Therapists in Blackstone, VA

Photo of Jennifer Bunn, LPC, Licensed Professional Counselor
Jennifer Bunn
Licensed Professional Counselor, LPC
Verified Verified
Blackstone, VA 23824
Jennifer works with adolescents and adults to improve their mental health and overall functioning and has helped clients with a variety of diagnoses and disturbing life experiences. She is skilled at uncovering what is at the root of issues such as depression, anxiety, low self-esteem, ptsd, etc.. and facilitating effective treatment. While some therapists practice talk therapy only, Jennifer believes in teaching her clients skills that will empower them to make and maintain lasting changes, improving their own quality of life and the lives of future generations of the family.
Jennifer works with adolescents and adults to improve their mental health and overall functioning and has helped clients with a variety of diagnoses and disturbing life experiences. She is skilled at uncovering what is at the root of issues such as depression, anxiety, low self-esteem, ptsd, etc.. and facilitating effective treatment. While some therapists practice talk therapy only, Jennifer believes in teaching her clients skills that will empower them to make and maintain lasting changes, improving their own quality of life and the lives of future generations of the family.
(434) 830-5515 View (434) 830-5515
Photo of Tiera Williams, LCPC, Licensed Professional Counselor
Tiera Williams
Licensed Professional Counselor, LCPC
Verified Verified
Blackstone, VA 23824
Hello, I am Dr. Tiera Williams, a Licensed Professional Counselor with a doctorate degree in community and care counseling who has provided mental health services to individuals and families for over 13 years. I specialize in helping manage issues of depression, anxiety, women issues, anger management, self-esteem, behavior issues, ADHD, adjustment/military, and trauma through a safe and supportive environment. My therapy approach is individualized and consists of Cognitive Behavioral Therapy , Cognitive Processing Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to address challenging issues.
Hello, I am Dr. Tiera Williams, a Licensed Professional Counselor with a doctorate degree in community and care counseling who has provided mental health services to individuals and families for over 13 years. I specialize in helping manage issues of depression, anxiety, women issues, anger management, self-esteem, behavior issues, ADHD, adjustment/military, and trauma through a safe and supportive environment. My therapy approach is individualized and consists of Cognitive Behavioral Therapy , Cognitive Processing Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to address challenging issues.
(571) 517-9681 View (571) 517-9681
Photo of Erin Shaffer, LCSW, Clinical Social Work/Therapist
Erin Shaffer
Clinical Social Work/Therapist, LCSW
Verified Verified
Blackstone, VA 23824
My name is Erin Shaffer, and I am a Licensed Clinical Social Worker (LCSW) based in Dublin, VA. I work with clients statewide, providing telehealth counseling services. I primarily work with adults and specialize in trauma, grief, depression, and anxiety. I utilize a generalist approach that encompasses several treatment modalities to make progress and start to feel better. I have found that my style and approach are most effective with adults when utilizing telehealth services to individuals who might be working to manage trauma and grief reactions as well as symptoms of depression and anxiety.
My name is Erin Shaffer, and I am a Licensed Clinical Social Worker (LCSW) based in Dublin, VA. I work with clients statewide, providing telehealth counseling services. I primarily work with adults and specialize in trauma, grief, depression, and anxiety. I utilize a generalist approach that encompasses several treatment modalities to make progress and start to feel better. I have found that my style and approach are most effective with adults when utilizing telehealth services to individuals who might be working to manage trauma and grief reactions as well as symptoms of depression and anxiety.
(757) 908-6616 View (757) 908-6616

More Therapists Nearby

Photo of Anita Wiles, LCSW, Clinical Social Work/Therapist
Anita Wiles
Clinical Social Work/Therapist, LCSW
Verified Verified
Crewe, VA 23930
Sometimes we all feel overwhelmed and need to learn healthier ways to cope. Stress can impact your relationships, work, and your physical wellbeing. Whether your concern centers around family issues, work or school pressures, relationships, illness, or one of life's many unexpected challenges - we can work together to develop your strengths and coping skills, with the overall goal of you living a life of optimal wellness. I have been in the mental health field for over 25 years. I earned my MSW from Virginia Commonwealth University and have been a LCSW since 1995.
Sometimes we all feel overwhelmed and need to learn healthier ways to cope. Stress can impact your relationships, work, and your physical wellbeing. Whether your concern centers around family issues, work or school pressures, relationships, illness, or one of life's many unexpected challenges - we can work together to develop your strengths and coping skills, with the overall goal of you living a life of optimal wellness. I have been in the mental health field for over 25 years. I earned my MSW from Virginia Commonwealth University and have been a LCSW since 1995.
(757) 571-8708 View (757) 571-8708
Photo of Yozaira Leon-Santiago, LPC, Licensed Professional Counselor
Yozaira Leon-Santiago
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Wilsons, VA 23894
Yozaira Leon-Santiago, Virginia License 0701008987. I am a Licensed Professional Counselor (LPC) with 10 years of experience in the behavioral healthcare field. Currently I am a Bilingual (Spanish) mental health clinician in a detention center working with young immigrants. Before that, I served as MST (Multisystemic) therapist in the community that dealt with juveniles with serious criminal offenses and are possibly abusing substances. I am experienced with the emotional problems that occur in adults, adolescents and children. I have specialized training with family therapy, trauma depression and anxiety.
Yozaira Leon-Santiago, Virginia License 0701008987. I am a Licensed Professional Counselor (LPC) with 10 years of experience in the behavioral healthcare field. Currently I am a Bilingual (Spanish) mental health clinician in a detention center working with young immigrants. Before that, I served as MST (Multisystemic) therapist in the community that dealt with juveniles with serious criminal offenses and are possibly abusing substances. I am experienced with the emotional problems that occur in adults, adolescents and children. I have specialized training with family therapy, trauma depression and anxiety.
(571) 771-1910 View (571) 771-1910

Online Therapists

Photo of Sharee Haskins, LPC, Licensed Professional Counselor
Sharee Haskins
Licensed Professional Counselor, LPC
Verified Verified
Newport News, VA 23606
Everyone wants to be able to control and manage the things they are going through and experiencing in their life, and at times that can be hard. My name is Sharee Haskins; I am a Licensed Professional Counselor in VA with a Master's in Clinical Mental Health and Counseling from Walden University, a Bachelor of Psychology from the University of North Carolina at Wilmington, and currently pursuing my PsyD at Capella University. My areas of specialties are Schizophrenia, Autism, ADHD/ADD, OCD, Depression, and more.
Everyone wants to be able to control and manage the things they are going through and experiencing in their life, and at times that can be hard. My name is Sharee Haskins; I am a Licensed Professional Counselor in VA with a Master's in Clinical Mental Health and Counseling from Walden University, a Bachelor of Psychology from the University of North Carolina at Wilmington, and currently pursuing my PsyD at Capella University. My areas of specialties are Schizophrenia, Autism, ADHD/ADD, OCD, Depression, and more.
(804) 626-5528 View (804) 626-5528
Photo of Ryan Anderson, Counselor
Ryan Anderson
Counselor
Verified Verified
Midlothian, VA 23112  (Online Only)
“You don’t have to see the whole staircase, just take the first step”, let us start this journey toward your goals even if you are yet to see the complete path toward it. I am a LPC with experience in a variety of diagnoses and age ranges of different therapeutic backgrounds. I have a passion for helping others develop the skills to overcome challenges they may experience in their daily life. My focus is to assist individuals to challenge and change negative thoughts, teach grounding techniques to manage stress and anxiety, manage trauma, and develop one’s own personal growth.
“You don’t have to see the whole staircase, just take the first step”, let us start this journey toward your goals even if you are yet to see the complete path toward it. I am a LPC with experience in a variety of diagnoses and age ranges of different therapeutic backgrounds. I have a passion for helping others develop the skills to overcome challenges they may experience in their daily life. My focus is to assist individuals to challenge and change negative thoughts, teach grounding techniques to manage stress and anxiety, manage trauma, and develop one’s own personal growth.
(804) 294-2632 View (804) 294-2632
Photo of Jillian Pelzer, LPC, Licensed Professional Counselor
Jillian Pelzer
Licensed Professional Counselor, LPC
Verified Verified
Earlysville, VA 22936
Hi! My name is Jillian Pelzer. I am a Licensed Professional Counselor for the state of VA. I take a person-centered approach to therapy, meaning you are the expert of your own life. I am simply here to help you organize your thoughts and judgment so that you can make positive decisions for your life. I have expertise in counseling clients with depression, parenting problems, suicidal ideation, adjustment disorders, substance use problems, and more. I am super laid back! This will be a no-stress, no-pressure situation. The time is yours to use how you'd like. I am always flexible with my clients.
Hi! My name is Jillian Pelzer. I am a Licensed Professional Counselor for the state of VA. I take a person-centered approach to therapy, meaning you are the expert of your own life. I am simply here to help you organize your thoughts and judgment so that you can make positive decisions for your life. I have expertise in counseling clients with depression, parenting problems, suicidal ideation, adjustment disorders, substance use problems, and more. I am super laid back! This will be a no-stress, no-pressure situation. The time is yours to use how you'd like. I am always flexible with my clients.
(757) 378-0997 View (757) 378-0997
Photo of Willnetta Brown, Pre-Licensed Professional
Willnetta Brown
Pre-Licensed Professional
Verified Verified
1 Endorsed
Richmond, VA 23220
Accepting NEW clients! Are you currently adjusting to a major change in life? Do you find yourself worrying or uncertain about what’s to come? Maybe your relationship is coming to an end, and you want to pick up the pieces to put yourself back together again. Are experiencing increased stress and anxiety? Could it be that something feels off but you’re unsure of what exactly. Life can at times feel like a rollercoaster. It is okay not to feel okay! What we think and feel can often show up through our behaviors in our relationships and everyday engagements. If any of that resonates with you, you came to the right place!
Accepting NEW clients! Are you currently adjusting to a major change in life? Do you find yourself worrying or uncertain about what’s to come? Maybe your relationship is coming to an end, and you want to pick up the pieces to put yourself back together again. Are experiencing increased stress and anxiety? Could it be that something feels off but you’re unsure of what exactly. Life can at times feel like a rollercoaster. It is okay not to feel okay! What we think and feel can often show up through our behaviors in our relationships and everyday engagements. If any of that resonates with you, you came to the right place!
(804) 441-9415 View (804) 441-9415
Photo of Matthew Wade, LRIC
Matthew Wade
Resident in Counseling, LRIC
Verified Verified
Chesapeake, VA 23321
Hi. I'm a resident in counseling with a passion for working with clients struggling with depression, anxiety, and suicidal ideation. I have experience working with a wide variety of clients in a variety of settings, including inpatient hospitals and outpatient college campuses. I use person-centered and CBT approaches to counseling to provide a warm, empathic, accepting environment for clients to voice and work on their concerns and goals. I am currently accepting new clients both in-person and through telehealth and work with ages 6 and up.
Hi. I'm a resident in counseling with a passion for working with clients struggling with depression, anxiety, and suicidal ideation. I have experience working with a wide variety of clients in a variety of settings, including inpatient hospitals and outpatient college campuses. I use person-centered and CBT approaches to counseling to provide a warm, empathic, accepting environment for clients to voice and work on their concerns and goals. I am currently accepting new clients both in-person and through telehealth and work with ages 6 and up.
View
Photo of Lisa Noe, Licensed Professional Counselor
Lisa Noe
Licensed Professional Counselor
Verified Verified
Midlothian, VA 23114
Waitlist for new clients
I use a client-centered and collaborative approach to provide a confidential, safe and supportive space during therapy sessions. Treatment often focuses on strategies to increase flexibility (which has been shown to decrease the severity and occurrence of mental health issues), identify and process concerns, and develop strategies for managing anxiety, depression and other issues. However, all treatment is individualized based on client-specific goals and needs. I utilize solution-focused therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), mindfulness/grounding techniques and other interventions.
I use a client-centered and collaborative approach to provide a confidential, safe and supportive space during therapy sessions. Treatment often focuses on strategies to increase flexibility (which has been shown to decrease the severity and occurrence of mental health issues), identify and process concerns, and develop strategies for managing anxiety, depression and other issues. However, all treatment is individualized based on client-specific goals and needs. I utilize solution-focused therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), mindfulness/grounding techniques and other interventions.
(804) 509-2755 View (804) 509-2755
Photo of Annelie Guterma, PhD, LMT, MSW
Annelie Guterma
PhD, LMT, MSW
Verified Verified
Charlottesville, VA 22903
There is no one taking responsibility for your life, except for you. Probably you have tried so many times to turn things around and accept and meditate and manifest. But you still feel like there is another, a better way. And you are right. There is that way, which lies within you, and within you alone. And this way can feel daring and scary. Learn to use your embodied intuition so that you are alive in your decisions, without emotional and mental blockages. Let us return your life to one that comes from a place from deep serenity, aliveness, and love. A place that does not need years of therapy, but profound and heartfelt clarity.
There is no one taking responsibility for your life, except for you. Probably you have tried so many times to turn things around and accept and meditate and manifest. But you still feel like there is another, a better way. And you are right. There is that way, which lies within you, and within you alone. And this way can feel daring and scary. Learn to use your embodied intuition so that you are alive in your decisions, without emotional and mental blockages. Let us return your life to one that comes from a place from deep serenity, aliveness, and love. A place that does not need years of therapy, but profound and heartfelt clarity.
(434) 231-5090 View (434) 231-5090
Photo of Jasmine Maynard - Free Spirit Counseling And Collaborative, MS, Pre-Licensed Professional
Jasmine Maynard - Free Spirit Counseling And Collaborative
Pre-Licensed Professional, MS
Verified Verified
Yorktown, VA 23693  (Online Only)
I love getting to know and work with diverse individuals. It is a passion of mine to help others with their struggles, to help them achieve their goals, or to be a part of their support system. I offer a judgment-free space, person-centered care, and a safe space to be comfortable with oneself. I encourage my clients to seek change and fulfillment in their lives.
I love getting to know and work with diverse individuals. It is a passion of mine to help others with their struggles, to help them achieve their goals, or to be a part of their support system. I offer a judgment-free space, person-centered care, and a safe space to be comfortable with oneself. I encourage my clients to seek change and fulfillment in their lives.
(757) 834-6443 View (757) 834-6443
Photo of Luc Watelet, MS, LPC, Licensed Professional Counselor
Luc Watelet
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Richmond, VA 23294
From my perspective, as Virginia Satir stated: "Problems are not the problem, coping is the problem." This means that in order to solve problems we have not solved before, we need to think differently. The solution is in seeing how our personal worldview has helped in some situations and not so much in others. Our stories hold the key there. The problem is also that it is difficult to see how our stories have impacted our life because most are semi-conscious or unconscious. But we have our life experiences to reflect on and find clarity from. My ideal client is someone who wants to get better, thrive and find joy.
From my perspective, as Virginia Satir stated: "Problems are not the problem, coping is the problem." This means that in order to solve problems we have not solved before, we need to think differently. The solution is in seeing how our personal worldview has helped in some situations and not so much in others. Our stories hold the key there. The problem is also that it is difficult to see how our stories have impacted our life because most are semi-conscious or unconscious. But we have our life experiences to reflect on and find clarity from. My ideal client is someone who wants to get better, thrive and find joy.
(804) 259-0559 View (804) 259-0559
Photo of Tyler Bray
Tyler Bray
Supervisee in Clinical Social Work
Verified Verified
Charlottesville, VA 22903  (Online Only)
I'm Tyler Bray (she/her). With over three years of experience, I've worked in various settings, such as outpatient mental health clinics, utilizing telehealth, and correctional facilities. My primary treatment modalities include cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and solution-focused therapy.
I'm Tyler Bray (she/her). With over three years of experience, I've worked in various settings, such as outpatient mental health clinics, utilizing telehealth, and correctional facilities. My primary treatment modalities include cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and solution-focused therapy.
(571) 200-6311 View (571) 200-6311
Photo of Catherine McCollough, MDiv, LCSW, ACPE, Clinical Social Work/Therapist
Catherine McCollough
Clinical Social Work/Therapist, MDiv, LCSW, ACPE
Verified Verified
Richmond, VA 23223  (Online Only)
My clients are searching for meaning and a sense of wholeness in their lives, sometimes in the midst of crisis, sometimes traveling through times of normative change. Although I am an ordained Presbyterian minister and consider my work a ministry of counseling, I value the diversity of our community and seek to meet people wherever they identify themselves to be and honor their unique stories, beliefs and perspectives.
My clients are searching for meaning and a sense of wholeness in their lives, sometimes in the midst of crisis, sometimes traveling through times of normative change. Although I am an ordained Presbyterian minister and consider my work a ministry of counseling, I value the diversity of our community and seek to meet people wherever they identify themselves to be and honor their unique stories, beliefs and perspectives.
(844) 334-1302 View (844) 334-1302
Photo of Latoya Horsley, LPC, Licensed Professional Counselor
Latoya Horsley
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Madison Heights, VA 24572  (Online Only)
Hello there! My name is Latoya. Do you ever feel stuck? Have you ever felt bruised, broken, and felt like giving up? These feelings often tie back to some anxiety, depression and low self-esteem. If this is you then I am the right person to come and see. I am open to helping anyone, but see a lot of patients that have issues with the aforementioned three issues.
Hello there! My name is Latoya. Do you ever feel stuck? Have you ever felt bruised, broken, and felt like giving up? These feelings often tie back to some anxiety, depression and low self-esteem. If this is you then I am the right person to come and see. I am open to helping anyone, but see a lot of patients that have issues with the aforementioned three issues.
(434) 595-4167 View (434) 595-4167
Photo of Adalberto Morales, LCSW, Clinical Social Work/Therapist
Adalberto Morales
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23236
Hi there, I'm Adalberto. I am a Licensed Clinical Social Worker working in Virginia. I have over 18 years of experience working as a therapist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, crisis intervention, substance abuse issues, and Anger Management. I also helped many people who have experienced physical trauma or emotional abuse.
Hi there, I'm Adalberto. I am a Licensed Clinical Social Worker working in Virginia. I have over 18 years of experience working as a therapist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, crisis intervention, substance abuse issues, and Anger Management. I also helped many people who have experienced physical trauma or emotional abuse.
(804) 203-0513 View (804) 203-0513
Photo of Greg Podolak, MSW
Greg Podolak
Supervisee in Clinical Social Work, MSW
Verified Verified
Ashland, VA 23005
Do you feel as though you can never quite settle down? Does your sarcasm earn you funny looks? Do you seek adrenaline on your days off? Do you like tanks? I might be the counselor for you.
Do you feel as though you can never quite settle down? Does your sarcasm earn you funny looks? Do you seek adrenaline on your days off? Do you like tanks? I might be the counselor for you.
(804) 258-6475 View (804) 258-6475
Photo of Angela Wonnita Bost Scott, MSW, Pre-Licensed Professional
Angela Wonnita Bost Scott
Pre-Licensed Professional, MSW
Verified Verified
Fredericksburg, VA 22401  (Online Only)
Welcome and congratulations on being brave enough to take this first step. If you’re here then it’s because you’re in pain and tired of dealing with it and recognize that it’s time for someone to be there for you. By reaching out for help you have actually taken a huge step towards healing. Our time together will be a space where you can slow down and breathe. When we’re in sessions you don’t have to have it all together and figured out. You don’t have to keep feeling this way. Let’s get started on your journey together.
Welcome and congratulations on being brave enough to take this first step. If you’re here then it’s because you’re in pain and tired of dealing with it and recognize that it’s time for someone to be there for you. By reaching out for help you have actually taken a huge step towards healing. Our time together will be a space where you can slow down and breathe. When we’re in sessions you don’t have to have it all together and figured out. You don’t have to keep feeling this way. Let’s get started on your journey together.
(540) 530-3283 View (540) 530-3283

See more therapy options for Blackstone

How does your Therapist compare?

Number of Therapists in Blackstone, VA

< 10

Therapists in Blackstone, VA who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Coping Skills
100% Women's Issues
100% Stress
67% Relationship Issues

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Blackstone, VA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Blackstone?

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.