Therapists in Fort Worth, TX

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Photo of Courtney Martin, Psychologist in Fort Worth, TX
Courtney Martin
Psychologist, PsyD
Verified Verified
Fort Worth, TX 76107
Courtney Martin is a licensed psychologist who has been practicing since 2015. She graduated from Argosy University-Dallas with a doctorate in clinical psychology. Courtney believes in providing an empathic and non-judgmental environment as well as creating a strong therapeutic alliance with her clients. She engages clients to be active collaborators in therapy and employs treatment with cognitive-behavioral modalities and Internal Family Systems Therapy. Courtney enjoys reading and spending time with her cat. She has recently taken up the hobby of houseplant cultivation to varying degrees of success.
Courtney Martin is a licensed psychologist who has been practicing since 2015. She graduated from Argosy University-Dallas with a doctorate in clinical psychology. Courtney believes in providing an empathic and non-judgmental environment as well as creating a strong therapeutic alliance with her clients. She engages clients to be active collaborators in therapy and employs treatment with cognitive-behavioral modalities and Internal Family Systems Therapy. Courtney enjoys reading and spending time with her cat. She has recently taken up the hobby of houseplant cultivation to varying degrees of success.
(817) 813-8869 View (817) 813-8869
Photo of Rita Bingham, Licensed Professional Counselor in Fort Worth, TX
Rita Bingham
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Fort Worth, TX 76102
Is accepting new adult and adolescent clients for in person and tele-counseling, who are seeking to develop effective coping skills and tools to deal with anxiety, fear, and depression in an effort to bring about hope and healing. Rita has background of counseling which includes individuals, couples, and facilitating groups. Her counseling is faith based with an emphasis on grace and compassion . She sees each client as unique and bases her role as a counselor on developing a collaborative relationship exploring each client’s needs and goals.
Is accepting new adult and adolescent clients for in person and tele-counseling, who are seeking to develop effective coping skills and tools to deal with anxiety, fear, and depression in an effort to bring about hope and healing. Rita has background of counseling which includes individuals, couples, and facilitating groups. Her counseling is faith based with an emphasis on grace and compassion . She sees each client as unique and bases her role as a counselor on developing a collaborative relationship exploring each client’s needs and goals.
(817) 567-2093 View (817) 567-2093
Photo of Georgina Lucia Hickman, LPC Associate in Fort Worth, TX
Georgina Lucia Hickman
LPC Associate, MA, CST, EMDR
Verified Verified
1 Endorsed
Fort Worth, TX 76107
I am a counselor because I believe you are worth experiencing healing despite your past or current challenges and traumas. We live in a broken world, but that does not mean hope, healing, and joy are not possible, because they are. I care about providing a safe space for you to grieve, grow, and take back your life. It is a privilege to learn about the experiences that have shaped you and to walk alongside you as you step into freedom. I believe in the importance of addressing the mind, body, and soul collectively so that you can achieve health in all facets of life.
I am a counselor because I believe you are worth experiencing healing despite your past or current challenges and traumas. We live in a broken world, but that does not mean hope, healing, and joy are not possible, because they are. I care about providing a safe space for you to grieve, grow, and take back your life. It is a privilege to learn about the experiences that have shaped you and to walk alongside you as you step into freedom. I believe in the importance of addressing the mind, body, and soul collectively so that you can achieve health in all facets of life.
(214) 307-8948 View (214) 307-8948
Photo of Sheri Lewis, Clinical Social Work/Therapist in Fort Worth, TX
Sheri Lewis
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Worth, TX 76179  (Online Only)
I am a Licensed Clinical Social Worker dedicated to aiding adults who feel drained by life's obstacles. Whether you're grappling with significant losses, phobias, stress, anxiety, or past traumas impacting your present, I'm here to help. If you're constantly drained from attempting to juggle everything, please others, or uphold an unattainable standard of perfection, or if you're stuck in a cycle of inner turmoil with your mind racing in circles, it's time for change. Living in a pattern that leaves you unfulfilled prevents you from reaching your full potential. Let's work together to break free from these patterns!
I am a Licensed Clinical Social Worker dedicated to aiding adults who feel drained by life's obstacles. Whether you're grappling with significant losses, phobias, stress, anxiety, or past traumas impacting your present, I'm here to help. If you're constantly drained from attempting to juggle everything, please others, or uphold an unattainable standard of perfection, or if you're stuck in a cycle of inner turmoil with your mind racing in circles, it's time for change. Living in a pattern that leaves you unfulfilled prevents you from reaching your full potential. Let's work together to break free from these patterns!
(817) 631-6626 View (817) 631-6626
Photo of Christiana Redeaux, Clinical Social Work/Therapist in Fort Worth, TX
Christiana Redeaux
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Fort Worth, TX 76104
Christiana Redeaux is a Licensed Clinical Social Worker with 5 years of experience as a licensed clinician. She has previous years of experience as a mental health technician in an inpatient setting. Christiana is passionate about helping adults and adolescents through life's challenges. Christiana specializes in depression, anxiety, and significant life transitions. Christiana completed her Master of Social Work at the University of Texas at Arlington.
Christiana Redeaux is a Licensed Clinical Social Worker with 5 years of experience as a licensed clinician. She has previous years of experience as a mental health technician in an inpatient setting. Christiana is passionate about helping adults and adolescents through life's challenges. Christiana specializes in depression, anxiety, and significant life transitions. Christiana completed her Master of Social Work at the University of Texas at Arlington.
(817) 934-1814 View (817) 934-1814
Photo of Carrie Manning, Licensed Professional Counselor in Fort Worth, TX
Carrie Manning
Licensed Professional Counselor, MS, LPC-S, RPT-S
Verified Verified
3 Endorsed
Fort Worth, TX 76244
Whether you are dealing with anxiety, stress, behavior challenges, or difficult transitions, my passion is helping families and kids learn how to cope with life’s challenges while guiding them to discover their strengths. The last few years following the Pandemic have been extra hard on families and individuals, especially if you are a parent of a child or teen with emotional or behavioral needs. You are hurting because you see your child or teen struggling and are unsure how to help them. If you are experiencing overwhelming stress or anxiety, getting help for you or your child is taking a brave step forward.
Whether you are dealing with anxiety, stress, behavior challenges, or difficult transitions, my passion is helping families and kids learn how to cope with life’s challenges while guiding them to discover their strengths. The last few years following the Pandemic have been extra hard on families and individuals, especially if you are a parent of a child or teen with emotional or behavioral needs. You are hurting because you see your child or teen struggling and are unsure how to help them. If you are experiencing overwhelming stress or anxiety, getting help for you or your child is taking a brave step forward.
(817) 242-9378 View (817) 242-9378
Photo of Adriana E Speiker, Licensed Professional Counselor in Fort Worth, TX
Adriana E Speiker
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Fort Worth, TX 76107
Not accepting new clients
I understand trauma and the dynamics that can come from it. The body and the mind has information for us and I like to help with accessing that information through talking and physical awareness. I can help with discovering new ways of connecting to others and yourself which can lead to a path of healing. I was deployed multiple times overseas with the military so I understand finding the normal in unusual situations.
I understand trauma and the dynamics that can come from it. The body and the mind has information for us and I like to help with accessing that information through talking and physical awareness. I can help with discovering new ways of connecting to others and yourself which can lead to a path of healing. I was deployed multiple times overseas with the military so I understand finding the normal in unusual situations.
(817) 385-9519 View (817) 385-9519
Photo of Victoria Malone, Clinical Social Work/Therapist in Fort Worth, TX
Victoria Malone
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Worth, TX 76123  (Online Only)
Beginning therapy can be a big step toward being the healthiest version of yourself and living the best life possible—no matter what challenges you may be facing. Through therapy, you can change self-destructive behaviors and habits, resolve painful feelings, improve your relationships, and more. Specializing in anxiety, depression, trauma, and grief, I have had the privilege of working with diverse populations, including children, adolescents, and adults. I truly believe that therapy can be a transformative and empowering experience, and I am honored to be a part of your journey towards self-discovery and emotional well-being.
Beginning therapy can be a big step toward being the healthiest version of yourself and living the best life possible—no matter what challenges you may be facing. Through therapy, you can change self-destructive behaviors and habits, resolve painful feelings, improve your relationships, and more. Specializing in anxiety, depression, trauma, and grief, I have had the privilege of working with diverse populations, including children, adolescents, and adults. I truly believe that therapy can be a transformative and empowering experience, and I am honored to be a part of your journey towards self-discovery and emotional well-being.
(817) 482-0505 View (817) 482-0505
Photo of Katharine O'Connor, Licensed Professional Counselor in Fort Worth, TX
Katharine O'Connor
Licensed Professional Counselor, PhD, LPC
Verified Verified
Fort Worth, TX 76107
You are waiting for your teen to get home and it is WAY PAST time. He/ she is a cutter and uses marijuana. He/she says you're crazy to call it drugs. You are worried that this kid is into even more damaging behaviors and you are out of hope, ideas and options! CALL ME I can HELP. This kid deserves another chance and so do you and your family. Don't let being too close to the situation, fear and panic stop you from calling for an appointment. I have variable hours to meet with you. CALL FOR HELP! There is HOPE!
You are waiting for your teen to get home and it is WAY PAST time. He/ she is a cutter and uses marijuana. He/she says you're crazy to call it drugs. You are worried that this kid is into even more damaging behaviors and you are out of hope, ideas and options! CALL ME I can HELP. This kid deserves another chance and so do you and your family. Don't let being too close to the situation, fear and panic stop you from calling for an appointment. I have variable hours to meet with you. CALL FOR HELP! There is HOPE!
(682) 237-8798 View (682) 237-8798
Photo of Kathleen A Telger, Licensed Professional Counselor in Fort Worth, TX
Kathleen A Telger
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Fort Worth, TX 76133  (Online Only)
When someone dies we catch our breath, and we need to learn to breathe again. I'm a counselor with over 20 years of experience in helping grieving families find their way. Contact me for the guidance, support, and encouragement you need to be free to live your life again. I'm passionate about helping individuals and couples overcome traumatic losses, succeed through difficult life transitions, and find the strength to truly live with a freer heart and greater peace of mind.
When someone dies we catch our breath, and we need to learn to breathe again. I'm a counselor with over 20 years of experience in helping grieving families find their way. Contact me for the guidance, support, and encouragement you need to be free to live your life again. I'm passionate about helping individuals and couples overcome traumatic losses, succeed through difficult life transitions, and find the strength to truly live with a freer heart and greater peace of mind.
(817) 435-4972 View (817) 435-4972
Photo of Natalie Ovcharov, Clinical Social Work/Therapist in Fort Worth, TX
Natalie Ovcharov
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Worth, TX 76134  (Online Only)
Hi! My name is Natalie. I am a Licensed Clinical Social Worker in Texas. I have been providing counseling to small children all the way up to geriatric individuals for a little over 6 years now. I am only providing telehealth therapy at this time, and I do not offer couples' counseling. My view of therapy is that each individual knows what's best for their own life; they just need someone to guide them to whatever that solution or truth is. That's where I come in! I am an expert in mental health, but you are the expert in YOU.
Hi! My name is Natalie. I am a Licensed Clinical Social Worker in Texas. I have been providing counseling to small children all the way up to geriatric individuals for a little over 6 years now. I am only providing telehealth therapy at this time, and I do not offer couples' counseling. My view of therapy is that each individual knows what's best for their own life; they just need someone to guide them to whatever that solution or truth is. That's where I come in! I am an expert in mental health, but you are the expert in YOU.
(817) 859-8344 View (817) 859-8344
Photo of Surnedra (Nedra) Simmons, Licensed Professional Counselor in Fort Worth, TX
Surnedra (Nedra) Simmons
Licensed Professional Counselor, MS, MA, LPC
Verified Verified
Fort Worth, TX 76123  (Online Only)
Greetings! Sometimes life's challenges will prompt us to seek support and you've come to the right place. Kudos to you for taking the first step in getting the support you are seeking. I am a Licensed Professional Counselor in Texas. As a School Counselor and Professional Counselor, I have refined my skills in working with adolescents and adults from diverse backgrounds. I have over seventeen years working with high school students and adults. I have worked with individuals with anxiety, grief, depression, suicidal thoughts, low self-esteem, lack of motivation, and trauma
Greetings! Sometimes life's challenges will prompt us to seek support and you've come to the right place. Kudos to you for taking the first step in getting the support you are seeking. I am a Licensed Professional Counselor in Texas. As a School Counselor and Professional Counselor, I have refined my skills in working with adolescents and adults from diverse backgrounds. I have over seventeen years working with high school students and adults. I have worked with individuals with anxiety, grief, depression, suicidal thoughts, low self-esteem, lack of motivation, and trauma
(817) 242-5822 View (817) 242-5822
Photo of Kinley Springs, Clinical Social Work/Therapist in Fort Worth, TX
Kinley Springs
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Worth, TX 76104  (Online Only)
Hello there! I'm Kinley, and I'm here to help you break free from the grip of anxiety, depression, and PTSD. If you're tired of feeling overwhelmed and ready to reclaim your life, you're in the right place.
Hello there! I'm Kinley, and I'm here to help you break free from the grip of anxiety, depression, and PTSD. If you're tired of feeling overwhelmed and ready to reclaim your life, you're in the right place.
(817) 663-2599 View (817) 663-2599
Photo of Amanda Averbeck Supervised By Dr Gena St David, Marriage & Family Therapist Associate in Fort Worth, TX
Amanda Averbeck Supervised By Dr Gena St David
Marriage & Family Therapist Associate, MS, LMFT-A
Verified Verified
11 Endorsed
Fort Worth, TX 76116
There is a way forward. A happier and healthier you is attainable-no matter what you have been though. I am most passionate about helping individuals and couples affected by Anxiety or Obsessive Compulsive Disorder (OCD). And Couples processing a life transition, such as adding a baby to the family.
There is a way forward. A happier and healthier you is attainable-no matter what you have been though. I am most passionate about helping individuals and couples affected by Anxiety or Obsessive Compulsive Disorder (OCD). And Couples processing a life transition, such as adding a baby to the family.
(817) 241-3912 View (817) 241-3912
Photo of Matt Sessoms, Marriage & Family Therapist in Fort Worth, TX
Matt Sessoms
Marriage & Family Therapist, LMFT, LPC, CST
Verified Verified
3 Endorsed
Fort Worth, TX 76102
John Donne famously stated that "No Man is an Island." We all exist in relationship... but our relationships often become the sources of our greatest stress and pain in life. As a Marriage and Family Therapist I seek to bring hope, healing, change, and growth in the intimacy struggles that individuals, couples, and families face. If you find yourself unable to establish healthy intimacy as an individual,as a couple, as a family then I look forward to knowing how I can help you face this struggle and develop deep, meaningful relationships.
John Donne famously stated that "No Man is an Island." We all exist in relationship... but our relationships often become the sources of our greatest stress and pain in life. As a Marriage and Family Therapist I seek to bring hope, healing, change, and growth in the intimacy struggles that individuals, couples, and families face. If you find yourself unable to establish healthy intimacy as an individual,as a couple, as a family then I look forward to knowing how I can help you face this struggle and develop deep, meaningful relationships.
(682) 226-7461 View (682) 226-7461
Photo of Jim Byron Roaten, Counselor in Fort Worth, TX
Jim Byron Roaten
Counselor, MEd, LPC, LMFT, CCDS
Verified Verified
Fort Worth, TX 76107
My primary interest is in actively and thoughtfully assisting my client in resolving the issue(s) that have been causing emotional distress. I respond to my client in a respectful, empathic manner while simultaneously offering direct, practical feedback with a sense of humor.
My primary interest is in actively and thoughtfully assisting my client in resolving the issue(s) that have been causing emotional distress. I respond to my client in a respectful, empathic manner while simultaneously offering direct, practical feedback with a sense of humor.
(817) 601-7724 View (817) 601-7724
Photo of Judith Alexander-Priest, Licensed Professional Counselor in Fort Worth, TX
Judith Alexander-Priest
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Fort Worth, TX 76102
Does life feel hard, lonely, exhausting, and unrelenting? I will help you learn how to manage stress in new and healthier ways and find solutions to what feels overwhelming. I specialize in working with people struggling with trauma, grief, a loss of self-esteem/confidence, difficult relationships, and life transitions. With over 25 years’ experience as a licensed therapist, I know how to get to the root of issues quickly.
Does life feel hard, lonely, exhausting, and unrelenting? I will help you learn how to manage stress in new and healthier ways and find solutions to what feels overwhelming. I specialize in working with people struggling with trauma, grief, a loss of self-esteem/confidence, difficult relationships, and life transitions. With over 25 years’ experience as a licensed therapist, I know how to get to the root of issues quickly.
(817) 508-9405 View (817) 508-9405
Photo of Chelsea Smithley, Licensed Professional Counselor in Fort Worth, TX
Chelsea Smithley
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Fort Worth, TX 76107
Not accepting new clients
As a person-centered, strengths based therapist, you are the leader in our sessions. We will work together to increase self-acceptance and self-esteem, while identifying areas of growth in your life. Throughout our sessions, we will navigate difficult life transitions to instill hope and satisfaction, while emphasizing mindfulness and healing. Sharing your life with someone can seem daunting, so I strive to create a non-judgmental, neurodivergent affirming, and accepting environment where you feel safe to explore challenging ideas and get to know yourself
As a person-centered, strengths based therapist, you are the leader in our sessions. We will work together to increase self-acceptance and self-esteem, while identifying areas of growth in your life. Throughout our sessions, we will navigate difficult life transitions to instill hope and satisfaction, while emphasizing mindfulness and healing. Sharing your life with someone can seem daunting, so I strive to create a non-judgmental, neurodivergent affirming, and accepting environment where you feel safe to explore challenging ideas and get to know yourself
(817) 767-0631 View (817) 767-0631
Photo of Sarah Fernandez, LPC Associate in Fort Worth, TX
Sarah Fernandez
LPC Associate, MA
Verified Verified
1 Endorsed
Fort Worth, TX 76107
My passion as a therapist is to work with individuals to experience emotional, mental and spiritual freedom. Someone once asked me, ‘What would it look like for you to be free?’ I have learned that making the decision to turn toward painful experiences to process them paves the way of experiencing freedom. This first step is often scary, but the gain is much greater. My goal is to establish a strong therapeutic relationship with individuals built on honesty, trust and an unwavering alliance.
My passion as a therapist is to work with individuals to experience emotional, mental and spiritual freedom. Someone once asked me, ‘What would it look like for you to be free?’ I have learned that making the decision to turn toward painful experiences to process them paves the way of experiencing freedom. This first step is often scary, but the gain is much greater. My goal is to establish a strong therapeutic relationship with individuals built on honesty, trust and an unwavering alliance.
(817) 646-0812 View (817) 646-0812
Photo of Next Steps Professional Counseling Services, LLC, Clinical Social Work/Therapist in Fort Worth, TX
Next Steps Professional Counseling Services, LLC
Clinical Social Work/Therapist, LCSW-S, EMDR, CBT
Verified Verified
1 Endorsed
Fort Worth, TX 76104
If you are motivated to make positive changes in your life, I am motivated to help. I enjoy working with adults of all ages experiencing a range of issues. I am committed to helping individuals reach their fullest potential by giving them the skills, support, hope, and encouragement. Often times we experience hardships in different ways and at different times in life. My core practice has been built around using cognitive behavioral therapy, dialectical behavior therapy, and solution focused therapy approach to help others with overwhelming emotions.
If you are motivated to make positive changes in your life, I am motivated to help. I enjoy working with adults of all ages experiencing a range of issues. I am committed to helping individuals reach their fullest potential by giving them the skills, support, hope, and encouragement. Often times we experience hardships in different ways and at different times in life. My core practice has been built around using cognitive behavioral therapy, dialectical behavior therapy, and solution focused therapy approach to help others with overwhelming emotions.
(817) 242-9722 View (817) 242-9722

How does your Therapist compare?

Number of Therapists in Fort Worth, TX

1,000+

Average cost per session

$125

Therapists in Fort Worth, TX who prioritize treating:

92% Anxiety
88% Depression
77% Self Esteem
74% Coping Skills
69% Relationship Issues
67% Trauma and PTSD
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

88% Aetna
83% Cigna and Evernorth
82% UnitedHealthcare UHC | UBH

How Therapists in Fort Worth, TX see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fort Worth?

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.