Therapists in Silt, CO

Photo of Abigail Maese, MA, LPC
Abigail Maese
MA, LPC
Verified Verified
Silt, CO 81652
As a person-centered therapist, my hope is to focus and help you with self exploration and have a deeper understanding of yourself and what you want out of this life. I’ve spent several years working in residential facilities helping individuals heal from substance use, eating disorders, and work through their trauma. With my experience, I understand the unique challenges that these issues present, and I'm here to provide you with the support and guidance you need. My goal is to create a safe and non-judgmental space where you can explore your thoughts and feelings, gain insight into your behaviors, and work towards positive change.
As a person-centered therapist, my hope is to focus and help you with self exploration and have a deeper understanding of yourself and what you want out of this life. I’ve spent several years working in residential facilities helping individuals heal from substance use, eating disorders, and work through their trauma. With my experience, I understand the unique challenges that these issues present, and I'm here to provide you with the support and guidance you need. My goal is to create a safe and non-judgmental space where you can explore your thoughts and feelings, gain insight into your behaviors, and work towards positive change.
(970) 293-5620 View (970) 293-5620
Photo of Michela Raciti, LPC, BCBA, Counselor
Michela Raciti
Counselor, LPC, BCBA
Verified Verified
Silt, CO 81652  (Online Only)
My ideal client is someone who is committed to their personal growth and development, and who recognizes that seeking support is a sign of strength. They are open to exploring their thoughts and emotions in a safe and non-judgmental space, and are willing to engage in the therapeutic process. They want to feel heard and understood, to gain insight into their patterns of thinking and behavior, and develop strategies to manage their symptoms. Their goals include reducing symptoms, improving their relationships, building resilience, increasing their sense of self-worth, or developing a greater sense of purpose and fulfillment in life.
My ideal client is someone who is committed to their personal growth and development, and who recognizes that seeking support is a sign of strength. They are open to exploring their thoughts and emotions in a safe and non-judgmental space, and are willing to engage in the therapeutic process. They want to feel heard and understood, to gain insight into their patterns of thinking and behavior, and develop strategies to manage their symptoms. Their goals include reducing symptoms, improving their relationships, building resilience, increasing their sense of self-worth, or developing a greater sense of purpose and fulfillment in life.
(970) 788-2599 View (970) 788-2599
Photo of Maegan Hayes, MSSW, SWC
Maegan Hayes
Clinical Social Work Candidate, MSSW, SWC
Verified Verified
1 Endorsed
Silt, CO 81652
Book a consult instantly through my website link in my profile! Do you have difficulty finding motivation to get out of bed in the mornings? Is it hard to allow yourself to rest and relax? You might even find yourself stuck between these situations without a middle ground. Perhaps you experience poor sleep, flashbacks, jumpiness, or difficulty concentrating? These symptoms can make it difficult to function. Imagine, for a moment, an alternate universe where you didn’t feel this way. Now, imagine this doesn’t have to be an alternate universe - people can find comfort, peace, and joy in life again!
Book a consult instantly through my website link in my profile! Do you have difficulty finding motivation to get out of bed in the mornings? Is it hard to allow yourself to rest and relax? You might even find yourself stuck between these situations without a middle ground. Perhaps you experience poor sleep, flashbacks, jumpiness, or difficulty concentrating? These symptoms can make it difficult to function. Imagine, for a moment, an alternate universe where you didn’t feel this way. Now, imagine this doesn’t have to be an alternate universe - people can find comfort, peace, and joy in life again!
(720) 605-0732 View (720) 605-0732
Photo of Mitchell Douglas Cochran, MA, BCCC, CFLE-P, Pastoral Counselor
Mitchell Douglas Cochran
Pastoral Counselor, MA, BCCC, CFLE-P
Verified Verified
Silt, CO 81652
Each person is unique. Even though humans are often very similar to one another, your struggles, strengths, and desires are different than anyone else's in the world. If you want to explore yourself, your beliefs, and your spirituality in depth, I am an excellent resource for you. If you want to see the links between your body, mind, heart, and soul, I believe I can facilitate that journey. If you want to discover what God is drawing you towards, we can work together to discern the loving and wise path.
Each person is unique. Even though humans are often very similar to one another, your struggles, strengths, and desires are different than anyone else's in the world. If you want to explore yourself, your beliefs, and your spirituality in depth, I am an excellent resource for you. If you want to see the links between your body, mind, heart, and soul, I believe I can facilitate that journey. If you want to discover what God is drawing you towards, we can work together to discern the loving and wise path.
(970) 800-2128 View (970) 800-2128

More Therapists Nearby

Photo of Maureen C. Fox, MEd, EdS, LPC, Licensed Professional Counselor
Maureen C. Fox
Licensed Professional Counselor, MEd, EdS, LPC
Verified Verified
New Castle, CO 81647
"There will never be another day like the one you are living. There will never be another chance to pass this way again." It is well known that we do not have an infinite amount of time. The world throws us some curves and, in order to hang on and make the most of what we have, reaching out and asking for interaction and communication with someone capable of listening is good practice. Counseling preferences include, but are not limited to; cognitive behavioral therapy, storytelling, traditional talk therapy, desensitization. Specialties include knowledge of and practice in autism, adoption, divorce, and human development .
"There will never be another day like the one you are living. There will never be another chance to pass this way again." It is well known that we do not have an infinite amount of time. The world throws us some curves and, in order to hang on and make the most of what we have, reaching out and asking for interaction and communication with someone capable of listening is good practice. Counseling preferences include, but are not limited to; cognitive behavioral therapy, storytelling, traditional talk therapy, desensitization. Specialties include knowledge of and practice in autism, adoption, divorce, and human development .
(970) 469-8300 View (970) 469-8300
Photo of Liz Illick, MS, NCC, LPC, Counselor
Liz Illick
Counselor, MS, NCC, LPC
Verified Verified
8 Endorsed
New Castle, CO 81647
Waitlist for new clients
My highest priority is to provide my clients with a compassionate, supportive, and nonjudgmental environment to explore and navigate life’s challenges. While deciding to seek counseling can be an intimidating and daunting experience, it can an also be a courageous and pivotal first step towards healing. As someone who is dedicated to personal growth and emotional well-being, I provide support to children, adults, and families facing a diverse range of challenges, including trauma and attachment, stress and anxiety, eating disorders, depression, grief and loss, LGBTQ issues, parenting, and relationship dynamics.
My highest priority is to provide my clients with a compassionate, supportive, and nonjudgmental environment to explore and navigate life’s challenges. While deciding to seek counseling can be an intimidating and daunting experience, it can an also be a courageous and pivotal first step towards healing. As someone who is dedicated to personal growth and emotional well-being, I provide support to children, adults, and families facing a diverse range of challenges, including trauma and attachment, stress and anxiety, eating disorders, depression, grief and loss, LGBTQ issues, parenting, and relationship dynamics.
(970) 355-3156 View (970) 355-3156
Photo of Bill Huey, LSW, Clinical Social Work/Therapist
Bill Huey
Clinical Social Work/Therapist, LSW
Verified Verified
Rifle, CO 81650
Are you wanting to be the best version of you possible? Do you want to have thoughts that are positive and encouraging rather thoughts of worry and guilt? Do you seek a happy, satisfying and intimate relationship with another person? These are all possible to you. If you would like to have a competent, wise, compassionate, non-judgmental advisor along your side while you explore these possibilities, I would be delighted and honored to join you.
Are you wanting to be the best version of you possible? Do you want to have thoughts that are positive and encouraging rather thoughts of worry and guilt? Do you seek a happy, satisfying and intimate relationship with another person? These are all possible to you. If you would like to have a competent, wise, compassionate, non-judgmental advisor along your side while you explore these possibilities, I would be delighted and honored to join you.
(970) 251-8460 View (970) 251-8460
Photo of Dr. Mary Bowles, PsyD, LMFT, RRT, MIAAN, RTM, Marriage & Family Therapist
Dr. Mary Bowles
Marriage & Family Therapist, PsyD, LMFT, RRT, MIAAN, RTM
Verified Verified
2 Endorsed
New Castle, CO 81647  (Online Only)
I'm a trustworthy, compassionate, experienced, unbiased Psychologist/Marriage & Family Therapist and I specialize in Applied Neuroscience. I use a direct and considerate approach. I specialize in couples & family therapy and trauma recovery. I approach all clients and families from a neuroscientific & brain based perspective. I'll help you understand your brain and body's responses to past and present stressors, in an easy to understand manner. I use humor, lightheartedness, and techniques verified in research to help you experience rapid change. I help all my clients learn how to work with the brain, not against it. See my website!
I'm a trustworthy, compassionate, experienced, unbiased Psychologist/Marriage & Family Therapist and I specialize in Applied Neuroscience. I use a direct and considerate approach. I specialize in couples & family therapy and trauma recovery. I approach all clients and families from a neuroscientific & brain based perspective. I'll help you understand your brain and body's responses to past and present stressors, in an easy to understand manner. I use humor, lightheartedness, and techniques verified in research to help you experience rapid change. I help all my clients learn how to work with the brain, not against it. See my website!
(970) 319-1999 View (970) 319-1999
Rae Ann Bartels LPC LAC
Licensed Professional Counselor, LPC, LAC
Verified Verified
Rifle, CO 81650
The needs of my clients are very important. I have 14 years of experience working with crisis and have an excellent understanding of depression, anxiety, and chronic mental illness. I use CBT and DBT to help with changing how the brain functions to help the client move through the difficulties they are experiencing. I also specialize in substance abuse counseling and have my LAC. My life and employment experience helps me work side by side with my clients to give them useable coping skills and emotional regulation skills to help them handle situations in a more appropriate manner.
The needs of my clients are very important. I have 14 years of experience working with crisis and have an excellent understanding of depression, anxiety, and chronic mental illness. I use CBT and DBT to help with changing how the brain functions to help the client move through the difficulties they are experiencing. I also specialize in substance abuse counseling and have my LAC. My life and employment experience helps me work side by side with my clients to give them useable coping skills and emotional regulation skills to help them handle situations in a more appropriate manner.
(970) 649-6574 View (970) 649-6574
Photo of Brian Magee, LPCC, MA, Counselor
Brian Magee
Counselor, LPCC, MA
Verified Verified
New Castle, CO 81647
I strongly believe in the power and importance of the therapeutic relationship between me and my clients. There is nothing more important to me than building trust and safety so that you feel comfortable opening up about what is happening in your life. I am very laid back and use an informal style that feels much more collaborative than authoritative. I am on the journey with you!
I strongly believe in the power and importance of the therapeutic relationship between me and my clients. There is nothing more important to me than building trust and safety so that you feel comfortable opening up about what is happening in your life. I am very laid back and use an informal style that feels much more collaborative than authoritative. I am on the journey with you!
(970) 517-5013 View (970) 517-5013
Photo of Natalie (Willey) Hanks, MA, LPC, RPT, NCC, Licensed Professional Counselor
Natalie (Willey) Hanks
Licensed Professional Counselor, MA, LPC, RPT, NCC
Verified Verified
Rifle, CO 81650
Looking for warm, nonjudgemental, humorous + compassionate therapist? Life can be hard, messy and unexpected. Feeling alone, broken, or overwhelmed? Struggling to connect to your body and/or others? Struggling to get through each day? I specialize in Child/Adolescent, Trauma, Cancer/Chronic Illness + Women’s Issues. As a Registered Play Therapist, I offer Play Therapy (0-18) to help address challenging behaviors, school concerns, self-esteem, grief, divorce, trauma, self-harming, anxiety and depression. I support families to foster growth within the home to support the child.
Looking for warm, nonjudgemental, humorous + compassionate therapist? Life can be hard, messy and unexpected. Feeling alone, broken, or overwhelmed? Struggling to connect to your body and/or others? Struggling to get through each day? I specialize in Child/Adolescent, Trauma, Cancer/Chronic Illness + Women’s Issues. As a Registered Play Therapist, I offer Play Therapy (0-18) to help address challenging behaviors, school concerns, self-esteem, grief, divorce, trauma, self-harming, anxiety and depression. I support families to foster growth within the home to support the child.
(970) 709-7871 View (970) 709-7871
Photo of Rhonda Kamai-Kekela - EMDR 808 Pacific Counseling, LCSW, DOT SAP, Clinical Social Work/Therapist
EMDR 808 Pacific Counseling
Clinical Social Work/Therapist, LCSW, DOT SAP
Verified Verified
1 Endorsed
Rifle, CO 81650
I am a Licensed Clinical Social Worker and an Approved EMDRIA EMDR Trainer, Consultant and Therapist. I am a Certified EMDR therapist in the Tri-County area of Uintah, Daggett and Duchesne and a Department of Transportation Substance Abuse Provider (DOT SAP). My specialty is in complex trauma & PTSD. I have extensive training in addictions. Target population include first-responder's, crisis-emergency workers, military, veterans, their family and survivors of trauma.
I am a Licensed Clinical Social Worker and an Approved EMDRIA EMDR Trainer, Consultant and Therapist. I am a Certified EMDR therapist in the Tri-County area of Uintah, Daggett and Duchesne and a Department of Transportation Substance Abuse Provider (DOT SAP). My specialty is in complex trauma & PTSD. I have extensive training in addictions. Target population include first-responder's, crisis-emergency workers, military, veterans, their family and survivors of trauma.
(435) 412-1642 View (435) 412-1642
Photo of Jodi Hill, LPCC, EMDR
Jodi Hill
Licensed Professional Counselor Candidate, LPCC, EMDR
Verified Verified
New Castle, CO 81647
In therapy, my goal is to build a trusting relationship with you that empowers you to identify and to seek wholeness in the areas of life where you desire change. Partnering with you and working together is a key component in the continuous process of healing and growth. I can equip you with emotion-coping skills, body-awareness practices, and new thinking perspectives that will help you cope with stressors and changes in your life. You have the capacity for new movement in your life, and I can help you find your steps forward.
In therapy, my goal is to build a trusting relationship with you that empowers you to identify and to seek wholeness in the areas of life where you desire change. Partnering with you and working together is a key component in the continuous process of healing and growth. I can equip you with emotion-coping skills, body-awareness practices, and new thinking perspectives that will help you cope with stressors and changes in your life. You have the capacity for new movement in your life, and I can help you find your steps forward.
(970) 459-5578 View (970) 459-5578
Photo of Tasha Rischmiller, LPC, LPCC, Licensed Professional Counselor
Tasha Rischmiller
Licensed Professional Counselor, LPC, LPCC
Verified Verified
New Castle, CO 81647  (Online Only)
Not accepting new clients
A typical client at Deep Roots Behavioral Health has a need for multifaceted and individualized care. We strive for an environment that feels safe and free of judgment so client can explore their mental health and move towards contentment. We treat a wide range of concerns ranging from adjustment disorder to complex PTSD.
A typical client at Deep Roots Behavioral Health has a need for multifaceted and individualized care. We strive for an environment that feels safe and free of judgment so client can explore their mental health and move towards contentment. We treat a wide range of concerns ranging from adjustment disorder to complex PTSD.
(970) 436-5755 View (970) 436-5755
Photo of Kyle Davis, MA, LPC, Licensed Professional Counselor
Kyle Davis
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Rifle, CO 81650
I do my best to ensure that you or your teenager don't dread coming to counseling. As a previous "troubled youth" myself, I am well-aware of many of the issues that teens, adolescents, and young adults face. Throughout my experience in working with youth, adults, couples, and families, I have come to fully understand the importance of building healthy, trusting client/counselor relationships, regardless of the issue at hand. I look forward to joining you on your journey to freedom and wellness!
I do my best to ensure that you or your teenager don't dread coming to counseling. As a previous "troubled youth" myself, I am well-aware of many of the issues that teens, adolescents, and young adults face. Throughout my experience in working with youth, adults, couples, and families, I have come to fully understand the importance of building healthy, trusting client/counselor relationships, regardless of the issue at hand. I look forward to joining you on your journey to freedom and wellness!
(970) 627-6617 View (970) 627-6617
Photo of Erik Wardell, MA, LPCC
Erik Wardell
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
New Castle, CO 81647
Being human is often messy and confusing, leaving us feeling lost, overwhelmed, or wounded. If you’re seeking guidance to reconnect with yourself and your innate inner wisdom, or if you're looking to heal from past wounds, you’ve come to the right place.
Being human is often messy and confusing, leaving us feeling lost, overwhelmed, or wounded. If you’re seeking guidance to reconnect with yourself and your innate inner wisdom, or if you're looking to heal from past wounds, you’ve come to the right place.
(970) 446-8799 View (970) 446-8799
Photo of Ryan Jones, MA, LPC, Licensed Professional Counselor
Ryan Jones
Licensed Professional Counselor, MA, LPC
Verified Verified
Rifle, CO 81650
What is not making a change really costing you? Maybe happiness, personal growth, career progression, great relationships, control over your emotions and life. Your life is so valuable and you deserve to get the most out of it. You're ability to change is possible when you work consistently with the right strategy and mindset. Some of our greatest strengths come from our biggest challenges. I help clients work through anxiety, depression, relationship struggles and a variety of other mental health issues using science based practices. Video sessions or in-person sessions available.
What is not making a change really costing you? Maybe happiness, personal growth, career progression, great relationships, control over your emotions and life. Your life is so valuable and you deserve to get the most out of it. You're ability to change is possible when you work consistently with the right strategy and mindset. Some of our greatest strengths come from our biggest challenges. I help clients work through anxiety, depression, relationship struggles and a variety of other mental health issues using science based practices. Video sessions or in-person sessions available.
(970) 517-2579 View (970) 517-2579
Photo of Kari Yuen, MA, LPC, NCC, EMDR, Licensed Professional Counselor
Kari Yuen
Licensed Professional Counselor, MA, LPC, NCC, EMDR
Verified Verified
Rifle, CO 81650
I embrace the opportunity to work with individuals seeking purpose and new meaning in life. I am experienced in working with both adolescents and adults in residential and community settings. I enjoy helping individuals faced with addiction, family conflict, complex trauma, PTSD, anxiety, depression, and relationship concerns. Through EMDR, DBT, CBT, individuals are empowered to regain control and confidence within and with others.
I embrace the opportunity to work with individuals seeking purpose and new meaning in life. I am experienced in working with both adolescents and adults in residential and community settings. I enjoy helping individuals faced with addiction, family conflict, complex trauma, PTSD, anxiety, depression, and relationship concerns. Through EMDR, DBT, CBT, individuals are empowered to regain control and confidence within and with others.
(970) 404-8129 View (970) 404-8129
Photo of Ashley Mauldin, MA, LPC, EMDR, Licensed Professional Counselor
Ashley Mauldin
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
2 Endorsed
New Castle, CO 81647
Many of my clients are tired of only “talking” about their problems and are looking for something to finally help them break through. I am looking for motivated clients who are ready and willing to do what it takes to make lasting and significant changes in their lives. I believe that the energy and effort you put in is highly correlated to getting the outcome you want. My specialties include trauma recovery and couples counseling.
Many of my clients are tired of only “talking” about their problems and are looking for something to finally help them break through. I am looking for motivated clients who are ready and willing to do what it takes to make lasting and significant changes in their lives. I believe that the energy and effort you put in is highly correlated to getting the outcome you want. My specialties include trauma recovery and couples counseling.
(970) 239-0377 View (970) 239-0377
Photo of Krysten Rudy, MS, MFT, Marriage & Family Therapist
Krysten Rudy
Marriage & Family Therapist, MS, MFT
Verified Verified
2 Endorsed
New Castle, CO 81647
Welcome to my practice! I am new to Glenwood Springs and I am a strength-based, solution- focused therapist with a practical and supportive approach. I provide an empathetic compassionate space where clients can freely express themselves and get feedback without judgement. I enjoy working with individuals to reach personal goals, reduce stress, stabilize mood symptoms, and increase overall functioning in all aspects of life. I work with families and couples to improve their relationships and address issues such as communication, intimacy, trust, and conflict resolution. I look forward to working with you to live your best life.
Welcome to my practice! I am new to Glenwood Springs and I am a strength-based, solution- focused therapist with a practical and supportive approach. I provide an empathetic compassionate space where clients can freely express themselves and get feedback without judgement. I enjoy working with individuals to reach personal goals, reduce stress, stabilize mood symptoms, and increase overall functioning in all aspects of life. I work with families and couples to improve their relationships and address issues such as communication, intimacy, trust, and conflict resolution. I look forward to working with you to live your best life.
(970) 239-1234 View (970) 239-1234

See more therapy options for Silt

How does your Therapist compare?

Number of Therapists in Silt, CO

< 10

Therapists in Silt, CO who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Self Esteem
75% ADHD
75% Chronic Pain
75% Bipolar Disorder

Average years in practice

2 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Optum
50% Aetna

How Therapists in Silt, CO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Silt?

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.