Therapists in 15668

Photo of Maureen Bourke, Licensed Professional Counselor in 15668, PA
Maureen Bourke
Licensed Professional Counselor
Verified Verified
1 Endorsed
Murrysville, PA 15668
When the burdens of life leave us feeling like it is a struggle to breathe as we are slowly sinking in quicksand, it can feel impossible to recognize any other way to live, think, and/or function. As a therapist, I believe that listening is paramount to learning and better understanding an individual so that trust and genuine care remain cornerstones of the therapeutic process. Whether it is intrusive thoughts, external stressors, or anything that causes you to feel unsettled, I want us to collaborate so that you will be empowered to discover your own innate strengths.
When the burdens of life leave us feeling like it is a struggle to breathe as we are slowly sinking in quicksand, it can feel impossible to recognize any other way to live, think, and/or function. As a therapist, I believe that listening is paramount to learning and better understanding an individual so that trust and genuine care remain cornerstones of the therapeutic process. Whether it is intrusive thoughts, external stressors, or anything that causes you to feel unsettled, I want us to collaborate so that you will be empowered to discover your own innate strengths.
(724) 892-4966 View (724) 892-4966
Photo of Jennifer Ann Barker, Licensed Professional Counselor in 15668, PA
Jennifer Ann Barker
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
Murrysville, PA 15668
Although we cannot change our past, we can acknowledge its impact and change how we view it and ourselves. While working with clients, I encourage expression to gain self-awareness and to reshape narratives. Expression is essential in everyday life, especially when working through difficult times, such as grief and trauma. I practice therapy with a person-centered, trauma-informed, strength based approach to meet clients where they are and to help them make changes to start the healing process. As an Art Therapist, I have the ability to bring artmaking into the therapy session and to help facilitate the healing process.
Although we cannot change our past, we can acknowledge its impact and change how we view it and ourselves. While working with clients, I encourage expression to gain self-awareness and to reshape narratives. Expression is essential in everyday life, especially when working through difficult times, such as grief and trauma. I practice therapy with a person-centered, trauma-informed, strength based approach to meet clients where they are and to help them make changes to start the healing process. As an Art Therapist, I have the ability to bring artmaking into the therapy session and to help facilitate the healing process.
(878) 216-0445 View (878) 216-0445
Photo of Theresa M. Lee, Licensed Professional Counselor in 15668, PA
Theresa M. Lee
Licensed Professional Counselor, MSCP, LPC
Verified Verified
Murrysville, PA 15668
Waitlist for new clients
Not accepting new clients at this time. It is my professional and personal belief that individuals do not heal in an environment of shame and guilt. For this reason, I strive to create a non-judgmental atmosphere where clients feel safe to discuss their issues in an open and productive way. My specialty areas are substance use disorders (addictions) and trauma. Guilt and shame are two feelings that are frequently felt by those who struggle with addictive issues, and for those who have experienced trauma. My goal is to help clients and their families understand their issues and work toward a better life.
Not accepting new clients at this time. It is my professional and personal belief that individuals do not heal in an environment of shame and guilt. For this reason, I strive to create a non-judgmental atmosphere where clients feel safe to discuss their issues in an open and productive way. My specialty areas are substance use disorders (addictions) and trauma. Guilt and shame are two feelings that are frequently felt by those who struggle with addictive issues, and for those who have experienced trauma. My goal is to help clients and their families understand their issues and work toward a better life.
(878) 205-0582 View (878) 205-0582
Photo of Journey Healthcare in 15668, PA
Journey Healthcare
Verified Verified
Murrysville, PA 15668
We put the "We" in Wellness for you are never on your own through your journey to recovery. Let us help you by providing treatment that will be life changing. . . .
We put the "We" in Wellness for you are never on your own through your journey to recovery. Let us help you by providing treatment that will be life changing. . . .
(878) 313-2538 x2 View (878) 313-2538 x2
Photo of Michael Bowersox, Licensed Professional Counselor in 15668, PA
Michael Bowersox
Licensed Professional Counselor, MA, LPC
Verified Verified
Murrysville, PA 15668
It's wonderful you are taking the time to poke around and find a therapist that will be a fit for you. Honestly this may be one of the most important pieces in the whole process of therapy - that you and the therapist 'click' and are able to co-create a trusting, collaborative relationship. My hope is that our work together brings more groundedness and balance into your life. And this journey looks different for each of us. It’s an active process, discovering unhelpful patterns of physical sensation-emotion-thought reactivity and then co-creating mindful, body-based practices that draw on your inner strengths and facilitate healing
It's wonderful you are taking the time to poke around and find a therapist that will be a fit for you. Honestly this may be one of the most important pieces in the whole process of therapy - that you and the therapist 'click' and are able to co-create a trusting, collaborative relationship. My hope is that our work together brings more groundedness and balance into your life. And this journey looks different for each of us. It’s an active process, discovering unhelpful patterns of physical sensation-emotion-thought reactivity and then co-creating mindful, body-based practices that draw on your inner strengths and facilitate healing
(724) 221-3452 View (724) 221-3452
Photo of Michelle Colarusso, Licensed Professional Counselor in 15668, PA
Michelle Colarusso
Licensed Professional Counselor, PhD, LPC, BC-TMH, ACS
Verified Verified
Murrysville, PA 15668  (Online Only)
My goal as a therapist is to create an environment in which my clients can safely work though the complexities of their thoughts, feelings, and personal experience. Life presents many challenges and it is human to feel lost and unsure of our direction in life. The therapeutic relationship provides a unique opportunity for therapist and client to work together to make sense of one’s life and seek the truth of one’s experience.
My goal as a therapist is to create an environment in which my clients can safely work though the complexities of their thoughts, feelings, and personal experience. Life presents many challenges and it is human to feel lost and unsure of our direction in life. The therapeutic relationship provides a unique opportunity for therapist and client to work together to make sense of one’s life and seek the truth of one’s experience.
(878) 217-0897 View (878) 217-0897
Photo of Shawn K. Brisbane, Licensed Professional Counselor in 15668, PA
Shawn K. Brisbane
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Murrysville, PA 15668  (Online Only)
Have you made past attempts at therapy but it felt impersonal or lacked sincerity? Please keep trying because there is a new wave of genuine, empathetic, relatable, and personable therapists being trained every day. One of those happens to be Shawn K. Brisbane. With a combination of experiential knowledge mixed with high-level clinical training and specialization in addictions/trauma, Shawn personalizes each session to ensure clients feel seen and heard, with true sincerity.
Have you made past attempts at therapy but it felt impersonal or lacked sincerity? Please keep trying because there is a new wave of genuine, empathetic, relatable, and personable therapists being trained every day. One of those happens to be Shawn K. Brisbane. With a combination of experiential knowledge mixed with high-level clinical training and specialization in addictions/trauma, Shawn personalizes each session to ensure clients feel seen and heard, with true sincerity.
(724) 580-2699 View (724) 580-2699
Photo of Mary Lynn Hammond, Clinical Social Work/Therapist in 15668, PA
Mary Lynn Hammond
Clinical Social Work/Therapist, MSSA, LSW
Verified Verified
Murrysville, PA 15668  (Online Only)
I believe in a strength based, client centered approach. Reaching out for help and support can be difficult. I help to establish a strong therapeutic relationship based on trust, providing a safe space to be open and honest in therapy. Self-awareness and self-care are vital to an individual’s mental, emotional, and physical health. My goal is to foster an individual’s positive growth throughout the therapy process. Cognitive behavioral therapy, motivational interviewing techniques and solution focused therapy interventions are utilized throughout therapy. Faith-based therapy is provided for anyone who desires this approach.
I believe in a strength based, client centered approach. Reaching out for help and support can be difficult. I help to establish a strong therapeutic relationship based on trust, providing a safe space to be open and honest in therapy. Self-awareness and self-care are vital to an individual’s mental, emotional, and physical health. My goal is to foster an individual’s positive growth throughout the therapy process. Cognitive behavioral therapy, motivational interviewing techniques and solution focused therapy interventions are utilized throughout therapy. Faith-based therapy is provided for anyone who desires this approach.
(724) 862-4554 View (724) 862-4554
Photo of Katelyn Elliott, Licensed Professional Counselor in 15668, PA
Katelyn Elliott
Licensed Professional Counselor, NCC, LPC
Verified Verified
Murrysville, PA 15668
Counseling is a collaborative relationship that helps us connect to a meaningful life. Exploring personal experience is a process we can develop together, so that healing can happen. I believe you can be empowered by new awareness, and that everything you need is already within you, just waiting to be actualized.
Counseling is a collaborative relationship that helps us connect to a meaningful life. Exploring personal experience is a process we can develop together, so that healing can happen. I believe you can be empowered by new awareness, and that everything you need is already within you, just waiting to be actualized.
(412) 545-6340 View (412) 545-6340
Photo of Kayla Mento, Licensed Professional Counselor in 15668, PA
Kayla Mento
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
1 Endorsed
Murrysville, PA 15668  (Online Only)
One of the bravest things you can do is to take a deep dive into understanding your story. Your story may be filled with emotional turmoil, trauma, and overwhelming anxiety on how you’ll be able to pull through to the other side. Take a deep breath, relax, and let’s rewrite your story together. I invite you to talk about the taboo things (no topic is off limits), become comfortable in your own skin, and take the journey with me through self-exploration to finally arrive at your authentic self.
One of the bravest things you can do is to take a deep dive into understanding your story. Your story may be filled with emotional turmoil, trauma, and overwhelming anxiety on how you’ll be able to pull through to the other side. Take a deep breath, relax, and let’s rewrite your story together. I invite you to talk about the taboo things (no topic is off limits), become comfortable in your own skin, and take the journey with me through self-exploration to finally arrive at your authentic self.
(412) 910-2083 View (412) 910-2083
Photo of Sheri J Hindman-Hanley, Clinical Social Work/Therapist in 15668, PA
Sheri J Hindman-Hanley
Clinical Social Work/Therapist, LCSW, ACSW, MSW
Verified Verified
Murrysville, PA 15668
Have you lost hope? One of the bravest things you can do is take the first step. It takes courage to ask for help when you feel stuck & out of energy to keep trying. Trust me, you should not give up. If you feel like you’ve tried everything but nothing works, & you’re exhausted from trying - know this - I can help. The stresses of life can be exhausting & overwhelming. You might feel like giving up - don’t! Consider giving me a chance. I can help you climb out of that dark place and take your life back. I am compassionate & well-trained with a history of success using solution-focused approaches. You will immediately feel better!
Have you lost hope? One of the bravest things you can do is take the first step. It takes courage to ask for help when you feel stuck & out of energy to keep trying. Trust me, you should not give up. If you feel like you’ve tried everything but nothing works, & you’re exhausted from trying - know this - I can help. The stresses of life can be exhausting & overwhelming. You might feel like giving up - don’t! Consider giving me a chance. I can help you climb out of that dark place and take your life back. I am compassionate & well-trained with a history of success using solution-focused approaches. You will immediately feel better!
(724) 304-9231 View (724) 304-9231
Photo of Dana Nicholson, Psychologist in 15668, PA
Dana Nicholson
Psychologist, PsyD
Verified Verified
Murrysville, PA 15668  (Online Only)
Our mission is to provide the highest quality clinical services that empower you to find your inner strengths and reach your greatest potential. We create a safe, compassionate and caring environment for you to explore your strengths and utilize your gifts to your fullest potential. Life’s challenges can be overwhelming at times and we are here to help you overcome these while becoming stronger and healthier in the process. Love, peace, joy and harmony are possible in your life and we are here to help you elevate to your highest potential. As Christian counselors, we believe that no challenge is too big or pain too deep
Our mission is to provide the highest quality clinical services that empower you to find your inner strengths and reach your greatest potential. We create a safe, compassionate and caring environment for you to explore your strengths and utilize your gifts to your fullest potential. Life’s challenges can be overwhelming at times and we are here to help you overcome these while becoming stronger and healthier in the process. Love, peace, joy and harmony are possible in your life and we are here to help you elevate to your highest potential. As Christian counselors, we believe that no challenge is too big or pain too deep
(724) 200-8403 View (724) 200-8403
Photo of Debra Stoll in 15668, PA
Debra Stoll
LPC, NCC, CEAT, EMDR
Verified Verified
1 Endorsed
Murrysville, PA 15668
We are all born with purpose, meaning and the unique capacity to live abundantly. Yet, life stressors and other environmental factors create obstacles that seem to produce insurmountable barriers to achieving one's dreams of a happy and fulfilling life. Choosing a psychotherapist to help clear the obstacles out of the way is an important first step in discovering one's authentic self and living life purposefully. My approach to therapy is holistic, person-centered, trauma-informed, and depth oriented with the goal being authentic self-discovery.
We are all born with purpose, meaning and the unique capacity to live abundantly. Yet, life stressors and other environmental factors create obstacles that seem to produce insurmountable barriers to achieving one's dreams of a happy and fulfilling life. Choosing a psychotherapist to help clear the obstacles out of the way is an important first step in discovering one's authentic self and living life purposefully. My approach to therapy is holistic, person-centered, trauma-informed, and depth oriented with the goal being authentic self-discovery.
(724) 202-0351 View (724) 202-0351
Photo of Cynthia Seery, Licensed Professional Counselor in 15668, PA
Cynthia Seery
Licensed Professional Counselor, MS, LPC
Verified Verified
Murrysville, PA 15668
Research has found that the average person has more than 6,000 thoughts a day. That is a lot of thoughts! It is not uncommon for our thoughts to become barriers to our day to day for one reason or another. Some common reasons may be that our thoughts become: negative, ruminative, intrusive, anxious or worrisome. For my therapeutic style, I gravitate towards person-centered therapy and cognitive behavioral therapy. However, I utilize therapy interventions based on the individual’s needs and presenting concerns. Therapy is a safe place to navigate those thoughts, feelings, and behaviors, and identify the connections between the three.
Research has found that the average person has more than 6,000 thoughts a day. That is a lot of thoughts! It is not uncommon for our thoughts to become barriers to our day to day for one reason or another. Some common reasons may be that our thoughts become: negative, ruminative, intrusive, anxious or worrisome. For my therapeutic style, I gravitate towards person-centered therapy and cognitive behavioral therapy. However, I utilize therapy interventions based on the individual’s needs and presenting concerns. Therapy is a safe place to navigate those thoughts, feelings, and behaviors, and identify the connections between the three.
(724) 262-5616 View (724) 262-5616
Photo of Eliana Jorgensen, Clinical Social Work/Therapist in 15668, PA
Eliana Jorgensen
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Murrysville, PA 15668
Life can often be overwhelming and emotionally draining. Creating an inclusive environment is at the core of my social work practice. It is imperative to me that my clients feel heard, valued, and respected for their unique experiences and perspectives. It is through this safe space that we can begin to address life’s challenges.
Life can often be overwhelming and emotionally draining. Creating an inclusive environment is at the core of my social work practice. It is imperative to me that my clients feel heard, valued, and respected for their unique experiences and perspectives. It is through this safe space that we can begin to address life’s challenges.
(724) 573-8014 View (724) 573-8014
Photo of Jennifer Strohm, Clinical Social Work/Therapist in 15668, PA
Jennifer Strohm
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Murrysville, PA 15668
We all have times when we feel like we’re on repeat, stuck, overwhelmed or stressed. I offer a safe and supportive environment to help you make positive changes in your life. While we work together, we’ll explore your goals and tailor therapy to your needs while focusing on your strengths as a basis for change. During my 25 years working with clients, I have worked in traditional outpatient settings and non-traditional settings such as PCP offices and schools.
We all have times when we feel like we’re on repeat, stuck, overwhelmed or stressed. I offer a safe and supportive environment to help you make positive changes in your life. While we work together, we’ll explore your goals and tailor therapy to your needs while focusing on your strengths as a basis for change. During my 25 years working with clients, I have worked in traditional outpatient settings and non-traditional settings such as PCP offices and schools.
(878) 777-4406 View (878) 777-4406
Photo of Journey Healthcare, Pre-Licensed Professional in 15668, PA
Journey Healthcare
Pre-Licensed Professional, MS, NCC
Verified Verified
Murrysville, PA 15668
As a pre-licensed professional, I am up-to-date on therapeutic approaches and work collaboratively to support you! I am supervised by LPC and expressive arts therapist, Debra Stoll. My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or lifestyle changes. My clients are looking to make changes to behaviors to improve their overall quality of life and I help facilitate that. I provide a space to process life challenges and address them in a non-judgmental, safe environment.
As a pre-licensed professional, I am up-to-date on therapeutic approaches and work collaboratively to support you! I am supervised by LPC and expressive arts therapist, Debra Stoll. My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or lifestyle changes. My clients are looking to make changes to behaviors to improve their overall quality of life and I help facilitate that. I provide a space to process life challenges and address them in a non-judgmental, safe environment.
(724) 251-5937 x1 View (724) 251-5937 x1
Photo of Pittsburgh Center for Integrative Therapy, Clinical Social Work/Therapist in 15668, PA
Pittsburgh Center for Integrative Therapy
Clinical Social Work/Therapist
Verified Verified
Murrysville, PA 15668
We are an outpatient private practice made up of four licensed therapists. Our mission is to encourage individual and communal healing by staying at the forefront of the therapeutic field and offering the most up-to-date integrative therapy modalities – allowing us to provide the most effective care to every client seeking treatment. We strive to inspire integration in our client’s whole being by invigorating their brain, body, and spirit and encouraging healing across generations and communities. We are centered on our clients and seeing them in the fullness of their humanity–we do not see people as a diagnosis.
We are an outpatient private practice made up of four licensed therapists. Our mission is to encourage individual and communal healing by staying at the forefront of the therapeutic field and offering the most up-to-date integrative therapy modalities – allowing us to provide the most effective care to every client seeking treatment. We strive to inspire integration in our client’s whole being by invigorating their brain, body, and spirit and encouraging healing across generations and communities. We are centered on our clients and seeing them in the fullness of their humanity–we do not see people as a diagnosis.
(724) 558-8496 View (724) 558-8496
Photo of Barbara Jean Nagrant, Psychologist in 15668, PA
Barbara Jean Nagrant
Psychologist, PhD
Verified Verified
Murrysville, PA 15668
Not accepting new clients
Are you wanting to feel more centered, motivated, and creative in meeting life's challenges? Have you felt disconnected from your self and displeased with your life? If so, you could benefit from a supportive dynamic collaborative therapeutic relationship. My 20+ years of clinical experience can help you identify your truth, compassionately accept yourself and your circumstances, and explore more satisfying ways to respond to life's challenges. Your active participation will include experiential exercises to enhance your awareness of the connection between your mind, body, and spirit. We will also connect how this self-discovery impacts your interpersonal style.
Are you wanting to feel more centered, motivated, and creative in meeting life's challenges? Have you felt disconnected from your self and displeased with your life? If so, you could benefit from a supportive dynamic collaborative therapeutic relationship. My 20+ years of clinical experience can help you identify your truth, compassionately accept yourself and your circumstances, and explore more satisfying ways to respond to life's challenges. Your active participation will include experiential exercises to enhance your awareness of the connection between your mind, body, and spirit. We will also connect how this self-discovery impacts your interpersonal style.
(412) 654-5056 View (412) 654-5056
Photo of Stephanie E. Craig in 15668, PA
Stephanie E. Craig
MS, NCC
Verified Verified
1 Endorsed
Murrysville, PA 15668
I enjoy working with children, adolescents, adults and families. I believe that every person, no matter the age, is capable learning new ways to express their emotions, navigate life's struggles, and work toward goals to live the best life possible. With over 10 years in the counseling field, I have learned that individuals and families who choose to include me in their journey will be willing to use creativity, personal strength, dedication and partnership as we create a wellness plan, establish new routines and celebrate accomplishments.
I enjoy working with children, adolescents, adults and families. I believe that every person, no matter the age, is capable learning new ways to express their emotions, navigate life's struggles, and work toward goals to live the best life possible. With over 10 years in the counseling field, I have learned that individuals and families who choose to include me in their journey will be willing to use creativity, personal strength, dedication and partnership as we create a wellness plan, establish new routines and celebrate accomplishments.
(412) 668-1952 View (412) 668-1952

How does your Therapist compare?

Number of Therapists in 15668

60+

Average cost per session

$125

Therapists in 15668 who prioritize treating:

97% Anxiety
96% Depression
82% Coping Skills
78% Self Esteem
76% Relationship Issues
75% Trauma and PTSD
74% Grief

Average years in practice

10 Years

Top 3 insurances accepted

89% University of Pittsburgh Medical Center
86% Highmark
67% BlueCross and BlueShield

How Therapists in 15668 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

80% Female
20% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 15668?

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.