Therapists in Wayne, PA

Photo of Karen K Moon, Clinical Social Work/Therapist in Wayne, PA
Karen K Moon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Wayne, PA 19087
Clients come to me after experiencing a loss whether it be from the death of a loved one, the end of a marriage/significant relationship or a major life transition. These changes in one's life can bring on feelings of sadness, isolation and fear. As a therapist I believe in the power of telling one's story in a safe and supportive space. My goal is to help clients expand the possibilities when feeling stuck, access their strengths, accept their limitations and practice being present in their daily lives.
Clients come to me after experiencing a loss whether it be from the death of a loved one, the end of a marriage/significant relationship or a major life transition. These changes in one's life can bring on feelings of sadness, isolation and fear. As a therapist I believe in the power of telling one's story in a safe and supportive space. My goal is to help clients expand the possibilities when feeling stuck, access their strengths, accept their limitations and practice being present in their daily lives.
(610) 915-8973 View (610) 915-8973
Photo of Grace Capuzzi, Clinical Social Work/Therapist in Wayne, PA
Grace Capuzzi
Clinical Social Work/Therapist, MSS, LSW, BCH
Verified Verified
2 Endorsed
Wayne, PA 19087
I recognize that seeking therapy can be difficult, so I hope to make your experience one that is collaborative and empowering. I work from a trauma-informed and strengths-based perspective. I strive to create an inclusive therapeutic environment so that you feel supported and fulfilled. I’m prepared to help you work through anxiety, depression, trauma, low self-esteem, relationships, and life transitions using a holistic therapeutic approach.
I recognize that seeking therapy can be difficult, so I hope to make your experience one that is collaborative and empowering. I work from a trauma-informed and strengths-based perspective. I strive to create an inclusive therapeutic environment so that you feel supported and fulfilled. I’m prepared to help you work through anxiety, depression, trauma, low self-esteem, relationships, and life transitions using a holistic therapeutic approach.
(484) 309-8228 View (484) 309-8228
Photo of Gabrielle Woodward, Licensed Professional Counselor in Wayne, PA
Gabrielle Woodward
Licensed Professional Counselor, MA, LPC, BSL
Verified Verified
2 Endorsed
Wayne, PA 19087  (Online Only)
Anxious? Depressed? Autism? ADHD? "I am not even sure what is happening or where to start!" If this is you or your loved one, I can help! If you're looking for a down-to-earth therapist who knows how to bring a touch of humor, extensive expertise and a lot of understanding to the table, I am here for you! With compassionate listening and evidence-based practices, we'll create a unique therapeutic experience. You're not just a client – you're an individual with boundless potential. I am excited to work along side you in working towards understanding, acceptance, and positive change. Let's begin this transformative journey together!
Anxious? Depressed? Autism? ADHD? "I am not even sure what is happening or where to start!" If this is you or your loved one, I can help! If you're looking for a down-to-earth therapist who knows how to bring a touch of humor, extensive expertise and a lot of understanding to the table, I am here for you! With compassionate listening and evidence-based practices, we'll create a unique therapeutic experience. You're not just a client – you're an individual with boundless potential. I am excited to work along side you in working towards understanding, acceptance, and positive change. Let's begin this transformative journey together!
(610) 510-7445 View (610) 510-7445
Photo of Anthony (Tony) F. Morelli Jr., Clinical Social Work/Therapist in Wayne, PA
Anthony (Tony) F. Morelli Jr.
Clinical Social Work/Therapist, MSS, LCSW, FT
Verified Verified
1 Endorsed
Wayne, PA 19087
You are facing a significant life challenge. Maybe it's the death of an important person, or the end of a relationship, or simply a natural life change. Possibly it is another type of challenge, such as recovery from addiction or trauma. Maybe your child is experiencing their own difficulties and you want to help them, but you aren't sure how. You have questions and concerns: Is what I'm feeling ok? How do I best help and support myself and/or my child? How will I re-make my life? What does healing mean to me ... and who am I as I undertake that process? Your questions are valid, and exploring them could be helpful.
You are facing a significant life challenge. Maybe it's the death of an important person, or the end of a relationship, or simply a natural life change. Possibly it is another type of challenge, such as recovery from addiction or trauma. Maybe your child is experiencing their own difficulties and you want to help them, but you aren't sure how. You have questions and concerns: Is what I'm feeling ok? How do I best help and support myself and/or my child? How will I re-make my life? What does healing mean to me ... and who am I as I undertake that process? Your questions are valid, and exploring them could be helpful.
(610) 615-7604 View (610) 615-7604
Photo of Briana Haggerty, Pre-Licensed Professional in Wayne, PA
Briana Haggerty
Pre-Licensed Professional, MSEd
Verified Verified
2 Endorsed
Wayne, PA 19087
Something doesn't feel quite right anymore. Or maybe it never has. You've been feeling anxious, depressed, or had trouble expressing yourself. Maybe you've found yourself having big reactions that don't match the size of the situation. Or maybe you're just not sure what's next in life. I’m here to create a space for you to come exactly as you are now while exploring and moving towards the change you want to see in your life. Together we can help you develop confidence in your unique strengths and values, discover the most effective methods for achieving your goals, and find ways to nurture fulfilling relationships and experiences.
Something doesn't feel quite right anymore. Or maybe it never has. You've been feeling anxious, depressed, or had trouble expressing yourself. Maybe you've found yourself having big reactions that don't match the size of the situation. Or maybe you're just not sure what's next in life. I’m here to create a space for you to come exactly as you are now while exploring and moving towards the change you want to see in your life. Together we can help you develop confidence in your unique strengths and values, discover the most effective methods for achieving your goals, and find ways to nurture fulfilling relationships and experiences.
(484) 878-5716 View (484) 878-5716
Photo of Sara Silliman, Pre-Licensed Professional in Wayne, PA
Sara Silliman
Pre-Licensed Professional, MFT
Verified Verified
9 Endorsed
Wayne, PA 19087
Accepting new clients! Whether you are experiencing anxiety, struggling with self-esteem, or experiencing family/relational conflict, I am here to provide a compassionate and healing space! I primarily work with pre-teens through young adults, and their families. In addition, I work with children as young as 7. My clients' goals are often to reduce anxiety, improve self-esteem, find healthy coping skills, and improve their relationships with themselves and others. If you’re looking for a therapist who is relatable and warm, but can be direct, I might be a fit for you!
Accepting new clients! Whether you are experiencing anxiety, struggling with self-esteem, or experiencing family/relational conflict, I am here to provide a compassionate and healing space! I primarily work with pre-teens through young adults, and their families. In addition, I work with children as young as 7. My clients' goals are often to reduce anxiety, improve self-esteem, find healthy coping skills, and improve their relationships with themselves and others. If you’re looking for a therapist who is relatable and warm, but can be direct, I might be a fit for you!
(267) 682-8865 View (267) 682-8865
Photo of Chas Wargo in Wayne, PA
Chas Wargo
LMFT
Verified Verified
1 Endorsed
Wayne, PA 19087  (Online Only)
I provide therapy for individuals, couples, families, adults and children. I have worked with many different clients providing the support needed for change. My experience at various social service agencies, at a child and family clinic; and in a college clinic has given me the opportunity to work with many adults, children, adolescents and families. I find my training in marriage and family therapy is particularly helpful for my clients in that it helps individuals better understand their relationships with themselves and others in their life. I regularly look at the systemic process in relationships, and at attachment issues.
I provide therapy for individuals, couples, families, adults and children. I have worked with many different clients providing the support needed for change. My experience at various social service agencies, at a child and family clinic; and in a college clinic has given me the opportunity to work with many adults, children, adolescents and families. I find my training in marriage and family therapy is particularly helpful for my clients in that it helps individuals better understand their relationships with themselves and others in their life. I regularly look at the systemic process in relationships, and at attachment issues.
(484) 309-5603 View (484) 309-5603
Photo of Abraham Klein, Licensed Professional Counselor in Wayne, PA
Abraham Klein
Licensed Professional Counselor, LPC
Verified Verified
Wayne, PA 19087
Abe received his masters in professional counseling at La Salle University and is a Licensed Professional Counselor, and has been working in the field since 2016 as a therapist for various populations. He specializes in working with adolescents, teens, and young adults (14-25) and has experience working with older adults as well. Throughout his career he has developed experience and specialization helping clients work through anxiety, interpersonal difficulties, LGBTQIA+ issues, emotional struggles connected to chronic illness, and transitional life difficulties.
Abe received his masters in professional counseling at La Salle University and is a Licensed Professional Counselor, and has been working in the field since 2016 as a therapist for various populations. He specializes in working with adolescents, teens, and young adults (14-25) and has experience working with older adults as well. Throughout his career he has developed experience and specialization helping clients work through anxiety, interpersonal difficulties, LGBTQIA+ issues, emotional struggles connected to chronic illness, and transitional life difficulties.
(267) 377-4638 View (267) 377-4638
Photo of Kristal Bolhuis, Pre-Licensed Professional in Wayne, PA
Kristal Bolhuis
Pre-Licensed Professional, MA
Verified Verified
8 Endorsed
Wayne, PA 19087
I have passion for working with individuals of all ages, genders, ethnicities, and backgrounds who have experienced trauma. The definition of trauma is subjective, but I believe it to mean any experience that hinders you from functioning in the way you did prior to the experience.
I have passion for working with individuals of all ages, genders, ethnicities, and backgrounds who have experienced trauma. The definition of trauma is subjective, but I believe it to mean any experience that hinders you from functioning in the way you did prior to the experience.
(570) 929-0602 View (570) 929-0602
Photo of Leona Pierce, Clinical Social Work/Therapist in Wayne, PA
Leona Pierce Pierce
Clinical Social Work/Therapist, LCSW
Verified Verified
Wayne, PA 19087
Leona Pierce is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2012. She has a BA in Psychology from Northeastern University and a Social Policy and Practice MSW from University of Pennsylvania. Leona utilizes cognitive behavioral therapy, mindfulness based cognitive therapy, and other evidence-based therapy frameworks to promote healing, develop insight, and find clarity. Leona helps individuals gain confidence, develop insight, and discover sources of strength from within to overcome challenges, and celebrate self-discovery.
Leona Pierce is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2012. She has a BA in Psychology from Northeastern University and a Social Policy and Practice MSW from University of Pennsylvania. Leona utilizes cognitive behavioral therapy, mindfulness based cognitive therapy, and other evidence-based therapy frameworks to promote healing, develop insight, and find clarity. Leona helps individuals gain confidence, develop insight, and discover sources of strength from within to overcome challenges, and celebrate self-discovery.
(267) 710-8549 View (267) 710-8549
Photo of Dina Previti & Co in Wayne, PA
Dina Previti & Co
Verified Verified
Wayne, PA 19087
Our goals are to listen, learn, offer help and practical coaching so people leave feeling known, understood, and helped. Our philosophy is holistic in that we will explore all aspects of the person, including both the body and soul as well as your situation, circumstances, family history, and relationships. Although we are personally guided by a Christian worldview and trained in biblical counseling, we also offer practical, behavioral tools as well as coaching and consulting. We will be sensitive to your religious and cultural differences and perspectives.
Our goals are to listen, learn, offer help and practical coaching so people leave feeling known, understood, and helped. Our philosophy is holistic in that we will explore all aspects of the person, including both the body and soul as well as your situation, circumstances, family history, and relationships. Although we are personally guided by a Christian worldview and trained in biblical counseling, we also offer practical, behavioral tools as well as coaching and consulting. We will be sensitive to your religious and cultural differences and perspectives.
(484) 616-2918 View (484) 616-2918
Photo of Victoria Webb, Psychologist in Wayne, PA
Victoria Webb
Psychologist, PhD
Verified Verified
Wayne, PA 19087
Waitlist for new clients
I help clients build rich, meaningful lives that are physically and psychologically more healthful. I specialize in weight management, eating behavior, and health behavior change (including sleep). I regularly treat concerns related to weight, body image, and eating (including binge eating and emotional or mindless eating). I can support patients pre- and post- bariatric surgery and those using weight loss medications. I also deliver short-term behavioral treatments for sleep problems such as insomnia. In addition, I treat depression, anxiety, and difficulties adjusting to life transitions and medical conditions.
I help clients build rich, meaningful lives that are physically and psychologically more healthful. I specialize in weight management, eating behavior, and health behavior change (including sleep). I regularly treat concerns related to weight, body image, and eating (including binge eating and emotional or mindless eating). I can support patients pre- and post- bariatric surgery and those using weight loss medications. I also deliver short-term behavioral treatments for sleep problems such as insomnia. In addition, I treat depression, anxiety, and difficulties adjusting to life transitions and medical conditions.
(484) 214-2491 View (484) 214-2491
Photo of Ann E Gaulin, Marriage & Family Therapist in Wayne, PA
Ann E Gaulin
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Wayne, PA 19087
Not accepting new clients
While providing services to couples, I have also spent 20+ years providing Trauma Therapy to various populations including people with Cognitive Disabilities, Survivors of Interpersonal Violence, Veterans and their families. Specific attention has been to significantly reducing or eliminating Post Traumatic Stress Disorder.
While providing services to couples, I have also spent 20+ years providing Trauma Therapy to various populations including people with Cognitive Disabilities, Survivors of Interpersonal Violence, Veterans and their families. Specific attention has been to significantly reducing or eliminating Post Traumatic Stress Disorder.
(610) 580-0269 View (610) 580-0269
Photo of Alexandria Milligan, Marriage & Family Therapist in Wayne, PA
Alexandria Milligan
Marriage & Family Therapist, LMFT
Verified Verified
Wayne, PA 19087
I am a couple and family therapist who offers empathetic and compassionate treatment for adolescents, adults, couples, and families. I utilize systems theories to assist clients in exploring how our relationships and environment impact our larger goals and sense of self. I focus on developing a relationship with clients and building a trusting and supportive environment. I believe in the power of resiliency and connection. Regardless of your goals or where you are in life, everyone deserves to be treated with dignity and respect. My goal as a therapist is to support my clients and to work collaboratively during treatment.
I am a couple and family therapist who offers empathetic and compassionate treatment for adolescents, adults, couples, and families. I utilize systems theories to assist clients in exploring how our relationships and environment impact our larger goals and sense of self. I focus on developing a relationship with clients and building a trusting and supportive environment. I believe in the power of resiliency and connection. Regardless of your goals or where you are in life, everyone deserves to be treated with dignity and respect. My goal as a therapist is to support my clients and to work collaboratively during treatment.
(267) 500-8757 View (267) 500-8757
Photo of Allison Kozloff, Psychologist in Wayne, PA
Allison Kozloff
Psychologist, PsyD
Verified Verified
Wayne, PA 19087  (Online Only)
If you are experiencing parenting or relationship challenges and feeling increased anxiety in these areas of your life, I can help provide support and guidance through these stressors. If you are a college student experiencing academic pressures and overwhelm, I can offer a non-judgmental space for you to explore these concerns and help you develop more coping strategies.
If you are experiencing parenting or relationship challenges and feeling increased anxiety in these areas of your life, I can help provide support and guidance through these stressors. If you are a college student experiencing academic pressures and overwhelm, I can offer a non-judgmental space for you to explore these concerns and help you develop more coping strategies.
(484) 616-5140 View (484) 616-5140
Photo of Phyllis H. Ivey in Wayne, PA
Phyllis H. Ivey
MEd, AACC
Verified Verified
Wayne, PA 19087
When families walk through my door, they immediately realize they’re in a judgement-free and trusting place where relief, support and reaching their potential can happen; what they’ve been searching for. My approach through Coaching is strength-based, solution-focused and collaborative. My special areas of interest and expertise include guiding families to prepare their children through divorce and working with teens and adults with ADHD and Executive Function challenges to build strategies that work for their brain wiring. I also help teens and adults with lingering concussion symptoms to navigate their lives with more ease.
When families walk through my door, they immediately realize they’re in a judgement-free and trusting place where relief, support and reaching their potential can happen; what they’ve been searching for. My approach through Coaching is strength-based, solution-focused and collaborative. My special areas of interest and expertise include guiding families to prepare their children through divorce and working with teens and adults with ADHD and Executive Function challenges to build strategies that work for their brain wiring. I also help teens and adults with lingering concussion symptoms to navigate their lives with more ease.
(610) 595-4239 View (610) 595-4239
Photo of Pat Wong Connolly, Clinical Social Work/Therapist in Wayne, PA
Pat Wong Connolly
Clinical Social Work/Therapist, LCSW, CT
Verified Verified
2 Endorsed
Wayne, PA 19087
You have good days and bad days. At times, the sadness and stress are overwhelming. Maybe someone important to you has died or you're struggling with a significant relationship or a life transition. Maybe others cannot relate to your loss & you're feeling very alone. You've landed here because you need to talk to someone about it. I specialize in grief and loss. Grief is a natural response to death & loss but this feels like a wilderness you have not explored before and you need some guidance. Are you interested in feeling less overwhelmed & more settled? You don't have to do this on your own.
You have good days and bad days. At times, the sadness and stress are overwhelming. Maybe someone important to you has died or you're struggling with a significant relationship or a life transition. Maybe others cannot relate to your loss & you're feeling very alone. You've landed here because you need to talk to someone about it. I specialize in grief and loss. Grief is a natural response to death & loss but this feels like a wilderness you have not explored before and you need some guidance. Are you interested in feeling less overwhelmed & more settled? You don't have to do this on your own.
(610) 347-5257 View (610) 347-5257
Photo of Tami Sherman, Marriage & Family Therapist in Wayne, PA
Tami Sherman
Marriage & Family Therapist, LMFT
Verified Verified
Wayne, PA 19087  (Online Only)
Hello! Do you have a lot on your mind but find it difficult to open up to people? Or, when you do share what you're going through, do you feel like the person you are talking to isn't really listening, doesn't care, turns everything you say into something about them, or worse, has a strong opinion on what you "should" do to make things better? What if you had a person in your life who, when you share your worries and dreams is able to really tune into you. When you talk to them, you feel like they understand you on a deep level; you feel like they see you in all your dimensions and accept you without judgement or criticism.
Hello! Do you have a lot on your mind but find it difficult to open up to people? Or, when you do share what you're going through, do you feel like the person you are talking to isn't really listening, doesn't care, turns everything you say into something about them, or worse, has a strong opinion on what you "should" do to make things better? What if you had a person in your life who, when you share your worries and dreams is able to really tune into you. When you talk to them, you feel like they understand you on a deep level; you feel like they see you in all your dimensions and accept you without judgement or criticism.
(484) 309-9034 View (484) 309-9034
Photo of Kristin Page, Licensed Professional Counselor in Wayne, PA
Kristin Page
Licensed Professional Counselor, LPC, MSEd, NCC
Verified Verified
2 Endorsed
Wayne, PA 19087
I am dedicated to helping you gain insight and develop tools to cultivate personal growth and relief from symptoms. You don’t have to face your struggles alone. I work holistically, meaning I consider the mind, body, and spirit. We will work together in a safe, compassionate, curious, and healing environment to understand yourself better and begin to feel connected, whole, and healthy. You can feel free to share your life and whatever you are facing. This type of work creates deep and lasting change.
I am dedicated to helping you gain insight and develop tools to cultivate personal growth and relief from symptoms. You don’t have to face your struggles alone. I work holistically, meaning I consider the mind, body, and spirit. We will work together in a safe, compassionate, curious, and healing environment to understand yourself better and begin to feel connected, whole, and healthy. You can feel free to share your life and whatever you are facing. This type of work creates deep and lasting change.
(484) 207-5573 View (484) 207-5573
Photo of Tracy Defina, Marriage & Family Therapist in Wayne, PA
Tracy Defina
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Wayne, PA 19087
If you need a peaceful place to be heard with compassion, I can help. I believe the key to our mental health is being able to express our true selves and be heard. Receiving guidance for understanding and navigating emotions and behaviors that may be blocking our goals can lead to living more of the life we were meant to live. I work with individuals, children, couples or families. We can journey together with hope toward healing and thriving.
If you need a peaceful place to be heard with compassion, I can help. I believe the key to our mental health is being able to express our true selves and be heard. Receiving guidance for understanding and navigating emotions and behaviors that may be blocking our goals can lead to living more of the life we were meant to live. I work with individuals, children, couples or families. We can journey together with hope toward healing and thriving.
(484) 254-5046 View (484) 254-5046

How does your Therapist compare?

Number of Therapists in Wayne, PA

200+

Average cost per session

$150

Therapists in Wayne, PA who prioritize treating:

94% Anxiety
85% Depression
76% Relationship Issues
75% Self Esteem
63% Coping Skills
62% Stress
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

75% Aetna
61% Highmark
54% Other

How Therapists in Wayne, PA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

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

How can I find a therapist in Wayne?

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.