Therapists in 40511

Photo of Miranda Gill, Marriage & Family Therapist, MS, LMFT
Miranda Gill
Marriage & Family Therapist, MS, LMFT
Lexington, KY 40511
Miranda brings specialized focus to the treatment of post-traumatic stress disorder (PTSD), grief, and midlife transitions. She is passionate about helping clients heal from emotional wounds, cope with overwhelming loss, and navigate periods of significant change. Whether supporting someone after a traumatic event or guiding them through identity shifts that often accompany middle age, Miranda blends clinical expertise with empathy to foster lasting healing and personal growth.
Miranda brings specialized focus to the treatment of post-traumatic stress disorder (PTSD), grief, and midlife transitions. She is passionate about helping clients heal from emotional wounds, cope with overwhelming loss, and navigate periods of significant change. Whether supporting someone after a traumatic event or guiding them through identity shifts that often accompany middle age, Miranda blends clinical expertise with empathy to foster lasting healing and personal growth.
(859) 695-3136 View (859) 695-3136
Photo of Timothy Weddington, Licensed Professional Clinical Counselor, MA, LPCC
Timothy Weddington
Licensed Professional Clinical Counselor, MA, LPCC
Lexington, KY 40511
Matthew Weddington is a licensed professional clinical counselor with dual master’s degrees in school counseling and clinical mental health counseling. His passion resides in integrating evidenced-based treatment modalities with a strong emphasis on the mind-body connection. He is experienced in school, outpatient and inpatient treatment settings and has worked extensively with children, adolescents and adults for mental health and substance abuse issues. His specialties include addictions, anxiety, sleep disorders, panic disorder, mood disorders, personality disorders and recovery from childhood and adult traumas.
Matthew Weddington is a licensed professional clinical counselor with dual master’s degrees in school counseling and clinical mental health counseling. His passion resides in integrating evidenced-based treatment modalities with a strong emphasis on the mind-body connection. He is experienced in school, outpatient and inpatient treatment settings and has worked extensively with children, adolescents and adults for mental health and substance abuse issues. His specialties include addictions, anxiety, sleep disorders, panic disorder, mood disorders, personality disorders and recovery from childhood and adult traumas.
(502) 237-7611 View (502) 237-7611
Photo of Ryan Davenport, Licensed Professional Clinical Counselor, MEd, LPCC
Ryan Davenport
Licensed Professional Clinical Counselor, MEd, LPCC
Lexington, KY 40511
Tierra Davenport is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2019. Tierra believes in a person-centered approach when working with clients. In sessions she likes to explore client’s strengths and weaknesses to facilitate growth in each area. Tierra considers herself to be a very psychoeducational therapist, meaning her clients can expect to learn both inside and outside of sessions with supplemental resources or homework materials. Tierra also believes in meeting clients where they are—no matter where you are in your journey or stage of change, human growth and development is lifelong.
Tierra Davenport is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2019. Tierra believes in a person-centered approach when working with clients. In sessions she likes to explore client’s strengths and weaknesses to facilitate growth in each area. Tierra considers herself to be a very psychoeducational therapist, meaning her clients can expect to learn both inside and outside of sessions with supplemental resources or homework materials. Tierra also believes in meeting clients where they are—no matter where you are in your journey or stage of change, human growth and development is lifelong.
(502) 806-8778 View (502) 806-8778
Photo of Paul Swift Mefford, Clinical Social Work/Therapist, LCSW
Paul Swift Mefford
Clinical Social Work/Therapist, LCSW
2 Endorsed
Lexington, KY 40511
Life contains many challenges: sometimes navigating them alone feels overwhelming. Challenges may involve anxiety or depression, making it hard to move forward. There may also be past trauma which keeps knocking at the door interfering with every aspect of life. Stress at work and other frustrations with your life can make deciding where to go next a challenge. You may have a specific goal you want to achieve and need help choosing the best way to reach it. Receiving objective advice is not always easy, especially from family and friends, and deciding alone seems impossible.
Life contains many challenges: sometimes navigating them alone feels overwhelming. Challenges may involve anxiety or depression, making it hard to move forward. There may also be past trauma which keeps knocking at the door interfering with every aspect of life. Stress at work and other frustrations with your life can make deciding where to go next a challenge. You may have a specific goal you want to achieve and need help choosing the best way to reach it. Receiving objective advice is not always easy, especially from family and friends, and deciding alone seems impossible.
(502) 706-7202 View (502) 706-7202
Photo of Lindsey Sengel, MS, LPP
Lindsey Sengel
Verified Verified
1 Endorsed
Lexington, KY 40511
Hi, my name is Lindsey Sengel and I am a Licensed Psychological Practitioner with 16 years of experience providing psychological testing and therapy services. My ideal testing client is seeking a comprehensive evaluation for ADHD, learning problems, or other mental health concerns to help guide their treatment or receive accommodations at school, in the workplace, or on a standardized exam for professional licensure. I also provide individual therapy services to adults who are struggling with ADHD, anxiety, depression, work/life balance, relationship problems, and adult child/parent relationships.
Hi, my name is Lindsey Sengel and I am a Licensed Psychological Practitioner with 16 years of experience providing psychological testing and therapy services. My ideal testing client is seeking a comprehensive evaluation for ADHD, learning problems, or other mental health concerns to help guide their treatment or receive accommodations at school, in the workplace, or on a standardized exam for professional licensure. I also provide individual therapy services to adults who are struggling with ADHD, anxiety, depression, work/life balance, relationship problems, and adult child/parent relationships.
(502) 547-0502 View (502) 547-0502
Photo of Lucie Receveur, Master Social Worker, CSW, MSW
Lucie Receveur
Master Social Worker, CSW, MSW
Lexington, KY 40511
I’m passionate about helping people feel supported, understood, and empowered as they work through life’s challenges. I work with both school-aged children and adults, supporting clients who may be experiencing anxiety, stress, life transitions, emotional regulation difficulties, or school-related challenges. Much of my work focuses on helping children build confidence, improve coping skills, and navigate academic, social, and emotional stressors in school settings.
I’m passionate about helping people feel supported, understood, and empowered as they work through life’s challenges. I work with both school-aged children and adults, supporting clients who may be experiencing anxiety, stress, life transitions, emotional regulation difficulties, or school-related challenges. Much of my work focuses on helping children build confidence, improve coping skills, and navigate academic, social, and emotional stressors in school settings.
(859) 659-6770 View (859) 659-6770
Photo of Benjamin Newsome, Licensed Professional Clinical Counselor, EdS, LPCC
Benjamin Newsome
Licensed Professional Clinical Counselor, EdS, LPCC
1 Endorsed
Lexington, KY 40511
It is the case that life is rarely as we expect it to be and may seem more difficult and confusing than we can bear alone. You may expend a tremendous amount of energy holding it together or trying to maintain the appearance of perfection leaving you feeling depleted and unfulfilled. My hope is to meet you where you are and walk alongside you to help sort out your emotions, enhance your relationships, understand yourself, achieve goals, and facilitate healing.
It is the case that life is rarely as we expect it to be and may seem more difficult and confusing than we can bear alone. You may expend a tremendous amount of energy holding it together or trying to maintain the appearance of perfection leaving you feeling depleted and unfulfilled. My hope is to meet you where you are and walk alongside you to help sort out your emotions, enhance your relationships, understand yourself, achieve goals, and facilitate healing.
(859) 955-8847 View (859) 955-8847
Photo of Elisha Johnson, Counselor, LPCC, CSAT
Elisha Johnson
Counselor, LPCC, CSAT
Lexington, KY 40511
You might be hesitant to reach out for help and feel you should be able to handle things on your own. You are not alone! Just like we would enlist other's expertise in certain areas, counseling is no different. There are a lot of different counselors out here. It is important to find the right one for you! I can help you evaluate your needs and goals to see if Hope Awaits Counseling is a good fit and if not, I can hopefully help send you in the right direction. My goal is to see people live their best life possible, in truth and relationships! Any part of that journey I can help with is an honor to be a part of.
You might be hesitant to reach out for help and feel you should be able to handle things on your own. You are not alone! Just like we would enlist other's expertise in certain areas, counseling is no different. There are a lot of different counselors out here. It is important to find the right one for you! I can help you evaluate your needs and goals to see if Hope Awaits Counseling is a good fit and if not, I can hopefully help send you in the right direction. My goal is to see people live their best life possible, in truth and relationships! Any part of that journey I can help with is an honor to be a part of.
(859) 517-5218 View (859) 517-5218
Photo of Bonnie Patrick, Clinical Social Work/Therapist, LCSW
Bonnie Patrick
Clinical Social Work/Therapist, LCSW
Lexington, KY 40511
I provide a safe environment for clients to process their issues. I believe that psychotherapy is more than talk therapy. I am excited about the new research and treatments that focus on mind and body (somatic memories). I have an integrative approach to therapy. I work best with complex trauma (emotional and physical, including childhood neglect) and resulting anxiety and depression. I work well with grief related issues (complicated grief) and problems that arise from chronic illnesses.
I provide a safe environment for clients to process their issues. I believe that psychotherapy is more than talk therapy. I am excited about the new research and treatments that focus on mind and body (somatic memories). I have an integrative approach to therapy. I work best with complex trauma (emotional and physical, including childhood neglect) and resulting anxiety and depression. I work well with grief related issues (complicated grief) and problems that arise from chronic illnesses.
(859) 654-0576 View (859) 654-0576
Photo of Billie Wilder, Licensed Professional Clinical Counselor, MEd, LPCC-S
Billie Wilder
Licensed Professional Clinical Counselor, MEd, LPCC-S
Lexington, KY 40511
Her clinical approach is grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness techniques. Billie integrates a trauma-informed and solution-focused perspective, helping clients better understand patterns, regulate emotions, and move toward goals aligned with their values. She has experience supporting diverse populations, including first responders, military members, and individuals within the LGBTQ+ community, and she strives to create an affirming, respectful therapeutic space.
Her clinical approach is grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness techniques. Billie integrates a trauma-informed and solution-focused perspective, helping clients better understand patterns, regulate emotions, and move toward goals aligned with their values. She has experience supporting diverse populations, including first responders, military members, and individuals within the LGBTQ+ community, and she strives to create an affirming, respectful therapeutic space.
(859) 295-3727 View (859) 295-3727
Photo of Holly Tussey, Clinical Social Work/Therapist, LSCW
Holly Tussey
Clinical Social Work/Therapist, LSCW
Lexington, KY 40511
Holly Tussey is a Licensed Clinical Social Worker in Kentucky who has been practicing since 2018. She has a Bachelors in Social Work from EKU, a Bachelors in Psychology from EKU, and a Master in Social Work from Campbellville University. Holly’s therapy style is client-centered, meeting individual’s needs with compassion, acceptance, and support. Outside of work, Holly enjoys reading, time with her kids, listening to live music, and connecting with friends.
Holly Tussey is a Licensed Clinical Social Worker in Kentucky who has been practicing since 2018. She has a Bachelors in Social Work from EKU, a Bachelors in Psychology from EKU, and a Master in Social Work from Campbellville University. Holly’s therapy style is client-centered, meeting individual’s needs with compassion, acceptance, and support. Outside of work, Holly enjoys reading, time with her kids, listening to live music, and connecting with friends.
(502) 325-3622 View (502) 325-3622
Photo of Elizabeth Turner, Clinical Social Work/Therapist, MSW, LCSW
Elizabeth Turner
Clinical Social Work/Therapist, MSW, LCSW
Lexington, KY 40511
Elizabeth Turner received her master’s degree in social work and her bachelor’s degree in psychology from the University of Kentucky. She has received advanced training in certified family behavior therapy and is an EMDR trained therapist. She has over 20 years of experience working with children, adolescents, adults and seniors. Her areas of specialty include ADHD, complex grief, post traumatic stress disorder (PTSD), depression, self-harm, anxiety and panic disorders, substance use disorders, attachment disorders and LGBTQIA+ issues. She sees adolescents and adults ages 16 to 65+.
Elizabeth Turner received her master’s degree in social work and her bachelor’s degree in psychology from the University of Kentucky. She has received advanced training in certified family behavior therapy and is an EMDR trained therapist. She has over 20 years of experience working with children, adolescents, adults and seniors. Her areas of specialty include ADHD, complex grief, post traumatic stress disorder (PTSD), depression, self-harm, anxiety and panic disorders, substance use disorders, attachment disorders and LGBTQIA+ issues. She sees adolescents and adults ages 16 to 65+.
(859) 715-0719 View (859) 715-0719
Photo of Alexandria Todd, Licensed Professional Clinical Counselor, CADC, LPCC
Alexandria Todd
Licensed Professional Clinical Counselor, CADC, LPCC
Lexington, KY 40511
Alexandria brings a focused and empowering approach to treating substance use, anxiety, and grief. She understands that healing is not linear and that each client’s journey is uniquely shaped by their lived experience. Drawing from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), she helps clients build effective coping strategies, develop emotional regulation skills, and challenge patterns of negative thinking that often stand in the way of growth. Her clinical style is collaborative, structured, and deeply human—focused on supporting individuals in reconnecting with themselves and their values.
Alexandria brings a focused and empowering approach to treating substance use, anxiety, and grief. She understands that healing is not linear and that each client’s journey is uniquely shaped by their lived experience. Drawing from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), she helps clients build effective coping strategies, develop emotional regulation skills, and challenge patterns of negative thinking that often stand in the way of growth. Her clinical style is collaborative, structured, and deeply human—focused on supporting individuals in reconnecting with themselves and their values.
(859) 710-9950 View (859) 710-9950
Photo of Bradlee Y. Burtner, Clinical Social Work/Therapist, LCSW
Bradlee Y. Burtner
Clinical Social Work/Therapist, LCSW
2 Endorsed
Lexington, KY 40511
Are you feeling sad, lacking energy, and feeling like something is wrong all of the time? Has your mood been up and down and you've found it hard to get along with people, particularly those closest to you? Have you started using drugs and alcohol in amounts that concern you and are impacting your day to day life?
Are you feeling sad, lacking energy, and feeling like something is wrong all of the time? Has your mood been up and down and you've found it hard to get along with people, particularly those closest to you? Have you started using drugs and alcohol in amounts that concern you and are impacting your day to day life?
(859) 203-0665 View (859) 203-0665
Photo of Edith Del Moral, Marriage & Family Therapist, LMFT
Edith Del Moral
Marriage & Family Therapist, LMFT
1 Endorsed
Lexington, KY 40511
My passion for helping others stems from seeing the steady growth and sense of peace that comes with the therapeutic process. Together, we will find what will aid your journey. I recognize we all have different backgrounds, needs, and goals and therefore, it is important to create an inclusive and safe therapeutic environment. I am committed to help you find the healing and peace that sometimes feels out of reach.
My passion for helping others stems from seeing the steady growth and sense of peace that comes with the therapeutic process. Together, we will find what will aid your journey. I recognize we all have different backgrounds, needs, and goals and therefore, it is important to create an inclusive and safe therapeutic environment. I am committed to help you find the healing and peace that sometimes feels out of reach.
(502) 427-6475 View (502) 427-6475
Photo of Ken Caselden, Counselor, LPCC
Ken Caselden
Counselor, LPCC
2 Endorsed
Serves Area
After nearly 20 years of holding space with others facing difficulty phases, situations, or patterns in life, therapy with me is about more than insight. It is about building the ability to notice yourself earlier, relate to yourself more honestly, and make healthier choices in real time. Real change begins when you stop only managing symptoms and start developing a different relationship with your thoughts, emotions, body, and inner life. Whether you look put together on the outside and struggling on the inside or facing betrayal, burnout, grief, or identity collapse, I’m here to help you build a life you can call yours.
After nearly 20 years of holding space with others facing difficulty phases, situations, or patterns in life, therapy with me is about more than insight. It is about building the ability to notice yourself earlier, relate to yourself more honestly, and make healthier choices in real time. Real change begins when you stop only managing symptoms and start developing a different relationship with your thoughts, emotions, body, and inner life. Whether you look put together on the outside and struggling on the inside or facing betrayal, burnout, grief, or identity collapse, I’m here to help you build a life you can call yours.
(270) 208-4296 View (270) 208-4296
Photo of Jon Eppley, Counselor, LPCA
Jon Eppley
Counselor, LPCA
1 Endorsed
Serves Area
I believe that everyone can achieve goals that improve lives and empower individuals to live the best version of themselves. With kids and teens, I lean heavily on play therapy interventions, CBT, experiential activities, as well as other trauma-focused therapy techniques and interventions, in order to give clients the space and time they need to process hard things. With adults, I use a variety of interventions that match well with client needs. I gladly serve the needs of adolescents, teens, BIPOC, and LBGTQ+ individuals. I also serve adults and older children with ASD, Level 1, as well as assist with Men's Issues. See you soon!
I believe that everyone can achieve goals that improve lives and empower individuals to live the best version of themselves. With kids and teens, I lean heavily on play therapy interventions, CBT, experiential activities, as well as other trauma-focused therapy techniques and interventions, in order to give clients the space and time they need to process hard things. With adults, I use a variety of interventions that match well with client needs. I gladly serve the needs of adolescents, teens, BIPOC, and LBGTQ+ individuals. I also serve adults and older children with ASD, Level 1, as well as assist with Men's Issues. See you soon!
(859) 537-9779 x2 View (859) 537-9779 x2
Photo of Dr. Khrista Neville, Psychologist, Psy.D
Dr. Khrista Neville
Psychologist, Psy.D
2 Endorsed
Serves Area
Many of the individuals and families I work with come to therapy feeling overwhelmed, worried, or unsure how to navigate emotional or behavioral challenges. I support children, teens, and adults experiencing anxiety, depression, adjustment concerns, emotional regulation difficulties, and life transitions. We will work together to develop treatment strategies that work best for addressing your concerns. My goal is to help clients of all ages feel more confident, understood, and equipped to navigate life’s challenges.
Many of the individuals and families I work with come to therapy feeling overwhelmed, worried, or unsure how to navigate emotional or behavioral challenges. I support children, teens, and adults experiencing anxiety, depression, adjustment concerns, emotional regulation difficulties, and life transitions. We will work together to develop treatment strategies that work best for addressing your concerns. My goal is to help clients of all ages feel more confident, understood, and equipped to navigate life’s challenges.
(502) 706-4235 View (502) 706-4235
Photo of Dr. Lucy Hunt, Marriage & Family Therapist Associate, LMFT
Dr. Lucy Hunt
Marriage & Family Therapist Associate, LMFT
Serves Area
I am a couples therapist taking on new couples seeking treatment for a variety of issues, including infidelity, conflict, intimacy, stress, trauma, abuse, grief, and addiction. My approach is collaborative and flexible, working with clients as active participants in the formation of specialized treatment plans and goals.
I am a couples therapist taking on new couples seeking treatment for a variety of issues, including infidelity, conflict, intimacy, stress, trauma, abuse, grief, and addiction. My approach is collaborative and flexible, working with clients as active participants in the formation of specialized treatment plans and goals.
(859) 982-3390 View (859) 982-3390
Photo of Rosalie Allen, Marriage & Family Therapist, JD, LMFT
Rosalie Allen
Marriage & Family Therapist, JD, LMFT
Serves Area
Hi, I’m Rosalie. I help couples and parents who are stressed out and need support. I believe you’re doing the best you can. Maybe you are ready to work on marital problems that have slowly built up over the years. Maybe you're not sure if you and your spouse/partner can recover the love and connection that you once counted on. Perhaps you would like to feel more confident and comfortable in your skin in all your relationships. Maybe you just need to figure out where to start. I can help you no matter where you are in your individual/couple/family journey.
Hi, I’m Rosalie. I help couples and parents who are stressed out and need support. I believe you’re doing the best you can. Maybe you are ready to work on marital problems that have slowly built up over the years. Maybe you're not sure if you and your spouse/partner can recover the love and connection that you once counted on. Perhaps you would like to feel more confident and comfortable in your skin in all your relationships. Maybe you just need to figure out where to start. I can help you no matter where you are in your individual/couple/family journey.
(859) 203-1411 View (859) 203-1411

See more therapy options for 40511

How does your Therapist compare?

Number of Therapists in 40511

60+

Average cost per session

$125

Therapists in 40511 who prioritize treating:

95% Anxiety
95% Social Anxiety
95% Health Anxiety
95% Driving Anxiety
90% Depression
73% Trauma and PTSD
73% Complex PTSD

Average years in practice

10 Years

Top 3 insurances accepted

98% Aetna
78% Anthem
71% UnitedHealthcare UHC | UBH

How Therapists in 40511 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

68% Female
32% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 40511?

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.