Photo of Anny J Maslowski, MA, LMHC, Counselor
Anny J Maslowski
Counselor, MA, LMHC
Verified Verified
Indianapolis, IN 46216
I am a bilingual (native Spanish-speaker) Licensed Professional Counselor with experience in working with multicultural clients. I work with individuals and families going through various types of immigration cases and assisting them with emotional support as well as documentation of evidence for their case. In addition, I have experience in the areas of depression, anxiety, life transitions, cultural adjustments, relationship/marital issues, and trauma. I believe in the strengths of each client and try to build upon the resources that each client already has in building motivation to continue to make changes.
I am a bilingual (native Spanish-speaker) Licensed Professional Counselor with experience in working with multicultural clients. I work with individuals and families going through various types of immigration cases and assisting them with emotional support as well as documentation of evidence for their case. In addition, I have experience in the areas of depression, anxiety, life transitions, cultural adjustments, relationship/marital issues, and trauma. I believe in the strengths of each client and try to build upon the resources that each client already has in building motivation to continue to make changes.
(317) 494-7328 View (317) 494-7328
Photo of Pam Zirkle, MA, LMHC, Counselor
Pam Zirkle
Counselor, MA, LMHC
Verified Verified
Indianapolis, IN 46216
Pam Zirkle is a Licensed Mental Health Counselor in Indiana who has been practicing since 2016. Pam has been working with clients for seven years and her experience has been with individuals of all ages and various types of issues ranging from couples, groups, individuals, and families. Pam's expertise is for individuals that are battling depression, anxiety, trauma, sex issues, couples' issues, grief, and loss. Pam's forms of treatment are person centered and xe uses DBT, CBT and Motivational Interviewing.
Pam Zirkle is a Licensed Mental Health Counselor in Indiana who has been practicing since 2016. Pam has been working with clients for seven years and her experience has been with individuals of all ages and various types of issues ranging from couples, groups, individuals, and families. Pam's expertise is for individuals that are battling depression, anxiety, trauma, sex issues, couples' issues, grief, and loss. Pam's forms of treatment are person centered and xe uses DBT, CBT and Motivational Interviewing.
(463) 243-5861 View (463) 243-5861
Photo of Amy J. Hirt - LifeStance Health, LCSW, Clinical Social Work/Therapist
LifeStance Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Indianapolis, IN 46216
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(866) 227-9628 View (866) 227-9628
Photo of Yvette Howes, LMHCA, Counselor
Yvette Howes
Counselor, LMHCA
Verified Verified
Indianapolis, IN 46216
When individuals seek support in their emotional lives, it is often intimidating to take that first step toward reaching out. In a culture that demands self-reliance and immediate results, my professional goal is to create authentic therapeutic connections and client-centered interventions that are practical and easy to digest. I have a passion for helping people to "feel seen and heard," wherever they may be on their journey.
When individuals seek support in their emotional lives, it is often intimidating to take that first step toward reaching out. In a culture that demands self-reliance and immediate results, my professional goal is to create authentic therapeutic connections and client-centered interventions that are practical and easy to digest. I have a passion for helping people to "feel seen and heard," wherever they may be on their journey.
(463) 222-3671 View (463) 222-3671
Margaret Nellie Farnsworth
Marriage & Family Therapist, LMFT
Verified Verified
Indianapolis, IN 46216
Nellie, MA, LMFT is a Licensed Marriage and Family Therapist in the state of Indiana, holds a Master of Arts in Counseling, Marriage and Family Therapy from Indiana Wesleyan University, and a Bachelor of Science in Psychology from the University of Illinois. She is a counselor who works with children, adolescents, and adults, helping them achieve greater personal and emotional wellbeing. Everyone's needs are individual and personal, so Nellie comes alongside to support and work collaboratively with each person, working within the strengths and goals of each client.
Nellie, MA, LMFT is a Licensed Marriage and Family Therapist in the state of Indiana, holds a Master of Arts in Counseling, Marriage and Family Therapy from Indiana Wesleyan University, and a Bachelor of Science in Psychology from the University of Illinois. She is a counselor who works with children, adolescents, and adults, helping them achieve greater personal and emotional wellbeing. Everyone's needs are individual and personal, so Nellie comes alongside to support and work collaboratively with each person, working within the strengths and goals of each client.
(463) 218-6919 View (463) 218-6919
Photo of Hayley Craig, MSW, LCSW, Clinical Social Work/Therapist
Hayley Craig
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Online Only
We all need someone to talk to at times, and I have dedicated my career to being that person for others. As a LCSW, I have over 6 years of experience in residential, hospital, and clinic settings. I enjoy working with teens and young adults to help with problems adjusting, behavioral concerns, relationship issues, unhealthy boundaries with family, friends and/or others, and poor self-esteem and self-worth. One of my aims is to build a compassionate and judgement-free environment for clients to open up and discuss emotions and experiences so we can collaborate to realize and accomplish goals.
We all need someone to talk to at times, and I have dedicated my career to being that person for others. As a LCSW, I have over 6 years of experience in residential, hospital, and clinic settings. I enjoy working with teens and young adults to help with problems adjusting, behavioral concerns, relationship issues, unhealthy boundaries with family, friends and/or others, and poor self-esteem and self-worth. One of my aims is to build a compassionate and judgement-free environment for clients to open up and discuss emotions and experiences so we can collaborate to realize and accomplish goals.
(463) 250-5659 View (463) 250-5659
Photo of Sonata Miles, LMHC, Intern, Pre-Licensed Professional
Sonata Miles
Pre-Licensed Professional, LMHC, Intern
Verified Verified
3 Endorsed
Indianapolis, IN 46216
I am a graduate student intern currently pursuing a Master of Science in Clinical Mental Health Counseling at Capella University, with an expected graduation date of March 2024. As I navigate my journey as an intern, I am dedicated to helping clients through a range of challenges, drawing from evidence-based practices like Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, and Multicultural Counseling.
I am a graduate student intern currently pursuing a Master of Science in Clinical Mental Health Counseling at Capella University, with an expected graduation date of March 2024. As I navigate my journey as an intern, I am dedicated to helping clients through a range of challenges, drawing from evidence-based practices like Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, and Multicultural Counseling.
(463) 275-2372 View (463) 275-2372
Photo of Lamar Sykes, LMFT, Marriage & Family Therapist
Lamar Sykes
Marriage & Family Therapist, LMFT
Verified Verified
Indianapolis, IN 46216
I am an licensed marriage and family therapist with over ten years of experience working with children, teens, adults, couples, and families. He graduated from Butler University with a degree in psychology and earned his Masters in Counseling Psychology from California Baptist University. Lamar has experience working in schools and outpatient facilities. He strives to help individuals, couples, and families improve communication and to find unique solutions to achieve their goals. Lamar has training in CBT, trauma informed care, solution focused therapy, and Bowen Family Model.
I am an licensed marriage and family therapist with over ten years of experience working with children, teens, adults, couples, and families. He graduated from Butler University with a degree in psychology and earned his Masters in Counseling Psychology from California Baptist University. Lamar has experience working in schools and outpatient facilities. He strives to help individuals, couples, and families improve communication and to find unique solutions to achieve their goals. Lamar has training in CBT, trauma informed care, solution focused therapy, and Bowen Family Model.
(317) 676-3507 View (317) 676-3507
Photo of Aly Richardson, MSW, LCSW, LISW-CP, Clinical Social Work/Therapist
Aly Richardson
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
Are you stuck in a cycle of obsessive thoughts and compulsions, struggling with body image and your relationship with food, or overwhelmed by anxiety? Perhaps all of the above. Hi, I’m Aly! I’m passionate about helping people move from surviving to thriving. I specialize in treating eating disorders, anxiety, and OCD. With years of professional experience and my own personal recovery, I know recovery is possible! If you're feeling stuck, I want to let you know that you’re not alone. Together, we can work through your challenges and take meaningful steps toward healing.
Are you stuck in a cycle of obsessive thoughts and compulsions, struggling with body image and your relationship with food, or overwhelmed by anxiety? Perhaps all of the above. Hi, I’m Aly! I’m passionate about helping people move from surviving to thriving. I specialize in treating eating disorders, anxiety, and OCD. With years of professional experience and my own personal recovery, I know recovery is possible! If you're feeling stuck, I want to let you know that you’re not alone. Together, we can work through your challenges and take meaningful steps toward healing.
(765) 487-5383 View (765) 487-5383
Photo of Sherry Butler, MSW, LCSW, Clinical Social Work/Therapist
Sherry Butler
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Indianapolis, IN 46216
Sherry Butler LCSW is committed to creating a positive, confidential, and respectful therapeutic space where clients can work collaboratively toward meaningful change. Serving individuals throughout Indiana, Sherry’s approach is centered on empowering clients through education and insight, allowing them to take an active role in directing their treatment. Whether navigating personal challenges or seeking to overcome trauma, Sherry strives to be an effective agent of change, offering support tailored to each client's unique needs.
Sherry Butler LCSW is committed to creating a positive, confidential, and respectful therapeutic space where clients can work collaboratively toward meaningful change. Serving individuals throughout Indiana, Sherry’s approach is centered on empowering clients through education and insight, allowing them to take an active role in directing their treatment. Whether navigating personal challenges or seeking to overcome trauma, Sherry strives to be an effective agent of change, offering support tailored to each client's unique needs.
(877) 916-2367 View (877) 916-2367
Photo of Amdaway Ibrahim - Assessment and Counseling Intervention, LCSW, MSW, Clinical Social Work/Therapist
Assessment and Counseling Intervention
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Indianapolis, IN 46216
We provide COURT ACCEPTED services in Indiana. These services include: Counseling and Therapy, Alcohol and Drug Evaluations, Anger Management Evaluations, SAP Evaluations, Alcohol and Drug Classes, Shoplifting and Theft Prevention Classes, ASAM Level I Treatment, Parenting and more.
We provide COURT ACCEPTED services in Indiana. These services include: Counseling and Therapy, Alcohol and Drug Evaluations, Anger Management Evaluations, SAP Evaluations, Alcohol and Drug Classes, Shoplifting and Theft Prevention Classes, ASAM Level I Treatment, Parenting and more.
(317) 204-8311 View (317) 204-8311
Photo of Lynell W Cooper, MSW, LCSW, BIP-SF, Clinical Social Work/Therapist
Lynell W Cooper
Clinical Social Work/Therapist, MSW, LCSW, BIP-SF
Verified Verified
Online Only
I specialize in working with youth, adults, and families. I have a community based practice and virtual option. I can assist with relationship conflicts, addiction recovery, anxiety, depression, impulse control, and substance abuse. My expertise spans a wide range of treatment types for young and middle age adults. I supervise a team of clinicians that also see children. I offer a non-judgmental space focused on your goals and growth. I accept most insurance and self pay. I am telehealth only. If you're ready for change, contact me to start your journey towards healthier relationships and mental wellness.
I specialize in working with youth, adults, and families. I have a community based practice and virtual option. I can assist with relationship conflicts, addiction recovery, anxiety, depression, impulse control, and substance abuse. My expertise spans a wide range of treatment types for young and middle age adults. I supervise a team of clinicians that also see children. I offer a non-judgmental space focused on your goals and growth. I accept most insurance and self pay. I am telehealth only. If you're ready for change, contact me to start your journey towards healthier relationships and mental wellness.
(317) 350-1665 View (317) 350-1665
Photo of Tony M Talley, MA, LMHC, LCAC, MAC, Counselor
Tony M Talley
Counselor, MA, LMHC, LCAC, MAC
Verified Verified
Indianapolis, IN 46216
You feel stuck-smiling on the outside but crying on the inside. No one seems to understand. Having to wear so many hats and being conditioned to make sure everyone is happy has become your identity. A parent, friend, employee, and more roles is draining. No time for you anymore. No help from your partner. Conversations are avoided so arguments don’t arise. Suggesting couples counseling turns into an argument and you’re not sure if doing individual counseling will make you feel better inside. No physical or emotional intimacy. The thought of 2025 is repulsing. Ending continues to get louder in your thoughts. Something needs to change
You feel stuck-smiling on the outside but crying on the inside. No one seems to understand. Having to wear so many hats and being conditioned to make sure everyone is happy has become your identity. A parent, friend, employee, and more roles is draining. No time for you anymore. No help from your partner. Conversations are avoided so arguments don’t arise. Suggesting couples counseling turns into an argument and you’re not sure if doing individual counseling will make you feel better inside. No physical or emotional intimacy. The thought of 2025 is repulsing. Ending continues to get louder in your thoughts. Something needs to change
(317) 900-4082 View (317) 900-4082
Photo of Amy Hirt, MSW, LCSW, Clinical Social Work/Therapist
Amy Hirt
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Indianapolis, IN 46216
Amy J. Hirt, LCSW, serves the mental health needs of Indiana residents with a holistic and compassionate approach. As a highly trained and experienced Licensed Clinical Social Worker, Amy integrates a wide array of therapeutic modalities to help clients navigate their mental health challenges. She believes in treating each client as an individual, employing a "therapeutic toolbox" that includes EMDR, Yoga/Movement Therapy, CBT, DBT, and other interventions tailored to the unique needs of her clients.
Amy J. Hirt, LCSW, serves the mental health needs of Indiana residents with a holistic and compassionate approach. As a highly trained and experienced Licensed Clinical Social Worker, Amy integrates a wide array of therapeutic modalities to help clients navigate their mental health challenges. She believes in treating each client as an individual, employing a "therapeutic toolbox" that includes EMDR, Yoga/Movement Therapy, CBT, DBT, and other interventions tailored to the unique needs of her clients.
(463) 252-3465 View (463) 252-3465
Photo of Lilian Smith - Cardinal Counseling Services, LLC, LCSW, LAC, LLC, Clinical Social Work/Therapist
Cardinal Counseling Services, LLC
Clinical Social Work/Therapist, LCSW, LAC, LLC
Verified Verified
1 Endorsed
Indianapolis, IN 46216
I enjoy working with anyone age 13 or older with struggles in the area of self-esteem, setting healthy boundaries with others, learning how to be self-respectful in words, thoughts & feelings, stress & managing anxiety as well as anyone who is healing from loss of either a loved one or pet(s). I also enjoy helping people during seasons of transition whether in young adulthood to increase independence or later years to adjust to decrease in independence resulting from illness, injury or the aging process. I especially enjoy working to provide faith-based struggles.
I enjoy working with anyone age 13 or older with struggles in the area of self-esteem, setting healthy boundaries with others, learning how to be self-respectful in words, thoughts & feelings, stress & managing anxiety as well as anyone who is healing from loss of either a loved one or pet(s). I also enjoy helping people during seasons of transition whether in young adulthood to increase independence or later years to adjust to decrease in independence resulting from illness, injury or the aging process. I especially enjoy working to provide faith-based struggles.
(317) 961-2738 View (317) 961-2738
Photo of Tiffany Holmes, MA, LMHCA, Counselor
Tiffany Holmes
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Indianapolis, IN 46216
I believe most of us function in a society of "work until the work gets done" regardless of what it may do to our personal and mental well-being. So, after trying to bottle-up and suppress our feelings sometimes we need a healthy and non-biased person to help sort things out. Counseling is not a quick fix, or a band-aid but rather a tool that can be used to explore one's self awareness and awareness of relationships.
I believe most of us function in a society of "work until the work gets done" regardless of what it may do to our personal and mental well-being. So, after trying to bottle-up and suppress our feelings sometimes we need a healthy and non-biased person to help sort things out. Counseling is not a quick fix, or a band-aid but rather a tool that can be used to explore one's self awareness and awareness of relationships.
(317) 857-0162 View (317) 857-0162
Photo of KP Puckett, MS, LMFTA, Marriage & Family Therapist Associate
KP Puckett
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
2 Endorsed
Indianapolis, IN 46216
Waitlist for new clients
I have worked with many clients who have felt that something was wrong with them for most of their lives, and these messages have caused deep pain. Through my training and through building connection, trust, and comfort, we better identify where these painful narratives come from. Clients are more able to then choose alternative narratives and experience themselves and their lives differently. My specialization lies in working with individual adults and couples who are LGBTQIA+, neurodivergent, and non-monogamous. I am passionate about supporting people during periods of change, exploration, and healing from complex trauma.
I have worked with many clients who have felt that something was wrong with them for most of their lives, and these messages have caused deep pain. Through my training and through building connection, trust, and comfort, we better identify where these painful narratives come from. Clients are more able to then choose alternative narratives and experience themselves and their lives differently. My specialization lies in working with individual adults and couples who are LGBTQIA+, neurodivergent, and non-monogamous. I am passionate about supporting people during periods of change, exploration, and healing from complex trauma.
(317) 754-7038 View (317) 754-7038
Photo of Julie Collins, LMHC, MA, Counselor
Julie Collins
Counselor, LMHC, MA
Verified Verified
Indianapolis, IN 46216
Julie Collins, LMHC, helps adults across Indiana navigate lifes challenges through compassionate care and evidencebased therapeutic interventions. With over 20 years of experience, she supports individuals and couples in addressing anxiety, depression, and relationship concerns, as well as managing symptoms of complex mental health conditions. Whether guiding individuals toward emotional balance or helping couples strengthen their relationships, Julie provides personalized care to foster growth and resilience. Julie offers specialized support for individuals experiencing bipolar disorder, PTSD, and psychosis or schizophrenia.
Julie Collins, LMHC, helps adults across Indiana navigate lifes challenges through compassionate care and evidencebased therapeutic interventions. With over 20 years of experience, she supports individuals and couples in addressing anxiety, depression, and relationship concerns, as well as managing symptoms of complex mental health conditions. Whether guiding individuals toward emotional balance or helping couples strengthen their relationships, Julie provides personalized care to foster growth and resilience. Julie offers specialized support for individuals experiencing bipolar disorder, PTSD, and psychosis or schizophrenia.
(877) 916-2367 View (877) 916-2367
Photo of Susie Ross, MSW, LCSW, Clinical Social Work/Therapist
Susie Ross
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Indianapolis, IN 46216
It is my belief that mental health is an important part of our overall health. I strive to create a judgement free environment where you can feel free and at ease talking about any issues, concerns or goals you have. I will meet you where you are, believing each of you are the expert of your own life.
It is my belief that mental health is an important part of our overall health. I strive to create a judgement free environment where you can feel free and at ease talking about any issues, concerns or goals you have. I will meet you where you are, believing each of you are the expert of your own life.
(317) 779-3124 View (317) 779-3124
Photo of Destini Ketchens, DSW, LCSW, Clinical Social Work/Therapist
Destini Ketchens
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Indianapolis, IN 46216
Dr. Destini Ketchens, a licensed clinical social worker, is committed to helping individuals in Indiana navigate lifes challenges and discover paths to resilience and empowerment. With a clientcentered approach, Dr. Ketchens provides a safe and supportive space for clients to process their emotions, develop effective strategies, and achieve their goals. She specializes in working with diverse populations, addressing concerns such as trauma, anxiety, depression, and severe mental illness, using evidencebased practices tailored to each individuals unique needs.
Dr. Destini Ketchens, a licensed clinical social worker, is committed to helping individuals in Indiana navigate lifes challenges and discover paths to resilience and empowerment. With a clientcentered approach, Dr. Ketchens provides a safe and supportive space for clients to process their emotions, develop effective strategies, and achieve their goals. She specializes in working with diverse populations, addressing concerns such as trauma, anxiety, depression, and severe mental illness, using evidencebased practices tailored to each individuals unique needs.
(877) 916-2367 View (877) 916-2367
1

How does your Therapist compare?

Number of Therapists in 46216

30+

Average cost per session

$142

Therapists in 46216 who prioritize treating:

88% Anxiety
85% Depression
76% Trauma and PTSD
65% Grief
53% Self Esteem
50% Coping Skills
50% Stress

Average years in practice

13 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
74% Aetna
74% UnitedHealthcare UHC | UBH

How Therapists in 46216 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 46216?

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.