Therapists in 94503

Photo of Aldemar Martinez, Clinical Social Work/Therapist, LCSW, CTP, 86412
Aldemar Martinez
Clinical Social Work/Therapist, LCSW, CTP, 86412
American Canyon, CA 94503
I am Licensed Clinical Social Worker, with 27 years of experience in the field of mental health. Even though I have covered a vast area in this field, from social work to clinical care, my most rewarding area of expertise is psychotherapy. I am also a Certified Trauma Professional, which has provided me with the tools to share with my clients to work through their most challenging distressing memories. I use Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) as my two primary modalities, in my approach to trauma-healing.
I am Licensed Clinical Social Worker, with 27 years of experience in the field of mental health. Even though I have covered a vast area in this field, from social work to clinical care, my most rewarding area of expertise is psychotherapy. I am also a Certified Trauma Professional, which has provided me with the tools to share with my clients to work through their most challenging distressing memories. I use Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) as my two primary modalities, in my approach to trauma-healing.
(707) 229-1200 View (707) 229-1200
Photo of Gina Stanwood Kramer, Marriage & Family Therapist, MA, LMFT
Gina Stanwood Kramer
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Serves Area
Thank you for your interest in my practice. I have over 25 years of clinical experience supporting children, adolescents, adults, and families. I work to tailor my approach to each individual's specific needs & concerns so that together we can create a path towards healing, empowerment and change. I believe that each person and age-group has different needs within a therapy setting. I utilize play, art, sand, and interactive talk therapy to create a safe, compassionate and dynamic approach to support change.
Thank you for your interest in my practice. I have over 25 years of clinical experience supporting children, adolescents, adults, and families. I work to tailor my approach to each individual's specific needs & concerns so that together we can create a path towards healing, empowerment and change. I believe that each person and age-group has different needs within a therapy setting. I utilize play, art, sand, and interactive talk therapy to create a safe, compassionate and dynamic approach to support change.
(707) 412-8939 View (707) 412-8939
Photo of Jerri Curry, Psychologist, PhD, LMFT, CATC, CSC
Jerri Curry
Psychologist, PhD, LMFT, CATC, CSC
Serves Area
For 35 years I have worked with children, couples, individuals, and families in providing a supportive, educational and safe place to find answers to life's challenges. Separation is the hardest lesson in life and with each separation we experience there is an opportunity to grow and become the best we can be. Separations like divorce, losing a loved one, struggling with work issues, addictions, disconnect from family members or feeling alone in this large and busy world, it will be my privilege to listen, support and provide the counseling, mediation and guidance you may be seeking at this time.
For 35 years I have worked with children, couples, individuals, and families in providing a supportive, educational and safe place to find answers to life's challenges. Separation is the hardest lesson in life and with each separation we experience there is an opportunity to grow and become the best we can be. Separations like divorce, losing a loved one, struggling with work issues, addictions, disconnect from family members or feeling alone in this large and busy world, it will be my privilege to listen, support and provide the counseling, mediation and guidance you may be seeking at this time.
(707) 998-5912 View (707) 998-5912
Photo of Nancy I Bocanegra Ramirez, Clinical Social Work/Therapist, LCSW
Nancy I Bocanegra Ramirez
Clinical Social Work/Therapist, LCSW
Serves Area
Mindful of the stigma that exists, I highly value the vulnerability and courage of those in search of discovering the best version of themselves. My unique ability to listen with compassion and empathy fosters a therapeutic relationship in a safe and caring environment. Despite adversity, everyone has the capacity to develop the skills needed to maximize their full potential and thrive. Consciente del estigma que existe, valoro mucho la vulnerabilidad y la valentía de quienes buscan descubrir la mejor versión de sí mismos. Mi habilidad única de escuchar con compasión y empatía fomenta una relación terapéutica en un entorno seguro.
Mindful of the stigma that exists, I highly value the vulnerability and courage of those in search of discovering the best version of themselves. My unique ability to listen with compassion and empathy fosters a therapeutic relationship in a safe and caring environment. Despite adversity, everyone has the capacity to develop the skills needed to maximize their full potential and thrive. Consciente del estigma que existe, valoro mucho la vulnerabilidad y la valentía de quienes buscan descubrir la mejor versión de sí mismos. Mi habilidad única de escuchar con compasión y empatía fomenta una relación terapéutica en un entorno seguro.
(707) 267-2497 View (707) 267-2497
Photo of Jenny Shully, Clinical Social Work/Therapist, LCSW
Jenny Shully
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I love clients who are self-motivated and very ready to do "the work". An ideal client is looking for a therapist who will provide direction. If you'd like a clinician with a poker face who sits and says "mmhmm", I am not your gal. My sessions are very interactive, and I love providing emotional homework or food for thought between sessions. I think it is important for potential clients to know that I am queer, Jewish, and a mother of biracial children. I like to hopefully provide a comforting space for those who identify with any of these communities, while also coming from my own place of humility-I certainly don't know it all
I love clients who are self-motivated and very ready to do "the work". An ideal client is looking for a therapist who will provide direction. If you'd like a clinician with a poker face who sits and says "mmhmm", I am not your gal. My sessions are very interactive, and I love providing emotional homework or food for thought between sessions. I think it is important for potential clients to know that I am queer, Jewish, and a mother of biracial children. I like to hopefully provide a comforting space for those who identify with any of these communities, while also coming from my own place of humility-I certainly don't know it all
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Photo of Julie Sievenpiper, Clinical Social Work/Therapist, LCSW
Julie Sievenpiper
Clinical Social Work/Therapist, LCSW
Serves Area
We all face challenges in our lives and sometimes need extra help and support to help us overcome them. I offer a safe, judgement-free space to explore even the most difficult matters. My style is relational and collaborative. One of the most important aspects for achieving success in therapy is the relationship between the therapist and the client. I believe that you are the expert on yourself and your family and that you hold the key to achieving the life you want to live.
We all face challenges in our lives and sometimes need extra help and support to help us overcome them. I offer a safe, judgement-free space to explore even the most difficult matters. My style is relational and collaborative. One of the most important aspects for achieving success in therapy is the relationship between the therapist and the client. I believe that you are the expert on yourself and your family and that you hold the key to achieving the life you want to live.
(707) 755-6975 View (707) 755-6975
Photo of Sarah Cabiness, Marriage & Family Therapist Associate, BS, MS, AMFT, APCC
Sarah Cabiness
Marriage & Family Therapist Associate, BS, MS, AMFT, APCC
8 Endorsed
Serves Area
Sometimes therapy can feel a little too formal. I value candid communication—come as you are. Whether you're grieving a loss, sharing a trauma, opening up about intimacy, or breaking relational cycles, they’re part of your life, and you deserve to share how you’ve experienced them. Healing is multifaceted and unique to everyone, I want to make sure your therapy experience reflects that. I draw from multiple modalities to curate a supportive atmosphere, and strive to ensure you are seen and heard. Additionally, I am EMDR, Brainspotting, and sex therapy trained.
Sometimes therapy can feel a little too formal. I value candid communication—come as you are. Whether you're grieving a loss, sharing a trauma, opening up about intimacy, or breaking relational cycles, they’re part of your life, and you deserve to share how you’ve experienced them. Healing is multifaceted and unique to everyone, I want to make sure your therapy experience reflects that. I draw from multiple modalities to curate a supportive atmosphere, and strive to ensure you are seen and heard. Additionally, I am EMDR, Brainspotting, and sex therapy trained.
(213) 583-1199 View (213) 583-1199
Photo of Sandi Rene Gundersen, Clinical Social Work/Therapist, LCSW, MSW
Sandi Rene Gundersen
Clinical Social Work/Therapist, LCSW, MSW
Serves Area
Are you looking for fulfillment? Want to end your pain? Are you sick and tired and feeling sick and tired? I am here to help. I have been providing psychotherapy since 2004. I have helped individuals, couples, and families feel restored, empowered, and able to make positive changes that last. When I offer help and guidance I like to quote the Bible in this metaphor of bringing beauty from ashes.
Are you looking for fulfillment? Want to end your pain? Are you sick and tired and feeling sick and tired? I am here to help. I have been providing psychotherapy since 2004. I have helped individuals, couples, and families feel restored, empowered, and able to make positive changes that last. When I offer help and guidance I like to quote the Bible in this metaphor of bringing beauty from ashes.
(707) 562-0496 View (707) 562-0496
Photo of Elizabeth Hernandez, Marriage & Family Therapist, MS, LMFT, LPCC
Elizabeth Hernandez
Marriage & Family Therapist, MS, LMFT, LPCC
1 Endorsed
Serves Area
I specialize in working with youth and young adults aged 12-25, who are experiencing difficulty with life and family transitions, anxiety, and depression. Young adulthood is an exciting time rich with change and growth for most youth, but it may also be a scary or difficult time, particularly if there are other factors at play, including stress or changes within the family, school, or social networks. In addition to stressors, negative or maladaptive thoughts or behaviors can contribute to or exacerbate feelings of anxiety or depression.
I specialize in working with youth and young adults aged 12-25, who are experiencing difficulty with life and family transitions, anxiety, and depression. Young adulthood is an exciting time rich with change and growth for most youth, but it may also be a scary or difficult time, particularly if there are other factors at play, including stress or changes within the family, school, or social networks. In addition to stressors, negative or maladaptive thoughts or behaviors can contribute to or exacerbate feelings of anxiety or depression.
(707) 461-0165 View (707) 461-0165
Photo of Rose Perez, Marriage & Family Therapist, LMFT
Rose Perez
Marriage & Family Therapist, LMFT
Serves Area
I hold a master's degree in psychology from Brandman University. I am a licensed therapist in California. I am an open-hearted, empathetic listener available for you. I have 11 years of clinical experience ranging from ADHD, anxiety, depression, and trauma. I have experience in helping clients heal from various traumas and find a path to a better life. I work with children, adolescents, and adults with all different types of stages in life. My clients seek insight, answers, and solutions. I provide psychoeducation, active listening, awareness, and insight to help my clients find what they are looking for.
I hold a master's degree in psychology from Brandman University. I am a licensed therapist in California. I am an open-hearted, empathetic listener available for you. I have 11 years of clinical experience ranging from ADHD, anxiety, depression, and trauma. I have experience in helping clients heal from various traumas and find a path to a better life. I work with children, adolescents, and adults with all different types of stages in life. My clients seek insight, answers, and solutions. I provide psychoeducation, active listening, awareness, and insight to help my clients find what they are looking for.
(949) 649-7091 View (949) 649-7091
Photo of Celeste Hutchings, Marriage & Family Therapist, MS, MFT
Celeste Hutchings
Marriage & Family Therapist, MS, MFT
Serves Area
Welcome, I look forward to joining you on your journey towards health, happiness and personal growth. I work with people of all ages including children, teens and adults. I specialize in treating people who are experiencing anxiety and/or depression as well as people who are attempting to heal from difficult relationships. Life can sometimes bring us challenges that are deeply painful, overwhelming and can even seem unbearable when dealing with them alone. As your therapist, I will help you to explore these challenges in a safe and supportive environment while helping you to find your personal path towards healing.
Welcome, I look forward to joining you on your journey towards health, happiness and personal growth. I work with people of all ages including children, teens and adults. I specialize in treating people who are experiencing anxiety and/or depression as well as people who are attempting to heal from difficult relationships. Life can sometimes bring us challenges that are deeply painful, overwhelming and can even seem unbearable when dealing with them alone. As your therapist, I will help you to explore these challenges in a safe and supportive environment while helping you to find your personal path towards healing.
(707) 418-5424 View (707) 418-5424
Photo of Taylor Vulk, Marriage & Family Therapist Intern, MS, AMFT
Taylor Vulk
Marriage & Family Therapist Intern, MS, AMFT
1 Endorsed
Serves Area
I genuinely believe in the ability to change, heal and grow through challenging times. Whether you’re a child, adolescent, adult or family, you deserve to move through life with harmony within yourself and in your relationships. My hope is to help you/your child to navigate life’s challenges and wonders through better understanding emotional regulation, supporting connections, and building skills that can support you/your child throughout a lifetime. My ultimate goal is to provide every client the space to find more self-acceptance and inner peace with the hopes of achieving a solid grounding in one's authentic self.
I genuinely believe in the ability to change, heal and grow through challenging times. Whether you’re a child, adolescent, adult or family, you deserve to move through life with harmony within yourself and in your relationships. My hope is to help you/your child to navigate life’s challenges and wonders through better understanding emotional regulation, supporting connections, and building skills that can support you/your child throughout a lifetime. My ultimate goal is to provide every client the space to find more self-acceptance and inner peace with the hopes of achieving a solid grounding in one's authentic self.
(707) 985-0732 View (707) 985-0732
Photo of Wendy M Rick, Marriage & Family Therapist, MA, LMFT
Wendy M Rick
Marriage & Family Therapist, MA, LMFT
Serves Area
When life feels overwhelming for you, or your child is having a difficult time navigating school and relationships, together we can work on ways to bring back a sense of peace and make life more manageable. I specialize in treating children and adolescents. Transitioning into the college years is an area I offer insight and support, as those years can be challenging as well.
When life feels overwhelming for you, or your child is having a difficult time navigating school and relationships, together we can work on ways to bring back a sense of peace and make life more manageable. I specialize in treating children and adolescents. Transitioning into the college years is an area I offer insight and support, as those years can be challenging as well.
(707) 563-6744 View (707) 563-6744
Photo of Dayna Adams, Marriage & Family Therapist, LMFT
Dayna Adams
Marriage & Family Therapist, LMFT
Serves Area
Life can be overwhelming, and you don’t have to navigate it alone. I work with individuals facing challenges like anxiety, depression, grief, life transitions, chronic health concerns, trauma, self-doubt, and relationship struggles. Whether you're feeling stuck, disconnected, or simply wanting to better understand yourself, our work together will focus on helping you gain clarity, break unhelpful patterns, and build a life that feels more balanced and fulfilling.
Life can be overwhelming, and you don’t have to navigate it alone. I work with individuals facing challenges like anxiety, depression, grief, life transitions, chronic health concerns, trauma, self-doubt, and relationship struggles. Whether you're feeling stuck, disconnected, or simply wanting to better understand yourself, our work together will focus on helping you gain clarity, break unhelpful patterns, and build a life that feels more balanced and fulfilling.
(707) 684-4382 View (707) 684-4382
Photo of Lesley Guth, Marriage & Family Therapist, MA, LMFT
Lesley Guth
Marriage & Family Therapist, MA, LMFT
Serves Area
Thank you for viewing my profile as you consider engaging in therapy. I am experienced in working with couples and families, as well as adolescents and their parents, adults and older adults. I specialize in treating depression and anxiety, PTSD, work stress and relationship struggles. I am trained in the NeuroAffective Relational Model, a treatment modality for complex, childhood trauma. I use a Family Systems approach to help my clients gain insight into how their role in their family of origin is impacting their current relationships - and tools for improving them.
Thank you for viewing my profile as you consider engaging in therapy. I am experienced in working with couples and families, as well as adolescents and their parents, adults and older adults. I specialize in treating depression and anxiety, PTSD, work stress and relationship struggles. I am trained in the NeuroAffective Relational Model, a treatment modality for complex, childhood trauma. I use a Family Systems approach to help my clients gain insight into how their role in their family of origin is impacting their current relationships - and tools for improving them.
(650) 397-7451 View (650) 397-7451
Photo of Liza Loofbourrow, Marriage & Family Therapist, MFT
Liza Loofbourrow
Marriage & Family Therapist, MFT
2 Endorsed
Serves Area
Congratulations on taking this step; I would be honored to help. I offer strengths-based, in-person therapy in the Phoenix area, and telehealth in California, using cognitive-behavioral techniques, inner-child work, EMDR and Exposure and Response Prevention. Specializations include Obsessive-Compulsive Disorder, PTSD, addiction and recovery, and treating children and adolescents with anxiety. I am well-versed in 12-Step philosophy and love helping people thrive in their sobriety.
Congratulations on taking this step; I would be honored to help. I offer strengths-based, in-person therapy in the Phoenix area, and telehealth in California, using cognitive-behavioral techniques, inner-child work, EMDR and Exposure and Response Prevention. Specializations include Obsessive-Compulsive Disorder, PTSD, addiction and recovery, and treating children and adolescents with anxiety. I am well-versed in 12-Step philosophy and love helping people thrive in their sobriety.
(520) 502-6324 View (520) 502-6324
Photo of Amanda Summers, Licensed Professional Counselor, LPCC, LPC-S, NCC, MS
Amanda Summers
Licensed Professional Counselor, LPCC, LPC-S, NCC, MS
5 Endorsed
Serves Area
Whether you're at the beginning of your journey, questioning your identity, or exploring various aspects of your authentic self, I am here to support and affirm your unique experience. If you're an professional seeking growth but feeling blocked, whether it be in your career, personal life, or both.
Whether you're at the beginning of your journey, questioning your identity, or exploring various aspects of your authentic self, I am here to support and affirm your unique experience. If you're an professional seeking growth but feeling blocked, whether it be in your career, personal life, or both.
(918) 303-7768 View (918) 303-7768
Photo of Tracy Hesse, Marriage & Family Therapist, MA, LMFT
Tracy Hesse
Marriage & Family Therapist, MA, LMFT
5 Endorsed
Serves Area
I believe we all possess innate strengths and have the potential to thrive and live meaningful lives; however, sometimes we get stuck. Major changes, life stage transitions, and stressors can become overwhelming, exceed the ability to cope, and prompt individuals, couples, and families to seek outside support. These times also hold potential for healing and growth. I use a non-judgmental, culturally sensitive, attachment, and systems lens to view and explore issues impacting the person, couple, and family; and collaborate to explore possible solutions. I work with children, adolescents, and adults of all ages and in all life stages.
I believe we all possess innate strengths and have the potential to thrive and live meaningful lives; however, sometimes we get stuck. Major changes, life stage transitions, and stressors can become overwhelming, exceed the ability to cope, and prompt individuals, couples, and families to seek outside support. These times also hold potential for healing and growth. I use a non-judgmental, culturally sensitive, attachment, and systems lens to view and explore issues impacting the person, couple, and family; and collaborate to explore possible solutions. I work with children, adolescents, and adults of all ages and in all life stages.
(707) 668-7103 View (707) 668-7103
Photo of Emmylou Chua Cancino, Marriage & Family Therapist, LMFT
Emmylou Chua Cancino
Marriage & Family Therapist, LMFT
Serves Area
Hi, I’m Emmylou, Licensed Marriage & Family Therapist. I work with children, adolescents, families, foster youth, adoptees, and adults, supporting them through individual, family, and group therapy. I specialize in trauma, anxiety, depression, behavioral challenges, parenting, and family concerns. My approach is interactive, collaborative, culturally sensitive, and trauma-informed, often using Cognitive Behavioral Therapy, Solution-Focused Therapy, and Trauma-Focused CBT (TF-CBT). I’m passionate about helping individuals heal and grow from past experiences. I offer video sessions and enjoy spending time with family.
Hi, I’m Emmylou, Licensed Marriage & Family Therapist. I work with children, adolescents, families, foster youth, adoptees, and adults, supporting them through individual, family, and group therapy. I specialize in trauma, anxiety, depression, behavioral challenges, parenting, and family concerns. My approach is interactive, collaborative, culturally sensitive, and trauma-informed, often using Cognitive Behavioral Therapy, Solution-Focused Therapy, and Trauma-Focused CBT (TF-CBT). I’m passionate about helping individuals heal and grow from past experiences. I offer video sessions and enjoy spending time with family.
(408) 648-2505 View (408) 648-2505
Photo of Denise A Traina, Psychologist, PhD
Denise A Traina
Psychologist, PhD
1 Endorsed
Serves Area
There are many reasons for seeking therapy, but most often the goal is to feel better, live more fully, or improve coping skills. I believe that effective therapy is tailored to the presenting issue, specific treatment goals, individual temperament as well as an ongoing assessment of effectiveness. My style is one of openness, acceptance, curiosity, respect, optimism, and encouragement.
There are many reasons for seeking therapy, but most often the goal is to feel better, live more fully, or improve coping skills. I believe that effective therapy is tailored to the presenting issue, specific treatment goals, individual temperament as well as an ongoing assessment of effectiveness. My style is one of openness, acceptance, curiosity, respect, optimism, and encouragement.
(510) 380-8155 View (510) 380-8155

See more therapy options for 94503

How does your Therapist compare?

Number of Therapists in 94503

50+

Average cost per session

$165

Therapists in 94503 who prioritize treating:

92% Anxiety
88% Depression
75% Relationship Issues
75% Coping Skills
71% Self Esteem
67% Parenting
67% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

71% Aetna
71% Other
54% Cigna and Evernorth

How Therapists in 94503 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 94503?

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.