Therapists in Madison, WI
Sheri Nagel
Licensed Professional Counselor, LPC
Verified Verified
Madison, WI 53719
Sheri Nagel is a Licensed Professional Counselor in Wisconsin who has been practicing since 2012. She has an undergraduate degree in Psychology, Human Services and English Literature from the University of Wisconsin Stevens Point and a graduate degree in Education and Professional Counseling from the University of Wisconsin Oshkosh. Life can bring challenges that affect us psychologically, emotionally, spiritually, and physically. Sheri is committed to understanding every person's unique perceptions, feelings, and beliefs, while recognizing and respecting people for where they are on their journey.
Sheri Nagel is a Licensed Professional Counselor in Wisconsin who has been practicing since 2012. She has an undergraduate degree in Psychology, Human Services and English Literature from the University of Wisconsin Stevens Point and a graduate degree in Education and Professional Counseling from the University of Wisconsin Oshkosh. Life can bring challenges that affect us psychologically, emotionally, spiritually, and physically. Sheri is committed to understanding every person's unique perceptions, feelings, and beliefs, while recognizing and respecting people for where they are on their journey.
Dr. Jaime Voss [Fortitude Psychology]
Psychologist, PsyD
Verified Verified
2 Endorsed
Madison, WI 53719 (Online Only)
Are you feeling overwhelmed, stuck, or unsure about how to feel better? Individual therapy can help you reduce painful emotions, learn to recognize and change unhealthy behaviors, and improve your relationships. My name is Jaime Voss and I am a licensed clinical psychologist at Fortitude Psychology, LLC in Madison, WI. I provide psychotherapy services to individuals who are ready to make significant changes in their lives. I believe people are incredibly resilient in the face of adversity. My goal is to help you grow and thrive as you create a more fulfilling and meaningful life.
Are you feeling overwhelmed, stuck, or unsure about how to feel better? Individual therapy can help you reduce painful emotions, learn to recognize and change unhealthy behaviors, and improve your relationships. My name is Jaime Voss and I am a licensed clinical psychologist at Fortitude Psychology, LLC in Madison, WI. I provide psychotherapy services to individuals who are ready to make significant changes in their lives. I believe people are incredibly resilient in the face of adversity. My goal is to help you grow and thrive as you create a more fulfilling and meaningful life.
Elizabeth Reeder
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53703
Not accepting new clients
I Have been a licensed Marriage and Family therapist providing psychotherapy at Moontree Psychotherapy since 2008, although, I have been working with adults, children and families in a variety of capacities for over 15 years. I am a Humanistic-Mindfulness based psychotherapist. Whether you are seeking treatment for mental illness or need help with managing the circumstances in your life, I pay attention to all the parts of the human system ( body, mind, emotion, spirituality, relationships) and help you bring them into balance. .
I Have been a licensed Marriage and Family therapist providing psychotherapy at Moontree Psychotherapy since 2008, although, I have been working with adults, children and families in a variety of capacities for over 15 years. I am a Humanistic-Mindfulness based psychotherapist. Whether you are seeking treatment for mental illness or need help with managing the circumstances in your life, I pay attention to all the parts of the human system ( body, mind, emotion, spirituality, relationships) and help you bring them into balance. .
Danielle Falesnik
Licensed Professional Counselor, LPC
Verified Verified
Madison, WI 53718
Danielle Falesnik is a Licensed Professional Counselor in Wisconsin who has been practicing since 2011. Danielle matriculated from Mount Mary College with a MS in Art Therapy with a Concentration in Community Counseling. Danielle has been a therapist for more than 12 years. As a part of the LGBTQ community, Danielle is proud to help people navigate sexuality and gender identity concerns. Her approach centers on the goals you want to make. Danielle incorporates many types of non-traditional techniques that include art, reiki, tarot, and general metaphysical spiritual practices.
Danielle Falesnik is a Licensed Professional Counselor in Wisconsin who has been practicing since 2011. Danielle matriculated from Mount Mary College with a MS in Art Therapy with a Concentration in Community Counseling. Danielle has been a therapist for more than 12 years. As a part of the LGBTQ community, Danielle is proud to help people navigate sexuality and gender identity concerns. Her approach centers on the goals you want to make. Danielle incorporates many types of non-traditional techniques that include art, reiki, tarot, and general metaphysical spiritual practices.
Aisha Rosh
Psychologist, PhD, NCSP
Verified Verified
Madison, WI 53716 (Online Only)
“What matters?” This is one of the most important questions I can ask of my clients. Without knowing what matters what they are passionate about, neither of us know why we are in the “room." To figure out the why (Why WOULD I do my homework, why would I go to practice, etc.) gives us a meaningful direction. Also let’s talk about fun. Isn’t that the whole point of NOT being an adult? If I’m not enjoying the session, I can bet my client is definitely not. I work hard to ensure a relaxed and welcoming environment that is filled filled with unconditional positive regard, hard work, humor, flexibility and appreciation, and fun.
“What matters?” This is one of the most important questions I can ask of my clients. Without knowing what matters what they are passionate about, neither of us know why we are in the “room." To figure out the why (Why WOULD I do my homework, why would I go to practice, etc.) gives us a meaningful direction. Also let’s talk about fun. Isn’t that the whole point of NOT being an adult? If I’m not enjoying the session, I can bet my client is definitely not. I work hard to ensure a relaxed and welcoming environment that is filled filled with unconditional positive regard, hard work, humor, flexibility and appreciation, and fun.
Adrian Sherrick
Counselor, LPC-IT
Verified Verified
Madison, WI 53717
I work with children ages 10+, teenagers, and adults. My clinical interests include: anxiety, depression, LGBTQ+, ADHD, and trauma. I offer art therapy to those who are interested.
I work with children ages 10+, teenagers, and adults. My clinical interests include: anxiety, depression, LGBTQ+, ADHD, and trauma. I offer art therapy to those who are interested.
Jennifer Hendrickson
Licensed Professional Counselor, MS, LPC, SAC
Verified Verified
Madison, WI 53703 (Online Only)
I decided to become a therapist because of my passion for helping others. My mission is to help others heal and grow. When people have a safe space to explore their concerns, the possibilities for healing and growth are endless. It is an honor for me to provide that space and empower others to identify the next steps in their journey. I facilitate a welcoming, safe, judgment-free zone. I promote diversity, equity, and inclusion. My approach is trauma-informed and culturally sensitive.
I decided to become a therapist because of my passion for helping others. My mission is to help others heal and grow. When people have a safe space to explore their concerns, the possibilities for healing and growth are endless. It is an honor for me to provide that space and empower others to identify the next steps in their journey. I facilitate a welcoming, safe, judgment-free zone. I promote diversity, equity, and inclusion. My approach is trauma-informed and culturally sensitive.
Brenda Lovick
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53718
Brenda Lovick is a Licensed Marriage and Family Therapist in Wisconsin who has been practicing since 2014. She has a Certificate of Studies in Lutheran Studies from the Lutheran School of Theology at Chicago, a Master of Arts in Marriage and Family Therapy from Louisville Presbyterian Theological Seminary, a Master of Divinity from Louisville Presbyterian Theological Seminary, and a Bachelor of Arts in Psychology, Family Studies, and Music from St. Olaf College. Brenda is interested in the intersection of spirituality and sexuality. She understands religious trauma.
Brenda Lovick is a Licensed Marriage and Family Therapist in Wisconsin who has been practicing since 2014. She has a Certificate of Studies in Lutheran Studies from the Lutheran School of Theology at Chicago, a Master of Arts in Marriage and Family Therapy from Louisville Presbyterian Theological Seminary, a Master of Divinity from Louisville Presbyterian Theological Seminary, and a Bachelor of Arts in Psychology, Family Studies, and Music from St. Olaf College. Brenda is interested in the intersection of spirituality and sexuality. She understands religious trauma.
Heidi Sigmund
Psychologist, PsyD
Verified Verified
2 Endorsed
Madison, WI 53703
Not accepting new clients
Mental health struggles are normal, and we can all benefit from support from time to time. I am committed to de-stigmatizing the therapy experience, as even the most skilled and strongest among us have sought out ways to improve our lives. Therapy simply allows you the opportunity to obtain support in an objective, supportive, and safe environment. You may have a clear understanding of your specific treatment goals, or you may just feel as if you are struggling but are not sure why. Both are normal. We will work collaboratively to clarify your specific goals and develop a plan to improve your quality of life.
Mental health struggles are normal, and we can all benefit from support from time to time. I am committed to de-stigmatizing the therapy experience, as even the most skilled and strongest among us have sought out ways to improve our lives. Therapy simply allows you the opportunity to obtain support in an objective, supportive, and safe environment. You may have a clear understanding of your specific treatment goals, or you may just feel as if you are struggling but are not sure why. Both are normal. We will work collaboratively to clarify your specific goals and develop a plan to improve your quality of life.
Nicole Krapf
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53718
Hi, I'm Nicole. I am a Licensed Marriage and Family Therapist with specialized training and experience providing trauma informed care and neurodivergent affirming care. I am not here to fix you; I am here to collaborate with you to discover your unique strengths, interests, and support needs. I can support you in not only addressing your symptoms, but deepening the understanding that you have of yourself and your family. I integrate mindfulness, parts work, therapeutic play, and self compassion skills to aid in processing, healing, and emotion regulation.
Hi, I'm Nicole. I am a Licensed Marriage and Family Therapist with specialized training and experience providing trauma informed care and neurodivergent affirming care. I am not here to fix you; I am here to collaborate with you to discover your unique strengths, interests, and support needs. I can support you in not only addressing your symptoms, but deepening the understanding that you have of yourself and your family. I integrate mindfulness, parts work, therapeutic play, and self compassion skills to aid in processing, healing, and emotion regulation.
Pauquette Center for Psychological Services
Psychologist, PsyD, DBT-LBC
Verified Verified
Madison, WI 53704 (Online Only)
Have you been struggling with suicidal thoughts, self-injury, or other high risk behaviors? Do you have difficulty navigating your relationships in ways you feel good about or feel frequently misunderstood by others? Are you frequently overwhelmed by your emotions? If any of this sounds like you, Dr. Chapin and the Pauquette Center can help. We specialize in providing treatments that can help manage personal and emotional chaos and help you to feel more in control.
Have you been struggling with suicidal thoughts, self-injury, or other high risk behaviors? Do you have difficulty navigating your relationships in ways you feel good about or feel frequently misunderstood by others? Are you frequently overwhelmed by your emotions? If any of this sounds like you, Dr. Chapin and the Pauquette Center can help. We specialize in providing treatments that can help manage personal and emotional chaos and help you to feel more in control.
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Abby Luedtke
Counselor, MS, LPC
Verified Verified
1 Endorsed
Madison, WI 53705
Waitlist for new clients
Hello! I'm Abby. My counseling experience includes providing individual and group counseling for clients with depressive and/or anxious symptoms due to past trauma or current stressful situations and relationships. I enjoy working with individuals who seek ways to feel safe in their bodies and be empowered in their personal and professional relationships. My client focus includes adults and adolescents, LGTBQ+ identity related issues, mood disorders, substance use, developmental trauma, sexual trauma, polyamory, and kink relationships.
Hello! I'm Abby. My counseling experience includes providing individual and group counseling for clients with depressive and/or anxious symptoms due to past trauma or current stressful situations and relationships. I enjoy working with individuals who seek ways to feel safe in their bodies and be empowered in their personal and professional relationships. My client focus includes adults and adolescents, LGTBQ+ identity related issues, mood disorders, substance use, developmental trauma, sexual trauma, polyamory, and kink relationships.
Maggie Dollahan
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53703
Hello, I'm Maggie Dollahan! As a psychotherapist with LifeStance Health, I embrace a compassionate and inclusive approach. I believe that clients are not problems to be fixed, but rather human beings deserving of self-understanding and support from their communities. In practice I draw from a wide range of approaches, employing techniques from Internal Family Systems (IFS), Narrative Therapy, Motivational Interviewing, Strength-Based approaches, and the feminist perspective.
Hello, I'm Maggie Dollahan! As a psychotherapist with LifeStance Health, I embrace a compassionate and inclusive approach. I believe that clients are not problems to be fixed, but rather human beings deserving of self-understanding and support from their communities. In practice I draw from a wide range of approaches, employing techniques from Internal Family Systems (IFS), Narrative Therapy, Motivational Interviewing, Strength-Based approaches, and the feminist perspective.
Megan Pierson
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
1 Endorsed
Madison, WI 53713 (Online Only)
My hope is that we can work together to establish goals and clarify the values that are important to you. As we look at what's going on in your life, we will consider what you have tried before and what barriers are hindering you from living the life you want. Together we will develop creative and flexible strategies that you can try in the future. I do not "fix" people, nor do I have all the answers in life. Instead, I deeply care for hurting people. I will help you consider other perspectives and build skills that will empower you to live a more authentic life. My hope is that you will feel seen, understood, and accepted.
My hope is that we can work together to establish goals and clarify the values that are important to you. As we look at what's going on in your life, we will consider what you have tried before and what barriers are hindering you from living the life you want. Together we will develop creative and flexible strategies that you can try in the future. I do not "fix" people, nor do I have all the answers in life. Instead, I deeply care for hurting people. I will help you consider other perspectives and build skills that will empower you to live a more authentic life. My hope is that you will feel seen, understood, and accepted.
Dan Willman
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53703
Waitlist for new clients
Welcome to my Psychology Today profile. My name is Dan. My approach to therapy is eclectic, but what I believe is most important is the therapeutic relationship. If you don't feel comfortable and relaxed, your healing and growth will feel more like work than a journey. I try to create an atmosphere tailored to your specific needs and desires. Whether you're seeking a guide, a teacher, or an instructor; I can fill that role and ensure you feel comfortable enough to ask for a change of pace. Seeking therapy can feel like an intimidating ordeal, my aim is to make it a tranquil yet invigorating hike through nature.
Welcome to my Psychology Today profile. My name is Dan. My approach to therapy is eclectic, but what I believe is most important is the therapeutic relationship. If you don't feel comfortable and relaxed, your healing and growth will feel more like work than a journey. I try to create an atmosphere tailored to your specific needs and desires. Whether you're seeking a guide, a teacher, or an instructor; I can fill that role and ensure you feel comfortable enough to ask for a change of pace. Seeking therapy can feel like an intimidating ordeal, my aim is to make it a tranquil yet invigorating hike through nature.
Sarah Francois
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, WI 53713 (Online Only)
I work with patients to address Depression, Anxiety, OCD as well as trauma sequelae which are manifest by depressed or anxious mood, obsessive-compulsive behaviors, insomnia, substance misuse, and interpersonal problems. I employ Cognitive Behavioral Therapy (CBT)(ERP), Acceptance & Commitment Therapy (ACT), Prolonged Exposure (PE) and relevant clinical adaptations to address mood or anxiety disorders, co-occurring substance use disorders and/or trauma recovery as well as singular diagnoses. I have significant clinical experience in addressing deep, psychological wounds often referred to as "moral injury”.
I work with patients to address Depression, Anxiety, OCD as well as trauma sequelae which are manifest by depressed or anxious mood, obsessive-compulsive behaviors, insomnia, substance misuse, and interpersonal problems. I employ Cognitive Behavioral Therapy (CBT)(ERP), Acceptance & Commitment Therapy (ACT), Prolonged Exposure (PE) and relevant clinical adaptations to address mood or anxiety disorders, co-occurring substance use disorders and/or trauma recovery as well as singular diagnoses. I have significant clinical experience in addressing deep, psychological wounds often referred to as "moral injury”.
Amber Levanetz
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Madison, WI 53705
My goal as a therapist is to provide a safe, helpful and non-judgmental atmosphere in which to explore the issues creating challenges for individuals. Everyone has their own unique story to tell with victories and hurdles. Through our interaction we can identify and understand your strengths and create tools enabling you to understand and work through challenges. As a professional I feel confident providing a positive non-judgmental space which we can create a collaborative relationship to navigate life's ups and downs.
My goal as a therapist is to provide a safe, helpful and non-judgmental atmosphere in which to explore the issues creating challenges for individuals. Everyone has their own unique story to tell with victories and hurdles. Through our interaction we can identify and understand your strengths and create tools enabling you to understand and work through challenges. As a professional I feel confident providing a positive non-judgmental space which we can create a collaborative relationship to navigate life's ups and downs.
William Hutter
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Madison, WI 53703 (Online Only)
Not accepting new clients
I enjoy working with persons of all ages, on a variety of topics. My work includes individual, couples, consensual/ethical non-monogamous relationships and families. I am part of the queer community and work extensively with issues involving the LGBTQ+ community. Another area of interest in my work has been with perpetrators of sexual abuse/assault and persons struggling with sexual/sexuality and gender issues. I have lived abroad and enjoy working with persons from a variety of ethnic and cultural backgrounds now residing in the US.
I enjoy working with persons of all ages, on a variety of topics. My work includes individual, couples, consensual/ethical non-monogamous relationships and families. I am part of the queer community and work extensively with issues involving the LGBTQ+ community. Another area of interest in my work has been with perpetrators of sexual abuse/assault and persons struggling with sexual/sexuality and gender issues. I have lived abroad and enjoy working with persons from a variety of ethnic and cultural backgrounds now residing in the US.
Krystle Haviland Wholewithin Wellness
Licensed Professional Counselor, LPC, CSAC, ICS
Verified Verified
Madison, WI 53704
I have the privilege of being a licensed mental health, addiction, and trauma therapist with 15 years of experience in the Madison area. Through this work I have had the honor of bearing witness to women, in all phases of life, experience deep pain and suffering yet achieve recovery and healing. I am also a mother to three daughters. It is through this work, my felt sense of being a woman, and my personal experience within motherhood that I have continued to pursue training and education to empower women. I am dedicated to walk alongside women and help them to thrive during each stage of life and beyond.
I have the privilege of being a licensed mental health, addiction, and trauma therapist with 15 years of experience in the Madison area. Through this work I have had the honor of bearing witness to women, in all phases of life, experience deep pain and suffering yet achieve recovery and healing. I am also a mother to three daughters. It is through this work, my felt sense of being a woman, and my personal experience within motherhood that I have continued to pursue training and education to empower women. I am dedicated to walk alongside women and help them to thrive during each stage of life and beyond.
Anastasia Coppola
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, WI 53704
Waitlist for new clients
My approach centers on the mind-body connection. My goal is to facilitate deep healing with psychosomatic therapy. Through interpersonal and systemic traumas, unmet needs throughout life, and generally overwhelming situations, disconnection and an inability to cope can arise. Using approaches, like IFS and Brainspotting, we will work together to process emotions and distress and increase your ability to be present in your life. Through an attuned presence and your mindful awareness in therapy, you can engage in healing and connection to yourself and the world around you.
My approach centers on the mind-body connection. My goal is to facilitate deep healing with psychosomatic therapy. Through interpersonal and systemic traumas, unmet needs throughout life, and generally overwhelming situations, disconnection and an inability to cope can arise. Using approaches, like IFS and Brainspotting, we will work together to process emotions and distress and increase your ability to be present in your life. Through an attuned presence and your mindful awareness in therapy, you can engage in healing and connection to yourself and the world around you.
See more therapy options for Madison
How does your Therapist compare?
Number of Therapists in Madison, WI
700+
Average cost per session
$150
Therapists in Madison, WI who prioritize treating:
91% | Anxiety |
84% | Depression |
75% | Relationship Issues |
70% | Trauma and PTSD |
70% | Self Esteem |
65% | Stress |
65% | Life Transitions |
Average years in practice
11 Years
Top 3 insurances accepted
53% | Quartz |
51% | Other |
50% | BlueCross and BlueShield |
How Therapists in Madison, WI see their clients
72% | In Person and Online | |
28% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Madison?
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
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.
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.
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.