Therapists in 78751

Photo of Melissa Cameron - Lakehouse Counseling, PLLC, Marriage & Family Therapist Associate, LMFT-A
Lakehouse Counseling, PLLC
Marriage & Family Therapist Associate, LMFT-A
Online Only
When did things go so wrong? Every recent interaction with your husband seems to end in conflict. You used to be so in sync and open about your thoughts and feelings with one another. But now, it’s like you’re speaking two different languages. It’s so frustrating and lonely to live this way. You wish you could somehow pause the day and take a bit of time for yourself and your relationship. But it’s impossible. Between work, kids, and the endless responsibilities of adulthood, there’s no time to fix anything. So you continue on like this. Smiling through the pain, slowly drifting further apart but unable to do anything about it.
When did things go so wrong? Every recent interaction with your husband seems to end in conflict. You used to be so in sync and open about your thoughts and feelings with one another. But now, it’s like you’re speaking two different languages. It’s so frustrating and lonely to live this way. You wish you could somehow pause the day and take a bit of time for yourself and your relationship. But it’s impossible. Between work, kids, and the endless responsibilities of adulthood, there’s no time to fix anything. So you continue on like this. Smiling through the pain, slowly drifting further apart but unable to do anything about it.
(512) 890-3649 View (512) 890-3649
Photo of Brianna 'bri' Hamlyn, Licensed Professional Counselor, MA
Brianna 'bri' Hamlyn
Licensed Professional Counselor, MA
1 Endorsed
Austin, TX 78751
Things kind of suck right now, don't they? At the time of writing this, the world feels like it's a dumpster fire. If you're like me though, things have always felt rough internally and connection has never been easy. I hope to offer connection and unconditional positive regard for anyone whose ever felt like they're on the outside looking in. The vision I hold for all clients is to know they are worthy and valid exactly as they are in this moment, and my role is to hold that belief for you until you can hold it yourself. I practice from an anti-racist, relational cultural, fat-positive, and affirming lens.
Things kind of suck right now, don't they? At the time of writing this, the world feels like it's a dumpster fire. If you're like me though, things have always felt rough internally and connection has never been easy. I hope to offer connection and unconditional positive regard for anyone whose ever felt like they're on the outside looking in. The vision I hold for all clients is to know they are worthy and valid exactly as they are in this moment, and my role is to hold that belief for you until you can hold it yourself. I practice from an anti-racist, relational cultural, fat-positive, and affirming lens.
(512) 859-6502 View (512) 859-6502
Photo of Lauren Sinkar, Clinical Social Work/Therapist, LCSW
Lauren Sinkar
Clinical Social Work/Therapist, LCSW
Austin, TX 78751
I strive to earn trust and form genuine relationships with folks who have experienced challenging transitions, trauma, and loss. I've been serving kiddos, adolescents, adults, and families in crisis since I graduated from The University of Texas at Austin in 2010.
I strive to earn trust and form genuine relationships with folks who have experienced challenging transitions, trauma, and loss. I've been serving kiddos, adolescents, adults, and families in crisis since I graduated from The University of Texas at Austin in 2010.
(512) 714-2730 View (512) 714-2730
Photo of Hilary Neblett, Licensed Professional Counselor Associate, MA
Hilary Neblett
Licensed Professional Counselor Associate, MA
5 Endorsed
Austin, TX 78751
Hi there. How's it going? No, really. I’m interested in the honest answer. Because in times like these, when every headline feels heavier than the last and everything around you feels uncertain, it’s easy to feel overwhelmed, stuck, or like you’ve lost your footing. When you’re not running around in a near-constant state of stress, you’re zoning out, self-medicating, or trying the latest self-care tip you heard on that one podcast in an attempt to quiet the existential dread. Maybe you're a burned-out college student, a frustrated millennial, or a couple feeling disconnected in the chaos.
Hi there. How's it going? No, really. I’m interested in the honest answer. Because in times like these, when every headline feels heavier than the last and everything around you feels uncertain, it’s easy to feel overwhelmed, stuck, or like you’ve lost your footing. When you’re not running around in a near-constant state of stress, you’re zoning out, self-medicating, or trying the latest self-care tip you heard on that one podcast in an attempt to quiet the existential dread. Maybe you're a burned-out college student, a frustrated millennial, or a couple feeling disconnected in the chaos.
(512) 456-9298 View (512) 456-9298
Photo of Laura L. Ryan, Marriage & Family Therapist, LMFT, CHT
Laura L. Ryan
Marriage & Family Therapist, LMFT, CHT
4 Endorsed
Austin, TX 78751
Do you find that your anxiety is leaving you feeling really overwhelmed and creating difficulty connecting emotionally with your partner?
Do you find that your anxiety is leaving you feeling really overwhelmed and creating difficulty connecting emotionally with your partner?
(512) 561-0019 View (512) 561-0019
Photo of Mary Lynn Marinucci, Clinical Social Work/Therapist, LCSW-S, MBA
Mary Lynn Marinucci
Clinical Social Work/Therapist, LCSW-S, MBA
3 Endorsed
Austin, TX 78751
I'm here to help you make the most of your work and life. You might feel stuck, burned out, or overwhelmed—at work, at home, or somewhere in between. Maybe you're facing a major transition, managing complex relationships, or trying to hold everything together without losing yourself. My clients are thoughtful, capable people who are juggling aspirations, expectations, and personal values. They want clarity, confidence, and a more sustainable way to live and work. Together, we’ll understand what keeps you from having more of what you want and help you move forward with more intention, balance, and a deeper connection to who you are.
I'm here to help you make the most of your work and life. You might feel stuck, burned out, or overwhelmed—at work, at home, or somewhere in between. Maybe you're facing a major transition, managing complex relationships, or trying to hold everything together without losing yourself. My clients are thoughtful, capable people who are juggling aspirations, expectations, and personal values. They want clarity, confidence, and a more sustainable way to live and work. Together, we’ll understand what keeps you from having more of what you want and help you move forward with more intention, balance, and a deeper connection to who you are.
(512) 994-2432 View (512) 994-2432
Photo of Dr. Simone Harlow, Psychologist, PsyD
Dr. Simone Harlow
Psychologist, PsyD
8 Endorsed
Austin, TX 78751
I look forward to helping you understand and confront anxiety, revel in the freedom to choose, and find insight and enthusiasm. Let's explore the possibility for relationships that are richer, more tolerant, more honest, more loving, and have deeper communication. We will work to resolve ambivalence by exploring the discrepancy between your deeply-held values, day-to-day behavior, and how you want your life to be. Services include interventions for depression, anxiety, grief, adjustment/life transitions, and challenges related to gender, sexual identity, and racial and systemic oppression.
I look forward to helping you understand and confront anxiety, revel in the freedom to choose, and find insight and enthusiasm. Let's explore the possibility for relationships that are richer, more tolerant, more honest, more loving, and have deeper communication. We will work to resolve ambivalence by exploring the discrepancy between your deeply-held values, day-to-day behavior, and how you want your life to be. Services include interventions for depression, anxiety, grief, adjustment/life transitions, and challenges related to gender, sexual identity, and racial and systemic oppression.
(512) 808-0045 View (512) 808-0045
Photo of Ayesha Akbar, Clinical Social Work/Therapist, LCSW, RYT
Ayesha Akbar
Clinical Social Work/Therapist, LCSW, RYT
3 Endorsed
Online Only
Waitlist for new clients
Are you living life on autopilot? Do you feel disconnected from your body, relationships, or sense of purpose? Are you fighting to stay afloat in a world that feels like it wasn’t made for you? You deserve a safe and affirming space to explore your identities, relationships, and life's challenges in the context of greater systemic and social forces. I enjoy working with trauma survivors, folks with disabilities and/or chronic illnesses, immigrants/adult children of immigrants, and aspiring cycle-breakers. I believe that healing is not only a tool for personal transformation but also a catalyst for collective liberation.
Are you living life on autopilot? Do you feel disconnected from your body, relationships, or sense of purpose? Are you fighting to stay afloat in a world that feels like it wasn’t made for you? You deserve a safe and affirming space to explore your identities, relationships, and life's challenges in the context of greater systemic and social forces. I enjoy working with trauma survivors, folks with disabilities and/or chronic illnesses, immigrants/adult children of immigrants, and aspiring cycle-breakers. I believe that healing is not only a tool for personal transformation but also a catalyst for collective liberation.
(737) 371-8599 View (737) 371-8599
Photo of Tryna Jackson, Licensed Professional Counselor, LPC
Tryna Jackson
Licensed Professional Counselor, LPC
8 Endorsed
Austin, TX 78751
Not accepting new clients
Welcome to a space where healing is nurtured, and self-discovery is celebrated. I am Tryna Jackson, a compassionate and dedicated Black therapist committed to guiding you on your journey of exploring your inner child. In our sessions, you will find a warm and inviting atmosphere where your experiences, emotions, and unique identity are not only acknowledged but cherished. I understand the importance of representation in therapy, and I am here to create a safe space where you can feel seen, heard, and understood.
Welcome to a space where healing is nurtured, and self-discovery is celebrated. I am Tryna Jackson, a compassionate and dedicated Black therapist committed to guiding you on your journey of exploring your inner child. In our sessions, you will find a warm and inviting atmosphere where your experiences, emotions, and unique identity are not only acknowledged but cherished. I understand the importance of representation in therapy, and I am here to create a safe space where you can feel seen, heard, and understood.
(512) 866-6689 View (512) 866-6689
Photo of Jessica Ryn Scull, Clinical Social Work/Therapist, LCSW
Jessica Ryn Scull
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Welcome! I'm Ryn Scull, a Licensed Clinical Social Worker (LCSW) dedicated to supporting individuals navigating significant life transitions. I specialize in helping those who are experiencing anxiety, depression, or grief. My approach is person-centered, as I believe you are the expert on your own life.
Welcome! I'm Ryn Scull, a Licensed Clinical Social Worker (LCSW) dedicated to supporting individuals navigating significant life transitions. I specialize in helping those who are experiencing anxiety, depression, or grief. My approach is person-centered, as I believe you are the expert on your own life.
(737) 345-4659 View (737) 345-4659
Photo of Amah Sarkodie, Clinical Social Work/Therapist, LCSW, EMDR
Amah Sarkodie
Clinical Social Work/Therapist, LCSW, EMDR
1 Endorsed
Online Only
Hello & welcome! Asking for help is not easy, but there’s a part of you that’s wishing something was different and that same part of you has led you here. I have gratitude for that courageous part of you. I am a trauma-informed therapist with 14 years of experience working in organizations that serve children and adults. My experience as a therapist in schools, treatment centers, and medical settings have equipped me to work with a variety of mental health needs. I am honored that my work history has granted me the opportunity to work with people of various racial, cultural, and ethnic backgrounds.
Hello & welcome! Asking for help is not easy, but there’s a part of you that’s wishing something was different and that same part of you has led you here. I have gratitude for that courageous part of you. I am a trauma-informed therapist with 14 years of experience working in organizations that serve children and adults. My experience as a therapist in schools, treatment centers, and medical settings have equipped me to work with a variety of mental health needs. I am honored that my work history has granted me the opportunity to work with people of various racial, cultural, and ethnic backgrounds.
(512) 549-8031 View (512) 549-8031
Photo of Carol Dodgen, Clinical Social Work/Therapist, LCSW
Carol Dodgen
Clinical Social Work/Therapist, LCSW
Online Only
The purpose of therapy is generally straight forward. Individuals seek professional help when conflict in their world causes pain. In the counseling session, clients share their concerns and therapists share their training and professional experience . I believe that it is my responsibility to provide a safe place where clients can talk about their thoughts, feelings and experiences in a non-judgmental atmosphere. My approach is interactive, validating, compassionate and collaborative. Depending on the client and/or the specific situation, I work from a variety of perspectives.
The purpose of therapy is generally straight forward. Individuals seek professional help when conflict in their world causes pain. In the counseling session, clients share their concerns and therapists share their training and professional experience . I believe that it is my responsibility to provide a safe place where clients can talk about their thoughts, feelings and experiences in a non-judgmental atmosphere. My approach is interactive, validating, compassionate and collaborative. Depending on the client and/or the specific situation, I work from a variety of perspectives.
(361) 444-2301 View (361) 444-2301
Photo of Anna Graybeal, Psychologist, PhD, CGP, SEP
Anna Graybeal
Psychologist, PhD, CGP, SEP
Austin, TX 78751
I am a clinical psychologist specializing in the treatment of anxiety, depression, and relationship issues. I establish a strong alliance with my clients through empathy and respect and work collaboratively with them to achieve their goals. Other areas of my expertise include parenting, divorce, health problems such as illness and chronic pain, grief and loss, trauma, substance abuse, low self-esteem and identity issues.
I am a clinical psychologist specializing in the treatment of anxiety, depression, and relationship issues. I establish a strong alliance with my clients through empathy and respect and work collaboratively with them to achieve their goals. Other areas of my expertise include parenting, divorce, health problems such as illness and chronic pain, grief and loss, trauma, substance abuse, low self-esteem and identity issues.
(512) 540-5328 View (512) 540-5328
Photo of Taylor Millet, Clinical Social Work/Therapist, LCSW
Taylor Millet
Clinical Social Work/Therapist, LCSW
1 Endorsed
Austin, TX 78751
You may be feeling anxious, depressed, or lonely and just want the feeling to go away. You might find yourself spiraling through negative thoughts about yourself and the world. Suffering is a part of life, but some of the things you struggle to change seem to make it worse. You could keep going, and maybe things would work themselves out, but you’re curious if the path forward might be a bit lighter with a guide on your path—someone who is able to offer a new perspective. You are ready to take responsibility for your life, and are hopeful at the prospect of what inner change could mean for you, your passions, and your loved ones.
You may be feeling anxious, depressed, or lonely and just want the feeling to go away. You might find yourself spiraling through negative thoughts about yourself and the world. Suffering is a part of life, but some of the things you struggle to change seem to make it worse. You could keep going, and maybe things would work themselves out, but you’re curious if the path forward might be a bit lighter with a guide on your path—someone who is able to offer a new perspective. You are ready to take responsibility for your life, and are hopeful at the prospect of what inner change could mean for you, your passions, and your loved ones.
(737) 387-3363 View (737) 387-3363
Photo of Andrea Yeric, Marriage & Family Therapist, LMFT
Andrea Yeric
Marriage & Family Therapist, LMFT
2 Endorsed
Austin, TX 78751
You're feeling stuck. You're finding yourself feeling overwhelmed and disconnected from life, others, and maybe yourself. You feel uncertain of your thoughts, wants, needs or what to do. Trauma can leave us feeling hopeless, exhausted, and alone. It can make us shut the world out, or put other's needs before our own in hope for solace. At times it can feel like change isn't possible, or if we just ignore it long enough it will resolve itself.
You're feeling stuck. You're finding yourself feeling overwhelmed and disconnected from life, others, and maybe yourself. You feel uncertain of your thoughts, wants, needs or what to do. Trauma can leave us feeling hopeless, exhausted, and alone. It can make us shut the world out, or put other's needs before our own in hope for solace. At times it can feel like change isn't possible, or if we just ignore it long enough it will resolve itself.
(512) 559-3748 View (512) 559-3748
Photo of Joan Yamini, Licensed Professional Counselor, MEd, LPC
Joan Yamini
Licensed Professional Counselor, MEd, LPC
Austin, TX 78751
Often it is a life crisis that brings people to therapy; whether it is internal or external. Making the connection of trust and support with the therapist is the first step to the work. I believe in the power of therapy to change patterns that interfere with relationships and satisfaction in life. Over time I have developed great confidence in the benefit of exploring family of origin relationships and how they play out in life. Understanding these patterns is often crucial to change and improvement in anxiety and depression.
Often it is a life crisis that brings people to therapy; whether it is internal or external. Making the connection of trust and support with the therapist is the first step to the work. I believe in the power of therapy to change patterns that interfere with relationships and satisfaction in life. Over time I have developed great confidence in the benefit of exploring family of origin relationships and how they play out in life. Understanding these patterns is often crucial to change and improvement in anxiety and depression.
(512) 920-5613 View (512) 920-5613
Photo of Ricardo Velazquez Garcia, Licensed Professional Counselor Associate, MS, LCDC-I, LPC-A, NCC
Ricardo Velazquez Garcia
Licensed Professional Counselor Associate, MS, LCDC-I, LPC-A, NCC
2 Endorsed
Online Only
Saturday and Sunday Openings! Are you feeling overwhelmed, stuck, or unsure? I'm here to help you explore these feelings, overcome challenges, and create lasting positive change. My expertise includes supporting individuals dealing with anxiety, depression, bipolar disorder, trauma, and identity exploration. As a Licensed Professional Counselor-Associate (LPC-A) and Licensed Chemical Dependency Counselor-Intern (LCDC-I), supervised by Maribel Arias, LPC-S, I provide compassionate, evidence-based counseling tailored specifically to you.
Saturday and Sunday Openings! Are you feeling overwhelmed, stuck, or unsure? I'm here to help you explore these feelings, overcome challenges, and create lasting positive change. My expertise includes supporting individuals dealing with anxiety, depression, bipolar disorder, trauma, and identity exploration. As a Licensed Professional Counselor-Associate (LPC-A) and Licensed Chemical Dependency Counselor-Intern (LCDC-I), supervised by Maribel Arias, LPC-S, I provide compassionate, evidence-based counseling tailored specifically to you.
(737) 232-5332 View (737) 232-5332
Photo of Amber Baldwin, Clinical Social Work/Therapist, LCSW-S
Amber Baldwin
Clinical Social Work/Therapist, LCSW-S
4 Endorsed
Austin, TX 78751
As a psychotherapist, my role is to help facilitate and support you, the client, in discovering, processing, and most importantly, deciding if changing some strategies you have needed to implement in negotiating your life is a next step in your treatment. It can take time to identify influencing factors in the problems experienced in life. Through the development of a safe and trusting therapeutic relationship, we will identify issues, if not already clear to you, and take action in the therapeutic relationship itself to develop the relational, emotional, and or behavioral skills you determine need to be the focus of your treatment.
As a psychotherapist, my role is to help facilitate and support you, the client, in discovering, processing, and most importantly, deciding if changing some strategies you have needed to implement in negotiating your life is a next step in your treatment. It can take time to identify influencing factors in the problems experienced in life. Through the development of a safe and trusting therapeutic relationship, we will identify issues, if not already clear to you, and take action in the therapeutic relationship itself to develop the relational, emotional, and or behavioral skills you determine need to be the focus of your treatment.
(512) 872-2446 View (512) 872-2446
Photo of Pia Molina, Clinical Social Work/Therapist, LCSW
Pia Molina
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
We can find meaning in the face of unexpected change. I specialize in oncology, grief and loss, and anxiety or depression during life transitions. We can explore what affects you, holds true for you, and connects you to your evolving sense of purpose. We'll explore your personal values in a compassionate and honest way. Throughout my career I have worked in various settings that cultivate an empathic, honest, and person-centered practice. Everyone is unique and our work will be based on your needs from the first session.
We can find meaning in the face of unexpected change. I specialize in oncology, grief and loss, and anxiety or depression during life transitions. We can explore what affects you, holds true for you, and connects you to your evolving sense of purpose. We'll explore your personal values in a compassionate and honest way. Throughout my career I have worked in various settings that cultivate an empathic, honest, and person-centered practice. Everyone is unique and our work will be based on your needs from the first session.
(737) 238-6117 View (737) 238-6117
Photo of Lilia Macon, Licensed Professional Counselor, LPC
Lilia Macon
Licensed Professional Counselor, LPC
5 Endorsed
Austin, TX 78751
Are you feeling anxious, depressed, or simply overwhelmed by your life's circumstances? Is taking more and more out of you to get through the day? And it seems no progress is made, nor things are getting better? You are finding yourself maybe overeating, worrying to the point of making yourself sick, overdrinking, overspending, just to name a few. You are searching for a counselor who gets you and can help. As somebody who has been there several times in her own life, I want to encourage you by saying that you are at the right place. Therapy works!
Are you feeling anxious, depressed, or simply overwhelmed by your life's circumstances? Is taking more and more out of you to get through the day? And it seems no progress is made, nor things are getting better? You are finding yourself maybe overeating, worrying to the point of making yourself sick, overdrinking, overspending, just to name a few. You are searching for a counselor who gets you and can help. As somebody who has been there several times in her own life, I want to encourage you by saying that you are at the right place. Therapy works!
(512) 488-4677 View (512) 488-4677

See more therapy options for 78751

How does your Therapist compare?

Number of Therapists in 78751

100+

Average cost per session

$155

Therapists in 78751 who prioritize treating:

92% Anxiety
90% Relationship Issues
88% Depression
88% Self Esteem
75% Trauma and PTSD
74% Stress
74% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

80% Aetna
57% BlueCross and BlueShield
49% UnitedHealthcare UHC | UBH

How Therapists in 78751 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78751?

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.