Therapists in Cambrian Park, San Jose, CA

Photo of Laura Silvester, MA, LMFT, Marriage & Family Therapist
Laura Silvester
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Cambrian Park, San Jose, CA 95124
Life presents a multitude of challenges to our capacity to remain grounded and balanced. Additional support can help through stressful and uncertain times. Through the process of therapeutic work, self-discovery can occur in a supportive environment. Whether you are seeking therapy to address anxiety, relationship issues, phase of life changes or depression, I will work collaboratively with you to help facilitate the insight you seek.
Life presents a multitude of challenges to our capacity to remain grounded and balanced. Additional support can help through stressful and uncertain times. Through the process of therapeutic work, self-discovery can occur in a supportive environment. Whether you are seeking therapy to address anxiety, relationship issues, phase of life changes or depression, I will work collaboratively with you to help facilitate the insight you seek.
(408) 669-3626 View (408) 669-3626
Photo of Rebecca Lehman, LMFT, PMH-C, Marriage & Family Therapist
Rebecca Lehman
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
Cambrian Park, San Jose, CA 95118
I work with adults experiencing anxiety and depression and specialize in working with parents. This includes pregnancy, postpartum, and managing the demands of on-going parenting. I am a Certified Perinatal Mental Health Provider through Postpartum Support International and feel honored to support parents through such significant life changes.
I work with adults experiencing anxiety and depression and specialize in working with parents. This includes pregnancy, postpartum, and managing the demands of on-going parenting. I am a Certified Perinatal Mental Health Provider through Postpartum Support International and feel honored to support parents through such significant life changes.
(408) 351-1660 x302 View (408) 351-1660 x302
Photo of Melissa Gutierrez, LCSW, Clinical Social Work/Therapist
Melissa Gutierrez
Clinical Social Work/Therapist, LCSW
Verified Verified
Cambrian Park, San Jose, CA 95124
Hello, my name is Melissa Gutierrez, and I am a Licensed Clinical Social Worker with years of experience working with children and families in my community. I have experience and knowledge working with infants, adolescents, parents, and adults. I have a passion for giving back and supporting my clients who have experienced trauma, loss, anxiety, depression, and disruptive behaviors in their daily lives. I believe in a strengths-based approach and have the training to support my work with clients from diverse backgrounds. I am also bi-lingual, Spanish speaking.
Hello, my name is Melissa Gutierrez, and I am a Licensed Clinical Social Worker with years of experience working with children and families in my community. I have experience and knowledge working with infants, adolescents, parents, and adults. I have a passion for giving back and supporting my clients who have experienced trauma, loss, anxiety, depression, and disruptive behaviors in their daily lives. I believe in a strengths-based approach and have the training to support my work with clients from diverse backgrounds. I am also bi-lingual, Spanish speaking.
(408) 351-0049 View (408) 351-0049
Photo of Tam T Nguyen, PhD, Psychologist
Tam T Nguyen
Psychologist, PhD
Verified Verified
Cambrian Park, San Jose, CA 95124
Navigating the complexities of mental health care can feel overwhelming, and you don't have to face it alone. Whether you are dealing with interpersonal issues, work challenges, depression, anxiety, or trauma, I understand the courage it takes to seek support. My goal is not just to alleviate immediate challenges but to support you to embark on a transformative journey towards personal growth and fulfillment where you can navigate life's complexities with newfound strength and resilience.
Navigating the complexities of mental health care can feel overwhelming, and you don't have to face it alone. Whether you are dealing with interpersonal issues, work challenges, depression, anxiety, or trauma, I understand the courage it takes to seek support. My goal is not just to alleviate immediate challenges but to support you to embark on a transformative journey towards personal growth and fulfillment where you can navigate life's complexities with newfound strength and resilience.
(408) 419-1355 View (408) 419-1355
Photo of Andrea Wang-Rockwell, MA, AMFT, Marriage & Family Therapist Associate
Andrea Wang-Rockwell
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Cambrian Park, San Jose, CA 95124
“Everybody has a story—ask them about it." This philosophy has allowed me to connect with people from all walks of life and has inspired me to want to listen to, help, and serve others. Using my former background in marketing and communications—coupled with my intersectionality and drive for social justice—I am passionate about advocating for diverse, underserved, and underrepresented populations who may be experiencing anything and everything from life transitions to crisis management. As your therapist, I strive to meet you just where you are and treat you holistically as an individual who is uniquely and wonderfully created.
“Everybody has a story—ask them about it." This philosophy has allowed me to connect with people from all walks of life and has inspired me to want to listen to, help, and serve others. Using my former background in marketing and communications—coupled with my intersectionality and drive for social justice—I am passionate about advocating for diverse, underserved, and underrepresented populations who may be experiencing anything and everything from life transitions to crisis management. As your therapist, I strive to meet you just where you are and treat you holistically as an individual who is uniquely and wonderfully created.
(669) 666-6209 View (669) 666-6209
Photo of Robin Greenblat - Robin Greenblat - Neurodiverse Couples Therapy, AMFT, MHA, Marriage & Family Therapist Associate
Robin Greenblat - Neurodiverse Couples Therapy
Marriage & Family Therapist Associate, AMFT, MHA
Verified Verified
2 Endorsed
Cambrian Park, San Jose, CA 95124  (Online Only)
I am passionate about helping individuals and couples in NEURODIVERSE RELATIONSHIPS. Do you feel lost or misunderstood in your marriage? With 30 years of marriage and having adult children, I understand the challenges of communication, emotional connection, and emotional safety. I have worked with elder couples who have adult children struggling with mental illnesses such as addiction, depression, and anxiety. I have experience working in diverse cultures and backgrounds in outpatient clinics, large healthcare systems, and private practices. I believe everyone has a voice and deserves to feel safe, respected, loved, and heard.
I am passionate about helping individuals and couples in NEURODIVERSE RELATIONSHIPS. Do you feel lost or misunderstood in your marriage? With 30 years of marriage and having adult children, I understand the challenges of communication, emotional connection, and emotional safety. I have worked with elder couples who have adult children struggling with mental illnesses such as addiction, depression, and anxiety. I have experience working in diverse cultures and backgrounds in outpatient clinics, large healthcare systems, and private practices. I believe everyone has a voice and deserves to feel safe, respected, loved, and heard.
(408) 669-3565 View (408) 669-3565
Photo of Clint Gaver, LPCC, MA, Marriage & Family Therapist
Clint Gaver
Marriage & Family Therapist, LPCC, MA
Verified Verified
1 Endorsed
Cambrian Park, San Jose, CA 95124  (Online Only)
You want to feel better, but life has shown up, and now you feel depressed, anxious, lonely, or angry. Has your self-esteem dropped? Are you struggling in your relationships? Do you: Berate yourself? Use drugs, alcohol, or other compulsive behaviors to cope with life? Do you have unresolved grief, trauma, or shame? Do you believe the lies your inner critic tells you? If YES, you've found the right place to transform your life. I provide a safe, compassionate, and nonjudgmental setting, using evidence-based theories that fit your situation. "Thank you Clint! I have finally taken control of my emotions and like myself today" -Kim.
You want to feel better, but life has shown up, and now you feel depressed, anxious, lonely, or angry. Has your self-esteem dropped? Are you struggling in your relationships? Do you: Berate yourself? Use drugs, alcohol, or other compulsive behaviors to cope with life? Do you have unresolved grief, trauma, or shame? Do you believe the lies your inner critic tells you? If YES, you've found the right place to transform your life. I provide a safe, compassionate, and nonjudgmental setting, using evidence-based theories that fit your situation. "Thank you Clint! I have finally taken control of my emotions and like myself today" -Kim.
(408) 981-4700 View (408) 981-4700
Photo of Diane C Petroni, PhD, LMFT, Marriage & Family Therapist
Diane C Petroni
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Cambrian Park, San Jose, CA 95118
Do you feel controlled by food, rather than in control of it ? Are you obsessed with eating, dieting or bingeing? Does your scale determine your mood? Is your life strongly impacted by your weight? Life doesn't have to be a weight struggle. Learn the difference between head and body hunger. Decipher what your obsessive behavior is really saying. Acquire physical, mental and emotional balance. Whether it is eating, drinking, anger, spending, controlling, an addiction is a mal-adaptive attempt at managing feelings and escaping discomfort.
Do you feel controlled by food, rather than in control of it ? Are you obsessed with eating, dieting or bingeing? Does your scale determine your mood? Is your life strongly impacted by your weight? Life doesn't have to be a weight struggle. Learn the difference between head and body hunger. Decipher what your obsessive behavior is really saying. Acquire physical, mental and emotional balance. Whether it is eating, drinking, anger, spending, controlling, an addiction is a mal-adaptive attempt at managing feelings and escaping discomfort.
(408) 266-7826 x104 View (408) 266-7826 x104
Photo of Kathryn (Katie) Wampler, MA, AMFT, Marriage & Family Therapist Associate
Kathryn (Katie) Wampler
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Cambrian Park, San Jose, CA 95124
We are surrounded by feedback, sometimes even dependent on it. Everyone has an opinion for us. Perhaps you have become so accustomed to the sounds of other voices speaking into your life that you aren’t even sure what your own voice sounds like anymore. Finding a place where you can be truly heard, without the pressure of taking on someone else’s “should” for your life, can be a struggle.
We are surrounded by feedback, sometimes even dependent on it. Everyone has an opinion for us. Perhaps you have become so accustomed to the sounds of other voices speaking into your life that you aren’t even sure what your own voice sounds like anymore. Finding a place where you can be truly heard, without the pressure of taking on someone else’s “should” for your life, can be a struggle.
(408) 521-1225 View (408) 521-1225
Photo of Cassie Richards, LMFT, Marriage & Family Therapist
Cassie Richards
Marriage & Family Therapist, LMFT
Verified Verified
Cambrian Park, San Jose, CA 95154  (Online Only)
Do you feel the pressure to “have it all together”? With the stress of today's world, I help people take a closer look at what no longer serves them and how to build the life and relationships you want. I specialize with working with adults experiencing anxiety, including panic disorder, relationship issues, and more. I also have a passion for men’s mental health as I have found that men can struggle to find a place where they feel heard, understood, and validated without judgment; and I work to cultivate a safe and supportive space for all.
Do you feel the pressure to “have it all together”? With the stress of today's world, I help people take a closer look at what no longer serves them and how to build the life and relationships you want. I specialize with working with adults experiencing anxiety, including panic disorder, relationship issues, and more. I also have a passion for men’s mental health as I have found that men can struggle to find a place where they feel heard, understood, and validated without judgment; and I work to cultivate a safe and supportive space for all.
(408) 214-6354 View (408) 214-6354
Photo of Holly-Marie Arce, PsyD, Psychologist
Holly-Marie Arce
Psychologist, PsyD
Verified Verified
1 Endorsed
Cambrian Park, San Jose, CA 95124
Dr. Arce is a licensed clinical psychologist, experienced in working with multicultural individuals, and catering treatment to patient's needs. She has worked in multiple settings including: university counseling, hospitals, medical school, and community mental health agencies. Dr. Arce specializes in ADHD assessment, couples in pre-marital counseling, life transitions, anxiety disorders, depression, heath-related difficulties, relationships, and spiritual development. Communication of needs and progress are reviewed regularly to ensure that each patient finds value in the time spent in treatment.
Dr. Arce is a licensed clinical psychologist, experienced in working with multicultural individuals, and catering treatment to patient's needs. She has worked in multiple settings including: university counseling, hospitals, medical school, and community mental health agencies. Dr. Arce specializes in ADHD assessment, couples in pre-marital counseling, life transitions, anxiety disorders, depression, heath-related difficulties, relationships, and spiritual development. Communication of needs and progress are reviewed regularly to ensure that each patient finds value in the time spent in treatment.
(408) 669-4076 View (408) 669-4076
Photo of Barbara Jandu, MA, AMFT, Marriage & Family Therapist Associate
Barbara Jandu
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
Cambrian Park, San Jose, CA 95124  (Online Only)
If you've suffered from grief, loss, miscarriage, depression, anxiety, or anger, I may be a good fit to help you work through things and find your way forward. There is hope. I can give you hands-on tools to try at home, and even help you laugh again. Working together, we'll set goals based on your values, then help you meet them using and empathetic evidence-based approach. It takes strength to take the first step. As a Christian therapist, I'll meet you where you are and be with you every step of the way.
If you've suffered from grief, loss, miscarriage, depression, anxiety, or anger, I may be a good fit to help you work through things and find your way forward. There is hope. I can give you hands-on tools to try at home, and even help you laugh again. Working together, we'll set goals based on your values, then help you meet them using and empathetic evidence-based approach. It takes strength to take the first step. As a Christian therapist, I'll meet you where you are and be with you every step of the way.
(408) 478-2158 View (408) 478-2158
Photo of Ben Raskin, AMFT, Marriage & Family Therapist Associate
Ben Raskin
Marriage & Family Therapist Associate, AMFT
Verified Verified
Cambrian Park, San Jose, CA 95124  (Online Only)
If you’re facing loneliness, relationship challenges, stress, anxiety, depression, or if you’re overwhelmed by intense emotions and thoughts, remember: you don’t have to deal with it alone. Allow me to join your journey towards a more fulfilling life. I offer short-term counseling as well as longer-term therapy. I also provide daily mental health check-ins.
If you’re facing loneliness, relationship challenges, stress, anxiety, depression, or if you’re overwhelmed by intense emotions and thoughts, remember: you don’t have to deal with it alone. Allow me to join your journey towards a more fulfilling life. I offer short-term counseling as well as longer-term therapy. I also provide daily mental health check-ins.
(669) 219-2306 View (669) 219-2306
Photo of Lori Tucker Howard, MA, LMFT, Marriage & Family Therapist
Lori Tucker Howard
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cambrian Park, San Jose, CA 95124  (Online Only)
Are you experiencing the loss of a loved one, a relationship or a job, or perhaps you have lost your sense of self and just feel stuck? Are you struggling with marriage or relationship issues or transitions in life and just don't know how to move forward? You are not alone. I believe that we all can achieve a deeper understanding of ourselves and find purpose within a safe relationship which therapy can provide.
Are you experiencing the loss of a loved one, a relationship or a job, or perhaps you have lost your sense of self and just feel stuck? Are you struggling with marriage or relationship issues or transitions in life and just don't know how to move forward? You are not alone. I believe that we all can achieve a deeper understanding of ourselves and find purpose within a safe relationship which therapy can provide.
(669) 232-8085 View (669) 232-8085
Photo of Christina Yip, MA, Marriage & Family Therapist
Christina Yip
Marriage & Family Therapist, MA
Verified Verified
Cambrian Park, San Jose, CA 95124
As a therapist, my biggest reward is to see my clients transformed after being healed from issues with mood swings, relationships, parenting, cultural conflicts, family origin, past traumatic experiences, and abuse. I care deeply for each of my clients and I do my best to ensure that each and every one of them gets the help he or she seeks.
As a therapist, my biggest reward is to see my clients transformed after being healed from issues with mood swings, relationships, parenting, cultural conflicts, family origin, past traumatic experiences, and abuse. I care deeply for each of my clients and I do my best to ensure that each and every one of them gets the help he or she seeks.
(408) 217-0834 View (408) 217-0834
Photo of Dr. Debbie Francis, PsyD, MA, BSR, Psychologist
Dr. Debbie Francis
Psychologist, PsyD, MA, BSR
Verified Verified
Cambrian Park, San Jose, CA 95124
*CURRENTLY ACCEPTING NEW MEDICARE PATIENTS* I work with adults struggling with a wide range of challenges including loss of relationships, life transitions, and personal problems like anxiety, depression, addiction, or trauma. Life can be difficult but you don't have to figure it out all alone. I can help you. Together, we'll create a safe space where you'll gain insight and perspective into thoughts, feelings, and behaviors that are no longer working for you. With these understandings, you'll be able to make better choices and positive life changes. By working through your pain, you'll gain a self-awareness you didn't have before.
*CURRENTLY ACCEPTING NEW MEDICARE PATIENTS* I work with adults struggling with a wide range of challenges including loss of relationships, life transitions, and personal problems like anxiety, depression, addiction, or trauma. Life can be difficult but you don't have to figure it out all alone. I can help you. Together, we'll create a safe space where you'll gain insight and perspective into thoughts, feelings, and behaviors that are no longer working for you. With these understandings, you'll be able to make better choices and positive life changes. By working through your pain, you'll gain a self-awareness you didn't have before.
(408) 207-4564 View (408) 207-4564
Child & Family Counseling Group, Inc
Marriage & Family Therapist, LMFT
Verified Verified
Cambrian Park, San Jose, CA 95124
We help young children who are struggling with behavioral issues and "big feelings." There can be many factors which have led to a place where kids are just not thriving at home, at school or with friends. Sometimes it's been about an event like a move or divorce or bullying at school or a death in the family. Sometimes there are learning or sensory challenges on top of these life events which have made coping even more challenging. Sometimes we can't figure out a cause! But this doesn't mean we can't figure out a solution!
We help young children who are struggling with behavioral issues and "big feelings." There can be many factors which have led to a place where kids are just not thriving at home, at school or with friends. Sometimes it's been about an event like a move or divorce or bullying at school or a death in the family. Sometimes there are learning or sensory challenges on top of these life events which have made coping even more challenging. Sometimes we can't figure out a cause! But this doesn't mean we can't figure out a solution!
(408) 539-1216 View (408) 539-1216
Photo of Kara Starkey, MA, MFT, Marriage & Family Therapist
Kara Starkey
Marriage & Family Therapist, MA, MFT
Verified Verified
Cambrian Park, San Jose, CA 95124
Not accepting new clients
Change can be difficult -- Allow me to help you succeed on your journey! Throughout my years of experience, I've found great joy and satisfaction in helping children, adolescents, adults, couples, and families. I work with children treating for phobias, unhappiness, divorce, grief, separation issues, abuse, neglect, poor self-esteem, and problems adjusting to life transitions. I use a combination of play therapy, art therapy, and talk therapy, as appropriate per the child's developmental level.
Change can be difficult -- Allow me to help you succeed on your journey! Throughout my years of experience, I've found great joy and satisfaction in helping children, adolescents, adults, couples, and families. I work with children treating for phobias, unhappiness, divorce, grief, separation issues, abuse, neglect, poor self-esteem, and problems adjusting to life transitions. I use a combination of play therapy, art therapy, and talk therapy, as appropriate per the child's developmental level.
(408) 759-5147 View (408) 759-5147
Photo of Margaret Caroline Wang, MA, LMFT, Marriage & Family Therapist
Margaret Caroline Wang
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Cambrian Park, San Jose, CA 95124  (Online Only)
My ideal client is someone that’s ready to delve deeper. This person may be struggling to get out of bed or may be overwhelmed by their thoughts. Perhaps these habits impact their motivation or energy levels. This person may notice that their self-doubt interferes with their goals and overall meaning in life. My specialties include depression, and anxiety. My goal is to create a safe and non-judgmental space so that you can learn to cope with difficult feelings, and develop a sense of confidence in yourself. I have successfully worked with athletes and their performance anxiety.
My ideal client is someone that’s ready to delve deeper. This person may be struggling to get out of bed or may be overwhelmed by their thoughts. Perhaps these habits impact their motivation or energy levels. This person may notice that their self-doubt interferes with their goals and overall meaning in life. My specialties include depression, and anxiety. My goal is to create a safe and non-judgmental space so that you can learn to cope with difficult feelings, and develop a sense of confidence in yourself. I have successfully worked with athletes and their performance anxiety.
View
Rosemarie Carver
Clinical Social Work/Therapist, LCSW
Verified Verified
Cambrian Park, San Jose, CA 95124
Stag of life issues for client. Job ,relationship issues, Additions. Depression. aging and mental health/depression.
Stag of life issues for client. Job ,relationship issues, Additions. Depression. aging and mental health/depression.
(408) 831-6981 View (408) 831-6981
1
...

See more therapy options for Cambrian Park, San Jose

How does your Therapist compare?

Number of Therapists in Cambrian Park, San Jose, CA

200+

Average cost per session

$185

Therapists in Cambrian Park, San Jose, CA who prioritize treating:

93% Anxiety
88% Depression
81% Relationship Issues
79% Self Esteem
70% Stress
66% Grief
66% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

64% Aetna
63% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in Cambrian Park, San Jose, CA see their clients

74% In Person and Online
26% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cambrian Park, San Jose?

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.