Therapists in 80134

Photo of Nicole Dodd, Clinical Social Work/Therapist, LPC
Nicole Dodd
Clinical Social Work/Therapist, LPC
Parker, CO 80134
Relationships can be as puzzling as they are exciting. Counseling is a commitment of your time and energy and oftentimes people can wait too long before they seek help. Regardless of where you are in your journey, I will be your advocate; helping you navigate this complex thing we call life. I enjoy working with couples, individuals, teens or adult families offering them the tools needed to communicate effectively, manage their own strong feelings, challenge and overcome obstacles and maintain healthy boundaries to move forward in all aspects of their lives.
Relationships can be as puzzling as they are exciting. Counseling is a commitment of your time and energy and oftentimes people can wait too long before they seek help. Regardless of where you are in your journey, I will be your advocate; helping you navigate this complex thing we call life. I enjoy working with couples, individuals, teens or adult families offering them the tools needed to communicate effectively, manage their own strong feelings, challenge and overcome obstacles and maintain healthy boundaries to move forward in all aspects of their lives.
(720) 702-1498 View (720) 702-1498
Photo of Ryan S Kimball, Psychologist, PhD
Ryan S Kimball
Psychologist, PhD
Parker, CO 80134
It is a privilege to witness people reclaiming their lives and experiencing the profound satisfaction that comes from living a values-centered life. I have been fortunate to attend a doctoral training program, internship, and postdoctoral residency that were each accredited by the American Psychological Association, which helped ensure a high-caliber training environment, which was also quite varied in settings, approaches, and diagnoses. During our sessions, I will guide, encourage, and teach you. The work you do between sessions will be the most important as you grow and change in profound ways.
It is a privilege to witness people reclaiming their lives and experiencing the profound satisfaction that comes from living a values-centered life. I have been fortunate to attend a doctoral training program, internship, and postdoctoral residency that were each accredited by the American Psychological Association, which helped ensure a high-caliber training environment, which was also quite varied in settings, approaches, and diagnoses. During our sessions, I will guide, encourage, and teach you. The work you do between sessions will be the most important as you grow and change in profound ways.
(720) 706-7079 View (720) 706-7079
Photo of Cathryn Pacheco, Licensed Professional Counselor Candidate, BS, LPCC, MFTC
Cathryn Pacheco
Licensed Professional Counselor Candidate, BS, LPCC, MFTC
8 Endorsed
Parker, CO 80134
My passion is working closely with families and couples, helping them navigate life’s challenges, building on their strengths, and fostering genuine connections. I deeply respect the unique stories that each family and couple bring to the counseling room. I honor these narratives by providing personalized, evidence-based therapies tailored to their specific needs. Creating a safe and empathetic environment where clients feel truly seen and understood is my top priority.
My passion is working closely with families and couples, helping them navigate life’s challenges, building on their strengths, and fostering genuine connections. I deeply respect the unique stories that each family and couple bring to the counseling room. I honor these narratives by providing personalized, evidence-based therapies tailored to their specific needs. Creating a safe and empathetic environment where clients feel truly seen and understood is my top priority.
(720) 730-6029 View (720) 730-6029
Photo of Kristel Strother, Counselor, LPCC
Kristel Strother
Counselor, LPCC
3 Endorsed
Parker, CO 80134
Are you struggling in your relationship? Are you feeling anxious, depressed, or triggered? Maybe there are some decisions that have been really tough to make lately. I am passionate about helping couples and individuals lead more fulfilling lives. I utilize cutting-edge and research-based interventions to guide clients who struggle with their inner-being (depression and anxiety), their relationships (family of origins, their partners, etc.), and those who lack career satisfaction or purpose. Do you desire stronger and deeper connection in your relationships? You are not alone in this journey.
Are you struggling in your relationship? Are you feeling anxious, depressed, or triggered? Maybe there are some decisions that have been really tough to make lately. I am passionate about helping couples and individuals lead more fulfilling lives. I utilize cutting-edge and research-based interventions to guide clients who struggle with their inner-being (depression and anxiety), their relationships (family of origins, their partners, etc.), and those who lack career satisfaction or purpose. Do you desire stronger and deeper connection in your relationships? You are not alone in this journey.
(720) 868-9847 View (720) 868-9847
Photo of Connor Garvey, Clinical Social Work/Therapist, LCSW
Connor Garvey
Clinical Social Work/Therapist, LCSW
3 Endorsed
Parker, CO 80134
I work with individuals, couples, and families navigating anxiety, trauma, relationship challenges, life stress, and major life transitions. I offer therapy that can include equine and canine-assisted work alongside traditional talk therapy. Many of my clients feel overwhelmed, stuck in patterns that are difficult to change, or unsure how to move forward. Together we focus on building practical coping skills, increasing self-understanding, and creating meaningful and lasting change.
I work with individuals, couples, and families navigating anxiety, trauma, relationship challenges, life stress, and major life transitions. I offer therapy that can include equine and canine-assisted work alongside traditional talk therapy. Many of my clients feel overwhelmed, stuck in patterns that are difficult to change, or unsure how to move forward. Together we focus on building practical coping skills, increasing self-understanding, and creating meaningful and lasting change.
(720) 223-1733 View (720) 223-1733
Photo of Michelle Gerbozy, Clinical Social Work/Therapist, LCSW
Michelle Gerbozy
Clinical Social Work/Therapist, LCSW
8 Endorsed
Parker, CO 80134
Intuition may have led you here not because you know exactly what is wrong, but because something doesn't feel right. I look forward to guiding you back to the health you seek. You are not broken or "damaged" by trauma, abuse, or relationship fracture, you have just lost your way. You know this because anxiety, depression and self doubt have shown up like a relentless storm threatening to capsize you. Sadly, this may even be at its worst within a relationship that should offer nurturing and growth but instead is toxic and painful. I can help you create your life worth living, and thrive in it.
Intuition may have led you here not because you know exactly what is wrong, but because something doesn't feel right. I look forward to guiding you back to the health you seek. You are not broken or "damaged" by trauma, abuse, or relationship fracture, you have just lost your way. You know this because anxiety, depression and self doubt have shown up like a relentless storm threatening to capsize you. Sadly, this may even be at its worst within a relationship that should offer nurturing and growth but instead is toxic and painful. I can help you create your life worth living, and thrive in it.
(303) 390-4023 View (303) 390-4023
Photo of Andrea Houdek, Marriage & Family Therapist, MA, LMFT, CAGCS, NPT-C
Andrea Houdek
Marriage & Family Therapist, MA, LMFT, CAGCS, NPT-C
Parker, CO 80134
Communication, boundaries and emotional regulation may be tough to navigate in relationships. Creating a new narrative for yourself and your relationship can be enriching and empowering. It you are interested in healing and growing your partnership, give me a call (I offer a free 15 minute initial consult). I work with individuals who are searching for ways to stretch and grow their unique skill sets and talents or maybe to finally explore who they really are. In life, we can get stuck with the busyness of daily life, experience intense exhaustion of showing up for others and forget to care for ourselves. Call me and let's chat!
Communication, boundaries and emotional regulation may be tough to navigate in relationships. Creating a new narrative for yourself and your relationship can be enriching and empowering. It you are interested in healing and growing your partnership, give me a call (I offer a free 15 minute initial consult). I work with individuals who are searching for ways to stretch and grow their unique skill sets and talents or maybe to finally explore who they really are. In life, we can get stuck with the busyness of daily life, experience intense exhaustion of showing up for others and forget to care for ourselves. Call me and let's chat!
(720) 330-3365 View (720) 330-3365
Photo of Chris DiMarcella, Licensed Professional Counselor, LPC
Chris DiMarcella
Licensed Professional Counselor, LPC
Parker, CO 80134
Therapy can be intimidating, finding the right therapist to work with, can feel downright overwhelming. My focus, in therapy, is to create a safe and meaningful space; a space where you feel respected and heard. Through building a meaningful relationship, we can foster growth and ultimately a place to heal. My focus is working with people struggling with life, whether it be anxiety, depression, or trauma. In addition to working with individuals, I also work with couples who may be struggling with their relationship and navigating healthy interactions.
Therapy can be intimidating, finding the right therapist to work with, can feel downright overwhelming. My focus, in therapy, is to create a safe and meaningful space; a space where you feel respected and heard. Through building a meaningful relationship, we can foster growth and ultimately a place to heal. My focus is working with people struggling with life, whether it be anxiety, depression, or trauma. In addition to working with individuals, I also work with couples who may be struggling with their relationship and navigating healthy interactions.
(720) 571-4250 View (720) 571-4250
Photo of Marie Olivett, Clinical Social Work/Therapist, LCSW
Marie Olivett
Clinical Social Work/Therapist, LCSW
Parker, CO 80134
I am a Licensed Clinical Social Worker and Licensed Addiction Counselor with a background in trauma, attachment, and animal-assisted interventions. I have worked with youth and their families in a therapeutic setting conducting individual, family, and group counseling. I enjoy exploring how to maximize the natural world and the existing supports in your life. I am a trained facilitator for Circle of Security, a parenting program, and enjoy supporting parents from birth onwards. I am also well-versed in supporting people exploring issues around faith/religion, pet selection, and career exploration.
I am a Licensed Clinical Social Worker and Licensed Addiction Counselor with a background in trauma, attachment, and animal-assisted interventions. I have worked with youth and their families in a therapeutic setting conducting individual, family, and group counseling. I enjoy exploring how to maximize the natural world and the existing supports in your life. I am a trained facilitator for Circle of Security, a parenting program, and enjoy supporting parents from birth onwards. I am also well-versed in supporting people exploring issues around faith/religion, pet selection, and career exploration.
(720) 770-4162 View (720) 770-4162
Photo of Zachary James Walker, Licensed Professional Counselor Candidate, LPCC
Zachary James Walker
Licensed Professional Counselor Candidate, LPCC
Parker, CO 80134
Life can bring challenges that feel too heavy to carry alone. I offer a grounded, compassionate space for you to find your footing. Whether you are navigating anxiety, stress, behavioral hurdles, or facing the complexities of neurodivergence, addiction, or trauma, I provide support tailored to your unique journey. My practice centers on building resilience and self-esteem, helping you learn practical tools and skills to move from a state of survival toward a stable, fulfilling life that you deserve.
Life can bring challenges that feel too heavy to carry alone. I offer a grounded, compassionate space for you to find your footing. Whether you are navigating anxiety, stress, behavioral hurdles, or facing the complexities of neurodivergence, addiction, or trauma, I provide support tailored to your unique journey. My practice centers on building resilience and self-esteem, helping you learn practical tools and skills to move from a state of survival toward a stable, fulfilling life that you deserve.
(720) 727-9134 View (720) 727-9134
Photo of Linda S. Gunther, Licensed Professional Counselor, MA, LPC
Linda S. Gunther
Licensed Professional Counselor, MA, LPC
Parker, CO 80134
Life's journey sometimes wounds people and breaks down families, marriages and destroys relationships. I provide a safe and peaceful environment so that we can bring about healing together by renewing the spirt and rebuilding hope to restore the individual and their relationships. I take a holistic and solution focused approach that deals with a person on a physical, emotional and spiritual level. I am a licensed professional counselor and have been in private practice for 20 years. I have worked with individuals, couples and families as well as with adolescents.
Life's journey sometimes wounds people and breaks down families, marriages and destroys relationships. I provide a safe and peaceful environment so that we can bring about healing together by renewing the spirt and rebuilding hope to restore the individual and their relationships. I take a holistic and solution focused approach that deals with a person on a physical, emotional and spiritual level. I am a licensed professional counselor and have been in private practice for 20 years. I have worked with individuals, couples and families as well as with adolescents.
(303) 680-6690 View (303) 680-6690
Photo of Sarah Spurlock - Denver Counseling Solutions, Marriage & Family Therapist, MA, LMFT
Denver Counseling Solutions
Marriage & Family Therapist, MA, LMFT
Parker, CO 80134
As counselors and therapists, our team at Denver Counseling Solutions is here to facilitate change in your life, offer hope, and support you to achieve your goals. Everyone has a story. We want to hear your story and help you create a narrative for the future. Life is a constant state of growth and transition. Let's process your situation together. We provide guidance and solutions to help you achieve your desires and potential. The beginning of the healing process begins here.
As counselors and therapists, our team at Denver Counseling Solutions is here to facilitate change in your life, offer hope, and support you to achieve your goals. Everyone has a story. We want to hear your story and help you create a narrative for the future. Life is a constant state of growth and transition. Let's process your situation together. We provide guidance and solutions to help you achieve your desires and potential. The beginning of the healing process begins here.
(720) 608-4063 View (720) 608-4063
Photo of Michelle Shewmake, Clinical Social Work/Therapist, LCSW
Michelle Shewmake
Clinical Social Work/Therapist, LCSW
Parker, CO 80134
My passion is helping your child, tween or teen use their strengths to work through problems that are preventing them from being their best selves. I am available for youth facing a variety of issues, including bullying, family issues (ie, sibling issues, divorce, blended families), mental health conditions (ADHD, depression, anxiety, mood dysregulation, self-harm, suicidality), trauma, grief, substance abuse/use, peer/relational issues, or academic struggles. LGBTQ+ & gender diverse ally!
My passion is helping your child, tween or teen use their strengths to work through problems that are preventing them from being their best selves. I am available for youth facing a variety of issues, including bullying, family issues (ie, sibling issues, divorce, blended families), mental health conditions (ADHD, depression, anxiety, mood dysregulation, self-harm, suicidality), trauma, grief, substance abuse/use, peer/relational issues, or academic struggles. LGBTQ+ & gender diverse ally!
(855) 914-5487 View (855) 914-5487
Photo of Connie Hines, Psychologist, LPC
Connie Hines
Psychologist, LPC
Parker, CO 80134
I enjoy lifting others up and helping them discover their own worth and believe in themselves. I seek to help others discover meaning in their lives and find peace of mind. There is nothing better than laying your head down at night, and enjoying the peace of mind that comes with understanding yourself and finding purpose in your journey.
I enjoy lifting others up and helping them discover their own worth and believe in themselves. I seek to help others discover meaning in their lives and find peace of mind. There is nothing better than laying your head down at night, and enjoying the peace of mind that comes with understanding yourself and finding purpose in your journey.
(720) 923-8512 View (720) 923-8512
Photo of Brittany C. Kearns, Counselor, LPC, LMHC, MA
Brittany C. Kearns
Counselor, LPC, LMHC, MA
Parker, CO 80134
Do you feel like you've tried everything and you still feel STUCK? You've tried the shadow work, the journaling, medication, positive thinking, the mindset shifts, and the daily affirmations but nothing seems to truly transform? It can lead to resignation or hopelessness if left unchecked. My approach is a combination of body-based attunement (because the body is where trauma is stored, not the mind), rewiring old patterns from childhood attachment wounds, and using neuroplasticity to create the life and peace you crave. I tailor each treatment plan to the unique needs of every client, you will never feel like just a number.
Do you feel like you've tried everything and you still feel STUCK? You've tried the shadow work, the journaling, medication, positive thinking, the mindset shifts, and the daily affirmations but nothing seems to truly transform? It can lead to resignation or hopelessness if left unchecked. My approach is a combination of body-based attunement (because the body is where trauma is stored, not the mind), rewiring old patterns from childhood attachment wounds, and using neuroplasticity to create the life and peace you crave. I tailor each treatment plan to the unique needs of every client, you will never feel like just a number.
(720) 615-3087 View (720) 615-3087
Photo of Lisa Stull - Comprehensive Counseling Solutions, Marriage & Family Therapist, MS, LMFT-S
Comprehensive Counseling Solutions
Marriage & Family Therapist, MS, LMFT-S
9 Endorsed
Parker, CO 80134
At Comprehensive Counseling Solutions, we’re dedicated to helping clients navigate their unique challenges and achieve their personal goals. We offer a variety of services to support your mental health journey, including individual therapy, family therapy, couples counseling, and specialized support groups. We also host free community seminars and Gottman couples workshops to foster growth, connection, and healing. Our compassionate, experienced therapists work with you to build resilience, improve relationships, and support your overall well-being in a safe, welcoming environment using evidenced based practices.
At Comprehensive Counseling Solutions, we’re dedicated to helping clients navigate their unique challenges and achieve their personal goals. We offer a variety of services to support your mental health journey, including individual therapy, family therapy, couples counseling, and specialized support groups. We also host free community seminars and Gottman couples workshops to foster growth, connection, and healing. Our compassionate, experienced therapists work with you to build resilience, improve relationships, and support your overall well-being in a safe, welcoming environment using evidenced based practices.
(720) 358-7490 View (720) 358-7490
Photo of Kristian Miranda, Marriage & Family Therapist, LMFT
Kristian Miranda
Marriage & Family Therapist, LMFT
Parker, CO 80134
I like to work from a collaborative, client centered approach. Clients will experience a safe environment with unconditional positive regard, honesty, direct communication, and collaboration to help establish a solid relationship from which they can create and strive to achieve their mental health goals. I use a blend of evidence-based treatments including psychodynamic therapy, cognitive behavioral therapy, dialectical behavior therapy, family therapy and mindfulness-based interventions.
I like to work from a collaborative, client centered approach. Clients will experience a safe environment with unconditional positive regard, honesty, direct communication, and collaboration to help establish a solid relationship from which they can create and strive to achieve their mental health goals. I use a blend of evidence-based treatments including psychodynamic therapy, cognitive behavioral therapy, dialectical behavior therapy, family therapy and mindfulness-based interventions.
(877) 313-9360 View (877) 313-9360
Photo of Tamera Fernando, Counselor, MA, AT, LPC, NCC, NPT-C
Tamera Fernando
Counselor, MA, AT, LPC, NCC, NPT-C
3 Endorsed
Parker, CO 80134
Our foundational beliefs, values, experiences, and attitudes are the foundation upon which everything that comes into our lives is built. Like building a home, if a stone in the foundation is skewed, the house is structurally compromised. When we experience trauma or negative experiences, everything that touches upon that foundation is compromised. This can lead to anxiety, depression, relationship issues, low self-esteem, suicidal thoughts, PTSD, and a loss of life direction, just to name a few possible results. We all can restructure our lives through processing and perspective.
Our foundational beliefs, values, experiences, and attitudes are the foundation upon which everything that comes into our lives is built. Like building a home, if a stone in the foundation is skewed, the house is structurally compromised. When we experience trauma or negative experiences, everything that touches upon that foundation is compromised. This can lead to anxiety, depression, relationship issues, low self-esteem, suicidal thoughts, PTSD, and a loss of life direction, just to name a few possible results. We all can restructure our lives through processing and perspective.
(720) 868-9414 View (720) 868-9414
Photo of MacKenzie McGuire, Clinical Social Work/Therapist, LCSW
MacKenzie McGuire
Clinical Social Work/Therapist, LCSW
1 Endorsed
Parker, CO 80134
Welcome, and thank you for taking the first courageous step in finding a therapist. It can be a daunting task, from determining if it is the right fit for you to finding confidence in your own capacity to grow and heal. I specialize in developing a collaborative relationship with clients who may have challenging relationships with food and their bodies, struggle with intimacy issues, anxiety, depression, and pregnancy and postpartum difficulties.
Welcome, and thank you for taking the first courageous step in finding a therapist. It can be a daunting task, from determining if it is the right fit for you to finding confidence in your own capacity to grow and heal. I specialize in developing a collaborative relationship with clients who may have challenging relationships with food and their bodies, struggle with intimacy issues, anxiety, depression, and pregnancy and postpartum difficulties.
(720) 571-8993 View (720) 571-8993
Photo of Ray Gornell, Psychologist, PsyD, ABPP
Ray Gornell
Psychologist, PsyD, ABPP
Parker, CO 80134
Welcome to my practice! If this is the first time you are looking into therapy, there may be a twinge of anxiety about the process, but I want to invite you to ask any questions during a free consultation discussion. I offer affordable fees for those who are in the situation of not having insurance or the resources to pay out of pocket for the standard full fee. I believe more accessible care is needed and I offer quality care that is affordable for individuals who may otherwise have difficulty finding a therapist because of cost or lack of insurance. So, a portion of my practice is set aside for this purpose.
Welcome to my practice! If this is the first time you are looking into therapy, there may be a twinge of anxiety about the process, but I want to invite you to ask any questions during a free consultation discussion. I offer affordable fees for those who are in the situation of not having insurance or the resources to pay out of pocket for the standard full fee. I believe more accessible care is needed and I offer quality care that is affordable for individuals who may otherwise have difficulty finding a therapist because of cost or lack of insurance. So, a portion of my practice is set aside for this purpose.
(720) 790-7416 View (720) 790-7416

See more therapy options for 80134

How does your Therapist compare?

Number of Therapists in 80134

700+

Average cost per session

$130

Therapists in 80134 who prioritize treating:

96% Anxiety
89% Depression
75% Trauma and PTSD
73% Stress
66% Grief
65% Relationship Issues
61% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

92% Aetna
86% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in 80134 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 80134?

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.