Therapists in Pinedale, WY

Photo of Dayle Read-Hudson, LCSW, LIMHP, PATP, Clinical Social Work/Therapist
Dayle Read-Hudson
Clinical Social Work/Therapist, LCSW, LIMHP, PATP
Verified Verified
Pinedale, WY 82941
It's hard to find a therapist that's the "right fit". When it's not the right fit, it can become a discouraging experience. I've been there myself. My hope is that you will be brave and try again until you find a therapist that you resonate with. My services are meant to be integrative, kind and compassionate, while offering you cutting-edge therapies. I often provide strategies based on neuroscience that you can take home with you. We can also just hold sacred space together if you need authentic witnessing to your story. I've been in the field for 40 years, so I have a lot of tools in the box to offer you.
It's hard to find a therapist that's the "right fit". When it's not the right fit, it can become a discouraging experience. I've been there myself. My hope is that you will be brave and try again until you find a therapist that you resonate with. My services are meant to be integrative, kind and compassionate, while offering you cutting-edge therapies. I often provide strategies based on neuroscience that you can take home with you. We can also just hold sacred space together if you need authentic witnessing to your story. I've been in the field for 40 years, so I have a lot of tools in the box to offer you.
(307) 295-0417 View (307) 295-0417
Photo of Dawnn Reale - Precise Mind Behavioral Health, LLC, LCSW, Clinical Social Work/Therapist
Precise Mind Behavioral Health, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Pinedale, WY 82941  (Online Only)
Hello! I'm part of the Precise Mind Behavioral Health family, a group of licensed clinicians passionate about guiding you on your mental health and self-discovery journey. We proudly offer a blend of online/virtual therapy sessions and bespoke counseling for both individuals and couples. And the good news? If you're in Texas, Indiana, Pennsylvania, Florida, Wyoming, Nevada, or Mississippi, we're here for you. Let's take this healing journey together. In-network with Blue Cross Blue Shield and United HealthCare
Hello! I'm part of the Precise Mind Behavioral Health family, a group of licensed clinicians passionate about guiding you on your mental health and self-discovery journey. We proudly offer a blend of online/virtual therapy sessions and bespoke counseling for both individuals and couples. And the good news? If you're in Texas, Indiana, Pennsylvania, Florida, Wyoming, Nevada, or Mississippi, we're here for you. Let's take this healing journey together. In-network with Blue Cross Blue Shield and United HealthCare
(307) 456-4421 View (307) 456-4421
Photo of James Jenkins, PPC, Pre-Licensed Professional
James Jenkins
Pre-Licensed Professional, PPC
Verified Verified
1 Endorsed
Pinedale, WY 82941
Originally from California, J.R. studied biology and philosophy at Berkeley. Shortly thereafter, he retired to the Jackson community where he has been in service (and skiing) ever since. More recently, J.R. witnessed a rather miraculous healing of a family member that made him curious about just what mental health means, and about the variety of ways available to us to enhance it. He took that curiosity to Adams State University where he received his MA in Clinical Mental Health Counseling.
Originally from California, J.R. studied biology and philosophy at Berkeley. Shortly thereafter, he retired to the Jackson community where he has been in service (and skiing) ever since. More recently, J.R. witnessed a rather miraculous healing of a family member that made him curious about just what mental health means, and about the variety of ways available to us to enhance it. He took that curiosity to Adams State University where he received his MA in Clinical Mental Health Counseling.
(307) 313-2711 View (307) 313-2711
Photo of Antuanett Lopez, LPC, Licensed Professional Counselor
Antuanett Lopez
Licensed Professional Counselor, LPC
Verified Verified
Pinedale, WY 82941
Antuanett completed her master’s degree in Rehabilitation and Mental Health Counseling at the University of Arizona. She worked in Arizona and New Jersey before coming to Wyoming. Antuanett works with teenagers, adults and children to help overcome feelings of depression, frustration, anger and anxiety.
Antuanett completed her master’s degree in Rehabilitation and Mental Health Counseling at the University of Arizona. She worked in Arizona and New Jersey before coming to Wyoming. Antuanett works with teenagers, adults and children to help overcome feelings of depression, frustration, anger and anxiety.
(307) 284-5449 View (307) 284-5449
Photo of Mckenzie Myers, PCSW, Clinical Social Work/Therapist
Mckenzie Myers
Clinical Social Work/Therapist, PCSW
Verified Verified
Pinedale, WY 82941
With a deep love of the outdoors instilled in her from growing up in Maine, Mckenzie received her Bachelor of Arts in Environmental Policy and Law at the University of Michigan. After spending several summers working on a ranch in the Big Horn mountains, Mckenzie moved to Wyoming full-time in 2016.
With a deep love of the outdoors instilled in her from growing up in Maine, Mckenzie received her Bachelor of Arts in Environmental Policy and Law at the University of Michigan. After spending several summers working on a ranch in the Big Horn mountains, Mckenzie moved to Wyoming full-time in 2016.
(307) 323-3494 View (307) 323-3494
Photo of Jennifer Bradof - Teton Behavior Therapy, MSW, LCSW, Clinical Social Work/Therapist
Teton Behavior Therapy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pinedale, WY 82941
We believe that a strong, healthy community begins with individual mental health. Our ideal client is anyone seeking support for their mental health as we have a diverse base of therapists that can address every area of concern. We value supporting care of yourself, specifically as it relates to your mental health and emotional well-being. TBT is thrilled to work with you, your child, or your family on your well-being journey to manage challenges and heal. Therapy is available in English and Spanish statewide in WY and ID.
We believe that a strong, healthy community begins with individual mental health. Our ideal client is anyone seeking support for their mental health as we have a diverse base of therapists that can address every area of concern. We value supporting care of yourself, specifically as it relates to your mental health and emotional well-being. TBT is thrilled to work with you, your child, or your family on your well-being journey to manage challenges and heal. Therapy is available in English and Spanish statewide in WY and ID.
(307) 228-7506 View (307) 228-7506
Photo of Rachel Mackey, MS, LPC, NCC, Licensed Professional Counselor
Rachel Mackey
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Pinedale, WY 82941
Hi there! Are you struggling with identity, life transitions, anxiety, grief and loss, difficulty finding motivation, or trauma recovery? I’m so glad you're here and considering reaching out for support. I'm a Queer and Neurodiversity-affirming therapist and would love to support you on your path to feeling more whole and connected to yourself and those around you. I have a passion for working with children, teens, and adults who've experienced difficult or traumatic life events, struggle with feeling stuck or lost, caught in anxiety, and who wish for greater fulfillment in their relationships.
Hi there! Are you struggling with identity, life transitions, anxiety, grief and loss, difficulty finding motivation, or trauma recovery? I’m so glad you're here and considering reaching out for support. I'm a Queer and Neurodiversity-affirming therapist and would love to support you on your path to feeling more whole and connected to yourself and those around you. I have a passion for working with children, teens, and adults who've experienced difficult or traumatic life events, struggle with feeling stuck or lost, caught in anxiety, and who wish for greater fulfillment in their relationships.
(208) 795-8692 View (208) 795-8692
Photo of Cheyenne Syvertson-Hagestuen, MSW, LCSW, Clinical Social Work/Therapist
Cheyenne Syvertson-Hagestuen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pinedale, WY 82941
I am a clinical social worker providing individual therapy to children, teens and adults. My approach is collaborative and supportive. My role is to offer what I know and to act as a guide, empowering my clients to uncover and employ the skills and knowledge they already have, while learning new things together. We will start wherever you are. Whether you are seeking help for something specific and known, or you are just feeling stuck or unsure of what you are looking for entirely, we’ll work together to move you forward in the therapeutic process—and life!
I am a clinical social worker providing individual therapy to children, teens and adults. My approach is collaborative and supportive. My role is to offer what I know and to act as a guide, empowering my clients to uncover and employ the skills and knowledge they already have, while learning new things together. We will start wherever you are. Whether you are seeking help for something specific and known, or you are just feeling stuck or unsure of what you are looking for entirely, we’ll work together to move you forward in the therapeutic process—and life!
(307) 206-0408 View (307) 206-0408

Online Therapists

Photo of Tamara Rammell, LPC, Licensed Professional Counselor
Tamara Rammell
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Afton, WY 83110
Do you need relief now? Are you overwhelmed? Are you stressed about relationships, your to do list, life? Are you feeling anxious or afraid? If you are motivated because something needs to change, then YOU are my ideal client. I work to help you find relief day-one. I work in short term treatment windows to help you find solutions and experience progress rapidly. Counseling is for everyone, but not forever. After 8-12 weeks you & I will review, evaluate and plan the next logical treatment step that works for you. The space is comfortable, private, and safe. I am here to support you on your journey.
Do you need relief now? Are you overwhelmed? Are you stressed about relationships, your to do list, life? Are you feeling anxious or afraid? If you are motivated because something needs to change, then YOU are my ideal client. I work to help you find relief day-one. I work in short term treatment windows to help you find solutions and experience progress rapidly. Counseling is for everyone, but not forever. After 8-12 weeks you & I will review, evaluate and plan the next logical treatment step that works for you. The space is comfortable, private, and safe. I am here to support you on your journey.
(307) 205-0555 View (307) 205-0555
Photo of Leann M Dzemske, LPC, ATR, Licensed Professional Counselor
Leann M Dzemske
Licensed Professional Counselor, LPC, ATR
Verified Verified
Jackson, WY 83001
Having a witness to our lives is powerful medicine. You are here because you're looking for someone to hold space while you explore your life's challenges. A space and person that will enable you to grow and heal. You are your greatest healer and I am here to show you how therapy is a fantastic place to cultivate your path to personal growth, improved mental health, and overall well-being. Art therapy offers a unique and effective approach to healing and self-discovery. You do not need artistic skills to benefit from therapy incorporating art. “A simple line painted with the brush can lead to freedom and happiness.” – Joan Miró
Having a witness to our lives is powerful medicine. You are here because you're looking for someone to hold space while you explore your life's challenges. A space and person that will enable you to grow and heal. You are your greatest healer and I am here to show you how therapy is a fantastic place to cultivate your path to personal growth, improved mental health, and overall well-being. Art therapy offers a unique and effective approach to healing and self-discovery. You do not need artistic skills to benefit from therapy incorporating art. “A simple line painted with the brush can lead to freedom and happiness.” – Joan Miró
(307) 227-6947 View (307) 227-6947
Photo of Dr. Mani Faez, MA, PsyD, LMFT, EMDR, PACT, Marriage & Family Therapist
Dr. Mani Faez
Marriage & Family Therapist, MA, PsyD, LMFT, EMDR, PACT
Verified Verified
Jackson, WY 83002
Life can be challenging, and people often search for meaning and purpose to help them get through difficult times. As a therapist, I work with couples, individual adults, and adolescents to help them find that meaning. To me, there are three primary sources of meaning: love for oneself and others, purposeful work, and courage when faced with difficulties. I believe that addiction, aggression, and depression are often the result of a lack of understanding of our purpose in life. I'm licensed to practice in Wyoming, California, and Idaho.
Life can be challenging, and people often search for meaning and purpose to help them get through difficult times. As a therapist, I work with couples, individual adults, and adolescents to help them find that meaning. To me, there are three primary sources of meaning: love for oneself and others, purposeful work, and courage when faced with difficulties. I believe that addiction, aggression, and depression are often the result of a lack of understanding of our purpose in life. I'm licensed to practice in Wyoming, California, and Idaho.
(307) 240-8696 View (307) 240-8696
Photo of Mark Mills, MEd, LPC, Counselor
Mark Mills
Counselor, MEd, LPC
Verified Verified
Jackson, WY 83001  (Online Only)
There are no issues too large or too small and I pride myself in safety, confidentiality, and professionalism. Looking for a better life, healing associated with trauma, or having disruptions in thought processes, are some examples of where I am at my best.
There are no issues too large or too small and I pride myself in safety, confidentiality, and professionalism. Looking for a better life, healing associated with trauma, or having disruptions in thought processes, are some examples of where I am at my best.
(307) 313-1245 View (307) 313-1245
Photo of Danielle Lamb, LPC, Licensed Professional Counselor
Danielle Lamb
Licensed Professional Counselor, LPC
Verified Verified
Rock Springs, WY 82901
Waitlist for new clients
Are you looking for a compassionate and experienced therapist to guide you through life's challenges and empower you on your journey to mental well-being? Are you tired of feeling trapped in a cycle of anxiety, sadness, and obsessive thoughts that seem to control your life? Take heart, as there is hope. I’m Danielle Lamb. I am a Licensed Professional Counselor, wife, and mom. I grew up in Wyoming and attended the University of Wyoming where I received my BA in Psychology. I then went onto Emporia State University where I received my Masters degree in Clinical Psychology.
Are you looking for a compassionate and experienced therapist to guide you through life's challenges and empower you on your journey to mental well-being? Are you tired of feeling trapped in a cycle of anxiety, sadness, and obsessive thoughts that seem to control your life? Take heart, as there is hope. I’m Danielle Lamb. I am a Licensed Professional Counselor, wife, and mom. I grew up in Wyoming and attended the University of Wyoming where I received my BA in Psychology. I then went onto Emporia State University where I received my Masters degree in Clinical Psychology.
(307) 271-9121 View (307) 271-9121
Photo of Marika Vaden, EdS, LPC, CSSP, Licensed Professional Counselor
Marika Vaden
Licensed Professional Counselor, EdS, LPC, CSSP
Verified Verified
Jackson, WY 83001
I have training in Emotionally Focused Therapy (EFT) and am passionate about working with individuals, couples, and families on challenges related to all types of relationships. In addition, I work with children, adolescents, and adults struggling with a variety of aspects of life adjustment and emotional well-being, including (but certainly not limited to) general discontent, life transitions, parenting, anxiety, Autism, and ADHD.
I have training in Emotionally Focused Therapy (EFT) and am passionate about working with individuals, couples, and families on challenges related to all types of relationships. In addition, I work with children, adolescents, and adults struggling with a variety of aspects of life adjustment and emotional well-being, including (but certainly not limited to) general discontent, life transitions, parenting, anxiety, Autism, and ADHD.
(307) 323-2330 View (307) 323-2330
Photo of Rae Oakley, MSW, LCSW, Clinical Social Work/Therapist
Rae Oakley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Afton, WY 83110  (Online Only)
Trauma and EMDR are my passions due to personal experiences with PTSD and the healing I’ve witnessed and experienced through EMDR. Currently licensed in both Utah and Wyoming. I have worked with individuals in a generalized practice experience including anxiety, depression, OCD, suicidality, childhood abuse, etc... Am gaining an increased skill level with those who have experienced PTSD, complex PTSD, Dissociative Disorders (general), & Dissociative Identity Disorder. Attachment Theory, Adaptive Information Processing Model, Polyvagal Theory and Systems Theory are the bases from which I work.
Trauma and EMDR are my passions due to personal experiences with PTSD and the healing I’ve witnessed and experienced through EMDR. Currently licensed in both Utah and Wyoming. I have worked with individuals in a generalized practice experience including anxiety, depression, OCD, suicidality, childhood abuse, etc... Am gaining an increased skill level with those who have experienced PTSD, complex PTSD, Dissociative Disorders (general), & Dissociative Identity Disorder. Attachment Theory, Adaptive Information Processing Model, Polyvagal Theory and Systems Theory are the bases from which I work.
(385) 220-6922 View (385) 220-6922
Photo of Deirdre D Rainer, PhD, Psychologist
Deirdre D Rainer
Psychologist, PhD
Verified Verified
Lander, WY 82520
Over the past 30+ years, I have had the honor of treating people of all ages from all walks of life. I am a licensed psychologist with experience treating various types of depression, mood difficulties, anxiety, stress, OCD, as well as relationship or couple-related conflict. My approach draws from cognitive-behavioral and psychodynamic therapies supported by research, and is tailored to meet the specific needs of the individual. I also offer Gottman Method Couples Therapy for those who want to improve their relationship. Recently retired from UCSB, I offer therapy to students who have the UC SHIP insurance at no cost to them.
Over the past 30+ years, I have had the honor of treating people of all ages from all walks of life. I am a licensed psychologist with experience treating various types of depression, mood difficulties, anxiety, stress, OCD, as well as relationship or couple-related conflict. My approach draws from cognitive-behavioral and psychodynamic therapies supported by research, and is tailored to meet the specific needs of the individual. I also offer Gottman Method Couples Therapy for those who want to improve their relationship. Recently retired from UCSB, I offer therapy to students who have the UC SHIP insurance at no cost to them.
(805) 243-2201 View (805) 243-2201
Photo of Anna McDonough, MA, LPC, Licensed Professional Counselor
Anna McDonough
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Jackson, WY 83001
Our world is full of challenges, conflicting demands, and values. At Karis Counseling, I help individuals and couples establish a sense of direction and balance. ​ I counsel clients striving to overcome troubling issues by helping them to understand the origin of the dynamics behind these matters. With this understanding, we establish a clear path and direction to make changes that will bring resolution and fulfillment. ​ This is more than a business to me. It is a commitment and passion and I am honored to walk alongside you.
Our world is full of challenges, conflicting demands, and values. At Karis Counseling, I help individuals and couples establish a sense of direction and balance. ​ I counsel clients striving to overcome troubling issues by helping them to understand the origin of the dynamics behind these matters. With this understanding, we establish a clear path and direction to make changes that will bring resolution and fulfillment. ​ This is more than a business to me. It is a commitment and passion and I am honored to walk alongside you.
(307) 227-3663 View (307) 227-3663
Photo of Mary Jo Jeffres, PhD, Psychologist
Mary Jo Jeffres
Psychologist, PhD
Verified Verified
Riverton, WY 82501  (Online Only)
My ideal client is the individual who perceives that the struggles of life are more difficult than they should be and who desires to gain an understanding of strategies to manage the complexities of life with less stress and greater satisfaction. My focus though out my career has been assist clients in gaining insight and strategies to improve their current psychological, emotional and physical functioning.
My ideal client is the individual who perceives that the struggles of life are more difficult than they should be and who desires to gain an understanding of strategies to manage the complexities of life with less stress and greater satisfaction. My focus though out my career has been assist clients in gaining insight and strategies to improve their current psychological, emotional and physical functioning.
(307) 387-5541 View (307) 387-5541
Photo of Christine Holding, DMFT, LMFT, CEFT, Marriage & Family Therapist
Christine Holding
Marriage & Family Therapist, DMFT, LMFT, CEFT
Verified Verified
11 Endorsed
Jackson, WY 83001
Dr. Christine Holding is the owner of Sunlight Family Therapy and The EFT Clinic with locations in Jackson, WY, and Millcreek, Lehi, and Bountiful, Utah. She specializes in building healthy marriage relationships, healing betrayal trauma and repairing attachment injuries. Christine also works with business owners to improve the emotional health of their team members. She resides in Jackson Hole and is currently licensed in Wyoming, Utah, Idaho, and Texas. For more information or to book an intensive couples retreat, please email, call or visit theeftclinic.com. Christine supervises interns and associates with immediate openings.
Dr. Christine Holding is the owner of Sunlight Family Therapy and The EFT Clinic with locations in Jackson, WY, and Millcreek, Lehi, and Bountiful, Utah. She specializes in building healthy marriage relationships, healing betrayal trauma and repairing attachment injuries. Christine also works with business owners to improve the emotional health of their team members. She resides in Jackson Hole and is currently licensed in Wyoming, Utah, Idaho, and Texas. For more information or to book an intensive couples retreat, please email, call or visit theeftclinic.com. Christine supervises interns and associates with immediate openings.
(307) 448-1808 View (307) 448-1808
Cheryl Ann Renzulli
Drug & Alcohol Counselor, MA, LAT
Verified Verified
Jackson, WY 83001
I have more than two decades of experience in helping people make positive change in their lives, moving past addiction, exploring personal values, prioritizing and achieving long-held goals, and gaining a truer sense of their potential.
I have more than two decades of experience in helping people make positive change in their lives, moving past addiction, exploring personal values, prioritizing and achieving long-held goals, and gaining a truer sense of their potential.
(307) 271-8602 View (307) 271-8602

See more therapy options for Pinedale

How does your Therapist compare?

Number of Therapists in Pinedale, WY

< 10

Therapists in Pinedale, WY who prioritize treating:

100% Anxiety
88% Depression
88% ADHD
75% Grief
75% Trauma and PTSD
75% Coping Skills
75% Stress

Average years in practice

21 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
75% Aetna
75% UnitedHealthcare UHC | UBH

How Therapists in Pinedale, WY see their clients

88% In Person and Online
12% Online Only

Gender breakdown

72% Female
14% Male
14% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pinedale?

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.