Photo of Erica Biro, LMFT, Marriage & Family Therapist
Erica Biro
Marriage & Family Therapist, LMFT
Verified Verified
Henderson, NV 89052  (Online Only)
Not accepting new clients
Approved MFT/CPC Primary and Secondary Supervisor. You can learn how to find the courage to love yourself, let go of self-judgements and ideas of perfection, strengthen your self-worth, and say goodbye to shame and guilt. My goal is to help you grow and thrive as you discover self-compassion and create a more fulfilling and meaningful life. I specialize in trauma, anxiety, couples, and concerns related to parenthood. I believe people are incredibly resilient in the face of adversity.
Approved MFT/CPC Primary and Secondary Supervisor. You can learn how to find the courage to love yourself, let go of self-judgements and ideas of perfection, strengthen your self-worth, and say goodbye to shame and guilt. My goal is to help you grow and thrive as you discover self-compassion and create a more fulfilling and meaningful life. I specialize in trauma, anxiety, couples, and concerns related to parenthood. I believe people are incredibly resilient in the face of adversity.
(725) 302-2938 View (725) 302-2938
Photo of Dr. Jordan Soper, PsyD, ABPP, CST, Psychologist
Dr. Jordan Soper
Psychologist, PsyD, ABPP, CST
Verified Verified
1 Endorsed
Henderson, NV 89052
Are you struggling with your sex life? Does anxiety impact you daily? Difficulties with unwanted thoughts about the past? I offer specialized, evidence-based therapies focused on individual concerns and goals. I am a Licensed Psychologist, Board Certified in Behavioral and Cognitive Psychology, and an AASEC.T Certified Sex Therapist. My specialties include working with adults who have anxiety such as worry, social, panic, OCD, phobias, trauma/PTSD, and sexual difficulties including desire/interest, orgasm, performance, satisfaction, pain, pleasure, sexual identity, sexual communication, and sex education for adults.
Are you struggling with your sex life? Does anxiety impact you daily? Difficulties with unwanted thoughts about the past? I offer specialized, evidence-based therapies focused on individual concerns and goals. I am a Licensed Psychologist, Board Certified in Behavioral and Cognitive Psychology, and an AASEC.T Certified Sex Therapist. My specialties include working with adults who have anxiety such as worry, social, panic, OCD, phobias, trauma/PTSD, and sexual difficulties including desire/interest, orgasm, performance, satisfaction, pain, pleasure, sexual identity, sexual communication, and sex education for adults.
(702) 727-4432 View (702) 727-4432
Photo of Israel Meister, LMFT, Marriage & Family Therapist
Israel Meister
Marriage & Family Therapist, LMFT
Verified Verified
Henderson, NV 89052  (Online Only)
*CURRENTLY ACCEPTING NEW CLIENTS* Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists are experienced and caring. We would love to help you understand how to address your concerns. We provide a safe environment that allows you to discuss your problems without feeling shame or judgement. Your help is just an email or phone call away!
*CURRENTLY ACCEPTING NEW CLIENTS* Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists are experienced and caring. We would love to help you understand how to address your concerns. We provide a safe environment that allows you to discuss your problems without feeling shame or judgement. Your help is just an email or phone call away!
(702) 820-1606 View (702) 820-1606
Photo of Renata Meredith, MFT, Pre-Licensed Professional
Renata Meredith
Pre-Licensed Professional, MFT
Verified Verified
Henderson, NV 89052
I am a licensed Marriage & Family Therapist Intern in Henderson. My passion is to work with clients so we can evoke their natural gifts and internal resources to help them navigate life in healthier ways. I favor a collaborative approach, where I will walk with you to co-explore and co-create your life story to help you develop new interpretations of life. I love working with couples to help them navigate their relationship dynamics and help them to form safer connections and communicate more effectively. I use Emotionally Focused Therapy, which is an evidence-based model to work with couples and families. Weekends available.
I am a licensed Marriage & Family Therapist Intern in Henderson. My passion is to work with clients so we can evoke their natural gifts and internal resources to help them navigate life in healthier ways. I favor a collaborative approach, where I will walk with you to co-explore and co-create your life story to help you develop new interpretations of life. I love working with couples to help them navigate their relationship dynamics and help them to form safer connections and communicate more effectively. I use Emotionally Focused Therapy, which is an evidence-based model to work with couples and families. Weekends available.
(725) 226-4330 View (725) 226-4330
Photo of Fred Lubin, LCPC, Counselor
Fred Lubin
Counselor, LCPC
Verified Verified
Henderson, NV 89052
Therapy at its best must be truth-seeking and life-changing, not merely soothing. The counseling relationship helps you reach deep source pain and find the reasons for dysfunction and life (identity and meaning) confusion. It gives you the opportunity, insights and tools to regain your birthright of health, and is a uniquely healing process. If you are at the point in your life where you want to experience unaccustomed strength and autonomy, Feeling-Centered Depth Therapy will be the most powerful means you can find.
Therapy at its best must be truth-seeking and life-changing, not merely soothing. The counseling relationship helps you reach deep source pain and find the reasons for dysfunction and life (identity and meaning) confusion. It gives you the opportunity, insights and tools to regain your birthright of health, and is a uniquely healing process. If you are at the point in your life where you want to experience unaccustomed strength and autonomy, Feeling-Centered Depth Therapy will be the most powerful means you can find.
(702) 935-5164 View (702) 935-5164
Photo of Hilary Alison Matthews, LMFT, CADC II, CCTP, Marriage & Family Therapist
Hilary Alison Matthews
Marriage & Family Therapist, LMFT, CADC II, CCTP
Verified Verified
Henderson, NV 89052  (Online Only)
Where do I go from here ? What is change and what does it have to do with me." Novelist and critic Marcel Proust talks about discovery and "learning to see with new eyes. I am an LMFT, CADC II and CCTP using cognitive behavior techniques (thoughts, moods, behaviors, faulty core beliefs) in my client centered practice. I believe that change is not something to fear but something to embrace. I work with life transitions and the changes it brings including, relationships, employment, religious beliefs. life stages, I am certified in trauma therapy and addiction counseling, I work with clients with anxiety and depression disorders.
Where do I go from here ? What is change and what does it have to do with me." Novelist and critic Marcel Proust talks about discovery and "learning to see with new eyes. I am an LMFT, CADC II and CCTP using cognitive behavior techniques (thoughts, moods, behaviors, faulty core beliefs) in my client centered practice. I believe that change is not something to fear but something to embrace. I work with life transitions and the changes it brings including, relationships, employment, religious beliefs. life stages, I am certified in trauma therapy and addiction counseling, I work with clients with anxiety and depression disorders.
(702) 664-8607 View (702) 664-8607
Photo of Beatriz Flores, Marriage & Family Therapist Intern
Beatriz Flores
Marriage & Family Therapist Intern
Verified Verified
2 Endorsed
Henderson, NV 89052
Navigating relationships can be complex, encompassing various stages such as the talking phase, dating, marriage, or the challenging process of ending a relationship. Whether you find yourself in a situationship or are on a journey of self-discovery post-relationship, determining the next steps can be overwhelming. I offer support for those seeking empowerment, enhanced self-esteem, boundary-setting, increased emotional vulnerability, or guidance on avoiding relationships that cause heartbreak.
Navigating relationships can be complex, encompassing various stages such as the talking phase, dating, marriage, or the challenging process of ending a relationship. Whether you find yourself in a situationship or are on a journey of self-discovery post-relationship, determining the next steps can be overwhelming. I offer support for those seeking empowerment, enhanced self-esteem, boundary-setting, increased emotional vulnerability, or guidance on avoiding relationships that cause heartbreak.
(702) 718-5580 View (702) 718-5580
Photo of Janna L. Broxterman, MA, LMFT, Marriage & Family Therapist
Janna L. Broxterman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Henderson, NV 89052
I am an experienced licensed Marriage and Family Therapist. My focus lies with couples,individuals, adolescents, and families. Whether it is relationship issues, family dynamics, or individual coaching, all problems can be processed and resolved successfully! It is also important to have a strong, trusting relationship with your therapist, and that is an immediate goal in my sessions. My focus with relationships and families are developing healthy communication skills, acceptance, respect, and above all trust. I also specialize in addictions and the problems usually affect not just the one, but all who love and support them as well.
I am an experienced licensed Marriage and Family Therapist. My focus lies with couples,individuals, adolescents, and families. Whether it is relationship issues, family dynamics, or individual coaching, all problems can be processed and resolved successfully! It is also important to have a strong, trusting relationship with your therapist, and that is an immediate goal in my sessions. My focus with relationships and families are developing healthy communication skills, acceptance, respect, and above all trust. I also specialize in addictions and the problems usually affect not just the one, but all who love and support them as well.
(702) 551-2224 View (702) 551-2224
Photo of Hannah Godfrey, MS, LMFT-I, Marriage & Family Therapist Intern
Hannah Godfrey
Marriage & Family Therapist Intern, MS, LMFT-I
Verified Verified
1 Endorsed
Henderson, NV 89052
Life's challenges can leave us feeling unsure of who we are and where we're headed. As your therapist, I am committed to providing a warm, understanding space to explore your experiences, build strength, and embrace the incredible person you are. Whether you're struggling with life after trauma, adjusting to a new role, or navigating a new phase, therapy is a valuable tool to start flourishing today. Together, we can work to process your experiences and let go of judgment, pressures, and negativity from the past. I would be honored to join your journey into a future filled with meaning, purpose, empowerment & lasting resilience.
Life's challenges can leave us feeling unsure of who we are and where we're headed. As your therapist, I am committed to providing a warm, understanding space to explore your experiences, build strength, and embrace the incredible person you are. Whether you're struggling with life after trauma, adjusting to a new role, or navigating a new phase, therapy is a valuable tool to start flourishing today. Together, we can work to process your experiences and let go of judgment, pressures, and negativity from the past. I would be honored to join your journey into a future filled with meaning, purpose, empowerment & lasting resilience.
(702) 714-0929 View (702) 714-0929
Photo of Sarah Broxterman - Pathways Therapy and Wellness Center
ACCEPTING NEW CLIENTS! Due to the limited availability of therapists contracted with the insurance companies, Pathways Therapy and Wellness Center is offering Licensed State Interns for out of pocket sessions. We also offer student interns at $35.00 per session.
ACCEPTING NEW CLIENTS! Due to the limited availability of therapists contracted with the insurance companies, Pathways Therapy and Wellness Center is offering Licensed State Interns for out of pocket sessions. We also offer student interns at $35.00 per session.
(702) 363-7284 View (702) 363-7284
Photo of Jadra Chan, Pre-Licensed Professional
Jadra Chan
Pre-Licensed Professional
Verified Verified
1 Endorsed
Henderson, NV 89052
Hi, my name is Jadra Chan. I am a Marriage and Family Therapist Student studying at Touro University Worldwide. I am passionate about helping individuals, couples, and families strengthen and enhance their relationships and overall quality of life. I am also happy to work with parents and children. I am devoted to providing a safe space to identify and express your emotions while also challenging you to overcome the things preventing you from developing deeper connections and living a more meaningful and joyful life. My approach to therapy is collaborative and tailored to your specific needs, goals, and values.
Hi, my name is Jadra Chan. I am a Marriage and Family Therapist Student studying at Touro University Worldwide. I am passionate about helping individuals, couples, and families strengthen and enhance their relationships and overall quality of life. I am also happy to work with parents and children. I am devoted to providing a safe space to identify and express your emotions while also challenging you to overcome the things preventing you from developing deeper connections and living a more meaningful and joyful life. My approach to therapy is collaborative and tailored to your specific needs, goals, and values.
(702) 793-2324 View (702) 793-2324
Photo of Rosa Díaz, MFT-I, Marriage & Family Therapist Intern
Rosa Díaz
Marriage & Family Therapist Intern, MFT-I
Verified Verified
Henderson, NV 89052
Accepting New Clients in-person and via telehealth! Attending therapy can make you feel overwhelmed and unsure of the outcome. Please know that you are brave for taking the first steps into your healing journey, and I am here to guide you along the way. I work with clients through art therapy, play therapy, mindfulness, internal family systems, experiential, and cognitive-behavioral therapy.
Accepting New Clients in-person and via telehealth! Attending therapy can make you feel overwhelmed and unsure of the outcome. Please know that you are brave for taking the first steps into your healing journey, and I am here to guide you along the way. I work with clients through art therapy, play therapy, mindfulness, internal family systems, experiential, and cognitive-behavioral therapy.
(702) 960-1833 View (702) 960-1833
Photo of Kimberly Usbeck - Accepting New Clients, MS, Marriage & Family Therapist Intern
Kimberly Usbeck - Accepting New Clients
Marriage & Family Therapist Intern, MS
Verified Verified
3 Endorsed
Henderson, NV 89052
Are you or a loved one facing emotional or behavioral challenges? Is anxiety, sadness, or anger affecting your well-being? As a dedicated Marriage and Family Therapy intern (MFT-I) in Nevada, I offer compassionate and effective therapy under the supervision of William Arndt, LMFT, and Dr. Adrianna Wechsler Zimring. I have previously worked at The Evidence Based Practice of Nevada and UNLV's Center for Individual, Couples, and Family Counseling during my graduate studies where I gained valuable training.
Are you or a loved one facing emotional or behavioral challenges? Is anxiety, sadness, or anger affecting your well-being? As a dedicated Marriage and Family Therapy intern (MFT-I) in Nevada, I offer compassionate and effective therapy under the supervision of William Arndt, LMFT, and Dr. Adrianna Wechsler Zimring. I have previously worked at The Evidence Based Practice of Nevada and UNLV's Center for Individual, Couples, and Family Counseling during my graduate studies where I gained valuable training.
(725) 373-9126 View (725) 373-9126
Photo of Cara Hardy, MFT, Intern, Marriage & Family Therapist Intern
Cara Hardy
Marriage & Family Therapist Intern, MFT, Intern
Verified Verified
2 Endorsed
Henderson, NV 89052
I am a currently accepting new clients. My goal is to create an environment where individuals, couples, adolescents, and families feel supported on their healing journey. I believe you are the expert of your life. I will strive to help you find hope in becoming the best version of yourself. I am here to help you on your unique journey so that you can move forward with confidence.
I am a currently accepting new clients. My goal is to create an environment where individuals, couples, adolescents, and families feel supported on their healing journey. I believe you are the expert of your life. I will strive to help you find hope in becoming the best version of yourself. I am here to help you on your unique journey so that you can move forward with confidence.
(702) 829-5993 View (702) 829-5993
Photo of Crystal Lee Sheldon - Therapize Me @ NV Behavioral Health Services, LCSW, Clinical Social Work/Therapist
Therapize Me @ NV Behavioral Health Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Henderson, NV 89052
“Through therapy, we aim to rebuild and nourish the spirit one client, one person, one human at a time.”
“Through therapy, we aim to rebuild and nourish the spirit one client, one person, one human at a time.”
(702) 605-7825 View (702) 605-7825
Photo of Shauna Johnson, LCSW, Clinical Social Work/Therapist
Shauna Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Henderson, NV 89052  (Online Only)
*CURRENTLY ACCEPTING NEW CLIENTS* Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists are experienced and caring. We would love to help you understand how to address your concerns. We provide a safe environment that allows you to discuss your problems without feeling shame or judgement. Your help is just an email or phone call away!
*CURRENTLY ACCEPTING NEW CLIENTS* Are you experiencing depression, anxiety, trauma or other concerns that keep you from progressing in life? Here at Behavioral Health Solutions, our team of licensed therapists are experienced and caring. We would love to help you understand how to address your concerns. We provide a safe environment that allows you to discuss your problems without feeling shame or judgement. Your help is just an email or phone call away!
(702) 819-6863 View (702) 819-6863
Photo of Nelandra Anselmo, MS, LMFT, Marriage & Family Therapist
Nelandra Anselmo
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Henderson, NV 89052
Time for a change?... My goal is to support each client in their unique journey to become empowered to live better. I have supported adults, adolescents, couples and families through transition and helped them manage change in many areas of their lives, including: Relationship Issues - Pre-marital and Marital Counseling - Stress, Anxiety and Depression - Trauma - Self-Esteem and Identity Issues - Divorce and Blended Families - Grief and Loss - Career Transition and Decision-Making
Time for a change?... My goal is to support each client in their unique journey to become empowered to live better. I have supported adults, adolescents, couples and families through transition and helped them manage change in many areas of their lives, including: Relationship Issues - Pre-marital and Marital Counseling - Stress, Anxiety and Depression - Trauma - Self-Esteem and Identity Issues - Divorce and Blended Families - Grief and Loss - Career Transition and Decision-Making
(702) 809-3555 View (702) 809-3555
Photo of Denise Hooks, MS, CPC, Licensed Professional Counselor
Denise Hooks
Licensed Professional Counselor, MS, CPC
Verified Verified
Henderson, NV 89052  (Online Only)
Insta: elevated.therapy Tiktok: therapybydenise - My practice focuses on the economic and systemic influences of generational trauma within disenfranchised communities. Addressing trauma within cultural norms and family structures provides for a 360º vantage point of an individual’s world view. This is especially important when I am working with people of color, women, individuals of the LBGTQIA+ community, and any persons that comes from a minority status. Trauma and pain can be considered as muscle memory. This type of emotional memory can be passed down through generations and if left unexplored, can lead to emotional issues.
Insta: elevated.therapy Tiktok: therapybydenise - My practice focuses on the economic and systemic influences of generational trauma within disenfranchised communities. Addressing trauma within cultural norms and family structures provides for a 360º vantage point of an individual’s world view. This is especially important when I am working with people of color, women, individuals of the LBGTQIA+ community, and any persons that comes from a minority status. Trauma and pain can be considered as muscle memory. This type of emotional memory can be passed down through generations and if left unexplored, can lead to emotional issues.
(702) 829-8129 View (702) 829-8129
Photo of Morgan Nephew, CMHCI, Pre-Licensed Professional
Morgan Nephew
Pre-Licensed Professional, CMHCI
Verified Verified
1 Endorsed
Henderson, NV 89052
I’m dedicated to giving you a safe and warm experience when you meet with me. I’m a very whole-hearted person, so I will always give you my all in therapy. I love humor and know how important it can be in healing people deal with the pain of life. I’m an encourager and I love to empower my therapy clients and provide help based on your personal learning style. We can talk, but we can also engage in hands-on activities, or visual learning–whatever helps you incorporate the new learning better.
I’m dedicated to giving you a safe and warm experience when you meet with me. I’m a very whole-hearted person, so I will always give you my all in therapy. I love humor and know how important it can be in healing people deal with the pain of life. I’m an encourager and I love to empower my therapy clients and provide help based on your personal learning style. We can talk, but we can also engage in hands-on activities, or visual learning–whatever helps you incorporate the new learning better.
(702) 291-7308 View (702) 291-7308
Photo of Brian Eldridge, MS, NCC, Licensed Professional Counselor
Brian Eldridge
Licensed Professional Counselor, MS, NCC
Verified Verified
Henderson, NV 89052
Do you feel down on most days with a low mood? Do you lack motivation? Are you emotionally isolated from others? You may be struggling with depression. Or, maybe you are nervous, worried, or feel on edge most days. You might have chronic anxiety. These are just two of the topics I am passionate about—millions of Americans - both women and men, battle depression and anxiety daily. Take heart, there is a path toward healing. My name is Brian Eldridge. I am a Mental Health Counselor licensed in Nevada and certified by the National Board for Certified Counselors in excellent standing.
Do you feel down on most days with a low mood? Do you lack motivation? Are you emotionally isolated from others? You may be struggling with depression. Or, maybe you are nervous, worried, or feel on edge most days. You might have chronic anxiety. These are just two of the topics I am passionate about—millions of Americans - both women and men, battle depression and anxiety daily. Take heart, there is a path toward healing. My name is Brian Eldridge. I am a Mental Health Counselor licensed in Nevada and certified by the National Board for Certified Counselors in excellent standing.
(702) 935-2962 View (702) 935-2962
1
...

How does your Therapist compare?

Number of Therapists in 89052

200+

Average cost per session

$125

Therapists in 89052 who prioritize treating:

95% Anxiety
88% Depression
79% Relationship Issues
78% Self Esteem
77% Coping Skills
76% Trauma and PTSD
76% Stress

Average years in practice

10 Years

Top 3 insurances accepted

73% Aetna
72% UnitedHealthcare UHC | UBH
64% Optum

How Therapists in 89052 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

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

How can I find a therapist in 89052?

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.