Therapists in Media, PA

Photo of Kat Smith, Clinical Social Work/Therapist in Media, PA
Kat Smith
Clinical Social Work/Therapist, LCSW, CAADC, CEAP, SAP
Verified Verified
1 Endorsed
Media, PA 19063
I view therapy as a collaborative process for growth and healing. I believe in meeting people where they are in life and helping them meet their goals. I provide a supportive environment and will challenge clients to meet their full potential. If you are ready to face your challenges in life, I am here to help.
I view therapy as a collaborative process for growth and healing. I believe in meeting people where they are in life and helping them meet their goals. I provide a supportive environment and will challenge clients to meet their full potential. If you are ready to face your challenges in life, I am here to help.
(610) 719-3032 View (610) 719-3032
Photo of Cynthia R Young, Clinical Social Work/Therapist in Media, PA
Cynthia R Young
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Media, PA 19063
Are you struggling with feelings of uncertainty, worry, loneliness or distress? You are not alone. I am here to help you navigate through relationship conflict, social isolation, parenting stress, and feelings of disconnection. My particular interest and passion lies in helping people develop deep and meaningful relationships, and believe that strong attachments are the bedrock of a healthy life. I treat families, couples and individuals, who struggle with anxiety and depression, isolating and self-injurious behaviors, couple or family conflict, divorce and co-parenting, and life transitions.
Are you struggling with feelings of uncertainty, worry, loneliness or distress? You are not alone. I am here to help you navigate through relationship conflict, social isolation, parenting stress, and feelings of disconnection. My particular interest and passion lies in helping people develop deep and meaningful relationships, and believe that strong attachments are the bedrock of a healthy life. I treat families, couples and individuals, who struggle with anxiety and depression, isolating and self-injurious behaviors, couple or family conflict, divorce and co-parenting, and life transitions.
(267) 478-3079 View (267) 478-3079
Photo of Marguerite Mesure, Licensed Professional Counselor in Media, PA
Marguerite Mesure
Licensed Professional Counselor
Verified Verified
Media, PA 19063
Marguerite "Molly" Mesure holds a Master's degree in Professional Counseling. She is passionate about working with adolescents, young adults, and adults who may struggle with depression, anxiety, relationship difficulties, self-esteem challenges, school issues, peer issues, substance abuse, women's issues, and grief and loss.
Marguerite "Molly" Mesure holds a Master's degree in Professional Counseling. She is passionate about working with adolescents, young adults, and adults who may struggle with depression, anxiety, relationship difficulties, self-esteem challenges, school issues, peer issues, substance abuse, women's issues, and grief and loss.
(610) 601-2381 View (610) 601-2381
Photo of Marisa Gonzalez, Marriage & Family Therapist Associate in Media, PA
Marisa Gonzalez
Marriage & Family Therapist Associate
Verified Verified
Media, PA 19063  (Online Only)
If you're reading this, you're likely thinking about the state of your relationship. It probably started off great, filled with happiness and understanding, but now things might have shifted. You might be dealing with arguments, let downs, or just feeling distant from each other. You're looking for a way to feel closer and more secure about your relationship, and you need help that's clear and helpful for your complicated situation. That's where I come in. I have a lot of experience working with couples who are going through tough times.
If you're reading this, you're likely thinking about the state of your relationship. It probably started off great, filled with happiness and understanding, but now things might have shifted. You might be dealing with arguments, let downs, or just feeling distant from each other. You're looking for a way to feel closer and more secure about your relationship, and you need help that's clear and helpful for your complicated situation. That's where I come in. I have a lot of experience working with couples who are going through tough times.
(610) 885-0335 View (610) 885-0335
Photo of Lauren Williams, Clinical Social Work/Therapist in Media, PA
Lauren Williams
Clinical Social Work/Therapist, MSS, LSW
Verified Verified
Media, PA 19063
Sometimes, life is really hard. Difficult experiences and past traumas can leave us feeling anxious, overwhelmed, shut down and alone. Relief and some hope would feel so welcome right now. Together we'll find a path to peace and balance. We will get to know the parts of you that may be carrying anxiety, depression, shame, fear, relationship issues, addictions, grief, loss, or other experiences.
Sometimes, life is really hard. Difficult experiences and past traumas can leave us feeling anxious, overwhelmed, shut down and alone. Relief and some hope would feel so welcome right now. Together we'll find a path to peace and balance. We will get to know the parts of you that may be carrying anxiety, depression, shame, fear, relationship issues, addictions, grief, loss, or other experiences.
(484) 642-0818 View (484) 642-0818
Photo of Clifford Richmond, Marriage & Family Therapist in Media, PA
Clifford Richmond
Marriage & Family Therapist, MA, LMFT
Verified Verified
Media, PA 19063
I deeply believe in the power of the family. When you are facing disconnection, fighting with your family, or struggling with your relationships, it can feel overwhelming and hopeless. But, there's so much to be hopeful for. At Thriving Families Center, we are dedicated to providing high-quality, evidence-based therapy to help every member of your family heal and thrive. With an approach that focuses on helping each individual become their healthiest self and connect as a family unit, our team at Thriving Families can help you get where you need to be.
I deeply believe in the power of the family. When you are facing disconnection, fighting with your family, or struggling with your relationships, it can feel overwhelming and hopeless. But, there's so much to be hopeful for. At Thriving Families Center, we are dedicated to providing high-quality, evidence-based therapy to help every member of your family heal and thrive. With an approach that focuses on helping each individual become their healthiest self and connect as a family unit, our team at Thriving Families can help you get where you need to be.
(484) 309-1734 View (484) 309-1734
Photo of Megan Ellow, Clinical Social Work/Therapist in Media, PA
Megan Ellow
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Media, PA 19063  (Online Only)
Are you overwhelmed, anxious or stressed out all the time? Maybe you had an expectation about what life might be like but the reality is so much harder. You just want to feel better, to be happy and connected. Instead of enjoying your time with your family, you just feel angry or anxious all the time.
Are you overwhelmed, anxious or stressed out all the time? Maybe you had an expectation about what life might be like but the reality is so much harder. You just want to feel better, to be happy and connected. Instead of enjoying your time with your family, you just feel angry or anxious all the time.
(302) 405-7206 View (302) 405-7206
Photo of Ashley L Hardy, Clinical Social Work/Therapist in Media, PA
Ashley L Hardy
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063  (Online Only)
Hi! I’m Ashley, and my mission is to help individuals and couples navigate life’s difficulties to become the best possible versions of themselves. Both my clinical and personal experiences have taught me that, though we cannot control everything, we can control our behaviors, perspectives, beliefs, actions, and HEALING. I plan to equip you with the tools needed to promote your overall well-being and facilitate lasting positive change. In addition, I run a support group for women struggling with infertility.
Hi! I’m Ashley, and my mission is to help individuals and couples navigate life’s difficulties to become the best possible versions of themselves. Both my clinical and personal experiences have taught me that, though we cannot control everything, we can control our behaviors, perspectives, beliefs, actions, and HEALING. I plan to equip you with the tools needed to promote your overall well-being and facilitate lasting positive change. In addition, I run a support group for women struggling with infertility.
(484) 209-1103 View (484) 209-1103
Photo of Ian Sherman, Clinical Social Work/Therapist in Media, PA
Ian Sherman
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Media, PA 19063
We are conditioned to avoid pain and we think and behave in certain ways learned through our upbringing, culture and other life experiences. At times the way we interpret situations in our lives can impact the way we relate to others, especially our signifant other, in both a negative and positive way. Therapy gives us the opportunity to reflect on these experiences and interpretations of our world in order to recognize what no longer serves us. Sometimes all we need is the right guidance to get on the right course of action for growth.
We are conditioned to avoid pain and we think and behave in certain ways learned through our upbringing, culture and other life experiences. At times the way we interpret situations in our lives can impact the way we relate to others, especially our signifant other, in both a negative and positive way. Therapy gives us the opportunity to reflect on these experiences and interpretations of our world in order to recognize what no longer serves us. Sometimes all we need is the right guidance to get on the right course of action for growth.
(215) 586-7450 View (215) 586-7450
Photo of Marcelle Blair, Clinical Social Work/Therapist in Media, PA
Marcelle Blair
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063
Waitlist for new clients
Despite challenges one may face in their life or family; a happy, healthy, well-adjusted life can be possible with support. For many years I have valued being a psychotherapist. I provide clinical supervision to social workers and professional counselors seeking a LCSW and/or LPC certification. I have an ever increasing passion to help improve relationships at work, in families and marriages . I support those with stress and mood disorders like anxiety. If you are an essential worker, including mental health professional, or the family member anyone in the helping profession - I get it. We should talk.
Despite challenges one may face in their life or family; a happy, healthy, well-adjusted life can be possible with support. For many years I have valued being a psychotherapist. I provide clinical supervision to social workers and professional counselors seeking a LCSW and/or LPC certification. I have an ever increasing passion to help improve relationships at work, in families and marriages . I support those with stress and mood disorders like anxiety. If you are an essential worker, including mental health professional, or the family member anyone in the helping profession - I get it. We should talk.
(610) 679-9471 View (610) 679-9471
Photo of Leigh Ann Carter, Psychologist in Media, PA
Leigh Ann Carter
Psychologist, PsyD
Verified Verified
5 Endorsed
Media, PA 19063
I am a licensed psychologist providing psychotherapy services for individuals (ages 16+) experiencing anxiety, depression, women’s issues, self-esteem, grief/loss, relationship concerns, LGBTQ+ identity work, and life transitions. I also have extensive experience working with college/graduate student populations and professionals struggling with self-care and work-life balance. I believe in helping people work towards their goals by better understanding the issues and patterns that bring them to psychotherapy and exploring areas for change. I have co-authored the book Self-Care for Clinicians in Training.
I am a licensed psychologist providing psychotherapy services for individuals (ages 16+) experiencing anxiety, depression, women’s issues, self-esteem, grief/loss, relationship concerns, LGBTQ+ identity work, and life transitions. I also have extensive experience working with college/graduate student populations and professionals struggling with self-care and work-life balance. I believe in helping people work towards their goals by better understanding the issues and patterns that bring them to psychotherapy and exploring areas for change. I have co-authored the book Self-Care for Clinicians in Training.
(484) 326-3973 View (484) 326-3973
Photo of Christina Mitrofanis, Psychologist in Media, PA
Christina Mitrofanis
Psychologist, PsyD, MEd
Verified Verified
2 Endorsed
Media, PA 19063  (Online Only)
Having ADHD can often feel like a daily battle with yourself to accomplish tasks, maintain relationships, and attend to your own needs, but it doesn’t have to be that way. Learning how to work with rather than against your ADHD can be a transformative experience, and I would be honored to work with you through this journey. Together in therapy, we can work to tackle the challenges of ADHD while also bolstering your natural strengths and coming into and honoring your most authentic self. I work to create a therapeutic space that is constructive, creative, and above all compassionate. I can’t wait to welcome you in.
Having ADHD can often feel like a daily battle with yourself to accomplish tasks, maintain relationships, and attend to your own needs, but it doesn’t have to be that way. Learning how to work with rather than against your ADHD can be a transformative experience, and I would be honored to work with you through this journey. Together in therapy, we can work to tackle the challenges of ADHD while also bolstering your natural strengths and coming into and honoring your most authentic self. I work to create a therapeutic space that is constructive, creative, and above all compassionate. I can’t wait to welcome you in.
(610) 719-3145 View (610) 719-3145
Photo of Teyanna Brunson, Pre-Licensed Professional in Media, PA
Teyanna Brunson
Pre-Licensed Professional
Verified Verified
Media, PA 19063
Teyanna Brunson is a master’s level clinician with a certificate in forensic psychology. She has had the pleasure of working with a variety of clients. She has worked with children with autism spectrum disorder, ODD, ADHD, and conduct disorder. She has also worked with adults from the ages of 18-93. Teyanna specializes in trauma, PTSD, sexual trauma, substance use, depression, grief, and postpartum. Teyanna recently graduated from Rosemont College with a degree in Clinical Mental Health Counseling. She received her undergraduate education from Shippensburg University, where she received her BA in Psychology with a minor in Biology.
Teyanna Brunson is a master’s level clinician with a certificate in forensic psychology. She has had the pleasure of working with a variety of clients. She has worked with children with autism spectrum disorder, ODD, ADHD, and conduct disorder. She has also worked with adults from the ages of 18-93. Teyanna specializes in trauma, PTSD, sexual trauma, substance use, depression, grief, and postpartum. Teyanna recently graduated from Rosemont College with a degree in Clinical Mental Health Counseling. She received her undergraduate education from Shippensburg University, where she received her BA in Psychology with a minor in Biology.
(610) 638-6715 View (610) 638-6715
Photo of Katie Brugger, Licensed Professional Counselor in Media, PA
Katie Brugger
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Katie Brugger is a Licensed Professional Counselor with 14 years of experience working with children, adolescents, and families. Her professional experience includes school counseling in public and cyber schools, individual and group therapy for children and adolescents, early intervention services for special needs, early childhood education, and outpatient clinical therapy. Katie specializes in emotional issues, adjustment challenges, ADHD, family relationship issues, and teaching children healthy coping skills.
Katie Brugger is a Licensed Professional Counselor with 14 years of experience working with children, adolescents, and families. Her professional experience includes school counseling in public and cyber schools, individual and group therapy for children and adolescents, early intervention services for special needs, early childhood education, and outpatient clinical therapy. Katie specializes in emotional issues, adjustment challenges, ADHD, family relationship issues, and teaching children healthy coping skills.
(610) 609-8346 View (610) 609-8346
Photo of Samantha Zajdel, Pre-Licensed Professional in Media, PA
Samantha Zajdel
Pre-Licensed Professional, MS, LPC-I
Verified Verified
Media, PA 19063
My therapeutic role at the Social Enrichment Center, a center specializing in social and behavioral therapy, offers me unique experience working with a spectrum of emotional, social, and behavioral manifestations related to autism, anxiety, depression, and ADHD. I have six years of experience working with autism, anxiety, and depressive disorder, so I strive to help clients understand and manage dynamic emotions. I often facilitate awareness and identification of each clients’ thoughts and internal monologue during sessions because I have specialized training in cognitive-behavioral therapy.
My therapeutic role at the Social Enrichment Center, a center specializing in social and behavioral therapy, offers me unique experience working with a spectrum of emotional, social, and behavioral manifestations related to autism, anxiety, depression, and ADHD. I have six years of experience working with autism, anxiety, and depressive disorder, so I strive to help clients understand and manage dynamic emotions. I often facilitate awareness and identification of each clients’ thoughts and internal monologue during sessions because I have specialized training in cognitive-behavioral therapy.
(484) 218-2675 View (484) 218-2675
Photo of Grace Ciminera, Clinical Social Work/Therapist in Media, PA
Grace Ciminera
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063  (Online Only)
Waitlist for new clients
Are you struggling with feelings of uncertainty, anxiety, or stress? Are you feeling disconnected? You are not alone. I am here to help you explore your feelings, heal from the past, and prepare for the future. I will support and guide you toward creating positive change and building upon your strengths. I will work collaboratively with you to explore connections between your past, thoughts, and feelings and how you interact with the world.
Are you struggling with feelings of uncertainty, anxiety, or stress? Are you feeling disconnected? You are not alone. I am here to help you explore your feelings, heal from the past, and prepare for the future. I will support and guide you toward creating positive change and building upon your strengths. I will work collaboratively with you to explore connections between your past, thoughts, and feelings and how you interact with the world.
(267) 651-0525 View (267) 651-0525
Photo of Karina Suero, Marriage & Family Therapist in Media, PA
Karina Suero
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Media, PA 19063
Being a parent seems harder everyday. After trying everything, nothing seems to work. It feels helpless. Is there anything you can do? If your child seems to be living in other world, where there is no space for you, we need to find a way to reach out. If your child is out of control, leaving the house and/or being aggressive, we need to think what can be done. If your child is cutting, or increasingly more isolated, your influence is very, very important. Call me and let’s explore solutions. Together.
Being a parent seems harder everyday. After trying everything, nothing seems to work. It feels helpless. Is there anything you can do? If your child seems to be living in other world, where there is no space for you, we need to find a way to reach out. If your child is out of control, leaving the house and/or being aggressive, we need to think what can be done. If your child is cutting, or increasingly more isolated, your influence is very, very important. Call me and let’s explore solutions. Together.
(484) 441-0508 View (484) 441-0508
Photo of Arohi Counseling, LLC, Clinical Social Work/Therapist in Media, PA
Arohi Counseling, LLC
Clinical Social Work/Therapist, PhD, LCSW, CCS, CAADC, CCDP-D
Verified Verified
Media, PA 19063  (Online Only)
We effectively work with individuals with addiction & mental health issues which include depression, anxiety, stress, anger, sexual abuse, low self-esteem, impulsivity, trauma, bipolar disorder, PTSD, personality disorder, schizophrenia, codependency, & relationship issues. They want us to assist them in recognizing their true potential & achieving their goals. They want us to guide, support, encourage, empower, & help them to recognize the error in their thinking. We partner with them to prioritize & assist them in resolving their issues. They want to learn coping skills, how to make better choices, and lead a healthy life.
We effectively work with individuals with addiction & mental health issues which include depression, anxiety, stress, anger, sexual abuse, low self-esteem, impulsivity, trauma, bipolar disorder, PTSD, personality disorder, schizophrenia, codependency, & relationship issues. They want us to assist them in recognizing their true potential & achieving their goals. They want us to guide, support, encourage, empower, & help them to recognize the error in their thinking. We partner with them to prioritize & assist them in resolving their issues. They want to learn coping skills, how to make better choices, and lead a healthy life.
(484) 214-2506 View (484) 214-2506
Photo of DBT Center of Media, Licensed Professional Counselor in Media, PA
DBT Center of Media
Licensed Professional Counselor, MPhil, LPC, LBC-DBT
Verified Verified
3 Endorsed
Media, PA 19063
I am currently on a waitlist for individual therapy. The decision to seek treatment is not an easy one because the therapeutic process requires you to share your experiences, emotions and concerns with someone whom you've just met. I'm aware that this is often what makes people hesitant to attend therapy and I am hopeful that my personality as a therapist will help you to feel comfortable enough to participate in sessions with me. I am passionate about my profession as a Licensed Professional Counselor and I'm dedicated to helping adults and young adults find balance in their lives and happiness in their relationships.
I am currently on a waitlist for individual therapy. The decision to seek treatment is not an easy one because the therapeutic process requires you to share your experiences, emotions and concerns with someone whom you've just met. I'm aware that this is often what makes people hesitant to attend therapy and I am hopeful that my personality as a therapist will help you to feel comfortable enough to participate in sessions with me. I am passionate about my profession as a Licensed Professional Counselor and I'm dedicated to helping adults and young adults find balance in their lives and happiness in their relationships.
(484) 443-0157 View (484) 443-0157
Photo of Edward Friel, Licensed Professional Counselor in Media, PA
Edward Friel
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Ted received his Masters in Professional Counseling from Lasalle University and is a Licensed Professional Counselor with over 15 years of experience with in-patient and out-patient services for a wide range of diagnoses, including Autism Spectrum Disorder, developmental delays, conduct disorders, addictions, mood disorders, anxiety, ADHD, and depression. He specializes in working with children, adolescents, and their families to help manage life while navigating their unique circumstances in a safe, caring environment. He also works with adult individuals and couples dealing with anxiety, depression, mood disorders, and addictions.
Ted received his Masters in Professional Counseling from Lasalle University and is a Licensed Professional Counselor with over 15 years of experience with in-patient and out-patient services for a wide range of diagnoses, including Autism Spectrum Disorder, developmental delays, conduct disorders, addictions, mood disorders, anxiety, ADHD, and depression. He specializes in working with children, adolescents, and their families to help manage life while navigating their unique circumstances in a safe, caring environment. He also works with adult individuals and couples dealing with anxiety, depression, mood disorders, and addictions.
(484) 989-9835 View (484) 989-9835

How does your Therapist compare?

Number of Therapists in Media, PA

300+

Average cost per session

$150

Therapists in Media, PA who prioritize treating:

92% Anxiety
86% Depression
71% Relationship Issues
69% Self Esteem
67% Trauma and PTSD
60% Stress
59% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

83% Aetna
66% Highmark
57% UnitedHealthcare UHC | UBH

How Therapists in Media, PA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Media?

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.