Photo of Howard E Moore, Psychologist in 48377, MI
Howard E Moore
Psychologist, PhD
Verified Verified
Novi, MI 48377
There's nothing mysterious about psychotherapy. We've all benefitted from talking things over with friends, a spouse, our parents, our siblings, our family doctor or our priest, minister or rabbi. The fundamental principal of psychotherapy is rooted in our shared human experience: it helps to talk with someone. As a trained observer and listener with forty years of experience I will hear you and will work with you to help identify more fully the issues that trouble you. We will seek further insight together and attempt to identify meaningful solutions.
There's nothing mysterious about psychotherapy. We've all benefitted from talking things over with friends, a spouse, our parents, our siblings, our family doctor or our priest, minister or rabbi. The fundamental principal of psychotherapy is rooted in our shared human experience: it helps to talk with someone. As a trained observer and listener with forty years of experience I will hear you and will work with you to help identify more fully the issues that trouble you. We will seek further insight together and attempt to identify meaningful solutions.
(248) 714-0737 View (248) 714-0737
Photo of Sophia F Gebbia-Richards, Clinical Social Work/Therapist in 48377, MI
Sophia F Gebbia-Richards
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Novi, MI 48377
My clients seek deeper self-awareness, growth and lasting healing. Perhaps you have reached a point where you struggle with old thought patterns or habits, and you desire genuine change. You are looking for someone who can assist you in helping yourself, with the goal of becoming self-empowered and renewed.
My clients seek deeper self-awareness, growth and lasting healing. Perhaps you have reached a point where you struggle with old thought patterns or habits, and you desire genuine change. You are looking for someone who can assist you in helping yourself, with the goal of becoming self-empowered and renewed.
(248) 609-6284 View (248) 609-6284
Photo of Sarah E. Baker, Ph.D., PLLC, Psychologist in 48377, MI
Sarah E. Baker, Ph.D., PLLC
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Novi, MI 48377
I operate an independent practice that specializes in psychological services for children, teens, and families. I am a fully licensed clinical psychologist with expertise in child behavioral problems, mood and anxiety disorders in children and teens, ADHD, parent-child relational issues, and pediatric psychology (the interplay of physical illness and psychological functioning). I take an active approach to treatment and use cognitive-behavioral techniques to help my clients make noticeable improvements in their lives. Please don't hesitate to contact my office for more information -- I look forward to working with you!
I operate an independent practice that specializes in psychological services for children, teens, and families. I am a fully licensed clinical psychologist with expertise in child behavioral problems, mood and anxiety disorders in children and teens, ADHD, parent-child relational issues, and pediatric psychology (the interplay of physical illness and psychological functioning). I take an active approach to treatment and use cognitive-behavioral techniques to help my clients make noticeable improvements in their lives. Please don't hesitate to contact my office for more information -- I look forward to working with you!
(248) 567-6686 View (248) 567-6686
Photo of Christine Mary, Limited Licensed Psychologist in 48377, MI
Christine Mary
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
Novi, MI 48377  (Online Only)
I have been a therapist since 2003 and if there’s one thing I’ve learned over the years, it’s that everyone needs someone to talk to. We all have feelings, whether we feel happy, excited, anxious, worried, nervous, sad or depressed—we need to get those feelings off our chest. Another thing I’ve learned over the years is keeping those feelings bottled up inside can and will make us sick. Why is something as simple as getting things off our chest so difficult to do? I believe it’s because of our pride and fear of judgment about our feelings. As a therapist, I truly strive to allow people to speak freely in a safe environment.
I have been a therapist since 2003 and if there’s one thing I’ve learned over the years, it’s that everyone needs someone to talk to. We all have feelings, whether we feel happy, excited, anxious, worried, nervous, sad or depressed—we need to get those feelings off our chest. Another thing I’ve learned over the years is keeping those feelings bottled up inside can and will make us sick. Why is something as simple as getting things off our chest so difficult to do? I believe it’s because of our pride and fear of judgment about our feelings. As a therapist, I truly strive to allow people to speak freely in a safe environment.
(248) 218-9978 View (248) 218-9978
Photo of Dr. Jennifer Hahm, Psychologist in 48377, MI
Dr. Jennifer Hahm
Psychologist, PhD, PSYPACT
Verified Verified
Novi, MI 48377  (Online Only)
Not accepting new clients
It could be a relationship, a loss, past or recent trauma, a history of depression or anxiety, work, or some configuration of these factors have accumulated to a stress level that is difficult to manage and affecting your ability to navigate daily life. Therapy can present an opportunity to examine these factors, identify what your goals are, and to provide space to hold yourself accountable to working on your wellbeing.
It could be a relationship, a loss, past or recent trauma, a history of depression or anxiety, work, or some configuration of these factors have accumulated to a stress level that is difficult to manage and affecting your ability to navigate daily life. Therapy can present an opportunity to examine these factors, identify what your goals are, and to provide space to hold yourself accountable to working on your wellbeing.
(248) 487-8279 View (248) 487-8279
Photo of Sollars and Associates, Psychologist in 48377, MI
Sollars and Associates
Psychologist, PhD, LP
Verified Verified
Novi, MI 48377
I am a licensed psychologist and the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement and expert insight many people begin to feel better after their first session.
I am a licensed psychologist and the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement and expert insight many people begin to feel better after their first session.
(248) 862-1171 View (248) 862-1171
Photo of Jason Beers, Psychologist in 48377, MI
Jason Beers
Psychologist, PsyD, LP
Verified Verified
Novi, MI 48377  (Online Only)
Throughout our existence, we all move through times that can bring an enormous amount of sadness, anxiety and disturbance. Perhaps the days add up, and we end up living much of our lives in this suffering. If we hold on and search, it is that deep self inside, the one just beneath the everyday routine, who can not only find the motivation to talk about these pains, but the inspiration to transform them into healing, meaning and purpose. When we take the lens and zoom in, every single one of us can find passion and vision. Joy and strength.
Throughout our existence, we all move through times that can bring an enormous amount of sadness, anxiety and disturbance. Perhaps the days add up, and we end up living much of our lives in this suffering. If we hold on and search, it is that deep self inside, the one just beneath the everyday routine, who can not only find the motivation to talk about these pains, but the inspiration to transform them into healing, meaning and purpose. When we take the lens and zoom in, every single one of us can find passion and vision. Joy and strength.
(630) 313-2575 View (630) 313-2575
Photo of Patrick Eilers, Counselor in 48377, MI
Patrick Eilers
Counselor, MA, LPC, CSAT
Verified Verified
1 Endorsed
Novi, MI 48377
Patrick Eilers, MA, LPC, CSAT, has earned his master's degree in Clinical Counseling Psychology from Moody Theological Seminary-Michigan. Patrick specializes in helping clients navigate the complexities of relationships while developing a foundation of acceptance, trust, and communication. As an adaptable and caring professional, Patrick assists his clients in reaching their life goals both, individually and relational. Patrick's advanced training includes being a Certified Sex Addiction Therapist utilizing Dr. Patrick Carnes 30 Task Model for recovery.
Patrick Eilers, MA, LPC, CSAT, has earned his master's degree in Clinical Counseling Psychology from Moody Theological Seminary-Michigan. Patrick specializes in helping clients navigate the complexities of relationships while developing a foundation of acceptance, trust, and communication. As an adaptable and caring professional, Patrick assists his clients in reaching their life goals both, individually and relational. Patrick's advanced training includes being a Certified Sex Addiction Therapist utilizing Dr. Patrick Carnes 30 Task Model for recovery.
(810) 356-5999 View (810) 356-5999
Photo of James N Cass, Clinical Social Work/Therapist in 48377, MI
James N Cass
Clinical Social Work/Therapist, LMSW, DCSW, BCD, CCADC, CCJP
Verified Verified
Novi, MI 48377
I provide the following services to those whom need, individual, couple, family and group therapy for the following mental health issues, Depression, PTSD, Anxiety disorders, grief and loss and case management with your psychiatrist, if you take medication and need it to be manage for example. I also, provide treatment for those whom are suffering from alcoholism and drugs.
I provide the following services to those whom need, individual, couple, family and group therapy for the following mental health issues, Depression, PTSD, Anxiety disorders, grief and loss and case management with your psychiatrist, if you take medication and need it to be manage for example. I also, provide treatment for those whom are suffering from alcoholism and drugs.
(248) 213-8422 View (248) 213-8422
Photo of Siarra Maketo in 48377, MI
Siarra Maketo
LCSW
Verified Verified
1 Endorsed
Novi, MI 48377
Hello, my name is Siarra Maketo. I am a Licensed Clinical Social Worker and Therapist and I provide a wide range of services to adolescents, adults, couples, and families.
Hello, my name is Siarra Maketo. I am a Licensed Clinical Social Worker and Therapist and I provide a wide range of services to adolescents, adults, couples, and families.
(248) 600-4732 View (248) 600-4732
Photo of Lisa E Metler Ph.D., Psychologist in 48377, MI
Lisa E Metler Ph.D.
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Novi, MI 48377  (Online Only)
People come to therapy for many different reasons. Some seek symptom relief, while others want to find ways to cope more effectively, improve their relationships, or make better choices in their lives. Regardless of the reason, psychotherapy is a powerful and beneficial tool for healing and personal growth. I'm here to offer you support and guidance through the process. While I work with clients of all ages, I have a special interest in working with seniors and their families who are struggling with the aging process, and in need of support and guidance.
People come to therapy for many different reasons. Some seek symptom relief, while others want to find ways to cope more effectively, improve their relationships, or make better choices in their lives. Regardless of the reason, psychotherapy is a powerful and beneficial tool for healing and personal growth. I'm here to offer you support and guidance through the process. While I work with clients of all ages, I have a special interest in working with seniors and their families who are struggling with the aging process, and in need of support and guidance.
(248) 963-7062 View (248) 963-7062
Photo of Shavon Walton, Clinical Social Work/Therapist in 48377, MI
Shavon Walton
Clinical Social Work/Therapist, MSW, LMSW, MSM
Verified Verified
Novi, MI 48377  (Online Only)
You're smart and you know it but sometimes you feel like an imposter. You thrive in ordered spaces, but your environment doesn't reflect that. You're competitive but struggle with even the slightest criticism. You can have months to complete a project that you could complete in a couple of days - tops. Yet you put it off, until the last week - or even days - stressing the whole time but managing somehow to pull it off at the last minute. You're creative but can get overwhelmed with the vastness of ideas and thoughts that come to your mind, so much so that it is difficult for you to focus and develop your ideas to completion.
You're smart and you know it but sometimes you feel like an imposter. You thrive in ordered spaces, but your environment doesn't reflect that. You're competitive but struggle with even the slightest criticism. You can have months to complete a project that you could complete in a couple of days - tops. Yet you put it off, until the last week - or even days - stressing the whole time but managing somehow to pull it off at the last minute. You're creative but can get overwhelmed with the vastness of ideas and thoughts that come to your mind, so much so that it is difficult for you to focus and develop your ideas to completion.
(947) 282-5193 View (947) 282-5193
Photo of Megan Spees, Limited Licensed Psychologist in 48377, MI
Megan Spees
Limited Licensed Psychologist, LLP, CAADC, CCTSI, CSAT-c, CCPS-c
Verified Verified
1 Endorsed
Novi, MI 48377
Mental health is just as important as physical health to our overall well-being. I am a Limited Licensed Psychologist and a certified trauma specialist as well as a marriage counselor. I can work with you to develop a wide variety of coping skills to help you work towards your goals of living your best life. Are you noticing mental health symptoms like nightmares, flashbacks, irritability, anxiety, depression or self-harm? I utilize a humanistic, holistic, strength-based approach to help increase your level of tolerance for dealing with these complicated mental health symptoms. I also offer EMDR for the treatment of complex PTSD.
Mental health is just as important as physical health to our overall well-being. I am a Limited Licensed Psychologist and a certified trauma specialist as well as a marriage counselor. I can work with you to develop a wide variety of coping skills to help you work towards your goals of living your best life. Are you noticing mental health symptoms like nightmares, flashbacks, irritability, anxiety, depression or self-harm? I utilize a humanistic, holistic, strength-based approach to help increase your level of tolerance for dealing with these complicated mental health symptoms. I also offer EMDR for the treatment of complex PTSD.
(248) 290-6322 View (248) 290-6322
Photo of John Sternfels, Counselor in 48377, MI
John Sternfels
Counselor, LPC, NCC, CSAT, C-SASI, CCPS
Verified Verified
Novi, MI 48377  (Online Only)
I am a Licensed Professional Counselor and a National Board-Certified Counselor. I have extensive experience working with men, women, and couples. I specialize in working with marital issues, sexual/pornography addiction, and betrayal partner trauma. I provide compassion, care, and empathy, which are foundational in helping clients successfully work through personal and relational life challenges. I am also the author of the book entitled, "A Partner’s Guide To Truth & Healing" (2021). The book explains a therapeutic disclosure process that helps both partner and spouse achieve truth and healing within their relationship.
I am a Licensed Professional Counselor and a National Board-Certified Counselor. I have extensive experience working with men, women, and couples. I specialize in working with marital issues, sexual/pornography addiction, and betrayal partner trauma. I provide compassion, care, and empathy, which are foundational in helping clients successfully work through personal and relational life challenges. I am also the author of the book entitled, "A Partner’s Guide To Truth & Healing" (2021). The book explains a therapeutic disclosure process that helps both partner and spouse achieve truth and healing within their relationship.
(248) 782-6039 View (248) 782-6039
Photo of Jimmy Dagostino, Limited Licensed Psychologist in 48377, MI
Jimmy Dagostino
Limited Licensed Psychologist, MA, LLP
Verified Verified
Novi, MI 48377  (Online Only)
Waitlist for new clients
My main specialty is the LGBTQ+ community, which I am part of. I also work with depression, anxiety, trauma, and adults with ADHD or Autism. I have particular experience with non-binary and transgender individuals, childhood trauma, and addiction. The main thing I want to stress is that whoever you are, whatever you're dealing with, my goal and my passion is to help people find their inner strength and to know themselves. I want to help you trust yourself, rely on yourself, and to help you learn how to not just overcome your challenges but go beyond that and become the best version of yourself you can be because you deserve that.
My main specialty is the LGBTQ+ community, which I am part of. I also work with depression, anxiety, trauma, and adults with ADHD or Autism. I have particular experience with non-binary and transgender individuals, childhood trauma, and addiction. The main thing I want to stress is that whoever you are, whatever you're dealing with, my goal and my passion is to help people find their inner strength and to know themselves. I want to help you trust yourself, rely on yourself, and to help you learn how to not just overcome your challenges but go beyond that and become the best version of yourself you can be because you deserve that.
(248) 916-1841 View (248) 916-1841
Photo of Crescent Roots Psychological Services, PLLC, Psychologist in 48377, MI
Crescent Roots Psychological Services, PLLC
Psychologist
Verified Verified
Novi, MI 48377  (Online Only)
Crescent Roots is evolved psychology that fuses modern research with timeless wisdom, lending toward healing, relief and inspiration. Each therapist is thoughtfully selected with consideration to their approachability, maturity, and demonstration of effectiveness as a clinician. Crescent Roots is a diverse set of clinicians, each from a unique background, culture, and set of experiences in their personal and professional lives. All clients who engage are hoped to feel welcomed, appreciated, and encouraged to be their true self. We believe in a holistic approach that aims to satisfy each client and their deeper needs.
Crescent Roots is evolved psychology that fuses modern research with timeless wisdom, lending toward healing, relief and inspiration. Each therapist is thoughtfully selected with consideration to their approachability, maturity, and demonstration of effectiveness as a clinician. Crescent Roots is a diverse set of clinicians, each from a unique background, culture, and set of experiences in their personal and professional lives. All clients who engage are hoped to feel welcomed, appreciated, and encouraged to be their true self. We believe in a holistic approach that aims to satisfy each client and their deeper needs.
(248) 826-2302 View (248) 826-2302
Photo of Julie Edwards, Licensed Professional Counselor in 48377, MI
Julie Edwards
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Novi, MI 48377  (Online Only)
My goal is to teach you to become your own therapist. Over 15 years of experience working with children, adults, and couples to achieve their therapy goals. I employ a solution based person centered approach and work with my clients in a way that works for them.
My goal is to teach you to become your own therapist. Over 15 years of experience working with children, adults, and couples to achieve their therapy goals. I employ a solution based person centered approach and work with my clients in a way that works for them.
(248) 265-3924 View (248) 265-3924
Photo of Anna Cassar, Clinical Social Work/Therapist in 48377, MI
Anna Cassar
Clinical Social Work/Therapist, LMSW
Verified Verified
Novi, MI 48377
Waitlist for new clients
Being in a constant battle with your mind can be exhausting. My goal as your therapist is to help you navigate the internal chaos and empower you to work with your mind instead of against it. If you are struggling with anxiety, stress, panic, difficulty with relationships, depression or a life transition I could be the right fit for you. I am invested in helping you reach your full potential by using a person centered and collaborative approach in a nonjudgmental therapeutic setting. We will work to recognize and address your mental health concerns so you can have the life you deserve.
Being in a constant battle with your mind can be exhausting. My goal as your therapist is to help you navigate the internal chaos and empower you to work with your mind instead of against it. If you are struggling with anxiety, stress, panic, difficulty with relationships, depression or a life transition I could be the right fit for you. I am invested in helping you reach your full potential by using a person centered and collaborative approach in a nonjudgmental therapeutic setting. We will work to recognize and address your mental health concerns so you can have the life you deserve.
(734) 890-5854 View (734) 890-5854
Photo of Barbara Seidel, Counselor in 48377, MI
Barbara Seidel
Counselor, MS, LPC, CSAT-c, CRC
Verified Verified
Novi, MI 48377
Barbara Seidel, MA, LPC, CRC, CSAT-candidate received her master’s degree in counseling from the University of Madison in Wisconsin. Barbara’s advanced trainings include being a Certified Sexual Addiction Therapist Candidate (CSAT-candidate) which utilizes Dr. Patrick Carnes 30 Task Model for sexual and porn recovery, people who have been convicted of sexual crimes, those who struggle with substance use, weight loss, anxiety, depression, low self-image, lack of vocational direction, physical disabilities, or adjustment disorders.
Barbara Seidel, MA, LPC, CRC, CSAT-candidate received her master’s degree in counseling from the University of Madison in Wisconsin. Barbara’s advanced trainings include being a Certified Sexual Addiction Therapist Candidate (CSAT-candidate) which utilizes Dr. Patrick Carnes 30 Task Model for sexual and porn recovery, people who have been convicted of sexual crimes, those who struggle with substance use, weight loss, anxiety, depression, low self-image, lack of vocational direction, physical disabilities, or adjustment disorders.
(248) 243-4426 View (248) 243-4426
Photo of Conflict Resolution Institute, Counselor in 48377, MI
Conflict Resolution Institute
Counselor, MAC, LPC , NCC
Verified Verified
Novi, MI 48377
Having problems with emotions, thoughts, urges or behaviors, we can help. Experiencing difficulty adjusting to or coping with people or situations, we can help. Want to feel or think differently: live a better life, we can help. Find yourself unable to get or stay engaged in the life you want, we can help. Habitually reacting to people, feelings or ideas, repeating or returning to past behaviors, we can help. Experiencing dysfunction at home, school, work or in society, we can help. Preparing to, in the process of, or maintaining changes and want assistance with your efforts, we can help.
Having problems with emotions, thoughts, urges or behaviors, we can help. Experiencing difficulty adjusting to or coping with people or situations, we can help. Want to feel or think differently: live a better life, we can help. Find yourself unable to get or stay engaged in the life you want, we can help. Habitually reacting to people, feelings or ideas, repeating or returning to past behaviors, we can help. Experiencing dysfunction at home, school, work or in society, we can help. Preparing to, in the process of, or maintaining changes and want assistance with your efforts, we can help.
(248) 671-6891 View (248) 671-6891

How does your Therapist compare?

Number of Therapists in 48377

70+

Average cost per session

$150

Therapists in 48377 who prioritize treating:

99% Depression
96% Anxiety
74% Trauma and PTSD
71% Relationship Issues
70% Coping Skills
69% Self Esteem
66% Stress

Average years in practice

14 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
65% Aetna
60% Blue Care Network

How Therapists in 48377 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 48377?

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.