Therapists in Westerville, OH

Photo of Mariah Walters, Clinical Social Work/Therapist in Westerville, OH
Mariah Walters
Clinical Social Work/Therapist, MA, LISW, PsyD
Verified Verified
Westerville, OH 43081
Is your your life so f&*%^ up that you need a therapist to handle your trauma? Congratulations, you're an adult. I specialize in PTSD, working with first responders, correctional officers, firefighters, LGBTQ+, marital therapy and BWC. (I'm also the pied piper of teenage girls. ( It's a calling not a desire.) *Will accept child clients 12years or older. ) I take some insurances. UHC, OPTUM. (Jeez people, I can't do everything for you) Now introducing James Mehl, LSW ...specializing with children, PTSD, chronic pain, BWC and LGBTQ. . Jimmy private pay at 75/hr. Dr. Walters private pay at 250/hr. We do not accept Medicaid.
Is your your life so f&*%^ up that you need a therapist to handle your trauma? Congratulations, you're an adult. I specialize in PTSD, working with first responders, correctional officers, firefighters, LGBTQ+, marital therapy and BWC. (I'm also the pied piper of teenage girls. ( It's a calling not a desire.) *Will accept child clients 12years or older. ) I take some insurances. UHC, OPTUM. (Jeez people, I can't do everything for you) Now introducing James Mehl, LSW ...specializing with children, PTSD, chronic pain, BWC and LGBTQ. . Jimmy private pay at 75/hr. Dr. Walters private pay at 250/hr. We do not accept Medicaid.
(380) 212-3599 View (380) 212-3599
Photo of Tao Wilkes, Clinical Social Work/Therapist in Westerville, OH
Tao Wilkes
Clinical Social Work/Therapist, LISW
Verified Verified
Westerville, OH 43081
I am a Licensed Independent Clinical Social Worker in Ohio with over eight years of clinical experience. I have worked with individuals, couples, and families with a wide range of concerns, including Anxiety, Depression, Relationship Issues, Grief, Trauma, and PTSD. My counseling style consists of Christian Counseling, Cognitive Behavioral (CBT), Couples Therapy, Solution Focused Brief (SFBT), and Motivational Interviewing. It has been significant and rewarding to see how people walk out from problems, change, and have a happier life.
I am a Licensed Independent Clinical Social Worker in Ohio with over eight years of clinical experience. I have worked with individuals, couples, and families with a wide range of concerns, including Anxiety, Depression, Relationship Issues, Grief, Trauma, and PTSD. My counseling style consists of Christian Counseling, Cognitive Behavioral (CBT), Couples Therapy, Solution Focused Brief (SFBT), and Motivational Interviewing. It has been significant and rewarding to see how people walk out from problems, change, and have a happier life.
(614) 412-1914 View (614) 412-1914
Photo of Dr. Henry Stringer, Counselor in Westerville, OH
Dr. Henry Stringer
Counselor, MA, MDiv, PhD
Verified Verified
Westerville, OH 43082  (Online Only)
If you are hurting from personal problems, feeling overwhelmed by difficult circumstances or the situation you are now facing, then it may be time for you to seek professional help from a qualified counselor. People make choices about relationships, what foods to eat, personal activities, and many other life concerns and conditions. If you make the right choices in your life, chances are happiness and self-fulfillment will come your way. Otherwise, you may find yourself hurting or experiencing unwanted results. I can help you avoid or work through these problems and live a full and happy life.
If you are hurting from personal problems, feeling overwhelmed by difficult circumstances or the situation you are now facing, then it may be time for you to seek professional help from a qualified counselor. People make choices about relationships, what foods to eat, personal activities, and many other life concerns and conditions. If you make the right choices in your life, chances are happiness and self-fulfillment will come your way. Otherwise, you may find yourself hurting or experiencing unwanted results. I can help you avoid or work through these problems and live a full and happy life.
(614) 654-5912 View (614) 654-5912
Photo of Tricia Good, Licensed Professional Clinical Counselor in Westerville, OH
Tricia Good
Licensed Professional Clinical Counselor, MS, LPCC-S
Verified Verified
Westerville, OH 43081
Are you nervous, afraid, feeling that asking for professional help is a sign of weakness, or worried what others will think of you? These thoughts and feelings are more common than you realize. Day-to-day life can feel stressful, overwhelming, and somewhat challenging at times. It is important that you have a safe place to explore the stressors in your life and be able to learn the necessary coping skills for personal growth. I will not only provide a confidential, safe, and calming place for you, but I will also be non-judgmental and empathetic to your needs.
Are you nervous, afraid, feeling that asking for professional help is a sign of weakness, or worried what others will think of you? These thoughts and feelings are more common than you realize. Day-to-day life can feel stressful, overwhelming, and somewhat challenging at times. It is important that you have a safe place to explore the stressors in your life and be able to learn the necessary coping skills for personal growth. I will not only provide a confidential, safe, and calming place for you, but I will also be non-judgmental and empathetic to your needs.
(330) 594-8157 View (330) 594-8157
Photo of Patricia Ringold, Counselor in Westerville, OH
Patricia Ringold
Counselor, LPCC-S, NCC
Verified Verified
Westerville, OH 43081
As a clinician, I highly respect the courage and honesty that my clients bring to the counseling relationship. It is an honor for me to engage with others in this work of expanding into the person we wish to be. In my years of practice, I have consistently witnessed our capacity to progress and grow. While I acknowledge that we each do the best our situation, I welcome people to my office so that they can transcend their current experience and have a more fulfilling and enjoyable life. Relationships are a key to healing. When we feel authentic safety within our relationships, we create a framework in which we can move forward.
As a clinician, I highly respect the courage and honesty that my clients bring to the counseling relationship. It is an honor for me to engage with others in this work of expanding into the person we wish to be. In my years of practice, I have consistently witnessed our capacity to progress and grow. While I acknowledge that we each do the best our situation, I welcome people to my office so that they can transcend their current experience and have a more fulfilling and enjoyable life. Relationships are a key to healing. When we feel authentic safety within our relationships, we create a framework in which we can move forward.
(614) 957-2845 View (614) 957-2845
Photo of Victoria Borsukevich, Clinical Social Work/Therapist in Westerville, OH
Victoria Borsukevich
Clinical Social Work/Therapist, LISW-S
Verified Verified
Westerville, OH 43082  (Online Only)
I believe in an active and client-led approach to therapy, where I can help you build the tools and strengths within yourself to reach your goals. I feel that effective treatment begins with a genuine connection between us and I will strive to make you feel heard and understood. In my practice, I utilize a personalized approach to each client's mental health needs and goals.
I believe in an active and client-led approach to therapy, where I can help you build the tools and strengths within yourself to reach your goals. I feel that effective treatment begins with a genuine connection between us and I will strive to make you feel heard and understood. In my practice, I utilize a personalized approach to each client's mental health needs and goals.
(614) 683-2210 View (614) 683-2210
Photo of Dr. Bowen Marshall, Licensed Professional Clinical Counselor in Westerville, OH
Dr. Bowen Marshall
Licensed Professional Clinical Counselor , MA, LPCC-S, PhD
Verified Verified
7 Endorsed
Westerville, OH 43086  (Online Only)
I believe that everyone has an innate ability to move towards growth, healing, and fulfillment. I approach therapy from a perspective learning and believe that the more we learn about ourselves, the better able we are to make choices about how we want to move forward in life. I use an integrative framework to address each client’s individual needs. I work from a trauma informed lens and use interventions from existential, Attachment Theory, Gottman, ACT, IPT, and EFT.
I believe that everyone has an innate ability to move towards growth, healing, and fulfillment. I approach therapy from a perspective learning and believe that the more we learn about ourselves, the better able we are to make choices about how we want to move forward in life. I use an integrative framework to address each client’s individual needs. I work from a trauma informed lens and use interventions from existential, Attachment Theory, Gottman, ACT, IPT, and EFT.
(380) 221-7373 View (380) 221-7373
Photo of Collin Weekes, Counselor in Westerville, OH
Collin Weekes
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Westerville, OH 43082  (Online Only)
I am a counselor, EMDR Therapist, Certified Forensic Mental Health Evaluator, and a proud graduate of Regent University where I earned a master’s degree in Clinical Mental Health Counseling. I have a Master's in Clinical Psychology from Fielding Graduate University. My focus includes depression, anxiety, PTSD, OCD and I conduct Immigration Evaluations using an integrative approach to therapy that includes various treatment modalities based on your therapeutic and personal needs. Because of my service in ministry, I am uniquely positioned to offer spiritual counseling from a Christian perspective at your request.
I am a counselor, EMDR Therapist, Certified Forensic Mental Health Evaluator, and a proud graduate of Regent University where I earned a master’s degree in Clinical Mental Health Counseling. I have a Master's in Clinical Psychology from Fielding Graduate University. My focus includes depression, anxiety, PTSD, OCD and I conduct Immigration Evaluations using an integrative approach to therapy that includes various treatment modalities based on your therapeutic and personal needs. Because of my service in ministry, I am uniquely positioned to offer spiritual counseling from a Christian perspective at your request.
(380) 207-1462 View (380) 207-1462
Photo of New Heights Counseling Services, Counselor in Westerville, OH
New Heights Counseling Services
Counselor, MS, LPCC
Verified Verified
Westerville, OH 43081
I know when looking for counseling the process can seem daunting. You have to worry about specializations, openings, the time it will take to get to and from the appointment, not to mention the appointment itself. At New Heights we focus on making the process as easy as possible, from helping connect you to the best clinician within the practice to providing the most advanced treatment options we can. You matter and we want to help you achieve not just your mental health goals but making joy a part of your life.
I know when looking for counseling the process can seem daunting. You have to worry about specializations, openings, the time it will take to get to and from the appointment, not to mention the appointment itself. At New Heights we focus on making the process as easy as possible, from helping connect you to the best clinician within the practice to providing the most advanced treatment options we can. You matter and we want to help you achieve not just your mental health goals but making joy a part of your life.
(614) 957-2645 View (614) 957-2645
Photo of Clara Ann Huffman, Counselor in Westerville, OH
Clara Ann Huffman
Counselor, LPC
Verified Verified
Westerville, OH 43082
Clara Ann Huffman is a Licensed Professional Counselor in Ohio who has been practicing since 2022. To all her future clients, Clara Ann looks forward to offering a safe space - to walk alongside one another through hardship. She uniquely offers enduring hope for change and persistent optimism for a better tomorrow. As a recent academic, Clara Ann further offers emerging techniques, a blend of historic and new theoretical perspectives, and a growing foundation of experience and knowledge. Alongside her passion for mental health and recovery, Clara Ann is an avid lover of nature, an emerging (slow) runner, and an amateur birder.
Clara Ann Huffman is a Licensed Professional Counselor in Ohio who has been practicing since 2022. To all her future clients, Clara Ann looks forward to offering a safe space - to walk alongside one another through hardship. She uniquely offers enduring hope for change and persistent optimism for a better tomorrow. As a recent academic, Clara Ann further offers emerging techniques, a blend of historic and new theoretical perspectives, and a growing foundation of experience and knowledge. Alongside her passion for mental health and recovery, Clara Ann is an avid lover of nature, an emerging (slow) runner, and an amateur birder.
(614) 881-4729 View (614) 881-4729
Photo of Amanda Corrigan, Marriage & Family Therapist in Westerville, OH
Amanda Corrigan
Marriage & Family Therapist, IMFT
Verified Verified
1 Endorsed
Westerville, OH 43081
After receiving her Masters of Science in Marriage and Family Therapy from Edgewood College in 2007, Amanda pursued her Independent license as a Marriage and Family Therapist (IMFT) in Ohio. She has more than a decade of clinical experience working with kids, adults, couples, and families treating a variety of mental health, behavioral, and relationship issues. Amanda also has additional specialized experience and training in the areas of trauma treatment, suicide intervention, and intensive home-based therapy.
After receiving her Masters of Science in Marriage and Family Therapy from Edgewood College in 2007, Amanda pursued her Independent license as a Marriage and Family Therapist (IMFT) in Ohio. She has more than a decade of clinical experience working with kids, adults, couples, and families treating a variety of mental health, behavioral, and relationship issues. Amanda also has additional specialized experience and training in the areas of trauma treatment, suicide intervention, and intensive home-based therapy.
(614) 918-4243 View (614) 918-4243
Photo of Alex Childs, Counselor in Westerville, OH
Alex Childs
Counselor, LPCC, MSE
Verified Verified
Westerville, OH 43081
Seeking out a therapist is a powerful act of self-love and compassion. It’s a commitment to yourself that you're worthy of help and you're ready for change. I work with individuals and couples, from a warm approach of collaboratively changing your life for the better. I specialize in treating areas of anxiety, depression, self-esteem, self-image, sexuality, gender, identity, and relationships.
Seeking out a therapist is a powerful act of self-love and compassion. It’s a commitment to yourself that you're worthy of help and you're ready for change. I work with individuals and couples, from a warm approach of collaboratively changing your life for the better. I specialize in treating areas of anxiety, depression, self-esteem, self-image, sexuality, gender, identity, and relationships.
(380) 210-5114 View (380) 210-5114
Photo of Mercedes Jones, Clinical Social Work/Therapist in Westerville, OH
Mercedes Jones
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Westerville, OH 43081  (Online Only)
As a mental health therapist, I strive to create a space safe enough for individuals to be vulnerable enough to be "them." Vulnerable enough to laugh and cry in therapy, while also being heard and challenged in a healthy manner. As a therapeutic team, we will work together to embrace vulnerability, while embracing a healthier version of you.
As a mental health therapist, I strive to create a space safe enough for individuals to be vulnerable enough to be "them." Vulnerable enough to laugh and cry in therapy, while also being heard and challenged in a healthy manner. As a therapeutic team, we will work together to embrace vulnerability, while embracing a healthier version of you.
(614) 697-1202 View (614) 697-1202
Photo of Grace Crawley, Counselor in Westerville, OH
Grace Crawley
Counselor, MA, LPCC
Verified Verified
Westerville, OH 43081
I am passionate about helping clients learn to love themselves in their current space. Life is hard and unpredictable and all of us come to points in our life where we need some extra help. Maybe you are finding yourself at a crossroad in life and are struggling to identify where to turn. Maybe you are wrestling with ongoing depression and anxiety that is beginning to feel debilitating. Maybe you are grieving the loss of a loved one, a relationship, a dream, or an old way of thinking. Wherever you are, if you have found yourself here, you have identified that you need support and I would love to meet you in that space.
I am passionate about helping clients learn to love themselves in their current space. Life is hard and unpredictable and all of us come to points in our life where we need some extra help. Maybe you are finding yourself at a crossroad in life and are struggling to identify where to turn. Maybe you are wrestling with ongoing depression and anxiety that is beginning to feel debilitating. Maybe you are grieving the loss of a loved one, a relationship, a dream, or an old way of thinking. Wherever you are, if you have found yourself here, you have identified that you need support and I would love to meet you in that space.
(380) 207-0521 View (380) 207-0521
Photo of Michael D Perciful, Counselor in Westerville, OH
Michael D Perciful
Counselor, MACM, LPCC-S, LCDCIII, EMDR, CCTP
Verified Verified
Westerville, OH 43081
I don't believe anyone has to be defined by their past. It is often the case that life events are the very things that prevent people from living the life they both want and deserve. I have over 14 years experience working with people to assist them in overcoming substance use problems and ten plus years working with other mental health related problems. I would be honored to assist you in your journey to freedom from whatever it is that is holding you back.
I don't believe anyone has to be defined by their past. It is often the case that life events are the very things that prevent people from living the life they both want and deserve. I have over 14 years experience working with people to assist them in overcoming substance use problems and ten plus years working with other mental health related problems. I would be honored to assist you in your journey to freedom from whatever it is that is holding you back.
(614) 745-8531 View (614) 745-8531
Photo of Melanie Bergsten, Psychologist in Westerville, OH
Melanie Bergsten
Psychologist, PhD
Verified Verified
Westerville, OH 43082
Not accepting new clients
Life can be challenging and we all need a place where we can be seen, heard and understood without judgement. You may feel stuck as a result of depression or anxiety or you may want to grow, change or feel more confident and connected to others. I have a passion for helping others as they navigate their unique life path and encounter a variety of life stressors.
Life can be challenging and we all need a place where we can be seen, heard and understood without judgement. You may feel stuck as a result of depression or anxiety or you may want to grow, change or feel more confident and connected to others. I have a passion for helping others as they navigate their unique life path and encounter a variety of life stressors.
(740) 245-3669 View (740) 245-3669
Photo of Allison Fagan, Psychologist in Westerville, OH
Allison Fagan
Psychologist, PhD
Verified Verified
Westerville, OH 43082
I help people in distressed adult relationships. In a marriage or partnership, we need to know that we can reach our partner and feel connected and open to them, that we can count on our partner to respond to us when we are in need, and that we are special and cherished by our partner. I can help you find your way back to your partner, and restore feelings of safety and connection. In other close adult relationships, such as an adult child and a parent, distress can occur despite a desire by both parties to be closely connected.
I help people in distressed adult relationships. In a marriage or partnership, we need to know that we can reach our partner and feel connected and open to them, that we can count on our partner to respond to us when we are in need, and that we are special and cherished by our partner. I can help you find your way back to your partner, and restore feelings of safety and connection. In other close adult relationships, such as an adult child and a parent, distress can occur despite a desire by both parties to be closely connected.
(614) 957-1280 View (614) 957-1280
Photo of Kristin McConnell, Counselor in Westerville, OH
Kristin McConnell
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Westerville, OH 43081
If you entered motherhood with your idealistic views and are now buried under the demands of your family’s needs wondering what happened, or where things went awry, I get it! Whether it's the mental load, stress/burn out, sensory overwhelm, default parenting or things like anxiety, neurodivergent features or life transitions...I'm here for you. As a mother your first priority is everyone else but you deserve to have your needs met too. But how? It starts with feelings supported and empowered. It starts with you taking time for yourself. Let's work together and learn some tools and strategies so you can thrive.
If you entered motherhood with your idealistic views and are now buried under the demands of your family’s needs wondering what happened, or where things went awry, I get it! Whether it's the mental load, stress/burn out, sensory overwhelm, default parenting or things like anxiety, neurodivergent features or life transitions...I'm here for you. As a mother your first priority is everyone else but you deserve to have your needs met too. But how? It starts with feelings supported and empowered. It starts with you taking time for yourself. Let's work together and learn some tools and strategies so you can thrive.
(614) 802-6010 View (614) 802-6010
Photo of Jacqueline Lewis-Lyons, Psychologist in Westerville, OH
Jacqueline Lewis-Lyons
Psychologist, PsyD
Verified Verified
Westerville, OH 43086  (Online Only)
I help my clients learn to use their personal strengths to eliminate stress and establish new patterns of behavior to make their lives healthier and happier. We work together to address issues of low self-confidence, the fear of public speaking, a lack of supportive relationships or health-related problems. I enjoy seeing the positive changes my clients make as they achieve their goals that lead to a more satisfying life.
I help my clients learn to use their personal strengths to eliminate stress and establish new patterns of behavior to make their lives healthier and happier. We work together to address issues of low self-confidence, the fear of public speaking, a lack of supportive relationships or health-related problems. I enjoy seeing the positive changes my clients make as they achieve their goals that lead to a more satisfying life.
View
Photo of Heather Nicol, Clinical Social Work/Therapist in Westerville, OH
Heather Nicol
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Westerville, OH 43081
Is it time to focus on you? Are you experiencing relationship issues or parenting difficulties? Are you struggling with feelings of anxiety, depression, or irritability? Is your job bringing you more sorrow than joy? If you answered yes to any of these questions you may benefit from the insight of a therapist. As a mental health therapist for the past 25 years I take pride in joining with my clients to sort through whatever issues are challenging to them in a warm, nurturing environment. Together we can reach the successes in life YOU desire either in person or via Telehealth.
Is it time to focus on you? Are you experiencing relationship issues or parenting difficulties? Are you struggling with feelings of anxiety, depression, or irritability? Is your job bringing you more sorrow than joy? If you answered yes to any of these questions you may benefit from the insight of a therapist. As a mental health therapist for the past 25 years I take pride in joining with my clients to sort through whatever issues are challenging to them in a warm, nurturing environment. Together we can reach the successes in life YOU desire either in person or via Telehealth.
(614) 683-3294 View (614) 683-3294

How does your Therapist compare?

Number of Therapists in Westerville, OH

200+

Average cost per session

$125

Therapists in Westerville, OH who prioritize treating:

90% Anxiety
88% Depression
72% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
66% Grief
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
75% Optum
70% Medical Mutual

How Therapists in Westerville, OH see their clients

82% In Person and Online
18% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Westerville?

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.