Therapists in 34638

Photo of Camilla Mason, Pre-Licensed Professional, MA, RMHCI, NCC
Camilla Mason
Pre-Licensed Professional, MA, RMHCI, NCC
1 Endorsed
Online Only
My ideal client is ready to heal from painful childhood experiences that still shape how they see themselves and the world. They may struggle with anxiety, identity, or emotional ups and downs. Many seek a safe, faith-based space to be held and supported. Rooted in Christian values, I help clients feel grounded, connected, and free. They come to therapy longing to release the past and rediscover hope, healing, and wholeness—mind, body, and spirit.
My ideal client is ready to heal from painful childhood experiences that still shape how they see themselves and the world. They may struggle with anxiety, identity, or emotional ups and downs. Many seek a safe, faith-based space to be held and supported. Rooted in Christian values, I help clients feel grounded, connected, and free. They come to therapy longing to release the past and rediscover hope, healing, and wholeness—mind, body, and spirit.
(813) 565-2150 View (813) 565-2150
Photo of Monica Lamie, Pre-Licensed Professional, MA
Monica Lamie
Pre-Licensed Professional, MA
2 Endorsed
Land O Lakes, FL 34638
Seeking support is a brave first step, and I am truly glad you are here. I offer a compassionate, nonjudgmental space where individuals, couples, and families can feel seen, heard, and understood. My work centers on supporting people through a range of challenges including anxiety, depression, life transitions, relationship struggles, trauma, and racial and cultural identity concerns. I also specialize in working with children (8 yrs+), teenagers, and young adults as they navigate developmental transitions and emotional difficulties. In addition, I help couples and families strengthen communication and foster deeper connection.
Seeking support is a brave first step, and I am truly glad you are here. I offer a compassionate, nonjudgmental space where individuals, couples, and families can feel seen, heard, and understood. My work centers on supporting people through a range of challenges including anxiety, depression, life transitions, relationship struggles, trauma, and racial and cultural identity concerns. I also specialize in working with children (8 yrs+), teenagers, and young adults as they navigate developmental transitions and emotional difficulties. In addition, I help couples and families strengthen communication and foster deeper connection.
(813) 441-9267 View (813) 441-9267
Photo of Angela Dawn Foretich, Counselor, MA
Angela Dawn Foretich
Counselor, MA
1 Endorsed
Online Only
I work with clients dealing with anxiety, depression, bipolar disorder, unprocessed trauma, and those walking through illness or caregiving. I also work with those just trying to make sense of life’s plot twists while trying to keep their heads above water. Common goals of my clients are learning coping skills, processing past life experiences, and learning to view themselves and life from a different perspective so they can thrive and not just survive.
I work with clients dealing with anxiety, depression, bipolar disorder, unprocessed trauma, and those walking through illness or caregiving. I also work with those just trying to make sense of life’s plot twists while trying to keep their heads above water. Common goals of my clients are learning coping skills, processing past life experiences, and learning to view themselves and life from a different perspective so they can thrive and not just survive.
(813) 694-1851 View (813) 694-1851
Photo of Julia Dawoud, Counselor, LMHC
Julia Dawoud
Counselor, LMHC
2 Endorsed
Land O Lakes, FL 34638
Have you been feeling overwhelmed and lost? Feeling like you have no sense of direction or purpose? Maybe you thought you knew what you wanted in life, but your fears and self-doubt have been taking over. Day after day, you wonder if tomorrow will be better but find yourself at a stand still, while time, and the world seem to be flying by while you watch from a distance. You often find yourself thinking: “What is the point of all this?” “I’m not capable of changing my circumstances.” These thoughts and feelings are so overwhelming, that every day tasks become a challenge.
Have you been feeling overwhelmed and lost? Feeling like you have no sense of direction or purpose? Maybe you thought you knew what you wanted in life, but your fears and self-doubt have been taking over. Day after day, you wonder if tomorrow will be better but find yourself at a stand still, while time, and the world seem to be flying by while you watch from a distance. You often find yourself thinking: “What is the point of all this?” “I’m not capable of changing my circumstances.” These thoughts and feelings are so overwhelming, that every day tasks become a challenge.
(813) 435-6652 View (813) 435-6652
Photo of Sharon Maisonet, Psychologist, PsyD
Sharon Maisonet
Psychologist, PsyD
1 Endorsed
Land O Lakes, FL 34638
Do you feel that your child or teen has been struggling to express or manage difficult emotions? Or worrying more than usual with school issues or friendships? Do you find yourself distancing from others, unable to concentrate and keep up with life's demands? If so, there is help. As a therapist, my goal is to walk with my clients on their journey towards healing through compassion, communication, and growth. My aim is to create a space of understanding, awareness, and change by establishing a trusting and caring relationship with individuals across the lifespan, from children to adults, to support them in reaching their goals.
Do you feel that your child or teen has been struggling to express or manage difficult emotions? Or worrying more than usual with school issues or friendships? Do you find yourself distancing from others, unable to concentrate and keep up with life's demands? If so, there is help. As a therapist, my goal is to walk with my clients on their journey towards healing through compassion, communication, and growth. My aim is to create a space of understanding, awareness, and change by establishing a trusting and caring relationship with individuals across the lifespan, from children to adults, to support them in reaching their goals.
(813) 491-9264 View (813) 491-9264
Photo of David Alexander, Psychologist, PsyD
David Alexander
Psychologist, PsyD
16 Endorsed
Land O Lakes, FL 34638
Thank you for considering my services. Choosing the right therapist isn’t just about experience — it’s about connection. That’s why I treat our first session as a two-way introduction: a time for me to understand your needs and for you to see if I’m the right fit. With over ten years of experience working with individuals, couples, and families, I know how overwhelming life can feel. You don’t have to face it alone. We all need support at times, and together, we can work toward meaningful change, one step at a time.
Thank you for considering my services. Choosing the right therapist isn’t just about experience — it’s about connection. That’s why I treat our first session as a two-way introduction: a time for me to understand your needs and for you to see if I’m the right fit. With over ten years of experience working with individuals, couples, and families, I know how overwhelming life can feel. You don’t have to face it alone. We all need support at times, and together, we can work toward meaningful change, one step at a time.
(813) 518-8292 View (813) 518-8292
Photo of Marissa Witter, Clinical Social Work/Therapist, LCSW, QS
Marissa Witter
Clinical Social Work/Therapist, LCSW, QS
2 Endorsed
Land O Lakes, FL 34638
Did you recently lose someone you loved? Have you tried to go through the motions after your person passed but something just isn’t right? Together we sort through these feelings and get you some sense of normal back. Know you are not alone on your grief journey, and we can help you to heal. Are you looking for support with sorting out your feelings? Do you feel emotionally drained by your feelings of nervousness or uneasiness? Are you overwhelmed and don’t want to take care of obligations? Do you like everyone is staring at you & judging you? Check out For the Love of You for a confidential & FREE consultation.
Did you recently lose someone you loved? Have you tried to go through the motions after your person passed but something just isn’t right? Together we sort through these feelings and get you some sense of normal back. Know you are not alone on your grief journey, and we can help you to heal. Are you looking for support with sorting out your feelings? Do you feel emotionally drained by your feelings of nervousness or uneasiness? Are you overwhelmed and don’t want to take care of obligations? Do you like everyone is staring at you & judging you? Check out For the Love of You for a confidential & FREE consultation.
(813) 522-8184 View (813) 522-8184
Photo of Lauren Wolf Weber, Psychologist, PhD, ABPP
Lauren Wolf Weber
Psychologist, PhD, ABPP
2 Endorsed
Land O Lakes, FL 34638
Reaching out for professional help is often a difficult step for most people to take. Making the needed changes in your life can be even harder without the right support. Finding a provider who cares, understands, and is there to help you when you need it most, is essential. I am a licensed psychologist dedicated to creating a non-judgmental, warm, and empathic environment, wherein positive life changes can be achieved. I take a patient-centered approach, attempting to understand your unique experiences and preferences. I offer individual, couples, and family psychotherapy, for adolescents, adults and geriatric populations.
Reaching out for professional help is often a difficult step for most people to take. Making the needed changes in your life can be even harder without the right support. Finding a provider who cares, understands, and is there to help you when you need it most, is essential. I am a licensed psychologist dedicated to creating a non-judgmental, warm, and empathic environment, wherein positive life changes can be achieved. I take a patient-centered approach, attempting to understand your unique experiences and preferences. I offer individual, couples, and family psychotherapy, for adolescents, adults and geriatric populations.
(813) 336-3241 View (813) 336-3241
Photo of Amy Davis, Clinical Social Work/Therapist, LCSW
Amy Davis
Clinical Social Work/Therapist, LCSW
4 Endorsed
Land O Lakes, FL 34638
You may be worried about your child. Over time, you've noticed a shift in his or her mood. Your once happy, well-adjusted child now appears increasingly angry, irritable, anxious and defensive. Despite your best efforts to connect, conversations often escalate into arguments. You're exhausted from worry and overthinking. I truly understand the struggles and know that your ultimate goal is to support your child unconditionally, to reconnect and support a close bond built on trust and open communication. And, most of all, you are ready to feel that your child is happy and thriving once again.
You may be worried about your child. Over time, you've noticed a shift in his or her mood. Your once happy, well-adjusted child now appears increasingly angry, irritable, anxious and defensive. Despite your best efforts to connect, conversations often escalate into arguments. You're exhausted from worry and overthinking. I truly understand the struggles and know that your ultimate goal is to support your child unconditionally, to reconnect and support a close bond built on trust and open communication. And, most of all, you are ready to feel that your child is happy and thriving once again.
(813) 945-6246 View (813) 945-6246
Photo of Bernice Baldwin, Counselor, MS, LMHC
Bernice Baldwin
Counselor, MS, LMHC
3 Endorsed
Online Only
I possess specialized experience in working with individuals who are struggling with depression, anxiety, and trauma that are hindering their day-to-day lives. I believe that one of the bravest things you can do is begin to understand your own story. We face many unique pressures and stressors as we discover who we are and what we want. I am passionate about helping manage these challenges that frequently arise within family, friendships, or self-identity.
I possess specialized experience in working with individuals who are struggling with depression, anxiety, and trauma that are hindering their day-to-day lives. I believe that one of the bravest things you can do is begin to understand your own story. We face many unique pressures and stressors as we discover who we are and what we want. I am passionate about helping manage these challenges that frequently arise within family, friendships, or self-identity.
(813) 590-4110 View (813) 590-4110
Photo of Valerie Siegman, Counselor, MA, LMHC, LMFT
Valerie Siegman
Counselor, MA, LMHC, LMFT
2 Endorsed
Land O Lakes, FL 34638
The quality of your relationships has a huge impact on your health and how you see yourself. You and your partner are locked in a cycle of conflict; experiencing and re experiencing the same painful pattern of distress. A new sense of felt security is possible. The power of your emotional bond can harnessed to create comfort and resilience to your relationship. Change takes courage, so thank yourself for reaching out and for taking this first step.
The quality of your relationships has a huge impact on your health and how you see yourself. You and your partner are locked in a cycle of conflict; experiencing and re experiencing the same painful pattern of distress. A new sense of felt security is possible. The power of your emotional bond can harnessed to create comfort and resilience to your relationship. Change takes courage, so thank yourself for reaching out and for taking this first step.
(813) 803-6485 View (813) 803-6485
Photo of Jayme Nicole MacCullough, Clinical Social Work/Therapist, Jayme MacCullough, LCSW
Jayme Nicole MacCullough
Clinical Social Work/Therapist, Jayme MacCullough, LCSW
Land O Lakes, FL 34638
Are you a motivated individual with an unyielding dedication to your professional endeavors? Your dedication and persistence have propelled you to significant accomplishments, yet a sense of incompleteness lingers. Anxiety has become a constant companion, and achieving balance seems illusive. The relentless quest for perfection and the burden of being overwhelmed are impeding your ability to enjoy your successes and lead a balanced, satisfying life...
Are you a motivated individual with an unyielding dedication to your professional endeavors? Your dedication and persistence have propelled you to significant accomplishments, yet a sense of incompleteness lingers. Anxiety has become a constant companion, and achieving balance seems illusive. The relentless quest for perfection and the burden of being overwhelmed are impeding your ability to enjoy your successes and lead a balanced, satisfying life...
(813) 945-7615 View (813) 945-7615
Photo of Ryan G Henry, Marriage & Family Therapist, PhD, LMFT
Ryan G Henry
Marriage & Family Therapist, PhD, LMFT
2 Endorsed
Land O Lakes, FL 34638
I view relationship problems from a systemic model. Meaning that I take into account environmental factors, relationship factors, family of origin, biological, mental, and spiritual factors when creating a treatment plan. From this approach new understanding and new solutions are opened up for the relationship. Too often in our problem solving we try the same thing over and over and when it does not work we just try the same thing harder. If you find yourself stuck in that kind of negative cycle just know that you are not alone and that there is help available. I work from an evidence based approach called EFT in a intensive format.
I view relationship problems from a systemic model. Meaning that I take into account environmental factors, relationship factors, family of origin, biological, mental, and spiritual factors when creating a treatment plan. From this approach new understanding and new solutions are opened up for the relationship. Too often in our problem solving we try the same thing over and over and when it does not work we just try the same thing harder. If you find yourself stuck in that kind of negative cycle just know that you are not alone and that there is help available. I work from an evidence based approach called EFT in a intensive format.
(863) 277-3575 View (863) 277-3575
Photo of Katie Hoover - Katie Hoover, Founder of Embracing Growth LLC, Clinical Social Work/Therapist, LCSW
Katie Hoover, Founder of Embracing Growth LLC
Clinical Social Work/Therapist, LCSW
2 Endorsed
Land O Lakes, FL 34638
Accepting Adult New Clients Virtual and In-Person! Embracing Growth is a Florida based therapy service providing a range of telehealth sessions. Our approach is solution focused, client centered, and strength based using Cognitive Behavioral Theory and EMDR. Using a motivational approach to process challenges and work together towards goals. We believe that you are the expert and are here to guide you towards desired outcomes.
Accepting Adult New Clients Virtual and In-Person! Embracing Growth is a Florida based therapy service providing a range of telehealth sessions. Our approach is solution focused, client centered, and strength based using Cognitive Behavioral Theory and EMDR. Using a motivational approach to process challenges and work together towards goals. We believe that you are the expert and are here to guide you towards desired outcomes.
(813) 605-1560 View (813) 605-1560
Photo of Sarah Boutros, Pre-Licensed Professional, PsyD
Sarah Boutros
Pre-Licensed Professional, PsyD
Land O Lakes, FL 34638
Welcome! Congratulations on taking the first step in your journey to become the best version of yourself. My goal as a therapist is to walk alongside you as you navigate the areas in your life in which you feel “stuck” or unfulfilled. I aspire to create a collaborative relationship with each of my clients, by tailoring my approach to your unique identity intersections and bolstering your confidence as the expert on yourself. I believe the most important mechanism for change is the therapeutic relationship, and so I prioritize creating a space in which you feel comfortable being authentic and brave in sharing your experience.
Welcome! Congratulations on taking the first step in your journey to become the best version of yourself. My goal as a therapist is to walk alongside you as you navigate the areas in your life in which you feel “stuck” or unfulfilled. I aspire to create a collaborative relationship with each of my clients, by tailoring my approach to your unique identity intersections and bolstering your confidence as the expert on yourself. I believe the most important mechanism for change is the therapeutic relationship, and so I prioritize creating a space in which you feel comfortable being authentic and brave in sharing your experience.
(813) 761-9267 View (813) 761-9267
Photo of Angela M Conway, Licensed Mental Health Counselor, LMHC, MCAP
Angela M Conway
Licensed Mental Health Counselor, LMHC, MCAP
Land O Lakes, FL 34638
Finding yourself feeling stuck or overwhelmed? You're not alone. I understand the challenges of life's journey – navigating relationships, overcoming trauma, and finding freedom from addiction. As a compassionate and experienced psychotherapist with over 30 years of dedicated service, I'm here to walk alongside you on your path to healing and growth.
Finding yourself feeling stuck or overwhelmed? You're not alone. I understand the challenges of life's journey – navigating relationships, overcoming trauma, and finding freedom from addiction. As a compassionate and experienced psychotherapist with over 30 years of dedicated service, I'm here to walk alongside you on your path to healing and growth.
(813) 945-7340 View (813) 945-7340
Photo of Susan L Rarick, Psychologist, PhD
Susan L Rarick
Psychologist, PhD
Land O Lakes, FL 34638
As a Licensed Psychologist I provide individual therapy and career assessment and counseling. My approach is warm, sensitive, empathic and interpersonally focused. My mission is to provide an emotionally safe environment in which people can self-explore, work toward solving their problems and experience a sense of growth. I help people develop personal, interpersonal, and professional insight, become more self-accepting, and build on their strengths. I am warm, "down to earth," and genuine with an ability to challenge when appropriate in a safe and supportive way.
As a Licensed Psychologist I provide individual therapy and career assessment and counseling. My approach is warm, sensitive, empathic and interpersonally focused. My mission is to provide an emotionally safe environment in which people can self-explore, work toward solving their problems and experience a sense of growth. I help people develop personal, interpersonal, and professional insight, become more self-accepting, and build on their strengths. I am warm, "down to earth," and genuine with an ability to challenge when appropriate in a safe and supportive way.
(813) 964-7729 View (813) 964-7729
Photo of Karen Shehata - Tampa Christian Counseling, Pre-Licensed Professional, RMHCI
Tampa Christian Counseling
Pre-Licensed Professional, RMHCI
1 Endorsed
Land O Lakes, FL 34638
My ideal clients are teens, young adults, and adults navigating depression, anxiety, and life transitions. They may struggle with self-doubt, overwhelming emotions, or difficulty adjusting to change, often feeling stuck or uncertain about their future. Their needs include a safe, supportive space to process their feelings, develop coping skills, and build resilience. Their goals vary but often involve gaining emotional stability, improving self-esteem, and creating a fulfilling, balanced life. They seek therapy to gain clarity, break free from negative patterns, and develop the tools needed to navigate challenges with confidence.
My ideal clients are teens, young adults, and adults navigating depression, anxiety, and life transitions. They may struggle with self-doubt, overwhelming emotions, or difficulty adjusting to change, often feeling stuck or uncertain about their future. Their needs include a safe, supportive space to process their feelings, develop coping skills, and build resilience. Their goals vary but often involve gaining emotional stability, improving self-esteem, and creating a fulfilling, balanced life. They seek therapy to gain clarity, break free from negative patterns, and develop the tools needed to navigate challenges with confidence.
(813) 544-8847 View (813) 544-8847
Photo of Jillian Wade, Clinical Social Work/Therapist, LCSW
Jillian Wade
Clinical Social Work/Therapist, LCSW
Land O Lakes, FL 34638
Hi there! Im a Licensed Clinical Social Worker ( LCSW ) based in Florida. I received my education and training from the University of Central Florida and have been in the field since 2007. I was influenced by my own experiences and watched people struggle to find help. This is what prompted me to start my journey as a Therapist. My passion to help others is why I'm here today.
Hi there! Im a Licensed Clinical Social Worker ( LCSW ) based in Florida. I received my education and training from the University of Central Florida and have been in the field since 2007. I was influenced by my own experiences and watched people struggle to find help. This is what prompted me to start my journey as a Therapist. My passion to help others is why I'm here today.
(727) 591-6445 View (727) 591-6445
Photo of Sharon Marie Gusmus, Counselor, LPC, MA, CAS
Sharon Marie Gusmus
Counselor, LPC, MA, CAS
3 Endorsed
Land O Lakes, FL 34638
Trauma comes in all forms and my goal is to walk beside my clients on their healing journey. Using EMDR, CBT and Motivational Interviewing I help my clients learn new ways to achieve and sustain their goals. Life can be a hard journey as we deal with an assortment of issues throughout our life span. Trauma, depression, anxiety, PTSD, relationship issues, family problems and overcoming childhood trauma just to name a few. My clients will be the first to tell you that they are not alone, I am with them and will be with you every step of the way. I work with both individuals and couples. "Come for the Counseling stay for the Change"
Trauma comes in all forms and my goal is to walk beside my clients on their healing journey. Using EMDR, CBT and Motivational Interviewing I help my clients learn new ways to achieve and sustain their goals. Life can be a hard journey as we deal with an assortment of issues throughout our life span. Trauma, depression, anxiety, PTSD, relationship issues, family problems and overcoming childhood trauma just to name a few. My clients will be the first to tell you that they are not alone, I am with them and will be with you every step of the way. I work with both individuals and couples. "Come for the Counseling stay for the Change"
(352) 758-4898 View (352) 758-4898

See more therapy options for 34638

How does your Therapist compare?

Number of Therapists in 34638

80+

Average cost per session

$145

Therapists in 34638 who prioritize treating:

91% Anxiety
81% Depression
71% Self Esteem
69% Coping Skills
66% Relationship Issues
66% Stress
61% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

75% Aetna
75% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in 34638 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 34638?

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.