Therapists in Denver, CO

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Photo of Emily M Johnson, Pre-Licensed Professional in Denver, CO
Emily M Johnson
Pre-Licensed Professional, MPH
Verified Verified
3 Endorsed
Denver, CO 80211
Are you trying to get pregnant, suffering from a loss, or a new parent that is struggling? Are you feeling the toll that parenthood has taken on your relationship? Are you having a difficult time taking care of your health or navigating a new diagnosis? Being pregnant, postpartum, or having a chronic health condition can leave you feeling alone, overwhelmed, and helpless. My previous career as a birth doula has given me a unique and powerful perspective to support my clients navigating pregnancy, birth, and postpartum. You deserve to feel deeply understood, protected, and cared for during these difficult, and blissful, journeys.
Are you trying to get pregnant, suffering from a loss, or a new parent that is struggling? Are you feeling the toll that parenthood has taken on your relationship? Are you having a difficult time taking care of your health or navigating a new diagnosis? Being pregnant, postpartum, or having a chronic health condition can leave you feeling alone, overwhelmed, and helpless. My previous career as a birth doula has given me a unique and powerful perspective to support my clients navigating pregnancy, birth, and postpartum. You deserve to feel deeply understood, protected, and cared for during these difficult, and blissful, journeys.
(720) 902-7838 View (720) 902-7838
Photo of Christine Rowe, Clinical Social Work/Therapist in Denver, CO
Christine Rowe
Clinical Social Work/Therapist, LCSW
Verified Verified
Denver, CO 80224
At times, we all develop ineffective patterns of behavior, some of which are unconscious & keep us from solving problems & being the best we can be. I believe emotional flexibility is the key to a happier, healthier more complete life. I am a Licensed Clinical Social Worker providing Psychotherapy since 1997. My specialties include: family & couples therapy, individuals of all ages), grief & loss, depression, anxiety & personal growth. I use a variety of theories & techniques looking for the right fit for you. My goal is to help you resolve whatever difficulties are keeping you from living a more authentic, joyful & fulfilled life
At times, we all develop ineffective patterns of behavior, some of which are unconscious & keep us from solving problems & being the best we can be. I believe emotional flexibility is the key to a happier, healthier more complete life. I am a Licensed Clinical Social Worker providing Psychotherapy since 1997. My specialties include: family & couples therapy, individuals of all ages), grief & loss, depression, anxiety & personal growth. I use a variety of theories & techniques looking for the right fit for you. My goal is to help you resolve whatever difficulties are keeping you from living a more authentic, joyful & fulfilled life
(720) 885-9357 View (720) 885-9357
Photo of James Milton, Clinical Social Work/Therapist in Denver, CO
James Milton
Clinical Social Work/Therapist, LCSW, CAS
Verified Verified
Denver, CO 80205
If you have been struggling with unwanted thoughts and behaviors with little relief, please contact me. Take back contol over your life! I specialize in cognitive-behavioral and exposure-response prevention therapy for Obsessive Compulsive Disorders and I have worked with the field’s recognized leaders in this treatment. I use a variety of traditional and evidence-based approaches to treatment. I will treat you with respect, dignity and support while we explore the range of treatment options that are available to you. I also specialize in the treatment of Post Traumatic Stress Disorder, using EMDR and Cognitive Processing Therapy.
If you have been struggling with unwanted thoughts and behaviors with little relief, please contact me. Take back contol over your life! I specialize in cognitive-behavioral and exposure-response prevention therapy for Obsessive Compulsive Disorders and I have worked with the field’s recognized leaders in this treatment. I use a variety of traditional and evidence-based approaches to treatment. I will treat you with respect, dignity and support while we explore the range of treatment options that are available to you. I also specialize in the treatment of Post Traumatic Stress Disorder, using EMDR and Cognitive Processing Therapy.
(720) 764-9450 View (720) 764-9450
Photo of Angela Mari Maestas, Licensed Professional Counselor Candidate in Denver, CO
Angela Mari Maestas
Licensed Professional Counselor Candidate, LAC, LPCC
Verified Verified
1 Endorsed
Denver, CO 80211  (Online Only)
Imagine waking up every morning feeling like you can take on the world. How great does that feel? Life can get difficult, and sometimes a little help from a professional can make things better. I care about your well-being and provide you with all the tools you need in order to seize the day and learn how to tackle even the most challenging circumstances.
Imagine waking up every morning feeling like you can take on the world. How great does that feel? Life can get difficult, and sometimes a little help from a professional can make things better. I care about your well-being and provide you with all the tools you need in order to seize the day and learn how to tackle even the most challenging circumstances.
(720) 664-2510 View (720) 664-2510
Photo of Tracy Weegmann, Counselor in Denver, CO
Tracy Weegmann
Counselor, MA, LPCC, CBIS, LMFTC, EMDR
Verified Verified
Denver, CO 80203
I have worked with clients since 2001 and have a very successful practice in both in Denver and Boulder areas. I work with clients with cognitive impairment such as Attention Deficit Disorder,, Traumatic Brain Injury, Gifted, Learning disabilities, Autism and other cognitive or focus issues. I work adults, children(10+), professionals, students, adolescents, seniors.
I have worked with clients since 2001 and have a very successful practice in both in Denver and Boulder areas. I work with clients with cognitive impairment such as Attention Deficit Disorder,, Traumatic Brain Injury, Gifted, Learning disabilities, Autism and other cognitive or focus issues. I work adults, children(10+), professionals, students, adolescents, seniors.
(720) 606-2489 View (720) 606-2489
Photo of Marjorie Nicholson, Pre-Licensed Professional in Denver, CO
Marjorie Nicholson
Pre-Licensed Professional, MSW, SWC
Verified Verified
1 Endorsed
Denver, CO 80222
I'm deeply passionate about mental health and trained in various modalities such as cognitive-behavioral therapy, psychodynamic therapy, mindfulness practices, narrative therapy, theraplay, and non-directive play therapy. In essence, my therapy practice revolves around building a strong therapeutic alliance as the foundation. From there, together we explore your therapy goals, tailoring the experience to be strengths-based and client-centered. I work with clients across the lifespan, and am open to exploring whatever client's bring to session.
I'm deeply passionate about mental health and trained in various modalities such as cognitive-behavioral therapy, psychodynamic therapy, mindfulness practices, narrative therapy, theraplay, and non-directive play therapy. In essence, my therapy practice revolves around building a strong therapeutic alliance as the foundation. From there, together we explore your therapy goals, tailoring the experience to be strengths-based and client-centered. I work with clients across the lifespan, and am open to exploring whatever client's bring to session.
(720) 776-1467 View (720) 776-1467
Photo of Amy B Smith, Pre-Licensed Professional in Denver, CO
Amy B Smith
Pre-Licensed Professional
Verified Verified
2 Endorsed
Denver, CO 80246
I am passionate about witnessing individuals embark on a lifelong journey toward mental wellness, embracing a life of unbounded freedom. As a devoted professional with an unwavering commitment to creating profound positive changes in the lives of my clients, I wholeheartedly recognize that trust forms the cornerstone of any successful client-consultant relationship. The initial step in assisting involves actively listening to and understanding your needs, concerns, and objectives to tailor my support to your best interests.
I am passionate about witnessing individuals embark on a lifelong journey toward mental wellness, embracing a life of unbounded freedom. As a devoted professional with an unwavering commitment to creating profound positive changes in the lives of my clients, I wholeheartedly recognize that trust forms the cornerstone of any successful client-consultant relationship. The initial step in assisting involves actively listening to and understanding your needs, concerns, and objectives to tailor my support to your best interests.
(720) 780-8769 View (720) 780-8769
Photo of Angela Shaiman, Marriage & Family Therapist in Denver, CO
Angela Shaiman
Marriage & Family Therapist, LMFT
Verified Verified
Denver, CO 80209  (Online Only)
Telehealth Only - As a psychotherapist, it’s an honor to be a witness and facilitator to client transformation, resilience, and growth. My perceptiveness, compassion, and holding of a nonjudgmental space allow discovery and observation of patterns that may no longer be helpful. I see my work through a social justice perspective and understand oppression itself as a form of stress and trauma. As a mixed-race and multicultural person of African-American and Jewish ancestry, I honor experiences of intersecting identities and am deeply interested in intergenerational trauma and resilience.
Telehealth Only - As a psychotherapist, it’s an honor to be a witness and facilitator to client transformation, resilience, and growth. My perceptiveness, compassion, and holding of a nonjudgmental space allow discovery and observation of patterns that may no longer be helpful. I see my work through a social justice perspective and understand oppression itself as a form of stress and trauma. As a mixed-race and multicultural person of African-American and Jewish ancestry, I honor experiences of intersecting identities and am deeply interested in intergenerational trauma and resilience.
(510) 674-0948 View (510) 674-0948
Photo of Meredith E Guarco, Counselor in Denver, CO
Meredith E Guarco
Counselor, LPC, MA, MBA
Verified Verified
Denver, CO 80211
Navigating mental health can be a tough journey, especially when societal norms or personal beliefs deem it as a taboo subject. In my practice, I specialize in supporting adults and teens who come from diverse cultural backgrounds, sexual orientations, and gender identities. I work with individuals facing trauma, stress, anxiety, depression, and life transitions. My goal is to provide a safe, judgement-free space for individuals to explore their struggles. Additionally, I offer support for women experiencing postpartum anxiety, depression, and infertility.
Navigating mental health can be a tough journey, especially when societal norms or personal beliefs deem it as a taboo subject. In my practice, I specialize in supporting adults and teens who come from diverse cultural backgrounds, sexual orientations, and gender identities. I work with individuals facing trauma, stress, anxiety, depression, and life transitions. My goal is to provide a safe, judgement-free space for individuals to explore their struggles. Additionally, I offer support for women experiencing postpartum anxiety, depression, and infertility.
(720) 637-5877 View (720) 637-5877
Photo of Dan Chatman, Clinical Social Work/Therapist in Denver, CO
Dan Chatman
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Denver, CO 80211
Seeing a therapist is one of the most important things you can do for yourself and the people in your life. In therapy, we will focus on what YOU need: for example, working on anger, navigating a difficult relationship, or working through trauma so you can get back to focusing on your life. And if you're not sure what you need, that's okay...we'll figure that out together.
Seeing a therapist is one of the most important things you can do for yourself and the people in your life. In therapy, we will focus on what YOU need: for example, working on anger, navigating a difficult relationship, or working through trauma so you can get back to focusing on your life. And if you're not sure what you need, that's okay...we'll figure that out together.
(720) 419-1284 View (720) 419-1284
Photo of Dr. Estefania Luna, Psychologist in Denver, CO
Dr. Estefania Luna
Psychologist, PsyD
Verified Verified
1 Endorsed
Denver, CO 80246
Are you overwhelmed by anxiety, depression, or the weight of challenges like trauma, grief, self-harm and relationship struggles? Does it cast a shadow over your day-to-day life, leaving you exhausted and wondering if life could be better? In challenging times many share similar feelings of uncertainty about overcoming difficulties, but there is hope and answers. Hope is the ability to see light despite darkness, and achieving balance and fulfillment shouldn't be arduous. I'm here to guide you through, offering assurance that you can find peace even in challenging times.
Are you overwhelmed by anxiety, depression, or the weight of challenges like trauma, grief, self-harm and relationship struggles? Does it cast a shadow over your day-to-day life, leaving you exhausted and wondering if life could be better? In challenging times many share similar feelings of uncertainty about overcoming difficulties, but there is hope and answers. Hope is the ability to see light despite darkness, and achieving balance and fulfillment shouldn't be arduous. I'm here to guide you through, offering assurance that you can find peace even in challenging times.
(720) 573-2380 View (720) 573-2380
Photo of There Is Always Hope Counseling, PLLC, Licensed Professional Counselor in Denver, CO
There Is Always Hope Counseling, PLLC
Licensed Professional Counselor, MA, LPC, LAC, NCC, CCTP
Verified Verified
Denver, CO 80222
Waitlist for new clients
Are you feeling stressed, overwhelmed, exhausted, or even hopeless? Do you wonder if things will ever get better? Whether you are experiencing emotional struggles that you just can’t seem to get through, having problems in your relationships, struggling with past trauma, addiction or substance use, experiencing stressful life changes, or stuck repeating the same old unhealthy or destructive patterns and behaviors you just can’t seem to break free of, therapy can help. Seeking help for the first time can be a scary and overwhelming experience. It takes courage to be willing to reach out and open up to someone new.
Are you feeling stressed, overwhelmed, exhausted, or even hopeless? Do you wonder if things will ever get better? Whether you are experiencing emotional struggles that you just can’t seem to get through, having problems in your relationships, struggling with past trauma, addiction or substance use, experiencing stressful life changes, or stuck repeating the same old unhealthy or destructive patterns and behaviors you just can’t seem to break free of, therapy can help. Seeking help for the first time can be a scary and overwhelming experience. It takes courage to be willing to reach out and open up to someone new.
(720) 619-8778 View (720) 619-8778
Photo of Amanda Union, Counselor in Denver, CO
Amanda Union
Counselor, MA, LPC
Verified Verified
1 Endorsed
Denver, CO 80204  (Online Only)
I believe every person’s story has value and meaning. It is important for every person to have a voice in an environment that is safe with unconditional acceptance. My goal is to provide this space for my clients. I focus on building relationships with a person-centered approach. I operate with the understanding that we are all part of a system and the impact this can have on our lives.
I believe every person’s story has value and meaning. It is important for every person to have a voice in an environment that is safe with unconditional acceptance. My goal is to provide this space for my clients. I focus on building relationships with a person-centered approach. I operate with the understanding that we are all part of a system and the impact this can have on our lives.
(719) 315-1989 View (719) 315-1989
Photo of Mindsolutions.LLC, Licensed Professional Counselor in Denver, CO
Mindsolutions.LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Denver, CO 80205
We provide bilingual and bicultural mental health therapy , consultation, and community connections.Mindsolutions, LLC’s Initiate services are adapted to the generational needs of our clients and their communities. Mindsolutions, helping families with languages barriers, connect with community services, closed the cultural gap between family members , teach parenting skills to parents of how deal within home crisis.
We provide bilingual and bicultural mental health therapy , consultation, and community connections.Mindsolutions, LLC’s Initiate services are adapted to the generational needs of our clients and their communities. Mindsolutions, helping families with languages barriers, connect with community services, closed the cultural gap between family members , teach parenting skills to parents of how deal within home crisis.
(970) 237-5941 View (970) 237-5941
Photo of Denver Adolescent Therapy Group in Denver, CO
Denver Adolescent Therapy Group
MS, LMFT
Verified Verified
Denver, CO 80203  (Online Only)
Denver Adolescent Therapy Group provides psychotherapy to teens and their families. DATG has full time licensed therapists who have extensive experience working with adolescents and their families to address a wide variety of concerns and challenges. We are confident that we can find the perfect fit for your teen and your family.
Denver Adolescent Therapy Group provides psychotherapy to teens and their families. DATG has full time licensed therapists who have extensive experience working with adolescents and their families to address a wide variety of concerns and challenges. We are confident that we can find the perfect fit for your teen and your family.
(720) 903-2830 View (720) 903-2830
Photo of Julia Jamison, Licensed Professional Counselor Candidate in Denver, CO
Julia Jamison
Licensed Professional Counselor Candidate, LPCC
Verified Verified
1 Endorsed
Denver, CO 80203
Hi, I’m Julia (she/her). I'm glad you're here! Whether you're continuing your therapy journey or starting for the first time, I would be love to accompany you in the process of healing and growth. Therapy might be intimidating to start, but I like to make the process as easy and comfortable as possible for you. With my client-centered approach, I want to focus on what you want to talk about. It could be a recent relationship that is causing you stress or anxiety or maybe you're grieving the loss of something, I would be honored to be listening ear to provide empathy and feedback from wherever you're coming from.
Hi, I’m Julia (she/her). I'm glad you're here! Whether you're continuing your therapy journey or starting for the first time, I would be love to accompany you in the process of healing and growth. Therapy might be intimidating to start, but I like to make the process as easy and comfortable as possible for you. With my client-centered approach, I want to focus on what you want to talk about. It could be a recent relationship that is causing you stress or anxiety or maybe you're grieving the loss of something, I would be honored to be listening ear to provide empathy and feedback from wherever you're coming from.
(720) 580-9522 View (720) 580-9522
Photo of Kiera Pelletier, Counselor in Denver, CO
Kiera Pelletier
Counselor, LPCC
Verified Verified
2 Endorsed
Denver, CO 80246
Medicaid covers Neurofeedback! I work with all ages at Aspire Counseling located in Denver. Before private practice, I was in residential mental health treatment primarily with young adults and adolescents. I am competent in working with both children and adults who have experienced abuse and trauma. I also have a heart for working with young adults navigating transitions and healing past emotional wounds. Goals for therapy are a collaborative process in which we will discover your personal needs for optimal growth. My role is to provide a safe space for you to come as you are each session.
Medicaid covers Neurofeedback! I work with all ages at Aspire Counseling located in Denver. Before private practice, I was in residential mental health treatment primarily with young adults and adolescents. I am competent in working with both children and adults who have experienced abuse and trauma. I also have a heart for working with young adults navigating transitions and healing past emotional wounds. Goals for therapy are a collaborative process in which we will discover your personal needs for optimal growth. My role is to provide a safe space for you to come as you are each session.
(720) 794-9297 View (720) 794-9297
Photo of Denver Wellness Counseling, Licensed Professional Counselor in Denver, CO
Denver Wellness Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Denver, CO 80211
Denver Wellness Counseling is accepting new EMDR clients. We work collaboratively with each client to help them heal from emotional wounds, engage more fully in the present, and work towards building a brighter future. We specialize in treating those who are struggling with trauma, complex-trauma, depression, anxiety, grief, relationship/family problems, and overall life stress. Our approach assists clients in managing present day symptoms, earning secure attachment, and healing emotional wounds through EMDR treatment.
Denver Wellness Counseling is accepting new EMDR clients. We work collaboratively with each client to help them heal from emotional wounds, engage more fully in the present, and work towards building a brighter future. We specialize in treating those who are struggling with trauma, complex-trauma, depression, anxiety, grief, relationship/family problems, and overall life stress. Our approach assists clients in managing present day symptoms, earning secure attachment, and healing emotional wounds through EMDR treatment.
(720) 740-0512 View (720) 740-0512
Photo of Laura Lavoie, Counselor in Denver, CO
Laura Lavoie
Counselor, MS, LPC
Verified Verified
4 Endorsed
Denver, CO 80218
I strive to empower my clients to be their most amazing, vibrant, and truest selves. It is normal to struggle but we don't need to suffer. We're often on the right path when we feel lost. This shows us we are aware and open. We are not hard wired for change but we ARE innately predisposed to search for possibilities that support our values, goals, and dreams. I see my clients as creative, capable and whole. We live in a society that is focused on external “success” and appearance and this can create an internal chaos and disconnection from that which truly feeds the spirit. The good news is that we don’t have to live this way.
I strive to empower my clients to be their most amazing, vibrant, and truest selves. It is normal to struggle but we don't need to suffer. We're often on the right path when we feel lost. This shows us we are aware and open. We are not hard wired for change but we ARE innately predisposed to search for possibilities that support our values, goals, and dreams. I see my clients as creative, capable and whole. We live in a society that is focused on external “success” and appearance and this can create an internal chaos and disconnection from that which truly feeds the spirit. The good news is that we don’t have to live this way.
(720) 807-1568 View (720) 807-1568
Photo of Alexandra Harrison, Clinical Social Work/Therapist in Denver, CO
Alexandra Harrison
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Denver, CO 80206
Finding a great therapist is about finding a great fit. My sweet spot is connecting with people in transition following big change; the end of a relationship, career change, adjusting to parenthood, or loss. I also have nearly a decade of experience treating eating disorders, and work with people navigating recovery in the outpatient setting. Finally, I enjoy working with caregivers- those who support loved ones who are struggling with their own mental health.
Finding a great therapist is about finding a great fit. My sweet spot is connecting with people in transition following big change; the end of a relationship, career change, adjusting to parenthood, or loss. I also have nearly a decade of experience treating eating disorders, and work with people navigating recovery in the outpatient setting. Finally, I enjoy working with caregivers- those who support loved ones who are struggling with their own mental health.
(720) 386-4742 View (720) 386-4742

How does your Therapist compare?

Number of Therapists in Denver, CO

3,000+

Average cost per session

$150

Therapists in Denver, CO who prioritize treating:

92% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

75% Aetna
67% UnitedHealthcare UHC | UBH
63% Cigna and Evernorth

How Therapists in Denver, CO see their clients

64% In Person and Online
36% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Denver?

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.