Therapists in Fort Myers, FL

Photo of Brittany Junker, Counselor in Fort Myers, FL
Brittany Junker
Counselor
Verified Verified
1 Endorsed
Fort Myers, FL 33901
Hello, my name is Brittany Junker. I am a licensed Mental Health Counselor. I work with clients of all ages: children, teens, and adults. I specialize in helping families heal, individually and as a whole. My therapeutic style lends itself to working with a diverse range of client concerns. Clients have expressed symptoms including but not limited to symptoms of ADD/ADHD, disciplinary concerns, conduct and personality disorders, symptoms of trauma, anxiety, depression, irritability, difficulty making and maintaining relationships, trouble sleeping, mood swings, angry outbursts etc.
Hello, my name is Brittany Junker. I am a licensed Mental Health Counselor. I work with clients of all ages: children, teens, and adults. I specialize in helping families heal, individually and as a whole. My therapeutic style lends itself to working with a diverse range of client concerns. Clients have expressed symptoms including but not limited to symptoms of ADD/ADHD, disciplinary concerns, conduct and personality disorders, symptoms of trauma, anxiety, depression, irritability, difficulty making and maintaining relationships, trouble sleeping, mood swings, angry outbursts etc.
(239) 900-1812 View (239) 900-1812
Photo of LeighAnn Wong, Psychologist in Fort Myers, FL
LeighAnn Wong
Psychologist, PhD
Verified Verified
Fort Myers, FL 33907  (Online Only)
Waitlist for new clients
Helping others has always been a big part of my life. As a licensed clinical psychologist my goal is facilitating the growth of my clients through accurate assessment and therapeutic care of their personal concerns. This may include providing guidance, support, and extensive understanding to those individuals who others depend on. Thus far, my inner passion and natural ability to connect with others combined with my scientist-practitioner experience has allowed me to build solid therapeutic relationships with my clients. Together we foster open dialogue and create a supportive and secure healing environment.
Helping others has always been a big part of my life. As a licensed clinical psychologist my goal is facilitating the growth of my clients through accurate assessment and therapeutic care of their personal concerns. This may include providing guidance, support, and extensive understanding to those individuals who others depend on. Thus far, my inner passion and natural ability to connect with others combined with my scientist-practitioner experience has allowed me to build solid therapeutic relationships with my clients. Together we foster open dialogue and create a supportive and secure healing environment.
(239) 676-0881 View (239) 676-0881
Photo of Gulfshore Behavioral Health, Psychologist in Fort Myers, FL
Gulfshore Behavioral Health
Psychologist
Verified Verified
Fort Myers, FL 33907
Gulfshore Behavioral Health is a contemporary behavioral health practice located in Southwest Florida that specializes in providing psychological care throughout the lifespan, servicing children through older adults via in-person and virtual telemedicine appointments. All of our providers are licensed psychologists that specialize in clinical and school psychology.
Gulfshore Behavioral Health is a contemporary behavioral health practice located in Southwest Florida that specializes in providing psychological care throughout the lifespan, servicing children through older adults via in-person and virtual telemedicine appointments. All of our providers are licensed psychologists that specialize in clinical and school psychology.
(239) 309-1845 View (239) 309-1845
Photo of Myra Marcus, Clinical Social Work/Therapist in Fort Myers, FL
Myra Marcus
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Fort Myers, FL 33966
In this time of #MeToo some of you may feel that your voice is not heard and you do not know how to begin to tell your story. I will listen and try to help you discover your voice. Psychotherapy helps clients to recognize and reconcile the dissonance between their inner lives and the realities of their every day experiences. The developing bond between the therapist and the client allows and encourages them to explore their ideas in a safe, secure setting. Everyone has a story. I would welcome hearing yours.
In this time of #MeToo some of you may feel that your voice is not heard and you do not know how to begin to tell your story. I will listen and try to help you discover your voice. Psychotherapy helps clients to recognize and reconcile the dissonance between their inner lives and the realities of their every day experiences. The developing bond between the therapist and the client allows and encourages them to explore their ideas in a safe, secure setting. Everyone has a story. I would welcome hearing yours.
(914) 425-5135 View (914) 425-5135
Photo of Cindy Fisher, Pre-Licensed Professional in Fort Myers, FL
Cindy Fisher
Pre-Licensed Professional, MA, MAEd
Verified Verified
1 Endorsed
Fort Myers, FL 33966
If you are dealing with chronic pain, anxiety, depression, or relationship issues, I would be honored to walk beside you & help equip you for life's challenges. Often, that means being able to identify strengths you already have and don't own yet. My mission is to help you improve your emotional well-being and give you tools to enhance your personal relationships and achieve your life goals. 15+ years of teaching gives me a unique perspective working with kids, teens, and adults. I encourage you to take the next, brave step to reach out to learn more.
If you are dealing with chronic pain, anxiety, depression, or relationship issues, I would be honored to walk beside you & help equip you for life's challenges. Often, that means being able to identify strengths you already have and don't own yet. My mission is to help you improve your emotional well-being and give you tools to enhance your personal relationships and achieve your life goals. 15+ years of teaching gives me a unique perspective working with kids, teens, and adults. I encourage you to take the next, brave step to reach out to learn more.
(239) 356-8050 View (239) 356-8050
Photo of Dandelion Behavioral Health, Marriage & Family Therapist Intern in Fort Myers, FL
Dandelion Behavioral Health
Marriage & Family Therapist Intern, MS
Verified Verified
Fort Myers, FL 33907  (Online Only)
My name is Vanessa, and I am accepting new telehealth clients through Dandelion Behavioral Health. I can be requested via phone call, email or website! I have a passion for working with children and families. I enjoy teaching the power of healthy communication and silence, support and resources and togetherness and boundaries.
My name is Vanessa, and I am accepting new telehealth clients through Dandelion Behavioral Health. I can be requested via phone call, email or website! I have a passion for working with children and families. I enjoy teaching the power of healthy communication and silence, support and resources and togetherness and boundaries.
(239) 294-8392 View (239) 294-8392
Photo of Rashawn Brewster, Marriage & Family Therapist in Fort Myers, FL
Rashawn Brewster
Marriage & Family Therapist, LMFT
Verified Verified
Fort Myers, FL 33913  (Online Only)
Hello! My goal as a therapist is to provide a warm, thought-provoking & tool-based approach to the counseling process. You are the expert on you & my role is to help you remove and/or reduce any barriers preventing you from living your most fulfilling life. I remember being in your shoes at one point, clicking through online profiles trying to find the right fit to begin working on myself. I was somewhat hesitant & wasn't really sure therapy was even for me. But what I learned through my personal journey was that everyone & I mean everyone can use a bit of support & additional insight at critical moments of life. I'm here to help!
Hello! My goal as a therapist is to provide a warm, thought-provoking & tool-based approach to the counseling process. You are the expert on you & my role is to help you remove and/or reduce any barriers preventing you from living your most fulfilling life. I remember being in your shoes at one point, clicking through online profiles trying to find the right fit to begin working on myself. I was somewhat hesitant & wasn't really sure therapy was even for me. But what I learned through my personal journey was that everyone & I mean everyone can use a bit of support & additional insight at critical moments of life. I'm here to help!
(239) 345-9399 View (239) 345-9399
Photo of Dr. Michelle Cavaliere, Counselor in Fort Myers, FL
Dr. Michelle Cavaliere
Counselor, PhD, LMHC, CFMHE, QSP, MCSP
Verified Verified
Fort Myers, FL 33901
Have you ever felt embarrassed about sex or topics regarding sexual health and pleasure? Do you ever feel that your sexual dysfunction is impacting your relationships? Are you one of the hundreds of thousands of people that have difficulty reaching orgasm or experience sexual dysfunction? These situations are more common than you think. My name is Michelle, and I am a Licensed Mental Health Counselor that specializes in these topics, and so much more.
Have you ever felt embarrassed about sex or topics regarding sexual health and pleasure? Do you ever feel that your sexual dysfunction is impacting your relationships? Are you one of the hundreds of thousands of people that have difficulty reaching orgasm or experience sexual dysfunction? These situations are more common than you think. My name is Michelle, and I am a Licensed Mental Health Counselor that specializes in these topics, and so much more.
(239) 236-4944 View (239) 236-4944
Mouracade Recovery Medicine
MD
Verified Verified
Fort Myers, FL 33919
Mouracade Recovery Medicine is the vision of Dr Peggy Mouracade and her husband, Thomas, who himself is in long term recovery. It is their mission to restore harmony to those who are on the journey of recovery with the understanding that each individual deserves and requires a personalized approach. Mouracade Recovery Medicine is just not a medical practice that treats symptoms: it is a haven where patients are embraced and celebrated as unique individuals, each on his or her own path to healing and to restoration
Mouracade Recovery Medicine is the vision of Dr Peggy Mouracade and her husband, Thomas, who himself is in long term recovery. It is their mission to restore harmony to those who are on the journey of recovery with the understanding that each individual deserves and requires a personalized approach. Mouracade Recovery Medicine is just not a medical practice that treats symptoms: it is a haven where patients are embraced and celebrated as unique individuals, each on his or her own path to healing and to restoration
(239) 747-6194 View (239) 747-6194
Photo of Janean Bromley, MS, LMHC, Licensed Mental Health Counselor in Fort Myers, FL
Janean Bromley, MS, LMHC
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
2 Endorsed
Fort Myers, FL 33901
Hello, my name is Janean Bromley. I specialize in couples and relationship therapy and counseling. I have a passion to help couples stay together in today's climate. I believe that it is more difficult then ever for couples to prioritize their relationship, maintain trust, connection and be able to balance the many tasks in today's society. I am trained in Gottman level 2 couples techniques, who is a world renowned researcher on couples and couples therapy. My goal in sessions is to help my couples focus on their strengths while striving for positive change. I have great progress in my sessions if both partners are willing.
Hello, my name is Janean Bromley. I specialize in couples and relationship therapy and counseling. I have a passion to help couples stay together in today's climate. I believe that it is more difficult then ever for couples to prioritize their relationship, maintain trust, connection and be able to balance the many tasks in today's society. I am trained in Gottman level 2 couples techniques, who is a world renowned researcher on couples and couples therapy. My goal in sessions is to help my couples focus on their strengths while striving for positive change. I have great progress in my sessions if both partners are willing.
(239) 201-4722 View (239) 201-4722
Photo of William A Moulton, Counselor in Fort Myers, FL
William A Moulton
Counselor, MA, MAEd
Verified Verified
1 Endorsed
Fort Myers, FL 33919
Life often gets in the way of being our best selves. Being a Licensed Clinical Mental Health Counselor, Florida Supreme Court Family Law Mediator, a former university/college administrator, and former public school teacher, I have a well rounded understanding of life's struggles with change. LGBTQ, 'empty nest,' and chronic pain are three of the many areas where I am well versed working with clients. Call me to set up an appointment so we can work together toward a better you!
Life often gets in the way of being our best selves. Being a Licensed Clinical Mental Health Counselor, Florida Supreme Court Family Law Mediator, a former university/college administrator, and former public school teacher, I have a well rounded understanding of life's struggles with change. LGBTQ, 'empty nest,' and chronic pain are three of the many areas where I am well versed working with clients. Call me to set up an appointment so we can work together toward a better you!
(239) 208-5156 View (239) 208-5156
Photo of Lashunda F Watkins, Clinical Social Work/Therapist in Fort Myers, FL
Lashunda F Watkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Myers, FL 33907  (Online Only)
Perhaps life has been extremely challenging lately (e.g., struggling to find balance in managing the kids, relationships and/or a stressful career) and you are feeling unable to adequately attend to your own emotional needs. Maybe unprocessed trauma (e.g., childhood abuse/neglect, workplace or racial) experiences are affecting your relationships and keeping you from living your best life. Could it be that women’s health issues (e.g., infertility, PCOS or PMDD) or men's health issues have left you feeling helpless? Yes, I see you. Regardless of the challenge, I am here to let you know that there is hope!
Perhaps life has been extremely challenging lately (e.g., struggling to find balance in managing the kids, relationships and/or a stressful career) and you are feeling unable to adequately attend to your own emotional needs. Maybe unprocessed trauma (e.g., childhood abuse/neglect, workplace or racial) experiences are affecting your relationships and keeping you from living your best life. Could it be that women’s health issues (e.g., infertility, PCOS or PMDD) or men's health issues have left you feeling helpless? Yes, I see you. Regardless of the challenge, I am here to let you know that there is hope!
(239) 829-9210 View (239) 829-9210
Photo of Danielle Jediny-Racies, MFT, Marriage & Family Therapist in Fort Myers, FL
Danielle Jediny-Racies, MFT
Marriage & Family Therapist, LMFT
Verified Verified
Fort Myers, FL 33913  (Online Only)
Hello. My name is Danielle Jediny-Racies. I am a practicing licensed marriage and family therapist since 2009 providing care for people who live in Oregon, California, Florida, South Carolina, Washington, and Georgia. My therapeutic approach is informed by system-centered, attachment, trauma-informed methods of care and psychobiological approach to couples therapy (PACT). I am steady, reflective, and compassionate.
Hello. My name is Danielle Jediny-Racies. I am a practicing licensed marriage and family therapist since 2009 providing care for people who live in Oregon, California, Florida, South Carolina, Washington, and Georgia. My therapeutic approach is informed by system-centered, attachment, trauma-informed methods of care and psychobiological approach to couples therapy (PACT). I am steady, reflective, and compassionate.
(239) 420-8049 View (239) 420-8049
Photo of Janet D Cameron in Fort Myers, FL
Janet D Cameron
Verified Verified
Fort Myers, FL 33905
My goal with my clients is to encourage all to be curious about what life could be as an empowered and confidential individual. The power to reconstruct your soul comes from being shown how to be honest with yourself.
My goal with my clients is to encourage all to be curious about what life could be as an empowered and confidential individual. The power to reconstruct your soul comes from being shown how to be honest with yourself.
(239) 695-7924 View (239) 695-7924
Photo of Dr. Hannah Strom, Psychologist in Fort Myers, FL
Dr. Hannah Strom
Psychologist, MA, PsyD, LP
Verified Verified
2 Endorsed
Fort Myers, FL 33907
Dr. Strom has worked with individuals across ages, racial backgrounds, socioeconomic status, and mental health concerns but specializes in working with adults with PTSD using Cognitive Processing Therapy (CPT) and, soon, Eye Movement Desensitization and Reprocessing (EMDR). She is also experienced in treating adults who suffer from depressive and anxiety disorders, stress, borderline personality disorder, sleep problems, emotional dysregulation, and physical health-related problems like chronic pain.
Dr. Strom has worked with individuals across ages, racial backgrounds, socioeconomic status, and mental health concerns but specializes in working with adults with PTSD using Cognitive Processing Therapy (CPT) and, soon, Eye Movement Desensitization and Reprocessing (EMDR). She is also experienced in treating adults who suffer from depressive and anxiety disorders, stress, borderline personality disorder, sleep problems, emotional dysregulation, and physical health-related problems like chronic pain.
(239) 319-4934 View (239) 319-4934
Photo of Yaro Garcia Therapy Treatment Team, LLC., Counselor in Fort Myers, FL
Yaro Garcia Therapy Treatment Team, LLC.
Counselor, PhD, LMHC
Verified Verified
Fort Myers, FL 33907
Hello, I'm Dr. Yaro Garcia, please call me Yaro. I am a licensed mental health counselor with extensive training in clinical psychology, cognition, and trauma. I have 14 years of clinical practice. In addition to my work with clients, I also share my expertise as a professor and recognized speaker on topics related to mental health and wellness including complex trauma and treatment techniques.
Hello, I'm Dr. Yaro Garcia, please call me Yaro. I am a licensed mental health counselor with extensive training in clinical psychology, cognition, and trauma. I have 14 years of clinical practice. In addition to my work with clients, I also share my expertise as a professor and recognized speaker on topics related to mental health and wellness including complex trauma and treatment techniques.
(239) 537-9646 View (239) 537-9646
Photo of Laura J Dallalio-Crotty, Counselor in Fort Myers, FL
Laura J Dallalio-Crotty
Counselor, MS, LMHC, LPCC
Verified Verified
Fort Myers, FL 33907  (Online Only)
Not accepting new clients
Laura J. Dallalio-Crotty, LMHC, LPCC, Masters in Counseling Psychology, specializes in Standard Dialectical Behavior Therapy (DBT) which is an evidence based practice that has been found to be effective in helping individuals who struggle with intense, out of control emotions, chaotic relationships and impulsivity. DBT is effective for anyone who wants to make changes in their life, and is often used for those who suffer from depression, trauma, suicidal ideation, anxiety or self harm. Laura J. Dallalio-Crotty is extensively trained in DBT with over ten years of experience.
Laura J. Dallalio-Crotty, LMHC, LPCC, Masters in Counseling Psychology, specializes in Standard Dialectical Behavior Therapy (DBT) which is an evidence based practice that has been found to be effective in helping individuals who struggle with intense, out of control emotions, chaotic relationships and impulsivity. DBT is effective for anyone who wants to make changes in their life, and is often used for those who suffer from depression, trauma, suicidal ideation, anxiety or self harm. Laura J. Dallalio-Crotty is extensively trained in DBT with over ten years of experience.
(239) 268-6631 View (239) 268-6631
Photo of Danielle Jediny-Racies, MFT, Marriage & Family Therapist in Fort Myers, FL
Danielle Jediny-Racies, MFT
Marriage & Family Therapist, MFT
Verified Verified
Fort Myers, FL 33908  (Online Only)
Hello. My name is Danielle Jediny-Racies. I am a practicing licensed marriage and family therapist since 2009 providing care for people who live in Oregon, California, Florida, Washington, and Georgia. My therapeutic approach is informed by system-centered, attachment, trauma-informed methods of care and psychobiological approach to couples therapy (PACT). I am steady, reflective, and compassionate.
Hello. My name is Danielle Jediny-Racies. I am a practicing licensed marriage and family therapist since 2009 providing care for people who live in Oregon, California, Florida, Washington, and Georgia. My therapeutic approach is informed by system-centered, attachment, trauma-informed methods of care and psychobiological approach to couples therapy (PACT). I am steady, reflective, and compassionate.
(239) 360-3133 View (239) 360-3133
Photo of Karen Murray, Registered Clinical Social Worker Intern in Fort Myers, FL
Karen Murray
Registered Clinical Social Worker Intern, LISW
Verified Verified
Fort Myers, FL 33907
Why do we or our loved ones continue in cycles that harm? This question often echoes in the minds of family members or those battling addiction. The sleepless nights and torment are harrowing. Yet, there is hope and help. Having experienced alcoholism firsthand as a daughter, sister, and individual, I understand the journey intimately. I’ve transcended maladaptive coping mechanisms and made it my life’s mission to aid others in their struggle against this illness. Whether you’re a family member or directly grappling with addiction, I am here to support you.
Why do we or our loved ones continue in cycles that harm? This question often echoes in the minds of family members or those battling addiction. The sleepless nights and torment are harrowing. Yet, there is hope and help. Having experienced alcoholism firsthand as a daughter, sister, and individual, I understand the journey intimately. I’ve transcended maladaptive coping mechanisms and made it my life’s mission to aid others in their struggle against this illness. Whether you’re a family member or directly grappling with addiction, I am here to support you.
(239) 420-9652 View (239) 420-9652
Photo of Dr. Cori Calkins, Psychologist in Fort Myers, FL
Dr. Cori Calkins
Psychologist, PsyD
Verified Verified
2 Endorsed
Fort Myers, FL 33912
We all struggle at different points in life. There are times when we need support to gain perspective and make changes in order to find peace. I help adults and teens work through a variety of concerns regarding anxiety and depression, life changes, life optimization, intimacy, relationships and past trauma. Together we work collaboratively to identify your own goals and develop skills for managing these challenges. Through a trusting therapeutic relationship, my goal is to help you to find self-understanding and identify the barriers that are standing in the way of your ability to enjoy life.
We all struggle at different points in life. There are times when we need support to gain perspective and make changes in order to find peace. I help adults and teens work through a variety of concerns regarding anxiety and depression, life changes, life optimization, intimacy, relationships and past trauma. Together we work collaboratively to identify your own goals and develop skills for managing these challenges. Through a trusting therapeutic relationship, my goal is to help you to find self-understanding and identify the barriers that are standing in the way of your ability to enjoy life.
(239) 217-4686 View (239) 217-4686

How does your Therapist compare?

Number of Therapists in Fort Myers, FL

500+

Average cost per session

$125

Therapists in Fort Myers, FL who prioritize treating:

92% Anxiety
87% Depression
79% Coping Skills
79% Self Esteem
70% Trauma and PTSD
67% Relationship Issues
64% Grief

Average years in practice

12 Years

Top 3 insurances accepted

87% Aetna
83% Cigna and Evernorth
83% UnitedHealthcare UHC | UBH

How Therapists in Fort Myers, FL see their clients

57% In Person and Online
43% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fort Myers?

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.