Therapists in Hewlett, NY

Photo of Michele Rosello, Clinical Social Work/Therapist in Hewlett, NY
Michele Rosello
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Hewlett, NY 11557  (Online Only)
Hi there! Thank you for giving me the opportunity to share with you how I can help you. Therapy is not meant to be long term. In our work together, we will identify patterns of behaviors that are causing you not to live your best life. We only have one go around and I will be honored to assist you in learning more about yourself and how you can achieve the goals that you desire, which hopefully will lead to your happiness and satisfaction with your life.
Hi there! Thank you for giving me the opportunity to share with you how I can help you. Therapy is not meant to be long term. In our work together, we will identify patterns of behaviors that are causing you not to live your best life. We only have one go around and I will be honored to assist you in learning more about yourself and how you can achieve the goals that you desire, which hopefully will lead to your happiness and satisfaction with your life.
(516) 980-2691 View (516) 980-2691
Photo of Rebecca J Gordon, Clinical Social Work/Therapist in Hewlett, NY
Rebecca J Gordon
Clinical Social Work/Therapist, LCSW
Verified Verified
Hewlett, NY 11557
I am a New York State licensed clinical social worker/ psychotherapist serving children, adolescents and adults. My years as a high school counselor have provided me with immense experience working with adolescents and their parents. All of us need guidance and support at one point or another. You are not alone, I am here to guide you through your journey. Utilizing a wide array of treatment modalities and techniques, I recognize that each person and their experiences are unique. Reach out and allow me to help you make the changes you need, to create the life you deserve.
I am a New York State licensed clinical social worker/ psychotherapist serving children, adolescents and adults. My years as a high school counselor have provided me with immense experience working with adolescents and their parents. All of us need guidance and support at one point or another. You are not alone, I am here to guide you through your journey. Utilizing a wide array of treatment modalities and techniques, I recognize that each person and their experiences are unique. Reach out and allow me to help you make the changes you need, to create the life you deserve.
(914) 873-4538 View (914) 873-4538
Photo of Frank Ilario Romanelli, Counselor in Hewlett, NY
Frank Ilario Romanelli
Counselor, LMHC
Verified Verified
Hewlett, NY 11557
Welcome to Your Path of Transformation: Mastering Your Inner World. Life is a series of challenges, but what if I told you that these challenges are not defined by what happens to us, but rather, by how we learn to master our internal emotions and sensations? I’m Frank Romanelli, a dedicated Clinical Mental Health Counselor, here to guide you on a transformative journey where the power lies within you. With a profound understanding that true resilience comes from mastering our inner world utilizing psychotherapeutic strategies and techniques. Embracing Challenges as Opportunities for Growth.
Welcome to Your Path of Transformation: Mastering Your Inner World. Life is a series of challenges, but what if I told you that these challenges are not defined by what happens to us, but rather, by how we learn to master our internal emotions and sensations? I’m Frank Romanelli, a dedicated Clinical Mental Health Counselor, here to guide you on a transformative journey where the power lies within you. With a profound understanding that true resilience comes from mastering our inner world utilizing psychotherapeutic strategies and techniques. Embracing Challenges as Opportunities for Growth.
(516) 210-4271 View (516) 210-4271
Photo of Jesse Asher, Psychologist in Hewlett, NY
Jesse Asher
Psychologist, PsyD
Verified Verified
1 Endorsed
Hewlett, NY 11557
Each of us is on a singular journey filled with joy and pain, moments of peace and moments of struggle. At times, one’s experience of struggle can be overwhelming and fraught with difficult emotions. Caught in a web of distress, we feel as if our journey has derailed. Psychotherapy is an opportunity to honestly confront one’s struggles and difficult experiences in the context of one’s entire self. In an environment of acceptance and compassion, I use a range of evidence-based techniques to help my clients approach and understand their challenges and identify ways forward that incorporate acceptance and full engagement in life.
Each of us is on a singular journey filled with joy and pain, moments of peace and moments of struggle. At times, one’s experience of struggle can be overwhelming and fraught with difficult emotions. Caught in a web of distress, we feel as if our journey has derailed. Psychotherapy is an opportunity to honestly confront one’s struggles and difficult experiences in the context of one’s entire self. In an environment of acceptance and compassion, I use a range of evidence-based techniques to help my clients approach and understand their challenges and identify ways forward that incorporate acceptance and full engagement in life.
(516) 261-6035 View (516) 261-6035
Photo of Jenna Spector, Clinical Social Work/Therapist in Hewlett, NY
Jenna Spector
Clinical Social Work/Therapist, LMSW
Verified Verified
Hewlett, NY 11557
I am deeply committed to the well-being and mental health of all my clients, and work to help them navigate both past and present challenges. My mission as a therapist is to empower my clients to lead more fulfilling and authentic lives. I believe that through self-awareness, resilience, support and by utilizing various coping strategies, individuals can overcome obstacles, heal past traumas, and discover their own paths to happiness and well-being.
I am deeply committed to the well-being and mental health of all my clients, and work to help them navigate both past and present challenges. My mission as a therapist is to empower my clients to lead more fulfilling and authentic lives. I believe that through self-awareness, resilience, support and by utilizing various coping strategies, individuals can overcome obstacles, heal past traumas, and discover their own paths to happiness and well-being.
(516) 204-4161 View (516) 204-4161
Photo of Dr. Garrett Ingram in Hewlett, NY
Dr. Garrett Ingram
PhD, MA, MFT
Verified Verified
Hewlett, NY 11557  (Online Only)
I provide counseling for individuals, couples, and families with a desire of helping them bring joy back to their relational functioning.
I provide counseling for individuals, couples, and families with a desire of helping them bring joy back to their relational functioning.
(347) 921-9448 View (347) 921-9448
Photo of Lindsay S Weisner, Psychologist in Hewlett, NY
Lindsay S Weisner
Psychologist, PsyD
Verified Verified
2 Endorsed
Hewlett, NY 11557
If you feel hopeless, I will hold hope for you. If you feel helpless, I will remind you of how strong you are even if you don't feel strong in the moment. We all struggle to let go of our past, maybe an imperfect childhood or a traumatic romantic relationship. We all want a second chance to create the life we were supposed to have. Change is painful. And you may have to walk away from something, or someone, who no longer serves you.
If you feel hopeless, I will hold hope for you. If you feel helpless, I will remind you of how strong you are even if you don't feel strong in the moment. We all struggle to let go of our past, maybe an imperfect childhood or a traumatic romantic relationship. We all want a second chance to create the life we were supposed to have. Change is painful. And you may have to walk away from something, or someone, who no longer serves you.
(202) 643-9972 View (202) 643-9972
Photo of Danielle Wyner, Clinical Social Work/Therapist in Hewlett, NY
Danielle Wyner
Clinical Social Work/Therapist, LCSW
Verified Verified
Hewlett, NY 11557
Welcome! Congratulations on taking the first step towards helping yourself, or someone that you love! If you are feeling overwhelmed, lonely, anxious, or like you just need someone to talk to please reach out! I am a clinical social worker with close to 2 decades of experience working with teens, young adults, adults & their families. Social work is something I am passionate about, I worked in school settings for many years and through that experience gained a deep understanding of teenagers and young adults. My goal is to help young women during different transition periods in their lives- change happens, sometimes we need support!
Welcome! Congratulations on taking the first step towards helping yourself, or someone that you love! If you are feeling overwhelmed, lonely, anxious, or like you just need someone to talk to please reach out! I am a clinical social worker with close to 2 decades of experience working with teens, young adults, adults & their families. Social work is something I am passionate about, I worked in school settings for many years and through that experience gained a deep understanding of teenagers and young adults. My goal is to help young women during different transition periods in their lives- change happens, sometimes we need support!
(516) 518-5348 View (516) 518-5348
Advanced Mindcare
Counselor
Verified Verified
Hewlett, NY 11557
Discover how good you or your child can feel without medication! Normalize behavior, enhance cognitive and/ or physical performance, stabilize mood and learn self-regulation. We are psychotherapists who have extensive experience working collaboratively with adults, adolescents, children, and elders. We have developed a system, in which we incorporate various therapeutic approaches including psychotherapy, EMDR, clinical hypnosis, neurotherapy, and mindfulness meditation to accelerate the healing process. We work with the source of the problems, not just the symptoms. We help you improve your lives by encouraging insight, empathy and loving kindness.
Discover how good you or your child can feel without medication! Normalize behavior, enhance cognitive and/ or physical performance, stabilize mood and learn self-regulation. We are psychotherapists who have extensive experience working collaboratively with adults, adolescents, children, and elders. We have developed a system, in which we incorporate various therapeutic approaches including psychotherapy, EMDR, clinical hypnosis, neurotherapy, and mindfulness meditation to accelerate the healing process. We work with the source of the problems, not just the symptoms. We help you improve your lives by encouraging insight, empathy and loving kindness.
(516) 584-3493 View (516) 584-3493
Photo of Veronika Adlerstein, Clinical Social Work/Therapist in Hewlett, NY
Veronika Adlerstein
Clinical Social Work/Therapist, LCSW
Verified Verified
Hewlett, NY 11557
I firmly believe that emotional wellness is critical to the quality of life. My work focuses on treating symptoms related to depression, anxiety, life transitions, decision-making, family and social relationships, loss, and chronic pain. Building a warm therapeutic alliance between a client and therapist is the deciding factor for how successful therapy will be. The therapeutic relationship is not only central to the outcome; it is the only significant factor and one that cannot be impacted by formal training. If I, as your therapist, can tolerate your intense unmanageable feelings, you will eventually learn to do the same.
I firmly believe that emotional wellness is critical to the quality of life. My work focuses on treating symptoms related to depression, anxiety, life transitions, decision-making, family and social relationships, loss, and chronic pain. Building a warm therapeutic alliance between a client and therapist is the deciding factor for how successful therapy will be. The therapeutic relationship is not only central to the outcome; it is the only significant factor and one that cannot be impacted by formal training. If I, as your therapist, can tolerate your intense unmanageable feelings, you will eventually learn to do the same.
(516) 209-7977 View (516) 209-7977
Photo of Adir Pinchot, Psychologist in Hewlett, NY
Adir Pinchot
Psychologist, PhD
Verified Verified
2 Endorsed
Hewlett, NY 11557
Do you feel as though you are constantly battling intrusive thoughts, worries, and anxiety? Are these thoughts & feelings making it hard to be your best self at school or at work? Are they preventing your from creating or deepening relationships? Reaching out can be an intimidating step, but please don't wait. We will work together to find and develop the practical skills that will enable you to overcome your challenges, break free of your fears, and pursue a life of meaning & satisfaction.
Do you feel as though you are constantly battling intrusive thoughts, worries, and anxiety? Are these thoughts & feelings making it hard to be your best self at school or at work? Are they preventing your from creating or deepening relationships? Reaching out can be an intimidating step, but please don't wait. We will work together to find and develop the practical skills that will enable you to overcome your challenges, break free of your fears, and pursue a life of meaning & satisfaction.
(646) 586-3313 View (646) 586-3313
Photo of Richard R. Sternberg, Psychologist in Hewlett, NY
Richard R. Sternberg
Psychologist, PsyD, ABPP
Verified Verified
Hewlett, NY 11557
In 30+ years of experience, I've learned to tailor my treatment to the needs of clients. However, my preferred method of helping is through insight. Even people who feel they know themselves well often have blind spots that keep them trapped in unhappy ways of living. Over 2000 years ago, Socrates advised: "Know thyself." Human nature is essentially the same today as then; the advice holds up well. I will help you to know yourself in a way that helps to free you from current difficulties and lifelong patterns of thinking and feeling that have not served you well.
In 30+ years of experience, I've learned to tailor my treatment to the needs of clients. However, my preferred method of helping is through insight. Even people who feel they know themselves well often have blind spots that keep them trapped in unhappy ways of living. Over 2000 years ago, Socrates advised: "Know thyself." Human nature is essentially the same today as then; the advice holds up well. I will help you to know yourself in a way that helps to free you from current difficulties and lifelong patterns of thinking and feeling that have not served you well.
(516) 513-8619 View (516) 513-8619
Photo of Deborah Rosenberg, Psychologist in Hewlett, NY
Deborah Rosenberg
Psychologist, PhD
Verified Verified
Hewlett, NY 11557
I am a licensed psychologist with expertise in treating adolescents, adults, and seniors with a full range of psychological difficulties. I utilize evidence based treatments with compassion and flexibility in order to meet the needs of each individual I serve.
I am a licensed psychologist with expertise in treating adolescents, adults, and seniors with a full range of psychological difficulties. I utilize evidence based treatments with compassion and flexibility in order to meet the needs of each individual I serve.
(516) 882-6445 View (516) 882-6445
Photo of Dr. Naomi Rosenbach, Psychologist in Hewlett, NY
Dr. Naomi Rosenbach
Psychologist, PhD
Verified Verified
Hewlett, NY 11557
After spending a decade in the business industry, I made a meaningful career change to pursue my passion for psychology. I strive to help my clients create more meaning and satisfaction in their lives while working through some difficult emotions and challenging circumstances. Like the serenity prayer, I view the therapeutic setting as a place to explore acceptance verses change strategies. I have extensive training in Cognitive Behavior Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, as well as psychodynamic and relational modalities and I tailor my approach to meet the needs of each client.
After spending a decade in the business industry, I made a meaningful career change to pursue my passion for psychology. I strive to help my clients create more meaning and satisfaction in their lives while working through some difficult emotions and challenging circumstances. Like the serenity prayer, I view the therapeutic setting as a place to explore acceptance verses change strategies. I have extensive training in Cognitive Behavior Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, as well as psychodynamic and relational modalities and I tailor my approach to meet the needs of each client.
(516) 447-3974 View (516) 447-3974
Photo of Yunetta Baron, Clinical Social Work/Therapist in Hewlett, NY
Yunetta Baron
Clinical Social Work/Therapist, LMSW
Not Verified Not Verified
Hewlett, NY 11557
I am a Russian speaking Licensed Social Worker with over 20 years of experience in all age groups. If you are looking for the therapist who are able to help you recover from trauma, abuse, addiction, anger, depression or anxiety, please do not hesitate to contact me. I provide individual psychotherapy, counseling for couples, the elderly and family issues. I use Cognitive Behavioral Therapy, Mindfulness Meditation and insight oriented therapy. I am seeing my clients in Forest Hills office and in LI office.
I am a Russian speaking Licensed Social Worker with over 20 years of experience in all age groups. If you are looking for the therapist who are able to help you recover from trauma, abuse, addiction, anger, depression or anxiety, please do not hesitate to contact me. I provide individual psychotherapy, counseling for couples, the elderly and family issues. I use Cognitive Behavioral Therapy, Mindfulness Meditation and insight oriented therapy. I am seeing my clients in Forest Hills office and in LI office.
(917) 423-7620 View (917) 423-7620
Photo of Nina Reiss (Pnina Braun), Marriage & Family Therapist in Hewlett, NY
Nina Reiss (Pnina Braun)
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Hewlett, NY 11557
You want your life filled with passion, joy, and meaning in personal goals, career, and treasured relationships. You want to know that you matter and you are loved and accepted. You want to lift the weight of stress, frustration, hurt, and despair. For couples, you desire more excitement and a deeper connection. For parents, you want to know how to help your child through a struggle that you find overwhelming. You don’t have to feel powerless any more. You can take control of your life. Take the reins to steer your life on a new path to achieve your dreams, enhance your love life, & develop positive connections with others!
You want your life filled with passion, joy, and meaning in personal goals, career, and treasured relationships. You want to know that you matter and you are loved and accepted. You want to lift the weight of stress, frustration, hurt, and despair. For couples, you desire more excitement and a deeper connection. For parents, you want to know how to help your child through a struggle that you find overwhelming. You don’t have to feel powerless any more. You can take control of your life. Take the reins to steer your life on a new path to achieve your dreams, enhance your love life, & develop positive connections with others!
(516) 246-6055 View (516) 246-6055
Photo of Elizabeth Blisko, Counselor in Hewlett, NY
Elizabeth Blisko
Counselor, LMHC, EdM, MA
Verified Verified
1 Endorsed
Hewlett, NY 11557
Client’s usually seek therapy when they feel “stuck”, unable to move beyond the obstacles they are facing. I am passionate about helping people tackle life’s challenges, to help them feel more empowered and in control. Rooted in a cognitive behavioral style of therapy, I aim to help my clients identify and eventually combat harmful beliefs and behaviors that may be holding them back from achieving their goals and living the life they desire. I work with my clients to build a “toolkit” full of skills that they can take with them outside the therapy room.
Client’s usually seek therapy when they feel “stuck”, unable to move beyond the obstacles they are facing. I am passionate about helping people tackle life’s challenges, to help them feel more empowered and in control. Rooted in a cognitive behavioral style of therapy, I aim to help my clients identify and eventually combat harmful beliefs and behaviors that may be holding them back from achieving their goals and living the life they desire. I work with my clients to build a “toolkit” full of skills that they can take with them outside the therapy room.
(646) 374-2593 View (646) 374-2593
Photo of Lisa B Cohen, Psychologist in Hewlett, NY
Lisa B Cohen
Psychologist, PsyD
Verified Verified
Hewlett, NY 11557
I appreciate your interest in my practice. Together we will set goals and work towards reaching them in a safe and comfortable environment. In addition to treating adults, working extensively with children, adolescents and families allows me to help you navigate any social, emotional, or behavioral issues that you are facing. My specialties include anxiety, depression, social concerns (including dealing with social media), academic matters, self-esteem issues, acting out behaviors and parent counseling. Although parenting can be difficult, learning strategies to deal with the day-to-day struggles will make your life easier.
I appreciate your interest in my practice. Together we will set goals and work towards reaching them in a safe and comfortable environment. In addition to treating adults, working extensively with children, adolescents and families allows me to help you navigate any social, emotional, or behavioral issues that you are facing. My specialties include anxiety, depression, social concerns (including dealing with social media), academic matters, self-esteem issues, acting out behaviors and parent counseling. Although parenting can be difficult, learning strategies to deal with the day-to-day struggles will make your life easier.
(516) 204-4010 View (516) 204-4010
Photo of Janet Steiner, Clinical Social Work/Therapist in Hewlett, NY
Janet Steiner
Clinical Social Work/Therapist, LCSW
Verified Verified
Hewlett, NY 11557
Life can be stressful and challenging at times. Sometimes we need the guidance, empathy and support of a skilled therapist to help us through difficult times. I am a warm, dynamic and seasoned individual, family and couples therapist trained at the Ackerman Institute. My goal is to help my clients identify feelings, thoughts or behaviors which may affect their interpersonal relationships, self esteem or personal goals. I have advanced training in Emotionally Focused Therapy for couples which helps identify negative patterns and creates greater trust, understanding and intimacy.
Life can be stressful and challenging at times. Sometimes we need the guidance, empathy and support of a skilled therapist to help us through difficult times. I am a warm, dynamic and seasoned individual, family and couples therapist trained at the Ackerman Institute. My goal is to help my clients identify feelings, thoughts or behaviors which may affect their interpersonal relationships, self esteem or personal goals. I have advanced training in Emotionally Focused Therapy for couples which helps identify negative patterns and creates greater trust, understanding and intimacy.
(516) 569-5601 View (516) 569-5601
Photo of Alan Winder, Psychologist in Hewlett, NY
Alan Winder
Psychologist, PhD
Verified Verified
3 Endorsed
Hewlett, NY 11557
My therapeutic style is empathetic and solution-oriented: I help you identify specific goals and develop the tools you need to achieve them. To do this, I use Insight-oriented & Cognitive techniques to help you understand the emotional patterns that cause you to behave in ways that are harmful, identify the thoughts that are the result of these emotional patterns, and replacing these vicious cycles with more healthy behavioral patterns. These tools allow you to build the skills you need to feel increased calm, improved mood, and live a more fulfilling and happy live.
My therapeutic style is empathetic and solution-oriented: I help you identify specific goals and develop the tools you need to achieve them. To do this, I use Insight-oriented & Cognitive techniques to help you understand the emotional patterns that cause you to behave in ways that are harmful, identify the thoughts that are the result of these emotional patterns, and replacing these vicious cycles with more healthy behavioral patterns. These tools allow you to build the skills you need to feel increased calm, improved mood, and live a more fulfilling and happy live.
(516) 246-2842 View (516) 246-2842

How does your Therapist compare?

Number of Therapists in Hewlett, NY

60+

Average cost per session

$200

Therapists in Hewlett, NY who prioritize treating:

94% Anxiety
91% Depression
88% Relationship Issues
73% Self Esteem
67% Trauma and PTSD
66% Parenting
66% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

68% Aetna
57% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in Hewlett, NY see their clients

81% In Person and Online
19% Online Only

Gender breakdown

70% Female
30% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Hewlett?

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.