Photo of Jenni Juarez, MS, LMHC, CMHS, Counselor
Jenni Juarez
Counselor, MS, LMHC, CMHS
Verified Verified
3 Endorsed
Online Only
Welcome! My name is Jenni Juarez and I am a Licensed Mental Health Therapist based in Washington state with nearly a decade of experience. I specialize in working with children, adolescents, families, and adults. I hold a Master of Science in Mental Health Counseling from Central Washington University and have specialized training in Cognitive Behavioral Therapy. Additionally, I am credentialed as a Child Mental Health Specialist.
Welcome! My name is Jenni Juarez and I am a Licensed Mental Health Therapist based in Washington state with nearly a decade of experience. I specialize in working with children, adolescents, families, and adults. I hold a Master of Science in Mental Health Counseling from Central Washington University and have specialized training in Cognitive Behavioral Therapy. Additionally, I am credentialed as a Child Mental Health Specialist.
(360) 614-4146 View (360) 614-4146
Photo of Emily Roussard, LSWAIC, Clinical Social Work/Therapist
Emily Roussard
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Montesano, WA 98563
Are you navigating complex emotional and relationship challenges? Do you feel stuck in patterns of self doubt, anxiety, and shame that interferes with your ability to connect authentically and meaningfully with others? Do you suppress how you really feel, or present a mask to others? You have a unique story of enduring what most people would never understand, and managing without emotional safety. The world is a bit of a mess, but it is possible to carve out a haven from which to explore your past, your identity and the underlying factors which drive your difficulties with trust, boundaries, criticism, people pleasing, and anger.
Are you navigating complex emotional and relationship challenges? Do you feel stuck in patterns of self doubt, anxiety, and shame that interferes with your ability to connect authentically and meaningfully with others? Do you suppress how you really feel, or present a mask to others? You have a unique story of enduring what most people would never understand, and managing without emotional safety. The world is a bit of a mess, but it is possible to carve out a haven from which to explore your past, your identity and the underlying factors which drive your difficulties with trust, boundaries, criticism, people pleasing, and anger.
View
Photo of Elizabeth Ryan Palmer, AP, LCSW, RN, Clinical Social Work/Therapist
Elizabeth Ryan Palmer
Clinical Social Work/Therapist, AP, LCSW, RN
Verified Verified
Serves Area
Elizabeth Palmer treats clients ages 18 & up. Offering in person (Florida) or virtual sessions (using a HIPAA compliant platform).
Elizabeth Palmer treats clients ages 18 & up. Offering in person (Florida) or virtual sessions (using a HIPAA compliant platform).
(407) 654-6402 View (407) 654-6402
Photo of Courtney Dietrich, MA, LMFTA, Marriage & Family Therapist Associate
Courtney Dietrich
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Serves Area
Accepting new clients! I work with teens, adolescents, college students, and young adults navigating life’s challenges. My areas of focus include anxiety, depression, grief, dating and relationships, and navigating life transitions. I work with individuals at various stages of life, helping them uncover their strengths and build resilience.
Accepting new clients! I work with teens, adolescents, college students, and young adults navigating life’s challenges. My areas of focus include anxiety, depression, grief, dating and relationships, and navigating life transitions. I work with individuals at various stages of life, helping them uncover their strengths and build resilience.
(360) 648-5649 View (360) 648-5649
Photo of Traci Burg, MSW, LSWAIC, Clinical Social Work/Therapist
Traci Burg
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Online Only
(360) 302-4346 View (360) 302-4346

More Therapists Nearby

Photo of Kathryn M Lorz - HGCM Therapy, PLLC, LMHC, NCC, Counselor
HGCM Therapy, PLLC
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
Tumwater, WA 98512
You've lost yourself. There was a time when you knew yourself well and felt strong in who you are, but life, relationships, uncertainty, and doubt have crept in and now you're not so sure of yourself anymore. You feel like you're always trying to please others, or making excuses for not being what you think you should be, and you feel like a fraud. Like there are different parts of you showing up for different people, and it's hard to be authentically you. And it's exhausting! Hi, I'm Katie! I love helping women overcome anxiety, depression, grief, heal from trauma, create fulfilling relationships, & live the life you want to live.
You've lost yourself. There was a time when you knew yourself well and felt strong in who you are, but life, relationships, uncertainty, and doubt have crept in and now you're not so sure of yourself anymore. You feel like you're always trying to please others, or making excuses for not being what you think you should be, and you feel like a fraud. Like there are different parts of you showing up for different people, and it's hard to be authentically you. And it's exhausting! Hi, I'm Katie! I love helping women overcome anxiety, depression, grief, heal from trauma, create fulfilling relationships, & live the life you want to live.
(435) 344-4264 View (435) 344-4264
Photo of Kacie Zediker, LMHC-QS, LPC, ATR, Counselor
Kacie Zediker
Counselor, LMHC-QS, LPC, ATR
Verified Verified
Online Only
Do you overthink most things or find it difficult to relax? Are you feeling overwhelmed and burnt out on a daily basis? Do you resonate with any of the following statements? "I worry about my worry or day-to-day tasks, big and small. I speak and think negatively about myself in a way that I never would towards someone else. I've have been through negative life experiences or trauma in the past and feel frustrated by the impact on myself and my current relationships. I know something needs to change, but I'm not sure of where to get started." If any of these statements sound familiar to you, I'm here to help.
Do you overthink most things or find it difficult to relax? Are you feeling overwhelmed and burnt out on a daily basis? Do you resonate with any of the following statements? "I worry about my worry or day-to-day tasks, big and small. I speak and think negatively about myself in a way that I never would towards someone else. I've have been through negative life experiences or trauma in the past and feel frustrated by the impact on myself and my current relationships. I know something needs to change, but I'm not sure of where to get started." If any of these statements sound familiar to you, I'm here to help.
(509) 277-2310 View (509) 277-2310
Photo of Rebecca Bailey, LICSW, Clinical Social Work/Therapist
Rebecca Bailey
Clinical Social Work/Therapist, LICSW
Verified Verified
Olympia, WA 98501
Are you ready to embrace life's journey & embark on a path towards healing & growth? I'm here to support you every step of the way. I specialize in helping adults 19-119 yrs old like you & different from you, from all walks of life to improve their self-esteem, cope with challenges, recover from grief, loss, anxiety, depression/other mood disorders, relationship trauma, DV Recovery & other issues. Whatever are facing, I'm dedicated to empowering you to feel good about yourself & this life. I am committed to providing a warm, safe & inclusive space for you to explore issues & make changes so that you can be your ultimate best.
Are you ready to embrace life's journey & embark on a path towards healing & growth? I'm here to support you every step of the way. I specialize in helping adults 19-119 yrs old like you & different from you, from all walks of life to improve their self-esteem, cope with challenges, recover from grief, loss, anxiety, depression/other mood disorders, relationship trauma, DV Recovery & other issues. Whatever are facing, I'm dedicated to empowering you to feel good about yourself & this life. I am committed to providing a warm, safe & inclusive space for you to explore issues & make changes so that you can be your ultimate best.
(253) 242-9149 View (253) 242-9149
Photo of Kristen Moore - Key Counseling PLLC, EdD, LMHC, Counselor
Key Counseling PLLC
Counselor, EdD, LMHC
Verified Verified
Serves Area
Now accepting new clients! Hello! I'm Dr. Kristen Moore (nee Bradley). My focus is on adult clients who have anxiety, depression, trauma, or PTSD. I strive to create a supportive environment and work with you to come up with a plan that addresses your concerns where you are right now. I believe everyone has strengths and that sometimes people become so overwhelmed they lose sight of themselves. I'm a guide that helps you find your way back and encourages you to keep moving forward. If you experience insomnia, nightmares, flashbacks, fatigue, sudden anger, anxiety or depression and feel it is time to get control back, call me.
Now accepting new clients! Hello! I'm Dr. Kristen Moore (nee Bradley). My focus is on adult clients who have anxiety, depression, trauma, or PTSD. I strive to create a supportive environment and work with you to come up with a plan that addresses your concerns where you are right now. I believe everyone has strengths and that sometimes people become so overwhelmed they lose sight of themselves. I'm a guide that helps you find your way back and encourages you to keep moving forward. If you experience insomnia, nightmares, flashbacks, fatigue, sudden anger, anxiety or depression and feel it is time to get control back, call me.
(360) 905-0724 View (360) 905-0724
Photo of Nina Rhys, MSW, LICSW, Clinical Social Work/Therapist
Nina Rhys
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Online Only
Have you identified a desire to work toward personal growth and transformation? Is there painful past trauma or events creating obstacles in your life today? Do you perceive a disconnect between what you have accomplished thus far, and what you believe you are capable of? Are interpersonal relationships challenging for you? Is a satisfying and equitable love relationship eluding you? Are you experiencing anxiety and/or depression and looking for solutions to cope with every day living? Do you have a goal to improve your overall wellbeing and happiness? Are you asking for what you need in your life?
Have you identified a desire to work toward personal growth and transformation? Is there painful past trauma or events creating obstacles in your life today? Do you perceive a disconnect between what you have accomplished thus far, and what you believe you are capable of? Are interpersonal relationships challenging for you? Is a satisfying and equitable love relationship eluding you? Are you experiencing anxiety and/or depression and looking for solutions to cope with every day living? Do you have a goal to improve your overall wellbeing and happiness? Are you asking for what you need in your life?
(425) 842-3094 View (425) 842-3094
Photo of Lorraine Brilliant - Liminal Counseling and Consultation, pllc, MA, LMHC, Counselor
Liminal Counseling and Consultation, pllc
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Serves Area
Now accepting insurances, including Medicare. Liminal is the Latin word for "threshold". A time where we are no longer where we were, but do not yet see where we will be. It is the in between time. Most of us experience times like this in our lives; at the end of a relationship, between jobs, certain developmental stages like mid life -elder, empty nest, any time our roles or sense of identity are changing. We may experience uncertainty, unease or even fear. We may simply not have a clear vision for where we want to be. It is a time we often reach out for help in sorting through what was, is, and may yet be.
Now accepting insurances, including Medicare. Liminal is the Latin word for "threshold". A time where we are no longer where we were, but do not yet see where we will be. It is the in between time. Most of us experience times like this in our lives; at the end of a relationship, between jobs, certain developmental stages like mid life -elder, empty nest, any time our roles or sense of identity are changing. We may experience uncertainty, unease or even fear. We may simply not have a clear vision for where we want to be. It is a time we often reach out for help in sorting through what was, is, and may yet be.
(360) 217-0561 View (360) 217-0561
Photo of Elliott McMurray, MSW, LSWAIC, Clinical Social Work/Therapist
Elliott McMurray
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Online Only
I am a trauma-focused practitioner and have experience working with adults and elders on a variety of concerns, including life transitions and stress, traumatic experiences, toxic and abusive relationships, chronic illness and disability, gender, sexuality, anxiety, and depression. As a person-centered practitioner, I believe that recovery is possible and that you know yourself best. I work to create an environment of unconditional acceptance as we work together to explore what's unresolved, unbalanced, and causing pain in your life. I draw from several evidence-based practices to provide individualized treatment to every client.
I am a trauma-focused practitioner and have experience working with adults and elders on a variety of concerns, including life transitions and stress, traumatic experiences, toxic and abusive relationships, chronic illness and disability, gender, sexuality, anxiety, and depression. As a person-centered practitioner, I believe that recovery is possible and that you know yourself best. I work to create an environment of unconditional acceptance as we work together to explore what's unresolved, unbalanced, and causing pain in your life. I draw from several evidence-based practices to provide individualized treatment to every client.
(360) 564-5557 View (360) 564-5557
Photo of Tami Beelaert, LCSW, Clinical Social Work/Therapist
Tami Beelaert
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Welcome! I’m Tami Beelaert. I’m a Licensed Independent Clinical Social Worker. My approach is individualized, collaborative, and solution-focused, utilizing cognitive behavioral elements. I typically work with adults and older adults struggling with life transitions, chronic illness, stress, relationship issues & grief. My background includes working in the VA and community mental health systems of care. My style is open-minded, straightforward & respectful. I offer resourcefulness and support, sprinkled with humor and the wisdom picked up from guiding people through difficulties over the past 22 years.
Welcome! I’m Tami Beelaert. I’m a Licensed Independent Clinical Social Worker. My approach is individualized, collaborative, and solution-focused, utilizing cognitive behavioral elements. I typically work with adults and older adults struggling with life transitions, chronic illness, stress, relationship issues & grief. My background includes working in the VA and community mental health systems of care. My style is open-minded, straightforward & respectful. I offer resourcefulness and support, sprinkled with humor and the wisdom picked up from guiding people through difficulties over the past 22 years.
(509) 210-0997 View (509) 210-0997
Photo of Nancy Kyrie Campbell, LICSW, Clinical Social Work/Therapist
Nancy Kyrie Campbell
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Serves Area
Not accepting new clients
I have worked with individuals, couples, families, and groups. My current focus is primarily on people dealing with anxiety, depression, grief, attachment, life transitions, trauma, family and other interpersonal issues. I use a highly respectful approach in helping my clients address their issues and build effective coping and communication skills. This can include identifying and shifting limiting patterns (based on experiences of the past) that have continued to influence their present-day emotions, attitudes, interactions, expectations, and decisions. I work with each individual in a way that empowers them to stay in charge of their own therapeutic process.
I have worked with individuals, couples, families, and groups. My current focus is primarily on people dealing with anxiety, depression, grief, attachment, life transitions, trauma, family and other interpersonal issues. I use a highly respectful approach in helping my clients address their issues and build effective coping and communication skills. This can include identifying and shifting limiting patterns (based on experiences of the past) that have continued to influence their present-day emotions, attitudes, interactions, expectations, and decisions. I work with each individual in a way that empowers them to stay in charge of their own therapeutic process.
(360) 207-2598 View (360) 207-2598
Photo of Lisa Sells, MA, LPC, Licensed Professional Counselor
Lisa Sells
Licensed Professional Counselor, MA, LPC
Verified Verified
8 Endorsed
Online Only
You are anxious and stressed. You feel like no matter how hard you try, it’s just not good enough. You’re feeling overwhelmed by life; thinking that others’ problems are more serious and you don’t want to bring anyone down by sharing your struggles and challenges in relationships, parenting, work stress, and juggling the demands of life. Your best never feels quite good enough and you don’t know who to turn to. Whether it’s challenging relationships, coping with a loss, struggling through a transition, or work stress--you just don’t feel like you’re managing and definitely not thriving in your life.
You are anxious and stressed. You feel like no matter how hard you try, it’s just not good enough. You’re feeling overwhelmed by life; thinking that others’ problems are more serious and you don’t want to bring anyone down by sharing your struggles and challenges in relationships, parenting, work stress, and juggling the demands of life. Your best never feels quite good enough and you don’t know who to turn to. Whether it’s challenging relationships, coping with a loss, struggling through a transition, or work stress--you just don’t feel like you’re managing and definitely not thriving in your life.
(726) 204-2109 View (726) 204-2109
Photo of Deonna D Lor, MA, LMHC-A, Counselor
Deonna D Lor
Counselor, MA, LMHC-A
Verified Verified
1 Endorsed
Serves Area
No matter if you're an individual, part of a family, or a member of a community, it's natural to encounter tough times in life. There's no shame in seeking a helping hand during these challenging moments, and that's where I come in. Let me guide you through the maze of life's intricacies. Together, we'll explore creative approaches to tackle your problems head-on and build your resilience for whatever may lie ahead. I have an unwavering belief that everyone has the capability to reach their aspirations, realize their dreams, and lead a life brimming with significance.
No matter if you're an individual, part of a family, or a member of a community, it's natural to encounter tough times in life. There's no shame in seeking a helping hand during these challenging moments, and that's where I come in. Let me guide you through the maze of life's intricacies. Together, we'll explore creative approaches to tackle your problems head-on and build your resilience for whatever may lie ahead. I have an unwavering belief that everyone has the capability to reach their aspirations, realize their dreams, and lead a life brimming with significance.
(360) 226-5796 View (360) 226-5796
Photo of Betsy L Hicks, MA, LMFT, Marriage & Family Therapist
Betsy L Hicks
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Serves Area
I believe therapy is about development and progression. Therapy can often be a challenging process. Recognizing that change can be hard at times, I strive to provide a safe, confidential, and comfortable atmosphere. I work hard to balance a client's desire to change and the need for support and stability, by providing a challenging yet nurturing environment. My goals are to help people increase their understanding and awareness of their own influences in their lives, to help clients develop the best relationships possible and reach a better understanding for positive and lasting change.
I believe therapy is about development and progression. Therapy can often be a challenging process. Recognizing that change can be hard at times, I strive to provide a safe, confidential, and comfortable atmosphere. I work hard to balance a client's desire to change and the need for support and stability, by providing a challenging yet nurturing environment. My goals are to help people increase their understanding and awareness of their own influences in their lives, to help clients develop the best relationships possible and reach a better understanding for positive and lasting change.
(360) 312-3300 View (360) 312-3300
Photo of Kae K Starr, PhD, LMFTA, LMHCA, Counselor
Kae K Starr
Counselor, PhD, LMFTA, LMHCA
Verified Verified
1 Endorsed
Online Only
I am a Family, and Individual mental health counselor, versed in multiple modalities of therapeutic interventions, providing family and individual therapy, career counseling, counseling assessment, and multicultural psychology. I am very proficient in working with adolescents (13+), LGBTQ+ youth, Military families, and BIPOC populations.
I am a Family, and Individual mental health counselor, versed in multiple modalities of therapeutic interventions, providing family and individual therapy, career counseling, counseling assessment, and multicultural psychology. I am very proficient in working with adolescents (13+), LGBTQ+ youth, Military families, and BIPOC populations.
(360) 594-0473 View (360) 594-0473
Photo of Anna McGregor, LMHC
Anna McGregor
Mental Health Counselor, LMHC
Verified Verified
5 Endorsed
Serves Area
Formerly known as Anna Ossenfort, I am a mental health counselor who supports individuals and couples, in person and via telehealth. Every life has its share of difficulty, disappointment, and distress, and my receptive, strengths-based, inclusive style aims to create an authentic connection where we can address what’s present in your heart and mind. Whatever you're facing, I will collaborate with you to determine the best course for you to feel better, meet your needs, and accomplish your goals. Specifically, I have experience helping folks with anxiety, depression, trauma, addictions, PTSD, boundaries, and more.
Formerly known as Anna Ossenfort, I am a mental health counselor who supports individuals and couples, in person and via telehealth. Every life has its share of difficulty, disappointment, and distress, and my receptive, strengths-based, inclusive style aims to create an authentic connection where we can address what’s present in your heart and mind. Whatever you're facing, I will collaborate with you to determine the best course for you to feel better, meet your needs, and accomplish your goals. Specifically, I have experience helping folks with anxiety, depression, trauma, addictions, PTSD, boundaries, and more.
Photo of Sukhdeep Bhullar - Traverse Therapy Services , ARNP
Traverse Therapy Services
ARNP
Verified Verified
Olympia, WA 98502
We are taking new clients for medication management! My name is Sukhdeep Bhullar and I am an Advanced Registered Nurse Practitioner (ARNP). I have experience in evaluating and managing mental health conditions and am licensed to diagnose and provide medication management. I have knowledge of and use Cognitive Behavioral Therapy along with Dialectical Behavioral Therapy in my practice. I will work closely with your therapist and primary care provider and offer medication management, second opinions on medication and dosage or additional education.
We are taking new clients for medication management! My name is Sukhdeep Bhullar and I am an Advanced Registered Nurse Practitioner (ARNP). I have experience in evaluating and managing mental health conditions and am licensed to diagnose and provide medication management. I have knowledge of and use Cognitive Behavioral Therapy along with Dialectical Behavioral Therapy in my practice. I will work closely with your therapist and primary care provider and offer medication management, second opinions on medication and dosage or additional education.
(425) 629-8187 View (425) 629-8187

See more therapy options for 98563

How does your Therapist compare?

Number of Therapists in 98563

< 10

Therapists in 98563 who prioritize treating:

80% Depression
80% Anxiety
80% Coping Skills
80% Self Esteem
80% Stress
60% ADHD
60% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
75% Cigna and Evernorth
75% Premera Blue Cross

How Therapists in 98563 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 98563?

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.