Therapists in Sugar Land, TX

Photo of Kori Odior, LPC-Associate in Sugar Land, TX
Kori Odior
LPC-Associate, MEd
Verified Verified
Sugar Land, TX 77478
When navigating life transitions, anxiety, depression, loss, identity struggles, trauma and more a deep breath may be what is desired yet, life does not stop. Whether you have reached a dead end or you are starting out on your journey toward healing, I am here to walk alongside you.
When navigating life transitions, anxiety, depression, loss, identity struggles, trauma and more a deep breath may be what is desired yet, life does not stop. Whether you have reached a dead end or you are starting out on your journey toward healing, I am here to walk alongside you.
(346) 361-2451 x25 View (346) 361-2451 x25
Photo of Becky (Rebecca) Tompkins, Clinical Social Work/Therapist in Sugar Land, TX
Becky (Rebecca) Tompkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Sugar Land, TX 77498
I began my professional career as a high school teacher. Working with patients 12 and up to identify and achieve their goals is my passion. For that reason, I left the world of test scores and grade point averages to become a therapist. Essentially, I see myself as a mirror encouraging my clients to confront their issues and a teammate assisting my clients to embrace and harness their innate strength and power to move forward even when choices seem limited.
I began my professional career as a high school teacher. Working with patients 12 and up to identify and achieve their goals is my passion. For that reason, I left the world of test scores and grade point averages to become a therapist. Essentially, I see myself as a mirror encouraging my clients to confront their issues and a teammate assisting my clients to embrace and harness their innate strength and power to move forward even when choices seem limited.
(281) 466-3570 View (281) 466-3570
Photo of Rae Garr, Licensed Professional Counselor in Sugar Land, TX
Rae Garr
Licensed Professional Counselor, LPC-S
Verified Verified
3 Endorsed
Sugar Land, TX 77479
Reaching out for professional help is the first and often most difficult step of the process. I commend you for investing the time to explore the best fit partnership to meet your need(s). My approach is to function as a vessel for individuals to find a safe place of refuge, where they can be heard or offered a compassionate voice of reason during a time of chaos.
Reaching out for professional help is the first and often most difficult step of the process. I commend you for investing the time to explore the best fit partnership to meet your need(s). My approach is to function as a vessel for individuals to find a safe place of refuge, where they can be heard or offered a compassionate voice of reason during a time of chaos.
(281) 317-7840 View (281) 317-7840
Photo of Roopa Baruah, Clinical Social Work/Therapist in Sugar Land, TX
Roopa Baruah
Clinical Social Work/Therapist, MSW, LCSW, CCHt
Verified Verified
Sugar Land, TX 77478  (Online Only)
Are you experiencing physical and emotional symptoms that are unexplainable and preventing you from living a healthy, fulfilling life? If so, it may be a response to a painful experience. Adverse life experiences and how it impacts a person is unique to every person. Medical research has demonstrated for decades that survivors of accidents, disasters, and childhood trauma often endure life-long symptoms ranging from anxiety and depression to body syndromes, harmful behaviors, and addictions. While you can't change difficult situations of the past, you have the natural ability to recuperate from these painful experiences.
Are you experiencing physical and emotional symptoms that are unexplainable and preventing you from living a healthy, fulfilling life? If so, it may be a response to a painful experience. Adverse life experiences and how it impacts a person is unique to every person. Medical research has demonstrated for decades that survivors of accidents, disasters, and childhood trauma often endure life-long symptoms ranging from anxiety and depression to body syndromes, harmful behaviors, and addictions. While you can't change difficult situations of the past, you have the natural ability to recuperate from these painful experiences.
(346) 449-4506 View (346) 449-4506
Photo of Selam Kebede, Licensed Professional Counselor in Sugar Land, TX
Selam Kebede
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
2 Endorsed
Sugar Land, TX 77478
The heart of counseling is a warm, safe, and non-judgmental relationship that focus on meeting life demands. I enjoy collaborating with individuals, couples, and families to meet the challenges they are currently experiencing and build the skills and confidence needed to navigate the future with resilience.
The heart of counseling is a warm, safe, and non-judgmental relationship that focus on meeting life demands. I enjoy collaborating with individuals, couples, and families to meet the challenges they are currently experiencing and build the skills and confidence needed to navigate the future with resilience.
(832) 536-9424 View (832) 536-9424
Photo of Rohrer Counseling, Licensed Professional Counselor in Sugar Land, TX
Rohrer Counseling
Licensed Professional Counselor, LPC, MA
Verified Verified
Sugar Land, TX 77479
You do not need to go through life's challenges alone. Whether your challenges involve family conflict, relationship issues, parenting concerns or past trauma, I would be honored to offer you my training and experience to support you on your journey. Call for a free consultation and see what is possible.
You do not need to go through life's challenges alone. Whether your challenges involve family conflict, relationship issues, parenting concerns or past trauma, I would be honored to offer you my training and experience to support you on your journey. Call for a free consultation and see what is possible.
(719) 419-8215 View (719) 419-8215
Photo of Solace Counseling and Coaching, Licensed Professional Counselor in Sugar Land, TX
Solace Counseling and Coaching
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Now scheduling in person & online for adults and teens. Night/weekend appointments available. We specialize in complex trauma/CPTSD and developmental trauma, as well as help with anxiety, depression, perfectionism, self-esteem issues, guilt, academic and work pressure, people pleasing, social anxiety and grief. We believe that therapy can help people alleviate distress in times of crisis, but that it is also important as a regular part of wellness. We believe everyone is capable of healing and growth, and that therapy can be a powerful tool for supporting this journey.
Now scheduling in person & online for adults and teens. Night/weekend appointments available. We specialize in complex trauma/CPTSD and developmental trauma, as well as help with anxiety, depression, perfectionism, self-esteem issues, guilt, academic and work pressure, people pleasing, social anxiety and grief. We believe that therapy can help people alleviate distress in times of crisis, but that it is also important as a regular part of wellness. We believe everyone is capable of healing and growth, and that therapy can be a powerful tool for supporting this journey.
(346) 534-4931 View (346) 534-4931
Photo of Heidi Hoarau, Licensed Professional Counselor in Sugar Land, TX
Heidi Hoarau
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Sugar Land, TX 77478  (Online Only)
Feeling anxious or depressed is often the result of chronic stress, unresolved trauma or grief. I work with adults who struggle with intense emotions or have coped through numbing them. Some suffer from physical discomfort or chronic pain, while others struggle in their relationships, or engage in behaviors that both soothe and hurt them. If that resonates with you, I would love to offer you my attention and guiding skills to help you explore and make sense of your inner experiences in order to heal wounds and access more calm, clarity, confidence, compassion, and connection with yourself and others, so that you may feel more alive!
Feeling anxious or depressed is often the result of chronic stress, unresolved trauma or grief. I work with adults who struggle with intense emotions or have coped through numbing them. Some suffer from physical discomfort or chronic pain, while others struggle in their relationships, or engage in behaviors that both soothe and hurt them. If that resonates with you, I would love to offer you my attention and guiding skills to help you explore and make sense of your inner experiences in order to heal wounds and access more calm, clarity, confidence, compassion, and connection with yourself and others, so that you may feel more alive!
(346) 534-5831 View (346) 534-5831
Photo of Amanda Trost- Solace Counseling And Coaching, Licensed Professional Counselor in Sugar Land, TX
Amanda Trost- Solace Counseling And Coaching
Licensed Professional Counselor, MEd
Verified Verified
1 Endorsed
Sugar Land, TX 77478
Assisting adults and teens in managing anxiety and depression, achieving work-life balance, perfectionism, people pleasing, and navigating the journey of healing from childhood trauma, estrangements, and complex family dynamics. Therapy can be beneficial in addressing issues such as overwhelming or misplaced guilt, stress related to academics or employment, prioritizing others' needs over one's own, fear of abandonment, establishing healthy personal and professional boundaries, setting goals, and processing traumatic experiences.
Assisting adults and teens in managing anxiety and depression, achieving work-life balance, perfectionism, people pleasing, and navigating the journey of healing from childhood trauma, estrangements, and complex family dynamics. Therapy can be beneficial in addressing issues such as overwhelming or misplaced guilt, stress related to academics or employment, prioritizing others' needs over one's own, fear of abandonment, establishing healthy personal and professional boundaries, setting goals, and processing traumatic experiences.
(346) 567-7162 View (346) 567-7162
Photo of Madonna Dishmon Fowlkes, Licensed Professional Counselor in Sugar Land, TX
Madonna Dishmon Fowlkes
Licensed Professional Counselor, MEd, LPC
Verified Verified
Sugar Land, TX 77478  (Online Only)
Extensive counseling experience working in private practice with multicultural and socioeconomically diverse individuals, couples, and families. She has always been a "helper" since her youth. She has always had a passion for assisting others. Her friends and family have always confided in her and sought advice when faced with challenges and adversities. She has been a licensed professional counselor for 11 years, with a master’s degree in Counseling from Texas Southern University and is a Licensed Professional Counselor in the state of Texas. She specializes with individuals, adults, adolescents, couples, and families.
Extensive counseling experience working in private practice with multicultural and socioeconomically diverse individuals, couples, and families. She has always been a "helper" since her youth. She has always had a passion for assisting others. Her friends and family have always confided in her and sought advice when faced with challenges and adversities. She has been a licensed professional counselor for 11 years, with a master’s degree in Counseling from Texas Southern University and is a Licensed Professional Counselor in the state of Texas. She specializes with individuals, adults, adolescents, couples, and families.
(832) 479-2873 View (832) 479-2873
Photo of Britni Andrews, Licensed Professional Counselor in Sugar Land, TX
Britni Andrews
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Sugar Land, TX 77478  (Online Only)
Here we honor and hold space for your unique life experiences and intersections of identity on this journey. In this space, you can explore who you are and acknowledge yourself becoming aware of your potential to grow and thrive. I will assist you in crafting a sound plan to accomplish your goals, including cognitive behavioral and mindfulness techniques to strengthen your understanding of the connection between your thoughts, emotions, and behaviors. “Now- Let’s put it to work!” is a phrase you often hear while moving forward on your journey.
Here we honor and hold space for your unique life experiences and intersections of identity on this journey. In this space, you can explore who you are and acknowledge yourself becoming aware of your potential to grow and thrive. I will assist you in crafting a sound plan to accomplish your goals, including cognitive behavioral and mindfulness techniques to strengthen your understanding of the connection between your thoughts, emotions, and behaviors. “Now- Let’s put it to work!” is a phrase you often hear while moving forward on your journey.
(832) 742-6456 View (832) 742-6456
Photo of Lesli Stockwell, LPC Associate in Sugar Land, TX
Lesli Stockwell
LPC Associate, MA, LPC A
Verified Verified
Sugar Land, TX 77478
I meet my clients where they are and I use a person-centered, humanistic approach to counseling. I prefer my clients to be collaborative where we decide on treatment goals together. My approach is to see clients weekly or bi-weekly because one or two sessions of counseling cannot really bring healing or wholeness to the issues occurring. If you would like to set up an appointment for counseling, please use the email link or call the number listed. I look forward to hearing from you! Be blessed, be kind, be whole and healed.
I meet my clients where they are and I use a person-centered, humanistic approach to counseling. I prefer my clients to be collaborative where we decide on treatment goals together. My approach is to see clients weekly or bi-weekly because one or two sessions of counseling cannot really bring healing or wholeness to the issues occurring. If you would like to set up an appointment for counseling, please use the email link or call the number listed. I look forward to hearing from you! Be blessed, be kind, be whole and healed.
(346) 553-0558 View (346) 553-0558
Photo of Chuck Gray, Psychologist in Sugar Land, TX
Chuck Gray
Psychologist, PhD
Verified Verified
Sugar Land, TX 77479  (Online Only)
I deeply value marital and relationship fulfillment. If you are an adult seeking marriage, dating, premarital, affairs, or other relationship counseling, then we are likely to be a good fit for each other. Since 1987 I have focused as a psychologist full-time on developing and implementing specialized expertise in couples and other adult relationship counseling. Together we may assess in a friendly way what is happening in your relationship, how it developed to be this way, and what may be done to improve communication, build trust, strengthen emotional connections, enhance intimacy, and otherwise fulfill your relationship goals.
I deeply value marital and relationship fulfillment. If you are an adult seeking marriage, dating, premarital, affairs, or other relationship counseling, then we are likely to be a good fit for each other. Since 1987 I have focused as a psychologist full-time on developing and implementing specialized expertise in couples and other adult relationship counseling. Together we may assess in a friendly way what is happening in your relationship, how it developed to be this way, and what may be done to improve communication, build trust, strengthen emotional connections, enhance intimacy, and otherwise fulfill your relationship goals.
(713) 338-9087 View (713) 338-9087
Photo of Angela Koslan, LPC Intern in Sugar Land, TX
Angela Koslan
LPC Intern, MA, LPC-A
Verified Verified
Sugar Land, TX 77478
I desire to create a safe place for those in need of a listening ear and establish genuine connection and support. I have sat with clients who have experienced trauma related to domestic violence, sexual assault, childhood abuse, pregnancy loss, abortion and a host of other struggles that people have encountered. I consider it an honor to be able to sit with individuals during difficult moments and have them leave a little better than I found them.
I desire to create a safe place for those in need of a listening ear and establish genuine connection and support. I have sat with clients who have experienced trauma related to domestic violence, sexual assault, childhood abuse, pregnancy loss, abortion and a host of other struggles that people have encountered. I consider it an honor to be able to sit with individuals during difficult moments and have them leave a little better than I found them.
(346) 553-9460 View (346) 553-9460
Photo of Monica McDermott, Licensed Professional Counselor in Sugar Land, TX
Monica McDermott
Licensed Professional Counselor, MS, LPC
Verified Verified
Sugar Land, TX 77478
My mission is to provide hope to my clients by addressing recovery from a holistic stand point. Recovery is defined as a process of change through which individuals improve their health and wellness, live a self-directed life and strive to reach their full potential. I am dedicated to helping my clients resolve their issues in life to help them live to their full potential. I counsel clients to help them in understanding and overcoming personal, social, and behavioral problems. I work with adults, adolescents, and young children.
My mission is to provide hope to my clients by addressing recovery from a holistic stand point. Recovery is defined as a process of change through which individuals improve their health and wellness, live a self-directed life and strive to reach their full potential. I am dedicated to helping my clients resolve their issues in life to help them live to their full potential. I counsel clients to help them in understanding and overcoming personal, social, and behavioral problems. I work with adults, adolescents, and young children.
(832) 558-3978 View (832) 558-3978
Photo of Laura Parker, Licensed Professional Counselor Associate in Sugar Land, TX
Laura Parker
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Sugar Land, TX 77479
Learning how to navigate the ups and downs life throws at us is a common challenge we all face at some point in our lives. It can be overwhelmingly challenging, creating unhealthy relationship patterns, and leaving people feeling stuck. Unfortunately, many people find it hard to seek help and I would like to help you find a safe place to manage the highs and lows of life. Together, we can work to make sense of difficult experiences, build coping skills, gain confidence, and nurture growth and resilience.
Learning how to navigate the ups and downs life throws at us is a common challenge we all face at some point in our lives. It can be overwhelmingly challenging, creating unhealthy relationship patterns, and leaving people feeling stuck. Unfortunately, many people find it hard to seek help and I would like to help you find a safe place to manage the highs and lows of life. Together, we can work to make sense of difficult experiences, build coping skills, gain confidence, and nurture growth and resilience.
(832) 979-1115 View (832) 979-1115
Photo of Maliha B. Khan, Licensed Professional Counselor in Sugar Land, TX
Maliha B. Khan
Licensed Professional Counselor, MA, LPC
Verified Verified
Sugar Land, TX 77479
It can be scary & frustrating when you don’t feel like yourself & don’t know why you feel this. You’ve tried everything to help with your mood changes, overwhelming feelings of nervousness, guilt and not feeling good enough, but nothing seems to work. It can be scary reaching out to a therapist because you want to find someone who really connects with you. I began my training in 2011 and completed it at The Menninger Clinic. I believe in creating an alliance with my clients. My warm & compassionate demeanor allows me to empathize with my clients, put them at ease & help them open up.
It can be scary & frustrating when you don’t feel like yourself & don’t know why you feel this. You’ve tried everything to help with your mood changes, overwhelming feelings of nervousness, guilt and not feeling good enough, but nothing seems to work. It can be scary reaching out to a therapist because you want to find someone who really connects with you. I began my training in 2011 and completed it at The Menninger Clinic. I believe in creating an alliance with my clients. My warm & compassionate demeanor allows me to empathize with my clients, put them at ease & help them open up.
(713) 999-4583 View (713) 999-4583
Photo of Paula Vandyke, Licensed Professional Counselor in Sugar Land, TX
Paula Vandyke
Licensed Professional Counselor, MA, LPC-S, LMFT-S
Verified Verified
Sugar Land, TX 77478
Not accepting new clients
Is this all there is to life? Feeling overwhelmed by life or conflict in important relationships? Sadness that you can't seem to overcome? Concern for your or a loved ones substance use? Life can be hard and it can be helpful to talk to a professional in a safe and non-judgemental environment. I work you and your challenges to identify strengths so you can achieve your personal goals. Whether in crisis or wish to improve any aspect of your life , I will assist you in identifying and improving your coping skills to strengthen your resilience, discover your potential and enhance your personal journey.
Is this all there is to life? Feeling overwhelmed by life or conflict in important relationships? Sadness that you can't seem to overcome? Concern for your or a loved ones substance use? Life can be hard and it can be helpful to talk to a professional in a safe and non-judgemental environment. I work you and your challenges to identify strengths so you can achieve your personal goals. Whether in crisis or wish to improve any aspect of your life , I will assist you in identifying and improving your coping skills to strengthen your resilience, discover your potential and enhance your personal journey.
(281) 549-5253 View (281) 549-5253
Photo of Teresa Brown, Licensed Professional Counselor in Sugar Land, TX
Teresa Brown
Licensed Professional Counselor, MEd, LPC, RPT, NCC, NCSC
Verified Verified
Sugar Land, TX 77479
Is your child anxious or have meltdowns? Does your child have self-esteem issues or have trouble making friends? Has your child been diagnosed with ADHD or have behavior issues at school and home? Teresa is a Registered Play Therapist certified by the Association of Play Therapy. Children use play to process issues. Each family is unique and deserves a plan to assist them with their specific needs. Working as a team with the parents is an important part of the process. She works with the parents as a team to provide the support they need to help their child. Teresa is also Certified to work with Highly Sensitive Children and Adults
Is your child anxious or have meltdowns? Does your child have self-esteem issues or have trouble making friends? Has your child been diagnosed with ADHD or have behavior issues at school and home? Teresa is a Registered Play Therapist certified by the Association of Play Therapy. Children use play to process issues. Each family is unique and deserves a plan to assist them with their specific needs. Working as a team with the parents is an important part of the process. She works with the parents as a team to provide the support they need to help their child. Teresa is also Certified to work with Highly Sensitive Children and Adults
(713) 766-0751 View (713) 766-0751
Photo of Ashley Hunt M. Ed. Lpc-S, Licensed Professional Counselor in Sugar Land, TX
Ashley Hunt M. Ed. Lpc-S
Licensed Professional Counselor, LPC-S
Verified Verified
Sugar Land, TX 77479  (Online Only)
I am licensed in Texas with over 12 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, coping with grief and loss, & motivation, self esteem, and confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
I am licensed in Texas with over 12 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, coping with grief and loss, & motivation, self esteem, and confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
(817) 269-8442 View (817) 269-8442

How does your Therapist compare?

Number of Therapists in Sugar Land, TX

400+

Average cost per session

$150

Therapists in Sugar Land, TX who prioritize treating:

90% Depression
90% Anxiety
78% Self Esteem
72% Relationship Issues
69% Coping Skills
68% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% Aetna
76% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Sugar Land, TX see their clients

71% In Person and Online
29% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sugar Land?

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.