Therapists in Garfield County, OK

View cities in Garfield County
Photo of Sharon Semrad, Licensed Professional Counselor, MCP, LPC
Sharon Semrad
Licensed Professional Counselor, MCP, LPC
1 Endorsed
Enid, OK 73701
I’m a Licensed Professional Counselor committed to helping people learn how to build healthier relationships, manage stress, and work through past negative events. My work focuses on targeting ineffective thoughts & behaviors. I am passionate about helping others find healthy ways to cope with life challenges.
I’m a Licensed Professional Counselor committed to helping people learn how to build healthier relationships, manage stress, and work through past negative events. My work focuses on targeting ineffective thoughts & behaviors. I am passionate about helping others find healthy ways to cope with life challenges.
(580) 203-4371 View (580) 203-4371
Photo of Jeffrey Martindale - Xpress Wellness, Psychologist
Xpress Wellness
Psychologist
Online Only
Scott Ferris (LPC, NCC): EMDR/CBT, vets, SMMART creator. Queenie Amado (LPC): Depression, anxiety, grief, addiction; CBT/DBT/ACT. Nicole Mark (LMFT): Kids/adults/seniors; CBT focus. Shiela Kough (LSCSW-KS): Adults/seniors, chronic/grief, LGBTQ+ ally. Jewel Dallas-Bruner (LCSW): Kids, seniors (gerontology/dementia), caregivers; CBT/DBT. Dr. Jeff Martindale (Ph.D., Dir): Couples, Bipolar/SMI, aging, LGBTQ+ ally. Kylene Sharpton (LCSW, Sup): Trauma, substance use. Samantha Graham (LCSW): Kids, adults, seniors, families w/ trauma. Justin Simmons (LCSW, Mgr): 30yrs exp, substance use, primary care integration.
Scott Ferris (LPC, NCC): EMDR/CBT, vets, SMMART creator. Queenie Amado (LPC): Depression, anxiety, grief, addiction; CBT/DBT/ACT. Nicole Mark (LMFT): Kids/adults/seniors; CBT focus. Shiela Kough (LSCSW-KS): Adults/seniors, chronic/grief, LGBTQ+ ally. Jewel Dallas-Bruner (LCSW): Kids, seniors (gerontology/dementia), caregivers; CBT/DBT. Dr. Jeff Martindale (Ph.D., Dir): Couples, Bipolar/SMI, aging, LGBTQ+ ally. Kylene Sharpton (LCSW, Sup): Trauma, substance use. Samantha Graham (LCSW): Kids, adults, seniors, families w/ trauma. Justin Simmons (LCSW, Mgr): 30yrs exp, substance use, primary care integration.
(580) 875-7834 View (580) 875-7834
Photo of Tonda Smoot, Licensed Professional Counselor, MBS, LPC
Tonda Smoot
Licensed Professional Counselor, MBS, LPC
1 Endorsed
Enid, OK 73701
I’m a Licensed Professional Counselor with over 20 years of experience helping individuals navigate life’s challenges with strength and resilience. Since 1999, I’ve supported clients through a wide range of mental health concerns, including depression, anxiety, grief, narcissistic abuse, gaslighting, codependency, among other important issues. I have extensive experience working within the LGBTQ+ community and am deeply committed to providing an affirming, supportive, and nonjudgmental space. I offer guidance & support tailored to each person’s identity, relationships, and experiences.
I’m a Licensed Professional Counselor with over 20 years of experience helping individuals navigate life’s challenges with strength and resilience. Since 1999, I’ve supported clients through a wide range of mental health concerns, including depression, anxiety, grief, narcissistic abuse, gaslighting, codependency, among other important issues. I have extensive experience working within the LGBTQ+ community and am deeply committed to providing an affirming, supportive, and nonjudgmental space. I offer guidance & support tailored to each person’s identity, relationships, and experiences.
(580) 265-5850 View (580) 265-5850
Photo of Tabitha Valtr Sharp, Marriage & Family Therapist, MS, LMFT
Tabitha Valtr Sharp
Marriage & Family Therapist, MS, LMFT
Enid, OK 73701
Hello! My purpose is to help you reach your goals in a collaborative effort, and don't let my license mislead you, I help individuals as well as couples. You are the expert of your life, but that doesn't mean that you don't need a little extra help though the hard times. That is where I can assist, support, and collaborate with you as we work to reach your goals. Feeling down, stressed, or alone? I am here to show you compassion, empathy, and strength by helping you reach your goals, becoming a healthier you and healthier family.
Hello! My purpose is to help you reach your goals in a collaborative effort, and don't let my license mislead you, I help individuals as well as couples. You are the expert of your life, but that doesn't mean that you don't need a little extra help though the hard times. That is where I can assist, support, and collaborate with you as we work to reach your goals. Feeling down, stressed, or alone? I am here to show you compassion, empathy, and strength by helping you reach your goals, becoming a healthier you and healthier family.
(580) 203-4137 View (580) 203-4137
Photo of Brian Wright, Licensed Professional Counselor, MCP, LPC-S, LADC-S
Brian Wright
Licensed Professional Counselor, MCP, LPC-S, LADC-S
2 Endorsed
Enid, OK 73701
My name is Brian Wright and I am a duly licensed therapist based in Enid, OK. I have been in practice for 17 years and currently hold two different licenses, LPC (licensed professional counselor 5046) and LADC (licensed alcohol and drug counselor 1248). I am experienced providing therapy to those struggling with addictions, marital issues, mood disorders, relationship issues, family issues and more. I provide alcohol and drug assessments such as the ADSAC assessment and the SAP assessment as well as drug and alcohol treatment.
My name is Brian Wright and I am a duly licensed therapist based in Enid, OK. I have been in practice for 17 years and currently hold two different licenses, LPC (licensed professional counselor 5046) and LADC (licensed alcohol and drug counselor 1248). I am experienced providing therapy to those struggling with addictions, marital issues, mood disorders, relationship issues, family issues and more. I provide alcohol and drug assessments such as the ADSAC assessment and the SAP assessment as well as drug and alcohol treatment.
(580) 560-7173 View (580) 560-7173
Photo of Dr. Angela Michelle Jackson, Licensed Professional Counselor, PhD, MCP, LPC
Dr. Angela Michelle Jackson
Licensed Professional Counselor, PhD, MCP, LPC
1 Endorsed
Enid, OK 73703
Life is not always sunny. Storms are the inevitable, and suddenly they cloud our vision and attempt to shatter our dreams. But weathering these storms can pave the path to your destiny. Don't give up. Turn your agony into tranquility. You will receive active listening, unconditional positive regard, and empathy in your therapeutic relationship with me. I guide people in the direction of their divine purpose. Turn your battle into your victory. It is my honor to assist you with navigating the complex world of change that sometimes inflicts confusion, heartache, and unbearable pain.
Life is not always sunny. Storms are the inevitable, and suddenly they cloud our vision and attempt to shatter our dreams. But weathering these storms can pave the path to your destiny. Don't give up. Turn your agony into tranquility. You will receive active listening, unconditional positive regard, and empathy in your therapeutic relationship with me. I guide people in the direction of their divine purpose. Turn your battle into your victory. It is my honor to assist you with navigating the complex world of change that sometimes inflicts confusion, heartache, and unbearable pain.
(580) 207-7596 View (580) 207-7596
Photo of Whitney Hake, Licensed Professional Counselor, MCP, LPC
Whitney Hake
Licensed Professional Counselor, MCP, LPC
5 Endorsed
Enid, OK 73701
My priority in the counseling process is to ensure a trusting therapeutic relationship between you and I, so that you can grow and freely explore your emotions. No two people are the same, and it is my mission for us to work together to establish goals that are personalized to fit your unique needs. I am passionate about advocating for your relationship with yourself and others so you can have the confidence to handle the challenges of life. I work with children, adolescents, adults, and families.
My priority in the counseling process is to ensure a trusting therapeutic relationship between you and I, so that you can grow and freely explore your emotions. No two people are the same, and it is my mission for us to work together to establish goals that are personalized to fit your unique needs. I am passionate about advocating for your relationship with yourself and others so you can have the confidence to handle the challenges of life. I work with children, adolescents, adults, and families.
(580) 263-5563 View (580) 263-5563
Photo of Desiree B Selby - Selby Counseling Solutions, Licensed Professional Counselor
Selby Counseling Solutions
Licensed Professional Counselor
Enid, OK 73701
Have you experienced something traumatic? Are you having a difficult time avoiding thinking about it? Do you feel sad or anxious? Would you like to feel better? We are here and we would like to help. We have seen patients leave feeling lighter, feeling happier, feeling better.
Have you experienced something traumatic? Are you having a difficult time avoiding thinking about it? Do you feel sad or anxious? Would you like to feel better? We are here and we would like to help. We have seen patients leave feeling lighter, feeling happier, feeling better.
(580) 997-4520 View (580) 997-4520
Photo of Peggy Dunson-Bower - Peace of Mind & Wellness Counseling, Licensed Professional Counselor, LPC, USSW
Peace of Mind & Wellness Counseling
Licensed Professional Counselor, LPC, USSW
Enid, OK 73703
Hello and Welcome to Peace of Mind and Wellness Counseling. We are a diverse group of Mental Health Professionals. We desire to work with individuals, families, and couples. PM&W has Barbara Sweatt Licensed Clinical Social Worker, Teresa Mitchell Licensed Professional Counselor, and Peggy Dunson Bower Licensed Professional Counselor. Each mental health care professional can work with individuals, couples, and families. We all work with children, teens, and adults. Our favorite clients are the ones who want to feel and do better in their lives. We look forward to seeing you.
Hello and Welcome to Peace of Mind and Wellness Counseling. We are a diverse group of Mental Health Professionals. We desire to work with individuals, families, and couples. PM&W has Barbara Sweatt Licensed Clinical Social Worker, Teresa Mitchell Licensed Professional Counselor, and Peggy Dunson Bower Licensed Professional Counselor. Each mental health care professional can work with individuals, couples, and families. We all work with children, teens, and adults. Our favorite clients are the ones who want to feel and do better in their lives. We look forward to seeing you.
(580) 297-7192 x580477 View (580) 297-7192 x580477
Photo of Katana Jones, Pre-Licensed Professional, LMSW
Katana Jones
Pre-Licensed Professional, LMSW
5 Endorsed
Online Only
I understand firsthand the pressures of being a first-generation student, the challenges and joys of parenthood, and the struggles of postpartum depression and anxiety. I’ve been where you are – feeling lost, overwhelmed, and like I was just barely keeping my head above water. But I’ve also experienced the power of healing and growth. That’s why I specialize in helping teens, young adults, and mothers feel seen, heard, and understood through eclectic, individualized therapy.
I understand firsthand the pressures of being a first-generation student, the challenges and joys of parenthood, and the struggles of postpartum depression and anxiety. I’ve been where you are – feeling lost, overwhelmed, and like I was just barely keeping my head above water. But I’ve also experienced the power of healing and growth. That’s why I specialize in helping teens, young adults, and mothers feel seen, heard, and understood through eclectic, individualized therapy.
(580) 403-5614 View (580) 403-5614
Photo of Crystal Lovinggood - LivingWell Counseling, Drug & Alcohol Counselor, LADC/MH
LivingWell Counseling
Drug & Alcohol Counselor, LADC/MH
Enid, OK 73703
I believe that people deserve to be wholly well. I aim to help people fall in love with the life they are living. If you frequently feel as though you are walking through the motions of life and are just existing, you deserve more. If you feel like you can’t break the cycles that constantly set you back, you deserve freedom. You deserve to wake up excited and content with your life.
I believe that people deserve to be wholly well. I aim to help people fall in love with the life they are living. If you frequently feel as though you are walking through the motions of life and are just existing, you deserve more. If you feel like you can’t break the cycles that constantly set you back, you deserve freedom. You deserve to wake up excited and content with your life.
(580) 706-6549 View (580) 706-6549
Photo of Jennifer Johnson, Licensed Professional Counselor, LPC
Jennifer Johnson
Licensed Professional Counselor, LPC
1 Endorsed
Enid, OK 73703
Feeling run down, overwhelmed, unheard? You push yourself daily to assure everyone’s needs are met, ignoring your own. Always putting yourself on the back burner. Secretly hoping no one will see you for the failure you believe yourself to be, when you’re really doing a great job. However, the fear of it all falling apart won’t let you believe it or rest. You want to stop, break the cycle but you don’t know how or where to start. Does this sound like a familiar story?
Feeling run down, overwhelmed, unheard? You push yourself daily to assure everyone’s needs are met, ignoring your own. Always putting yourself on the back burner. Secretly hoping no one will see you for the failure you believe yourself to be, when you’re really doing a great job. However, the fear of it all falling apart won’t let you believe it or rest. You want to stop, break the cycle but you don’t know how or where to start. Does this sound like a familiar story?
(580) 530-5342 View (580) 530-5342
Photo of Sharon Groves, Clinical Social Work/Therapist, LCSW
Sharon Groves
Clinical Social Work/Therapist, LCSW
Enid, OK 73703
Sometimes life’s challenges are more than we can manage alone. Whether you are experiencing anxiety, depression, grief, trauma, or any other issue, you don’t have to journey alone. Together we will discover your strengths and explore solutions to your challenges. I utilize a whole-person, conversational approach, to create an atmosphere for personal discovery and growth.
Sometimes life’s challenges are more than we can manage alone. Whether you are experiencing anxiety, depression, grief, trauma, or any other issue, you don’t have to journey alone. Together we will discover your strengths and explore solutions to your challenges. I utilize a whole-person, conversational approach, to create an atmosphere for personal discovery and growth.
(580) 200-8332 View (580) 200-8332
Photo of Barbara Sweatt, Clinical Social Work/Therapist, LCSW
Barbara Sweatt
Clinical Social Work/Therapist, LCSW
Enid, OK 73703
Come grow with me! I am a curious and open-minded person who loves to see people live emotionally healthy and socially engaged lives. My therapeutic approach includes both compassionate listening and reflection as well as practical strategies to help you manage difficult emotions and behaviors. I am especially interested in helping adults recover from the emotional wounds of childhoods spent with adults who were unable to meet their needs. I look forward to hearing from you!
Come grow with me! I am a curious and open-minded person who loves to see people live emotionally healthy and socially engaged lives. My therapeutic approach includes both compassionate listening and reflection as well as practical strategies to help you manage difficult emotions and behaviors. I am especially interested in helping adults recover from the emotional wounds of childhoods spent with adults who were unable to meet their needs. I look forward to hearing from you!
(580) 530-4930 View (580) 530-4930
Photo of Melissa R Baldwin, Licensed Professional Counselor, MA, LPC
Melissa R Baldwin
Licensed Professional Counselor, MA, LPC
4 Endorsed
Enid, OK 73703
Hi! I am a therapist in private practice who is experienced in providing therapy for clients who struggle with multiple issues including Mood disorders (depression, anxiety), Bipolar disorders, trauma, relationships, addictions, and substance abuse. I enjoy working with individuals, couples, and families. My style of therapy is client centered with a focus on education. In therapy, I use a multi-disciplinary approach with evidenced based practices to help you achieve your goals. In therapy, we work together to achieve the changes you have been wanting. I look forward to hearing from you soon!
Hi! I am a therapist in private practice who is experienced in providing therapy for clients who struggle with multiple issues including Mood disorders (depression, anxiety), Bipolar disorders, trauma, relationships, addictions, and substance abuse. I enjoy working with individuals, couples, and families. My style of therapy is client centered with a focus on education. In therapy, I use a multi-disciplinary approach with evidenced based practices to help you achieve your goals. In therapy, we work together to achieve the changes you have been wanting. I look forward to hearing from you soon!
(580) 609-4089 View (580) 609-4089
Photo of Justin Tyler Loughman, Marriage & Family Therapist, MS, LMFT
Justin Tyler Loughman
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Enid, OK 73703
I have over 20 years of experience helping individuals, couples, and families achieve their therapy goals. My personal therapeutic philosophy is that emotional healing takes place when you address the well-being of the whole person - Mind, Body, and Soul. There is nothing better than seeing an individual caught in the grip of anxiety and depression, find lasting relief; or a couple on the brink of divorce transform into a healthy, loving relationship; or someone finding peace and healing from lifelong childhood-trauma.
I have over 20 years of experience helping individuals, couples, and families achieve their therapy goals. My personal therapeutic philosophy is that emotional healing takes place when you address the well-being of the whole person - Mind, Body, and Soul. There is nothing better than seeing an individual caught in the grip of anxiety and depression, find lasting relief; or a couple on the brink of divorce transform into a healthy, loving relationship; or someone finding peace and healing from lifelong childhood-trauma.
(580) 309-5159 View (580) 309-5159
Photo of Stacy R Cline, Licensed Professional Counselor, MA, LPC
Stacy R Cline
Licensed Professional Counselor, MA, LPC
Enid, OK 73701
Not accepting new clients
I'm a small town rural gal born and raised on the farm and I believe mental health involves the whole person: mind, body, and spirit. I enjoy meeting people at the season of life they are in and helping them make changes.
I'm a small town rural gal born and raised on the farm and I believe mental health involves the whole person: mind, body, and spirit. I enjoy meeting people at the season of life they are in and helping them make changes.
(580) 563-0416 View (580) 563-0416
Photo of Jessica Pendergraft, Licensed Professional Counselor, MCP, LPC
Jessica Pendergraft
Licensed Professional Counselor, MCP, LPC
1 Endorsed
Enid, OK 73701
My name is Jessica Pendergraft, and I am a Licensed Professional Counselor (LPC) practicing at Wright Counseling Solutions in Enid, Oklahoma. I have been practicing in the Enid area for over 8 years providing various therapeutic services. I have experience in a range of mental health services including mood disorders, parenting therapy, family therapy, support for survivors of domestic violence and/or their children with these services including most age ranges from children to adults. I strive to continue learning evidenced based therapeutic approaches to serve my client’s unique individual needs.
My name is Jessica Pendergraft, and I am a Licensed Professional Counselor (LPC) practicing at Wright Counseling Solutions in Enid, Oklahoma. I have been practicing in the Enid area for over 8 years providing various therapeutic services. I have experience in a range of mental health services including mood disorders, parenting therapy, family therapy, support for survivors of domestic violence and/or their children with these services including most age ranges from children to adults. I strive to continue learning evidenced based therapeutic approaches to serve my client’s unique individual needs.
(580) 681-1620 View (580) 681-1620
Photo of Sean P Byrne - The Byrne Center, Licensed Professional Counselor, ICPS, CHRS, LMSW, LCSW, LPC-S
The Byrne Center
Licensed Professional Counselor, ICPS, CHRS, LMSW, LCSW, LPC-S
1 Endorsed
Online Only
The Byrne Center was created to empower growth and healing through Narrative Therapy and EMDR counseling. Sean Byrne, M.Ed., MCP, CPS, LMSW, LPC has over 20 years experience in system and individual change. We treat a variety of issues including depression, anxiety, trauma, urge reduction (smoking, weight loss, gambling, etc..), mental illness, addiction, and behavioral problems.
The Byrne Center was created to empower growth and healing through Narrative Therapy and EMDR counseling. Sean Byrne, M.Ed., MCP, CPS, LMSW, LPC has over 20 years experience in system and individual change. We treat a variety of issues including depression, anxiety, trauma, urge reduction (smoking, weight loss, gambling, etc..), mental illness, addiction, and behavioral problems.
(580) 379-0848 View (580) 379-0848
Photo of Tasha Jantzen, Drug & Alcohol Counselor, MA, LADC-MH, CS
Tasha Jantzen
Drug & Alcohol Counselor, MA, LADC-MH, CS
2 Endorsed
Enid, OK 73703
Are you stressed, depressed, anxious? Has your life been impacted by trauma, substance abuse, co-dependency, gambling, relationship issues or grief? I want to help. I have over 20 years of experience helping others. I am trained & licensed to treat both substance use & mental health problems. When life rocks us with its ups and downs, we need someone to help us make sense of it all. My approach is wholistic - my focus is on helping you develop and reach your personal goals - to get you to where you want to be. I provide individual, couples & group therapy.
Are you stressed, depressed, anxious? Has your life been impacted by trauma, substance abuse, co-dependency, gambling, relationship issues or grief? I want to help. I have over 20 years of experience helping others. I am trained & licensed to treat both substance use & mental health problems. When life rocks us with its ups and downs, we need someone to help us make sense of it all. My approach is wholistic - my focus is on helping you develop and reach your personal goals - to get you to where you want to be. I provide individual, couples & group therapy.
(580) 648-4426 View (580) 648-4426

How does your Therapist compare?

Number of Therapists in Garfield County, OK

30+

Average cost per session

$100

Therapists in Garfield County, OK who prioritize treating:

91% Depression
91% Anxiety
76% Anger Management
76% Coping Skills
70% Trauma and PTSD
70% Family Conflict
70% Self Esteem

Average years in practice

15 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
83% Health Choice
72% UnitedHealthcare UHC | UBH

How Therapists in Garfield County, OK see their clients

76% In Person and Online
24% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Garfield County?

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.