Therapists in Palm Bay, FL

Photo of Sharon Salichs, Counselor, LMHC
Sharon Salichs
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
I'm a Licensed Bilingual Mental Health Counselor fluent in Spanish, based in Florida, offering virtual therapy sessions to clients across the state. I understand that finding a therapist can feel intimidating as you search for someone you can trust—but you've already taken the first step! My goal is to make this process easier by providing a personable, empathetic, yet direct approach. I employ a client-centered approach, integrating various therapy models tailored to individual needs, with the aim of creating a safe, accepting, and trusting environment for my clients.
I'm a Licensed Bilingual Mental Health Counselor fluent in Spanish, based in Florida, offering virtual therapy sessions to clients across the state. I understand that finding a therapist can feel intimidating as you search for someone you can trust—but you've already taken the first step! My goal is to make this process easier by providing a personable, empathetic, yet direct approach. I employ a client-centered approach, integrating various therapy models tailored to individual needs, with the aim of creating a safe, accepting, and trusting environment for my clients.
(321) 359-8274 View (321) 359-8274
Photo of Carolyn Hix - Fortitude Wellbeing, Counselor
Fortitude Wellbeing
Counselor
Verified Verified
Online Only
Our ideal mental health client is someone struggling with anxiety, self-doubt, past trauma or in addiction recovery. They need support in building emotional resilience, managing stress, and improving coping skills. Their goal is to develop self-compassion, improve relationships, and find purpose and fulfillment. They want clarity on their direction in life, feel more confident, and have healthier emotional regulation. Ultimately, they seek a sense of peace and empowerment to lead a more authentic, balanced life and move beyond their internal struggles.
Our ideal mental health client is someone struggling with anxiety, self-doubt, past trauma or in addiction recovery. They need support in building emotional resilience, managing stress, and improving coping skills. Their goal is to develop self-compassion, improve relationships, and find purpose and fulfillment. They want clarity on their direction in life, feel more confident, and have healthier emotional regulation. Ultimately, they seek a sense of peace and empowerment to lead a more authentic, balanced life and move beyond their internal struggles.
(321) 321-7582 View (321) 321-7582
Photo of Dr. Sharmaine Wilder, Licensed Mental Health Counselor, PhD, LMHC
Dr. Sharmaine Wilder
Licensed Mental Health Counselor, PhD, LMHC
Verified Verified
Online Only
Has life left you feeling lifeless? Are you feeling overwhelmed, confused and don't know where to go or what to do? We understand. Here at Healing Hearts Counseling Services, we are able to help support you through various life stages and transitions. In a world of confusion, disappointments, and despair, it's good to know there's somewhere to turn to for help and care. We will help provide you with the necessary tools and resources needed to thrive and enjoy a meaningful life.
Has life left you feeling lifeless? Are you feeling overwhelmed, confused and don't know where to go or what to do? We understand. Here at Healing Hearts Counseling Services, we are able to help support you through various life stages and transitions. In a world of confusion, disappointments, and despair, it's good to know there's somewhere to turn to for help and care. We will help provide you with the necessary tools and resources needed to thrive and enjoy a meaningful life.
(772) 272-0504 View (772) 272-0504
Photo of Anthony Lewis, Licensed Professional Counselor, MA, LPC, LMHC
Anthony Lewis
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
Online Only
My ideal client is someone who is feeling stuck—maybe they’re navigating a major life transition, carrying the weight of past trauma, or struggling with depression, anxiety, or self-doubt. They may be a parent trying to show up better for their family, a veteran adjusting to civilian life, or someone simply feeling disconnected and unsure of their path. What they want most is to feel understood, supported, and empowered to move forward. They’re not looking for a quick fix—they’re looking for real growth, healing, and sustainable change.
My ideal client is someone who is feeling stuck—maybe they’re navigating a major life transition, carrying the weight of past trauma, or struggling with depression, anxiety, or self-doubt. They may be a parent trying to show up better for their family, a veteran adjusting to civilian life, or someone simply feeling disconnected and unsure of their path. What they want most is to feel understood, supported, and empowered to move forward. They’re not looking for a quick fix—they’re looking for real growth, healing, and sustainable change.
(321) 327-9187 View (321) 327-9187
Photo of Madelin Taveras, Licensed Mental Health Counselor, LCMHC
Madelin Taveras
Licensed Mental Health Counselor, LCMHC
Verified Verified
Online Only
Hi! I am Madelin Taveras, LMHC. I'm a Licensed Mental Health Counselor (LMHC) in the state of Florida. Received a bachelor’s degree in psychology at Ramapo College of NJ and a master’s degree in Mental Health Counseling from Nova Southeastern University. I am highly motivated to assist you in achieving your goals and processing relational issues in a safe and caring environment. It is imperative for you to feel supported and understood through your journey. Currently working with clients with anxiety, depression, mood disorders, relational issues, co-parenting, and separation.
Hi! I am Madelin Taveras, LMHC. I'm a Licensed Mental Health Counselor (LMHC) in the state of Florida. Received a bachelor’s degree in psychology at Ramapo College of NJ and a master’s degree in Mental Health Counseling from Nova Southeastern University. I am highly motivated to assist you in achieving your goals and processing relational issues in a safe and caring environment. It is imperative for you to feel supported and understood through your journey. Currently working with clients with anxiety, depression, mood disorders, relational issues, co-parenting, and separation.
(321) 306-3545 View (321) 306-3545
Photo of Laurie Carter, Counselor, PhD, LMHC, LPC, CAADC
Laurie Carter
Counselor, PhD, LMHC, LPC, CAADC
Verified Verified
Online Only
Hello! I am currently accepting new clients for telehealth sessions. I currently work with adults, adolescents, preteens, and partners who want to embark on a journey of self-exploration, improve mood and behavior regulation, recover from substance misuse, increase self-worth and coping skills, and heal from trauma. I currently use the following therapeutic modalities: cognitive behavioral therapy, DBT - informed individual therapy and skills development, motivational interviewing, substance use disorder treatment, supportive and solution-focused therapy, mindfulness, bibliotherapy, and narrative therapy.
Hello! I am currently accepting new clients for telehealth sessions. I currently work with adults, adolescents, preteens, and partners who want to embark on a journey of self-exploration, improve mood and behavior regulation, recover from substance misuse, increase self-worth and coping skills, and heal from trauma. I currently use the following therapeutic modalities: cognitive behavioral therapy, DBT - informed individual therapy and skills development, motivational interviewing, substance use disorder treatment, supportive and solution-focused therapy, mindfulness, bibliotherapy, and narrative therapy.
(321) 221-5820 View (321) 221-5820
Photo of Patricia J Bilitzke, Counselor, LCMHC, LCAS, CCS, LMHC, CAP
Patricia J Bilitzke
Counselor, LCMHC, LCAS, CCS, LMHC, CAP
Verified Verified
Online Only
Life can feel overwhelming when you’re dealing with stress, anxiety, PTSD, grief, depression, or relationship challenges. Whether you're navigating family conflicts, struggling with substance use, or managing issues like ADHD, I’m here to help. My goal is to provide a supportive space where you can share your thoughts and feelings without fear of judgment. Together, we’ll work to identify your unique strengths and develop strategies to overcome challenges, restore balance, and move toward the life you want. No matter your age, background, or experiences, you deserve support tailored to your needs.
Life can feel overwhelming when you’re dealing with stress, anxiety, PTSD, grief, depression, or relationship challenges. Whether you're navigating family conflicts, struggling with substance use, or managing issues like ADHD, I’m here to help. My goal is to provide a supportive space where you can share your thoughts and feelings without fear of judgment. Together, we’ll work to identify your unique strengths and develop strategies to overcome challenges, restore balance, and move toward the life you want. No matter your age, background, or experiences, you deserve support tailored to your needs.
(321) 286-7216 View (321) 286-7216
Photo of Alyssa Koch, Clinical Social Work/Therapist, LCSW
Alyssa Koch
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! I'm Alyssa Koch, Clinical Social Work/Therapist, LCSW. I am dedicated to helping clients develop the skills needed to reach their goals. I use an empowering, supportive, and collaborative approach in therapy. With over 15 years of experience in the treatment of substance dependency, I am well-versed in working with dually diagnosed individuals. I am passionate about my work with individuals on a journey to deeper self-discovery and satisfaction with life.
Hello! I'm Alyssa Koch, Clinical Social Work/Therapist, LCSW. I am dedicated to helping clients develop the skills needed to reach their goals. I use an empowering, supportive, and collaborative approach in therapy. With over 15 years of experience in the treatment of substance dependency, I am well-versed in working with dually diagnosed individuals. I am passionate about my work with individuals on a journey to deeper self-discovery and satisfaction with life.
(321) 413-8092 View (321) 413-8092
Photo of Chana Gehrman - Empower Behavior Therapy and Consulting
Our ideal clients are families with children or teens who face behavior challenges, such as communication difficulties, emotional regulation issues, or social skills development. These families often need support with daily challenges, whether at home or in school, and are looking for a compassionate, personalized approach to help their child thrive. Our goal is to help reduce behavior challenges, improve communication, and build independence while creating a safe and supportive environment.
Our ideal clients are families with children or teens who face behavior challenges, such as communication difficulties, emotional regulation issues, or social skills development. These families often need support with daily challenges, whether at home or in school, and are looking for a compassionate, personalized approach to help their child thrive. Our goal is to help reduce behavior challenges, improve communication, and build independence while creating a safe and supportive environment.
(321) 346-5267 View (321) 346-5267
Photo of Patricia Del Manzano, Clinical Social Work/Therapist
Patricia Del Manzano
Clinical Social Work/Therapist
Verified Verified
Palm Bay, FL 32908
As a Licensed Clinical Social Worker with 6 years of experience in the field. I’m passionate about helping individuals navigate life’s challenges with compassion, clarity, and confidence. With years of experience in mental health, I specialize in working with adults and teens dealing with anxiety, depression, life transitions, and trauma. My approach is client-centered, strengths-based, and rooted in evidence-based practices like CBT, DBT, and mindfulness
As a Licensed Clinical Social Worker with 6 years of experience in the field. I’m passionate about helping individuals navigate life’s challenges with compassion, clarity, and confidence. With years of experience in mental health, I specialize in working with adults and teens dealing with anxiety, depression, life transitions, and trauma. My approach is client-centered, strengths-based, and rooted in evidence-based practices like CBT, DBT, and mindfulness
(321) 415-4640 View (321) 415-4640
Photo of New Way Counseling Nwcs - New Way Counseling Services, Inc., Counselor, LMHC, CAP, NBCC
New Way Counseling Services, Inc.
Counselor, LMHC, CAP, NBCC
Verified Verified
Palm Bay, FL 32905
We are positive thinking, forward moving team and we believe one should never give up hope. This is our philosophy and we practice what we preach. It is proven fact that once a person starts to think positive and push a little harder, things start to happen. So please never give up. If you are finding it hard to make things work and bring about a positive change in your life, we can give you some tools to turn things around.
We are positive thinking, forward moving team and we believe one should never give up hope. This is our philosophy and we practice what we preach. It is proven fact that once a person starts to think positive and push a little harder, things start to happen. So please never give up. If you are finding it hard to make things work and bring about a positive change in your life, we can give you some tools to turn things around.
(321) 418-3932 View (321) 418-3932
Photo of Yoany Lopez Hernandez, Counselor, LMHC
Yoany Lopez Hernandez
Counselor, LMHC
Verified Verified
Online Only
Hello, I am Yoany Lopez-Hernandez, LMHC. I am a Licensed Mental Health Counselor who is passionate about life. I am here to support my clients through rough times and overcome trauma related issues focusing in healing and building self-love and self-confidence. I've been working with people that experienced trauma (ex. Sexual, Physical and/or psychological abuse during childhood, placed in foster homes, homeless, not feeling heard or validated, divorce, grieving, etc.). I've been focusing on identifying symptoms and helping them to deal with trauma related issues, while learning and practicing healthy and adaptive coping skills.
Hello, I am Yoany Lopez-Hernandez, LMHC. I am a Licensed Mental Health Counselor who is passionate about life. I am here to support my clients through rough times and overcome trauma related issues focusing in healing and building self-love and self-confidence. I've been working with people that experienced trauma (ex. Sexual, Physical and/or psychological abuse during childhood, placed in foster homes, homeless, not feeling heard or validated, divorce, grieving, etc.). I've been focusing on identifying symptoms and helping them to deal with trauma related issues, while learning and practicing healthy and adaptive coping skills.
(407) 890-0932 View (407) 890-0932
Photo of Tamara D Harris, Clinical Social Work/Therapist, LCSW , QS CSW, MSW, MA
Tamara D Harris
Clinical Social Work/Therapist, LCSW , QS CSW, MSW, MA
Verified Verified
Palm Bay, FL 32905
Life's unexpected turns can leave us feeling adrift and overwhelmed. As someone who specializes in supporting individuals through divorce, co-parenting challenges, and major life transitions, I understand that seeking help is both courageous and necessary. Whether you're navigating the complex emotions of separation, struggling to find your footing as a co-parent, or processing deep-seated grief, you've already taken the first step by being here. As a Licensed Clinical Social Worker with extensive experience in relationship dynamics and life transitions, I create a warm, judgment-free space where your story matters.
Life's unexpected turns can leave us feeling adrift and overwhelmed. As someone who specializes in supporting individuals through divorce, co-parenting challenges, and major life transitions, I understand that seeking help is both courageous and necessary. Whether you're navigating the complex emotions of separation, struggling to find your footing as a co-parent, or processing deep-seated grief, you've already taken the first step by being here. As a Licensed Clinical Social Worker with extensive experience in relationship dynamics and life transitions, I create a warm, judgment-free space where your story matters.
(321) 323-7054 View (321) 323-7054
Photo of Katherine Fernandez, Marriage & Family Therapist, LMFT
Katherine Fernandez
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Online Only
Working with me is more than just getting the help you need, it is about making an investment in the most important person in your life—YOU. I am a Licensed Marriage and Family Therapist and an Empowerment therapist passionate about helping women, like you, step into your confidence, inner strength, and the happiness I know you're capable of achieving. Don't you think it's time for you to let go of the low self-esteem, fear, doubt, and hesitation holding you back from actually being able to enjoy life? (If you're still reading it means there's even the slightest part of you that has hope)
Working with me is more than just getting the help you need, it is about making an investment in the most important person in your life—YOU. I am a Licensed Marriage and Family Therapist and an Empowerment therapist passionate about helping women, like you, step into your confidence, inner strength, and the happiness I know you're capable of achieving. Don't you think it's time for you to let go of the low self-esteem, fear, doubt, and hesitation holding you back from actually being able to enjoy life? (If you're still reading it means there's even the slightest part of you that has hope)
(321) 248-1925 View (321) 248-1925
Photo of Venatoria Staple - Living Life Golden, LLC, Provisional Mental Health Counselor, Prov-L, MA, CAP
Living Life Golden, LLC
Provisional Mental Health Counselor, Prov-L, MA, CAP
Verified Verified
Online Only
Thank you for considering Living Life Golden. Decisions! What's stopping you? It takes courage. Life is always going to throw curve balls. Curve balls will either strengthen our life or keep one from moving forward. What do you want to accomplish? What are your needs? What are your goals? Living Life Golden is Health & Wellness client-focused to assist you in accomplishing that which is holding you from Living Life Golden. Allow that which is keeping you from your best life to reflect that which is rightfully yours.
Thank you for considering Living Life Golden. Decisions! What's stopping you? It takes courage. Life is always going to throw curve balls. Curve balls will either strengthen our life or keep one from moving forward. What do you want to accomplish? What are your needs? What are your goals? Living Life Golden is Health & Wellness client-focused to assist you in accomplishing that which is holding you from Living Life Golden. Allow that which is keeping you from your best life to reflect that which is rightfully yours.
(321) 832-9851 View (321) 832-9851
Photo of Kristen Dempsey, Clinical Social Work/Therapist, LCSW
Kristen Dempsey
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Palm Bay, FL 32905
If you’re reading this, things probably aren’t going exactly the way you planned. Sometimes life is a struggle and bad things can happen to good people. Whether the issue is a result of a current stressor or past event I will provide you with a genuine, compassionate, and comfortable environment to process your experiences in.
If you’re reading this, things probably aren’t going exactly the way you planned. Sometimes life is a struggle and bad things can happen to good people. Whether the issue is a result of a current stressor or past event I will provide you with a genuine, compassionate, and comfortable environment to process your experiences in.
(321) 517-2101 View (321) 517-2101
Photo of Kimberly (Fischer) Leslie, Counselor, MA, LMHC
Kimberly (Fischer) Leslie
Counselor, MA, LMHC
Verified Verified
Palm Bay, FL 32907
I use clinical psychological training shaped by Biblical principles. It is my responsibility to stay abreast of the latest advances of psychology while simultaneously declaring my convictions about the irrefutable truths of sin and forgiveness. I offer a place where you are received with sensitivity and compassion while you are invited to engage in a genuine relationship. It is within the context of this confidential relationship that I will join with you as you take the opportunity to wrestle with the hard questions, explore their implications and discover there is hope.
I use clinical psychological training shaped by Biblical principles. It is my responsibility to stay abreast of the latest advances of psychology while simultaneously declaring my convictions about the irrefutable truths of sin and forgiveness. I offer a place where you are received with sensitivity and compassion while you are invited to engage in a genuine relationship. It is within the context of this confidential relationship that I will join with you as you take the opportunity to wrestle with the hard questions, explore their implications and discover there is hope.
(321) 510-6072 View (321) 510-6072
Photo of Scott Harcourt, Psychologist, PhD
Scott Harcourt
Psychologist, PhD
Verified Verified
Palm Bay, FL 32905
Hi! I hold a PhD in Clinical Neuropsychology, and I work to help my clients understand and capitalize on their assets while seeking to improve their weaknesses.
Hi! I hold a PhD in Clinical Neuropsychology, and I work to help my clients understand and capitalize on their assets while seeking to improve their weaknesses.
(321) 209-3344 View (321) 209-3344
Photo of Jacqueline Maple, Counselor, LMHC, LPC, QS, MCAP
Jacqueline Maple
Counselor, LMHC, LPC, QS, MCAP
Verified Verified
4 Endorsed
Online Only
Do you feel different, misunderstood, judged, embarrassed and or ashamed? Do you know how to create and enforce healthy relationships/healthy boundaries? Do you engage in negative self talk and have self esteem issues? Are you struggling with relationships at home and or at work? Are you or is someone you care for abusing substances? Together we will explore the way you make sense of the world and how your thoughts impact your feelings and behaviors. With a deeper understanding of yourself we will work on forgiveness, acceptance and making positive changes.
Do you feel different, misunderstood, judged, embarrassed and or ashamed? Do you know how to create and enforce healthy relationships/healthy boundaries? Do you engage in negative self talk and have self esteem issues? Are you struggling with relationships at home and or at work? Are you or is someone you care for abusing substances? Together we will explore the way you make sense of the world and how your thoughts impact your feelings and behaviors. With a deeper understanding of yourself we will work on forgiveness, acceptance and making positive changes.
(321) 204-2832 View (321) 204-2832
Photo of Renata F. Martins - Open Talk Therapy, LLC, Marriage & Family Therapist, LMFT
Open Talk Therapy, LLC
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello, my name is Renata! My experience has focused on trauma, anxiety, and childhood concerns - things that we can all relate to, but we may have second thoughts or some hesitation about addressing or even acknowledging. Sometimes we feel disconnected and detached from others, emotionally fatigued and/or on edge, and sometimes we just feel "off" and have no idea where to start. This is it, though - you reading this and looking through countless therapist's profiles is the first tedious, but necessary, step (yay!).
Hello, my name is Renata! My experience has focused on trauma, anxiety, and childhood concerns - things that we can all relate to, but we may have second thoughts or some hesitation about addressing or even acknowledging. Sometimes we feel disconnected and detached from others, emotionally fatigued and/or on edge, and sometimes we just feel "off" and have no idea where to start. This is it, though - you reading this and looking through countless therapist's profiles is the first tedious, but necessary, step (yay!).
(772) 266-5206 View (772) 266-5206
1

See more therapy options for Palm Bay

How does your Therapist compare?

Number of Therapists in Palm Bay, FL

80+

Average cost per session

$130

Therapists in Palm Bay, FL who prioritize treating:

90% Anxiety
83% Depression
76% Relationship Issues
74% Trauma and PTSD
74% Coping Skills
70% Grief
70% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

76% Aetna
70% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in Palm Bay, FL see their clients

63% In Person and Online
37% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Palm Bay?

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.