Therapists in Anchorage, AK

View neighborhoods in Anchorage
Photo of Mary Cavalier, Licensed Professional Counselor in Anchorage, AK
Mary Cavalier
Licensed Professional Counselor, PhD, LPC
Verified
Anchorage, AK 99503
Healing is possible! From my own personal journey, I've come to understand that healing is not always a straightforward process. It often comes in waves, presenting us with opportunities to revisit past hurts with a newfound sense of insight and understanding. Life is full of challenges, and it takes courage to navigate them. I like to think of it as sailing through storms that come and go. Some storms are worse than others, but eventually, they pass, leaving us knowing we can get through even the worst of times.
Healing is possible! From my own personal journey, I've come to understand that healing is not always a straightforward process. It often comes in waves, presenting us with opportunities to revisit past hurts with a newfound sense of insight and understanding. Life is full of challenges, and it takes courage to navigate them. I like to think of it as sailing through storms that come and go. Some storms are worse than others, but eventually, they pass, leaving us knowing we can get through even the worst of times.
(907) 644-8044 View (907) 644-8044
Photo of Karen M Cunningham, Marriage & Family Therapist in Anchorage, AK
Karen M Cunningham
Marriage & Family Therapist, MA, MFT
Verified
Anchorage, AK 99501
Not accepting new clients
I focus on the strengths inherent in each individual, couple, and family. My fundamental belief is that people are innately good and that psychological problems often stem from a rigid or outdated coping system. I stress each individual's growth and the importance of self-actualization. In couples' therapy, there is an emphasis on learning to listen to the emotional truth of the other, while gaining greater authenticity in expressing one's own truth. Through genuine appreciation of one another, couples can learn to re-create, or perhaps experience for the very first time, true understanding, connection, joy and love.
I focus on the strengths inherent in each individual, couple, and family. My fundamental belief is that people are innately good and that psychological problems often stem from a rigid or outdated coping system. I stress each individual's growth and the importance of self-actualization. In couples' therapy, there is an emphasis on learning to listen to the emotional truth of the other, while gaining greater authenticity in expressing one's own truth. Through genuine appreciation of one another, couples can learn to re-create, or perhaps experience for the very first time, true understanding, connection, joy and love.
(907) 341-4062 View (907) 341-4062
Photo of Joshua Goldstein, Clinical Social Work/Therapist in Anchorage, AK
Joshua Goldstein
Clinical Social Work/Therapist, MSSW, LCSW, CCAT, CDC II, WFR
Verified
1 Endorsed
Anchorage, AK 99504
Hello! I work with teens, young adults, and adults from various backgrounds on increasing self-worth, self-compassion, processing trauma and intergenerational trauma, and reducing harms caused by co-occuring substance use. I am currently available for individual, family, and group sessions via telehealth and through outdoor adventure therapy.
Hello! I work with teens, young adults, and adults from various backgrounds on increasing self-worth, self-compassion, processing trauma and intergenerational trauma, and reducing harms caused by co-occuring substance use. I am currently available for individual, family, and group sessions via telehealth and through outdoor adventure therapy.
(215) 803-6631 View (215) 803-6631
Photo of Stellar Insight Counseling | Nicole Zegiestowsky, Pre-Licensed Professional in Anchorage, AK
Stellar Insight Counseling | Nicole Zegiestowsky
Pre-Licensed Professional, MS
Verified
Anchorage, AK 99515
Hello, my name is Nicole! I provide online individual and group psychotherapy to adults. My therapeutic approach is strengths-based, humanistic, trauma-informed, and emotion-focused. I have experience providing individual, family, and group psychotherapy through inpatient and outpatient settings with people across the lifespan, in person and via telehealth. Starting in May 2024 I will begin providing in-person nature-based therapy sessions in the Anchorage area!
Hello, my name is Nicole! I provide online individual and group psychotherapy to adults. My therapeutic approach is strengths-based, humanistic, trauma-informed, and emotion-focused. I have experience providing individual, family, and group psychotherapy through inpatient and outpatient settings with people across the lifespan, in person and via telehealth. Starting in May 2024 I will begin providing in-person nature-based therapy sessions in the Anchorage area!
(844) 719-3812 View (844) 719-3812
Photo of Haley Gilman, Clinical Social Work/Therapist in Anchorage, AK
Haley Gilman
Clinical Social Work/Therapist, LCSW
Verified
Anchorage, AK 99517  (Online Only)
Seeking support can be intimidating. It takes courage to know when to ask for the help we cannot provide ourselves. Thanks for being here, that is a great first step. I provide non-judgmental, person-centered support to individuals in various stages of life. If you are finding it difficult to deal with challenge, transition and change in your life- you are not alone. Depression, anxiety, grief and loss can change the way we view the world and impact our ability to cope in a healthy and consistent way. Maybe you have specific mental health needs or are just looking for a safe, positive space to explore yourself more deeply.
Seeking support can be intimidating. It takes courage to know when to ask for the help we cannot provide ourselves. Thanks for being here, that is a great first step. I provide non-judgmental, person-centered support to individuals in various stages of life. If you are finding it difficult to deal with challenge, transition and change in your life- you are not alone. Depression, anxiety, grief and loss can change the way we view the world and impact our ability to cope in a healthy and consistent way. Maybe you have specific mental health needs or are just looking for a safe, positive space to explore yourself more deeply.
(406) 642-8381 View (406) 642-8381
Photo of Megan Johnston, Clinical Social Work/Therapist in Anchorage, AK
Megan Johnston
Clinical Social Work/Therapist, LCSW
Verified
Anchorage, AK 99503  (Online Only)
By taking the step to initiate therapy, you are already beginning the process of change. At times, we feel lost or lack of confidence to navigate through critical and life-changing circumstances. Although, we have many strengths and skills, we have difficulty accessing these during periods of family or relationship crisis, depression, anxiety, grief/loss, and trauma. As a clinician, I will use a mindful approach to facilitate the process of helping you reconnect with your strengths and discover skills, strategies and resources toward a healthier life.
By taking the step to initiate therapy, you are already beginning the process of change. At times, we feel lost or lack of confidence to navigate through critical and life-changing circumstances. Although, we have many strengths and skills, we have difficulty accessing these during periods of family or relationship crisis, depression, anxiety, grief/loss, and trauma. As a clinician, I will use a mindful approach to facilitate the process of helping you reconnect with your strengths and discover skills, strategies and resources toward a healthier life.
(907) 782-4553 View (907) 782-4553
Photo of Brittney Ramert, Clinical Social Work/Therapist in Anchorage, AK
Brittney Ramert
Clinical Social Work/Therapist, LCSW, MPH
Verified
Anchorage, AK 99501
More than any other factor, it is the relationship between client and therapist that has been found to profoundly impact personal change. We are hurt, and healed within relationships. With this in mind, I take a relational approach to all my therapeutic work. I believe in honoring the individual needs of each client, ensuring they are known, seen, and heard. While also gently offering alternative to one’s longstanding views of self, others, and the world. I take a special interest in expanding the social and wellness supports of individuals outside the therapy room.
More than any other factor, it is the relationship between client and therapist that has been found to profoundly impact personal change. We are hurt, and healed within relationships. With this in mind, I take a relational approach to all my therapeutic work. I believe in honoring the individual needs of each client, ensuring they are known, seen, and heard. While also gently offering alternative to one’s longstanding views of self, others, and the world. I take a special interest in expanding the social and wellness supports of individuals outside the therapy room.
(425) 585-4974 View (425) 585-4974
Photo of Shanna S. Simmons, Licensed Professional Counselor in Anchorage, AK
Shanna S. Simmons
Licensed Professional Counselor, MS, LPC, NCC, CCTP
Verified
Anchorage, AK 99518
I enjoy working with individuals who are ready to take positive steps towards growth and healing. This may include: processing traumas; developing self-awareness; learning about your strengths; and/or changing behaviors, thoughts, coping mechanisms, or interpersonal patterns which are no longer working for you.
I enjoy working with individuals who are ready to take positive steps towards growth and healing. This may include: processing traumas; developing self-awareness; learning about your strengths; and/or changing behaviors, thoughts, coping mechanisms, or interpersonal patterns which are no longer working for you.
(907) 205-7887 View (907) 205-7887
Photo of Richard F. Lazur, PsyD, Psychologist in Anchorage, AK
Richard F. Lazur, PsyD
Psychologist
Verified
Anchorage, AK 99501  (Online Only)
Anxious during these uncertain times, try some simple tips to take back your life. Breathe. Sit upright, feet flat on the floor, inhale to a count of 4, exhale to a count of 4, repeat for a couple minutes. Write down all that worries you. Pick the top 3. Write out possible solutions, even bad ones. Identify the most practical and how you would do it. Get negative thoughts out of your head. Manage your anger. Breathe. Identify what’s frustrating. What you can do about it? Some things just have to run their own course. Move around. Do something different. Go into another room, do something else.
Anxious during these uncertain times, try some simple tips to take back your life. Breathe. Sit upright, feet flat on the floor, inhale to a count of 4, exhale to a count of 4, repeat for a couple minutes. Write down all that worries you. Pick the top 3. Write out possible solutions, even bad ones. Identify the most practical and how you would do it. Get negative thoughts out of your head. Manage your anger. Breathe. Identify what’s frustrating. What you can do about it? Some things just have to run their own course. Move around. Do something different. Go into another room, do something else.
(833) 966-1997 View (833) 966-1997
Photo of Thriving Within, LLC, Clinical Social Work/Therapist in Anchorage, AK
Thriving Within, LLC
Clinical Social Work/Therapist, CDC
Verified
Anchorage, AK 99504  (Online Only)
Waitlist for new clients
Feeling stuck? Paralyzed? Unsure what to do or where to go next? That everything is an effort? Thriving Within, LLC is available for counseling and mental health services. Thriving comes from an individualized approach centered on you and your strengths. Using a client centered, healing-centered-engagement process, we connect people to their internal and external resources. We have a variety of services to meet your needs.
Feeling stuck? Paralyzed? Unsure what to do or where to go next? That everything is an effort? Thriving Within, LLC is available for counseling and mental health services. Thriving comes from an individualized approach centered on you and your strengths. Using a client centered, healing-centered-engagement process, we connect people to their internal and external resources. We have a variety of services to meet your needs.
(907) 268-4234 View (907) 268-4234
Photo of Karuna Counseling, LLC Leslee Rogers , Pre-Licensed Professional in Anchorage, AK
Karuna Counseling, LLC Leslee Rogers
Pre-Licensed Professional
Verified
Anchorage, AK 99501  (Online Only)
Are you feeling stuck, overwhelmed, or worn out? Navigating a significant life change or chronic illness? Desiring a sense of peace in your life or in search of purpose and self-discovery? Whether you're contending with life challenges or want to grow towards a more authentic life, my goal is to help you on your unique journey.
Are you feeling stuck, overwhelmed, or worn out? Navigating a significant life change or chronic illness? Desiring a sense of peace in your life or in search of purpose and self-discovery? Whether you're contending with life challenges or want to grow towards a more authentic life, my goal is to help you on your unique journey.
(844) 909-1099 View (844) 909-1099
Photo of Julie Perez, Clinical Social Work/Therapist in Anchorage, AK
Julie Perez
Clinical Social Work/Therapist, LCSW
Verified
Anchorage, AK 99501
My approach to therapy comes from the belief that within each of us is an inner wisdom, that when accessed will guide us to new insights, answers, relief and even healing from our burdens and struggles. I believe we are all designed to find healing, when we do our own, honest "soul searching" or inner exploration. Richard Schwartz, developer of the Internal Family Systems model, stumbled upon an approach to navigating our internal systems through work with his clients. He discovered that we all possess the positive qualities of calmness, compassion, confidence, courage, etc. when connected to this source of inner wisdom.
My approach to therapy comes from the belief that within each of us is an inner wisdom, that when accessed will guide us to new insights, answers, relief and even healing from our burdens and struggles. I believe we are all designed to find healing, when we do our own, honest "soul searching" or inner exploration. Richard Schwartz, developer of the Internal Family Systems model, stumbled upon an approach to navigating our internal systems through work with his clients. He discovered that we all possess the positive qualities of calmness, compassion, confidence, courage, etc. when connected to this source of inner wisdom.
(855) 780-0286 View (855) 780-0286
Photo of Kurtis L Walton, Counselor in Anchorage, AK
Kurtis L Walton
Counselor, LPC, MS
Verified
Anchorage, AK 99501
As a Therapist, I specialize in ILF Neurofeedback. Neurofeedback is a noninvasive brain training method that does not involve "traditional talk therapy." Neurofeedback works by training your brain like a personal trainer at the gym. EEG Biofeedback has been around for over 40 years. It was originally used to help epilepsy and has now advanced to help a multitude of issues from PTST, Autism, ADHD, Migraines, and more. I have trained both in Europe and in the USA. What I love about Neurofeedback is it offers another and different method in helping us with our own issues.
As a Therapist, I specialize in ILF Neurofeedback. Neurofeedback is a noninvasive brain training method that does not involve "traditional talk therapy." Neurofeedback works by training your brain like a personal trainer at the gym. EEG Biofeedback has been around for over 40 years. It was originally used to help epilepsy and has now advanced to help a multitude of issues from PTST, Autism, ADHD, Migraines, and more. I have trained both in Europe and in the USA. What I love about Neurofeedback is it offers another and different method in helping us with our own issues.
(907) 312-2485 View (907) 312-2485
Photo of Alice E Palen, Licensed Professional Counselor in Anchorage, AK
Alice E Palen
Licensed Professional Counselor, LPC, ExAT
Verified
Anchorage, AK 99518
There are times when we get stuck in the pain of sadness, discouragement, and disappointment. Sometimes we can shake ourselves out of it. Other times we may feel overwhelmed. When these feelings get in the way of being the person we want to be, having the relationships we want, or getting what we want out of life, you are not alone. Reach out for help. I am an Expressive Arts Therapist, and I guide individuals through painful times to come out the other side. Together, we use different art forms to help you identify and express how you are feeling. This is not art making. It is self-expression leading to insight and healing.
There are times when we get stuck in the pain of sadness, discouragement, and disappointment. Sometimes we can shake ourselves out of it. Other times we may feel overwhelmed. When these feelings get in the way of being the person we want to be, having the relationships we want, or getting what we want out of life, you are not alone. Reach out for help. I am an Expressive Arts Therapist, and I guide individuals through painful times to come out the other side. Together, we use different art forms to help you identify and express how you are feeling. This is not art making. It is self-expression leading to insight and healing.
(972) 449-4617 x714 View (972) 449-4617 x714
Photo of Lynden C Grothe, Pre-Licensed Professional in Anchorage, AK
Lynden C Grothe
Pre-Licensed Professional, MS
Verified
Anchorage, AK 99503
We all have parts of our lives that feel troublesome. Usually, we work on improving these parts by ourself or with family and friends. Sometimes these issues become so disruptive that we raid the self-help section of the bookstore or start Googling symptoms. However, if your problems start to feel insurmountable, overwhelming, and exhausting or if you just can’t see a way out, the support of a counselor can sometimes be the catalyst for change that you need.
We all have parts of our lives that feel troublesome. Usually, we work on improving these parts by ourself or with family and friends. Sometimes these issues become so disruptive that we raid the self-help section of the bookstore or start Googling symptoms. However, if your problems start to feel insurmountable, overwhelming, and exhausting or if you just can’t see a way out, the support of a counselor can sometimes be the catalyst for change that you need.
(833) 909-1982 View (833) 909-1982
Photo of Ashley M Barrera, Marriage & Family Therapist in Anchorage, AK
Ashley M Barrera
Marriage & Family Therapist, MS, LMFT
Verified
Anchorage, AK 99501
As a Licensed Marital and Family Therapist I work with individuals, couples, and families on a wide variety issues related to mental health and relationship concerns. I believe every person has the skills and tools to achieve a healthy and fulfilling life. However accessing these tools and applying them one's life can be a challenging process which can create dissatisfaction in life and relationships. As a therapist, I see my role as that of guiding people through the journey of identifying and harnessing the power of their unique strengths so that they may achieve satisfaction and fulfillment from life.
As a Licensed Marital and Family Therapist I work with individuals, couples, and families on a wide variety issues related to mental health and relationship concerns. I believe every person has the skills and tools to achieve a healthy and fulfilling life. However accessing these tools and applying them one's life can be a challenging process which can create dissatisfaction in life and relationships. As a therapist, I see my role as that of guiding people through the journey of identifying and harnessing the power of their unique strengths so that they may achieve satisfaction and fulfillment from life.
(907) 331-6778 View (907) 331-6778
Photo of Jennifer Dolphin | Open Door Therapy, Licensed Professional Counselor in Anchorage, AK
Jennifer Dolphin | Open Door Therapy
Licensed Professional Counselor, LPC
Verified
2 Endorsed
Anchorage, AK 99515
Waitlist for new clients
Do you carry old hurts and wonder if you’re good enough? Maybe you struggle with feeling hopeless and unmotivated. You get stuck in cycles you don’t know how to break and feel like you make the same mistakes over and over. You feel overwhelmed with guilt and shame. Maybe you wonder if you’ll ever have healthy relationships. It’s tearing you down from the inside out because you just want to feel content within and connected to others. Whether you're married with kids or single and kid-free; hurt is hurt and you deserve peace.
Do you carry old hurts and wonder if you’re good enough? Maybe you struggle with feeling hopeless and unmotivated. You get stuck in cycles you don’t know how to break and feel like you make the same mistakes over and over. You feel overwhelmed with guilt and shame. Maybe you wonder if you’ll ever have healthy relationships. It’s tearing you down from the inside out because you just want to feel content within and connected to others. Whether you're married with kids or single and kid-free; hurt is hurt and you deserve peace.
(844) 948-1742 View (844) 948-1742
Photo of Heather Caldwell, Licensed Professional Counselor in Anchorage, AK
Heather Caldwell
Licensed Professional Counselor, MA, LPC
Verified
Anchorage, AK 99503
Life can get overwhelming and it's easy to feel lost, anxious, and/or depressed, bogged down with busy schedules, work issues, childhood trauma, chronic pain, relationship/intimacy conflicts, complicated parent and/or child relationships, questioning one's identity or coming into one's sexuality - and well, it can feel like too much! These compounding stressors impact our ability to connect with ourselves and with others, as well as our ability to lead satisfying and full lives. My hope is that together, you can (re)discover your path to a fulfilled and integrated life by embodying your emotional, spiritual, and creative self.
Life can get overwhelming and it's easy to feel lost, anxious, and/or depressed, bogged down with busy schedules, work issues, childhood trauma, chronic pain, relationship/intimacy conflicts, complicated parent and/or child relationships, questioning one's identity or coming into one's sexuality - and well, it can feel like too much! These compounding stressors impact our ability to connect with ourselves and with others, as well as our ability to lead satisfying and full lives. My hope is that together, you can (re)discover your path to a fulfilled and integrated life by embodying your emotional, spiritual, and creative self.
(720) 340-8389 View (720) 340-8389
Photo of Brittany w/Coastal Wellness & Counseling, Licensed Professional Counselor in Anchorage, AK
Brittany w/Coastal Wellness & Counseling
Licensed Professional Counselor, LPC
Verified
Anchorage, AK 99501
Life is complex, always changing, and at times can feel out of our control. The way we cope with our experiences, emotions, and thoughts can and often does become maladaptive over time. I believe that achieving mental, spiritual, physical, and emotional balance is essential in working towards creating a more effective life. Finding connection with self and the world around you can help to refocus on what is important to you, allowing you to live your life to your full potential.
Life is complex, always changing, and at times can feel out of our control. The way we cope with our experiences, emotions, and thoughts can and often does become maladaptive over time. I believe that achieving mental, spiritual, physical, and emotional balance is essential in working towards creating a more effective life. Finding connection with self and the world around you can help to refocus on what is important to you, allowing you to live your life to your full potential.
(907) 917-0191 View (907) 917-0191
Photo of Sheryl Martin, Psychological Associate in Anchorage, AK
Sheryl Martin
Psychological Associate, PhD, LPA
Verified
Anchorage, AK 99522  (Online Only)
I understand the anxiety often associated with going to a therapist for the first time. There are times in life we all could benefit from talking with a professional trained to help us process difficult emotions. In a safe, nonjudgmental, and supportive therapeutic partnership, I incorporate a variety of methods to help clients problem-solve and work through challenges to a better mental health.
I understand the anxiety often associated with going to a therapist for the first time. There are times in life we all could benefit from talking with a professional trained to help us process difficult emotions. In a safe, nonjudgmental, and supportive therapeutic partnership, I incorporate a variety of methods to help clients problem-solve and work through challenges to a better mental health.
(844) 279-1926 View (844) 279-1926

See more therapy options for Anchorage

How does your Therapist compare?

Number of Therapists in Anchorage, AK

300+

Average cost per session

$200

Therapists in Anchorage, AK who prioritize treating:

91% Anxiety
86% Depression
77% Trauma and PTSD
74% Relationship Issues
68% Self Esteem
66% Stress
64% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
64% Aetna
54% Premera

How Therapists in Anchorage, AK see their clients

60% In Person and Online
40% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Anchorage?

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.