Therapists in 95959

Photo of Margaret V Austin, Psychologist, PhD, BCN
Margaret V Austin
Psychologist, PhD, BCN
Nevada City, CA 95959
Are you struggling to find your footing in this difficult new world of ours? Life continues to change and its up to each of us to regroup. I work with clients in the midst of change who are overwhelmed by the demands on their lives from work, school, relationships, or life itself. I see children who have difficulty focusing in school, performing their best, or getting along with others. When children have problems, parents need support too! Families improve when children and parents work together. I also see adults with trouble sleeping, thinking clearly, or reaching goals.
Are you struggling to find your footing in this difficult new world of ours? Life continues to change and its up to each of us to regroup. I work with clients in the midst of change who are overwhelmed by the demands on their lives from work, school, relationships, or life itself. I see children who have difficulty focusing in school, performing their best, or getting along with others. When children have problems, parents need support too! Families improve when children and parents work together. I also see adults with trouble sleeping, thinking clearly, or reaching goals.
(530) 207-8805 View (530) 207-8805
Photo of Debra Bernbeck, Marriage & Family Therapist, LMFT
Debra Bernbeck
Marriage & Family Therapist, LMFT
Nevada City, CA 95959
I am a psychotherapist (MFT) and Coach for the Psychology of Eating. My counseling sessions online and in person aim to help couples and individuals (12 years and up) for a variety of issues, such as emotional eating, depression, anxiety, trauma, couple's conflict, codependency, self-esteem, life transitions, behavioral problems and more. I am trained couples therapist, and have passion for helping couples. I provide space for those who struggle with emotional eating and suffer silently and alone, so they can transform their relationship with their bodies and eating habits, lose weight and achieve greater self-esteem.
I am a psychotherapist (MFT) and Coach for the Psychology of Eating. My counseling sessions online and in person aim to help couples and individuals (12 years and up) for a variety of issues, such as emotional eating, depression, anxiety, trauma, couple's conflict, codependency, self-esteem, life transitions, behavioral problems and more. I am trained couples therapist, and have passion for helping couples. I provide space for those who struggle with emotional eating and suffer silently and alone, so they can transform their relationship with their bodies and eating habits, lose weight and achieve greater self-esteem.
(530) 319-5417 View (530) 319-5417
Photo of Christina Olsen, Clinical Social Work/Therapist, LCSW, MSW
Christina Olsen
Clinical Social Work/Therapist, LCSW, MSW
3 Endorsed
Nevada City, CA 95959
On the outside, it appears you have it all together. You have an ideal life with a great job, a good marriage and a lot of friends. But something is off. On the inside, you feel alone: no one knows the burdens you carry. You have tried everything you know to do, but still feel depressed, anxious, and overwhelmed. You're terrified of the moment when everyone figures out you are a fraud. You know on paper you have a good life, and you're confused why you don't feel happy. You have come to the right place. Therapy can help you resolve those internal thoughts, feelings and stuck points that no one else sees.
On the outside, it appears you have it all together. You have an ideal life with a great job, a good marriage and a lot of friends. But something is off. On the inside, you feel alone: no one knows the burdens you carry. You have tried everything you know to do, but still feel depressed, anxious, and overwhelmed. You're terrified of the moment when everyone figures out you are a fraud. You know on paper you have a good life, and you're confused why you don't feel happy. You have come to the right place. Therapy can help you resolve those internal thoughts, feelings and stuck points that no one else sees.
(916) 619-5552 View (916) 619-5552
Photo of Allison Rees, Marriage & Family Therapist, LMFT
Allison Rees
Marriage & Family Therapist, LMFT
Nevada City, CA 95959
I'm a Licensed Marriage and Family Therapist specializing in trauma, burnout, and moral injury. With nearly a decade of crisis intervention experience and advanced training in Brainspotting, somatic modalities, and depth psychology, I work with first responders, veterans, healthcare providers, therapists, and LGBTQIA+ individuals who are ready to stop just managing and start actually healing. My work is to help people who've carried a lot make sense of what that's actually cost them, and reclaim who they are beyond their role.
I'm a Licensed Marriage and Family Therapist specializing in trauma, burnout, and moral injury. With nearly a decade of crisis intervention experience and advanced training in Brainspotting, somatic modalities, and depth psychology, I work with first responders, veterans, healthcare providers, therapists, and LGBTQIA+ individuals who are ready to stop just managing and start actually healing. My work is to help people who've carried a lot make sense of what that's actually cost them, and reclaim who they are beyond their role.
(530) 296-3718 View (530) 296-3718
Photo of Isabella Knypstra, Marriage & Family Therapist Associate, AMFT
Isabella Knypstra
Marriage & Family Therapist Associate, AMFT
Nevada City, CA 95959
I’m Bella Knypstra, a therapist at Kindred Heart Therapy Group supporting adults, couples, families, and children in exploring their inner world while working towards their goals. My goal is to provide a secure relationship where you can feel safe being a human, expressing human emotions. I aim to provide a non-judgmental environment where we can explore your past, relationships, patterns, and desires while making space for curiosity and humor. Together, we can facilitate a deeper understanding of yourself and empower you with strategies that foster positive change and promote a fulfilling life.
I’m Bella Knypstra, a therapist at Kindred Heart Therapy Group supporting adults, couples, families, and children in exploring their inner world while working towards their goals. My goal is to provide a secure relationship where you can feel safe being a human, expressing human emotions. I aim to provide a non-judgmental environment where we can explore your past, relationships, patterns, and desires while making space for curiosity and humor. Together, we can facilitate a deeper understanding of yourself and empower you with strategies that foster positive change and promote a fulfilling life.
(530) 531-8647 View (530) 531-8647
Photo of Shannon O'Shea, Marriage & Family Therapist, MA, LMFT
Shannon O'Shea
Marriage & Family Therapist, MA, LMFT
Nevada City, CA 95959
I am in awe of the power of the human spirit. I am inspired by the courage and strength it takes for a person to come to a place where they feel they no longer can be alone in a personal crisis and they reach out for support. It is in these very moments where grace is in motion and the potential for transformation is most fertile. I am passionate about working with others and feel honored in being part of someone's journey of self-discovery as they uncover the root and causes of their lack of connection with others, depression, anxiety, and grief.
I am in awe of the power of the human spirit. I am inspired by the courage and strength it takes for a person to come to a place where they feel they no longer can be alone in a personal crisis and they reach out for support. It is in these very moments where grace is in motion and the potential for transformation is most fertile. I am passionate about working with others and feel honored in being part of someone's journey of self-discovery as they uncover the root and causes of their lack of connection with others, depression, anxiety, and grief.
(530) 477-3426 View (530) 477-3426
Photo of Michelle Cowie, Marriage & Family Therapist, LMFT
Michelle Cowie
Marriage & Family Therapist, LMFT
Nevada City, CA 95959
Are you struggling with depression, anxiety or difficult life experiences? You may feel stuck in the aftermath of trauma or have trouble creating healthy and rewarding relationships. Or maybe your past is getting in the way of you being your authentic self and meeting life's challenges. I would be honored to help you or your loved one to work through your pain, fear, or shame and learn how to live more fully in the present. I will work with you to discover and follow your own goals and values with compassion, humor, and open-mindedness.
Are you struggling with depression, anxiety or difficult life experiences? You may feel stuck in the aftermath of trauma or have trouble creating healthy and rewarding relationships. Or maybe your past is getting in the way of you being your authentic self and meeting life's challenges. I would be honored to help you or your loved one to work through your pain, fear, or shame and learn how to live more fully in the present. I will work with you to discover and follow your own goals and values with compassion, humor, and open-mindedness.
(530) 531-3346 View (530) 531-3346
Photo of Paulette Lucier, Marriage & Family Therapist, PhD, LMFT
Paulette Lucier
Marriage & Family Therapist, PhD, LMFT
Nevada City, CA 95959
In the process of growing up, children can experience difficulty coping at home, school, with divorce, trauma, or loss. Families choose to come to therapy for a variety of reasons, including self growth and increased awareness. Common issues of concern are: depression, anxiety, conflict in relationships, and life transitions. I offer a heart-centered approach to healing. Are you ready to make a change? If so, please call me today to set up a confidential appointment.
In the process of growing up, children can experience difficulty coping at home, school, with divorce, trauma, or loss. Families choose to come to therapy for a variety of reasons, including self growth and increased awareness. Common issues of concern are: depression, anxiety, conflict in relationships, and life transitions. I offer a heart-centered approach to healing. Are you ready to make a change? If so, please call me today to set up a confidential appointment.
(530) 629-5562 View (530) 629-5562
Photo of Rebecca Victor, Pre-Licensed Professional, MFTT, PCCT
Rebecca Victor
Pre-Licensed Professional, MFTT, PCCT
Nevada City, CA 95959
As part of the Kindred Heart Therapy Group team, my goal is to walk with you as you process the problems you face in day-to-day life and provide assistance where you’re unsure of what to do next. Whether it be stressful times and feeling overwhelmed, navigating new opportunities and next steps, anxiety about what’s to come, troubles with relationships or work, or coping with loss or grief, I aim to be a clinician who can be a safe person for those who are struggling while maintaining a bit of fun and authenticity. I am passionate about working with children.
As part of the Kindred Heart Therapy Group team, my goal is to walk with you as you process the problems you face in day-to-day life and provide assistance where you’re unsure of what to do next. Whether it be stressful times and feeling overwhelmed, navigating new opportunities and next steps, anxiety about what’s to come, troubles with relationships or work, or coping with loss or grief, I aim to be a clinician who can be a safe person for those who are struggling while maintaining a bit of fun and authenticity. I am passionate about working with children.
(530) 423-3661 View (530) 423-3661
Photo of Jenny Emblom, Marriage & Family Therapist, LMFT
Jenny Emblom
Marriage & Family Therapist, LMFT
Nevada City, CA 95959
I work with individuals, couples, adolescents, and families who are longing for deeper healing, Self understanding, and meaningful transformation. Many arrive carrying anxiety, trauma, grief, relationship pain, life transitions, nervous system overwhelm, or a sense of disconnection from themselves. Others feel called toward depth-oriented, conscious, or psychedelic-assisted therapy. Through an integrative, relational, and trauma-informed approach, I offer a grounded and compassionate space to reconnect with inner wisdom, restore emotional resilience, tend to relationships, and move toward greater wholeness, alignment & ease in life.
I work with individuals, couples, adolescents, and families who are longing for deeper healing, Self understanding, and meaningful transformation. Many arrive carrying anxiety, trauma, grief, relationship pain, life transitions, nervous system overwhelm, or a sense of disconnection from themselves. Others feel called toward depth-oriented, conscious, or psychedelic-assisted therapy. Through an integrative, relational, and trauma-informed approach, I offer a grounded and compassionate space to reconnect with inner wisdom, restore emotional resilience, tend to relationships, and move toward greater wholeness, alignment & ease in life.
(805) 874-5348 View (805) 874-5348
Photo of Spencer Campbell - Center for Transformational Therapy, Marriage & Family Therapist, MFT, AMFT
Center for Transformational Therapy
Marriage & Family Therapist, MFT, AMFT
Nevada City, CA 95959
At Center for Transformational Psychotherapy we are committed to the real possibility of happiness for every human being, regardless of individual background and circumstance. We work from a shared perspective that transformation occurs through developing a relationship with awareness itself. Within this shared perspective we offer a wide range of therapeutic techniques and will work with you to find the therapist who best meets your needs.
At Center for Transformational Psychotherapy we are committed to the real possibility of happiness for every human being, regardless of individual background and circumstance. We work from a shared perspective that transformation occurs through developing a relationship with awareness itself. Within this shared perspective we offer a wide range of therapeutic techniques and will work with you to find the therapist who best meets your needs.
(530) 771-6845 View (530) 771-6845
Photo of Paige Hurt, Marriage & Family Therapist Associate, MA , MBA, AMFT
Paige Hurt
Marriage & Family Therapist Associate, MA , MBA, AMFT
Nevada City, CA 95959
My ideal client is someone who is ready to reconnect with their core self beyond roles, titles, or past experiences. They may be navigating life transitions, identity shifts, spiritual disconnection, or burnout. They seek clarity, healing, and balance in all areas of life to include emotional, mental, physical, and spiritual. They want to feel whole again, to align their inner life with their outer world, and to live with intention. My clients are often professionals, veterans, or spiritually curious individuals who are ready to do the work and open themselves to mindful, practical growth.
My ideal client is someone who is ready to reconnect with their core self beyond roles, titles, or past experiences. They may be navigating life transitions, identity shifts, spiritual disconnection, or burnout. They seek clarity, healing, and balance in all areas of life to include emotional, mental, physical, and spiritual. They want to feel whole again, to align their inner life with their outer world, and to live with intention. My clients are often professionals, veterans, or spiritually curious individuals who are ready to do the work and open themselves to mindful, practical growth.
(530) 444-6709 View (530) 444-6709
Photo of Aida Baker, Marriage & Family Therapist, MA, LMFT
Aida Baker
Marriage & Family Therapist, MA, LMFT
Nevada City, CA 95959
Are you there for me? Do I matter to you? Will you come to me when I call? These are the hidden cries of vulnerability that underlie the distress experienced in most adult love relationships. They often come however, in the form of an angry protest such as, "Why didn't you complete the list on the refrigerator?" Or, as in a withdrawn defeat, "I give up, since I can never please her." I can help you understand and access your underlying attachment needs and fears and begin to communicate more authentically to your parnter thus increasing safe emotional connection,
Are you there for me? Do I matter to you? Will you come to me when I call? These are the hidden cries of vulnerability that underlie the distress experienced in most adult love relationships. They often come however, in the form of an angry protest such as, "Why didn't you complete the list on the refrigerator?" Or, as in a withdrawn defeat, "I give up, since I can never please her." I can help you understand and access your underlying attachment needs and fears and begin to communicate more authentically to your parnter thus increasing safe emotional connection,
(530) 665-8877 View (530) 665-8877
Photo of Hannah Chamberlain, Pre-Licensed Professional, MFT-T
Hannah Chamberlain
Pre-Licensed Professional, MFT-T
1 Endorsed
Nevada City, CA 95959
I work best with teens, individuals, couples, and families facing issues such as neurodivergent diagnoses, trauma, addiction/recovery, relationship struggles, anxiety, grief, or major life transitions. Many people come to therapy feeling overwhelmed, disconnected, or stuck in painful patterns. I provide a supportive, nonjudgmental space where you can build insight, strengthen relationships, and move toward healthier ways of coping and connecting.
I work best with teens, individuals, couples, and families facing issues such as neurodivergent diagnoses, trauma, addiction/recovery, relationship struggles, anxiety, grief, or major life transitions. Many people come to therapy feeling overwhelmed, disconnected, or stuck in painful patterns. I provide a supportive, nonjudgmental space where you can build insight, strengthen relationships, and move toward healthier ways of coping and connecting.
(530) 704-7466 View (530) 704-7466
Photo of Micheline Worth, Marriage & Family Therapist, MFT, RYT200
Micheline Worth
Marriage & Family Therapist, MFT, RYT200
2 Endorsed
Nevada City, CA 95959
Do you long to rediscover your connection to passion, fulfillment and purpose? Have the pressure and stress of the past few years become burdens that get in the way of being with what really matters to you? A continuing journey of healing combining somatic, spiritual, creative & communal practices has helped birth a deep wisdom that I'd love to share with you. Tap into the healing power of engaging your personal history and intuition along with the wisdom of our collective ancestry with the help of an experienced guide.
Do you long to rediscover your connection to passion, fulfillment and purpose? Have the pressure and stress of the past few years become burdens that get in the way of being with what really matters to you? A continuing journey of healing combining somatic, spiritual, creative & communal practices has helped birth a deep wisdom that I'd love to share with you. Tap into the healing power of engaging your personal history and intuition along with the wisdom of our collective ancestry with the help of an experienced guide.
(707) 879-4160 View (707) 879-4160
Photo of Spencer Campbell, Marriage & Family Therapist, MA, LMFT
Spencer Campbell
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Nevada City, CA 95959
I have been practicing psychotherapy since 2004 and am currently serving as the Director of the Center for Transformational Therapy in Nevada City. I am accepting clients who are interested in moving beyond ego psychology and engaging in deeper transformative work. The transformational process involves establishing a relationship with Awareness and through that relationship discovering the capacity to transcend our core deficiency stories and reactive emotions. The realization of fundamental happiness occurs through this process as the natural shift in identity from the ego or the 'me' to the Self.
I have been practicing psychotherapy since 2004 and am currently serving as the Director of the Center for Transformational Therapy in Nevada City. I am accepting clients who are interested in moving beyond ego psychology and engaging in deeper transformative work. The transformational process involves establishing a relationship with Awareness and through that relationship discovering the capacity to transcend our core deficiency stories and reactive emotions. The realization of fundamental happiness occurs through this process as the natural shift in identity from the ego or the 'me' to the Self.
(530) 924-0614 View (530) 924-0614
Photo of Lindsay French, Marriage & Family Therapist, LMFT
Lindsay French
Marriage & Family Therapist, LMFT
Nevada City, CA 95959
As a Kindred Heart Therapy Group clinician, I understand that life can be difficult, and at times the challenges may feel impossible. A variety of reasons can prompt the decision to seek therapy. Whether it be a traumatic experience, a life transition, or another reason, I can help navigate challenges in your life in a way that works for you. I work with individuals and couples to explore their emotions and experiences in a safe environment that can increase understanding and help them reach their goals.
As a Kindred Heart Therapy Group clinician, I understand that life can be difficult, and at times the challenges may feel impossible. A variety of reasons can prompt the decision to seek therapy. Whether it be a traumatic experience, a life transition, or another reason, I can help navigate challenges in your life in a way that works for you. I work with individuals and couples to explore their emotions and experiences in a safe environment that can increase understanding and help them reach their goals.
(530) 418-6778 View (530) 418-6778
Photo of Daniela Di Piero - Lichen Health, Marriage & Family Therapist, LMFT
Lichen Health
Marriage & Family Therapist, LMFT
Nevada City, CA 95959
Lichen Health is a non-profit organization and holistic healing network providing integrative psychotherapy services to under-served populations both in-person in the Sierra Foothills and via telehealth for clients across California. Our team of compassionate, holistically trained mental healthcare providers offer an array of therapeutic modalities including Brainspotting, Hakomi, Art Therapy, Mindfulness-Based Practice and Somatic Work (such as yoga & movement). Some of our providers are also trained in Ketamine Assisted Psychotherapy (KAP). We aim to provide culturally sensitive, LGBTQ+ affirming, and neurodivergent-friendly care.
Lichen Health is a non-profit organization and holistic healing network providing integrative psychotherapy services to under-served populations both in-person in the Sierra Foothills and via telehealth for clients across California. Our team of compassionate, holistically trained mental healthcare providers offer an array of therapeutic modalities including Brainspotting, Hakomi, Art Therapy, Mindfulness-Based Practice and Somatic Work (such as yoga & movement). Some of our providers are also trained in Ketamine Assisted Psychotherapy (KAP). We aim to provide culturally sensitive, LGBTQ+ affirming, and neurodivergent-friendly care.
(530) 317-0582 View (530) 317-0582
Photo of Koah Doud, Pre-Licensed Professional, MFTT
Koah Doud
Pre-Licensed Professional, MFTT
Nevada City, CA 95959
As a therapist at Kindred Heart Therapy Group, I work with individuals, couples, and families navigating grief and loss, major life transitions, patterns of conflict and frustration, anxiety, trauma, and depression. My approach is patient, collaborative, and non-judgmental. I am here to support you as you strive to be well, and I take seriously your thoughts, hopes, fears, and dreams.
As a therapist at Kindred Heart Therapy Group, I work with individuals, couples, and families navigating grief and loss, major life transitions, patterns of conflict and frustration, anxiety, trauma, and depression. My approach is patient, collaborative, and non-judgmental. I am here to support you as you strive to be well, and I take seriously your thoughts, hopes, fears, and dreams.
(530) 639-5076 View (530) 639-5076
Photo of Debra Miller, Psychologist, PsyD
Debra Miller
Psychologist, PsyD
Nevada City, CA 95959
My goal is to provide a safe and caring environment. I specialize in those who are struggling with depression, anxiety, chronic pain, substance use disorder, trauma and PTSD. My style is a common sense, straight forward approach. I believe that the connection between the therapist and client is the most important piece in the therapeutic process.
My goal is to provide a safe and caring environment. I specialize in those who are struggling with depression, anxiety, chronic pain, substance use disorder, trauma and PTSD. My style is a common sense, straight forward approach. I believe that the connection between the therapist and client is the most important piece in the therapeutic process.
(530) 475-6710 View (530) 475-6710

See more therapy options for 95959

How does your Therapist compare?

Number of Therapists in 95959

100+

Average cost per session

$150

Therapists in 95959 who prioritize treating:

86% Anxiety
86% Social Anxiety
86% Health Anxiety
86% Driving Anxiety
84% Depression
79% Relationship Issues
78% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

62% Medi-Cal
53% Aetna
53% Carelon Behavioral Health

How Therapists in 95959 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 95959?

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.