Photo of Samantha Dunn - Samantha Dunn, PLLC, LCSW, Clinical Social Work/Therapist
Samantha Dunn, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Burlington, NC 27215  (Online Only)
Parenting has been challenging for a while now. Your child has become defiant, disrespectful, and seems to have anger outbursts most days of the week. You’ve read countless self-help tips on managing your child’s behavior- time outs, rewards, punishments, spankings. These things worked for a couple of weeks, but there have been no long-term results from any of them. You always end up back at square one. Although, you don’t want to admit it, you’ve begun to dislike your child. You feel desperate for a change in your child’s behavior. You also feel hopeless that a change is possible. Is this what parenting is supposed to be like?
Parenting has been challenging for a while now. Your child has become defiant, disrespectful, and seems to have anger outbursts most days of the week. You’ve read countless self-help tips on managing your child’s behavior- time outs, rewards, punishments, spankings. These things worked for a couple of weeks, but there have been no long-term results from any of them. You always end up back at square one. Although, you don’t want to admit it, you’ve begun to dislike your child. You feel desperate for a change in your child’s behavior. You also feel hopeless that a change is possible. Is this what parenting is supposed to be like?
(336) 585-7920 View (336) 585-7920
Photo of Spencer Simon - Beautiful Mind Behavioral Health Services, PLLC., PA-C, Chap
We are here to serve clients ages 7 - 77, who are challenged by a multitude of behavioral health concerns to include substance use disorders, and complex mental health scenarios where both medical and psychiatric conditions coexist. Moreover, as a trained Healthcare Chaplain, I seek to provide incarnational care. The aim of " Beautiful Mind" is to be incarnational. Therefore, to provide a holistic treatment approach to all who call upon our services.
We are here to serve clients ages 7 - 77, who are challenged by a multitude of behavioral health concerns to include substance use disorders, and complex mental health scenarios where both medical and psychiatric conditions coexist. Moreover, as a trained Healthcare Chaplain, I seek to provide incarnational care. The aim of " Beautiful Mind" is to be incarnational. Therefore, to provide a holistic treatment approach to all who call upon our services.
(984) 464-7746 x2 View (984) 464-7746 x2
Photo of Angela R Dickey, MA, LCMHC, NCC, Counselor
Angela R Dickey
Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Burlington, NC 27215
There's a quote by Dr. Russell Barkley that says, "The kids who need the most love will ask for it in the most unloving ways." Because I'm a mother of 5 that has 11 years of experience with adoption issues, I know this to be true. Developmental trauma has a huge impact on children, whether it is a result of inconsistent early caregiving (adoption/foster/difficult home life), a difficult pregnancy or delivery, early hospitalization, abuse, or neglect. These are the kids that desperately need to feel loved and secure, but will act out in many ways to test their caregivers' resolve.
There's a quote by Dr. Russell Barkley that says, "The kids who need the most love will ask for it in the most unloving ways." Because I'm a mother of 5 that has 11 years of experience with adoption issues, I know this to be true. Developmental trauma has a huge impact on children, whether it is a result of inconsistent early caregiving (adoption/foster/difficult home life), a difficult pregnancy or delivery, early hospitalization, abuse, or neglect. These are the kids that desperately need to feel loved and secure, but will act out in many ways to test their caregivers' resolve.
(336) 585-8346 View (336) 585-8346
Photo of Michelle Vann Horton, LCMHC, NCC
Michelle Vann Horton
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified Verified
1 Endorsed
Burlington, NC 27215
Waitlist for new clients
As a bilingual mental health counselor with more than 7 years of clinical practice, I have received training in conducting psychosocial assessments for a variety of immigration cases. These include Asylum, VAWA (Domestic Violence), Extreme Hardship Waivers, U-Visa, T-Visa, and Cancellation of Removal cases. My experience enables me to provide comprehensive and precise psychosocial reports, working closely with attorneys to ensure the thoroughness and accuracy of each assessment for your immigration proceedings.
As a bilingual mental health counselor with more than 7 years of clinical practice, I have received training in conducting psychosocial assessments for a variety of immigration cases. These include Asylum, VAWA (Domestic Violence), Extreme Hardship Waivers, U-Visa, T-Visa, and Cancellation of Removal cases. My experience enables me to provide comprehensive and precise psychosocial reports, working closely with attorneys to ensure the thoroughness and accuracy of each assessment for your immigration proceedings.
(336) 276-0553 View (336) 276-0553
Photo of Amber Peterson, MSW, LCSW, Clinical Social Work/Therapist
Amber Peterson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Burlington, NC 27215
Are you experiencing feelings of anxiety, low mood, or would like someone to process your feelings with? Reaching out and asking for help can be difficult. I want to make that first step easier for you by providing nonjudgmental listening and support in a safe environment. Therapy should be an avenue for you to explore your strengths and learn more about yourself. You are the expert in your own life and I will collaborate with you to seek tools and strategies to cope. I believe in empowering those I work with to express their goals for treatment and explore how I can best support that individual as their therapist.
Are you experiencing feelings of anxiety, low mood, or would like someone to process your feelings with? Reaching out and asking for help can be difficult. I want to make that first step easier for you by providing nonjudgmental listening and support in a safe environment. Therapy should be an avenue for you to explore your strengths and learn more about yourself. You are the expert in your own life and I will collaborate with you to seek tools and strategies to cope. I believe in empowering those I work with to express their goals for treatment and explore how I can best support that individual as their therapist.
(336) 901-2998 View (336) 901-2998
Photo of Latasha Riddick, MSW, LCSWA, Clinical Social Work/Therapist
Latasha Riddick
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
Burlington, NC 27215
I believe that with all of the demands and expectations of life, it is important that every person identifies and secures a safe space. What is a safe space exactly, you may ask? A safe space refers to a mental and/or physical environment where an individual or group of people feel secure, protected, and free from harm and/or judgment. Creating a safe space within the therapeutic setting allows those involved to be their authentic self, while gaining comfortability with managing stress, challenging emotions and developing healthy coping skills. Not local, but in NC? I am happy to provide a safe virtual space for you as well!
I believe that with all of the demands and expectations of life, it is important that every person identifies and secures a safe space. What is a safe space exactly, you may ask? A safe space refers to a mental and/or physical environment where an individual or group of people feel secure, protected, and free from harm and/or judgment. Creating a safe space within the therapeutic setting allows those involved to be their authentic self, while gaining comfortability with managing stress, challenging emotions and developing healthy coping skills. Not local, but in NC? I am happy to provide a safe virtual space for you as well!
(336) 980-2142 View (336) 980-2142
Photo of Erin Dickerson, Clinical Social Work/Therapist
Erin Dickerson
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Burlington, NC 27215  (Online Only)
I enjoy helping adults, college students, and young adults who experience depression, anxiety, self-harm tendencies/suicidal ideations and adjustment struggles. In the therapy space, I value the importance of having your feelings and experiences validated. When it comes to a typical session with me, we will discuss what is important to you while integrating therapeutic skills you can use outside of our sessions. I am pretty laid back and although I am here to aid you in learning skills and more about yourself, I will lean on you to be the master of your own life.
I enjoy helping adults, college students, and young adults who experience depression, anxiety, self-harm tendencies/suicidal ideations and adjustment struggles. In the therapy space, I value the importance of having your feelings and experiences validated. When it comes to a typical session with me, we will discuss what is important to you while integrating therapeutic skills you can use outside of our sessions. I am pretty laid back and although I am here to aid you in learning skills and more about yourself, I will lean on you to be the master of your own life.
(336) 559-3128 View (336) 559-3128
Photo of Pamela B Brewer, MSW, PhD, LCSW-C, LICSW, DCSW, Clinical Social Work/Therapist
Pamela B Brewer
Clinical Social Work/Therapist, MSW, PhD, LCSW-C, LICSW, DCSW
Verified Verified
Burlington, NC 27215  (Online Only)
Are you interested in understanding more about yourself, your decisions, your strengths, your challenges? Your options? Life is always with its ups and downs - but you do not have to navigate it alone - You can learn more about my practice @ www.DrPamelaBrewerOnline.com
Are you interested in understanding more about yourself, your decisions, your strengths, your challenges? Your options? Life is always with its ups and downs - but you do not have to navigate it alone - You can learn more about my practice @ www.DrPamelaBrewerOnline.com
(301) 686-7168 View (301) 686-7168
Photo of Molly Kerns, MA, LCMHCA, NCC, Counselor
Molly Kerns
Counselor, MA, LCMHCA, NCC
Verified Verified
Burlington, NC 27215
I believe in the power of individual healing and meeting my clients where they are through creativity, active listening, and reflection. Life can be difficult, but we are all equipped with the power to change and heal from the brutality of being a human in a flawed world. I strive to help you become the best version of yourself using an individual, patient, kind, but direct counseling style. I aim to help individuals build stronger relationships with themselves so they can build stronger communities and connections with others.
I believe in the power of individual healing and meeting my clients where they are through creativity, active listening, and reflection. Life can be difficult, but we are all equipped with the power to change and heal from the brutality of being a human in a flawed world. I strive to help you become the best version of yourself using an individual, patient, kind, but direct counseling style. I aim to help individuals build stronger relationships with themselves so they can build stronger communities and connections with others.
(336) 439-3930 View (336) 439-3930
Photo of Benita Lewis, PhD, LCMHC, NCC
Benita Lewis
Licensed Clinical Mental Health Counselor, PhD, LCMHC, NCC
Verified Verified
1 Endorsed
Burlington, NC 27215
I want each individual I meet in counseling to live their lives with intention. Making empowered choices (not perfect choices) about their lives, the quality of their lives, as well as how they envision themselves in the future.
I want each individual I meet in counseling to live their lives with intention. Making empowered choices (not perfect choices) about their lives, the quality of their lives, as well as how they envision themselves in the future.
(336) 444-6978 View (336) 444-6978
Photo of Yolandra Reneé Smith, LMFTA, Marriage & Family Therapist Associate
Yolandra Reneé Smith
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Burlington, NC 27215
Not accepting new clients
It’s a fact…life and the relationships we forge in it can be challenging, difficult, and just downright hard. At times, the struggle of trying to cope with intense emotions such as anger or sadness, or life stressors, can make it feel like there are more bad days than good. Still, even on the good days, you somehow feel undeserving of the joy you so desperately long for because you are overwhelmed by the internal struggle of negative thoughts of fear, doubt, and/or shame. You feel stuck, and you just want to get to the root of things to experience the genuine peace, joy, and contentment you desire. Rest assured…you are not alone.
It’s a fact…life and the relationships we forge in it can be challenging, difficult, and just downright hard. At times, the struggle of trying to cope with intense emotions such as anger or sadness, or life stressors, can make it feel like there are more bad days than good. Still, even on the good days, you somehow feel undeserving of the joy you so desperately long for because you are overwhelmed by the internal struggle of negative thoughts of fear, doubt, and/or shame. You feel stuck, and you just want to get to the root of things to experience the genuine peace, joy, and contentment you desire. Rest assured…you are not alone.
(919) 343-0378 View (919) 343-0378
Photo of Heather Simpson, MSW, LCSW, Clinical Social Work/Therapist
Heather Simpson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Burlington, NC 27215
Taking the first step to seek mental health treatment with the social stigma and stereotypes around the world can be challenging in it's itself. Stigma and stereotypes can cause people to not seek help for fear of the unknown and being judged by others. I offer an open safe supportive environment for clients to discuss their issues with out judgment. My goal is to have an open dialogue with clients about their goals and outcomes in treatment. I tailor therapy to the client's needs and strengths perspective to empower change. I am willing to invest the time and energy to helping my clients meet their needs.
Taking the first step to seek mental health treatment with the social stigma and stereotypes around the world can be challenging in it's itself. Stigma and stereotypes can cause people to not seek help for fear of the unknown and being judged by others. I offer an open safe supportive environment for clients to discuss their issues with out judgment. My goal is to have an open dialogue with clients about their goals and outcomes in treatment. I tailor therapy to the client's needs and strengths perspective to empower change. I am willing to invest the time and energy to helping my clients meet their needs.
(336) 395-5052 View (336) 395-5052
Photo of Joanna Foust Warren, MS, LMFT, Marriage & Family Therapist
Joanna Foust Warren
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Burlington, NC 27215
Not accepting new clients
Joanna is an experienced, trained clinician who works hard as a professional to commit to initiating change in the lives' of individuals and families by strengthening individual and family health. Joanna owns and operates Insight Professional Counseling Services, PLLC, and has clinicians at her office ready to help!
Joanna is an experienced, trained clinician who works hard as a professional to commit to initiating change in the lives' of individuals and families by strengthening individual and family health. Joanna owns and operates Insight Professional Counseling Services, PLLC, and has clinicians at her office ready to help!
(336) 447-1675 View (336) 447-1675
Photo of Kathleen Anderson, MS, LMFT, Marriage & Family Therapist
Kathleen Anderson
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Burlington, NC 27215  (Online Only)
The phrase, "and they lived happily ever after", is one that many associate with ideal romance. At times, on the way to "ever after", partners encounter difficulties that reduce the degree of positive regard that they feel toward one another. Sometimes these difficulties may be connected to parenting, stress, self-esteem, family life cycle transitions, etc. My mission is to assist partners in their journey to rediscover the poetry in their relationship, as well as to support family systems and individuals as they work towards their relational goals and best hopes.
The phrase, "and they lived happily ever after", is one that many associate with ideal romance. At times, on the way to "ever after", partners encounter difficulties that reduce the degree of positive regard that they feel toward one another. Sometimes these difficulties may be connected to parenting, stress, self-esteem, family life cycle transitions, etc. My mission is to assist partners in their journey to rediscover the poetry in their relationship, as well as to support family systems and individuals as they work towards their relational goals and best hopes.
(607) 367-6915 View (607) 367-6915
Photo of Olivia Green, LCMHCA, LCAS, NCC
Olivia Green
Lic Clinical Mental Health Counselor Associate, LCMHCA, LCAS, NCC
Verified Verified
Burlington, NC 27215
Are you experiencing feelings of anxiety, depression, academic and social problems, or stress? Therapy can be used to find solutions to cope with these issues by improving emotional regulation and overall wellbeing and life satisfaction.
Are you experiencing feelings of anxiety, depression, academic and social problems, or stress? Therapy can be used to find solutions to cope with these issues by improving emotional regulation and overall wellbeing and life satisfaction.
(336) 962-5598 View (336) 962-5598
Photo of Susan K Carpenter, LCMHC, Licensed Professional Counselor
Susan K Carpenter
Licensed Professional Counselor, LCMHC
Verified Verified
2 Endorsed
Burlington, NC 27215
Are you feeling lost, unsure of who you are and questioning your life's purpose? Are you experiencing stress due to work, school or family problems. Are you experiencing mood swings, anxiety or panic attacks related to current or previous events? Are you or your child having difficulty with relationships, work or school performance? Find freedom from your inner critic and from others' opinions to lead a more whole, purposeful, creative and joyful life. I can help light the way for you through the use of several therapeutic modalities. We'll work together to identify the best fit for you.
Are you feeling lost, unsure of who you are and questioning your life's purpose? Are you experiencing stress due to work, school or family problems. Are you experiencing mood swings, anxiety or panic attacks related to current or previous events? Are you or your child having difficulty with relationships, work or school performance? Find freedom from your inner critic and from others' opinions to lead a more whole, purposeful, creative and joyful life. I can help light the way for you through the use of several therapeutic modalities. We'll work together to identify the best fit for you.
(336) 360-0682 View (336) 360-0682
Photo of Lauren King, MA, LMFTA, Marriage & Family Therapist Associate
Lauren King
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Burlington, NC 27215
Not accepting new clients
Hello! My name is Lauren and I am a Licensed Marriage and Family Therapist Associate. Life is a confusing journey we are all on. Everyone needs some help along the way and am grateful for the opportunity I have to be there for my clients as they navigate life's challenges. I help walk alongside my clients to help support and challenge them to grow into the people they desire to be. I strive to create a calm, relaxed, and collaborative environment when working with clients to help create an individualized treatment plan to best support working towards my client’s goals.
Hello! My name is Lauren and I am a Licensed Marriage and Family Therapist Associate. Life is a confusing journey we are all on. Everyone needs some help along the way and am grateful for the opportunity I have to be there for my clients as they navigate life's challenges. I help walk alongside my clients to help support and challenge them to grow into the people they desire to be. I strive to create a calm, relaxed, and collaborative environment when working with clients to help create an individualized treatment plan to best support working towards my client’s goals.
(336) 920-8454 View (336) 920-8454
Photo of Anna Slaydon, MA, LCMHC
Anna Slaydon
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
6 Endorsed
Burlington, NC 27215
Does your brain get stuck sometimes? Perhaps it’s an idea, thought, image that you just can’t get out of your head. It may drive you to think certain things or do certain things to help get the uncomfortable or even scary feelings to go away. You may fear that you may one day hurt someone else or yourself, against your will and outside of your control. Perhaps you feel locked into doing things over and over again - whether it’s touching an item, pulling your hair or some other repetitive behavior that you can’t just get out of. If that’s you - then Anna Slaydon with Greater Hope Counseling Inc PC can help.
Does your brain get stuck sometimes? Perhaps it’s an idea, thought, image that you just can’t get out of your head. It may drive you to think certain things or do certain things to help get the uncomfortable or even scary feelings to go away. You may fear that you may one day hurt someone else or yourself, against your will and outside of your control. Perhaps you feel locked into doing things over and over again - whether it’s touching an item, pulling your hair or some other repetitive behavior that you can’t just get out of. If that’s you - then Anna Slaydon with Greater Hope Counseling Inc PC can help.
(336) 777-7472 View (336) 777-7472
Photo of Rebecca Sanders, MS, LCMHC
Rebecca Sanders
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Burlington, NC 27215
Hi! It’s great to have you here as you choose to seek therapy to enrich your life. With a listening ear and no judgment, you will feel heard, encouraged, and supported throughout your journey. I view therapy as a progressive journey one has throughout life as we continuously change. Tailored to your individual needs, I will partner with you to work through challenges to achieve your goals. 3 C’s Fun fact: Each day, you have the chance to make a choice to engage in change for a happier, healthier you.
Hi! It’s great to have you here as you choose to seek therapy to enrich your life. With a listening ear and no judgment, you will feel heard, encouraged, and supported throughout your journey. I view therapy as a progressive journey one has throughout life as we continuously change. Tailored to your individual needs, I will partner with you to work through challenges to achieve your goals. 3 C’s Fun fact: Each day, you have the chance to make a choice to engage in change for a happier, healthier you.
(336) 962-7971 View (336) 962-7971
Photo of Tammy Vaughan - GracePoint Recovery Services, LLC, LCASA, LCSWA, Clinical Social Work/Therapist
GracePoint Recovery Services, LLC
Clinical Social Work/Therapist, LCASA, LCSWA
Verified Verified
Burlington, NC 27215
Therapy can often feel like unfamiliar territory even when we know we need help. I provide a calm, safe, judgment-free zone. I meet the client where they are. I believe that what we think and feel can affect our everyday lives. In addition to that, our physical and spiritual wellbeing can also affect our mental health. Whether this is your first time in therapy or you’re familiar with the process, I’m here to take that leap of faith with you!
Therapy can often feel like unfamiliar territory even when we know we need help. I provide a calm, safe, judgment-free zone. I meet the client where they are. I believe that what we think and feel can affect our everyday lives. In addition to that, our physical and spiritual wellbeing can also affect our mental health. Whether this is your first time in therapy or you’re familiar with the process, I’m here to take that leap of faith with you!
(336) 489-4037 View (336) 489-4037
1

How does your Therapist compare?

Number of Therapists in 27215

100+

Average cost per session

$125

Therapists in 27215 who prioritize treating:

93% Anxiety
91% Depression
80% Self Esteem
77% Trauma and PTSD
77% Coping Skills
72% Relationship Issues
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
67% Aetna
55% Cigna and Evernorth

How Therapists in 27215 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 27215?

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.