Photo of Summer Morefield, LPC, Licensed Professional Counselor
Summer Morefield
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63135  (Online Only)
I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, SUD’s, career challenges, OCD and ADHD. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and empathic. I believe in treating everyone with respect, sensitivity, and compassion. My approach combines cognitive-behavioral, humanistic, psychodynamic and rational-emotive counseling.
I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, SUD’s, career challenges, OCD and ADHD. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and empathic. I believe in treating everyone with respect, sensitivity, and compassion. My approach combines cognitive-behavioral, humanistic, psychodynamic and rational-emotive counseling.
(314) 742-7857 View (314) 742-7857
Photo of Anthony Galloway, LPC, Licensed Professional Counselor
Anthony Galloway
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63135  (Online Only)
With the onset of natural disasters, threat to national peace, social-economic tensions, individual hardships, and national debates, life can seem to be hard to navigate at times, especially when one is going through life transitions. These tangible and emotional hardships can impact our well-being, especially if we do not have the proper tools to work through the issues faced. Some of the things we encounter can seem overwhelming. I can assist you in your mental health journey and together we can develop ways to deal with life’s challenges. In 2015, I graduated from the Webster University with a master’s degree in Counseling.
With the onset of natural disasters, threat to national peace, social-economic tensions, individual hardships, and national debates, life can seem to be hard to navigate at times, especially when one is going through life transitions. These tangible and emotional hardships can impact our well-being, especially if we do not have the proper tools to work through the issues faced. Some of the things we encounter can seem overwhelming. I can assist you in your mental health journey and together we can develop ways to deal with life’s challenges. In 2015, I graduated from the Webster University with a master’s degree in Counseling.
(314) 907-2543 View (314) 907-2543
Photo of Jamell Jacobs, MEd, LPC, NCC, Licensed Professional Counselor
Jamell Jacobs
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Ferguson, MO 63135  (Online Only)
I am passionate about helping individuals become their best version of themselves in life. I believe that reaching our fullest potential is a process that we work at daily, and I enjoy being a supportive partner in my clients' journey. I have experience helping individuals and families struggling with anxiety, anger management, depression, grief and loss, low self-esteem, occupational stress, parenting, relationship problems, and addiction recovery. I use a holistic approach focusing on developing a healthy mind, body, and spirit, using primarily cognitive-behavioral therapeutic techniques.
I am passionate about helping individuals become their best version of themselves in life. I believe that reaching our fullest potential is a process that we work at daily, and I enjoy being a supportive partner in my clients' journey. I have experience helping individuals and families struggling with anxiety, anger management, depression, grief and loss, low self-esteem, occupational stress, parenting, relationship problems, and addiction recovery. I use a holistic approach focusing on developing a healthy mind, body, and spirit, using primarily cognitive-behavioral therapeutic techniques.
(314) 485-7330 View (314) 485-7330
Photo of Alyssa Reynolds, MA, CIT, Pre-Licensed Professional
Alyssa Reynolds
Pre-Licensed Professional, MA, CIT
Verified Verified
Ferguson, MO 63135
Are you looking for a safe place to explore the challenges that come up in life? A place to prioritize you? Starting therapy can often time feel scary. I hope to provide a place where people can feel they can talk about the stressful, overwhelming, or disappointing things in their lives. A place where you will be comfortable to cry, laugh, learn, and grow.
Are you looking for a safe place to explore the challenges that come up in life? A place to prioritize you? Starting therapy can often time feel scary. I hope to provide a place where people can feel they can talk about the stressful, overwhelming, or disappointing things in their lives. A place where you will be comfortable to cry, laugh, learn, and grow.
(314) 557-5778 View (314) 557-5778
Photo of Shauna Aningo, MSEd, MEd, LPC, Licensed Professional Counselor
Shauna Aningo
Licensed Professional Counselor, MSEd, MEd, LPC
Verified Verified
1 Endorsed
Ferguson, MO 63135  (Online Only)
Are you frustrated, overwhelmed, depressed, irritable, & suffering from anxiety? Does everything and everyone get on your nerves? Does everyone say you're angry? Are you struggling to maintain? Are you overwhelmed by the demands of everyday stresses? Are you devastated by a recent loss and grief? Are you uncertain about how to re-gain control of your life? Are unresolved painful memories keeping you from moving forward in your life and or relationships? Counseling has proven beneficial for many & can help you address the issues above.
Are you frustrated, overwhelmed, depressed, irritable, & suffering from anxiety? Does everything and everyone get on your nerves? Does everyone say you're angry? Are you struggling to maintain? Are you overwhelmed by the demands of everyday stresses? Are you devastated by a recent loss and grief? Are you uncertain about how to re-gain control of your life? Are unresolved painful memories keeping you from moving forward in your life and or relationships? Counseling has proven beneficial for many & can help you address the issues above.
(314) 551-9034 View (314) 551-9034
Photo of Erika Jackson-Ware, MBA, LPC, NCC, Counselor
Erika Jackson-Ware
Counselor, MBA, LPC, NCC
Verified Verified
Ferguson, MO 63135
Have you been feeling down lately? Are you having trouble managing everyday stress? Do you need assistance in your romantic relationship? Would you like your teen to receive help in college preparation? Do you want to lead a healthier mental and physical lifestyle? If so, contact me for an appointment. I am a dedicated therapist that loves to see my clients grow and develop deeper understandings of mental awareness. Your well-being is my priority. I will stand by your side to work through those tough emotions that we as humans sometimes face.
Have you been feeling down lately? Are you having trouble managing everyday stress? Do you need assistance in your romantic relationship? Would you like your teen to receive help in college preparation? Do you want to lead a healthier mental and physical lifestyle? If so, contact me for an appointment. I am a dedicated therapist that loves to see my clients grow and develop deeper understandings of mental awareness. Your well-being is my priority. I will stand by your side to work through those tough emotions that we as humans sometimes face.
(314) 488-2785 View (314) 488-2785
Photo of Roian Marie Baalman, LPC, Licensed Professional Counselor
Roian Marie Baalman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63135  (Online Only)
I am here because I have been there. I want to pay what I have learned forward to you. I believe that educational experience, when coupled with life experience, breeds empathy without judgment. I needed more than anything to ensure all my pain was not in vain. So, I have over nine years of education in psychology and counseling, specializing in trauma, anxiety, depression, grief, relationship issues, stress, ADHD, and Alcohol and Drug Counseling. I will make sure we build a rapport with one another. I will listen actively to what you have to say.
I am here because I have been there. I want to pay what I have learned forward to you. I believe that educational experience, when coupled with life experience, breeds empathy without judgment. I needed more than anything to ensure all my pain was not in vain. So, I have over nine years of education in psychology and counseling, specializing in trauma, anxiety, depression, grief, relationship issues, stress, ADHD, and Alcohol and Drug Counseling. I will make sure we build a rapport with one another. I will listen actively to what you have to say.
(314) 208-2485 View (314) 208-2485
Photo of Aj Johnson, M Ed, CIT, Pre-Licensed Professional
Aj Johnson
Pre-Licensed Professional, M Ed, CIT
Verified Verified
Ferguson, MO 63135
I am passionate about working with individuals of all ages facing anxiety, depression, relational issues, family of origin issues, and life transitions. With a compassionate and empathetic approach, I strive to create a safe and supportive environment where you can explore your thoughts and feelings. By doing so, I integrate various therapeutic approaches to best suit your unique needs, helping you achieve personal growth, healing, and a greater sense of empowerment and well-being.
I am passionate about working with individuals of all ages facing anxiety, depression, relational issues, family of origin issues, and life transitions. With a compassionate and empathetic approach, I strive to create a safe and supportive environment where you can explore your thoughts and feelings. By doing so, I integrate various therapeutic approaches to best suit your unique needs, helping you achieve personal growth, healing, and a greater sense of empowerment and well-being.
(314) 916-1966 View (314) 916-1966
Photo of Lianne Johnson - Avenues Counseling Center, Licensed Professional Counselor
Avenues Counseling Center
Licensed Professional Counselor
Verified Verified
Ferguson, MO 63135
Dealing with pain is hard and scary. We get that. At Avenues Counseling, we offer avenues of care to our community for those seeking healing from the pains of life, as well as those seeking personal growth. We exist to offer you a safe, trustworthy place to ask difficult questions, share your life story, and walk with you as you seek restoration. We believe emotional wellness should be accessible to all. The mission of Avenues is to provide vital mental health counseling services to all who have a need, regardless of someone’s ability to pay. All of our counselors donate services by offering reduced fees based on need.
Dealing with pain is hard and scary. We get that. At Avenues Counseling, we offer avenues of care to our community for those seeking healing from the pains of life, as well as those seeking personal growth. We exist to offer you a safe, trustworthy place to ask difficult questions, share your life story, and walk with you as you seek restoration. We believe emotional wellness should be accessible to all. The mission of Avenues is to provide vital mental health counseling services to all who have a need, regardless of someone’s ability to pay. All of our counselors donate services by offering reduced fees based on need.
(314) 948-3292 View (314) 948-3292
Photo of Marvin Steven Miller, MA, LPC, Licensed Professional Counselor
Marvin Steven Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
Ferguson, MO 63135
I am a Licensed Professional Counselor in full-time private practice. I have experience working with patients from adolescence onward in individual psychotherapy, family therapy, and group therapy. In addition, I have experience with clients that are perpetrators of domestic abuse, incarcerated males and the elderly.
I am a Licensed Professional Counselor in full-time private practice. I have experience working with patients from adolescence onward in individual psychotherapy, family therapy, and group therapy. In addition, I have experience with clients that are perpetrators of domestic abuse, incarcerated males and the elderly.
(314) 382-9318 View (314) 382-9318
Photo of Margaret Gladden, PhD, LCPC  , CRADC , ICADC , Pastoral Counselor
Margaret Gladden
Pastoral Counselor, PhD, LCPC , CRADC , ICADC
Verified Verified
Ferguson, MO 63135
I am a licensed clinical pastoral counselor, and, certified alcohol and drug counselor who has a passion for the family. Because the marriage relationship is one of the most important and satisfying relationships we will have, my goal is to help couples to: identify their strengths, and to build new ones; acquire communication and conflict resolution skills; help them to identify stumbling blocks, and then, help them to turn their stumbling blocks into stepping stones. My experience includes forty plus years of marriage and over twenty years of helping couples discover who they are as individuals, and who they are as a couple.
I am a licensed clinical pastoral counselor, and, certified alcohol and drug counselor who has a passion for the family. Because the marriage relationship is one of the most important and satisfying relationships we will have, my goal is to help couples to: identify their strengths, and to build new ones; acquire communication and conflict resolution skills; help them to identify stumbling blocks, and then, help them to turn their stumbling blocks into stepping stones. My experience includes forty plus years of marriage and over twenty years of helping couples discover who they are as individuals, and who they are as a couple.
(314) 282-2986 View (314) 282-2986
Photo of Nishelle Thompson, MA, LPC, NCC, Licensed Professional Counselor
Nishelle Thompson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63135
Everyone deserves to have a place where they can just let it all out and not care one bit what the person across from them thinks. Clients often come to me with insecurities, low self-esteem, battling with depression, simply feeling beat up by life. I work to provide individuals, families and couples with a safe, confidential and empathetic environment where they can feel comfortable telling their truth. I am passionate about helping individuals identify the barriers preventing them from finding their life’s purpose and achieving goals they set for themselves. The therapeutic process is very difficult, as it presents many unknowns.
Everyone deserves to have a place where they can just let it all out and not care one bit what the person across from them thinks. Clients often come to me with insecurities, low self-esteem, battling with depression, simply feeling beat up by life. I work to provide individuals, families and couples with a safe, confidential and empathetic environment where they can feel comfortable telling their truth. I am passionate about helping individuals identify the barriers preventing them from finding their life’s purpose and achieving goals they set for themselves. The therapeutic process is very difficult, as it presents many unknowns.
(636) 238-2714 View (636) 238-2714
Photo of Stacey D Miller, MSW, LCSW, Clinical Social Work/Therapist
Stacey D Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Ferguson, MO 63135  (Online Only)
Does it feel like your past has hijacked your present life? Are you struggling to find hope for peace and happiness? Are you sick and tired of being sick and tired? If you have answered yes to any of these questions...... I am so happy that you are here. Life can be so unpredictable and feel as if your feet have been knocked right from under you without warning. Sometimes to the point where you might think you will never stand steady again. There are many things that are out of our control, however, we can all learn tools that can help us manage and bring balance and healing to our lives restoring that sense of hope.
Does it feel like your past has hijacked your present life? Are you struggling to find hope for peace and happiness? Are you sick and tired of being sick and tired? If you have answered yes to any of these questions...... I am so happy that you are here. Life can be so unpredictable and feel as if your feet have been knocked right from under you without warning. Sometimes to the point where you might think you will never stand steady again. There are many things that are out of our control, however, we can all learn tools that can help us manage and bring balance and healing to our lives restoring that sense of hope.
(314) 697-2408 View (314) 697-2408
Photo of Hybrie Bishop - Akoma Healing & Consultation, MSW, LCSW, Clinical Social Work/Therapist
Akoma Healing & Consultation
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Ferguson, MO 63135  (Online Only)
My clinical experience in the St. Louis area ranges from working with adults in inpatient treatment centers for mental health and substance abuse to non-profit community case management and trauma therapy. I specialize in working with survivors impacted by sexual, domestic, and community violence. As well as those diagnosed with mental illnesses such as anxiety, PTSD, and those impacted by grief.
My clinical experience in the St. Louis area ranges from working with adults in inpatient treatment centers for mental health and substance abuse to non-profit community case management and trauma therapy. I specialize in working with survivors impacted by sexual, domestic, and community violence. As well as those diagnosed with mental illnesses such as anxiety, PTSD, and those impacted by grief.
(314) 470-9286 View (314) 470-9286
Photo of Thomethia R Thrist, MA, LPC, Licensed Professional Counselor
Thomethia R Thrist
Licensed Professional Counselor, MA, LPC
Verified Verified
Ferguson, MO 63135
During individual and/or family sessions I will work with you to problem solve and increase positive thinking and behavior. You will learn to reframe thoughts and behaviors and gain valuable tools to help cope with life's challenges.
During individual and/or family sessions I will work with you to problem solve and increase positive thinking and behavior. You will learn to reframe thoughts and behaviors and gain valuable tools to help cope with life's challenges.
(314) 936-4462 View (314) 936-4462
Photo of Kevin O Webb II, MAC
Kevin O Webb II
MAC
Verified Verified
Ferguson, MO 63135
Have you ever felt all alone or like you don’t have anybody to talk to? Would you like to connect with someone or have a space where you can feel like that same someone understands you? Let me invite you to a safe environment that will allow you to be yourself and be received without judgment. Let me invite you to an area where you can express your feelings, talk openly and create healthy relationships which can then be applied to your daily challenges and struggles. This is what you will experience with me in a counseling relationship - safety, non-judgment and unconditional positive regard.
Have you ever felt all alone or like you don’t have anybody to talk to? Would you like to connect with someone or have a space where you can feel like that same someone understands you? Let me invite you to a safe environment that will allow you to be yourself and be received without judgment. Let me invite you to an area where you can express your feelings, talk openly and create healthy relationships which can then be applied to your daily challenges and struggles. This is what you will experience with me in a counseling relationship - safety, non-judgment and unconditional positive regard.
(314) 886-5939 View (314) 886-5939

More Therapists Nearby

Photo of Amy Mattia, LPC, Licensed Professional Counselor
Amy Mattia
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63140
Hello, I am passionate about working with people who are seeking to move from survival to flourishing. I see individuals, teens and couples. It is a gift to see healing happen and self worth bloom.
Hello, I am passionate about working with people who are seeking to move from survival to flourishing. I see individuals, teens and couples. It is a gift to see healing happen and self worth bloom.
(314) 732-1010 View (314) 732-1010
Photo of Kela L Woods, LPC, Licensed Professional Counselor
Kela L Woods
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63136
Kela Woods is a Licensed Professional Counselor in Missouri with over 15 years experience in Behavioral Health & Social Services. She obtained a Master of Arts in Professional Counseling at Lindenwood University in St. Charles Missouri. Kela’s work experience includes mental health assessments, diagnosing, treatment planning, referrals, crisis intervention and de-escalation. As a therapist Kela is here to listen, to validate, and to provide support in a safe and non-judgemental setting. Kela’s counseling style is warm, empathetic, and client-centered.
Kela Woods is a Licensed Professional Counselor in Missouri with over 15 years experience in Behavioral Health & Social Services. She obtained a Master of Arts in Professional Counseling at Lindenwood University in St. Charles Missouri. Kela’s work experience includes mental health assessments, diagnosing, treatment planning, referrals, crisis intervention and de-escalation. As a therapist Kela is here to listen, to validate, and to provide support in a safe and non-judgemental setting. Kela’s counseling style is warm, empathetic, and client-centered.
(314) 742-9392 View (314) 742-9392
Photo of Taryn Goldstein, MSW, LCSW, Clinical Social Work/Therapist
Taryn Goldstein
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63145  (Online Only)
When working with clients, I strive to make the therapeutic experience genuine, positive, respectful, and safe. I believe that through talking and building a good connection, we can develop your therapeutic goals, and create a successful and obtainable plan. My work is focused around the ages 20-65, when personal goal, and family dynamics are constantly shifting and new roles are developing. This can feel very overwhelming, scary, and sometimes hopeless. You do not have to do this alone! We will work together around the topics of parenting, anxiety/depression, trauma/abuse, school/college, grief/life changes, or areas of interest.
When working with clients, I strive to make the therapeutic experience genuine, positive, respectful, and safe. I believe that through talking and building a good connection, we can develop your therapeutic goals, and create a successful and obtainable plan. My work is focused around the ages 20-65, when personal goal, and family dynamics are constantly shifting and new roles are developing. This can feel very overwhelming, scary, and sometimes hopeless. You do not have to do this alone! We will work together around the topics of parenting, anxiety/depression, trauma/abuse, school/college, grief/life changes, or areas of interest.
(314) 804-1713 View (314) 804-1713
Photo of Dr. Robin Moore-Chambers, MSW, PhD, LPC, Licensed Professional Counselor
Dr. Robin Moore-Chambers
Licensed Professional Counselor, MSW, PhD, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63136
Are you depressed, anxious with panic attacks, self-harming, angry, and/or distressed from past or current abuse/trauma? Are you grieving a major loss or sometimes you may feel like you do not want to be here. You may have family/relationship issues, parent-child conflict or single-parenting. Or you may have "church-hurt" or other hurtful situations. Well, there is hope. As a Trauma-Informed therapist I know that your path can get heavy. But you are still unique and can still Awaken to Every Opportunity For You and become a better version of yourself. You do count, you matter and there are new Awakenings everyday!
Are you depressed, anxious with panic attacks, self-harming, angry, and/or distressed from past or current abuse/trauma? Are you grieving a major loss or sometimes you may feel like you do not want to be here. You may have family/relationship issues, parent-child conflict or single-parenting. Or you may have "church-hurt" or other hurtful situations. Well, there is hope. As a Trauma-Informed therapist I know that your path can get heavy. But you are still unique and can still Awaken to Every Opportunity For You and become a better version of yourself. You do count, you matter and there are new Awakenings everyday!
(314) 582-0246 View (314) 582-0246

See more therapy options for 63135

How does your Therapist compare?

Number of Therapists in 63135

10+

Average cost per session

$85

Therapists in 63135 who prioritize treating:

81% Anxiety
81% Trauma and PTSD
75% Depression
75% Stress
69% Anger Management
63% Relationship Issues
63% Grief

Average years in practice

9 Years

Top 3 insurances accepted

100% UnitedHealthcare UHC | UBH
92% Cigna and Evernorth
67% Aetna

How Therapists in 63135 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 63135?

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.