Therapists in Saint Helena Island, SC

Photo of Mary Bennett Pickens, Licensed Professional Counselor in Saint Helena Island, SC
Mary Bennett Pickens
Licensed Professional Counselor, MEd, EdS, NCC
Verified Verified
Saint Helena Island, SC 29920
Not accepting new clients
At Travelers Rest Counseling Associates, we believe that people flourish when they authentically contribute to their communities. But for many, this feels impossible because of depression, anxiety, trauma, marital strife, lack of motivation, or any number of other issues. We can help by listening, treating you with dignity, withholding judgment, and working with you to find ways to live a fulfilling life.
At Travelers Rest Counseling Associates, we believe that people flourish when they authentically contribute to their communities. But for many, this feels impossible because of depression, anxiety, trauma, marital strife, lack of motivation, or any number of other issues. We can help by listening, treating you with dignity, withholding judgment, and working with you to find ways to live a fulfilling life.
(843) 593-0909 View (843) 593-0909
Photo of Lawson Metts, Licensed Professional Counselor in Saint Helena Island, SC
Lawson Metts
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Helena Island, SC 29920
Accepting new clients with some after school availability. Is your child struggling with anxiety, depression, friendships, grief, or school related issues? Do you ever feel like you don’t know how to help them deal with these things? I give children the safe space they need to process their feelings about life and their emotions. I can assist parents with supporting their child while helping them gain the skills to assist behaviors at home. I know that it can seem overwhelming to reach out for counseling especially for your child but I am here to help guide and support you through this process.
Accepting new clients with some after school availability. Is your child struggling with anxiety, depression, friendships, grief, or school related issues? Do you ever feel like you don’t know how to help them deal with these things? I give children the safe space they need to process their feelings about life and their emotions. I can assist parents with supporting their child while helping them gain the skills to assist behaviors at home. I know that it can seem overwhelming to reach out for counseling especially for your child but I am here to help guide and support you through this process.
(843) 352-8418 View (843) 352-8418

More Therapists Nearby

Photo of Ashley Gruber, Licensed Professional Counselor in Saint Helena Island, SC
Ashley Gruber
Licensed Professional Counselor, LPC, NCC
Verified Verified
Beaufort, SC 29907  (Online Only)
Welcome! Like sea glass, it can take time and endurance to evolve into your best self; for life’s transitions, traumas and stressors to smooth. I offer an experienced, client-centered approach providing the confidentiality, safe space and highly customized positive guidance to help you become more functional, seek emotional relief, and identify your next steps. Through individualized sessions, I actively partner with you to process challenges and outline potential ways to maintain control in your life. You are in charge of deciding what changes you want to make—I provide the structure to help.
Welcome! Like sea glass, it can take time and endurance to evolve into your best self; for life’s transitions, traumas and stressors to smooth. I offer an experienced, client-centered approach providing the confidentiality, safe space and highly customized positive guidance to help you become more functional, seek emotional relief, and identify your next steps. Through individualized sessions, I actively partner with you to process challenges and outline potential ways to maintain control in your life. You are in charge of deciding what changes you want to make—I provide the structure to help.
(843) 929-7170 View (843) 929-7170
Photo of Karen Kraul, Clinical Social Work/Therapist in Saint Helena Island, SC
Karen Kraul
Clinical Social Work/Therapist, LCSW, LISW-CP, LAC
Verified Verified
Beaufort, SC 29902
Waitlist for new clients
Currently accepting new clients ages 6+ for individual and family therapy- I enjoy working with people who are experiencing challenges with life stressors, anxiety, depression, trauma, bipolar disorders and substance use disorders. Experiencing any of these can leave you feeling overwhelmed, exhausted, and disconnected. It can feel impossible to find a way out on your own. Many people find that when they try to reach out for help that they can’t connect with anyone who actually takes the time to listen and understand. I believe that taking a collaborative approach and staying focused on what matters to you is the key.
Currently accepting new clients ages 6+ for individual and family therapy- I enjoy working with people who are experiencing challenges with life stressors, anxiety, depression, trauma, bipolar disorders and substance use disorders. Experiencing any of these can leave you feeling overwhelmed, exhausted, and disconnected. It can feel impossible to find a way out on your own. Many people find that when they try to reach out for help that they can’t connect with anyone who actually takes the time to listen and understand. I believe that taking a collaborative approach and staying focused on what matters to you is the key.
(912) 732-8556 View (912) 732-8556
Photo of Kevin Poley, Licensed Professional Counselor in Saint Helena Island, SC
Kevin Poley
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Beaufort, SC 29901
My ideal client is anyone who, despite their fears and apprehensions about therapy, is ready to do the necessary work to develop the tools which will enable them to actively pivot towards a better life; a life that is aligned with their deeply held values.
My ideal client is anyone who, despite their fears and apprehensions about therapy, is ready to do the necessary work to develop the tools which will enable them to actively pivot towards a better life; a life that is aligned with their deeply held values.
(862) 325-5042 View (862) 325-5042
Photo of Maria Barber, Marriage & Family Therapist in Saint Helena Island, SC
Maria Barber
Marriage & Family Therapist, LMFT
Verified Verified
Beaufort, SC 29907
Hi, I specialize in addressing relationship issues with significant others through individual, couple, and family therapy, including working towards healing relationship traumas. If you are feeling disappointed, hurt, maybe angry, overwhelmed, perhaps confused, lost, and broken, and if you are ready to change that, I am here for you. Together we can work on healing those parts of you that keep you stuck in a place of pain or work on changing those aspects of your relationship that deprive you of the love and connection that you deserve. I work from a systemic perspective and I am a Certified Trauma Professional.
Hi, I specialize in addressing relationship issues with significant others through individual, couple, and family therapy, including working towards healing relationship traumas. If you are feeling disappointed, hurt, maybe angry, overwhelmed, perhaps confused, lost, and broken, and if you are ready to change that, I am here for you. Together we can work on healing those parts of you that keep you stuck in a place of pain or work on changing those aspects of your relationship that deprive you of the love and connection that you deserve. I work from a systemic perspective and I am a Certified Trauma Professional.
(843) 401-3419 View (843) 401-3419
Photo of Bluffton Okatie Counseling Center, Clinical Social Work/Therapist in Saint Helena Island, SC
Bluffton Okatie Counseling Center
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Beaufort, SC 29902
We are a group of counselors with different skills, specialties, and credentials. We strive to have a clinician suited for each and every client who contacts us. We are happy to check your insurance benefits prior to your visit. All of our clinicians are trauma-informed and trained in either TF-CBT or EMDR. We help clients as young as five through retirement age. We are conveniently located in the Riverwalk Business Park. We are 2 miles from Bluffton in the Okatie area of Ridgeland.
We are a group of counselors with different skills, specialties, and credentials. We strive to have a clinician suited for each and every client who contacts us. We are happy to check your insurance benefits prior to your visit. All of our clinicians are trauma-informed and trained in either TF-CBT or EMDR. We help clients as young as five through retirement age. We are conveniently located in the Riverwalk Business Park. We are 2 miles from Bluffton in the Okatie area of Ridgeland.
(843) 547-3993 View (843) 547-3993
Photo of Alicia Orman in Saint Helena Island, SC
Alicia Orman
MA, LPC
Verified Verified
1 Endorsed
Beaufort, SC 29902
Welcome! My name is Alicia Orman, I am a warm and compassionate therapist who enjoys working with children, adolescents and adults. I strive to help clients define and understand their obstacles, set reasonable goals and empower them to make improvements in their lives. My first objective of treatment is to provide a safe, non-judgmental environment where clients can talk comfortably and share about their unique experiences at a pace that is suitable for them.
Welcome! My name is Alicia Orman, I am a warm and compassionate therapist who enjoys working with children, adolescents and adults. I strive to help clients define and understand their obstacles, set reasonable goals and empower them to make improvements in their lives. My first objective of treatment is to provide a safe, non-judgmental environment where clients can talk comfortably and share about their unique experiences at a pace that is suitable for them.
(843) 547-9706 View (843) 547-9706
Photo of Coastal Neurology, Clinical Social Work/Therapist in Saint Helena Island, SC
Coastal Neurology
Clinical Social Work/Therapist, LISW-CP, LCSW
Verified Verified
1 Endorsed
Port Royal, SC 29935
Living your life to the fullest is something that you have to choose to do daily. Getting off track is painful and can be costly to your well-being and intimate relationships. Getting back on track is something that takes a conscious effort and heavy lifting. Deciding to work towards your goals is a lifelong commitment. Taking the time to examine where you are in life is as critical as where you are going. Making that first step is paramount to your success!
Living your life to the fullest is something that you have to choose to do daily. Getting off track is painful and can be costly to your well-being and intimate relationships. Getting back on track is something that takes a conscious effort and heavy lifting. Deciding to work towards your goals is a lifelong commitment. Taking the time to examine where you are in life is as critical as where you are going. Making that first step is paramount to your success!
(843) 905-3164 x1 View (843) 905-3164 x1
Photo of Nicole Bossak, LPC Associate in Saint Helena Island, SC
Nicole Bossak
LPC Associate, MS, LPCA, NBCC
Verified Verified
Beaufort, SC 29907
I believe in a well rounded approach to therapy, empowering individuals and helping to better equip them with strategies to build positive change. Through my experience with youth and adolescents, I have found passion in working with individuals to set and achieve goals while building self-esteem and confidence to overcome adversities they are facing. Using approaches rooted in cognitive behavioral therapy, positive mindset, movement and play based modalities I can help clients on the path towards reaching their goals.
I believe in a well rounded approach to therapy, empowering individuals and helping to better equip them with strategies to build positive change. Through my experience with youth and adolescents, I have found passion in working with individuals to set and achieve goals while building self-esteem and confidence to overcome adversities they are facing. Using approaches rooted in cognitive behavioral therapy, positive mindset, movement and play based modalities I can help clients on the path towards reaching their goals.
(843) 483-6214 View (843) 483-6214
Photo of Dominique Driessen Espana, Counselor in Saint Helena Island, SC
Dominique Driessen Espana
Counselor, LPC
Verified Verified
Beaufort, SC 29901  (Online Only)
Feeling stressed? Overwhelmed? Anxious? Down? Many people experience these emotions and are afraid to say something. I can offer a safe space for you to begin your journey to healing. My therapeutic approach is one in which I utilize Person-Centered Therapy and Cognitive Behavioral Therapy.
Feeling stressed? Overwhelmed? Anxious? Down? Many people experience these emotions and are afraid to say something. I can offer a safe space for you to begin your journey to healing. My therapeutic approach is one in which I utilize Person-Centered Therapy and Cognitive Behavioral Therapy.
(843) 779-6863 View (843) 779-6863
Photo of Brittany Stilwell, Marriage & Family Therapist in Saint Helena Island, SC
Brittany Stilwell
Marriage & Family Therapist, LMFT
Verified Verified
Beaufort, SC 29902
Hi there! My name is Brittany Stilwell. I am a licensed Marriage and Family Therapist. I serve a wide variety of the population including individuals, couples, and families. My goal is to offer a systematic approach tailored to each of my client's individual needs while providing a safe, supportive atmosphere for them to achieve the personal growth they desire. We all need help at times, and I find it to be a great honor for others to allow me the opportunity to give them the support they need while going through life's changes.
Hi there! My name is Brittany Stilwell. I am a licensed Marriage and Family Therapist. I serve a wide variety of the population including individuals, couples, and families. My goal is to offer a systematic approach tailored to each of my client's individual needs while providing a safe, supportive atmosphere for them to achieve the personal growth they desire. We all need help at times, and I find it to be a great honor for others to allow me the opportunity to give them the support they need while going through life's changes.
(864) 568-0252 View (864) 568-0252
Photo of Robert L Lolik, Clinical Social Work/Therapist in Saint Helena Island, SC
Robert L Lolik
Clinical Social Work/Therapist
Verified Verified
Beaufort, SC 29902  (Online Only)
I am eclectic in my therapy approach collaborating with each client to achieve their goals. Generally I emphasize cognitive and behavioral techniques combined with sufficient psychodynamic understanding of our personality functioning. I work with alternative techniques, including hypnosis. I am known for my optimistic energy and engaging, nurturing style. I look into each client to see excitement rather than anxiety, adventure rather than apprehension, vitality rather than drudgery, empowerment rather that loss of control, courage and strength rather than pain. I advocate trying something new, breaking the old patterns that continue to produce the unwanted consequences.
I am eclectic in my therapy approach collaborating with each client to achieve their goals. Generally I emphasize cognitive and behavioral techniques combined with sufficient psychodynamic understanding of our personality functioning. I work with alternative techniques, including hypnosis. I am known for my optimistic energy and engaging, nurturing style. I look into each client to see excitement rather than anxiety, adventure rather than apprehension, vitality rather than drudgery, empowerment rather that loss of control, courage and strength rather than pain. I advocate trying something new, breaking the old patterns that continue to produce the unwanted consequences.
(843) 252-0954 View (843) 252-0954
Photo of Brooke Ashley Dean, Psychologist in Saint Helena Island, SC
Brooke Ashley Dean
Psychologist, Ph, D
Verified Verified
Port Royal, SC 29935
Waitlist for new clients
I am a licensed Clinical Psychologist (SC 753) with over 30 years of private practice experience. Currently, I am in private practice with offices in both Beaufort and Bluffton, South Carolina. Prior to private practice, I worked in many outpatient clinics and inpatient hospitals which have thoroughly prepared me for the range of psychological issues that individuals face on a day-to-day basis. My therapeutic approach is both personalized and eclectic, designed to tackle the range of life problems that affect all of us in life.
I am a licensed Clinical Psychologist (SC 753) with over 30 years of private practice experience. Currently, I am in private practice with offices in both Beaufort and Bluffton, South Carolina. Prior to private practice, I worked in many outpatient clinics and inpatient hospitals which have thoroughly prepared me for the range of psychological issues that individuals face on a day-to-day basis. My therapeutic approach is both personalized and eclectic, designed to tackle the range of life problems that affect all of us in life.
(843) 321-4222 View (843) 321-4222
Photo of Diana J Krafcik, Clinical Social Work/Therapist in Saint Helena Island, SC
Diana J Krafcik
Clinical Social Work/Therapist, LICSW
Verified Verified
Beaufort, SC 29901
I am providing confidential video calls and in person sessions; a safe place to address conflicts and stressors with a safe person. You may be struggling with depression or anxiety or dealing with relationship and/or self esteem issues. I'm here in Bluffton. It may help to have someone to talk to honestly about how you are really feeling. We will develop strategies together to enhance structure and supports to cope more effectively during this time. I am here for you.
I am providing confidential video calls and in person sessions; a safe place to address conflicts and stressors with a safe person. You may be struggling with depression or anxiety or dealing with relationship and/or self esteem issues. I'm here in Bluffton. It may help to have someone to talk to honestly about how you are really feeling. We will develop strategies together to enhance structure and supports to cope more effectively during this time. I am here for you.
(201) 400-0520 View (201) 400-0520
Photo of Bluffton Brief Therapy, Clinical Social Work/Therapist in Saint Helena Island, SC
Bluffton Brief Therapy
Clinical Social Work/Therapist, PhD, LISW-CP
Verified Verified
Beaufort, SC 29901  (Online Only)
We specialize in CBT (Cognitive-Behavioral Therapy) a short-term, solution-focused brief therapy designed to enhance coping skills. We provide EAP counseling as well. We can help you manage all symptoms of grief, anxiety, depression, trauma, substance abuse relapse management and maintenance, impulse control (sex, gambling, internet) as well as crisis management. Phone and Teletherapy only. Same day sessions available. Flexible scheduling. Free initial consultation. $80 all sessions. Fully licensed in FLA and SC. Board-approved Supervisors. Clients receive an invoice and are expected to submit claims to their own insurors.
We specialize in CBT (Cognitive-Behavioral Therapy) a short-term, solution-focused brief therapy designed to enhance coping skills. We provide EAP counseling as well. We can help you manage all symptoms of grief, anxiety, depression, trauma, substance abuse relapse management and maintenance, impulse control (sex, gambling, internet) as well as crisis management. Phone and Teletherapy only. Same day sessions available. Flexible scheduling. Free initial consultation. $80 all sessions. Fully licensed in FLA and SC. Board-approved Supervisors. Clients receive an invoice and are expected to submit claims to their own insurors.
(843) 612-8707 View (843) 612-8707
Photo of Psychological & Counseling Associates of the Lowco, Psychologist in Saint Helena Island, SC
Psychological & Counseling Associates of the Lowco
Psychologist, PsyD
Verified Verified
3 Endorsed
Beaufort, SC 29901
The practice is owned by Dr. Jessica Joyce, PsyD and the practice is comprised of doctoral-level psychologists and several other master's and doctoral level licensed clinicians who provide quality mental health care. As a mental health collective, we assist members by providing therapy, assessment, counseling and more. We help our clients to connect with one of our doctors who can meet their needs and is available online or in-person. Our clinicians work with children, adolescents, adults, couples, families, and seniors for assessment and psychotherapy.
The practice is owned by Dr. Jessica Joyce, PsyD and the practice is comprised of doctoral-level psychologists and several other master's and doctoral level licensed clinicians who provide quality mental health care. As a mental health collective, we assist members by providing therapy, assessment, counseling and more. We help our clients to connect with one of our doctors who can meet their needs and is available online or in-person. Our clinicians work with children, adolescents, adults, couples, families, and seniors for assessment and psychotherapy.
(843) 594-1505 View (843) 594-1505
Photo of The Door’s Open Therapy , Licensed Professional Counselor in Saint Helena Island, SC
The Door’s Open Therapy
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Beaufort, SC 29907
Negative self thoughts, trauma, and the fear of stigma can often lead to hiding parts of ourselves. When there is an imbalance between our inner selves and what we present to the world around us, it can cause us to experience feelings of anxiety, depression, guilt, and shame. It can feel impossible to imagine a life that isn't overshadowed by these feelings. My goal is to assist you in becoming self empowered to address the barriers that have held you back for so long from living as your authentic self.
Negative self thoughts, trauma, and the fear of stigma can often lead to hiding parts of ourselves. When there is an imbalance between our inner selves and what we present to the world around us, it can cause us to experience feelings of anxiety, depression, guilt, and shame. It can feel impossible to imagine a life that isn't overshadowed by these feelings. My goal is to assist you in becoming self empowered to address the barriers that have held you back for so long from living as your authentic self.
(843) 920-3052 View (843) 920-3052
Photo of Melissa L Craven, Licensed Professional Counselor in Saint Helena Island, SC
Melissa L Craven
Licensed Professional Counselor, MA, LPC
Verified Verified
Beaufort, SC 29907
Not accepting new clients
How would you like your life to be different? Discovering that answer is oftentimes a challenge requiring clarity, patience, and humility. These are the requirements to orchestrate the life that is desired. The decision to join in a therapeutic relationship takes courage. I find it a great privilege to meet you where you are and walk along side you as you find or recreate your path. I am honored to accompany you on that journey!
How would you like your life to be different? Discovering that answer is oftentimes a challenge requiring clarity, patience, and humility. These are the requirements to orchestrate the life that is desired. The decision to join in a therapeutic relationship takes courage. I find it a great privilege to meet you where you are and walk along side you as you find or recreate your path. I am honored to accompany you on that journey!
(843) 593-9253 View (843) 593-9253
Photo of Jennifer Marie Mohorovic, Psychologist in Saint Helena Island, SC
Jennifer Marie Mohorovic
Psychologist, PhD
Verified Verified
Beaufort, SC 29902  (Online Only)
Life not going as planned? Do you feel stuck moving forward? Are your relationships or marriage suffering? Feeling down or anxious? Do you find yourself pulling away from people and activities you love? Do memories you would rather bury away keep popping back up at the wrong time? Do others comment that you just do not seem like your normal self? Does it seem like you keep trying and nothing seems to work? Do you feel emotionally overwhelmed? Is your sleep suffering? Life is a journey with ups and downs. It does not have to be this hard and you do not need to do it alone. There are ways to make it better.
Life not going as planned? Do you feel stuck moving forward? Are your relationships or marriage suffering? Feeling down or anxious? Do you find yourself pulling away from people and activities you love? Do memories you would rather bury away keep popping back up at the wrong time? Do others comment that you just do not seem like your normal self? Does it seem like you keep trying and nothing seems to work? Do you feel emotionally overwhelmed? Is your sleep suffering? Life is a journey with ups and downs. It does not have to be this hard and you do not need to do it alone. There are ways to make it better.
(843) 905-2329 View (843) 905-2329

How does your Therapist compare?

Number of Therapists in Saint Helena Island, SC

< 10

Therapists in Saint Helena Island, SC who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Anger Management
100% Family Conflict
100% Peer Relationships

Gender breakdown

100% Female

How Therapists in Saint Helena Island, SC see their clients

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

How can I find a therapist in Saint Helena Island?

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.