Therapists in Leblanc, LA

Photo of Sherri A Wood, MS, LPC, LCDC, CFBC
Sherri A Wood
MS, LPC, LCDC, CFBC
Verified Verified
Leblanc, LA 70651
Hi, I am a mother of 5 and grandmother of 8 (so far :-) ). I specialize in couples counseling, children, adolescents, individuals and addictions. I believe that we all have a journey to take and sometimes having someone to help along the way gets us motivated for change. I believe you have what it takes to make a happy and productive life and I'm just here to help you find it! Call me if you don't want to be judged, but want to work together to reach your happiness!
Hi, I am a mother of 5 and grandmother of 8 (so far :-) ). I specialize in couples counseling, children, adolescents, individuals and addictions. I believe that we all have a journey to take and sometimes having someone to help along the way gets us motivated for change. I believe you have what it takes to make a happy and productive life and I'm just here to help you find it! Call me if you don't want to be judged, but want to work together to reach your happiness!
(337) 343-3600 View (337) 343-3600

More Therapists Nearby

Photo of Jessica Leslie, LCSW, Clinical Social Work/Therapist
Jessica Leslie
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
My name is Jessica Leslie and I've been counseling children, adults, and the elderly for 18 years. I specialize in Grief and Bereavement, Chronic Disabilities, Geriatrics, OCD and Adjustment. I have extensive experience working with Trauma, Anxiety, Depression, and PTSD. I enjoy my profession and practice true presence with my clients. From a young age I was fascinated with discovering there are different modalities to help us cope. The mind, body, and spirit can heal at any time, at any age. Please join me in discovering your inner strengths. I will meet you where you are and guide you as far as you feel comfortable.
My name is Jessica Leslie and I've been counseling children, adults, and the elderly for 18 years. I specialize in Grief and Bereavement, Chronic Disabilities, Geriatrics, OCD and Adjustment. I have extensive experience working with Trauma, Anxiety, Depression, and PTSD. I enjoy my profession and practice true presence with my clients. From a young age I was fascinated with discovering there are different modalities to help us cope. The mind, body, and spirit can heal at any time, at any age. Please join me in discovering your inner strengths. I will meet you where you are and guide you as far as you feel comfortable.
(337) 455-7952 View (337) 455-7952
Photo of Suzanne M. Palmer, MA, LPC, LAC, NCC, Licensed Professional Counselor
Suzanne M. Palmer
Licensed Professional Counselor, MA, LPC, LAC, NCC
Verified Verified
3 Endorsed
Serves Area
My ideal client is one suffering from feelings of inadequacy, shame, fear, anxiety, or guilt. I understand and can help overcome these issues with you. It's time to be good to yourself. I am experienced in working with persons in surviving grief, personal issues, PTSD, low self esteem, communication problems, and marriage issues. If you are thinking about making a change I would like to help.
My ideal client is one suffering from feelings of inadequacy, shame, fear, anxiety, or guilt. I understand and can help overcome these issues with you. It's time to be good to yourself. I am experienced in working with persons in surviving grief, personal issues, PTSD, low self esteem, communication problems, and marriage issues. If you are thinking about making a change I would like to help.
(318) 524-7825 View (318) 524-7825
Photo of Helen Thacker Marcantel, MS, PLMFT, PLPC, Pre-Licensed Professional
Helen Thacker Marcantel
Pre-Licensed Professional, MS, PLMFT, PLPC
Verified Verified
Iowa, LA 70647
Now more than ever, everyone is anxious, overwhelmed and aimlessly trying quick fixes to feel just an ounce of stress relief. Pushing your needs to the side, for an extended period of time, can create disconnect between your body and mind. Let's discuss those problems and learn valuable resources for the present and future self to use. Don't just survive, let's learn to thrive.
Now more than ever, everyone is anxious, overwhelmed and aimlessly trying quick fixes to feel just an ounce of stress relief. Pushing your needs to the side, for an extended period of time, can create disconnect between your body and mind. Let's discuss those problems and learn valuable resources for the present and future self to use. Don't just survive, let's learn to thrive.
(337) 386-1068 View (337) 386-1068
Photo of Tori Mays, MA, PLPC, Pre-Licensed Professional
Tori Mays
Pre-Licensed Professional, MA, PLPC
Verified Verified
2 Endorsed
Serves Area
My ideal client would be someone who is ready to work on feeling weighed down by anxiety, fear, shame, guilt, self-doubt, or insecurity. We can work on these as a team.
My ideal client would be someone who is ready to work on feeling weighed down by anxiety, fear, shame, guilt, self-doubt, or insecurity. We can work on these as a team.
(318) 407-6436 View (318) 407-6436
Photo of Rebecca Pettefer, MA, PLPC, Counselor
Rebecca Pettefer
Counselor, MA, PLPC
Verified Verified
2 Endorsed
Lake Charles, LA 70601
We have all experienced things that have left us feeling less-than, left us with wounds that struggle to heal, and have impacted how we live our lives. These experiences come from our childhood, the stress in our day-to-day lives, or even how we process the world around us. As a result of these hurts we often experience struggles in relationships with others, our own self-esteem, and our ability to handle life in healthy ways.
We have all experienced things that have left us feeling less-than, left us with wounds that struggle to heal, and have impacted how we live our lives. These experiences come from our childhood, the stress in our day-to-day lives, or even how we process the world around us. As a result of these hurts we often experience struggles in relationships with others, our own self-esteem, and our ability to handle life in healthy ways.
(337) 508-0936 View (337) 508-0936
Photo of Oshe’ Lewis-Reese, MA, LPC, Licensed Professional Counselor
Oshe’ Lewis-Reese
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Charles, LA 70605
Waitlist for new clients
I assist adult clients from various backgrounds and all walks of life. I believe that people experience many things in life that cause issues with self-esteem, perspective, and thought processes. As a result, this may require them to gain insight into their thinking and coping patterns to better understand themselves and improve their coping and decision making.
I assist adult clients from various backgrounds and all walks of life. I believe that people experience many things in life that cause issues with self-esteem, perspective, and thought processes. As a result, this may require them to gain insight into their thinking and coping patterns to better understand themselves and improve their coping and decision making.
(337) 329-9930 View (337) 329-9930
Photo of James Johnson, MA, PLPC, LPC-A
James Johnson
Provisional Licensed Professional Counselor, MA, PLPC, LPC-A
Verified Verified
Lake Charles, LA 70601
Calling all veterans who have been looking for a fellow vet as a counselor. You've found him! Any vet, any era, any branch - all are welcome. Trauma? Depression? Anxiety? Grief? Yep. Lots of us have struggled with it. You are not alone! I work from a Solution-Focused mindset and truly want to help by offering non-judgmental, empathic listening, with an ear toward solutions to help you move in the direction you want your life to go. I am accepting new clients and have openings as early as this week, so reach out today. I will make room for you.
Calling all veterans who have been looking for a fellow vet as a counselor. You've found him! Any vet, any era, any branch - all are welcome. Trauma? Depression? Anxiety? Grief? Yep. Lots of us have struggled with it. You are not alone! I work from a Solution-Focused mindset and truly want to help by offering non-judgmental, empathic listening, with an ear toward solutions to help you move in the direction you want your life to go. I am accepting new clients and have openings as early as this week, so reach out today. I will make room for you.
(337) 227-9811 View (337) 227-9811
Photo of Kimberly A Simms, LPC, LMFT, MAC, Marriage & Family Therapist
Kimberly A Simms
Marriage & Family Therapist, LPC, LMFT, MAC
Verified Verified
1 Endorsed
Serves Area
Life can be incredibly challenging. Often we have visions of the life we want to live, but we can't figure out why we're unable to realize our dreams. Better health, better relationships, increased stability, less worry, more happiness- all of these things can seem just outside of our reach. Life can be overwhelming, but it doesn't have to be.
Life can be incredibly challenging. Often we have visions of the life we want to live, but we can't figure out why we're unable to realize our dreams. Better health, better relationships, increased stability, less worry, more happiness- all of these things can seem just outside of our reach. Life can be overwhelming, but it doesn't have to be.
(337) 329-9279 View (337) 329-9279
Photo of Scott A Riviere, LMFT, RPT-S, Licensed Professional Counselor
Scott A Riviere
Licensed Professional Counselor, LMFT, RPT-S
Verified Verified
Lake Charles, LA 70601
I'm Scott Riviere, a licensed therapist dedicated to helping children, adolescents, and their families navigate challenges like anxiety, depression, behavioral issues, and school stress. I offer a supportive environment for kids to express their feelings, build coping skills, and develop resilience. Using approaches like play therapy, CBT, and mindfulness, I tailor my methods to each child's needs. I collaborate with parents to understand and support their child’s growth. My goal is to foster emotional health and resilience, guiding young people on a path to healing and personal growth. Let's take this journey together.
I'm Scott Riviere, a licensed therapist dedicated to helping children, adolescents, and their families navigate challenges like anxiety, depression, behavioral issues, and school stress. I offer a supportive environment for kids to express their feelings, build coping skills, and develop resilience. Using approaches like play therapy, CBT, and mindfulness, I tailor my methods to each child's needs. I collaborate with parents to understand and support their child’s growth. My goal is to foster emotional health and resilience, guiding young people on a path to healing and personal growth. Let's take this journey together.
(337) 612-6852 View (337) 612-6852
Photo of Mary Tobias, LMFT, LPC, Marriage & Family Therapist
Mary Tobias
Marriage & Family Therapist, LMFT, LPC
Verified Verified
Serves Area
Not accepting new clients
Hello! I would like to help you create the story for your life that you prefer. We can work to alleviate depression, anxiety, relational challenges, trauma, and any other challenges that prevent you from moving forward and reaching your goals. I believe that it takes lots of strength to reach out for assistance, and you have everything needed within to overcome these challenges. I am here to collaborate with you, the expert of your experience, to create the story that will enhance your life.
Hello! I would like to help you create the story for your life that you prefer. We can work to alleviate depression, anxiety, relational challenges, trauma, and any other challenges that prevent you from moving forward and reaching your goals. I believe that it takes lots of strength to reach out for assistance, and you have everything needed within to overcome these challenges. I am here to collaborate with you, the expert of your experience, to create the story that will enhance your life.
(504) 420-8309 View (504) 420-8309
Photo of Mikal Marceaux Acadian Counseling Center, MA, LMFT, Marriage & Family Therapist
Mikal Marceaux Acadian Counseling Center
Marriage & Family Therapist, MA, LMFT
Verified Verified
Serves Area
I believe that connections and relationships play incredibly important roles in our lives and that everyone deserves a safe space to discuss and process the unique challenges their relationships may be facing. I work from a sex positive, kink affirming, and queer friendly perspective to help people navigate and explore their relationships regardless of how traditional or non-traditional they may be.
I believe that connections and relationships play incredibly important roles in our lives and that everyone deserves a safe space to discuss and process the unique challenges their relationships may be facing. I work from a sex positive, kink affirming, and queer friendly perspective to help people navigate and explore their relationships regardless of how traditional or non-traditional they may be.
(337) 329-8333 View (337) 329-8333
Photo of Jody M Davidson, LCSW, Clinical Social Work/Therapist
Jody M Davidson
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Coping with Grief and Loss? Traumatic Experience(s), whether it happened recently or a long time ago? Do you get Triggered easily? Sad, Tearful, Guilt-Stricken, or other unpleasant feelings &/or negative intrusive thoughts or beliefs? I provide compassionate EMDR Therapy for survivors of Traumatic experiences & Grief & Loss. Also certified trained in Brainspotting Therapy. And "Induced After-Death Communication" (IADC) Grief Therapy, which heals grief through a modified-EMDR process that reconnects a person to the Spirit of a deceased loved one, or close friend. IADC Therapy can heal old wounds and bring loving closure.
Coping with Grief and Loss? Traumatic Experience(s), whether it happened recently or a long time ago? Do you get Triggered easily? Sad, Tearful, Guilt-Stricken, or other unpleasant feelings &/or negative intrusive thoughts or beliefs? I provide compassionate EMDR Therapy for survivors of Traumatic experiences & Grief & Loss. Also certified trained in Brainspotting Therapy. And "Induced After-Death Communication" (IADC) Grief Therapy, which heals grief through a modified-EMDR process that reconnects a person to the Spirit of a deceased loved one, or close friend. IADC Therapy can heal old wounds and bring loving closure.
(337) 794-1141 View (337) 794-1141
Photo of Sara Pesic, MA, LPC, NCC, CCTP, Licensed Professional Counselor
Sara Pesic
Licensed Professional Counselor, MA, LPC, NCC, CCTP
Verified Verified
Online Only
Clients come to see me when they feel stuck, unsure how to proceed, or how to move to that next level; when they need empathy and compassion but also a clear plan on how to resolve the presenting conflict/issue. Clients will explore different perspectives and come up with new insights and ideas. They will feel empowered. I am deeply committed to my own professional growth, constantly seeking opportunities for learning and development, to ensure that I bring the latest insights and techniques to my practice and provide the most effective support for my clients.
Clients come to see me when they feel stuck, unsure how to proceed, or how to move to that next level; when they need empathy and compassion but also a clear plan on how to resolve the presenting conflict/issue. Clients will explore different perspectives and come up with new insights and ideas. They will feel empowered. I am deeply committed to my own professional growth, constantly seeking opportunities for learning and development, to ensure that I bring the latest insights and techniques to my practice and provide the most effective support for my clients.
(337) 564-3301 View (337) 564-3301
Photo of Tiffany A Dupre, MA, LPC, Licensed Professional Counselor
Tiffany A Dupre
Licensed Professional Counselor, MA, LPC
Verified Verified
Westlake, LA 70669
I provide individual, couples, and family counseling in person and via telehealth. I have experience working with children, adolescents, and adults. I use a person-centered approach to counseling, tailoring treatment specifically for each individual. I utilize a variety of therapeutic approaches including but not limited to ACT, CBT, DBT, Solution-Focused Brief Therapy, Mindfulness, Sand Tray Therapy, Motivational Interviewing, & EAP. My goal is to create a judgement free, safe space where clients are fully comfortable and to meet them where they're at in order to help them get where they want to be, attaining their treatment goals.
I provide individual, couples, and family counseling in person and via telehealth. I have experience working with children, adolescents, and adults. I use a person-centered approach to counseling, tailoring treatment specifically for each individual. I utilize a variety of therapeutic approaches including but not limited to ACT, CBT, DBT, Solution-Focused Brief Therapy, Mindfulness, Sand Tray Therapy, Motivational Interviewing, & EAP. My goal is to create a judgement free, safe space where clients are fully comfortable and to meet them where they're at in order to help them get where they want to be, attaining their treatment goals.
(337) 717-1683 View (337) 717-1683
Photo of Kristen M Sison, LPC, CST, Licensed Professional Counselor
Kristen M Sison
Licensed Professional Counselor, LPC, CST
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
Hi there! I'm Kristen, and my interest is people. I love getting to know about other's passions, feelings, attitudes, and ideas. And that's exactly what brought me to therapy! I get excited when others are looking to explore their own lives for ways to improve, no matter how small. I work well with clients who ruminate and tend to get caught in the vicious cycles of depression and anxiety by examining daily behaviors and thoughts. I like to be direct to maximize productivity in our time together, but will always treat you with the respect and compassion we all deserve. I'm always open to collaboration, feedback, and creativity.
Hi there! I'm Kristen, and my interest is people. I love getting to know about other's passions, feelings, attitudes, and ideas. And that's exactly what brought me to therapy! I get excited when others are looking to explore their own lives for ways to improve, no matter how small. I work well with clients who ruminate and tend to get caught in the vicious cycles of depression and anxiety by examining daily behaviors and thoughts. I like to be direct to maximize productivity in our time together, but will always treat you with the respect and compassion we all deserve. I'm always open to collaboration, feedback, and creativity.
(337) 210-7331 View (337) 210-7331
Photo of Stephanie Boyd, LAC, CCS, Drug & Alcohol Counselor
Stephanie Boyd
Drug & Alcohol Counselor, LAC, CCS
Verified Verified
1 Endorsed
Lake Charles, LA 70601
Seeking treatment for an addiction is not easy and requires a lot of trust between a patient and a counselor. Change can be so hard when you have tried everything you know to do. I will work with you to develop a treatment plan that works for your life. Creating a trusting relationship is key to getting better. Feeling free to express yourself is so needed. Having a caring, supportive counselor is the answer to unlocking your great potential to thrive and remain sober.
Seeking treatment for an addiction is not easy and requires a lot of trust between a patient and a counselor. Change can be so hard when you have tried everything you know to do. I will work with you to develop a treatment plan that works for your life. Creating a trusting relationship is key to getting better. Feeling free to express yourself is so needed. Having a caring, supportive counselor is the answer to unlocking your great potential to thrive and remain sober.
(337) 513-6121 View (337) 513-6121
Photo of Teneisha Latrice Frank-Wright, MA, LPC, Counselor
Teneisha Latrice Frank-Wright
Counselor, MA, LPC
Verified Verified
2 Endorsed
Lake Charles, LA 70601
Hello, my name is Teneisha Frank-Wright and I am a Licensed Professional Counselor. My educational background includes a Bachelor of Science in Criminal Justice with a minor in Sociology obtained in 2009 at McNeese State University in Lake Charles, LA. In 2020, I acquired a Master of Art graduate degree in Professional Counseling at Grand Canyon University. Counseling and helping others have always been my passion. Enjoyment and fulfillment come from working with youth in this area and field of work however, I work with client who ranges from the age of 13 through adult.
Hello, my name is Teneisha Frank-Wright and I am a Licensed Professional Counselor. My educational background includes a Bachelor of Science in Criminal Justice with a minor in Sociology obtained in 2009 at McNeese State University in Lake Charles, LA. In 2020, I acquired a Master of Art graduate degree in Professional Counseling at Grand Canyon University. Counseling and helping others have always been my passion. Enjoyment and fulfillment come from working with youth in this area and field of work however, I work with client who ranges from the age of 13 through adult.
(337) 343-9666 View (337) 343-9666
Photo of Marlaena Miller, MA, LPC, Licensed Professional Counselor
Marlaena Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Lake Charles, LA 70605
Do you ever think you are the only one who hasn't gotten their life together yet? The truth is we ALL experience difficult and stressful life stuff at times. Life can be really tough. We all carry pain that is often exacerbated by new relationships and situations: psychological, emotional, and spiritual pain. If you have tried to "figure it out" on your own for too long, like so many of us think we must, and would like a relatable professional to work with you toward healing and growth, I would appreciate the opportunity and privilege to work with you on your journey toward a healthier, happier you. It's ok to need some help.
Do you ever think you are the only one who hasn't gotten their life together yet? The truth is we ALL experience difficult and stressful life stuff at times. Life can be really tough. We all carry pain that is often exacerbated by new relationships and situations: psychological, emotional, and spiritual pain. If you have tried to "figure it out" on your own for too long, like so many of us think we must, and would like a relatable professional to work with you toward healing and growth, I would appreciate the opportunity and privilege to work with you on your journey toward a healthier, happier you. It's ok to need some help.
(337) 246-5596 View (337) 246-5596
Photo of Mary E Dix, LPC-A, MA, NCC, Licensed Professional Counselor
Mary E Dix
Licensed Professional Counselor, LPC-A, MA, NCC
Verified Verified
Online Only
Waitlist for new clients
Life can be tough but it is also an opportunity to dream, do, and be your best self. Unfortunately, difficulties like stress, depression, anxiety, trauma, and heartbreak can also be a part of life. Giving up doesn't have to be an option. I am not a superhero but I love providing therapeutic services to clients to aid them in uncovering and uprooting challenges so that they may increase their self-awareness, insight, and ability to heal. Utilizing a compassionate but direct approach, I come alongside the individual to offer support and therapeutic interventions as we work together to increase their ability to heal.
Life can be tough but it is also an opportunity to dream, do, and be your best self. Unfortunately, difficulties like stress, depression, anxiety, trauma, and heartbreak can also be a part of life. Giving up doesn't have to be an option. I am not a superhero but I love providing therapeutic services to clients to aid them in uncovering and uprooting challenges so that they may increase their self-awareness, insight, and ability to heal. Utilizing a compassionate but direct approach, I come alongside the individual to offer support and therapeutic interventions as we work together to increase their ability to heal.
(337) 448-4196 View (337) 448-4196

How does your Therapist compare?

Number of Therapists in Leblanc, LA

< 10

Therapists in Leblanc, LA who prioritize treating:

100% Relationship Issues
100% Depression
100% Addiction
100% Child
100% ADHD
100% Life Coaching
100% Parenting

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
100% Wellpoint | Amerigroup
100% BHS | Behavioral Health Systems

How Therapists in Leblanc, LA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Leblanc?

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.