Therapists in 03229

Photo of Isabelle Lovett, Clinical Social Work/Therapist, MSW, LICSW
Isabelle Lovett
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Hopkinton, NH 03229
Accepting new (in office) clients at this time. As a compassionate and client-centered therapist, I am dedicated to creating a safe and supportive space where you can explore your thoughts, feelings, and experiences. My therapeutic approach combines humanistic interventions with mindfulness and self-compassion practices. This blend allows us to address immediate concerns while also fostering deeper self-awareness and long-term growth.
Accepting new (in office) clients at this time. As a compassionate and client-centered therapist, I am dedicated to creating a safe and supportive space where you can explore your thoughts, feelings, and experiences. My therapeutic approach combines humanistic interventions with mindfulness and self-compassion practices. This blend allows us to address immediate concerns while also fostering deeper self-awareness and long-term growth.
(844) 975-2917 View (844) 975-2917
Photo of Jen Fitzgerald, Clinical Social Work/Therapist, MSW, LICSW, CEAP
Jen Fitzgerald
Clinical Social Work/Therapist, MSW, LICSW, CEAP
Hopkinton, NH 03229
Not accepting new clients
Hello and welcome! I’m Jen, a therapist dedicated to guiding you towards meaningful change through genuine connection, personal growth, and a bit of humor. In my practice, I focus on creating a safe, empathetic space where you can explore your inner world and foster lasting change. With over 12 years of experience, I’ve worked with clients with diverse backgrounds, helping them with issues ranging from trauma and anxiety/depression to relationship issues and life transitions.
Hello and welcome! I’m Jen, a therapist dedicated to guiding you towards meaningful change through genuine connection, personal growth, and a bit of humor. In my practice, I focus on creating a safe, empathetic space where you can explore your inner world and foster lasting change. With over 12 years of experience, I’ve worked with clients with diverse backgrounds, helping them with issues ranging from trauma and anxiety/depression to relationship issues and life transitions.
(855) 751-2450 View (855) 751-2450
Photo of Elizabeth Vargas, PhD, LPC, LCMHC, RPT
Elizabeth Vargas
Verified Verified
Online Only
Are you feeling lost, overwhelmed, or confused? Have you tried counseling before but didn't find it helpful or you didn't feel that your therapist was a match? Are you anxious about what the counseling process will look like or nervous about sharing your story? I understand how hard the counseling journey can feel. I enjoy working with clients that need support with autism, ADHD, anxiety, grief, trauma, crisis interventions, independent living skills, OCD, bipolar, major life transitions, and eating disorders. I support clients with reaching their goals, helping them find the power within, and to move towards who they want to be.
Are you feeling lost, overwhelmed, or confused? Have you tried counseling before but didn't find it helpful or you didn't feel that your therapist was a match? Are you anxious about what the counseling process will look like or nervous about sharing your story? I understand how hard the counseling journey can feel. I enjoy working with clients that need support with autism, ADHD, anxiety, grief, trauma, crisis interventions, independent living skills, OCD, bipolar, major life transitions, and eating disorders. I support clients with reaching their goals, helping them find the power within, and to move towards who they want to be.
(603) 506-6663 View (603) 506-6663
Photo of Dr. Meg Pilling, Psychologist, PsyD, MA, MS
Dr. Meg Pilling
Psychologist, PsyD, MA, MS
1 Endorsed
Hopkinton, NH 03229
Dr. Meg is a licensed psychologist who specializes in working with children, adolescents, emerging adults, and families. She has expertise treating interpersonal trauma using relational and psychodynamic frameworks. She offers individual, group, and family psychotherapy, as well as consultation, training, and supervision. Dr. Meg is able to provide teletherapy and assessment services to clients in PSYPACT states.
Dr. Meg is a licensed psychologist who specializes in working with children, adolescents, emerging adults, and families. She has expertise treating interpersonal trauma using relational and psychodynamic frameworks. She offers individual, group, and family psychotherapy, as well as consultation, training, and supervision. Dr. Meg is able to provide teletherapy and assessment services to clients in PSYPACT states.
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Photo of Brenda Quinn, Clinical Social Work/Therapist, LICSW
Brenda Quinn
Clinical Social Work/Therapist, LICSW
Contoocook, NH 03229
Unfortunately, I am unable to accept new clients at this time. For over 25 years, as a Licensed Independent Clinical Social Worker (LICSW), I have sought to provide the support and tools needed to help people maximize their growth and success. Sometimes the goal is to feel more self confident, perhaps reach for a dream, and at other times the goal is relief from feelings and negative behavior patterns that threaten a happy future. With effective therapy amazing growth and relief are possible. I am so eager to do all I can to help you find your new happy, healthy ending!
Unfortunately, I am unable to accept new clients at this time. For over 25 years, as a Licensed Independent Clinical Social Worker (LICSW), I have sought to provide the support and tools needed to help people maximize their growth and success. Sometimes the goal is to feel more self confident, perhaps reach for a dream, and at other times the goal is relief from feelings and negative behavior patterns that threaten a happy future. With effective therapy amazing growth and relief are possible. I am so eager to do all I can to help you find your new happy, healthy ending!
(603) 272-6348 View (603) 272-6348
Photo of Jessica Deleault, Counselor, LCMHC
Jessica Deleault
Counselor, LCMHC
1 Endorsed
Serves Area
I am a Licensed Clinical Mental Health Counselor and have been working as a counselor for over twenty years. I enjoy working with individuals, from mid-late adolescence through adulthood, as well as couples and families. My practice includes working with people to alleviate depression, anxiety and stress, to improve self-esteem, and to help people cope with loss, relationship and parenting issues. By increasing self-awareness, enhancing healthy coping strategies and improving communication skills, I support clients in reaching their full potential.
I am a Licensed Clinical Mental Health Counselor and have been working as a counselor for over twenty years. I enjoy working with individuals, from mid-late adolescence through adulthood, as well as couples and families. My practice includes working with people to alleviate depression, anxiety and stress, to improve self-esteem, and to help people cope with loss, relationship and parenting issues. By increasing self-awareness, enhancing healthy coping strategies and improving communication skills, I support clients in reaching their full potential.
(603) 685-4867 View (603) 685-4867
Photo of Lisa Rutherford - Capital Valley Counseling Associates, LLC, Clinical Social Work/Therapist
Capital Valley Counseling Associates, LLC
Clinical Social Work/Therapist
Serves Area
Welcome to Capital Valley Counseling Associates, Inc. We are pleased that you are interested in our services and look forward to the opportunity of working with you. We know that counseling services can be beneficial, and we strive to create a welcoming and comfortable environment. We will engage you in a mutual process, tailoring goals to meet individual needs. You will learn to cope more effectively, and to reverse unsatisfying patterns of behavior. We want your services to be personal, focused, satisfying and lasting.
Welcome to Capital Valley Counseling Associates, Inc. We are pleased that you are interested in our services and look forward to the opportunity of working with you. We know that counseling services can be beneficial, and we strive to create a welcoming and comfortable environment. We will engage you in a mutual process, tailoring goals to meet individual needs. You will learn to cope more effectively, and to reverse unsatisfying patterns of behavior. We want your services to be personal, focused, satisfying and lasting.
(603) 583-4303 View (603) 583-4303
Photo of Sonali Desai Zoracki, Clinical Social Work/Therapist, LICSW, LCSW
Sonali Desai Zoracki
Clinical Social Work/Therapist, LICSW, LCSW
Online Only
If you are struggling to cope with the emotional and physical pain of infertility know that you do not need to walk this road alone. It is my honor to walk alongside you. If like many on that path, loss of a pregnancy or loss of multiple pregnancies at any stage has also been part of your journey know that I can support you in your grief. And if you are pregnant after infertility or loss and/or parenting post, know that I understand those unique challenges well.
If you are struggling to cope with the emotional and physical pain of infertility know that you do not need to walk this road alone. It is my honor to walk alongside you. If like many on that path, loss of a pregnancy or loss of multiple pregnancies at any stage has also been part of your journey know that I can support you in your grief. And if you are pregnant after infertility or loss and/or parenting post, know that I understand those unique challenges well.
(603) 632-3134 View (603) 632-3134
Photo of Kate Weston, Clinical Social Work/Therapist, LICSW
Kate Weston
Clinical Social Work/Therapist, LICSW
1 Endorsed
Serves Area
Hello, my name is Kate and my therapeutic approach focuses on the development of positive coping skills through personal exploration. Whether this is your first experience with therapy or you have been in therapy for years, I create a supportive environment where you feel comfortable exploring the root of what is prohibiting you from living a fulfilled life. Collaboration between the therapist and the client promotes self-exploration, realization, and growth, easing emotional discomfort.
Hello, my name is Kate and my therapeutic approach focuses on the development of positive coping skills through personal exploration. Whether this is your first experience with therapy or you have been in therapy for years, I create a supportive environment where you feel comfortable exploring the root of what is prohibiting you from living a fulfilled life. Collaboration between the therapist and the client promotes self-exploration, realization, and growth, easing emotional discomfort.
(401) 343-0068 View (401) 343-0068

More Therapists Nearby

Photo of Jennifer K Savage, Counselor, MS, LCMHC
Jennifer K Savage
Counselor, MS, LCMHC
Concord, NH 03301
Welcome! I am pleased to be accepting new clients in my private practice. As a Licensed Clinical Mental Health Counselor (LCMHC), I would like to help you reduce the stressors in your life. Together, we can create a plan to identify, address, and treat the challenges you are experiencing in a safe and compassionate environment.
Welcome! I am pleased to be accepting new clients in my private practice. As a Licensed Clinical Mental Health Counselor (LCMHC), I would like to help you reduce the stressors in your life. Together, we can create a plan to identify, address, and treat the challenges you are experiencing in a safe and compassionate environment.
(603) 605-8815 View (603) 605-8815
Photo of David M Martin, Psychologist, PhD, LP
David M Martin
Psychologist, PhD, LP
Online Only
Accepting Teletherapy Appointments Only. These are challenging times, we all can use some support and guidance. I am here to help. My therapeutic style draws primarily from Internal Family Systems, Somatic Experiencing and EMDR, three empirically supported treatment approaches. These therapy approaches create a comfortable frameworks for helping clients to move through the feelings connected with past traumas, grief and hurts in order to have new corrective, healing experiences that will lead to long lasting freedom, happiness and ease.
Accepting Teletherapy Appointments Only. These are challenging times, we all can use some support and guidance. I am here to help. My therapeutic style draws primarily from Internal Family Systems, Somatic Experiencing and EMDR, three empirically supported treatment approaches. These therapy approaches create a comfortable frameworks for helping clients to move through the feelings connected with past traumas, grief and hurts in order to have new corrective, healing experiences that will lead to long lasting freedom, happiness and ease.
(802) 448-8594 View (802) 448-8594
Photo of Kathleen Russo, Drug & Alcohol Counselor, BS, LADC
Kathleen Russo
Drug & Alcohol Counselor, BS, LADC
Tilton, NH 03276
Serendipity means finding something you didn't expect to find. That sums up my practice. I have been working in the field of addiction for 40+years. I have worked in all settings, different parts of the country and with some wonderful people. My office is homey, worked in and clients are free to speak their mind. Sometimes I bring my dog, Oreo. My practice is primarily focused on Drug and Alcohol addiction. I also work with family members on ways to best help their loved one in addiction. During your time in my office you would learn more about the following:
Serendipity means finding something you didn't expect to find. That sums up my practice. I have been working in the field of addiction for 40+years. I have worked in all settings, different parts of the country and with some wonderful people. My office is homey, worked in and clients are free to speak their mind. Sometimes I bring my dog, Oreo. My practice is primarily focused on Drug and Alcohol addiction. I also work with family members on ways to best help their loved one in addiction. During your time in my office you would learn more about the following:
(603) 823-3315 View (603) 823-3315
Photo of Carol L Gay, Drug & Alcohol Counselor, MA, LCMHC, MLADC
Carol L Gay
Drug & Alcohol Counselor, MA, LCMHC, MLADC
Manchester, NH 03101
Not accepting new clients
Hello, I am a dual licensed psychotherapist; Licensed Clinical Mental Health Counselor and Master Licensed Alcohol and Drug Counselor. I am trained in CBT, DBT, TF-CBT, MI, and EFT. My current areas of interest and study include IFS, EMDR, and positive psychology. I encourage my clients toward holistic living as a foundation for mental health. My studied belief is we fundamentally know what is good and healthy for ourselves, yet life experiences silence or alienates us from connecting with this core self-wisdom. Talk therapy is a vehicle to understand our wounds, barriers, to learn to listen for our inner wisdom, and to heal.
Hello, I am a dual licensed psychotherapist; Licensed Clinical Mental Health Counselor and Master Licensed Alcohol and Drug Counselor. I am trained in CBT, DBT, TF-CBT, MI, and EFT. My current areas of interest and study include IFS, EMDR, and positive psychology. I encourage my clients toward holistic living as a foundation for mental health. My studied belief is we fundamentally know what is good and healthy for ourselves, yet life experiences silence or alienates us from connecting with this core self-wisdom. Talk therapy is a vehicle to understand our wounds, barriers, to learn to listen for our inner wisdom, and to heal.
(603) 207-3707 x40 View (603) 207-3707 x40
Photo of Kayleen Bowden, Counselor, MA, LCMHC
Kayleen Bowden
Counselor, MA, LCMHC
1 Endorsed
Londonderry, NH 03053
I’m a passionate and dedicated therapist specializing in play therapy, geek therapy, and strengths/interests-based approaches across the lifespan. My goal is to give you the tools you need to find your voice. I’m here to make your therapy experience safe, calm, and less intimidating. Therapy can be like a cup of tea (or ice cream sundae)-it’s all how you make it. You deserve to have the best therapeutic experience you can, which includes finding the best fit. I believe that play has significant value in the therapeutic experience. Play enriches lives and we all play in various ways through the lifespan.
I’m a passionate and dedicated therapist specializing in play therapy, geek therapy, and strengths/interests-based approaches across the lifespan. My goal is to give you the tools you need to find your voice. I’m here to make your therapy experience safe, calm, and less intimidating. Therapy can be like a cup of tea (or ice cream sundae)-it’s all how you make it. You deserve to have the best therapeutic experience you can, which includes finding the best fit. I believe that play has significant value in the therapeutic experience. Play enriches lives and we all play in various ways through the lifespan.
(603) 625-0010 View (603) 625-0010
Photo of Ashley Raymond, Counselor, MS, LCMHC
Ashley Raymond
Counselor, MS, LCMHC
2 Endorsed
Online Only
I am the co-founder of AsterRoot Wellness; womens and perinatal counseling. For more information please visit our website or Instagram: AsterRoot Wellness. I have immediate openings for clients with Cigna, Aeta, Carelon, Point 32, and Anthem BCBS. Please feel free to connect with me by email or schedule on my Headway portal. My experience includes 10 years in crisis intervention in both emergency rooms and the community. My work has been with individuals of all ages/populations, and I have worked in both NH and MA.
I am the co-founder of AsterRoot Wellness; womens and perinatal counseling. For more information please visit our website or Instagram: AsterRoot Wellness. I have immediate openings for clients with Cigna, Aeta, Carelon, Point 32, and Anthem BCBS. Please feel free to connect with me by email or schedule on my Headway portal. My experience includes 10 years in crisis intervention in both emergency rooms and the community. My work has been with individuals of all ages/populations, and I have worked in both NH and MA.
(833) 340-1105 View (833) 340-1105
Photo of Marie McDonald, Clinical Social Work/Therapist, LCSW
Marie McDonald
Clinical Social Work/Therapist, LCSW
Online Only
My name is Marie McDonald and I am a Licensed Independent Clinical Social Worker. I work with adults, specializing in substance use disorders, relapse prevention, anxiety and depression, relationships, and communication. My communication style is collaborative and straightforward. I work together with clients to explore difficulties and challenges without judgment.
My name is Marie McDonald and I am a Licensed Independent Clinical Social Worker. I work with adults, specializing in substance use disorders, relapse prevention, anxiety and depression, relationships, and communication. My communication style is collaborative and straightforward. I work together with clients to explore difficulties and challenges without judgment.
(833) 308-0623 View (833) 308-0623
Photo of Priyanka Khadka, Pre-Licensed Professional, MSW
Priyanka Khadka
Pre-Licensed Professional, MSW
Manchester, NH 03101
Accepting new clients! Welcome to my therapeutic space! I specialize in clinical work with adolescents, adults, individuals, and couples. My role is to guide you on a journey of self-discovery, healing, and empowerment. I am dedicated to creating a supportive and empowering environment, especially attuned to the unique needs of BIPOC and LGBT individuals. My practice is a safe space for survivors of Intimate Partner Violence to address and work through their trauma.
Accepting new clients! Welcome to my therapeutic space! I specialize in clinical work with adolescents, adults, individuals, and couples. My role is to guide you on a journey of self-discovery, healing, and empowerment. I am dedicated to creating a supportive and empowering environment, especially attuned to the unique needs of BIPOC and LGBT individuals. My practice is a safe space for survivors of Intimate Partner Violence to address and work through their trauma.
(866) 571-0965 View (866) 571-0965
Photo of Michelle Houle, Counselor, LMHC
Michelle Houle
Counselor, LMHC
Online Only
Michelle Houle, MS, MLADC, LCMHC Licensed Professional Forensic Psychotherapist Eclectic: Cognitive Behavior Therapy, Dialectical Behavior Therapy, Solution-Focused Brief Therapy, Person-Centered Therapy. I have a vast array of experience, including Brain injury, severe and persistent mental illness, personality disorder, intellectually disabled, forensic clients, alcohol and substance abuse, and LGBTQ. Following a brief housekeeping first several minutes to review Patient Bill of Rights, Informed Consent and Duty to Warn - it is merely a comfortable conversation and building rapport.
Michelle Houle, MS, MLADC, LCMHC Licensed Professional Forensic Psychotherapist Eclectic: Cognitive Behavior Therapy, Dialectical Behavior Therapy, Solution-Focused Brief Therapy, Person-Centered Therapy. I have a vast array of experience, including Brain injury, severe and persistent mental illness, personality disorder, intellectually disabled, forensic clients, alcohol and substance abuse, and LGBTQ. Following a brief housekeeping first several minutes to review Patient Bill of Rights, Informed Consent and Duty to Warn - it is merely a comfortable conversation and building rapport.
(888) 608-7205 View (888) 608-7205
Photo of Melbourne Moran Jr - Wanderlust Therapeutic Services, PLLC, Clinical Social Work/Therapist, LICSW
Wanderlust Therapeutic Services, PLLC
Clinical Social Work/Therapist, LICSW
1 Endorsed
Manchester, NH 03101
Please Read: Accepting new clients for Nashua, NH & Manchester, NH. Wanderlust is a group practice that operates in New Hampshire & Washington, and we offer independently licensed clinicians, conditional licensed professionals, and clinical students that treat a wide array of mental health and addiction disorders. Our staff provide individual counseling to children, adolescents and adults. We will work with you to develop a treatment plan that will address your strengths and needs. We accept most major health plans including Medicaid health plans.
Please Read: Accepting new clients for Nashua, NH & Manchester, NH. Wanderlust is a group practice that operates in New Hampshire & Washington, and we offer independently licensed clinicians, conditional licensed professionals, and clinical students that treat a wide array of mental health and addiction disorders. Our staff provide individual counseling to children, adolescents and adults. We will work with you to develop a treatment plan that will address your strengths and needs. We accept most major health plans including Medicaid health plans.
(603) 392-7274 View (603) 392-7274
Photo of Robin Raycraft, Licensed Professional Counselor, LCMHC
Robin Raycraft
Licensed Professional Counselor, LCMHC
3 Endorsed
Concord, NH 03301
I am a therapist who has been practicing for over 20 years. I have experience with children, teens and adults. I am trained in trauma and EMDR. In addition I have worked within the foster/adopt system, anxiety, anger management, depression, LGQBT+ and life transitions such as divorce, death etc. I am gender affirming and will assist in writing letters for affirming care. I start with the goals you identify, and if you don’t know where to start because you are feeling overwhelmed, we start there. My goal is always to promote growth in individuals.
I am a therapist who has been practicing for over 20 years. I have experience with children, teens and adults. I am trained in trauma and EMDR. In addition I have worked within the foster/adopt system, anxiety, anger management, depression, LGQBT+ and life transitions such as divorce, death etc. I am gender affirming and will assist in writing letters for affirming care. I start with the goals you identify, and if you don’t know where to start because you are feeling overwhelmed, we start there. My goal is always to promote growth in individuals.
(844) 987-3515 View (844) 987-3515

See more therapy options for 03229

How does your Therapist compare?

Number of Therapists in 03229

< 10

Therapists in 03229 who prioritize treating:

89% Relationship Issues
89% Self Esteem
78% Depression
78% Anxiety
78% Coping Skills
67% Trauma and PTSD
67% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
75% Harvard Pilgrim
75% UnitedHealthcare UHC | UBH

How Therapists in 03229 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 03229?

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.