Therapists in Las Vegas, NV

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Photo of Karla Smith, LPC Intern in Las Vegas, NV
Karla Smith
LPC Intern, MS , CPC-I
Verified Verified
Las Vegas, NV 89135  (Online Only)
As a therapist, I work comfortably with a variety of client populations. I bring a blend of empathy, insight, & a refreshingly open-minded approach. Your emotions are not only valid but also cherished. Sometimes, untangling the threads of the past is essential for crafting a well-adapted present. I thrive on working with clients who are motivated to make positive changes, collaborating to unearth any obstacles hindering the realization of your desired life. Engaging in conversations about your feelings & gaining a fresh perspective can be incredibly therapeutic.
As a therapist, I work comfortably with a variety of client populations. I bring a blend of empathy, insight, & a refreshingly open-minded approach. Your emotions are not only valid but also cherished. Sometimes, untangling the threads of the past is essential for crafting a well-adapted present. I thrive on working with clients who are motivated to make positive changes, collaborating to unearth any obstacles hindering the realization of your desired life. Engaging in conversations about your feelings & gaining a fresh perspective can be incredibly therapeutic.
(725) 677-5937 View (725) 677-5937
Photo of Dr. Nicole Theron Parkes, Psychologist in Las Vegas, NV
Dr. Nicole Theron Parkes
Psychologist, PsyD
Verified Verified
3 Endorsed
Las Vegas, NV 89103  (Online Only)
Are you sick and tired of feeling down, anxious, stressed out, 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, 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.
(702) 819-6138 View (702) 819-6138
Photo of Arlette Nakata, Marriage & Family Therapist Intern in Las Vegas, NV
Arlette Nakata
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Las Vegas, NV 89129
Taking the steps to come to therapy is the beginning of your healing journey. Everyone hits a rough patch at some point and coming to therapy is a courageous step that speaks volumes. Collaboratively, we can discover the tools you need and it is up to you to apply them outside of the therapy room. As your therapist, I will empower you and support you to implement these tools to create sustainable change. I enjoy working with adolescents, couples, and individuals as we create an action plan to lead to a new way of living the life you want to live.
Taking the steps to come to therapy is the beginning of your healing journey. Everyone hits a rough patch at some point and coming to therapy is a courageous step that speaks volumes. Collaboratively, we can discover the tools you need and it is up to you to apply them outside of the therapy room. As your therapist, I will empower you and support you to implement these tools to create sustainable change. I enjoy working with adolescents, couples, and individuals as we create an action plan to lead to a new way of living the life you want to live.
(702) 872-3576 View (702) 872-3576
Photo of Compassionate Hearts Therapy and Consulting LLC , Clinical Social Work/Therapist in Las Vegas, NV
Compassionate Hearts Therapy and Consulting LLC
Clinical Social Work/Therapist, LCSW, LCSW-C
Verified Verified
Las Vegas, NV 89117
Are you struggling with managing your day to day life? Looking for some relief from your problem? Look no further, I am here to help! I specialize in offering immediate help to individuals who experience unforseen life events that cause mental, physical, emotional, and behavioral problems. The primary goal in my practice is to assist clients in acknowledging unhealthy coping strategies, replace them with new and healthy ones, and gradually get clients to the point of being able to effectively cope with any life stressor.
Are you struggling with managing your day to day life? Looking for some relief from your problem? Look no further, I am here to help! I specialize in offering immediate help to individuals who experience unforseen life events that cause mental, physical, emotional, and behavioral problems. The primary goal in my practice is to assist clients in acknowledging unhealthy coping strategies, replace them with new and healthy ones, and gradually get clients to the point of being able to effectively cope with any life stressor.
(702) 887-1714 View (702) 887-1714
Photo of Nichole Jackson, Marriage & Family Therapist in Las Vegas, NV
Nichole Jackson
Marriage & Family Therapist, LMFT
Verified Verified
Las Vegas, NV 89120
Meet Nichole Jackson, a compassionate and experienced therapist dedicated to guiding individuals on their journey towards healing and personal growth. With a Master's degree in Counseling Marriage & Family and Child Therapy from University of Phoenix, Nichole has honed her skills over the past decade, specializing in areas such as anxiety, depression, trauma recovery, compassion fatigue, and relationship issues. Nichole creates a safe and nonjudgmental space where clients can explore their thoughts, feelings, and experiences.
Meet Nichole Jackson, a compassionate and experienced therapist dedicated to guiding individuals on their journey towards healing and personal growth. With a Master's degree in Counseling Marriage & Family and Child Therapy from University of Phoenix, Nichole has honed her skills over the past decade, specializing in areas such as anxiety, depression, trauma recovery, compassion fatigue, and relationship issues. Nichole creates a safe and nonjudgmental space where clients can explore their thoughts, feelings, and experiences.
(725) 226-4478 View (725) 226-4478
Photo of Mirna Bernabe, Marriage & Family Therapist in Las Vegas, NV
Mirna Bernabe
Marriage & Family Therapist, MA, LMFT, LCADC
Verified Verified
Las Vegas, NV 89106
*EMAIL IS BEST AND RESPONDED TO MORE QUICKLY*. Are you struggling with something in your life? Do you feel like you keep repeating the same patterns over and over again? Does the idea of change make you feel anxious, nervous, or depressed? You are not alone and together we can find solutions to your problems and regain balance and strength. You have taken a major step by seeking help. I have worked as a therapist for over 10 years, my style is compassionate, engaging, and open-minded. Hablo español. Tambien se conducen evaluaciones psicosociales de inmigración(Hardship evaluations).
*EMAIL IS BEST AND RESPONDED TO MORE QUICKLY*. Are you struggling with something in your life? Do you feel like you keep repeating the same patterns over and over again? Does the idea of change make you feel anxious, nervous, or depressed? You are not alone and together we can find solutions to your problems and regain balance and strength. You have taken a major step by seeking help. I have worked as a therapist for over 10 years, my style is compassionate, engaging, and open-minded. Hablo español. Tambien se conducen evaluaciones psicosociales de inmigración(Hardship evaluations).
(702) 749-4655 View (702) 749-4655
Photo of Jennifer Gayan, Clinical Social Work/Therapist in Las Vegas, NV
Jennifer Gayan
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89135
I have a kind, positive and open approach in supporting clients to reach their goals. My style is designed to address the whole picture and fit your unique circumstances.
I have a kind, positive and open approach in supporting clients to reach their goals. My style is designed to address the whole picture and fit your unique circumstances.
(702) 830-9315 View (702) 830-9315
Photo of Alyx Allen, LPC Intern in Las Vegas, NV
Alyx Allen
LPC Intern, MA, CPC-I
Verified Verified
1 Endorsed
Las Vegas, NV 89128
***NOT ACCEPTING NEW CLIENTS AT THIS TIME *** What is the one experience that you continue to struggle with that you are unable to get past in order to move on with your life? This could be one struggle or plenty, that has led you to feeling frustrated, burnt out, anxious, unsure, depressed & overall confused. Or, are you in a place where you are ready to explore & process hard experiences that are currently hold you back. Wherever you are in life, I am here to offer support, guidance, and identify transparent truths to assist you in your journey.
***NOT ACCEPTING NEW CLIENTS AT THIS TIME *** What is the one experience that you continue to struggle with that you are unable to get past in order to move on with your life? This could be one struggle or plenty, that has led you to feeling frustrated, burnt out, anxious, unsure, depressed & overall confused. Or, are you in a place where you are ready to explore & process hard experiences that are currently hold you back. Wherever you are in life, I am here to offer support, guidance, and identify transparent truths to assist you in your journey.
(702) 819-9647 View (702) 819-9647
Photo of Jackson Nightshade, Marriage & Family Therapist Intern in Las Vegas, NV
Jackson Nightshade
Marriage & Family Therapist Intern, MFT-I
Verified Verified
Las Vegas, NV 89123  (Online Only)
I believe every individual's mental wellness journey is unique; as such, my approach is intentionally holistic, inclusive, & as culturally competent as possible. My therapeutic style is eclectic, utilizing a range of tools from therapy modalities across the history of the field, bio-psycho-social influences, my extrasensory abilities, and whatever else may be most beneficial to your well-being. The use of various metaphysical paraphernalia may also be incorporated, as appropriate for your unique situation.
I believe every individual's mental wellness journey is unique; as such, my approach is intentionally holistic, inclusive, & as culturally competent as possible. My therapeutic style is eclectic, utilizing a range of tools from therapy modalities across the history of the field, bio-psycho-social influences, my extrasensory abilities, and whatever else may be most beneficial to your well-being. The use of various metaphysical paraphernalia may also be incorporated, as appropriate for your unique situation.
(725) 900-7424 View (725) 900-7424
Photo of Teresa Stidham, Marriage & Family Therapist Intern in Las Vegas, NV
Teresa Stidham
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Las Vegas, NV 89129
I am excited to join clients on their therapeutic journey, supporting them in achieving positive and meaningful change in their lives and relationships. I am passionate about helping individuals and couples navigate through life's challenges, such as relationship issues, communication difficulties, depression, and anxiety. I believe in tailoring therapy to meet each client's unique needs. With a compassionate and non-judgmental approach, I create a safe and inclusive space for clients to explore their unique circumstances and relationship dynamics.
I am excited to join clients on their therapeutic journey, supporting them in achieving positive and meaningful change in their lives and relationships. I am passionate about helping individuals and couples navigate through life's challenges, such as relationship issues, communication difficulties, depression, and anxiety. I believe in tailoring therapy to meet each client's unique needs. With a compassionate and non-judgmental approach, I create a safe and inclusive space for clients to explore their unique circumstances and relationship dynamics.
(725) 527-6714 View (725) 527-6714
Jay Cassidy
Licensed Professional Counselor, CPC, LADC, LADC-S, EMDR
Verified Verified
1 Endorsed
Las Vegas, NV 89120
I pride myself on maintaining a professional, albeit laid-back environment for my patients. From day one I am very clear that therapy should be a comfortable place one wants to be as opposed to place they must be. I love what I do and work very hard to be the best support I can be for everyone who comes into my office. I have extensive experience over the last 11 years at all levels of mental health including inpatient psych, residential treatment, intensive outpatient, supervising post-grad interns towards licensure, and private practice working with adults, teens, couples, and first responders (Police, Fire, EMT, & Military).
I pride myself on maintaining a professional, albeit laid-back environment for my patients. From day one I am very clear that therapy should be a comfortable place one wants to be as opposed to place they must be. I love what I do and work very hard to be the best support I can be for everyone who comes into my office. I have extensive experience over the last 11 years at all levels of mental health including inpatient psych, residential treatment, intensive outpatient, supervising post-grad interns towards licensure, and private practice working with adults, teens, couples, and first responders (Police, Fire, EMT, & Military).
(702) 297-5434 View (702) 297-5434
Photo of Halo Mental Health, Pre-Licensed Professional in Las Vegas, NV
Halo Mental Health
Pre-Licensed Professional
Verified Verified
Las Vegas, NV 89106
Halo is creating the largest network of urgent cares specifically for same day mental health services. We can’t wait to embark on this journey of transforming mental health care with you. Together, we can make a difference and create a brighter future for mental wellness.
Halo is creating the largest network of urgent cares specifically for same day mental health services. We can’t wait to embark on this journey of transforming mental health care with you. Together, we can make a difference and create a brighter future for mental wellness.
(702) 761-3284 View (702) 761-3284
Photo of Christine Lindsey, Clinical Social Work/Therapist in Las Vegas, NV
Christine Lindsey
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Las Vegas, NV 89121  (Online Only)
Feeling overwhelmed by anxiety, depression, or simmering anger? It's a tough journey, but you're not alone. Let's work together to navigate these challenges and pave the way for a brighter, more stable future. Whether you're part of a couple struggling to connect, a family in need of understanding, or guiding children through life's hurdles, I'm here to offer the support you deserve.
Feeling overwhelmed by anxiety, depression, or simmering anger? It's a tough journey, but you're not alone. Let's work together to navigate these challenges and pave the way for a brighter, more stable future. Whether you're part of a couple struggling to connect, a family in need of understanding, or guiding children through life's hurdles, I'm here to offer the support you deserve.
(702) 479-5390 View (702) 479-5390
Photo of Destinie Cleveland, Pre-Licensed Professional in Las Vegas, NV
Destinie Cleveland
Pre-Licensed Professional, CADC-I, CSAT-C
Verified Verified
Las Vegas, NV 89101  (Online Only)
Embarking on a journey to overcome addiction, whether it's chemical dependence or struggles with sex addiction, requires a compassionate and personalized approach. I provide tailored support to address the complexities of your experience, including the aftermath of trauma and familial influences. Together, we'll break free from harmful cycles, fostering personal growth in a safe and empowering environment. If you're ready to reclaim power over your life and pursue lasting healing, let's collaborate on your transformative journey towards a brighter future.
Embarking on a journey to overcome addiction, whether it's chemical dependence or struggles with sex addiction, requires a compassionate and personalized approach. I provide tailored support to address the complexities of your experience, including the aftermath of trauma and familial influences. Together, we'll break free from harmful cycles, fostering personal growth in a safe and empowering environment. If you're ready to reclaim power over your life and pursue lasting healing, let's collaborate on your transformative journey towards a brighter future.
(725) 234-6745 View (725) 234-6745
Photo of The Online Counselor, PLLC, Licensed Professional Counselor in Las Vegas, NV
The Online Counselor, PLLC
Licensed Professional Counselor, LPCC, CPC, NCC
Verified Verified
4 Endorsed
Las Vegas, NV 89113  (Online Only)
Waitlist for new clients
Any of these thoughts sound familiar? What if I harm someone? What if I harm myself? What if I act on an urge to do something I really don’t want to do? What if I am a bad person and just fooling everyone? What if I touched something that could contaminate me or my family? What if I want to act on that sexual thought I really didn’t like? What if I go to jail for something I did but forgot or didn't know? What if that thing I did will come back to haunt me? What if I cheat on my partner? What if I am with the 'wrong' partner even though I love my partner? What if my sexual orientation will change even though I don't want it to?
Any of these thoughts sound familiar? What if I harm someone? What if I harm myself? What if I act on an urge to do something I really don’t want to do? What if I am a bad person and just fooling everyone? What if I touched something that could contaminate me or my family? What if I want to act on that sexual thought I really didn’t like? What if I go to jail for something I did but forgot or didn't know? What if that thing I did will come back to haunt me? What if I cheat on my partner? What if I am with the 'wrong' partner even though I love my partner? What if my sexual orientation will change even though I don't want it to?
(702) 276-7488 View (702) 276-7488
Photo of Emily Ingalls, Marriage & Family Therapist in Las Vegas, NV
Emily Ingalls
Marriage & Family Therapist
Verified Verified
Las Vegas, NV 89128
Hi! I'm Emily & I'd like to congratulate you on taking the first step in discovering a better you! I'm passionate about creating a safe and supportive space for individuals on their journey toward emotional well-being by utilizing my genuine self, humor & a client-centered approach. As a dedicated mental health professional, my focus revolves around working with children, teens & families, employing a specialized approach rooted in play therapy.
Hi! I'm Emily & I'd like to congratulate you on taking the first step in discovering a better you! I'm passionate about creating a safe and supportive space for individuals on their journey toward emotional well-being by utilizing my genuine self, humor & a client-centered approach. As a dedicated mental health professional, my focus revolves around working with children, teens & families, employing a specialized approach rooted in play therapy.
(725) 209-7498 View (725) 209-7498
Photo of Gail Lawson, Clinical Social Work/Therapist in Las Vegas, NV
Gail Lawson
Clinical Social Work/Therapist, MSW, LSW, CSWI
Verified Verified
Las Vegas, NV 89108
You do not have to face life's challenges alone. We all need some support in order to navigate life and find solutions to these challenges. Let's figure out together what is keeping you from living your best life. I would like to assist with letting go of people pleasing behaviors that can take away from your self respect, self worth and self esteem. I can help with communicating your needs and look at your strengths. It is a struggle to juggle personal, professional and family life. Lets make a plan together to meet your goals, wants and needs. Schedule a chat for free with me.
You do not have to face life's challenges alone. We all need some support in order to navigate life and find solutions to these challenges. Let's figure out together what is keeping you from living your best life. I would like to assist with letting go of people pleasing behaviors that can take away from your self respect, self worth and self esteem. I can help with communicating your needs and look at your strengths. It is a struggle to juggle personal, professional and family life. Lets make a plan together to meet your goals, wants and needs. Schedule a chat for free with me.
(725) 999-0010 View (725) 999-0010
Photo of Aryn Miller, Licensed Professional Counselor in Las Vegas, NV
Aryn Miller
Licensed Professional Counselor, CPC
Verified Verified
1 Endorsed
Las Vegas, NV 89129
The journey into motherhood is one of the most significant biological and psychological transitions that humans face. Yet, society tells us it should be the most exciting and wonderful time of our lives. It's okay if this is not your experience all the time. I'm here to help you navigate this new normal and find yourself again. You deserve to be thriving in motherhood, and I can help you get there.
The journey into motherhood is one of the most significant biological and psychological transitions that humans face. Yet, society tells us it should be the most exciting and wonderful time of our lives. It's okay if this is not your experience all the time. I'm here to help you navigate this new normal and find yourself again. You deserve to be thriving in motherhood, and I can help you get there.
(702) 919-7792 View (702) 919-7792
Photo of Dr. Nicole Safford, Marriage & Family Therapist Intern in Las Vegas, NV
Dr. Nicole Safford
Marriage & Family Therapist Intern, PhD, MFT-I, EMDR, CAMS-I
Verified Verified
Las Vegas, NV 89118
Accepting New Clients: In counseling, the main objective is to assist individuals in overcoming their current challenges and preparing them to tackle future obstacles. To achieve this, it is crucial to tailor the counseling approach to each client's specific needs and circumstances, recognizing that everyone faces unique issues and holds different expectations. Providing a clear statement of goals becomes necessary and vital in this process, as it gives both the client and myself a clear sense of direction and purpose.
Accepting New Clients: In counseling, the main objective is to assist individuals in overcoming their current challenges and preparing them to tackle future obstacles. To achieve this, it is crucial to tailor the counseling approach to each client's specific needs and circumstances, recognizing that everyone faces unique issues and holds different expectations. Providing a clear statement of goals becomes necessary and vital in this process, as it gives both the client and myself a clear sense of direction and purpose.
(725) 900-3844 View (725) 900-3844
Photo of Emily Yamashita, Counselor in Las Vegas, NV
Emily Yamashita
Counselor, CPC, LMHC
Verified Verified
Las Vegas, NV 89148  (Online Only)
My main approach to therapy is client-centered, attachment-based, and trauma-informed. I believe that you, my client, and I, your therapist, are a team, each bringing expertise in a certain area; together, we can make the change you desire. specialize in trauma work, mood disorders, and family and couples counseling. I am educated and trained in psychotherapy, art therapy, music therapy, drama therapy, dance/movement therapy, and play therapy. I am DBT-certified and EMDR-trained.
My main approach to therapy is client-centered, attachment-based, and trauma-informed. I believe that you, my client, and I, your therapist, are a team, each bringing expertise in a certain area; together, we can make the change you desire. specialize in trauma work, mood disorders, and family and couples counseling. I am educated and trained in psychotherapy, art therapy, music therapy, drama therapy, dance/movement therapy, and play therapy. I am DBT-certified and EMDR-trained.
(702) 299-6711 View (702) 299-6711

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
70% Coping Skills
70% Stress

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
61% Cigna and Evernorth
59% 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

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.