Therapists in Mountlake Terrace, WA

Photo of Emily Rose Counseling, Counselor in Mountlake Terrace, WA
Emily Rose Counseling
Counselor, LMHC
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
Not accepting new clients
Welcome to my practice. I know that taking the first step to therapy can be scary. I want to create a safe space for my clients to feel comfortable opening up and exploring what issues are bringing them in to therapy. I have experience working with a wide variety of clients from many different backgrounds. I enjoy getting to know the client as an individual and use a wide range of techniques specific to that individual. I want my clients to feel secure and know that they are not being judged in my presence. I enjoy making a difference in the lives of my clients and helping them achieve their goals.
Welcome to my practice. I know that taking the first step to therapy can be scary. I want to create a safe space for my clients to feel comfortable opening up and exploring what issues are bringing them in to therapy. I have experience working with a wide variety of clients from many different backgrounds. I enjoy getting to know the client as an individual and use a wide range of techniques specific to that individual. I want my clients to feel secure and know that they are not being judged in my presence. I enjoy making a difference in the lives of my clients and helping them achieve their goals.
(206) 458-6571 View (206) 458-6571
Photo of Jeff George Roth, Counselor in Mountlake Terrace, WA
Jeff George Roth
Counselor, MA, LMHC
Verified Verified
Mountlake Terrace, WA 98043
I am passionate about working with motivated individuals who are ready to take on the courageous task of embracing and accepting their lessons in life and are looking for a guide to help navigate the Great Mystery. I am strength based, challenging in a supportive way and really like to work with clients to help them learn skills to manage anxiety, depression, grief, substance abuse, communicate with others more effectively, manage life transitions, engage in spiritual development and learn how to cultivate relationships as well as have clear intention about life's potential meaning and purpose.
I am passionate about working with motivated individuals who are ready to take on the courageous task of embracing and accepting their lessons in life and are looking for a guide to help navigate the Great Mystery. I am strength based, challenging in a supportive way and really like to work with clients to help them learn skills to manage anxiety, depression, grief, substance abuse, communicate with others more effectively, manage life transitions, engage in spiritual development and learn how to cultivate relationships as well as have clear intention about life's potential meaning and purpose.
(425) 678-3591 x170 View (425) 678-3591 x170
Photo of Amber Saldivar Counseling, Counselor in Mountlake Terrace, WA
Amber Saldivar Counseling
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Mountlake Terrace, WA 98043
Are you struggling with challenges that feel insurmountable? Are you feeling alone and need a trusted guide on your healing journey? I've walked on a healing path for the past 2 decades, and know the difficulties and rewards of healing and changing. I see you as the expert on yourself, and my role as one who comes alongside to journey with you: to listen, to notice your strengths, and to help you leverage them to face your challenges. It would be an honor to work with you to create the future your heart longs for, a future in which you are thriving: free to fully employ your talents and live out your purpose in this world.
Are you struggling with challenges that feel insurmountable? Are you feeling alone and need a trusted guide on your healing journey? I've walked on a healing path for the past 2 decades, and know the difficulties and rewards of healing and changing. I see you as the expert on yourself, and my role as one who comes alongside to journey with you: to listen, to notice your strengths, and to help you leverage them to face your challenges. It would be an honor to work with you to create the future your heart longs for, a future in which you are thriving: free to fully employ your talents and live out your purpose in this world.
(425) 600-7786 View (425) 600-7786
Photo of Neha Tariq, Counselor in Mountlake Terrace, WA
Neha Tariq
Counselor, LMHCA
Verified Verified
Mountlake Terrace, WA 98043
My approach to counseling is through the lens of trauma which allows me to be empathetic to the various life events that my clients have experienced and how those events shape their worldview and how they navigate it. I have experience working with clients ages 4-20+ who have experienced physical and sexual abuse, as well as those struggling with trauma, anxiety, depression, relationship issues, shame, guilt, and so much more. I have also facilitated teen support groups and parenting support groups for mothers with newborns.
My approach to counseling is through the lens of trauma which allows me to be empathetic to the various life events that my clients have experienced and how those events shape their worldview and how they navigate it. I have experience working with clients ages 4-20+ who have experienced physical and sexual abuse, as well as those struggling with trauma, anxiety, depression, relationship issues, shame, guilt, and so much more. I have also facilitated teen support groups and parenting support groups for mothers with newborns.
(425) 470-6620 x9440 View (425) 470-6620 x9440
Photo of Neera Mehta, Counselor in Mountlake Terrace, WA
Neera Mehta
Counselor, MS, LMHC
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
My approach to therapy is focused on being collaborative, didactic and solution focused, while utilizing multicultural counseling competencies. My experience includes working in community mental health, K-12 schools, 2-year colleges and private practice, where I have addressed a variety of issues including anxiety, depression, stress, perfectionism, transitions, racism, and multicultural issues. My primary interest is in working with adults motivated to engage in the process of personal growth.
My approach to therapy is focused on being collaborative, didactic and solution focused, while utilizing multicultural counseling competencies. My experience includes working in community mental health, K-12 schools, 2-year colleges and private practice, where I have addressed a variety of issues including anxiety, depression, stress, perfectionism, transitions, racism, and multicultural issues. My primary interest is in working with adults motivated to engage in the process of personal growth.
(206) 203-5761 View (206) 203-5761
Photo of Meara Harrington, Counselor in Mountlake Terrace, WA
Meara Harrington
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043  (Online Only)
Congratulations on taking the first steps to becoming the person you want to be. I believe in empowering people to overcome the difficulties in their lives. My passion is helping clients to overcome barriers to living their best life by bringing out their inner strength, using therapy for insight, self-exploration, healing, and personal growth. My theoretical approach is eclectic and relational. Together we can explore how your personal history and learned habits may influence your emotions, coping patterns, and behaviors,- ultimately affecting your sense of self for the better.
Congratulations on taking the first steps to becoming the person you want to be. I believe in empowering people to overcome the difficulties in their lives. My passion is helping clients to overcome barriers to living their best life by bringing out their inner strength, using therapy for insight, self-exploration, healing, and personal growth. My theoretical approach is eclectic and relational. Together we can explore how your personal history and learned habits may influence your emotions, coping patterns, and behaviors,- ultimately affecting your sense of self for the better.
(425) 225-3775 View (425) 225-3775
Photo of Mikaela Quintinita, Marriage & Family Therapist in Mountlake Terrace, WA
Mikaela Quintinita
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043  (Online Only)
Life often feels messy and leaves people forgetting our own worth, brilliance, and capability. Clients may be so overwhelmed by everything going on in their lives by the time they come to therapy that emotions become challenging to cope with, let alone understand. I take a collaborative strengths-based approach by empowering clients to examine and challenge the stories that they have come to believe about themselves. I seek to provide a safe space for you to understand your own life story and the contextual factors that impact that story and to grow more into your own authentic Self.
Life often feels messy and leaves people forgetting our own worth, brilliance, and capability. Clients may be so overwhelmed by everything going on in their lives by the time they come to therapy that emotions become challenging to cope with, let alone understand. I take a collaborative strengths-based approach by empowering clients to examine and challenge the stories that they have come to believe about themselves. I seek to provide a safe space for you to understand your own life story and the contextual factors that impact that story and to grow more into your own authentic Self.
(425) 363-9442 View (425) 363-9442
Photo of Deborah Jean Magnuson, Counselor in Mountlake Terrace, WA
Deborah Jean Magnuson
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043  (Online Only)
I am accepting new clients mornings and early afternoons most weekdays. My ideal clients are those who have felt excluded or judged because of their gender, illness status, diversity, sexual orientation, or religion. I believe everyone has the right to live their individual best lives, regardless of barriers they may face.
I am accepting new clients mornings and early afternoons most weekdays. My ideal clients are those who have felt excluded or judged because of their gender, illness status, diversity, sexual orientation, or religion. I believe everyone has the right to live their individual best lives, regardless of barriers they may face.
(425) 585-2532 View (425) 585-2532
Photo of Celia Palmer, Counselor in Mountlake Terrace, WA
Celia Palmer
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Mountlake Terrace, WA 98043
Do you feel stuck and unsure of how to move forward? Are you ready to step into your personal power? I work with adults in individual counseling and transpersonal life coaching to develop the awareness and tools to progress. As a positive working relationship is the foundation for successful work, I focus on building a strong rapport with my client and co-creating the healing experience that will meet my client's goals.
Do you feel stuck and unsure of how to move forward? Are you ready to step into your personal power? I work with adults in individual counseling and transpersonal life coaching to develop the awareness and tools to progress. As a positive working relationship is the foundation for successful work, I focus on building a strong rapport with my client and co-creating the healing experience that will meet my client's goals.
(425) 654-2647 View (425) 654-2647
Photo of Lucy Bosche, Clinical Social Work/Therapist in Mountlake Terrace, WA
Lucy Bosche
Clinical Social Work/Therapist, LICSW
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
Mental health challenges can cause us to feel like we are waging a daily, silent war with ourselves. Physical tension and racing thoughts may seem to consume the entirety of your being and yet, deep down, a part of you has a sense that this is not really you. I know it is not you, too. I believe so deeply in your resilience, innate well-being, and ability to thrive beyond your current experience of anxiety and tension. I help individuals experiencing OCD, eating disorders, generalized anxiety, and patterns of addiction to live a life beyond symptom management.
Mental health challenges can cause us to feel like we are waging a daily, silent war with ourselves. Physical tension and racing thoughts may seem to consume the entirety of your being and yet, deep down, a part of you has a sense that this is not really you. I know it is not you, too. I believe so deeply in your resilience, innate well-being, and ability to thrive beyond your current experience of anxiety and tension. I help individuals experiencing OCD, eating disorders, generalized anxiety, and patterns of addiction to live a life beyond symptom management.
(360) 504-4452 x1 View (360) 504-4452 x1
Photo of AnnJeannette(Annette) Mead, Counselor in Mountlake Terrace, WA
AnnJeannette(Annette) Mead
Counselor, MS, LMHC, NCC
Verified Verified
Mountlake Terrace, WA 98043
Hello there, and thanks for taking the time to look at my profile! Since a young age, I have been passionate about mental health, mindfulness, and becoming the best possible therapist for my clients. I have my own private practice called Annette's Mindful Therapy Practice (PLLC). Currently I work with Mindful Therapy Group. I'm looking forward to meeting you, and answering any questions you may have!
Hello there, and thanks for taking the time to look at my profile! Since a young age, I have been passionate about mental health, mindfulness, and becoming the best possible therapist for my clients. I have my own private practice called Annette's Mindful Therapy Practice (PLLC). Currently I work with Mindful Therapy Group. I'm looking forward to meeting you, and answering any questions you may have!
(360) 818-4091 View (360) 818-4091
Photo of Laura Dupper, Clinical Social Work/Therapist in Mountlake Terrace, WA
Laura Dupper
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Mountlake Terrace, WA 98043
I am originally from Knoxville, Tennessee and have been thrilled to call New York City home for the last 6 years. I studied Theatre and Psychology at Southern Methodist University, and obtained my masters in Social Work from The University of Tennessee. I work with adults experiencing Depression, Anxiety, PTSD, ADHD, and Bipolar Disorder. I am certified in trauma treatment, and my work with clients seeks to help them gain new perspectives on current and traumatic past experiences impacting how they perceive the world. Additionally, I incorporate embodiment, somatic practices, CBT, DBT, and ACT models in my work with clients.
I am originally from Knoxville, Tennessee and have been thrilled to call New York City home for the last 6 years. I studied Theatre and Psychology at Southern Methodist University, and obtained my masters in Social Work from The University of Tennessee. I work with adults experiencing Depression, Anxiety, PTSD, ADHD, and Bipolar Disorder. I am certified in trauma treatment, and my work with clients seeks to help them gain new perspectives on current and traumatic past experiences impacting how they perceive the world. Additionally, I incorporate embodiment, somatic practices, CBT, DBT, and ACT models in my work with clients.
(425) 842-1905 View (425) 842-1905
Photo of Micaela Leavell, Clinical Social Work/Therapist in Mountlake Terrace, WA
Micaela Leavell
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043
Micaela is a passionate, empathetic therapist whose approach is based in collaboration, humor, and the therapeutic relationship. As a multi-racial, cis-gender woman, and AuDHD human, Micaela strives to utilize her privilege to advocate for changes in oppressive systems while also understanding the difficulties one can face. Micaela understands the importance of tackling the intersectional identities of those with whom she works. She strives to practice therapy in a compassionate manner and to practice critical self-awareness, through eliciting feedback throughout the therapeutic process.
Micaela is a passionate, empathetic therapist whose approach is based in collaboration, humor, and the therapeutic relationship. As a multi-racial, cis-gender woman, and AuDHD human, Micaela strives to utilize her privilege to advocate for changes in oppressive systems while also understanding the difficulties one can face. Micaela understands the importance of tackling the intersectional identities of those with whom she works. She strives to practice therapy in a compassionate manner and to practice critical self-awareness, through eliciting feedback throughout the therapeutic process.
(206) 401-7833 View (206) 401-7833
Photo of Anne Davis, Counselor in Mountlake Terrace, WA
Anne Davis
Counselor, MA, LMHC
Verified Verified
Mountlake Terrace, WA 98043
I work with women who are struggling with symptoms related to trauma, grief, depression, and chronic illness. I believe it is possible not only to recover, but to achieve greater resilience and post-traumatic growth. My goal will always be to help you find hope and strength in your journey while building greater insights and coping strategies. I hope to support and empower you to rise unbroken from whatever challenges you may face.
I work with women who are struggling with symptoms related to trauma, grief, depression, and chronic illness. I believe it is possible not only to recover, but to achieve greater resilience and post-traumatic growth. My goal will always be to help you find hope and strength in your journey while building greater insights and coping strategies. I hope to support and empower you to rise unbroken from whatever challenges you may face.
(425) 470-6625 x1 View (425) 470-6625 x1
Photo of Jessica Oftebro in Mountlake Terrace, WA
Jessica Oftebro
PharmD, MA, LMHCA
Verified Verified
Mountlake Terrace, WA 98043
I specialize in the treatment of OCD and anxiety in youth and adults utilizing evidence-based interventions (E/RP & CBT), as well as treatment of depression, ADHD, and related conditions. My approach to therapy is holistic and collaborative, based on your unique goals and needs.
I specialize in the treatment of OCD and anxiety in youth and adults utilizing evidence-based interventions (E/RP & CBT), as well as treatment of depression, ADHD, and related conditions. My approach to therapy is holistic and collaborative, based on your unique goals and needs.
View
Photo of Nicole Nagle in Mountlake Terrace, WA
Nicole Nagle
MS, LMHCA
Verified Verified
Mountlake Terrace, WA 98043
Being a human can be hard work! Day-to-day challenges can range from the simply annoying to the downright overwhelming. By providing a safe and supportive environment, I help clients find answers, expand their perspectives, and build healthy habits. Using a mixture of assessment and therapeutic intervention, I am committed to assisting you in achieving your best life… and who knows, maybe we’ll have a little fun along the way!
Being a human can be hard work! Day-to-day challenges can range from the simply annoying to the downright overwhelming. By providing a safe and supportive environment, I help clients find answers, expand their perspectives, and build healthy habits. Using a mixture of assessment and therapeutic intervention, I am committed to assisting you in achieving your best life… and who knows, maybe we’ll have a little fun along the way!
(425) 409-5705 View (425) 409-5705
Photo of Deborah L Weiner, Clinical Social Work/Therapist in Mountlake Terrace, WA
Deborah L Weiner
Clinical Social Work/Therapist, LICSW
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
I work with adults 18 years and older and focus on issues of depression, self-worth, identity, anxiety, and perinatal & parenting concerns. I am able to hear people's struggles and stories and work collaboratively to build and strengthen coping skills that work. That might mean using DBT, EMDR, or a combination of several therapeutic tools. I am comfortable working cross culturally and enjoy working with a wide variety of people with different backgrounds, ages, gender identities, sexual orientations, and immigrant experiences. I have experience working with diversity throughout my career.
I work with adults 18 years and older and focus on issues of depression, self-worth, identity, anxiety, and perinatal & parenting concerns. I am able to hear people's struggles and stories and work collaboratively to build and strengthen coping skills that work. That might mean using DBT, EMDR, or a combination of several therapeutic tools. I am comfortable working cross culturally and enjoy working with a wide variety of people with different backgrounds, ages, gender identities, sexual orientations, and immigrant experiences. I have experience working with diversity throughout my career.
(425) 217-0468 View (425) 217-0468
Photo of Olivia Dorn, Counselor in Mountlake Terrace, WA
Olivia Dorn
Counselor
Verified Verified
Mountlake Terrace, WA 98043
Hello, I’m Dr. Olivia! I am a psychologist who specializes in working with adolescents and young adults that have been through traumatic events. For those who want to move towards healing, you shouldn't have to do it alone. For those tired of barely holding it together or those who have lost their self, my goal is to empower you to re-discover a "you" that's worth the fight. Therapy takes courage, and since you're here on this page, you've already started your journey and should be proud.
Hello, I’m Dr. Olivia! I am a psychologist who specializes in working with adolescents and young adults that have been through traumatic events. For those who want to move towards healing, you shouldn't have to do it alone. For those tired of barely holding it together or those who have lost their self, my goal is to empower you to re-discover a "you" that's worth the fight. Therapy takes courage, and since you're here on this page, you've already started your journey and should be proud.
(425) 357-7452 View (425) 357-7452
Photo of Junae Lynette Ilimaleota, Counselor in Mountlake Terrace, WA
Junae Lynette Ilimaleota
Counselor, MA, MHP, LMHC
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
Emotions can be both wonderful and scary. Feeling alone in a crowd, or feeling crowded when alone, can happen to anyone. We may ask ourselves: "What am I afraid of?", "Why am I angry?", "Why did I just do that?", or "Why is this happening?" We may also tell ourselves, "I don't deserve this.", "I always mess things up.", or "No one can help me." If you can relate to these types of questions or statements, I may be able to help.
Emotions can be both wonderful and scary. Feeling alone in a crowd, or feeling crowded when alone, can happen to anyone. We may ask ourselves: "What am I afraid of?", "Why am I angry?", "Why did I just do that?", or "Why is this happening?" We may also tell ourselves, "I don't deserve this.", "I always mess things up.", or "No one can help me." If you can relate to these types of questions or statements, I may be able to help.
(425) 448-5621 View (425) 448-5621
Photo of Andrea Jensen, Mental Health Counselor Associate in Mountlake Terrace, WA
Andrea Jensen
Mental Health Counselor Associate , MA, LMHCA
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
My goal is to help rehabilitate and uplift 1,000 people through therapeutic treatment, online psychoeducation, and my workbooks. Yogananda said it best, “A person who has reformed themselves will reform thousands.” Currently, I am working in private practice treating kids as young as 8 to adult clients for trauma, depression, anxiety, and interpersonal issues. I use many modalities in treatment including CBT, DBT, attachment theory, interpersonal outcomes method, boundaries, mindfulness, meditation, art therapy, and lifespan integration.
My goal is to help rehabilitate and uplift 1,000 people through therapeutic treatment, online psychoeducation, and my workbooks. Yogananda said it best, “A person who has reformed themselves will reform thousands.” Currently, I am working in private practice treating kids as young as 8 to adult clients for trauma, depression, anxiety, and interpersonal issues. I use many modalities in treatment including CBT, DBT, attachment theory, interpersonal outcomes method, boundaries, mindfulness, meditation, art therapy, and lifespan integration.
(425) 584-5617 View (425) 584-5617

See more therapy options for Mountlake Terrace

How does your Therapist compare?

Number of Therapists in Mountlake Terrace, WA

100+

Average cost per session

$140

Therapists in Mountlake Terrace, WA who prioritize treating:

91% Anxiety
88% Depression
75% Self Esteem
72% Relationship Issues
71% Stress
70% Trauma and PTSD
68% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

78% Premera
75% Aetna
75% Cigna and Evernorth

How Therapists in Mountlake Terrace, WA see their clients

53% Online Only
47% In Person and Online

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mountlake Terrace?

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.