Photo of Donna J. Harris, MSW, MA, LCSW, CGP, Clinical Social Work/Therapist
Donna J. Harris
Clinical Social Work/Therapist, MSW, MA, LCSW, CGP
Verified Verified
3 Endorsed
Online Only
Sometimes it's difficult to identify why you're feeling out of sorts. This can be an individual or interpersonal experience. For over 30 years, I've helped adults regain a sense of purpose in their work and personal relationships through individual and group psychotherapy. This is especially true for folks who feel silenced or unheard. I can help you find your voice! But the most helpful thing to do is to talk to a few therapists about their approaches and see if you connect with them. I'm happy to discuss how group or individual therapy can help you achieve more satisfaction in life.
Sometimes it's difficult to identify why you're feeling out of sorts. This can be an individual or interpersonal experience. For over 30 years, I've helped adults regain a sense of purpose in their work and personal relationships through individual and group psychotherapy. This is especially true for folks who feel silenced or unheard. I can help you find your voice! But the most helpful thing to do is to talk to a few therapists about their approaches and see if you connect with them. I'm happy to discuss how group or individual therapy can help you achieve more satisfaction in life.
(484) 895-1180 View (484) 895-1180
Photo of Marielle Mathews, PsyD, NCSP, Psychologist
Marielle Mathews
Psychologist, PsyD, NCSP
Verified Verified
Online Only
2025 is your year! Let's get started! I work with adolescents and young adults to improve their academic, social, and emotional outcomes. I have worked in schools for over 20 years and draw upon my experience and psychological training to support adolescents and young adults to improve their anxiety, depression, ADHD symptoms, social skills, and overall wellness.
2025 is your year! Let's get started! I work with adolescents and young adults to improve their academic, social, and emotional outcomes. I have worked in schools for over 20 years and draw upon my experience and psychological training to support adolescents and young adults to improve their anxiety, depression, ADHD symptoms, social skills, and overall wellness.
(610) 723-7592 View (610) 723-7592
Photo of Jenna Houpert, MS, LPC, Licensed Professional Counselor
Jenna Houpert
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Online Only
Starting your day is exhausting. Can’t believe how hard you’re working and yet how far away from the goals you still are. Trying to be everything for everyone, the best version of yourself that you can be, trying to be just good enough. If you ever told yourself “If I could just (blank), then everything would be okay.” The truth is we need to stop doing it for them, and start doing it for you. The emotional freedom that comes with prioritizing yourself is unmatched. Finally–feelings of calmness, confidence, caring less what others think, feeling proud of yourself–without any conditions! These are the things you undeniably deserve.
Starting your day is exhausting. Can’t believe how hard you’re working and yet how far away from the goals you still are. Trying to be everything for everyone, the best version of yourself that you can be, trying to be just good enough. If you ever told yourself “If I could just (blank), then everything would be okay.” The truth is we need to stop doing it for them, and start doing it for you. The emotional freedom that comes with prioritizing yourself is unmatched. Finally–feelings of calmness, confidence, caring less what others think, feeling proud of yourself–without any conditions! These are the things you undeniably deserve.
(484) 218-4940 View (484) 218-4940
Photo of Autumn Miller, Licensed Professional Counselor
Autumn Miller
Licensed Professional Counselor
Verified Verified
Online Only
Willow Therapy Collective provides comprehensive therapy, counseling, and consulting services. We want to help eliminate barriers that people face when seeking help. We strive to provide a safe space for individuals, couples and families to receive the tools, education, and services needed in effort to establish and maintain healthier lives.
Willow Therapy Collective provides comprehensive therapy, counseling, and consulting services. We want to help eliminate barriers that people face when seeking help. We strive to provide a safe space for individuals, couples and families to receive the tools, education, and services needed in effort to establish and maintain healthier lives.
(610) 890-3758 View (610) 890-3758
Photo of Sophia Birrane - Recovery Works - PA, MA, NCC, Pre-Licensed Professional
Recovery Works - PA
Pre-Licensed Professional, MA, NCC
Verified Verified
1 Endorsed
Drexel Hill, PA 19026
My name is Sophia Birrane and I'm a counselor at Recovery Works-PA, where I specialize in supporting individuals who are navigating substance use and dual diagnosis. I know that overcoming substance use and mental health challenges can feel overwhelming, but I believe in your ability to heal and thrive. Together, we can develop a personalized treatment plan that addresses both your substance use and any mental health concerns or stressors you may be facing. Whether you're in early recovery, long-term recovery, or anywhere in between - I'm here to walk with you every step of the way.
My name is Sophia Birrane and I'm a counselor at Recovery Works-PA, where I specialize in supporting individuals who are navigating substance use and dual diagnosis. I know that overcoming substance use and mental health challenges can feel overwhelming, but I believe in your ability to heal and thrive. Together, we can develop a personalized treatment plan that addresses both your substance use and any mental health concerns or stressors you may be facing. Whether you're in early recovery, long-term recovery, or anywhere in between - I'm here to walk with you every step of the way.
(484) 285-5455 View (484) 285-5455
Photo of Allyson Sproul - Recovery Works - PA, LCSW, CAADC, Clinical Social Work/Therapist
Recovery Works - PA
Clinical Social Work/Therapist, LCSW, CAADC
Verified Verified
Drexel Hill, PA 19026
My name is Allyson Sproul LCSW, CAADC and I work with people navigating substance use disorders, anxiety, and depression at my state licensed practice, Recovery Works-PA. Not sure if you fall into those categories, but still feel like counseling could help? No problem! Call or email for a free consultation and get one step closer to creating the healthier life you deserve. Together we can develop your treatment plan and help you get on track to feeling better and accomplishing your goals. You can create change in your life, and I am honored for the opportunity to join you on your journey.
My name is Allyson Sproul LCSW, CAADC and I work with people navigating substance use disorders, anxiety, and depression at my state licensed practice, Recovery Works-PA. Not sure if you fall into those categories, but still feel like counseling could help? No problem! Call or email for a free consultation and get one step closer to creating the healthier life you deserve. Together we can develop your treatment plan and help you get on track to feeling better and accomplishing your goals. You can create change in your life, and I am honored for the opportunity to join you on your journey.
(610) 632-5036 View (610) 632-5036
Photo of Ana Macaspac, LAMFT, Marriage & Family Therapist Associate
Ana Macaspac
Marriage & Family Therapist Associate, LAMFT
Verified Verified
6 Endorsed
Online Only
My ideal client is someone who is open to exploring the unique layers of their identity, experiences, and relationships. They are seeking to gain fresh insights, deepen emotional connections, and create more meaningful interactions with others. Over time, as trust builds, they are ready to be gently supported through the challenges of change in pursuit of a life of tenderness and authenticity.
My ideal client is someone who is open to exploring the unique layers of their identity, experiences, and relationships. They are seeking to gain fresh insights, deepen emotional connections, and create more meaningful interactions with others. Over time, as trust builds, they are ready to be gently supported through the challenges of change in pursuit of a life of tenderness and authenticity.
(484) 446-5857 x6 View (484) 446-5857 x6
Photo of Julianna Pierre, MA, NCC, LPC, Licensed Professional Counselor
Julianna Pierre
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Online Only
Willow Therapy Collective provides comprehensive online therapy, counseling, and consulting services. We, at Willow Therapy Collective assist individuals, couples and families to receive the tools, support, and services needed in effort to establish and maintain healthier lives. As a person of color I recognize how important it is to be able to feel safe and receive quality care. My approach is collaborative in assisting with reducing symptoms, managing stress, and working toward client's goals. My priority is to empower and support clients while providing a safe environment for processing.
Willow Therapy Collective provides comprehensive online therapy, counseling, and consulting services. We, at Willow Therapy Collective assist individuals, couples and families to receive the tools, support, and services needed in effort to establish and maintain healthier lives. As a person of color I recognize how important it is to be able to feel safe and receive quality care. My approach is collaborative in assisting with reducing symptoms, managing stress, and working toward client's goals. My priority is to empower and support clients while providing a safe environment for processing.
(610) 890-5113 View (610) 890-5113
Photo of Kashmir Maryam Alam - Heal Therapy, MA, LAMFT, Marriage & Family Therapist Associate
Heal Therapy
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
Online Only
As a Marriage and Family Therapist, I provide support for Muslim individuals and couples navigating challenges like anxiety, depression, communication, conflict resolution, and emotional intimacy. I create a safe, non-judgmental space to explore your unique experiences. My holistic approach integrates psychological insights with cultural sensitivity, particularly for clients in the Muslim community. I focus on aligning therapeutic practices with your values. Together, we'll develop practical strategies tailored to your needs, empowering you to build healthier, more fulfilling relationships while honoring your unique perspectives.
As a Marriage and Family Therapist, I provide support for Muslim individuals and couples navigating challenges like anxiety, depression, communication, conflict resolution, and emotional intimacy. I create a safe, non-judgmental space to explore your unique experiences. My holistic approach integrates psychological insights with cultural sensitivity, particularly for clients in the Muslim community. I focus on aligning therapeutic practices with your values. Together, we'll develop practical strategies tailored to your needs, empowering you to build healthier, more fulfilling relationships while honoring your unique perspectives.
(484) 603-3785 View (484) 603-3785
Photo of Fritz Haas, MA, IATP, NCC, AAPC, Licensed Professional Counselor
Fritz Haas
Licensed Professional Counselor, MA, IATP, NCC, AAPC
Verified Verified
1 Endorsed
Drexel Hill, PA 19026
As a counselor, I have developed a specialty in working with clients who have experienced trauma in their lives. I am a certified Trauma Therapist and I use a variety of techniques including EMDR, CBT and various Mindfulness skills and practices. Professionally, I work hard to continue to develop my skills as a counselor through my work with clients, regularly attending professional development classes and through interactions with colleagues.
As a counselor, I have developed a specialty in working with clients who have experienced trauma in their lives. I am a certified Trauma Therapist and I use a variety of techniques including EMDR, CBT and various Mindfulness skills and practices. Professionally, I work hard to continue to develop my skills as a counselor through my work with clients, regularly attending professional development classes and through interactions with colleagues.
(610) 490-8139 View (610) 490-8139
Photo of Anna C Giacoponello, LCSW, Clinical Social Work/Therapist
Anna C Giacoponello
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I typically work with those who have been struggling with any kind of grief or who have suffered a trauma, significant loss, or life change. I pride myself in being able to calmly enter a chaotic situation and diligently work to restore a sense of peace and balance. I know that we all grieve and process emotions in our own unique way no matter what the catalyst, so I am always mindful to take things one step at a time and go at a pace that feels best for you. I am open to adjusting my craft to best fit your needs, in the moment.
I typically work with those who have been struggling with any kind of grief or who have suffered a trauma, significant loss, or life change. I pride myself in being able to calmly enter a chaotic situation and diligently work to restore a sense of peace and balance. I know that we all grieve and process emotions in our own unique way no matter what the catalyst, so I am always mindful to take things one step at a time and go at a pace that feels best for you. I am open to adjusting my craft to best fit your needs, in the moment.
(484) 725-6730 View (484) 725-6730
Photo of Amani Holland, Marriage & Family Therapist Intern
Amani Holland
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Online Only
I am currently an intern therapist at Nyame Counseling & Wellness. I am pursuing my master's degree in Marriage and Family Therapy from Capella University. Marriage and Family Therapy is the art of fostering healthier, more fulfilling relationships. I am passionate about conducting therapy in a way that honors the uniqueness of each family while supporting their goals for positive change.
I am currently an intern therapist at Nyame Counseling & Wellness. I am pursuing my master's degree in Marriage and Family Therapy from Capella University. Marriage and Family Therapy is the art of fostering healthier, more fulfilling relationships. I am passionate about conducting therapy in a way that honors the uniqueness of each family while supporting their goals for positive change.
(610) 557-8393 View (610) 557-8393
Photo of Ayanna Garrett, LMSW, RTY-500, Clinical Social Work/Therapist
Ayanna Garrett
Clinical Social Work/Therapist, LMSW, RTY-500
Verified Verified
1 Endorsed
Drexel Hill, PA 19026
Do you feel overwhelmed by the weight of your emotions, stuck in cycles of anxiety, finding yourself replaying past events, unsure how to navigate life's challenges and move forward? As a therapist with over 15 years of trauma-informed mental health and family therapy, I have expertise in helping adults and adolescents regain emotional balance, heal from past wounds, and begin living the life they deserve. Whether you’re a stressed teen, a single parent, or someone seeking tools for deeper emotional regulation, depression, or chronic pain. I’m here to help you release what no longer serves you and create a life that feels good!
Do you feel overwhelmed by the weight of your emotions, stuck in cycles of anxiety, finding yourself replaying past events, unsure how to navigate life's challenges and move forward? As a therapist with over 15 years of trauma-informed mental health and family therapy, I have expertise in helping adults and adolescents regain emotional balance, heal from past wounds, and begin living the life they deserve. Whether you’re a stressed teen, a single parent, or someone seeking tools for deeper emotional regulation, depression, or chronic pain. I’m here to help you release what no longer serves you and create a life that feels good!
(484) 309-3892 View (484) 309-3892
Photo of Maureen Graham, NCC, MS, Pre-Licensed Professional
Maureen Graham
Pre-Licensed Professional, NCC, MS
Verified Verified
Online Only
The unknowns of therapy are sometimes daunting, so congratulations to you for making it here. Whether you are new to therapy or you're familiar with the process, I invite you to reach out so we can collaborate on what therapeutic success means to you, and work together to help you engage in values guided action toward your goals. While we may not be able to avoid hardships that are a part of living, we can work to increase our capacity to thrive and live a fulfilling life despite our experiences.
The unknowns of therapy are sometimes daunting, so congratulations to you for making it here. Whether you are new to therapy or you're familiar with the process, I invite you to reach out so we can collaborate on what therapeutic success means to you, and work together to help you engage in values guided action toward your goals. While we may not be able to avoid hardships that are a part of living, we can work to increase our capacity to thrive and live a fulfilling life despite our experiences.
(610) 756-9579 View (610) 756-9579
Photo of Tasha Petropoulos Knob, LCSW, QCSW, Clinical Social Work/Therapist
Tasha Petropoulos Knob
Clinical Social Work/Therapist, LCSW, QCSW
Verified Verified
Drexel Hill, PA 19026
I work primarily from a Relational perspective, seeing the relationship between client and therapist as the most significant vehicle for change. If you come willing to work on whatever is troubling you, we will be successful. I include other theoretical perspectives, including Sytems, Psychodynamic, Cognitive Behavioral, Insight-Oriented to name a few. As we get to know each other we will develop a process that will best fit you and your needs. I understand that feeling comfortable with your therapist is essential, so I'll do my best to help you find someone if our fit doesn't feel right.
I work primarily from a Relational perspective, seeing the relationship between client and therapist as the most significant vehicle for change. If you come willing to work on whatever is troubling you, we will be successful. I include other theoretical perspectives, including Sytems, Psychodynamic, Cognitive Behavioral, Insight-Oriented to name a few. As we get to know each other we will develop a process that will best fit you and your needs. I understand that feeling comfortable with your therapist is essential, so I'll do my best to help you find someone if our fit doesn't feel right.
(484) 812-3063 View (484) 812-3063
Photo of Swetha Talluri - Lifebulb Counseling & Therapy, LPC, Licensed Professional Counselor
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(484) 749-9179 View (484) 749-9179
Photo of Joey Nyame - Nyame Counseling & Wellness, LPC, MSEd, Licensed Professional Counselor
Nyame Counseling & Wellness
Licensed Professional Counselor, LPC, MSEd
Verified Verified
1 Endorsed
Online Only
Please visit nyamecounseling.com for more information or to schedule a free consultation. We are a practice of culturally and ethnically diverse practitioners. NCW is dedicated to providing quality mental health counseling and wellness services that are informed by the latest innovations in psychotherapy. The mission of this dynamics practice is to help clients achieve their goals by providing individualized, compassionate, and culturally responsive services by enacting the values of self-awareness, self-care, professional development, cultural competency, transparency, and social justice/advocacy.
Please visit nyamecounseling.com for more information or to schedule a free consultation. We are a practice of culturally and ethnically diverse practitioners. NCW is dedicated to providing quality mental health counseling and wellness services that are informed by the latest innovations in psychotherapy. The mission of this dynamics practice is to help clients achieve their goals by providing individualized, compassionate, and culturally responsive services by enacting the values of self-awareness, self-care, professional development, cultural competency, transparency, and social justice/advocacy.
(610) 936-8727 View (610) 936-8727
Photo of Megan Carlin, MA, LPC, Licensed Professional Counselor
Megan Carlin
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
My training and experience has been in implementing Cognitive Therapy strategies, coupled with developing skills from the Dialectical Behavioral Therapy model. I have been in the field for fifteen years, and licensed for ten years, working with adolescents, emerging adults and adults.
My training and experience has been in implementing Cognitive Therapy strategies, coupled with developing skills from the Dialectical Behavioral Therapy model. I have been in the field for fifteen years, and licensed for ten years, working with adolescents, emerging adults and adults.
(484) 603-6827 View (484) 603-6827
Photo of Kat Nicholson, MS, NBCC, Pre-Licensed Professional
Kat Nicholson
Pre-Licensed Professional, MS, NBCC
Verified Verified
Online Only
My therapeutic approach focuses on addressing the ways external factors, namely the client’s environment, experiences, relationships and prior traumas have contributed to their current state. Given the world we live in I bring considerable attention to the ways that systems of oppression play a role in the client’s wellbeing. I believe that having an understanding of how these factors are impacting our mental health is integral to healing. As we work on building this awareness we can start making intentional choices more in line with the lives we would like to be living.
My therapeutic approach focuses on addressing the ways external factors, namely the client’s environment, experiences, relationships and prior traumas have contributed to their current state. Given the world we live in I bring considerable attention to the ways that systems of oppression play a role in the client’s wellbeing. I believe that having an understanding of how these factors are impacting our mental health is integral to healing. As we work on building this awareness we can start making intentional choices more in line with the lives we would like to be living.
(412) 534-6037 View (412) 534-6037
Photo of Catrina Henry, LMHCA, Pre-Licensed Professional
Catrina Henry
Pre-Licensed Professional, LMHCA
Verified Verified
Online Only
As a dedicated clinical practitioner, I am committed to helping individuals overcome emotional, psychological, and behavioral challenges to lead more fulfilling lives. My approach is rooted in empathy, respect, and a strong belief in the capacity for growth and healing. I utilize Cognitive Behavioral Therapy (CBT), psychodynamic approaches, and mindfulness techniques, tailoring each treatment to the unique needs and goals of the individual. My priority is to create a safe, non-judgmental space where clients feel heard, understood, and empowered. I walk alongside my clients to navigate their journeys toward healing and self-discovery
As a dedicated clinical practitioner, I am committed to helping individuals overcome emotional, psychological, and behavioral challenges to lead more fulfilling lives. My approach is rooted in empathy, respect, and a strong belief in the capacity for growth and healing. I utilize Cognitive Behavioral Therapy (CBT), psychodynamic approaches, and mindfulness techniques, tailoring each treatment to the unique needs and goals of the individual. My priority is to create a safe, non-judgmental space where clients feel heard, understood, and empowered. I walk alongside my clients to navigate their journeys toward healing and self-discovery
(215) 678-8585 View (215) 678-8585
1

How does your Therapist compare?

Number of Therapists in 19026

40+

Average cost per session

$137

Therapists in 19026 who prioritize treating:

95% Anxiety
91% Depression
79% Relationship Issues
74% Self Esteem
72% Trauma and PTSD
67% Grief
65% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

85% Aetna
63% Highmark
56% BlueCross and BlueShield

How Therapists in 19026 see their clients

58% Online Only
42% In Person and Online

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 19026?

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.