Photo of Rachel Hansen, LCSW, Clinical Social Work/Therapist
Rachel Hansen
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
You’ve been feeling overwhelmed for days—crying, consumed by hopelessness and fear. Your mind is scattered, and you find yourself wondering: is this ADHD, anxiety, or depression? This has been your reality for years, shaped by difficult and painful experiences. You’re exhausted from the emotional instability, the toxic relationships, and the constant need to numb your feelings. You can’t help but ask yourself—does it ever get better? You want more than this; you want to feel whole, break the cycle, and finally experience meaningful connection with yourself and others. You’re ready for a change, for something real and lasting.
You’ve been feeling overwhelmed for days—crying, consumed by hopelessness and fear. Your mind is scattered, and you find yourself wondering: is this ADHD, anxiety, or depression? This has been your reality for years, shaped by difficult and painful experiences. You’re exhausted from the emotional instability, the toxic relationships, and the constant need to numb your feelings. You can’t help but ask yourself—does it ever get better? You want more than this; you want to feel whole, break the cycle, and finally experience meaningful connection with yourself and others. You’re ready for a change, for something real and lasting.
(732) 889-7787 View (732) 889-7787
Photo of Margaret Debrot, MSW, LCSW, PsyA, Clinical Social Work/Therapist
Margaret Debrot
Clinical Social Work/Therapist, MSW, LCSW, PsyA
Verified Verified
Online Only
I approach my work with sensitivity and in response to the needs presented by the individual or family. My professional work demonstrates an ability to respect the individual needs of others when, at times, life presents expected or unexpected challenges. I believe a non-judgemental approach in practice helps to support individuals as they take a new approach to old and new challenges. Margaret is a certified training and supervising analyst and is on the faculty of The Institute for Psychoanalytic Studies where she teaches several courses in both the child and adult training programs. Margaret is an author.
I approach my work with sensitivity and in response to the needs presented by the individual or family. My professional work demonstrates an ability to respect the individual needs of others when, at times, life presents expected or unexpected challenges. I believe a non-judgemental approach in practice helps to support individuals as they take a new approach to old and new challenges. Margaret is a certified training and supervising analyst and is on the faculty of The Institute for Psychoanalytic Studies where she teaches several courses in both the child and adult training programs. Margaret is an author.
(201) 875-1005 View (201) 875-1005
Photo of Amanda Araujo, MA, LPC, Licensed Professional Counselor
Amanda Araujo
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Understanding your journey can be both empowering and scary. What we resist may seem to persist, so let’s use it! On my first day of college, I was asked to define what therapy means and learned it to be simply this; It is the safest place for someone seeking help to feel uncomfortable at their most vulnerable time. My approach as a therapist is to help my clients gain insight, challenge negative thoughts/behaviors and find purpose in life while promoting an empathetic, genuine, and inclusive process.
Understanding your journey can be both empowering and scary. What we resist may seem to persist, so let’s use it! On my first day of college, I was asked to define what therapy means and learned it to be simply this; It is the safest place for someone seeking help to feel uncomfortable at their most vulnerable time. My approach as a therapist is to help my clients gain insight, challenge negative thoughts/behaviors and find purpose in life while promoting an empathetic, genuine, and inclusive process.
(848) 272-7837 View (848) 272-7837
Photo of Krista Gleason, MA, LPC, Licensed Professional Counselor
Krista Gleason
Licensed Professional Counselor, MA, LPC
Verified Verified
Not accepting new clients
If you are going though a major change in your life, having mood changes, or you are having a hard time in your relationships, I can help you! Part of evolving and growing into a healthier person involves developing deeper insights into yourself and others, and becoming more aware of how you think and feel. In therapy, we will work on that as well as help you develop healthier and effective coping tools to manage your feelings. In addition, we can work on improving your communication with the people in your life. All of these points are key to helping you find the best version of you!
If you are going though a major change in your life, having mood changes, or you are having a hard time in your relationships, I can help you! Part of evolving and growing into a healthier person involves developing deeper insights into yourself and others, and becoming more aware of how you think and feel. In therapy, we will work on that as well as help you develop healthier and effective coping tools to manage your feelings. In addition, we can work on improving your communication with the people in your life. All of these points are key to helping you find the best version of you!
(732) 243-6445 View (732) 243-6445
Photo of Brittany LaFemina, MSW, LCSW, NPT-C, Clinical Social Work/Therapist
Brittany LaFemina
Clinical Social Work/Therapist, MSW, LCSW, NPT-C
Verified Verified
2 Endorsed
Online Only
Are you looking to strengthen your relationship with a loved one or learn how to communicate more effectively? Everything in life has to do with those moments of connection and experiences of interrelating to others and the world around you. You can have a strong sense of independence, while still feeling the need to belong. Friendship, support, and love are vital parts of human happiness. I specialize in the art of relating. I can guide you in having a better relationship with yourself and others. I work with singles, couples, and polyamorous relationships to help find the most fulfillment within their relationships.
Are you looking to strengthen your relationship with a loved one or learn how to communicate more effectively? Everything in life has to do with those moments of connection and experiences of interrelating to others and the world around you. You can have a strong sense of independence, while still feeling the need to belong. Friendship, support, and love are vital parts of human happiness. I specialize in the art of relating. I can guide you in having a better relationship with yourself and others. I work with singles, couples, and polyamorous relationships to help find the most fulfillment within their relationships.
(732) 605-6086 View (732) 605-6086
Photo of Lisa Barry, LCSW, LCSW-C, Clinical Social Work/Therapist
Lisa Barry
Clinical Social Work/Therapist, LCSW, LCSW-C
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
My goal is to foster a safe space for you to express your thoughts, concerns, and fears without judgment. I specialize in work with individuals of all ages, and backgrounds, dealing with anxiety, depression, disordered eating, ADHD, and life stressors and transitions. If you find yourself struggling with shame, mood changes, low self-worth, uncertainty of identity, difficulty with task and time management, boundary setting, or people pleasing, I encourage you to reach out! I hope to provide an opportunity to validate and explore past history and trauma, while also effecting real change to improve life fulfillment and satisfaction.
My goal is to foster a safe space for you to express your thoughts, concerns, and fears without judgment. I specialize in work with individuals of all ages, and backgrounds, dealing with anxiety, depression, disordered eating, ADHD, and life stressors and transitions. If you find yourself struggling with shame, mood changes, low self-worth, uncertainty of identity, difficulty with task and time management, boundary setting, or people pleasing, I encourage you to reach out! I hope to provide an opportunity to validate and explore past history and trauma, while also effecting real change to improve life fulfillment and satisfaction.
(732) 696-4262 View (732) 696-4262
Photo of Joanne M McNamara - Glimmerglass Counseling, LLC/Joanne McNamara, PhD, PhD, Psychologist
Glimmerglass Counseling, LLC/Joanne McNamara, PhD
Psychologist, PhD
Verified Verified
I will be unavailable 10/7/24 thru 10/26/24. If you have a question about services, or would like to set up a new client appointment, please reach out to me by email or phone and I will contact you the week of 10/28. thank you. When we take good care of ourselves, we are in a better position to help those around us, including family, friends, and neighbors. You have taken an important step by researching therapists in your area. You are on your way to taking good care of yourself. Finding a good match with a therapist is a key factor in successful therapy.
I will be unavailable 10/7/24 thru 10/26/24. If you have a question about services, or would like to set up a new client appointment, please reach out to me by email or phone and I will contact you the week of 10/28. thank you. When we take good care of ourselves, we are in a better position to help those around us, including family, friends, and neighbors. You have taken an important step by researching therapists in your area. You are on your way to taking good care of yourself. Finding a good match with a therapist is a key factor in successful therapy.
(732) 654-2205 View (732) 654-2205
Photo of Cobi Beyda, MS, LPC, EMDR, Licensed Professional Counselor
Cobi Beyda
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
1 Endorsed
Trauma is often the root of our struggles. Childhood and adult trauma can leave visible and invisible marks on our bodies and souls. These marks show up in our relationships, our parenting, and our physical health, among other places. It takes bravery to face the feelings that trauma brings up within us. I tailor my techniques and connections to the individual needs of each person who walks through my door because not one of us can, or should, be boxed into a category. I specialize in working with adults; individuals, couples, and families.
Trauma is often the root of our struggles. Childhood and adult trauma can leave visible and invisible marks on our bodies and souls. These marks show up in our relationships, our parenting, and our physical health, among other places. It takes bravery to face the feelings that trauma brings up within us. I tailor my techniques and connections to the individual needs of each person who walks through my door because not one of us can, or should, be boxed into a category. I specialize in working with adults; individuals, couples, and families.
(848) 305-1174 View (848) 305-1174
Photo of Shanti Shah, LSW
Shanti Shah
Licensed Social Worker , LSW
Verified Verified
1 Endorsed
Online Only
My name is Shanti Shah, LSW. I recently graduated from Columbia University with a Master of Science in Social Work specializing in Advanced Clinical Practice. I am passionate about helping people of all ages thrive emotionally and mentally. My expertise lies in addressing a range of challenges, including anxiety, depression, behavioral issues, domestic and sexual abuse, self-esteem and confidence, and trauma.
My name is Shanti Shah, LSW. I recently graduated from Columbia University with a Master of Science in Social Work specializing in Advanced Clinical Practice. I am passionate about helping people of all ages thrive emotionally and mentally. My expertise lies in addressing a range of challenges, including anxiety, depression, behavioral issues, domestic and sexual abuse, self-esteem and confidence, and trauma.
(732) 503-8627 View (732) 503-8627
Photo of Nicholas Joseph Spanola, MS, LPC, NCC, Licensed Professional Counselor
Nicholas Joseph Spanola
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Waitlist for new clients
As we go through life, we may experience waves of difficult times that can impact our mental health. This may result in anxiety, depression, grief, or relationship difficulties, and we often judge ourselves for having these human experiences. If you or your children are dealing with these challenges, please consider letting me help. It is my goal to gear treatment towards each individual I work with and help you develop greater self-compassion and confidence in managing your mental health.
As we go through life, we may experience waves of difficult times that can impact our mental health. This may result in anxiety, depression, grief, or relationship difficulties, and we often judge ourselves for having these human experiences. If you or your children are dealing with these challenges, please consider letting me help. It is my goal to gear treatment towards each individual I work with and help you develop greater self-compassion and confidence in managing your mental health.
(848) 257-9014 View (848) 257-9014
Photo of Megan Marshall, LCSW, Clinical Social Work/Therapist
Megan Marshall
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Megan Marshall earned her Masters in Social Work from Rutgers University in 2010. She has extensive experience treating the emotional, mental and spiritual needs of her clients. She utilizes Cognitive Behavioral Therapy and Motivational Interviewing as treatment approaches to a variety of behavioral health issues. Clients benefit from her ability to stand out of judgment and work shoulder to shoulder with them towards wellness and recovery.
Megan Marshall earned her Masters in Social Work from Rutgers University in 2010. She has extensive experience treating the emotional, mental and spiritual needs of her clients. She utilizes Cognitive Behavioral Therapy and Motivational Interviewing as treatment approaches to a variety of behavioral health issues. Clients benefit from her ability to stand out of judgment and work shoulder to shoulder with them towards wellness and recovery.
(732) 655-3312 View (732) 655-3312
Photo of Shay Stanton Shwahla - Creative Solutions Counseling, LLC, LCSW, Clinical Social Work/Therapist
Creative Solutions Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
I want to congratulate you for seeking help with whatever your issues may be. It is important to choose a therapist you feel you can connect with, as well as one who has the knowledge, skills and experience to help you reach your goals. I believe in the inner strength and wisdom of all individuals. We are born programed to heal and grow and we are all empowered with the ability to create the reality of our dreams. Sometimes we need new tools, insight and intervention to get there. I provide that help with a holistic approach in a supportive, interactive environment. More info can be found at www.creativesolutionscounseling.net
I want to congratulate you for seeking help with whatever your issues may be. It is important to choose a therapist you feel you can connect with, as well as one who has the knowledge, skills and experience to help you reach your goals. I believe in the inner strength and wisdom of all individuals. We are born programed to heal and grow and we are all empowered with the ability to create the reality of our dreams. Sometimes we need new tools, insight and intervention to get there. I provide that help with a holistic approach in a supportive, interactive environment. More info can be found at www.creativesolutionscounseling.net
(732) 305-2026 View (732) 305-2026
Photo of Melissa Meisenbacher - New Day Counseling LLC, LCSW, SSW, SAC, Clinical Social Work/Therapist
New Day Counseling LLC
Clinical Social Work/Therapist, LCSW, SSW, SAC
Verified Verified
Online Only
Not accepting new clients
Our goal is to support your journey in revealing your true potential. Together we work through challenges in your life by setting specific and achievable goals that address your concerns. During these challenging times, having someone to support your needs with such concerns as loss of a loved one, depression, anxiety or stress, just to name a few. We are here for you.
Our goal is to support your journey in revealing your true potential. Together we work through challenges in your life by setting specific and achievable goals that address your concerns. During these challenging times, having someone to support your needs with such concerns as loss of a loved one, depression, anxiety or stress, just to name a few. We are here for you.
(848) 253-3783 View (848) 253-3783
Photo of Leo Beyda, MS, LPC, LCADC, Licensed Professional Counselor
Leo Beyda
Licensed Professional Counselor, MS, LPC, LCADC
Verified Verified
1 Endorsed
Life can present us with unexpected challenges that may feel overwhelming and insurmountable. However, I firmly believe that as human beings, we each have, within us, the ability and the tools necessary to overcome these obstacles; even though accessing these tools can sometimes be challenging. I consider it an honor to assist my clients in uncovering their individual strengths.
Life can present us with unexpected challenges that may feel overwhelming and insurmountable. However, I firmly believe that as human beings, we each have, within us, the ability and the tools necessary to overcome these obstacles; even though accessing these tools can sometimes be challenging. I consider it an honor to assist my clients in uncovering their individual strengths.
(848) 208-7697 View (848) 208-7697
Photo of Jessica Ahearn, MA, LAC, NCC, Counselor
Jessica Ahearn
Counselor, MA, LAC, NCC
Verified Verified
2 Endorsed
Online Only
You potentially accomplished the hardest part of seeking guidance; asking for help. I understand that it is not easy and at times, can be intimidating. Working on bettering ourselves is an ever-changing process, where the journey can be beautiful if we allow it to be. My approach as a therapist is to assist clients in gaining insight, change negative patterns and behaviors, and desire to obtain self-fulfillment.
You potentially accomplished the hardest part of seeking guidance; asking for help. I understand that it is not easy and at times, can be intimidating. Working on bettering ourselves is an ever-changing process, where the journey can be beautiful if we allow it to be. My approach as a therapist is to assist clients in gaining insight, change negative patterns and behaviors, and desire to obtain self-fulfillment.
(732) 538-6735 View (732) 538-6735
Photo of Theodore J Batlas, PsyD, Psychologist
Theodore J Batlas
Psychologist, PsyD
Verified Verified
I am a Neuropsycholoigst with 25 years of experience in treating patients with brain injuries. I treat children, adults, and geriatric patients who have experienced brain injury. Brain Injury can happen to anyone. Concussions from a motor vehicle accident, sports injury, strokes or dementia can affect people at all ages. At Neuropsychology & Counseling Associates, LLC my staff and I provide treatment for all types of brain injuries. In addition, we offer individual, marital, and family therapy, speech therapy, biofeedback, cognitive rehabilitation, memory training, pain management, screenings, and evaluations.
I am a Neuropsycholoigst with 25 years of experience in treating patients with brain injuries. I treat children, adults, and geriatric patients who have experienced brain injury. Brain Injury can happen to anyone. Concussions from a motor vehicle accident, sports injury, strokes or dementia can affect people at all ages. At Neuropsychology & Counseling Associates, LLC my staff and I provide treatment for all types of brain injuries. In addition, we offer individual, marital, and family therapy, speech therapy, biofeedback, cognitive rehabilitation, memory training, pain management, screenings, and evaluations.
(732) 393-8134 View (732) 393-8134
Photo of Megan Feingold, LCSW, Clinical Social Work/Therapist
Megan Feingold
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I specialize in all aspects of adulthood including navigating the challenges of "adulting" in one's early twenties to life decisions pertaining to relationships, parenting and career as well as coping with empty nest syndrome and care taking responsibilities of aging relatives. I believe that therapy is essential to your well being and self-care, and I look forward to helping you learn to treat yourself with the kindness and respect you deserve.
I specialize in all aspects of adulthood including navigating the challenges of "adulting" in one's early twenties to life decisions pertaining to relationships, parenting and career as well as coping with empty nest syndrome and care taking responsibilities of aging relatives. I believe that therapy is essential to your well being and self-care, and I look forward to helping you learn to treat yourself with the kindness and respect you deserve.
View
Natalie Doyle Carroll
Counselor, MA, LPC, RDT
Verified Verified
Honored to have experience working with children, adolescents, and adults in working towards mental health wellness, I use a person centered, strengths-based approach, integrating Drama Therapy and the arts with traditional talk therapy and other evidence-based practices. My work with clients includes managing anxiety, depression, trauma, family conflict, grief/loss, and life transitions as well as other behavioral needs and life events. I am passionate about approaching life as a creative work in process while building confidence in oneself to navigate the ever-shifting sands of being human.
Honored to have experience working with children, adolescents, and adults in working towards mental health wellness, I use a person centered, strengths-based approach, integrating Drama Therapy and the arts with traditional talk therapy and other evidence-based practices. My work with clients includes managing anxiety, depression, trauma, family conflict, grief/loss, and life transitions as well as other behavioral needs and life events. I am passionate about approaching life as a creative work in process while building confidence in oneself to navigate the ever-shifting sands of being human.
(732) 451-7675 View (732) 451-7675
Photo of Dr. Natasha Helena Anatolian, MA, PsyD, MBA, Licensed Professional Counselor
Dr. Natasha Helena Anatolian
Licensed Professional Counselor, MA, PsyD, MBA
Verified Verified
Online Only
If you are ready to learn to be joyful and find a new meaning in life, I am here to support you in therapy. Are you currently experiencing challenges in your marriage or family relationships? Are you looking forward to learn better ways of communicating, and how to get along with others? Are you ready to learn better coping skills, get your self-confidence back, and finally put yourself first? I am here to support you on your healing journey. My clinical experience is in individual, couples and family therapy. I specialize in supporting clients who are in relationship with high earning partners.
If you are ready to learn to be joyful and find a new meaning in life, I am here to support you in therapy. Are you currently experiencing challenges in your marriage or family relationships? Are you looking forward to learn better ways of communicating, and how to get along with others? Are you ready to learn better coping skills, get your self-confidence back, and finally put yourself first? I am here to support you on your healing journey. My clinical experience is in individual, couples and family therapy. I specialize in supporting clients who are in relationship with high earning partners.
(732) 217-4610 View (732) 217-4610
Photo of Gail Poverman-Kave, BCD, MSW, LCSW, Clinical Social Work/Therapist
Gail Poverman-Kave
Clinical Social Work/Therapist, BCD, MSW, LCSW
Verified Verified
1 Endorsed
I offer a cognitive-behavioral, client centered approach to counseling. Using a combination of therapies and approaches, I provide a nurturing, safe environment where clients can freely explore and express their thoughts and feelings and learn how to take control of them and their lives. Supportive Psychotherapy techniques lay the foundation for a successful experience toward a client's journey to self-awareness, insight, and healthy relationships with both the self and others. I enjoy working with clients of all ages, backgrounds, ethnicities and faiths and I welcome the opportunity to assist you in acheiving your goals.
I offer a cognitive-behavioral, client centered approach to counseling. Using a combination of therapies and approaches, I provide a nurturing, safe environment where clients can freely explore and express their thoughts and feelings and learn how to take control of them and their lives. Supportive Psychotherapy techniques lay the foundation for a successful experience toward a client's journey to self-awareness, insight, and healthy relationships with both the self and others. I enjoy working with clients of all ages, backgrounds, ethnicities and faiths and I welcome the opportunity to assist you in acheiving your goals.
(732) 410-5754 View (732) 410-5754
1

How does your Therapist compare?

Number of Therapists in 08742

100+

Average cost per session

$150

Therapists in 08742 who prioritize treating:

93% Anxiety
91% Depression
75% Relationship Issues
72% Self Esteem
70% Coping Skills
61% Grief
61% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
74% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH

How Therapists in 08742 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 08742?

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.