Therapists in Houston, TX

View neighborhoods in Houston
Photo of Kaci Bryant, Licensed Professional Counselor in Houston, TX
Kaci Bryant
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Houston, TX 77095
Kaci’s focus includes: Family of Origin and Attachment Issues • Communication and Social Skills Concerns • Boundaries and Work/Life Balance • Life Transitions and Adjustment Issues • Relational and Marital conflict • Parental Issues • Managing Difficult Relationships • Bridging the gap between identity, beliefs, and values with difficult life experiences • Anxiety and Depression • Making sense of trauma and grief experiences • Discovering ways to manage relationships with those struggling with mental illness.
Kaci’s focus includes: Family of Origin and Attachment Issues • Communication and Social Skills Concerns • Boundaries and Work/Life Balance • Life Transitions and Adjustment Issues • Relational and Marital conflict • Parental Issues • Managing Difficult Relationships • Bridging the gap between identity, beliefs, and values with difficult life experiences • Anxiety and Depression • Making sense of trauma and grief experiences • Discovering ways to manage relationships with those struggling with mental illness.
(346) 258-5783 View (346) 258-5783
Terapia en Español
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77092
Está usted teniendo dificultades con su niño en la escuela para concentrarse, en la casa para hacer la tarea, y en sus relaciones con la familia? Tiene usted un adolescente que se siente deprimido, sólo quiere estar en su cuarto, en el internet o en el teléfono? Tiene niños con problemas de agresión o deprimidos? Acérquese para que hablemos acerca de como ayudar a su niño, mejorar sus relaciones familiares, recuperar su tranquilidad y volver a disfrutar de alegría, paz, y felicidad en su hogar.
Está usted teniendo dificultades con su niño en la escuela para concentrarse, en la casa para hacer la tarea, y en sus relaciones con la familia? Tiene usted un adolescente que se siente deprimido, sólo quiere estar en su cuarto, en el internet o en el teléfono? Tiene niños con problemas de agresión o deprimidos? Acérquese para que hablemos acerca de como ayudar a su niño, mejorar sus relaciones familiares, recuperar su tranquilidad y volver a disfrutar de alegría, paz, y felicidad en su hogar.
(832) 632-8147 View (832) 632-8147
Photo of Danielle Smith, Licensed Professional Counselor Associate in Houston, TX
Danielle Smith
Licensed Professional Counselor Associate, MEd, LPC-A
Verified Verified
Houston, TX 77058
In my practice, I base my treatment on solution focused therapy, strength based, goal-focuses as well as cognitive-behavioral therapy to help my clients achieve long-term success in confronting their challenges. However, I value your time and understand that no two clients are the same, therefore I create a plan based on the needs of each client. My practice is unique because I am straight forward with my clients so they understand the steps that they may need to take to be successful while empathizing with their situation. No matter what stage of support or healing you may be in, I'll always meet you exactly where you are. ​
In my practice, I base my treatment on solution focused therapy, strength based, goal-focuses as well as cognitive-behavioral therapy to help my clients achieve long-term success in confronting their challenges. However, I value your time and understand that no two clients are the same, therefore I create a plan based on the needs of each client. My practice is unique because I am straight forward with my clients so they understand the steps that they may need to take to be successful while empathizing with their situation. No matter what stage of support or healing you may be in, I'll always meet you exactly where you are. ​
(281) 957-6076 View (281) 957-6076
Photo of Tanner Raab, Clinical Social Work/Therapist in Houston, TX
Tanner Raab
Clinical Social Work/Therapist, LMSW
Verified Verified
Houston, TX 77098
Unfortunately, problems come more easily and swiftly than progress and solutions. Weeks and months of positive steps forward can seem to be undone in a fraction of the time. I hope to unravel your life's complexities together to find and build a resilient path forward. Depression, anxiety, addiction and trauma can seem insurmountable, but they aren't. I'd love to explore the story of who you are and help blend it into the story of who you want to be!
Unfortunately, problems come more easily and swiftly than progress and solutions. Weeks and months of positive steps forward can seem to be undone in a fraction of the time. I hope to unravel your life's complexities together to find and build a resilient path forward. Depression, anxiety, addiction and trauma can seem insurmountable, but they aren't. I'd love to explore the story of who you are and help blend it into the story of who you want to be!
(281) 336-1838 View (281) 336-1838
Photo of Eva Szego, Marriage & Family Therapist in Houston, TX
Eva Szego
Marriage & Family Therapist, MA, LPC-S, ATR-BC, LMFT
Verified Verified
1 Endorsed
Houston, TX 77027
Eva Szego is a Licensed Professional Counselor and Family Therapist, and a Board Certified Art Therapist. Ms. Szego earned her Degree in Expressive Therapies from the University of Louisville. Her practice is a general one involving therapy. Her goal is to help people utilize and develop their strengths and resources, instead of their weaknesses and limitations. She incorporates Art Therapies to help individuals reach their potential. Ms. Szego counsels individuals and corporations on Acculturation Issues, Stress and Sexual Abuse. She has worked for corporations all over the United States and assists in immigration cases.
Eva Szego is a Licensed Professional Counselor and Family Therapist, and a Board Certified Art Therapist. Ms. Szego earned her Degree in Expressive Therapies from the University of Louisville. Her practice is a general one involving therapy. Her goal is to help people utilize and develop their strengths and resources, instead of their weaknesses and limitations. She incorporates Art Therapies to help individuals reach their potential. Ms. Szego counsels individuals and corporations on Acculturation Issues, Stress and Sexual Abuse. She has worked for corporations all over the United States and assists in immigration cases.
(713) 338-9188 View (713) 338-9188
Photo of Caroline Byrd, Licensed Professional Counselor in Houston, TX
Caroline Byrd
Licensed Professional Counselor, LPCA
Verified Verified
1 Endorsed
Houston, TX 77019
Caroline Byrd is a bilingual (English, Spanish) Licensed Professional Counselor Associate (LPCA) who serves adolescents and adults experiencing anxiety, boundary issues, depression, relationship concerns, and self-esteem issues. Caroline cares about establishing a strong therapeutic relationship with clients and providing an affirming, safe space so clients can express themselves without fear of judgment.
Caroline Byrd is a bilingual (English, Spanish) Licensed Professional Counselor Associate (LPCA) who serves adolescents and adults experiencing anxiety, boundary issues, depression, relationship concerns, and self-esteem issues. Caroline cares about establishing a strong therapeutic relationship with clients and providing an affirming, safe space so clients can express themselves without fear of judgment.
(346) 567-6773 View (346) 567-6773
Photo of The Rose Garden Therapy Services, Licensed Professional Counselor in Houston, TX
The Rose Garden Therapy Services
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Houston, TX 77044
The time has come to take the first step in mental healing. You no longer have to struggle alone or be confused about what to do. As a certified Cognitive Behavioral Therapist, I will make it my personal duty to support you in reaching your personal goals and assisting you to living a happy life.
The time has come to take the first step in mental healing. You no longer have to struggle alone or be confused about what to do. As a certified Cognitive Behavioral Therapist, I will make it my personal duty to support you in reaching your personal goals and assisting you to living a happy life.
(832) 463-4593 View (832) 463-4593
Photo of FYD Therapy PLLC/Find Your Destiny Counseling , Clinical Social Work/Therapist in Houston, TX
FYD Therapy PLLC/Find Your Destiny Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77068
Hello, my name is LaSonia Ashley and I am a Licensed Clinical Social Worker. I have over 10 years of experience in mental and behavioral health, and I am known for my ability to reach those who cannot be reached. I am empathetic and skillful in helping clients with various hardships and lows in life. Anxiety, depression, ADHD, bipolar disorders, traumas, self-harm and emotional/behavioral difficulties are all issues that I am able to help you manage.
Hello, my name is LaSonia Ashley and I am a Licensed Clinical Social Worker. I have over 10 years of experience in mental and behavioral health, and I am known for my ability to reach those who cannot be reached. I am empathetic and skillful in helping clients with various hardships and lows in life. Anxiety, depression, ADHD, bipolar disorders, traumas, self-harm and emotional/behavioral difficulties are all issues that I am able to help you manage.
(281) 609-7922 View (281) 609-7922
Photo of Katherine Mattioli, Licensed Professional Counselor in Houston, TX
Katherine Mattioli
Licensed Professional Counselor, MA, LPC, CST
Verified Verified
Houston, TX 77018  (Online Only)
Life is complicated. You may be feeling lost or overwhelmed right now. Having someone to talk to may be the difference between overcoming your challenges or letting them dictate your life. I work to create a warm, welcoming, and respectful environment so you can focus on finding solutions and having the life you want. Many of my clients, individuals and couples, are working on relationship and sexual issues. I also have experience working with people who are recovering from the trauma of physical illness and concerns.
Life is complicated. You may be feeling lost or overwhelmed right now. Having someone to talk to may be the difference between overcoming your challenges or letting them dictate your life. I work to create a warm, welcoming, and respectful environment so you can focus on finding solutions and having the life you want. Many of my clients, individuals and couples, are working on relationship and sexual issues. I also have experience working with people who are recovering from the trauma of physical illness and concerns.
(713) 234-6674 View (713) 234-6674
Photo of Katy Welch, Licensed Professional Counselor Associate in Houston, TX
Katy Welch
Licensed Professional Counselor Associate, MA, NCC
Verified Verified
1 Endorsed
Houston, TX 77027
Hi! My name is Katy Welch. Whether you’re facing new personal challenges, feeling overwhelmed by life’s stresses, or seeking self-growth, I am grateful to explore the possibility of therapy with you. I specialize in working with adults and teens seeking to address concerns such as anxiety, life transitions, perfectionism, self-esteem, shame, depression, and stress management. I am passionate about creating a safe, nonjudgmental environment to process your thoughts and concerns together. I value being present with you and exploring how you can utilize your strengths to overcome life’s challenges.
Hi! My name is Katy Welch. Whether you’re facing new personal challenges, feeling overwhelmed by life’s stresses, or seeking self-growth, I am grateful to explore the possibility of therapy with you. I specialize in working with adults and teens seeking to address concerns such as anxiety, life transitions, perfectionism, self-esteem, shame, depression, and stress management. I am passionate about creating a safe, nonjudgmental environment to process your thoughts and concerns together. I value being present with you and exploring how you can utilize your strengths to overcome life’s challenges.
(832) 720-6744 View (832) 720-6744
Photo of Dr. Justyn Smith, Licensed Professional Counselor in Houston, TX
Dr. Justyn Smith
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Houston, TX 77008
My identity as a Gay Black Man gives me a unique passion as therapist and deep empathy in supporting the LGBTQ population with coming out, managing relationships and growing in self-acceptance. I work with a variety of presenting concerns and populations; however, my specialization is working with Gay Men, BIPOC and the LGBTQ+ community. I provide support and a nonjudgmental environment for you to process, explore and talk through your concerns. In counseling you can get tools and skills to make life changes or use the space to let out your thoughts and vocalize your stress. I also provide Supervision for LPC Associates.
My identity as a Gay Black Man gives me a unique passion as therapist and deep empathy in supporting the LGBTQ population with coming out, managing relationships and growing in self-acceptance. I work with a variety of presenting concerns and populations; however, my specialization is working with Gay Men, BIPOC and the LGBTQ+ community. I provide support and a nonjudgmental environment for you to process, explore and talk through your concerns. In counseling you can get tools and skills to make life changes or use the space to let out your thoughts and vocalize your stress. I also provide Supervision for LPC Associates.
(254) 274-5683 View (254) 274-5683
Photo of Lakendrel Norman, Licensed Professional Counselor in Houston, TX
Lakendrel Norman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77069  (Online Only)
Taking the step to seek help and support can be a daunting decision. It's understandable that you may have hesitated, but I commend you for taking these brave initial steps by being here today. Whether you're grappling with depression, anxiety, or facing challenges in the aftermath of a traumatic experience, please know that you're not alone. I am here to stand by you and offer support. Together, as a team, we'll collaborate to guide you towards a happier, more fulfilling life. I'll provide you with the necessary tools to confidently navigate life's obstacles.
Taking the step to seek help and support can be a daunting decision. It's understandable that you may have hesitated, but I commend you for taking these brave initial steps by being here today. Whether you're grappling with depression, anxiety, or facing challenges in the aftermath of a traumatic experience, please know that you're not alone. I am here to stand by you and offer support. Together, as a team, we'll collaborate to guide you towards a happier, more fulfilling life. I'll provide you with the necessary tools to confidently navigate life's obstacles.
(281) 666-8774 View (281) 666-8774
Photo of Danielle Gorrity, Clinical Social Work/Therapist in Houston, TX
Danielle Gorrity
Clinical Social Work/Therapist, LMSW
Verified Verified
Houston, TX 77079
My passion is helping children, teens, and families learn healthy and effective ways to communicate feelings. I believe in utilizing a trauma-informed lens and that fostering a safe space is foundational to healing. I am currently working towards becoming a Registered Play Therapist.
My passion is helping children, teens, and families learn healthy and effective ways to communicate feelings. I believe in utilizing a trauma-informed lens and that fostering a safe space is foundational to healing. I am currently working towards becoming a Registered Play Therapist.
(281) 957-0842 View (281) 957-0842
Photo of Rafael Parra, Licensed Professional Counselor in Houston, TX
Rafael Parra
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Hello! I am a Licensed Professional Counselor (LPC) in Texas. I have been in private practice for over 20 years. My specializations include, PTSD, Anxiety, Depression, Family and Marital Therapy, as well as years of experience with Chronic Pain Management. I have provided therapy both in the general population and to the military/veteran communities, particularly to those wanting to rely less on medication to resolve their issues.
Hello! I am a Licensed Professional Counselor (LPC) in Texas. I have been in private practice for over 20 years. My specializations include, PTSD, Anxiety, Depression, Family and Marital Therapy, as well as years of experience with Chronic Pain Management. I have provided therapy both in the general population and to the military/veteran communities, particularly to those wanting to rely less on medication to resolve their issues.
(832) 639-1955 View (832) 639-1955
Photo of Shannon Gooch, Licensed Professional Counselor in Houston, TX
Shannon Gooch
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
My name is Shannon Gooch and I am a Licensed Professional Counselor Supervisor. I have extensive experience working with adults, families, at risk youth and adolescents. I have earned a Bachelor's Degree in Psychology and a Master's Degree in Professional Counseling. My love for working with people and families in crisis has led me to practice as a counselor. My experience as a wife and mother has helped me become more relatable. Working in various practice settings has led me to be detail oriented, forward- thinking, and thorough.
My name is Shannon Gooch and I am a Licensed Professional Counselor Supervisor. I have extensive experience working with adults, families, at risk youth and adolescents. I have earned a Bachelor's Degree in Psychology and a Master's Degree in Professional Counseling. My love for working with people and families in crisis has led me to practice as a counselor. My experience as a wife and mother has helped me become more relatable. Working in various practice settings has led me to be detail oriented, forward- thinking, and thorough.
(832) 847-6665 View (832) 847-6665
Photo of Alejandra Machado, Licensed Professional Counselor in Houston, TX
Alejandra Machado
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Houston, TX 77092  (Online Only)
On the outside, everyone thinks you've got it all together. You're good at putting on a smile and pushing through. You've been checking the boxes in life but still feel overwhelmed, tired and feel that you're running out of time. You're wondering if things should be this difficult? You've contemplated making some changes in your life, but are worried what others may say, or whether you'd be making a big mistake.
On the outside, everyone thinks you've got it all together. You're good at putting on a smile and pushing through. You've been checking the boxes in life but still feel overwhelmed, tired and feel that you're running out of time. You're wondering if things should be this difficult? You've contemplated making some changes in your life, but are worried what others may say, or whether you'd be making a big mistake.
(832) 981-7187 View (832) 981-7187
Photo of Dorothy Tiedt, Licensed Professional Counselor in Houston, TX
Dorothy Tiedt
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77042
We all have the ability to overcome the obstacles that keep us experiencing joy and from reaching our desired goals. I can help my clients work through issues of anger, anxiety, grief,depression, or just feeling stuck. I work with all ages and all relationship issues while providing a safe and nurturing enviornment. I try hard to listen to what my client's needs are and actually meet them where they are. That is where our journey begins.
We all have the ability to overcome the obstacles that keep us experiencing joy and from reaching our desired goals. I can help my clients work through issues of anger, anxiety, grief,depression, or just feeling stuck. I work with all ages and all relationship issues while providing a safe and nurturing enviornment. I try hard to listen to what my client's needs are and actually meet them where they are. That is where our journey begins.
(713) 338-9195 View (713) 338-9195
Photo of Destiny Williams, Clinical Social Work/Therapist in Houston, TX
Destiny Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77056  (Online Only)
Hi there! Do you ever feel like life is too hard to handle? Feel like you're losing control? Do you ever feel that you want more authentic relationships with others? With nearly a decade of knowledge working with children, adolescents, and families; I am ecstatic to create a safe space for you and/or your family. Understanding that healing is not linear I will be here to support you no matter where you are in the process.
Hi there! Do you ever feel like life is too hard to handle? Feel like you're losing control? Do you ever feel that you want more authentic relationships with others? With nearly a decade of knowledge working with children, adolescents, and families; I am ecstatic to create a safe space for you and/or your family. Understanding that healing is not linear I will be here to support you no matter where you are in the process.
(346) 988-2753 View (346) 988-2753
Photo of Brittany Gilpin, Licensed Professional Counselor in Houston, TX
Brittany Gilpin
Licensed Professional Counselor, LPC, LMFT, NCC
Verified Verified
Houston, TX 77008  (Online Only)
Are you facing challenges in your life that feels difficult to navigate on your own? Are you needing additional support adjusting to change? You're not alone. My goal is to bring a loving, warm, and non-judgmental presence to the counseling room to help clients gain awareness about themselves and their relationships to make effective change. My eclectic and person-centered approach allows me to cater to the individual needs of my clients. I gravitate towards using CBT, Mindfulness, Experiential, Gottman, Attachment based approaches. In counseling, I want to help support you in living a life that feels happy and fulfilling to you!
Are you facing challenges in your life that feels difficult to navigate on your own? Are you needing additional support adjusting to change? You're not alone. My goal is to bring a loving, warm, and non-judgmental presence to the counseling room to help clients gain awareness about themselves and their relationships to make effective change. My eclectic and person-centered approach allows me to cater to the individual needs of my clients. I gravitate towards using CBT, Mindfulness, Experiential, Gottman, Attachment based approaches. In counseling, I want to help support you in living a life that feels happy and fulfilling to you!
(512) 886-9076 View (512) 886-9076
Photo of Lindsay Fisher, Clinical Social Work/Therapist in Houston, TX
Lindsay Fisher
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77006
Therapy is a safe place to share your story, grow in your strengths, and heal; my goal as a therapist is to help individuals and families cultivate their strengths by unpacking life experiences and working toward positive change. To facilitate this growth, I center empathetic connections with each client–which, in turn, leads to healing and change by eliminating shame and allowing for vulnerable reflection. This empathy allows you to feel empowered to make sustainable changes in your life. Wherever you’re coming from, or whatever challenges you have faced, there is hope for growth.
Therapy is a safe place to share your story, grow in your strengths, and heal; my goal as a therapist is to help individuals and families cultivate their strengths by unpacking life experiences and working toward positive change. To facilitate this growth, I center empathetic connections with each client–which, in turn, leads to healing and change by eliminating shame and allowing for vulnerable reflection. This empathy allows you to feel empowered to make sustainable changes in your life. Wherever you’re coming from, or whatever challenges you have faced, there is hope for growth.
(832) 841-4799 View (832) 841-4799

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Coping Skills
68% Relationship Issues
66% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
80% UnitedHealthcare UHC | UBH
79% Cigna and Evernorth

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.