Therapists in Adkins, TX

Photo of M. Diane Way, EdD, LMFT, LPC, EMDR, Licensed Professional Counselor
M. Diane Way
Licensed Professional Counselor, EdD, LMFT, LPC, EMDR
Verified Verified
Adkins, TX 78101
I love what I do! I am a compassionate, nonjudgmental, and caring individual who has gone through painful life experiences myself and have likewise experienced the freedom and peace of healing. I am an experienced, skillful clinician who treats adults, adolescents, and children who are experiencing anxiety, insecurity, nightmares, depression, emotional reactions to trauma, stress, grief, guilt, and/or anger. I diagnose and treat children's' issues including ADHD, separation anxiety, divorce issues, anxiety, depressive disorders, autistic spectrum disorders, behavioral, social, school, or academic problems. I teach parents to implement structure & behavioral techniques that really work!
I love what I do! I am a compassionate, nonjudgmental, and caring individual who has gone through painful life experiences myself and have likewise experienced the freedom and peace of healing. I am an experienced, skillful clinician who treats adults, adolescents, and children who are experiencing anxiety, insecurity, nightmares, depression, emotional reactions to trauma, stress, grief, guilt, and/or anger. I diagnose and treat children's' issues including ADHD, separation anxiety, divorce issues, anxiety, depressive disorders, autistic spectrum disorders, behavioral, social, school, or academic problems. I teach parents to implement structure & behavioral techniques that really work!
(830) 448-0508 View (830) 448-0508
Photo of Jamie Panizza-Kimball, MEd, LPC, Licensed Professional Counselor
Jamie Panizza-Kimball
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Adkins, TX 78101
Does it feel like you are stuck? Are you sick and tired of feeling confused, lonely, worthless, lost, broken? Is it hard to even get out of bed since your loss? Does transitioning to the next phase in life seem out of reach? How determined are you to find love again? How desperate are you for a solution to feel the same way you once did? If you are reading this, then now is the time to take a new journey for yourself. You are ready to dive deep within to determine your self-worth. You can heal from your grief/loss/divorce/breakup!
Does it feel like you are stuck? Are you sick and tired of feeling confused, lonely, worthless, lost, broken? Is it hard to even get out of bed since your loss? Does transitioning to the next phase in life seem out of reach? How determined are you to find love again? How desperate are you for a solution to feel the same way you once did? If you are reading this, then now is the time to take a new journey for yourself. You are ready to dive deep within to determine your self-worth. You can heal from your grief/loss/divorce/breakup!
(830) 219-4064 View (830) 219-4064
Photo of Gladys G. Cisneros, MS, LPC, Licensed Professional Counselor
Gladys G. Cisneros
Licensed Professional Counselor, MS, LPC
Verified Verified
Adkins, TX 78101  (Online Only)
Are you concern and feel helpless because your child or your teen is dealing with depression, anxiety, grief, ADHD, anger, or maybe withdrawn, irritable, or unmotivated? Do you have a sense of frustration because you want to help your child and your child refuses your help and advice? Let us work together so that we can give your child or teenager the tools they need to be happy and content no matter what life has instore for them.
Are you concern and feel helpless because your child or your teen is dealing with depression, anxiety, grief, ADHD, anger, or maybe withdrawn, irritable, or unmotivated? Do you have a sense of frustration because you want to help your child and your child refuses your help and advice? Let us work together so that we can give your child or teenager the tools they need to be happy and content no matter what life has instore for them.
(830) 271-2333 View (830) 271-2333
Photo of Monica Lara, MA, LPC-S, Licensed Professional Counselor
Monica Lara
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Adkins, TX 78101
Are you struggling financially as a LPC-associate and need a supervisor? IF so, I am currently accepting new supervisees. I am flexible and willing to provide online and/or telephonic supervision outside of San Antonio. Please call or email me to discuss my supervision model and fees. Additionally, if you find yourself in a stressful situation and need help dealing with life's stressors, and/or feeling "stuck" with your current situation, then you're ready for a "Second Chance" at life. I am here to help you achieve lifestyle changes and succeed on personal goals.
Are you struggling financially as a LPC-associate and need a supervisor? IF so, I am currently accepting new supervisees. I am flexible and willing to provide online and/or telephonic supervision outside of San Antonio. Please call or email me to discuss my supervision model and fees. Additionally, if you find yourself in a stressful situation and need help dealing with life's stressors, and/or feeling "stuck" with your current situation, then you're ready for a "Second Chance" at life. I am here to help you achieve lifestyle changes and succeed on personal goals.
(830) 488-7165 View (830) 488-7165
Photo of Charlotte M Taber, MS, LPC, LMFT, Licensed Professional Counselor
Charlotte M Taber
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
Adkins, TX 78101
People who seek therapy are the sanest of us all. They look around at their lives and they realize that they want something better and they have the courage to go out and get it.
People who seek therapy are the sanest of us all. They look around at their lives and they realize that they want something better and they have the courage to go out and get it.
(830) 357-7463 View (830) 357-7463
Photo of Amy Jo Orr - Way To Go Mental Health, PLLC, LCSW, Clinical Social Work/Therapist
Way To Go Mental Health, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Adkins, TX 78101
Life can be difficult, full of challenges that are hard to manage, and just plain chaotic. Whatever the reason you are seeking therapy, I am happy to be the one to help. I work hard to ensure a comfortable atmosphere and connect with you using evidence-based practices to help you process and navigate your difficulties. With me you can expect to be heard, understood, and headed back to a life you enjoy living.
Life can be difficult, full of challenges that are hard to manage, and just plain chaotic. Whatever the reason you are seeking therapy, I am happy to be the one to help. I work hard to ensure a comfortable atmosphere and connect with you using evidence-based practices to help you process and navigate your difficulties. With me you can expect to be heard, understood, and headed back to a life you enjoy living.
(830) 355-0874 View (830) 355-0874
Photo of Shaina Newsome, Pre-Licensed Professional
Shaina Newsome
Pre-Licensed Professional
Verified Verified
Adkins, TX 78101
Hello! I'm Shaina, a dedicated marriage and family therapist. I aim to create a safe and supportive space for you to explore your thoughts, uncover new insights, and build strategies for positive change. Whether you're facing relationship challenges or seeking personal growth, I tailor my approach to meet your unique needs. I believe in your capacity for growth and healing, and I'm here to guide you with empathy and expertise. Let's work together to create the fulfilling life and relationships you envision. I look forward to working with you.
Hello! I'm Shaina, a dedicated marriage and family therapist. I aim to create a safe and supportive space for you to explore your thoughts, uncover new insights, and build strategies for positive change. Whether you're facing relationship challenges or seeking personal growth, I tailor my approach to meet your unique needs. I believe in your capacity for growth and healing, and I'm here to guide you with empathy and expertise. Let's work together to create the fulfilling life and relationships you envision. I look forward to working with you.
(830) 999-2880 View (830) 999-2880
Photo of Theresa Frucht - Equilibrium Counseling Services PLLC , MEd, LPC, Licensed Professional Counselor
Equilibrium Counseling Services PLLC
Licensed Professional Counselor, MEd, LPC
Verified Verified
Adkins, TX 78101
Are you struggling or feeling overwhelmed, but are not sure how to make it better? Navigating life's challenges can be hard, but you do not have to do it alone. I am passionate about helping others through the tough spots. Whether you are seeking help for yourself, your child, or another loved one, reaching out for counseling is a brave first step.
Are you struggling or feeling overwhelmed, but are not sure how to make it better? Navigating life's challenges can be hard, but you do not have to do it alone. I am passionate about helping others through the tough spots. Whether you are seeking help for yourself, your child, or another loved one, reaching out for counseling is a brave first step.
(210) 791-6345 View (210) 791-6345

More Therapists Nearby

Photo of Yolanda Sanchez - World of Hope Counseling Center, PLLC, MS, LPC-S, Licensed Professional Counselor
World of Hope Counseling Center, PLLC
Licensed Professional Counselor, MS, LPC-S
Verified Verified
San Antonio, TX 78219
We all need help. Whether it may be learning how to make healthy decisions, reducing anxiety, controlling impulses, learning to assertively communicate or to reduce depressive symptoms. Understanding ourselves, defining our wants and needs can be important in making life-changing choices. In therapy, the goal is to meet you where you are at in life and collaboratively move towards obtaining your goals. Many times we expect immediate results without having to make any internal changes; leaving us unfulfilled, sad and anxious. The changes begin within ourselves to see desired responses from others.
We all need help. Whether it may be learning how to make healthy decisions, reducing anxiety, controlling impulses, learning to assertively communicate or to reduce depressive symptoms. Understanding ourselves, defining our wants and needs can be important in making life-changing choices. In therapy, the goal is to meet you where you are at in life and collaboratively move towards obtaining your goals. Many times we expect immediate results without having to make any internal changes; leaving us unfulfilled, sad and anxious. The changes begin within ourselves to see desired responses from others.
(210) 538-6432 View (210) 538-6432
Photo of Martin McClenon, LPC, Licensed Professional Counselor
Martin McClenon
Licensed Professional Counselor, LPC
Verified Verified
Converse, TX 78109
Hi, my name is Martin McClenon. I am a Licensed Professional Counselor and a Licensed Chemical Dependency Counselor in Texas, as well as a Combat Navy Veteran. I have been practicing for 3 years in community health, outpatient, inpatient, and private practice settings. I am experienced in facilitating healthy life changes. Whether you are dealing with anxiety, depression, trauma substance use, PTSD, relationship issues, or any other obstacle that prevents you from living the life that you desire; identifying the right therapist for you is an important part of getting yourself back on track.
Hi, my name is Martin McClenon. I am a Licensed Professional Counselor and a Licensed Chemical Dependency Counselor in Texas, as well as a Combat Navy Veteran. I have been practicing for 3 years in community health, outpatient, inpatient, and private practice settings. I am experienced in facilitating healthy life changes. Whether you are dealing with anxiety, depression, trauma substance use, PTSD, relationship issues, or any other obstacle that prevents you from living the life that you desire; identifying the right therapist for you is an important part of getting yourself back on track.
(469) 564-3850 View (469) 564-3850
Photo of Travis Johnson, LPC, Licensed Professional Counselor
Travis Johnson
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78223
I have worked as the lead clinical therapist at an inpatient treatment center for adult women with trauma, as well as an inpatient treatment center with teens focused on behavioral issues. I have also worked with single adults, married couples, and retirees. I have also worked in Intensive outpatient programs for adult men.
I have worked as the lead clinical therapist at an inpatient treatment center for adult women with trauma, as well as an inpatient treatment center with teens focused on behavioral issues. I have also worked with single adults, married couples, and retirees. I have also worked in Intensive outpatient programs for adult men.
(210) 934-7258 View (210) 934-7258
Photo of Latasha Denise Teamer - HOPE Therapeutic Alliance, MS, LPC, LMFT, Licensed Professional Counselor
HOPE Therapeutic Alliance
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
3 Endorsed
San Antonio, TX 78244
Our providers at HOPE Therapeutic Alliance understand that deciding to start therapy is a big step toward investing in yourself and those you love. We provide a safe, caring, and judgement-free environment suitable for self-exploration, growth, connection, and empowerment. Our core belief is that every person can attain greater life satisfaction, reach their full potential, and live with purpose.
Our providers at HOPE Therapeutic Alliance understand that deciding to start therapy is a big step toward investing in yourself and those you love. We provide a safe, caring, and judgement-free environment suitable for self-exploration, growth, connection, and empowerment. Our core belief is that every person can attain greater life satisfaction, reach their full potential, and live with purpose.
(210) 405-8269 View (210) 405-8269
Photo of Travis W Johnson - Johnson Christian Counseling, MA, LPC, Licensed Professional Counselor
Johnson Christian Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78223
Book with me now by clicking on my website. Do you feel lost? Do you feel empty? Are you struggling to find meaning and purpose in your life? Do you feel disconnected? Are you frustrated trying to only survive, rather than thriving? There are answers to help you find healing, hope, meaning, purpose, and peace. If you're ready to be honest with yourself and deal with the issues causing you to struggle, it's time to find the support you need to make the changes necessary.
Book with me now by clicking on my website. Do you feel lost? Do you feel empty? Are you struggling to find meaning and purpose in your life? Do you feel disconnected? Are you frustrated trying to only survive, rather than thriving? There are answers to help you find healing, hope, meaning, purpose, and peace. If you're ready to be honest with yourself and deal with the issues causing you to struggle, it's time to find the support you need to make the changes necessary.
(726) 208-7097 View (726) 208-7097
Photo of Camilo Avila, MA, Licensed Professional Counselor
Camilo Avila
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
San Antonio, TX 78244  (Online Only)
Hola! My name is Camilo Avila, I'm a bilingual (English/Español) Licensed Professional Counselor (LPC) based in Texas. I'm excited to work with any client who is ready to partner up with a genuinely caring counselor! I love working with people who are ready to make a positive change in their lives! The hardest part is always the beginning! There's nothing more exciting than a personal transformation through determined positive change! Life happens to us all, but it's up to us to grant ourselves the opportunity to learn from those experiences, change our narrative and live out the best version of ourselves. Yes you can!
Hola! My name is Camilo Avila, I'm a bilingual (English/Español) Licensed Professional Counselor (LPC) based in Texas. I'm excited to work with any client who is ready to partner up with a genuinely caring counselor! I love working with people who are ready to make a positive change in their lives! The hardest part is always the beginning! There's nothing more exciting than a personal transformation through determined positive change! Life happens to us all, but it's up to us to grant ourselves the opportunity to learn from those experiences, change our narrative and live out the best version of ourselves. Yes you can!
(210) 761-7841 View (210) 761-7841
Photo of Matthew Sanchez, MS, LPC, Licensed Professional Counselor
Matthew Sanchez
Licensed Professional Counselor, MS, LPC
Verified Verified
La Vernia, TX 78121
As men, we often tell ourselves, "It's not that bad, I'm good" and brush off our issues. Men are experiencing unique challenges and pressures in our society. With balancing the complexities of manhood and pressures to adhere to masculinity, some men are finding themselves frustrated and confused in how to navigate life. Whether you're juggling issues at work, feeling disconnected from your loved ones, or feeling depressed/anxious, know that you're not alone. The traditional notions of masculinity often discourage emotional vulnerability and disclosure, promoting instead an image of stoicism, strength, and self-reliance.
As men, we often tell ourselves, "It's not that bad, I'm good" and brush off our issues. Men are experiencing unique challenges and pressures in our society. With balancing the complexities of manhood and pressures to adhere to masculinity, some men are finding themselves frustrated and confused in how to navigate life. Whether you're juggling issues at work, feeling disconnected from your loved ones, or feeling depressed/anxious, know that you're not alone. The traditional notions of masculinity often discourage emotional vulnerability and disclosure, promoting instead an image of stoicism, strength, and self-reliance.
View
Photo of Jacqueline Berry-Jones, MA, LPC, Licensed Professional Counselor
Jacqueline Berry-Jones
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78219
I provide therapy for children, adolescents, adults, and seniors and offer individual, family, and couples counseling sessions. I use Cognitive Behavioral Therapy (CBT) to challenge clients' unrealistic beliefs and change their behaviors. In addition, I practice Solution Focused Brief Therapy (SFBT) to assist individuals in identifying their strengths through growth and self-discovery to aid them in reaching their future goals.
I provide therapy for children, adolescents, adults, and seniors and offer individual, family, and couples counseling sessions. I use Cognitive Behavioral Therapy (CBT) to challenge clients' unrealistic beliefs and change their behaviors. In addition, I practice Solution Focused Brief Therapy (SFBT) to assist individuals in identifying their strengths through growth and self-discovery to aid them in reaching their future goals.
(830) 699-6800 View (830) 699-6800
Photo of Dankel -Dk- Paine, LPC, LCDC, HS-BCP, Licensed Professional Counselor
Dankel -Dk- Paine
Licensed Professional Counselor, LPC, LCDC, HS-BCP
Verified Verified
1 Endorsed
Schertz, TX 78154  (Online Only)
Life throws many surprises at us, and while we cannot predict the outcome of any situation, we can control how we respond to certain situations. In many ways, being human is our biggest challenge. We have complex thought processes, feelings, and practices of reacting to the world we live in. Therefore, our personal experiences and ways of relating to our world are difficult to understand - even by ourselves! When faced with hardship, trauma, uncertainty, and change, these complexities become even more challenging to know.
Life throws many surprises at us, and while we cannot predict the outcome of any situation, we can control how we respond to certain situations. In many ways, being human is our biggest challenge. We have complex thought processes, feelings, and practices of reacting to the world we live in. Therefore, our personal experiences and ways of relating to our world are difficult to understand - even by ourselves! When faced with hardship, trauma, uncertainty, and change, these complexities become even more challenging to know.
(830) 971-0942 View (830) 971-0942
Photo of Rebecca A. Hagerling, CMDP, C-DBT, Licensed Professional Counselor
Rebecca A. Hagerling
Licensed Professional Counselor, CMDP, C-DBT
Verified Verified
1 Endorsed
San Antonio, TX 78220  (Online Only)
My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively. While I’d love to help you improve your mental health through physical activity & balanced nutrition, I also understand that everyone’s starting point in therapy can look very different. It would be my pleasure in meeting you where you are in your journey to help build your own tool box of skills so that you can lead the life you deserve to live.
My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively. While I’d love to help you improve your mental health through physical activity & balanced nutrition, I also understand that everyone’s starting point in therapy can look very different. It would be my pleasure in meeting you where you are in your journey to help build your own tool box of skills so that you can lead the life you deserve to live.
(210) 851-9728 View (210) 851-9728
Photo of Brittany Redwine, MA, LPC, Licensed Professional Counselor
Brittany Redwine
Licensed Professional Counselor, MA, LPC
Verified Verified
Converse, TX 78109  (Online Only)
Hi there! I'm Brittany Redwine and I am a Licensed Professional Counselor in the state of Texas. My education is a Bachelors and Master of Science in Psychology and Master of Arts in Counseling. Counseling is a passion of mine because I enjoy having the opportunity to empower other's and assist them in restoring peace of mind.
Hi there! I'm Brittany Redwine and I am a Licensed Professional Counselor in the state of Texas. My education is a Bachelors and Master of Science in Psychology and Master of Arts in Counseling. Counseling is a passion of mine because I enjoy having the opportunity to empower other's and assist them in restoring peace of mind.
(830) 580-3643 View (830) 580-3643
Photo of Lisa A Guerra, MA, LPC, Licensed Professional Counselor
Lisa A Guerra
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78239  (Online Only)
Many individuals can experience symptoms associated with painful and traumatic circumstances. Betrayal in a relationship is one of the most devastating traumas. It creates anxiety, fear, and hopelessness these are a few emotions that can linger and dysregulate your nervous system. I can help you overcome these symptoms and guide you through the process of grief and healing. Depression, anxiety, and grief are some of the most uncomfortable emotions we can experience in our lives. We may experience these emotions for many reasons: A loved One's Death, Chronic Pain, Divorce, Job Loss and other Life Challenges.
Many individuals can experience symptoms associated with painful and traumatic circumstances. Betrayal in a relationship is one of the most devastating traumas. It creates anxiety, fear, and hopelessness these are a few emotions that can linger and dysregulate your nervous system. I can help you overcome these symptoms and guide you through the process of grief and healing. Depression, anxiety, and grief are some of the most uncomfortable emotions we can experience in our lives. We may experience these emotions for many reasons: A loved One's Death, Chronic Pain, Divorce, Job Loss and other Life Challenges.
(210) 968-0254 View (210) 968-0254

See more therapy options for Adkins

How does your Therapist compare?

Number of Therapists in Adkins, TX

< 10

Therapists in Adkins, TX who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
75% Relationship Issues
75% Parenting
75% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
83% Cigna and Evernorth
67% BlueCross and BlueShield

How Therapists in Adkins, TX see their clients

88% In Person and Online
12% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Adkins?

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.