Therapists in 17901

Photo of Kristen M Kohr, Licensed Professional Counselor, LPC
Kristen M Kohr
Licensed Professional Counselor, LPC
3 Endorsed
Pottsville, PA 17901
I combine empathy, humor and creativity when working with clients. I have found that one of the most important parts of therapy is the relationship. I am person-centered, collaborative and focus on a healthy working relationship that builds on my client's strengths and experiences. I am trained in a variety of evidence based counseling theories and have over fifteen years of experience working in the mental health field. I enjoy working with teens and adults. An instillation of hope, collaborative relationship and readiness for change are all ingredients for healing and wellness.
I combine empathy, humor and creativity when working with clients. I have found that one of the most important parts of therapy is the relationship. I am person-centered, collaborative and focus on a healthy working relationship that builds on my client's strengths and experiences. I am trained in a variety of evidence based counseling theories and have over fifteen years of experience working in the mental health field. I enjoy working with teens and adults. An instillation of hope, collaborative relationship and readiness for change are all ingredients for healing and wellness.
(570) 213-9196 View (570) 213-9196
Photo of Bernadine Santai-McNamara, Clinical Social Work/Therapist, LCSW
Bernadine Santai-McNamara
Clinical Social Work/Therapist, LCSW
1 Endorsed
Pottsville, PA 17901
I am a Licensed Clinical Social Worker with 26 years of experience working with individuals, couples, and families. I work to provide an open and safe environment where thoughts and feelings can be shared without fear of judgement. I utilize positive based approaches to assist with skill building in the areas are stress management, development of coping skills, reframing negative thoughts, and improving communication. I offer evening and weekend only at this time.
I am a Licensed Clinical Social Worker with 26 years of experience working with individuals, couples, and families. I work to provide an open and safe environment where thoughts and feelings can be shared without fear of judgement. I utilize positive based approaches to assist with skill building in the areas are stress management, development of coping skills, reframing negative thoughts, and improving communication. I offer evening and weekend only at this time.
(570) 665-6374 View (570) 665-6374
Photo of Jessica R. Tighe, Clinical Social Work/Therapist, MSW, LCSW
Jessica R. Tighe
Clinical Social Work/Therapist, MSW, LCSW
Pottsville, PA 17901
I have worked with diverse populations during my 25-year career in the community with children and families and in an outpatient setting with children and adults to the elderly. My experience lies with behavioral issues with children and family dynamics. Additionally, I have a specialization in substance abuse with a belief in harm reduction leading to abstinence. I have worked with many people of the LGBTQ community and specifically with the transgender population. In working with the LGBTQ community, I also have become versed in people living alternative lifestyles.
I have worked with diverse populations during my 25-year career in the community with children and families and in an outpatient setting with children and adults to the elderly. My experience lies with behavioral issues with children and family dynamics. Additionally, I have a specialization in substance abuse with a belief in harm reduction leading to abstinence. I have worked with many people of the LGBTQ community and specifically with the transgender population. In working with the LGBTQ community, I also have become versed in people living alternative lifestyles.
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Photo of Jolene Nye, Licensed Social Worker, LSW
Jolene Nye
Licensed Social Worker, LSW
Pottsville, PA 17901
We all have our unique struggles or problems in life. There is no 1-size fits all therapy. And I am excited to be here to help you through your struggles. My experience clinically has been with ages 4 and up, with individual, couples, or family therapy. I also specialized for over 4 years as a MultiSystemic Therapist.
We all have our unique struggles or problems in life. There is no 1-size fits all therapy. And I am excited to be here to help you through your struggles. My experience clinically has been with ages 4 and up, with individual, couples, or family therapy. I also specialized for over 4 years as a MultiSystemic Therapist.
(570) 273-0906 View (570) 273-0906
Photo of Kathy E Mccaw, Marriage & Family Therapist, MA, LMFT
Kathy E Mccaw
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Pottsville, PA 17901
I love to work with highly motivated clients who desire to grow and develop themselves into who they want to be. Whether it is a relationship problem, poor self-esteem, or anxiety/depression, I am committed to help people reach their full potential.
I love to work with highly motivated clients who desire to grow and develop themselves into who they want to be. Whether it is a relationship problem, poor self-esteem, or anxiety/depression, I am committed to help people reach their full potential.
(570) 661-2296 View (570) 661-2296
Photo of Martha L Thompson - Empower the Mind LLC, Licensed Professional Counselor, PsyD, LPC, CAADC
Empower the Mind LLC
Licensed Professional Counselor, PsyD, LPC, CAADC
3 Endorsed
Pottsville, PA 17901
I have worked in many areas of both Mental Health and Addictions treatment. I am trained in a variety of evidence-based methods. As part of the Empower the Mind team I am confident myself or one of my colleagues can help many youths, individuals, and families with the stressors they face today. I enjoy pulling from my teachings and training to keep up with the best practice methods to help people to the best of my ability. The ETM team strives for a collaborative and energetic working relationship with those we help.
I have worked in many areas of both Mental Health and Addictions treatment. I am trained in a variety of evidence-based methods. As part of the Empower the Mind team I am confident myself or one of my colleagues can help many youths, individuals, and families with the stressors they face today. I enjoy pulling from my teachings and training to keep up with the best practice methods to help people to the best of my ability. The ETM team strives for a collaborative and energetic working relationship with those we help.
(570) 989-4988 View (570) 989-4988
Photo of Debra Lynn Thompson-Knepper, Clinical Social Work/Therapist, LCSW, CADC, CCPG
Debra Lynn Thompson-Knepper
Clinical Social Work/Therapist, LCSW, CADC, CCPG
Serves Area
Debra Thompson-Knepper has over 20 years experience working with people who have mental illness and addictions. She believes that it is the therapist's responsibility to have as many therapeutic tools as possible to share with clients to help them achieve their goals. Whether it's development of insight to know the self better and live more successfully or targeted therapy to address a specific marital or individual issue, Debbie shares all her knowledge and tools for your success. Good therapy is built on the client's relationship with the therapist and this is the foundation of all growth.
Debra Thompson-Knepper has over 20 years experience working with people who have mental illness and addictions. She believes that it is the therapist's responsibility to have as many therapeutic tools as possible to share with clients to help them achieve their goals. Whether it's development of insight to know the self better and live more successfully or targeted therapy to address a specific marital or individual issue, Debbie shares all her knowledge and tools for your success. Good therapy is built on the client's relationship with the therapist and this is the foundation of all growth.
(570) 234-3476 View (570) 234-3476
Photo of Brian Perkins, Marriage & Family Therapist, MS, MA, LMFT
Brian Perkins
Marriage & Family Therapist, MS, MA, LMFT
Serves Area
Suppose you returned home one night to your "empty" house on a corner to find the door smashed open, and sounds of someone inside and things falling on the floor. Afraid, you walk around the corner where your neighbor then tells you she saw smoke coming from your window and the firemen are inside finding the cause. Your attitude toward the intruders completely changes when you understand their purpose. I give clients similar insight about the problems hurting them and their relationships. It's tragic to suffer and to fear solvable problems because you don't understand them.
Suppose you returned home one night to your "empty" house on a corner to find the door smashed open, and sounds of someone inside and things falling on the floor. Afraid, you walk around the corner where your neighbor then tells you she saw smoke coming from your window and the firemen are inside finding the cause. Your attitude toward the intruders completely changes when you understand their purpose. I give clients similar insight about the problems hurting them and their relationships. It's tragic to suffer and to fear solvable problems because you don't understand them.
(570) 704-3821 View (570) 704-3821
Photo of Kenny Knittle, Licensed Professional Counselor, MA, LPC, NCC, CCTAP
Kenny Knittle
Licensed Professional Counselor, MA, LPC, NCC, CCTAP
2 Endorsed
Serves Area
I know how hard it is to find a therapist at times or maybe this is your first time seeking help. It can be overwhelming, especially when you are struggling. Clients come to work on a variety of issues ranging from anxiety, depression, trauma, grief and major life changes. We work as a team and focus on how your health, habits, family, work and other life factors are impacting you. My goal is to help build resilience and self-confidence in others so they don't fear the challenges ahead of them and learn they have the capability and courage to grow and excel!
I know how hard it is to find a therapist at times or maybe this is your first time seeking help. It can be overwhelming, especially when you are struggling. Clients come to work on a variety of issues ranging from anxiety, depression, trauma, grief and major life changes. We work as a team and focus on how your health, habits, family, work and other life factors are impacting you. My goal is to help build resilience and self-confidence in others so they don't fear the challenges ahead of them and learn they have the capability and courage to grow and excel!
(570) 243-0226 View (570) 243-0226
Photo of Janice K Price, Psychologist, MA
Janice K Price
Psychologist, MA
Serves Area
Psychotherapy isn't just about relieving suffering; it's also about growth. Sometimes it takes the assistance of an empathic listener to rediscover your own inner resources and to understand yourself and others more deeply. Tell me about yourself and I'll share my observations. Together we can discover what it is that holds you back from the life that you want. Whatever the impediment, I will encourage you to examine your life with honesty while we work on cultivating acceptance and compassion. Caring for oneself is at the core of the healing process.
Psychotherapy isn't just about relieving suffering; it's also about growth. Sometimes it takes the assistance of an empathic listener to rediscover your own inner resources and to understand yourself and others more deeply. Tell me about yourself and I'll share my observations. Together we can discover what it is that holds you back from the life that you want. Whatever the impediment, I will encourage you to examine your life with honesty while we work on cultivating acceptance and compassion. Caring for oneself is at the core of the healing process.
(570) 880-0493 View (570) 880-0493
Photo of Karen L Kehler, MA, MSHA
Karen L Kehler
Verified Verified
Serves Area
I believe that those in distress, grieving, angry or overwhelmed do not usually want a person to watch them drown, they want to be given a life preserver. With this approach I pro-actively educate, support, encourage and empower my clients through their personal and private choices, changes and challenges. I enjoy what I do because I come to the relationship with years of education, professional and personal experience as well as empathy, resourcefulness and compassion. We work together to move to a place of satisfaction and peace as well as confidence and accomplishment.
I believe that those in distress, grieving, angry or overwhelmed do not usually want a person to watch them drown, they want to be given a life preserver. With this approach I pro-actively educate, support, encourage and empower my clients through their personal and private choices, changes and challenges. I enjoy what I do because I come to the relationship with years of education, professional and personal experience as well as empathy, resourcefulness and compassion. We work together to move to a place of satisfaction and peace as well as confidence and accomplishment.
(272) 207-3132 View (272) 207-3132
Photo of Kirk Burke-Hamilton, Clinical Social Work/Therapist, JD, LICSW, LCSW-C
Kirk Burke-Hamilton
Clinical Social Work/Therapist, JD, LICSW, LCSW-C
Serves Area
I help patients find hope in adversity. I explore a patient's need for external validation. I explore old negative motivators used to inspire achievement-based goals. I teach self-care & self-regulating practices. I model healthy attunement, explore conflict-avoidant behaviors, & healthy dependency. Being a highly sensitive person is not a weakness but an empathic strength. I explore guilt, shame inadequacy & fear that causes "analysis paralysis." I analyze unhealthy habits. I teach clients to build trust & reconnect with a traumatic body that no longer trusts.
I help patients find hope in adversity. I explore a patient's need for external validation. I explore old negative motivators used to inspire achievement-based goals. I teach self-care & self-regulating practices. I model healthy attunement, explore conflict-avoidant behaviors, & healthy dependency. Being a highly sensitive person is not a weakness but an empathic strength. I explore guilt, shame inadequacy & fear that causes "analysis paralysis." I analyze unhealthy habits. I teach clients to build trust & reconnect with a traumatic body that no longer trusts.
(240) 330-4350 View (240) 330-4350
Photo of Kirk Burke Hamilton, Clinical Social Work/Therapist, JD, LICSW, LCSW
Kirk Burke Hamilton
Clinical Social Work/Therapist, JD, LICSW, LCSW
Serves Area
I help patients find hope in adversity. I explore a patient's need for external validation. I explore old negative motivators used to inspire achievement-based goals. I teach self-care & self-regulating practices. I model healthy attunement, explore conflict-avoidant behaviors, & healthy dependency. Being a highly sensitive person is not a weakness but an empathic strength. I explore guilt, shame inadequacy & fear that causes "analysis paralysis." I analyze unhealthy habits. I teach clients to build trust & reconnect with a traumatic body that no longer trusts.
I help patients find hope in adversity. I explore a patient's need for external validation. I explore old negative motivators used to inspire achievement-based goals. I teach self-care & self-regulating practices. I model healthy attunement, explore conflict-avoidant behaviors, & healthy dependency. Being a highly sensitive person is not a weakness but an empathic strength. I explore guilt, shame inadequacy & fear that causes "analysis paralysis." I analyze unhealthy habits. I teach clients to build trust & reconnect with a traumatic body that no longer trusts.
(267) 377-4908 View (267) 377-4908
Photo of Leslie Chaundy - Mind Matters Counseling & Psychological Associates, Psychologist, PsyD, LCSW, NCSP, ABSNP
Mind Matters Counseling & Psychological Associates
Psychologist, PsyD, LCSW, NCSP, ABSNP
1 Endorsed
Serves Area
Mind Matters is a private outpatient mental health practice serving Schuylkill and Berks County, as well as the Lehigh Valley. Our vision is to help bring peace of mind, growth, and healing to those struggling with matters of the mind. Our mission is to guide others on their life journey and help them understand that the mind matters. We also hope to assist other’s in the growth and transformation of their mind, heart, and soul. We strive to offer a safe place where people feel loved and cared for so that they can reach their personal and professional life goals. At Mind Matters, we believe that every mind matters!
Mind Matters is a private outpatient mental health practice serving Schuylkill and Berks County, as well as the Lehigh Valley. Our vision is to help bring peace of mind, growth, and healing to those struggling with matters of the mind. Our mission is to guide others on their life journey and help them understand that the mind matters. We also hope to assist other’s in the growth and transformation of their mind, heart, and soul. We strive to offer a safe place where people feel loved and cared for so that they can reach their personal and professional life goals. At Mind Matters, we believe that every mind matters!
(570) 678-1831 View (570) 678-1831
Photo of Chris Obst, Licensed Professional Counselor, LPC, CAADC, PMAC
Chris Obst
Licensed Professional Counselor, LPC, CAADC, PMAC
Online Only
Feeling stuck, angry, numb, or like you’re carrying a weight you can’t name? You’re not alone—and you don’t have to do it alone. I work with men facing stress, trauma, addiction, and relationship issues—especially those who feel something’s off but can’t explain it. As a male therapist, I get the pressure to tough it out, hide pain, and keep moving. I’ve been there—and I know things can get better. Therapy isn’t weakness. It’s where real strength begins—and where real change is possible. Whether it’s pressure to "man up," difficulty opening up, or years of pushing things down, therapy can be a place where things start to shift.
Feeling stuck, angry, numb, or like you’re carrying a weight you can’t name? You’re not alone—and you don’t have to do it alone. I work with men facing stress, trauma, addiction, and relationship issues—especially those who feel something’s off but can’t explain it. As a male therapist, I get the pressure to tough it out, hide pain, and keep moving. I’ve been there—and I know things can get better. Therapy isn’t weakness. It’s where real strength begins—and where real change is possible. Whether it’s pressure to "man up," difficulty opening up, or years of pushing things down, therapy can be a place where things start to shift.
(272) 379-9463 View (272) 379-9463
Photo of Nicole Chapman, Licensed Professional Counselor, MA, LPC
Nicole Chapman
Licensed Professional Counselor, MA, LPC
2 Endorsed
Pottsville, PA 17901
Not accepting new clients
Mental strength is not the ability to stay out of the darkness; it's the ability to sit present in the darkness, knowing that the light will shine again" I have been credentialed by the National Board of Certified Counselors (NBCC), and am also licensed as a professional counselor (LPC). My goals are to create a safe and supportive environment for all my clients as individuals, while they increase their level of self-understanding and self-awareness
Mental strength is not the ability to stay out of the darkness; it's the ability to sit present in the darkness, knowing that the light will shine again" I have been credentialed by the National Board of Certified Counselors (NBCC), and am also licensed as a professional counselor (LPC). My goals are to create a safe and supportive environment for all my clients as individuals, while they increase their level of self-understanding and self-awareness
(484) 309-4643 View (484) 309-4643
Photo of Jennifer Christman, Clinical Social Work/Therapist, LCSW
Jennifer Christman
Clinical Social Work/Therapist, LCSW
Online Only
Life can bring challenges we never see coming—loss, trauma, health scares, burnout, and relationship strain. I understand this not only professionally, but personally. As a breast cancer survivor, working mother, and wife of 17 years, I have navigated grief, stress, parenting, marriage, career pressures, and the process of healing. I don’t just talk about resilience—I’ve lived it. My goal is to walk alongside you as you discover your own strength and path forward. Whether you’re struggling with trauma, depression, chronic stress, or family conflict, you don’t have to face it alone.
Life can bring challenges we never see coming—loss, trauma, health scares, burnout, and relationship strain. I understand this not only professionally, but personally. As a breast cancer survivor, working mother, and wife of 17 years, I have navigated grief, stress, parenting, marriage, career pressures, and the process of healing. I don’t just talk about resilience—I’ve lived it. My goal is to walk alongside you as you discover your own strength and path forward. Whether you’re struggling with trauma, depression, chronic stress, or family conflict, you don’t have to face it alone.
(570) 989-4080 View (570) 989-4080
Photo of Dr. Toni Bear, Counselor, EdD
Dr. Toni Bear
Counselor, EdD
Online Only
Feeling disconnected from your sexuality, passionless, and/or lacking confidence in your relationships? As a holistic sexologist and life coach, I specialize in helping women in their mid-30s to late 50s overcome these challenges. You might be facing issues related to past trauma, societal pressures, or an unclear understanding of your own desires and needs. My goal is to help you reclaim your sexual confidence, gain a deeper understanding of your body, and cultivate more fulfilling intimate relationships.
Feeling disconnected from your sexuality, passionless, and/or lacking confidence in your relationships? As a holistic sexologist and life coach, I specialize in helping women in their mid-30s to late 50s overcome these challenges. You might be facing issues related to past trauma, societal pressures, or an unclear understanding of your own desires and needs. My goal is to help you reclaim your sexual confidence, gain a deeper understanding of your body, and cultivate more fulfilling intimate relationships.
(570) 984-1783 View (570) 984-1783
Photo of Samantha Reinhart, Licensed Professional Counselor, MA, LPC, NCC
Samantha Reinhart
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Online Only
Have you recently lost a loved one, experienced the end of a relationship, faced infertility, or gone through a major life transition that’s left you wondering how life will ever feel “normal” again? Grief shows up in many forms not just through death, but also in the loss of identity, dreams, careers, and relationships. And one thing is always true: grief changes us. Maybe you’re in survival mode just trying to get through each day. Maybe you don’t quite recognize yourself anymore more on edge, withdrawn, or feeling waves of emotions, you can’t quite name. Whether your grief is visible or silent, it’s real and it deserves space.
Have you recently lost a loved one, experienced the end of a relationship, faced infertility, or gone through a major life transition that’s left you wondering how life will ever feel “normal” again? Grief shows up in many forms not just through death, but also in the loss of identity, dreams, careers, and relationships. And one thing is always true: grief changes us. Maybe you’re in survival mode just trying to get through each day. Maybe you don’t quite recognize yourself anymore more on edge, withdrawn, or feeling waves of emotions, you can’t quite name. Whether your grief is visible or silent, it’s real and it deserves space.
(484) 996-7374 View (484) 996-7374
Photo of Kathy Kelsch - Tranquility Counseling & Wellness, LLC, Licensed Professional Counselor, MA, LPC, NCC, NADD-CC
Tranquility Counseling & Wellness, LLC
Licensed Professional Counselor, MA, LPC, NCC, NADD-CC
Online Only
Are you feeling sad, hopeless, anxious, overwhelmed, out of control, or confused? Do you have problems in your relationship, or feel disconnected from others or the world as a whole? Have you experienced trauma or loss? Are you uncertain of how to manage a child’s behaviors or have a child or teen who is struggling emotionally? Everyone can benefit from some support from time to time. I am here to help!
Are you feeling sad, hopeless, anxious, overwhelmed, out of control, or confused? Do you have problems in your relationship, or feel disconnected from others or the world as a whole? Have you experienced trauma or loss? Are you uncertain of how to manage a child’s behaviors or have a child or teen who is struggling emotionally? Everyone can benefit from some support from time to time. I am here to help!
(570) 273-9224 View (570) 273-9224

See more therapy options for 17901

How does your Therapist compare?

Number of Therapists in 17901

20+

Average cost per session

$125

Therapists in 17901 who prioritize treating:

95% Depression
91% Anxiety
82% Relationship Issues
77% Trauma and PTSD
73% Coping Skills
73% Self Esteem
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

79% Optum
74% Highmark
74% Capital Blue Cross

How Therapists in 17901 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

63% Female
37% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 17901?

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.