Therapists in Milwaukee, WI

View neighborhoods in Milwaukee
Photo of Margo Florez, Clinical Social Work/Therapist in Milwaukee, WI
Margo Florez
Clinical Social Work/Therapist, LCSW, CSAC
Verified Verified
1 Endorsed
Milwaukee, WI 53202
Feeling stressed, overwhelmed, stuck? Need someone to talk to about life transitions, challenges at work, relationship issues, alcohol or substance use? We can figure stuff out together and come up with a plan. Things can get better if you take the first step.
Feeling stressed, overwhelmed, stuck? Need someone to talk to about life transitions, challenges at work, relationship issues, alcohol or substance use? We can figure stuff out together and come up with a plan. Things can get better if you take the first step.
(262) 416-1998 View (262) 416-1998
Photo of Radical Change Counseling and Coaching, Licensed Professional Counselor in Milwaukee, WI
Radical Change Counseling and Coaching
Licensed Professional Counselor, LPC
Verified Verified
Milwaukee, WI 53202
Waitlist for new clients
Radical Change Counseling and Coaching is focused on helping people who feel stuck and always needing to control everything make lasting change. If you feel that you are a hamster on a wheel and no matter what you do, you just feel like you are having the same issues over and over again without help, we may have the approach that finally helps to create change. Do you handle stress by trying to control everything, yourself, and even others? If so, we might be able to help!
Radical Change Counseling and Coaching is focused on helping people who feel stuck and always needing to control everything make lasting change. If you feel that you are a hamster on a wheel and no matter what you do, you just feel like you are having the same issues over and over again without help, we may have the approach that finally helps to create change. Do you handle stress by trying to control everything, yourself, and even others? If so, we might be able to help!
(414) 348-1350 View (414) 348-1350
Photo of Josh Delahan, Clinical Social Work/Therapist in Milwaukee, WI
Josh Delahan
Clinical Social Work/Therapist, LCSW
Verified Verified
Milwaukee, WI 53202
I love working with kids, adolescents, couples, and families who are looking for ways to use their strengths and motivation to move forward through challenges to more health and wellbeing.
I love working with kids, adolescents, couples, and families who are looking for ways to use their strengths and motivation to move forward through challenges to more health and wellbeing.
(414) 422-8523 View (414) 422-8523
Photo of Devon Armstrong, Clinical Social Work/Therapist in Milwaukee, WI
Devon Armstrong
Clinical Social Work/Therapist, APSW
Verified Verified
4 Endorsed
Milwaukee, WI 53212
Hello hello! I work either in-person w/nature in local parks or virtually via zoom! If we walk or sit together, we'll work following your lead with gentle nudges into the abyss (metaphorically, unless you enjoy muddy!), seeing through blinders, and remembering accomplishments. As for me? I'm a human reclaiming my humanity. I'm recovering from the dominating social order of straight, cis-white men steeped in racism, sexism, patriarchy, homophobia, colonialism, ableism and all the oppressions dreaming of an equitable and environmentally friendly society. (deeply & vaguely spiritual, not religious).
Hello hello! I work either in-person w/nature in local parks or virtually via zoom! If we walk or sit together, we'll work following your lead with gentle nudges into the abyss (metaphorically, unless you enjoy muddy!), seeing through blinders, and remembering accomplishments. As for me? I'm a human reclaiming my humanity. I'm recovering from the dominating social order of straight, cis-white men steeped in racism, sexism, patriarchy, homophobia, colonialism, ableism and all the oppressions dreaming of an equitable and environmentally friendly society. (deeply & vaguely spiritual, not religious).
(414) 240-8415 View (414) 240-8415
Photo of Julie Abdullah, Licensed Professional Counselor in Milwaukee, WI
Julie Abdullah
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Milwaukee, WI 53202
Are you starting to wonder if what you feel is "normal"? Maybe anxiety is getting to the point where it is an exhausting, everyday occurrence, and you'd like to get back in control of your life. Everyone struggles with overwhelming situations and emotions from time to time, and I am a firm believer that no obstacle you are facing right now is too big to tackle. As your therapist, I will use practical strategies that will guide you in your journey of empowerment and assist with creating a strengthened sense of self. I will help you make sense of difficult experiences and guide you to the life you most want to live.
Are you starting to wonder if what you feel is "normal"? Maybe anxiety is getting to the point where it is an exhausting, everyday occurrence, and you'd like to get back in control of your life. Everyone struggles with overwhelming situations and emotions from time to time, and I am a firm believer that no obstacle you are facing right now is too big to tackle. As your therapist, I will use practical strategies that will guide you in your journey of empowerment and assist with creating a strengthened sense of self. I will help you make sense of difficult experiences and guide you to the life you most want to live.
(414) 404-3243 View (414) 404-3243
Photo of Jamal R. Cunningham, Psychologist in Milwaukee, WI
Jamal R. Cunningham
Psychologist, MEd, PsyD
Verified Verified
1 Endorsed
Milwaukee, WI 53202
Not accepting new clients
Growing up can be tough. Your child is trying to learn how to navigate relationships at school and home while figuring out who they are and their place in the world. When dealing with stress and difficult situations, your child can feel alone, as though no one understands them or can relate to what they are going through. Because of their age, your child may not have the vocabulary to express the complex thoughts and feelings they are experiencing. As a result, they may shut others out or seem as though they don’t want help. However, the truth may be that they do not know what kind of help they need or how to ask for it.
Growing up can be tough. Your child is trying to learn how to navigate relationships at school and home while figuring out who they are and their place in the world. When dealing with stress and difficult situations, your child can feel alone, as though no one understands them or can relate to what they are going through. Because of their age, your child may not have the vocabulary to express the complex thoughts and feelings they are experiencing. As a result, they may shut others out or seem as though they don’t want help. However, the truth may be that they do not know what kind of help they need or how to ask for it.
(414) 877-6378 View (414) 877-6378
Photo of Nicole Shay, Psychologist in Milwaukee, WI
Nicole Shay
Psychologist
Verified Verified
Milwaukee, WI 53202
Dr. Shay provides neuropsychological evaluations for children and adolescents. Her specialty areas include assessments for Attention Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Learning Disabilities, as well as assessments for children with neurological, developmental, or genetic disorders. She has worked extensively in the areas of epilepsy and traumatic brain injury/concussion. As a neuropsychologist, Dr. Shay's goal is to help patients to reach their greatest potential.
Dr. Shay provides neuropsychological evaluations for children and adolescents. Her specialty areas include assessments for Attention Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Learning Disabilities, as well as assessments for children with neurological, developmental, or genetic disorders. She has worked extensively in the areas of epilepsy and traumatic brain injury/concussion. As a neuropsychologist, Dr. Shay's goal is to help patients to reach their greatest potential.
(262) 588-4261 View (262) 588-4261
Photo of Kathleen V. Phillipson, Marriage & Family Therapist in Milwaukee, WI
Kathleen V. Phillipson
Marriage & Family Therapist, LMFT
Verified Verified
Milwaukee, WI 53207
Kathleen V. Phillipson is a Licensed Marriage and Family Therapist in Wisconsin who has been practicing since 2008. Kathleen draws from personal life experience which helps her to empathize as she works together with client to handle life stressors such as trauma, anxiety, depression, grief, anger, and relationship difficulties. Kathleen has a special interest in attachment and how early childhood experiences affect later life functioning and the ability to maintain healthy relationships.
Kathleen V. Phillipson is a Licensed Marriage and Family Therapist in Wisconsin who has been practicing since 2008. Kathleen draws from personal life experience which helps her to empathize as she works together with client to handle life stressors such as trauma, anxiety, depression, grief, anger, and relationship difficulties. Kathleen has a special interest in attachment and how early childhood experiences affect later life functioning and the ability to maintain healthy relationships.
(414) 485-9450 View (414) 485-9450
Photo of Courtney M Lalond, Licensed Professional Counselor in Milwaukee, WI
Courtney M Lalond
Licensed Professional Counselor, LPC
Verified Verified
Milwaukee, WI 53215
My name is Courtney LaLond. I am a Licensed Professional Counselor. I have been practicing for about 5 years now. I have 4 years of experience working with children ages 5-18, along with adults with persistent mental health disorders. I work with people from young children to seniors. I am experienced in working with people with anxiety, depression, bipolar disorder, obsessive-compulsive disorder, addiction, and other persistent mental health disorders.
My name is Courtney LaLond. I am a Licensed Professional Counselor. I have been practicing for about 5 years now. I have 4 years of experience working with children ages 5-18, along with adults with persistent mental health disorders. I work with people from young children to seniors. I am experienced in working with people with anxiety, depression, bipolar disorder, obsessive-compulsive disorder, addiction, and other persistent mental health disorders.
(414) 240-0984 View (414) 240-0984
Photo of Keshia Smith, Licensed Professional Counselor in Milwaukee, WI
Keshia Smith
Licensed Professional Counselor, LPC, CCTP, CCATP
Verified Verified
Milwaukee, WI 53201
Licensed in Illinois and Wisconsin! I help clients find balance and healing in this thing called LIFE. Life shouldn't feel as flat as a cold cup of coffee or tea. If you find yourself going through the motions of the day without a real sense of connection to yourself or those around you, or if you constantly feel overwhelmed, undersupported, burnt out, and sick and tired of feeling sick and tired, I get it! And you don't have to keep living that way! Those who benefit from therapy with me are those seeking to make an active change in their lives with a therapist who understands what it's like to navigate through this complex world.
Licensed in Illinois and Wisconsin! I help clients find balance and healing in this thing called LIFE. Life shouldn't feel as flat as a cold cup of coffee or tea. If you find yourself going through the motions of the day without a real sense of connection to yourself or those around you, or if you constantly feel overwhelmed, undersupported, burnt out, and sick and tired of feeling sick and tired, I get it! And you don't have to keep living that way! Those who benefit from therapy with me are those seeking to make an active change in their lives with a therapist who understands what it's like to navigate through this complex world.
(414) 409-9973 View (414) 409-9973
Photo of Cindy Fonseca, Licensed Professional Counselor in Milwaukee, WI
Cindy Fonseca
Licensed Professional Counselor, MS, LPC, LCSW
Verified Verified
Milwaukee, WI 53209  (Online Only)
Immediate Virtual-only openings! Life can be challenging and can contribute to feeling overwhelmed, anxious and unsupported. The everyday demands of work, family and other obligations can take a tremendous toll on our energy, motivation and self-esteem. It is difficult to know where to start when thinking about change. Therapy can help you take a pause, ease stress, and ‘give back to yourself’. When you place more priority in yourself, you are better able to focus, feel more clarity, peace and purpose in your life. I am here to assist you in your journey toward healing and change.
Immediate Virtual-only openings! Life can be challenging and can contribute to feeling overwhelmed, anxious and unsupported. The everyday demands of work, family and other obligations can take a tremendous toll on our energy, motivation and self-esteem. It is difficult to know where to start when thinking about change. Therapy can help you take a pause, ease stress, and ‘give back to yourself’. When you place more priority in yourself, you are better able to focus, feel more clarity, peace and purpose in your life. I am here to assist you in your journey toward healing and change.
(520) 462-4906 View (520) 462-4906
Photo of John R Gielow, Psychologist in Milwaukee, WI
John R Gielow
Psychologist, PsyD, MA
Verified Verified
1 Endorsed
Milwaukee, WI 53202
Not accepting new clients
Tired of enduring a difficult life, career or relationship? Looking for practical, out-of-the-box solutions for anxiety, depression, and the life circumstances that cause them? Tried therapy before with disappointing results? For 35 years, I have been augmenting traditional therapeutic methods with a variety of techniques, including EMDR Therapy, CRM Therapy, heart rate variability training (Heartmath), body centered approaches, mindfulness training, hypnosis, and ego-state interventions, to facilitate deep internal changes. These interventions take place within the context of a safe, non-judgmental, and supportive environment. My therapeutic style is interactive, engaging, and collaborative.
Tired of enduring a difficult life, career or relationship? Looking for practical, out-of-the-box solutions for anxiety, depression, and the life circumstances that cause them? Tried therapy before with disappointing results? For 35 years, I have been augmenting traditional therapeutic methods with a variety of techniques, including EMDR Therapy, CRM Therapy, heart rate variability training (Heartmath), body centered approaches, mindfulness training, hypnosis, and ego-state interventions, to facilitate deep internal changes. These interventions take place within the context of a safe, non-judgmental, and supportive environment. My therapeutic style is interactive, engaging, and collaborative.
(414) 600-1597 View (414) 600-1597
Photo of Kylee N Holbrook, Pre-Licensed Professional in Milwaukee, WI
Kylee N Holbrook
Pre-Licensed Professional
Verified Verified
Milwaukee, WI 53202
Are you experiencing a difficult time or difficult emotions and looking to learn new ways of coping? Or are you looking to let out your emotions in a safe space? I can be here with you every step of the way of your healing journey. We can work together to help you better understand yourself and what you want in your life. I want to help you to see the best in who you are and learn to practice self-care and embody self-love. In a world full of interconnectedness via social media, it can be difficult to connect with ourselves. I hope to help you learn to be happy being 100% authentically you!
Are you experiencing a difficult time or difficult emotions and looking to learn new ways of coping? Or are you looking to let out your emotions in a safe space? I can be here with you every step of the way of your healing journey. We can work together to help you better understand yourself and what you want in your life. I want to help you to see the best in who you are and learn to practice self-care and embody self-love. In a world full of interconnectedness via social media, it can be difficult to connect with ourselves. I hope to help you learn to be happy being 100% authentically you!
(414) 775-0578 View (414) 775-0578
Photo of Emily Orser, Licensed Professional Counselor in Milwaukee, WI
Emily Orser
Licensed Professional Counselor, LPC, NCC
Verified Verified
Milwaukee, WI 53211  (Online Only)
I strive to provide a place of safety and security for those seeking emotional and mental wellness by building meaningful relationships with my clients. I enjoy working with trauma survivors while they find a new way of living with their past. I like to look at a person from a system perspective. What system (family or otherwise) did you grow up with? What does that look like now? What changes can you make in your system to create healthier boundaries and more meaningful relationships? Other experience: anxiety, depression, grief. Adults and Couples. Youth considered with family involvement (15+ preferred). I offer telehealth only.
I strive to provide a place of safety and security for those seeking emotional and mental wellness by building meaningful relationships with my clients. I enjoy working with trauma survivors while they find a new way of living with their past. I like to look at a person from a system perspective. What system (family or otherwise) did you grow up with? What does that look like now? What changes can you make in your system to create healthier boundaries and more meaningful relationships? Other experience: anxiety, depression, grief. Adults and Couples. Youth considered with family involvement (15+ preferred). I offer telehealth only.
(262) 205-6795 View (262) 205-6795
Photo of Resiliency Counseling & Wellness Services LLC, Licensed Professional Counselor in Milwaukee, WI
Resiliency Counseling & Wellness Services LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Milwaukee, WI 53202
I have worked with various clients of various populations and walks of life. The ultimate goal of the client is to be seen and heard and to develop the ability to grow into their best selves. Therapy may allow the client to learn, cope and or heal so that they are able to function in their everyday lives in harmony.
I have worked with various clients of various populations and walks of life. The ultimate goal of the client is to be seen and heard and to develop the ability to grow into their best selves. Therapy may allow the client to learn, cope and or heal so that they are able to function in their everyday lives in harmony.
(414) 928-8233 View (414) 928-8233
Photo of Joseph G Pikalek, Marriage & Family Therapist in Milwaukee, WI
Joseph G Pikalek
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Milwaukee, WI 53212
It's important to me that my clients feel welcome and safe enough to show up exactly as they are. I do my best to attend to my clients in a fully present and available way so that I can deeply witness, listen, and respond with clarity, non-judgment, and compassion. I believe that psychotherapy can be a powerful vehicle for self-discovery, self-acceptance, and transformation. I draw on my own experiences of joy and suffering to be with my clients in a human way. (I am currently only working with individual adults - no couples work at this time)
It's important to me that my clients feel welcome and safe enough to show up exactly as they are. I do my best to attend to my clients in a fully present and available way so that I can deeply witness, listen, and respond with clarity, non-judgment, and compassion. I believe that psychotherapy can be a powerful vehicle for self-discovery, self-acceptance, and transformation. I draw on my own experiences of joy and suffering to be with my clients in a human way. (I am currently only working with individual adults - no couples work at this time)
(414) 982-1440 View (414) 982-1440
Photo of Kate Valente, Licensed Professional Counselor in Milwaukee, WI
Kate Valente
Licensed Professional Counselor, MS, LPC
Verified Verified
Milwaukee, WI 53202
Are you struggling to feel connected to yourself or others right now? Perhaps you’re exploring or questioning identity, sexuality, or gender? Are you a parent who has a child that may be struggling with their own mental health, “big feelings”, or behaviors? I specialize in working with kids (6 years and up) & teens, young adults (18-30), and the LGBTQ+ community.
Are you struggling to feel connected to yourself or others right now? Perhaps you’re exploring or questioning identity, sexuality, or gender? Are you a parent who has a child that may be struggling with their own mental health, “big feelings”, or behaviors? I specialize in working with kids (6 years and up) & teens, young adults (18-30), and the LGBTQ+ community.
(414) 420-1632 View (414) 420-1632
Photo of Jade M Mueller, Psychologist in Milwaukee, WI
Jade M Mueller
Psychologist, PhD
Verified Verified
Milwaukee, WI 53211  (Online Only)
Hello, I'm Jade Mueller PhD and I'm honored to share my experiences with people who've been helped by the practice of psychology. They may have a feeling of loss, guilt, despair, anger or fear. They may be in the midst of a crisis of trauma, family disruption, chronic illness, aging or abuse. Together we look at all of it with 'kind eyes' and without judging. Often we can identify patterns, beliefs and experiences to heal or release that have led to setbacks in the past. They want support in developing or recovering their joy, confidence, self-worth and personal strengths. Clients can evolve toward their own vision of wholeness.
Hello, I'm Jade Mueller PhD and I'm honored to share my experiences with people who've been helped by the practice of psychology. They may have a feeling of loss, guilt, despair, anger or fear. They may be in the midst of a crisis of trauma, family disruption, chronic illness, aging or abuse. Together we look at all of it with 'kind eyes' and without judging. Often we can identify patterns, beliefs and experiences to heal or release that have led to setbacks in the past. They want support in developing or recovering their joy, confidence, self-worth and personal strengths. Clients can evolve toward their own vision of wholeness.
(414) 404-8084 x217 View (414) 404-8084 x217
Photo of Dr. Alix Shepherd, Psychologist in Milwaukee, WI
Dr. Alix Shepherd
Psychologist, PsyD
Verified Verified
Milwaukee, WI 53202
Welcome! We all have times in our lives when we face a challenge or need help thinking through a problem. If you are feeling a stuck or overwhelmed, I can help you find better ways to cope and brainstorm solutions. As an experienced psychologist, I'm passionate about helping you change your life and relationships for the better.
Welcome! We all have times in our lives when we face a challenge or need help thinking through a problem. If you are feeling a stuck or overwhelmed, I can help you find better ways to cope and brainstorm solutions. As an experienced psychologist, I'm passionate about helping you change your life and relationships for the better.
(262) 755-1535 View (262) 755-1535
Photo of Kelly L Kuehl, Clinical Social Work/Therapist in Milwaukee, WI
Kelly L Kuehl
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Milwaukee, WI 53225
Not accepting new clients
Do you feel overwhelmed? Anxious? Depressed? Let's tackle your moods, tasks, and overwhelm together. I know how challenging it can be to prioritize what needs to get done, with the many interruptions throughout the day. Life gets overwhelming and it can be helpful to talk to someone in a judgment free space. My goal is for you to feel an uplifting sense of relief each time we end our sessions.
Do you feel overwhelmed? Anxious? Depressed? Let's tackle your moods, tasks, and overwhelm together. I know how challenging it can be to prioritize what needs to get done, with the many interruptions throughout the day. Life gets overwhelming and it can be helpful to talk to someone in a judgment free space. My goal is for you to feel an uplifting sense of relief each time we end our sessions.
(414) 895-6490 View (414) 895-6490

How does your Therapist compare?

Number of Therapists in Milwaukee, WI

800+

Average cost per session

$150

Therapists in Milwaukee, WI who prioritize treating:

92% Anxiety
90% Depression
71% Trauma and PTSD
68% Relationship Issues
67% Self Esteem
63% Life Transitions
62% Grief

Average years in practice

10 Years

Top 3 insurances accepted

73% Aetna
72% UnitedHealthcare UHC | UBH
63% BlueCross and BlueShield

How Therapists in Milwaukee, WI see their clients

76% In Person and Online
24% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Milwaukee?

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.