Photo of Rose Monk - Rose Monk, Graymatter Clinic, PLLC, MA, LPCC, CLC, Counselor
Rose Monk, Graymatter Clinic, PLLC
Counselor, MA, LPCC, CLC
Verified Verified
16 Endorsed
Littleton, CO 80128
Teletherapy for phone an video sessions that are HIPAA compliant. Cant seem to get in control of your thoughts, actions, emotions, and/or behaviors? Are you a first responder, experienced trauma or in a crisis, have symptoms of ADHD? Do you struggle with relationship issues? I provide integrative therapy to investigate patterns of behavior, regulate emotions, and work through experiences for individuals, couples, families, and groups. Specialized in designing a path to progress for helping patients heal and deal with issues that affect mental health and interfere with normal functioning at home, school, work, or in relationships.
Teletherapy for phone an video sessions that are HIPAA compliant. Cant seem to get in control of your thoughts, actions, emotions, and/or behaviors? Are you a first responder, experienced trauma or in a crisis, have symptoms of ADHD? Do you struggle with relationship issues? I provide integrative therapy to investigate patterns of behavior, regulate emotions, and work through experiences for individuals, couples, families, and groups. Specialized in designing a path to progress for helping patients heal and deal with issues that affect mental health and interfere with normal functioning at home, school, work, or in relationships.
(720) 707-3812 View (720) 707-3812
Photo of Alisha Hubbell, MA, LPC, PMH-C, Licensed Professional Counselor
Alisha Hubbell
Licensed Professional Counselor, MA, LPC, PMH-C
Verified Verified
Littleton, CO 80128
Waitlist for new clients
Hi mamas, dads, birthing parents, and non-birthing parents! You’re busy taking care of your little ones… so who is taking care of you? I’m here for you with a safe and non-judgmental space to navigate the inevitable challenges that arise during motherhood. It can be hard to prioritize our own mental health when we are focused on those who depend on us. However, you deserve support. You deserve to be able to share that your expectations are not matching reality. You deserve to be heard. Clients may benefit from therapy during any stage of their journey, from pre-conception through postpartum.
Hi mamas, dads, birthing parents, and non-birthing parents! You’re busy taking care of your little ones… so who is taking care of you? I’m here for you with a safe and non-judgmental space to navigate the inevitable challenges that arise during motherhood. It can be hard to prioritize our own mental health when we are focused on those who depend on us. However, you deserve support. You deserve to be able to share that your expectations are not matching reality. You deserve to be heard. Clients may benefit from therapy during any stage of their journey, from pre-conception through postpartum.
(303) 622-3425 x113 View (303) 622-3425 x113
Photo of Ruth Pollak - Releaf Counseling, LCSW, Clinical Social Work/Therapist
Releaf Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80128
My goal as a therapisst is to help you better undersetand yourself and your relationships, and thereby open the way to positive change. With extensive experience in individual, couples and family therapy, I am committed to creting a comfortable setting in which to explore the causes of issues and find ways to address them. I believe therapy options are a personal decision, and acept clients on short-term, periodic and on going basis.
My goal as a therapisst is to help you better undersetand yourself and your relationships, and thereby open the way to positive change. With extensive experience in individual, couples and family therapy, I am committed to creting a comfortable setting in which to explore the causes of issues and find ways to address them. I believe therapy options are a personal decision, and acept clients on short-term, periodic and on going basis.
(720) 797-7939 View (720) 797-7939
Photo of Heather Thompson, MA , LPC, NCC, Licensed Professional Counselor
Heather Thompson
Licensed Professional Counselor, MA , LPC, NCC
Verified Verified
Littleton, CO 80128  (Online Only)
Hi. I offer individual therapy by telehealth video for adults who want to reduce feelings of anxiety and/or depression, and for people who are going through some big challenges in life and want some extra support with the stress. As a woman who fills many roles - counselor, wife, mom, scout leader, and more - I understand many of the ups and downs of life. I went to grad school at Denver Seminary so I could help others find their way through their own tough times.
Hi. I offer individual therapy by telehealth video for adults who want to reduce feelings of anxiety and/or depression, and for people who are going through some big challenges in life and want some extra support with the stress. As a woman who fills many roles - counselor, wife, mom, scout leader, and more - I understand many of the ups and downs of life. I went to grad school at Denver Seminary so I could help others find their way through their own tough times.
(720) 586-4417 View (720) 586-4417
Photo of Dorothy R Sanchez, MS, LPC, Licensed Professional Counselor
Dorothy R Sanchez
Licensed Professional Counselor, MS, LPC
Verified Verified
Littleton, CO 80128
I am a Licensed Professional Counselor who works with tweens, adolescents, couples, families, older adults and individuals. Those I work with receive exceptional mental health services which are individualized and culturally sensitive. Through both short and long-term therapy, I work collaboratively with clients to identify strengths which can improve their mental/emotional well-being and lead to happier, healthier, and more productive lives.
I am a Licensed Professional Counselor who works with tweens, adolescents, couples, families, older adults and individuals. Those I work with receive exceptional mental health services which are individualized and culturally sensitive. Through both short and long-term therapy, I work collaboratively with clients to identify strengths which can improve their mental/emotional well-being and lead to happier, healthier, and more productive lives.
(720) 580-5560 View (720) 580-5560
Photo of Ashley Williams, MA, LPC, Licensed Professional Counselor
Ashley Williams
Licensed Professional Counselor, MA, LPC
Verified Verified
Littleton, CO 80128
Hello and welcome! Reaching out for support and connection while we're hurting can be so challenging, I’m glad you’re here. We all deserve a safe and affirming space to tell our story and reconnect with our authentic self. My therapeutic approach is non-pathologizing, trauma-informed, and social-justice based, and I draw from narrative, feminist, existential, and person-centered therapies. I believe therapy is collaborative and I rely on curiosity and compassion as necessary tools in the therapeutic process.
Hello and welcome! Reaching out for support and connection while we're hurting can be so challenging, I’m glad you’re here. We all deserve a safe and affirming space to tell our story and reconnect with our authentic self. My therapeutic approach is non-pathologizing, trauma-informed, and social-justice based, and I draw from narrative, feminist, existential, and person-centered therapies. I believe therapy is collaborative and I rely on curiosity and compassion as necessary tools in the therapeutic process.
(303) 625-6878 View (303) 625-6878
Photo of Gary L Coats, PhD, Psychologist
Gary L Coats
Psychologist, PhD
Verified Verified
Littleton, CO 80128
I have acquired a wealth of professional and life experience in 30 years of helping people gain control of their addictions, anxiety, depression and explosive anger. Our initial goal in therapy will be to rapidly identify the source of the problem/pain and then create a treatment approach with healing and lasting solutions. This is therapy to discover, experience and build on your core strengths...therapy that will lead to deeper understanding and meaningful growth. The ultimate goal of our therapy is to be a highly transforming and fascinating process that nurtures healthy choices and new perspectives.
I have acquired a wealth of professional and life experience in 30 years of helping people gain control of their addictions, anxiety, depression and explosive anger. Our initial goal in therapy will be to rapidly identify the source of the problem/pain and then create a treatment approach with healing and lasting solutions. This is therapy to discover, experience and build on your core strengths...therapy that will lead to deeper understanding and meaningful growth. The ultimate goal of our therapy is to be a highly transforming and fascinating process that nurtures healthy choices and new perspectives.
(303) 900-7048 View (303) 900-7048
Photo of Amy Joy Eversole Fox, MEd, Licensed Professional Counselor
Amy Joy Eversole Fox
Licensed Professional Counselor, MEd
Verified Verified
Littleton, CO 80128  (Online Only)
Waitlist for new clients
Hello! If you are reading this, you are at least considering taking a pretty significant step in your mental health. Welcome! After over 20 years of experience in the mental health field, and 14 years as a clinical therapist, I’ve gotten pretty good at meeting clients exactly where they are at. I am highly experienced in helping adults and adolescents address trauma, complex trauma, and anxiety, but also enjoy walking with my clients through depressive symptoms, life transitions, and finding their voice. I primarily utilize a client-centered approach alongside my training and skills in EMDR, attachment, and CBT.
Hello! If you are reading this, you are at least considering taking a pretty significant step in your mental health. Welcome! After over 20 years of experience in the mental health field, and 14 years as a clinical therapist, I’ve gotten pretty good at meeting clients exactly where they are at. I am highly experienced in helping adults and adolescents address trauma, complex trauma, and anxiety, but also enjoy walking with my clients through depressive symptoms, life transitions, and finding their voice. I primarily utilize a client-centered approach alongside my training and skills in EMDR, attachment, and CBT.
(720) 778-0559 View (720) 778-0559
Photo of Nell Bly, LCSW, Clinical Social Work/Therapist
Nell Bly
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80128
Having been a psychotherapist for 45 years, I am now providing in person or telehealth services as a Life Coach. Guiding adults of all ages through life's transitions, I offer tools and skills for navigating challenging situations and relationships, managing grief and stress, practicing mindfulness and gratitude. Coaching invites you to use resources within you and outside of you to maximize and enhance your own abilities, insight, intelligence, experiences and self worth. It is a Joy to discover we can choose how we respond to whatever comes our way. It is empowering to know we can respond with Compassion.
Having been a psychotherapist for 45 years, I am now providing in person or telehealth services as a Life Coach. Guiding adults of all ages through life's transitions, I offer tools and skills for navigating challenging situations and relationships, managing grief and stress, practicing mindfulness and gratitude. Coaching invites you to use resources within you and outside of you to maximize and enhance your own abilities, insight, intelligence, experiences and self worth. It is a Joy to discover we can choose how we respond to whatever comes our way. It is empowering to know we can respond with Compassion.
(303) 974-4503 View (303) 974-4503
Photo of Kerri Gaeta, LCSW, Clinical Social Work/Therapist
Kerri Gaeta
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80128  (Online Only)
Are you feeling weighed down by depression or anxiety? Do you struggle to open up and connect with those you care about? I'm here to walk alongside you through life's ups and downs, whether you're facing changes, mood swings, relationship hurdles, or a sense of disconnection. My approach to therapy is all-encompassing, recognizing that your well-being is intertwined with your body, mind, and spirit. Using modern, evidence-backed methods, I'm dedicated to empowering you to lead a fulfilling life, nurture your relationships, manage your emotions, and break free from past constraints.
Are you feeling weighed down by depression or anxiety? Do you struggle to open up and connect with those you care about? I'm here to walk alongside you through life's ups and downs, whether you're facing changes, mood swings, relationship hurdles, or a sense of disconnection. My approach to therapy is all-encompassing, recognizing that your well-being is intertwined with your body, mind, and spirit. Using modern, evidence-backed methods, I'm dedicated to empowering you to lead a fulfilling life, nurture your relationships, manage your emotions, and break free from past constraints.
(720) 807-9817 View (720) 807-9817
Photo of Ashleah Castro, MA, LPCC
Ashleah Castro
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
Littleton, CO 80128
There is only one you in the whole entire world and my goal is for you to be able to live your life to its fullest. Seeking out healing is a brave step to take and it shows that you want to live healthier and deal with the issues that are keeping you from that. We cannot always change the things that happen to us in life, but we have a choice to seek help and healing to help our future. So good job already taking this first step!
There is only one you in the whole entire world and my goal is for you to be able to live your life to its fullest. Seeking out healing is a brave step to take and it shows that you want to live healthier and deal with the issues that are keeping you from that. We cannot always change the things that happen to us in life, but we have a choice to seek help and healing to help our future. So good job already taking this first step!
(720) 729-9201 View (720) 729-9201
Photo of Anxiety + Postpartum Support Marie Yarrington, LCSW, Clinical Social Work/Therapist
Anxiety + Postpartum Support Marie Yarrington
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Littleton, CO 80128
Are you tired of feeling tired? Worried constantly? Trouble making decisions or concentrating? Are you feeling more irritable and tense than you want to be? You are seen & you are NOT alone. I have expertise working with those who are experiencing the same things you are. And my goal? To work along side you and overcome all of the things holding you back, with compassion and a genuine desire to help you through this time.
Are you tired of feeling tired? Worried constantly? Trouble making decisions or concentrating? Are you feeling more irritable and tense than you want to be? You are seen & you are NOT alone. I have expertise working with those who are experiencing the same things you are. And my goal? To work along side you and overcome all of the things holding you back, with compassion and a genuine desire to help you through this time.
(970) 795-8861 View (970) 795-8861
Photo of Dr. Bev Priest, PhD, MPhil, LPC
Dr. Bev Priest
PhD, MPhil, LPC
Verified Verified
Littleton, CO 80128
I believe; gaining insight and understanding, feeling more hopeful, knowing someone is there to listen, and being in a safe and non-judgmental environment, are just some of the important keys to therapy. One of the most difficult and courageous things someone can do is to walk into a clinician's office and ask for help. Sometimes people may hesitate to seek help because they feel alone in their pain or that no one will understand them. I work with clients ages two and older, from diverse cultural groups, and foster an atmosphere of understanding across these various age and cultural groups.
I believe; gaining insight and understanding, feeling more hopeful, knowing someone is there to listen, and being in a safe and non-judgmental environment, are just some of the important keys to therapy. One of the most difficult and courageous things someone can do is to walk into a clinician's office and ask for help. Sometimes people may hesitate to seek help because they feel alone in their pain or that no one will understand them. I work with clients ages two and older, from diverse cultural groups, and foster an atmosphere of understanding across these various age and cultural groups.
(720) 712-1486 View (720) 712-1486
Photo of JJ Pugsley, MA
JJ Pugsley
MA
Verified Verified
Littleton, CO 80128
JJ Pugsley's ideal client is anyone that feels lost in the big picture of the world today. From anxiety and depression to trauma and acute, episodic needs, JJ has a heart for helping people value themselves and their ability to work through issues.
JJ Pugsley's ideal client is anyone that feels lost in the big picture of the world today. From anxiety and depression to trauma and acute, episodic needs, JJ has a heart for helping people value themselves and their ability to work through issues.
(720) 903-2630 View (720) 903-2630
Photo of Amy Harmon, LCSW, Clinical Social Work/Therapist
Amy Harmon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Littleton, CO 80128
Childhood is one of the most transformative periods in life; each journey is unique and unpredictable. Parenthood mirrors this, full of surprises, challenges, and opportunities. Whether you have a baby or toddler you may be struggling to connect with or an older child in need of support, having a trusted guide during these crucial developmental stages can significantly impact their growth and well-being now and in the future. My goal is to use my training and experience in play therapy, brain science, and attachment to create a supportive environment that fosters stability, understanding, and compassion for your child.
Childhood is one of the most transformative periods in life; each journey is unique and unpredictable. Parenthood mirrors this, full of surprises, challenges, and opportunities. Whether you have a baby or toddler you may be struggling to connect with or an older child in need of support, having a trusted guide during these crucial developmental stages can significantly impact their growth and well-being now and in the future. My goal is to use my training and experience in play therapy, brain science, and attachment to create a supportive environment that fosters stability, understanding, and compassion for your child.
(720) 821-7040 View (720) 821-7040
Photo of Denyse Breeden, MA, LPC, Licensed Professional Counselor
Denyse Breeden
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Littleton, CO 80128
Denyse specializes in working with adults dealing with unresolved trauma and anxiety. She offers a personalized approach tailored to each person's particular needs to facilitate the most effective therapy. Denyse will listen to your needs and provide supportive guidance as you move toward healing. She believes in the ability to achieve positive life changes and will help you find the path to a well-deserved meaningful and fulfilling life.
Denyse specializes in working with adults dealing with unresolved trauma and anxiety. She offers a personalized approach tailored to each person's particular needs to facilitate the most effective therapy. Denyse will listen to your needs and provide supportive guidance as you move toward healing. She believes in the ability to achieve positive life changes and will help you find the path to a well-deserved meaningful and fulfilling life.
(303) 622-5729 View (303) 622-5729
Photo of Sara Sisty, LCSW , E-RYT, Clinical Social Work/Therapist
Sara Sisty
Clinical Social Work/Therapist, LCSW , E-RYT
Verified Verified
Littleton, CO 80128  (Online Only)
Are you feeling stuck, overwhelmed, or uncertain about the path ahead? You're not alone. I'm Sara, and I'm here to support you on your journey towards healing, growth, and empowerment. If you're tired of feeling controlled by anxiety, struggling to navigate life's transitions, or grappling with challenges unique to your experience in infertility, pregnancy, and postpartum, I'm here to offer a helping hand and a listening ear.
Are you feeling stuck, overwhelmed, or uncertain about the path ahead? You're not alone. I'm Sara, and I'm here to support you on your journey towards healing, growth, and empowerment. If you're tired of feeling controlled by anxiety, struggling to navigate life's transitions, or grappling with challenges unique to your experience in infertility, pregnancy, and postpartum, I'm here to offer a helping hand and a listening ear.
(720) 571-1549 View (720) 571-1549
Photo of Stacey Lee King, MA, NCC, LPCC
Stacey Lee King
Licensed Professional Counselor Candidate, MA, NCC, LPCC
Verified Verified
1 Endorsed
Littleton, CO 80128
Life can be really really hard. Sometimes it's a blindsiding event that turns everything upside-down. Other times it's a slow decline into monotony, depression, or confusion. My goal is to earn your trust within the therapeutic relationship and work with you to determine who you are: to explore, engage, and enact a life that reflects your inherent dignity. Together we can set goals and determine a different direction to move in. We can't change where we've come from, but we have the opportunity to change the direction we're going in. Sometimes we need to be reminded: flowers grow out of piles of manure.
Life can be really really hard. Sometimes it's a blindsiding event that turns everything upside-down. Other times it's a slow decline into monotony, depression, or confusion. My goal is to earn your trust within the therapeutic relationship and work with you to determine who you are: to explore, engage, and enact a life that reflects your inherent dignity. Together we can set goals and determine a different direction to move in. We can't change where we've come from, but we have the opportunity to change the direction we're going in. Sometimes we need to be reminded: flowers grow out of piles of manure.
(303) 529-9733 View (303) 529-9733
Photo of Nehemiah Weiner, MA, LMFT, Marriage & Family Therapist
Nehemiah Weiner
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Littleton, CO 80128
Is anxiety or past trauma making it feel like life is out of control? Maybe you’re caught in a spiral of worry or stress you can’t seem to stop, constantly second-guessing yourself or can’t seem to get motivated. Maybe you’re frustrated and exhausted by it all: feeling like you’ve done everything you know to do to get ‘over’ it, but still feeling stressed or on edge all the time. You might be seeing patterns in your relationships that you want to change or wondering what’s going on under the surface that’s causing you to continue to feel this way.
Is anxiety or past trauma making it feel like life is out of control? Maybe you’re caught in a spiral of worry or stress you can’t seem to stop, constantly second-guessing yourself or can’t seem to get motivated. Maybe you’re frustrated and exhausted by it all: feeling like you’ve done everything you know to do to get ‘over’ it, but still feeling stressed or on edge all the time. You might be seeing patterns in your relationships that you want to change or wondering what’s going on under the surface that’s causing you to continue to feel this way.
(720) 605-1581 View (720) 605-1581
Photo of Lourdes M Rodriguez, LPC, LMHC, Counselor
Lourdes M Rodriguez
Counselor, LPC, LMHC
Verified Verified
3 Endorsed
Littleton, CO 80128
Are you high-achieving yet no matter how much you do, it doesn't feel like enough? Are you at the bottom of your to do list? Do you tend to be nicer to others than your are to yourself? Have you been experiencing difficulty connecting to others and yourself? If you are looking for a space to explore how to make changes in your life and increase your motivation and wellbeing, I'm here to help you through healing and growth.
Are you high-achieving yet no matter how much you do, it doesn't feel like enough? Are you at the bottom of your to do list? Do you tend to be nicer to others than your are to yourself? Have you been experiencing difficulty connecting to others and yourself? If you are looking for a space to explore how to make changes in your life and increase your motivation and wellbeing, I'm here to help you through healing and growth.
(720) 806-6958 View (720) 806-6958

See more therapy options for 80128

How does your Therapist compare?

Number of Therapists in 80128

80+

Average cost per session

$150

Therapists in 80128 who prioritize treating:

94% Anxiety
92% Depression
80% Trauma and PTSD
73% Relationship Issues
73% Self Esteem
70% Grief
66% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

75% UnitedHealthcare UHC | UBH
70% Cigna and Evernorth
68% Aetna

How Therapists in 80128 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 80128?

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.