Therapists in River Oaks, Houston, TX

Photo of Hannah Schaeffer, LPC-Associate, MA, LPC-A
Hannah Schaeffer
LPC-Associate, MA, LPC-A
2 Endorsed
River Oaks, Houston, TX 77098
I am a strong believer in the saying, "What you resist persists." It takes courage to acknowledge the struggle, face the discomfort, and engage with the parts of ourselves that perhaps we have kept hidden. You do not have to do this alone. As a clinician at Prasad Counseling and Training, I will be present with you in these moments of bravery and we will sort through them together.
I am a strong believer in the saying, "What you resist persists." It takes courage to acknowledge the struggle, face the discomfort, and engage with the parts of ourselves that perhaps we have kept hidden. You do not have to do this alone. As a clinician at Prasad Counseling and Training, I will be present with you in these moments of bravery and we will sort through them together.
(832) 242-9855 View (832) 242-9855
Photo of Thomas Eric Fryar, LPC Associate
Thomas Eric Fryar
LPC Associate
River Oaks, Houston, TX 77098
Can't, never, shouldn't- these are words we've heard frequently at Prasad Counseling and Training. In my work with adults, teens, and families I have learned that these words are like cement boots that keep you stuck, frustrated, and searching for answers. An endless barrage of negative self-talk batters your self-esteem. It can be the same miserable cycle replayed on a loop in your mind. That's where I step in. Our counseling and group psychotherapy sessions can break the chains and help you find hope, embrace change, and discover solutions.
Can't, never, shouldn't- these are words we've heard frequently at Prasad Counseling and Training. In my work with adults, teens, and families I have learned that these words are like cement boots that keep you stuck, frustrated, and searching for answers. An endless barrage of negative self-talk batters your self-esteem. It can be the same miserable cycle replayed on a loop in your mind. That's where I step in. Our counseling and group psychotherapy sessions can break the chains and help you find hope, embrace change, and discover solutions.
(281) 968-4706 View (281) 968-4706
Photo of Gigi Subuh, Licensed Master Social Worker, LMSW
Gigi Subuh
Licensed Master Social Worker, LMSW
1 Endorsed
River Oaks, Houston, TX 77019
Gigi is a Licensed Master Social Worker (LMSW) dedicated to fostering personal growth and emotional well-being in her clients. With a compassionate and supportive approach, Gigi creates a safe space where individuals can explore their thoughts and feelings freely. She believes in the power of introspection and strives to empower her clients through a strength-based approach. Gigi works with children along with young adults to assist in emotional regulation and stress management.
Gigi is a Licensed Master Social Worker (LMSW) dedicated to fostering personal growth and emotional well-being in her clients. With a compassionate and supportive approach, Gigi creates a safe space where individuals can explore their thoughts and feelings freely. She believes in the power of introspection and strives to empower her clients through a strength-based approach. Gigi works with children along with young adults to assist in emotional regulation and stress management.
(346) 585-7791 View (346) 585-7791
Photo of Anna Guerra, Licensed Professional Counselor, JD, MA, LPC
Anna Guerra
Licensed Professional Counselor, JD, MA, LPC
1 Endorsed
River Oaks, Houston, TX 77027
I am an experienced and trusted therapist helping individuals and couples for the past 21 years. My psychotherapy approach keeps in mind that human experience is a combination of both the rational and known, and also the unconscious and unseen aspects of ourselves. Through a collaborative nonjudgmental effort, we will together explore the limiting perspectives, thoughts, habits, and behaviors that leave you feeling dissatisfied with yourself and your relationships. I have experience working with a broad range of issues and people.
I am an experienced and trusted therapist helping individuals and couples for the past 21 years. My psychotherapy approach keeps in mind that human experience is a combination of both the rational and known, and also the unconscious and unseen aspects of ourselves. Through a collaborative nonjudgmental effort, we will together explore the limiting perspectives, thoughts, habits, and behaviors that leave you feeling dissatisfied with yourself and your relationships. I have experience working with a broad range of issues and people.
(281) 377-3378 View (281) 377-3378
Photo of Maria Pasco, Clinical Social Work/Therapist, LCSW
Maria Pasco
Clinical Social Work/Therapist, LCSW
River Oaks, Houston, TX 77098
Maria Socorro Pasco LCSW is from Texas and completed her Bachelor's Degree in Psychology at Texas A & M University. She then received her Master's Degree from University of Houston Graduate College of Social Work. She has over 20 years of experience providing therapy to clients from a variety of backgrounds. The modalities that she uses include Cognitive Behavioral Therapy with an emphasis on solution focused approach. She has worked with a variety of individuals and has helped them with Depression, Anxiety, Adjustment Disorders, women's issues as well as helping clients with major life transitions.
Maria Socorro Pasco LCSW is from Texas and completed her Bachelor's Degree in Psychology at Texas A & M University. She then received her Master's Degree from University of Houston Graduate College of Social Work. She has over 20 years of experience providing therapy to clients from a variety of backgrounds. The modalities that she uses include Cognitive Behavioral Therapy with an emphasis on solution focused approach. She has worked with a variety of individuals and has helped them with Depression, Anxiety, Adjustment Disorders, women's issues as well as helping clients with major life transitions.
(832) 219-9538 View (832) 219-9538
Photo of Stephanie Orozco, Licensed Professional Counselor, MA, LPC
Stephanie Orozco
Licensed Professional Counselor, MA, LPC
Online Only
Welcome! I applaud you for taking the first step in your journey to healing, self-discovery, and growth. My mission is to empower clients to become the best version of themselves. By providing a safe and supportive environment, clients and I work together to develop a deeper understanding of how one's thoughts, feelings, and behaviors impact their well-being. I am a bilingual (English and Spanish) therapist passionate about helping children, adolescents, and adults navigate life’s challenges. I have experience working with a wide range of issues, such as depression, anxiety, trauma, stress, work-life balance, and low self-esteem.
Welcome! I applaud you for taking the first step in your journey to healing, self-discovery, and growth. My mission is to empower clients to become the best version of themselves. By providing a safe and supportive environment, clients and I work together to develop a deeper understanding of how one's thoughts, feelings, and behaviors impact their well-being. I am a bilingual (English and Spanish) therapist passionate about helping children, adolescents, and adults navigate life’s challenges. I have experience working with a wide range of issues, such as depression, anxiety, trauma, stress, work-life balance, and low self-esteem.
(713) 843-7112 View (713) 843-7112
Photo of Melanie E Flint - JEM Wellness & Counseling, PLLC
JEM Wellness & Counseling, PLLC
Verified Verified
River Oaks, Houston, TX 77098
We don't believe in waitlists. Our mission is to get you the support you need to feel like yourself again, wake up each morning with energy, compassion for yourself, feel your best at work, and close to your family, instead of feeling tired and resentful. We have early morning and weekend options, in-office, virtual, and equine-assisted psychotherapy. We are in-network with BCBS & Aetna, and if you have Out of Network benefits, we got you covered! We can take care of submitting all paperwork on your behalf and getting your reimbursement check sent straight to you. Check here: mentaya.co/b/Yf2M8WVq5OuURTZah
We don't believe in waitlists. Our mission is to get you the support you need to feel like yourself again, wake up each morning with energy, compassion for yourself, feel your best at work, and close to your family, instead of feeling tired and resentful. We have early morning and weekend options, in-office, virtual, and equine-assisted psychotherapy. We are in-network with BCBS & Aetna, and if you have Out of Network benefits, we got you covered! We can take care of submitting all paperwork on your behalf and getting your reimbursement check sent straight to you. Check here: mentaya.co/b/Yf2M8WVq5OuURTZah
(832) 979-5845 View (832) 979-5845
Photo of Molly Cueto, Licensed Professional Counselor, MA, MEd, NCC
Molly Cueto
Licensed Professional Counselor, MA, MEd, NCC
3 Endorsed
River Oaks, Houston, TX 77019
Are you tired of the would of, could of, should of’s? Does it feel like you are in a vacuum that you cannot get out of? Let’s step out of what others want for us or told us how to live and start living our independent lives. Sometimes we get stuck on what has happened to us or too far into what we will do someday. Instead of living in the past or the future lets learn to be present and live right now. Let me help you begin to identify the red flags in life that prevents us from living the life that was intended. I will help you get back on the path to wholeness and wellbeing.
Are you tired of the would of, could of, should of’s? Does it feel like you are in a vacuum that you cannot get out of? Let’s step out of what others want for us or told us how to live and start living our independent lives. Sometimes we get stuck on what has happened to us or too far into what we will do someday. Instead of living in the past or the future lets learn to be present and live right now. Let me help you begin to identify the red flags in life that prevents us from living the life that was intended. I will help you get back on the path to wholeness and wellbeing.
(469) 507-2993 View (469) 507-2993
Photo of Monica Altamirano, Counselor, MA, LPC
Monica Altamirano
Counselor, MA, LPC
1 Endorsed
River Oaks, Houston, TX 77027
I am a Licensed Professional Counselor with over 25 years of experience working with children, adolescents, parents, adults and families. I work together with parents and teachers helping children succeed in school. I help parents understand the issues behind their child's anxiety, which may reflect in low academic performance and poor social skills.
I am a Licensed Professional Counselor with over 25 years of experience working with children, adolescents, parents, adults and families. I work together with parents and teachers helping children succeed in school. I help parents understand the issues behind their child's anxiety, which may reflect in low academic performance and poor social skills.
(713) 338-9180 View (713) 338-9180
Photo of Miranda Lane Finken, Clinical Social Work/Therapist, LCSW
Miranda Lane Finken
Clinical Social Work/Therapist, LCSW
River Oaks, Houston, TX 77098
Miranda Finken, LCSW, provides compassionate and evidencebased therapy to adults and seniors in Texas, helping individuals navigate challenges such as anxiety, depression, and PTSDtrauma. She specializes in supporting clients through major life transitions, including grief and laterlife adjustments, with a focus on fostering resilience and emotional wellbeing. Through a personalized approach, Miranda integrates proven therapeutic techniques to empower clients in building healthier coping strategies and improving their overall mental health.
Miranda Finken, LCSW, provides compassionate and evidencebased therapy to adults and seniors in Texas, helping individuals navigate challenges such as anxiety, depression, and PTSDtrauma. She specializes in supporting clients through major life transitions, including grief and laterlife adjustments, with a focus on fostering resilience and emotional wellbeing. Through a personalized approach, Miranda integrates proven therapeutic techniques to empower clients in building healthier coping strategies and improving their overall mental health.
(832) 957-0948 View (832) 957-0948
Photo of Louisa Bonner Hernandez, Licensed Professional Counselor, MA, LPC
Louisa Bonner Hernandez
Licensed Professional Counselor, MA, LPC
River Oaks, Houston, TX 77027
It is so common to feel overwhelmed, struggling to manage the challenges and transitions in our lives. Your challenges may be depression or anxiety, trauma history, relationship conflict, family/parent-child conflict, family of origin issues, health issues, caregiver stress, work/life imbalance, or a loved one with a mental illness; your transitions may be marriage, divorce, blended families, changing life stages of you/your children, aging parents, grief/loss, illness, graduation/career change, or job loss. I'd like to help you develop better coping skills, and build on the strengths and resources you already have.
It is so common to feel overwhelmed, struggling to manage the challenges and transitions in our lives. Your challenges may be depression or anxiety, trauma history, relationship conflict, family/parent-child conflict, family of origin issues, health issues, caregiver stress, work/life imbalance, or a loved one with a mental illness; your transitions may be marriage, divorce, blended families, changing life stages of you/your children, aging parents, grief/loss, illness, graduation/career change, or job loss. I'd like to help you develop better coping skills, and build on the strengths and resources you already have.
(281) 815-4556 View (281) 815-4556
Photo of William J Kao, Licensed Professional Counselor, MA, LPC
William J Kao
Licensed Professional Counselor, MA, LPC
2 Endorsed
River Oaks, Houston, TX 77098
Mr. Kao hopes to help clients navigate the challenges of life in a fulfilling and meaningful way. Mr. Kao works with clients on mindfulness, emotional regulation, relaxation techniques, as well as developing communication and coping skills for healthier relationships. Mr. Kao also utilizes techniques from EMDR to help clients heal from trauma and experience new insights that help the client move forward safely. Mr. Kao’s therapeutic approaches include Cognitive-Behavioral Therapy, EMDR, Gestalt Therapy, and The Gottman Method.
Mr. Kao hopes to help clients navigate the challenges of life in a fulfilling and meaningful way. Mr. Kao works with clients on mindfulness, emotional regulation, relaxation techniques, as well as developing communication and coping skills for healthier relationships. Mr. Kao also utilizes techniques from EMDR to help clients heal from trauma and experience new insights that help the client move forward safely. Mr. Kao’s therapeutic approaches include Cognitive-Behavioral Therapy, EMDR, Gestalt Therapy, and The Gottman Method.
(281) 549-8870 View (281) 549-8870
Photo of Chau Nguyen, Clinical Social Work/Therapist, LCSW
Chau Nguyen
Clinical Social Work/Therapist, LCSW
River Oaks, Houston, TX 77027
I believe clients are the experts of their own story, and I am passionately committed to making the therapeutic journey respectful, authentic and safe.
I believe clients are the experts of their own story, and I am passionately committed to making the therapeutic journey respectful, authentic and safe.
(281) 666-9469 View (281) 666-9469
Photo of Shanitra Davis, Licensed Professional Counselor Associate, MS, NCC
Shanitra Davis
Licensed Professional Counselor Associate, MS, NCC
River Oaks, Houston, TX 77027
Having spent years in social services, Shanitra recognized a pressing need in the community for dedicated mental health advocates. It was during this time that her passion for mental health counseling and interventions blossomed. Committed to destigmatizing mental health, Shanitra aims to normalize therapy as a regular practice for everyone. She firmly believes that just as we care for our physical health, our mental well-being also requires attention and nurturing.
Having spent years in social services, Shanitra recognized a pressing need in the community for dedicated mental health advocates. It was during this time that her passion for mental health counseling and interventions blossomed. Committed to destigmatizing mental health, Shanitra aims to normalize therapy as a regular practice for everyone. She firmly believes that just as we care for our physical health, our mental well-being also requires attention and nurturing.
(866) 823-8345 View (866) 823-8345
Photo of Esther Frogel, Psychologist, PhD
Esther Frogel
Psychologist, PhD
2 Endorsed
River Oaks, Houston, TX 77027
I provide therapy for adults and couples of all ages with a variety of presenting concerns, while specializing in religious and multicultural issues, life transitions, and career counseling. I generally conduct interpersonal process therapy as I view the client / therapist relationship as the most important part of therapy, however I have been known to use several other therapeutic modalities with clients as needed. I provide a warm, empathic, and welcoming environment where I work together with the client to find their own unique path to self discovery and awareness.
I provide therapy for adults and couples of all ages with a variety of presenting concerns, while specializing in religious and multicultural issues, life transitions, and career counseling. I generally conduct interpersonal process therapy as I view the client / therapist relationship as the most important part of therapy, however I have been known to use several other therapeutic modalities with clients as needed. I provide a warm, empathic, and welcoming environment where I work together with the client to find their own unique path to self discovery and awareness.
(346) 483-7333 View (346) 483-7333
Photo of Rhonda M George, Marriage & Family Therapist, MS, LPC, LMFT
Rhonda M George
Marriage & Family Therapist, MS, LPC, LMFT
3 Endorsed
River Oaks, Houston, TX 77019
Welcome to my profile. I am dually licensed as a Professional Counselor, and a Marriage and Family Therapist in the State of Texas with over 23+ years of counseling experience. I work with individuals, families, and couples who are experiencing issues and want to work on them in a supportive environment. Clients have told me that I am very friendly, approachable, collaborative, and effective in helping to explore and move them toward their personal goals. I receive many referrals from existing clients, and I have a high rate of client returns, even after years. I would welcome the opportunity to work with you as well.
Welcome to my profile. I am dually licensed as a Professional Counselor, and a Marriage and Family Therapist in the State of Texas with over 23+ years of counseling experience. I work with individuals, families, and couples who are experiencing issues and want to work on them in a supportive environment. Clients have told me that I am very friendly, approachable, collaborative, and effective in helping to explore and move them toward their personal goals. I receive many referrals from existing clients, and I have a high rate of client returns, even after years. I would welcome the opportunity to work with you as well.
(713) 766-5737 View (713) 766-5737
Photo of Samantha Michelle Lubin, Licensed Professional Counselor Associate
Samantha Michelle Lubin
Licensed Professional Counselor Associate
1 Endorsed
Online Only
My ideal client is a child or teen (ages 4–18) struggling with emotional regulation, anxiety, social challenges, or life transitions like starting a new school, coping with parental separation, or exploring identity. Many of the youth I work with are neurodivergent and thrive in a space that honors their unique way of thinking and feeling. They need a supportive environment where they can express themselves through play, creativity, and age-appropriate conversation.
My ideal client is a child or teen (ages 4–18) struggling with emotional regulation, anxiety, social challenges, or life transitions like starting a new school, coping with parental separation, or exploring identity. Many of the youth I work with are neurodivergent and thrive in a space that honors their unique way of thinking and feeling. They need a supportive environment where they can express themselves through play, creativity, and age-appropriate conversation.
(346) 512-2364 View (346) 512-2364
Photo of Jordon-Evander Williams - Jordon-Evander Counseling , Licensed Professional Counselor, MC, LPC, LCDC-I
Jordon-Evander Counseling
Licensed Professional Counselor, MC, LPC, LCDC-I
2 Endorsed
Online Only
I find that Clients who are interested in lasting change and who are willing to work diligently towards it make the best clients. Every goal will be different but the achievement of it always starts with the desire to change and the commitment to that desire. Note: Clients who are strictly clinical & hope to use insurance should connect with me through LifeStance.com. Clients who intend to be private pay and or use spiritual modalities should connect with me through JordonEvanderCounseling.com
I find that Clients who are interested in lasting change and who are willing to work diligently towards it make the best clients. Every goal will be different but the achievement of it always starts with the desire to change and the commitment to that desire. Note: Clients who are strictly clinical & hope to use insurance should connect with me through LifeStance.com. Clients who intend to be private pay and or use spiritual modalities should connect with me through JordonEvanderCounseling.com
(832) 219-1054 View (832) 219-1054
Photo of Kula Moore - Art Therapy Houston, Licensed Professional Counselor, LPC, ATR-BC
Art Therapy Houston
Licensed Professional Counselor, LPC, ATR-BC
River Oaks, Houston, TX 77019
Art Therapy Houston provides art therapy and counseling services to children, adults, adolescents, and families. We specialize in assisting individuals as they adjust through transitions. Art therapy applies visual arts and the creative process to support, maintain, and enhance health. Like other forms of psychotherapy, art therapy encourages growth and self-awareness. It provides a safe way of accessing feelings that may be difficult to clearly articulate. Making art is therapeutic and empowering. Anyone seeking a deeper purpose, enhanced creativity, or a better understanding of emotions can benefit.
Art Therapy Houston provides art therapy and counseling services to children, adults, adolescents, and families. We specialize in assisting individuals as they adjust through transitions. Art therapy applies visual arts and the creative process to support, maintain, and enhance health. Like other forms of psychotherapy, art therapy encourages growth and self-awareness. It provides a safe way of accessing feelings that may be difficult to clearly articulate. Making art is therapeutic and empowering. Anyone seeking a deeper purpose, enhanced creativity, or a better understanding of emotions can benefit.
(832) 981-4561 View (832) 981-4561
Taylor Coleman
Licensed Professional Counselor, LPC
River Oaks, Houston, TX 77098
Taylor Coleman, LPC Taylor Coleman is a Licensed Professional Counselor based in Texas, dedicated to helping individuals navigate their unique journeys with compassion and understanding. Serving clients throughout Texas, Taylor specializes in creating a safe, non-judgmental space where individuals can openly explore their concerns. She works collaboratively with clients, ensuring their voices are heard and their needs are prioritized. Her approach empowers clients to achieve personal growth while managing challenges such as anxiety, bipolar disorder, and depression.
Taylor Coleman, LPC Taylor Coleman is a Licensed Professional Counselor based in Texas, dedicated to helping individuals navigate their unique journeys with compassion and understanding. Serving clients throughout Texas, Taylor specializes in creating a safe, non-judgmental space where individuals can openly explore their concerns. She works collaboratively with clients, ensuring their voices are heard and their needs are prioritized. Her approach empowers clients to achieve personal growth while managing challenges such as anxiety, bipolar disorder, and depression.
(346) 584-2507 View (346) 584-2507

See more therapy options for River Oaks, Houston

How does your Therapist compare?

Number of Therapists in River Oaks, Houston, TX

500+

Average cost per session

$150

Therapists in River Oaks, Houston, TX who prioritize treating:

90% Anxiety
85% Depression
68% Self Esteem
66% Trauma and PTSD
63% Coping Skills
61% Relationship Issues
56% Grief

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
79% Cigna and Evernorth
70% BlueCross and BlueShield

How Therapists in River Oaks, Houston, TX see their clients

63% In Person and Online
37% Online Only

Gender breakdown

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

How can I find a therapist in River Oaks, 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.