Therapists in Richmond, VA

View neighborhoods in Richmond
Photo of Bobby Tinner, Clinical Social Work/Therapist in Richmond, VA
Bobby Tinner
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I’ve been a counselor for 25 years and have lots of life experience to add to our counseling experience. I enjoy using humor, and evidence-based treatment to help clients reach their goals. I am a licensed clinical social worker and have a PhD in counseling. I believe in client self-determination, and will work with you to achieve the goals that matter to you.
I’ve been a counselor for 25 years and have lots of life experience to add to our counseling experience. I enjoy using humor, and evidence-based treatment to help clients reach their goals. I am a licensed clinical social worker and have a PhD in counseling. I believe in client self-determination, and will work with you to achieve the goals that matter to you.
(804) 578-7344 View (804) 578-7344
Photo of Susan Ennis, Clinical Social Work/Therapist in Richmond, VA
Susan Ennis
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23222
Hello, I'm a Licensed Clinical Social Worker who works with adults, couples, and children experiencing grief, chronic illness, weight loss, and substance abuse issues. I am also a Certified Parent Coach with experience working with parents, foster parents, grandparents and teachers that may be struggling with children who have some behavioral issues. My goal is to provide an outlet for you to have emotional safety and help you identify your emotions. My approach utilizes CBT as well as Mindfulness techniques to provide you with adaptive coping strategies that allow you to slow down, and work to heal negative thinking.
Hello, I'm a Licensed Clinical Social Worker who works with adults, couples, and children experiencing grief, chronic illness, weight loss, and substance abuse issues. I am also a Certified Parent Coach with experience working with parents, foster parents, grandparents and teachers that may be struggling with children who have some behavioral issues. My goal is to provide an outlet for you to have emotional safety and help you identify your emotions. My approach utilizes CBT as well as Mindfulness techniques to provide you with adaptive coping strategies that allow you to slow down, and work to heal negative thinking.
(757) 997-7059 View (757) 997-7059
Photo of Agata Blaszkow, Pre-Licensed Professional in Richmond, VA
Agata Blaszkow
Pre-Licensed Professional, RIC
Verified Verified
Richmond, VA 23230
Agata Blaszkow is a Resident in Counseling (RIC) with over 3 years of experience in the mental health field. Agata works with clients experiencing depression, anxiety, ADHD, grief, trauma, gender identity, and life transitions.
Agata Blaszkow is a Resident in Counseling (RIC) with over 3 years of experience in the mental health field. Agata works with clients experiencing depression, anxiety, ADHD, grief, trauma, gender identity, and life transitions.
(804) 373-4499 View (804) 373-4499
Photo of Tiffany P. Olds, Clinical Social Work/Therapist in Richmond, VA
Tiffany P. Olds
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Richmond, VA 23223  (Online Only)
Are you feeling exhausted and overwhelmed? Are you struggling with imposter syndrome, or fighting continuous negative thoughts? Do you find it challenging to get through daily tasks due to a crisis, trauma, or grief? Are you feeling like you could use someone to talk to? I am here to create a non-judgemental safe space where you can feel heard, seen, respected, and supported. My ultimate goal and passion is to help you work through life's challenges, while finding solutions and developing a toolbox of healthy coping skills to lead a happier healthier life.
Are you feeling exhausted and overwhelmed? Are you struggling with imposter syndrome, or fighting continuous negative thoughts? Do you find it challenging to get through daily tasks due to a crisis, trauma, or grief? Are you feeling like you could use someone to talk to? I am here to create a non-judgemental safe space where you can feel heard, seen, respected, and supported. My ultimate goal and passion is to help you work through life's challenges, while finding solutions and developing a toolbox of healthy coping skills to lead a happier healthier life.
(804) 294-4584 View (804) 294-4584
Photo of Senttra Snowden, Resident in Counseling in Richmond, VA
Senttra Snowden
Resident in Counseling, MS, RYT
Verified Verified
Richmond, VA 23229
You belong here. You are accepted here. You are welcome here. Not for your production or what you can do. Not because you are strong and resilient. Not because you’ve learned to put others before yourself. You belong here just as you are, all of you. I enter our collective space authentically as a Black woman and invite my clients to authentically enter as themselves as well. As a clinician, I provide my clients with the space to explore the weight they are carrying using person-centered and Feminist therapy. I also honor and value cultural healing through intergenerational and historical trauma work.
You belong here. You are accepted here. You are welcome here. Not for your production or what you can do. Not because you are strong and resilient. Not because you’ve learned to put others before yourself. You belong here just as you are, all of you. I enter our collective space authentically as a Black woman and invite my clients to authentically enter as themselves as well. As a clinician, I provide my clients with the space to explore the weight they are carrying using person-centered and Feminist therapy. I also honor and value cultural healing through intergenerational and historical trauma work.
View
Photo of Arielle Shipp, Licensed Professional Counselor in Richmond, VA
Arielle Shipp
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hello, I'm Arielle. Are you experiencing the pull of being a new mom or parent, the demands of your job or relationships, or the stress of defining and understanding what you need and putting yourself first? Are you expecting or on the path to trying to conceive? Or have you experienced a loss? These are real-life experiences that you may need some additional support in navigating. Remember, you deserve to take time for yourself and reconnect with who you are. There may be times when you feel off balance, overwhelmed, or struggling to cope with changes in your environment or identity.
Hello, I'm Arielle. Are you experiencing the pull of being a new mom or parent, the demands of your job or relationships, or the stress of defining and understanding what you need and putting yourself first? Are you expecting or on the path to trying to conceive? Or have you experienced a loss? These are real-life experiences that you may need some additional support in navigating. Remember, you deserve to take time for yourself and reconnect with who you are. There may be times when you feel off balance, overwhelmed, or struggling to cope with changes in your environment or identity.
(804) 599-3531 View (804) 599-3531
Photo of Tiffany Toombs Royall, Licensed Professional Counselor in Richmond, VA
Tiffany Toombs Royall
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23220
Now accepting new patients for in-person and/or telehealth visits! Change and stressful life events can be overwhelming and scary and we often feel alone. I believe we all need help and support sometimes, and I would be honored to join you on your journey. I enjoy helping people identify their strengths and supportively guide them forward, making a plan to grow from life’s difficulties. Making a connection to the right supports can make all the difference when we face life’s challenges and I’m here to help.
Now accepting new patients for in-person and/or telehealth visits! Change and stressful life events can be overwhelming and scary and we often feel alone. I believe we all need help and support sometimes, and I would be honored to join you on your journey. I enjoy helping people identify their strengths and supportively guide them forward, making a plan to grow from life’s difficulties. Making a connection to the right supports can make all the difference when we face life’s challenges and I’m here to help.
(804) 258-4253 View (804) 258-4253
Photo of Alimatu Mustapha-Palmer, Licensed Professional Counselor in Richmond, VA
Alimatu Mustapha-Palmer
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23234
I am Alimatu Mustapha- Palmer (nee Alima Palmer),PhD., NCC, LPC, MAC, CSAC, BCC. I have been in the world of behavioral health and services for the past 25 years. I am experienced and well-credentialed including several board certifications, awards, and recognitions. My experience includes conducting trainings, workshops, and assessments and working with individuals, families, groups, non-profits, local and international government agencies including DSS- CPS, law enforcement, minority populations, specific women and children’s issues, spirituality, cultural dynamics, marriage, divorce, life transitions, coaching and more.
I am Alimatu Mustapha- Palmer (nee Alima Palmer),PhD., NCC, LPC, MAC, CSAC, BCC. I have been in the world of behavioral health and services for the past 25 years. I am experienced and well-credentialed including several board certifications, awards, and recognitions. My experience includes conducting trainings, workshops, and assessments and working with individuals, families, groups, non-profits, local and international government agencies including DSS- CPS, law enforcement, minority populations, specific women and children’s issues, spirituality, cultural dynamics, marriage, divorce, life transitions, coaching and more.
(804) 626-5653 View (804) 626-5653
Photo of Ayana Grant, Clinical Social Work/Therapist in Richmond, VA
Ayana Grant
Clinical Social Work/Therapist, MSW, LCSW, CEAP
Verified Verified
Richmond, VA 23173  (Online Only)
Welcome to your journey of healing and self-discovery Life can be overwhelming at times, but you don't have to face these times alone. Together, we will embark on a transformative journey, exploring these challenges within a safe, supportive, and nonjudgmental space. As a dedicated therapist, I am here to guide you towards your healing goals, utilizing a diverse range of therapeutic approaches tailored to your unique needs.
Welcome to your journey of healing and self-discovery Life can be overwhelming at times, but you don't have to face these times alone. Together, we will embark on a transformative journey, exploring these challenges within a safe, supportive, and nonjudgmental space. As a dedicated therapist, I am here to guide you towards your healing goals, utilizing a diverse range of therapeutic approaches tailored to your unique needs.
(804) 485-2042 View (804) 485-2042
Photo of River City Therapy, LLC, Clinical Social Work/Therapist in Richmond, VA
River City Therapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225
When you're trying to manage anxiety and/or depression, want relief from mood swings, need support addressing difficult past events and current triggers, or feel stuck in patterns that aren't working well for you - therapy can help. Anxiety, depression and trauma histories can make you hard on yourself (a ruthless inner critic), feel ruled by fear and shame, and zap the joy from living. It's definitely hard being human sometimes, and you deserve to find relief, hope, and healing. In doing so, you can make peace with your past, be more "here" for the present, and more curious about your future.
When you're trying to manage anxiety and/or depression, want relief from mood swings, need support addressing difficult past events and current triggers, or feel stuck in patterns that aren't working well for you - therapy can help. Anxiety, depression and trauma histories can make you hard on yourself (a ruthless inner critic), feel ruled by fear and shame, and zap the joy from living. It's definitely hard being human sometimes, and you deserve to find relief, hope, and healing. In doing so, you can make peace with your past, be more "here" for the present, and more curious about your future.
(804) 259-0893 View (804) 259-0893
Photo of Courtney Diener, Supervisee in Clinical Social Work in Richmond, VA
Courtney Diener
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
Richmond, VA 23222
I approach all therapy with an understanding of the ways our childhood, the environment around us, and the systems we live in impact our mental health and who we are as people. I use a strengths-based and client-centered approach that centers compassion and a deep respect for the therapeutic relationship as a powerful tool in growing in healing and recovery. I have over nine years of experience supporting survivors of child abuse, dating and domestic violence, and other forms of trauma.
I approach all therapy with an understanding of the ways our childhood, the environment around us, and the systems we live in impact our mental health and who we are as people. I use a strengths-based and client-centered approach that centers compassion and a deep respect for the therapeutic relationship as a powerful tool in growing in healing and recovery. I have over nine years of experience supporting survivors of child abuse, dating and domestic violence, and other forms of trauma.
(571) 777-0715 View (571) 777-0715
Photo of Behavioral Health Therapy & Consulting, Clinical Social Work/Therapist in Richmond, VA
Behavioral Health Therapy & Consulting
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Richmond, VA 23225  (Online Only)
Blondine Alexandre has over a decade of experience treating adults. Blondine specializes in mood disorders, trauma, fertility struggles, and chronic illness management (including pain and sleep). Blondine takes a holistic and trauma-informed approach to meet each client where they are.
Blondine Alexandre has over a decade of experience treating adults. Blondine specializes in mood disorders, trauma, fertility struggles, and chronic illness management (including pain and sleep). Blondine takes a holistic and trauma-informed approach to meet each client where they are.
(202) 417-2770 View (202) 417-2770
Photo of S. Nicole Bustillos, Pre-Licensed Professional in Richmond, VA
S. Nicole Bustillos
Pre-Licensed Professional
Verified Verified
Richmond, VA 23229
Not accepting new clients
Do you find yourself overwhelmed by life's challenges? Life is full of so many experiences - from the tension of anxiety and the shadows of depression to the twists and turns of daily life. I'm here to journey with you as you process and make sense of it all. I aim to create an environment in which my clients can let their authentic self out! I am dedicated to making sure our work suits your specific goals and concerns. In session, we will work toward understanding your individual strengths, challenges, and aspirations.
Do you find yourself overwhelmed by life's challenges? Life is full of so many experiences - from the tension of anxiety and the shadows of depression to the twists and turns of daily life. I'm here to journey with you as you process and make sense of it all. I aim to create an environment in which my clients can let their authentic self out! I am dedicated to making sure our work suits your specific goals and concerns. In session, we will work toward understanding your individual strengths, challenges, and aspirations.
(804) 902-2280 View (804) 902-2280
Photo of Elise Kindya, Clinical Social Work/Therapist in Richmond, VA
Elise Kindya
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23220
I always return emails. Often, past memories are debilitating and you feel like you're right back in that overwhelming situation. At times, you wish you could change what happened in the past but know you can't. What if you could change the way you relate to these memories and take back control over your body and emotions? There has been so much opportunity for your inner critic to speak. A voice in your head constantly criticizes you, and you've had enough. It's time to change what this voice says. I can help you see your past from the perspective of compassion, not judgment, and learn tools to move forward to an exciting future.
I always return emails. Often, past memories are debilitating and you feel like you're right back in that overwhelming situation. At times, you wish you could change what happened in the past but know you can't. What if you could change the way you relate to these memories and take back control over your body and emotions? There has been so much opportunity for your inner critic to speak. A voice in your head constantly criticizes you, and you've had enough. It's time to change what this voice says. I can help you see your past from the perspective of compassion, not judgment, and learn tools to move forward to an exciting future.
(804) 570-2308 View (804) 570-2308
Photo of Susan M Gardner, Clinical Social Work/Therapist in Richmond, VA
Susan M Gardner
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23219  (Online Only)
There are many reasons why a person may seek therapy. Sometimes we are struggling in a crisis, and sometimes we are ready to go deeper into our understanding of ourselves. With this understanding, we can create a life richened by the healthiest, most insightful version of ourselves. The shifting of habits, fears and core beliefs is a brave act that deserves therapeutic support. In treatment my clients are able to build on their inherent strengths to heal, to grow and to ground.
There are many reasons why a person may seek therapy. Sometimes we are struggling in a crisis, and sometimes we are ready to go deeper into our understanding of ourselves. With this understanding, we can create a life richened by the healthiest, most insightful version of ourselves. The shifting of habits, fears and core beliefs is a brave act that deserves therapeutic support. In treatment my clients are able to build on their inherent strengths to heal, to grow and to ground.
(804) 269-8357 View (804) 269-8357
Photo of Mike Pease, Clinical Social Work/Therapist in Richmond, VA
Mike Pease
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23230
Therapy often focuses on life’s biggest challenges and difficult emotions, but that doesn’t mean therapy has to be a distressing experience. I work with adolescents and adults who are experiencing depression, anxiety, adjusting to life changes, addiction, and PTSD. I specialize in treating trauma and utilize Cognitive Processing Therapy to guide individuals through reprocessing what they have experienced in order to cultivate healing and growth from their traumas. I have helped survivors of a wide variety of traumatic events including but not limited to; sexual assault, childhood abuse, combat related trauma, and domestic violence.
Therapy often focuses on life’s biggest challenges and difficult emotions, but that doesn’t mean therapy has to be a distressing experience. I work with adolescents and adults who are experiencing depression, anxiety, adjusting to life changes, addiction, and PTSD. I specialize in treating trauma and utilize Cognitive Processing Therapy to guide individuals through reprocessing what they have experienced in order to cultivate healing and growth from their traumas. I have helped survivors of a wide variety of traumatic events including but not limited to; sexual assault, childhood abuse, combat related trauma, and domestic violence.
(804) 806-5066 View (804) 806-5066
Photo of Lenise Mazyck, Clinical Social Work/Therapist in Richmond, VA
Lenise Mazyck
Clinical Social Work/Therapist, MSW, LCSW, CCTP, CIMHP
Verified Verified
1 Endorsed
Richmond, VA 23228  (Online Only)
Do you feel stuck, stressed, overwhelmed, and frustrated lately? Maybe you have been struggling to get out of bed in the morning and can not figure out why that has changed lately. You want to live a life where things seem more manageable and you feel safe. You want your relationships with others to thrive and become more balanced. I am here to help you create a life where you feel more prepared to make hard decisions and live the life you want. Please visit this link to schedule an intake call. calendly.com/rootstoresultsrva/intake
Do you feel stuck, stressed, overwhelmed, and frustrated lately? Maybe you have been struggling to get out of bed in the morning and can not figure out why that has changed lately. You want to live a life where things seem more manageable and you feel safe. You want your relationships with others to thrive and become more balanced. I am here to help you create a life where you feel more prepared to make hard decisions and live the life you want. Please visit this link to schedule an intake call. calendly.com/rootstoresultsrva/intake
(804) 376-5863 View (804) 376-5863
Photo of Gahan Kelley, Clinical Social Work/Therapist in Richmond, VA
Gahan Kelley
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I offer focused, change-oriented therapy with particular emphasis upon: Women's issues, Assertiveness and Boundary Setting, Self-esteem Enhancement, Conscious Aging, LGBTQ Affirming Therapy, Sexuality and Relationships,Grief and Recovery.
I offer focused, change-oriented therapy with particular emphasis upon: Women's issues, Assertiveness and Boundary Setting, Self-esteem Enhancement, Conscious Aging, LGBTQ Affirming Therapy, Sexuality and Relationships,Grief and Recovery.
(804) 414-8945 View (804) 414-8945
Photo of Renewing RVA in Richmond, VA
Renewing RVA
APRN, FNP
Verified Verified
Richmond, VA 23221
At Renewing RVA, our mission is to provide high-quality, medical mental health services in conjunction with Biblical Prayer Ministry for the spiritual, mental, and physical flourishing of clients in need. We treat mild to moderate psychiatric conditions, such as trauma, anxiety, depression, PTSD, psychogenic sleep issues, or ADHD. When needed, we refer to outside providers for complex issues such as bipolar disorder or psychotic disorders. We treat children, adolescents, and adults. Patients do not have to be Christian in order to be seen by us.
At Renewing RVA, our mission is to provide high-quality, medical mental health services in conjunction with Biblical Prayer Ministry for the spiritual, mental, and physical flourishing of clients in need. We treat mild to moderate psychiatric conditions, such as trauma, anxiety, depression, PTSD, psychogenic sleep issues, or ADHD. When needed, we refer to outside providers for complex issues such as bipolar disorder or psychotic disorders. We treat children, adolescents, and adults. Patients do not have to be Christian in order to be seen by us.
(804) 373-4370 View (804) 373-4370
Photo of Rachel Walls, Clinical Social Work/Therapist in Richmond, VA
Rachel Walls
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23219
Waitlist for new clients
I pursued this work because I know what it is like to be knocked off course. Over the years, I have found that assisting people heal from trauma is what I am meant to do. I focus on empowering my clients through education, proven therapies, and allowing my clients to lead their treatment. You are the expert on your own experience! I'm here to safely offer you an alternate path to your goals. You are experiencing a normal reaction to something that is abnormal. Trauma and grief are heavy - you don't have to carry it alone and it does not have to be a part of your identity.
I pursued this work because I know what it is like to be knocked off course. Over the years, I have found that assisting people heal from trauma is what I am meant to do. I focus on empowering my clients through education, proven therapies, and allowing my clients to lead their treatment. You are the expert on your own experience! I'm here to safely offer you an alternate path to your goals. You are experiencing a normal reaction to something that is abnormal. Trauma and grief are heavy - you don't have to carry it alone and it does not have to be a part of your identity.
(804) 601-6810 View (804) 601-6810

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

78% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Richmond?

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.