Therapists in 91405

Photo of Maryam Ashraf, Clinical Social Work/Therapist in 91405, CA
Maryam Ashraf
Clinical Social Work/Therapist, LCSW, EMDR
Verified
Van Nuys, CA 91405
Do you find yourself struggling with anxiety, depression, grief, self-esteem, identity, and difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, DBT, CBT, IFS, and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
Do you find yourself struggling with anxiety, depression, grief, self-esteem, identity, and difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, DBT, CBT, IFS, and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
(323) 693-8601 View (323) 693-8601
Photo of Guadalupe Avitia, Marriage & Family Therapist Associate in 91405, CA
Guadalupe Avitia
Marriage & Family Therapist Associate, AMFT
Verified
1 Endorsed
Van Nuys, CA 91405
If you're feeling overwhelmed by life's challenges, know that you don't have to face them alone. I offer a compassionate, safe space where your thoughts and feelings are welcomed and respected. Together, we can explore your experiences, unravel the complexities of your emotions, and work towards the goals that matter most to you. Whether you're navigating relationship issues, grappling with anxiety or depression, or seeking to heal from trauma, my approach is tailored to meet you where you are.
If you're feeling overwhelmed by life's challenges, know that you don't have to face them alone. I offer a compassionate, safe space where your thoughts and feelings are welcomed and respected. Together, we can explore your experiences, unravel the complexities of your emotions, and work towards the goals that matter most to you. Whether you're navigating relationship issues, grappling with anxiety or depression, or seeking to heal from trauma, my approach is tailored to meet you where you are.
(323) 968-6796 View (323) 968-6796
Photo of Katrina Bullard, Clinical Social Work/Therapist in 91405, CA
Katrina Bullard
Clinical Social Work/Therapist, LCSW
Verified
Van Nuys, CA 91405
Hello, I'm Katrina. I am a Licensed Clinical Social Worker who believes people do better when they have support. So, this is what I do with those who choose to join in a collaboration with me to face their challenges and establish goals they undercover. Clients with chronic medical conditions that are causing them stress and disability. Clients who have co-dependency issues which have caused somatic conditions. Also, these conditions often cause depression and anxiety due to a person's limited abilities which I am comfortable treating.
Hello, I'm Katrina. I am a Licensed Clinical Social Worker who believes people do better when they have support. So, this is what I do with those who choose to join in a collaboration with me to face their challenges and establish goals they undercover. Clients with chronic medical conditions that are causing them stress and disability. Clients who have co-dependency issues which have caused somatic conditions. Also, these conditions often cause depression and anxiety due to a person's limited abilities which I am comfortable treating.
(323) 471-1238 View (323) 471-1238
Photo of Janelle De Veyra, Marriage & Family Therapist in 91405, CA
Janelle De Veyra
Marriage & Family Therapist, LMFT
Verified
Van Nuys, CA 91405
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
(323) 310-9730 View (323) 310-9730
Photo of Nicole Gibson, Marriage & Family Therapist in 91405, CA
Nicole Gibson
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
Van Nuys, CA 91405  (Online Only)
Hello & Welcome. My name is Nicole and I'm a licensed marriage and family therapist in CA (LMFT 94690). My goal is to support BIPOC and LGBTQIA+ clients in exploring identity and cultural influences in their lives. By encouraging self-validation and empowerment, I aim to provide a space that is supportive of your growth. The clients I serve are generally seeking therapy due to issues with parenting, interracial relationships, and/or women's issues. In addition to being an LMFT, I am a certified Reiki Master and Spiritual Wellness Coach. This allows me to utilize mindfulness and energy work along with the therapeutic healing.
Hello & Welcome. My name is Nicole and I'm a licensed marriage and family therapist in CA (LMFT 94690). My goal is to support BIPOC and LGBTQIA+ clients in exploring identity and cultural influences in their lives. By encouraging self-validation and empowerment, I aim to provide a space that is supportive of your growth. The clients I serve are generally seeking therapy due to issues with parenting, interracial relationships, and/or women's issues. In addition to being an LMFT, I am a certified Reiki Master and Spiritual Wellness Coach. This allows me to utilize mindfulness and energy work along with the therapeutic healing.
(323) 310-1581 View (323) 310-1581
Photo of Veronica Ghabour, Counselor in 91405, CA
Veronica Ghabour
Counselor, APCC
Verified
Van Nuys, CA 91405
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
(323) 917-8794 View (323) 917-8794
Photo of Katelyn Bailey, Marriage & Family Therapist in 91405, CA
Katelyn Bailey
Marriage & Family Therapist, LMFT
Verified
Van Nuys, CA 91405
Hi there, I'm Katelyn Bailey, and I am a Marriage and Family Therapist. The focus of my practice is to support my clients as they navigate life's challenges, heal their relationship with themselves and others, overcome limiting beliefs that hold them back and access their own unique strengths so that they can feel confident, calm and content.
Hi there, I'm Katelyn Bailey, and I am a Marriage and Family Therapist. The focus of my practice is to support my clients as they navigate life's challenges, heal their relationship with themselves and others, overcome limiting beliefs that hold them back and access their own unique strengths so that they can feel confident, calm and content.
(323) 924-7176 View (323) 924-7176
Photo of Katharine Clarke, Psychologist in 91405, CA
Katharine Clarke
Psychologist, PsyD
Verified
Van Nuys, CA 91405
I have worked in the medical field for 40 years in various settings.
I have worked in the medical field for 40 years in various settings.
(323) 997-4317 View (323) 997-4317
Photo of Jean Stapp, Psychologist in 91405, CA
Jean Stapp
Psychologist, LCP
Verified
Van Nuys, CA 91405
Hello, my name is Dr. Jean Stapp. I am a licensed psychologist (license number: PSY 33583) with extensive training and experience in treating depression, anxiety, trauma, eating disorders, and relationship issues. My ultimate goal is to help my clients take the steps they need to shape the kinds of lives that they desire. I typically work with individuals undergoing depression, anxiety, childhood trauma (or coming to terms with a difficult and confusing childhood), sexual abuse/assault, life transitions, eating disorders, and relationship issues.
Hello, my name is Dr. Jean Stapp. I am a licensed psychologist (license number: PSY 33583) with extensive training and experience in treating depression, anxiety, trauma, eating disorders, and relationship issues. My ultimate goal is to help my clients take the steps they need to shape the kinds of lives that they desire. I typically work with individuals undergoing depression, anxiety, childhood trauma (or coming to terms with a difficult and confusing childhood), sexual abuse/assault, life transitions, eating disorders, and relationship issues.
(323) 784-3185 View (323) 784-3185
Photo of Mayra Sanchez, Marriage & Family Therapist in 91405, CA
Mayra Sanchez
Marriage & Family Therapist, LMFT
Verified
Van Nuys, CA 91405
Hello, my name is Mayra Sanchez. I am a Licensed Marriage and Family Therapist. I have ten years of experience working with adolescents, children, and young adults transitioning into adulthood, anger, and anxiety/depressive disorders. I believe in collaborating with clients to gain insight into your current challenging situations and increase your understanding of general emotional management.
Hello, my name is Mayra Sanchez. I am a Licensed Marriage and Family Therapist. I have ten years of experience working with adolescents, children, and young adults transitioning into adulthood, anger, and anxiety/depressive disorders. I believe in collaborating with clients to gain insight into your current challenging situations and increase your understanding of general emotional management.
(323) 689-5032 View (323) 689-5032
Photo of Sheron Gershelis, Pre-Licensed Professional in 91405, CA
Sheron Gershelis
Pre-Licensed Professional, ASW, EMDR
Verified
Van Nuys, CA 91405
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
(323) 402-5622 View (323) 402-5622
Photo of Maria G Alfaro, Marriage & Family Therapist in 91405, CA
Maria G Alfaro
Marriage & Family Therapist, MS, LMFT
Verified
1 Endorsed
Van Nuys, CA 91405
Looking for a therapist? My counseling approach is to help you reach your personal goal and desires in life within a safe and trusting environment. By making positive changes in your life, I believe you can reach your goals. Do you keep wishing and hoping for change? I can offer you a healing experience that is sensitive to your strengths as well as your pain. I believe in respecting clients and their intrinsic wisdom and can help you gain a joyful peaceful life. I specialize in trauma, sexual abuse, relationship problems, anxiety, depression, victims of crime, and post-traumatic disorders.
Looking for a therapist? My counseling approach is to help you reach your personal goal and desires in life within a safe and trusting environment. By making positive changes in your life, I believe you can reach your goals. Do you keep wishing and hoping for change? I can offer you a healing experience that is sensitive to your strengths as well as your pain. I believe in respecting clients and their intrinsic wisdom and can help you gain a joyful peaceful life. I specialize in trauma, sexual abuse, relationship problems, anxiety, depression, victims of crime, and post-traumatic disorders.
(818) 561-7560 View (818) 561-7560
Photo of Melanie Maddox, Associate Clinical Social Worker in 91405, CA
Melanie Maddox
Associate Clinical Social Worker, ASW, EMDR
Verified
Van Nuys, CA 91405
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
(323) 375-2483 View (323) 375-2483
Photo of Kathlynn Gates, Associate Clinical Social Worker in 91405, CA
Kathlynn Gates
Associate Clinical Social Worker, ASW
Verified
Van Nuys, CA 91405
Are you experiencing challenges dealing with anxiety, depression, relationship/family issues, and trauma/PTSD? Due to these symptoms, we can be in too much emotional pain and feel too stuck to reframe our perceptions or to find solutions to our problems. Childhood or recent trauma can cause emotional distress that can be difficult to process. I am here to support you in working through unresolved trauma and guide you toward healing. Therefore, you can feel empowered, rejuvenated, and enthusiastic about life again.
Are you experiencing challenges dealing with anxiety, depression, relationship/family issues, and trauma/PTSD? Due to these symptoms, we can be in too much emotional pain and feel too stuck to reframe our perceptions or to find solutions to our problems. Childhood or recent trauma can cause emotional distress that can be difficult to process. I am here to support you in working through unresolved trauma and guide you toward healing. Therefore, you can feel empowered, rejuvenated, and enthusiastic about life again.
(323) 968-7709 View (323) 968-7709
Photo of Sterling Walker, Marriage & Family Therapist Associate in 91405, CA
Sterling Walker
Marriage & Family Therapist Associate, AMFT
Verified
Van Nuys, CA 91405
Throughout our lives, we all have experienced feelings of depression, anxiety, and anger. These emotions leave you feeling insecure, shameful, lonely, unworthy and stuck in unhealthy patterns of behavior. Trauma can have negative emotional and physical effects and can lead to family/relationship issues. I specialize in solution-focused brief therapy, motivational interviewing, mindfulness and CBT. These approaches allow me to work with the client to decrease symptoms of anxiety and depression and other health/behavioral issues.
Throughout our lives, we all have experienced feelings of depression, anxiety, and anger. These emotions leave you feeling insecure, shameful, lonely, unworthy and stuck in unhealthy patterns of behavior. Trauma can have negative emotional and physical effects and can lead to family/relationship issues. I specialize in solution-focused brief therapy, motivational interviewing, mindfulness and CBT. These approaches allow me to work with the client to decrease symptoms of anxiety and depression and other health/behavioral issues.
(323) 970-2667 View (323) 970-2667
Photo of Heidi Xue, Marriage & Family Therapist Associate in 91405, CA
Heidi Xue
Marriage & Family Therapist Associate, AMFT, APPC, EMDR
Verified
Van Nuys, CA 91405
Do you have trouble with anxiety, depression, and relationship/family issues due to trauma? Past experiences can create imprints onto your brain that activate your fight/flight responses whenever your emotions feel dysregulated, but life without the constant feeling of being on edge is possible. Those traumatic memories don’t have to permanently influence who you are meant to be. Through therapy, you will gain control of your feelings/thoughts and your response to everyday life hurdles. Healing from trauma can create healthier beliefs about yourself and your relationships along with sustainable changes.
Do you have trouble with anxiety, depression, and relationship/family issues due to trauma? Past experiences can create imprints onto your brain that activate your fight/flight responses whenever your emotions feel dysregulated, but life without the constant feeling of being on edge is possible. Those traumatic memories don’t have to permanently influence who you are meant to be. Through therapy, you will gain control of your feelings/thoughts and your response to everyday life hurdles. Healing from trauma can create healthier beliefs about yourself and your relationships along with sustainable changes.
(323) 747-7428 View (323) 747-7428
Photo of Ilya Belitsky, Marriage & Family Therapist in 91405, CA
Ilya Belitsky
Marriage & Family Therapist, LMFT
Verified
Van Nuys, CA 91405
Ilya Belitsky is an LMFT in CA specializing in anxiety, depression, and other problems that may interfere with daily life. My approach includes CBT, DBT, Solution focused, Narrative. I work with clients who have anxiety, depression, relationship issues, and life transitions. I provide a safe environment with an empathetic approach where I allow clients to be able to express themselves without any judgment. I love the work that I do, and the reason why is because I get to help clients become the best versions of themselves.
Ilya Belitsky is an LMFT in CA specializing in anxiety, depression, and other problems that may interfere with daily life. My approach includes CBT, DBT, Solution focused, Narrative. I work with clients who have anxiety, depression, relationship issues, and life transitions. I provide a safe environment with an empathetic approach where I allow clients to be able to express themselves without any judgment. I love the work that I do, and the reason why is because I get to help clients become the best versions of themselves.
(323) 274-1419 View (323) 274-1419
Photo of Laurel Salmon, Marriage & Family Therapist Associate in 91405, CA
Laurel Salmon
Marriage & Family Therapist Associate, AMFT
Verified
Van Nuys, CA 91405
Experiencing anxiety, depression, and trauma can be hard to navigate on one’s own. Through the use of integrative modalities, my goal is to help you find your way so that you can manage symptoms, feel your best, discover who you truly are, and move forward in the direction of your dreams whereby your past no longer holds you back. Using warmth and compassion, I also aim to provide trauma-informed care to discuss your struggles without judgment and safely process unresolved trauma and feelings.
Experiencing anxiety, depression, and trauma can be hard to navigate on one’s own. Through the use of integrative modalities, my goal is to help you find your way so that you can manage symptoms, feel your best, discover who you truly are, and move forward in the direction of your dreams whereby your past no longer holds you back. Using warmth and compassion, I also aim to provide trauma-informed care to discuss your struggles without judgment and safely process unresolved trauma and feelings.
(323) 709-0930 View (323) 709-0930
Photo of Jiyoung Kim, Associate Clinical Social Worker in 91405, CA
Jiyoung Kim
Associate Clinical Social Worker, ASW, EMDR
Verified
Van Nuys, CA 91405
Do you find difficulties with feelings of depression, anxiety, relationship/family problems, and trauma? These emotional disruptions can have a significant impact on our lives. Coping with these events requires various approaches, and I can assist you in recognizing your emotions and identifying possible patterns in your relationships. I can also help you develop resilience and acceptance towards challenging emotions, and support you in setting meaningful goals. I utilize EMDR, CBT, trauma-informed care, mindfulness, & person-centered therapy to reduce anxiety and trauma symptoms, foster resilience, and enhance the quality of life.
Do you find difficulties with feelings of depression, anxiety, relationship/family problems, and trauma? These emotional disruptions can have a significant impact on our lives. Coping with these events requires various approaches, and I can assist you in recognizing your emotions and identifying possible patterns in your relationships. I can also help you develop resilience and acceptance towards challenging emotions, and support you in setting meaningful goals. I utilize EMDR, CBT, trauma-informed care, mindfulness, & person-centered therapy to reduce anxiety and trauma symptoms, foster resilience, and enhance the quality of life.
(323) 524-9224 View (323) 524-9224
Photo of Leanna Wolfe in 91405, CA
Leanna Wolfe
PhD
Van Nuys, CA 91405
You are struggling with Polyamory. It’s become a “thing” in our society and you feel so confused! Polyamory promises a life of integrity and transparency. These sound like noble goals, but jealousy lurks around every corner. It’s a private matter between you and your partner(s)—and you really don’t have anyone to talk to. Poly chat groups and Meetups aren’t your thing. You just need solid information about how people make Polyamory work. I can help you sort it out! I can explain what’s possible in the world of multiple partner relating—what has worked for others…and what might work for you.
You are struggling with Polyamory. It’s become a “thing” in our society and you feel so confused! Polyamory promises a life of integrity and transparency. These sound like noble goals, but jealousy lurks around every corner. It’s a private matter between you and your partner(s)—and you really don’t have anyone to talk to. Poly chat groups and Meetups aren’t your thing. You just need solid information about how people make Polyamory work. I can help you sort it out! I can explain what’s possible in the world of multiple partner relating—what has worked for others…and what might work for you.
(323) 489-3723 View (323) 489-3723

See more therapy options for 91405

How does your Therapist compare?

Number of Therapists in 91405

50+

Average cost per session

$150

Therapists in 91405 who prioritize treating:

91% Anxiety
90% Depression
81% Relationship Issues
74% Coping Skills
71% Grief
71% Life Transitions
69% Self Esteem

Average years in practice

16 Years

Top 3 insurances accepted

87% UnitedHealthcare UHC | UBH
87% Optum
83% Cigna and Evernorth

How Therapists in 91405 see their clients

90% In Person and Online
10% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 91405?

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.