Therapists in Breezy Point, NY

Photo of Denise P. Levine, LCSW, Clinical Social Work/Therapist
Denise P. Levine
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Breezy Point, NY 11697
I have been a therapist in private practice for almost thirty years working with all age groups. Some of the issues that I work with are anxiety, depression, grief, recovery, OCD and PTSD. I use kindness, sensitivity and openness in my work with individuals, couples and families. I use an eclectic approach with the focus being on the individual's needs and issues. I have a variety of experience that I bring to my work. I am also an artist and use art as a therapeutic tool.
I have been a therapist in private practice for almost thirty years working with all age groups. Some of the issues that I work with are anxiety, depression, grief, recovery, OCD and PTSD. I use kindness, sensitivity and openness in my work with individuals, couples and families. I use an eclectic approach with the focus being on the individual's needs and issues. I have a variety of experience that I bring to my work. I am also an artist and use art as a therapeutic tool.
(718) 736-2481 View (718) 736-2481
Cristi Riccio-Keane
Counselor, LMHC
Verified Verified
Breezy Point, NY 11697  (Online Only)
Are you or your tween/teen struggling with issues related to anxiety, depression, grief, trauma, school or work related issues, parenting, relationship issues, or major life changes? There comes a time when we need help from a licensed professional to help cope with many of life’s challenges including: Depression Anxiety & Stress Management Social & Emotional/Emotional Intelligence Skill Building with children & teens Maternal Mental health, Post partum depression/anxiety,Pregnancy loss & fertility issues,Parenting issues,Major Life Transitions Relationship Issues, and more
Are you or your tween/teen struggling with issues related to anxiety, depression, grief, trauma, school or work related issues, parenting, relationship issues, or major life changes? There comes a time when we need help from a licensed professional to help cope with many of life’s challenges including: Depression Anxiety & Stress Management Social & Emotional/Emotional Intelligence Skill Building with children & teens Maternal Mental health, Post partum depression/anxiety,Pregnancy loss & fertility issues,Parenting issues,Major Life Transitions Relationship Issues, and more
(646) 776-1892 View (646) 776-1892
Photo of Antoinette Conte, LMSW
Antoinette Conte
LMSW
Verified Verified
Breezy Point, NY 11697
When was the last time you were truly happy? Why do you overeat? Why do you overreact in certain situations? Sometimes all we need is support to help us look into the mirror and find answers. Emotional well-being is what I focus on. Learn to handle the stress that comes from anxiety and depression. Using evidence-based therapeutic interventions, let's help get your life back on track and empower you.
When was the last time you were truly happy? Why do you overeat? Why do you overreact in certain situations? Sometimes all we need is support to help us look into the mirror and find answers. Emotional well-being is what I focus on. Learn to handle the stress that comes from anxiety and depression. Using evidence-based therapeutic interventions, let's help get your life back on track and empower you.
(646) 437-8216 View (646) 437-8216
Photo of Majida Taleb, LCSW, Clinical Social Work/Therapist
Majida Taleb
Clinical Social Work/Therapist, LCSW
Verified Verified
Breezy Point, NY 11697
I strive to remain trauma-informed and anti-oppressive in my approach, and I am committed to safety, openness and care in my practice. As an Australian born to immigrant parents and now settled in New York City, I have personal experience in coping with cross cultural transition. I am curious and sensitive to how race, ethnicity, and gender influence our being in the world, and mindful of this in my therapeutic work.
I strive to remain trauma-informed and anti-oppressive in my approach, and I am committed to safety, openness and care in my practice. As an Australian born to immigrant parents and now settled in New York City, I have personal experience in coping with cross cultural transition. I am curious and sensitive to how race, ethnicity, and gender influence our being in the world, and mindful of this in my therapeutic work.
(718) 747-9285 View (718) 747-9285

More Therapists Nearby

Photo of Yelena Zaychik - Life in Progress Mental Health Counseling Center, LMHC
Life in Progress Mental Health Counseling Center
LMHC
Verified Verified
1 Endorsed
Brooklyn, NY 11235
Life can be an incredible ride with ups and downs that may be difficult to deal with. If you've hit a roadblock or feel like life is getting to be too much to handle, we are here to help. Our goal is to help you live your life to its fullest potential. Interested in diversifying your experiences to ones that support growth and accomplishment as well as achieving greater consciousness and clarity in your life? Looking for help with managing and overcoming life stressors, emotional disturbances, behavioral problems and relationship issues? Our clinicians can assist you in finding ways to move towards your goals.
Life can be an incredible ride with ups and downs that may be difficult to deal with. If you've hit a roadblock or feel like life is getting to be too much to handle, we are here to help. Our goal is to help you live your life to its fullest potential. Interested in diversifying your experiences to ones that support growth and accomplishment as well as achieving greater consciousness and clarity in your life? Looking for help with managing and overcoming life stressors, emotional disturbances, behavioral problems and relationship issues? Our clinicians can assist you in finding ways to move towards your goals.
(929) 201-0192 View (929) 201-0192
Photo of Trevor Foti, MHC-LP
Trevor Foti
MHC-LP
Verified Verified
Rockaway Park, NY 11694  (Online Only)
Clients who come to my therapy are interested in making changes in their life towards creating a life they feel happy of living! Interpersonal conflict, emotional distress, and life stressors can have an impact on our mental and overall wellbeing. Therapy allows for clients to uncover some of their internal conflict, emotional disruptions, and ways of change in a safe environment.
Clients who come to my therapy are interested in making changes in their life towards creating a life they feel happy of living! Interpersonal conflict, emotional distress, and life stressors can have an impact on our mental and overall wellbeing. Therapy allows for clients to uncover some of their internal conflict, emotional disruptions, and ways of change in a safe environment.
(929) 389-0108 View (929) 389-0108
Photo of Natasha Williams, LMSW, (LCSW), Clinical Social Work/Therapist
Natasha Williams
Clinical Social Work/Therapist, LMSW, (LCSW)
Verified Verified
1 Endorsed
Brooklyn, NY 11235  (Online Only)
Are you feeling anxious, depressed, angry, lost, or low in self-esteem? Are you dealing with the heartache or pain of past experiences that trigger negative emotions or behaviors? Are your relationships with your significant other, family, friends, or co-workers strained, or do you feel overwhelmed with handling problems? If you answered yes to any of these questions, it sounds like you need support during this time. You can rely on me to support you with overcoming every obstacle you are facing. Together, we'll figure out how things got to this point and I will help you achieve your goals at your own pace.
Are you feeling anxious, depressed, angry, lost, or low in self-esteem? Are you dealing with the heartache or pain of past experiences that trigger negative emotions or behaviors? Are your relationships with your significant other, family, friends, or co-workers strained, or do you feel overwhelmed with handling problems? If you answered yes to any of these questions, it sounds like you need support during this time. You can rely on me to support you with overcoming every obstacle you are facing. Together, we'll figure out how things got to this point and I will help you achieve your goals at your own pace.
(347) 801-0820 View (347) 801-0820
Photo of Diana Hofshi, PhD, Psychologist
Diana Hofshi
Psychologist, PhD
Verified Verified
Long Island City, NY 11101
Imagine a life grounded in the things that are important to you: free from intrusive symptoms, and centered on your values. Therapy helps you get there through self-discovery and acceptance: getting to know yourself better in all your complexity; and developing the feeling you can live comfortably with yourself, with others, and in the world. In this process, you have to feel free to explore your thoughts, your feelings, and the circumstances of your life in an unfettered way- even things you’d rather hide from. Together we’ll forge a space that's safe enough for you to feel open, and challenging enough for you to break through.
Imagine a life grounded in the things that are important to you: free from intrusive symptoms, and centered on your values. Therapy helps you get there through self-discovery and acceptance: getting to know yourself better in all your complexity; and developing the feeling you can live comfortably with yourself, with others, and in the world. In this process, you have to feel free to explore your thoughts, your feelings, and the circumstances of your life in an unfettered way- even things you’d rather hide from. Together we’ll forge a space that's safe enough for you to feel open, and challenging enough for you to break through.
(646) 693-3312 View (646) 693-3312
Photo of Caryl Brent, LMHC, Counselor
Caryl Brent
Counselor, LMHC
Verified Verified
Brooklyn, NY 11235
Do you ever feel irrelevant or disconnected from others you care about? Do you feel overwhelmed with too much to do, or not involved enough with things you enjoy doing? Do you ever feel isolated or empty? Do you stay in relationships too long or not long enough? Do you have difficulty asking for what you want or what you need? Do you ever feel like you are constantly getting more than you are getting? Do you want to make some changes but feel stuck? "Not everything that is faced can be changed, but nothing can be changed until it is faced". James Baldwin
Do you ever feel irrelevant or disconnected from others you care about? Do you feel overwhelmed with too much to do, or not involved enough with things you enjoy doing? Do you ever feel isolated or empty? Do you stay in relationships too long or not long enough? Do you have difficulty asking for what you want or what you need? Do you ever feel like you are constantly getting more than you are getting? Do you want to make some changes but feel stuck? "Not everything that is faced can be changed, but nothing can be changed until it is faced". James Baldwin
(347) 535-1134 View (347) 535-1134
Photo of Mariela Romero, LMHC
Mariela Romero
LMHC
Verified Verified
1 Endorsed
Brooklyn, NY 11235  (Online Only)
My name is Mariela Romero, I have experience treating adults, children, and families for a decade. I have experienced treating anxiety, depression and providing emotional support during difficult times to children, adolescent and adults. I provide client-focused therapy in an environment that is safe and free of judgment. In my sessions you will find empathetic support, empowerment and validation. My nombre es Maríela Romero, tengo años de experiencia tratando ansiedad, depresión. Ofrezco apoyo emocional a niños, adolescentes y adultos. Soy bilingüe y mi enfoque terapéutico es centrado en el cliente.
My name is Mariela Romero, I have experience treating adults, children, and families for a decade. I have experienced treating anxiety, depression and providing emotional support during difficult times to children, adolescent and adults. I provide client-focused therapy in an environment that is safe and free of judgment. In my sessions you will find empathetic support, empowerment and validation. My nombre es Maríela Romero, tengo años de experiencia tratando ansiedad, depresión. Ofrezco apoyo emocional a niños, adolescentes y adultos. Soy bilingüe y mi enfoque terapéutico es centrado en el cliente.
(718) 879-8612 View (718) 879-8612
Photo of Jennifer J Davis, LCAT, ATR-BC, Art Therapist
Jennifer J Davis
Art Therapist, LCAT, ATR-BC
Verified Verified
Brooklyn, NY 11235  (Online Only)
We all have our place in this world and it can be a wonderful fit. Art therapy can motivate you to face challenges, express yourself, and work through unresolved feelings. We are social creatures of habits and attach ourselves to people, places and routines, as it helps to feel safe and grounded. Sometimes attachments are unhealthy and keeps us stuck. We may not be aware of how routines learned during childhood now affects us in being part of a family or community. Art-making helps to create healthy attachments and art therapy has all kinds of glues—some create strong bonds, some are temporary, and some sparkle.
We all have our place in this world and it can be a wonderful fit. Art therapy can motivate you to face challenges, express yourself, and work through unresolved feelings. We are social creatures of habits and attach ourselves to people, places and routines, as it helps to feel safe and grounded. Sometimes attachments are unhealthy and keeps us stuck. We may not be aware of how routines learned during childhood now affects us in being part of a family or community. Art-making helps to create healthy attachments and art therapy has all kinds of glues—some create strong bonds, some are temporary, and some sparkle.
(347) 514-9780 View (347) 514-9780
Photo of Ayanna Kelly, MHC-LP, Pre-Licensed Professional
Ayanna Kelly
Pre-Licensed Professional, MHC-LP
Verified Verified
Brooklyn, NY 11235  (Online Only)
Life is full of transitions and it's difficult to deal with the day-to-day challenges of family, work, school, health, or grieving a loss. The help of a professional counselor may be necessary to get through some of these moments. I use a Person-Centered technique to create a safe space for you to tell your story. I have over 15+ years of working as a Human Resource Professional and I have seen how workplace bias impacts an individual’s mental well-being. I transitioned into Mental Health Counseling because of my passion for working with individuals and families to find a pathway to getting unstuck and navigating the unknown.
Life is full of transitions and it's difficult to deal with the day-to-day challenges of family, work, school, health, or grieving a loss. The help of a professional counselor may be necessary to get through some of these moments. I use a Person-Centered technique to create a safe space for you to tell your story. I have over 15+ years of working as a Human Resource Professional and I have seen how workplace bias impacts an individual’s mental well-being. I transitioned into Mental Health Counseling because of my passion for working with individuals and families to find a pathway to getting unstuck and navigating the unknown.
(516) 788-5714 View (516) 788-5714
Photo of Mila Krupitsky, LCSW, BCD, Clinical Social Work/Therapist
Mila Krupitsky
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Far Rockaway, NY 11697  (Online Only)
My clients tell me that I make them feel comfortable and it is easy for them to share their concerns with me. I am patient and compassionate, yet direct and solution focused.
My clients tell me that I make them feel comfortable and it is easy for them to share their concerns with me. I am patient and compassionate, yet direct and solution focused.
(718) 891-8686 View (718) 891-8686
Photo of Alexander Yentin, LCSW-R, CGP, Clinical Social Work/Therapist
Alexander Yentin
Clinical Social Work/Therapist, LCSW-R, CGP
Verified Verified
Brooklyn, NY 11235
I believe in the power of therapeutic relationship and every person’s innate ability to cope and grow. My role is to support you in your pursuit of better relationships, positive changes, more presence and meaning. I currently work with online clients only and accept NY state insurances. Out-of-state residents are also welcome to inquire. I am also an active public speaker and educator on topics of modern relationships, parenting, and sex education offering interactive lectures in Europe and US. I draw on my own multicultural experience having lived and studied in 3 different countries and fluent in English, Russian and Hebrew.
I believe in the power of therapeutic relationship and every person’s innate ability to cope and grow. My role is to support you in your pursuit of better relationships, positive changes, more presence and meaning. I currently work with online clients only and accept NY state insurances. Out-of-state residents are also welcome to inquire. I am also an active public speaker and educator on topics of modern relationships, parenting, and sex education offering interactive lectures in Europe and US. I draw on my own multicultural experience having lived and studied in 3 different countries and fluent in English, Russian and Hebrew.
(917) 717-5649 View (917) 717-5649
Photo of Elizaveta Lemberg, MHC-LP, Pre-Licensed Professional
Elizaveta Lemberg
Pre-Licensed Professional, MHC-LP
Verified Verified
2 Endorsed
Brooklyn, NY 11235  (Online Only)
I consider it a profound privilege to work with people, their experiences, and collaboratively work through any challenges to achieve mental and emotional wellness. I invite clients to bring their whole and authentic selves into sessions. Together, we can explore the ways your mind, body, identity, culture, and relationships influence your experience and collaboratively create solutions to help you live a life that is aligned with your personal values and goals.
I consider it a profound privilege to work with people, their experiences, and collaboratively work through any challenges to achieve mental and emotional wellness. I invite clients to bring their whole and authentic selves into sessions. Together, we can explore the ways your mind, body, identity, culture, and relationships influence your experience and collaboratively create solutions to help you live a life that is aligned with your personal values and goals.
(646) 808-3362 View (646) 808-3362
Photo of Harneet Bedi, Pre-Licensed Professional
Harneet Bedi
Pre-Licensed Professional
Verified Verified
Brooklyn, NY 11235  (Online Only)
Hello! I’m Harneet Bedi, a Clinical Resident Therapist dedicated to supporting you through your unique life journey with empathy and cultural understanding. As a first-generation South Asian woman, I am experienced in the complexities of navigating multiple cultural identities. My personal journey has equipped me to support others facing similar challenges, ensuring they feel seen and understood.
Hello! I’m Harneet Bedi, a Clinical Resident Therapist dedicated to supporting you through your unique life journey with empathy and cultural understanding. As a first-generation South Asian woman, I am experienced in the complexities of navigating multiple cultural identities. My personal journey has equipped me to support others facing similar challenges, ensuring they feel seen and understood.
(914) 409-9820 View (914) 409-9820
Photo of Ian Sherman, LCSW-R, Clinical Social Work/Therapist
Ian Sherman
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Brooklyn, NY 11235
We are conditioned to avoid pain and we think and behave in certain ways learned through our upbringing, culture and other life experiences. At times the way we interpret situations in our lives can impact the way we relate to others, especially our signifant other, in both a negative and positive way. Therapy gives us the opportunity to reflect on these experiences and interpretations of our world in order to recognize what no longer serves us. Sometimes all we need is the right guidance to get on the right course of action for growth.
We are conditioned to avoid pain and we think and behave in certain ways learned through our upbringing, culture and other life experiences. At times the way we interpret situations in our lives can impact the way we relate to others, especially our signifant other, in both a negative and positive way. Therapy gives us the opportunity to reflect on these experiences and interpretations of our world in order to recognize what no longer serves us. Sometimes all we need is the right guidance to get on the right course of action for growth.
(215) 586-7450 View (215) 586-7450
AG Child & Adult Psychology
Psychologist
Verified Verified
Brooklyn, NY 11229
We are a group psychology practice specializing in evidence-based care for a wide range of emotional and behavior conditions at different stages of life. Our work with children and adolescents focuses on accurate identification of the issues facilitated by science-backed methods and engagement of families and parents for their valuable input and support. We also offer individual, couples, and family therapy for a variety of issues seen in adulthood – relationship issues, depression, anxiety, difficulty handling conflicts, parent-child issues and others.
We are a group psychology practice specializing in evidence-based care for a wide range of emotional and behavior conditions at different stages of life. Our work with children and adolescents focuses on accurate identification of the issues facilitated by science-backed methods and engagement of families and parents for their valuable input and support. We also offer individual, couples, and family therapy for a variety of issues seen in adulthood – relationship issues, depression, anxiety, difficulty handling conflicts, parent-child issues and others.
(929) 463-9482 View (929) 463-9482
Photo of Ilona Fridson, LCSW, Clinical Social Work/Therapist
Ilona Fridson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brooklyn, NY 11235  (Online Only)
When you are facing challenges and adjusting to life transitions, I am here to help. As a clinician and clinical supervisor with 25 years of experience, I work with a diverse range of individuals, from young adults to older population. I have extensive experience providing support for families in crisis, parents, couples, and individuals. I have a great appreciation and knowledge of working with immigrants, multicultural communities, and LGBTQ+. My approach to therapy is collaborative, eclectic, and holistic. I listen very carefully to my clients' narratives, while I am process oriented, I am also strategic and resourceful.
When you are facing challenges and adjusting to life transitions, I am here to help. As a clinician and clinical supervisor with 25 years of experience, I work with a diverse range of individuals, from young adults to older population. I have extensive experience providing support for families in crisis, parents, couples, and individuals. I have a great appreciation and knowledge of working with immigrants, multicultural communities, and LGBTQ+. My approach to therapy is collaborative, eclectic, and holistic. I listen very carefully to my clients' narratives, while I am process oriented, I am also strategic and resourceful.
(862) 666-0555 View (862) 666-0555
Photo of Samantha Seligman, LCSW, Clinical Social Work/Therapist
Samantha Seligman
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11235  (Online Only)
Not accepting new clients
Life has a way of throwing us curveballs, doesn't it? Sometimes those curveballs leave deep emotional wounds that are hard to heal on our own. That's where therapy comes in. I want to take a moment to acknowledge your strength. It takes courage to even consider reaching out for support, especially when facing the complexities of trauma, relationships, and women's issues. But here's the thing: you don't have to face it alone. As a therapist specializing in trauma, relationships, and women's issues, I'm here to offer you a safe space to explore your experiences, express your emotions, and begin the journey towards healing.
Life has a way of throwing us curveballs, doesn't it? Sometimes those curveballs leave deep emotional wounds that are hard to heal on our own. That's where therapy comes in. I want to take a moment to acknowledge your strength. It takes courage to even consider reaching out for support, especially when facing the complexities of trauma, relationships, and women's issues. But here's the thing: you don't have to face it alone. As a therapist specializing in trauma, relationships, and women's issues, I'm here to offer you a safe space to explore your experiences, express your emotions, and begin the journey towards healing.
(929) 533-1785 View (929) 533-1785

See more therapy options for Breezy Point

How does your Therapist compare?

Number of Therapists in Breezy Point, NY

< 10

Therapists in Breezy Point, NY who prioritize treating:

75% Depression
75% Anxiety
75% Grief
75% Peer Relationships
50% Relationship Issues
50% Child
50% Infertility

Average years in practice

19 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% Oxford
100% UnitedHealthcare UHC | UBH

How Therapists in Breezy Point, NY see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Breezy Point?

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.