Therapists in 89146

La'Quita Hampton
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Las Vegas, NV 89146
My ideal clients are teens and adults who may be struggling with the many challenges life can bring. Whether you are experiencing anxiety, depression, stress, life transitions, relationship difficult, trauma, low self-esteem, grief, burnout, or feeling overwhelmed by daily responsibilities, I aim to provide a supportive space where you feel safe, heard, and understood. My goal is to help clients build resilience, develop practical coping skills, improve emotional well-being, and gain a deeper understanding of of themselves. I use a compassionate, collaborative, and client-centered approach to support each individual.
My ideal clients are teens and adults who may be struggling with the many challenges life can bring. Whether you are experiencing anxiety, depression, stress, life transitions, relationship difficult, trauma, low self-esteem, grief, burnout, or feeling overwhelmed by daily responsibilities, I aim to provide a supportive space where you feel safe, heard, and understood. My goal is to help clients build resilience, develop practical coping skills, improve emotional well-being, and gain a deeper understanding of of themselves. I use a compassionate, collaborative, and client-centered approach to support each individual.
(725) 550-5652 View (725) 550-5652
Rochelle Saludes
Clinical Social Work/Therapist, LCSW, LCADC
3 Endorsed
Las Vegas, NV 89146
Feeling Overwhelmed by Anxiety, Depression, or Life Changes? Let’s Work Together Toward Healing and Growth! I am a Licensed Clinical Social Worker and Licensed Clinical Alcohol and Drug Counselor dedicated to helping adults live fulfilling, healthy lives. I specialize in working with individuals facing depression, anxiety, stress, relationship challenges, or life transitions. Many of my clients seek support to manage emotions, find balance, and regain control. For those affected by substance use, I offer guidance in reducing or stopping use, helping you reclaim your well-being in a safe, non-judgmental space.
Feeling Overwhelmed by Anxiety, Depression, or Life Changes? Let’s Work Together Toward Healing and Growth! I am a Licensed Clinical Social Worker and Licensed Clinical Alcohol and Drug Counselor dedicated to helping adults live fulfilling, healthy lives. I specialize in working with individuals facing depression, anxiety, stress, relationship challenges, or life transitions. Many of my clients seek support to manage emotions, find balance, and regain control. For those affected by substance use, I offer guidance in reducing or stopping use, helping you reclaim your well-being in a safe, non-judgmental space.
(702) 745-5662 View (702) 745-5662
Multicultural Wellness West
Counselor, PsyD, LCSW, CPC, LMFT, CADAC
Las Vegas, NV 89146
At Multicultural Wellness West (MWW), we utilize a relational approach to working with clients. Our treatment encompasses a variety of therapeutic practices to enhance client strengths and build upon areas requiring support. Our clients vary in therapeutic and cultural needs. We assist clients in actualizing their therapeutic goals, and we identify areas that may block their growth. This is achieved through individual, family and group therapy sessions.
At Multicultural Wellness West (MWW), we utilize a relational approach to working with clients. Our treatment encompasses a variety of therapeutic practices to enhance client strengths and build upon areas requiring support. Our clients vary in therapeutic and cultural needs. We assist clients in actualizing their therapeutic goals, and we identify areas that may block their growth. This is achieved through individual, family and group therapy sessions.
(702) 508-7539 View (702) 508-7539
Milka Aviles-Quintana
Marriage & Family Therapist, BSW, LMFT
1 Endorsed
Las Vegas, NV 89146
We've all experienced stressful or traumatic events that can have a lasting effect. You may feel overwhelmed and unsure about your future. My goal is to offer a safe and supportive environment where you can confront your challenges and overcome what's holding you back. This can help you regain a sense of joy and fulfillment in your life. Additionally, I am experienced in working with Hispanic individuals, couples, and families, and I take into account the cultural nuances that shape our experiences.
We've all experienced stressful or traumatic events that can have a lasting effect. You may feel overwhelmed and unsure about your future. My goal is to offer a safe and supportive environment where you can confront your challenges and overcome what's holding you back. This can help you regain a sense of joy and fulfillment in your life. Additionally, I am experienced in working with Hispanic individuals, couples, and families, and I take into account the cultural nuances that shape our experiences.
(702) 887-1414 View (702) 887-1414
Graciela Yasmin Pacheco
Marriage & Family Therapist, MA, MFT
1 Endorsed
Las Vegas, NV 89146
Nope, not another mediocre therapist. I won't tell you to "just think positive" or "take a deep breath." You deserve a seasoned clinician that provides research-proven treatment that produces dramatic change. Hi, I'm Graciela Yasmin Pacheco M.A., MFT – a Spanish speaking Arab-American who rose from humble beginnings to become the first in my family to attend college. With dual state licensure in both California and Nevada, I offer office and live video visits to individuals, couples, and select families. I have lived experience, a good sense of humor, and will relentlessly do everything in my clinical power to see you win.
Nope, not another mediocre therapist. I won't tell you to "just think positive" or "take a deep breath." You deserve a seasoned clinician that provides research-proven treatment that produces dramatic change. Hi, I'm Graciela Yasmin Pacheco M.A., MFT – a Spanish speaking Arab-American who rose from humble beginnings to become the first in my family to attend college. With dual state licensure in both California and Nevada, I offer office and live video visits to individuals, couples, and select families. I have lived experience, a good sense of humor, and will relentlessly do everything in my clinical power to see you win.
(725) 999-5628 View (725) 999-5628
New Way Empowerment Center
Clinical Social Work/Therapist, LCSW, LMSW
Las Vegas, NV 89146
There will come a time in all of our lives when we could benefit from talking with someone about current or past difficulties that result in stress, depression, anxiety, anger, and/or low self-esteem. Learning healthy ways to cope is essential to achieving mental health and wellness. Speak with one of our mental health professionals who can provide support, a listening ear, and positive feedback to assist you in your journey towards healing and wellbeing.
There will come a time in all of our lives when we could benefit from talking with someone about current or past difficulties that result in stress, depression, anxiety, anger, and/or low self-esteem. Learning healthy ways to cope is essential to achieving mental health and wellness. Speak with one of our mental health professionals who can provide support, a listening ear, and positive feedback to assist you in your journey towards healing and wellbeing.
(702) 842-2306 View (702) 842-2306
EMDR for High-Functioning and Religious Trauma
Clinical Social Work/Therapist, LCSW
4 Endorsed
Las Vegas, NV 89146
You appear like you have it together, but underneath the high performance, something in your nervous system never got the memo that you're safe. Maybe you're anywhere on the spectrum from faith deconstruction to cult exit recovery. Maybe something shifted your worldview so completely that you're still finding your footing. You're tired of performing, overthinking, and proving your worth through rules you didn't choose. You're ready to feel like yourself: grounded, trusting, and genuinely free. Las Vegas and Nevada trauma therapy and EMDR for religious trauma, anxiety, and transformative experiences. You're in the right place.
You appear like you have it together, but underneath the high performance, something in your nervous system never got the memo that you're safe. Maybe you're anywhere on the spectrum from faith deconstruction to cult exit recovery. Maybe something shifted your worldview so completely that you're still finding your footing. You're tired of performing, overthinking, and proving your worth through rules you didn't choose. You're ready to feel like yourself: grounded, trusting, and genuinely free. Las Vegas and Nevada trauma therapy and EMDR for religious trauma, anxiety, and transformative experiences. You're in the right place.
(702) 482-9253 View (702) 482-9253
Dr. Sandra Leon-Villa
Psychologist, PhD
Las Vegas, NV 89146
Dr. Sandra León-Villa is a first gen, daughter of immigrants, Autistic Xicana, Activist, Speaker, Liberation Psychologist. Her work primarily focuses on the treatment of trauma, BIPOC mental health, and first generation BIPOC career professionals. She has been in the mental health field for 18 years working directly with trauma survivors and is a survivor herself. Dr. León-Villa published her research study, Exploring Gender and Racial/Ethnic Differences in the Effects of Child Sexual Abuse in the Journal of Child Sexual Abuse in 2018. She is trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and TF-CBT.
Dr. Sandra León-Villa is a first gen, daughter of immigrants, Autistic Xicana, Activist, Speaker, Liberation Psychologist. Her work primarily focuses on the treatment of trauma, BIPOC mental health, and first generation BIPOC career professionals. She has been in the mental health field for 18 years working directly with trauma survivors and is a survivor herself. Dr. León-Villa published her research study, Exploring Gender and Racial/Ethnic Differences in the Effects of Child Sexual Abuse in the Journal of Child Sexual Abuse in 2018. She is trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and TF-CBT.
(725) 303-1668 View (725) 303-1668
Jineth Rojas
Marriage & Family Therapist Intern, MA, MFT-I
Las Vegas, NV 89146
I am now taking new clients in person or via Telehealth. I have experience in trauma, and I focus in Cognitive Behavioral Therapy when treating clients. I am committed to providing the upmost ethical and professional treatment, that is specifically designed for you. I am bilingual and provide sessions in English and/or Spanish. I am familiar with issues of anxiety, trauma, depression, ADHD, and other mental health disorders.
I am now taking new clients in person or via Telehealth. I have experience in trauma, and I focus in Cognitive Behavioral Therapy when treating clients. I am committed to providing the upmost ethical and professional treatment, that is specifically designed for you. I am bilingual and provide sessions in English and/or Spanish. I am familiar with issues of anxiety, trauma, depression, ADHD, and other mental health disorders.
(702) 323-5198 View (702) 323-5198
Stephanie Henschen
Licensed Professional Counselor, MA, LPC
Las Vegas, NV 89146
No one should walk through their healing journey alone and everyone has meaning and purpose in life. I will help you to create the life that you want by providing you with the skills to overcome past hurts and embrace your future to live your best life. My therapeutic approach is client-centered and my communication style is to combine support and compassion with honest feedback to help you achieve personal success. I work with adults and mature adolescents who are truly ready to invest in their healing. Living presently and without stress, fear, guilt, and worry is absolutely possible.
No one should walk through their healing journey alone and everyone has meaning and purpose in life. I will help you to create the life that you want by providing you with the skills to overcome past hurts and embrace your future to live your best life. My therapeutic approach is client-centered and my communication style is to combine support and compassion with honest feedback to help you achieve personal success. I work with adults and mature adolescents who are truly ready to invest in their healing. Living presently and without stress, fear, guilt, and worry is absolutely possible.
(702) 827-4696 View (702) 827-4696
Amanda Tufano (Flores)
Marriage & Family Therapist, MS, LMFT, CADC-I
5 Endorsed
Las Vegas, NV 89146
Are you ready to stop surviving and start creating the life you want? If you’re struggling with anxiety, trauma, or low self-esteem, you may feel overwhelmed, stuck, or unsure how to move forward. Therapy can help you understand these patterns, heal from painful experiences, and build healthier ways of coping. My approach to therapy is compassionate, supportive, and honest. I create a safe and nonjudgmental space while also gently challenging clients to move beyond old patterns so they can experience meaningful growth and lasting change.
Are you ready to stop surviving and start creating the life you want? If you’re struggling with anxiety, trauma, or low self-esteem, you may feel overwhelmed, stuck, or unsure how to move forward. Therapy can help you understand these patterns, heal from painful experiences, and build healthier ways of coping. My approach to therapy is compassionate, supportive, and honest. I create a safe and nonjudgmental space while also gently challenging clients to move beyond old patterns so they can experience meaningful growth and lasting change.
(702) 664-8525 View (702) 664-8525
Jessica Cole
Pre-Licensed Professional, MFT-I
4 Endorsed
Las Vegas, NV 89146
As an Afro-Latina therapist, I understand how deeply systems, culture, and lived experience shape our mental health and relationships. I am committed to creating a safe, inclusive, and empowering space, especially for marginalized and diverse communities, including LGBTQ+ individuals and couples and clients in polyamorous and power-exchange relationships.
As an Afro-Latina therapist, I understand how deeply systems, culture, and lived experience shape our mental health and relationships. I am committed to creating a safe, inclusive, and empowering space, especially for marginalized and diverse communities, including LGBTQ+ individuals and couples and clients in polyamorous and power-exchange relationships.
(725) 262-5422 View (725) 262-5422
Samra Bastian
Marriage & Family Therapist, MS, LMFT, LCADC
1 Endorsed
Las Vegas, NV 89146
Are you a survivor of Trauma? Have you tried talk therapy only to find that your symptoms are not alleviated to the level you would like? Many people believe they will never feel better because trauma symptoms can be difficult to deal with. Family, work and your social life are impacted when you are struggling. I specialize in trauma psychotherapy and through my years of therapeutic experience, I have helped clients improve. I'm certified in two trauma approaches to help clients. Making the decision to work with a therapist can be one of the most rewarding decisions you make as you you will learn how to overcome your trauma past.
Are you a survivor of Trauma? Have you tried talk therapy only to find that your symptoms are not alleviated to the level you would like? Many people believe they will never feel better because trauma symptoms can be difficult to deal with. Family, work and your social life are impacted when you are struggling. I specialize in trauma psychotherapy and through my years of therapeutic experience, I have helped clients improve. I'm certified in two trauma approaches to help clients. Making the decision to work with a therapist can be one of the most rewarding decisions you make as you you will learn how to overcome your trauma past.
(702) 905-1157 View (702) 905-1157
Shannon Bagnara
Counselor, MA, LCPC
2 Endorsed
Las Vegas, NV 89146
You find yourself stuck in patterns you thought you outgrew— anxiety, self-doubt, anger, people-pleasing or shame. To others you may be capable, thoughtful, and even successful in a lot of ways but yet, something from the past still hurts. A part of you wonders: Why does this keep happening? Many of my clients grew up with emotionally immature, unavailable, or overwhelmed parents. Sometimes there was outright abuse or neglect. Other times, just a more subtle sense that your emotional needs didn't matter. These experiences can shape how you relate to yourself, others, and the world in ways that are hard to name but deeply felt.
You find yourself stuck in patterns you thought you outgrew— anxiety, self-doubt, anger, people-pleasing or shame. To others you may be capable, thoughtful, and even successful in a lot of ways but yet, something from the past still hurts. A part of you wonders: Why does this keep happening? Many of my clients grew up with emotionally immature, unavailable, or overwhelmed parents. Sometimes there was outright abuse or neglect. Other times, just a more subtle sense that your emotional needs didn't matter. These experiences can shape how you relate to yourself, others, and the world in ways that are hard to name but deeply felt.
(725) 677-6917 View (725) 677-6917
Darby Sams
Marriage & Family Therapist Intern, MFT-I
2 Endorsed
Las Vegas, NV 89146
The clients I work with are often individuals and couples who care deeply about connection but feel worn down by strain in their relationships or bodies. Some are living with chronic illness and adjusting to a body or life that no longer works the way it used to. Some are couples (monogamous or poly) trying to communicate more clearly, repair trust, or navigate differences without losing closeness. Others are struggling with sexual concerns that feel hard to talk about, even with someone they love. What they want is understanding without judgment, and support that honors the complexity of their experience.
The clients I work with are often individuals and couples who care deeply about connection but feel worn down by strain in their relationships or bodies. Some are living with chronic illness and adjusting to a body or life that no longer works the way it used to. Some are couples (monogamous or poly) trying to communicate more clearly, repair trust, or navigate differences without losing closeness. Others are struggling with sexual concerns that feel hard to talk about, even with someone they love. What they want is understanding without judgment, and support that honors the complexity of their experience.
(725) 765-3792 View (725) 765-3792
Anne Ateeka B Contee
Licensed Professional Counselor, CPCL
Las Vegas, NV 89146
I’m the founder of the MindFull Healing Collective, offering therapy to therapists, healing professionals, their partners, and individuals seeking a grounded, integrative, and culturally aware space to reconnect. Born in India, my healing roots are shaped by Ayurveda, yoga, and mindfulness, woven with somatic therapy, trauma-informed care, and relational neuroscience. As an APA-accredited CE provider certified in nature-informed & equine-assisted work, I support clinicians while also working with Nevadans online and through select nature-based and equine-assisted gatherings that invite nervous system regulation and deeper presence.
I’m the founder of the MindFull Healing Collective, offering therapy to therapists, healing professionals, their partners, and individuals seeking a grounded, integrative, and culturally aware space to reconnect. Born in India, my healing roots are shaped by Ayurveda, yoga, and mindfulness, woven with somatic therapy, trauma-informed care, and relational neuroscience. As an APA-accredited CE provider certified in nature-informed & equine-assisted work, I support clinicians while also working with Nevadans online and through select nature-based and equine-assisted gatherings that invite nervous system regulation and deeper presence.
(725) 550-5463 View (725) 550-5463
Sarah Bolor
Clinical Social Work/Therapist, LCSW
3 Endorsed
Las Vegas, NV 89146
Do you look put-together on the outside while quietly falling apart on the inside? You’re the one people rely on, driven, capable, always pushing, but you take on too much, say yes when you’re exhausted, and let your boundaries slip to avoid letting anyone down. You’re overwhelmed, overthinking, and running on empty. If you’re tired of carrying more than your share and craving a place to finally be honest about how heavy it’s gotten, you’re in the right place. I will help you learn to slow down enough to understand what’s driving your overwhelm and then build tools that actually fit your real life.
Do you look put-together on the outside while quietly falling apart on the inside? You’re the one people rely on, driven, capable, always pushing, but you take on too much, say yes when you’re exhausted, and let your boundaries slip to avoid letting anyone down. You’re overwhelmed, overthinking, and running on empty. If you’re tired of carrying more than your share and craving a place to finally be honest about how heavy it’s gotten, you’re in the right place. I will help you learn to slow down enough to understand what’s driving your overwhelm and then build tools that actually fit your real life.
(702) 903-2745 View (702) 903-2745
Debra Doodkevitch LCSW / The Brain Train Center
Clinical Social Work/Therapist, LCSW, MSW
Las Vegas, NV 89146
With more than 40 years experience in the mental health field, I have served the Las Vegas Valley Community since 2004, specializing in unique stress management solutions for adults and seniors. I offer a variety of techniques to enhance self awareness and empower people to take charge of their mental and physical health. I am now offering both in-office and virtual sessions by appointment only.
With more than 40 years experience in the mental health field, I have served the Las Vegas Valley Community since 2004, specializing in unique stress management solutions for adults and seniors. I offer a variety of techniques to enhance self awareness and empower people to take charge of their mental and physical health. I am now offering both in-office and virtual sessions by appointment only.
(702) 728-4676 View (702) 728-4676
Alyssa M. Christal
Marriage & Family Therapist, LMFT
Las Vegas, NV 89146
Life today looks very different than it did five, ten, or fifteen years ago. Our society has shifted and changed, and feeling disconnected is oftentimes our new normal. Have you been feeling lost and yearn to connect deeper with yourself and others in your life? Are you seeking change? We don’t have to be disconnected; living a life that feels more meaningful is indeed possible. I am passionate in working collaboratively with my clients who want to build skills to radiate authenticity, empowerment, and deeper relationships. I welcome individuals, partners, and families to work with me in curating a path towards these goals.
Life today looks very different than it did five, ten, or fifteen years ago. Our society has shifted and changed, and feeling disconnected is oftentimes our new normal. Have you been feeling lost and yearn to connect deeper with yourself and others in your life? Are you seeking change? We don’t have to be disconnected; living a life that feels more meaningful is indeed possible. I am passionate in working collaboratively with my clients who want to build skills to radiate authenticity, empowerment, and deeper relationships. I welcome individuals, partners, and families to work with me in curating a path towards these goals.
(725) 223-0168 View (725) 223-0168
Jessi Sommer
Marriage & Family Therapist Intern, MA, MFT-I
1 Endorsed
Las Vegas, NV 89146
Have you been experiencing significant stress with painful memories from the past? Has this stress been affecting your work, school, relationships, or your ability to just enjoy rest? Often traumatic experiences can affect how we connect in our present day and it can feel incredibly lonely. Most of my clients come in with the goal to heal past traumas along with addressing intergenerational patterns or "curses" within their family that they would like to break. I approach trauma through a narrative lens that assists with reframing your story. My hope is create a space where you can be curious towards this new journey.
Have you been experiencing significant stress with painful memories from the past? Has this stress been affecting your work, school, relationships, or your ability to just enjoy rest? Often traumatic experiences can affect how we connect in our present day and it can feel incredibly lonely. Most of my clients come in with the goal to heal past traumas along with addressing intergenerational patterns or "curses" within their family that they would like to break. I approach trauma through a narrative lens that assists with reframing your story. My hope is create a space where you can be curious towards this new journey.
(702) 710-2745 View (702) 710-2745

See more therapy options for 89146

How does your Therapist compare?

Number of Therapists in 89146

90+

Average cost per session

$147

Therapists in 89146 who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
87% Depression
84% Trauma and PTSD
84% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
79% Cigna and Evernorth
70% BlueCross and BlueShield

How Therapists in 89146 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 89146?

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.