Therapists in Parker, CO

Photo of Stephanie Wachter, Licensed Professional Counselor Candidate in Parker, CO
Stephanie Wachter
Licensed Professional Counselor Candidate, MA, LPCC, EMDR
Verified Verified
1 Endorsed
Parker, CO 80138
Hello there! Welcome to my page. My work and focus changes with the age of my client that I’m working with. With a younger child, I join my clients on the floor and have a wide array of toys and games to connect with the child and play with them. With my pre-teen, teen, and young adults I focus on relationship building and gaining trust to assist with the goals that we set. I treat all my clients with respect to reflect the innate worth I believe that every individual holds.
Hello there! Welcome to my page. My work and focus changes with the age of my client that I’m working with. With a younger child, I join my clients on the floor and have a wide array of toys and games to connect with the child and play with them. With my pre-teen, teen, and young adults I focus on relationship building and gaining trust to assist with the goals that we set. I treat all my clients with respect to reflect the innate worth I believe that every individual holds.
(720) 500-7306 View (720) 500-7306
Photo of Ryan S Kimball, Psychologist in Parker, CO
Ryan S Kimball
Psychologist, PhD
Verified Verified
Parker, CO 80134  (Online Only)
It is a privilege to witness people reclaiming their lives and experiencing the profound satisfaction that comes from living a values-centered life. I have been fortunate to attend a doctoral training program, internship, and postdoctoral residency that were each accredited by the American Psychological Association, which helped ensure a high-caliber training environment, which was also quite varied in settings, approaches, and diagnoses. During our sessions, I will guide, encourage, and teach you. The work you do between sessions will be the most important as you grow and change in profound ways.
It is a privilege to witness people reclaiming their lives and experiencing the profound satisfaction that comes from living a values-centered life. I have been fortunate to attend a doctoral training program, internship, and postdoctoral residency that were each accredited by the American Psychological Association, which helped ensure a high-caliber training environment, which was also quite varied in settings, approaches, and diagnoses. During our sessions, I will guide, encourage, and teach you. The work you do between sessions will be the most important as you grow and change in profound ways.
(720) 706-7079 View (720) 706-7079
Photo of Centered Mind Counseling , Licensed Professional Counselor in Parker, CO
Centered Mind Counseling
Licensed Professional Counselor, LPC, LAC
Verified Verified
Parker, CO 80138  (Online Only)
Feeling a little lost and unsure about how to handle things in your life? We all feel like this at one time or another in our lives and it is helpful to have someone support you while trying to figure things out. Often a person will seek out counseling when personal attempts to solve a problem have not worked. At different times we experience unresolved situations that affect our sense of calm, clarity and balance.
Feeling a little lost and unsure about how to handle things in your life? We all feel like this at one time or another in our lives and it is helpful to have someone support you while trying to figure things out. Often a person will seek out counseling when personal attempts to solve a problem have not worked. At different times we experience unresolved situations that affect our sense of calm, clarity and balance.
(720) 408-2686 View (720) 408-2686
Photo of Lori Carter, Clinical Social Work/Therapist in Parker, CO
Lori Carter
Clinical Social Work/Therapist, LCSW, CDWF-C
Verified Verified
Parker, CO 80134  (Online Only)
As a Licensed Clinical Social Worker with 20+ years of experience, I specialize in Cognitive Behavioral Therapy and Brené Brown's Daring Way. I champion authenticity and vulnerability, offering a client-centered approach that empowers individuals and families toward growth. My practice combines therapeutic insight with coaching strategies, focusing on personalized tools for resilience and self-discovery. Committed to guiding clients through life’s challenges, my mission is to educate, empower, and inspire a fulfilling journey of self-awareness and healing.
As a Licensed Clinical Social Worker with 20+ years of experience, I specialize in Cognitive Behavioral Therapy and Brené Brown's Daring Way. I champion authenticity and vulnerability, offering a client-centered approach that empowers individuals and families toward growth. My practice combines therapeutic insight with coaching strategies, focusing on personalized tools for resilience and self-discovery. Committed to guiding clients through life’s challenges, my mission is to educate, empower, and inspire a fulfilling journey of self-awareness and healing.
(720) 477-6571 View (720) 477-6571
Photo of Paul Short, LPC Intern in Parker, CO
Paul Short
LPC Intern
Verified Verified
1 Endorsed
Parker, CO 80134
Not accepting new clients
I believe that the most powerful tool for growth is the therapeutic relationship. I find that understanding how and why we think what we do along with the relationships that we have around us are key points to look through to move forward. I like to work with anxiety, trauma and crisis work. I have worked with suicidal ideation so thoughts or topics around that do not scare me. I am comfortable working with men, adolescents, first responders, and veterans. I do not work much with kids, families and couples.
I believe that the most powerful tool for growth is the therapeutic relationship. I find that understanding how and why we think what we do along with the relationships that we have around us are key points to look through to move forward. I like to work with anxiety, trauma and crisis work. I have worked with suicidal ideation so thoughts or topics around that do not scare me. I am comfortable working with men, adolescents, first responders, and veterans. I do not work much with kids, families and couples.
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Photo of Renee Struck, Marriage & Family Therapist in Parker, CO
Renee Struck
Marriage & Family Therapist, MA, MFTC, LPCC, NCC
Verified Verified
1 Endorsed
Parker, CO 80138
Experiencing trauma and severe life stressors as an individual, or in your family system, can feel like our world is crumbling around us. Since therapy is not a one-size-fits all process, I strive to bring compassion, authenticity, collaboration and warmth to our counseling sessions together. When you choose to work with me you can expect me to meet you where you are. I want to empower you to reduce feelings of overwhelm and grief, and come up with coping skills that work in your real life.
Experiencing trauma and severe life stressors as an individual, or in your family system, can feel like our world is crumbling around us. Since therapy is not a one-size-fits all process, I strive to bring compassion, authenticity, collaboration and warmth to our counseling sessions together. When you choose to work with me you can expect me to meet you where you are. I want to empower you to reduce feelings of overwhelm and grief, and come up with coping skills that work in your real life.
(303) 951-7972 View (303) 951-7972
Photo of Mindy Berry Counseling, Licensed Professional Counselor in Parker, CO
Mindy Berry Counseling
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
Parker, CO 80138
Hi There! I provide a comfortable and confidential place for you to openly share your challenges. With experience in Individual Counseling, Relationship Counseling, and Talk Sex Therapy, I specialize in treating depression, anxiety, stress, and fidelity concerns. We'll talk about the hurdles you're facing, identify any repeat patterns, address difficult feelings, and together we'll develop new approaches in life. My goal is to help you create a personalized mental health toolkit that will support you as you move forward. I've also completed a 17-month internship under the mentorship of an expert in Sex Therapy and Gender Therapy.
Hi There! I provide a comfortable and confidential place for you to openly share your challenges. With experience in Individual Counseling, Relationship Counseling, and Talk Sex Therapy, I specialize in treating depression, anxiety, stress, and fidelity concerns. We'll talk about the hurdles you're facing, identify any repeat patterns, address difficult feelings, and together we'll develop new approaches in life. My goal is to help you create a personalized mental health toolkit that will support you as you move forward. I've also completed a 17-month internship under the mentorship of an expert in Sex Therapy and Gender Therapy.
(720) 496-0766 View (720) 496-0766
Photo of Ruth Shoemaker, Psychologist in Parker, CO
Ruth Shoemaker
Psychologist, PhD
Verified Verified
Parker, CO 80138  (Online Only)
When you meet with Ruth, you can expect to feel comfortable, empathy toward your issue(s), not judged, soothed by humor, and treated as an equal. You'll be heard and offered suggestions to help you address your challenges. Ruth's clients can overcome debilitating emotions, relational issues, life struggles such as past traumatic experiences, depression, anxiety, low self-esteem, and more. She uses active listening and offers empowering tools to overcome negative thoughts and feelings that limit their daily lives. Modalities she draws from include EMDR, DBT, DBT, mindfulness, biofeedback, and stress management training.
When you meet with Ruth, you can expect to feel comfortable, empathy toward your issue(s), not judged, soothed by humor, and treated as an equal. You'll be heard and offered suggestions to help you address your challenges. Ruth's clients can overcome debilitating emotions, relational issues, life struggles such as past traumatic experiences, depression, anxiety, low self-esteem, and more. She uses active listening and offers empowering tools to overcome negative thoughts and feelings that limit their daily lives. Modalities she draws from include EMDR, DBT, DBT, mindfulness, biofeedback, and stress management training.
(303) 586-7596 View (303) 586-7596
Photo of Nicole Dodd, Clinical Social Work/Therapist in Parker, CO
Nicole Dodd
Clinical Social Work/Therapist, LPC
Verified Verified
Parker, CO 80134
Relationships can be as puzzling as they are exciting. Counseling is a commitment of your time and energy and oftentimes people can wait too long before they seek help. Regardless of where you are in your journey, I will be your advocate; helping you navigate this complex thing we call life. I enjoy working with couples, individuals, teens or adult families offering them the tools needed to communicate effectively, manage their own strong feelings, challenge and overcome obstacles and maintain healthy boundaries to move forward in all aspects of their lives.
Relationships can be as puzzling as they are exciting. Counseling is a commitment of your time and energy and oftentimes people can wait too long before they seek help. Regardless of where you are in your journey, I will be your advocate; helping you navigate this complex thing we call life. I enjoy working with couples, individuals, teens or adult families offering them the tools needed to communicate effectively, manage their own strong feelings, challenge and overcome obstacles and maintain healthy boundaries to move forward in all aspects of their lives.
(720) 702-1498 View (720) 702-1498
Photo of Alexis R Toussaint, Clinical Social Work/Therapist in Parker, CO
Alexis R Toussaint
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
1 Endorsed
Parker, CO 80134  (Online Only)
Welcome! A genuine therapeutic relationship is vital! I offer empathy, encouragement, and support to help clients with life changes and hard times. I am a licensed clinical social worker from New Orleans, Louisiana with years of experience working as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting concerns, career challenges, serious mental disorders, and substance abuse disorders. I also helped many people who have experienced physical trauma or emotional abuse.
Welcome! A genuine therapeutic relationship is vital! I offer empathy, encouragement, and support to help clients with life changes and hard times. I am a licensed clinical social worker from New Orleans, Louisiana with years of experience working as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting concerns, career challenges, serious mental disorders, and substance abuse disorders. I also helped many people who have experienced physical trauma or emotional abuse.
(720) 807-3346 View (720) 807-3346
Photo of Daren O Norris, Psychologist in Parker, CO
Daren O Norris
Psychologist, PsyD
Verified Verified
Parker, CO 80138
Accepting New Clients. Too often people wait...and wait, hoping things will "just get better." Or maybe there is a stigma around seeking mental health services. My passion is helping people who have been stuck for too long, maybe even thinking all hope is gone. Being a veteran myself, and more specifically a Navy Psychologist, has enabled an understanding of this unique population. I am aware of the intricacies in navigating the VA and maintaining security clearances in careers after the military.
Accepting New Clients. Too often people wait...and wait, hoping things will "just get better." Or maybe there is a stigma around seeking mental health services. My passion is helping people who have been stuck for too long, maybe even thinking all hope is gone. Being a veteran myself, and more specifically a Navy Psychologist, has enabled an understanding of this unique population. I am aware of the intricacies in navigating the VA and maintaining security clearances in careers after the military.
(303) 529-1329 View (303) 529-1329
Photo of Beautiful Moon Health & Wellness, Ltd., Clinical Social Work/Therapist in Parker, CO
Beautiful Moon Health & Wellness, Ltd.
Clinical Social Work/Therapist, LCSW
Verified Verified
Parker, CO 80138
Do you struggle with people-pleasing behaviors, perfectionism, interpersonal conflict, and/or self-image? Do you struggle with anxious or depressive thoughts that you can't seem to shake? Perhaps you've been dealt a difficult hand in life starting back in childhood where you had to develop coping skills that no longer serve you. If you are ready to develop your self-awareness and understanding of yourself and how you relate to others, I look forward to working with you.
Do you struggle with people-pleasing behaviors, perfectionism, interpersonal conflict, and/or self-image? Do you struggle with anxious or depressive thoughts that you can't seem to shake? Perhaps you've been dealt a difficult hand in life starting back in childhood where you had to develop coping skills that no longer serve you. If you are ready to develop your self-awareness and understanding of yourself and how you relate to others, I look forward to working with you.
(720) 575-2675 View (720) 575-2675
Photo of Glass Waters Counseling & Divorce Coaching, Licensed Professional Counselor in Parker, CO
Glass Waters Counseling & Divorce Coaching
Licensed Professional Counselor, LPC
Verified Verified
Parker, CO 80134  (Online Only)
Not accepting new clients
I work best with motivated high functioning adult couples wanting to enhance their relationship and individuals/newly ex couples needing coaching through the tribulations of divorce to include positive communication techniques, parenting consistency, financial fears, what to think about before filing, what to include, what NOT to do, being your support so you avoid exhausting your friends/family…"Empathy is about finding echoes of another person in yourself" Mohsin Hamid.
I work best with motivated high functioning adult couples wanting to enhance their relationship and individuals/newly ex couples needing coaching through the tribulations of divorce to include positive communication techniques, parenting consistency, financial fears, what to think about before filing, what to include, what NOT to do, being your support so you avoid exhausting your friends/family…"Empathy is about finding echoes of another person in yourself" Mohsin Hamid.
(720) 637-3340 View (720) 637-3340
Photo of Shauna Scarano, Licensed Professional Counselor in Parker, CO
Shauna Scarano
Licensed Professional Counselor, MA, LPC, LAC, MFTC
Verified Verified
1 Endorsed
Parker, CO 80134  (Online Only)
Shauna enjoys counseling individuals who are considering life change, establishing their sense of self, and are looking to strengthen their mental, emotional, social, physical, and spiritual parts of their self. She is certified with the Department of Regulatory Agencies, National Board of Certified Counselors, and the Association for Addiction Professionals. She completed her Masters Degree in Clinical Mental Health Counseling with Northwestern University.
Shauna enjoys counseling individuals who are considering life change, establishing their sense of self, and are looking to strengthen their mental, emotional, social, physical, and spiritual parts of their self. She is certified with the Department of Regulatory Agencies, National Board of Certified Counselors, and the Association for Addiction Professionals. She completed her Masters Degree in Clinical Mental Health Counseling with Northwestern University.
(719) 497-2786 View (719) 497-2786
Photo of David Durtschi, Licensed Professional Counselor in Parker, CO
David Durtschi
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
1 Endorsed
Parker, CO 80134
Is it ever going to get better? Am I enough? Do you still love me? Will we make it? These are some of the questions you may have. Through Life Counseling and Wellness Center, you'll be able to find a measure of hope and peace in the chaos. We will help you reconnect to what makes life worth living. Life is not about waiting out the storm, it's about learning to dance in the rain. I look forward to working with you, David Durtschi LPC, MA, NCC
Is it ever going to get better? Am I enough? Do you still love me? Will we make it? These are some of the questions you may have. Through Life Counseling and Wellness Center, you'll be able to find a measure of hope and peace in the chaos. We will help you reconnect to what makes life worth living. Life is not about waiting out the storm, it's about learning to dance in the rain. I look forward to working with you, David Durtschi LPC, MA, NCC
(303) 805-0495 View (303) 805-0495
Photo of Growing in Him Christian Counseling, Clinical Social Work/Therapist in Parker, CO
Growing in Him Christian Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Parker, CO 80138
At Growing in Him, we bring professional care, empathy, and healing to children, teens, and adults by using the love of Jesus and a Christian therapeutic approach to offer support for life's greatest challenges. We have a team of professionals ready to help you work through trauma, depression, anxiety, grief, anger, and many other life situations. We understand talking with someone about personal issues can be overwhelming and scary. We are here to listen and guide you through difficult times without judgement.
At Growing in Him, we bring professional care, empathy, and healing to children, teens, and adults by using the love of Jesus and a Christian therapeutic approach to offer support for life's greatest challenges. We have a team of professionals ready to help you work through trauma, depression, anxiety, grief, anger, and many other life situations. We understand talking with someone about personal issues can be overwhelming and scary. We are here to listen and guide you through difficult times without judgement.
(720) 704-4218 View (720) 704-4218
Photo of Legacy Center, Psychologist in Parker, CO
Legacy Center
Psychologist, PhD, BCBA-D
Verified Verified
Parker, CO 80138
Molly White, Ph.D., BCBA-D and other providers at Legacy provide comprehensive evaluations to assess for developmental disabilities, Autism Spectrum Disorder, learning disabilities, ADHD, and gifted and talented. Further, Legacy coordinates treatment services with the medical community to provide more comprehensive treatment plans for patients and their families.
Molly White, Ph.D., BCBA-D and other providers at Legacy provide comprehensive evaluations to assess for developmental disabilities, Autism Spectrum Disorder, learning disabilities, ADHD, and gifted and talented. Further, Legacy coordinates treatment services with the medical community to provide more comprehensive treatment plans for patients and their families.
(303) 529-4172 View (303) 529-4172
Photo of Kerry L Martin, Licensed Professional Counselor in Parker, CO
Kerry L Martin
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Parker, CO 80134
Ever feel out of control as if you might explode? Or so empty you might simply disappear? These are common symptoms of grief, unresolved trauma, anxiety, and stress. Brainspotting is a highly effective intervention for simple and complex trauma, as well as post traumatic stress and anxiety, It works without retraumatization. Grief and mourning often benefit from a trained companion. Counseling is a great way to prepare for marriage and assess or maintain an existing relationship. Call me and let's talk about how we can improve your life experience, whether healing from your past, enhancing your today, or preparing for your future.
Ever feel out of control as if you might explode? Or so empty you might simply disappear? These are common symptoms of grief, unresolved trauma, anxiety, and stress. Brainspotting is a highly effective intervention for simple and complex trauma, as well as post traumatic stress and anxiety, It works without retraumatization. Grief and mourning often benefit from a trained companion. Counseling is a great way to prepare for marriage and assess or maintain an existing relationship. Call me and let's talk about how we can improve your life experience, whether healing from your past, enhancing your today, or preparing for your future.
(720) 606-6349 View (720) 606-6349
Photo of Audra Desch, Licensed Professional Counselor in Parker, CO
Audra Desch
Licensed Professional Counselor, LPC, LAC, ACS
Verified Verified
Parker, CO 80138  (Online Only)
What if you could navigate your relationships, manage stress during life transitions in healthier ways, understand the roots of your anxiety or addiction and communicate in ways that foster deeper connections? As an experienced therapist, I understand that embarking on a journey of change takes courage. Imagine a life where you're not bound by the limitations that keep you feeling "stuck" in patterns that no longer serve you.
What if you could navigate your relationships, manage stress during life transitions in healthier ways, understand the roots of your anxiety or addiction and communicate in ways that foster deeper connections? As an experienced therapist, I understand that embarking on a journey of change takes courage. Imagine a life where you're not bound by the limitations that keep you feeling "stuck" in patterns that no longer serve you.
(970) 432-4972 View (970) 432-4972
Photo of Mark Taylor, Clinical Social Work/Therapist in Parker, CO
Mark Taylor
Clinical Social Work/Therapist, LCSW, CSAC, NBCCH
Verified Verified
Parker, CO 80138
Hello and welcome! I work with adults who want to make improvements in their lives. I have extensive training and experience treating people who have substance use disorders, traumas and post traumatic stress, and in working with veterans and military families. I am solution-oriented and strive to help my clients find ways to improve their condition and resolve nagging difficulties. I have an eclectic approach to treatment and use cognitive and behavioral therapies, motivational interviewing, communication theory, systems theory, and neuro-linguistic programming.
Hello and welcome! I work with adults who want to make improvements in their lives. I have extensive training and experience treating people who have substance use disorders, traumas and post traumatic stress, and in working with veterans and military families. I am solution-oriented and strive to help my clients find ways to improve their condition and resolve nagging difficulties. I have an eclectic approach to treatment and use cognitive and behavioral therapies, motivational interviewing, communication theory, systems theory, and neuro-linguistic programming.
(720) 640-4760 View (720) 640-4760

How does your Therapist compare?

Number of Therapists in Parker, CO

300+

Average cost per session

$135

Therapists in Parker, CO who prioritize treating:

94% Anxiety
88% Depression
78% Relationship Issues
74% Self Esteem
72% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
71% UnitedHealthcare UHC | UBH
70% Cigna and Evernorth

How Therapists in Parker, CO see their clients

78% In Person and Online
22% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Parker?

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.