Therapists in Southwest, Las Vegas, NV

Photo of Yessica Palma, Clinical Social Work/Therapist, LCSW
Yessica Palma
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
As the founder of Let It Bloom Mental Health, my goal is to foster healing and growth through comprehensive mental health care tailored to the unique needs of each client. Located in Las Vegas, I serve a diverse clientele, with a special focus on BIPOC communities, women, and children. As a bilingual, trauma-informed psychotherapist and certified yoga instructor, I integrate a holistic approach to address both mental and physical well-being. This involves conducting a thorough lifestyle analysis to better understand and meet your specific circumstances and challenges.
As the founder of Let It Bloom Mental Health, my goal is to foster healing and growth through comprehensive mental health care tailored to the unique needs of each client. Located in Las Vegas, I serve a diverse clientele, with a special focus on BIPOC communities, women, and children. As a bilingual, trauma-informed psychotherapist and certified yoga instructor, I integrate a holistic approach to address both mental and physical well-being. This involves conducting a thorough lifestyle analysis to better understand and meet your specific circumstances and challenges.
(702) 827-4301 View (702) 827-4301
Photo of Christine Guardian, Clinical Social Work/Therapist, LMSW, CSW-I
Christine Guardian
Clinical Social Work/Therapist, LMSW, CSW-I
Serves Area
Hi, I’m Christine! I’m a Licensed Master Social Worker (LMSW) and Clinical Social Work Intern (CSW-I). I work with children, teens, adults, couples, and families to navigate life’s challenges with compassion and care. I often support clients through anxiety, depression, stress, and life transitions. I also understand the importance of culture in mental health; naiintindihan ko nang buo ang Tagalog and welcome clients who feel more comfortable expressing themselves in it.
Hi, I’m Christine! I’m a Licensed Master Social Worker (LMSW) and Clinical Social Work Intern (CSW-I). I work with children, teens, adults, couples, and families to navigate life’s challenges with compassion and care. I often support clients through anxiety, depression, stress, and life transitions. I also understand the importance of culture in mental health; naiintindihan ko nang buo ang Tagalog and welcome clients who feel more comfortable expressing themselves in it.
(702) 819-8402 View (702) 819-8402
Photo of Laura Salado, Marriage & Family Therapist Intern, EMDR, IFS, EFT
Laura Salado
Marriage & Family Therapist Intern, EMDR, IFS, EFT
5 Endorsed
Serves Area
"We always seem to fight—why can’t we just get it right?" For couples tired of constantly arguing and needing to feel understood and acknowledged, our sessions will focus on rebuilding trust, reigniting vitality, and strengthening your bond. Relationships should never feel like a chore; they thrive on the right balance of security and passion. Together, we will work to create a relationship that finds this harmony, because above all, relationships should be a source of peace. For more on my approach to couples therapy, please visit www.cleardaytherapylv.com/marriage-counseling.
"We always seem to fight—why can’t we just get it right?" For couples tired of constantly arguing and needing to feel understood and acknowledged, our sessions will focus on rebuilding trust, reigniting vitality, and strengthening your bond. Relationships should never feel like a chore; they thrive on the right balance of security and passion. Together, we will work to create a relationship that finds this harmony, because above all, relationships should be a source of peace. For more on my approach to couples therapy, please visit www.cleardaytherapylv.com/marriage-counseling.
(702) 720-5152 View (702) 720-5152
Photo of Katelyn Maki Lopez, Marriage & Family Therapist, MS, LMFT
Katelyn Maki Lopez
Marriage & Family Therapist, MS, LMFT
3 Endorsed
Serves Area
Therapy can often be an intimidating place, but it doesn't have to be! I would like to offer you a safe space where we can work together to resolve your unique concerns. Difficulties in life happens and sometimes it's so hard to ask for help. I want to take that first step with you to create change in order to work on building a life worth living.
Therapy can often be an intimidating place, but it doesn't have to be! I would like to offer you a safe space where we can work together to resolve your unique concerns. Difficulties in life happens and sometimes it's so hard to ask for help. I want to take that first step with you to create change in order to work on building a life worth living.
(775) 416-8667 View (775) 416-8667
Photo of Kandiea Everett, Clinical Social Work/Therapist, LMSW, LCSW
Kandiea Everett
Clinical Social Work/Therapist, LMSW, LCSW
3 Endorsed
Serves Area
You don’t have to navigate it all on your own. Life can feel overwhelming—whether you're facing anxiety, depression, or major transitions. I offer a safe, supportive space to slow down, feel heard, and begin healing. I specialize in supporting adolescents and adults navigating anxiety, depression and significant life transitions.
You don’t have to navigate it all on your own. Life can feel overwhelming—whether you're facing anxiety, depression, or major transitions. I offer a safe, supportive space to slow down, feel heard, and begin healing. I specialize in supporting adolescents and adults navigating anxiety, depression and significant life transitions.
(702) 829-5570 View (702) 829-5570
Photo of Chiante Jemison - Mindful Illumination Counseling LLC, Counselor, CPC, LCADC
Mindful Illumination Counseling LLC
Counselor, CPC, LCADC
1 Endorsed
Serves Area
Our minds are powerful—capable of beauty, but also of holding us captive. Addiction, intrusive thoughts, and mental health struggles can make us feel trapped, like we’re screaming behind a locked door no one hears. We suffer in silence, lose sight of hope, and forget how to love ourselves. But healing is possible. My name is Mr. Chiante’ Josiah Jemison (C.J.) and it would be a true honor to walk with you on your healing journey—to help you rediscover self-love, restore your peace, and remember that you are never alone.
Our minds are powerful—capable of beauty, but also of holding us captive. Addiction, intrusive thoughts, and mental health struggles can make us feel trapped, like we’re screaming behind a locked door no one hears. We suffer in silence, lose sight of hope, and forget how to love ourselves. But healing is possible. My name is Mr. Chiante’ Josiah Jemison (C.J.) and it would be a true honor to walk with you on your healing journey—to help you rediscover self-love, restore your peace, and remember that you are never alone.
(702) 935-6205 View (702) 935-6205
Photo of Shelby Nakamura, Marriage & Family Therapist, LMFT
Shelby Nakamura
Marriage & Family Therapist, LMFT
Serves Area
Hello! I am Shelby Nakamura and I am a Licensed Marriage and Family Therapist in Nevada and Hawaii. I strive to provide clients with a safe space to guide you through life’s most complex and difficult matters. I truly care about my client's well-being and guarantee top of the line counseling services catered to their needs.
Hello! I am Shelby Nakamura and I am a Licensed Marriage and Family Therapist in Nevada and Hawaii. I strive to provide clients with a safe space to guide you through life’s most complex and difficult matters. I truly care about my client's well-being and guarantee top of the line counseling services catered to their needs.
(725) 242-4733 View (725) 242-4733
Photo of Bet Avery, Marriage & Family Therapist, MA, MS, LMFT, CCHP
Bet Avery
Marriage & Family Therapist, MA, MS, LMFT, CCHP
Serves Area
I am a Marriage and Family Therapist Licensed in California and Nevada. I am a true warrior for people struggling with mental health challenges. I am professional, personable, and authentic. I have a successful track record treating active-duty military and veterans, those who struggle with trauma, PTSD, perfectionism, depression, anxiety, panic, grief/loss, domestic violence, substance use, and anyone who is simply trying to navigate the maze of life.
I am a Marriage and Family Therapist Licensed in California and Nevada. I am a true warrior for people struggling with mental health challenges. I am professional, personable, and authentic. I have a successful track record treating active-duty military and veterans, those who struggle with trauma, PTSD, perfectionism, depression, anxiety, panic, grief/loss, domestic violence, substance use, and anyone who is simply trying to navigate the maze of life.
(760) 227-5140 View (760) 227-5140
Photo of Chanda Kelly, Licensed Professional Counselor, MS, LCPC, LPC
Chanda Kelly
Licensed Professional Counselor, MS, LCPC, LPC
1 Endorsed
Serves Area
As a professional counselor, I provide individual counseling & therapy to adolescents & adults. I treat clients the way I want to be treated, with compassion, honesty, warmth, and respect. It is courageous to seek out assistance and resources that can help you as you begin your journey with healing and change. I am here to offer my support. My focus is to empower you to attain your goals and best interests. My theoretical orientation is integrative utilizing CBT, Client-Centered, and Solution-Focused Brief Therapy.
As a professional counselor, I provide individual counseling & therapy to adolescents & adults. I treat clients the way I want to be treated, with compassion, honesty, warmth, and respect. It is courageous to seek out assistance and resources that can help you as you begin your journey with healing and change. I am here to offer my support. My focus is to empower you to attain your goals and best interests. My theoretical orientation is integrative utilizing CBT, Client-Centered, and Solution-Focused Brief Therapy.
(702) 500-1311 View (702) 500-1311
Photo of Ron Faggins, Licensed Professional Counselor, MA
Ron Faggins
Licensed Professional Counselor, MA
Serves Area
I am licensed in Nevada with 25 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, parenting issues, & anger management and ADHD. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
I am licensed in Nevada with 25 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, parenting issues, & anger management and ADHD. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(725) 485-8592 View (725) 485-8592
Photo of Arthur Rice - Restorative Empathy Counseling Services, P.C., Licensed Professional Counselor, MS, LCPC, LPC, NCC
Restorative Empathy Counseling Services, P.C.
Licensed Professional Counselor, MS, LCPC, LPC, NCC
4 Endorsed
Serves Area
Now Accepting New Clients, available to ALL Nevada, Oregon, Washington residents! Hi, my name is Arthur, and as a therapist, my ideal clients are having issues coping with stress, trauma, cognitive dissonance, communication/ relationship issues, and behavioral disorders. Their goals may be to overcome a negative self-image and low self-esteem. They would want to find motivation and self-discipline to change negative or undesirable behaviors.
Now Accepting New Clients, available to ALL Nevada, Oregon, Washington residents! Hi, my name is Arthur, and as a therapist, my ideal clients are having issues coping with stress, trauma, cognitive dissonance, communication/ relationship issues, and behavioral disorders. Their goals may be to overcome a negative self-image and low self-esteem. They would want to find motivation and self-discipline to change negative or undesirable behaviors.
(702) 919-7317 View (702) 919-7317
Photo of Cindy Unger, Licensed Professional Counselor, MA, CPC
Cindy Unger
Licensed Professional Counselor, MA, CPC
Serves Area
Are you struggling with anxiety or trying to manage stress or relationships in your life? I'm here to help ! I specialize in treating couples and anxiety, working with adults and older teens struggling with anxiety & panic attacks, OCD-related challenges, pregnancy/postpartum struggles and birth trauma, addiction, past sexual assault and/or abuse, relationship conflicts and difficulties (especially in dating, marriage, and breakups), and life transitions. I have a background in alternative health and I value an approach that integrates physical health, relationships, medical and non-medical approaches, and self-empowerment.
Are you struggling with anxiety or trying to manage stress or relationships in your life? I'm here to help ! I specialize in treating couples and anxiety, working with adults and older teens struggling with anxiety & panic attacks, OCD-related challenges, pregnancy/postpartum struggles and birth trauma, addiction, past sexual assault and/or abuse, relationship conflicts and difficulties (especially in dating, marriage, and breakups), and life transitions. I have a background in alternative health and I value an approach that integrates physical health, relationships, medical and non-medical approaches, and self-empowerment.
(928) 275-4144 View (928) 275-4144
Photo of Morgan O'Neal, Marriage & Family Therapist Intern, MFT-I
Morgan O'Neal
Marriage & Family Therapist Intern, MFT-I
2 Endorsed
Serves Area
Life isn't easy, and when faced with challenges of finding ourselves, finding the courage to leave unhealthy relationships and focusing on individuality, it becomes even more difficult! My focus as a clinician is to guide you to a place of peace and acceptance. I aim to help individuals who are struggling with the pressures of everyday life, unprocessed trauma, and those who have trouble with building relationships. While accepting and working to provide support to clients of all backgrounds, I have a passion for and am uniquely positioned to navigate women's health and encourage children and teens to love who they are!
Life isn't easy, and when faced with challenges of finding ourselves, finding the courage to leave unhealthy relationships and focusing on individuality, it becomes even more difficult! My focus as a clinician is to guide you to a place of peace and acceptance. I aim to help individuals who are struggling with the pressures of everyday life, unprocessed trauma, and those who have trouble with building relationships. While accepting and working to provide support to clients of all backgrounds, I have a passion for and am uniquely positioned to navigate women's health and encourage children and teens to love who they are!
(702) 941-6442 View (702) 941-6442
Photo of Jon Barraza, Marriage & Family Therapist Intern, MS, MFT-I
Jon Barraza
Marriage & Family Therapist Intern, MS, MFT-I
4 Endorsed
Serves Area
Are you ready for change? Maybe it’s the same fight on repeat, the grief you keep tucked away, or the self-doubt that won’t quiet down. We are deep feelers who crave connection, but often don’t know how to ask for it. Therapy with me is about challenging the patterns that leave you feeling unseen, unappreciated, or overwhelmed. In our work, you’ll learn to trust yourself so no challenge feels too big to face.
Are you ready for change? Maybe it’s the same fight on repeat, the grief you keep tucked away, or the self-doubt that won’t quiet down. We are deep feelers who crave connection, but often don’t know how to ask for it. Therapy with me is about challenging the patterns that leave you feeling unseen, unappreciated, or overwhelmed. In our work, you’ll learn to trust yourself so no challenge feels too big to face.
(702) 479-5551 View (702) 479-5551
Photo of Lashanna N Ross - Cycle of Understanding, Marriage & Family Therapist Intern, MS, MA, MFT-Int
Cycle of Understanding
Marriage & Family Therapist Intern, MS, MA, MFT-Int
1 Endorsed
Serves Area
Mental health and relational issues are just as essential as physical health, but oftentimes minimized and/or sometimes misunderstood. I would love to work with you as we explore and discover new ways to cope with life's challenges. I have been known to build positive connections with my clients; sometimes through humor and laughter and other times through empathy and compassion. I understand it can be difficult asking for help; however, reaching out for help is the first step to making a positive transformation in your life.
Mental health and relational issues are just as essential as physical health, but oftentimes minimized and/or sometimes misunderstood. I would love to work with you as we explore and discover new ways to cope with life's challenges. I have been known to build positive connections with my clients; sometimes through humor and laughter and other times through empathy and compassion. I understand it can be difficult asking for help; however, reaching out for help is the first step to making a positive transformation in your life.
(773) 263-2774 View (773) 263-2774
Photo of Celine Chu, Marriage & Family Therapist, MS, ATR-BC, LMFT
Celine Chu
Marriage & Family Therapist, MS, ATR-BC, LMFT
Serves Area
Suffering from depression, stress, anxiety, PTSD, or relational difficulties? Struggling with work or life transition, such as divorce, relocation, or death of a love one? You have found the right therapist. I specialize in trauma treatment with IFS (Internal Family System) level 1 and EMDR (eye movement desensitizing and reprocessing) training. I will bring you the relief and transformation you need in life.
Suffering from depression, stress, anxiety, PTSD, or relational difficulties? Struggling with work or life transition, such as divorce, relocation, or death of a love one? You have found the right therapist. I specialize in trauma treatment with IFS (Internal Family System) level 1 and EMDR (eye movement desensitizing and reprocessing) training. I will bring you the relief and transformation you need in life.
(702) 997-3599 View (702) 997-3599
Photo of Saritha Farris - Illuminated Path LLC, Clinical Social Work/Therapist, MSW, LCSW
Illuminated Path LLC
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Serves Area
At llluminated Path , we welcome clients navigating a wide range of concerns: anxiety, depression, trauma, life transitions, relationship issues, grief, and stress-related disorders. Many of our clients seek relief from emotional overwhelm, support through challenging seasons, or guidance in building healthier relationships and stronger boundaries. The goal is to enlighten your strengths and transform your thinking and how you perceive yourself. Our team is composed of skilled, compassionate clinicians from diverse ethnic and cultural backgrounds, including Spanish-speaking therapists
At llluminated Path , we welcome clients navigating a wide range of concerns: anxiety, depression, trauma, life transitions, relationship issues, grief, and stress-related disorders. Many of our clients seek relief from emotional overwhelm, support through challenging seasons, or guidance in building healthier relationships and stronger boundaries. The goal is to enlighten your strengths and transform your thinking and how you perceive yourself. Our team is composed of skilled, compassionate clinicians from diverse ethnic and cultural backgrounds, including Spanish-speaking therapists
(702) 761-3981 View (702) 761-3981
Photo of Janna L. Broxterman, Marriage & Family Therapist, MA, LMFT
Janna L. Broxterman
Marriage & Family Therapist, MA, LMFT
Serves Area
I am an experienced licensed Marriage and Family Therapist. My focus lies with couples,individuals, adolescents, and families. Whether it is relationship issues, family dynamics, or individual coaching, all problems can be processed and resolved successfully! It is also important to have a strong, trusting relationship with your therapist, and that is an immediate goal in my sessions. My focus with relationships and families are developing healthy communication skills, acceptance, respect, and above all trust. I also specialize in addictions and the problems usually affect not just the one, but all who love and support them as well.
I am an experienced licensed Marriage and Family Therapist. My focus lies with couples,individuals, adolescents, and families. Whether it is relationship issues, family dynamics, or individual coaching, all problems can be processed and resolved successfully! It is also important to have a strong, trusting relationship with your therapist, and that is an immediate goal in my sessions. My focus with relationships and families are developing healthy communication skills, acceptance, respect, and above all trust. I also specialize in addictions and the problems usually affect not just the one, but all who love and support them as well.
(702) 551-2224 View (702) 551-2224
Photo of Phonemany Thongkham, Clinical Social Work/Therapist, LCSW, CCTP II, CSTIP
Phonemany Thongkham
Clinical Social Work/Therapist, LCSW, CCTP II, CSTIP
1 Endorsed
Serves Area
My name is Phonemany Thongkham. I am a Certified Clinical Trauma Professional II and am EMDR trained. I have over a decade of experience working with teens, young adults, adults, and seniors who have endured sexual trauma, intimate partner violence, sex- trafficking, sexual misbehaviors, generational trauma, racial trauma, LGTBQIA+, and am neurodivergent friendly. As an immigrant and refugee of Laotian and Vietnamese descent and a social worker, I also specialize in working with clients of Asian descent and minorities who have experienced social injustices.
My name is Phonemany Thongkham. I am a Certified Clinical Trauma Professional II and am EMDR trained. I have over a decade of experience working with teens, young adults, adults, and seniors who have endured sexual trauma, intimate partner violence, sex- trafficking, sexual misbehaviors, generational trauma, racial trauma, LGTBQIA+, and am neurodivergent friendly. As an immigrant and refugee of Laotian and Vietnamese descent and a social worker, I also specialize in working with clients of Asian descent and minorities who have experienced social injustices.
(702) 297-6465 View (702) 297-6465
Photo of Nichole Jackson, Marriage & Family Therapist, LMFT
Nichole Jackson
Marriage & Family Therapist, LMFT
Serves Area
Meet Nichole Jackson, a compassionate and experienced therapist dedicated to guiding individuals on their journey towards healing and personal growth. With a master's degree in counseling Marriage & Family and Child Therapy from University of Phoenix, Nichole has honed her skills over the past decade, specializing in areas such as anxiety, depression, trauma recovery, compassion fatigue, foster care system, and relationship issues. Nichole creates a safe and nonjudgmental space where clients can explore their thoughts, feelings and experiences.
Meet Nichole Jackson, a compassionate and experienced therapist dedicated to guiding individuals on their journey towards healing and personal growth. With a master's degree in counseling Marriage & Family and Child Therapy from University of Phoenix, Nichole has honed her skills over the past decade, specializing in areas such as anxiety, depression, trauma recovery, compassion fatigue, foster care system, and relationship issues. Nichole creates a safe and nonjudgmental space where clients can explore their thoughts, feelings and experiences.
(725) 226-4478 View (725) 226-4478

How does your Therapist compare?

Number of Therapists in Southwest, Las Vegas, NV

30+

Average cost per session

$122

Therapists in Southwest, Las Vegas, NV who prioritize treating:

89% Depression
86% Anxiety
83% Trauma and PTSD
80% Coping Skills
80% Stress
74% Self Esteem
71% Relationship Issues

Average years in practice

8 Years

Top 3 insurances accepted

77% Aetna
77% Optum
67% UnitedHealthcare UHC | UBH

How Therapists in Southwest, Las Vegas, NV see their clients

66% In Person and Online
34% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Southwest, Las Vegas?

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.