Therapists in 97206

Photo of Jane Meskill, Clinical Social Work/Therapist, LCSW
Jane Meskill
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Not accepting new clients
Real change often takes courage, time and trust but it's not as hard as you think. My clients find I understand them quickly and we seek insight and solutions together. Clients want to be unstuck, be more conscious, more content and to be more mindful. Clarity, problem solving, finding one's authentic path, having more intimacy and being happy are some of the results of therapy. Why not feel better? Why not understand more, find avenues of communication in your relationships, improve your sex life, get rid of your depression and anxiety? I am particularly interested in working with therapists and those wanting to delve in.
Real change often takes courage, time and trust but it's not as hard as you think. My clients find I understand them quickly and we seek insight and solutions together. Clients want to be unstuck, be more conscious, more content and to be more mindful. Clarity, problem solving, finding one's authentic path, having more intimacy and being happy are some of the results of therapy. Why not feel better? Why not understand more, find avenues of communication in your relationships, improve your sex life, get rid of your depression and anxiety? I am particularly interested in working with therapists and those wanting to delve in.
(503) 446-4251 View (503) 446-4251
Photo of Megan S Samsel, Marriage & Family Therapist Associate, MA
Megan S Samsel
Marriage & Family Therapist Associate, MA
Portland, OR 97206
I work with individuals and couples who are neurodivergent, and/or have complex trauma. I believe compassion and loving-presence are essential to understanding the parts of ourselves that feel tender and/or condemned. It isn’t uncommon for these parts to appear to be stuck in patterns that seem to further disconnect us from ourselves and others. My goal is to bring awareness and understanding to these parts, so that you can experience the freedom needed to make changes that will bring you closer to yourself and those around you. My style of therapy is direct, relational, humorous, and client-centered.
I work with individuals and couples who are neurodivergent, and/or have complex trauma. I believe compassion and loving-presence are essential to understanding the parts of ourselves that feel tender and/or condemned. It isn’t uncommon for these parts to appear to be stuck in patterns that seem to further disconnect us from ourselves and others. My goal is to bring awareness and understanding to these parts, so that you can experience the freedom needed to make changes that will bring you closer to yourself and those around you. My style of therapy is direct, relational, humorous, and client-centered.
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Photo of Lauren Trask, Clinical Social Work/Therapist, LCSW
Lauren Trask
Clinical Social Work/Therapist, LCSW
Online Only
I believe every good therapist has done their own work. I have been a therapy client at different times throughout my life. I don’t ask my clients to do anything I haven’t done myself. Together we will work to identify the best approach to healing for you.
I believe every good therapist has done their own work. I have been a therapy client at different times throughout my life. I don’t ask my clients to do anything I haven’t done myself. Together we will work to identify the best approach to healing for you.
(971) 441-4333 View (971) 441-4333
Photo of Kombai Nonnarath - Kombai Nonnarath, Pre-Licensed Professional, MS, NCC
Kombai Nonnarath
Pre-Licensed Professional, MS, NCC
2 Endorsed
Online Only
Hi there, I’m a late-diagnosed AuDHD trauma therapist, passionate about creating spaces for authentic healing. I offer culturally responsive, neurodivergent-affirming care for adults navigating trauma, racial identity stress, codependency, and self-esteem challenges. My work centers adults with intersecting identities who are ready to break old patterns, reconnect with their values, and move through life with clarity and intention. I bring a warm, collaborative, and authentic approach to therapy, creating a space for meaningful change.
Hi there, I’m a late-diagnosed AuDHD trauma therapist, passionate about creating spaces for authentic healing. I offer culturally responsive, neurodivergent-affirming care for adults navigating trauma, racial identity stress, codependency, and self-esteem challenges. My work centers adults with intersecting identities who are ready to break old patterns, reconnect with their values, and move through life with clarity and intention. I bring a warm, collaborative, and authentic approach to therapy, creating a space for meaningful change.
(503) 461-0187 View (503) 461-0187
Photo of Thomas H Fuller - Thomas Fuller, LMFT, Marriage & Family Therapist, MFT, (Ca)
Thomas Fuller, LMFT
Marriage & Family Therapist, MFT, (Ca)
Portland, OR 97206
You may have worked your issues for a few years, or 10 or more: you’ve started to heal the childhood trauma and you’re experiencing a pretty good sense of stability in your life. But you’re ready for another round of work. Some things are pulling at you or prodding you and you’d like to get some guidance in taking the next step towards waking up in your deeper parts. Perhaps you’d like support in stepping out of the culture of blame that is so rampant right now. Maybe you’d like some help in bringing more kindness and generosity into your relationships and the world. You are wanting to be doing more of what you took birth to do.
You may have worked your issues for a few years, or 10 or more: you’ve started to heal the childhood trauma and you’re experiencing a pretty good sense of stability in your life. But you’re ready for another round of work. Some things are pulling at you or prodding you and you’d like to get some guidance in taking the next step towards waking up in your deeper parts. Perhaps you’d like support in stepping out of the culture of blame that is so rampant right now. Maybe you’d like some help in bringing more kindness and generosity into your relationships and the world. You are wanting to be doing more of what you took birth to do.
(503) 567-1838 View (503) 567-1838
Photo of Becca Love, Clinical Social Work/Therapist, LCSW
Becca Love
Clinical Social Work/Therapist, LCSW
Portland, OR 97206
With nearly 20 years of experience as a social worker, I support individuals ready to explore and challenge patterns, beliefs, and narratives that no longer serve them. Many of my clients are motivated to understand how their past — especially their upbringing and family of origin — shapes their present. My ideal clients are navigating life transitions such as grief, chronic illness, divorce, parenting, custody challenges, estrangement, or identity shifts. I work with teens, young adults, and adults — including medical professionals and first responders — who are curious, reflective, and open to meaningful growth.
With nearly 20 years of experience as a social worker, I support individuals ready to explore and challenge patterns, beliefs, and narratives that no longer serve them. Many of my clients are motivated to understand how their past — especially their upbringing and family of origin — shapes their present. My ideal clients are navigating life transitions such as grief, chronic illness, divorce, parenting, custody challenges, estrangement, or identity shifts. I work with teens, young adults, and adults — including medical professionals and first responders — who are curious, reflective, and open to meaningful growth.
(971) 412-6771 View (971) 412-6771
Photo of Chelsea Mier Harrington, Licensed Professional Counselor, MA, LPC
Chelsea Mier Harrington
Licensed Professional Counselor, MA, LPC
Portland, OR 97206
Not accepting new clients
I specialize in challenges related to anxiety and ADHD. I use evidence based interventions for healing and skill building that you feel would be most helpful for this juncture in your life. Many of my clients seek support for addressing patterns of thinking and reacting related to self-criticism, social anxiety, perfectionism, and rejection sensitivity. I've also shared guidance for managing mental health in multiple interviews with Portland's KGW News.
I specialize in challenges related to anxiety and ADHD. I use evidence based interventions for healing and skill building that you feel would be most helpful for this juncture in your life. Many of my clients seek support for addressing patterns of thinking and reacting related to self-criticism, social anxiety, perfectionism, and rejection sensitivity. I've also shared guidance for managing mental health in multiple interviews with Portland's KGW News.
(971) 717-2899 View (971) 717-2899
Photo of Kendyl Watts, Clinical Social Work/Therapist, LCSW
Kendyl Watts
Clinical Social Work/Therapist, LCSW
1 Endorsed
Portland, OR 97206
Waitlist for new clients
Hi, I'm Kendyl (she/her) and I'm glad you found me here! I am passionate about supporting people who want to feel better. I especially enjoy working with members of the LGBTQ+ community, people living with or affected by HIV/AIDS, and individuals experiencing infertility, pregnancy, and more. I provide letters of support for gender-affirming medical care and Assisted Reproductive Technologies. I strive to offer an affirming environment for ALL people, regardless of body size or ability, racial and ethnic identities, gender identity, religion, relationship status, and sexual behavior.
Hi, I'm Kendyl (she/her) and I'm glad you found me here! I am passionate about supporting people who want to feel better. I especially enjoy working with members of the LGBTQ+ community, people living with or affected by HIV/AIDS, and individuals experiencing infertility, pregnancy, and more. I provide letters of support for gender-affirming medical care and Assisted Reproductive Technologies. I strive to offer an affirming environment for ALL people, regardless of body size or ability, racial and ethnic identities, gender identity, religion, relationship status, and sexual behavior.
(971) 801-7744 View (971) 801-7744
Photo of Julianna Waters, Clinical Social Work/Therapist, LCSW
Julianna Waters
Clinical Social Work/Therapist, LCSW
Portland, OR 97206
Are you suffering from feelings you don’t understand? Are your relationships strained? Are you feeling defeated or fearful all the time? Emotional pain is often related to trauma, life changes and grief. Recovering from these difficult situations and experiences can be painful, but not recovering is worse. We humans do all kinds of dysfunctional things to avoid pain. Mostly, we become anxious and depressed. We often need help sorting it out. That's where I come in. So, if any of these things are true for you, I can help.
Are you suffering from feelings you don’t understand? Are your relationships strained? Are you feeling defeated or fearful all the time? Emotional pain is often related to trauma, life changes and grief. Recovering from these difficult situations and experiences can be painful, but not recovering is worse. We humans do all kinds of dysfunctional things to avoid pain. Mostly, we become anxious and depressed. We often need help sorting it out. That's where I come in. So, if any of these things are true for you, I can help.
(458) 217-6118 View (458) 217-6118
Photo of Kara Busse, Clinical Social Work/Therapist, LCSW
Kara Busse
Clinical Social Work/Therapist, LCSW
Online Only
Waitlist for new clients
Reaching out for support is a strength and it brings me great joy to offer my support to you. I bring compassion, curiosity, and heartfelt acceptance to our work together. Depression, anxiety, stress, self esteem, break ups, healing unresolved trauma, relationship challenges, grief and loss, parenting, self realization and difficulty navigating life transitions are common themes clients bring in. Together we aim to identify concerns,develop healthy coping skills, build inner trust, and address and integrate trauma with care. Clients notice reduced stress, more agency, energy, improved self esteem and more fulfilling relationships.
Reaching out for support is a strength and it brings me great joy to offer my support to you. I bring compassion, curiosity, and heartfelt acceptance to our work together. Depression, anxiety, stress, self esteem, break ups, healing unresolved trauma, relationship challenges, grief and loss, parenting, self realization and difficulty navigating life transitions are common themes clients bring in. Together we aim to identify concerns,develop healthy coping skills, build inner trust, and address and integrate trauma with care. Clients notice reduced stress, more agency, energy, improved self esteem and more fulfilling relationships.
(971) 216-5904 View (971) 216-5904
Photo of Stephanie Leschber, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Stephanie Leschber
Clinical Social Work/Therapist, MSW, LCSW, LICSW
1 Endorsed
Online Only
Waitlist for new clients
Do you feel stuck, not good enough, or anxious? Or perhaps you are struggling with overwhelm, people-pleasing, or juggling too much? My passion is helping people deal with anxiety and self-worth issues. Together we can change patterns to ensure meaningful positive changes in your life. Our time together will explore the root of the challenges, give you new tools to thrive, and help you come out the other side into a new chapter of your life.
Do you feel stuck, not good enough, or anxious? Or perhaps you are struggling with overwhelm, people-pleasing, or juggling too much? My passion is helping people deal with anxiety and self-worth issues. Together we can change patterns to ensure meaningful positive changes in your life. Our time together will explore the root of the challenges, give you new tools to thrive, and help you come out the other side into a new chapter of your life.
(503) 489-7757 View (503) 489-7757
Photo of Monica Drewer-Tabacchi, Licensed Professional Counselor, MA, LPC
Monica Drewer-Tabacchi
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
Not accepting new clients
I believe that therapy can be social justice; self care can be a rebellion. I prioritize Queer, BIPOC and female identified care. All people are creative, resourceful and capable of growth. Change is difficult and we are all deserving of support. I am honored to work with folks through all of life’s transitions. If we decide to work together, we will identify goals and work through the barriers to becoming more healthy, happy and fulfilled. Email and I'll respond quickly. Since my practice is currently full, I am referring all potential clients to my colleague, Jennifer Crawford who trained with me at Lesley.
I believe that therapy can be social justice; self care can be a rebellion. I prioritize Queer, BIPOC and female identified care. All people are creative, resourceful and capable of growth. Change is difficult and we are all deserving of support. I am honored to work with folks through all of life’s transitions. If we decide to work together, we will identify goals and work through the barriers to becoming more healthy, happy and fulfilled. Email and I'll respond quickly. Since my practice is currently full, I am referring all potential clients to my colleague, Jennifer Crawford who trained with me at Lesley.
(971) 407-5729 View (971) 407-5729
Photo of Heather Washburn, Licensed Professional Counselor, MA, LPC
Heather Washburn
Licensed Professional Counselor, MA, LPC
Online Only
Waitlist for new clients
Are you seeking a safe, supportive connection to help you address what is interfering with achievement of your full potential, healing and growth? My focus is to build positive therapeutic relationships with my clients, support and guide you to identify your strengths, with intention of creating constructive solutions that promote balance and hope. There are times in our lives where getting additional support can help address life's painful events, transitions, issues and/or patterns that are no longer serving us.
Are you seeking a safe, supportive connection to help you address what is interfering with achievement of your full potential, healing and growth? My focus is to build positive therapeutic relationships with my clients, support and guide you to identify your strengths, with intention of creating constructive solutions that promote balance and hope. There are times in our lives where getting additional support can help address life's painful events, transitions, issues and/or patterns that are no longer serving us.
(971) 273-5946 View (971) 273-5946
Photo of Jessica Garbutt-Burden, Clinical Social Work/Therapist, LCSW, CTMH
Jessica Garbutt-Burden
Clinical Social Work/Therapist, LCSW, CTMH
Online Only
Accepting New Clients Philosophy and Approach: I believe that at various times in our lives all individuals, couples, and families need support adjusting to traumas, life changes and the daily stressors we all face. I desire to create a safe relationship where individuals feel that their experiences are understood and accepted. When the therapeutic relationship is built on trust, compassion, understanding, and acceptance, individuals are able to feel supported to make positive changes in their lives.
Accepting New Clients Philosophy and Approach: I believe that at various times in our lives all individuals, couples, and families need support adjusting to traumas, life changes and the daily stressors we all face. I desire to create a safe relationship where individuals feel that their experiences are understood and accepted. When the therapeutic relationship is built on trust, compassion, understanding, and acceptance, individuals are able to feel supported to make positive changes in their lives.
(503) 897-9727 View (503) 897-9727
Photo of Timothy A Connor, Psychologist, PsyD
Timothy A Connor
Psychologist, PsyD
Portland, OR 97206
I work with individuals and couples who find themselves trapped in patterns of emotion and behavior that keep them from moving forward in their lives and relationships. I don't think of problems as illnesses, but as learned ways of navigating the world that no longer work; almost every problem started out as a solution. Problems are solved by deeply confronting and changing the emotional learnings that make them seem inevitable. Change comes when people are able to unlearn old patterns and replace them with new ones. Transformative change uses the mind’s natural capacity to adapt and heal.
I work with individuals and couples who find themselves trapped in patterns of emotion and behavior that keep them from moving forward in their lives and relationships. I don't think of problems as illnesses, but as learned ways of navigating the world that no longer work; almost every problem started out as a solution. Problems are solved by deeply confronting and changing the emotional learnings that make them seem inevitable. Change comes when people are able to unlearn old patterns and replace them with new ones. Transformative change uses the mind’s natural capacity to adapt and heal.
(503) 850-0046 View (503) 850-0046
Photo of Brandy Tidwell, Psychologist, PhD
Brandy Tidwell
Psychologist, PhD
2 Endorsed
Portland, OR 97206
I believe we each need to be understood, valued, and accepted exactly as we are. My goal is to provide a safe and affirming relationship where we can collaboratively explore who you are, how you came to be, and who you hope to become as we work together toward your goals. I bring a holistic perspective that emphasizes healing in relationship and integration of mind & body. In session this might look like practicing mindfulness, learning about your nervous system, exploring attachment, or practicing communication. My hope is that therapy can empower you to live authentically, accept yourself more fully, and cultivate belonging.
I believe we each need to be understood, valued, and accepted exactly as we are. My goal is to provide a safe and affirming relationship where we can collaboratively explore who you are, how you came to be, and who you hope to become as we work together toward your goals. I bring a holistic perspective that emphasizes healing in relationship and integration of mind & body. In session this might look like practicing mindfulness, learning about your nervous system, exploring attachment, or practicing communication. My hope is that therapy can empower you to live authentically, accept yourself more fully, and cultivate belonging.
(503) 843-8949 View (503) 843-8949
Photo of Guy Tyler, Clinical Social Work/Therapist, LCSW
Guy Tyler
Clinical Social Work/Therapist, LCSW
1 Endorsed
Portland, OR 97206
Not accepting new clients
I work with individuals, couples and families to help identify and address mental health issues, sources of suffering, and barriers to wellbeing and personal growth.
I work with individuals, couples and families to help identify and address mental health issues, sources of suffering, and barriers to wellbeing and personal growth.
(503) 714-9234 View (503) 714-9234
Photo of Franny Thompson, Clinical Social Work/Therapist, LCSW
Franny Thompson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Welcome! I am currently accepting new clients and specialize in helping young adults and women reduce their symptoms of anxiety and depression. People come to see me when they are feeling overwhelmed and exhausted by their relentless self critic. They often use words like “stuck in a rut” and feel trapped by their negative thinking and downward spirals. Sometimes they are frozen "waiting for the other shoe to drop". They are looking for relief and skills to help manage their runaway thoughts and feelings, advocate for themselves, process grief, and ultimately improve their self confidence and self esteem.
Welcome! I am currently accepting new clients and specialize in helping young adults and women reduce their symptoms of anxiety and depression. People come to see me when they are feeling overwhelmed and exhausted by their relentless self critic. They often use words like “stuck in a rut” and feel trapped by their negative thinking and downward spirals. Sometimes they are frozen "waiting for the other shoe to drop". They are looking for relief and skills to help manage their runaway thoughts and feelings, advocate for themselves, process grief, and ultimately improve their self confidence and self esteem.
(971) 306-5647 View (971) 306-5647
Photo of Janee' Johnson, Licensed Professional Counselor, LPC, LMHC
Janee' Johnson
Licensed Professional Counselor, LPC, LMHC
Portland, OR 97206
Hi, I am Janee’ Johnson, Licensed Professional Counselor in the state of Oregon and Licensed Mental Health Counselor in the state of Florida. I began my work as a therapist in Jacksonville, FL 10 years ago. I have worked with people in a variety of areas including: crisis intervention, trauma processing, substance abuse recovery, family systems, mood disorders, anxiety management, and dissociative issues. I have experience working with a range of populations and ages. You can schedule directly with me via my website link.
Hi, I am Janee’ Johnson, Licensed Professional Counselor in the state of Oregon and Licensed Mental Health Counselor in the state of Florida. I began my work as a therapist in Jacksonville, FL 10 years ago. I have worked with people in a variety of areas including: crisis intervention, trauma processing, substance abuse recovery, family systems, mood disorders, anxiety management, and dissociative issues. I have experience working with a range of populations and ages. You can schedule directly with me via my website link.
(503) 741-2450 View (503) 741-2450
Photo of Lauren Whitelaw, Psychologist, PsyD
Lauren Whitelaw
Psychologist, PsyD
7 Endorsed
Portland, OR 97206
Talk therapy is a brave endeavor and can be extremely creative and rewarding. The most important part of my approach is creating an effective working partnership with you, so that you can get the most out of therapy. Ongoing distress in our lives can bring us to therapy, and with good work can lead us to both acceptance and long-term psychological flexibility and wellness. Many people find this path to be an exciting and generative one. It can even be fun at times. With my training from around the world, I specialize in creating unique clinical formulations to aid clients in fostering shifts in their lives.
Talk therapy is a brave endeavor and can be extremely creative and rewarding. The most important part of my approach is creating an effective working partnership with you, so that you can get the most out of therapy. Ongoing distress in our lives can bring us to therapy, and with good work can lead us to both acceptance and long-term psychological flexibility and wellness. Many people find this path to be an exciting and generative one. It can even be fun at times. With my training from around the world, I specialize in creating unique clinical formulations to aid clients in fostering shifts in their lives.
(503) 828-0672 View (503) 828-0672

See more therapy options for 97206

How does your Therapist compare?

Number of Therapists in 97206

200+

Average cost per session

$165

Therapists in 97206 who prioritize treating:

93% Anxiety
84% Depression
81% Relationship Issues
77% Trauma and PTSD
74% Self Esteem
68% Life Transitions
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

61% Aetna
59% PacificSource
49% BlueCross and BlueShield

How Therapists in 97206 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

73% Female
22% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97206?

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.