Therapists in 92612

Photo of Malgorzata Inga Orcutt - Malgorzata ( Margaret) Orcutt, Marriage & Family Therapist, MS, LMFT, EMDR
Malgorzata ( Margaret) Orcutt
Marriage & Family Therapist, MS, LMFT, EMDR
Irvine, CA 92612
I am a Licensed Marriage & Family Therapist providing treatment to individuals, couples, and families, who are dealing with challenges that affect their relationships, mental health, and well-being. I provide services in both English and Polish. I am dedicated and passionate to help others. I provide a warm, empathetic, and nonjudgmental environment, in which clients feel understood and validated. I work with clients who have suffered from a wide range of clinical acute and chronic psychological disorders, PTSD, anxiety, mood disorders, personality disorders, adjustment and neurotic reactions, alcohol and drug addictions, sexually based concerns, and emotional problems.
I am a Licensed Marriage & Family Therapist providing treatment to individuals, couples, and families, who are dealing with challenges that affect their relationships, mental health, and well-being. I provide services in both English and Polish. I am dedicated and passionate to help others. I provide a warm, empathetic, and nonjudgmental environment, in which clients feel understood and validated. I work with clients who have suffered from a wide range of clinical acute and chronic psychological disorders, PTSD, anxiety, mood disorders, personality disorders, adjustment and neurotic reactions, alcohol and drug addictions, sexually based concerns, and emotional problems.
(714) 683-0541 View (714) 683-0541
Photo of Michell Kothari Stanley, Clinical Social Work/Therapist, LICSW, CLC, RYT
Michell Kothari Stanley
Clinical Social Work/Therapist, LICSW, CLC, RYT
3 Endorsed
Irvine, CA 92612
Are you feeling stuck in a relationship that no longer fits, navigating the grief of a breakup, or questioning if divorce is the right step forward? Maybe you're single and wrestling with loneliness, self-doubt, or the pressure to “figure it all out.” I help individuals move through the emotional complexity of relationship transitions—whether it's ending a relationship, rebuilding after one, or stepping into a more empowered version of yourself in love, life and work. Beyond relationships, I work with clients who are cultivating a career that harnesses their strengths with what is passion-filled, purposeful, and profitable.
Are you feeling stuck in a relationship that no longer fits, navigating the grief of a breakup, or questioning if divorce is the right step forward? Maybe you're single and wrestling with loneliness, self-doubt, or the pressure to “figure it all out.” I help individuals move through the emotional complexity of relationship transitions—whether it's ending a relationship, rebuilding after one, or stepping into a more empowered version of yourself in love, life and work. Beyond relationships, I work with clients who are cultivating a career that harnesses their strengths with what is passion-filled, purposeful, and profitable.
(310) 340-2179 View (310) 340-2179
Photo of Dr. Riichiro Miwa, Psychologist, PsyD, Life-, Coach
Dr. Riichiro Miwa
Psychologist, PsyD, Life-, Coach
6 Endorsed
Online Only
[*Sorry, Dr. Miwa no longer takes new Clients]Are you looking to become a better, happier, and healthier person? Are you hoping to gain a deeper understanding and love for yourself and others? Psychotherapy includes improving the quality of your life, self-guidance, and/or managing more serious issues such as depression, anxiety, and chronic stress. As an experienced psychologist, I help you achieve your goals. We attain your emotional alignment, and look at and face truth in you. It may sound a little bit scary and challenging, but together, we can do it. You will fully be authentic to yourself and experience real joy in your life.
[*Sorry, Dr. Miwa no longer takes new Clients]Are you looking to become a better, happier, and healthier person? Are you hoping to gain a deeper understanding and love for yourself and others? Psychotherapy includes improving the quality of your life, self-guidance, and/or managing more serious issues such as depression, anxiety, and chronic stress. As an experienced psychologist, I help you achieve your goals. We attain your emotional alignment, and look at and face truth in you. It may sound a little bit scary and challenging, but together, we can do it. You will fully be authentic to yourself and experience real joy in your life.
(310) 933-6281 View (310) 933-6281
Photo of Elena Welsh, Psychologist, PhD
Elena Welsh
Psychologist, PhD
Irvine, CA 92612
Each client has a unique set of goals, needs and resources and I hope to work alongside you as you get closer to the life you want. I utilize scientifically-based therapeutic tools in a manner that is caring and accessible. I have experience working with a wide range of anxiety, mood, and depressive disorders, including bipolar disorder, major depression, and post-traumatic stress disorder. I also specialize in many issues specific to women, including fertility struggles, postpartum adjustment and depression. I am also here to help if you are facing a difficult life transition or are simply seeking a more meaningful way of living.
Each client has a unique set of goals, needs and resources and I hope to work alongside you as you get closer to the life you want. I utilize scientifically-based therapeutic tools in a manner that is caring and accessible. I have experience working with a wide range of anxiety, mood, and depressive disorders, including bipolar disorder, major depression, and post-traumatic stress disorder. I also specialize in many issues specific to women, including fertility struggles, postpartum adjustment and depression. I am also here to help if you are facing a difficult life transition or are simply seeking a more meaningful way of living.
(310) 935-3651 View (310) 935-3651
Photo of Anushri Parikh, Marriage & Family Therapist Associate, AMFT
Anushri Parikh
Marriage & Family Therapist Associate, AMFT
3 Endorsed
Online Only
Waitlist for new clients
Hi, my name is Anushri, pronounced as “ah-noo-shree”. I firmly believe in Irvin Yalom's assertion that "It's the relationship that heals." Through active and reflective listening, I strive to empathize with my clients and foster a robust therapeutic connection. My psychotherapy approach is client-centered and culturally attuned, aiming to customize treatment to each client's distinct needs and values. This personalized approach promotes healing and facilitates the essential process of change.
Hi, my name is Anushri, pronounced as “ah-noo-shree”. I firmly believe in Irvin Yalom's assertion that "It's the relationship that heals." Through active and reflective listening, I strive to empathize with my clients and foster a robust therapeutic connection. My psychotherapy approach is client-centered and culturally attuned, aiming to customize treatment to each client's distinct needs and values. This personalized approach promotes healing and facilitates the essential process of change.
(657) 315-1161 View (657) 315-1161
Photo of Farah Lyn Flahive, Marriage & Family Therapist, LMFT
Farah Lyn Flahive
Marriage & Family Therapist, LMFT
2 Endorsed
Irvine, CA 92612
I offer data-reviewed, evidence-backed therapy services tailored specifically for high-level professionals such as C-suite executives, attorneys, and IT industry leaders. Understanding the unique pressures of these roles, I provide flexible, time-efficient sessions that focus on stress management, burnout prevention, and work-life integration. My approach emphasizes leadership coaching, emotional intelligence, and resilience, helping clients navigate high-pressure situations with clarity and calmness.
I offer data-reviewed, evidence-backed therapy services tailored specifically for high-level professionals such as C-suite executives, attorneys, and IT industry leaders. Understanding the unique pressures of these roles, I provide flexible, time-efficient sessions that focus on stress management, burnout prevention, and work-life integration. My approach emphasizes leadership coaching, emotional intelligence, and resilience, helping clients navigate high-pressure situations with clarity and calmness.
(949) 534-8817 View (949) 534-8817
Photo of Elizabeth Small, Clinical Social Work/Therapist
Elizabeth Small
Clinical Social Work/Therapist
Irvine, CA 92612
This world pulls us in many directions and at times it can be challenging to find our footing. I hope you can take a moment to pause and feel some gratitude for making your way here. It means you’ve already taken the first step to journeying deeper. Therapy is a mutual relationship of understanding and an exchange of trust. I’ll share a little bit about myself before I get the privilege of learning about you. Before becoming a licensed clinical social worker and psychotherapist, I spent several years working in the creative and entertainment industry—a background that continues to shape my perspective and approach.
This world pulls us in many directions and at times it can be challenging to find our footing. I hope you can take a moment to pause and feel some gratitude for making your way here. It means you’ve already taken the first step to journeying deeper. Therapy is a mutual relationship of understanding and an exchange of trust. I’ll share a little bit about myself before I get the privilege of learning about you. Before becoming a licensed clinical social worker and psychotherapist, I spent several years working in the creative and entertainment industry—a background that continues to shape my perspective and approach.
(949) 441-2343 View (949) 441-2343
Photo of Riley Annunziato, Pre-Licensed Professional, MA, AMFT
Riley Annunziato
Pre-Licensed Professional, MA, AMFT
1 Endorsed
Irvine, CA 92612
Hi, I’m Riley! Let’s talk about life—relationships, big changes, and figuring it all out without totally losing your mind. Life is messy. Relationships are complicated. And let’s be real—none of us were handed a step-by-step manual on how to juggle it all. That’s where I come in. I help individuals and couples navigate everything from relationship struggles to major life transitions without feeling like they’re drowning. My approach? Honest, practical, and grounded in evidence-based techniques.
Hi, I’m Riley! Let’s talk about life—relationships, big changes, and figuring it all out without totally losing your mind. Life is messy. Relationships are complicated. And let’s be real—none of us were handed a step-by-step manual on how to juggle it all. That’s where I come in. I help individuals and couples navigate everything from relationship struggles to major life transitions without feeling like they’re drowning. My approach? Honest, practical, and grounded in evidence-based techniques.
(949) 919-7817 View (949) 919-7817
Photo of Sandra Labeeb, Psychologist, PsyD
Sandra Labeeb
Psychologist, PsyD
Irvine, CA 92612
The decision of finding the right therapist for yourself, your child, or your family can create a lot of anxiety. Individuals and families are taking the risk of allowing me to share in their life paths and vulnerabilities. This is why I work to build a trusting, long-lasting relationship with you. I have extensive training and experience working with a variety of populations, including mild to severe mental illness, as well as diverse groups, including children, youth, adults, and families. I specialize in treating individuals with various diagnoses, including depression, anxiety, trauma/PTSD, sleep disorders, and chronic pain.
The decision of finding the right therapist for yourself, your child, or your family can create a lot of anxiety. Individuals and families are taking the risk of allowing me to share in their life paths and vulnerabilities. This is why I work to build a trusting, long-lasting relationship with you. I have extensive training and experience working with a variety of populations, including mild to severe mental illness, as well as diverse groups, including children, youth, adults, and families. I specialize in treating individuals with various diagnoses, including depression, anxiety, trauma/PTSD, sleep disorders, and chronic pain.
(714) 455-3218 View (714) 455-3218
Photo of Helen Hyun, Marriage & Family Therapist, LMFT
Helen Hyun
Marriage & Family Therapist, LMFT
Irvine, CA 92612
Hello, it's nice to meet you! Now more than ever, people are feeling anxious, overwhelmed and uncertain about how to navigate through their lives. Multiple demands from career, relationships, family/friends can make life feel insurmountable. There is no greater value than investing in yourself and being better equipped to manage the various facets of life. I currently focus my clinical work with healthcare professionals, psychologists, mental health providers, entrepreneurs, business executives, couples, adults, and Asian Americans navigating their racial, ethnic, sexual, professional and spiritual identity.
Hello, it's nice to meet you! Now more than ever, people are feeling anxious, overwhelmed and uncertain about how to navigate through their lives. Multiple demands from career, relationships, family/friends can make life feel insurmountable. There is no greater value than investing in yourself and being better equipped to manage the various facets of life. I currently focus my clinical work with healthcare professionals, psychologists, mental health providers, entrepreneurs, business executives, couples, adults, and Asian Americans navigating their racial, ethnic, sexual, professional and spiritual identity.
(949) 993-0165 View (949) 993-0165
Photo of Nadia Chavez, Marriage & Family Therapist, LMFT
Nadia Chavez
Marriage & Family Therapist, LMFT
Irvine, CA 92612
Nadia begins her work with patients by focusing on their immediate needs and the reasons that brought them to treatment. She has a collaborative, mixed-method approach that uses cognitive behavioral therapy, dialectical behavioral therapy, and trauma-informed care, which she finds crucial for supporting growth and helping patients achieve their goals. Nadia’s interest in mental health started in high school.
Nadia begins her work with patients by focusing on their immediate needs and the reasons that brought them to treatment. She has a collaborative, mixed-method approach that uses cognitive behavioral therapy, dialectical behavioral therapy, and trauma-informed care, which she finds crucial for supporting growth and helping patients achieve their goals. Nadia’s interest in mental health started in high school.
(949) 390-6980 View (949) 390-6980
Photo of Marisa Lepore, Marriage & Family Therapist, MA, LMFT
Marisa Lepore
Marriage & Family Therapist, MA, LMFT
Irvine, CA 92612
Individual, couple, family, and group psychotherapy from a cognitive-behavioral approach. Focus on treatment for depression, anxiety, chemical dependence, smoking cessation, gambling addiction, and chronic pain management.
Individual, couple, family, and group psychotherapy from a cognitive-behavioral approach. Focus on treatment for depression, anxiety, chemical dependence, smoking cessation, gambling addiction, and chronic pain management.
(949) 430-7454 View (949) 430-7454
Photo of Emily Ruiz, Marriage & Family Therapist, LMFT, CBTP
Emily Ruiz
Marriage & Family Therapist, LMFT, CBTP
1 Endorsed
Irvine, CA 92612
I am an openly queer, latinx licensed therapist and Certified Body Trust Provider (R) specializing in supporting queer, trans, and BIPOC affirming mental health care. I work alongside clients, exploring their strengths, resilience, and finding ways to build a fulfilling life that aligns with their values and authentic self, rather than the version of themselves they've had to become to conform to the pressures of the world around them. I strive to empower clients to increase their sense of safety and connection to themselves, their bodies and the difficult systems they navigate.
I am an openly queer, latinx licensed therapist and Certified Body Trust Provider (R) specializing in supporting queer, trans, and BIPOC affirming mental health care. I work alongside clients, exploring their strengths, resilience, and finding ways to build a fulfilling life that aligns with their values and authentic self, rather than the version of themselves they've had to become to conform to the pressures of the world around them. I strive to empower clients to increase their sense of safety and connection to themselves, their bodies and the difficult systems they navigate.
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Photo of Dr. Lawrence Chen, Psychologist, PhD
Dr. Lawrence Chen
Psychologist, PhD
Irvine, CA 92612
I help with adjustment concerns, academic and sports pressures, cultural issues, grief and loss, parenting, social relationships, sleep, spirituality, and trauma. My attachment-focused, trauma-informed approach to therapy helps build safety and trust. We will collaborate to find external resources and internal strengths.
I help with adjustment concerns, academic and sports pressures, cultural issues, grief and loss, parenting, social relationships, sleep, spirituality, and trauma. My attachment-focused, trauma-informed approach to therapy helps build safety and trust. We will collaborate to find external resources and internal strengths.
(949) 390-6980 View (949) 390-6980
Photo of Lena Tran, Associate Clinical Social Worker, ACSW
Lena Tran
Associate Clinical Social Worker, ACSW
1 Endorsed
Online Only
My approach is simple, but powerful: “You take the first step, and I’ll follow.” As a therapist, I believe in meeting you exactly where you are in your journey. I understand that each person’s mental health is influenced by many factors—systemic, social, and cultural—and I am committed to honoring your unique experiences and the barriers that may impact your well-being. Together, we’ll work through your challenges in a way that is tailored to you, always respecting your pace and emotional readiness.
My approach is simple, but powerful: “You take the first step, and I’ll follow.” As a therapist, I believe in meeting you exactly where you are in your journey. I understand that each person’s mental health is influenced by many factors—systemic, social, and cultural—and I am committed to honoring your unique experiences and the barriers that may impact your well-being. Together, we’ll work through your challenges in a way that is tailored to you, always respecting your pace and emotional readiness.
(949) 503-6052 View (949) 503-6052
Photo of Courtney Leedom, Marriage & Family Therapist, MFT
Courtney Leedom
Marriage & Family Therapist, MFT
Irvine, CA 92612
Courtney Leedom MFT specializes in treating depression, anxiety, relationship dysfunction, and childhood disorders. Courtney uses relationship-based psychotherapy as well as cognitive behavioral techniques.When treating children, she uses developmental techniques including play and art therapy.
Courtney Leedom MFT specializes in treating depression, anxiety, relationship dysfunction, and childhood disorders. Courtney uses relationship-based psychotherapy as well as cognitive behavioral techniques.When treating children, she uses developmental techniques including play and art therapy.
(714) 676-8402 View (714) 676-8402
Photo of Ting Qin, Marriage & Family Therapist, MA, LMFT
Ting Qin
Marriage & Family Therapist, MA, LMFT
4 Endorsed
Irvine, CA 92612
“Love and anger are such a puzzle!" Mr. Rogers exclaimed, "It’s the people we love the most who can make us feel the gladdest . . . and the maddest! It’s hard for us, as adults, to understand and manage our angry feelings toward parents, spouses, and children, or to keep their anger toward us in perspective. It’s a different kind of anger from the kind we may feel toward strangers because it is so deeply intertwined with caring and attachment." Does this sound familiar? You are not alone.
“Love and anger are such a puzzle!" Mr. Rogers exclaimed, "It’s the people we love the most who can make us feel the gladdest . . . and the maddest! It’s hard for us, as adults, to understand and manage our angry feelings toward parents, spouses, and children, or to keep their anger toward us in perspective. It’s a different kind of anger from the kind we may feel toward strangers because it is so deeply intertwined with caring and attachment." Does this sound familiar? You are not alone.
(949) 541-5691 View (949) 541-5691
Photo of Tannaz Alagheband, Clinical Social Work/Therapist, LCSW
Tannaz Alagheband
Clinical Social Work/Therapist, LCSW
2 Endorsed
Irvine, CA 92612
You’re used to showing up for everyone else — at work, in your relationships, in your family. On the outside, it looks like you have it together. But on the inside, you may feel overwhelmed, exhausted, or like you’re just going through the motions. You might not even remember the last time you felt rested or fully like yourself. You are looking for a therapist who gets you and whom you can relate to. Together, we create space for the parts of you that have been quietly carrying pressure, fear, or grief. You will get a chance to slow things down, reconnect with your emotions, and relate to yourself with more clarity and compassion.
You’re used to showing up for everyone else — at work, in your relationships, in your family. On the outside, it looks like you have it together. But on the inside, you may feel overwhelmed, exhausted, or like you’re just going through the motions. You might not even remember the last time you felt rested or fully like yourself. You are looking for a therapist who gets you and whom you can relate to. Together, we create space for the parts of you that have been quietly carrying pressure, fear, or grief. You will get a chance to slow things down, reconnect with your emotions, and relate to yourself with more clarity and compassion.
(949) 771-8873 View (949) 771-8873
Photo of Elham Abouhamzeh, Psychologist, PsyD
Elham Abouhamzeh
Psychologist, PsyD
Irvine, CA 92612
I am a licensed psychologist with extensive therapy experience treating adults and couples in a wide variety of settings including outpatient as well as residential settings. I offer psychological evaluations for children, adolescents, adults and families of varying cultures affiliations, and levels of socioeconomic status. I respect my clients and apply therapeutic skills based on their needs, and help them to grow and change to cope with their life challenges.
I am a licensed psychologist with extensive therapy experience treating adults and couples in a wide variety of settings including outpatient as well as residential settings. I offer psychological evaluations for children, adolescents, adults and families of varying cultures affiliations, and levels of socioeconomic status. I respect my clients and apply therapeutic skills based on their needs, and help them to grow and change to cope with their life challenges.
(949) 556-9886 View (949) 556-9886
Photo of Jarred Trusty, Marriage & Family Therapist, LMFT
Jarred Trusty
Marriage & Family Therapist, LMFT
Online Only
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche and MediPsych providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(424) 375-7643 View (424) 375-7643

See more therapy options for 92612

How does your Therapist compare?

Number of Therapists in 92612

400+

Average cost per session

$185

Therapists in 92612 who prioritize treating:

95% Anxiety
88% Depression
81% Relationship Issues
74% Self Esteem
69% Stress
68% Trauma and PTSD
66% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

73% Aetna
63% Cigna and Evernorth
49% UnitedHealthcare UHC | UBH

How Therapists in 92612 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in 92612?

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.