage & Family Therapist, LMFT, LPCC, LCADC
Verified Verified
2 Endorsed
Diamond Point, Las Vegas, NV 89106 (Online Only)
Sometimes tools are needed to better cope with the reality of what life is throwing your way.
Sometimes tools are needed to better cope with the reality of what life is throwing your way.
![Photo of Mindy Browne, MFT-I, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/f25cf926-d2c5-43cb-9540-b842f5de9b86/2/320x400.jpeg)
Mindy Browne
Marriage & Family Therapist Intern, MFT-I
Verified Verified
Diamond Point, Las Vegas, NV 89106
Online Therapists
![Photo of Karie Lindsay, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3dd15017-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Karie Lindsay
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Las Vegas, NV 89134
Thirty years of experience helps me work with you from a compassionate, humanistic perspective. You will set your own goals, gain support, challenge your "auto pilot" thinking and overcome what keeps you stuck. Lowering anxiety and depression, getting through a break up, changing careers, dealing with couples' issues, fine tuning parenting skills, managing stress.These are just some of the typical issues I work on with my clients. I am certified in the treatment of anxiety, and have added cutting edge Virtual Reality tools that offer clinically proven benefits. I value all my clients and their choice to lean into their struggles.
Thirty years of experience helps me work with you from a compassionate, humanistic perspective. You will set your own goals, gain support, challenge your "auto pilot" thinking and overcome what keeps you stuck. Lowering anxiety and depression, getting through a break up, changing careers, dealing with couples' issues, fine tuning parenting skills, managing stress.These are just some of the typical issues I work on with my clients. I am certified in the treatment of anxiety, and have added cutting edge Virtual Reality tools that offer clinically proven benefits. I value all my clients and their choice to lean into their struggles.
![Photo of Vicki D DeBeauvernet, LMFT, LADC, LADC-S , Marriage & Family Therapist](https://photos.psychologytoday.com/724a19d5-0685-4f77-a678-bbbae2e48059/2/320x400.jpeg)
Vicki D DeBeauvernet
Marriage & Family Therapist, LMFT, LADC, LADC-S
Verified Verified
1 Endorsed
Las Vegas, NV 89134 (Online Only)
Now accepting new clients
Now accepting new clients
![Photo of Shannon L Becker, CPC, MS, NCC, Counselor](https://photos.psychologytoday.com/4d0fbb13-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Life can be overwhelming and at times our personal struggles prevent us from finding the peace and happiness we deserve. When my clients are with me I ensure that they are in a safe place where change can be fostered in an empathetic atmosphere filled with compassion and patience. My therapeutic style is to help people see the present picture; look towards the future and to maintain balance while developing the proper tools to get there. I have experience working with many different presenting issues with people from all backgrounds.
Life can be overwhelming and at times our personal struggles prevent us from finding the peace and happiness we deserve. When my clients are with me I ensure that they are in a safe place where change can be fostered in an empathetic atmosphere filled with compassion and patience. My therapeutic style is to help people see the present picture; look towards the future and to maintain balance while developing the proper tools to get there. I have experience working with many different presenting issues with people from all backgrounds.
![Photo of Robert L Vazzo - Robert L. Vazzo, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/40848a59-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
WHATEVER YOU DO, CALL ME! I have over 18 years of experience as a therapist, and I attended one of the best graduate programs in the United States (at USC) on an academic assistantship and graduated in the top 10% of my class. I am very serious about what I do! I also did additional coursework for a Nevada license at UNLV. While I see both men and women in my practice, if you are a man, you will be happy to know that men's issues are one of my specialties. And if you have a PORN ADDICTION, by all means give me a call. I have a toolbox full of interventions to address this issue in the shortest time possible.
WHATEVER YOU DO, CALL ME! I have over 18 years of experience as a therapist, and I attended one of the best graduate programs in the United States (at USC) on an academic assistantship and graduated in the top 10% of my class. I am very serious about what I do! I also did additional coursework for a Nevada license at UNLV. While I see both men and women in my practice, if you are a man, you will be happy to know that men's issues are one of my specialties. And if you have a PORN ADDICTION, by all means give me a call. I have a toolbox full of interventions to address this issue in the shortest time possible.
![Photo of Larry I. Clarke - Your Choice Behavioral Services, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4ddea387-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Your Choice Behavioral Services
Clinical Social Work/Therapist
Verified Verified
Las Vegas, NV 89121
We all experience problems in our lives. Some problems are situational and easily resolved and others can be more serious and difficult to handle. YCB will help those experiencing a situational problem, an immediate crisis, or have a longstanding mental health concern. YCB provides individualized service to children and adults, enabling them to recognize their strengths and teach them proactive life strategies to overcome daily challenges. YCB utilizes an evidence-based treatment approach and therapeutic practice interventions. The services can be in person or through Telehealth in the rural areas of Nevada.
We all experience problems in our lives. Some problems are situational and easily resolved and others can be more serious and difficult to handle. YCB will help those experiencing a situational problem, an immediate crisis, or have a longstanding mental health concern. YCB provides individualized service to children and adults, enabling them to recognize their strengths and teach them proactive life strategies to overcome daily challenges. YCB utilizes an evidence-based treatment approach and therapeutic practice interventions. The services can be in person or through Telehealth in the rural areas of Nevada.
![Photo of Tessa Stine, LCPC](https://photos.psychologytoday.com/1282d0cd-93f5-4d4c-89aa-eb5ad1e19da4/1/320x400.png)
Tessa Stine
Clinical Professional Counselor, LCPC
Verified Verified
Las Vegas, NV 89123 (Online Only)
Feeling like life's a constant uphill battle? Don't just survive, thrive! I help individuals overcome anxiety, depression, and relationship struggles. Together, we'll develop winning strategies for a calmer, more fulfilling you. Stop letting challenges hold you back. Invest in yourself and unlock your full potential.
Feeling like life's a constant uphill battle? Don't just survive, thrive! I help individuals overcome anxiety, depression, and relationship struggles. Together, we'll develop winning strategies for a calmer, more fulfilling you. Stop letting challenges hold you back. Invest in yourself and unlock your full potential.
![Photo of April Hough, MFT-Int, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/1773535a-0211-4b78-87f5-07ccc406c95e/2/320x400.jpeg)
April Hough
Marriage & Family Therapist Intern, MFT-Int
Verified Verified
1 Endorsed
Las Vegas, NV 89146
Every person is unique and copes with life's struggles differently, so it is important to find the person-centered approach that works best for you! I rely on an empathetic, compassionate style when working with clients. I work with families, couples, and individuals facing relationship distress, anxiety, and marital issues. I also have experience working with children coping with behavioral issues. Please email thestrengthwithintherapy@gmail.com for additional information.
Every person is unique and copes with life's struggles differently, so it is important to find the person-centered approach that works best for you! I rely on an empathetic, compassionate style when working with clients. I work with families, couples, and individuals facing relationship distress, anxiety, and marital issues. I also have experience working with children coping with behavioral issues. Please email thestrengthwithintherapy@gmail.com for additional information.
![Photo of Ashley Johns Hinder, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/79400657-bb65-4015-b62b-ddf8d83c993d/2/320x400.jpeg)
Ashley Johns Hinder
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Las Vegas, NV 89131 (Online Only)
Anxiety, OCD and trauma can show up in many ways. Chronic self doubt, second-guessing or overthinking the "what ifs" like letting people down, making mistakes, contamination or causing harm. You may feel tense, scattered, procrastinate tasks, be easily frustrated or get stuck when stressed. You're tired of spending life trapped in your head battling obsessive thoughts, losing time engaging in compulsive, repetitive behaviors (like checking, counting etc). You want to know how to be present and let go. I specialize in treating anxiety, OCD and trauma to help you overcome fear, find peace and be confident to live life beyond worry.
Anxiety, OCD and trauma can show up in many ways. Chronic self doubt, second-guessing or overthinking the "what ifs" like letting people down, making mistakes, contamination or causing harm. You may feel tense, scattered, procrastinate tasks, be easily frustrated or get stuck when stressed. You're tired of spending life trapped in your head battling obsessive thoughts, losing time engaging in compulsive, repetitive behaviors (like checking, counting etc). You want to know how to be present and let go. I specialize in treating anxiety, OCD and trauma to help you overcome fear, find peace and be confident to live life beyond worry.
Nearby Searches for Diamond Point, Las Vegas
- Berkley Square
- Cultural Corridor
- Downtown
- East Las Vegas
- Huntridge
- Marble Manor
- Meadows Village
- Rancho Charleston
- Rancho Manor
- Umc
- West Las Vegas
- Westside
How does your Therapist compare?
Number of Therapists in Diamond Point, Las Vegas, NV
10+
Average cost per session
$122
Therapists in Diamond Point, Las Vegas, NV who prioritize treating:
100% | Anxiety |
92% | Relationship Issues |
92% | Depression |
83% | Trauma and PTSD |
83% | Coping Skills |
83% | Self Esteem |
75% | Grief |
Average years in practice
15 Years
Top 3 insurances accepted
75% | Cigna and Evernorth |
63% | Medicaid |
63% | Other |
How Therapists in Diamond Point, Las Vegas, NV see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
67% | Female | |
33% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Diamond Point, Las Vegas?
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
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.
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.
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.