Therapists in Waterloo, NE

Photo of Nika George, PhD, Psychologist
Nika George
Psychologist, PhD
Verified Verified
3 Endorsed
Waterloo, NE 68069  (Online Only)
My name is Dr. Nika George and I am a therapist with my PhD in clinical psychology. Clients typically visit my practice to receive specialized care for high achieving adults who experience perfectionism, and burnout. I also excel in treating people with PTSD, complex PTSD, and trauma in childhood such as emotional abuse and neglect. In addition, I frequently work with clients who are experiencing depression, anxiety, life transitions (divorce, moving, relationship issues, setting boundaries, assertiveness training), career stress, or postpartum mood changes.
My name is Dr. Nika George and I am a therapist with my PhD in clinical psychology. Clients typically visit my practice to receive specialized care for high achieving adults who experience perfectionism, and burnout. I also excel in treating people with PTSD, complex PTSD, and trauma in childhood such as emotional abuse and neglect. In addition, I frequently work with clients who are experiencing depression, anxiety, life transitions (divorce, moving, relationship issues, setting boundaries, assertiveness training), career stress, or postpartum mood changes.
(402) 526-5398 View (402) 526-5398
Photo of Audrey Hines, MA, LMFT, LIMHP, Marriage & Family Therapist
Audrey Hines
Marriage & Family Therapist, MA, LMFT, LIMHP
Verified Verified
1 Endorsed
Waterloo, NE 68069  (Online Only)
Everyone said having a baby would be the most magical time in your life, but you're finding that juggling the demands of parenthood and partnership leave you feeling more unappreciated, unseen in your marriage, and overwhelmed than you've ever been before. Feelings of loneliness and anxiety visit more than you could have imagined, and worry sets in that maybe you'll never cut it as a mom. Know it doesn't have to be this way. You can trust your abilities as a parent, enjoy the here-and-now with your partner and your baby, and approach both the chaos and beauty of parenthood with compassion, confidence, and humor.
Everyone said having a baby would be the most magical time in your life, but you're finding that juggling the demands of parenthood and partnership leave you feeling more unappreciated, unseen in your marriage, and overwhelmed than you've ever been before. Feelings of loneliness and anxiety visit more than you could have imagined, and worry sets in that maybe you'll never cut it as a mom. Know it doesn't have to be this way. You can trust your abilities as a parent, enjoy the here-and-now with your partner and your baby, and approach both the chaos and beauty of parenthood with compassion, confidence, and humor.
(402) 226-1936 View (402) 226-1936
Photo of Barbara Bradford, LCSW, LIMHP, Counselor
Barbara Bradford
Counselor, LCSW, LIMHP
Verified Verified
3 Endorsed
Waterloo, NE 68069  (Online Only)
Are you tired of listening to that committee in your head - you know, the one that says you are stupid or wrong or that you're not worthy and don't fit in? At Cerebral Landscaping, we are all about embracing our quirks, whether it's being as neurodiverse as a Rubik's Cube, having more issues than People magazine, or wanting a self-esteem boost. Sometimes, if we hear something enough, we can think it's true. This often happens with negative messages we hear or tell ourselves. We are not here to endure or cause suffering. Together, we can find another way.
Are you tired of listening to that committee in your head - you know, the one that says you are stupid or wrong or that you're not worthy and don't fit in? At Cerebral Landscaping, we are all about embracing our quirks, whether it's being as neurodiverse as a Rubik's Cube, having more issues than People magazine, or wanting a self-esteem boost. Sometimes, if we hear something enough, we can think it's true. This often happens with negative messages we hear or tell ourselves. We are not here to endure or cause suffering. Together, we can find another way.
(402) 940-7874 View (402) 940-7874
Photo of Charmayne Adams, PhD, LIMHP, NCC, Counselor
Charmayne Adams
Counselor, PhD, LIMHP, NCC
Verified Verified
Waterloo, NE 68069  (Online Only)
Not accepting new clients
Hello! I work with adults and adolescents who are trying to navigate a wide range of emotions, thoughts, and behaviors that may be causing distress/stress in their lives. This can include anxiety, work-related stress, depression, suicidal ideation, relationship issues, anger, or just overall not feeling as well as you'd like to. I believe that true emotional health comes from being able to feel and manage a wide range of feelings without becoming overwhelmed. I can help support clients as they move toward a more holistic sense of wellness that is sustainable.
Hello! I work with adults and adolescents who are trying to navigate a wide range of emotions, thoughts, and behaviors that may be causing distress/stress in their lives. This can include anxiety, work-related stress, depression, suicidal ideation, relationship issues, anger, or just overall not feeling as well as you'd like to. I believe that true emotional health comes from being able to feel and manage a wide range of feelings without becoming overwhelmed. I can help support clients as they move toward a more holistic sense of wellness that is sustainable.
(531) 233-1422 View (531) 233-1422
Photo of Ace Devlin, MS, PLMHP, Counselor
Ace Devlin
Counselor, MS, PLMHP
Verified Verified
1 Endorsed
Waterloo, NE 68069  (Online Only)
Most of the time we can manage the ups and downs of life without extra support. Then something shifts, and it can feel like it all collapses like a house of cards. Quickly, it can feel like you don't even recognize yourself anymore. None of the skills you were using to successfully manage your life work like they used to. You're overwhelmed and at a loss for how to get unstuck. At times even the seemingly tiniest of changes can shake us to our foundations, and leave us feeling adrift; but change is often the perfect opportunity to grow.
Most of the time we can manage the ups and downs of life without extra support. Then something shifts, and it can feel like it all collapses like a house of cards. Quickly, it can feel like you don't even recognize yourself anymore. None of the skills you were using to successfully manage your life work like they used to. You're overwhelmed and at a loss for how to get unstuck. At times even the seemingly tiniest of changes can shake us to our foundations, and leave us feeling adrift; but change is often the perfect opportunity to grow.
(402) 809-4254 View (402) 809-4254

More Therapists Nearby

Photo of Nathan Sudbeck, PsyD, ABPP, Psychologist
Nathan Sudbeck
Psychologist, PsyD, ABPP
Verified Verified
4 Endorsed
Omaha, NE 68116
TRUE Counseling & Psychological Services, LLC is accepting new clients for individual and couples therapy. I established this Practice with the goal of assisting clients in achieving a sense of control over their lives, their choices, and their relationships. To regain your “true” self. Our sessions will always be personalized and you will receive realistic, meaningful ways to improve your circumstances. Both men and women have benefited from a few sessions focused on immediate concerns. Others have sought longer-term experiences to improve their overall well-being, productivity, and success in relationships and work.
TRUE Counseling & Psychological Services, LLC is accepting new clients for individual and couples therapy. I established this Practice with the goal of assisting clients in achieving a sense of control over their lives, their choices, and their relationships. To regain your “true” self. Our sessions will always be personalized and you will receive realistic, meaningful ways to improve your circumstances. Both men and women have benefited from a few sessions focused on immediate concerns. Others have sought longer-term experiences to improve their overall well-being, productivity, and success in relationships and work.
(531) 300-0807 View (531) 300-0807
Photo of Stephani McKee, MS, PLMHP, NCC
Stephani McKee
Provisional Mental Health Practitioner, MS, PLMHP, NCC
Verified Verified
1 Endorsed
Elkhorn, NE 68022
Are you struggling with anxiety and depression due to life transitions such as divorce, infertility, the death of a loved one, college stress or the loss of a dream, and seeking Christian counseling? Have you experienced trauma in your life and you feel stuck under the weight of worry and fear? Are “shoulds” and “musts” leaving you paralyzed with thoughts of “I’m not good enough” and “I don’t matter”? Often people wait to reach out until they feel depleted, resentful, and ashamed. I believe we get stuck due to our thinking, and the way we get unstuck is to change our thinking! But is it possible? Yes! It doesn't have to be this way
Are you struggling with anxiety and depression due to life transitions such as divorce, infertility, the death of a loved one, college stress or the loss of a dream, and seeking Christian counseling? Have you experienced trauma in your life and you feel stuck under the weight of worry and fear? Are “shoulds” and “musts” leaving you paralyzed with thoughts of “I’m not good enough” and “I don’t matter”? Often people wait to reach out until they feel depleted, resentful, and ashamed. I believe we get stuck due to our thinking, and the way we get unstuck is to change our thinking! But is it possible? Yes! It doesn't have to be this way
(402) 698-4892 View (402) 698-4892
Photo of Kaylee Blake, MA, NCC, LIMHP, Licensed Professional Counselor
Kaylee Blake
Licensed Professional Counselor, MA, NCC, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68137
Waitlist for new clients
Have you done a self check-in lately? I am here to help you make sure that you are finding the right balance, so you are not sacrificing your own needs. Let's work together so you feel you are worthy and deserving of the energy and support you give others.
Have you done a self check-in lately? I am here to help you make sure that you are finding the right balance, so you are not sacrificing your own needs. Let's work together so you feel you are worthy and deserving of the energy and support you give others.
(402) 685-8227 View (402) 685-8227
Photo of Jennifer Hedke, Counselor
Jennifer Hedke
Counselor
Verified Verified
Omaha, NE 68116  (Online Only)
Hello! My name is Jennifer Hedke and I am a licensed independent mental health practitioner in the state of Nebraska, licensed clinical professional counselor in the state of Montana, licensed professional counselor in the state of Wisconsin, and a nationally registered art therapist. I specialize in working with adults, children and teens struggling with addiction, trauma, anxiety, borderline personality disorder, self-harm, and depression. I practice using art therapy, CBT, TF-CBT, DBT and motivational
Hello! My name is Jennifer Hedke and I am a licensed independent mental health practitioner in the state of Nebraska, licensed clinical professional counselor in the state of Montana, licensed professional counselor in the state of Wisconsin, and a nationally registered art therapist. I specialize in working with adults, children and teens struggling with addiction, trauma, anxiety, borderline personality disorder, self-harm, and depression. I practice using art therapy, CBT, TF-CBT, DBT and motivational
(402) 581-9481 View (402) 581-9481
Photo of Becky Soppe, LMHP, NCC, Counselor
Becky Soppe
Counselor, LMHP, NCC
Verified Verified
1 Endorsed
Omaha, NE 68130
My practice focuses on helping adolescents, adults, families, and couples who struggle with a multitude of issues. Whether you’re experiencing depression, anxiety, grief, behavioral or impulse control issues, life transitions, or communication breakdowns, I am here to help. I have 18 years of experience working with children and families in a behavioral health setting and I truly enjoy helping people make positive changes in their lives.
My practice focuses on helping adolescents, adults, families, and couples who struggle with a multitude of issues. Whether you’re experiencing depression, anxiety, grief, behavioral or impulse control issues, life transitions, or communication breakdowns, I am here to help. I have 18 years of experience working with children and families in a behavioral health setting and I truly enjoy helping people make positive changes in their lives.
(402) 523-2133 View (402) 523-2133
Photo of Noelle C Phillips, LICSW, PMH-C, Counselor
Noelle C Phillips
Counselor, LICSW, PMH-C
Verified Verified
Elkhorn, NE 68022
Asking for help and admitting something in our life is bigger than us can be difficult and scary. Afterall, we all like to do things on our own. Or are you that person who finds yourself taking care of everyone else and ending up with an empty cup when it comes to your needs? If you find yourself struggling with managing life's challenges, I am here and ready to help. I consider it a privilege to hear each individual's story when they come to see me. Change is hard but not impossible. A better you is just a phone call away.
Asking for help and admitting something in our life is bigger than us can be difficult and scary. Afterall, we all like to do things on our own. Or are you that person who finds yourself taking care of everyone else and ending up with an empty cup when it comes to your needs? If you find yourself struggling with managing life's challenges, I am here and ready to help. I consider it a privilege to hear each individual's story when they come to see me. Change is hard but not impossible. A better you is just a phone call away.
(402) 833-6916 View (402) 833-6916
Photo of Dr. Katie Reutzel, PhD, RD, LMNT, PLMHP, Counselor
Dr. Katie Reutzel
Counselor, PhD, RD, LMNT, PLMHP
Verified Verified
Omaha, NE 68116
My name is Dr. Katie Reutzel and I am a Registered Dietitian and Provisionally Licensed Mental Health Practitioner in the state of Nebraska. I am an adjunct professor at the University of Nebraska-Omaha in addition to offering nutrition and mental health counseling through my private practice, K-Love Counseling. I am passionate about seeing the whole person healed...body, soul, and spirit...through the work of the Holy Spirit and the integration of both mental health and nutrition to ensure my clients are able to live life in freedom and abundance.
My name is Dr. Katie Reutzel and I am a Registered Dietitian and Provisionally Licensed Mental Health Practitioner in the state of Nebraska. I am an adjunct professor at the University of Nebraska-Omaha in addition to offering nutrition and mental health counseling through my private practice, K-Love Counseling. I am passionate about seeing the whole person healed...body, soul, and spirit...through the work of the Holy Spirit and the integration of both mental health and nutrition to ensure my clients are able to live life in freedom and abundance.
(402) 621-5695 View (402) 621-5695
Photo of Jessica Compton, Counselor
Jessica Compton
Counselor
Verified Verified
Elkhorn, NE 68022
I have worked with children and young adults experiencing a variety of mental health issues and trauma. Our office specializes in individuals with eating disorders, however, we offer outpatient counseling for a variety of issues, including but not limited to: anxiety, depression, ADD management, trauma-focused therapy, etc. I completed my internship of over 1000 hours in a medical rehabilitation hospital, so I am well versed in medical trauma as well as helping clients find a new normal after a life-altering event.
I have worked with children and young adults experiencing a variety of mental health issues and trauma. Our office specializes in individuals with eating disorders, however, we offer outpatient counseling for a variety of issues, including but not limited to: anxiety, depression, ADD management, trauma-focused therapy, etc. I completed my internship of over 1000 hours in a medical rehabilitation hospital, so I am well versed in medical trauma as well as helping clients find a new normal after a life-altering event.
(402) 607-8692 View (402) 607-8692
Photo of Joan Elizabeth Fink, PhD, NCC, LMHP, LPC, CST, Licensed Professional Counselor
Joan Elizabeth Fink
Licensed Professional Counselor, PhD, NCC, LMHP, LPC, CST
Verified Verified
4 Endorsed
Omaha, NE 68154
The decision to seek therapeutic help is never an easy one. It often comes at a time when most people feel hopeless, vulnerable, frustrated and unable to cope without outside help or resources. Recognizing this, I strive to provide my clients with the utmost respect and compassion, in a confidential and safe environment. I work together with my clients, in an authentic, collaborative way, to bring about positive changes that make sense in their life, according to their personal values. My specialty is Relationships & Sex Therapy, identifying & working w/ intimacy issues and infidelity. I am a AASECT Certified Sex Therapist.
The decision to seek therapeutic help is never an easy one. It often comes at a time when most people feel hopeless, vulnerable, frustrated and unable to cope without outside help or resources. Recognizing this, I strive to provide my clients with the utmost respect and compassion, in a confidential and safe environment. I work together with my clients, in an authentic, collaborative way, to bring about positive changes that make sense in their life, according to their personal values. My specialty is Relationships & Sex Therapy, identifying & working w/ intimacy issues and infidelity. I am a AASECT Certified Sex Therapist.
(402) 902-4015 View (402) 902-4015
Photo of Sean Roberts, MS, LIMHP, LPC, Counselor
Sean Roberts
Counselor, MS, LIMHP, LPC
Verified Verified
1 Endorsed
Omaha, NE 68144
I am a Licensed Independent Mental Health Practitioner (LIMHP) for the state of Nebraska. My specialties include relationship issues, anxiety, depression, and social skill building. I have 9 years of experience working in the Mental Health Field as a therapist and administrator. I have a strong background in working with children and families.
I am a Licensed Independent Mental Health Practitioner (LIMHP) for the state of Nebraska. My specialties include relationship issues, anxiety, depression, and social skill building. I have 9 years of experience working in the Mental Health Field as a therapist and administrator. I have a strong background in working with children and families.
(402) 226-1923 View (402) 226-1923
Photo of Patricia (Trish) Carter, LIMHP, LCPC, BCN, Counselor
Patricia (Trish) Carter
Counselor, LIMHP, LCPC, BCN
Verified Verified
2 Endorsed
Bennington, NE 68007  (Online Only)
Many of my clients come to therapy seeking support when they find themselves overwhelmed or feeling trapped. They express a desire for assistance in coping with issues like anxiety and chronic trauma, as well as cultivating healthier relationships. Each client and couple I work with brings their own unique narrative to the table. I place great importance on understanding how life experiences shape one's self-perception and relationships, and I am dedicated to guiding clients through the journey of personal growth and change.
Many of my clients come to therapy seeking support when they find themselves overwhelmed or feeling trapped. They express a desire for assistance in coping with issues like anxiety and chronic trauma, as well as cultivating healthier relationships. Each client and couple I work with brings their own unique narrative to the table. I place great importance on understanding how life experiences shape one's self-perception and relationships, and I am dedicated to guiding clients through the journey of personal growth and change.
(913) 398-5279 View (913) 398-5279
Photo of Sharon D Jackson - Sharon Jackson Consulting LLC, LMHP, CPC , CISM, Counselor
Sharon Jackson Consulting LLC
Counselor, LMHP, CPC , CISM
Verified Verified
Omaha, NE 68118
Not accepting new clients
The purpose of counseling is to alleviate your need for counseling!
The purpose of counseling is to alleviate your need for counseling!
(402) 281-9426 View (402) 281-9426
Photo of Katherine Anne Latter, MA, LMHC, LPC, LIMHP, Counselor
Katherine Anne Latter
Counselor, MA, LMHC, LPC, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68116  (Online Only)
Allow yourself to experience changes through the seasons of life! As a counselor, it is my delight to come alongside clients and encourage them to transition through life's challenges. I believe that people can transform, weather the storms of life, and gain tools and insights to help them do so. I provide a safe environment, filled with compassion and empathy, in which clients can share their hearts, their fears, their dreams, and their stories.
Allow yourself to experience changes through the seasons of life! As a counselor, it is my delight to come alongside clients and encourage them to transition through life's challenges. I believe that people can transform, weather the storms of life, and gain tools and insights to help them do so. I provide a safe environment, filled with compassion and empathy, in which clients can share their hearts, their fears, their dreams, and their stories.
(360) 383-5631 View (360) 383-5631
Photo of Shelly Gray, MS, LMHP, NCC, Counselor
Shelly Gray
Counselor, MS, LMHP, NCC
Verified Verified
Elkhorn, NE 68022
Not accepting new clients
Feeling stuck, at a crossroad? Sometimes you're not even sure what is wrong but you just feel off. Everyone experiences difficulty in their life. Even the strongest of us can feel lost, unsure, ambivalent or unhappy at times. You don't have to be on life's journey alone. As a counselor I can help you understand and manage whatever life throws at you, and how to do it successfully. I utilize the art and science of counseling to create a safe and accepting environment in developing a trusting partnership with you to help you in your journey.
Feeling stuck, at a crossroad? Sometimes you're not even sure what is wrong but you just feel off. Everyone experiences difficulty in their life. Even the strongest of us can feel lost, unsure, ambivalent or unhappy at times. You don't have to be on life's journey alone. As a counselor I can help you understand and manage whatever life throws at you, and how to do it successfully. I utilize the art and science of counseling to create a safe and accepting environment in developing a trusting partnership with you to help you in your journey.
(402) 608-2879 View (402) 608-2879
Photo of Karen E. Baumstark, PhD, CMHIMP, CTACC, Psychologist
Karen E. Baumstark
Psychologist, PhD, CMHIMP, CTACC
Verified Verified
1 Endorsed
Elkhorn, NE 68022
You want to make changes in your life. You want to break out of the old patterns and problems that are holding you back. But you're not sure what to do. I can help you access and develop both your inner and your outer resources to create better relationships and a more satisfying life. With over 42 years of experience as a counselor and therapist (33 years of that as a clinical psychologist), I am an effective life-change partner for you. We will work together to understand the root causes of your problems, so you can make real, lasting, and significant changes in the aspects of your life that are making you unhappy.
You want to make changes in your life. You want to break out of the old patterns and problems that are holding you back. But you're not sure what to do. I can help you access and develop both your inner and your outer resources to create better relationships and a more satisfying life. With over 42 years of experience as a counselor and therapist (33 years of that as a clinical psychologist), I am an effective life-change partner for you. We will work together to understand the root causes of your problems, so you can make real, lasting, and significant changes in the aspects of your life that are making you unhappy.
(402) 881-0993 View (402) 881-0993

See more therapy options for Waterloo

How does your Therapist compare?

Number of Therapists in Waterloo, NE

< 10

Therapists in Waterloo, NE who prioritize treating:

100% Anxiety
80% Relationship Issues
80% Depression
80% ADHD
80% Trauma and PTSD
80% Life Transitions
60% Grief

Average years in practice

9 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
75% Other
50% Blue Cross

How Therapists in Waterloo, NE see their clients

100% Online Only

Gender breakdown

75% Female
25% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Waterloo?

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.