Photo of Christine Camacho, LCPC, Counselor
Christine Camacho
Counselor, LCPC
Verified Verified
Henderson, NV 89077
Christine Camacho is a Licensed Clinical Professional Counselor (licensed in Guam and Nevada) with 10 years of experience in mental health. She is passionate about working with children, adolescents, adults, couples, families, and military veterans. Christine specializes in ADHD, depression, anxiety, grief, trauma, relationships, life transitions, military issues, PTSD, crisis situations, cultural sensitivity, LGBTQ+ issues, and psychiatric illness. She also performs assessments and develops individualized treatment plans for clients. Christine earned her Master of Science in Clinical Psychology at the University of Guam.
Christine Camacho is a Licensed Clinical Professional Counselor (licensed in Guam and Nevada) with 10 years of experience in mental health. She is passionate about working with children, adolescents, adults, couples, families, and military veterans. Christine specializes in ADHD, depression, anxiety, grief, trauma, relationships, life transitions, military issues, PTSD, crisis situations, cultural sensitivity, LGBTQ+ issues, and psychiatric illness. She also performs assessments and develops individualized treatment plans for clients. Christine earned her Master of Science in Clinical Psychology at the University of Guam.
(339) 244-7023 View (339) 244-7023
Photo of Jason Weed, LMHC, Counselor
Jason Weed
Counselor, LMHC
Verified Verified
Henderson, NV 89077
Jason Weed is a Licensed Mental Health Counselor (LMHC) in the state of Florida who has over 3 years of experience treating adolescents, adults, and families seeking help with depression, anxiety, life transitions, trauma, men's/women’s issues, and relationship issues.
Jason Weed is a Licensed Mental Health Counselor (LMHC) in the state of Florida who has over 3 years of experience treating adolescents, adults, and families seeking help with depression, anxiety, life transitions, trauma, men's/women’s issues, and relationship issues.
(339) 244-7023 View (339) 244-7023
Photo of Shannon Smith, PhD, CPC, NCC, RPT, DAPA, Counselor
Shannon Smith
Counselor, PhD, CPC, NCC, RPT, DAPA
Verified Verified
4 Endorsed
Henderson, NV 89077
In response to the recent shootings, I will provide free crisis services to any victims & their family - please contact me via email. Building authentic, genuine, open, & honest relationships are fundamental to my counseling, & have been instrumental for the past 30 years of helping people find their way through difficult times. Although qualified in many counseling approaches, my focus is always on you & your life journey - not a technique. My guarantee is simple - if I can't help you or your loved ones, I'll help find someone who can. I'm far from perfect & make mistakes; but most people know me as kind, caring, & sometimes funny.
In response to the recent shootings, I will provide free crisis services to any victims & their family - please contact me via email. Building authentic, genuine, open, & honest relationships are fundamental to my counseling, & have been instrumental for the past 30 years of helping people find their way through difficult times. Although qualified in many counseling approaches, my focus is always on you & your life journey - not a technique. My guarantee is simple - if I can't help you or your loved ones, I'll help find someone who can. I'm far from perfect & make mistakes; but most people know me as kind, caring, & sometimes funny.
(702) 793-2841 View (702) 793-2841

More Therapists Nearby

Photo of Moisés Santiago, MEd, LMSW, CSW-I, Pre-Licensed Professional
Moisés Santiago
Pre-Licensed Professional, MEd, LMSW, CSW-I
Verified Verified
Online Only
I am a bilingual therapist fluent in Spanish, dedicated to fostering a safe and inclusive environment for individuals navigating their unique journeys. As a queer-identifying professional, my commitment lies in offering a nonjudgmental and collaborative therapeutic approach. My primary objective is to assist clients in comprehending their behaviors and emotions while diving into the root causes that led them to seek therapy. Through a person-centered approach, I tailor my support to meet clients where they are, guiding them through a healing process directed by their own needs and aspirations.
I am a bilingual therapist fluent in Spanish, dedicated to fostering a safe and inclusive environment for individuals navigating their unique journeys. As a queer-identifying professional, my commitment lies in offering a nonjudgmental and collaborative therapeutic approach. My primary objective is to assist clients in comprehending their behaviors and emotions while diving into the root causes that led them to seek therapy. Through a person-centered approach, I tailor my support to meet clients where they are, guiding them through a healing process directed by their own needs and aspirations.
(702) 706-4727 View (702) 706-4727
Photo of Stephanie A Maxfield, LCSW, Clinical Social Work/Therapist
Stephanie A Maxfield
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
My passion lies in helping those who seek calm to find it. My clients typically come to me with anxiety, self-doubt, feelings of being overwhelmed, at times socially isolating. They want to feel better, sleep better, be fulfilled and connected but find themselves with busy minds, an inability to relax, and strained interactions. I offer listening to understand, nurturance to support self-compassion, and exploration of the root of the emotional distress. It is often times the result of chronic trauma, disappointing relationships, and a tendency towards perfectionism.
My passion lies in helping those who seek calm to find it. My clients typically come to me with anxiety, self-doubt, feelings of being overwhelmed, at times socially isolating. They want to feel better, sleep better, be fulfilled and connected but find themselves with busy minds, an inability to relax, and strained interactions. I offer listening to understand, nurturance to support self-compassion, and exploration of the root of the emotional distress. It is often times the result of chronic trauma, disappointing relationships, and a tendency towards perfectionism.
(719) 631-2372 View (719) 631-2372
Photo of Barbara Durdle, MEd, LPC, LMHC, Counselor
Barbara Durdle
Counselor, MEd, LPC, LMHC
Verified Verified
1 Endorsed
Online Only
There are times in all our lives when we need emotional support. Reaching out for professional help takes strength and courage. Whether you are dealing with relationship issues, grief, depression, anxiety, a life transition or an emotional crisis, it can feel overwhelming to carry all of those emotions and worries alone. At times it can be difficult to even know what you want and need. I provide an open-minded, nonjudgemental, nurturing environment where you can feel safe to be yourself and express whatever emotions you are having.
There are times in all our lives when we need emotional support. Reaching out for professional help takes strength and courage. Whether you are dealing with relationship issues, grief, depression, anxiety, a life transition or an emotional crisis, it can feel overwhelming to carry all of those emotions and worries alone. At times it can be difficult to even know what you want and need. I provide an open-minded, nonjudgemental, nurturing environment where you can feel safe to be yourself and express whatever emotions you are having.
(360) 227-0836 View (360) 227-0836
Photo of Julian Katz - Kindbridge Behavioral Health, LPC, Counselor
Kindbridge Behavioral Health
Counselor, LPC
Verified Verified
Online Only
Experience working in multiple settings, including private practice and community healthcare. I look to help clients struggling with gambling addiction, drug and alcohol addiction, and other mental health disorders.
Experience working in multiple settings, including private practice and community healthcare. I look to help clients struggling with gambling addiction, drug and alcohol addiction, and other mental health disorders.
(702) 766-9125 View (702) 766-9125
Photo of Irene Monique Mascetti, MA, LCADC-S, CPC, Licensed Professional Counselor
Irene Monique Mascetti
Licensed Professional Counselor, MA, LCADC-S, CPC
Verified Verified
2 Endorsed
Online Only
“There are no failures, just discoveries.” I am committed to working with you to create healing from difficult situations. I specialize in addiction, mental health and trauma care. I will be here to uplift and support you in your work to discover your truth in difficulty.
“There are no failures, just discoveries.” I am committed to working with you to create healing from difficult situations. I specialize in addiction, mental health and trauma care. I will be here to uplift and support you in your work to discover your truth in difficulty.
(505) 398-7145 View (505) 398-7145
Photo of Marc Tedoff - Applied Behavior Analysis Institute, Inc, PhD, BCBA, LBA
Applied Behavior Analysis Institute, Inc
Behavior Analyst, PhD, BCBA, LBA
Verified Verified
Las Vegas, NV 89107
Applied Behavior Analysis Institute has been providing in-home, research-based autism treatment and parent training since 2011. We use standardized assessments, caretaker interview, observation, and review of documents from schools and other providers (e.g., schools and outside therapists) to develop treatment plans specific to our clients' needs based on their skill sets and environmental needs. We focus treatment in all five developmental domains including: Cognitive, Motor, Social, Communication, and Adaptive Living Skills. We also assist parents in navigating the IEP development process with their child's school.
Applied Behavior Analysis Institute has been providing in-home, research-based autism treatment and parent training since 2011. We use standardized assessments, caretaker interview, observation, and review of documents from schools and other providers (e.g., schools and outside therapists) to develop treatment plans specific to our clients' needs based on their skill sets and environmental needs. We focus treatment in all five developmental domains including: Cognitive, Motor, Social, Communication, and Adaptive Living Skills. We also assist parents in navigating the IEP development process with their child's school.
(505) 587-0722 View (505) 587-0722
Photo of Lauren E. Taylor, LMFT, Marriage & Family Therapist
Lauren E. Taylor
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
You're wanting a space to offer safety, and understanding but also a place where you could attain lasting skills and insight for reprieve and resolution. You wake up each morning just trying to keep it together, but are often flooded with irritability, worry, sorrow and feeling stuck. It feels like you can barely keep your head above water for longer than a day or two at a time and you long for a season where you can feel contentment and satisfaction. Whether you are walking through divorce, rebuilding after abuse or unpacking heavy loads of stress from everyday life, I am in your corner and we can work toward lasting peace.
You're wanting a space to offer safety, and understanding but also a place where you could attain lasting skills and insight for reprieve and resolution. You wake up each morning just trying to keep it together, but are often flooded with irritability, worry, sorrow and feeling stuck. It feels like you can barely keep your head above water for longer than a day or two at a time and you long for a season where you can feel contentment and satisfaction. Whether you are walking through divorce, rebuilding after abuse or unpacking heavy loads of stress from everyday life, I am in your corner and we can work toward lasting peace.
(858) 786-0676 View (858) 786-0676
Photo of Jennifer Deas, LCSW, Clinical Social Work/Therapist
Jennifer Deas
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Are you tired of feeling sad, anxious, angry, fearful, frustrated, or any sort of feelings? Do you feel like you no one understands you even your family and loved ones? You are dealing with something really hard, but you don’t have to do it alone. I have a wide range of experience working successfully with individuals, couples, families, and adolescents. I specialize in helping people who suffer from family conflict, substance use, trauma, depression, grief, and anxiety.
Are you tired of feeling sad, anxious, angry, fearful, frustrated, or any sort of feelings? Do you feel like you no one understands you even your family and loved ones? You are dealing with something really hard, but you don’t have to do it alone. I have a wide range of experience working successfully with individuals, couples, families, and adolescents. I specialize in helping people who suffer from family conflict, substance use, trauma, depression, grief, and anxiety.
(725) 215-6228 View (725) 215-6228
Photo of Tyacamellia (Tya) Stone, MA, LMFT, Marriage & Family Therapist
Tyacamellia (Tya) Stone
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
If you’re reading this page, my guess is that you’ve finally had enough, and finally feel ready to reach out for help. How you feel about yourself doesn’t align with how you’d like to feel, and your relationships aren’t turning out the way you hoped they would. You worry so much that you worry about worrying, and you get lost in made-up scenarios of "what if..." Maybe you aren’t sure how to ask for what you want, and declare what you need. Maybe you grew up in a home where your family didn't take good care of you, or someone you trusted betrayed you. Past pains still hurt, and you aren’t sure how to heal. You're in the right place!
If you’re reading this page, my guess is that you’ve finally had enough, and finally feel ready to reach out for help. How you feel about yourself doesn’t align with how you’d like to feel, and your relationships aren’t turning out the way you hoped they would. You worry so much that you worry about worrying, and you get lost in made-up scenarios of "what if..." Maybe you aren’t sure how to ask for what you want, and declare what you need. Maybe you grew up in a home where your family didn't take good care of you, or someone you trusted betrayed you. Past pains still hurt, and you aren’t sure how to heal. You're in the right place!
(775) 377-7253 View (775) 377-7253
Photo of Stephen M. Stepanovich, MS, LMFT, EFCT, Marriage & Family Therapist
Stephen M. Stepanovich
Marriage & Family Therapist, MS, LMFT, EFCT
Verified Verified
Las Vegas, NV 89120
Welcoming new clients into my practice, I bring a firm yet compassionate approach to couples therapy. With a focus on married and pre-marriage counseling, I'm here to guide you and your partner through breaking the cycle of pain and discord. Together, we'll delve into emotionally focused therapy, transforming your communication style into a shared language of understanding and empathy. It's time to confront the obstacles that hinder your connection and rediscover the profound harmony you once shared. Let's embark on this journey towards lasting love and mutual respect.
Welcoming new clients into my practice, I bring a firm yet compassionate approach to couples therapy. With a focus on married and pre-marriage counseling, I'm here to guide you and your partner through breaking the cycle of pain and discord. Together, we'll delve into emotionally focused therapy, transforming your communication style into a shared language of understanding and empathy. It's time to confront the obstacles that hinder your connection and rediscover the profound harmony you once shared. Let's embark on this journey towards lasting love and mutual respect.
(702) 803-3258 View (702) 803-3258
Photo of Lileana B. Roque, LCSW, CCTP II, CSOTP, Clinical Social Work/Therapist
Lileana B. Roque
Clinical Social Work/Therapist, LCSW, CCTP II, CSOTP
Verified Verified
2 Endorsed
Online Only
Therapy can be an intimidating process. My goal is to make the experience as easy to engage in as possible. I utilize integrative approaches to therapy, based on the needs of each client. I typically work from a strength-based and trauma-focused approach to treatment that is rooted in attachment-based, psychodynamic, and person-centered modalities.
Therapy can be an intimidating process. My goal is to make the experience as easy to engage in as possible. I utilize integrative approaches to therapy, based on the needs of each client. I typically work from a strength-based and trauma-focused approach to treatment that is rooted in attachment-based, psychodynamic, and person-centered modalities.
(702) 208-9080 View (702) 208-9080
Photo of Priscilla Otoo-Adjorlolo - Commitment Revival Lab, LCSW, Clinical Social Work/Therapist
Commitment Revival Lab
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89119
Facing the whirlwind of betrayal? Feel like trust is a distant dream? You're not alone. Our ideal clients are couples tangled in the web of infidelity, seeking a beacon of hope. They crave healing and renewal, yearning to rebuild a partnership that's not just surviving but thriving. Why settle for a shadow of what your relationship could be when you can embrace its full potential? With expert guidance, personalized strategies, and a community of support, we help you navigate from despair to a future brimming with possibility. Ready to transform your love story into a testament of triumph? Your journey starts here.
Facing the whirlwind of betrayal? Feel like trust is a distant dream? You're not alone. Our ideal clients are couples tangled in the web of infidelity, seeking a beacon of hope. They crave healing and renewal, yearning to rebuild a partnership that's not just surviving but thriving. Why settle for a shadow of what your relationship could be when you can embrace its full potential? With expert guidance, personalized strategies, and a community of support, we help you navigate from despair to a future brimming with possibility. Ready to transform your love story into a testament of triumph? Your journey starts here.
(725) 800-9264 View (725) 800-9264
Photo of Linda Del Aguila, MA, MFT-I, Marriage & Family Therapist Intern
Linda Del Aguila
Marriage & Family Therapist Intern, MA, MFT-I
Verified Verified
1 Endorsed
Las Vegas, NV 89148
Waitlist for new clients
If you are experiencing anxiety, depression, relationship issues, health concerns, career blocks, and feel overwhelmed, I can help! I can support you in believing in yourself, embracing confidence, and developing self-compassion. As a therapist, I enjoy creating safe environments, cultivating authentic relationships with clients, and collaborating to bring about positive change. I am curious to learn about the environments where you have thrived and those in which you have endured pain.
If you are experiencing anxiety, depression, relationship issues, health concerns, career blocks, and feel overwhelmed, I can help! I can support you in believing in yourself, embracing confidence, and developing self-compassion. As a therapist, I enjoy creating safe environments, cultivating authentic relationships with clients, and collaborating to bring about positive change. I am curious to learn about the environments where you have thrived and those in which you have endured pain.
(702) 803-3545 View (702) 803-3545
Photo of Yasmin Tamayo, LCSW, Clinical Social Work/Therapist
Yasmin Tamayo
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
Life Transitions bring along ups and downs; and such can be difficult, overwhelming and even scary. If you are in a place in your life where change is imminent due relocations, careers, lifestyles, or losing a loved one to divorce or natural causes, I am here to assist you. I enjoy working with clients who are willing to explore outside their comfort zone. My approach is nurturing, and respectful while direct and honest. I approach each session with warmth, compassion, and relatability while creating a safe and non-judgmental environment. My professional experience includes domestic violence, suicide prevention, minority groups,
Life Transitions bring along ups and downs; and such can be difficult, overwhelming and even scary. If you are in a place in your life where change is imminent due relocations, careers, lifestyles, or losing a loved one to divorce or natural causes, I am here to assist you. I enjoy working with clients who are willing to explore outside their comfort zone. My approach is nurturing, and respectful while direct and honest. I approach each session with warmth, compassion, and relatability while creating a safe and non-judgmental environment. My professional experience includes domestic violence, suicide prevention, minority groups,
(702) 728-4602 View (702) 728-4602
Photo of Stephaney Cooper - Stephaney Cooper - NOCD, LMFT, Marriage & Family Therapist
Stephaney Cooper - NOCD
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I am passionate about helping people and that is why I love working with people in areas they may feel stuck to create positive changes. I believe it is important to create a safe non-judgmental atmosphere where we normalize experiences and collaborate. I specialize in working with anxiety and trauma and work hard on teaching you skills and tools to have long-term relief. At NOCD, my team and I specialize in providing evidence-based treatment for OCD.
I am passionate about helping people and that is why I love working with people in areas they may feel stuck to create positive changes. I believe it is important to create a safe non-judgmental atmosphere where we normalize experiences and collaborate. I specialize in working with anxiety and trauma and work hard on teaching you skills and tools to have long-term relief. At NOCD, my team and I specialize in providing evidence-based treatment for OCD.
(725) 307-5158 View (725) 307-5158
Photo of Melissa Stolsig, PsyD, MS, MA, Psychologist
Melissa Stolsig
Psychologist, PsyD, MS, MA
Verified Verified
Online Only
I work with adults of any age willing to engage in therapy to heal, grow or simply feel better. I am able to work with a variety of people from different populations due to my non-judgmental stance and curiosity about other people. I am adept at working with individuals who experience multiple problems simultaneously due to my willingness to work with other providers and supportive group/individual services. I specialize in dealing with chronic/developmental trauma, managing psychological sequelae due to chronic medical conditions, and working with anxiety and depression with cultural curiosity and humility.
I work with adults of any age willing to engage in therapy to heal, grow or simply feel better. I am able to work with a variety of people from different populations due to my non-judgmental stance and curiosity about other people. I am adept at working with individuals who experience multiple problems simultaneously due to my willingness to work with other providers and supportive group/individual services. I specialize in dealing with chronic/developmental trauma, managing psychological sequelae due to chronic medical conditions, and working with anxiety and depression with cultural curiosity and humility.
(805) 312-7832 View (805) 312-7832
Photo of Andrea Rapanos, LCSW, Clinical Social Work/Therapist
Andrea Rapanos
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Andrea Rapanos and I am a licensed Clinical Social Worker based in Nevada and working with clients via telehealth statewide. I work with children, adolescents, adults, and couples and specialize in grief and loss, anxiety, stress/burnout, relationship issues, and medical trauma. I use cognitive behavior therapy, trauma-focused cognitive behavior therapy, and solutions focused therapy to assist those I am working with on their path to wellness.
My name is Andrea Rapanos and I am a licensed Clinical Social Worker based in Nevada and working with clients via telehealth statewide. I work with children, adolescents, adults, and couples and specialize in grief and loss, anxiety, stress/burnout, relationship issues, and medical trauma. I use cognitive behavior therapy, trauma-focused cognitive behavior therapy, and solutions focused therapy to assist those I am working with on their path to wellness.
(323) 643-8569 View (323) 643-8569

See more therapy options for 89077

How does your Therapist compare?

Number of Therapists in 89077

< 10

Therapists in 89077 who prioritize treating:

100% Depression
100% Anxiety
100% ADHD
100% Grief
100% Divorce
100% Anger Management
100% Behavioral Issues

Average years in practice

31 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in 89077 see their clients

100% In Person and Online

Gender breakdown

66% Male
34% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 89077?

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.