Therapists in Kansas City, MO

View neighborhoods in Kansas City
Photo of Leonor Stockwood, Clinical Social Work/Therapist in Kansas City, MO
Leonor Stockwood
Clinical Social Work/Therapist, LSCSW, LCSW
Verified Verified
Kansas City, MO 64110
My passion is to provide kids and adults with the help they need to navigate through difficult times whether it be related to family, school, mental health or substance use. As a licensed specialist clinical social worker, I have experience in a wide variety of support and counseling services, including assessment, crisis intervention, and individual, family and group therapy in both inpatient and outpatient treatment settings. I have conducted anger management and substance abuse evaluations, and I have facilitated group treatment programs.
My passion is to provide kids and adults with the help they need to navigate through difficult times whether it be related to family, school, mental health or substance use. As a licensed specialist clinical social worker, I have experience in a wide variety of support and counseling services, including assessment, crisis intervention, and individual, family and group therapy in both inpatient and outpatient treatment settings. I have conducted anger management and substance abuse evaluations, and I have facilitated group treatment programs.
(816) 227-6957 View (816) 227-6957
Photo of Cynthia Kohler, Licensed Professional Counselor in Kansas City, MO
Cynthia Kohler
Licensed Professional Counselor, LPC
Verified Verified
Kansas City, MO 64111
Cynthia Kohler is a Licensed Professional Counselor in the state of Missouri who has 10 years of experience providing therapy to adolescents and adults who struggle with the day to day life stressors. Cynthia completed her Bachelor of Science in Psychology from the University of Missouri-St. Louis and received her Master of Arts in Professional Counseling from Lindenwood University. She believes that building a strong therapeutic relationship to help you work through issues like stress management, depression, anxiety, relationships, and many more will optimize how to get your life on the track you desire.
Cynthia Kohler is a Licensed Professional Counselor in the state of Missouri who has 10 years of experience providing therapy to adolescents and adults who struggle with the day to day life stressors. Cynthia completed her Bachelor of Science in Psychology from the University of Missouri-St. Louis and received her Master of Arts in Professional Counseling from Lindenwood University. She believes that building a strong therapeutic relationship to help you work through issues like stress management, depression, anxiety, relationships, and many more will optimize how to get your life on the track you desire.
(816) 209-1913 View (816) 209-1913
Photo of Taryn Hodison, Licensed Professional Counselor in Kansas City, MO
Taryn Hodison
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
1 Endorsed
Kansas City, MO 64110  (Online Only)
Not accepting new clients
My treatment approach is eclectic in nature, but I mainly use psychodynamic therapy in my practice. Clients would would benefit from my services if they are ready to examine and develop insight into how past experiences impact their present lives. Clients should expect to be validated and gently challenged in therapy in order to get through the mental blocks that keep them stuck in repeating the same self-destructive patterns.
My treatment approach is eclectic in nature, but I mainly use psychodynamic therapy in my practice. Clients would would benefit from my services if they are ready to examine and develop insight into how past experiences impact their present lives. Clients should expect to be validated and gently challenged in therapy in order to get through the mental blocks that keep them stuck in repeating the same self-destructive patterns.
View
Photo of Denise LeBow, Clinical Social Work/Therapist in Kansas City, MO
Denise LeBow
Clinical Social Work/Therapist, LSCSW, LCSW
Verified Verified
1 Endorsed
Kansas City, MO 64112
My profound interest in the simultaneous effects of distress on the mind, body and relationships and my desire to help people of all ages heal, build resilience, confidence, and healthy connections led me to this valuable profession.
My profound interest in the simultaneous effects of distress on the mind, body and relationships and my desire to help people of all ages heal, build resilience, confidence, and healthy connections led me to this valuable profession.
(816) 759-0243 View (816) 759-0243
Photo of Isaiah Robinson-McBride, Licensed Professional Counselor in Kansas City, MO
Isaiah Robinson-McBride
Licensed Professional Counselor, MSCP, LPC, NCC
Verified Verified
1 Endorsed
Kansas City, MO 64163  (Online Only)
My ideal client is likely an individual or family seeking comprehensive mental health support. They might be dealing with a range of challenges, including stress, anxiety, depression, family dynamics, and personal growth. These clients need a therapist who can provide a safe and empathetic space for exploring their emotions and developing effective coping strategies. Their goals could involve improving their overall well-being, enhancing their mental skills, and gaining resilience to navigate life's ups and downs successfully.
My ideal client is likely an individual or family seeking comprehensive mental health support. They might be dealing with a range of challenges, including stress, anxiety, depression, family dynamics, and personal growth. These clients need a therapist who can provide a safe and empathetic space for exploring their emotions and developing effective coping strategies. Their goals could involve improving their overall well-being, enhancing their mental skills, and gaining resilience to navigate life's ups and downs successfully.
(816) 323-5287 View (816) 323-5287
Photo of Stan Archie, Licensed Professional Counselor in Kansas City, MO
Stan Archie
Licensed Professional Counselor, MEd, MA, LPC, SATP-C, ThD
Verified Verified
2 Endorsed
Kansas City, MO 64114
As a therapist and supervisor, Stan works through an Attachment Theory lens. He values working with a treatment team, and utilizes a multidisciplinary approach, highly valuing each individual for his/her own uniqueness. He believes in a holistic approach to counseling through exploration of psychological, emotional, spiritual, and relational aspects of one's life. Therapy modalities that will be utilized in treatment include: Cognitive Behavioral Therapy, Family Systems, Dialectical Behavioral Therapy, Emotion Focused Therapy and Attachment Theory. He considers it a privilege to walk alongside individuals while through the healing process while reaching their goals.
As a therapist and supervisor, Stan works through an Attachment Theory lens. He values working with a treatment team, and utilizes a multidisciplinary approach, highly valuing each individual for his/her own uniqueness. He believes in a holistic approach to counseling through exploration of psychological, emotional, spiritual, and relational aspects of one's life. Therapy modalities that will be utilized in treatment include: Cognitive Behavioral Therapy, Family Systems, Dialectical Behavioral Therapy, Emotion Focused Therapy and Attachment Theory. He considers it a privilege to walk alongside individuals while through the healing process while reaching their goals.
(913) 747-4132 View (913) 747-4132
Photo of Whitney Wilson, Clinical Social Work/Therapist in Kansas City, MO
Whitney Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Kansas City, MO 64110
My approach is grounded in meeting folks where they are in the moment, and not asking them to feel, look, or act like someone they’re not. I believe that every person has worth and value because of their identity, and I love helping other people tap into their worth. I believe that all humans have the innate capacity to not only overcome difficult experiences, but to heal and thrive, and when we overcome difficult experiences or emotions, we are stronger and more resilient. Lasting change requires work, but when we put in that work we harness the power to define our experience rather than letting our experience define us.
My approach is grounded in meeting folks where they are in the moment, and not asking them to feel, look, or act like someone they’re not. I believe that every person has worth and value because of their identity, and I love helping other people tap into their worth. I believe that all humans have the innate capacity to not only overcome difficult experiences, but to heal and thrive, and when we overcome difficult experiences or emotions, we are stronger and more resilient. Lasting change requires work, but when we put in that work we harness the power to define our experience rather than letting our experience define us.
(417) 815-6332 View (417) 815-6332
Photo of Rosalie Branchick, Marriage & Family Therapist in Kansas City, MO
Rosalie Branchick
Marriage & Family Therapist, MS, LMFT
Verified Verified
Kansas City, MO 64116
I am heartened by people's willingness to reach out and courageously rediscover hope. The journey of life can be challenging and overwhelming. There are times when we are left standing at crossroads feeling disconnected or unappreciated. You may be experiencing loneliness, shame or guilt. Or may have reached a point of sheer frustration. I walk along side my clients as they revitalize relationships, empower their authentic self, and realize inherent potential. I provide therapy for couples, families and individuals, and welcome those of any age, gender, race, religion, or sexual orientation.
I am heartened by people's willingness to reach out and courageously rediscover hope. The journey of life can be challenging and overwhelming. There are times when we are left standing at crossroads feeling disconnected or unappreciated. You may be experiencing loneliness, shame or guilt. Or may have reached a point of sheer frustration. I walk along side my clients as they revitalize relationships, empower their authentic self, and realize inherent potential. I provide therapy for couples, families and individuals, and welcome those of any age, gender, race, religion, or sexual orientation.
(816) 839-9269 View (816) 839-9269
Photo of Roger Goldblatt, Clinical Social Work/Therapist in Kansas City, MO
Roger Goldblatt
Clinical Social Work/Therapist, LCSW, LSCSW, MSW
Verified Verified
Kansas City, MO 64111  (Online Only)
Not accepting new clients
I work exclusively on Zoom with adults and couples anywhere in Missouri or Kansas, most especially with clients working on grief and loss, including loss from death, divorce, miscarriage, stillbirth, or other more ambiguous losses. My practice is welcoming to survivors of loved ones who have completed suicide. I work with clients with depression, or those with anxiety and panic from driving fears. I like working with clients with behavioral addictions, especially shoplifting, as well as clients wanting to address their substance addictions, especially with alcohol or marijuana.
I work exclusively on Zoom with adults and couples anywhere in Missouri or Kansas, most especially with clients working on grief and loss, including loss from death, divorce, miscarriage, stillbirth, or other more ambiguous losses. My practice is welcoming to survivors of loved ones who have completed suicide. I work with clients with depression, or those with anxiety and panic from driving fears. I like working with clients with behavioral addictions, especially shoplifting, as well as clients wanting to address their substance addictions, especially with alcohol or marijuana.
(816) 368-5095 View (816) 368-5095
Photo of Dawn Hood, Licensed Professional Counselor in Kansas City, MO
Dawn Hood
Licensed Professional Counselor, MS, LPC
Verified Verified
Kansas City, MO 64112  (Online Only)
You may find the life you are living isn't healthy, or is in need of some change. With over 20 years in private practice, I have had the opportunity to help men and women make significant improvements in their relationships and in their life direction. If you are an individual needing to make a significant change, or a couple needing relationship help, I offer an individualized and practical approach. First, we will find what isn't working for you and identify the core changes you want to make. Then, together we will map out realistic steps to make that change happen.
You may find the life you are living isn't healthy, or is in need of some change. With over 20 years in private practice, I have had the opportunity to help men and women make significant improvements in their relationships and in their life direction. If you are an individual needing to make a significant change, or a couple needing relationship help, I offer an individualized and practical approach. First, we will find what isn't working for you and identify the core changes you want to make. Then, together we will map out realistic steps to make that change happen.
(816) 293-3168 View (816) 293-3168
Photo of Katie Joneslight, Clinical Social Work/Therapist in Kansas City, MO
Katie Joneslight
Clinical Social Work/Therapist, LCSW, LSCSW, LCAC
Verified Verified
3 Endorsed
Kansas City, MO 64114
“Peace is the result of retraining your mind to process life as it is, rather than as you think it should be” Wayne Dyer. Do you ever feel like you're not actually living your life? Are you too stuck in your own mind with worry, regret or doubt? Maybe past experiences are getting in your way. Causing you to form negative beliefs about yourself. Leading to perfectionism, frustration, self-judgement and feeling depleted. Do you get stuck in cycles overthinking the past or fearing the future? Making it difficult to move forward. Are you actually missing out on what being alive truly means and the experiences it has to offer?
“Peace is the result of retraining your mind to process life as it is, rather than as you think it should be” Wayne Dyer. Do you ever feel like you're not actually living your life? Are you too stuck in your own mind with worry, regret or doubt? Maybe past experiences are getting in your way. Causing you to form negative beliefs about yourself. Leading to perfectionism, frustration, self-judgement and feeling depleted. Do you get stuck in cycles overthinking the past or fearing the future? Making it difficult to move forward. Are you actually missing out on what being alive truly means and the experiences it has to offer?
(816) 542-6989 View (816) 542-6989
Photo of Dan Smith, Pre-Licensed Professional in Kansas City, MO
Dan Smith
Pre-Licensed Professional, MS, S-MFT
Verified Verified
Kansas City, MO 64108
Don’t continue doing life closed off and disconnected. Open yourself up to connection and find the peace you’ve been needing. I want to help, but more importantly, I want to point you back to you. You don’t deserve to keep living in the dark. There is hope for all the parts of you.
Don’t continue doing life closed off and disconnected. Open yourself up to connection and find the peace you’ve been needing. I want to help, but more importantly, I want to point you back to you. You don’t deserve to keep living in the dark. There is hope for all the parts of you.
(816) 597-4868 View (816) 597-4868
Photo of Tanner Edwards, Clinical Social Work/Therapist in Kansas City, MO
Tanner Edwards
Clinical Social Work/Therapist, LCSW
Verified Verified
Kansas City, MO 64111
I provide a therapy called ERP (exposure and response prevention) for people with OCD. If you’re reading this, you probably know that OCD can take on a life of its own. My clients are trying their best to keep themselves and their loved ones safe, yet OCD can become incredibly time consuming and take attention away from the very activities and people that matter most. With treatment, my clients are increasingly able to feel a sense of safety in their lives and join others instead of needing to control the moment.
I provide a therapy called ERP (exposure and response prevention) for people with OCD. If you’re reading this, you probably know that OCD can take on a life of its own. My clients are trying their best to keep themselves and their loved ones safe, yet OCD can become incredibly time consuming and take attention away from the very activities and people that matter most. With treatment, my clients are increasingly able to feel a sense of safety in their lives and join others instead of needing to control the moment.
(816) 227-6894 View (816) 227-6894
Photo of Bethany Ruhl in Kansas City, MO
Bethany Ruhl
PLPC
Verified Verified
1 Endorsed
Kansas City, MO 64108  (Online Only)
I bring a warm and inviting energy to client interactions where I help them to make meaning out of life’s joys, sorrows and times of transition. I help clients begin to answer the question of “Why do bad things happen to good people?” I bring years of experience working with grief & loss, end of life issues, times of transition and women’s issues. I use my years working in the mental health field, chaplaincy, the correctional system and adolescent psychology to empower clients to make the best and most healthy decisions for themselves and their loved ones. I believe strongly in the power of unconditional love. I welcome those from a
I bring a warm and inviting energy to client interactions where I help them to make meaning out of life’s joys, sorrows and times of transition. I help clients begin to answer the question of “Why do bad things happen to good people?” I bring years of experience working with grief & loss, end of life issues, times of transition and women’s issues. I use my years working in the mental health field, chaplaincy, the correctional system and adolescent psychology to empower clients to make the best and most healthy decisions for themselves and their loved ones. I believe strongly in the power of unconditional love. I welcome those from a
(816) 338-7842 View (816) 338-7842
Photo of Sara Nelson-Johns, Clinical Social Work/Therapist in Kansas City, MO
Sara Nelson-Johns
Clinical Social Work/Therapist, MSW, LCSW, LSCSW
Verified Verified
Kansas City, MO 64106
Not accepting new clients
I work with high achieving adults who want to make changes. Maybe you deal with anxiety, depression, old hurts or current stressors. I work with parents struggling with parenting anxiety, feeling bad or worried about the ways your children are affected by your home life. And I work with adolescents who aren’t sure how to take their next steps.
I work with high achieving adults who want to make changes. Maybe you deal with anxiety, depression, old hurts or current stressors. I work with parents struggling with parenting anxiety, feeling bad or worried about the ways your children are affected by your home life. And I work with adolescents who aren’t sure how to take their next steps.
(913) 735-7161 View (913) 735-7161
Photo of Ann L Hakan, Licensed Professional Counselor in Kansas City, MO
Ann L Hakan
Licensed Professional Counselor, MA, MDiv, LPC
Verified Verified
Kansas City, MO 64112
I have been in private practice for over twenty years. During those years I have counseled both individual clients and couples with a variety of issues. These issues include relationship issues, life transitions, abuse, depression, eating disorders, grief, stress, anxiety, sexual identity, and parenting issues. I believe we all go through difficult periods in our lives where we need someone to talk to who can give understanding, support, guidance, tools, and suggestions. I believe that counseling can often help our lives become less painful but instead become more hopeful and fulfilling.
I have been in private practice for over twenty years. During those years I have counseled both individual clients and couples with a variety of issues. These issues include relationship issues, life transitions, abuse, depression, eating disorders, grief, stress, anxiety, sexual identity, and parenting issues. I believe we all go through difficult periods in our lives where we need someone to talk to who can give understanding, support, guidance, tools, and suggestions. I believe that counseling can often help our lives become less painful but instead become more hopeful and fulfilling.
(816) 531-6777 View (816) 531-6777
Photo of Francis J Manley, Psychologist in Kansas City, MO
Francis J Manley
Psychologist, PhD
Verified Verified
Kansas City, MO 64112
I enjoy working with people in a safe and supportive atmosphere where a person can open to who they really are, and discover strengths and solutions that they never knew were possible. I feel that my client and I can figure out more together than either one of us could have separately. I believe that human beings are self-healing, and it is thrilling to me to use my knowledge and experience to enliven the healing process. I work with people who are struggling with anxiety, depression, past traumatic experiences, or challenging life changes.
I enjoy working with people in a safe and supportive atmosphere where a person can open to who they really are, and discover strengths and solutions that they never knew were possible. I feel that my client and I can figure out more together than either one of us could have separately. I believe that human beings are self-healing, and it is thrilling to me to use my knowledge and experience to enliven the healing process. I work with people who are struggling with anxiety, depression, past traumatic experiences, or challenging life changes.
(816) 607-4754 View (816) 607-4754
Photo of Carron Ellspermann Montgomery, Licensed Professional Counselor in Kansas City, MO
Carron Ellspermann Montgomery
Licensed Professional Counselor, MS, LPC, RPT
Verified Verified
1 Endorsed
Kansas City, MO 64114
Do you feel confused, worried or lost about your child's behavior? I can help by providing your child or teen with the skills and confidence needed to transform their behavior. I want your child to feel confident and proud of who they are at school and at home.
Do you feel confused, worried or lost about your child's behavior? I can help by providing your child or teen with the skills and confidence needed to transform their behavior. I want your child to feel confident and proud of who they are at school and at home.
(913) 937-8360 View (913) 937-8360
Photo of Pamela S Taylor, Licensed Professional Counselor in Kansas City, MO
Pamela S Taylor
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64131  (Online Only)
Waitlist for new clients
Dr. Taylor, Counselor, Coach, Consultant, and owner of New Hope Counseling Center. I offer a non-pathologizing, collaborative, strengths-based approach to individuals, couples, families, and businesses in the form of therapy or consulting services. Areas of Interest: Relationship Issues - Couples/Families & Premarital, Adolescents, Loss/Grief,Transitions, Work-Life Balance, Spirituality Concerns, Depression, Anxiety, etc.
Dr. Taylor, Counselor, Coach, Consultant, and owner of New Hope Counseling Center. I offer a non-pathologizing, collaborative, strengths-based approach to individuals, couples, families, and businesses in the form of therapy or consulting services. Areas of Interest: Relationship Issues - Couples/Families & Premarital, Adolescents, Loss/Grief,Transitions, Work-Life Balance, Spirituality Concerns, Depression, Anxiety, etc.
(816) 340-6649 View (816) 340-6649
Photo of Gilda C Iancu, Clinical Social Work/Therapist in Kansas City, MO
Gilda C Iancu
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kansas City, MO 64127  (Online Only)
Hi . I am Gilda and I am excited that you found me. I am a Licensed Clinical Social Worker and I love working with people with a trauma history. In my work I utilize art, cognitive and dialectical behavioral therapy or narrative therapy to help you break from trauma bondage and addiction behaviors. Many times I find the Light and the Truth through play. When the inner child is hurt, feelings of rejection, abandonment, humiliation, betrayal and injustice keep you stuck in experiences of abuse. By living in the present you take your power back and respond to real situations rather than reacting to triggers of past experiences.
Hi . I am Gilda and I am excited that you found me. I am a Licensed Clinical Social Worker and I love working with people with a trauma history. In my work I utilize art, cognitive and dialectical behavioral therapy or narrative therapy to help you break from trauma bondage and addiction behaviors. Many times I find the Light and the Truth through play. When the inner child is hurt, feelings of rejection, abandonment, humiliation, betrayal and injustice keep you stuck in experiences of abuse. By living in the present you take your power back and respond to real situations rather than reacting to triggers of past experiences.
(816) 583-3086 View (816) 583-3086

How does your Therapist compare?

Number of Therapists in Kansas City, MO

900+

Average cost per session

$130

Therapists in Kansas City, MO who prioritize treating:

92% Anxiety
86% Depression
76% Relationship Issues
75% Self Esteem
73% Trauma and PTSD
69% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

65% Aetna
64% UnitedHealthcare UHC | UBH
58% Cigna and Evernorth

How Therapists in Kansas City, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kansas City?

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.