Therapists in Arcata, CA

Photo of Nicole George-O'Brien, Marriage & Family Therapist in Arcata, CA
Nicole George-O'Brien
Marriage & Family Therapist, MA, LMFT
Verified Verified
Arcata, CA 95521
I work on all sorts of issues and specialize in adult autism and new moms. You want a life you love. I'll work with you through difficult feelings and tough situations that block you from that life. Expect compassion and expect to laugh. We will work through tough stuff, but I will be down to earth and real with you- and you can do the same with me. Our work will be practical-- finding real solutions and strategies for your unique situation. Holistic therapy recognizes that our minds, emotions, bodies, and spirit are inherently connected and influence one another.
I work on all sorts of issues and specialize in adult autism and new moms. You want a life you love. I'll work with you through difficult feelings and tough situations that block you from that life. Expect compassion and expect to laugh. We will work through tough stuff, but I will be down to earth and real with you- and you can do the same with me. Our work will be practical-- finding real solutions and strategies for your unique situation. Holistic therapy recognizes that our minds, emotions, bodies, and spirit are inherently connected and influence one another.
(510) 735-8944 View (510) 735-8944
Photo of Serenity Bowen, Clinical Social Work/Therapist in Arcata, CA
Serenity Bowen
Clinical Social Work/Therapist, LCSW, MSW, BSW
Verified Verified
1 Endorsed
Arcata, CA 95521
I have 30 years of experience in the field of mental health and enjoy working with adolescents, adults, couples, and families. I focus on crisis intervention, mediation, relational issues and coping strategies. I am strength-based and trauma informed in my clinical work and am committed to creating a positive and supportive therapeutic alliance. I believe that building a trusting and supportive relationship is an essential component for healing. I practice in an engaged and relational way, asking questions and offering feedback. I honor personal sovereignty and intend to guide you toward your own solutions with compassion.
I have 30 years of experience in the field of mental health and enjoy working with adolescents, adults, couples, and families. I focus on crisis intervention, mediation, relational issues and coping strategies. I am strength-based and trauma informed in my clinical work and am committed to creating a positive and supportive therapeutic alliance. I believe that building a trusting and supportive relationship is an essential component for healing. I practice in an engaged and relational way, asking questions and offering feedback. I honor personal sovereignty and intend to guide you toward your own solutions with compassion.
(707) 674-6268 View (707) 674-6268
Photo of Jennifer Karmiol, Marriage & Family Therapist in Arcata, CA
Jennifer Karmiol
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Arcata, CA 95521
My practice is relationship focused. I particularly enjoy working with couples and have found that if couples are willing to put the work in, great strides can be made towards healing and connection. I have completed two levels toward certification in the Gottman method of couples therapy and have also done training in the Emotionally Focused Therapy for couples. In my work with couples and individuals, I incorporate mindfulness-based therapy.
My practice is relationship focused. I particularly enjoy working with couples and have found that if couples are willing to put the work in, great strides can be made towards healing and connection. I have completed two levels toward certification in the Gottman method of couples therapy and have also done training in the Emotionally Focused Therapy for couples. In my work with couples and individuals, I incorporate mindfulness-based therapy.
(707) 600-2183 View (707) 600-2183
Photo of Ken Tambe, Marriage & Family Therapist in Arcata, CA
Ken Tambe
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Arcata, CA 95521
My collaborative approach is to uncover the solutions that will best promote healthy and authentic relationships, by increasing meaningful communication, reducing anxiety, and successfully navigating transitions. I work with individuals and couples, and within the dynamic of families and business systems, to build on and enhance strengths.
My collaborative approach is to uncover the solutions that will best promote healthy and authentic relationships, by increasing meaningful communication, reducing anxiety, and successfully navigating transitions. I work with individuals and couples, and within the dynamic of families and business systems, to build on and enhance strengths.
(323) 892-8075 View (323) 892-8075
Photo of 'max' Tess Keller, Marriage & Family Therapist Associate in Arcata, CA
'max' Tess Keller
Marriage & Family Therapist Associate, AMFT
Verified Verified
Arcata, CA 95521
You may be asking yourself "How do I make meaning in my life?" I use a narrative and existential approach to support you in answering some of these questions. My practice tends to work with individuals seeking their own path while experiencing life transitions that could be impacting their self esteem and causing anxiety. I am a queer therapist who enjoys working with queer and trans clients, individuals navigating diverse relationship structures, gender identity and sexuality. I love working with clients who are actively self reflective and cultivating a personal sense of meaning in their lives through embracing uniqueness.
You may be asking yourself "How do I make meaning in my life?" I use a narrative and existential approach to support you in answering some of these questions. My practice tends to work with individuals seeking their own path while experiencing life transitions that could be impacting their self esteem and causing anxiety. I am a queer therapist who enjoys working with queer and trans clients, individuals navigating diverse relationship structures, gender identity and sexuality. I love working with clients who are actively self reflective and cultivating a personal sense of meaning in their lives through embracing uniqueness.
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Photo of Michele L Rogers, Marriage & Family Therapist in Arcata, CA
Michele L Rogers
Marriage & Family Therapist, MA, LMFT
Verified Verified
Arcata, CA 95521
Whether you are struggling with relationship issues, mid-life changes, or feelings of depression and anxiety, psychotherapy can be an invaluable tool. Therapy provides a safe environment to heal from unresolved past issues or deal with current life stressors. I am honored to accompany you on your journey to personal growth and wholeness.
Whether you are struggling with relationship issues, mid-life changes, or feelings of depression and anxiety, psychotherapy can be an invaluable tool. Therapy provides a safe environment to heal from unresolved past issues or deal with current life stressors. I am honored to accompany you on your journey to personal growth and wholeness.
(707) 533-1593 View (707) 533-1593
Photo of Jerome Bearbower, Marriage & Family Therapist in Arcata, CA
Jerome Bearbower
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Arcata, CA 95521
Therapy is a place where we get to focus on what's important to us: where we've been, where we'd ideally like to go, and everything in between. A confidential place just for you - free from the distractions of work, responsibilities, family and other people's agendas. My goal is to meet you exactly where you are at, and to support you in the ways that you need.
Therapy is a place where we get to focus on what's important to us: where we've been, where we'd ideally like to go, and everything in between. A confidential place just for you - free from the distractions of work, responsibilities, family and other people's agendas. My goal is to meet you exactly where you are at, and to support you in the ways that you need.
(707) 285-9612 View (707) 285-9612
Photo of Tom Johnson, Marriage & Family Therapist in Arcata, CA
Tom Johnson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Arcata, CA 95521  (Online Only)
Accepting new clients: Individual adults only. Do you find that you are trying to create the life that you can envision, but get stuck, or feel like you don’t deserve to follow your vision? Sometimes we can use some help -- with tools to honor your Authentic Self, to work with your fears, to find your joy and move forward. I provide non-judgmental guidance that draws upon your natural creativity, compassion and clarity. I respect who you are now, and collaborate with you, honoring your innate strengths and skills. We work to heal old wounds, increase awareness and empower you to consciously create a life that resonates with you.
Accepting new clients: Individual adults only. Do you find that you are trying to create the life that you can envision, but get stuck, or feel like you don’t deserve to follow your vision? Sometimes we can use some help -- with tools to honor your Authentic Self, to work with your fears, to find your joy and move forward. I provide non-judgmental guidance that draws upon your natural creativity, compassion and clarity. I respect who you are now, and collaborate with you, honoring your innate strengths and skills. We work to heal old wounds, increase awareness and empower you to consciously create a life that resonates with you.
(707) 736-6716 View (707) 736-6716
Photo of Kate Veerkamp, Clinical Social Work/Therapist in Arcata, CA
Kate Veerkamp
Clinical Social Work/Therapist, LCSW , PMH-C
Verified Verified
Arcata, CA 95521
I offer support to those who are ready to explore their inner worlds in a meaningful way so as to better understand how your unique history has impacted your current pattens, beliefs, emotions and behaviors. With curiosity, we will uncover the underlying issues that are at the root of your distressing symptoms. I will support you to allow your emotions to emerge, make sense of past experiences, and create updated and more accurate beliefs and narratives about your life. My intention is to uncover your inherent ability to face and move towards the joys and challenges that life brings with more ease, resilience and wholeheartedness
I offer support to those who are ready to explore their inner worlds in a meaningful way so as to better understand how your unique history has impacted your current pattens, beliefs, emotions and behaviors. With curiosity, we will uncover the underlying issues that are at the root of your distressing symptoms. I will support you to allow your emotions to emerge, make sense of past experiences, and create updated and more accurate beliefs and narratives about your life. My intention is to uncover your inherent ability to face and move towards the joys and challenges that life brings with more ease, resilience and wholeheartedness
(707) 309-0794 View (707) 309-0794
Photo of Viktoria Walda Byczkiewicz, Registered Psychological Associate in Arcata, CA
Viktoria Walda Byczkiewicz
Registered Psychological Associate, PhD
Verified Verified
Arcata, CA 95521  (Online Only)
When life circumstances are overwhelming or painful, psychotherapy can make all the difference. I offer support to individuals seeking deeper insight into their interior lives and relationship patterns, and in finding meaning in life’s challenges and uncertainties. I work well with people who want to understand themselves better through an interactive process that invites lasting change. I am a good match for people who are complex, creative, analytical, or sensitive, or for anyone who might identify as an outsider.
When life circumstances are overwhelming or painful, psychotherapy can make all the difference. I offer support to individuals seeking deeper insight into their interior lives and relationship patterns, and in finding meaning in life’s challenges and uncertainties. I work well with people who want to understand themselves better through an interactive process that invites lasting change. I am a good match for people who are complex, creative, analytical, or sensitive, or for anyone who might identify as an outsider.
(707) 985-0841 View (707) 985-0841
Photo of Ned Peck, Clinical Social Work/Therapist in Arcata, CA
Ned Peck
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Arcata, CA 95521
I work with my clients to address a wide range of mental health and life challenges, addressing both problematic patterns of behavior and ways of not being able to show up in life as you would like to. The ultimate goal of therapy is improving functioning in life activities and quality of life, to be able to both experience your emotions and also engage in life undeterred. I use a whole body mind spirit system somatic approach and work within this lens to address your challenges from a character structure perspective.
I work with my clients to address a wide range of mental health and life challenges, addressing both problematic patterns of behavior and ways of not being able to show up in life as you would like to. The ultimate goal of therapy is improving functioning in life activities and quality of life, to be able to both experience your emotions and also engage in life undeterred. I use a whole body mind spirit system somatic approach and work within this lens to address your challenges from a character structure perspective.
(707) 985-7287 View (707) 985-7287
Photo of Katherine O'Connell, Psychologist in Arcata, CA
Katherine O'Connell
Psychologist, PhD
Verified Verified
Arcata, CA 95521  (Online Only)
For over 45 years I have had the privilege of providing competent, compassionate, caring psychotherapy and personal, business, and optimal health coaching services to a wide range of people. I work by phone and by telemedicine online internationally.I know techniques that rapidly and effectively lower anxiety. I am the author of two books and have an international reputation as a consultant, educator and coach.I have an extensive background in Integrative Psychology and natural health.I work with natural cycles and timing.I work with small companies internationally as a coach as well as individual enterpreneurs.
For over 45 years I have had the privilege of providing competent, compassionate, caring psychotherapy and personal, business, and optimal health coaching services to a wide range of people. I work by phone and by telemedicine online internationally.I know techniques that rapidly and effectively lower anxiety. I am the author of two books and have an international reputation as a consultant, educator and coach.I have an extensive background in Integrative Psychology and natural health.I work with natural cycles and timing.I work with small companies internationally as a coach as well as individual enterpreneurs.
(707) 879-4386 View (707) 879-4386
Photo of Eric William Gronley, Marriage & Family Therapist in Arcata, CA
Eric William Gronley
Marriage & Family Therapist, LMFT
Verified Verified
Arcata, CA 95521
I understand the importance of building trust, safety and rapport in any relationship, in order to more effectively navigate the uncomfortable memories, experiences and relational patterns that have you feeling stuck. Whether you're seeking therapy to address a specific concern or simply to engage in a personal exploration, the therapeutic process can help increase insight, decrease anxiety and painful emotions, identify healthier coping strategies and deepen relationships. Together, we will work to identify and nurture your personal strengths, equipping you with resources that empower you to navigate the challenges of daily life.
I understand the importance of building trust, safety and rapport in any relationship, in order to more effectively navigate the uncomfortable memories, experiences and relational patterns that have you feeling stuck. Whether you're seeking therapy to address a specific concern or simply to engage in a personal exploration, the therapeutic process can help increase insight, decrease anxiety and painful emotions, identify healthier coping strategies and deepen relationships. Together, we will work to identify and nurture your personal strengths, equipping you with resources that empower you to navigate the challenges of daily life.
(707) 846-1658 View (707) 846-1658
Photo of Inessa Freya Lieberman, Marriage & Family Therapist in Arcata, CA
Inessa Freya Lieberman
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Arcata, CA 95521  (Online Only)
There's a saying, "Healing is the application of love to the places inside that hurt." I'm here to fully support you in tending to those places. Together we will journey into understanding the major themes and patterns in your life and what they are trying to teach you. This increased level of awareness can help you access your strength and intuition, eliminate negative self talk and choose a more fulfilling relationship with yourself, others and life. I offer a 15 minute meet and greet to ensure we are a good fit.
There's a saying, "Healing is the application of love to the places inside that hurt." I'm here to fully support you in tending to those places. Together we will journey into understanding the major themes and patterns in your life and what they are trying to teach you. This increased level of awareness can help you access your strength and intuition, eliminate negative self talk and choose a more fulfilling relationship with yourself, others and life. I offer a 15 minute meet and greet to ensure we are a good fit.
(707) 207-8551 View (707) 207-8551
Photo of Maryjo K Stepp, Marriage & Family Therapist in Arcata, CA
Maryjo K Stepp
Marriage & Family Therapist, MA, MFT
Verified Verified
Arcata, CA 95521  (Online Only)
I work collaboratively with my clients to use their strengths to develop positive change in couple and family interactions, and in individuals' personal, social, educational, and employment lives. My work blends stress management, mindfulness, guided imagery, communication skills, anger management, family counseling, parenting skills, and trauma work. I have experience with learning disabilities, ADD/ADHD, medical stress and chronic pain, ACA/codependency, PTSD, and Panic DO. My work is neurologically based, client centered, and solution focused.
I work collaboratively with my clients to use their strengths to develop positive change in couple and family interactions, and in individuals' personal, social, educational, and employment lives. My work blends stress management, mindfulness, guided imagery, communication skills, anger management, family counseling, parenting skills, and trauma work. I have experience with learning disabilities, ADD/ADHD, medical stress and chronic pain, ACA/codependency, PTSD, and Panic DO. My work is neurologically based, client centered, and solution focused.
(707) 368-4556 View (707) 368-4556
Photo of Brian Lieberman, Psychologist in Arcata, CA
Brian Lieberman
Psychologist, PsyD
Verified Verified
2 Endorsed
Arcata, CA 95521  (Online Only)
Although fear, anger, shame, guilt, and sadness often prevent us from living each day to the fullest, each one of us is uniquely resilient. From a strengths-based approach, I work collaboratively with my patients to facilitate personal growth, healing, and the establishment of more meaningful and fulfilling interpersonal relationships. I utilize EMDR (eye movement desensitization and reprocessing) as a primary intervention in the resolution of trauma in individual therapy.
Although fear, anger, shame, guilt, and sadness often prevent us from living each day to the fullest, each one of us is uniquely resilient. From a strengths-based approach, I work collaboratively with my patients to facilitate personal growth, healing, and the establishment of more meaningful and fulfilling interpersonal relationships. I utilize EMDR (eye movement desensitization and reprocessing) as a primary intervention in the resolution of trauma in individual therapy.
(862) 206-1368 View (862) 206-1368
Photo of Nicolle Morris, Associate Clinical Social Worker in Arcata, CA
Nicolle Morris
Associate Clinical Social Worker, ASW
Verified Verified
Arcata, CA 95521
You’re looking for help in all of the right places, and would like to find a good fit. Maybe repetitive patterns or cycles in your life have you seeking change. Maybe you're seeking more clarity or understanding of your experiences. You want to move forward, to connect more, and to feel more supported and supporting. You would like to have more meaningful relationship with yourself, with others, with life in general. I enjoy assisting others in learning to create more balance, calm, and connection in their lives, whether in coping with mental health challenges or with life circumstances.
You’re looking for help in all of the right places, and would like to find a good fit. Maybe repetitive patterns or cycles in your life have you seeking change. Maybe you're seeking more clarity or understanding of your experiences. You want to move forward, to connect more, and to feel more supported and supporting. You would like to have more meaningful relationship with yourself, with others, with life in general. I enjoy assisting others in learning to create more balance, calm, and connection in their lives, whether in coping with mental health challenges or with life circumstances.
(707) 895-5672 View (707) 895-5672
Photo of Rhizome Wellness Collective , Clinical Social Work/Therapist in Arcata, CA
Rhizome Wellness Collective
Clinical Social Work/Therapist, LCSW
Verified Verified
Arcata, CA 95521
Are you a queer or trans person feeling the weight of the world right now? Are you a radical fighting The System, but also fighting yourself? Maybe you are just an all-around misfit who hasn't felt comfortable in therapy offices in the past. Our group practice is for you! We are a team of dynamic and active therapists who meet you where you are at. Our therapists can support a wide range of issues including difficult life transitions (work, school, relationships, new baby), processing deeper emotional wounds/trauma, and day-to-day anxiety/depression. We also specialize in supporting our trans siblings in their gender transitions.
Are you a queer or trans person feeling the weight of the world right now? Are you a radical fighting The System, but also fighting yourself? Maybe you are just an all-around misfit who hasn't felt comfortable in therapy offices in the past. Our group practice is for you! We are a team of dynamic and active therapists who meet you where you are at. Our therapists can support a wide range of issues including difficult life transitions (work, school, relationships, new baby), processing deeper emotional wounds/trauma, and day-to-day anxiety/depression. We also specialize in supporting our trans siblings in their gender transitions.
(707) 985-7336 View (707) 985-7336
Photo of Susan Abbott in Arcata, CA
Susan Abbott
MA, MCT
Verified Verified
Arcata, CA 95521
My style is collaborative, compassionate and non formulaic. Together, we decide what the issues are and how to tackle them. A special focus of my practice is with creative's and culturally diverse people. Besides teaching clients new skills to overcome their feelings of depression, anxiety, trauma or low self-esteem, I am also trained as a master career coach and can help you find greater meaning in your career choices or achieve success in your job search or in improving your work relationships.
My style is collaborative, compassionate and non formulaic. Together, we decide what the issues are and how to tackle them. A special focus of my practice is with creative's and culturally diverse people. Besides teaching clients new skills to overcome their feelings of depression, anxiety, trauma or low self-esteem, I am also trained as a master career coach and can help you find greater meaning in your career choices or achieve success in your job search or in improving your work relationships.
(707) 368-4136 View (707) 368-4136
Photo of Nina Cunha, Marriage & Family Therapist Associate in Arcata, CA
Nina Cunha
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Arcata, CA 95521
Seeking therapy is an act of courage and vulnerability. I meet clients where they are and provide warmth, authenticity and safety to obtain their goals. I value active discussion and feedback to help you feel empowered in making decisions and solving problems. I enjoy working with people who are navigating transitions, are seeking support in improving self esteem, experience anxiety and are looking to process family dynamics. I have experience in supporting people with trauma, depression, anxiety, life stressors, gender identity exploration and conflict in relationships. I see teens, adults and couples in my practice at this time.
Seeking therapy is an act of courage and vulnerability. I meet clients where they are and provide warmth, authenticity and safety to obtain their goals. I value active discussion and feedback to help you feel empowered in making decisions and solving problems. I enjoy working with people who are navigating transitions, are seeking support in improving self esteem, experience anxiety and are looking to process family dynamics. I have experience in supporting people with trauma, depression, anxiety, life stressors, gender identity exploration and conflict in relationships. I see teens, adults and couples in my practice at this time.
(707) 394-9747 View (707) 394-9747

How does your Therapist compare?

Number of Therapists in Arcata, CA

90+

Average cost per session

$135

Therapists in Arcata, CA who prioritize treating:

89% Anxiety
87% Relationship Issues
84% Depression
74% Trauma and PTSD
74% Stress
73% Self Esteem
69% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

66% Beacon Health Options | Carelon
38% Other
31% Aetna

How Therapists in Arcata, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

78% Female
18% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Arcata?

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.