Therapists in Albuquerque, NM

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Photo of Nizhoni Counseling LLC, Clinical Social Work/Therapist in Albuquerque, NM
Nizhoni Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87111  (Online Only)
Waitlist for new clients
** We are currently accepting new clients** Nizhóní is a traditional Navajo word, which means “The Beauty Way.” Beauty is a sense of being and is comprised of harmony and balance that is felt within. A healthy person lives in balance within themselves and in harmony with their environment. Nizhoni Counseling is a group private practice located in Albuquerque but provides tele-therapy throughout New Mexico. We provide quality mental health services, grounded in holistic healing (mental, spiritual, emotional, social, and physical balance) through a culturally inclusive approach.
** We are currently accepting new clients** Nizhóní is a traditional Navajo word, which means “The Beauty Way.” Beauty is a sense of being and is comprised of harmony and balance that is felt within. A healthy person lives in balance within themselves and in harmony with their environment. Nizhoni Counseling is a group private practice located in Albuquerque but provides tele-therapy throughout New Mexico. We provide quality mental health services, grounded in holistic healing (mental, spiritual, emotional, social, and physical balance) through a culturally inclusive approach.
(505) 322-6837 View (505) 322-6837
Photo of Thomas Bien, Psychologist in Albuquerque, NM
Thomas Bien
Psychologist, PhD
Verified Verified
Albuquerque, NM 87106
In times of crisis, we struggle with depression, anxiety, relationships, life transitions, divorce, stress, past trauma, grief and loss. Fortunately, there are well-established ways to deal with such difficulties. Dr. Bien is a kind, non-judgmental, skillful, and insightful guide through these problems. Through mindfulness, he helps you find your capacity to respond to life issues with self-acceptance, confidence, courage, and creativity. You learn to relate to your inner life in a different way so emotions don't overwhelm you, and so you can speak and act from strength and clarity.
In times of crisis, we struggle with depression, anxiety, relationships, life transitions, divorce, stress, past trauma, grief and loss. Fortunately, there are well-established ways to deal with such difficulties. Dr. Bien is a kind, non-judgmental, skillful, and insightful guide through these problems. Through mindfulness, he helps you find your capacity to respond to life issues with self-acceptance, confidence, courage, and creativity. You learn to relate to your inner life in a different way so emotions don't overwhelm you, and so you can speak and act from strength and clarity.
(505) 819-3751 View (505) 819-3751
Photo of Cynthia Sontag, Clinical Social Work/Therapist in Albuquerque, NM
Cynthia Sontag
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87110
As a clinical social worker providing psychotherapy services, I want to provide good customer service and services customized to your individual needs. I want to help you live the life you want to live. Learn how to reduce your anxiety by changing your patterns of thinking or acting. I can work with multiple issues including mood disorders, addictions, and chronic medical conditions. Focusing on the relationship you have with yourself will improve your self-esteem and help you learn how to relate better with others. It's not just therapy; it's about living your life.
As a clinical social worker providing psychotherapy services, I want to provide good customer service and services customized to your individual needs. I want to help you live the life you want to live. Learn how to reduce your anxiety by changing your patterns of thinking or acting. I can work with multiple issues including mood disorders, addictions, and chronic medical conditions. Focusing on the relationship you have with yourself will improve your self-esteem and help you learn how to relate better with others. It's not just therapy; it's about living your life.
(505) 819-3218 View (505) 819-3218
Photo of Carl Lee Russell, Counselor in Albuquerque, NM
Carl Lee Russell
Counselor, MA, DMin, LPCC
Verified Verified
Albuquerque, NM 87112  (Online Only)
Life is full of challenges. Sometimes those challenges are temporary and sometimes they seem to hold on. We experience, distress, depression, anxiety, and sometimes emotional and/or physical trauma.
Life is full of challenges. Sometimes those challenges are temporary and sometimes they seem to hold on. We experience, distress, depression, anxiety, and sometimes emotional and/or physical trauma.
(505) 605-6172 View (505) 605-6172
Photo of Scott G Hartman, Psychologist in Albuquerque, NM
Scott G Hartman
Psychologist, PhD, MFA
Verified Verified
1 Endorsed
Albuquerque, NM 87106
Waitlist for new clients
I love working with people who are are trying to cultivate a deeper sense of "path" and belonging in life and am fascinated by the relationship between our wounds and our gifts. How can we interpret our symptoms as beacons to higher consciousness? How can we excavate our inherent and original resources in order to aid in our own recovery? I'm interested in exploring what purpose and fulfillment mean to you. As your guide, I can facilitate awareness and integration of the parts of you that are relevant to this very worthy endeavor! "Everything comes to us that belongs to us if we create the capacity to receive it." --R. Tagore
I love working with people who are are trying to cultivate a deeper sense of "path" and belonging in life and am fascinated by the relationship between our wounds and our gifts. How can we interpret our symptoms as beacons to higher consciousness? How can we excavate our inherent and original resources in order to aid in our own recovery? I'm interested in exploring what purpose and fulfillment mean to you. As your guide, I can facilitate awareness and integration of the parts of you that are relevant to this very worthy endeavor! "Everything comes to us that belongs to us if we create the capacity to receive it." --R. Tagore
(505) 501-8043 View (505) 501-8043
Photo of Jennifer Padilla, Clinical Social Work/Therapist in Albuquerque, NM
Jennifer Padilla
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87102  (Online Only)
What if you could change your path and re-create yourself? The trauma experience isn’t a destination but a journey that can lead to amazing personal growth. When you reframe painful experiences from an optimistic perspective, they become opportunities for personal development and growth. Instead of feeling powerless or doomed, begin experiencing life in a new way – one that allows you to live up to your potential. Please contact me to begin your journey to personal growth.
What if you could change your path and re-create yourself? The trauma experience isn’t a destination but a journey that can lead to amazing personal growth. When you reframe painful experiences from an optimistic perspective, they become opportunities for personal development and growth. Instead of feeling powerless or doomed, begin experiencing life in a new way – one that allows you to live up to your potential. Please contact me to begin your journey to personal growth.
(505) 657-2346 View (505) 657-2346
Photo of Jodi Ahrend, Clinical Social Work/Therapist in Albuquerque, NM
Jodi Ahrend
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87102
After years of helping people while working for various agencies, in 2022 I opened my own practice to work directly with adolescents, adults and seniors who want to better manage their lives, and to learn how to thrive and enjoy life. Often drawing on all of my prior experience working in the legal system, my own history of substance abuse and recovery, domestic violence and numerous major life changes and health issues as well as being a mom and grandmother. My practice focuses on recovery from substances, grief & loss therapy, parent coaching, guidance through the criminal justice system, and dealing with change at any life stage
After years of helping people while working for various agencies, in 2022 I opened my own practice to work directly with adolescents, adults and seniors who want to better manage their lives, and to learn how to thrive and enjoy life. Often drawing on all of my prior experience working in the legal system, my own history of substance abuse and recovery, domestic violence and numerous major life changes and health issues as well as being a mom and grandmother. My practice focuses on recovery from substances, grief & loss therapy, parent coaching, guidance through the criminal justice system, and dealing with change at any life stage
(505) 805-2737 View (505) 805-2737
Photo of Sarah Steele, Psy.D. LLC, Psychologist in Albuquerque, NM
Sarah Steele, Psy.D. LLC
Psychologist, PsyD
Verified Verified
Albuquerque, NM 87106
I have experience treating a large range of issues but the primary reasons people come to see me are depression, anxiety, and relationship difficulties. I can help you to understand the underlying issues and to make changes in your life that bring you more balance and fulfillment. We can work short or long term, insight or solution-focused, depending on your needs. I see adolescents and can see parents of children of all ages to work on parenting issues and behavior management.
I have experience treating a large range of issues but the primary reasons people come to see me are depression, anxiety, and relationship difficulties. I can help you to understand the underlying issues and to make changes in your life that bring you more balance and fulfillment. We can work short or long term, insight or solution-focused, depending on your needs. I see adolescents and can see parents of children of all ages to work on parenting issues and behavior management.
(505) 835-1651 View (505) 835-1651
Photo of Four Circles Healing, LLC, Counselor in Albuquerque, NM
Four Circles Healing, LLC
Counselor, MA, LPCC, BHC, CIMHP
Verified Verified
Albuquerque, NM 87109
Not accepting new clients
There are times in life when we all find ourselves needing to heal from a painful past, trying to live in the present moment, and/or struggling to plan for an unsure future. Life can get so hectic that we can feel out of balance. This can contribute to brain health issues such as anxiety, depression, irritability, fatigue, sleep issues, mood and behavior problems. Finding a Counselor/Therapist that is a good fit is crucial. A solid foundation of respect and support is essential. Whether you choose to engage in this work with me or another therapist, know that you are taking an important step forward in your path to wellness.
There are times in life when we all find ourselves needing to heal from a painful past, trying to live in the present moment, and/or struggling to plan for an unsure future. Life can get so hectic that we can feel out of balance. This can contribute to brain health issues such as anxiety, depression, irritability, fatigue, sleep issues, mood and behavior problems. Finding a Counselor/Therapist that is a good fit is crucial. A solid foundation of respect and support is essential. Whether you choose to engage in this work with me or another therapist, know that you are taking an important step forward in your path to wellness.
(505) 847-3452 View (505) 847-3452
Photo of You Matter Counseling Services, LLC, Counselor in Albuquerque, NM
You Matter Counseling Services, LLC
Counselor, LPCC
Verified Verified
Albuquerque, NM 87120
Waitlist for new clients
Are you or someone you know going through a difficult time? If so, there's no need to struggle alone. Our therapy office in your area is currently accepting new patients and has immediate openings available for mental health services. Our team of experienced professionals specializes in helping teenagers and adults navigate through life's challenges, including but not limited to depression, anxiety, suicidal ideation, self-harm, and managing work/school. Whether you prefer to email, text, or call, it's easy to schedule an appointment and get the support you need to begin feeling better.
Are you or someone you know going through a difficult time? If so, there's no need to struggle alone. Our therapy office in your area is currently accepting new patients and has immediate openings available for mental health services. Our team of experienced professionals specializes in helping teenagers and adults navigate through life's challenges, including but not limited to depression, anxiety, suicidal ideation, self-harm, and managing work/school. Whether you prefer to email, text, or call, it's easy to schedule an appointment and get the support you need to begin feeling better.
(505) 257-6244 View (505) 257-6244
Photo of Patrick Ficke, Counselor in Albuquerque, NM
Patrick Ficke
Counselor
Verified Verified
1 Endorsed
Albuquerque, NM 87113
Waitlist for new clients
Patrick Ficke is a Licensed Mental Health Counselor in the state of New Mexico. He graduated from Eastern New Mexico University in 2002 with a bachelor's degree in Criminal Justice and a minor in Psychology. He has since obtained a Master's Degree in Mental Health Counseling and has begun working on his doctorate in Psychology.
Patrick Ficke is a Licensed Mental Health Counselor in the state of New Mexico. He graduated from Eastern New Mexico University in 2002 with a bachelor's degree in Criminal Justice and a minor in Psychology. He has since obtained a Master's Degree in Mental Health Counseling and has begun working on his doctorate in Psychology.
(505) 436-3768 View (505) 436-3768
Photo of Stephanie Smith, Counselor in Albuquerque, NM
Stephanie Smith
Counselor, LPCC, MS
Verified Verified
Albuquerque, NM 87102  (Online Only)
I am licensed by the state of New Mexico as a Licensed Professional Counselor (LPCC) and I hold an Master of Science in Counseling. My ideal client wants help and is ready to be vulnerable about the thought, emotional, and behavioral patterns they want to change. This is about you feeling better, thinking more clearly, and living your life with goal of self trust and ease. I take Medicaid. BCBS, Presbyterian, United Healthcare, Molina, Cigna, and Western Skies Insurance.
I am licensed by the state of New Mexico as a Licensed Professional Counselor (LPCC) and I hold an Master of Science in Counseling. My ideal client wants help and is ready to be vulnerable about the thought, emotional, and behavioral patterns they want to change. This is about you feeling better, thinking more clearly, and living your life with goal of self trust and ease. I take Medicaid. BCBS, Presbyterian, United Healthcare, Molina, Cigna, and Western Skies Insurance.
(505) 405-8041 View (505) 405-8041
Photo of Thomas Clark, Counselor in Albuquerque, NM
Thomas Clark
Counselor, MS, LPCC, CCMHC
Verified Verified
1 Endorsed
Albuquerque, NM 87102
Not accepting new clients
Your mental health shouldn’t deplete your quality of life, or keep you from experiencing the abundance you deserve. Is there something that’s been weighing on your heart, or new emotions that have recently surfaced? You don’t have to live with a weight on your shoulders forever. Sometimes taking the first step toward healing is the hardest milestone. Psychotherapy can treat symptoms of low self-esteem, constant worry, difficulty with social interactions, or feelings of sadness. I encourage clients to enter with an open heart, a desire for change, and a willingness to discuss their experiences.
Your mental health shouldn’t deplete your quality of life, or keep you from experiencing the abundance you deserve. Is there something that’s been weighing on your heart, or new emotions that have recently surfaced? You don’t have to live with a weight on your shoulders forever. Sometimes taking the first step toward healing is the hardest milestone. Psychotherapy can treat symptoms of low self-esteem, constant worry, difficulty with social interactions, or feelings of sadness. I encourage clients to enter with an open heart, a desire for change, and a willingness to discuss their experiences.
(505) 295-0543 View (505) 295-0543
Photo of Johanne Leger, Counselor in Albuquerque, NM
Johanne Leger
Counselor, MA, LPCC
Verified Verified
Albuquerque, NM 87107
I believe that meaningful therapy is possible when you feel deeply heard, understood, and appreciated while you are experiencing challenges that may seem overwhelming. Your unique story is important to me and we can work together to try and make sense of it. I take time to listen and learn what is most helpful for your growth and well-being. This includes hearing about your strengths as well as your struggles. You are encouraged to share your ideas about what you hope to accomplish as we create goals together.
I believe that meaningful therapy is possible when you feel deeply heard, understood, and appreciated while you are experiencing challenges that may seem overwhelming. Your unique story is important to me and we can work together to try and make sense of it. I take time to listen and learn what is most helpful for your growth and well-being. This includes hearing about your strengths as well as your struggles. You are encouraged to share your ideas about what you hope to accomplish as we create goals together.
(505) 605-2824 View (505) 605-2824
Photo of Micah MacDonald, Counselor in Albuquerque, NM
Micah MacDonald
Counselor, MS, LPCC
Verified Verified
Albuquerque, NM 87106  (Online Only)
Telehealth only. Accepting new clients. We all benefit from the support to cope with life's stressors and resolve problems. I am here to listen. I provide therapy to adults who experience anxiety, depression, grief, and/or trauma. My goal is to support the development of skills and promote hope. I provide therapy services that help you identify and build upon your strengths.
Telehealth only. Accepting new clients. We all benefit from the support to cope with life's stressors and resolve problems. I am here to listen. I provide therapy to adults who experience anxiety, depression, grief, and/or trauma. My goal is to support the development of skills and promote hope. I provide therapy services that help you identify and build upon your strengths.
(505) 596-3903 View (505) 596-3903
Photo of Heather Wulfers, Art Therapist in Albuquerque, NM
Heather Wulfers
Art Therapist, MA, LPCC, ATR-BC
Verified Verified
1 Endorsed
Albuquerque, NM 87109  (Online Only)
“I am a licensed archetypal art therapist inspired to work with individuals and couples who are interested in their personal evolution and expanding consciousness to resolve issues. Therapy is a place for reflection, nourishment of the soul, and compassionate listening, so that communication between head, heart and home harmonize to create peace of mind and clear action.”
“I am a licensed archetypal art therapist inspired to work with individuals and couples who are interested in their personal evolution and expanding consciousness to resolve issues. Therapy is a place for reflection, nourishment of the soul, and compassionate listening, so that communication between head, heart and home harmonize to create peace of mind and clear action.”
(505) 257-6854 View (505) 257-6854
Photo of Sage Psychological Services, LLC, Psychologist in Albuquerque, NM
Sage Psychological Services, LLC
Psychologist, PhD, ABPP
Verified Verified
Albuquerque, NM 87110
(505) 506-7022 Are you struggling in life? Would you like to explore past and current experiences and feelings? If so, psychotherapy can help you tap into your inner resources and develop a fuller life. My open, accepting, and nonjudgmental style has welcomed clients and facilitated healing for over 25 years.Through my career, I have worked with individuals dealing with such challenges as anxiety, depression, and PTSD resulting from abuse, trauma, and torture among other experiences.Through in-depth therapy, the pain of the isolation, failed relationships, low self-esteem, poor self-confidence, and other life issues may be relieved.
(505) 506-7022 Are you struggling in life? Would you like to explore past and current experiences and feelings? If so, psychotherapy can help you tap into your inner resources and develop a fuller life. My open, accepting, and nonjudgmental style has welcomed clients and facilitated healing for over 25 years.Through my career, I have worked with individuals dealing with such challenges as anxiety, depression, and PTSD resulting from abuse, trauma, and torture among other experiences.Through in-depth therapy, the pain of the isolation, failed relationships, low self-esteem, poor self-confidence, and other life issues may be relieved.
(505) 796-8532 View (505) 796-8532
Photo of Duke City Mind Institute LLC, Clinical Social Work/Therapist in Albuquerque, NM
Duke City Mind Institute LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87109
We specialize in trauma for all ages. Toddlers to the elderly can be seen at our clinic. Our clinicians are trained in play therapy, EMDR, Infant Mental Health, Theraplay, COS, CBT and many other modalities.
We specialize in trauma for all ages. Toddlers to the elderly can be seen at our clinic. Our clinicians are trained in play therapy, EMDR, Infant Mental Health, Theraplay, COS, CBT and many other modalities.
(505) 509-5845 View (505) 509-5845
Photo of John H Reiser, Counselor in Albuquerque, NM
John H Reiser
Counselor, MA
Verified Verified
Albuquerque, NM 87107
I am a dedicated clinician and I strive to create a strong, supportive space for clients who are interested in their inner work. I have worked with clients in severe emotional distress, and also with clients who just feel a need to "find a new path forward". Some of my clients come for brief intensive counseling during a crisis while others to do longer-term work on a quest for self-understanding and freedom from past painful experiences. Couples counseling is also part of my practice. I have extensive psychoanalytic training as well as experience in short-term modalities.
I am a dedicated clinician and I strive to create a strong, supportive space for clients who are interested in their inner work. I have worked with clients in severe emotional distress, and also with clients who just feel a need to "find a new path forward". Some of my clients come for brief intensive counseling during a crisis while others to do longer-term work on a quest for self-understanding and freedom from past painful experiences. Couples counseling is also part of my practice. I have extensive psychoanalytic training as well as experience in short-term modalities.
(505) 587-5752 View (505) 587-5752
Photo of Carolina Belmares Ortega, Counselor in Albuquerque, NM
Carolina Belmares Ortega
Counselor, MA, LPCC, NCC, ACS
Verified Verified
1 Endorsed
Albuquerque, NM 87110  (Online Only)
I have 8 years of experience in helping clients with stress and anxiety, trauma and abuse, career difficulties, & depression. I work with my clients of all ages and aim to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Llevo 8 años de experiencia como terapista. Proveo ayuda a mis clientes con manejar el estrés y ansiedad, trauma y abuso, dificultades profesionales, y depresión. Trabajo con clientes de todas las edades y busco crear un ambiente seguro en done usted pueda compartir sus pensamientos y sentimientos sin temor a ser juzgado.
I have 8 years of experience in helping clients with stress and anxiety, trauma and abuse, career difficulties, & depression. I work with my clients of all ages and aim to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Llevo 8 años de experiencia como terapista. Proveo ayuda a mis clientes con manejar el estrés y ansiedad, trauma y abuso, dificultades profesionales, y depresión. Trabajo con clientes de todas las edades y busco crear un ambiente seguro en done usted pueda compartir sus pensamientos y sentimientos sin temor a ser juzgado.
(505) 552-4158 View (505) 552-4158

How does your Therapist compare?

Number of Therapists in Albuquerque, NM

900+

Average cost per session

$128

Therapists in Albuquerque, NM who prioritize treating:

89% Anxiety
86% Depression
78% Trauma and PTSD
74% Self Esteem
73% Relationship Issues
68% Coping Skills
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

81% Presbyterian
79% BlueCross and BlueShield
73% Medicaid

How Therapists in Albuquerque, NM see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Albuquerque?

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.