Therapists in Owego, NY

Photo of Steven Paro - SP Counseling and Treatment, LCSW-R, Clinical Social Work/Therapist
SP Counseling and Treatment
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Owego, NY 13827
I have been helping people examine and change their lives for 45 years and have been offering Tele-Health Services for some time. I provide Face to Face sessions as well. I specialize in Trauma and Loss, Substance Use Disorders, PTSD, Anxiety and Depression. I am a Certified Clinical Trauma Professional. I am skilled in Cognitive Behavioral Therapy, Mindfulness Techniques, Values Clarification and Goal Setting. I offer a 20-30 minute free consultation to determine if we are a good fit for each other. There is no obligation! My website is: https://steven-paro.clientsecure.me .
I have been helping people examine and change their lives for 45 years and have been offering Tele-Health Services for some time. I provide Face to Face sessions as well. I specialize in Trauma and Loss, Substance Use Disorders, PTSD, Anxiety and Depression. I am a Certified Clinical Trauma Professional. I am skilled in Cognitive Behavioral Therapy, Mindfulness Techniques, Values Clarification and Goal Setting. I offer a 20-30 minute free consultation to determine if we are a good fit for each other. There is no obligation! My website is: https://steven-paro.clientsecure.me .
(607) 208-7948 View (607) 208-7948
Photo of Violeta A Teslev-Klett, LCSW, Clinical Social Work/Therapist
Violeta A Teslev-Klett
Clinical Social Work/Therapist, LCSW
Verified Verified
Owego, NY 13827
There are moments in your life when you wake up and find yourself filled with unexplainable dread, unrelenting anger or sadness. As a parent or a partner you try to offer the best of you and yet the feeling of failure or lack of satisfaction is often there. What if you could have a space which could help you find a way to understand these things, find an answer, a solution? What if your child has difficulties making friends, is unmotivated to do the homework, isolates more, maybe even starts to lie? What if he/she needs that space as well? It can be challenging to be an adult but growing up, can be difficult as well.
There are moments in your life when you wake up and find yourself filled with unexplainable dread, unrelenting anger or sadness. As a parent or a partner you try to offer the best of you and yet the feeling of failure or lack of satisfaction is often there. What if you could have a space which could help you find a way to understand these things, find an answer, a solution? What if your child has difficulties making friends, is unmotivated to do the homework, isolates more, maybe even starts to lie? What if he/she needs that space as well? It can be challenging to be an adult but growing up, can be difficult as well.
(607) 354-4612 View (607) 354-4612
Photo of Laura Swanson, LCSW, Clinical Social Work/Therapist
Laura Swanson
Clinical Social Work/Therapist, LCSW
Verified Verified
Owego, NY 13827  (Online Only)
You deserve empathic and non-judgmental care with a professional that is skilled and meets you where you’re at. I work with the belief that you are the expert of your experience, and will support you in processing and unraveling the many complexities of who you are in your thoughts, beliefs, emotions, and behaviors. My hope for you is to progress towards the goals you create and seek healing and growth for the quality of life you deserve.
You deserve empathic and non-judgmental care with a professional that is skilled and meets you where you’re at. I work with the belief that you are the expert of your experience, and will support you in processing and unraveling the many complexities of who you are in your thoughts, beliefs, emotions, and behaviors. My hope for you is to progress towards the goals you create and seek healing and growth for the quality of life you deserve.
(607) 360-6631 View (607) 360-6631
Photo of Josh Wilburn, MHC-LP
Josh Wilburn
MHC-LP
Verified Verified
Owego, NY 13827  (Online Only)
Do you want your life to be more enjoyable? Would you like to be able to find ways of changing your perspective without losing the best parts of you? Do you want to learn how to make decisions that help you feel in control of your life? Do you feel like you don't fit in with others and you want to feel better about yourself? Are you looking for a highly experienced counselor who talks to you as a person and who tailors your therapy to meet your unique needs?
Do you want your life to be more enjoyable? Would you like to be able to find ways of changing your perspective without losing the best parts of you? Do you want to learn how to make decisions that help you feel in control of your life? Do you feel like you don't fit in with others and you want to feel better about yourself? Are you looking for a highly experienced counselor who talks to you as a person and who tailors your therapy to meet your unique needs?
(315) 847-4492 x142 View (315) 847-4492 x142
Photo of Krista Welch, MS, LMHC, Counselor
Krista Welch
Counselor, MS, LMHC
Verified Verified
Owego, NY 13827
I utilize an eclectic type of therapy based on an experiential foundation . I have experience working with teens and adults including the Military, law enforcement, fire department, and healthcare workers. I hope to help individuals identify what is happening in their life journey. I like to take an individualized approach to clients to ensure all needs are addressed. As a therapist, I like to help others reach their goals through individual experiences to help you through a healing journey.
I utilize an eclectic type of therapy based on an experiential foundation . I have experience working with teens and adults including the Military, law enforcement, fire department, and healthcare workers. I hope to help individuals identify what is happening in their life journey. I like to take an individualized approach to clients to ensure all needs are addressed. As a therapist, I like to help others reach their goals through individual experiences to help you through a healing journey.
(607) 284-6212 View (607) 284-6212
Photo of Xavier Walker, LMHC, Counselor
Xavier Walker
Counselor, LMHC
Verified Verified
Owego, NY 13827  (Online Only)
My name is Xavier Walker, I am a licensed Mental Health Counselor. I am licensed in New York with 6 years of professional work experience. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I typically work with adult clients aging from 18-70. I have experience in helping clients with stress and anxiety, anger management, motivation, self-esteem, and confidence, & depression.
My name is Xavier Walker, I am a licensed Mental Health Counselor. I am licensed in New York with 6 years of professional work experience. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I typically work with adult clients aging from 18-70. I have experience in helping clients with stress and anxiety, anger management, motivation, self-esteem, and confidence, & depression.
(929) 732-7066 View (929) 732-7066
Photo of Janette G Prentice - Samaritan Counseling Center, LCSW, Clinical Social Work/Therapist
Samaritan Counseling Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Owego, NY 13827
Samaritan Counseling is now offering telehealth services for residents of New York State with current appointment openings. Samaritan counselors are clinically trained certified social workers with masters degrees in counseling and psychotherapy. Counseling services are provided for individuals of all ages, couples, and families on a wide variety of mental health issues.
Samaritan Counseling is now offering telehealth services for residents of New York State with current appointment openings. Samaritan counselors are clinically trained certified social workers with masters degrees in counseling and psychotherapy. Counseling services are provided for individuals of all ages, couples, and families on a wide variety of mental health issues.
(607) 284-6579 View (607) 284-6579
Photo of Nancy R. Avery, LMHC, NCC, Counselor
Nancy R. Avery
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Owego, NY 13827
I provide psychotherapy to individuals ages 13 & up. I do not provide family or couples therapy. My work focuses on the resolution of difficult emotional, psychological, social, spiritual, and relational issues while building resiliency & coping skills. With teamwork, patience, honesty, & active participation we can uncover the meaning & function of your symptoms through the exploration of your beliefs, thoughts, feelings, & behaviors. I will assist you in gaining insight into your development & experiences that may have lead to disruptive thought & behavior patterns to help you create effective, realistic & lasting solutions.
I provide psychotherapy to individuals ages 13 & up. I do not provide family or couples therapy. My work focuses on the resolution of difficult emotional, psychological, social, spiritual, and relational issues while building resiliency & coping skills. With teamwork, patience, honesty, & active participation we can uncover the meaning & function of your symptoms through the exploration of your beliefs, thoughts, feelings, & behaviors. I will assist you in gaining insight into your development & experiences that may have lead to disruptive thought & behavior patterns to help you create effective, realistic & lasting solutions.
(607) 269-4359 View (607) 269-4359
Photo of Erinn Carpenter, MA, MHC, Pre-Licensed Professional
Erinn Carpenter
Pre-Licensed Professional, MA, MHC
Verified Verified
Owego, NY 13827
I believe finding the right counselor to walk alongside you on you're very personal journey is most important especially when you are struggling or hurting. I welcome you with safety, warmth, care and compassion. I assure you my absolute dedication and commitment in helping you meet your needs. Together, we will find the root of symptoms not only for relief but resolution and restoration allowing you to move forward with a life of renewed freedom. Come as you are and lets walk together.
I believe finding the right counselor to walk alongside you on you're very personal journey is most important especially when you are struggling or hurting. I welcome you with safety, warmth, care and compassion. I assure you my absolute dedication and commitment in helping you meet your needs. Together, we will find the root of symptoms not only for relief but resolution and restoration allowing you to move forward with a life of renewed freedom. Come as you are and lets walk together.
(607) 862-5468 View (607) 862-5468
Photo of Danielle Bellis, LMHC, CASAC, Counselor
Danielle Bellis
Counselor, LMHC, CASAC
Verified Verified
Owego, NY 13827  (Online Only)
An ideal client to me is someone who wants to improve their mental health and practice self care. Therapy not only can improve mental health, but it improves communication and helps the client gain insight into themselves. They may not know exactly what is causing them to feel so much depression, anxiety, anger and/or the multitude of emotions we humans feel. Therapy can help bring out what is inside, what is down deep. The ideal client is someone who is motivated, the rest will fall into place!
An ideal client to me is someone who wants to improve their mental health and practice self care. Therapy not only can improve mental health, but it improves communication and helps the client gain insight into themselves. They may not know exactly what is causing them to feel so much depression, anxiety, anger and/or the multitude of emotions we humans feel. Therapy can help bring out what is inside, what is down deep. The ideal client is someone who is motivated, the rest will fall into place!
(607) 600-8993 View (607) 600-8993
Photo of Andrew Foltz, PsyD, Psychologist
Andrew Foltz
Psychologist, PsyD
Verified Verified
Owego, NY 13827
During my fifteen years in the field I have worked in many different settings and with diverse populations. I have worked with people of all ages from all sorts of backgrounds and walks of life with many different types of problems. I have seen a lot, and no matter what you are dealing with, I want to help. You don't have to deal with your problem alone.
During my fifteen years in the field I have worked in many different settings and with diverse populations. I have worked with people of all ages from all sorts of backgrounds and walks of life with many different types of problems. I have seen a lot, and no matter what you are dealing with, I want to help. You don't have to deal with your problem alone.
(607) 536-9684 View (607) 536-9684
Photo of Karen A Talcott, LCSW-R, Clinical Social Work/Therapist
Karen A Talcott
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Owego, NY 13827  (Online Only)
Waitlist for new clients
In our busy world, it is easy to find ourselves caught in a struggle with a limited understanding of where the struggle comes from or why it even exists. It can feel overwhelming just trying to meet the outer demands of life, let alone understanding the more inward struggle. I see therapy as a space; a needed, safe space to slow life down for even a fraction of a day to focus on the struggle and its solutions. My approach to therapy is inward-searching, awakening inner knowledge and insight to find solutions. For me, this work is sacred, as we are on a journey to understand and find our true selves.
In our busy world, it is easy to find ourselves caught in a struggle with a limited understanding of where the struggle comes from or why it even exists. It can feel overwhelming just trying to meet the outer demands of life, let alone understanding the more inward struggle. I see therapy as a space; a needed, safe space to slow life down for even a fraction of a day to focus on the struggle and its solutions. My approach to therapy is inward-searching, awakening inner knowledge and insight to find solutions. For me, this work is sacred, as we are on a journey to understand and find our true selves.
(607) 300-5362 View (607) 300-5362
Photo of Juli Irene Jousan, LCSW-R, Clinical Social Work/Therapist
Juli Irene Jousan
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Owego, NY 13827  (Online Only)
Currently, I have appointments available! I can be flexible with work schedules. Sometimes it really makes sense to have a confidential setting to talk about overwhelming feelings or difficult circumstances. I have many years of experience helping people find their strengths in challenging situations, especially with depression and anxiety. I offer techniques that help people increase feelings of well-being. I enjoy helping my clients develop skills that work. I explain things that will help, and each client chooses what works best.
Currently, I have appointments available! I can be flexible with work schedules. Sometimes it really makes sense to have a confidential setting to talk about overwhelming feelings or difficult circumstances. I have many years of experience helping people find their strengths in challenging situations, especially with depression and anxiety. I offer techniques that help people increase feelings of well-being. I enjoy helping my clients develop skills that work. I explain things that will help, and each client chooses what works best.
(607) 564-8756 View (607) 564-8756
Photo of Brittany J. Rigoli, LCSW-R, Clinical Social Work/Therapist
Brittany J. Rigoli
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Owego, NY 13827
Not accepting new clients
Harriet Tubman once said, “Every great dream begins with a dreamer. Always remember, you have within you the strength, the patience, and the passion to reach for the stars to change the world.” Within our therapeutic relationship, you are the dreamer. You have in you the passion, strength, capacity, courage, and self-determination to make change happen. If you want to confront and change negative habits, thoughts, feelings, and/or behaviors, to learn skills and strategies to improve your social skills or relationships, or to attain freedom from what has stifled you from being your best self, I am here to tell you it IS possible.
Harriet Tubman once said, “Every great dream begins with a dreamer. Always remember, you have within you the strength, the patience, and the passion to reach for the stars to change the world.” Within our therapeutic relationship, you are the dreamer. You have in you the passion, strength, capacity, courage, and self-determination to make change happen. If you want to confront and change negative habits, thoughts, feelings, and/or behaviors, to learn skills and strategies to improve your social skills or relationships, or to attain freedom from what has stifled you from being your best self, I am here to tell you it IS possible.
(607) 208-7968 View (607) 208-7968
Photo of Kathryn Simons, LCSW, Clinical Social Work/Therapist
Kathryn Simons
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Owego, NY 13827  (Online Only)
Not accepting new clients
Sharing a life with someone is hard. Having an expectation that this life will somehow match what we see in movies or read in books can make anyone feel like a failure. In my practice, I do my best to help couples find ways to connect, build trust, and learn how to turn towards each other regardless of experiences and past hurts.
Sharing a life with someone is hard. Having an expectation that this life will somehow match what we see in movies or read in books can make anyone feel like a failure. In my practice, I do my best to help couples find ways to connect, build trust, and learn how to turn towards each other regardless of experiences and past hurts.
(607) 246-3165 View (607) 246-3165

More Therapists Nearby

Photo of Anastasiya Vladychack, Counselor
Anastasiya Vladychack
Counselor
Verified Verified
Candor, NY 13743  (Online Only)
Hello! I am a Licensed Mental Health Counselor who specializes in adults who are struggling with anxiety, depression, life transitions, personal growth, self esteem, and relationships. I also specialize in working with individuals in the LGBTQIA+ community. It is very important to me that my clients feel safe, understood, and heard, thus the modality of the sessions will be based on what the client is struggling with. I try to incorporate holistic therapy into the sessions as mind, body, and soul work together to gain proper balance in all aspects of life.
Hello! I am a Licensed Mental Health Counselor who specializes in adults who are struggling with anxiety, depression, life transitions, personal growth, self esteem, and relationships. I also specialize in working with individuals in the LGBTQIA+ community. It is very important to me that my clients feel safe, understood, and heard, thus the modality of the sessions will be based on what the client is struggling with. I try to incorporate holistic therapy into the sessions as mind, body, and soul work together to gain proper balance in all aspects of life.
(347) 835-4311 View (347) 835-4311
Photo of Brittany Nicholson, LMHC, Counselor
Brittany Nicholson
Counselor, LMHC
Verified Verified
Nichols, NY 13812  (Online Only)
Hi! I'm Brittany Nicholson and I hold an NY Mental Health Counseling license. I conduct my sessions with a strength - based approach. I believe there is no one size fits all approach to mental health therefore I utilize a variety of techniques such as Mindfulness, Motivational Interviewing, CBT, Narrative therapy, and Psychoanalysis. I support clients dealing with anxiety, depression, personality disorders, trauma, and life transitions. With a warm, yet affirming approach I create a judgment-free space that will help you build your emotional intelligence, challenge distorted thoughts, and encourage critical thinking.
Hi! I'm Brittany Nicholson and I hold an NY Mental Health Counseling license. I conduct my sessions with a strength - based approach. I believe there is no one size fits all approach to mental health therefore I utilize a variety of techniques such as Mindfulness, Motivational Interviewing, CBT, Narrative therapy, and Psychoanalysis. I support clients dealing with anxiety, depression, personality disorders, trauma, and life transitions. With a warm, yet affirming approach I create a judgment-free space that will help you build your emotional intelligence, challenge distorted thoughts, and encourage critical thinking.
(646) 718-2239 View (646) 718-2239
Photo of Kaitlynn Mary Shultz, Pre-Licensed Professional
Kaitlynn Mary Shultz
Pre-Licensed Professional
Verified Verified
1 Endorsed
Apalachin, NY 13732
Have you ever considered taking a moment to think about what emotions, feelings, and parts of yourself need time and attention? I would love to invite you to take this opportunity to dive into your inner needs and emotions to help work through both past and current life experiences. I strive to help individuals, couples, and families navigate their day-to-day worlds, feeling more in sync with themselves, as well as connecting more deeply with others. This journey will be provided in a safe and encouraging environment for growth, self-awareness, and overall space to explore the connections in and around you.
Have you ever considered taking a moment to think about what emotions, feelings, and parts of yourself need time and attention? I would love to invite you to take this opportunity to dive into your inner needs and emotions to help work through both past and current life experiences. I strive to help individuals, couples, and families navigate their day-to-day worlds, feeling more in sync with themselves, as well as connecting more deeply with others. This journey will be provided in a safe and encouraging environment for growth, self-awareness, and overall space to explore the connections in and around you.
(607) 360-5035 View (607) 360-5035
Photo of Michele Fletcher, LCSW-R, CASAC, Clinical Social Work/Therapist
Michele Fletcher
Clinical Social Work/Therapist, LCSW-R, CASAC
Verified Verified
1 Endorsed
Apalachin, NY 13732
Waitlist for new clients
With over 28 yrs. of experience with my Masters in Social Work, I have helped people through difficult times and life transitions. This includes but is not limited too, making a decision about ending a relationship, death of a loved on, changing jobs, struggles with peer relationships and moving. Additionally, anxiety, panic and stress are frequent reasons someone may be seen. I also treat trauma and use a trauma informed approach throughout treatment. It is important for me to have clients feel heard and see there is a path forward. Often goals include building new coping skills and new patterns of positive choices.
With over 28 yrs. of experience with my Masters in Social Work, I have helped people through difficult times and life transitions. This includes but is not limited too, making a decision about ending a relationship, death of a loved on, changing jobs, struggles with peer relationships and moving. Additionally, anxiety, panic and stress are frequent reasons someone may be seen. I also treat trauma and use a trauma informed approach throughout treatment. It is important for me to have clients feel heard and see there is a path forward. Often goals include building new coping skills and new patterns of positive choices.
(607) 303-5948 View (607) 303-5948
Photo of Lorrie Woloszyn, LMSW
Lorrie Woloszyn
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Newark Valley, NY 13811  (Online Only)
Welcome! I'm a Licensed Master Social Worker (LMSW) based in New York dedicated to providing a safe, non-judgmental space for individuals to explore their emotions, challenges, and goals. My passion helping people navigate through life's complexities with empathy, clarity, and practical support. Whether you're dealing with anxiety, depression, trauma, or just feeling overwhelmed by life's demands I am here to help you process these emotions and find a path forward. Together we'll work to identify your strengths and develop coping strategies that empower you to lead a fulfilling and balanced life
Welcome! I'm a Licensed Master Social Worker (LMSW) based in New York dedicated to providing a safe, non-judgmental space for individuals to explore their emotions, challenges, and goals. My passion helping people navigate through life's complexities with empathy, clarity, and practical support. Whether you're dealing with anxiety, depression, trauma, or just feeling overwhelmed by life's demands I am here to help you process these emotions and find a path forward. Together we'll work to identify your strengths and develop coping strategies that empower you to lead a fulfilling and balanced life
(607) 298-8477 View (607) 298-8477

See more therapy options for Owego

How does your Therapist compare?

Number of Therapists in Owego, NY

10+

Average cost per session

$127

Therapists in Owego, NY who prioritize treating:

94% Anxiety
88% Depression
75% Trauma and PTSD
75% Self Esteem
69% Family Conflict
69% Coping Skills
63% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
54% Cigna and Evernorth
46% UnitedHealthcare UHC | UBH

How Therapists in Owego, NY see their clients

57% In Person and Online
43% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Owego?

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.