Therapists in Las Vegas, NV
Nicole Feno
Marriage & Family Therapist, MS, LMFT
Verified Verified
Las Vegas, NV 89128
Do you have concerns that are getting in the way of having a satisfying sex life? Are you feeling disconnected from your partner? I understand how challenging it can be to seek help, but you don't have to navigate life alone. It is my goal to create a safe space where we can find solutions to relational and sexual difficulties that are impacting you. My therapeutic approach is gentle, authentic, and individually tailored to the needs of each client and relationship. By fostering trust and open communication, I assist clients in rebuilding a connection with themselves and others to promote a holistic sense of wellbeing.
Do you have concerns that are getting in the way of having a satisfying sex life? Are you feeling disconnected from your partner? I understand how challenging it can be to seek help, but you don't have to navigate life alone. It is my goal to create a safe space where we can find solutions to relational and sexual difficulties that are impacting you. My therapeutic approach is gentle, authentic, and individually tailored to the needs of each client and relationship. By fostering trust and open communication, I assist clients in rebuilding a connection with themselves and others to promote a holistic sense of wellbeing.
Mitchell Gabel
Marriage & Family Therapist Intern, MFT
Verified Verified
Las Vegas, NV 89149 (Online Only)
My ideal client is an adult (age 21 or older) who deeply wants positive individual behavioral change and understanding. If you struggle to understand the "why" behind your behavior, I believe I can help you. Whether individually, as a couple, or as a family system, knowledge is empowerment for positive change. I will provide the tools and resources needed for positive behavioral change. Together, we will travel through your family of origin story, attachment, personality, and possible unmet needs in order to help you understand your "why".
My ideal client is an adult (age 21 or older) who deeply wants positive individual behavioral change and understanding. If you struggle to understand the "why" behind your behavior, I believe I can help you. Whether individually, as a couple, or as a family system, knowledge is empowerment for positive change. I will provide the tools and resources needed for positive behavioral change. Together, we will travel through your family of origin story, attachment, personality, and possible unmet needs in order to help you understand your "why".
Raiza Mazas Crisanto
Marriage & Family Therapist, LMFT
Verified Verified
Las Vegas, NV 89118 (Online Only)
If you and your partner are caught in a cycle of arguments or struggling to express yourselves effectively, couples therapy could be the solution you need. Through therapy, you can rebuild trust and create a stronger foundation for your relationship. Rediscover the spark in your romance, deepen intimacy, and strengthen your emotional bond with the guidance of a trained therapist.
If you and your partner are caught in a cycle of arguments or struggling to express yourselves effectively, couples therapy could be the solution you need. Through therapy, you can rebuild trust and create a stronger foundation for your relationship. Rediscover the spark in your romance, deepen intimacy, and strengthen your emotional bond with the guidance of a trained therapist.
Shannon Fessler
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89144
You must be exhausted by the chaos of life challenges, often feeling stuck between your anxious thoughts and/or depressed mood. You have fears and insecurities that hold you back from creating the life you desire. I understand your struggle, let me support you in navigating these issues, together we can cultivate mindfulness, well-being, and ease your suffering. Through our sessions, you will see new life possibilities, learn coping to calm your fears, anxiety, and begin trusting yourself again.
You must be exhausted by the chaos of life challenges, often feeling stuck between your anxious thoughts and/or depressed mood. You have fears and insecurities that hold you back from creating the life you desire. I understand your struggle, let me support you in navigating these issues, together we can cultivate mindfulness, well-being, and ease your suffering. Through our sessions, you will see new life possibilities, learn coping to calm your fears, anxiety, and begin trusting yourself again.
Earth’s Edge Wellness
Marriage & Family Therapist, PsyD, LMFT, PhD, RD, LCPC
Verified Verified
Las Vegas, NV 89128 (Online Only)
Hello! We are for you if you are ready to let go of food and/or body issues but don’t know how to and/or don’t have the freedom to leave your job/family etc. Our team consists of a marriage and family therapist, a dietitian that specializes in sports nutrition and eating disorders, a shaman, a meal coach, a career coach as well as a yoga and meditation guru. Our approach is significantly different than what you would experience in most treatment centers or with most therapists. We combine ancient yogic practices with modern therapies. If you know it’s time to step out of your comfort zone, we are here to help you get your life back.
Hello! We are for you if you are ready to let go of food and/or body issues but don’t know how to and/or don’t have the freedom to leave your job/family etc. Our team consists of a marriage and family therapist, a dietitian that specializes in sports nutrition and eating disorders, a shaman, a meal coach, a career coach as well as a yoga and meditation guru. Our approach is significantly different than what you would experience in most treatment centers or with most therapists. We combine ancient yogic practices with modern therapies. If you know it’s time to step out of your comfort zone, we are here to help you get your life back.
Ariana N Throne
Pre-Licensed Professional, MFT-S
Verified Verified
1 Endorsed
Las Vegas, NV 89144
Ariana is a Marriage and Family Therapist graduate student who is dedicated to creating a safe space for people of all walks of life to work on their goals. She works through Red Rock Counseling with couples, children, teens, families, and individuals. Her areas of focus include CNM/Poly/Alternative relationships, sexual assault, trauma, LQBTQ+ issues, sex and relational counseling, depression and anxiety, stress, cultural diversity, and personal growth. Through a collaborative, creative and open-minded approach, she strives to empower her clients to harness their unique inner strengths through a variety of therapeutic techniques.
Ariana is a Marriage and Family Therapist graduate student who is dedicated to creating a safe space for people of all walks of life to work on their goals. She works through Red Rock Counseling with couples, children, teens, families, and individuals. Her areas of focus include CNM/Poly/Alternative relationships, sexual assault, trauma, LQBTQ+ issues, sex and relational counseling, depression and anxiety, stress, cultural diversity, and personal growth. Through a collaborative, creative and open-minded approach, she strives to empower her clients to harness their unique inner strengths through a variety of therapeutic techniques.
Laura Weiss
Marriage & Family Therapist, MA, LMFT
Verified Verified
Las Vegas, NV 89148
My name is Laura Weiss and I am a licensed Marriage and Family Therapist in Las Vegas, NV. My heart is for marriage and helping heal past hurts while keeping them healthy, bonded and flourishing! I work with couples, individuals, whole families and teenagers. I have special focus in the areas of Marriage Counseling, Parenting Strategies, Borderline, Personality Disorder, Trauma, Anxiety, Depression and am a trained Biblical Christian Counselor as well.
My name is Laura Weiss and I am a licensed Marriage and Family Therapist in Las Vegas, NV. My heart is for marriage and helping heal past hurts while keeping them healthy, bonded and flourishing! I work with couples, individuals, whole families and teenagers. I have special focus in the areas of Marriage Counseling, Parenting Strategies, Borderline, Personality Disorder, Trauma, Anxiety, Depression and am a trained Biblical Christian Counselor as well.
Yceychie Fields
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Las Vegas, NV 89102 (Online Only)
Today, is the day that you choose YOU! Allow me to join, support, and guide you along your journey to finding peace, tranquility, happiness, and alignment with the version of yourself that you want to become! My mission as a clinician, is to reduce the stigma associated with mental health and it is through your commitment and the therapeutic relationship that change can happen.
Today, is the day that you choose YOU! Allow me to join, support, and guide you along your journey to finding peace, tranquility, happiness, and alignment with the version of yourself that you want to become! My mission as a clinician, is to reduce the stigma associated with mental health and it is through your commitment and the therapeutic relationship that change can happen.
Kirsten Cram
Counselor, CPC
Verified Verified
Las Vegas, NV 89113
Personal experience and science attest the body tends toward wellness, both mentally and physically. Of course, it's also evident life can disrupt that balance in ways that challenge and overwhelm us. My approach to mental health is positive, holistic, viewing individuals as a whole with their strengths that are as much a reality as any emotional distress they may suffer. By utilizing these strengths and through a personalized approach that uses evidence-based practices, I am optimistic that emotional healing and wellness is an attainable goal.
Personal experience and science attest the body tends toward wellness, both mentally and physically. Of course, it's also evident life can disrupt that balance in ways that challenge and overwhelm us. My approach to mental health is positive, holistic, viewing individuals as a whole with their strengths that are as much a reality as any emotional distress they may suffer. By utilizing these strengths and through a personalized approach that uses evidence-based practices, I am optimistic that emotional healing and wellness is an attainable goal.
La'tai King
Licensed Professional Counselor, LCPC, LCADC, Reiki
Verified Verified
1 Endorsed
Las Vegas, NV 89128
Welcome to Therapy With La'tai! This is your journey and I am here to help you navigate your journey of healing. I have 35 years of life exper. My approach is to treat patients in a "judge-free zone", unbiased, compassionate, and with respect. I take a holistic approach to healing the mind and spirit. I work with clients to help them reach their optimal level of functioning & to attain their goals. I hope to be able to assist those struggling with depression, anxiety, traumatic events/PTSD, grief/loss, behavior issues, mood disorders, stress or anger mgmt, paranormal experiences, spiritual experiences, and many other life obstacles.
Welcome to Therapy With La'tai! This is your journey and I am here to help you navigate your journey of healing. I have 35 years of life exper. My approach is to treat patients in a "judge-free zone", unbiased, compassionate, and with respect. I take a holistic approach to healing the mind and spirit. I work with clients to help them reach their optimal level of functioning & to attain their goals. I hope to be able to assist those struggling with depression, anxiety, traumatic events/PTSD, grief/loss, behavior issues, mood disorders, stress or anger mgmt, paranormal experiences, spiritual experiences, and many other life obstacles.
Andre D. Williams
Counselor, LCPC, LPCC
Verified Verified
Las Vegas, NV 89102 (Online Only)
Waitlist for new clients
I am a USAF veteran, completed my master’s degree in Mental Health Counseling in 2014 and have worked steadily since, specializing with victims of abuse and other trauma and inpatient psychiatric counseling and evaluation.
I am a USAF veteran, completed my master’s degree in Mental Health Counseling in 2014 and have worked steadily since, specializing with victims of abuse and other trauma and inpatient psychiatric counseling and evaluation.
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Kristine (Kristy) Peters - A Peaceful Mind Counseling Pllc
Licensed Professional Counselor, LCADC, NCC
Verified Verified
Las Vegas, NV 89131 (Online Only)
Hi! I am Kristy Peters, a Licensed Clinical Professional Counselor, Clinical Alcohol and Drug Counselor, and I earned a degree in Human Nutrition and Functional Medicine at the University of Western States. I have several years of experience in the behavioral health, counseling and therapy field. I have been able to provide help and support for a multitude of people with a variety of issues and complicated situations, including trauma, anxiety, depression, relationships, substance use and other emotional issues. My therapeutic approach includes CBT, MI, Solution Focused Therapy, as well other approaches that best fit the client.
Hi! I am Kristy Peters, a Licensed Clinical Professional Counselor, Clinical Alcohol and Drug Counselor, and I earned a degree in Human Nutrition and Functional Medicine at the University of Western States. I have several years of experience in the behavioral health, counseling and therapy field. I have been able to provide help and support for a multitude of people with a variety of issues and complicated situations, including trauma, anxiety, depression, relationships, substance use and other emotional issues. My therapeutic approach includes CBT, MI, Solution Focused Therapy, as well other approaches that best fit the client.
Dr. Nicole Theron Parkes
Psychologist, PsyD
Verified Verified
Las Vegas, NV 89103 (Online Only)
Are you sick and tired of feeling down, anxious, stressed out, or out of sorts? Do you feel like you can’t talk to the people in your life about your problems because they brush you off or they just don’t get it? I specialize in helping people get through the rough patches. Depression, anxiety, relationship issues, trauma—whatever it is pulling you down, I can help bring you back up. Healing is possible and you have everything inside of you to heal and to live a really beautiful life, that’s just perfect for you. Sometimes we get stuck and have old, unresolved pain that prevents us from living in our own truth and light.
Are you sick and tired of feeling down, anxious, stressed out, or out of sorts? Do you feel like you can’t talk to the people in your life about your problems because they brush you off or they just don’t get it? I specialize in helping people get through the rough patches. Depression, anxiety, relationship issues, trauma—whatever it is pulling you down, I can help bring you back up. Healing is possible and you have everything inside of you to heal and to live a really beautiful life, that’s just perfect for you. Sometimes we get stuck and have old, unresolved pain that prevents us from living in our own truth and light.
Bethany Schlinger
Psychologist, PsyD
Verified Verified
Las Vegas, NV 89157
Hello, I look forward to meeting you! TELEHEALTH SESSIONS AVAILABLE! I enjoy helping people to problem-solve, strategize, and set great goals. I have been a Licensed Clinical Social Worker in Nevada since 2004, and I have a doctoral degree in Clinical Psychology and am a Licensed Psychologist in Nevada. I primarily provide Cognitive, Diagnostic, Psychological and Psychoeducational testing to children and adults. I also provide individual therapy only on a cash pay basis, or through straight FFS Medicaid, when my schedule allows.
Hello, I look forward to meeting you! TELEHEALTH SESSIONS AVAILABLE! I enjoy helping people to problem-solve, strategize, and set great goals. I have been a Licensed Clinical Social Worker in Nevada since 2004, and I have a doctoral degree in Clinical Psychology and am a Licensed Psychologist in Nevada. I primarily provide Cognitive, Diagnostic, Psychological and Psychoeducational testing to children and adults. I also provide individual therapy only on a cash pay basis, or through straight FFS Medicaid, when my schedule allows.
Tiffanie A. Quinn
Pre-Licensed Professional
Verified Verified
Las Vegas, NV 89134
Waitlist for new clients
There are times when everyone feels like their struggles are too big for them to handle alone. When people feel unheard, unmotivated, overwhelmed, discarded, or misunderstood, it can be difficult to ask for help. Seeking therapy can be a big step, so I want you to know that my goal is to make clients feel comfortable enough to work on their issues, large or small. These issues could seem simple to outsiders; like procrastination, low self-esteem, or being unhappy in your current situation. However, in therapy I offer a nonjudgmental space where you and I can work together to figure it all out and to work toward YOUR goals.
There are times when everyone feels like their struggles are too big for them to handle alone. When people feel unheard, unmotivated, overwhelmed, discarded, or misunderstood, it can be difficult to ask for help. Seeking therapy can be a big step, so I want you to know that my goal is to make clients feel comfortable enough to work on their issues, large or small. These issues could seem simple to outsiders; like procrastination, low self-esteem, or being unhappy in your current situation. However, in therapy I offer a nonjudgmental space where you and I can work together to figure it all out and to work toward YOUR goals.
Kendra Meza
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Las Vegas, NV 89118
I offer evening and weekend appointments. The way we feel affects our families, relationships, jobs, and school. Therapy can be a private space to process your experiences free from the judgment and opinions of others with a unbiased professional. Whether you are a parent looking for a new way to be heard and respected by your child, a teen frustrated by not being understood, or a woman who is in a new life transition such as motherhood, navigating early adulthood, changes in close relationships. I can offer skills, a new perspective, and empower you to take control of your life again.
I offer evening and weekend appointments. The way we feel affects our families, relationships, jobs, and school. Therapy can be a private space to process your experiences free from the judgment and opinions of others with a unbiased professional. Whether you are a parent looking for a new way to be heard and respected by your child, a teen frustrated by not being understood, or a woman who is in a new life transition such as motherhood, navigating early adulthood, changes in close relationships. I can offer skills, a new perspective, and empower you to take control of your life again.
Mayra Alejandra Frutos
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Las Vegas, NV 89108 (Online Only)
Perhaps the previous methods of coping are not working. Maybe the words and ability to express those emotions are challenging and unnerving. Maybe life has forced a new role and now self identity/worth are being challenged. Therapy can be the tool to learn to be independent, autonomous, confident and self sufficient. To live a life where it is comfortable in setting boundaries, to live in your truth and learn the tools for self acceptance or the freedom of releasing the hold of what has been emotionally restrictive. All while learning to face those parts of ourselves that create shame, pain and discomfort in a space that is safe.
Perhaps the previous methods of coping are not working. Maybe the words and ability to express those emotions are challenging and unnerving. Maybe life has forced a new role and now self identity/worth are being challenged. Therapy can be the tool to learn to be independent, autonomous, confident and self sufficient. To live a life where it is comfortable in setting boundaries, to live in your truth and learn the tools for self acceptance or the freedom of releasing the hold of what has been emotionally restrictive. All while learning to face those parts of ourselves that create shame, pain and discomfort in a space that is safe.
K C West
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Las Vegas, NV 89120 (Online Only)
I am happy to assist you through your journey to wellness. I am an eclectic practitioner who believes in using an individualized approach in order to promote your growth and emotional healing. Every individual has unique strengths and goals to be utilized for personal development. I am happy to guide you to creating a healthy relationship with yourself. Together we will learn to let go of the past and develop a new vision for the future.
I am happy to assist you through your journey to wellness. I am an eclectic practitioner who believes in using an individualized approach in order to promote your growth and emotional healing. Every individual has unique strengths and goals to be utilized for personal development. I am happy to guide you to creating a healthy relationship with yourself. Together we will learn to let go of the past and develop a new vision for the future.
April Watson
Licensed Professional Counselor, LPC
Verified Verified
Las Vegas, NV 89148
Therapy is an exceptionally intimate working relationship, wherein our most personal and intense experiences are revealed and explored. I work with my clients to support and assist through current pain and difficult times, while also uncovering what feels like more persistent and repetitive dysfunctional patterns in our personalities and relationships. We can understand and change what keeps a meaningful and satisfying life out of reach. When we make efforts to understand ourselves in a deep and intimate way, we discover a sense of self, create meaning and find purpose within.
Therapy is an exceptionally intimate working relationship, wherein our most personal and intense experiences are revealed and explored. I work with my clients to support and assist through current pain and difficult times, while also uncovering what feels like more persistent and repetitive dysfunctional patterns in our personalities and relationships. We can understand and change what keeps a meaningful and satisfying life out of reach. When we make efforts to understand ourselves in a deep and intimate way, we discover a sense of self, create meaning and find purpose within.
Dr. Vicki D. Coleman
Licensed Clinical Professional Counselor, EdD, LCPC, CCMHC, MAC/DAC, SAP
Verified Verified
Las Vegas, NV 89117
TELEHEALTH OFFERED! WHY ARE YOU SO ANGRY? In the 21st century global economy, Anger is a major challenge! Although a valid emotion, unmonitored, it can lead to stress, inappropriate behavior, and violence. A former Tenured Professor at Purdue University in West Lafayette, IN, I earned a Doctorate in Psychology from Rutgers University, New Brunswick, NJ. Publications include books (Amazon Bestsellers), 9 chapters, and refereed journal articles. Anger is frequently the antecedent to a myriad of issues. My goal is to facilitate the identification of viable solutions. I have 6 Full Clinical Licenses in 5 States-CA, IL, IN, MI, & NV.
TELEHEALTH OFFERED! WHY ARE YOU SO ANGRY? In the 21st century global economy, Anger is a major challenge! Although a valid emotion, unmonitored, it can lead to stress, inappropriate behavior, and violence. A former Tenured Professor at Purdue University in West Lafayette, IN, I earned a Doctorate in Psychology from Rutgers University, New Brunswick, NJ. Publications include books (Amazon Bestsellers), 9 chapters, and refereed journal articles. Anger is frequently the antecedent to a myriad of issues. My goal is to facilitate the identification of viable solutions. I have 6 Full Clinical Licenses in 5 States-CA, IL, IN, MI, & NV.
See more therapy options for Las Vegas
How does your Therapist compare?
Number of Therapists in Las Vegas, NV
1,000+
Average cost per session
$130
Therapists in Las Vegas, NV who prioritize treating:
91% | Anxiety |
88% | Depression |
76% | Trauma and PTSD |
76% | Self Esteem |
75% | Relationship Issues |
71% | Coping Skills |
70% | Stress |
Average years in practice
10 Years
Top 3 insurances accepted
71% | Aetna |
61% | Cigna and Evernorth |
60% | UnitedHealthcare UHC | UBH |
How Therapists in Las Vegas, NV see their clients
66% | In Person and Online | |
34% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Las Vegas?
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
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.
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.
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.