Therapists in Tucson, AZ

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Photo of Rachel Sommerfield, Licensed Professional Counselor in Tucson, AZ
Rachel Sommerfield
Licensed Professional Counselor, MC, LPC-S, ADHD-CP
Verified Verified
9 Endorsed
Tucson, AZ 85704
Life can get messy and overwhelming, even when we think we've got our shit together! You may be coming here as a parent feeling exhausted by how to help your child, wanting to find the right therapist for your child or teen that they connect with, or searching as an adult needing a space to process all the stressors of life. I am excited to help you get started with identifying your needs and working together to come up with goals that you feel motivated to tackle.
Life can get messy and overwhelming, even when we think we've got our shit together! You may be coming here as a parent feeling exhausted by how to help your child, wanting to find the right therapist for your child or teen that they connect with, or searching as an adult needing a space to process all the stressors of life. I am excited to help you get started with identifying your needs and working together to come up with goals that you feel motivated to tackle.
(520) 231-7386 View (520) 231-7386
Photo of Nicoline Mayger Counseling LLC, Counselor in Tucson, AZ
Nicoline Mayger Counseling LLC
Counselor, LPC, NCC, BC-DMT
Verified Verified
3 Endorsed
Tucson, AZ 85718  (Online Only)
My extensive experience includes adults, families and children in outpatient and inpatient settings in various states. I focus on women's therapy in private practice, and I am passionate about increasing their confidence, emotional strength, successful coping strategies, and empowerment. Clients find solutions never thought possible. I am also certified in EMDR, and the technology I use is highly effective for telehealth sessions.
My extensive experience includes adults, families and children in outpatient and inpatient settings in various states. I focus on women's therapy in private practice, and I am passionate about increasing their confidence, emotional strength, successful coping strategies, and empowerment. Clients find solutions never thought possible. I am also certified in EMDR, and the technology I use is highly effective for telehealth sessions.
(520) 369-4436 View (520) 369-4436
Photo of Brittany Dorsey @ Entune Behavioral Health, Counselor in Tucson, AZ
Brittany Dorsey @ Entune Behavioral Health
Counselor, LAC
Verified Verified
Tucson, AZ 85712
Brittany has extensive experience working with adults, couples, and adolescents experiencing anxiety, depression, relational issues, impulsivity, substance use, and other real-life concerns.
Brittany has extensive experience working with adults, couples, and adolescents experiencing anxiety, depression, relational issues, impulsivity, substance use, and other real-life concerns.
(520) 348-2051 View (520) 348-2051
Photo of Laurel Alexander, Clinical Social Work/Therapist in Tucson, AZ
Laurel Alexander
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Tucson, AZ 85716  (Online Only)
Waitlist for new clients
I provide compassionate and non-judgemental therapy for teens and adults. I take a neuroscience-informed approach to therapy in order to best treat trauma, depression, anxiety, and other issues which live in the body. Using a neuroscience-informed approach allows me to help you understand what you're experiencing and provide you with the skills and tools to address your concerns. My clients can expect to feel safe, respected and take an active role in their treatment.
I provide compassionate and non-judgemental therapy for teens and adults. I take a neuroscience-informed approach to therapy in order to best treat trauma, depression, anxiety, and other issues which live in the body. Using a neuroscience-informed approach allows me to help you understand what you're experiencing and provide you with the skills and tools to address your concerns. My clients can expect to feel safe, respected and take an active role in their treatment.
(520) 375-2768 View (520) 375-2768
Photo of Soul Space, Clinical Social Work/Therapist in Tucson, AZ
Soul Space
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tucson, AZ 85715
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
(520) 394-8206 View (520) 394-8206
Photo of Krishna Bright, Licensed Professional Counselor in Tucson, AZ
Krishna Bright
Licensed Professional Counselor, LPC
Verified Verified
Tucson, AZ 85711
I provide both counseling and astrology services, integrating 40 years experience of astrology into my counseling practice. 20 years of counseling experience involves guiding and supporting others through relationship concerns, family issues, anxiety, depression, sleep problems & women's health (sexual, physical, emotional.) I use CBT, psychodynamic, solution focused and emotionally focused modalities to help the client feel confident and secure in their positive coping skills. I also use mindfulness techniques and encourage the client to approach life holistically (mind, body, spirit) to obtain optimum goals of peace and happiness.
I provide both counseling and astrology services, integrating 40 years experience of astrology into my counseling practice. 20 years of counseling experience involves guiding and supporting others through relationship concerns, family issues, anxiety, depression, sleep problems & women's health (sexual, physical, emotional.) I use CBT, psychodynamic, solution focused and emotionally focused modalities to help the client feel confident and secure in their positive coping skills. I also use mindfulness techniques and encourage the client to approach life holistically (mind, body, spirit) to obtain optimum goals of peace and happiness.
(520) 214-8272 View (520) 214-8272
Photo of Katie Clint, Clinical Social Work/Therapist in Tucson, AZ
Katie Clint
Clinical Social Work/Therapist, LMSW
Verified Verified
Tucson, AZ 85712  (Online Only)
As a dedicated LMSW, my ideal client is someone grappling with complex emotional challenges, such as anxiety, depression, trauma, or relationship issues. I am drawn to individuals who are open to exploring their inner world and seeking growth. My empathetic and compassionate nature fosters a safe space for clients to express themselves authentically, and I aim to empower my clients to cultivate resilience, develop coping skills, and ultimately achieve a sense of fulfillment and well-being in their lives.
As a dedicated LMSW, my ideal client is someone grappling with complex emotional challenges, such as anxiety, depression, trauma, or relationship issues. I am drawn to individuals who are open to exploring their inner world and seeking growth. My empathetic and compassionate nature fosters a safe space for clients to express themselves authentically, and I aim to empower my clients to cultivate resilience, develop coping skills, and ultimately achieve a sense of fulfillment and well-being in their lives.
(520) 277-8305 View (520) 277-8305
Photo of Joel Gaffney, Psychologist in Tucson, AZ
Joel Gaffney
Psychologist, PhD, MS
Verified Verified
Tucson, AZ 85711  (Online Only)
Waitlist for new clients
I am the Training Director at the UArizona Counseling and Psych Services and also have a small telehealth private practice in which I offer individual psychotherapy. Using mostly psychodynamic, ACT, and mindfulness-based interventions, I am prepared to work with folx across a variety of issues. I have certified training in Compassionate Bereavement Counseling and particularly welcome fellow grievers. Further, as a trainer of the next generation of psychologists, I am especially committed to keeping up-to-date on best practices, research, new ideas, and working on myself to serve a diverse range of people and presenting concerns.
I am the Training Director at the UArizona Counseling and Psych Services and also have a small telehealth private practice in which I offer individual psychotherapy. Using mostly psychodynamic, ACT, and mindfulness-based interventions, I am prepared to work with folx across a variety of issues. I have certified training in Compassionate Bereavement Counseling and particularly welcome fellow grievers. Further, as a trainer of the next generation of psychologists, I am especially committed to keeping up-to-date on best practices, research, new ideas, and working on myself to serve a diverse range of people and presenting concerns.
(520) 597-8496 View (520) 597-8496
Photo of Arlene Woolfolk @ Entune Behavioral Health, Counselor in Tucson, AZ
Arlene Woolfolk @ Entune Behavioral Health
Counselor, LAC
Verified Verified
Tucson, AZ 85712  (Online Only)
My ideal client may be struggling with the aftermath of trauma, seeking understanding and healing. They might be facing medical conditions that add complexity to their emotional well-being. Being part of the LGBTQIA+ community, they seek a safe space where they can explore their identity with someone who understands. They want support, empathy, and practical tools to navigate their challenges. Their goal is to regain a sense of stability, resilience, and self-acceptance as they journey towards healing and personal growth.
My ideal client may be struggling with the aftermath of trauma, seeking understanding and healing. They might be facing medical conditions that add complexity to their emotional well-being. Being part of the LGBTQIA+ community, they seek a safe space where they can explore their identity with someone who understands. They want support, empathy, and practical tools to navigate their challenges. Their goal is to regain a sense of stability, resilience, and self-acceptance as they journey towards healing and personal growth.
(520) 376-8342 View (520) 376-8342
Desert Lotus Counseling
Licensed Professional Counselor, MS, LPC
Verified Verified
Tucson, AZ 85716
Young adulthood is an exciting time of growth and change. It can also be a time of stress and uncertainty as you navigate new directions in your life. During this time, we often feel challenged by new phases in our work, school, and relationships. You are moving toward independence and forming your identity while dealing with questions about your future. You may be struggling with your sense of meaning and purpose, or afraid to disappoint your family. Old coping skills aren't as effective anymore, or you may be concerned about your ability to cope in healthy ways. Having a safe space to work through these issues is so important!
Young adulthood is an exciting time of growth and change. It can also be a time of stress and uncertainty as you navigate new directions in your life. During this time, we often feel challenged by new phases in our work, school, and relationships. You are moving toward independence and forming your identity while dealing with questions about your future. You may be struggling with your sense of meaning and purpose, or afraid to disappoint your family. Old coping skills aren't as effective anymore, or you may be concerned about your ability to cope in healthy ways. Having a safe space to work through these issues is so important!
(520) 341-5409 View (520) 341-5409
Photo of Susan Hayes, Counselor in Tucson, AZ
Susan Hayes
Counselor, MA, MFA, LPC
Verified Verified
Tucson, AZ 85730  (Online Only)
Learning from remarkable teachers and healers along the way, I have evolved a practice based on empathy and creativity. Intensively trained in EMDR and Dialectical Behavior Therapy (DBT), I specialize in treating anxiety, depression, grief and loss, trauma and dysfunctional family of origin patterns. Having traveled the path of the Wounded Healer, I fully believe that we can all heal. I would love to support your path to health. I am accepting new clients. (Sorry, I am not able to accept clients involved in legal matters that would require my assistance.) Please contact me by email or voicemail. Texts don't come through this system.
Learning from remarkable teachers and healers along the way, I have evolved a practice based on empathy and creativity. Intensively trained in EMDR and Dialectical Behavior Therapy (DBT), I specialize in treating anxiety, depression, grief and loss, trauma and dysfunctional family of origin patterns. Having traveled the path of the Wounded Healer, I fully believe that we can all heal. I would love to support your path to health. I am accepting new clients. (Sorry, I am not able to accept clients involved in legal matters that would require my assistance.) Please contact me by email or voicemail. Texts don't come through this system.
(520) 447-1696 View (520) 447-1696
Photo of Yvonne C Giordano, Clinical Social Work/Therapist in Tucson, AZ
Yvonne C Giordano
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Tucson, AZ 85712  (Online Only)
Are you are looking to be empowered to address issues related to addiction and manage symptoms associated with anxiety, depression, trauma, insomnia, eating disorders, or grief and loss? I can offer you the opportunity to enter into a trusting relationship with a therapist who is skilled and trained, non-judgmental, supportive, validating, and empathetic to their experiences while making their journey into healing and personal growth. I work with adults and adolescents who are culturally and racially diverse, members of the LGBTQIA+ community, veterans, homeless population, those in chronic pain, and members of the Deaf community.
Are you are looking to be empowered to address issues related to addiction and manage symptoms associated with anxiety, depression, trauma, insomnia, eating disorders, or grief and loss? I can offer you the opportunity to enter into a trusting relationship with a therapist who is skilled and trained, non-judgmental, supportive, validating, and empathetic to their experiences while making their journey into healing and personal growth. I work with adults and adolescents who are culturally and racially diverse, members of the LGBTQIA+ community, veterans, homeless population, those in chronic pain, and members of the Deaf community.
(520) 843-1947 View (520) 843-1947
Photo of Charlotte Holst Reilley, Licensed Professional Counselor in Tucson, AZ
Charlotte Holst Reilley
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Tucson, AZ 85719
The decision to begin therapy is a powerful moment. It is a mobilizing action towards living a fuller, more wholesome existence. My approach honors your inner wisdom that may be blocked by current behavior patterns, past events, or fear of the future. I use a sensorimotor psychotherapy approach to create awareness on many levels; cognitive, emotional, and physical. I will guide you in learning the tools to self regulate, feel your strength, and carry out your unique destiny.
The decision to begin therapy is a powerful moment. It is a mobilizing action towards living a fuller, more wholesome existence. My approach honors your inner wisdom that may be blocked by current behavior patterns, past events, or fear of the future. I use a sensorimotor psychotherapy approach to create awareness on many levels; cognitive, emotional, and physical. I will guide you in learning the tools to self regulate, feel your strength, and carry out your unique destiny.
(520) 376-2556 View (520) 376-2556
Photo of Rebecca Tolman, Clinical Social Work/Therapist in Tucson, AZ
Rebecca Tolman
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
Tucson, AZ 85715
My practice serves people as young as 6 to teens, adults, and seniors. I work with people struggling with life changes and transitions, anxiety, depression, specific traumas, long term trauma and neglect, relationship challenges, and phobias, as well as the issues and conditions caused by these challenges.
My practice serves people as young as 6 to teens, adults, and seniors. I work with people struggling with life changes and transitions, anxiety, depression, specific traumas, long term trauma and neglect, relationship challenges, and phobias, as well as the issues and conditions caused by these challenges.
(520) 341-2326 View (520) 341-2326
Photo of Stephanie Levi, Licensed Professional Counselor in Tucson, AZ
Stephanie Levi
Licensed Professional Counselor, LPC, LCPC
Verified Verified
Tucson, AZ 85705
Greetings! I'm Stephanie, a compassionate therapist specializing in InnerChild Connection Therapy. I offer a long-term, supportive approach rooted in psychodynamic and mindfulness-based models. With a focus on healing trauma, managing anxiety and depression, and building emotional well-being, I provide both in-person and online sessions. My practice suits those not in acute mental illness or crisis. Whether face-to-face or virtually, my goal is to create a safe space for transformative healing and self-discovery. Join me on this path of growth and resilience.
Greetings! I'm Stephanie, a compassionate therapist specializing in InnerChild Connection Therapy. I offer a long-term, supportive approach rooted in psychodynamic and mindfulness-based models. With a focus on healing trauma, managing anxiety and depression, and building emotional well-being, I provide both in-person and online sessions. My practice suits those not in acute mental illness or crisis. Whether face-to-face or virtually, my goal is to create a safe space for transformative healing and self-discovery. Join me on this path of growth and resilience.
(520) 423-3794 View (520) 423-3794
Photo of Wen Chi Chien, Counselor in Tucson, AZ
Wen Chi Chien
Counselor, MA, LPC
Verified Verified
Tucson, AZ 85718  (Online Only)
Do you feel like a hamster on the wheel, no matter how you try, you just don't feel good enough? The truth is that "YOU are Powerful Beyond Measure!" All you need to do is to learn how to tap into your Inner Power! Being a psychotherapist and life coach for more than 25 years, I understand how you feel. I have helped thousands of people successfully recover from severe anxiety, depression, trauma and addiction.
Do you feel like a hamster on the wheel, no matter how you try, you just don't feel good enough? The truth is that "YOU are Powerful Beyond Measure!" All you need to do is to learn how to tap into your Inner Power! Being a psychotherapist and life coach for more than 25 years, I understand how you feel. I have helped thousands of people successfully recover from severe anxiety, depression, trauma and addiction.
(520) 438-7162 View (520) 438-7162
Photo of Andria J Jennings, Clinical Social Work/Therapist in Tucson, AZ
Andria J Jennings
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Tucson, AZ 85741  (Online Only)
Whether you are experiencing a problem that needs immediate attention, or you are finally ready to confront a long-standing issue, finding the right provider is the next important step. I work with individuals, couples and families dealing with depression, anxiety, stress, relationship issues and parenting, as well as adolescence/ phase of life issues, blended families and other change of life/adjustment issues. My goal for the therapeutic partnership is to help clients enhance their strengths and develop new skills to overcome obstacles to their emotional health and achieve their full potential.
Whether you are experiencing a problem that needs immediate attention, or you are finally ready to confront a long-standing issue, finding the right provider is the next important step. I work with individuals, couples and families dealing with depression, anxiety, stress, relationship issues and parenting, as well as adolescence/ phase of life issues, blended families and other change of life/adjustment issues. My goal for the therapeutic partnership is to help clients enhance their strengths and develop new skills to overcome obstacles to their emotional health and achieve their full potential.
(520) 636-6389 View (520) 636-6389
Photo of Alyssa Kaucher, Clinical Social Work/Therapist in Tucson, AZ
Alyssa Kaucher
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Tucson, AZ 85716
I enjoy working with clients of all backgrounds. My strengths-based, person-centered approach to therapy gives clients the power to work through mental health issues and/or life challenges with some extra support. Therapy seems scary at first, but it is so empowering to take that first step towards personal growth and healing!
I enjoy working with clients of all backgrounds. My strengths-based, person-centered approach to therapy gives clients the power to work through mental health issues and/or life challenges with some extra support. Therapy seems scary at first, but it is so empowering to take that first step towards personal growth and healing!
(520) 402-1414 View (520) 402-1414
Photo of Amy Mozolik, Psychologist in Tucson, AZ
Amy Mozolik
Psychologist, PsyD
Verified Verified
Tucson, AZ 85747
Not accepting new clients
I appreciate working with individuals who experience (PTSD), anxiety, depression, and personality disorders. I believe that everyone has all that they need to reach their full potential as human beings, and I am honored to be a part of the process of their growth and discovery. I am trained to provide individual psychotherapy to adolescents and adults, ages 16 and older. I am certified to provide Eye Movement Desensitization and Reprocessing (EMDR) and am trained in Levels I and II Hypnosis. I provide these services within a humanistic framework in which I appreciate the resiliency of the individual.
I appreciate working with individuals who experience (PTSD), anxiety, depression, and personality disorders. I believe that everyone has all that they need to reach their full potential as human beings, and I am honored to be a part of the process of their growth and discovery. I am trained to provide individual psychotherapy to adolescents and adults, ages 16 and older. I am certified to provide Eye Movement Desensitization and Reprocessing (EMDR) and am trained in Levels I and II Hypnosis. I provide these services within a humanistic framework in which I appreciate the resiliency of the individual.
(907) 312-1190 View (907) 312-1190
Photo of Rosie Wick, Licensed Professional Counselor in Tucson, AZ
Rosie Wick
Licensed Professional Counselor, MA, LPC
Verified Verified
Tucson, AZ 85718
Waitlist for new clients
Combining gentleness, strength, and evidence-based approaches with an intuitive understanding, is at the heart of my work. I use inner and outer resources to support people, and a little laughter and irony along the way. Attending to banished voices, lost dreams, inner-child work, saboteurs, and avoidance helps in getting people where they want to go. I utilize EMDR, have worked in grief support and inpatient. In addition, applying well-known factors in the neuropsychology of learning optimizes change. In practice, it all comes together using structure, flow, and clinical assessment.
Combining gentleness, strength, and evidence-based approaches with an intuitive understanding, is at the heart of my work. I use inner and outer resources to support people, and a little laughter and irony along the way. Attending to banished voices, lost dreams, inner-child work, saboteurs, and avoidance helps in getting people where they want to go. I utilize EMDR, have worked in grief support and inpatient. In addition, applying well-known factors in the neuropsychology of learning optimizes change. In practice, it all comes together using structure, flow, and clinical assessment.
(520) 704-6942 View (520) 704-6942

How does your Therapist compare?

Number of Therapists in Tucson, AZ

900+

Average cost per session

$130

Therapists in Tucson, AZ who prioritize treating:

92% Anxiety
89% Depression
81% Self Esteem
79% Relationship Issues
76% Trauma and PTSD
69% Coping Skills
67% Grief

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
68% UnitedHealthcare UHC | UBH
67% BlueCross and BlueShield

How Therapists in Tucson, AZ see their clients

66% In Person and Online
34% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tucson?

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.