Therapists in Sunderland, VT

Photo of Jason Fleming, Pre-Licensed Professional in Sunderland, VT
Jason Fleming
Pre-Licensed Professional, MS
Verified Verified
Sunderland, VT 05250
First off, if you're reading this because you've reached the point in your life where you're ready to do some work on you congratulations, because actually asking for that help is one of the most courageous things we can do for ourselves. The past couple years has taken a toll on our first responders, nurses, teachers, mental health professionals and so many others who seem as though they've lost their way. Have you lost that balance between your personal life and your professional life? Burned out? Have these feelings or others impacted your relationships? I'd really like to hear more and see if I can help you gain some traction!
First off, if you're reading this because you've reached the point in your life where you're ready to do some work on you congratulations, because actually asking for that help is one of the most courageous things we can do for ourselves. The past couple years has taken a toll on our first responders, nurses, teachers, mental health professionals and so many others who seem as though they've lost their way. Have you lost that balance between your personal life and your professional life? Burned out? Have these feelings or others impacted your relationships? I'd really like to hear more and see if I can help you gain some traction!
(802) 277-7815 View (802) 277-7815

More Therapists Nearby

Photo of Alexandra Migani, Clinical Social Work/Therapist in Sunderland, VT
Alexandra Migani
Clinical Social Work/Therapist, LCSW, LADC
Verified Verified
3 Endorsed
Manchester, VT 05254  (Online Only)
Are you feeling overwhelmed, anxious, uninspired? I am here to assure you that our purpose is to live with ease and in alignment with who we really are. Counseling can get you out of living in survival mode. I specialize in anxiety, self-image/self-esteem, depression, life transitions, school/job stressors, relationship demands and other mental health concerns. Health and wellness encompasses mental, physical, and emotional well-being. I am here to help you with personal discovery and growth, exploring your emotions, navigating and coping with personal struggles and strong emotions to improve your quality of life.
Are you feeling overwhelmed, anxious, uninspired? I am here to assure you that our purpose is to live with ease and in alignment with who we really are. Counseling can get you out of living in survival mode. I specialize in anxiety, self-image/self-esteem, depression, life transitions, school/job stressors, relationship demands and other mental health concerns. Health and wellness encompasses mental, physical, and emotional well-being. I am here to help you with personal discovery and growth, exploring your emotions, navigating and coping with personal struggles and strong emotions to improve your quality of life.
(203) 617-0933 View (203) 617-0933
Photo of Kiana Gates, Clinical Social Work/Therapist in Sunderland, VT
Kiana Gates
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
Manchester, VT 05254
No two people experience trauma, stress, anxiety, or depression the same way, and therapy isn't "one size fits all". Everyone has their own diverse experiences that impact their worldview and perception of self, and everyone's path to healing is unique. If you're looking for a therapist who understands that and welcomes a collaborative approach to healing, we might be a good fit!
No two people experience trauma, stress, anxiety, or depression the same way, and therapy isn't "one size fits all". Everyone has their own diverse experiences that impact their worldview and perception of self, and everyone's path to healing is unique. If you're looking for a therapist who understands that and welcomes a collaborative approach to healing, we might be a good fit!
(802) 328-9092 View (802) 328-9092
Photo of Paula Rasanen, Registered Psychotherapist in Sunderland, VT
Paula Rasanen
Registered Psychotherapist, MA CFT
Verified Verified
Manchester, VT 05254
Waitlist for new clients
We all need security, acceptance, safety and understanding in our close relationships. Developing insight into our patterns, exploring our core values, and defining what we want and need in relationships can be overwhelming, especially when we don't know how to begin this process. I love meeting clients right where they are, and supporting them through the process of rising to life's challenges, defining and achieving their personal goals within the context of their close relationships. I am especially passionate about supporting neurodivergent individuals and families.
We all need security, acceptance, safety and understanding in our close relationships. Developing insight into our patterns, exploring our core values, and defining what we want and need in relationships can be overwhelming, especially when we don't know how to begin this process. I love meeting clients right where they are, and supporting them through the process of rising to life's challenges, defining and achieving their personal goals within the context of their close relationships. I am especially passionate about supporting neurodivergent individuals and families.
(802) 659-2907 View (802) 659-2907
Photo of Catherine Cusack, Clinical Social Work/Therapist in Sunderland, VT
Catherine Cusack
Clinical Social Work/Therapist, LCSW
Verified Verified
Manchester Center, VT 05255  (Online Only)
I am a therapist who offers a nurturing and integrative approach to helping you create the life you want to live. Creatively we will help you to break through barriers of self-doubt and insecurity, release limiting patterns, and guide you towards standing in your strength. Together we will identify solutions that reduce anxiety, lift depression, improve self-esteem, heal trauma, navigate the losses and find your center again. My approach is personalized to your unique needs and preferences: CBT with Applied Neuroscience, Psychodynamic Therapy, Mindfulness Techniques, Emotional Freedom Technique, Somatic Therapy, and Parts Work.
I am a therapist who offers a nurturing and integrative approach to helping you create the life you want to live. Creatively we will help you to break through barriers of self-doubt and insecurity, release limiting patterns, and guide you towards standing in your strength. Together we will identify solutions that reduce anxiety, lift depression, improve self-esteem, heal trauma, navigate the losses and find your center again. My approach is personalized to your unique needs and preferences: CBT with Applied Neuroscience, Psychodynamic Therapy, Mindfulness Techniques, Emotional Freedom Technique, Somatic Therapy, and Parts Work.
(929) 560-6359 View (929) 560-6359
Photo of Kristen Munson, Psychologist in Sunderland, VT
Kristen Munson
Psychologist, PsyD
Verified Verified
Manchester, VT 05254
Waitlist for new clients
Hello! Thank you for considering me. The main goal of the work that I do is to foster growth and healing that allows individuals to live more authentically and freely. I support adult clients experiencing anxiety, depression, life changes and trauma by utilizing deep listening, collaboration, insight building, vulnerability, and focusing on strengthening and supporting the self. I provide a climate of non-judgment and safety for my clients so that they feel cared for, can self-explore at a deep level, and can become aware of blocks to growth.
Hello! Thank you for considering me. The main goal of the work that I do is to foster growth and healing that allows individuals to live more authentically and freely. I support adult clients experiencing anxiety, depression, life changes and trauma by utilizing deep listening, collaboration, insight building, vulnerability, and focusing on strengthening and supporting the self. I provide a climate of non-judgment and safety for my clients so that they feel cared for, can self-explore at a deep level, and can become aware of blocks to growth.
(802) 810-8496 View (802) 810-8496
Photo of Elizabeth T. Barclay, Counselor in Sunderland, VT
Elizabeth T. Barclay
Counselor, MA, NCC, LCMHC
Verified Verified
1 Endorsed
Manchester Center, VT 05255
Asking for help shows courage and opens us up to connection and hope. Looking at what is working in your life, while setting specific goals for what you would like to improve upon are the main areas that I focus on with individuals and families. We all have strengths but sometimes day to day life events, worries and stress bury these personal strengths so deep we struggle to access them. Together, using positive psychology and strength based strategies, we will work to uncover the innate qualities that will move you toward a more hopeful and balanced life.
Asking for help shows courage and opens us up to connection and hope. Looking at what is working in your life, while setting specific goals for what you would like to improve upon are the main areas that I focus on with individuals and families. We all have strengths but sometimes day to day life events, worries and stress bury these personal strengths so deep we struggle to access them. Together, using positive psychology and strength based strategies, we will work to uncover the innate qualities that will move you toward a more hopeful and balanced life.
(802) 348-2215 View (802) 348-2215
Photo of Meredith Carter, Psychologist in Sunderland, VT
Meredith Carter
Psychologist, PhD
Verified Verified
Manchester Center, VT 05255
Waitlist for new clients
As an experienced and compassionate psychologist, I am committed to helping individuals on their journey towards self-discovery and personal growth. It is a privilege to work with clients who are motivated to gain insight into their thoughts, emotions, and relationships, and who aspire to evolve and improve. My therapeutic approach is collaborative, empathic, and tailored to each individual's needs. I draw from a range of evidence-based interventions, including Cognitive-Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), relational, interpersonal, and insight-oriented therapies.
As an experienced and compassionate psychologist, I am committed to helping individuals on their journey towards self-discovery and personal growth. It is a privilege to work with clients who are motivated to gain insight into their thoughts, emotions, and relationships, and who aspire to evolve and improve. My therapeutic approach is collaborative, empathic, and tailored to each individual's needs. I draw from a range of evidence-based interventions, including Cognitive-Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), relational, interpersonal, and insight-oriented therapies.
(857) 420-4994 View (857) 420-4994
Photo of Andrew Juettner M.ed., Registered Psychotherapist in Sunderland, VT
Andrew Juettner M.ed.
Registered Psychotherapist, MEd
Verified Verified
Manchester, VT 05254  (Online Only)
I am a registered Psychotherapist specializing in psychotherapy with children, teenagers and adults. My primary areas of focus include anxiety, depression, relationship issues, and family dynamics. Whether you're feeling overwhelmed, adjusting to major life changes, or want to feel a deeper connection in your relationships, we can work collaboratively to develop coping skills and strategies for managing distress in your life. Please click on the "My Website Button" to schedule.
I am a registered Psychotherapist specializing in psychotherapy with children, teenagers and adults. My primary areas of focus include anxiety, depression, relationship issues, and family dynamics. Whether you're feeling overwhelmed, adjusting to major life changes, or want to feel a deeper connection in your relationships, we can work collaboratively to develop coping skills and strategies for managing distress in your life. Please click on the "My Website Button" to schedule.
(802) 417-0142 View (802) 417-0142
Photo of Elizabeth Skoglund, Counselor in Sunderland, VT
Elizabeth Skoglund
Counselor, LCMHC
Verified Verified
Manchester Center, VT 05255
I specialize in working with children and adolescents. Childhood and young adulthood is filled with decisions, transitions, and expectations- and can also be a time of remarkable growth and self-discovery. I believe in the power of young people having a safe space outside of the home to explore their emotions and process their challenges. With the right support and appropriate tools, everyone is capable of building coping skills, resilience and confidence.
I specialize in working with children and adolescents. Childhood and young adulthood is filled with decisions, transitions, and expectations- and can also be a time of remarkable growth and self-discovery. I believe in the power of young people having a safe space outside of the home to explore their emotions and process their challenges. With the right support and appropriate tools, everyone is capable of building coping skills, resilience and confidence.
(802) 424-9254 View (802) 424-9254
Photo of Nancy A Field, Psychologist in Sunderland, VT
Nancy A Field
Psychologist, PhD
Verified Verified
Manchester, VT 05254  (Online Only)
Please contact me if you are seeking a therapist who uses scientifically proven, evidence-based treatments. For example, I have successfully used cognitive-behavioral therapy to treat depression and exposure therapy to treat anxiety. I have a general practice working with adults presenting with a variety of emotional issues. I believe in the importance of good self-care, including regular exercise and a healthy diet, for optimum physical and mental health. My therapy style is direct and collaborative. I have experience working with both men and women of all faiths and orientations.
Please contact me if you are seeking a therapist who uses scientifically proven, evidence-based treatments. For example, I have successfully used cognitive-behavioral therapy to treat depression and exposure therapy to treat anxiety. I have a general practice working with adults presenting with a variety of emotional issues. I believe in the importance of good self-care, including regular exercise and a healthy diet, for optimum physical and mental health. My therapy style is direct and collaborative. I have experience working with both men and women of all faiths and orientations.
(802) 747-3480 View (802) 747-3480
Photo of Sandra Birch, Clinical Social Work/Therapist in Sunderland, VT
Sandra Birch
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Manchester Center, VT 05255
Waitlist for new clients
I specialized in body-based healing and trauma. I am trained in EMDR and trauma informed mindfulness. I offer individual work and couples therapy and offer a framework to discover trauma awareness as it pertains to self and interpersonal relationships of all kinds.
I specialized in body-based healing and trauma. I am trained in EMDR and trauma informed mindfulness. I offer individual work and couples therapy and offer a framework to discover trauma awareness as it pertains to self and interpersonal relationships of all kinds.
(802) 729-2801 View (802) 729-2801
Photo of Lindsay Sigrist, Counselor in Sunderland, VT
Lindsay Sigrist
Counselor, LCMHC
Verified Verified
Manchester Center, VT 05255
We’ve all been stuck in a rut before. Sometimes we don’t even know how we ended up there. What we do know is that we find ourselves consistently frustrated with the same problems or the same people, having the same unproductive conversation or argument over and over again. It’s stressful and exhausting and sometimes it makes us want to give up. If you are longing to feel like "yourself" again, I can help you create space for shifts in the patterns that make you feel stuck. Most of the time, these patterns started off serving an important and positive purpose, but have likely outlasted their initial use.
We’ve all been stuck in a rut before. Sometimes we don’t even know how we ended up there. What we do know is that we find ourselves consistently frustrated with the same problems or the same people, having the same unproductive conversation or argument over and over again. It’s stressful and exhausting and sometimes it makes us want to give up. If you are longing to feel like "yourself" again, I can help you create space for shifts in the patterns that make you feel stuck. Most of the time, these patterns started off serving an important and positive purpose, but have likely outlasted their initial use.
(855) 425-8323 View (855) 425-8323
Photo of Jessica Townsend, Counselor in Sunderland, VT
Jessica Townsend
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Manchester Center, VT 05255
Are you feeling disconnected from yourself or others? Does your life feel unbalanced and relationships feel strained? Is this source of unrest and discomfort evident in your daily life; perhaps reflected in relationships with your children, spouse, partner, or friends? Sometimes significant life events can dramatically change the course of your life. Other times you may be confused and unaware of how you ended up on your current path. If you clicked on this page, you recognize that you want change. I believe in your innate ability to heal and achieve a sense of wholeness and wellbeing.
Are you feeling disconnected from yourself or others? Does your life feel unbalanced and relationships feel strained? Is this source of unrest and discomfort evident in your daily life; perhaps reflected in relationships with your children, spouse, partner, or friends? Sometimes significant life events can dramatically change the course of your life. Other times you may be confused and unaware of how you ended up on your current path. If you clicked on this page, you recognize that you want change. I believe in your innate ability to heal and achieve a sense of wholeness and wellbeing.
(518) 636-0483 View (518) 636-0483
Photo of Tai Strachan-Louidor, Marriage & Family Therapist in Sunderland, VT
Tai Strachan-Louidor
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Manchester Center, VT 05255  (Online Only)
Are you experiencing difficulties in your family relationships or a relationship with your significant other? Or, are you at a point in your life where you are overwhelmed with conflict, hardships, and other stressors? Life can be a struggle at times, and it can be difficult finding balance on your own. Seeking additional support is the first step in re-authoring your story and creating the life that you want for yourself. With this in mind, I believe that therapy is a collaborative process and should be unique to each client and their needs.
Are you experiencing difficulties in your family relationships or a relationship with your significant other? Or, are you at a point in your life where you are overwhelmed with conflict, hardships, and other stressors? Life can be a struggle at times, and it can be difficult finding balance on your own. Seeking additional support is the first step in re-authoring your story and creating the life that you want for yourself. With this in mind, I believe that therapy is a collaborative process and should be unique to each client and their needs.
(470) 250-3545 View (470) 250-3545
Photo of Lisa Smith, Marriage & Family Therapist in Sunderland, VT
Lisa Smith
Marriage & Family Therapist, MS
Verified Verified
1 Endorsed
Manchester Center, VT 05255  (Online Only)
Currently booking for MARCH. I am honored and privileged to join my clients on their journeys. A successful therapy experience is two-sided: a high level of motivation and commitment on your part, along with my experience, expertise and support. My clients tend to be ready and willing to take deep dives inward to explore themselves. Examining perspectives can lead to deeper understanding and thus allow you to make the shifts you desire in all areas of your life, including your relationships. As life is a series of relationships, the relationship between therapist and client(s) is one that can be a springboard for growth.
Currently booking for MARCH. I am honored and privileged to join my clients on their journeys. A successful therapy experience is two-sided: a high level of motivation and commitment on your part, along with my experience, expertise and support. My clients tend to be ready and willing to take deep dives inward to explore themselves. Examining perspectives can lead to deeper understanding and thus allow you to make the shifts you desire in all areas of your life, including your relationships. As life is a series of relationships, the relationship between therapist and client(s) is one that can be a springboard for growth.
(215) 774-6867 View (215) 774-6867
Photo of Deanna S. Baasch, Clinical Social Work/Therapist in Sunderland, VT
Deanna S. Baasch
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester, VT 05254
As a Licensed Independent Clinical Social Worker (LICSW) I specialize in the treatment of trauma and practice in a manner that provides a supportive environment that encourages and guides clients to expand their capacities and improve their quality of living.  My practice philosophy is rooted in the evidence-based practices of Cognitive Behavioral Therapy (CBT) and Acceptance & Commitment Therapy (ACT).
As a Licensed Independent Clinical Social Worker (LICSW) I specialize in the treatment of trauma and practice in a manner that provides a supportive environment that encourages and guides clients to expand their capacities and improve their quality of living.  My practice philosophy is rooted in the evidence-based practices of Cognitive Behavioral Therapy (CBT) and Acceptance & Commitment Therapy (ACT).
(802) 255-8162 View (802) 255-8162
Photo of Peggy S Gregory, Clinical Social Work/Therapist in Sunderland, VT
Peggy S Gregory
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Manchester, VT 05254
Waitlist for new clients
Are you looking to find effective ways to manage emotional and behavioral challenges that have been limiting your ability to lead a flourishing life? I would like to help you identify and develop skills while building on existing strengths to help you cope more effectively with situational stress and emotional challenges. I specialize in helping adults and older adolescents who struggle with anxiety, depression, stress related challenges, relationship issues and life transitions.
Are you looking to find effective ways to manage emotional and behavioral challenges that have been limiting your ability to lead a flourishing life? I would like to help you identify and develop skills while building on existing strengths to help you cope more effectively with situational stress and emotional challenges. I specialize in helping adults and older adolescents who struggle with anxiety, depression, stress related challenges, relationship issues and life transitions.
(802) 688-1144 View (802) 688-1144
Photo of Cassie Manley, Licensed Professional Counselor in Sunderland, VT
Cassie Manley
Licensed Professional Counselor, EdS, LPC, ACS
Verified Verified
Manchester Center, VT 05255
Is life in general getting to you more here lately? Whether it's stress, anxiety, or depression- life can feel overwhelming, but luckily, it doesn't have to stay that way. I'm Cassie, and I am a licensed professional counselor that specializes in working with people who are struggling with stress, anxiety, depression, trauma and distress in relationships. I have extensive experience in helping through evidence based practices, but ultimately, my goal is to work with you to find what tools and experiences will be beneficial and healing for you.
Is life in general getting to you more here lately? Whether it's stress, anxiety, or depression- life can feel overwhelming, but luckily, it doesn't have to stay that way. I'm Cassie, and I am a licensed professional counselor that specializes in working with people who are struggling with stress, anxiety, depression, trauma and distress in relationships. I have extensive experience in helping through evidence based practices, but ultimately, my goal is to work with you to find what tools and experiences will be beneficial and healing for you.
(470) 536-8304 View (470) 536-8304
Photo of Leslie Glazer, Psychologist in Sunderland, VT
Leslie Glazer
Psychologist, PhD
Verified Verified
1 Endorsed
Manchester Center, VT 05255
Leslie Glazer, PhD is a Licensed Psychologist-Doctorate in Vermont with over 25 years experience practicing psychotherapy in a variety of settings. He has experience in the use of cognitive, psychodynamic, interpersonal, and mindfulness approaches to assist individuals and families navigate the stresses, anxieties, mood disturbances and problems in living they may encounter as they move through their lives. Leslie works with school age children and adults.
Leslie Glazer, PhD is a Licensed Psychologist-Doctorate in Vermont with over 25 years experience practicing psychotherapy in a variety of settings. He has experience in the use of cognitive, psychodynamic, interpersonal, and mindfulness approaches to assist individuals and families navigate the stresses, anxieties, mood disturbances and problems in living they may encounter as they move through their lives. Leslie works with school age children and adults.
(802) 278-4322 View (802) 278-4322

How does your Therapist compare?

Number of Therapists in Sunderland, VT

< 10

Therapists in Sunderland, VT who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% Life Coaching
100% Grief
100% Parenting

Average years in practice

2 Years

Gender breakdown

100% Male

How Therapists in Sunderland, VT see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Sunderland?

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.