Photo of Tiffany Damewood, LCSW, Clinical Social Work/Therapist
Tiffany Damewood
Clinical Social Work/Therapist, LCSW
Verified Verified
McKinney, TX 75070
Waitlist for new clients
I am a Licensed Clinical Social Worker (LCSW). I have a bachelor’s degree in psychology from the University of Texas at Dallas and a master’s degree in social work from the University of Texas at Arlington. As an AuDHD individual (autistic & ADHD) and a parent to my neurodivergent children, I have a unique understanding and lived experience regarding neurodivergence (particularly related to autism and ADHD). I am passionate about working with other neurodivergent individuals of all ages and identities from a neurodiversity-affirming approach.
I am a Licensed Clinical Social Worker (LCSW). I have a bachelor’s degree in psychology from the University of Texas at Dallas and a master’s degree in social work from the University of Texas at Arlington. As an AuDHD individual (autistic & ADHD) and a parent to my neurodivergent children, I have a unique understanding and lived experience regarding neurodivergence (particularly related to autism and ADHD). I am passionate about working with other neurodivergent individuals of all ages and identities from a neurodiversity-affirming approach.
(469) 634-3033 View (469) 634-3033
Photo of Lesley Riley, LCSW, Clinical Social Work/Therapist
Lesley Riley
Clinical Social Work/Therapist, LCSW
Verified Verified
McKinney, TX 75070
My name is Lesley Riley, and I am a Licensed Clinical Social Worker with 25 years of experience in the mental health field. I specialize in treating adolescents, adults, and seniors who are dealing with issues such as family conflict, divorce, career challenges, mental stress, life transitions, ADHD, depression, anxiety, and grief. I offer counseling to individuals and couples who are struggling to manage their emotions and advocate for themselves. My goal is to provide a non-judgmental space where you can explore and discover the best path toward healing and growth.
My name is Lesley Riley, and I am a Licensed Clinical Social Worker with 25 years of experience in the mental health field. I specialize in treating adolescents, adults, and seniors who are dealing with issues such as family conflict, divorce, career challenges, mental stress, life transitions, ADHD, depression, anxiety, and grief. I offer counseling to individuals and couples who are struggling to manage their emotions and advocate for themselves. My goal is to provide a non-judgmental space where you can explore and discover the best path toward healing and growth.
(855) 303-0225 View (855) 303-0225
Photo of Korisma Grant, LMSW, LCSW, Clinical Social Work/Therapist
Korisma Grant
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
4 Endorsed
McKinney, TX 75070
I help women move from stuck to unstuck, overwhelmed to calm, confused to clarity, self-doubt to confidence, hurt to healing, and hopeless to hopeful. If you are ready for change but don't know where to start, therapy may be right for you and I'd be happy to help you. I offer a safe, trauma-informed environment where you can find your way to a more fulfilling life. Upon your request, faith can be integrated into treatment.
I help women move from stuck to unstuck, overwhelmed to calm, confused to clarity, self-doubt to confidence, hurt to healing, and hopeless to hopeful. If you are ready for change but don't know where to start, therapy may be right for you and I'd be happy to help you. I offer a safe, trauma-informed environment where you can find your way to a more fulfilling life. Upon your request, faith can be integrated into treatment.
(214) 251-4155 View (214) 251-4155
Photo of Shelley Stephan, MA, LPC, PMH-C, Licensed Professional Counselor
Shelley Stephan
Licensed Professional Counselor, MA, LPC, PMH-C
Verified Verified
2 Endorsed
McKinney, TX 75070
Life's challenges can cause emotional distress and affect one’s happiness and/or capability to function. Are you struggling with life's challenges? If so, you are not alone. My hope is to assist you in returning to the joys of life by employing a personalized approach to each counseling session. I treat young adults and adults experiencing most life circumstances, including but not limited to depression, anxiety, grief, stress management, boundary and family of origin issues, with a specialty in the areas of infertility, miscarriage, pregnancy loss, postpartum depression/anxiety, and new parent transitions.
Life's challenges can cause emotional distress and affect one’s happiness and/or capability to function. Are you struggling with life's challenges? If so, you are not alone. My hope is to assist you in returning to the joys of life by employing a personalized approach to each counseling session. I treat young adults and adults experiencing most life circumstances, including but not limited to depression, anxiety, grief, stress management, boundary and family of origin issues, with a specialty in the areas of infertility, miscarriage, pregnancy loss, postpartum depression/anxiety, and new parent transitions.
(469) 430-2416 View (469) 430-2416
Photo of Malauna Hogan, PhD, Psychologist
Malauna Hogan
Psychologist, PhD
Verified Verified
3 Endorsed
McKinney, TX 75070
Dr. Malauna Hogan is a Licensed Clinical Psychologist, who provides psychological services. including psychotherapy and assessment, to adults and individuals who are in advanced stages of life. She uses Cognitive-Behavioral Therapy, as well as other evidenced-based treatments, to treat a number of mental health issues including depression, anxiety, adjustment to life transitions, work-related stress, and relationship issues. She is also sensitive to multicultural issues that impact an individual’s well-being.
Dr. Malauna Hogan is a Licensed Clinical Psychologist, who provides psychological services. including psychotherapy and assessment, to adults and individuals who are in advanced stages of life. She uses Cognitive-Behavioral Therapy, as well as other evidenced-based treatments, to treat a number of mental health issues including depression, anxiety, adjustment to life transitions, work-related stress, and relationship issues. She is also sensitive to multicultural issues that impact an individual’s well-being.
(469) 812-8492 View (469) 812-8492
Photo of Deidre M Wilson, MS, LMFT, LPC, Marriage & Family Therapist
Deidre M Wilson
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
McKinney, TX 75070
Responsibility: When we accept responsibility for the quality of our own lives, CHANGE begins immediately. I want to help you feel better in the shortest time possible so you can begin ENJOYING your life again. If you are ready to step up to the challenge of creating the personal, professional, or family life you desire and deserve, please call me.
Responsibility: When we accept responsibility for the quality of our own lives, CHANGE begins immediately. I want to help you feel better in the shortest time possible so you can begin ENJOYING your life again. If you are ready to step up to the challenge of creating the personal, professional, or family life you desire and deserve, please call me.
(972) 478-1453 View (972) 478-1453
Photo of Catherine Varvel, MA, LPC, Associa
Catherine Varvel
Licensed Professional Counselor Associate, MA, LPC, Associa
Verified Verified
McKinney, TX 75070
Hi there – I’m so glad you’re here! No matter what brought you to this page, I am proud of you. Taking the first step toward seeking help is not easy, and I am honored to be a small part of your story. I received my Master of Education in Rehabilitation Counseling, which places an emphasis on counseling specific to people with disabilities. I strive to create a safe, trauma-informed space for my clients where you feel heard, valued, and empowered – with a gentle nudge here and there.
Hi there – I’m so glad you’re here! No matter what brought you to this page, I am proud of you. Taking the first step toward seeking help is not easy, and I am honored to be a small part of your story. I received my Master of Education in Rehabilitation Counseling, which places an emphasis on counseling specific to people with disabilities. I strive to create a safe, trauma-informed space for my clients where you feel heard, valued, and empowered – with a gentle nudge here and there.
(972) 928-0293 View (972) 928-0293
Photo of Angelene Crump, MS, LPC-A
Angelene Crump
LPC-Associate, MS, LPC-A
Verified Verified
5 Endorsed
McKinney, TX 75070
As your therapist I will provide a safe and nonjudgmental space - a necessity for effective progression. We will work together to develop effective skills to help in growing your confidence, establishing/maintaining boundaries, coping skills and support your healing journey. Navigating the high’s and low of life can be challenging. It requires an empowering and encouraging space to be heard and validated in. If you desire to make improvements but may not have ALL of the tools, I’m here and eager to assist.
As your therapist I will provide a safe and nonjudgmental space - a necessity for effective progression. We will work together to develop effective skills to help in growing your confidence, establishing/maintaining boundaries, coping skills and support your healing journey. Navigating the high’s and low of life can be challenging. It requires an empowering and encouraging space to be heard and validated in. If you desire to make improvements but may not have ALL of the tools, I’m here and eager to assist.
(469) 228-8720 View (469) 228-8720
Photo of Gloria Howell, MA, LPC-S, Licensed Professional Counselor
Gloria Howell
Licensed Professional Counselor, MA, LPC-S
Verified Verified
McKinney, TX 75070  (Online Only)
Are you struggling in your relationship to find a communication style that creates more intimacy and closeness? Are you depressed and unhappy and cannot find a way out to happiness and inner peace? I see my role as assisting you in understanding your challenges.I assist clients in achieving their goals in becoming emotionally, and physically healthy individuals.
Are you struggling in your relationship to find a communication style that creates more intimacy and closeness? Are you depressed and unhappy and cannot find a way out to happiness and inner peace? I see my role as assisting you in understanding your challenges.I assist clients in achieving their goals in becoming emotionally, and physically healthy individuals.
(512) 649-0296 View (512) 649-0296
Photo of Christina Alanis, LCSW, Clinical Social Work/Therapist
Christina Alanis
Clinical Social Work/Therapist, LCSW
Verified Verified
McKinney, TX 75070
Hi, I'm Christina and I believe that seeking help is a great first step toward making positive changes in your life. I am here to walk along side you, empower you, and collaboratively develop treatment plans and goals tailored specifically for you. Modalities I often use in my practice include, but are not limited to: Cognitive Behavioral Therapy, Psychodynamic, Compassion Focused, and Solution Focused. I provide a safe and supportive environment and truly want to listen to what you have to say. I am here to listen with compassion, empathy, and without judgement.
Hi, I'm Christina and I believe that seeking help is a great first step toward making positive changes in your life. I am here to walk along side you, empower you, and collaboratively develop treatment plans and goals tailored specifically for you. Modalities I often use in my practice include, but are not limited to: Cognitive Behavioral Therapy, Psychodynamic, Compassion Focused, and Solution Focused. I provide a safe and supportive environment and truly want to listen to what you have to say. I am here to listen with compassion, empathy, and without judgement.
(806) 450-5337 View (806) 450-5337
Photo of Dr. Becki Welsh, LPC-S, RPT-S, NCC, CPLC, Licensed Professional Counselor
Dr. Becki Welsh
Licensed Professional Counselor, LPC-S, RPT-S, NCC, CPLC
Verified Verified
1 Endorsed
McKinney, TX 75070
Exhausted. Hoping to have a good day with your child, but hope ran out when he had another tantrum. Praying for some relief. The yelling and screaming and the anxiety are becoming unmanageable. Just one good day. That's not asking too much, is it? Lots of advice but nothing has worked. Or it works for a while and then it goes back to the same old thing. Fear of what might happen means staying home most of the time. Surely there is a better way. For you and your child.
Exhausted. Hoping to have a good day with your child, but hope ran out when he had another tantrum. Praying for some relief. The yelling and screaming and the anxiety are becoming unmanageable. Just one good day. That's not asking too much, is it? Lots of advice but nothing has worked. Or it works for a while and then it goes back to the same old thing. Fear of what might happen means staying home most of the time. Surely there is a better way. For you and your child.
(214) 307-8665 View (214) 307-8665
Photo of Tereza Sampululu, MC,  LPA, Psychological Associate
Tereza Sampululu
Psychological Associate, MC, LPA
Verified Verified
3 Endorsed
McKinney, TX 75070
Now Accepting NEW Clients! I think of myself as solution-oriented and I feel privileged to be able to support and witness clients grow and overcome challenges they face in their day-to-day lives. I work with individuals and families, and have a special interest in working with couples as they work through and navigate relationship challenges, transitional periods and working towards creating stronger bonds. My educational and professional background has afforded me the experience of supporting clients with various concerns such as anxiety, depression, anger, self-esteem, grief & loss, and relationship issues–to name a few.
Now Accepting NEW Clients! I think of myself as solution-oriented and I feel privileged to be able to support and witness clients grow and overcome challenges they face in their day-to-day lives. I work with individuals and families, and have a special interest in working with couples as they work through and navigate relationship challenges, transitional periods and working towards creating stronger bonds. My educational and professional background has afforded me the experience of supporting clients with various concerns such as anxiety, depression, anger, self-esteem, grief & loss, and relationship issues–to name a few.
(972) 299-3748 View (972) 299-3748
Photo of Amanda Logan Hoppe, PhD, LPA, BCBA-D, Psychological Associate
Amanda Logan Hoppe
Psychological Associate, PhD, LPA, BCBA-D
Verified Verified
McKinney, TX 75070
Dr. Hoppe specializes in autism spectrum disorder and ADHD diagnostic evaluations with children and adolescents. She individualizes her evaluations based on each family’s specific needs and takes a behavior-driven approach to the assessment process. Logan is also a doctoral level behavior analyst and has extensive clinical (11+ years) and research experience in the assessment and treatment of autism spectrum disorder in children and adolescents.
Dr. Hoppe specializes in autism spectrum disorder and ADHD diagnostic evaluations with children and adolescents. She individualizes her evaluations based on each family’s specific needs and takes a behavior-driven approach to the assessment process. Logan is also a doctoral level behavior analyst and has extensive clinical (11+ years) and research experience in the assessment and treatment of autism spectrum disorder in children and adolescents.
(972) 736-9917 View (972) 736-9917
Photo of Elen Redford, MS, LPC, LCDC, EMDR TR, Licensed Professional Counselor
Elen Redford
Licensed Professional Counselor, MS, LPC, LCDC, EMDR TR
Verified Verified
McKinney, TX 75070
Addiction has been a large part of my life and career, I have enjoyed helping families understand and set boundaries with their loved ones in addiction, and those working towards sobriety or reevaluating their relationship with alcohol and substances. I believe in keeping a direct, open and honest environment when working together to identify the best course of action and coping skills to help you reduce and manage depression, anxiety. Let's see if together we find the path to achieve your goals and help create boundaries in order to improve quality of life.
Addiction has been a large part of my life and career, I have enjoyed helping families understand and set boundaries with their loved ones in addiction, and those working towards sobriety or reevaluating their relationship with alcohol and substances. I believe in keeping a direct, open and honest environment when working together to identify the best course of action and coping skills to help you reduce and manage depression, anxiety. Let's see if together we find the path to achieve your goals and help create boundaries in order to improve quality of life.
(972) 764-8902 View (972) 764-8902
Photo of Dr. Christian A. Henry, PhD, LPC, NCC, Licensed Professional Counselor
Dr. Christian A. Henry
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
5 Endorsed
McKinney, TX 75070  (Online Only)
Hello and a warm virtual welcome! I will like to invite you to a transparent and empathetic safe place that is centered around YOU. A place where there is no right or wrong answer, but one expectation: just BE. Mental Health can be a topic that is very intimidating to discuss with others, but I like to think of mental health as a tune up on your car - you can drive your car for many miles, but eventually you will need adjustments. Like a car, our mind can run, overwork, and eventually break down. However, the good news is that you have an opportunity to get a mental health tune up and make sure your car is running smoothly.
Hello and a warm virtual welcome! I will like to invite you to a transparent and empathetic safe place that is centered around YOU. A place where there is no right or wrong answer, but one expectation: just BE. Mental Health can be a topic that is very intimidating to discuss with others, but I like to think of mental health as a tune up on your car - you can drive your car for many miles, but eventually you will need adjustments. Like a car, our mind can run, overwork, and eventually break down. However, the good news is that you have an opportunity to get a mental health tune up and make sure your car is running smoothly.
(903) 270-3784 View (903) 270-3784
Photo of Kelly Arbabi, MEd, LPC, BS
Kelly Arbabi
MEd, LPC, BS
Verified Verified
2 Endorsed
McKinney, TX 75070
Picture yourself in a truly fulfilling relationship with a personal sense of joy and happiness. Helping individuals and couples who want a better relationship is my strength. My practice specializes in helping people who are struggling in their relationship and supporting couples in conflict, especially blended families. I focus on enhancing communication, nurturing intimacy, and managing toxic influences. If you need professional guidance to heal yourself and your relationships, I can help.
Picture yourself in a truly fulfilling relationship with a personal sense of joy and happiness. Helping individuals and couples who want a better relationship is my strength. My practice specializes in helping people who are struggling in their relationship and supporting couples in conflict, especially blended families. I focus on enhancing communication, nurturing intimacy, and managing toxic influences. If you need professional guidance to heal yourself and your relationships, I can help.
(972) 464-2444 View (972) 464-2444
Photo of Trent Davis, MA, LPC-A
Trent Davis
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
McKinney, TX 75070
Supervised By Michelle Rachui - As a first responder for 28 years, Trent has had a front-row seat to witnessing the effects of the trauma and struggles that many people in the community face every day. He also experienced the mental and physical strain the career takes on those committed to the profession. As a counselor, he has transformed his unique experience to help others through therapy. Trent believes that therapy is about meeting the client where they are and working with individuals collaboratively in a non-judgmental space. It is about becoming self-aware and working hard to create the best version of yourself.
Supervised By Michelle Rachui - As a first responder for 28 years, Trent has had a front-row seat to witnessing the effects of the trauma and struggles that many people in the community face every day. He also experienced the mental and physical strain the career takes on those committed to the profession. As a counselor, he has transformed his unique experience to help others through therapy. Trent believes that therapy is about meeting the client where they are and working with individuals collaboratively in a non-judgmental space. It is about becoming self-aware and working hard to create the best version of yourself.
(469) 457-2281 View (469) 457-2281
Photo of Daniel R Ramirez, MA, LPC, NCC, Licensed Professional Counselor
Daniel R Ramirez
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
McKinney, TX 75070
I am a multi-disciplinary mental health provider that works with people of all ages, ethnic backgrounds, religious differences, and sexual orientations. My services address a wide range of life challenges to people in all stages of life. I draw from many therapeutic disciplines and choose the approach that appears to be the most effective for each individual client. I am practical and down-to-earth in my approach and believe it is crucial that a client feel comfortable with their therapist. My focus as a counselor is to meet the client's needs and provide an honest, fresh perspective.
I am a multi-disciplinary mental health provider that works with people of all ages, ethnic backgrounds, religious differences, and sexual orientations. My services address a wide range of life challenges to people in all stages of life. I draw from many therapeutic disciplines and choose the approach that appears to be the most effective for each individual client. I am practical and down-to-earth in my approach and believe it is crucial that a client feel comfortable with their therapist. My focus as a counselor is to meet the client's needs and provide an honest, fresh perspective.
(214) 390-9729 View (214) 390-9729
Photo of Christopher Flynn, LPC-A
Christopher Flynn
Licensed Professional Counselor Associate , LPC-A
Verified Verified
1 Endorsed
McKinney, TX 75070
My counseling philosophy revolves around the belief that each person possesses an innate capacity for resilience and self-discovery. I view the therapeutic process as a collaboration in which clients can explore their thoughts, emotions, and behaviors in a safe and judgment-free environment. Together, we work towards developing coping strategies, personal insight, and lasting positive change.
My counseling philosophy revolves around the belief that each person possesses an innate capacity for resilience and self-discovery. I view the therapeutic process as a collaboration in which clients can explore their thoughts, emotions, and behaviors in a safe and judgment-free environment. Together, we work towards developing coping strategies, personal insight, and lasting positive change.
(469) 833-2247 View (469) 833-2247
Photo of Sarah Lewis, MS, LPC-A
Sarah Lewis
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
2 Endorsed
McKinney, TX 75070  (Online Only)
I enjoy working with people to help realize their full potential, worth and value. My approach is a strengths-based and person-centered, using cognitive behavioral techniques, motivational interviewing, and other strategies tailored for each client. I am experienced working with veterans, cancer survivors, young adults, senior citizens, those struggling with depression, anxiety and other mood/personality disorders. Everyone has the potential for wellness, but many of us have been hurt during the battles and struggles of life. We will walk through those struggles turning those battles into victories.
I enjoy working with people to help realize their full potential, worth and value. My approach is a strengths-based and person-centered, using cognitive behavioral techniques, motivational interviewing, and other strategies tailored for each client. I am experienced working with veterans, cancer survivors, young adults, senior citizens, those struggling with depression, anxiety and other mood/personality disorders. Everyone has the potential for wellness, but many of us have been hurt during the battles and struggles of life. We will walk through those struggles turning those battles into victories.
(469) 772-4239 View (469) 772-4239
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How does your Therapist compare?

Number of Therapists in 75070

300+

Average cost per session

$150

Therapists in 75070 who prioritize treating:

94% Anxiety
90% Depression
80% Self Esteem
78% Relationship Issues
74% Coping Skills
73% Stress
65% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

83% Aetna
80% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH

How Therapists in 75070 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 75070?

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.