Therapists in West Linn, OR
Wendy Frankle
Licensed Professional Counselor, MA, LPC, Certifi, Grief, Recov
Verified Verified
West Linn, OR 97068
My name is Wendy Frankle. I am a Licensed Professional Counselor, Certified Grief Recovery Specialist, and a member of the American Counseling Association. My specialty and passion is working with adolescent girls and their families as well as Grief Recovery. I have 19+ years experience working with children and their families ages 6-18 years who have emotional difficulties as well as a wide range of diagnosis. I will strive to provide a safe, nurturing environment where we can work together to plant the seeds necessary for your health, hope and happiness.
My name is Wendy Frankle. I am a Licensed Professional Counselor, Certified Grief Recovery Specialist, and a member of the American Counseling Association. My specialty and passion is working with adolescent girls and their families as well as Grief Recovery. I have 19+ years experience working with children and their families ages 6-18 years who have emotional difficulties as well as a wide range of diagnosis. I will strive to provide a safe, nurturing environment where we can work together to plant the seeds necessary for your health, hope and happiness.
Kiki Carlstrom
LPC Intern, MA
Verified Verified
West Linn, OR 97068 (Online Only)
Not accepting new clients
Lasting healing is a subtle & gradual process, & thankfully we don't have to do it alone. In supporting your healing journey, my desire is to see you move from constriction (pain/trauma/symptoms) into expansion (pleasure/liberation/alignment with self). I believe we do this by: recognizing the barriers in our lives, finding the ways in which trauma has been stuck & stored within the body, & gently moving through stagnant pain/symptoms by establishing safety & recalibrating the nervous system together. Therapy is a beautiful co-creative process where we get to support the life you envision; one that honors your most sacred self!
Lasting healing is a subtle & gradual process, & thankfully we don't have to do it alone. In supporting your healing journey, my desire is to see you move from constriction (pain/trauma/symptoms) into expansion (pleasure/liberation/alignment with self). I believe we do this by: recognizing the barriers in our lives, finding the ways in which trauma has been stuck & stored within the body, & gently moving through stagnant pain/symptoms by establishing safety & recalibrating the nervous system together. Therapy is a beautiful co-creative process where we get to support the life you envision; one that honors your most sacred self!
Elizabeth Hartshorn
Licensed Professional Counselor, LPC, MAC
Verified Verified
West Linn, OR 97068
I have 30+ year experience providing therapy for adults and specialize in treating health care professionals. Carl Jung said, "Only the wounded physician heals... and then only to the extent he has healed himself." We become healers because of our wounding. My approach is integrative and aims to get to the root of your suffering, while finding deeper meaning & purpose in your role as a healer and beyond. I use a combination of traditional and non-traditional healing modalities to create real change. I am described by my clients as unapologetically human, which often gives others permission to "take off the mask."
I have 30+ year experience providing therapy for adults and specialize in treating health care professionals. Carl Jung said, "Only the wounded physician heals... and then only to the extent he has healed himself." We become healers because of our wounding. My approach is integrative and aims to get to the root of your suffering, while finding deeper meaning & purpose in your role as a healer and beyond. I use a combination of traditional and non-traditional healing modalities to create real change. I am described by my clients as unapologetically human, which often gives others permission to "take off the mask."
Rochelle Rakowski
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
West Linn, OR 97068 (Online Only)
Everyone has the ability to overcome life’s challenges. Through building a trusting therapeutic relationship in our work together, you'll have the opportunity to focus on growth, fulfillment, and well-being. Clients have reported feeling accepted, safe, and free to be fully themselves in a supportive, non-judgmental person-centered approach to overcoming depression, anxiety, trauma, and eating disorders.
Everyone has the ability to overcome life’s challenges. Through building a trusting therapeutic relationship in our work together, you'll have the opportunity to focus on growth, fulfillment, and well-being. Clients have reported feeling accepted, safe, and free to be fully themselves in a supportive, non-judgmental person-centered approach to overcoming depression, anxiety, trauma, and eating disorders.
Sunya Grantham
Marriage & Family Therapist, MFT, MHA
Verified Verified
5 Endorsed
West Linn, OR 97068
Have you and your partner been sweeping things under the rug? Increased stress, broken trust, and life transitions tend to shine a spotlight on the elements of our relationships we've hoped would go away or tried our best to ignore. It can cause us to act in ways we never thought possible. When our relationship has become the source of distress we often create a negative story of our partner that is difficult to re-write. Once our mind views our partner as a source of hurt and pain, it's hard to see them as anything but potential danger.
Have you and your partner been sweeping things under the rug? Increased stress, broken trust, and life transitions tend to shine a spotlight on the elements of our relationships we've hoped would go away or tried our best to ignore. It can cause us to act in ways we never thought possible. When our relationship has become the source of distress we often create a negative story of our partner that is difficult to re-write. Once our mind views our partner as a source of hurt and pain, it's hard to see them as anything but potential danger.
Natalie Mills
Licensed Professional Counselor, LPC, MFT
Verified Verified
2 Endorsed
West Linn, OR 97068
Find Hope, Restore Love, Experience Joy. In person, or Online. I specialize in helping client find relief from generalized depression, anxiety. I have extensive training in treatments for Post Traumatic Stress Disorder, caused by a current events or from childhood trauma such as emotional, physical, and sexual abuse, or abandonment and neglect. I work with clients using an approach, which combines Internal Family Systems therapy, EMDR, informed by Attachment Theory. I have training in the John Gottman model of Couples therapy and Emotionally Focused Couples therapy.
Find Hope, Restore Love, Experience Joy. In person, or Online. I specialize in helping client find relief from generalized depression, anxiety. I have extensive training in treatments for Post Traumatic Stress Disorder, caused by a current events or from childhood trauma such as emotional, physical, and sexual abuse, or abandonment and neglect. I work with clients using an approach, which combines Internal Family Systems therapy, EMDR, informed by Attachment Theory. I have training in the John Gottman model of Couples therapy and Emotionally Focused Couples therapy.
IDEAL Counseling Services, LLC
Licensed Professional Counselor, PhD, BCDHB, LPC
Verified Verified
West Linn, OR 97068 (Online Only)
Are you are struggling with Anxiety, Stress, Coping Skills, Anger Management, or Depression. Would you like to begin moving your life away from these negative feelings and emotions? I would like to come alongside to help you seek possible solutions to overcoming these feelings. Any of these feelings can lead to a false sense of belief in yourself, others, and the world around you.
Are you are struggling with Anxiety, Stress, Coping Skills, Anger Management, or Depression. Would you like to begin moving your life away from these negative feelings and emotions? I would like to come alongside to help you seek possible solutions to overcoming these feelings. Any of these feelings can lead to a false sense of belief in yourself, others, and the world around you.
Nancy R Bryant
Psychologist, PhD
Verified Verified
West Linn, OR 97068
Is your middle or high school student struggling with learning? Are you becoming increasingly concerned as your teen-aged or young adult student approaches independence, and can't seem to earn the grades that will ensure college success? Or are you yourself a student having difficulty with classroom learning, studying, paper preparation, problem solving, or passing examinations? Or perhaps you are an adult considering a return to college or graduate work, but are hesitating, due to a history of learning difficulties as a child? A strong, thorough assessment is the first step!
Is your middle or high school student struggling with learning? Are you becoming increasingly concerned as your teen-aged or young adult student approaches independence, and can't seem to earn the grades that will ensure college success? Or are you yourself a student having difficulty with classroom learning, studying, paper preparation, problem solving, or passing examinations? Or perhaps you are an adult considering a return to college or graduate work, but are hesitating, due to a history of learning difficulties as a child? A strong, thorough assessment is the first step!
Samantha Barr
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
West Linn, OR 97068 (Online Only)
So, your relationship with food has brought you here, but maybe you’re unsure if what you consider some form of overeating warrants seeking professional help. You don't have to suffer from anorexia and/or bulimia to "deserve" treatment and support. People who are enduring binge and emotional eating are often blamed (by themselves and others) for their use of food. If this is you, you may believe you have no "will power" and your relationship with food/body is your "fault". You aren't yet aware there are reasons (always other than will power) that explain your experience with food/body. You are not to blame.
So, your relationship with food has brought you here, but maybe you’re unsure if what you consider some form of overeating warrants seeking professional help. You don't have to suffer from anorexia and/or bulimia to "deserve" treatment and support. People who are enduring binge and emotional eating are often blamed (by themselves and others) for their use of food. If this is you, you may believe you have no "will power" and your relationship with food/body is your "fault". You aren't yet aware there are reasons (always other than will power) that explain your experience with food/body. You are not to blame.
Renee Sanguinetti
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
West Linn, OR 97068
We are living in unprecedented times. Change is constant and the ability to stay calm, reflective and aligned to our truest selves isn't so easy. I believe each person has the power and ability to heal themselves. And, we could all use some guidance, support, and tools as well as age-old wisdom along the way. If you struggle with trauma. anxiety, or depression, or want break old patterns that aren't serving you -- to live a life with more meaning, value, and joy, I am happy to be your guide. The journey to healing, balance and connection with your highest self awaits you -- to live more deeply, mindfully and awakened.
We are living in unprecedented times. Change is constant and the ability to stay calm, reflective and aligned to our truest selves isn't so easy. I believe each person has the power and ability to heal themselves. And, we could all use some guidance, support, and tools as well as age-old wisdom along the way. If you struggle with trauma. anxiety, or depression, or want break old patterns that aren't serving you -- to live a life with more meaning, value, and joy, I am happy to be your guide. The journey to healing, balance and connection with your highest self awaits you -- to live more deeply, mindfully and awakened.
Nadine Luensman
Counselor, LPC
Verified Verified
West Linn, OR 97068
Not accepting new clients
I am actively accepting new clients. If you are seeking help with trauma, an eating disorder, struggles with food, your body, or anything in between, there are options other than what we have been taught. Our culture and our world often create an environment for people that encourages self denial. A wide variety of traumas often leave people with chronic feelings of fear, trouble with sleep, relationship distress, and dependence on something that might harm them.
I am actively accepting new clients. If you are seeking help with trauma, an eating disorder, struggles with food, your body, or anything in between, there are options other than what we have been taught. Our culture and our world often create an environment for people that encourages self denial. A wide variety of traumas often leave people with chronic feelings of fear, trouble with sleep, relationship distress, and dependence on something that might harm them.
15 Second Videos
Sunya Grantham
Renee Sanguinetti
Lydia Byhardt Bollinger
Aaron Todd Overman
Cascade Counseling & Consulting
Living Tree Wellness Center LLC
Luke R. Allen
Mimi Cogswell
Matt Field
Elizabeth D Smith
Stephanie Alley
Emerging Phoenix EMDR, LLC
Margaret Burkes
Marty Michelson (.he.him)
Susan Shimokaji
Vickey Giap Thistlethwaite
Johnny A Yorga
Kilian with Ally Counseling
Stacia Lynnae Nilson
Licensed Professional Counselor, MA, LPC
Verified Verified
West Linn, OR 97068
Not accepting new clients
Suffering happens in isolation. The power of human connection and telling your story can be healing. I believe we're all incredibly resilient at our cores, though this can be overshadowed and challenged by expected and unexpected change, difficult events & trauma, and the subsequent wading & struggling through transition that inevitably follows. I can help you work through the hard parts. Expand awareness and understanding around destructive patterns and apply practices that improve your quality of life. You can manage really overwhelming feelings, reduce pain, deepen & enjoy relationships and even rediscover peace of mind.
Suffering happens in isolation. The power of human connection and telling your story can be healing. I believe we're all incredibly resilient at our cores, though this can be overshadowed and challenged by expected and unexpected change, difficult events & trauma, and the subsequent wading & struggling through transition that inevitably follows. I can help you work through the hard parts. Expand awareness and understanding around destructive patterns and apply practices that improve your quality of life. You can manage really overwhelming feelings, reduce pain, deepen & enjoy relationships and even rediscover peace of mind.
Miranda Gambetti
Licensed Professional Counselor, LPC, CADC II
Verified Verified
2 Endorsed
West Linn, OR 97068 (Online Only)
I view counseling as an opportunity for growth in personal health and self-discovery during times of transition, change, and unknown certainties. The counseling room is a place of openness with no judgement. I come from a Person Centered Theoretical background, meaning there is unconditional care for every aspect of your experience. I support clients in evaluating their thought processes, the actions that follow, and if that is meeting their needs or not. I also provide Clinical Supervision for associates, and Supervision of Supervision.
I view counseling as an opportunity for growth in personal health and self-discovery during times of transition, change, and unknown certainties. The counseling room is a place of openness with no judgement. I come from a Person Centered Theoretical background, meaning there is unconditional care for every aspect of your experience. I support clients in evaluating their thought processes, the actions that follow, and if that is meeting their needs or not. I also provide Clinical Supervision for associates, and Supervision of Supervision.
Sarah Zamiska Dover LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
West Linn, OR 97068 (Online Only)
Well hello! My name is Sarah Dover and my pronouns are she and her. I am a licensed Marriage and Family Therapist providing individual psychotherapy for adults and adolescents. I received my Masters degree in Counseling Psychology from the University of San Francisco in 2016. I have learned and experienced profound growth (both professionally and personally) while working alongside and supporting clients in spaces filled with grief, trauma and crisis, depression and anxiety, chronic stress, and relational problems. I have worked both in a clinic setting and within the community.
Well hello! My name is Sarah Dover and my pronouns are she and her. I am a licensed Marriage and Family Therapist providing individual psychotherapy for adults and adolescents. I received my Masters degree in Counseling Psychology from the University of San Francisco in 2016. I have learned and experienced profound growth (both professionally and personally) while working alongside and supporting clients in spaces filled with grief, trauma and crisis, depression and anxiety, chronic stress, and relational problems. I have worked both in a clinic setting and within the community.
Kitty J Carter
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
West Linn, OR 97068
Is your child struggling and you find yourself worrying about them? Are you having trouble connecting with your child? With so many competing pressures and distractions, it can be hard to find time to build the kinds of relationships we want. We are bombarded with all sorts of information making it difficult to find a direction that feels consistent with our culture and values. I help parents and children build stronger connections so kids have a secure foundation to develop into their full potential. I will walk you through the hard parts while having some fun in the process.
Is your child struggling and you find yourself worrying about them? Are you having trouble connecting with your child? With so many competing pressures and distractions, it can be hard to find time to build the kinds of relationships we want. We are bombarded with all sorts of information making it difficult to find a direction that feels consistent with our culture and values. I help parents and children build stronger connections so kids have a secure foundation to develop into their full potential. I will walk you through the hard parts while having some fun in the process.
Marcia - Art of Wellness
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
West Linn, OR 97068 (Online Only)
Human Nature has adapted, grown and embraced change throughout our history. As an adult, or couple in a relationship, you can explore tools to meet your specific needs. By identifying old triggers and tapes, you can let go of what you have outgrown. Your previous strengths can carry you from who you have been, to who you choose to be. With this old resilience, you can allow change and expand your experiences. You can step forward toward a new vision of you. Choose a "do-over". Learn to accept your changes with self-compassion and a renewed curiosity for self expression. Move from resistance to acceptance to simple joys.
Human Nature has adapted, grown and embraced change throughout our history. As an adult, or couple in a relationship, you can explore tools to meet your specific needs. By identifying old triggers and tapes, you can let go of what you have outgrown. Your previous strengths can carry you from who you have been, to who you choose to be. With this old resilience, you can allow change and expand your experiences. You can step forward toward a new vision of you. Choose a "do-over". Learn to accept your changes with self-compassion and a renewed curiosity for self expression. Move from resistance to acceptance to simple joys.
Katelyn Hershberger
Licensed Professional Counselor, LPC
Verified Verified
West Linn, OR 97068
Is your child or adolescent struggling with changes, experiences, or other issues that are causing distress at home, school, or in the community. My name is Katelyn and I work with children and families struggling with a multitude of issues including but not limited to divorce, trauma, parenting challenges, disruptive/unsafe behaviors, suicidal ideation/self harming, adoption, foster care, reunification, depression, and anxiety. I've worked in a variety of settings such as residential facilities, schools, foster care, and in home.
Is your child or adolescent struggling with changes, experiences, or other issues that are causing distress at home, school, or in the community. My name is Katelyn and I work with children and families struggling with a multitude of issues including but not limited to divorce, trauma, parenting challenges, disruptive/unsafe behaviors, suicidal ideation/self harming, adoption, foster care, reunification, depression, and anxiety. I've worked in a variety of settings such as residential facilities, schools, foster care, and in home.
Genét Jackson Friess
Clinical Social Work Associate, CSWA, QMHP-R
Verified Verified
1 Endorsed
West Linn, OR 97068
Living a deeply authentic and beautiful life has always taken conscious effort. In today’s increasingly complex world, many of us find that we need additional support as navigate these complexities and create the life that we really want. You are the expert in your own journey. My role as a therapist is to create a safe place to explore the wisdom of your mind and body with openness and curiosity. Balancing awareness and compassion, we will create space where you can see your current thoughts and feelings have served you in the past, and how to might shift them to better serve you in the future.
Living a deeply authentic and beautiful life has always taken conscious effort. In today’s increasingly complex world, many of us find that we need additional support as navigate these complexities and create the life that we really want. You are the expert in your own journey. My role as a therapist is to create a safe place to explore the wisdom of your mind and body with openness and curiosity. Balancing awareness and compassion, we will create space where you can see your current thoughts and feelings have served you in the past, and how to might shift them to better serve you in the future.
Mary Resnick
Psychologist, PhD
Verified Verified
1 Endorsed
West Linn, OR 97068
Life's demands oftentimes create an emotional burden in a person's life. Left unchecked, these demands can manifest themselves in a myriad of ways, such as stress, depression anxiety, panic, relationship issues as well as other. By becoming more aware of the choices available, as well as the means to employ them, you will have an opportunity to learn strategies to more effectively cope with the issues you're facing. Through working together we will find constructive methods to alleviate the pain of the various stressors that affect your life.
Life's demands oftentimes create an emotional burden in a person's life. Left unchecked, these demands can manifest themselves in a myriad of ways, such as stress, depression anxiety, panic, relationship issues as well as other. By becoming more aware of the choices available, as well as the means to employ them, you will have an opportunity to learn strategies to more effectively cope with the issues you're facing. Through working together we will find constructive methods to alleviate the pain of the various stressors that affect your life.
Lydia Byhardt Bollinger
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
West Linn, OR 97068
Not accepting new clients
I enjoy and welcome clients who are ready to remember the joy of their lives. Perhaps you want to heal a relationship, or let go of some difficult past event or unuseful behavior. Perhaps you are preparing for a medical procedure and want to heal quickly. Together, we nurture healing at many levels: the conscious & subconscious, brain & mind, thoughts & emotions, body & spirit, self & relationship. We also use somatic approaches and Alpha-Stim. Contact me when you are ready to explore your mind, heart and spirit to grow into your best and highest self! Clinical Social Work Supervisor - accepting new individual and group supervisees.
I enjoy and welcome clients who are ready to remember the joy of their lives. Perhaps you want to heal a relationship, or let go of some difficult past event or unuseful behavior. Perhaps you are preparing for a medical procedure and want to heal quickly. Together, we nurture healing at many levels: the conscious & subconscious, brain & mind, thoughts & emotions, body & spirit, self & relationship. We also use somatic approaches and Alpha-Stim. Contact me when you are ready to explore your mind, heart and spirit to grow into your best and highest self! Clinical Social Work Supervisor - accepting new individual and group supervisees.
See more therapy options for West Linn
How does your Therapist compare?
Number of Therapists in West Linn, OR
100+
Average cost per session
$175
Therapists in West Linn, OR who prioritize treating:
91% | Anxiety |
85% | Depression |
77% | Relationship Issues |
68% | Trauma and PTSD |
66% | Self Esteem |
65% | Coping Skills |
65% | Stress |
Average years in practice
15 Years
Top 3 insurances accepted
54% | PacificSource |
52% | Aetna |
43% | BlueCross and BlueShield |
How Therapists in West Linn, OR see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
72% | Female | |
27% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in West Linn?
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
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.
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.
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.