Therapists in 94087

Photo of Danielle Harel, PhD, MSW
Danielle Harel
Verified Verified
Sunnyvale, CA 94087
I can best help couples who want to create a strong relationship foundation, bridge differing desires, revitalize sexless (or low-sex) marriages or relationships, recover from an affair, or explore alternative relationships, such as poly or open relationships. I also help men who want to better understand themselves and their partners, be amazing lovers, or deal with erectile dysfunction. I have a strong expertise in working with women who struggle with low libido, or have issues with orgasms or sexual satisfaction.
I can best help couples who want to create a strong relationship foundation, bridge differing desires, revitalize sexless (or low-sex) marriages or relationships, recover from an affair, or explore alternative relationships, such as poly or open relationships. I also help men who want to better understand themselves and their partners, be amazing lovers, or deal with erectile dysfunction. I have a strong expertise in working with women who struggle with low libido, or have issues with orgasms or sexual satisfaction.
(408) 752-5463 View (408) 752-5463
Photo of Iris Cohen, Marriage & Family Therapist, MA, LMFT
Iris Cohen
Marriage & Family Therapist, MA, LMFT
Sunnyvale, CA 94087
My focus is on easing your stress, worries, and challenges that you are facing. Together we will work on finding better ways to communicate at home and at work. I am offering tele-therapy through video and/or phone to all who want to be seen.I enjoy working with couples and individuals. When dealing with negative thoughts, I work on finding more coping thoughts, while using different approaches, such as CBT (cognitive behavioral therapy), DBT (dialectical behavioral therapy), and family systems. With couples I often use EFT (emotional focus therapy). My therapy style is nurturing and empowering. Your happiness is my first priority!
My focus is on easing your stress, worries, and challenges that you are facing. Together we will work on finding better ways to communicate at home and at work. I am offering tele-therapy through video and/or phone to all who want to be seen.I enjoy working with couples and individuals. When dealing with negative thoughts, I work on finding more coping thoughts, while using different approaches, such as CBT (cognitive behavioral therapy), DBT (dialectical behavioral therapy), and family systems. With couples I often use EFT (emotional focus therapy). My therapy style is nurturing and empowering. Your happiness is my first priority!
(408) 637-5688 View (408) 637-5688
Photo of Heena Parikh, Marriage & Family Therapist, MA, LMFT, EMDR
Heena Parikh
Marriage & Family Therapist, MA, LMFT, EMDR
1 Endorsed
Sunnyvale, CA 94087
Hello, you may be feeling sad, stressed, overwhelmed, or lonely... and looking for help with feeling happy, calm and connected within and with your relationships. Take a step... and let's talk about how we can bridge that gap.
Hello, you may be feeling sad, stressed, overwhelmed, or lonely... and looking for help with feeling happy, calm and connected within and with your relationships. Take a step... and let's talk about how we can bridge that gap.
(650) 549-4964 View (650) 549-4964
Photo of Ricardo Gonzalez, Marriage & Family Therapist, MA, LMFT
Ricardo Gonzalez
Marriage & Family Therapist, MA, LMFT
Sunnyvale, CA 94087
It is my goal to help support individuals and families navigate through life’s journey in a supportive and empathetic environment. My specialization is in working with adults, teens, and families dealing with conflict, depression, anxiety, PTSD, grief, loss, teenage oppositional behavior, dual diagnosis, parent/child relationships, existential crisis, and severe mental illness
It is my goal to help support individuals and families navigate through life’s journey in a supportive and empathetic environment. My specialization is in working with adults, teens, and families dealing with conflict, depression, anxiety, PTSD, grief, loss, teenage oppositional behavior, dual diagnosis, parent/child relationships, existential crisis, and severe mental illness
(408) 688-5931 View (408) 688-5931
Photo of Marjan Ebadi, Psychologist, PhD
Marjan Ebadi
Psychologist, PhD
3 Endorsed
Sunnyvale, CA 94087
As a licensed psychologist, I’m committed to supporting individuals and families through life’s ups and downs. My practice is built on creating strong, trusting relationships and celebrating the unique strengths each person brings. I also understand how important family, school, and community are in shaping our lives, and I take these into account in our work together. I specialize in helping children and teens who are navigating challenges like complex trauma, ADHD, anxiety, depression, and attachment difficulties. My approach is about more than just managing symptoms; It’s about fostering resilience and thriving.
As a licensed psychologist, I’m committed to supporting individuals and families through life’s ups and downs. My practice is built on creating strong, trusting relationships and celebrating the unique strengths each person brings. I also understand how important family, school, and community are in shaping our lives, and I take these into account in our work together. I specialize in helping children and teens who are navigating challenges like complex trauma, ADHD, anxiety, depression, and attachment difficulties. My approach is about more than just managing symptoms; It’s about fostering resilience and thriving.
(650) 955-6648 View (650) 955-6648
Photo of Andrew Schnell, Marriage & Family Therapist, LMFT
Andrew Schnell
Marriage & Family Therapist, LMFT
Sunnyvale, CA 94087
My approach in therapy is guided by the question - "How can I provide a relationship which this person may use for their personal growth?" I strive to create an empathic, nonjudgmental atmosphere where you feel safe and empowered to work toward personal growth and creating lasting change.
My approach in therapy is guided by the question - "How can I provide a relationship which this person may use for their personal growth?" I strive to create an empathic, nonjudgmental atmosphere where you feel safe and empowered to work toward personal growth and creating lasting change.
(650) 405-0646 View (650) 405-0646
Photo of Laihin Josephine Cheung - Laihin J Cheung, Psychotherapy & Consultation, Clinical Social Work/Therapist, LCSW
Laihin J Cheung, Psychotherapy & Consultation
Clinical Social Work/Therapist, LCSW
Sunnyvale, CA 94087
Have you experienced trauma? My specialty is trauma cleansing therapy. My years of practice have convinced me that most mental health issues are trauma related. Laihin’s Trauma Cleansing Therapy is widely recognized and supported by clients and organizations.I have received awards for this technique and treatment outcomes: Women of Distinction, Honors Edition 2022: and Most Dedicated Trauma Therapy Provider 2023 West Coast, from Great Britain.This approach is so powerful that it begins removing your trauma in minutes. You feel the difference in your mind and body. You feel freedom from the trap of trauma. Why wait!
Have you experienced trauma? My specialty is trauma cleansing therapy. My years of practice have convinced me that most mental health issues are trauma related. Laihin’s Trauma Cleansing Therapy is widely recognized and supported by clients and organizations.I have received awards for this technique and treatment outcomes: Women of Distinction, Honors Edition 2022: and Most Dedicated Trauma Therapy Provider 2023 West Coast, from Great Britain.This approach is so powerful that it begins removing your trauma in minutes. You feel the difference in your mind and body. You feel freedom from the trap of trauma. Why wait!
(408) 560-3564 View (408) 560-3564
Photo of Therese Frey, Marriage & Family Therapist, MA, LMFT, MAC
Therese Frey
Marriage & Family Therapist, MA, LMFT, MAC
Sunnyvale, CA 94087
Are you relying on unhealthy habits to cope with stress, anxiety, depression or life's challenges? Is it time to make some changes in your life but you feel stuck and don't know where to begin? Are you tired of feeling lonely, empty, sad or misunderstood? Do you struggle with allowing yourself to feel vulnerable with others? Does a healthy work-life balance seem impossible for you? If any of these questions ring true for you, some support might be just what you need.
Are you relying on unhealthy habits to cope with stress, anxiety, depression or life's challenges? Is it time to make some changes in your life but you feel stuck and don't know where to begin? Are you tired of feeling lonely, empty, sad or misunderstood? Do you struggle with allowing yourself to feel vulnerable with others? Does a healthy work-life balance seem impossible for you? If any of these questions ring true for you, some support might be just what you need.
(408) 786-9697 View (408) 786-9697
SF Bay Therapist Group
Marriage & Family Therapist, LMFT, LCSW
1 Endorsed
Sunnyvale, CA 94087
Hello, We are a diverse group of therapists for the diverse and unique children, adults and couples of the California bay area. We create supportive and confidential environment for clients wanting to improve their mental health conditions of Anxiety, ADHD, PTSD/ trauma, depression and relational issues with treatment through Mindfulness based CBT, DBT, Psychodynamic, Narrative, EMDR, EFT, Imago and Solution Focused therapy modalities, to name few. Please, visit us on www.sfbaytherapistgroup.com to read more about our treatments, therapists and client services.
Hello, We are a diverse group of therapists for the diverse and unique children, adults and couples of the California bay area. We create supportive and confidential environment for clients wanting to improve their mental health conditions of Anxiety, ADHD, PTSD/ trauma, depression and relational issues with treatment through Mindfulness based CBT, DBT, Psychodynamic, Narrative, EMDR, EFT, Imago and Solution Focused therapy modalities, to name few. Please, visit us on www.sfbaytherapistgroup.com to read more about our treatments, therapists and client services.
(650) 535-8182 View (650) 535-8182
Photo of Dennis I Saller, Licensed Educational Psychologist, LEP, PPS
Dennis I Saller
Licensed Educational Psychologist, LEP, PPS
1 Endorsed
Sunnyvale, CA 94087
My ideal client is someone who has always felt capable yet stuck—bright, resourceful, but frustrated that their potential isn’t translating into daily life. They may struggle with learning differences like dyslexia or ADHD, executive functioning challenges such as procrastination, disorganization, or poor time management, or the lingering self-doubt that comes from years of feeling misunderstood in school or work. They come to me seeking clarity, strategies, and hope. They want to finally understand why certain tasks feel so difficult, and they want tools that actually work—not one-size-fits-all advice, but targeted support tailore
My ideal client is someone who has always felt capable yet stuck—bright, resourceful, but frustrated that their potential isn’t translating into daily life. They may struggle with learning differences like dyslexia or ADHD, executive functioning challenges such as procrastination, disorganization, or poor time management, or the lingering self-doubt that comes from years of feeling misunderstood in school or work. They come to me seeking clarity, strategies, and hope. They want to finally understand why certain tasks feel so difficult, and they want tools that actually work—not one-size-fits-all advice, but targeted support tailore
(650) 747-8044 View (650) 747-8044
Photo of David Maddalena, Marriage & Family Therapist, MA, MDiv, LMFT
David Maddalena
Marriage & Family Therapist, MA, MDiv, LMFT
Sunnyvale, CA 94087
In-person and onscreen counseling and psychotherapy addressing a variety of challenges, especially those that come at key life transitions: adolescence, young adulthood, midlife, through shifting roles and relationships. Change, conflict, and crisis can be painful and destabilizing—I offer care, support, and guidance when a life story takes a turn.
In-person and onscreen counseling and psychotherapy addressing a variety of challenges, especially those that come at key life transitions: adolescence, young adulthood, midlife, through shifting roles and relationships. Change, conflict, and crisis can be painful and destabilizing—I offer care, support, and guidance when a life story takes a turn.
(408) 329-4726 View (408) 329-4726
Photo of Kathleen O'Shea Kesten, Marriage & Family Therapist, RN, MA, LMFT
Kathleen O'Shea Kesten
Marriage & Family Therapist, RN, MA, LMFT
Sunnyvale, CA 94087
Often a person will seek out counseling when personal attempts to solve a problem have not worked. Therapy is a safe and supportive environment in which to explore very personal concerns - concerns that may be difficult to share even with those closest to you. As a Marriage and Family Therapist, I can provide a different kind of support than family and friends; I will listen objectively, not be judgmental, and help you to find your own solutions. My role is to help you feel better and to assist you to acheive your own personal goals.
Often a person will seek out counseling when personal attempts to solve a problem have not worked. Therapy is a safe and supportive environment in which to explore very personal concerns - concerns that may be difficult to share even with those closest to you. As a Marriage and Family Therapist, I can provide a different kind of support than family and friends; I will listen objectively, not be judgmental, and help you to find your own solutions. My role is to help you feel better and to assist you to acheive your own personal goals.
(408) 548-7024 View (408) 548-7024
Photo of Ruzanna Ohanjanian, Psychologist, PhD
Ruzanna Ohanjanian
Psychologist, PhD
Sunnyvale, CA 94087
To support my clients during this time of uncertainty, I am offering Tele-Therapy option for those who are distancing or quarantined. I am a California licensed clinical psychologist with over 15 years of experience working as a psychotherapist, life coach, corporate coach, and college professor. I have helped clients who have presented with a wide range of concerns, including depression, anxiety, PTSD, OCD, ADHD, relationship problems, divorce, parenting issues. I tailor the treatment to your specific needs and goals, combining insight-oriented, solution-focused, and multicultural perspectives.
To support my clients during this time of uncertainty, I am offering Tele-Therapy option for those who are distancing or quarantined. I am a California licensed clinical psychologist with over 15 years of experience working as a psychotherapist, life coach, corporate coach, and college professor. I have helped clients who have presented with a wide range of concerns, including depression, anxiety, PTSD, OCD, ADHD, relationship problems, divorce, parenting issues. I tailor the treatment to your specific needs and goals, combining insight-oriented, solution-focused, and multicultural perspectives.
(408) 641-5107 View (408) 641-5107
Photo of Sophie Marchand, Marriage & Family Therapist, MA, LMFT
Sophie Marchand
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Sunnyvale, CA 94087
Do you wonder why the same problems show up over and over? Do you struggle to make the right decisions and then blame yourself for failing? Do you feel overwhelmed, unhappy, or stuck? If you respond positively to these questions, hope and help are at your fingertips. To support your needs, I provide a warm, compassionate, and non-judgmental environment that help you deal with your personal challenges. I have a special interest in working with clients who struggle with anxiety, depression, parenting, co-parenting, and life transitions such as divorce or job loss.
Do you wonder why the same problems show up over and over? Do you struggle to make the right decisions and then blame yourself for failing? Do you feel overwhelmed, unhappy, or stuck? If you respond positively to these questions, hope and help are at your fingertips. To support your needs, I provide a warm, compassionate, and non-judgmental environment that help you deal with your personal challenges. I have a special interest in working with clients who struggle with anxiety, depression, parenting, co-parenting, and life transitions such as divorce or job loss.
(408) 475-5966 View (408) 475-5966
Photo of Carlo Catabijan, Marriage & Family Therapist, MSc, LMFT
Carlo Catabijan
Marriage & Family Therapist, MSc, LMFT
1 Endorsed
Sunnyvale, CA 94087
You may have been called lazy, distracted, or unmotivated in the past. You struggle with delivering projects or assignments on time, or find it difficult to remember important tasks, such as taking out the trash. Despite these challenges, you know that deep inside you are intelligent, creative, and compassionate. It's possible that you may be experiencing symptoms of ADHD, and I am here to help you overcome these obstacles and achieve your goals. With my guidance, you can learn how to better manage your symptoms and take control of your life, whether it's in your relationships, school, or work.
You may have been called lazy, distracted, or unmotivated in the past. You struggle with delivering projects or assignments on time, or find it difficult to remember important tasks, such as taking out the trash. Despite these challenges, you know that deep inside you are intelligent, creative, and compassionate. It's possible that you may be experiencing symptoms of ADHD, and I am here to help you overcome these obstacles and achieve your goals. With my guidance, you can learn how to better manage your symptoms and take control of your life, whether it's in your relationships, school, or work.
(650) 585-0286 View (650) 585-0286
Photo of Chantal Herrada, Pre-Licensed Professional, MSW, ACSW
Chantal Herrada
Pre-Licensed Professional, MSW, ACSW
1 Endorsed
Sunnyvale, CA 94087
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Chantal Herrada is an associate clinical social worker who specializes in providing therapeutic services to children, adults, and families by using trauma-informed and strength-based approaches. Her commitment to mental health is deeply rooted in personal experiences, which have fueled her passion for helping others navigate their mental health journeys.
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Chantal Herrada is an associate clinical social worker who specializes in providing therapeutic services to children, adults, and families by using trauma-informed and strength-based approaches. Her commitment to mental health is deeply rooted in personal experiences, which have fueled her passion for helping others navigate their mental health journeys.
(949) 946-6586 View (949) 946-6586
Photo of Alex Unwin, Licensed Clinical Mental Health Counselor, MA, LCMHC
Alex Unwin
Licensed Clinical Mental Health Counselor, MA, LCMHC
Sunnyvale, CA 94087
Being autistic means existing in a sometimes perplexing and frustrating world that largely caters much more to the neurotypical brain. Over time this can manifest in a host of issues, ranging from depression and anxiety to social isolation and loneliness. The good news is that your brain possesses hidden strengths and abilities that can more than make up for these supposed deficits. To this end, I use creative approaches to draw these skills out and teach my clients how to apply their strengths in the areas where they are struggling.
Being autistic means existing in a sometimes perplexing and frustrating world that largely caters much more to the neurotypical brain. Over time this can manifest in a host of issues, ranging from depression and anxiety to social isolation and loneliness. The good news is that your brain possesses hidden strengths and abilities that can more than make up for these supposed deficits. To this end, I use creative approaches to draw these skills out and teach my clients how to apply their strengths in the areas where they are struggling.
(984) 207-0873 View (984) 207-0873
Dean Williams
Licensed Professional Counselor, LMFT, LPC
Sunnyvale, CA 94087
I approach helping someone by working in whichever ways are the most effective for that individual. This is often a combination of changing thoughts, accessing feelings, and changing behaviors. I also emphasize identifying and developing strengths. I provide both therapy and career counseling. I am licensed as a therapist (LMFT) in Oregon and California, and as a counselor (LPC) in Oregon.
I approach helping someone by working in whichever ways are the most effective for that individual. This is often a combination of changing thoughts, accessing feelings, and changing behaviors. I also emphasize identifying and developing strengths. I provide both therapy and career counseling. I am licensed as a therapist (LMFT) in Oregon and California, and as a counselor (LPC) in Oregon.
(971) 247-1371 View (971) 247-1371
Photo of Zohar Lorberbaum, Pre-Licensed Professional, CHP
Zohar Lorberbaum
Pre-Licensed Professional, CHP
Sunnyvale, CA 94087
Overwhelmed, stuck, or in pain? Maybe it’s anxiety, low mood, burnout, grief that won’t lift, panic, or sleep that won’t cooperate. Thoughts race or go blank. You feel lonely around people, or crowded by them. Old trauma resurfaces; you react faster than you want; boundaries blur. Work and relationships start to suffer. If you want relief that lasts - steadier emotions, fewer spirals, clearer communication, better sleep and energy, or clearer path through major life changes - let’s talk. A brief introductory call can map a simple starting plan and see if we’re a fit so new patterns can take hold. Individuals, couples, and families.
Overwhelmed, stuck, or in pain? Maybe it’s anxiety, low mood, burnout, grief that won’t lift, panic, or sleep that won’t cooperate. Thoughts race or go blank. You feel lonely around people, or crowded by them. Old trauma resurfaces; you react faster than you want; boundaries blur. Work and relationships start to suffer. If you want relief that lasts - steadier emotions, fewer spirals, clearer communication, better sleep and energy, or clearer path through major life changes - let’s talk. A brief introductory call can map a simple starting plan and see if we’re a fit so new patterns can take hold. Individuals, couples, and families.
(650) 747-8608 View (650) 747-8608
Photo of Yasmine Shahbaz, Clinical Social Work/Therapist, MSW, LCSW
Yasmine Shahbaz
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Sunnyvale, CA 94087
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Yasmine Shahbaz is a licensed clinical social worker who specializes in depression, anxiety, mood disorders, eating disorders, addiction, relationship conflicts, suicidal and self-harm ideation, and trauma. She has extensive experience working with LGBTQIA+ communities and is strongly rooted in social justice. She uses a culturally informed, patient-centered, progressive approach to compassionately meet patients where they are.
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Yasmine Shahbaz is a licensed clinical social worker who specializes in depression, anxiety, mood disorders, eating disorders, addiction, relationship conflicts, suicidal and self-harm ideation, and trauma. She has extensive experience working with LGBTQIA+ communities and is strongly rooted in social justice. She uses a culturally informed, patient-centered, progressive approach to compassionately meet patients where they are.
(424) 496-3810 View (424) 496-3810

See more therapy options for 94087

How does your Therapist compare?

Number of Therapists in 94087

100+

Average cost per session

$200

Therapists in 94087 who prioritize treating:

95% Anxiety
90% Depression
74% Relationship Issues
73% Stress
69% Life Transitions
66% Coping Skills
61% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

80% Other
77% Aetna
72% Cigna and Evernorth

How Therapists in 94087 see their clients

57% Online Only
43% In Person and Online

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94087?

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.