Photo of Gaelle Carey, LMFT, Marriage & Family Therapist
Gaelle Carey
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
Welcome! My name is Gaëlle Carey and I am a Licensed Marriage and Family Therapist. I have worked with all types of people, from CEOs to stay-at-home parents. My ideal client is anyone who is interested in empowering their life. I am a direct person and like to get right down to business, but I also genuinely care about my clients' success. I have experience providing clinical assessment and therapeutic care to adolescents and adults seeking help with depression, anxiety, trauma, substance use disorders, anger management, Post-traumatic stress disorder, Personality Disorders, ADHD management, and LGBTQ+ issues.
Welcome! My name is Gaëlle Carey and I am a Licensed Marriage and Family Therapist. I have worked with all types of people, from CEOs to stay-at-home parents. My ideal client is anyone who is interested in empowering their life. I am a direct person and like to get right down to business, but I also genuinely care about my clients' success. I have experience providing clinical assessment and therapeutic care to adolescents and adults seeking help with depression, anxiety, trauma, substance use disorders, anger management, Post-traumatic stress disorder, Personality Disorders, ADHD management, and LGBTQ+ issues.
(619) 329-8438 View (619) 329-8438
Photo of Natalia Addona, LPCC
Natalia Addona
Licensed Professional Clinical Counselor, LPCC
Verified Verified
2 Endorsed
San Diego, CA 92104  (Online Only)
Hi, I'm Natalia and I specialize in working with adults dealing with anxiety, life transitions, and relationship issues. I have a speciality in working with those who struggle with substance use, those who are sober curious, and partners of those struggling with substance abuse. I come from the perspective that through life's challenges (challenging relationships, grief, trauma, etc.), we start to second guess ourselves. In my work with client's, we begin by building a strong relationship and developing a space for you to explore those intrusive thoughts, anxious worries, and internal dialogue.
Hi, I'm Natalia and I specialize in working with adults dealing with anxiety, life transitions, and relationship issues. I have a speciality in working with those who struggle with substance use, those who are sober curious, and partners of those struggling with substance abuse. I come from the perspective that through life's challenges (challenging relationships, grief, trauma, etc.), we start to second guess ourselves. In my work with client's, we begin by building a strong relationship and developing a space for you to explore those intrusive thoughts, anxious worries, and internal dialogue.
(619) 558-0835 View (619) 558-0835
Photo of Dain Dorsey, LMFT, Marriage & Family Therapist
Dain Dorsey
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
Hey! Whether you are new to therapy or not, I commend you for the bravery it takes to start searching. I hope that you will find I could be of service to you. In both my professional and personal journey, I have sought to learn how to find more peace, happiness, and fulfillment. As a therapist, my goal is to learn what that might look like for you, and explore how we get there. I want my clients to crave insight, and question "Why are things the way they are?" I work best with clients who are willing to consider alternative perspectives, experiment with change, and remains persistent despite obstacles or failures.
Hey! Whether you are new to therapy or not, I commend you for the bravery it takes to start searching. I hope that you will find I could be of service to you. In both my professional and personal journey, I have sought to learn how to find more peace, happiness, and fulfillment. As a therapist, my goal is to learn what that might look like for you, and explore how we get there. I want my clients to crave insight, and question "Why are things the way they are?" I work best with clients who are willing to consider alternative perspectives, experiment with change, and remains persistent despite obstacles or failures.
(760) 407-3529 View (760) 407-3529
Photo of Aleah Maas, LCSW, RYT, Clinical Social Work/Therapist
Aleah Maas
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
San Diego, CA 92104  (Online Only)
Are you feeling stuck in life or overwhelmed by your emotions? Do you have difficulty with relationships or self worth? With the right support, it is possible to feel more balanced and in control of your life. I utilize a holistic approach, integrating the mind and body to help you deal with difficult emotions when they arise. I can help you navigate and change patterns within relationships that are affecting your wellbeing. My goal is to work with you while you build a deeper sense of safety and connection with yourself and within your relationships.
Are you feeling stuck in life or overwhelmed by your emotions? Do you have difficulty with relationships or self worth? With the right support, it is possible to feel more balanced and in control of your life. I utilize a holistic approach, integrating the mind and body to help you deal with difficult emotions when they arise. I can help you navigate and change patterns within relationships that are affecting your wellbeing. My goal is to work with you while you build a deeper sense of safety and connection with yourself and within your relationships.
(619) 658-6975 View (619) 658-6975
Photo of Monika Gaspar, MS, Reiki, Yoga, Licensed Professional Counselor
Monika Gaspar
Licensed Professional Counselor, MS, Reiki, Yoga
Verified Verified
1 Endorsed
San Diego, CA 92104  (Online Only)
Hello! I’m Monika, an intuitive counselor, guide, coach, and space holder. I offer sessions that support you in building a relationship of trust with your inner wisdom. They're an invitation for you to become more deeply attuned to every part of you and establish a sense of home within. We do this through deep listening to what is presently coming up in life, energy healing (like Reiki), breath, movement, and meditation practices, and through intuitive messages from guides. Our work supports you in learning how to: ground into your center, set boundaries to protect your energy, and practice discernment (what’s true for you).
Hello! I’m Monika, an intuitive counselor, guide, coach, and space holder. I offer sessions that support you in building a relationship of trust with your inner wisdom. They're an invitation for you to become more deeply attuned to every part of you and establish a sense of home within. We do this through deep listening to what is presently coming up in life, energy healing (like Reiki), breath, movement, and meditation practices, and through intuitive messages from guides. Our work supports you in learning how to: ground into your center, set boundaries to protect your energy, and practice discernment (what’s true for you).
View
Photo of Dr. Sarah E Nunnink, PhD, MA, Psychologist
Dr. Sarah E Nunnink
Psychologist, PhD, MA
Verified Verified
7 Endorsed
San Diego, CA 92104
Do you find yourself struggling with your emotions? Does it seem like you are overwhelmed by your feelings, or instead that you have to keep a tight lid on your emotions so as not to do damage to your relationships, career and family life? I work well with people who are struggling with feelings of being "stuck" in their lives and with their emotions, and who wonder if there's more to life in terms of vitality and aliveness. I'll aim to help you increase your emotional intelligence so that your emotions work for rather than against you.
Do you find yourself struggling with your emotions? Does it seem like you are overwhelmed by your feelings, or instead that you have to keep a tight lid on your emotions so as not to do damage to your relationships, career and family life? I work well with people who are struggling with feelings of being "stuck" in their lives and with their emotions, and who wonder if there's more to life in terms of vitality and aliveness. I'll aim to help you increase your emotional intelligence so that your emotions work for rather than against you.
(619) 382-3036 View (619) 382-3036
Photo of Glenn Allan Alexander, MA, LMFT, CST, Marriage & Family Therapist
Glenn Allan Alexander
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
San Diego, CA 92104  (Online Only)
I am passionate about helping clients find and explore their authentic selves in a judgment-free space. I am committed to helping you with challenging issues such as relationships, anxiety, depression, past hurts, life/religious transitions, personal growth, sexual health, or even unconscious obstacles that may hold you back. I assist my clients as they define their vision of psychological, emotional, and sexual health for themselves, their partner(s), and their families. Assisting clients to overcome the unique challenges they face in life by encouraging them to become their authentic selves.
I am passionate about helping clients find and explore their authentic selves in a judgment-free space. I am committed to helping you with challenging issues such as relationships, anxiety, depression, past hurts, life/religious transitions, personal growth, sexual health, or even unconscious obstacles that may hold you back. I assist my clients as they define their vision of psychological, emotional, and sexual health for themselves, their partner(s), and their families. Assisting clients to overcome the unique challenges they face in life by encouraging them to become their authentic selves.
(208) 391-7804 View (208) 391-7804
Photo of Julie O'Hara, Psy D, LMFT, Marriage & Family Therapist
Julie O'Hara
Marriage & Family Therapist, Psy D, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
Are you concerned about the impact that having children will have on your relationship? Or maybe you are burnt out from the sudden lack of freedom and having trouble finding your new normal? The transition to parenthood will likely be the most challenging transition you will experience in your lifetime. This is hard and it is okay to be struggling. Struggling during this phase of life does not mean you are failing. You are doing great. I specialize in working with women and couples preparing for and adjusting to parenthood. If you are looking for support as you navigate this challenging terrain, I am here to help.
Are you concerned about the impact that having children will have on your relationship? Or maybe you are burnt out from the sudden lack of freedom and having trouble finding your new normal? The transition to parenthood will likely be the most challenging transition you will experience in your lifetime. This is hard and it is okay to be struggling. Struggling during this phase of life does not mean you are failing. You are doing great. I specialize in working with women and couples preparing for and adjusting to parenthood. If you are looking for support as you navigate this challenging terrain, I am here to help.
(619) 598-0246 View (619) 598-0246
Photo of undefined - Alicia Lee Fong - Espacio Therapy, LMFT, Marriage & Family Therapist
Alicia Lee Fong - Espacio Therapy
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
I specialize in helping adults in their 30s who want to heal their childhood wounds, which are getting in their way of experiencing more secure attachments in their intimate relationships. Growing up witnessing dysfunctional interactions in our family of origin does not equip us with the best tools to have healthy relationships as adults. Relationship distress can be so overwhelming that it can drain our joy, creativity, work productivity, and even our health.
I specialize in helping adults in their 30s who want to heal their childhood wounds, which are getting in their way of experiencing more secure attachments in their intimate relationships. Growing up witnessing dysfunctional interactions in our family of origin does not equip us with the best tools to have healthy relationships as adults. Relationship distress can be so overwhelming that it can drain our joy, creativity, work productivity, and even our health.
(619) 314-6525 View (619) 314-6525
Photo of Sonia Xochitl Correa, Pre-Licensed Professional
Sonia Xochitl Correa
Pre-Licensed Professional
Verified Verified
1 Endorsed
San Diego, CA 92104
Not accepting new clients
I am a MFT student trainee. My ideal client would be someone who is going through major life shifts that has created curiosity around their self identity and questions around their confidence in all aspects of life. Someone who struggles with anxiety and depression who does not feel as if they are "enough" and are having difficulties maintaining healthy relationships around them with a partner/s, friends, and family. Their goal would be to feel a sense of security within themselves exploring the stories and patterns that have led them to have these belief systems that are not supporting their best "Self".
I am a MFT student trainee. My ideal client would be someone who is going through major life shifts that has created curiosity around their self identity and questions around their confidence in all aspects of life. Someone who struggles with anxiety and depression who does not feel as if they are "enough" and are having difficulties maintaining healthy relationships around them with a partner/s, friends, and family. Their goal would be to feel a sense of security within themselves exploring the stories and patterns that have led them to have these belief systems that are not supporting their best "Self".
(707) 691-0681 View (707) 691-0681
Photo of Dr. Lynn Northrop, PhD, Psychologist
Dr. Lynn Northrop
Psychologist, PhD
Verified Verified
9 Endorsed
San Diego, CA 92104
Anxiety, grief, chronic illness, depression, trauma, injustice & change can narrow our lives. They can cause us to lose joy, purpose & meaning. Dr. Northrop helps people grow, rebuild, & find their best life, even in the context of difficult experiences & emotions. She is committed to evidence-based treatment guided by values of authenticity, kindness, social justice, creativity, curiosity, collaboration, flexibility, and patience. She has a special love for working with creatives – musicians, artists, actors. She is a staunch ally of the LGBTQI+ community. She has a passion for being a therapist for other therapists.
Anxiety, grief, chronic illness, depression, trauma, injustice & change can narrow our lives. They can cause us to lose joy, purpose & meaning. Dr. Northrop helps people grow, rebuild, & find their best life, even in the context of difficult experiences & emotions. She is committed to evidence-based treatment guided by values of authenticity, kindness, social justice, creativity, curiosity, collaboration, flexibility, and patience. She has a special love for working with creatives – musicians, artists, actors. She is a staunch ally of the LGBTQI+ community. She has a passion for being a therapist for other therapists.
(619) 404-1958 View (619) 404-1958
Photo of Cynthia Valentine, MA, LMFT, Marriage & Family Therapist
Cynthia Valentine
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
Are you finding yourself chained to your emotions? Is life feeling super unclear and a out of balance? Taking care of your basic needs doesn't have to be a constant struggle. You don’t have to live with inconsistent results anymore. If you're looking for deeper meaning in your life, less overwhelm and more self-compassion, I can help. I provide real expertise and practical support. Learning how to develop calm, constructive confidence is not out of reach and therapy can give you the skills you need to live a life you're truly proud of.
Are you finding yourself chained to your emotions? Is life feeling super unclear and a out of balance? Taking care of your basic needs doesn't have to be a constant struggle. You don’t have to live with inconsistent results anymore. If you're looking for deeper meaning in your life, less overwhelm and more self-compassion, I can help. I provide real expertise and practical support. Learning how to develop calm, constructive confidence is not out of reach and therapy can give you the skills you need to live a life you're truly proud of.
(619) 598-1539 View (619) 598-1539
Photo of Dr. Michelle Barahman, PhD, Psychologist
Dr. Michelle Barahman
Psychologist, PhD
Verified Verified
3 Endorsed
San Diego, CA 92104
I specialize in working with people who experience intense emotions like anxiety, sadness, or anger in response to life changes or adjustments. If you're looking for a psychologist who incorporates evidence-based practices while flexibly tailoring treatment to meet your unique problems and background, you've come to the right place! Whether you want to stop worrying or feel more confident, we'll consider how your inner emotional world interacts with the greater cultural context surrounding you. Let's meet if you're open to changing your thoughts, habits and perspective- or simply want someone to understand your point of view!
I specialize in working with people who experience intense emotions like anxiety, sadness, or anger in response to life changes or adjustments. If you're looking for a psychologist who incorporates evidence-based practices while flexibly tailoring treatment to meet your unique problems and background, you've come to the right place! Whether you want to stop worrying or feel more confident, we'll consider how your inner emotional world interacts with the greater cultural context surrounding you. Let's meet if you're open to changing your thoughts, habits and perspective- or simply want someone to understand your point of view!
(619) 853-3626 View (619) 853-3626
Photo of Kimberly Ayres, LMFT, Marriage & Family Therapist
Kimberly Ayres
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
Kimberly Ayres (she/her) is a licensed marriage and family therapist in California. With experience in community mental health, dual diagnosis treatment, and children’s outpatient care, Kimberly is driven by a strong passion for quality mental health treatment that integrates a systemic view of a person and their concerns. In other words, she likes to explore how your culture, gender, ethnicity, family, friends, and various environments impact your mental health.
Kimberly Ayres (she/her) is a licensed marriage and family therapist in California. With experience in community mental health, dual diagnosis treatment, and children’s outpatient care, Kimberly is driven by a strong passion for quality mental health treatment that integrates a systemic view of a person and their concerns. In other words, she likes to explore how your culture, gender, ethnicity, family, friends, and various environments impact your mental health.
(619) 367-0864 View (619) 367-0864
Photo of Meredith Banos, LCSW, Clinical Social Work/Therapist
Meredith Banos
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92104  (Online Only)
If you are feeling stressed, self critical, impatient, down or worried, I would like to help you feel more confident, calm, in control, and engaged in your life. My approach to counseling is to create a safe and non-judgmental space for clients to explore and overcome obstacles in order to heal, grow, and reach their full potential.
If you are feeling stressed, self critical, impatient, down or worried, I would like to help you feel more confident, calm, in control, and engaged in your life. My approach to counseling is to create a safe and non-judgmental space for clients to explore and overcome obstacles in order to heal, grow, and reach their full potential.
(619) 393-3712 View (619) 393-3712
Photo of undefined - Inner Knowing Counseling, LCSW, Clinical Social Work/Therapist
Inner Knowing Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Diego, CA 92104  (Online Only)
Do you find yourself constantly overthinking, doubting yourself or feeling anxious? Living life in a constant state of worry can impact our quality of life, our relationships, our physical health, and our self-confidence. Exploring helpful coping skills and strategies to combat anxiety is a great place to begin, and you do not need to struggle on your own! Therapy can be a grounding place of support so that you can get back to feeling more grounded and centered.
Do you find yourself constantly overthinking, doubting yourself or feeling anxious? Living life in a constant state of worry can impact our quality of life, our relationships, our physical health, and our self-confidence. Exploring helpful coping skills and strategies to combat anxiety is a great place to begin, and you do not need to struggle on your own! Therapy can be a grounding place of support so that you can get back to feeling more grounded and centered.
(619) 486-5708 View (619) 486-5708
Photo of Stacy T. Watnick, PhD, Psychologist
Stacy T. Watnick
Psychologist, PhD
Verified Verified
San Diego, CA 92104
Human beings have great capacity for growth and change. Having a supportive guide through the process is both helpful and meaningful. My role is to help clients find their strengths and apply them to the areas in which they struggle. I work well with people who have realized their lives are not going the way they want, but can't quite figure out how to do things differently. I am an interactive, engaged, supportive and collaborative therapist. I genuinely enjoy helping people be in the world the in the ways they wish to be.
Human beings have great capacity for growth and change. Having a supportive guide through the process is both helpful and meaningful. My role is to help clients find their strengths and apply them to the areas in which they struggle. I work well with people who have realized their lives are not going the way they want, but can't quite figure out how to do things differently. I am an interactive, engaged, supportive and collaborative therapist. I genuinely enjoy helping people be in the world the in the ways they wish to be.
(619) 804-1958 View (619) 804-1958
Photo of Lindsay Ward, LPCC, Counselor
Lindsay Ward
Counselor, LPCC
Verified Verified
San Diego, CA 92104  (Online Only)
Lindsay Ward is a Licensed Professional Clinical Counselor who specializes in treating depression, anxiety, addiction and dealing with trauma. Lindsay works with clients who are looking to process childhood trauma, who are feeling anxious or depressed. Lindsay has been working with client's for 6 years, helping them overcome their trauma, sadness and loneliness. Lindsay has worked in various agencies in the county of San Diego, including 2 years treating client's in a drug and alcohol rehab center. Lindsay uses an integrated approach of psychodynamic and CBT to help client's feel their best.
Lindsay Ward is a Licensed Professional Clinical Counselor who specializes in treating depression, anxiety, addiction and dealing with trauma. Lindsay works with clients who are looking to process childhood trauma, who are feeling anxious or depressed. Lindsay has been working with client's for 6 years, helping them overcome their trauma, sadness and loneliness. Lindsay has worked in various agencies in the county of San Diego, including 2 years treating client's in a drug and alcohol rehab center. Lindsay uses an integrated approach of psychodynamic and CBT to help client's feel their best.
(619) 768-0838 View (619) 768-0838
Photo of Jessica Adler, LMFT, Marriage & Family Therapist
Jessica Adler
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92104
I am a licensed Marriage and Family Therapist and Registered Art Therapist who is interested in helping people grow, learn, and heal. I am especially passionate about working with children, adolescents, young adults, and new parents/caregivers as they navigate the challenges that can come with entering a new phase of life.
I am a licensed Marriage and Family Therapist and Registered Art Therapist who is interested in helping people grow, learn, and heal. I am especially passionate about working with children, adolescents, young adults, and new parents/caregivers as they navigate the challenges that can come with entering a new phase of life.
(619) 304-1939 View (619) 304-1939
Photo of Megan Dougherty, LCSW, Clinical Social Work/Therapist
Megan Dougherty
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92104  (Online Only)
I provide an empowering environment where adolescents and young adults can find their path while navigating life’s challenges. Together we will explore your values, identify your strengths, face your fears, and increase your confidence.
I provide an empowering environment where adolescents and young adults can find their path while navigating life’s challenges. Together we will explore your values, identify your strengths, face your fears, and increase your confidence.
(619) 367-0156 View (619) 367-0156

How does your Therapist compare?

Number of Therapists in 92104

200+

Average cost per session

$170

Therapists in 92104 who prioritize treating:

95% Anxiety
89% Depression
81% Relationship Issues
76% Self Esteem
69% Stress
67% Coping Skills
64% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
62% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in 92104 see their clients

62% In Person and Online
38% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92104?

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.