Therapists in Purcell, OK

Photo of Janet Faye Love, Licensed Professional Counselor, LPC
Janet Faye Love
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Not accepting new clients
Sometimes life can feel like too much to navigate when faced with feelings of invalidation and being misunderstood. I am a Licensed Professional Counselor, and I understand your need to be heard without being judged. Throughout my life, I have learned we all experience things differently. My therapeutic approach is person-centered with a focus on non-judgement and empathy for your situations and formed opinions. I can help you with skills that enable you to push through the hard times whether it is grieving the loss of a loved one, feelings of being overwhelmed, or past/present life traumas that affect your worldview.
Sometimes life can feel like too much to navigate when faced with feelings of invalidation and being misunderstood. I am a Licensed Professional Counselor, and I understand your need to be heard without being judged. Throughout my life, I have learned we all experience things differently. My therapeutic approach is person-centered with a focus on non-judgement and empathy for your situations and formed opinions. I can help you with skills that enable you to push through the hard times whether it is grieving the loss of a loved one, feelings of being overwhelmed, or past/present life traumas that affect your worldview.
(405) 442-4224 View (405) 442-4224
Photo of Elizabeth Kathryn Brakefield, Licensed Professional Counselor, MEd, LPC
Elizabeth Kathryn Brakefield
Licensed Professional Counselor, MEd, LPC
Serves Area
Many of my clients come to me after trying therapy before and feeling like something was missing. They’ve gained insight… but the anxiety, overwhelm, or emotional patterns are still there. That’s where my approach is different. I combine Rapid Resolution Therapy, hypnotherapy, and mindfulness-based techniques to help resolve the root cause of what you’re experiencing—so you’re not just coping, you’re actually changing. This work doesn’t require you to relive painful experiences or analyze your past over and over. Instead, we work with how your mind naturally processes information to create shifts that feel fast, natural, and last
Many of my clients come to me after trying therapy before and feeling like something was missing. They’ve gained insight… but the anxiety, overwhelm, or emotional patterns are still there. That’s where my approach is different. I combine Rapid Resolution Therapy, hypnotherapy, and mindfulness-based techniques to help resolve the root cause of what you’re experiencing—so you’re not just coping, you’re actually changing. This work doesn’t require you to relive painful experiences or analyze your past over and over. Instead, we work with how your mind naturally processes information to create shifts that feel fast, natural, and last
(405) 493-8895 View (405) 493-8895
Photo of Joy L Tomek-Dionne, Licensed Professional Counselor, LPC, LLC
Joy L Tomek-Dionne
Licensed Professional Counselor, LPC, LLC
Serves Area
People often come to see me because they are in distress. They are overwhelmed with feelings of sadness or worry and they feel awful and alone.
People often come to see me because they are in distress. They are overwhelmed with feelings of sadness or worry and they feel awful and alone.
(405) 984-4021 View (405) 984-4021
Photo of Ellen L Donaldson, Marriage & Family Therapist, MHR, LMFT, LADC
Ellen L Donaldson
Marriage & Family Therapist, MHR, LMFT, LADC
Serves Area
I believe in taking a holistic approach to counseling. Since most issues are interrelated, positive change in one area begins a ripple effect of change in others. My training and over 25 years of clinical experience is diverse, including issues related to relationship problems, anxiety, depression, addictions, trauma and grief. In addition, I offer women's groups and individualized anger management. Since 1995, as an Adjunct Assistant Professor of Human Relations at the University of Oklahoma, I've taught courses on: Understanding Addictions, Chemical Dependency, Human Emotions, Stress Management and Advanced Counseling Skills.
I believe in taking a holistic approach to counseling. Since most issues are interrelated, positive change in one area begins a ripple effect of change in others. My training and over 25 years of clinical experience is diverse, including issues related to relationship problems, anxiety, depression, addictions, trauma and grief. In addition, I offer women's groups and individualized anger management. Since 1995, as an Adjunct Assistant Professor of Human Relations at the University of Oklahoma, I've taught courses on: Understanding Addictions, Chemical Dependency, Human Emotions, Stress Management and Advanced Counseling Skills.
(405) 455-8261 View (405) 455-8261
Photo of Diane Madrid, Pre-Licensed Professional, LMFT-C
Diane Madrid
Pre-Licensed Professional, LMFT-C
2 Endorsed
Serves Area
Do you ever feel out of sorts, or like something in your life or family just isn't working the way you'd hoped? Are you struggling with school, sports or peers? Are parenting challenges leaving you feeling exhausted or unsure of what to do next? Is anxiety making it hard for you - or your child - to feel at peace? Do you and your partner feel more frustrated than connected lately? Whether you're navigating a tough season, preparing for marriage, or wanting to strengthen your sense of self-worth, you don't have to do it alone.
Do you ever feel out of sorts, or like something in your life or family just isn't working the way you'd hoped? Are you struggling with school, sports or peers? Are parenting challenges leaving you feeling exhausted or unsure of what to do next? Is anxiety making it hard for you - or your child - to feel at peace? Do you and your partner feel more frustrated than connected lately? Whether you're navigating a tough season, preparing for marriage, or wanting to strengthen your sense of self-worth, you don't have to do it alone.
(405) 857-7624 View (405) 857-7624
Photo of Catherine Chapman - Inner Circle Mental Health , Clinical Social Work/Therapist, LCSW
Inner Circle Mental Health
Clinical Social Work/Therapist, LCSW
Serves Area
Our ideal client is someone who’s spent years protecting others while pushing their own mental health to the back burner. They're often first responders or military-connected, dealing with trauma, burnout, anxiety, or relationships under pressure. They want real tools that work in their world, not clichés. They're not looking to be fixed—they want clarity, control, and peace of mind, without risking their career.
Our ideal client is someone who’s spent years protecting others while pushing their own mental health to the back burner. They're often first responders or military-connected, dealing with trauma, burnout, anxiety, or relationships under pressure. They want real tools that work in their world, not clichés. They're not looking to be fixed—they want clarity, control, and peace of mind, without risking their career.
(405) 927-4666 View (405) 927-4666
Photo of Ferrella March, Licensed Professional Counselor, MS, LPC, NCC
Ferrella March
Licensed Professional Counselor, MS, LPC, NCC
2 Endorsed
Serves Area
My office is a safe and welcoming space where you are encouraged to begin the healing process. I will attempt to make your first visit comfortable and inspire hope that you can emerge fully. I will try to keep paperwork to a minimum, some of which can be completed online. I will work with you to make sure your experience is as worry-free as possible recognizing the importance of your first encounter.
My office is a safe and welcoming space where you are encouraged to begin the healing process. I will attempt to make your first visit comfortable and inspire hope that you can emerge fully. I will try to keep paperwork to a minimum, some of which can be completed online. I will work with you to make sure your experience is as worry-free as possible recognizing the importance of your first encounter.
(405) 329-7923 View (405) 329-7923

More Therapists Nearby

Deborah Suzanne Lyne
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Serves Area
Does anxiety or feeling overwhelmed get in your way? Do you find yourself repeatedly getting into toxic relationships? If so, you may benefit from a counselor who specializes in these areas helping you learn new skills and exploring new ways of living a full life. I have extensive experience in helping people overcome anxiety and recover from narcissistic relationships. Through our work you will discover who you are and where you want to go in life.
Does anxiety or feeling overwhelmed get in your way? Do you find yourself repeatedly getting into toxic relationships? If so, you may benefit from a counselor who specializes in these areas helping you learn new skills and exploring new ways of living a full life. I have extensive experience in helping people overcome anxiety and recover from narcissistic relationships. Through our work you will discover who you are and where you want to go in life.
(405) 704-3441 View (405) 704-3441
Photo of Kathryn Turpin, Clinical Social Work/Therapist, LCSW
Kathryn Turpin
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker in the states of Oklahoma and Colorado with over 18 years of experience providing compassionate counseling and case management care across outpatient, state, and federal settings. My work has included supporting individuals, couples, and families at every stage of life from early childhood through adulthood. My expertise includes offering tailored interventions for diverse communities including Veterans, individuals with serious mental illness, people with developmental disabilities, LGBTQ2+ clients, and Native American populations. I am eager to begin the therapeutic process together!
I am a Licensed Clinical Social Worker in the states of Oklahoma and Colorado with over 18 years of experience providing compassionate counseling and case management care across outpatient, state, and federal settings. My work has included supporting individuals, couples, and families at every stage of life from early childhood through adulthood. My expertise includes offering tailored interventions for diverse communities including Veterans, individuals with serious mental illness, people with developmental disabilities, LGBTQ2+ clients, and Native American populations. I am eager to begin the therapeutic process together!
(405) 860-6566 View (405) 860-6566
Photo of Jessica R Ngotngamwong, Clinical Social Work/Therapist, LCSW
Jessica R Ngotngamwong
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Waitlist for new clients
Sometimes life feels heavy, and it’s hard to know where to turn. You might feel overwhelmed, stuck in old patterns, healing from trauma, or simply exhausted from trying to hold it all together. Whatever you’re carrying—you don’t have to carry it alone. I’m a Licensed Clinical Social Worker with over a decade of experience supporting individuals, couples, children, and families. My approach is compassionate, collaborative, and tailored to your unique needs. I use strength-based and cognitive behavioral therapies, and often integrate mindfulness, trauma-informed care, and faith-based practices (when desired).
Sometimes life feels heavy, and it’s hard to know where to turn. You might feel overwhelmed, stuck in old patterns, healing from trauma, or simply exhausted from trying to hold it all together. Whatever you’re carrying—you don’t have to carry it alone. I’m a Licensed Clinical Social Worker with over a decade of experience supporting individuals, couples, children, and families. My approach is compassionate, collaborative, and tailored to your unique needs. I use strength-based and cognitive behavioral therapies, and often integrate mindfulness, trauma-informed care, and faith-based practices (when desired).
(405) 450-7349 View (405) 450-7349
Photo of Cherelle Berry, Clinical Social Work/Therapist, LCSW
Cherelle Berry
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I understand that trauma, regardless of its impact, can deeply affect your mental and emotional well-being. If you are struggling with anxiety, depression or with self-acceptance, self-validation, self-love, or have a sense of being unfulfilled in life, I am here to help. I believe that anyone seeking a better life is deserving of it and can attain it by embracing a new point of view and actively working towards positive change.
I understand that trauma, regardless of its impact, can deeply affect your mental and emotional well-being. If you are struggling with anxiety, depression or with self-acceptance, self-validation, self-love, or have a sense of being unfulfilled in life, I am here to help. I believe that anyone seeking a better life is deserving of it and can attain it by embracing a new point of view and actively working towards positive change.
(918) 233-1063 View (918) 233-1063
Photo of Candace Lewis, Licensed Professional Counselor, MHR, LPC Sup
Candace Lewis
Licensed Professional Counselor, MHR, LPC Sup
3 Endorsed
Serves Area
Many people come to therapy wanting relief from anxiety, depression, stress, or relationship challenges... those goals matter. But, therapy can be about more than symptom reduction. Using a blend of CBT and ACT, I help clients better understand themselves, clarify what’s most important to them, and make choices that align with the life they want to live. Influenced by Irvin Yalom’s belief in the healing power of a genuine therapeutic relationship, I bring authenticity, transparency, and directness to therapy. Change can be uncomfortable, so finding a therapist who provides the right balance of support and challenge is important.
Many people come to therapy wanting relief from anxiety, depression, stress, or relationship challenges... those goals matter. But, therapy can be about more than symptom reduction. Using a blend of CBT and ACT, I help clients better understand themselves, clarify what’s most important to them, and make choices that align with the life they want to live. Influenced by Irvin Yalom’s belief in the healing power of a genuine therapeutic relationship, I bring authenticity, transparency, and directness to therapy. Change can be uncomfortable, so finding a therapist who provides the right balance of support and challenge is important.
(405) 939-5592 View (405) 939-5592
Photo of (Mr. Omar) Rafin Chatman, Licensed Professional Counselor, LPC, CATP, CSOTP
(Mr. Omar) Rafin Chatman
Licensed Professional Counselor, LPC, CATP, CSOTP
1 Endorsed
Oklahoma City, OK 73109
I am a Licensed Professional Counselor (LPC) and a Certified Sex Offender Treatment Provider (CSOTP), OJA approved program specializing in working with youth ages 7 to 21. My practice focuses on supporting children and adolescents who have engaged in sexually harmful behavior, including those who have committed a sexual offense or present with problematic sexual behavior. In addition to addressing sexual behavior concerns, I provide therapeutic support for anger management, emotional regulation, and social skill development. My goal is to help youth build insight, take accountability, and develop healthier coping strategies.
I am a Licensed Professional Counselor (LPC) and a Certified Sex Offender Treatment Provider (CSOTP), OJA approved program specializing in working with youth ages 7 to 21. My practice focuses on supporting children and adolescents who have engaged in sexually harmful behavior, including those who have committed a sexual offense or present with problematic sexual behavior. In addition to addressing sexual behavior concerns, I provide therapeutic support for anger management, emotional regulation, and social skill development. My goal is to help youth build insight, take accountability, and develop healthier coping strategies.
(405) 963-2953 View (405) 963-2953
Photo of Guadalupe Gonzalez Quezada, Clinical Social Work/Therapist, LCSW
Guadalupe Gonzalez Quezada
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Accepting new clients! I am Guadalupe Gonzalez Quezada (Lupe), a Licensed Clinical Social Worker licensed in Texas, Oklahoma, and now Tennessee, specializing in mental health challenges in adolescents and adults. I've worked folks with facing various challenges such as depression, anxiety, stress, trauma, intergenerational trauma, women's health, LGBTQI+ support, life stages, illness, among others! I currently provide virtual services in English and Spanish.
Accepting new clients! I am Guadalupe Gonzalez Quezada (Lupe), a Licensed Clinical Social Worker licensed in Texas, Oklahoma, and now Tennessee, specializing in mental health challenges in adolescents and adults. I've worked folks with facing various challenges such as depression, anxiety, stress, trauma, intergenerational trauma, women's health, LGBTQI+ support, life stages, illness, among others! I currently provide virtual services in English and Spanish.
(915) 308-2412 View (915) 308-2412
Photo of Katie Turpin, Clinical Social Work/Therapist, LCSW
Katie Turpin
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker in the states of Oklahoma and Colorado with over 18 years of experience providing compassionate counseling and case management care across outpatient, state, and federal settings. My work has included supporting individuals, couples, and families at every stage of life from early childhood through adulthood. My expertise includes offering tailored interventions for diverse communities including Veterans, individuals with serious mental illness, people with developmental disabilities, LGBTQ2+ clients, and Native American populations. I am eager to begin the therapeutic process together!
I am a Licensed Clinical Social Worker in the states of Oklahoma and Colorado with over 18 years of experience providing compassionate counseling and case management care across outpatient, state, and federal settings. My work has included supporting individuals, couples, and families at every stage of life from early childhood through adulthood. My expertise includes offering tailored interventions for diverse communities including Veterans, individuals with serious mental illness, people with developmental disabilities, LGBTQ2+ clients, and Native American populations. I am eager to begin the therapeutic process together!
(405) 925-1296 View (405) 925-1296
Photo of Demetria Bonds, Clinical Social Work/Therapist, LMSW
Demetria Bonds
Clinical Social Work/Therapist, LMSW
2 Endorsed
Oklahoma City, OK 73159
Healing isn’t about returning to who we were, but about allowing ourselves to grow into someone new. My practice is guided by the principle of Sankofa (“to go back and fetch it”) representing the courage to look back on our lives, to honor where we’ve been, and to carry the wisdom of those experiences forward into our growth. Every part of your story matters, including the pain. As a therapist, I will be your guide and a witness, holding space as you heal from the past and rediscover your strength, meaning, and voice.
Healing isn’t about returning to who we were, but about allowing ourselves to grow into someone new. My practice is guided by the principle of Sankofa (“to go back and fetch it”) representing the courage to look back on our lives, to honor where we’ve been, and to carry the wisdom of those experiences forward into our growth. Every part of your story matters, including the pain. As a therapist, I will be your guide and a witness, holding space as you heal from the past and rediscover your strength, meaning, and voice.
(405) 939-2625 View (405) 939-2625
Photo of Stefanie Walker, Licensed Professional Counselor, LPC
Stefanie Walker
Licensed Professional Counselor, LPC
Online Only
Hello! It takes courage to seek support in order to live a happy and fulfilling life. My name is Stefanie Walker and I am a Licensed Professional Counselor with over 20 years of experience providing therapy services to both adults, adolescents and children. I am dually Licensed in Georgia and Oklahoma and I am also an Oklahoma State Board Certified Licensed Professional Counselor Supervisor.
Hello! It takes courage to seek support in order to live a happy and fulfilling life. My name is Stefanie Walker and I am a Licensed Professional Counselor with over 20 years of experience providing therapy services to both adults, adolescents and children. I am dually Licensed in Georgia and Oklahoma and I am also an Oklahoma State Board Certified Licensed Professional Counselor Supervisor.
(405) 957-4609 View (405) 957-4609
Photo of Wes Warner, Licensed Professional Counselor, LPC-S
Wes Warner
Licensed Professional Counselor, LPC-S
2 Endorsed
Oklahoma City, OK 73159
So here's the deal. How often do you say things like, "suck it up" and "rub some dirt on it" when things get tough? What are you hoping to gain from avoiding the truth that brought you to say those things? Are you bottling your feelings? That is the real issue: how you deal with life's roadblocks, speed bumps, and... and not whether or not they exist. Often, there is more than just you involved; you have children, and they look to you as an example. Emotions are human, YOU are human, THEY are human. But HOW in the HELL do you deal? Grab life by the horns and let's make a game plan! Life isn't easy. Call me...you are not alone!
So here's the deal. How often do you say things like, "suck it up" and "rub some dirt on it" when things get tough? What are you hoping to gain from avoiding the truth that brought you to say those things? Are you bottling your feelings? That is the real issue: how you deal with life's roadblocks, speed bumps, and... and not whether or not they exist. Often, there is more than just you involved; you have children, and they look to you as an example. Emotions are human, YOU are human, THEY are human. But HOW in the HELL do you deal? Grab life by the horns and let's make a game plan! Life isn't easy. Call me...you are not alone!
(405) 266-4392 View (405) 266-4392
Photo of Chelsea Dunn, Counselor, MS, LPC
Chelsea Dunn
Counselor, MS, LPC
1 Endorsed
Norman, OK 73069
Trying to hold all the pieces together can feel exhausting. I provide a space where you can set some of that weight down, feel supported, and begin to rebuild, whether that means putting things back together or discovering a new way for the first time. I’m here to help you sort through what feels overwhelming and to support you in making sense of it at your own pace. I enjoy working with college/young adults, adult women, and couples, and I believe that everyone has the ability to grow into the person they want to be when given a safe, supportive space.
Trying to hold all the pieces together can feel exhausting. I provide a space where you can set some of that weight down, feel supported, and begin to rebuild, whether that means putting things back together or discovering a new way for the first time. I’m here to help you sort through what feels overwhelming and to support you in making sense of it at your own pace. I enjoy working with college/young adults, adult women, and couples, and I believe that everyone has the ability to grow into the person they want to be when given a safe, supportive space.
(405) 766-3427 View (405) 766-3427
Photo of Summer Suffridge, Clinical Social Work/Therapist, LCSW
Summer Suffridge
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I'm Summer Suffridge, a Licensed Clinical Social Worker (LCSW) in Oklahoma. With over 10 years of experience in mental health, I've worked with children, adolescents, families, and adults across the life span in both foster care and community mental health. I understand how challenging and heavy life can sometimes feel, from managing school and work to balancing home life, relationships and life transitions.
Hi, I'm Summer Suffridge, a Licensed Clinical Social Worker (LCSW) in Oklahoma. With over 10 years of experience in mental health, I've worked with children, adolescents, families, and adults across the life span in both foster care and community mental health. I understand how challenging and heavy life can sometimes feel, from managing school and work to balancing home life, relationships and life transitions.
(405) 870-3084 View (405) 870-3084

See more therapy options for Purcell

How does your Therapist compare?

Number of Therapists in Purcell, OK

< 10

Therapists in Purcell, OK who prioritize treating:

86% Trauma and PTSD
86% Marriage Counseling
86% Complex PTSD
86% Medical Trauma
71% Anxiety
71% Social Anxiety
71% Health Anxiety

Average years in practice

5 Years

Top 3 insurances accepted

100% Health Choice
83% BlueCross and BlueShield
67% UnitedHealthcare UHC | UBH

How Therapists in Purcell, OK see their clients

86% In Person and Online
14% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Purcell?

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.