Therapists in Albuquerque, NM

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Photo of Nathan Lyons, Clinical Social Work/Therapist in Albuquerque, NM
Nathan Lyons
Clinical Social Work/Therapist, LMSW
Verified Verified
Albuquerque, NM 87110  (Online Only)
How is your heart? What are you feeling these days? If you’d like to explore this and more, let’s talk. I am a licensed social worker who is person centered and trauma-informed. One of my primary goals is to help you grow awareness and control of thoughts, feelings, and actions that might prevent you from becoming your best self. I will help to create a safe, non-judgmental space that is culturally sensitive, collaborative and compassionate so we can grow and learn together to reach your therapeutic goals.
How is your heart? What are you feeling these days? If you’d like to explore this and more, let’s talk. I am a licensed social worker who is person centered and trauma-informed. One of my primary goals is to help you grow awareness and control of thoughts, feelings, and actions that might prevent you from becoming your best self. I will help to create a safe, non-judgmental space that is culturally sensitive, collaborative and compassionate so we can grow and learn together to reach your therapeutic goals.
(505) 421-6688 View (505) 421-6688
Photo of Josie Gibb, Professional Clinical Mental Health Counselor in Albuquerque, NM
Josie Gibb
Professional Clinical Mental Health Counselor, PhD, LPCC, LMFT
Verified Verified
Albuquerque, NM 87111
My PhD in Clinical Psychology has given me the knowledge and sensitivity that psychotherapy is a very personal experience. Together we gain the trust to peel the layers of the "false self" away from the true, authentic self. Each person is different, therefore each person's healing has to be treated individually. Human suffering can be healed and I treat trauma from early childhood to the present, treating unhealthy early attachment issues we may use now in relationships. Together we will examine patterns which the patient finds distressing and long standing. I do not give advise, rather I help the patient find the advise within.
My PhD in Clinical Psychology has given me the knowledge and sensitivity that psychotherapy is a very personal experience. Together we gain the trust to peel the layers of the "false self" away from the true, authentic self. Each person is different, therefore each person's healing has to be treated individually. Human suffering can be healed and I treat trauma from early childhood to the present, treating unhealthy early attachment issues we may use now in relationships. Together we will examine patterns which the patient finds distressing and long standing. I do not give advise, rather I help the patient find the advise within.
(505) 369-3754 View (505) 369-3754
Photo of The Evolution Group, Inc., Licensed Professional Counselor in Albuquerque, NM
The Evolution Group, Inc.
Licensed Professional Counselor, LPCC, LMHC, LCSW, LMSW, LAMFT
Verified Verified
1 Endorsed
Albuquerque, NM 87102
The Evolution Group is a private counseling organization made up of a team of talented therapists who work with individuals, couples and families to empower the wholeness that lies within and support a return to wellness and balance.
The Evolution Group is a private counseling organization made up of a team of talented therapists who work with individuals, couples and families to empower the wholeness that lies within and support a return to wellness and balance.
(505) 375-1174 x129 View (505) 375-1174 x129
Photo of Head To Toe Wellness, LLC, Counselor in Albuquerque, NM
Head To Toe Wellness, LLC
Counselor, MA, HSN, NCC, LPCC
Verified Verified
Albuquerque, NM 87114
Not accepting new clients
As a Clinical Counselor, I believe individuals are always capable of change. I work hard to provide an environment that allows clients to explore their beliefs and circumstances. I work collaboratively with each client towards positive change and self-improvement. Goals take time to achieve due to the complex nature of human behavior, so I ask you to have patience with the therapeutic process. My work is rooted in evidence-based psychotherapeutic approaches and mind-body practices including but not limited to Cognitive Behavioral Therapy (CBT), Existential Therapy, and Mindfulness CBT.
As a Clinical Counselor, I believe individuals are always capable of change. I work hard to provide an environment that allows clients to explore their beliefs and circumstances. I work collaboratively with each client towards positive change and self-improvement. Goals take time to achieve due to the complex nature of human behavior, so I ask you to have patience with the therapeutic process. My work is rooted in evidence-based psychotherapeutic approaches and mind-body practices including but not limited to Cognitive Behavioral Therapy (CBT), Existential Therapy, and Mindfulness CBT.
(505) 392-2584 View (505) 392-2584
Photo of Alesia Crossland, Clinical Social Work/Therapist in Albuquerque, NM
Alesia Crossland
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Albuquerque, NM 87111  (Online Only)
In my practice, I provide non-judgmental support, guidance through challenges, and help with building a sense of empowerment. Building therapeutic rapport that allows clients to open up can take time, and I’m able to make space for that. I work best with clients who have experienced problems relating to anxiety, attachment trauma, complex trauma, depression, life transitions, and relationship issues. I work to provide a holding space and allow clients to choose the direction and pace of therapy. I'm open to working with teenagers, though speaking more in-depth about this matter will be important in determining if I'll be a good fit.
In my practice, I provide non-judgmental support, guidance through challenges, and help with building a sense of empowerment. Building therapeutic rapport that allows clients to open up can take time, and I’m able to make space for that. I work best with clients who have experienced problems relating to anxiety, attachment trauma, complex trauma, depression, life transitions, and relationship issues. I work to provide a holding space and allow clients to choose the direction and pace of therapy. I'm open to working with teenagers, though speaking more in-depth about this matter will be important in determining if I'll be a good fit.
(505) 391-3188 View (505) 391-3188
Photo of Hilary Heyl, Clinical Social Work/Therapist in Albuquerque, NM
Hilary Heyl
Clinical Social Work/Therapist, LISW
Verified Verified
Albuquerque, NM 87106
I am committed to full hearted, relational therapy with clear goals and humor! about healing the issues you bring forth in our first sessions. I believe in mutually agreed therapy goals so you can see your own progress, with regular mutual progress reviews. I believe you are the expert on yourself, and I have expertise to offer, only if the relationship fits for you. I practice a therapy of empowerment, mutuality and respect for your individuality, both your leading positive edges and the trailing difficult edges about which you seek help. I also bring in sociological issues of oppression, racism, patriarchy, etc. as relevant.
I am committed to full hearted, relational therapy with clear goals and humor! about healing the issues you bring forth in our first sessions. I believe in mutually agreed therapy goals so you can see your own progress, with regular mutual progress reviews. I believe you are the expert on yourself, and I have expertise to offer, only if the relationship fits for you. I practice a therapy of empowerment, mutuality and respect for your individuality, both your leading positive edges and the trailing difficult edges about which you seek help. I also bring in sociological issues of oppression, racism, patriarchy, etc. as relevant.
(505) 484-2461 View (505) 484-2461
Photo of Elissa Chazdon, Pre-Licensed Professional in Albuquerque, NM
Elissa Chazdon
Pre-Licensed Professional, CSW, MSW Int
Verified Verified
Albuquerque, NM 87112
I enjoy working with clients who are motivated to create change in their lives and relationships. They want to experience more peace, less stress, and get to their goals more quickly. Each session is co-created, whether a group class or a private appointment.
I enjoy working with clients who are motivated to create change in their lives and relationships. They want to experience more peace, less stress, and get to their goals more quickly. Each session is co-created, whether a group class or a private appointment.
(505) 657-4889 View (505) 657-4889
Photo of Alyssa Kramer, Clinical Social Work/Therapist in Albuquerque, NM
Alyssa Kramer
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Albuquerque, NM 87113
I use a person centered approach and various methods including Cognitive Behavioral Therapy, Motivational interviewing, and Solution-Focused.
I use a person centered approach and various methods including Cognitive Behavioral Therapy, Motivational interviewing, and Solution-Focused.
(505) 557-1791 View (505) 557-1791
Photo of Krishna Vemulapalli, Counselor in Albuquerque, NM
Krishna Vemulapalli
Counselor, LMHC
Verified Verified
Albuquerque, NM 87109  (Online Only)
Krishna is a queer, ethically non-monogamous Licensed Mental Health Clinician delivering cognitive behavioral therapy that blends person-centric and narrative therapy approaches. His unique perspective is informed by a blended Jamaican and Asian Indian parentage, a four-year tour in the US Armed forces, a Bachelor’s degree in Psychology from the University of Colorado, and a Master’s Degree in Counseling from the University Of New Mexico. Krishna’s focus is working with individuals and couples on issues related to sex and sexual health including alternative relationship structures, kinks, and fetishes.
Krishna is a queer, ethically non-monogamous Licensed Mental Health Clinician delivering cognitive behavioral therapy that blends person-centric and narrative therapy approaches. His unique perspective is informed by a blended Jamaican and Asian Indian parentage, a four-year tour in the US Armed forces, a Bachelor’s degree in Psychology from the University of Colorado, and a Master’s Degree in Counseling from the University Of New Mexico. Krishna’s focus is working with individuals and couples on issues related to sex and sexual health including alternative relationship structures, kinks, and fetishes.
(505) 393-6005 View (505) 393-6005
Photo of Anna E Eder, Clinical Social Work/Therapist in Albuquerque, NM
Anna E Eder
Clinical Social Work/Therapist, LISW
Verified Verified
Albuquerque, NM 87104
Not accepting new clients
Therapy? Who needs therapy? Not you, right? Yeah, that's what I thought too. After all, we should be able to just "handle things" without the help of some head-shrinker, shouldn't we? The truth is, you probably don't need therapy. You're not going to stop breathing without it. Another truth is that life is full of pressure and stress, and it's hard for anyone to handle it all alone. Many of us are dealing with childhood or adult traumas, anxiety and depression, and trouble trusting others. We don't always know how to reach out or ask for help.
Therapy? Who needs therapy? Not you, right? Yeah, that's what I thought too. After all, we should be able to just "handle things" without the help of some head-shrinker, shouldn't we? The truth is, you probably don't need therapy. You're not going to stop breathing without it. Another truth is that life is full of pressure and stress, and it's hard for anyone to handle it all alone. Many of us are dealing with childhood or adult traumas, anxiety and depression, and trouble trusting others. We don't always know how to reach out or ask for help.
(505) 207-0227 View (505) 207-0227
Photo of Erica Van Leuven, Counselor in Albuquerque, NM
Erica Van Leuven
Counselor, CPC
Verified Verified
Albuquerque, NM 87120  (Online Only)
When you are ready to work and feel change in your life, to notice things & deliberately work on constructing the desired outcome, we can work together to accomplish what you are hoping for. We can get you through anxiety, depression, relationship issues, parenting struggles or whatever else you might be facing. And know that if I cannot help you, I will work to try to help you find someone that can. I never leave people hanging; I see things through to support you fully.
When you are ready to work and feel change in your life, to notice things & deliberately work on constructing the desired outcome, we can work together to accomplish what you are hoping for. We can get you through anxiety, depression, relationship issues, parenting struggles or whatever else you might be facing. And know that if I cannot help you, I will work to try to help you find someone that can. I never leave people hanging; I see things through to support you fully.
(505) 391-5254 View (505) 391-5254
Photo of Erica Lane Castleberry, Psychologist in Albuquerque, NM
Erica Lane Castleberry
Psychologist, PhD
Verified Verified
5 Endorsed
Albuquerque, NM 87110
If you're stuck in anxiety, PTSD, depression, eating disorders, or body image problems, I might be able to help! I use evidence-based treatments, mainly Cognitive Behavior Therapy. I am specifically trained in Cognitive Processing Therapy for PTSD, Dialectical Behavior Therapy, and CBT-E (for Eating Disorders). In therapy you can expect to play an active role in the process and will often have homework assignments. This is the best way to learn new skills and ways of thinking toward recovery!
If you're stuck in anxiety, PTSD, depression, eating disorders, or body image problems, I might be able to help! I use evidence-based treatments, mainly Cognitive Behavior Therapy. I am specifically trained in Cognitive Processing Therapy for PTSD, Dialectical Behavior Therapy, and CBT-E (for Eating Disorders). In therapy you can expect to play an active role in the process and will often have homework assignments. This is the best way to learn new skills and ways of thinking toward recovery!
(505) 388-2830 View (505) 388-2830
Photo of Especially For Families Therapy, Counselor in Albuquerque, NM
Especially For Families Therapy
Counselor, MA, NCC, CRS, LPCC
Verified Verified
Albuquerque, NM 87120
I Love helping folks who are struggling with difficult problems. I'm a good listener and I have an unlimited number of practical suggestions and help for you. I will not give up! Together, you & I WILL get your problems solved. I have trained with some of the most experienced therapists worldwide and I have expertise in most areas that people struggle in. I've been a counselor/therapist for many years because I LOVE doing this! You & I will get to the root of your problem and we will solve it. No case is too difficult!
I Love helping folks who are struggling with difficult problems. I'm a good listener and I have an unlimited number of practical suggestions and help for you. I will not give up! Together, you & I WILL get your problems solved. I have trained with some of the most experienced therapists worldwide and I have expertise in most areas that people struggle in. I've been a counselor/therapist for many years because I LOVE doing this! You & I will get to the root of your problem and we will solve it. No case is too difficult!
(505) 219-4069 View (505) 219-4069
Photo of Brian E Miller, Counselor in Albuquerque, NM
Brian E Miller
Counselor, MA, LPCC
Verified Verified
Albuquerque, NM 87110
As we travel through the journey of life we inevitably run into obstacles that challenge our coping skills, our way of life, and even our spiritual faith. Hurdles such as loss of focus, loss of relationships, grief, stress, addictions, past and current trauma, depression, and anxiety can seriously challenge our ability to live the life we had imagined; sometimes we even lose our way and direction.
As we travel through the journey of life we inevitably run into obstacles that challenge our coping skills, our way of life, and even our spiritual faith. Hurdles such as loss of focus, loss of relationships, grief, stress, addictions, past and current trauma, depression, and anxiety can seriously challenge our ability to live the life we had imagined; sometimes we even lose our way and direction.
(505) 431-6763 View (505) 431-6763
Photo of Dr. Kelly Albonico, Psychologist in Albuquerque, NM
Dr. Kelly Albonico
Psychologist, PhD, C-IAYT
Verified Verified
Albuquerque, NM 87106  (Online Only)
As a holistic psychologist, I pull from a myriad of Eastern and Western practices, philosophies, and research to address life's questions and difficulties through approaches that target the body, mind, community, and spirit. My overarching goal for all my clients is to achieve a tangible and stable feeling of physical and mental calm in order to increasingly feel joy and more easily navigate life's stressors. Identifying the root of suffering, lifestyle changes, breathwork, mindfulness, meditation, discussions of the meaning of life and spiritual connection, guided imagery, and re-writing narratives are commonplace in my practice.
As a holistic psychologist, I pull from a myriad of Eastern and Western practices, philosophies, and research to address life's questions and difficulties through approaches that target the body, mind, community, and spirit. My overarching goal for all my clients is to achieve a tangible and stable feeling of physical and mental calm in order to increasingly feel joy and more easily navigate life's stressors. Identifying the root of suffering, lifestyle changes, breathwork, mindfulness, meditation, discussions of the meaning of life and spiritual connection, guided imagery, and re-writing narratives are commonplace in my practice.
(505) 391-4886 View (505) 391-4886
Photo of Kasey Best, Marriage & Family Therapist in Albuquerque, NM
Kasey Best
Marriage & Family Therapist, MC, LMFT
Verified Verified
Albuquerque, NM 87112
Do you sometimes or often find yourself feeling sad or overwhelmed by life's demands? You're certainly not alone. Life is unpredictable and occasionally difficult to handle. I can help you discover why you might be experiencing difficulty in finding joy and meaning in your life. I've helped many clients gain insight and make positive and lasting changes.My goal is to help clients find contentment and fulfilment through positive coping skills.
Do you sometimes or often find yourself feeling sad or overwhelmed by life's demands? You're certainly not alone. Life is unpredictable and occasionally difficult to handle. I can help you discover why you might be experiencing difficulty in finding joy and meaning in your life. I've helped many clients gain insight and make positive and lasting changes.My goal is to help clients find contentment and fulfilment through positive coping skills.
(505) 933-6245 View (505) 933-6245
Photo of Trail Ahead Therapy, Clinical Social Work/Therapist in Albuquerque, NM
Trail Ahead Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87104
If you are looking for a therapist who is trauma-informed, inclusive, and empathetic then we are here for you. We believe in creating a safe place where clients can express their vulnerabilities and share their stories in a space that is free of judgment. We want to understand and help, not “fix” you. Our therapists know that the ultimate goal of therapy is to feel at peace within ourselves and that this journey is unique for each person. We strive to help you find these answers for yourself, so that you can know true self-acceptance and happiness.
If you are looking for a therapist who is trauma-informed, inclusive, and empathetic then we are here for you. We believe in creating a safe place where clients can express their vulnerabilities and share their stories in a space that is free of judgment. We want to understand and help, not “fix” you. Our therapists know that the ultimate goal of therapy is to feel at peace within ourselves and that this journey is unique for each person. We strive to help you find these answers for yourself, so that you can know true self-acceptance and happiness.
(505) 390-8967 View (505) 390-8967
Photo of Felicia Cocq-Rasmussen, Clinical Social Work/Therapist in Albuquerque, NM
Felicia Cocq-Rasmussen
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Albuquerque, NM 87110
I have always been fascinated by human behavior and the human condition. I would like to specialize in neurodiversity, complex trauma, and self-esteem. I am a firm believer in creating accommodations and striving for self-compassion and acceptance. I believe that we as humans are wired for connection. At times unhealthy relationships are all we know. I enjoy working with couples as I believe that making a commitment to another human is one of the most vulnerable things we do in our lives. I strive to help my clients and couples develop a strong sense of self to foster healthy, reliable, and trustworthy relationships.
I have always been fascinated by human behavior and the human condition. I would like to specialize in neurodiversity, complex trauma, and self-esteem. I am a firm believer in creating accommodations and striving for self-compassion and acceptance. I believe that we as humans are wired for connection. At times unhealthy relationships are all we know. I enjoy working with couples as I believe that making a commitment to another human is one of the most vulnerable things we do in our lives. I strive to help my clients and couples develop a strong sense of self to foster healthy, reliable, and trustworthy relationships.
(505) 405-1086 View (505) 405-1086
Photo of Michele M Donovan, Clinical Social Work/Therapist in Albuquerque, NM
Michele M Donovan
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87107  (Online Only)
Waitlist for new clients
Just by showing up and reading this, you are brave! Looking for help isn’t always easy, but if any of the following resonates with you, I believe I can help! Do you find yourself feeling stuck in negative repetitive patterns? Overwhelmed and confused? Experiencing anxiety and/or depression and wanting more out of life but not sure how to get there. I know life can feel like an uphill battle at times, but you don’t have to figure it out alone. I can support you through the challenging and confusing parts of your journey and share in the celebration of your successes in personal growth along the way.
Just by showing up and reading this, you are brave! Looking for help isn’t always easy, but if any of the following resonates with you, I believe I can help! Do you find yourself feeling stuck in negative repetitive patterns? Overwhelmed and confused? Experiencing anxiety and/or depression and wanting more out of life but not sure how to get there. I know life can feel like an uphill battle at times, but you don’t have to figure it out alone. I can support you through the challenging and confusing parts of your journey and share in the celebration of your successes in personal growth along the way.
(505) 295-2673 View (505) 295-2673
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

How does your Therapist compare?

Number of Therapists in Albuquerque, NM

900+

Average cost per session

$129

Therapists in Albuquerque, NM who prioritize treating:

89% Anxiety
86% Depression
78% Trauma and PTSD
73% Relationship Issues
73% Self Esteem
68% Coping Skills
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

81% Presbyterian
79% BlueCross and BlueShield
74% 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.