Therapists in 27508

Blaise Harris
Licensed Clinical Mental Health Counselor, LCMHC, LCASA
2 Endorsed
Serves Area
You good? I ask because I can see that there's a pain in your eyes that you're trying so hard to disguise like everything is okay. I'm asking because I'm genuinely concerned about how you're doing. I know that we often think that people don't care about how we are but me, I do care. So, tell me, are you good? You don't have to hold onto all of that hurt, that anger, that anxiety, that stress, that pressure. You don't have to be the hero. You don't have to carry the weight of the world on your shoulders just so you can be criticized for not carrying a bigger boulder.
You good? I ask because I can see that there's a pain in your eyes that you're trying so hard to disguise like everything is okay. I'm asking because I'm genuinely concerned about how you're doing. I know that we often think that people don't care about how we are but me, I do care. So, tell me, are you good? You don't have to hold onto all of that hurt, that anger, that anxiety, that stress, that pressure. You don't have to be the hero. You don't have to carry the weight of the world on your shoulders just so you can be criticized for not carrying a bigger boulder.
(919) 739-3117 View (919) 739-3117
Berger Counseling, PLLC
Lic Clinical Mental Health Counselor Supervisor, PhD, LPC, LCMHCS, LSATP, LCAS
1 Endorsed
Online Only
Not accepting new clients
I enjoy working with clients who are engaged in the treatment process and wanting to grow to build a lasting foundation for behavioral health recovery. Whether a person is internally or externally motivated for treatment, I believe that if a person wants to be helped, they can be helped. As a therapist, it is not my place to tell a person what he/she should or should not do. It is my responsibility to use my experience and training to help clients find their paths to personal growth and development to live lives filled with internal peace and commitment to personal values.
I enjoy working with clients who are engaged in the treatment process and wanting to grow to build a lasting foundation for behavioral health recovery. Whether a person is internally or externally motivated for treatment, I believe that if a person wants to be helped, they can be helped. As a therapist, it is not my place to tell a person what he/she should or should not do. It is my responsibility to use my experience and training to help clients find their paths to personal growth and development to live lives filled with internal peace and commitment to personal values.
(252) 486-6232 View (252) 486-6232
Amanda Marie Rager
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
Offering in-person sessions for young children and statewide telehealth across NC, UT, and SC. In-network insurance is processed via Headway; self-pay is billed directly through my practice. I work with individuals, couples, teens, and children navigating life’s steep climbs - faith transitions, identity shifts, relationship conflict, or raising neurodivergent youth (ADHD/Autism). You come feeling overwhelmed; I aim to be a steady guide helping clarify the trail ahead. Integrating CBT, Narrative, EFT, Gottman, and expressive arts lenses, we’ll build a warm, collaborative space to heal.
Offering in-person sessions for young children and statewide telehealth across NC, UT, and SC. In-network insurance is processed via Headway; self-pay is billed directly through my practice. I work with individuals, couples, teens, and children navigating life’s steep climbs - faith transitions, identity shifts, relationship conflict, or raising neurodivergent youth (ADHD/Autism). You come feeling overwhelmed; I aim to be a steady guide helping clarify the trail ahead. Integrating CBT, Narrative, EFT, Gottman, and expressive arts lenses, we’ll build a warm, collaborative space to heal.
(252) 675-6359 View (252) 675-6359

More Therapists Nearby

Kindred Spirit Counseling Services, PLLC
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MA
Serves Area
Kindred Spirit Counseling Services has compassionate, caring clinicians who work with individuals, children, teens, adults, couples & partners, families, & persons in the LGBTQ+ & poly/kink communities. We help those affected by trauma, personality disorders, intimacy, autoimmune/chronic illness, Autism/ADHD & neurodivergence. Our modalities include mindfulness, Trauma-Focused CBT, DBT, IFS, Art, Journaling & more! We're experienced with blended families, single-parents, relationship issues, childhood abuse, SA, domestic-violence, grief, self-harm, suicidal ideation, BIPOC, marginalized communities, and Gender-Affirming Care.
Kindred Spirit Counseling Services has compassionate, caring clinicians who work with individuals, children, teens, adults, couples & partners, families, & persons in the LGBTQ+ & poly/kink communities. We help those affected by trauma, personality disorders, intimacy, autoimmune/chronic illness, Autism/ADHD & neurodivergence. Our modalities include mindfulness, Trauma-Focused CBT, DBT, IFS, Art, Journaling & more! We're experienced with blended families, single-parents, relationship issues, childhood abuse, SA, domestic-violence, grief, self-harm, suicidal ideation, BIPOC, marginalized communities, and Gender-Affirming Care.
(910) 946-5660 View (910) 946-5660
Mallory Rogers
LCSW Associate, MSW, LCSW-A
10 Endorsed
Raleigh, NC 27601
Reaching out is a hard step - and should be commended! I specialize in working with individuals who are experiencing struggles related to trauma histories, with a specialty in sexual assault/violence and child abuse; victims of violent crime, self-harm, high stress careers (attorneys, doctors, first responders, etc), suicidality, coping skills, and boundary setting. I additionally work with individuals experiencing the intersections of OCD, ADHD, and/or trauma.
Reaching out is a hard step - and should be commended! I specialize in working with individuals who are experiencing struggles related to trauma histories, with a specialty in sexual assault/violence and child abuse; victims of violent crime, self-harm, high stress careers (attorneys, doctors, first responders, etc), suicidality, coping skills, and boundary setting. I additionally work with individuals experiencing the intersections of OCD, ADHD, and/or trauma.
(919) 897-7099 View (919) 897-7099
Beacon Therapeutic and Wellness Services, PLLC
Clinical Social Work/Therapist, LCSW
Serves Area
Immediate availability in-office and telehealth. Most major insurances accepted. Superbills and private pay also offered. Are you feeling stuck or overwhelmed? Is anxiety, stress, or trouble focusing making it hard to get through your day? Or has life taken a toll on your self-esteem? Imagine your life with increased focus, less anxiety or depression, improved self-confidence and emotion regulation. Well, whatever your goals may be, we got you! Also, if you identify as someone or a couple in an alternative lifestyle or Pagan religion, we welcome you with open arms, knowledge and understanding.
Immediate availability in-office and telehealth. Most major insurances accepted. Superbills and private pay also offered. Are you feeling stuck or overwhelmed? Is anxiety, stress, or trouble focusing making it hard to get through your day? Or has life taken a toll on your self-esteem? Imagine your life with increased focus, less anxiety or depression, improved self-confidence and emotion regulation. Well, whatever your goals may be, we got you! Also, if you identify as someone or a couple in an alternative lifestyle or Pagan religion, we welcome you with open arms, knowledge and understanding.
(984) 314-5818 View (984) 314-5818
Ronnie Ibrahim Rizek
Licensed Clinical Mental Health Counselor, MA, LCMHC
4 Endorsed
Garner, NC 27529
Do you and your partner find yourselves constantly arguing, unable to get on the same page? Have you found yourselves in a loveless marriage or relationship lacking an emotional and physical connection? For couple's suffering from relationship conflict, poor communication, broken trust, and a non-existent sex life. I am here to provide Gottman inspired couple's therapy. In addition, I do provide individual services for those suffering from anxiety, depression, PTSD, OCD, and Bipolar Disorder.
Do you and your partner find yourselves constantly arguing, unable to get on the same page? Have you found yourselves in a loveless marriage or relationship lacking an emotional and physical connection? For couple's suffering from relationship conflict, poor communication, broken trust, and a non-existent sex life. I am here to provide Gottman inspired couple's therapy. In addition, I do provide individual services for those suffering from anxiety, depression, PTSD, OCD, and Bipolar Disorder.
(919) 276-8683 View (919) 276-8683
MAS Behavior Consulting, LLC
Verified Verified
Raleigh, NC 27612
Hi! I'm Megan Sheehan, sole provider and owner of MAS Behavior Consulting, LLC. I work directly with parents and caregivers who want to better understand their child's behavior and feel more equipped to support them at home, in school, and in the community. I also work with neurodivergent teens and adults with executive functioning coaching needs hoping for neurodivergent supports. I strongly believe all behavior is communication. When we take the time to understand what someone is telling us through their actions, their reactions, their refusals we get so much closer to supporting them in a way that actually fits.
Hi! I'm Megan Sheehan, sole provider and owner of MAS Behavior Consulting, LLC. I work directly with parents and caregivers who want to better understand their child's behavior and feel more equipped to support them at home, in school, and in the community. I also work with neurodivergent teens and adults with executive functioning coaching needs hoping for neurodivergent supports. I strongly believe all behavior is communication. When we take the time to understand what someone is telling us through their actions, their reactions, their refusals we get so much closer to supporting them in a way that actually fits.
(856) 267-0476 View (856) 267-0476
Ashley Davis
Marriage & Family Therapist, MA, LMFT
Raleigh, NC 27615
Hi there! I’m Ashley Davis, a licensed marriage and family therapist (or LMFT) in the states of North Carolina and Virginia. I’m originally from the Triangle in North Carolina, and I love being able to make a positive impact in the community I grew up in through my work with the clients I serve. Being an LMFT, I have a unique approach to therapy, in that I approach therapy first and foremost from a systemic perspective. This essentially means that I place a large amount of emphasis on how people’s relationships, environments, and backgrounds affect their overall mental wellness and explore these areas in depth with my clients.
Hi there! I’m Ashley Davis, a licensed marriage and family therapist (or LMFT) in the states of North Carolina and Virginia. I’m originally from the Triangle in North Carolina, and I love being able to make a positive impact in the community I grew up in through my work with the clients I serve. Being an LMFT, I have a unique approach to therapy, in that I approach therapy first and foremost from a systemic perspective. This essentially means that I place a large amount of emphasis on how people’s relationships, environments, and backgrounds affect their overall mental wellness and explore these areas in depth with my clients.
(919) 351-6582 View (919) 351-6582
Dr. Barbara Jean Lowe Sauvé
Psychologist, PhD, LP, BCC, CCTP-II, SEP
Raleigh, NC 27615
Are you hurting, frustrated, or feel stuck? I honor your courage to seek wholeness & growth. I know you want relief. Enduring change through therapy can happen for you. Trauma, relationship challenges, family struggles & internal pain can be shifted! I welcome you into a space of honor, hope, safety, & power to change. I partner w/ you to achieve your goals for skillful living, belonging, & wholeness. I artfully employ therapeutic & scientific techniques that bring wellness to the heart & mind (SE, DBT, ART, CBT, IFS, EMDR, Gottman, EFT). Ages 5-75. I also offer faith integration upon request. I offer hourly sessions & intensives.
Are you hurting, frustrated, or feel stuck? I honor your courage to seek wholeness & growth. I know you want relief. Enduring change through therapy can happen for you. Trauma, relationship challenges, family struggles & internal pain can be shifted! I welcome you into a space of honor, hope, safety, & power to change. I partner w/ you to achieve your goals for skillful living, belonging, & wholeness. I artfully employ therapeutic & scientific techniques that bring wellness to the heart & mind (SE, DBT, ART, CBT, IFS, EMDR, Gottman, EFT). Ages 5-75. I also offer faith integration upon request. I offer hourly sessions & intensives.
(919) 585-1575 View (919) 585-1575
Sarah Kiefer Edwards
Counselor, LCMHCA, CTP
1 Endorsed
Wake Forest, NC 27587
Now Accepting New Clients! Every individual is created unique and deserves a counselor who will meet them where they are in their healing journey. Anyone who is dealing with anxiety, depression, shame, guilt, low self-esteem, unhealthy thought patterns, sexual trauma, grief, attachment issues, or identity issues are welcome. Most people just want to be able to live their life to the fullest that life has to offer, while being the healthiest version of themselves. They want to be free from the issues that they believe hold them back from their truest life potential.
Now Accepting New Clients! Every individual is created unique and deserves a counselor who will meet them where they are in their healing journey. Anyone who is dealing with anxiety, depression, shame, guilt, low self-esteem, unhealthy thought patterns, sexual trauma, grief, attachment issues, or identity issues are welcome. Most people just want to be able to live their life to the fullest that life has to offer, while being the healthiest version of themselves. They want to be free from the issues that they believe hold them back from their truest life potential.
(984) 367-5139 View (984) 367-5139
Danielle Hood
Licensed Professional Counselor, LCMHC-S, LCAS
Raleigh, NC 27615
When you make the decision to take charge of your mental health and venture into therapy, you want to find a therapist who makes you feel comfortable and encouraged. Someone who will listen, understand, and most importantly - care about your therapeutic growth. People seek therapy for numerous reasons, like depression, trauma, anxiety, life transitions, etc. No matter what brings you to therapy, I would love to assist you throughout the process, to reach your goals. "We don't have to do all of it alone. We were never meant to.” -Dr. Brené Brown
When you make the decision to take charge of your mental health and venture into therapy, you want to find a therapist who makes you feel comfortable and encouraged. Someone who will listen, understand, and most importantly - care about your therapeutic growth. People seek therapy for numerous reasons, like depression, trauma, anxiety, life transitions, etc. No matter what brings you to therapy, I would love to assist you throughout the process, to reach your goals. "We don't have to do all of it alone. We were never meant to.” -Dr. Brené Brown
(919) 343-9315 View (919) 343-9315
Pamela Offner Burch
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Raleigh, NC 27608
There is a path to Hope and Healing for you or someone you love. Allow me to assist in that journey for those of you who are struggling. Whether you are facing the impact of depression, anxiety, stressful times, anger and resentment, grief and loss, parenting challenges, divorce recovery, communication difficulties or just life adjustment issues, consider investing in your recovery by entering into therapy. Whether you are an adult, adolescent, or child, I will walk down that path along side of you in order for you to experience positive change and healing.
There is a path to Hope and Healing for you or someone you love. Allow me to assist in that journey for those of you who are struggling. Whether you are facing the impact of depression, anxiety, stressful times, anger and resentment, grief and loss, parenting challenges, divorce recovery, communication difficulties or just life adjustment issues, consider investing in your recovery by entering into therapy. Whether you are an adult, adolescent, or child, I will walk down that path along side of you in order for you to experience positive change and healing.
(919) 429-7729 View (919) 429-7729
Teshia Utley-McKoy
Licensed Professional Counselor, MS, LCMHC
1 Endorsed
Serves Area
I am always excited to work with children and their families in assisting them with overcoming school and behavioral concerns, anxiety, depression, and many other concerns that negatively impact their daily lives. I have a passion to assist parents in understanding, managing, and resolving these childhood concerns and behaviors. I enjoy working with adults and couples who are experiencing conflict, depression, anxiety, helplessness, mood swings, etc. I can help you resolve the concerns that keep you from enjoying your life.
I am always excited to work with children and their families in assisting them with overcoming school and behavioral concerns, anxiety, depression, and many other concerns that negatively impact their daily lives. I have a passion to assist parents in understanding, managing, and resolving these childhood concerns and behaviors. I enjoy working with adults and couples who are experiencing conflict, depression, anxiety, helplessness, mood swings, etc. I can help you resolve the concerns that keep you from enjoying your life.
(919) 887-1100 View (919) 887-1100
InBloom Relationship Therapy
Marriage & Family Therapist, MA, LMFT
Serves Area
{{{{ ACCEPTING NEW CLIENTS }}}} Good therapy begins with a strong relationship between therapist and client, and I believe that creating this empathic connection is one of my greatest strengths. I provide a client-centered, strength-based, affirmative approach that is warm and welcoming — a safe space where clients can share, process, and experience their thoughts and emotions. I am committed to meeting clients where they would like to begin their journey, working collaboratively toward healing, acceptance, purpose, well-being, and fulfillment.
{{{{ ACCEPTING NEW CLIENTS }}}} Good therapy begins with a strong relationship between therapist and client, and I believe that creating this empathic connection is one of my greatest strengths. I provide a client-centered, strength-based, affirmative approach that is warm and welcoming — a safe space where clients can share, process, and experience their thoughts and emotions. I am committed to meeting clients where they would like to begin their journey, working collaboratively toward healing, acceptance, purpose, well-being, and fulfillment.
(919) 582-5999 View (919) 582-5999
Eden Long
Pre-Licensed Professional
7 Endorsed
Raleigh, NC 27615
Current Availability: Mon 3–5 PM, Tues 3–5 PM, Fri 4–5 PM As a Clinical Mental Health Counseling graduate student, I’m passionate about creating a warm, comfortable space where clients can be themselves. I believe therapy starts with genuine connection, and I want my clients to feel heard, understood, and supported, not judged! You don’t have to have everything figured out before coming to therapy; we can figure things out together, one step at a time.
Current Availability: Mon 3–5 PM, Tues 3–5 PM, Fri 4–5 PM As a Clinical Mental Health Counseling graduate student, I’m passionate about creating a warm, comfortable space where clients can be themselves. I believe therapy starts with genuine connection, and I want my clients to feel heard, understood, and supported, not judged! You don’t have to have everything figured out before coming to therapy; we can figure things out together, one step at a time.
(984) 322-3192 View (984) 322-3192
Anne Maxwell
Psychologist, PhD
Raleigh, NC 27601
I work with teens and adults who struggle with a variety of issues, including anxiety, depression, OCD, ADHD, and ASD. I have been in practice for 30 years and I appreciate the courage and effort it can take for a person to seek therapy.
I work with teens and adults who struggle with a variety of issues, including anxiety, depression, OCD, ADHD, and ASD. I have been in practice for 30 years and I appreciate the courage and effort it can take for a person to seek therapy.
(984) 983-5238 View (984) 983-5238
Lee Bob Smith
Marriage & Family Therapist, MS, LMFT, CCSOTS
3 Endorsed
Serves Area
The most important thing in life for our happiness is our relationships. When one of our relationships is in turmoil, everything in your life becomes more difficult. Getting out of bed, going to work, dealing with the kids, the boss, it all becomes harder. Practical Solutions is here to help you return to a happier life. We can help with all manner of challenges in life. We can help you move past them so you can count them as in the past and not interfere with your everyday existence. Call or book an appointment today.
The most important thing in life for our happiness is our relationships. When one of our relationships is in turmoil, everything in your life becomes more difficult. Getting out of bed, going to work, dealing with the kids, the boss, it all becomes harder. Practical Solutions is here to help you return to a happier life. We can help with all manner of challenges in life. We can help you move past them so you can count them as in the past and not interfere with your everyday existence. Call or book an appointment today.
(919) 705-0641 View (919) 705-0641
Mary Kaitlyn Boone
Licensed Professional Counselor, MA, LCMHC, RPT
Raleigh, NC 27613
"The creation of something new is not accomplished by the intellect but by the play instinct" (Carl Jung). I find great joy in working with children of all ages in a therapy setting. It's an honor to me when a child chooses to trust me with their wishes, their fears, and their wonders about life. I have experience working with children individually, in hospitals, and through non-profit work in the community. Through the use of play and arts based therapies, I help to facilitate an environment where children are able to truly be themselves, express their emotions, and have the ability to create the answers they need for themselves.
"The creation of something new is not accomplished by the intellect but by the play instinct" (Carl Jung). I find great joy in working with children of all ages in a therapy setting. It's an honor to me when a child chooses to trust me with their wishes, their fears, and their wonders about life. I have experience working with children individually, in hospitals, and through non-profit work in the community. Through the use of play and arts based therapies, I help to facilitate an environment where children are able to truly be themselves, express their emotions, and have the ability to create the answers they need for themselves.
(919) 301-9184 View (919) 301-9184
Merya V. Wolfe
Clinical Social Work/Therapist, LCSW
Serves Area
I offer psychotherapy for children over 14 years of age, couples and adults. A typical client may have Bipolar Disorder or other depressive or anxiety disorders or behavioral issues, such as anger outbursts Or they may struggle with grief or other difficult life situations and need support and guidance. I specialize in treatment of trauma related disorders, such as PTSD., and also in treatment of adult survivors of childhood sexual abuse. My approach to treatment is gentle but direct. I respond to your unique needs, drawing from your strengths and encourage you to be open and move towards positive life changes.
I offer psychotherapy for children over 14 years of age, couples and adults. A typical client may have Bipolar Disorder or other depressive or anxiety disorders or behavioral issues, such as anger outbursts Or they may struggle with grief or other difficult life situations and need support and guidance. I specialize in treatment of trauma related disorders, such as PTSD., and also in treatment of adult survivors of childhood sexual abuse. My approach to treatment is gentle but direct. I respond to your unique needs, drawing from your strengths and encourage you to be open and move towards positive life changes.
(919) 635-5795 View (919) 635-5795

How does your Therapist compare?

Number of Therapists in 27508

< 10

Therapists in 27508 who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Behavioral Issues
100% Self Esteem
100% Social Anxiety
100% Health Anxiety

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
50% BlueCross and BlueShield

How Therapists in 27508 see their clients

67% Online Only
33% In Person and Online

Gender breakdown

67% Male
33% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 27508?

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.