Photo of Yvette Weeks, LMFT, Marriage & Family Therapist
Yvette Weeks
Marriage & Family Therapist, LMFT
Verified Verified
Oceanside, CA 92057
Hello! My name is Yvette Weeks, a Licensed Marriage and Family Therapist (LMFT). My therapeutic approach is centered on fostering meaningful connections, emotional well-being, and personal growth. I specialize in working with individuals, children, and families; guiding them through challenges to discover their strengths, learn new techniques, and create positive change. I typically work with individuals, families, and children/adolescents focusing on a wide range of issues, including relationship difficulties, anxiety, depression, communication challenges, behavior issues, parenting challenges, and life transitions.
Hello! My name is Yvette Weeks, a Licensed Marriage and Family Therapist (LMFT). My therapeutic approach is centered on fostering meaningful connections, emotional well-being, and personal growth. I specialize in working with individuals, children, and families; guiding them through challenges to discover their strengths, learn new techniques, and create positive change. I typically work with individuals, families, and children/adolescents focusing on a wide range of issues, including relationship difficulties, anxiety, depression, communication challenges, behavior issues, parenting challenges, and life transitions.
(760) 659-7345 View (760) 659-7345
Photo of Walter Combs, LCSW, Clinical Social Work/Therapist
Walter Combs
Clinical Social Work/Therapist, LCSW
Verified Verified
Oceanside, CA 92057
I use a CBT and DBT approach and include the Mind-Body connection. Sometimes we "feel" our anxiety, depression, trauma, etc... and that keeps us locked in the past or the future. I find if you can calm your body and your symptoms, exploring the cause is less of a chore. I started in Behavioral Therapy 14 years ago as a Drug and Alcohol Counselor.
I use a CBT and DBT approach and include the Mind-Body connection. Sometimes we "feel" our anxiety, depression, trauma, etc... and that keeps us locked in the past or the future. I find if you can calm your body and your symptoms, exploring the cause is less of a chore. I started in Behavioral Therapy 14 years ago as a Drug and Alcohol Counselor.
(760) 441-6204 View (760) 441-6204
Photo of Mariam Abdelshashed, Marriage & Family Therapist Associate
Mariam Abdelshashed
Marriage & Family Therapist Associate
Verified Verified
4 Endorsed
Oceanside, CA 92057  (Online Only)
Hello! My name is Mariam Abdelshashed AMFT 138549. I am a bilingual English/Arabic speaking AMFT under the supervision of Roger Douglas LMFT 124878. If you ever feel lonely, depressed, anxious, overwhelmed, or lost please allow me to carry your burden with you. I've been working and helping people in this field for more than 7 vears until now. I have almost two bachelor degree and I finished my master in Art of marriage and family therapy 2022. I've been working with adults, couples, and families in different countries, different cultures, beliefs, backgrounds and ages. I will do my best to help you move forward.
Hello! My name is Mariam Abdelshashed AMFT 138549. I am a bilingual English/Arabic speaking AMFT under the supervision of Roger Douglas LMFT 124878. If you ever feel lonely, depressed, anxious, overwhelmed, or lost please allow me to carry your burden with you. I've been working and helping people in this field for more than 7 vears until now. I have almost two bachelor degree and I finished my master in Art of marriage and family therapy 2022. I've been working with adults, couples, and families in different countries, different cultures, beliefs, backgrounds and ages. I will do my best to help you move forward.
(760) 316-6978 View (760) 316-6978
Photo of Hannah Hoffman, LCSW, Clinical Social Work/Therapist
Hannah Hoffman
Clinical Social Work/Therapist, LCSW
Verified Verified
Oceanside, CA 92057
My name is Hannah Hoffman (she/they) and I am a Licensed Clinical Social Worker (LCSW) - I aim to provide a place where you are free to be yourself. My desire is to create an environment where you become more connected to yourself which provides the tools to connect with others. I work side by side with my clients to find practical tools that will help them lead the life they want to live. I enjoy working with clients of all ages, from adolescents to older adults.
My name is Hannah Hoffman (she/they) and I am a Licensed Clinical Social Worker (LCSW) - I aim to provide a place where you are free to be yourself. My desire is to create an environment where you become more connected to yourself which provides the tools to connect with others. I work side by side with my clients to find practical tools that will help them lead the life they want to live. I enjoy working with clients of all ages, from adolescents to older adults.
(760) 258-4733 View (760) 258-4733
Photo of Dani Knoll, MA, Marriage & Family Therapist Associate
Dani Knoll
Marriage & Family Therapist Associate, MA
Verified Verified
5 Endorsed
Oceanside, CA 92057  (Online Only)
Hi! I'm Dani, and I see couples. Whether you are doing the work of repairing, growing, or separating, couples counseling is a path to mutual understanding. For couples who would like to stay together, it’s worth reflecting on what brought you together in the first place. Things like how you met, what clicked, and why you stayed can inform what makes you hang in there now. I find that’s a nice place to start if you’re keeping the bond, sometimes even if you’re not. Wherever you are at in your dynamic, we’ll go into what you would like to see happen here.
Hi! I'm Dani, and I see couples. Whether you are doing the work of repairing, growing, or separating, couples counseling is a path to mutual understanding. For couples who would like to stay together, it’s worth reflecting on what brought you together in the first place. Things like how you met, what clicked, and why you stayed can inform what makes you hang in there now. I find that’s a nice place to start if you’re keeping the bond, sometimes even if you’re not. Wherever you are at in your dynamic, we’ll go into what you would like to see happen here.
(760) 227-2890 View (760) 227-2890
Photo of Eryn Sparzo - Phoenix Rising Interventions, LMFT, CIP, Marriage & Family Therapist
Phoenix Rising Interventions
Marriage & Family Therapist, LMFT, CIP
Verified Verified
Oceanside, CA 92057
If you or a loved one are struggling with Mental Health and/or Chemical Dependency and you need help navigating what can be a very overwhelming process, we are here for you. Our team includes a Licensed Trauma-Focused Therapist and a Certified Intervention Professional who are committed to supporting individuals and families seeking healing and recovery.
If you or a loved one are struggling with Mental Health and/or Chemical Dependency and you need help navigating what can be a very overwhelming process, we are here for you. Our team includes a Licensed Trauma-Focused Therapist and a Certified Intervention Professional who are committed to supporting individuals and families seeking healing and recovery.
(760) 647-8551 View (760) 647-8551
Photo of Dr. Roger Peter Douglas, PsyD, LMFT, Marriage & Family Therapist
Dr. Roger Peter Douglas
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
5 Endorsed
Oceanside, CA 92057
My name is Dr. Roger Douglas, PsyD, LMFT 124878. I am a psychologist, licensed Marriage and Family Therapist and a USMC Veteran. I offer mental health services to Individuals and Groups using evidence-based practices. The theoretical approach I utilize will depend on your presenting problems. Some of these approaches are, Cognitive Theories, Post Modern Theories, Psychodynamic Theories, Client Centered Theories, Systems.
My name is Dr. Roger Douglas, PsyD, LMFT 124878. I am a psychologist, licensed Marriage and Family Therapist and a USMC Veteran. I offer mental health services to Individuals and Groups using evidence-based practices. The theoretical approach I utilize will depend on your presenting problems. Some of these approaches are, Cognitive Theories, Post Modern Theories, Psychodynamic Theories, Client Centered Theories, Systems.
(760) 254-8137 View (760) 254-8137
Photo of Kacey Klein, LMFT, Marriage & Family Therapist
Kacey Klein
Marriage & Family Therapist, LMFT
Verified Verified
Oceanside, CA 92057  (Online Only)
You are taking the first step in improving your emotional and mental health. Although difficult at first, it can feel easy in a safe, positive, therapeutic setting. In my office, therapy is a team effort and a journey we go through side by side. We work together, drawing on your unique needs, capacities and personal stories to build on your strengths, achieve peace of mind, and reach your goals. Peace of mind is different for each person. I work with you to help you find and sustain it. With my honest approach to therapy, I can help you discover your authentic self and answers to life's challenges.
You are taking the first step in improving your emotional and mental health. Although difficult at first, it can feel easy in a safe, positive, therapeutic setting. In my office, therapy is a team effort and a journey we go through side by side. We work together, drawing on your unique needs, capacities and personal stories to build on your strengths, achieve peace of mind, and reach your goals. Peace of mind is different for each person. I work with you to help you find and sustain it. With my honest approach to therapy, I can help you discover your authentic self and answers to life's challenges.
(760) 990-7080 View (760) 990-7080
Photo of Jenavieve Donnelly - Jenavieve Donnelly Counseling Services, LCSW, Clinical Social Work/Therapist
Jenavieve Donnelly Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Oceanside, CA 92057  (Online Only)
Hi, I'm Jenavieve, an LCSW with over 17 years of experience. I work with First Responders, Veterans, and adults (18-60) that have experienced traumatic events. I work best with individuals who are motivated and ready to work through and unpack their wounds, regrets, shame, hurt. I provide a safe place to connect and ensure that a trusting environment is in place before we begin to do the heavy work. If you're ready, please give me a call. My job is to help you figure out what is keeping you stuck from moving forward and living the life you want.
Hi, I'm Jenavieve, an LCSW with over 17 years of experience. I work with First Responders, Veterans, and adults (18-60) that have experienced traumatic events. I work best with individuals who are motivated and ready to work through and unpack their wounds, regrets, shame, hurt. I provide a safe place to connect and ensure that a trusting environment is in place before we begin to do the heavy work. If you're ready, please give me a call. My job is to help you figure out what is keeping you stuck from moving forward and living the life you want.
(972) 449-7987 View (972) 449-7987
Photo of Carol Fowlkes, LCSW, Clinical Social Work/Therapist
Carol Fowlkes
Clinical Social Work/Therapist, LCSW
Verified Verified
Oceanside, CA 92057
My name is Carol Fowlkes, and I am a licensed clinical social worker (LCSW) based in Los Angeles, CA seeing clients via Telehealth. I work with adults and specialize in depression, anxiety, PTSD, and ADHD utilizing holistic interventions and cognitive behavior therapy. I have found my approach to be a good fit for individuals currently at an impasse in life and are preparing for change. When change is happening, we oftentimes need to re-assess the tools we have used in the past and check in with our needs. The change we are not prepared for can take the form of anxiety, depression, and stress which impacts our overall functioning.
My name is Carol Fowlkes, and I am a licensed clinical social worker (LCSW) based in Los Angeles, CA seeing clients via Telehealth. I work with adults and specialize in depression, anxiety, PTSD, and ADHD utilizing holistic interventions and cognitive behavior therapy. I have found my approach to be a good fit for individuals currently at an impasse in life and are preparing for change. When change is happening, we oftentimes need to re-assess the tools we have used in the past and check in with our needs. The change we are not prepared for can take the form of anxiety, depression, and stress which impacts our overall functioning.
(760) 654-6801 View (760) 654-6801
Photo of Celeste Charbonnet-Cross, MA, LMFT, Marriage & Family Therapist
Celeste Charbonnet-Cross
Marriage & Family Therapist, MA, LMFT
Verified Verified
Oceanside, CA 92057
I have over 20 years of experience in helping individuals, couples and families move through the anger, hurt and fear often associated with difficult life transitions. I believe that while we cannot directly change events that happen in our lives, most of us can learn to change our perceptions about these issues.
I have over 20 years of experience in helping individuals, couples and families move through the anger, hurt and fear often associated with difficult life transitions. I believe that while we cannot directly change events that happen in our lives, most of us can learn to change our perceptions about these issues.
(818) 581-4018 View (818) 581-4018
Photo of Rebekah Taylor, LCSW, Clinical Social Work/Therapist
Rebekah Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
Oceanside, CA 92057
My name is Rebekah, and over the past 10 years social work and social equality has been my focus in my career. I have been working with youth and families for my entire career and have found joy in the success of others and watching individuals grow into their most authentic selves. I have a passion for family systems and understanding the role each individual has. My experience has been in substance use, individuals who have been unhoused, victims of sexual abuse, child abuse/neglect, domestic violence, and adult children of substance users.
My name is Rebekah, and over the past 10 years social work and social equality has been my focus in my career. I have been working with youth and families for my entire career and have found joy in the success of others and watching individuals grow into their most authentic selves. I have a passion for family systems and understanding the role each individual has. My experience has been in substance use, individuals who have been unhoused, victims of sexual abuse, child abuse/neglect, domestic violence, and adult children of substance users.
(760) 349-4328 View (760) 349-4328
Photo of John Dury, LMFT, Marriage & Family Therapist
John Dury
Marriage & Family Therapist, LMFT
Verified Verified
Oceanside, CA 92057
John Dury is an experienced professional counselor and marriage and family therapist who has been in practice for more than 25 years. John is also a Master Addiction Counselor as well as a member of the American Association for Marriage and Family Therapy. I work with those experiencing a wide variety of issues that affect relationships such as anxiety, depression, anger, conflict resolution, and substance and process addictions.
John Dury is an experienced professional counselor and marriage and family therapist who has been in practice for more than 25 years. John is also a Master Addiction Counselor as well as a member of the American Association for Marriage and Family Therapy. I work with those experiencing a wide variety of issues that affect relationships such as anxiety, depression, anger, conflict resolution, and substance and process addictions.
(760) 389-3771 View (760) 389-3771
Photo of Nikisha Brown, LCSW, Clinical Social Work/Therapist
Nikisha Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Oceanside, CA 92057
Hi! My name is Nikisha Brown. I am a licensed clinician. I work from a multidimensional approach to support my clients and provide a safe and judgment-free space for individuals to express themselves, feel seen and heard as they navigate life’s transitions and challenges. My Therapeutic approach to providing therapy includes CBT, Solution Focus, Motivational Interviewing, and Psychoeducation. I am always reviewing new therapeutic approaches that would support my clients' needs. I work with individuals who have anxiety, stress, depression, and self-esteem issues.
Hi! My name is Nikisha Brown. I am a licensed clinician. I work from a multidimensional approach to support my clients and provide a safe and judgment-free space for individuals to express themselves, feel seen and heard as they navigate life’s transitions and challenges. My Therapeutic approach to providing therapy includes CBT, Solution Focus, Motivational Interviewing, and Psychoeducation. I am always reviewing new therapeutic approaches that would support my clients' needs. I work with individuals who have anxiety, stress, depression, and self-esteem issues.
(760) 452-9855 View (760) 452-9855
Photo of Frank John Trapani, LCSW, Clinical Social Work/Therapist
Frank John Trapani
Clinical Social Work/Therapist, LCSW
Verified Verified
Oceanside, CA 92057  (Online Only)
Hello, I'm Frank Trapani, a Licensed Clinical Social Worker (LCSW). Congratulations on initiating this important step towards your personal growth and wellness. The field of psychology and mental health can be confusing, often generating more questions than solutions. I offer a practical, straightforward, and compassionate approach to improving mental health, relationships, and overall wellbeing. We don’t have to continue playing out the script that we inherited; instead, we can work towards carving out a life that feels authentic, exciting, and filled with joy.
Hello, I'm Frank Trapani, a Licensed Clinical Social Worker (LCSW). Congratulations on initiating this important step towards your personal growth and wellness. The field of psychology and mental health can be confusing, often generating more questions than solutions. I offer a practical, straightforward, and compassionate approach to improving mental health, relationships, and overall wellbeing. We don’t have to continue playing out the script that we inherited; instead, we can work towards carving out a life that feels authentic, exciting, and filled with joy.
(760) 903-7243 View (760) 903-7243
Photo of Eryn Katheryn Sparzo, LMFT, CIP, Marriage & Family Therapist
Eryn Katheryn Sparzo
Marriage & Family Therapist, LMFT, CIP
Verified Verified
Oceanside, CA 92057
I am a licensed Marriage and Family therapist who cares deeply about my clients and their healing. My goal is to help you identify and heal from trauma, past and present that prevents you from living your best life. In addition to cognitive and solution focused therapy, I am trained in somatic modalities such as EMDR, Brainspotting, Hypnotherapy and LENS Neurofeedback. Because I believe everyone is uniquely designed, I use an integrated approach to therapy and work closely with you to create a customized treatment plan.
I am a licensed Marriage and Family therapist who cares deeply about my clients and their healing. My goal is to help you identify and heal from trauma, past and present that prevents you from living your best life. In addition to cognitive and solution focused therapy, I am trained in somatic modalities such as EMDR, Brainspotting, Hypnotherapy and LENS Neurofeedback. Because I believe everyone is uniquely designed, I use an integrated approach to therapy and work closely with you to create a customized treatment plan.
(916) 823-8697 View (916) 823-8697
Photo of Connie Yang, MA, Marriage & Family Therapist Associate
Connie Yang
Marriage & Family Therapist Associate, MA
Verified Verified
3 Endorsed
Oceanside, CA 92057  (Online Only)
It’s hard and confusing being a teenager! So many transitions, so many new social cues to learn, so many changes! Of course, all these new changes can feel overwhelming. Parents of teens, I understand how hard it can be to understand them and/or to emotionally support them especially during this crucial time. Your teen may be feeling more anxious and/or depressed, lost in knowing how to navigate new challenges and transitions.
It’s hard and confusing being a teenager! So many transitions, so many new social cues to learn, so many changes! Of course, all these new changes can feel overwhelming. Parents of teens, I understand how hard it can be to understand them and/or to emotionally support them especially during this crucial time. Your teen may be feeling more anxious and/or depressed, lost in knowing how to navigate new challenges and transitions.
(760) 428-1821 View (760) 428-1821
Photo of Margaret Effinger, LCSW, Clinical Social Work/Therapist
Margaret Effinger
Clinical Social Work/Therapist, LCSW
Verified Verified
Oceanside, CA 92057  (Online Only)
We all want to feel heard and secure when we are sharing and exploring our most difficult emotions and memories. Everyone struggles with something, whether it be anxiety, depression, parenting difficulties, grief, or the daily stress of jetting from one responsibility to the next. It is important to take time to care for yourself and work through the issues that are causing you to feel difficult emotions and impacting your day to day functioning. My focus is on being a non-judgmental, supportive presence for you, while also walking through whatever difficulties you may be facing, together.
We all want to feel heard and secure when we are sharing and exploring our most difficult emotions and memories. Everyone struggles with something, whether it be anxiety, depression, parenting difficulties, grief, or the daily stress of jetting from one responsibility to the next. It is important to take time to care for yourself and work through the issues that are causing you to feel difficult emotions and impacting your day to day functioning. My focus is on being a non-judgmental, supportive presence for you, while also walking through whatever difficulties you may be facing, together.
(760) 274-0388 View (760) 274-0388
Photo of Dr. Kristina Welker, PsyD, LPCC
Dr. Kristina Welker
Licensed Professional Clinical Counselor, PsyD, LPCC
Verified Verified
Oceanside, CA 92057  (Online Only)
Having been in private practice 22 years, happily married for 31 years, and surviving grief and trauma, provide me with the expertise that I need to teach you how to overcome and thrive in spite of any personal challenges that you may be facing.
Having been in private practice 22 years, happily married for 31 years, and surviving grief and trauma, provide me with the expertise that I need to teach you how to overcome and thrive in spite of any personal challenges that you may be facing.
(760) 417-6765 View (760) 417-6765
Photo of Shavontae Golden-McCants, LMFT, Marriage & Family Therapist
Shavontae Golden-McCants
Marriage & Family Therapist, LMFT
Verified Verified
Oceanside, CA 92057
Welcome, my name is Shavontae and I am a Licensed Marriage and Family Therapist. I have experience working with adolescents/teens, adults and their families. As someone who has gone through a life-changing event, I am passionate about supporting others and their families to overcome challenges related to coping with Multiple Sclerosis (MS) and other chronic illnesses and about bringing awareness of how a chronic illness can have a major impact on an individual and their families’ mental health. Chronic illnesses can causes depression, anxiety, stress, anger, grief and I am here to support you through it.
Welcome, my name is Shavontae and I am a Licensed Marriage and Family Therapist. I have experience working with adolescents/teens, adults and their families. As someone who has gone through a life-changing event, I am passionate about supporting others and their families to overcome challenges related to coping with Multiple Sclerosis (MS) and other chronic illnesses and about bringing awareness of how a chronic illness can have a major impact on an individual and their families’ mental health. Chronic illnesses can causes depression, anxiety, stress, anger, grief and I am here to support you through it.
(760) 284-6734 View (760) 284-6734
1

How does your Therapist compare?

Number of Therapists in 92057

80+

Average cost per session

$150

Therapists in 92057 who prioritize treating:

88% Depression
87% Anxiety
67% Coping Skills
65% Relationship Issues
59% Stress
57% Self Esteem
54% Grief

Average years in practice

11 Years

Top 3 insurances accepted

93% Aetna
87% Cigna and Evernorth
87% UnitedHealthcare UHC | UBH

How Therapists in 92057 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92057?

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.