Photo of Melissa Winslett Speck, MSSW, CMSW, CDP
Melissa Winslett Speck
MSSW, CMSW, CDP
Verified Verified
Pensacola, FL 32504
Start living your best life, now! I have over 25 years of clinical experience working in the mental health field, healthcare, hospitals, nursing homes, assisted living facilities, and private homes. I specialize in serving children, pre-teens, adolescents, and young adults through senior citizens. I offer individual, family, and group counseling sessions.
Start living your best life, now! I have over 25 years of clinical experience working in the mental health field, healthcare, hospitals, nursing homes, assisted living facilities, and private homes. I specialize in serving children, pre-teens, adolescents, and young adults through senior citizens. I offer individual, family, and group counseling sessions.
(850) 478-0008 View (850) 478-0008
Photo of Cynthia Wells, Counselor, MMFT, LMHC, MH21778
Cynthia Wells
Counselor, MMFT, LMHC, MH21778
Verified Verified
1 Endorsed
Pensacola, FL 32504
I am a passionate, innovative psychotherapist. It will be my privilege to walk with you (individuals, families, and couples) on your journey when life becomes difficult. Sometimes we encounter challenges that may be overwhelming, and extremely painful to bare alone such as depression, anxiety, loss, grief, or abandonment. At other times, things may be well, but we could still benefit from having that advocate who cares and can listen, grasp a problem, assess the issues, and assist you with a plan to move forward with your life.
I am a passionate, innovative psychotherapist. It will be my privilege to walk with you (individuals, families, and couples) on your journey when life becomes difficult. Sometimes we encounter challenges that may be overwhelming, and extremely painful to bare alone such as depression, anxiety, loss, grief, or abandonment. At other times, things may be well, but we could still benefit from having that advocate who cares and can listen, grasp a problem, assess the issues, and assist you with a plan to move forward with your life.
(850) 929-5366 View (850) 929-5366
Photo of Erica L Mack, Registered Clinical Social Worker Intern, MSW
Erica L Mack
Registered Clinical Social Worker Intern, MSW
Verified Verified
2 Endorsed
Pensacola, FL 32504
Life doesn't come with an instruction manual. It's packed with ups, downs, and upside-downs; twists and turns, backward and forward, and even side-to-side. Are you nearly balancing, work, school, and home? Maybe learning to manage life after loss or navigating a challenging marriage. What about parenting in the era of social media? Are you worried about the successful transition to college or the workforce? Right, wrong, or otherwise, we do our personal best with the skills and information we have in the space we’re in. Perhaps it's time to do something differently. Help is available.
Life doesn't come with an instruction manual. It's packed with ups, downs, and upside-downs; twists and turns, backward and forward, and even side-to-side. Are you nearly balancing, work, school, and home? Maybe learning to manage life after loss or navigating a challenging marriage. What about parenting in the era of social media? Are you worried about the successful transition to college or the workforce? Right, wrong, or otherwise, we do our personal best with the skills and information we have in the space we’re in. Perhaps it's time to do something differently. Help is available.
(850) 204-5723 View (850) 204-5723
Photo of Phedra Nekia Smith, Counselor, LMHC, QS
Phedra Nekia Smith
Counselor, LMHC, QS
Verified Verified
5 Endorsed
Pensacola, FL 32504
Like war, trauma from adult and childhood abuse, hurt from church and family have left many of us just limping through life. Just because you are use to the pain, it doesn't mean you or your love ones should continue to live with the pain. I am honest and I like to see results. I also like to work with clients that are ready to be honest and put in the work to see their desired results. I primarily see adult women with trauma and couples in need of support! My office has clinicians that see individuals of all ages! I am also a Qualified Supervisor that is passionate about supporting future therapists on their journey!
Like war, trauma from adult and childhood abuse, hurt from church and family have left many of us just limping through life. Just because you are use to the pain, it doesn't mean you or your love ones should continue to live with the pain. I am honest and I like to see results. I also like to work with clients that are ready to be honest and put in the work to see their desired results. I primarily see adult women with trauma and couples in need of support! My office has clinicians that see individuals of all ages! I am also a Qualified Supervisor that is passionate about supporting future therapists on their journey!
(850) 941-7808 View (850) 941-7808
Photo of Julia Ogle, Marriage & Family Therapist Intern, MS
Julia Ogle
Marriage & Family Therapist Intern, MS
Verified Verified
1 Endorsed
Pensacola, FL 32504
Are you having a hard time with life and do not know what to do? If so, I can help you. I have years of experience helping children to adults with difficult situations, mental health issues, and general life stress. I believe all past experiences and relationships shape how we feel about ourselves and the world. It is important for us to heal from the inside to the outside with psychological techniques that actually work. I make sure my clients feel welcomed and heard in their sessions.
Are you having a hard time with life and do not know what to do? If so, I can help you. I have years of experience helping children to adults with difficult situations, mental health issues, and general life stress. I believe all past experiences and relationships shape how we feel about ourselves and the world. It is important for us to heal from the inside to the outside with psychological techniques that actually work. I make sure my clients feel welcomed and heard in their sessions.
(850) 930-2250 View (850) 930-2250
Photo of Alyssa Warren, Counselor, MS, LMHC, CFMHE, CCCE
Alyssa Warren
Counselor, MS, LMHC, CFMHE, CCCE
Verified Verified
2 Endorsed
Pensacola, FL 32504
Are you feeling stressed, anxious, or sad? Are you having relationship issues? If you are, it is time to receive the help you deserve and bring peace of mind into your daily life. I can help you get through this hard time in your life so that you can be happy and healthy. You don't have to do this alone or rely on people who do not understand. I am a welcoming and caring therapist that will respect and empathize with what you are going through, without any judgements.
Are you feeling stressed, anxious, or sad? Are you having relationship issues? If you are, it is time to receive the help you deserve and bring peace of mind into your daily life. I can help you get through this hard time in your life so that you can be happy and healthy. You don't have to do this alone or rely on people who do not understand. I am a welcoming and caring therapist that will respect and empathize with what you are going through, without any judgements.
(850) 583-8848 View (850) 583-8848
Photo of Amy L Coates, Counselor, MS, LMHC, CCTP-2
Amy L Coates
Counselor, MS, LMHC, CCTP-2
Verified Verified
Pensacola, FL 32504
Waitlist for new clients
When life seems confusing or just too much, it's good to have someone to talk to for comfort, relief, or to process the hard questions. If you struggle with anxiety or depression I invite you to come sit for awhile, unburden, and learn how to approach tough emotions using interventions that are going to best assist your needs.
When life seems confusing or just too much, it's good to have someone to talk to for comfort, relief, or to process the hard questions. If you struggle with anxiety or depression I invite you to come sit for awhile, unburden, and learn how to approach tough emotions using interventions that are going to best assist your needs.
(850) 204-7142 View (850) 204-7142
Photo of Kelley Flynn, Counselor
Kelley Flynn
Counselor
Verified Verified
3 Endorsed
Online Only
Do you feel like nobody really understands you? Do crowded places leave you overstimulated and drained? Perhaps you avoid social situations, struggle to focus or experience constant mental fog. You might be questioning if you have ADHD or autism, or you might already know and you are seeking someone who understands your experiences. Anxiety might increase with routine changes, leaving you feeling stuck and unable to complete tasks despite your efforts. You may catch yourself wishing to escape or in need of a listening ear. If this resonates with you, it's important to know that you're not alone and that there's support available.
Do you feel like nobody really understands you? Do crowded places leave you overstimulated and drained? Perhaps you avoid social situations, struggle to focus or experience constant mental fog. You might be questioning if you have ADHD or autism, or you might already know and you are seeking someone who understands your experiences. Anxiety might increase with routine changes, leaving you feeling stuck and unable to complete tasks despite your efforts. You may catch yourself wishing to escape or in need of a listening ear. If this resonates with you, it's important to know that you're not alone and that there's support available.
(850) 808-8752 View (850) 808-8752
Photo of Kyra E Steinnecker - LGBTQ+, Polyam, & Kink: Kyra Steinnecker, LMHC,CST, Licensed Mental Health Counselor, LMHC, CST
LGBTQ+, Polyam, & Kink: Kyra Steinnecker, LMHC,CST
Licensed Mental Health Counselor, LMHC, CST
Verified Verified
3 Endorsed
Online Only
I enjoy helping adults navigate a variety of needs in mental health, including healing from abuse, managing stressors, moving through grief, changing patterns of relating that aren't fulfilling anymore, and finding ways to better communicate and set boundaries. I am passionate about working with individuals in the LGBTQ+ community, and I have a special interest in working with those navigating Bisexuality/Pansexuality/Spaces that are Non-Binary in nature and working with those navigating consensually Non-Monogamous/Polyamorous relationships. Please visit my website to request a consultation chat to see about hopping on my schedule.
I enjoy helping adults navigate a variety of needs in mental health, including healing from abuse, managing stressors, moving through grief, changing patterns of relating that aren't fulfilling anymore, and finding ways to better communicate and set boundaries. I am passionate about working with individuals in the LGBTQ+ community, and I have a special interest in working with those navigating Bisexuality/Pansexuality/Spaces that are Non-Binary in nature and working with those navigating consensually Non-Monogamous/Polyamorous relationships. Please visit my website to request a consultation chat to see about hopping on my schedule.
(850) 493-6786 View (850) 493-6786
Photo of Ronald C Yarbrough, Psychologist, PhD
Ronald C Yarbrough
Psychologist, PhD
Verified Verified
Pensacola, FL 32504
I received a B.S., M.S. and Ph.D. in Clinical Psychology from the University of Georgia. I completed an Internship at the University of Oklahoma Health Sciences Center. I was an Outpatient Psychologist at the Lakeview Center. I developed a multi-modal Drug Abuse Program and was Director for several years. I entered private practice in 1974 with continuous service to the Pensacola Community. I provide therapy for children, adolescents and adults in either individual or family sessions, as well as marital/relationship therapy.
I received a B.S., M.S. and Ph.D. in Clinical Psychology from the University of Georgia. I completed an Internship at the University of Oklahoma Health Sciences Center. I was an Outpatient Psychologist at the Lakeview Center. I developed a multi-modal Drug Abuse Program and was Director for several years. I entered private practice in 1974 with continuous service to the Pensacola Community. I provide therapy for children, adolescents and adults in either individual or family sessions, as well as marital/relationship therapy.
(850) 424-1795 View (850) 424-1795
Photo of Kelley Bromwyn Ryals, Counselor, LMHC, CAS
Kelley Bromwyn Ryals
Counselor, LMHC, CAS
Verified Verified
1 Endorsed
Pensacola, FL 32504
Not accepting new clients
My goal is to help you navigate the difficulties of life, regardless of how you got there. Whether it is overwhelming depression or crippling anxiety, sometimes we just need someone to come alongside of us and help with tools to solve problems, or just to listen. Let me help you begin to function at your best level! Note: Please leave a message and I will call you back within 24 hours. There is no receptionist at this office.
My goal is to help you navigate the difficulties of life, regardless of how you got there. Whether it is overwhelming depression or crippling anxiety, sometimes we just need someone to come alongside of us and help with tools to solve problems, or just to listen. Let me help you begin to function at your best level! Note: Please leave a message and I will call you back within 24 hours. There is no receptionist at this office.
(850) 660-8407 View (850) 660-8407
Photo of Daryl Lindsay, Psychologist, PsyD
Daryl Lindsay
Psychologist, PsyD
Verified Verified
Online Only
We are humans. We all face difficulties and challenges navigating life. Sometimes we are able to manage these on our own or with the support of family and friends. However, at other times, we need an unbiased professional for support. Whether you are experiencing depression, anxiety, grief, chronic illness, relationship issues, or other life stressors, counseling can help provide insight and coping strategies to address your concerns and symptoms.
We are humans. We all face difficulties and challenges navigating life. Sometimes we are able to manage these on our own or with the support of family and friends. However, at other times, we need an unbiased professional for support. Whether you are experiencing depression, anxiety, grief, chronic illness, relationship issues, or other life stressors, counseling can help provide insight and coping strategies to address your concerns and symptoms.
(850) 403-6028 View (850) 403-6028
Photo of Maria McKenna, Counselor, RLMHCI
Maria McKenna
Counselor, RLMHCI
Verified Verified
Pensacola, FL 32504
I am deeply passionate about supporting individuals as they navigate the inevitable transitions and challenges that come with life's changing seasons. Whether you're dealing with the weight of anxiety, the heaviness of depression, or the overwhelming stress of daily life, it's common to feel isolated in your struggles. My goal is to help you find clarity, rediscover hope, and work collaboratively toward the positive changes you envision for your life. No matter where you are in your journey, I am here to walk alongside you and help you uncover the strength and potential you already possess.
I am deeply passionate about supporting individuals as they navigate the inevitable transitions and challenges that come with life's changing seasons. Whether you're dealing with the weight of anxiety, the heaviness of depression, or the overwhelming stress of daily life, it's common to feel isolated in your struggles. My goal is to help you find clarity, rediscover hope, and work collaboratively toward the positive changes you envision for your life. No matter where you are in your journey, I am here to walk alongside you and help you uncover the strength and potential you already possess.
(850) 446-9028 View (850) 446-9028
Photo of Stan Gray, Clinical Social Work/Therapist, LCSW
Stan Gray
Clinical Social Work/Therapist, LCSW
Verified Verified
Pensacola, FL 32504
My path to becoming a therapist was more of a calling than a career decision. I’m not particularly suited to this profession. I’m introverted, which causes me to present as somewhat unfriendly and aloof to strangers. I’m really not concerned with small talk or what I consider the superficialities of life. But when it comes to exploring the deepest, most difficult and painful core aspects of your life that’s the space where I feel most comfortable. The foundation of my practice is my own personal journey in 12-step recovery. I would say I was "chosen" for the gift of recovery from a self-destructive lifestyle more than 34 years ago.
My path to becoming a therapist was more of a calling than a career decision. I’m not particularly suited to this profession. I’m introverted, which causes me to present as somewhat unfriendly and aloof to strangers. I’m really not concerned with small talk or what I consider the superficialities of life. But when it comes to exploring the deepest, most difficult and painful core aspects of your life that’s the space where I feel most comfortable. The foundation of my practice is my own personal journey in 12-step recovery. I would say I was "chosen" for the gift of recovery from a self-destructive lifestyle more than 34 years ago.
(870) 298-4415 View (870) 298-4415
Photo of Carissa Smith, Clinical Social Work/Therapist, LCSW
Carissa Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello and welcome! I am an experienced Licensed Clinical Social Worker (LCSW) dedicated to assisting you on your path towards healing and growth. I understand that life's challenges can sometimes feel overwhelming, and seeking support is a powerful step towards positive change. With a heart full of compassion and a deep empathy for the human experience, I am here to provide you with a safe and nurturing space where you can share your thoughts, feelings, and experiences without judgment. I believe that every person's story is unique, and I am genuinely honored to be a part of your journey.
Hello and welcome! I am an experienced Licensed Clinical Social Worker (LCSW) dedicated to assisting you on your path towards healing and growth. I understand that life's challenges can sometimes feel overwhelming, and seeking support is a powerful step towards positive change. With a heart full of compassion and a deep empathy for the human experience, I am here to provide you with a safe and nurturing space where you can share your thoughts, feelings, and experiences without judgment. I believe that every person's story is unique, and I am genuinely honored to be a part of your journey.
(850) 789-6307 View (850) 789-6307
Photo of Tara Riggs, Marriage & Family Therapist, MS, LMFT
Tara Riggs
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
Did you know that both anxiety and depression are caused by unprocessed emotions? To keep from being overwhelmed by them, we naturally suppress emotions when we do not feel supported enough to face them. The problem is, this genius coping mechanism becomes a pattern that we do not know how to escape and we are left numb, suffering in a life that is bleak, absent of vitality, and so far from all we had imagined it would be. But you know there is more. You see it in the people around you and you want it for yourself. You want to feel the lows AND highs, to see the vibrant color in the world around you, to be your authentic self.
Did you know that both anxiety and depression are caused by unprocessed emotions? To keep from being overwhelmed by them, we naturally suppress emotions when we do not feel supported enough to face them. The problem is, this genius coping mechanism becomes a pattern that we do not know how to escape and we are left numb, suffering in a life that is bleak, absent of vitality, and so far from all we had imagined it would be. But you know there is more. You see it in the people around you and you want it for yourself. You want to feel the lows AND highs, to see the vibrant color in the world around you, to be your authentic self.
(850) 397-0323 View (850) 397-0323
Photo of Andrea Russo, Licensed Professional Counselor, LPC, LMHC
Andrea Russo
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Online Only
From those who are struggling with transitioning into adulthood, to those managing the stressors of a "quarter-life crisis,” working with young adults is my specialty. One of the most important skills my clients leave with is the ability to see themselves with more loving kindness and acceptance. My clients gain the knowledge of how to adapt to change, as well as communicate their needs and feelings effectively. I'm here to offer a space that is free from judgment, and a space where you can truly feel accepted.
From those who are struggling with transitioning into adulthood, to those managing the stressors of a "quarter-life crisis,” working with young adults is my specialty. One of the most important skills my clients leave with is the ability to see themselves with more loving kindness and acceptance. My clients gain the knowledge of how to adapt to change, as well as communicate their needs and feelings effectively. I'm here to offer a space that is free from judgment, and a space where you can truly feel accepted.
(678) 270-2972 View (678) 270-2972
Photo of Terra Shishido, Licensed Mental Health Counselor, LMHC, MS, BS, NCC
Terra Shishido
Licensed Mental Health Counselor, LMHC, MS, BS, NCC
Verified Verified
2 Endorsed
Online Only
Feeling stuck after endless talk therapy? I get it. Choosing the right therapist is important and I’m not like the others; I go beyond just listening. With a unique blend of IFS (Level 2 trained), EMDR (certified), and trauma-informed care, I guide you toward real transformation. Let’s imagine finding peace in the midst of the noise, handling challenges without losing your cool, & showing up as your most authentic self. Let’s work together to quiet the inner chatter, heal wounded parts, & turn down the volume on the world’s chaos. You’ve got the tools within you, I’ll help you find and use them.
Feeling stuck after endless talk therapy? I get it. Choosing the right therapist is important and I’m not like the others; I go beyond just listening. With a unique blend of IFS (Level 2 trained), EMDR (certified), and trauma-informed care, I guide you toward real transformation. Let’s imagine finding peace in the midst of the noise, handling challenges without losing your cool, & showing up as your most authentic self. Let’s work together to quiet the inner chatter, heal wounded parts, & turn down the volume on the world’s chaos. You’ve got the tools within you, I’ll help you find and use them.
View
Photo of Kinya Williams, Counselor, LMHC, LPC
Kinya Williams
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Online Only
I am a licensed mental health counselor who specializes in work with children, adolescents and adults of all ages. I will work with you and/or your loved ones to address any concerns with managing the effects of depression, anxiety, trauma, substance abuse, divorce, grief and loss and various other challenges while helping you maintain a productive life style.
I am a licensed mental health counselor who specializes in work with children, adolescents and adults of all ages. I will work with you and/or your loved ones to address any concerns with managing the effects of depression, anxiety, trauma, substance abuse, divorce, grief and loss and various other challenges while helping you maintain a productive life style.
(850) 695-1014 View (850) 695-1014
Photo of Jane Thomas, LMHC
Jane Thomas
LMHC
Verified Verified
Pensacola, FL 32504
Life is tough, but so are you. You just don’t know it yet. You might be dealing with a difficult season in parenting your child or maybe you and your spouse are not getting along. Maybe you’re experiencing anxiety, depression, or just struggling with the general ups and downs of life. Maybe your child is struggling and you don’t know how to help him. That’s where I come in. I’m here to partner with you and lessen the load. I’ll use evidence based interventions and theories to tackle the difficulties you are facing so you can live the life you want. (www.janethomascounseling.com)
Life is tough, but so are you. You just don’t know it yet. You might be dealing with a difficult season in parenting your child or maybe you and your spouse are not getting along. Maybe you’re experiencing anxiety, depression, or just struggling with the general ups and downs of life. Maybe your child is struggling and you don’t know how to help him. That’s where I come in. I’m here to partner with you and lessen the load. I’ll use evidence based interventions and theories to tackle the difficulties you are facing so you can live the life you want. (www.janethomascounseling.com)
(850) 812-4790 View (850) 812-4790
1

How does your Therapist compare?

Number of Therapists in 32504

70+

Average cost per session

$125

Therapists in 32504 who prioritize treating:

95% Anxiety
90% Depression
82% Trauma and PTSD
78% Coping Skills
78% Self Esteem
76% Stress
68% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

83% Aetna
75% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH

How Therapists in 32504 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 32504?

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.