Photo of Nicole Petzolt, PsyD, Psychologist
Nicole Petzolt
Psychologist, PsyD
Verified Verified
Flushing, NY 11366  (Online Only)
I enjoy working with individuals throughout the lifespan, from ages 5 to 105. My experience as a school psychologist has given me an understanding of the challenges of both being and parenting a child with special needs, as well as navigating life as an adult with a disability or chronic health condition. I also have experience in working with clients suffering from depression, grief/loss, anxiety, trauma, panic attacks, and phobias. I have a special interest in working with clients who are neurodivergent and those who identify as LGBTQIA.
I enjoy working with individuals throughout the lifespan, from ages 5 to 105. My experience as a school psychologist has given me an understanding of the challenges of both being and parenting a child with special needs, as well as navigating life as an adult with a disability or chronic health condition. I also have experience in working with clients suffering from depression, grief/loss, anxiety, trauma, panic attacks, and phobias. I have a special interest in working with clients who are neurodivergent and those who identify as LGBTQIA.
(516) 908-7641 View (516) 908-7641
Photo of Annie Jan, LMHC
Annie Jan
Mental Health Counselor, LMHC
Verified Verified
Fresh Meadows, NY 11366  (Online Only)
I aim to provide an inclusive, affirming, and empowering space for therapy, emphasizing interactive, collaborative, and client-centered sessions. With a foundation in cognitive-behavioral and humanistic theories, I tailor my approach to your unique needs and goals. My expertise lies in working with adults from diverse backgrounds facing anxiety, navigating major life transitions, workplace or academic stress or family/relationship issues. I'm particularly passionate about supporting BIPOC and LGBTQ+ populations, creating a safe, non-judgmental space where clients can explore their thoughts, feelings, and goals.
I aim to provide an inclusive, affirming, and empowering space for therapy, emphasizing interactive, collaborative, and client-centered sessions. With a foundation in cognitive-behavioral and humanistic theories, I tailor my approach to your unique needs and goals. My expertise lies in working with adults from diverse backgrounds facing anxiety, navigating major life transitions, workplace or academic stress or family/relationship issues. I'm particularly passionate about supporting BIPOC and LGBTQ+ populations, creating a safe, non-judgmental space where clients can explore their thoughts, feelings, and goals.
(516) 788-8229 View (516) 788-8229
Photo of Joan Stenzler, LCSW-R, SEP, Clinical Social Work/Therapist
Joan Stenzler
Clinical Social Work/Therapist, LCSW-R, SEP
Verified Verified
Fresh Meadows, NY 11366  (Online Only)
Thank you for coming to my profile! I’m a holistic psychotherapist, communication specialist and women’s empowerment coach. I’ve had many years of experience and have been very successful at helping people feel better, communicate effectively, heal their relationships AND create richer, more satisfying lives! The work I do runs the gamut from therapeutic inner child work to heal early trauma to cognitive behavioral therapy to help alleviate fear and anxiety to empowerment coaching that elevates the individual’s emotional resilience, mental acuity and commitment to profound personal growth and transformation!
Thank you for coming to my profile! I’m a holistic psychotherapist, communication specialist and women’s empowerment coach. I’ve had many years of experience and have been very successful at helping people feel better, communicate effectively, heal their relationships AND create richer, more satisfying lives! The work I do runs the gamut from therapeutic inner child work to heal early trauma to cognitive behavioral therapy to help alleviate fear and anxiety to empowerment coaching that elevates the individual’s emotional resilience, mental acuity and commitment to profound personal growth and transformation!
(718) 569-8204 View (718) 569-8204
Photo of Andrew D Diakiwski, MA, MEd, LMHC, Counselor
Andrew D Diakiwski
Counselor, MA, MEd, LMHC
Verified Verified
1 Endorsed
Fresh Meadows, NY 11366
My name is Andrew Diakiwski. I was born and raised in Queens. I received my post graduate degree from Columbia University. I have been working in the mental health field for the past fourteen plus years. My skills allow me to work with a variety of populations including adolescents, adults, and seniors. I provide individual, couples and family therapy. Additionally I can provide psychological testing and or psychiatric assessments. I believe that therapy is an art form and toward that end I have been trained in such diverse theoretical models as Psychoanalysis, Psychodynamic Theory and Cognitive Behavioral Therapy.
My name is Andrew Diakiwski. I was born and raised in Queens. I received my post graduate degree from Columbia University. I have been working in the mental health field for the past fourteen plus years. My skills allow me to work with a variety of populations including adolescents, adults, and seniors. I provide individual, couples and family therapy. Additionally I can provide psychological testing and or psychiatric assessments. I believe that therapy is an art form and toward that end I have been trained in such diverse theoretical models as Psychoanalysis, Psychodynamic Theory and Cognitive Behavioral Therapy.
(917) 725-5051 View (917) 725-5051
Photo of Alexander David Olenick, LMSW, Clinical Social Work/Therapist
Alexander David Olenick
Clinical Social Work/Therapist, LMSW
Verified Verified
Fresh Meadows, NY 11366  (Online Only)
Psychotherapy is a collaborative individualized experience while being a richly customized service catering to your personal needs. As a therapist my responsibility lies in assisting you as best as possible by meeting you where you currently are, feeling into your world with you supporting the direction you'll be steering your life towards. I provide therapy richly informed by Humanistic therapies and Depth psychology and other clinically proven interventions. I'll be your active companion fully involved by giving you the counsel you need in a safe, nurturing, supportive space.
Psychotherapy is a collaborative individualized experience while being a richly customized service catering to your personal needs. As a therapist my responsibility lies in assisting you as best as possible by meeting you where you currently are, feeling into your world with you supporting the direction you'll be steering your life towards. I provide therapy richly informed by Humanistic therapies and Depth psychology and other clinically proven interventions. I'll be your active companion fully involved by giving you the counsel you need in a safe, nurturing, supportive space.
(718) 550-2486 View (718) 550-2486
Photo of Sanford A Schwartz, PhD, Psychologist
Sanford A Schwartz
Psychologist, PhD
Verified Verified
Fresh Meadows, NY 11366
I help couples to became more aware of each other, and what each needs from the other. I help the couple to focus in better on what each other is feeling and saying, and to put aside one's own thoughts. This results in better understanding, greater closeness, less anger, and less selfishness. I help individuals gain confidence and pursue and attain their life's goals.
I help couples to became more aware of each other, and what each needs from the other. I help the couple to focus in better on what each other is feeling and saying, and to put aside one's own thoughts. This results in better understanding, greater closeness, less anger, and less selfishness. I help individuals gain confidence and pursue and attain their life's goals.
(718) 838-9690 View (718) 838-9690
Photo of Fazeeda Abdur-Rahman - Vibrant Women Wellness Counseling, LCSW, PLLC, PhD, LCSW, Clinical Social Work/Therapist
Vibrant Women Wellness Counseling, LCSW, PLLC
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Fresh Meadows, NY 11366  (Online Only)
As a woman tending to multiple roles and responsibilities, it can be easy to lose sight of caring for your own needs. You may feel overwhelmed by your responsibilities, feel anxious, depressed, and even experience physical and spiritual burnout related to issues you are struggling with. You may also be experiencing difficulty maintaining relationships with others including those closest to you- partners, children, and or other family members. Your reality can be hard to deal with because it is very different than the life you envisioned for yourself. Though is difficult to have hope amidst your situation, all hope is not lost.
As a woman tending to multiple roles and responsibilities, it can be easy to lose sight of caring for your own needs. You may feel overwhelmed by your responsibilities, feel anxious, depressed, and even experience physical and spiritual burnout related to issues you are struggling with. You may also be experiencing difficulty maintaining relationships with others including those closest to you- partners, children, and or other family members. Your reality can be hard to deal with because it is very different than the life you envisioned for yourself. Though is difficult to have hope amidst your situation, all hope is not lost.
(718) 957-1283 View (718) 957-1283
Photo of Rebecca Stern Lamm, LCSW, Clinical Social Work/Therapist
Rebecca Stern Lamm
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fresh Meadows, NY 11366
My ideal client is in her (or his) early 30's till mid 70's. She comes to me because of a recent loss (be it of a loved one, or a relationship, or a job) or because she is struggling with sandwich generations issues or with a difficult child or or with an ill family member. These clients want an empathic and caring listener who has life experience as well as professional training. The client would like to come thru the therapy experience stronger and more resilient with tools for handling the anxiety or depression that her situation evokes.
My ideal client is in her (or his) early 30's till mid 70's. She comes to me because of a recent loss (be it of a loved one, or a relationship, or a job) or because she is struggling with sandwich generations issues or with a difficult child or or with an ill family member. These clients want an empathic and caring listener who has life experience as well as professional training. The client would like to come thru the therapy experience stronger and more resilient with tools for handling the anxiety or depression that her situation evokes.
(929) 242-6918 View (929) 242-6918
Photo of Jonathan Kent, PsyD, Psychologist
Jonathan Kent
Psychologist, PsyD
Verified Verified
2 Endorsed
Fresh Meadows, NY 11366
Balance is fundemental to a life well-lived. I believe that we all strive for harmony within ourselves, our world, and our expectations for our future. We strive for self-fulfillment within these areas but at times, reaching them can beceome overwelming. Deciding to begin therapy is an important and extremely personal choice. I am a clinical psychologist who specializes in scientifically validated psychological treatments including cognitive behavior therapy, rational emotive psychotherapy, and dialectical behavior therapy. I work with adults, children, couples, to help them in their pursuit of a life well-lived.
Balance is fundemental to a life well-lived. I believe that we all strive for harmony within ourselves, our world, and our expectations for our future. We strive for self-fulfillment within these areas but at times, reaching them can beceome overwelming. Deciding to begin therapy is an important and extremely personal choice. I am a clinical psychologist who specializes in scientifically validated psychological treatments including cognitive behavior therapy, rational emotive psychotherapy, and dialectical behavior therapy. I work with adults, children, couples, to help them in their pursuit of a life well-lived.
(516) 916-5603 View (516) 916-5603
Photo of Yelena Zaychik - Life in Progress Mental Health Counseling Center, LMHC
Life in Progress Mental Health Counseling Center
LMHC
Verified Verified
1 Endorsed
Flushing, NY 11366
Life can be an incredible ride with ups and downs that may be difficult to deal with. If you've hit a roadblock or feel like life is getting to be too much to handle, we are here to help. Our goal is to help you live your life to its fullest potential. Interested in diversifying your experiences to ones that support growth and accomplishment as well as achieving greater consciousness and clarity in your life? Looking for help with managing and overcoming life stressors, emotional disturbances, behavioral problems and relationship issues? Our clinicians can assist you in finding ways to move towards your goals.
Life can be an incredible ride with ups and downs that may be difficult to deal with. If you've hit a roadblock or feel like life is getting to be too much to handle, we are here to help. Our goal is to help you live your life to its fullest potential. Interested in diversifying your experiences to ones that support growth and accomplishment as well as achieving greater consciousness and clarity in your life? Looking for help with managing and overcoming life stressors, emotional disturbances, behavioral problems and relationship issues? Our clinicians can assist you in finding ways to move towards your goals.
(929) 201-0192 View (929) 201-0192
Photo of Marc Rosenberg, LCSW, Clinical Social Work/Therapist
Marc Rosenberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Flushing, NY 11366
I am a Licensed Certified Social Worker who has over 30 years of clinical experience. I am a graduate of a Fellowship Training Institute in Psychoanalytic Psychotherapy. I maintain a private clinical practice in a relaxed casual environment.
I am a Licensed Certified Social Worker who has over 30 years of clinical experience. I am a graduate of a Fellowship Training Institute in Psychoanalytic Psychotherapy. I maintain a private clinical practice in a relaxed casual environment.
(347) 380-8321 View (347) 380-8321
Photo of Sanam Hafeez - Comprehensive Consultation Psychological Services, PhD, PsyD, MD, SLP, LMSW, Psychologist
Comprehensive Consultation Psychological Services
Psychologist, PhD, PsyD, MD, SLP, LMSW
Verified Verified
1 Endorsed
Flushing, NY 11366
Comprehensive Consultation Psychological Services, P.C. is an leading expert in Learning Disabilities such as Dyslexia and Math Disorder, Attention Deficit Hyperactivity Disorder (ADHD/ADD), Autism, Anxiety, Depression, Bipolar disorder, Memory and processing problems, speech, language and other developmental delays. We provide neuropsychological, psychiatric and educational evaluations for children and adults, to not only diagnose but outline a treatment plan, specific to their needs.
Comprehensive Consultation Psychological Services, P.C. is an leading expert in Learning Disabilities such as Dyslexia and Math Disorder, Attention Deficit Hyperactivity Disorder (ADHD/ADD), Autism, Anxiety, Depression, Bipolar disorder, Memory and processing problems, speech, language and other developmental delays. We provide neuropsychological, psychiatric and educational evaluations for children and adults, to not only diagnose but outline a treatment plan, specific to their needs.
(347) 252-6379 View (347) 252-6379
Photo of Sara Mandelbaum - Dr. Mandelbaum-Specialist Quality-Couples Therapy, PsyD, Psychologist
Dr. Mandelbaum-Specialist Quality-Couples Therapy
Psychologist, PsyD
Verified Verified
Fresh Meadows, NY 11366
Dr. Sara Mandelbaum, a recognized expert in the treatment of marital, personal & family problems, is an astute listener. Talented & effective in communicating meaningful thoughts in helpful language, she is welcoming & enlightening in her sessions. Working effectively with individuals, couples & children, her rich multi-cultural background lends depth & texture to her interactions. Her specialties include creating empathic bonds with pre-adolescents & adolescents, enabling them to mature & grow holistically. Some of Dr.Mandelbaum's other specialties involve emotional intimacy, conflict resolution, recombined families, & addictive behavior. An experienced, licensed psychologist, her training has been approved by the American Psychological Association.
Dr. Sara Mandelbaum, a recognized expert in the treatment of marital, personal & family problems, is an astute listener. Talented & effective in communicating meaningful thoughts in helpful language, she is welcoming & enlightening in her sessions. Working effectively with individuals, couples & children, her rich multi-cultural background lends depth & texture to her interactions. Her specialties include creating empathic bonds with pre-adolescents & adolescents, enabling them to mature & grow holistically. Some of Dr.Mandelbaum's other specialties involve emotional intimacy, conflict resolution, recombined families, & addictive behavior. An experienced, licensed psychologist, her training has been approved by the American Psychological Association.
(917) 282-1857 View (917) 282-1857
Photo of Jean Cirillo, Psychologist
Jean Cirillo
Psychologist
Verified Verified
Fresh Meadows, NY 11366
Having been a practicing psychologist for 23 years, my style is cognitive behavior therapy. This involves changing the irrational beliefs behind stress, anxiety and depression. Specialties include women's issues, teens, children with behavioral problems, divorce, and drug and alcohol related issues. Office hours weekdays 1 to 9. Weekend appointments available.
Having been a practicing psychologist for 23 years, my style is cognitive behavior therapy. This involves changing the irrational beliefs behind stress, anxiety and depression. Specialties include women's issues, teens, children with behavioral problems, divorce, and drug and alcohol related issues. Office hours weekdays 1 to 9. Weekend appointments available.
(855) 847-8184 View (855) 847-8184
Photo of Adalgiza Sandoval - Psychotherapy LCSW, P.C., LCSW-R, PsyD, Clinical Social Work/Therapist
Psychotherapy LCSW, P.C.
Clinical Social Work/Therapist, LCSW-R, PsyD
Verified Verified
Flushing, NY 11366
Dr. Adalgiza Sandoval, MSW, LCSW, ACSW, has been active in New York City social work for the past 22+ years. She has an unusual breadth of experience and is especially skilled in the care of persons with severe mental illness. Mrs. Sandoval is a seasoned case manager, clinician and psychotherapist who has direct familiarity with many settings and agencies in which psychiatric patients are treated. She has worked extensively in residential facilities as a counselor and served as clinical director of the Community Residence Program of Transitional Services for New York, Inc.
Dr. Adalgiza Sandoval, MSW, LCSW, ACSW, has been active in New York City social work for the past 22+ years. She has an unusual breadth of experience and is especially skilled in the care of persons with severe mental illness. Mrs. Sandoval is a seasoned case manager, clinician and psychotherapist who has direct familiarity with many settings and agencies in which psychiatric patients are treated. She has worked extensively in residential facilities as a counselor and served as clinical director of the Community Residence Program of Transitional Services for New York, Inc.
(718) 925-4974 View (718) 925-4974
Photo of Grace Gu, BA, MA, Pre-Licensed Professional
Grace Gu
Pre-Licensed Professional, BA, MA
Verified Verified
1 Endorsed
Flushing, NY 11366  (Online Only)
My goal is to create a safe, warm space for individuals who are struggling with mental health. I believe that everyone needs a person to talk to and this is the right place to begin I am here to listen and direct you to your goal. Together, we can work to discovering how you can achieve your goals and empower your ability and skills for a better future!
My goal is to create a safe, warm space for individuals who are struggling with mental health. I believe that everyone needs a person to talk to and this is the right place to begin I am here to listen and direct you to your goal. Together, we can work to discovering how you can achieve your goals and empower your ability and skills for a better future!
(718) 550-7825 View (718) 550-7825
Photo of Wana Ulysse, LMSW
Wana Ulysse
Licensed Master Social Worker, LMSW
Verified Verified
Fresh Meadows, NY 11366  (Online Only)
Creating Connections is a culturally sensitive practice and our therapists are passionate about helping to foster the healing process of those in need. Wana Ulysse, is a Licensed Master Social Worker in the state of New York. She graduated from Adelphi University, and has over 15 years of experience working with children and families. Her specialties include working with adolescents, family counseling, anxiety, depression, PTSD, life changes (divorce, break ups, etc..), career changes and chronic illness. Wana is bilingual in Haitian Creole. She will always provide a safe and nonjudgmental space for you to express yourself.
Creating Connections is a culturally sensitive practice and our therapists are passionate about helping to foster the healing process of those in need. Wana Ulysse, is a Licensed Master Social Worker in the state of New York. She graduated from Adelphi University, and has over 15 years of experience working with children and families. Her specialties include working with adolescents, family counseling, anxiety, depression, PTSD, life changes (divorce, break ups, etc..), career changes and chronic illness. Wana is bilingual in Haitian Creole. She will always provide a safe and nonjudgmental space for you to express yourself.
(347) 514-8780 View (347) 514-8780
Photo of Hannah Hoch - Developmental Psychology Practice of Queens, PhD, BCBA-D, Psychologist
Developmental Psychology Practice of Queens
Psychologist, PhD, BCBA-D
Verified Verified
Fresh Meadows, NY 11366
I am a clinical psychologist and licensed behavior analyst specializing in the treatment of children and families dealing with behavior disorders. My ideal client is a child who needs help with management of challenging behavior, emotion regulation, anxiety, and other related issues. The family should be interested in a team approach, with direct, regular involvement in treatment.
I am a clinical psychologist and licensed behavior analyst specializing in the treatment of children and families dealing with behavior disorders. My ideal client is a child who needs help with management of challenging behavior, emotion regulation, anxiety, and other related issues. The family should be interested in a team approach, with direct, regular involvement in treatment.
(347) 697-4791 View (347) 697-4791
Photo of Andrew D. Ferdinandi, LMHC, CRCR, Licensed Professional Counselor
Andrew D. Ferdinandi
Licensed Professional Counselor, LMHC, CRCR
Verified Verified
Fresh Meadows, NY 11366
My name is Andrew Ferdinandi. I'm a New York State Licensed Mental Health clinician and tenured professor. I have been in practice for 35 years, working with individuals from every possible background. My desire is to help individuals and couples who come to me in distress to work towards rebalancing themselves and moving towards a feeling of “wellness” in the areas of their lives that they find challenging. My goal is to help you remove barriers that block your ability to reach your full potential and help to define a plan that will result in clearer thinking, increased productively, and a life grounded in emotional stability.
My name is Andrew Ferdinandi. I'm a New York State Licensed Mental Health clinician and tenured professor. I have been in practice for 35 years, working with individuals from every possible background. My desire is to help individuals and couples who come to me in distress to work towards rebalancing themselves and moving towards a feeling of “wellness” in the areas of their lives that they find challenging. My goal is to help you remove barriers that block your ability to reach your full potential and help to define a plan that will result in clearer thinking, increased productively, and a life grounded in emotional stability.
(929) 284-2687 View (929) 284-2687

See more therapy options for 11366

How does your Therapist compare?

Number of Therapists in 11366

10+

Average cost per session

$150

Therapists in 11366 who prioritize treating:

100% Anxiety
89% Depression
79% Relationship Issues
74% Grief
74% Self Esteem
68% Coping Skills
63% Parenting

Average years in practice

21 Years

Top 3 insurances accepted

86% Aetna
79% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in 11366 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

69% Female
31% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 11366?

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.