Therapists in Georgetown, OH

Photo of Emily A Souder, MEd, LPCC-S, NCC, Counselor
Emily A Souder
Counselor, MEd, LPCC-S, NCC
Verified Verified
1 Endorsed
Georgetown, OH 45121  (Online Only)
I specialize in helping clients improve their quality of life after experiencing trauma or abuse. This might be from an experience you've encountered yourself, or even learning of a traumatic event that someone close to you experienced. I am also adept at assisting clients with improving their ability to cope with stress, anxiety, and depression.
I specialize in helping clients improve their quality of life after experiencing trauma or abuse. This might be from an experience you've encountered yourself, or even learning of a traumatic event that someone close to you experienced. I am also adept at assisting clients with improving their ability to cope with stress, anxiety, and depression.
(937) 358-8169 View (937) 358-8169

More Therapists Nearby

Photo of Cynthia Holloway, Marriage & Family Therapist
Cynthia Holloway
Marriage & Family Therapist
Verified Verified
Ripley, OH 45167
Cynthia Holloway Independent Marriage and Family Therapist Hello, I’m Cindy I’m a master’s prepared Independently licensed Marriage and Family Therapist. I look forward to helping individuals as they work to heal and develop skills that will help them help themselves. Currently, my practice consists of individual adults. Often, these folks are navigating a significant life transition and / or working through trauma from the past that seems to interfere with current life experiences and well-being. Disorders these individuals bring with them include depression, anxiety, various identity issues, and post-traumatic stress.
Cynthia Holloway Independent Marriage and Family Therapist Hello, I’m Cindy I’m a master’s prepared Independently licensed Marriage and Family Therapist. I look forward to helping individuals as they work to heal and develop skills that will help them help themselves. Currently, my practice consists of individual adults. Often, these folks are navigating a significant life transition and / or working through trauma from the past that seems to interfere with current life experiences and well-being. Disorders these individuals bring with them include depression, anxiety, various identity issues, and post-traumatic stress.
(440) 287-1651 View (440) 287-1651
Photo of Cynthia Holloway, LMFT, Marriage & Family Therapist
Cynthia Holloway
Marriage & Family Therapist, LMFT
Verified Verified
Hamersville, OH 45130
Cynthia Holloway Independent Marriage and Family Therapist Hello, I’m Cindy I’m a master’s prepared Independently licensed Marriage and Family Therapist. I look forward to helping individuals as they work to heal and develop skills that will help them help themselves. Currently, my practice consists of individual adults. Often, these folks are navigating a significant life transition and / or working through trauma from the past that seems to interfere with current life experiences and well-being. Disorders these individuals bring with them include depression, anxiety, various identity issues, and post-traumatic stress.
Cynthia Holloway Independent Marriage and Family Therapist Hello, I’m Cindy I’m a master’s prepared Independently licensed Marriage and Family Therapist. I look forward to helping individuals as they work to heal and develop skills that will help them help themselves. Currently, my practice consists of individual adults. Often, these folks are navigating a significant life transition and / or working through trauma from the past that seems to interfere with current life experiences and well-being. Disorders these individuals bring with them include depression, anxiety, various identity issues, and post-traumatic stress.
(440) 641-3862 View (440) 641-3862

Online Therapists

Photo of Samar Khan, LSW
Samar Khan
Licensed Master Social Worker, LSW
Verified Verified
Hilliard, OH 43026
Samar Khan is a Licensed Social Worker in Ohio who has been practicing since 2023. She received her Bachelor of Arts degree in Psychology at The Ohio State University. She has obtained a Master of Social Work degree through the Ohio State University as well. Samar is passionate about working with individuals and families to support and empower them to achieve their goals. Samar uses compassion, kindness, and education in her practice to help individuals and families develop lifelong skills and the confidence to build the life that they want.
Samar Khan is a Licensed Social Worker in Ohio who has been practicing since 2023. She received her Bachelor of Arts degree in Psychology at The Ohio State University. She has obtained a Master of Social Work degree through the Ohio State University as well. Samar is passionate about working with individuals and families to support and empower them to achieve their goals. Samar uses compassion, kindness, and education in her practice to help individuals and families develop lifelong skills and the confidence to build the life that they want.
(614) 683-5214 View (614) 683-5214
Joseph Archie
Clinical Social Work/Therapist, LGSW, LSW, CDCA
Verified Verified
Dayton, OH 45405
I work with psychosocial issues such as substance abuse and mental health, homelessness, and help problem solve various individuals and families social issues to enhance quality of life.
I work with psychosocial issues such as substance abuse and mental health, homelessness, and help problem solve various individuals and families social issues to enhance quality of life.
(937) 446-6888 View (937) 446-6888
Photo of Charlie Bishop - Charlie Bishop - NOCD, LMFT, Marriage & Family Therapist
Charlie Bishop - NOCD
Marriage & Family Therapist, LMFT
Verified Verified
Columbus, OH 43220  (Online Only)
Becoming a therapist was never on my list of 'things I want to be when I grow up.' It wasn’t until I needed to sit down and talk to someone that I realized what I truly wanted to do with my life. As a naturally empathetic person, I wanted to learn how to help people heal emotionally and mentally. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly.
Becoming a therapist was never on my list of 'things I want to be when I grow up.' It wasn’t until I needed to sit down and talk to someone that I realized what I truly wanted to do with my life. As a naturally empathetic person, I wanted to learn how to help people heal emotionally and mentally. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly.
(380) 230-3469 View (380) 230-3469
Photo of Kristine R Edwards, MA, LPCC, Counselor
Kristine R Edwards
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Beavercreek, OH 45440  (Online Only)
Do you find you are missing your voice? That you have spent your whole life identifying as someone else's "something" - whether that be someone's spouse, partner, friend, co-worker, mother, leader, etc... Do you know what drives you or what you are passionate about?? This is where I come in...let's work together to find your voice... your direction. Whether you are an individual person or a couple trying to find that synergy you remember, but can no longer find. Come on...let's start this journey together - and from YOUR SAFE SPACE!
Do you find you are missing your voice? That you have spent your whole life identifying as someone else's "something" - whether that be someone's spouse, partner, friend, co-worker, mother, leader, etc... Do you know what drives you or what you are passionate about?? This is where I come in...let's work together to find your voice... your direction. Whether you are an individual person or a couple trying to find that synergy you remember, but can no longer find. Come on...let's start this journey together - and from YOUR SAFE SPACE!
(419) 513-8858 View (419) 513-8858
Photo of Jennie Anahata, LISW, LICDC, OMC, Clinical Social Work/Therapist
Jennie Anahata
Clinical Social Work/Therapist, LISW, LICDC, OMC
Verified Verified
1 Endorsed
Columbus, OH 43219  (Online Only)
I have a passion for helping individuals reclaim their freedom from addiction and their loved ones navigating the treacherous journey. Having lost my beloved son to overdose in 2021, I also have a passion for supporting people through their grief, overcoming mental anguish from anxiety and depression, transforming negative self-talk to self-love and compassion, healing relationship disharmony, and healing and moving beyond traumatic experiences. I gently guide clients to explore their beliefs, process emotions, increase clarity, communication, and coping skills, and have the courage and confidence to pursue their dreams and goals.
I have a passion for helping individuals reclaim their freedom from addiction and their loved ones navigating the treacherous journey. Having lost my beloved son to overdose in 2021, I also have a passion for supporting people through their grief, overcoming mental anguish from anxiety and depression, transforming negative self-talk to self-love and compassion, healing relationship disharmony, and healing and moving beyond traumatic experiences. I gently guide clients to explore their beliefs, process emotions, increase clarity, communication, and coping skills, and have the courage and confidence to pursue their dreams and goals.
(614) 957-3929 View (614) 957-3929
Photo of Amy Case, LISW-S, LCSW, Clinical Social Work/Therapist
Amy Case
Clinical Social Work/Therapist, LISW-S, LCSW
Verified Verified
Lebanon, OH 45036  (Online Only)
Waitlist for new clients
Facing change in life is daunting, overwhelming and scary. I have lived that experience. Having worked in the mental health field for 10 years, I have come to believe in living a life of transparency. I practice from the place of "Knowledge is Power". I provide my patients feedback in the moment and work to challenge and encourage my patients to look at situations from a different perspective. My patients gain skills, knowledge and life change through therapeutic interventions specific to their needs.
Facing change in life is daunting, overwhelming and scary. I have lived that experience. Having worked in the mental health field for 10 years, I have come to believe in living a life of transparency. I practice from the place of "Knowledge is Power". I provide my patients feedback in the moment and work to challenge and encourage my patients to look at situations from a different perspective. My patients gain skills, knowledge and life change through therapeutic interventions specific to their needs.
(513) 540-0791 View (513) 540-0791
Photo of Kelli R Ott - Thrive Therapeutics, LLC, MSW, LISW-S, Clinical Social Work/Therapist
Thrive Therapeutics, LLC
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Englewood, OH 45322
Thrive-Therapeutics has a diverse team of Master's prepared counselors who work with all types of people in need of help with life's challenges. We have immediate openings for counseling services. We are interested in understanding your specific needs and working to help you find relief and hope. We have experience working with adults and adolescents dealing with anxiety, depression, trauma history, anger issues and, various other challenges. Our therapists are DJ Gingrich, MSW, LSW; Kyrsten McGuinness, MSW, LSW, Cara Graham, MSW, LSW,Rachel Lanham, MSW student intern (Case Western Reserve). Englewood, OH or via telehealth.
Thrive-Therapeutics has a diverse team of Master's prepared counselors who work with all types of people in need of help with life's challenges. We have immediate openings for counseling services. We are interested in understanding your specific needs and working to help you find relief and hope. We have experience working with adults and adolescents dealing with anxiety, depression, trauma history, anger issues and, various other challenges. Our therapists are DJ Gingrich, MSW, LSW; Kyrsten McGuinness, MSW, LSW, Cara Graham, MSW, LSW,Rachel Lanham, MSW student intern (Case Western Reserve). Englewood, OH or via telehealth.
(937) 971-4289 View (937) 971-4289
Photo of Jay Murali, LISW-S, Clinical Social Work/Therapist
Jay Murali
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Columbus, OH 43213  (Online Only)
You and I will develop an excellent client-therapist relationship if we share these values: trust and openness, collaborative problem-solving, mindful thinking, active listening, and patience. I strive to create a space where you can be vulnerable and honest about the challenges affecting you. I promise to help you navigate them in a way that's empowering, respectful, thoughtful, and sensitive.
You and I will develop an excellent client-therapist relationship if we share these values: trust and openness, collaborative problem-solving, mindful thinking, active listening, and patience. I strive to create a space where you can be vulnerable and honest about the challenges affecting you. I promise to help you navigate them in a way that's empowering, respectful, thoughtful, and sensitive.
(614) 618-4109 View (614) 618-4109
Photo of Ginger Smith, MSEd, LPCC, DARTT
Ginger Smith
Licensed Professional Clinical Counselor, MSEd, LPCC, DARTT
Verified Verified
4 Endorsed
Beavercreek, OH 45432
Whether you are a teen or adult, you are not alone! The decision to talk with a counselor, to share pieces of your life with another individual, takes a great deal of strength and courage. Wounds and traumatic experiences can create intense and distressing physical, emotional, spiritual, and behavioral symptoms. In my work as a Licensed Professional Clinical Counselor, I strive to create a safe and genuine therapeutic alliance, which enables each client to feel valued and heard and to foster healing. Be it trauma, anxiety, depression or relationship issues, we will work together to set a pace that feels safe and supportive.
Whether you are a teen or adult, you are not alone! The decision to talk with a counselor, to share pieces of your life with another individual, takes a great deal of strength and courage. Wounds and traumatic experiences can create intense and distressing physical, emotional, spiritual, and behavioral symptoms. In my work as a Licensed Professional Clinical Counselor, I strive to create a safe and genuine therapeutic alliance, which enables each client to feel valued and heard and to foster healing. Be it trauma, anxiety, depression or relationship issues, we will work together to set a pace that feels safe and supportive.
(937) 568-5186 View (937) 568-5186
Photo of Robert William Frazier Jr., MSW, LSW, Clinical Social Work/Therapist
Robert William Frazier Jr.
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Columbus, OH 43220  (Online Only)
I am currently accepting new clients via Telehealth due to COVID-19 (video conferencing or telephone). I provide a safe and confidential environment for healing; either in an individual or group setting. "We don't control what happens in life but we can challenge ourselves to control how we respond to life. That is our true strength and power". My experience in counseling those who struggle with life's overwhelming issues has allowed me to see the miracle that happens when they unlock their inner values and strength. I welcome you to join me in your journey to uncover, discover and recover the real you that was lost.
I am currently accepting new clients via Telehealth due to COVID-19 (video conferencing or telephone). I provide a safe and confidential environment for healing; either in an individual or group setting. "We don't control what happens in life but we can challenge ourselves to control how we respond to life. That is our true strength and power". My experience in counseling those who struggle with life's overwhelming issues has allowed me to see the miracle that happens when they unlock their inner values and strength. I welcome you to join me in your journey to uncover, discover and recover the real you that was lost.
(380) 205-8638 View (380) 205-8638
Photo of Elizabeth Kakungulu, LISW-S, Clinical Social Work/Therapist
Elizabeth Kakungulu
Clinical Social Work/Therapist, LISW-S
Verified Verified
Columbus, OH 43220
Welcome! I am now offering EMDR Intensives! I am a licensed clinical social worker with several years of experience working with diverse populations and clientele. I am passionate about working with children, teens and female identifying adults ages 5-50 struggling to cope with PTSD, anxiety, depression, phase of life adjustments and transitions, self esteem and self confidence issues, self sabotaging behaviors and emotion regulation difficulties.
Welcome! I am now offering EMDR Intensives! I am a licensed clinical social worker with several years of experience working with diverse populations and clientele. I am passionate about working with children, teens and female identifying adults ages 5-50 struggling to cope with PTSD, anxiety, depression, phase of life adjustments and transitions, self esteem and self confidence issues, self sabotaging behaviors and emotion regulation difficulties.
(380) 208-0988 View (380) 208-0988
Photo of Tracy Wheeler, MSW, LISW-S, LICDC, Clinical Social Work/Therapist
Tracy Wheeler
Clinical Social Work/Therapist, MSW, LISW-S, LICDC
Verified Verified
Columbus, OH 43220
I assist clients who struggle with trauma, PTSD, anxiety, and depression and want to bring about change in their lives. I help clients who want to find a balance and stability within themselves to learn and reconnect to a more desired life.
I assist clients who struggle with trauma, PTSD, anxiety, and depression and want to bring about change in their lives. I help clients who want to find a balance and stability within themselves to learn and reconnect to a more desired life.
(380) 600-8722 View (380) 600-8722
Photo of Kristen Ayers, Clinical Social Work/Therapist
Kristen Ayers
Clinical Social Work/Therapist
Verified Verified
Cincinnati, OH 45231  (Online Only)
Kristen is a master's level therapist with an advanced degree in social work (LISW-S). She has been practicing for almost 12 years. Kristen prefers to work with each individual person to determine the best direction for therapy, based on their unique needs. She utilizes techniques associated with Cognitive Behavioral Therapy (CBT), in combination with Motivational Interviewing and Solution Focused methods. Everyone has different needs, and there is no "one size fits all" therapeutic technique! Her main focus is finding the strengths a person already possesses, and helping them use this strength to tackle the issues at hand.
Kristen is a master's level therapist with an advanced degree in social work (LISW-S). She has been practicing for almost 12 years. Kristen prefers to work with each individual person to determine the best direction for therapy, based on their unique needs. She utilizes techniques associated with Cognitive Behavioral Therapy (CBT), in combination with Motivational Interviewing and Solution Focused methods. Everyone has different needs, and there is no "one size fits all" therapeutic technique! Her main focus is finding the strengths a person already possesses, and helping them use this strength to tackle the issues at hand.
(513) 848-5698 View (513) 848-5698
Photo of Dan Jones, LSW
Dan Jones
Licensed Social Worker, LSW
Verified Verified
1 Endorsed
Columbus, OH 43230
Waitlist for new clients
Healing doesn't ask you to become someone else. Rather, it involves rediscovering yourself, hidden and/or forgotten beneath all the layers of pain, shame, confusion, guilt, feeling stuck, etc.. Pain in life is inevitable, but it doesn't have to cause suffering. We can learn to become more capable of dealing with life's challenges as they arise and perhaps even transform them into opportunities for growth. I strive to empower clients to create meaningful change in their lives. I also strive to help clients understand themselves better. Often, these processes go hand in hand. I employ multiple modalities, including EMDR.
Healing doesn't ask you to become someone else. Rather, it involves rediscovering yourself, hidden and/or forgotten beneath all the layers of pain, shame, confusion, guilt, feeling stuck, etc.. Pain in life is inevitable, but it doesn't have to cause suffering. We can learn to become more capable of dealing with life's challenges as they arise and perhaps even transform them into opportunities for growth. I strive to empower clients to create meaningful change in their lives. I also strive to help clients understand themselves better. Often, these processes go hand in hand. I employ multiple modalities, including EMDR.
(614) 739-8741 View (614) 739-8741
Photo of Jana Bergfeld - Jana Bergfeld LISW, LISW, Clinical Social Work/Therapist
Jana Bergfeld LISW
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Upper Arlington, OH 43221
Whether you are experiencing anxiety, depression, or in a difficult relationship, therapy can help create more balance and renewed connection with others. Trained in Marriage and Family Therapy, and Dialectical Behavior Therapy (DBT), I use evidenced based practices to work with a wide range of concerns, including anxiety, depression, and life transitions, as well as, couples and family therapy. My philosophy about therapy is that everyone needs to experience safety, confidentiality and feel understood in order to make necessary changes that can lead to more fulfilling life choices.
Whether you are experiencing anxiety, depression, or in a difficult relationship, therapy can help create more balance and renewed connection with others. Trained in Marriage and Family Therapy, and Dialectical Behavior Therapy (DBT), I use evidenced based practices to work with a wide range of concerns, including anxiety, depression, and life transitions, as well as, couples and family therapy. My philosophy about therapy is that everyone needs to experience safety, confidentiality and feel understood in order to make necessary changes that can lead to more fulfilling life choices.
(614) 705-2798 View (614) 705-2798
Photo of Madeleine McDonald, LPC, Licensed Professional Counselor
Madeleine McDonald
Licensed Professional Counselor, LPC
Verified Verified
Columbus, OH 43213
Madeleine McDonald is a Licensed Professional Counselor in Ohio who has been practicing since 2022. She has a B.A. in Psychology from Rhodes College and an M. A. in Clinical Mental Health Counseling from John Carroll University. As a counselor, Madeleine views every client as unique, and aims to create a non-judgmental environment where clients feel welcome and free to share their stories and experiences. In her spare time, Madeleine enjoys playing tennis.
Madeleine McDonald is a Licensed Professional Counselor in Ohio who has been practicing since 2022. She has a B.A. in Psychology from Rhodes College and an M. A. in Clinical Mental Health Counseling from John Carroll University. As a counselor, Madeleine views every client as unique, and aims to create a non-judgmental environment where clients feel welcome and free to share their stories and experiences. In her spare time, Madeleine enjoys playing tennis.
(614) 892-7824 View (614) 892-7824
Photo of Lauren Stone, MEd, LPC, Licensed Professional Counselor
Lauren Stone
Licensed Professional Counselor, MEd, LPC
Verified Verified
Dayton, OH 45459  (Online Only)
I connect best with individuals who have a lot of emotions, but have trouble communicating their emotional experiences to people in their lives. These individuals may feel misunderstood, unaccepted, different, or alone, but want desperately to feel understood and accepted.
I connect best with individuals who have a lot of emotions, but have trouble communicating their emotional experiences to people in their lives. These individuals may feel misunderstood, unaccepted, different, or alone, but want desperately to feel understood and accepted.
(937) 705-0569 View (937) 705-0569

How does your Therapist compare?

Number of Therapists in Georgetown, OH

< 10

Therapists in Georgetown, OH who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Domestic Abuse
100% Trauma and PTSD
100% Domestic Violence
100% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Humana

How Therapists in Georgetown, OH see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Georgetown?

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.