Therapists in 33503

Photo of Diane Lindsay, Clinical Social Work/Therapist, LCSW
Diane Lindsay
Clinical Social Work/Therapist, LCSW
Online Only
Hello, I am a Licensed Clinical Social Worker (LCSW) based in the state of Florida. I received my Master’s degree from Saint Leo University in 2020 but have been working in the community for (15) years. My goals is to help clients who struggle with managing their emotions and developing healthy coping strategies to challenge negative thinking and improving decision-making skills. n the first session, clients will expect to focus on introductions and discuss what brought you to therapy at this time. This will allow me the opportunity to begin to get to know the client and formulate a plan for ongoing therapy sessions.
Hello, I am a Licensed Clinical Social Worker (LCSW) based in the state of Florida. I received my Master’s degree from Saint Leo University in 2020 but have been working in the community for (15) years. My goals is to help clients who struggle with managing their emotions and developing healthy coping strategies to challenge negative thinking and improving decision-making skills. n the first session, clients will expect to focus on introductions and discuss what brought you to therapy at this time. This will allow me the opportunity to begin to get to know the client and formulate a plan for ongoing therapy sessions.
(813) 680-4683 View (813) 680-4683
Photo of Peta Gaye Williams, Clinical Social Work/Therapist, LCSW
Peta Gaye Williams
Clinical Social Work/Therapist, LCSW
Online Only
I have the unique experience of growing up outside of the US as well as a previous career as a lawyer. Grow Therapy provides a platform to utilize my expertise as a therapist, to deliver high quality services to individuals in seek of therapy. I believe in the importance of fighting the stigma of seeking mental health treatment. I strive to be a source of hope for my clientele and have honed my skill set past experiences.
I have the unique experience of growing up outside of the US as well as a previous career as a lawyer. Grow Therapy provides a platform to utilize my expertise as a therapist, to deliver high quality services to individuals in seek of therapy. I believe in the importance of fighting the stigma of seeking mental health treatment. I strive to be a source of hope for my clientele and have honed my skill set past experiences.
(813) 560-1826 View (813) 560-1826
Photo of Danece Davis, Clinical Social Work/Therapist, LCSW
Danece Davis
Clinical Social Work/Therapist, LCSW
Online Only
Hello! My name is Danece Davis I am a Licensed Clinical Social Worker with over 16 years of experience. I have worked with people of all ages—children, teens, and adults—from various backgrounds and if you’re looking for a safe and private, space to process life struggles such as; stress, anger, parenting, relationships, anxiety, past or current trauma, or emotion regulation then this is the place to start. I have experience collaborating with clients to improve their daily functioning and help manage the things that might be causing complications in their lives.
Hello! My name is Danece Davis I am a Licensed Clinical Social Worker with over 16 years of experience. I have worked with people of all ages—children, teens, and adults—from various backgrounds and if you’re looking for a safe and private, space to process life struggles such as; stress, anger, parenting, relationships, anxiety, past or current trauma, or emotion regulation then this is the place to start. I have experience collaborating with clients to improve their daily functioning and help manage the things that might be causing complications in their lives.
(813) 331-1425 View (813) 331-1425
Photo of Elizabeth Marsh, Counselor, LMHC
Elizabeth Marsh
Counselor, LMHC
Online Only
Hi. My name is Beth Marsh and I am a licensed mental health counselor living in Florida. I have been practicing since 2000. I have worked in community mental health, large private practices, small private practices, for a professional medicine department with a local university, fancy residential rehab, and as a case manager for a large insurance company. My clients have been diverse and run the gamut in socio-economic status. I enjoy working with most people.
Hi. My name is Beth Marsh and I am a licensed mental health counselor living in Florida. I have been practicing since 2000. I have worked in community mental health, large private practices, small private practices, for a professional medicine department with a local university, fancy residential rehab, and as a case manager for a large insurance company. My clients have been diverse and run the gamut in socio-economic status. I enjoy working with most people.
(813) 945-7461 View (813) 945-7461
Photo of Nathalie Carrera, Counselor, LMHC
Nathalie Carrera
Counselor, LMHC
Online Only
As a licensed mental health counseling provider in the state of Florida with 10 years of experience, I have had the privilege of working with individuals, both children and adults, on a wide range of challenges. My expertise includes trauma, adoption, family conflicts, anxiety, depression, and behavioral issues affecting children. I am dedicated to implementing trauma-informed therapies, mindfulness, CBT, and somatic therapies in my practice.
As a licensed mental health counseling provider in the state of Florida with 10 years of experience, I have had the privilege of working with individuals, both children and adults, on a wide range of challenges. My expertise includes trauma, adoption, family conflicts, anxiety, depression, and behavioral issues affecting children. I am dedicated to implementing trauma-informed therapies, mindfulness, CBT, and somatic therapies in my practice.
(813) 640-3494 View (813) 640-3494

More Therapists Nearby

Photo of Delancey Fortin, Licensed Mental Health Counselor , LMHC, LPC, NCC
Delancey Fortin
Licensed Mental Health Counselor , LMHC, LPC, NCC
Pinellas Park, FL 33781
You're feeling overwhelmed, disconnected, stuck or—and you're craving more than just coping skills. You want real change: to feel more present, more understood, and more aligned with who you are. I work with adults navigating LGBTQIA+ issues, anxiety, life transitions, and relationship struggles. My clients often long for a safe, grounded space where they don’t have to hold everything alone—and that’s exactly what we create together. I also offer animal-assisted therapy! The presence of a therapy dog can bring calm, comfort, and connection—especially for those who find it hard to open up or feel safe in traditional talk therapy
You're feeling overwhelmed, disconnected, stuck or—and you're craving more than just coping skills. You want real change: to feel more present, more understood, and more aligned with who you are. I work with adults navigating LGBTQIA+ issues, anxiety, life transitions, and relationship struggles. My clients often long for a safe, grounded space where they don’t have to hold everything alone—and that’s exactly what we create together. I also offer animal-assisted therapy! The presence of a therapy dog can bring calm, comfort, and connection—especially for those who find it hard to open up or feel safe in traditional talk therapy
(727) 761-8860 View (727) 761-8860
Photo of Elizabeth Groover, Pre-Licensed Professional, RMHCI
Elizabeth Groover
Pre-Licensed Professional, RMHCI
1 Endorsed
Brandon, FL 33511
There are moments when life feels louder on the inside than it looks on the outside. You might appear to be managing things well, but underneath, anxiety, loss, or past pain continue to pull at you. You have tried to move forward, yet old patterns and emotions seem to resurface. Therapy offers space to pause, make sense of what is happening beneath the surface, and begin restoring a sense of calm, clarity, and connection. My goal is to help you feel safe enough to explore honestly and supported enough to grow.
There are moments when life feels louder on the inside than it looks on the outside. You might appear to be managing things well, but underneath, anxiety, loss, or past pain continue to pull at you. You have tried to move forward, yet old patterns and emotions seem to resurface. Therapy offers space to pause, make sense of what is happening beneath the surface, and begin restoring a sense of calm, clarity, and connection. My goal is to help you feel safe enough to explore honestly and supported enough to grow.
(813) 308-2270 View (813) 308-2270
Photo of Michael Cody, LMHC
Michael Cody
Verified Verified
1 Endorsed
Serves Area
Are you overwhelmed by feelings of guilt, anxiety, anger, or depression? Having trouble resolving conflict in close relationships? It is my mission to provide quality mental health counseling that is individually tailored to help you reach your goals. I will provide you with the tools and support you need to get where you want to be, physically, mentally, and spiritually.
Are you overwhelmed by feelings of guilt, anxiety, anger, or depression? Having trouble resolving conflict in close relationships? It is my mission to provide quality mental health counseling that is individually tailored to help you reach your goals. I will provide you with the tools and support you need to get where you want to be, physically, mentally, and spiritually.
(727) 205-1189 View (727) 205-1189
Photo of Shamika Gaskin, Registered Mental Health Counselor Intern, MA, MBA, NCC, NLP, CPLC
Shamika Gaskin
Registered Mental Health Counselor Intern, MA, MBA, NCC, NLP, CPLC
2 Endorsed
Tampa, FL 33607
I am a Christian-based therapist interested in listening and can provide that space for you. I am a military veteran with experience working with clients from all walks of life. Talk therapy can be beneficial to our self-care. We all need to feel like we are cared for and about. Deciding to attend therapy is courageous, and I will walk through this journey with you. I enjoy working with teenagers, young adults, and adults dealing with Depression, Anxiety, ADHD, OCD, and Narrcisstic Victim abuse. I also work with couples in Marriage and Family Therapy who are experiencing unique challenges. I additionally provide ESA letters.
I am a Christian-based therapist interested in listening and can provide that space for you. I am a military veteran with experience working with clients from all walks of life. Talk therapy can be beneficial to our self-care. We all need to feel like we are cared for and about. Deciding to attend therapy is courageous, and I will walk through this journey with you. I enjoy working with teenagers, young adults, and adults dealing with Depression, Anxiety, ADHD, OCD, and Narrcisstic Victim abuse. I also work with couples in Marriage and Family Therapy who are experiencing unique challenges. I additionally provide ESA letters.
(813) 896-5205 View (813) 896-5205
Photo of C J DeMarco, Counselor, LPC, NCC, CCTS-I
C J DeMarco
Counselor, LPC, NCC, CCTS-I
7 Endorsed
Saint Petersburg, FL 33702
As you begin your work toward inner peace and an understanding of yourself, others, and your environment, I am here to provide a safe space in which you will feel supported and encouraged. Whether you are facing life’s transitions and challenges, dealing with difficult relationships, or simply looking for someone to talk to, together we will discover which therapeutic techniques best help you to identify and reach your goals.
As you begin your work toward inner peace and an understanding of yourself, others, and your environment, I am here to provide a safe space in which you will feel supported and encouraged. Whether you are facing life’s transitions and challenges, dealing with difficult relationships, or simply looking for someone to talk to, together we will discover which therapeutic techniques best help you to identify and reach your goals.
(551) 282-1132 View (551) 282-1132
Photo of Tara Spurr (Motzenbecker), LMHC, RPT-S, NCSP
Tara Spurr (Motzenbecker)
Verified Verified
3 Endorsed
Serves Area
I specialize in OCD, Trauma, Anxiety and gifted testing. I am a Registered Play Therapist-Supervisor, Licensed Mental Health Counselor, Licensed School Psychologist and EMDR Certified Therapist. When working with adults, I meet you where you are at to help you get to where you want to be. I focus my work with children on play-based, EMDR and cognitive behavioral strategies with a strong understanding of how children process and communicate. The family is always an integral part of therapy with children so I love bringing in parents and siblings in order to create a better future for the whole family.
I specialize in OCD, Trauma, Anxiety and gifted testing. I am a Registered Play Therapist-Supervisor, Licensed Mental Health Counselor, Licensed School Psychologist and EMDR Certified Therapist. When working with adults, I meet you where you are at to help you get to where you want to be. I focus my work with children on play-based, EMDR and cognitive behavioral strategies with a strong understanding of how children process and communicate. The family is always an integral part of therapy with children so I love bringing in parents and siblings in order to create a better future for the whole family.
(941) 212-0422 View (941) 212-0422
Photo of Tanya Samuels - Alcohol and Addiction Support, Drug & Alcohol Counselor, MA, RMHCI, MCAP
Alcohol and Addiction Support
Drug & Alcohol Counselor, MA, RMHCI, MCAP
Tampa, FL 33602
My ideal client is someone who is seeking to overcome emotional or psychological barriers that are impacting their well-being and daily life. They may be struggling with issues like anxiety, depression, trauma, or Substance difficulties, often feeling overwhelmed or stuck. Their needs center around finding clarity, healing, and a path forward. They want to understand the root causes of their struggles, develop new coping strategies, and regain a sense of control and confidence. Their goals are often to feel better about themselves, their relationships, and their future. They may want to break free from patterns of negative thinking
My ideal client is someone who is seeking to overcome emotional or psychological barriers that are impacting their well-being and daily life. They may be struggling with issues like anxiety, depression, trauma, or Substance difficulties, often feeling overwhelmed or stuck. Their needs center around finding clarity, healing, and a path forward. They want to understand the root causes of their struggles, develop new coping strategies, and regain a sense of control and confidence. Their goals are often to feel better about themselves, their relationships, and their future. They may want to break free from patterns of negative thinking
(813) 513-1893 x33602 View (813) 513-1893 x33602
Photo of Kaitlin Lowey, Licensed Mental Health Counselor, LMHC, APC
Kaitlin Lowey
Licensed Mental Health Counselor, LMHC, APC
5 Endorsed
Serves Area
Perhaps you are at a crossroads, feeling uncertain about what choice to make in your relationships, career, or life. Maybe you feel powerless against anxiety, OCD, intrusive thoughts, ADHD, disordered eating, or past trauma. Or you feel exhausted by the patterns of worry, self-criticism, people-pleasing, resentment, or avoidance that plague your life. You want to heal and reconnect with the self-leadership, self-compassion, confidence, and clarity that exist within you to guide your life on an intentional path of wholeness, connectedness, and purpose. I am here to help you realize meaningful change through exploration and action.
Perhaps you are at a crossroads, feeling uncertain about what choice to make in your relationships, career, or life. Maybe you feel powerless against anxiety, OCD, intrusive thoughts, ADHD, disordered eating, or past trauma. Or you feel exhausted by the patterns of worry, self-criticism, people-pleasing, resentment, or avoidance that plague your life. You want to heal and reconnect with the self-leadership, self-compassion, confidence, and clarity that exist within you to guide your life on an intentional path of wholeness, connectedness, and purpose. I am here to help you realize meaningful change through exploration and action.
(470) 280-2844 View (470) 280-2844
Photo of Tricia Shimonkevitz, Registered Mental Health Counselor Intern, LMHCA
Tricia Shimonkevitz
Registered Mental Health Counselor Intern, LMHCA
Bradenton, FL 34205
Hi, I’m glad you’re here. If you’ve made it this far, it means you’ve already taken a brave step toward caring for yourself and your mental health. While no one has all the answers, I know that therapy can create meaningful change. I believe growth and healing are rooted in genuine human connection, and I use a person-centered approach focused on authenticity, empathy, and acceptance when working with clients. I also incorporate psychoanalytic techniques to identify how unconscious thoughts and beliefs show up in our daily lives.
Hi, I’m glad you’re here. If you’ve made it this far, it means you’ve already taken a brave step toward caring for yourself and your mental health. While no one has all the answers, I know that therapy can create meaningful change. I believe growth and healing are rooted in genuine human connection, and I use a person-centered approach focused on authenticity, empathy, and acceptance when working with clients. I also incorporate psychoanalytic techniques to identify how unconscious thoughts and beliefs show up in our daily lives.
(509) 245-1805 x105 View (509) 245-1805 x105
Photo of Eva Macaluso - 4anxiety, Counselor, MA, LMHC, BCC
4anxiety
Counselor, MA, LMHC, BCC
Serves Area
4anxiety is an online group with 6-8 participants. 4 Goals, 4 Weeks, 4 Daily Steps is the format. The program is based on the most effective treatment interventions resourcing neurobiologically informed CBT,​ Polyvagal Techniques, Breathing and Mindfulness Techniques, Exposure Focused, and Response Prevention Focused. The 4anxiety program meets for a weekly group and participants will use a workbook, videos, logs, and daily exercises to learn to break the anxiety loop.
4anxiety is an online group with 6-8 participants. 4 Goals, 4 Weeks, 4 Daily Steps is the format. The program is based on the most effective treatment interventions resourcing neurobiologically informed CBT,​ Polyvagal Techniques, Breathing and Mindfulness Techniques, Exposure Focused, and Response Prevention Focused. The 4anxiety program meets for a weekly group and participants will use a workbook, videos, logs, and daily exercises to learn to break the anxiety loop.
(941) 241-1004 View (941) 241-1004
Photo of Jessica Bailey, Clinical Social Work/Therapist, LCSW
Jessica Bailey
Clinical Social Work/Therapist, LCSW
Serves Area
Jessica Bailey is a Licensed Clinical Social Worker in the state of Florida who has over 10 years of experience working with individuals, ages 14 years old and older, couples, and families seeking help with depression, anxiety, adjustment issues, family dysfunction and violence, and relationship issues.
Jessica Bailey is a Licensed Clinical Social Worker in the state of Florida who has over 10 years of experience working with individuals, ages 14 years old and older, couples, and families seeking help with depression, anxiety, adjustment issues, family dysfunction and violence, and relationship issues.
(904) 977-6836 View (904) 977-6836
Photo of Chatham Lovette, Pre-Licensed Professional, RCSWI, MSW, MA
Chatham Lovette
Pre-Licensed Professional, RCSWI, MSW, MA
2 Endorsed
Saint Petersburg, FL 33702
If you find yourself at a crossroads - overwhelmed by the experience of trauma or loss, disconnected from others or yourself, or stuck in patterns that no longer serve you—you may be searching for more than symptom relief; you may be seeking lasting change. If you’re intellectually curious, emotionally reflective, and ready to explore your story through a lens that honors both your pain and your resilience, I offer a therapeutic space that embraces depth, compassion, and transformation.
If you find yourself at a crossroads - overwhelmed by the experience of trauma or loss, disconnected from others or yourself, or stuck in patterns that no longer serve you—you may be searching for more than symptom relief; you may be seeking lasting change. If you’re intellectually curious, emotionally reflective, and ready to explore your story through a lens that honors both your pain and your resilience, I offer a therapeutic space that embraces depth, compassion, and transformation.
(727) 609-5580 View (727) 609-5580
Photo of Caitlin Dixon, Counselor, MA, LMHC, NCC
Caitlin Dixon
Counselor, MA, LMHC, NCC
2 Endorsed
Brandon, FL 33511
Life can feel unbearably heavy when you're carrying trauma, grief, or constant anxiety. You may look like you're functioning on the outside, but inside you feel overwhelmed, stuck or exhausted from holding everything together. If you're looking for a space where you can slow down and make sense of what you're carrying, I offer a grounded, compassionate environment where you can process your experiences and reconnect with the parts of yourself that feel lost or shut down.
Life can feel unbearably heavy when you're carrying trauma, grief, or constant anxiety. You may look like you're functioning on the outside, but inside you feel overwhelmed, stuck or exhausted from holding everything together. If you're looking for a space where you can slow down and make sense of what you're carrying, I offer a grounded, compassionate environment where you can process your experiences and reconnect with the parts of yourself that feel lost or shut down.
(813) 491-1828 View (813) 491-1828
Photo of Sandra I. Beekmann, Counselor, MS, NCC, LCMHC, CCTP
Sandra I. Beekmann
Counselor, MS, NCC, LCMHC, CCTP
7 Endorsed
Tampa, FL 33629
Welcome to a compassionate space where healing begins! I'm dedicated to guiding individuals through the transformative journey of trauma recovery. With a profound belief in holistic healing, I combine evidence-based therapeutic modalities with a deep understanding of mind-body connection to support you on your path to healing. Trauma affects every aspect of our being—mind, body, and spirit. I employ a holistic approach that acknowledges the interconnectedness of these elements. By integrating psychotherapy with holistic modalities such as mindfulness, I create a tailored therapeutic experience that addresses the whole person.
Welcome to a compassionate space where healing begins! I'm dedicated to guiding individuals through the transformative journey of trauma recovery. With a profound belief in holistic healing, I combine evidence-based therapeutic modalities with a deep understanding of mind-body connection to support you on your path to healing. Trauma affects every aspect of our being—mind, body, and spirit. I employ a holistic approach that acknowledges the interconnectedness of these elements. By integrating psychotherapy with holistic modalities such as mindfulness, I create a tailored therapeutic experience that addresses the whole person.
(813) 335-9794 View (813) 335-9794
Photo of Lance Madow, Counselor, MS, LPC, NCC, GTC
Lance Madow
Counselor, MS, LPC, NCC, GTC
5 Endorsed
Serves Area
Slay mama! You found my profile! I value creating a space where we will explore who the villain of your story is, whether it be feeling overwhelmed, isolated, or something else. While I enjoy working with everyone, as a queer therapist, I specialize in working with queer/trans teens & adults. I appreciate creating a comfortable & geeky space where you can show up as yourself. Sometimes that looks like discussing your OCs and other times it means watching real housewives and how your partner can be just like Meredith Marks.
Slay mama! You found my profile! I value creating a space where we will explore who the villain of your story is, whether it be feeling overwhelmed, isolated, or something else. While I enjoy working with everyone, as a queer therapist, I specialize in working with queer/trans teens & adults. I appreciate creating a comfortable & geeky space where you can show up as yourself. Sometimes that looks like discussing your OCs and other times it means watching real housewives and how your partner can be just like Meredith Marks.
(470) 748-6915 View (470) 748-6915

See more therapy options for 33503

How does your Therapist compare?

Number of Therapists in 33503

< 10

Therapists in 33503 who prioritize treating:

80% Depression
80% Anxiety
60% Anger Management
60% Career Counseling
40% Addiction
40% Trauma and PTSD
40% Bipolar Disorder

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Oxford

How Therapists in 33503 see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 33503?

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.