Photo of Maria Mejia-Desatnik, Clinical Social Work/Therapist in 78249, TX
Maria Mejia-Desatnik
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78249
I specialize in helping individuals, couples and families deal with the difficulties and challenges life sometimes presents us with. These may include situations related to transitions in life, unexpected events, feelings of loneliness, depression, anxiety and stress, difficulties in communication, and conflict in relationships, among other issues. I view life as a journey -specifically, a learning journey- with all its ups and downs.
I specialize in helping individuals, couples and families deal with the difficulties and challenges life sometimes presents us with. These may include situations related to transitions in life, unexpected events, feelings of loneliness, depression, anxiety and stress, difficulties in communication, and conflict in relationships, among other issues. I view life as a journey -specifically, a learning journey- with all its ups and downs.
(210) 585-2783 View (210) 585-2783
Photo of Victoria Annette Peña, Licensed Professional Counselor in 78249, TX
Victoria Annette Peña
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78249  (Online Only)
I help women with young children who are filled with self-doubt about their abilities as a mom to achieve knowledge and understanding of emotional development in children so that they can feel confidence in themselves as a mother and absolute trust in their ability to nurture a solid, loving bond with their children. Unlike self-help books and podcasts that provide generalized content for every kind of mama, I focus on helping you, as an individual, to identify your specific desires for your parent-child relationship and cultivate unshakeable trust in yourself as a strong and rooted mama.
I help women with young children who are filled with self-doubt about their abilities as a mom to achieve knowledge and understanding of emotional development in children so that they can feel confidence in themselves as a mother and absolute trust in their ability to nurture a solid, loving bond with their children. Unlike self-help books and podcasts that provide generalized content for every kind of mama, I focus on helping you, as an individual, to identify your specific desires for your parent-child relationship and cultivate unshakeable trust in yourself as a strong and rooted mama.
(210) 934-1159 View (210) 934-1159
Photo of Melissa N Allen, Licensed Professional Counselor in 78249, TX
Melissa N Allen
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
San Antonio, TX 78249
You might be anxious, dreading each day, stuck, and angry carrying pain and trauma and really wanting to find a way to be free of memories, shame, and panic attacks so you can live your best life. You might question how others seem to get life “right” because their social media posts don't look anything like how you feel. Relationships are suffering, and you don't want to pass these feelings on to those you love. You want to be free, confident, happy, and at peace with who you are as a person and the future that is yours yet to live.
You might be anxious, dreading each day, stuck, and angry carrying pain and trauma and really wanting to find a way to be free of memories, shame, and panic attacks so you can live your best life. You might question how others seem to get life “right” because their social media posts don't look anything like how you feel. Relationships are suffering, and you don't want to pass these feelings on to those you love. You want to be free, confident, happy, and at peace with who you are as a person and the future that is yours yet to live.
(210) 899-6421 View (210) 899-6421
Photo of Deborah Levi Lane, Clinical Social Work/Therapist in 78249, TX
Deborah Levi Lane
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Shavano Park, TX 78249
I am not your typical "one-size-fits-all" therapist. Like you, I am unique. Respect and understanding of the individual and his/her needs are necessary to reach a successful treatment outcome. My work as a psychotherapist is to find what works for you. I build on the strengths of the individual. I provide personalized therapy to discerning clients who want the ultimate therapist-patient relationship, to include convenience, privacy, and real-time support . . . tailored to their lifestyle. Other benefits of this "concierge" approach: increased availability, priority appointments, and after-hours access.
I am not your typical "one-size-fits-all" therapist. Like you, I am unique. Respect and understanding of the individual and his/her needs are necessary to reach a successful treatment outcome. My work as a psychotherapist is to find what works for you. I build on the strengths of the individual. I provide personalized therapy to discerning clients who want the ultimate therapist-patient relationship, to include convenience, privacy, and real-time support . . . tailored to their lifestyle. Other benefits of this "concierge" approach: increased availability, priority appointments, and after-hours access.
(210) 934-7173 View (210) 934-7173
Photo of Carina Richards, Clinical Social Work/Therapist in 78249, TX
Carina Richards
Clinical Social Work/Therapist, LMSW
Verified Verified
San Antonio, TX 78249
Navigating through the challenges that we experience in life can be a huge undertaking. Feelings of loneliness, hopelessness, or being misunderstood can prevent you from reaching out to someone for help, as you may feel that no one could possibly understand what you are going through. The want and need to live a happy and fulfilled life can seem so out of reach and the confusion as to why others seem to have this mastered can reinforce these thoughts. As a Licensed Master Social Worker, I am here to help you overcome these thoughts and feelings and live a life where you are not just surviving, but thriving.
Navigating through the challenges that we experience in life can be a huge undertaking. Feelings of loneliness, hopelessness, or being misunderstood can prevent you from reaching out to someone for help, as you may feel that no one could possibly understand what you are going through. The want and need to live a happy and fulfilled life can seem so out of reach and the confusion as to why others seem to have this mastered can reinforce these thoughts. As a Licensed Master Social Worker, I am here to help you overcome these thoughts and feelings and live a life where you are not just surviving, but thriving.
(210) 557-9212 View (210) 557-9212
Photo of Dr. Jordan E. Elliott, Licensed Professional Counselor in 78249, TX
Dr. Jordan E. Elliott
Licensed Professional Counselor, PhD, LPC, LCDC
Verified Verified
San Antonio, TX 78249  (Online Only)
People often seek counseling with a desire for healing or change during times of suffering, pain, or distress. Everyone’s pain is personal and everyone’s experiences are unique, so I strive to provide a soft place for you to land as you self-direct your healing and understanding. I believe change occurs because of your growth in awareness and adaptability to your situation. My ultimate goal and hope is to act as a conduit of healing for you throughout this process.
People often seek counseling with a desire for healing or change during times of suffering, pain, or distress. Everyone’s pain is personal and everyone’s experiences are unique, so I strive to provide a soft place for you to land as you self-direct your healing and understanding. I believe change occurs because of your growth in awareness and adaptability to your situation. My ultimate goal and hope is to act as a conduit of healing for you throughout this process.
(726) 232-2356 View (726) 232-2356
Photo of Dr. Ashlee Martinez Anima Mundi Consultation And Psychological Service, Psychologist in 78249, TX
Dr. Ashlee Martinez Anima Mundi Consultation And Psychological Service
Psychologist, PsyD
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
I am Licensed Psychologist providing services to clients in Texas, Iowa, and PSYPACT participating states. I began working with adults, children, adolescents, families, couples, and individuals of diverse backgrounds back in 2012. I am passionate about helping individuals set and accomplish their treatment goals.
I am Licensed Psychologist providing services to clients in Texas, Iowa, and PSYPACT participating states. I began working with adults, children, adolescents, families, couples, and individuals of diverse backgrounds back in 2012. I am passionate about helping individuals set and accomplish their treatment goals.
(210) 940-1315 View (210) 940-1315
Photo of Our Generation Counseling, PLLC, LPC Associate in 78249, TX
Our Generation Counseling, PLLC
LPC Associate, LPC-A
Verified Verified
San Antonio, TX 78249  (Online Only)
Are you tired of feeling hopeless or withdrawn in your day to day life? Have simple things like showering or brushing your teeth become an obstacle for you? Give me a call or text today so that we can get you the relief you deserve. My name is Valarie Golombeski and I am the proud owner of Our Generation Counseling. I am a Licensed Professional Counselor Associate supervised by Dr. Gina Gagen, Ed.D., LPC-S, LMHC, LMHC-S, CCHP, CCE. I specialize in helping clients with symptoms associated with anxiety, depression and trauma.
Are you tired of feeling hopeless or withdrawn in your day to day life? Have simple things like showering or brushing your teeth become an obstacle for you? Give me a call or text today so that we can get you the relief you deserve. My name is Valarie Golombeski and I am the proud owner of Our Generation Counseling. I am a Licensed Professional Counselor Associate supervised by Dr. Gina Gagen, Ed.D., LPC-S, LMHC, LMHC-S, CCHP, CCE. I specialize in helping clients with symptoms associated with anxiety, depression and trauma.
(210) 871-9356 View (210) 871-9356
Photo of Rhapsody Counseling and Wellness Center, Clinical Social Work/Therapist in 78249, TX
Rhapsody Counseling and Wellness Center
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
San Antonio, TX 78249
Are you tired for feeling overwhelmed, alone and unable to get out of bed? Well, allow us at Rhapsody Counseling and Wellness Center to be a light of hope for you and your family during these difficult times. The last thing you need is to do life alone, you don’t have to! We are open, accepting new patients and here to help you. We offer individual, family, and couples counseling. We see children and adults. Call us today for your free 15 min free consultation, so you could assess if therapy is for you. Allow us to join you on your journey to complete wellness. We are offering virtual and in person sessions, Call (210) 286-9339.
Are you tired for feeling overwhelmed, alone and unable to get out of bed? Well, allow us at Rhapsody Counseling and Wellness Center to be a light of hope for you and your family during these difficult times. The last thing you need is to do life alone, you don’t have to! We are open, accepting new patients and here to help you. We offer individual, family, and couples counseling. We see children and adults. Call us today for your free 15 min free consultation, so you could assess if therapy is for you. Allow us to join you on your journey to complete wellness. We are offering virtual and in person sessions, Call (210) 286-9339.
(210) 286-9339 View (210) 286-9339
Photo of Riaz Counseling, Licensed Professional Counselor in 78249, TX
Riaz Counseling
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78249  (Online Only)
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
(210) 934-7770 View (210) 934-7770
Photo of Ryan Daniel Buell, Licensed Professional Counselor Associate in 78249, TX
Ryan Daniel Buell
Licensed Professional Counselor Associate, EdS, LPC-A, NCC
Verified Verified
Shavano Park, TX 78249
Sometimes, it's hard to walk through the door and ask for help. I've been there myself many times in my life. In today's world, it's also tough to find time to practice self-care. Therapy is meant to be a judgment-free space where we explore whatever you need to, whether it's grief, trauma, self-love, spirituality, self-esteem or cultural/identity issues.
Sometimes, it's hard to walk through the door and ask for help. I've been there myself many times in my life. In today's world, it's also tough to find time to practice self-care. Therapy is meant to be a judgment-free space where we explore whatever you need to, whether it's grief, trauma, self-love, spirituality, self-esteem or cultural/identity issues.
(210) 960-9969 View (210) 960-9969
Photo of Carmen E Diaz, Licensed Professional Counselor in 78249, TX
Carmen E Diaz
Licensed Professional Counselor, LPC, CSC, MA, MEd
Verified Verified
4 Endorsed
San Antonio, TX 78249
Feeling unhappy, stressed, overwhelmed, or out of control of your own life? New to therapy or in search of a therapist that's a better fit? We often underestimate the need to have someone support us through challenging experiences and difficult emotions to get us to a better place. It takes courage to seek change and take control of our lives to get us to where we want to be. As a counselor, my goal is to help you gain insight into your current situation and guide you into learning how to manage your emotions so you can break free from the obstacles that are hindering you from having the quality of life you wish to have.
Feeling unhappy, stressed, overwhelmed, or out of control of your own life? New to therapy or in search of a therapist that's a better fit? We often underestimate the need to have someone support us through challenging experiences and difficult emotions to get us to a better place. It takes courage to seek change and take control of our lives to get us to where we want to be. As a counselor, my goal is to help you gain insight into your current situation and guide you into learning how to manage your emotions so you can break free from the obstacles that are hindering you from having the quality of life you wish to have.
(210) 940-3338 View (210) 940-3338
Photo of Dr. Jules Arkangel in 78249, TX
Dr. Jules Arkangel
LC, PhD, CRC, CCTP
Verified Verified
San Antonio, TX 78249
Archangel Therapy Group is a small, privately-owned boutique therapy and Life Coaching practice that helps individuals, couples, and families live their best lives. Our approach to therapy and Life Coaching is a trauma informed care, taking into consideration the entire life of an individual client. Our focus is not what is wrong with a client more what has happened to a client. We offer a safe, non-judgmental environment that allows clients to feel relaxed and promotes a culture of openness and honesty. We aren’t here to “fix” anyone, but to be supportive and help guide clients through the journey step-by-step.
Archangel Therapy Group is a small, privately-owned boutique therapy and Life Coaching practice that helps individuals, couples, and families live their best lives. Our approach to therapy and Life Coaching is a trauma informed care, taking into consideration the entire life of an individual client. Our focus is not what is wrong with a client more what has happened to a client. We offer a safe, non-judgmental environment that allows clients to feel relaxed and promotes a culture of openness and honesty. We aren’t here to “fix” anyone, but to be supportive and help guide clients through the journey step-by-step.
(210) 985-8316 View (210) 985-8316
Photo of Kimberlee Kay Daughtry-Lopez, Licensed Professional Counselor in 78249, TX
Kimberlee Kay Daughtry-Lopez
Licensed Professional Counselor, LPC-S, RPT, EMDR, CGT
Verified Verified
3 Endorsed
San Antonio, TX 78249
You are NOT damaged. You do NOT need to be fixed. You were HURT and need to HEAL. Pain and big life changes can leave you feeling broken and disconnected from your true self. Would you like to stop second guessing yourself or worrying? Would you like to find a way to finally "get over it" without being triggered all the time? Would you like to understand what is going on under the surface that contributes to unwanted patterns in your relationships with self and others that are not serving you. I can help! I provide a sacred space to learn more about you and help you sort out these issues of the heart. Together, we create a plan
You are NOT damaged. You do NOT need to be fixed. You were HURT and need to HEAL. Pain and big life changes can leave you feeling broken and disconnected from your true self. Would you like to stop second guessing yourself or worrying? Would you like to find a way to finally "get over it" without being triggered all the time? Would you like to understand what is going on under the surface that contributes to unwanted patterns in your relationships with self and others that are not serving you. I can help! I provide a sacred space to learn more about you and help you sort out these issues of the heart. Together, we create a plan
(210) 591-7401 View (210) 591-7401
Photo of Edith (Edie) Blake, Licensed Professional Counselor in 78249, TX
Edith (Edie) Blake
Licensed Professional Counselor, MS, LSSP, LPC
Verified Verified
San Antonio, TX 78249  (Online Only)
Living life is a journey that is sometimes wonderful and other times very difficult. By walking with you on your journey, helping you through these times when the way is tough, so here to support and empower you on your journey. you do not have to face it alone. I'd like to help you! I have worked in a variety of settings helping individuals, and families experience emotional healing. I have assisted those struggling with a wide range of mood disorders, including trauma, anxiety, stress, depression relationship problems, parenting problems, career challenges, and ADHD.
Living life is a journey that is sometimes wonderful and other times very difficult. By walking with you on your journey, helping you through these times when the way is tough, so here to support and empower you on your journey. you do not have to face it alone. I'd like to help you! I have worked in a variety of settings helping individuals, and families experience emotional healing. I have assisted those struggling with a wide range of mood disorders, including trauma, anxiety, stress, depression relationship problems, parenting problems, career challenges, and ADHD.
(210) 361-8041 View (210) 361-8041
Alexandra Van
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78249
I provide individual and couples therapy to older adolescents and adults. My approach to therapy mainly draws from Cognitive Behavioral Therapy (CBT). I have additional training in Dialectical Behavioral Therapy (DBT). While I tend to draw from CBT, I incorporate other styles and techniques to tailor each session to meet the needs of each person I work with. I believe the most important and healing aspect of therapy is the relationship that is created between myself and the person sitting across from me.
I provide individual and couples therapy to older adolescents and adults. My approach to therapy mainly draws from Cognitive Behavioral Therapy (CBT). I have additional training in Dialectical Behavioral Therapy (DBT). While I tend to draw from CBT, I incorporate other styles and techniques to tailor each session to meet the needs of each person I work with. I believe the most important and healing aspect of therapy is the relationship that is created between myself and the person sitting across from me.
(214) 960-2373 View (214) 960-2373
Photo of Bianca Valdez, Licensed Professional Counselor in 78249, TX
Bianca Valdez
Licensed Professional Counselor, LPC, NCC
Verified Verified
San Antonio, TX 78249  (Online Only)
Not accepting new clients
Hello! My name is Bianca Valdez, I have experience working with adolescents and adults as a Licensed Professional Counselor. Typically, I've navigated areas surrounding anxiety, depression, grief/loss, and family conflict. Together we can learn appropriate coping mechanisms, and various methods in hopes to assist your well-being.
Hello! My name is Bianca Valdez, I have experience working with adolescents and adults as a Licensed Professional Counselor. Typically, I've navigated areas surrounding anxiety, depression, grief/loss, and family conflict. Together we can learn appropriate coping mechanisms, and various methods in hopes to assist your well-being.
(210) 791-6158 View (210) 791-6158
Photo of Frank (Pancho) Davis, Licensed Professional Counselor Associate in 78249, TX
Frank (Pancho) Davis
Licensed Professional Counselor Associate, MS, LPC-A, NCC
Verified Verified
San Antonio, TX 78249
Whether it is past experiences or present circumstances that you are working through, it can be helpful to have someone walk with you on that journey. I seek to make a connection and create a relationship with clients that is built on trust, empathy, curiosity, and respect in a safe and judgement free environment. My hope is that through our time together you are able to gain further insight into who you are, gain an understanding into the nature of your difficulties, and together find ways to overcome your current struggles.
Whether it is past experiences or present circumstances that you are working through, it can be helpful to have someone walk with you on that journey. I seek to make a connection and create a relationship with clients that is built on trust, empathy, curiosity, and respect in a safe and judgement free environment. My hope is that through our time together you are able to gain further insight into who you are, gain an understanding into the nature of your difficulties, and together find ways to overcome your current struggles.
(210) 942-7649 View (210) 942-7649
Photo of Erika Alanis-Garcia, Clinical Social Work/Therapist in 78249, TX
Erika Alanis-Garcia
Clinical Social Work/Therapist, LCSW-S
Verified Verified
2 Endorsed
San Antonio, TX 78249  (Online Only)
I believe life is a journey full of unexpected twists and turns. We experience those times when everything is going just like we had planned it, but then we arrive at those moments in our journey that are full of uncertainty, stress, angst, tension, confusion, self-doubt, you name it. I am here to help you during those difficult times.
I believe life is a journey full of unexpected twists and turns. We experience those times when everything is going just like we had planned it, but then we arrive at those moments in our journey that are full of uncertainty, stress, angst, tension, confusion, self-doubt, you name it. I am here to help you during those difficult times.
(210) 953-9618 View (210) 953-9618
Photo of South Texas Counseling and Consulting,PA, Licensed Professional Counselor in 78249, TX
South Texas Counseling and Consulting,PA
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78249
Since 2007, I've been working as a Licensed Professional Counselor who specializes in helping people cope with their issues and concerns. Many clients merely need assistance in gaining insight, direction, self-compassion and developing practical coping skills to manage stress. In this journey, I strive to walk alongside clients with mercy and wisdom to help achieve self-actualization and goals.
Since 2007, I've been working as a Licensed Professional Counselor who specializes in helping people cope with their issues and concerns. Many clients merely need assistance in gaining insight, direction, self-compassion and developing practical coping skills to manage stress. In this journey, I strive to walk alongside clients with mercy and wisdom to help achieve self-actualization and goals.
(210) 796-6718 View (210) 796-6718

How does your Therapist compare?

Number of Therapists in 78249

100+

Average cost per session

$125

Therapists in 78249 who prioritize treating:

95% Anxiety
93% Depression
78% Self Esteem
77% Coping Skills
76% Relationship Issues
74% Trauma and PTSD
73% Stress

Average years in practice

9 Years

Top 3 insurances accepted

76% Aetna
76% UnitedHealthcare UHC | UBH
62% BlueCross and BlueShield

How Therapists in 78249 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78249?

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.