Therapists in Florida, NY

Photo of Warren W Skov, LCSW, CASAC, Clinical Social Work/Therapist
Warren W Skov
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
Florida, NY 10921
Are you at an impasse, or facing emotional difficulties that are getting in the way of your progress in life? These conditions can manifest in your home life, at work, or even within yourself. I welcome the opportunity to work together, building on your strengths and abilities, to overcome these obstacles and help you move forward in the most productive manner possible. I believe in your ability to grow and learn, even from the most difficult of life's challenges. Often this is best done with the support and guidance of a highly experienced counselor who is committed to life long learning.
Are you at an impasse, or facing emotional difficulties that are getting in the way of your progress in life? These conditions can manifest in your home life, at work, or even within yourself. I welcome the opportunity to work together, building on your strengths and abilities, to overcome these obstacles and help you move forward in the most productive manner possible. I believe in your ability to grow and learn, even from the most difficult of life's challenges. Often this is best done with the support and guidance of a highly experienced counselor who is committed to life long learning.
(845) 261-1214 View (845) 261-1214
Photo of Beth Anne McLean, LMHC-D, M-CASAC, Counselor
Beth Anne McLean
Counselor, LMHC-D, M-CASAC
Verified Verified
Florida, NY 10921  (Online Only)
Hi there! My name is Beth and I am a LMHC and CASAC with over 14 years' experience. Thinking about starting therapy, but not sure what to expect? There are a lot of misconceptions out there about what therapy is or isn't, but at the end of the day, therapy is something that can help you on your journey to getting to know yourself. My expertise lies in working with individuals managing trauma, addiction, mental health issues, conflict resolution, communication issues and couples facing relationship struggles.
Hi there! My name is Beth and I am a LMHC and CASAC with over 14 years' experience. Thinking about starting therapy, but not sure what to expect? There are a lot of misconceptions out there about what therapy is or isn't, but at the end of the day, therapy is something that can help you on your journey to getting to know yourself. My expertise lies in working with individuals managing trauma, addiction, mental health issues, conflict resolution, communication issues and couples facing relationship struggles.
(845) 524-9010 View (845) 524-9010
Photo of Damon T Swinea, LCSW, Clinical Social Work/Therapist
Damon T Swinea
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Florida, NY 10921  (Online Only)
I believe in treating the whole person (mind, body, and soul) to achieve optimum wellness. Empowerment comes from within; however, I do understand how stress, depression, anxiety, phobias, OCD, and trauma can keep it dormant. My approach is to collaborate with you in a safe and welcoming environment to identify root causes, life stressors, barriers, and developing healthy tools to overcome identified issues. What I've learned in my 19 years working in mental health is that people want to share their story to whom will listen. I want to hear your story and go on your journey of healing and help restore you back to wholeness.
I believe in treating the whole person (mind, body, and soul) to achieve optimum wellness. Empowerment comes from within; however, I do understand how stress, depression, anxiety, phobias, OCD, and trauma can keep it dormant. My approach is to collaborate with you in a safe and welcoming environment to identify root causes, life stressors, barriers, and developing healthy tools to overcome identified issues. What I've learned in my 19 years working in mental health is that people want to share their story to whom will listen. I want to hear your story and go on your journey of healing and help restore you back to wholeness.
(845) 644-6071 View (845) 644-6071
Photo of Michele Winchester-Vega - Dr. Michele Winchester-Vega & Associates, DSW, LCSW-R, ACSW, LMHC, LMFT, Clinical Social Work/Therapist
Dr. Michele Winchester-Vega & Associates
Clinical Social Work/Therapist, DSW, LCSW-R, ACSW, LMHC, LMFT
Verified Verified
Florida, NY 10921
Dr. Michele Winchester-Vega and Associates is a group private practice with over 10 Licensed professionals that specialize in a variety of modalities and treatment specialties. Treatment is offered to those aged 6 and above and individual, family and group modalities are available. We are involved in teaching and hold faculty positions as well as providing consultation/ supervision to other professionals. Spanish speaking services available.
Dr. Michele Winchester-Vega and Associates is a group private practice with over 10 Licensed professionals that specialize in a variety of modalities and treatment specialties. Treatment is offered to those aged 6 and above and individual, family and group modalities are available. We are involved in teaching and hold faculty positions as well as providing consultation/ supervision to other professionals. Spanish speaking services available.
(845) 720-4276 View (845) 720-4276
Photo of Patricia Quinn, MS, LCAT, ATR-BC, NBCCH, Art Therapist
Patricia Quinn
Art Therapist, MS, LCAT, ATR-BC, NBCCH
Verified Verified
Florida, NY 10921
Even when we have received the ideal nurturing, secure, validating childhood, which can help us to negotiate complexities and challenges we may face later in life, our inner resources can become depleted. The capacity to find joy and comfort may elude us. Rebalancing areas of outer life, and planning steps toward change may be in order. I make time to learn about the myriad ways that using art, energetic, somatic and stress reducing therapies can help each person who comes in, to restore their inner lives as well.
Even when we have received the ideal nurturing, secure, validating childhood, which can help us to negotiate complexities and challenges we may face later in life, our inner resources can become depleted. The capacity to find joy and comfort may elude us. Rebalancing areas of outer life, and planning steps toward change may be in order. I make time to learn about the myriad ways that using art, energetic, somatic and stress reducing therapies can help each person who comes in, to restore their inner lives as well.
(845) 262-2143 View (845) 262-2143
Photo of Jo L Vanderkloot, LCSW, Clinical Social Work/Therapist
Jo L Vanderkloot
Clinical Social Work/Therapist, LCSW
Verified Verified
Florida, NY 10921
Are you trapped in a complex family and/or work situation? If both, there may be a similar pattern of causes even in dissimilar situations. Understanding complexity can identify basic hidden patterns. Some clients experience chronic or acute physical illnesses: these are clues to unraveling the complexities. Emotional and physical problems may be a surface expression of buried family or personal trauma. For my clients, discovering patterns embedded in family behaviors can help them manage their current problematic situations. Psychotherapy can help clients move forward in systems that seem beyond their control.
Are you trapped in a complex family and/or work situation? If both, there may be a similar pattern of causes even in dissimilar situations. Understanding complexity can identify basic hidden patterns. Some clients experience chronic or acute physical illnesses: these are clues to unraveling the complexities. Emotional and physical problems may be a surface expression of buried family or personal trauma. For my clients, discovering patterns embedded in family behaviors can help them manage their current problematic situations. Psychotherapy can help clients move forward in systems that seem beyond their control.
(845) 617-4141 View (845) 617-4141
Photo of Patricia O'Keefe Monteleone - Patricia O'Keefe Monteleone, LCSW, LCSW, Clinical Social Work/Therapist
Patricia O'Keefe Monteleone, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Florida, NY 10921  (Online Only)
I offer psychotherapy, consultation, supervision and coaching to individuals, couples, families and other therapists. I obtained my AM from the University of Chicago in 1995 after having a successful business career as a CPA. My extensive professional experience coupled with life experience as a wife, mother, community member, athlete and spiritual student offer my clients a rich, broad-reaching range of services to help them become their best selves.
I offer psychotherapy, consultation, supervision and coaching to individuals, couples, families and other therapists. I obtained my AM from the University of Chicago in 1995 after having a successful business career as a CPA. My extensive professional experience coupled with life experience as a wife, mother, community member, athlete and spiritual student offer my clients a rich, broad-reaching range of services to help them become their best selves.
(845) 262-4336 View (845) 262-4336
Photo of Susan M Isaacson, MA, CCC, LCSW, Clinical Social Work/Therapist
Susan M Isaacson
Clinical Social Work/Therapist, MA, CCC, LCSW
Verified Verified
1 Endorsed
Florida, NY 10921
I am passionate about helping others achieve goals, work through and problem solve as well as address significant mental health issues and obstacles that intrude, create havoc and prevent individuals from living happy and healthy. As well as a licensed clinical social worker, I also have a masters degree in communication disorders....I'll help you find how and what to say when words and the ability to express feelings are at a loss. Life is not a dress rehearsal....we only go around once!!
I am passionate about helping others achieve goals, work through and problem solve as well as address significant mental health issues and obstacles that intrude, create havoc and prevent individuals from living happy and healthy. As well as a licensed clinical social worker, I also have a masters degree in communication disorders....I'll help you find how and what to say when words and the ability to express feelings are at a loss. Life is not a dress rehearsal....we only go around once!!
(845) 763-4099 View (845) 763-4099
Photo of Matt Roth, PhD, Psychologist
Matt Roth
Psychologist, PhD
Verified Verified
Florida, NY 10921
I have a broad experience working with clients from diverse backgrounds, addressing a wide range of concerns. My current client base spans from late childhood and early adolescence to adulthood, encompassing issues such as anxiety, mood disorders, social challenges, repetitive/compulsive behaviors, disorders of the gut-brain interactions, and adaptive skill development. I work with both individuals and parents, and I have extensive expertise in supporting neurodiverse individuals (ASD, ADHD, NVLD, SCD). Please visit my website at drmattroth.com
I have a broad experience working with clients from diverse backgrounds, addressing a wide range of concerns. My current client base spans from late childhood and early adolescence to adulthood, encompassing issues such as anxiety, mood disorders, social challenges, repetitive/compulsive behaviors, disorders of the gut-brain interactions, and adaptive skill development. I work with both individuals and parents, and I have extensive expertise in supporting neurodiverse individuals (ASD, ADHD, NVLD, SCD). Please visit my website at drmattroth.com
(646) 736-4534 View (646) 736-4534
Photo of Amanda Barley, LMHC, Clinical Social Work/Therapist
Amanda Barley
Clinical Social Work/Therapist, LMHC
Verified Verified
1 Endorsed
Florida, NY 10921
In my eight years of postgraduate mental health experience, I have gathered a deep understanding that every person is the expert of their own lived experience, which I believe is essential to building connections in the therapeutic relationship. My unique approach to psychotherapy is all about being open and honest with my clients, so not only do they feel like a part of the process, but are steering the therapeutic ship.
In my eight years of postgraduate mental health experience, I have gathered a deep understanding that every person is the expert of their own lived experience, which I believe is essential to building connections in the therapeutic relationship. My unique approach to psychotherapy is all about being open and honest with my clients, so not only do they feel like a part of the process, but are steering the therapeutic ship.
(845) 478-1338 View (845) 478-1338
Photo of Lauren Miranda, LMHC, C-DBT, Counselor
Lauren Miranda
Counselor, LMHC, C-DBT
Verified Verified
1 Endorsed
Florida, NY 10921
As a mental health professional, I prioritize the creation of a safe, warm, and non-judgmental environment to help with building a strong therapeutic relationship. I believe everyone has their own story that should be heard without judgment. Through a strength-based and integrative approach, I assist my clients through the journey of self-growth, empowerment, and self-acceptance. I enjoy integrating mindfulness skills, meditation, and journaling into therapeutic approaches such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, Accelerated Resolution Therapy and Cognitive Processing.
As a mental health professional, I prioritize the creation of a safe, warm, and non-judgmental environment to help with building a strong therapeutic relationship. I believe everyone has their own story that should be heard without judgment. Through a strength-based and integrative approach, I assist my clients through the journey of self-growth, empowerment, and self-acceptance. I enjoy integrating mindfulness skills, meditation, and journaling into therapeutic approaches such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy, Accelerated Resolution Therapy and Cognitive Processing.
(845) 377-9264 View (845) 377-9264
Photo of Katelyn Rola, LCSW, Clinical Social Work/Therapist
Katelyn Rola
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Florida, NY 10921
Whether you are experiencing changes in your life that feel overwhelming, are coping with a loss, experiencing challenging emotions that you are not quite sure how to manage, or are looking to grow and make positive changes in your life, therapy is the perfect place to start.
Whether you are experiencing changes in your life that feel overwhelming, are coping with a loss, experiencing challenging emotions that you are not quite sure how to manage, or are looking to grow and make positive changes in your life, therapy is the perfect place to start.
(845) 456-6990 View (845) 456-6990
Photo of Denise Irizarry, LCSW, Clinical Social Work/Therapist
Denise Irizarry
Clinical Social Work/Therapist, LCSW
Verified Verified
Florida, NY 10921
I’m a clinical social worker/psychotherapist and I specialize working with children, adolescents and young adults. My goal is to create a safe environment and collaboratively work with individuals to craft effective and meaningful interventions to assist in understanding their inner world, in order to reach their full potential and learn essential tools which will serve them throughout life.
I’m a clinical social worker/psychotherapist and I specialize working with children, adolescents and young adults. My goal is to create a safe environment and collaboratively work with individuals to craft effective and meaningful interventions to assist in understanding their inner world, in order to reach their full potential and learn essential tools which will serve them throughout life.
(718) 957-8659 View (718) 957-8659
Photo of Shannah Whitney, Counselor
Shannah Whitney
Counselor
Verified Verified
Florida, NY 10921
(609) 236-7305 View (609) 236-7305

More Therapists Nearby

Photo of Anthony Moscatello, LCSW-R, Clinical Social Work/Therapist
Anthony Moscatello
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Goshen, NY 10924
Anthony Moscatello, LCSWR is the Owner/Operator and Supervising Clinician of Moscatello Therapy located in Goshen, NY where he maintains his own caseload of clients and oversees the therapy of the practice's other clinicians. At Moscatello Therapy, we conduct Individual, Couples, and Family Therapy. Our therapists have backgrounds in Mood Disorders (Anxiety, Panic, Depression, Anger Management, Bipolar), Adjustment Disorders (grief, stress management) and Substance Use Disorders. Moscatello Therapy accepts clients ages 5 and up for both in person and remote treatment.
Anthony Moscatello, LCSWR is the Owner/Operator and Supervising Clinician of Moscatello Therapy located in Goshen, NY where he maintains his own caseload of clients and oversees the therapy of the practice's other clinicians. At Moscatello Therapy, we conduct Individual, Couples, and Family Therapy. Our therapists have backgrounds in Mood Disorders (Anxiety, Panic, Depression, Anger Management, Bipolar), Adjustment Disorders (grief, stress management) and Substance Use Disorders. Moscatello Therapy accepts clients ages 5 and up for both in person and remote treatment.
(845) 477-5455 View (845) 477-5455
Photo of Soye Zaid-Muhammad - Dr. Z. (Soye Zaid-Muhammad), PsyD, NCSP, Psychologist
Dr. Z. (Soye Zaid-Muhammad)
Psychologist, PsyD, NCSP
Verified Verified
5 Endorsed
Monroe, NY 10950  (Online Only)
Are you sick of being hurt, sick of mediocrity, or sick of being stuck in life? Are you curious as to how to grow from being a victim to becoming a victor? Do you wonder how you can rise from an ordinary life to an extraordinary and divinely empowered life? Do you want to heal from past pain? If you answer is yes to these questions, then you have come to the right place. My name is Dr. Z. I am an African-American Licensed Clinical Psychologist, and the Author of The Power of A Thousand Heroes (The PATH)TM. We can work together to empower you.
Are you sick of being hurt, sick of mediocrity, or sick of being stuck in life? Are you curious as to how to grow from being a victim to becoming a victor? Do you wonder how you can rise from an ordinary life to an extraordinary and divinely empowered life? Do you want to heal from past pain? If you answer is yes to these questions, then you have come to the right place. My name is Dr. Z. I am an African-American Licensed Clinical Psychologist, and the Author of The Power of A Thousand Heroes (The PATH)TM. We can work together to empower you.
(845) 671-5341 View (845) 671-5341
Photo of Michael Pagana, LMFT, CSAT, CCPS, BCC, Marriage & Family Therapist
Michael Pagana
Marriage & Family Therapist, LMFT, CSAT, CCPS, BCC
Verified Verified
1 Endorsed
Goshen, NY 10924
I offer affordable & knowledgeable sexual addiction recovery care that is Biblically centered, and clinically sound. I'm a Certified Sex Addiction Therapist (CSAT) trained thru IITAP. I'm also a trained thru APSATS in the multidimensional Partner Trauma Model. I work as a Marriage & Family Therapist, and Board Certified Coach. I provide pastoral counseling if desired, and I have experience supporting a variety of faiths. I will utilize an individual's faith perspective to their desire or comfort. I help men and their partners, heal and grow, from unwanted sexual behaviors, infidelity & partner betrayal. Affair recovery is possible.
I offer affordable & knowledgeable sexual addiction recovery care that is Biblically centered, and clinically sound. I'm a Certified Sex Addiction Therapist (CSAT) trained thru IITAP. I'm also a trained thru APSATS in the multidimensional Partner Trauma Model. I work as a Marriage & Family Therapist, and Board Certified Coach. I provide pastoral counseling if desired, and I have experience supporting a variety of faiths. I will utilize an individual's faith perspective to their desire or comfort. I help men and their partners, heal and grow, from unwanted sexual behaviors, infidelity & partner betrayal. Affair recovery is possible.
(845) 867-2405 View (845) 867-2405
Photo of Samantha Green, LCSW, Clinical Social Work/Therapist
Samantha Green
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Goshen, NY 10924  (Online Only)
Your goals are my goals! First, let's figure out what you want to get out of therapy. If you already know what you need, let's plan out how to make those goals a reality. I always strive to maintain a person centered approach, meeting you where you're at. For some, therapy might seem like a chore. My hope is that you look forward to our sessions together and see each one as an opportunity for growth in a place where you feel supported and empowered. I am always open to hearing what you have to say - this is your space.
Your goals are my goals! First, let's figure out what you want to get out of therapy. If you already know what you need, let's plan out how to make those goals a reality. I always strive to maintain a person centered approach, meeting you where you're at. For some, therapy might seem like a chore. My hope is that you look forward to our sessions together and see each one as an opportunity for growth in a place where you feel supported and empowered. I am always open to hearing what you have to say - this is your space.
(929) 581-8807 View (929) 581-8807
Photo of Sophie Hans, LSW, Clinical Social Work/Therapist
Sophie Hans
Clinical Social Work/Therapist, LSW
Verified Verified
Middletown, NY 10940
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
(845) 957-8131 View (845) 957-8131
Photo of Iesha Feaster, MS, LMHC, LPCMH
Iesha Feaster
MS, LMHC, LPCMH
Verified Verified
Middletown, NY 10940  (Online Only)
I utilize a range of effective psychotherapy methods to foster self-understanding in my clients, encouraging them to embrace new perspectives and attitudes towards life’s challenges. It’s important to recognize that therapy isn’t a quick fix or a magic pill; it’s a healing journey that requires active participation and commitment from both the client and the therapist. However, by making small adjustments to self-defeating behaviors and learning to manage feelings of sadness, fear, and pain, clients can achieve transformative, life-changing results.
I utilize a range of effective psychotherapy methods to foster self-understanding in my clients, encouraging them to embrace new perspectives and attitudes towards life’s challenges. It’s important to recognize that therapy isn’t a quick fix or a magic pill; it’s a healing journey that requires active participation and commitment from both the client and the therapist. However, by making small adjustments to self-defeating behaviors and learning to manage feelings of sadness, fear, and pain, clients can achieve transformative, life-changing results.
(845) 237-3863 View (845) 237-3863

See more therapy options for Florida

How does your Therapist compare?

Number of Therapists in Florida, NY

10+

Average cost per session

$135

Therapists in Florida, NY who prioritize treating:

100% Anxiety
100% Coping Skills
93% Depression
93% Trauma and PTSD
93% Self Esteem
93% Stress
86% Relationship Issues

Average years in practice

14 Years

Top 3 insurances accepted

67% Aetna
67% Cigna and Evernorth
44% BlueCross and BlueShield

How Therapists in Florida, NY see their clients

79% In Person and Online
21% Online Only

Gender breakdown

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

How can I find a therapist in Florida?

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.