Therapists in 25309
Dr. Jerica Wesley
Licensed Professional Counselor, PhD, LPC, ALPS
Verified Verified
South Charleston, WV 25309
In a society that often celebrates pushing limits and wearing masks to conceal our struggles, I believe it's time to unveil the true depth of our emotions and challenges. As a dedicated mental health counselor, I am committed to creating a safe space where individuals can remove their masks, explore their vulnerabilities, and embark on a journey towards holistic wellness.
In a society that often celebrates pushing limits and wearing masks to conceal our struggles, I believe it's time to unveil the true depth of our emotions and challenges. As a dedicated mental health counselor, I am committed to creating a safe space where individuals can remove their masks, explore their vulnerabilities, and embark on a journey towards holistic wellness.
More Therapists Nearby
Crescent Counseling Group
Licensed Professional Counselor, LPC, ALPS
Verified Verified
Charleston, WV 25302
Not accepting new clients
There is no need to struggle in silence. Life can become overwhelming, confusing, and difficult to manage. Do you find yourself repeating past patterns and behaviors that are destructive? Therapy is a place to regain a sense of self and purpose. Together we will find your strengths, re-examine harmful patterns, and reconnect you to a healthy life where you feel connected and fulfilled. I have over twenty-four years of working as a licensed therapist (WV LPC). I am a Certified EMDR therapist. I also have training in other evidence-based treatment modalities including Emotionally Focused Therapy and AEDP.
There is no need to struggle in silence. Life can become overwhelming, confusing, and difficult to manage. Do you find yourself repeating past patterns and behaviors that are destructive? Therapy is a place to regain a sense of self and purpose. Together we will find your strengths, re-examine harmful patterns, and reconnect you to a healthy life where you feel connected and fulfilled. I have over twenty-four years of working as a licensed therapist (WV LPC). I am a Certified EMDR therapist. I also have training in other evidence-based treatment modalities including Emotionally Focused Therapy and AEDP.
To contact us, visit our webpage (www.thewellwestvirginia.com). The Well is a small practice with two therapists. We are Emily Chilko and Tia Lasporgara. We are united by our professional values (service, diversity, equity + inclusion, and seeing the dignity in worth in every person). Emily has a background in the treatment of addictions and is currently specializing in treating PTSD with a therapy model called IFS (tinyurl.com/4zhh27yw). Her style is authentic and playful. Emily sees adults with histories of stressful experiences who now have internal discomfort (anger, guilt, feeling out of control, etc).
To contact us, visit our webpage (www.thewellwestvirginia.com). The Well is a small practice with two therapists. We are Emily Chilko and Tia Lasporgara. We are united by our professional values (service, diversity, equity + inclusion, and seeing the dignity in worth in every person). Emily has a background in the treatment of addictions and is currently specializing in treating PTSD with a therapy model called IFS (tinyurl.com/4zhh27yw). Her style is authentic and playful. Emily sees adults with histories of stressful experiences who now have internal discomfort (anger, guilt, feeling out of control, etc).
Kari Rusnak
Licensed Professional Counselor, MA, LPC, BC-TMH, CGT, CMHC
Verified Verified
4 Endorsed
Charleston, WV 25303 (Online Only)
If you are feeling overwhelmed and stressed in your relationship and need some support I can help. As a Certified Gottman Therapist using Gottman Method Couples Counseling I can assess your relationship issues and develop a simple treatment plan using evidence based interventions. Gottman Method has over 30 years of research that shows it can not only predict divorce but also improve relationship satisfaction. I am licensed to practice in Colorado (LPC, 0015986), Mississippi (LPC1921), Utah (CMHC11628287-6004), and West Virginia (LPC11628287-6004).
If you are feeling overwhelmed and stressed in your relationship and need some support I can help. As a Certified Gottman Therapist using Gottman Method Couples Counseling I can assess your relationship issues and develop a simple treatment plan using evidence based interventions. Gottman Method has over 30 years of research that shows it can not only predict divorce but also improve relationship satisfaction. I am licensed to practice in Colorado (LPC, 0015986), Mississippi (LPC1921), Utah (CMHC11628287-6004), and West Virginia (LPC11628287-6004).
Becca Johnson
Provisional Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
Charleston, WV 25314
When the pain from prior wounds causes you to feel crushed by low self-esteem or battered by a critical inner voice, it can be hard to find that spark of hope. My clients come to me carrying heavy burdens of depression or trauma and may be exhausted by the constant vigilance of anxiety. I work with people who are striving to find balance when life experiences have done damage in deep or lasting ways. Whether you are struggling with unhealthy relationships, reactive emotional patterns, or defense strategies that are causing more harm than good, I would love to work with you to find healing and growth.
When the pain from prior wounds causes you to feel crushed by low self-esteem or battered by a critical inner voice, it can be hard to find that spark of hope. My clients come to me carrying heavy burdens of depression or trauma and may be exhausted by the constant vigilance of anxiety. I work with people who are striving to find balance when life experiences have done damage in deep or lasting ways. Whether you are struggling with unhealthy relationships, reactive emotional patterns, or defense strategies that are causing more harm than good, I would love to work with you to find healing and growth.
Angguna R. Rowe
Licensed Professional Counselor, M Ed, NCC, LPC
Verified Verified
Charleston, WV 25314 (Online Only)
Hello, my name is Angguna Rowe. I am a Licensed Professional Counselor located in West Virginia. I work with individuals and couples on life transitions, challenges at work or school, grief, identity, and more. I particularly enjoy working with working professionals, college students, women, and men who struggle with infidelity, midlife crisis, and empty nesters. I help clients adjust to entering new stages in life and navigate life stressors that come with life transitions, whether dealing with work/school environment, changes in marital status, or any life expectations that lead to feelings of emptiness and unhappiness.
Hello, my name is Angguna Rowe. I am a Licensed Professional Counselor located in West Virginia. I work with individuals and couples on life transitions, challenges at work or school, grief, identity, and more. I particularly enjoy working with working professionals, college students, women, and men who struggle with infidelity, midlife crisis, and empty nesters. I help clients adjust to entering new stages in life and navigate life stressors that come with life transitions, whether dealing with work/school environment, changes in marital status, or any life expectations that lead to feelings of emptiness and unhappiness.
Christina Hill
Licensed Professional Counselor, MA, LPC, ALPS
Verified Verified
South Charleston, WV 25303
Peace of Mind Therapy & Wellness is an independent private practice in Charleston, WV. At my practice, I am dedicated to providing quality counseling services in a warm and welcoming atmosphere. I have over 12 plus years of experience in the Mental Health field working in multiple settings including hospital, community, educational, and private practice. I specialize in the treatment of children, adolescents, and families who are struggling with emotional, behavioral, and relationship issues. My therapy style is warm, interactive, and empowering. I believe in treating everyone with respect, sensitivity, and compassion.
Peace of Mind Therapy & Wellness is an independent private practice in Charleston, WV. At my practice, I am dedicated to providing quality counseling services in a warm and welcoming atmosphere. I have over 12 plus years of experience in the Mental Health field working in multiple settings including hospital, community, educational, and private practice. I specialize in the treatment of children, adolescents, and families who are struggling with emotional, behavioral, and relationship issues. My therapy style is warm, interactive, and empowering. I believe in treating everyone with respect, sensitivity, and compassion.
Dr. Sarah Joan Davis-Williamson
Clinical Social Work/Therapist, DSW, LICSW
Verified Verified
Charleston, WV 25314
If you are seeking assistance with intrusive thoughts or troubling behavior, like checking the locks repeatedly, then I may be of service. I have experience with PTSD, depression, and anxiety. If you struggle getting along with coworkers or even friends and family, we can work to improve those relationships. Isolation does not fix the problem, it further damages those relationships and leaves you feeling alone. Anger and anxiety are natural feelings. However, sometimes controlling them can be easier said than done.
If you are seeking assistance with intrusive thoughts or troubling behavior, like checking the locks repeatedly, then I may be of service. I have experience with PTSD, depression, and anxiety. If you struggle getting along with coworkers or even friends and family, we can work to improve those relationships. Isolation does not fix the problem, it further damages those relationships and leaves you feeling alone. Anger and anxiety are natural feelings. However, sometimes controlling them can be easier said than done.
Lisa Burton
Licensed Professional Counselor, LPC, NCC, ALPS
Verified Verified
South Charleston, WV 25303 (Online Only)
I have been a counselor for 26 plus years. I am a licensed professional counselor, certified school counselor and approved licensed professional supervisor. I have worked with adults, couples and adolescents. I primarily work with clients related to anxiety, grief/loss, depression, life changes, ADHD symptoms, communication issues, anger management and parenting struggles. I always say, "Counseling is difficult. If it were easy, everyone would be doing it". It is important for you to be ready to commit and explore new ways of thinking and handling situations.
I have been a counselor for 26 plus years. I am a licensed professional counselor, certified school counselor and approved licensed professional supervisor. I have worked with adults, couples and adolescents. I primarily work with clients related to anxiety, grief/loss, depression, life changes, ADHD symptoms, communication issues, anger management and parenting struggles. I always say, "Counseling is difficult. If it were easy, everyone would be doing it". It is important for you to be ready to commit and explore new ways of thinking and handling situations.
Dr. Cheri Timko
Counselor, PhD, LPC, ALPS, CGT, CST
Verified Verified
9 Endorsed
Charleston, WV 25314 (Online Only)
You knew that marriage was going to be hard, but this is ridiculous! It’s not supposed to be THIS hard. There’s just too much bickering, irritability, and frustration. And when you fight—all bets are off and anything goes. It takes days to recover. You wanted a relationship that eased your burdens, not make life more complicated. You worry that you will stop liking each other. And you will lose the love. But deep down, you really want this to work. You want a closer, deeper relationship. There's hope: you don't have to live this way. You CAN have a great relationship. Now offering sex therapy.
You knew that marriage was going to be hard, but this is ridiculous! It’s not supposed to be THIS hard. There’s just too much bickering, irritability, and frustration. And when you fight—all bets are off and anything goes. It takes days to recover. You wanted a relationship that eased your burdens, not make life more complicated. You worry that you will stop liking each other. And you will lose the love. But deep down, you really want this to work. You want a closer, deeper relationship. There's hope: you don't have to live this way. You CAN have a great relationship. Now offering sex therapy.
Macy Gardipee
Licensed Professional Counselor, MA, LPC
Verified Verified
South Charleston, WV 25303 (Online Only)
Oftentimes, when we are hurting, feeling anxious or unsure we need a safe space where we can talk, feel heard and begin to understand what we need to feel better. Sometimes this need is hard to meet with the people who are closest to us in our lives or when we feel like we don’t have anyone in our lives who can help us. When this is the case, it can be helpful to meet with a professional who is unbiased, who can provide a new perspective, coping skills and help facilitate a conversation about the things you can and are ready to change in your life.
Oftentimes, when we are hurting, feeling anxious or unsure we need a safe space where we can talk, feel heard and begin to understand what we need to feel better. Sometimes this need is hard to meet with the people who are closest to us in our lives or when we feel like we don’t have anyone in our lives who can help us. When this is the case, it can be helpful to meet with a professional who is unbiased, who can provide a new perspective, coping skills and help facilitate a conversation about the things you can and are ready to change in your life.
Renee Minx | Metta Holistic Therapy
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CSI
Verified Verified
5 Endorsed
Charleston, WV 25303 (Online Only)
Do you ever feel like you’ve lost touch with who you really are? Are you carrying wounds from your past that make it hard to feel safe, loved, or at peace in your own skin? You deserve more than just survival – you deserve to truly thrive.
Do you ever feel like you’ve lost touch with who you really are? Are you carrying wounds from your past that make it hard to feel safe, loved, or at peace in your own skin? You deserve more than just survival – you deserve to truly thrive.
Do you feel stuck in your life, your past, your anxiety, depression, anger, apathy, overwhelm, grief, or PTSD? As a man, it's hard to seek help. You don't have to carry the weight of your struggles alone. All men feel sad, afraid, anxious, doubtful, amongst other feelings. You're still a man. I provide a safe, non-judgmental space where you can find the support and guidance to fix the problem. If you fully invest in this process, expect to feel lighter, more effective, efficient, powerful, and clear about where you want to go and what you want to do with your life. While I specialize in men, I love serving people of all kinds.
Do you feel stuck in your life, your past, your anxiety, depression, anger, apathy, overwhelm, grief, or PTSD? As a man, it's hard to seek help. You don't have to carry the weight of your struggles alone. All men feel sad, afraid, anxious, doubtful, amongst other feelings. You're still a man. I provide a safe, non-judgmental space where you can find the support and guidance to fix the problem. If you fully invest in this process, expect to feel lighter, more effective, efficient, powerful, and clear about where you want to go and what you want to do with your life. While I specialize in men, I love serving people of all kinds.
Briana Washington
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Charleston, WV 25302
Life is full of ups and downs. It can be overwhelming, confusing, challenging or just plain hard! We all need support to maneuver our way through the uncertainties that life can bring - traumatic experiences, loss of a loved one or even struggles with self esteem. Having a safe space to sort out these thoughts and feelings is key. I will use my holistic approach to focus on healing the whole person. We will work together to build resilience and develop skills to help you on your journey so you can feel confident while facing life's challenges.
Life is full of ups and downs. It can be overwhelming, confusing, challenging or just plain hard! We all need support to maneuver our way through the uncertainties that life can bring - traumatic experiences, loss of a loved one or even struggles with self esteem. Having a safe space to sort out these thoughts and feelings is key. I will use my holistic approach to focus on healing the whole person. We will work together to build resilience and develop skills to help you on your journey so you can feel confident while facing life's challenges.
Peace Valley Counseling Center, LLC
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
South Charleston, WV 25303 (Online Only)
I am a WV native and have been working with children/adolescents/adults for over 17 years. Helping others is my passion. I am an advocate for the families receiving my services. I am a graduate of West Virginia State University with a B.A. in Psychology and Liberty University with an M.A. Professional Counseling. I am trained in EMDR therapy, which is a model of therapy used to treat trauma and other disorders. I am currently taking courses in American Sign Language and hope to eventually offer services to the deaf community. If I may leave one thought with you it is that what I do is a PASSION and not a POSITION. Take care
I am a WV native and have been working with children/adolescents/adults for over 17 years. Helping others is my passion. I am an advocate for the families receiving my services. I am a graduate of West Virginia State University with a B.A. in Psychology and Liberty University with an M.A. Professional Counseling. I am trained in EMDR therapy, which is a model of therapy used to treat trauma and other disorders. I am currently taking courses in American Sign Language and hope to eventually offer services to the deaf community. If I may leave one thought with you it is that what I do is a PASSION and not a POSITION. Take care
Alicia Cale
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charleston, WV 25314 (Online Only)
No waitlist for West Virginia (WV) residents! You don’t have to accept that you’re feeling misunderstood, isolated, stuck, angry, sad, or anxious. Pain is natural, but struggle and suffering are what happens when we don’t act. My goal is to gently approach the hurdle(s) that are keeping you from fulfilling a wholesome and authentic life. I understand that throughout life, changes and events may cause emotional conflict, confusion, and feel unbearable. I believe strongly that people are very resilient, and I’m passionate about assisting individuals find their inner strength to overcome.
No waitlist for West Virginia (WV) residents! You don’t have to accept that you’re feeling misunderstood, isolated, stuck, angry, sad, or anxious. Pain is natural, but struggle and suffering are what happens when we don’t act. My goal is to gently approach the hurdle(s) that are keeping you from fulfilling a wholesome and authentic life. I understand that throughout life, changes and events may cause emotional conflict, confusion, and feel unbearable. I believe strongly that people are very resilient, and I’m passionate about assisting individuals find their inner strength to overcome.
Jack Alan Copley
Marriage & Family Therapist, DMin, LMFT, CST
Verified Verified
Charleston, WV 25314 (Online Only)
Not accepting new clients
I am a Licensed Marriage and Family Therapist and an AASECT Certified Sex Therapist who provides Telehealth appointments to people living in Charleston and throughout WV. I am open and affirming of all persons-regardless of sexual orientation, gender, age, race, faith, or marital status. People see me for a variety of needs, such as couples therapy, individual therapy, recovery after an affair, grief, or a traumatic personal history.
I am a Licensed Marriage and Family Therapist and an AASECT Certified Sex Therapist who provides Telehealth appointments to people living in Charleston and throughout WV. I am open and affirming of all persons-regardless of sexual orientation, gender, age, race, faith, or marital status. People see me for a variety of needs, such as couples therapy, individual therapy, recovery after an affair, grief, or a traumatic personal history.
KPCC Counseling - Voted #1 Counseling Center in West Virginia two years in a row. Convenient locations, free parking, flexible scheduling. KPCC Counseling has licensed counselors who are well trained in a number of different kinds of counseling. We match you and your goals with the counselor who will be the best fit for you. Our counselors are known for being positive, open, accepting, and available. Kathy Muscari- Andy Counts - Vanessa Landgrave- Sarah Stanley - Kerrie Harris - Paige Winfree - Jaime Richmond - Bessie Tadlock-Jimenez - Susan Armentrout - Pamela Blue- Brittany Powell- Hollie McClanahan.
KPCC Counseling - Voted #1 Counseling Center in West Virginia two years in a row. Convenient locations, free parking, flexible scheduling. KPCC Counseling has licensed counselors who are well trained in a number of different kinds of counseling. We match you and your goals with the counselor who will be the best fit for you. Our counselors are known for being positive, open, accepting, and available. Kathy Muscari- Andy Counts - Vanessa Landgrave- Sarah Stanley - Kerrie Harris - Paige Winfree - Jaime Richmond - Bessie Tadlock-Jimenez - Susan Armentrout - Pamela Blue- Brittany Powell- Hollie McClanahan.
Stephanie Majetich
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
South Charleston, WV 25303
Waitlist for new clients
Does your child struggle with self esteem? Anxiety? Depression? Does your child struggle to communicate their feelings? Do they often put themselves down? Have outbursts of anger or aggression? Do they struggle when knowing how to calm themselves down? If you answered yes to any of those questions, then you have come to the right place. Play Therapy is a great place to start! Play Therapy uses play to build connection and establish a positive relationship. Once this has been achieved, a child can begin to identify their issues though play and begin healing.
Does your child struggle with self esteem? Anxiety? Depression? Does your child struggle to communicate their feelings? Do they often put themselves down? Have outbursts of anger or aggression? Do they struggle when knowing how to calm themselves down? If you answered yes to any of those questions, then you have come to the right place. Play Therapy is a great place to start! Play Therapy uses play to build connection and establish a positive relationship. Once this has been achieved, a child can begin to identify their issues though play and begin healing.
Amy Williams Wellness
Licensed Professional Counselor, MA, LCMHC, LPC, RYT-200, EAT
Verified Verified
1 Endorsed
Charleston, WV 25314 (Online Only)
Introverts, highly sensitive, empathic individuals - creatives, therapists, teachers, social activists and healers... If you want to heal family of origin or painful childhood memories OR you seek better communication/coping skills > Let's start! Sessions include supportive space, skillful questions, and a CBT approach - with mindfulness, creativity, and nature-based practices. Each session begins with a short breath practice (optional). I have committed to my own healing and helping others for 25 years. Sessions also include solution-focused steps & homework. I’d love to support you in creating a life you love… let’s start!
Introverts, highly sensitive, empathic individuals - creatives, therapists, teachers, social activists and healers... If you want to heal family of origin or painful childhood memories OR you seek better communication/coping skills > Let's start! Sessions include supportive space, skillful questions, and a CBT approach - with mindfulness, creativity, and nature-based practices. Each session begins with a short breath practice (optional). I have committed to my own healing and helping others for 25 years. Sessions also include solution-focused steps & homework. I’d love to support you in creating a life you love… let’s start!
How does your Therapist compare?
Number of Therapists in 25309
< 10
Therapists in 25309 who prioritize treating:
100% | Relationship Issues |
100% | Depression |
100% | Anxiety |
100% | Infertility |
100% | Grief |
100% | Spirituality |
100% | Trauma and PTSD |
Average years in practice
11 Years
Gender breakdown
100% | Female |
How Therapists in 25309 see their clients
100% | In Person and Online |
FAQs - About Therapy and Counseling
How can I find a therapist in 25309?
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
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.
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.
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.