Therapists in Tuscaloosa, AL

Photo of Ariela H Aaron, EdS, LPC-S, S, Licensed Professional Counselor
Ariela H Aaron
Licensed Professional Counselor, EdS, LPC-S, S
Verified Verified
Tuscaloosa, AL 35404
I specialize in clients that have issues with anxiety, depression, and bipolar disorder. In addition I specialize in ADHD of adults and children. As I therapist I am laid back yet positive and goal oriented. I would like to teach my potential clients skills to improve their quality of life not to be dependent on the therapist. It is my belief that therapy is not just a session or a conversation it is actual work on you yourself or family members.
I specialize in clients that have issues with anxiety, depression, and bipolar disorder. In addition I specialize in ADHD of adults and children. As I therapist I am laid back yet positive and goal oriented. I would like to teach my potential clients skills to improve their quality of life not to be dependent on the therapist. It is my belief that therapy is not just a session or a conversation it is actual work on you yourself or family members.
(205) 270-5951 View (205) 270-5951
Photo of Erin Guffey, MA, LPC, NCC, Licensed Professional Counselor
Erin Guffey
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Online Only
Change is sometimes overwhelming, but continuing in familiar unhealthy patterns are likely preventing you from living the best version of yourself. My hope is to walk along beside you as you identify some of your unhealthy patterns; help you establish realistic goals; and implement healthy change in a way that doesn’t feel daunting. I have seven years experience working with individuals from all backgrounds with varying concerns, including depression, anxiety, stress, strained family dynamics, and unhealthy boundaries.
Change is sometimes overwhelming, but continuing in familiar unhealthy patterns are likely preventing you from living the best version of yourself. My hope is to walk along beside you as you identify some of your unhealthy patterns; help you establish realistic goals; and implement healthy change in a way that doesn’t feel daunting. I have seven years experience working with individuals from all backgrounds with varying concerns, including depression, anxiety, stress, strained family dynamics, and unhealthy boundaries.
(205) 270-5565 View (205) 270-5565
Photo of Sarah McCain, MDiv, MS, LMFTA, Marriage & Family Therapist Associate
Sarah McCain
Marriage & Family Therapist Associate, MDiv, MS, LMFTA
Verified Verified
1 Endorsed
Tuscaloosa, AL 35401
I am grateful for the opportunity to walk alongside children, adults, couples, and families as they move toward understanding, healing, and connection. Though everyone deserves a deep sense of love and belonging, sometimes the ways we have learned to protect ourselves create barriers to experiencing these basic human needs. If you would like to heal your relationship with yourself and with those around you, I'm here to help.
I am grateful for the opportunity to walk alongside children, adults, couples, and families as they move toward understanding, healing, and connection. Though everyone deserves a deep sense of love and belonging, sometimes the ways we have learned to protect ourselves create barriers to experiencing these basic human needs. If you would like to heal your relationship with yourself and with those around you, I'm here to help.
(659) 222-2312 View (659) 222-2312
Photo of Doris Chambers Vaughans, PhD, LPC, NCC, Licensed Professional Counselor
Doris Chambers Vaughans
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Tuscaloosa, AL 35405
Not accepting new clients
Every person is more than their story to date; there are more chapters waiting to be lived! I am humbled and honored to be a part of more than 2000 clients' stories of restoration & healing for issues of depression, anxiety, bereavement etc. Life, and everything in it, ebbs and flows. Change, though certain, is not always welcomed. I love empowering and equipping clients, within a nurturing and caring counseling relationship, to live their best lives. Life happens, counseling helps! I will love to use my experience, knowledge, and skills for you. I look forward to meeting you!
Every person is more than their story to date; there are more chapters waiting to be lived! I am humbled and honored to be a part of more than 2000 clients' stories of restoration & healing for issues of depression, anxiety, bereavement etc. Life, and everything in it, ebbs and flows. Change, though certain, is not always welcomed. I love empowering and equipping clients, within a nurturing and caring counseling relationship, to live their best lives. Life happens, counseling helps! I will love to use my experience, knowledge, and skills for you. I look forward to meeting you!
(205) 861-0083 View (205) 861-0083
Photo of Ebone Newton, EdS, LPC, NCC, Licensed Professional Counselor
Ebone Newton
Licensed Professional Counselor, EdS, LPC, NCC
Verified Verified
2 Endorsed
Online Only
Accepting New Clients! Virtual appointments only! My ideal client is someone who seeks personal growth and a deeper understanding of themselves. They might be facing challenges related to depression, anxiety, stress, trauma, or unhealthy relationships. Their needs revolve around finding coping strategies and building resilience. Their primary goal is to achieve a more balanced and fulfilling life, free from limiting beliefs and emotional barriers. They want to develop healthier relationships and gain clarity about their purpose and identity, ultimately striving for lasting positive changes.
Accepting New Clients! Virtual appointments only! My ideal client is someone who seeks personal growth and a deeper understanding of themselves. They might be facing challenges related to depression, anxiety, stress, trauma, or unhealthy relationships. Their needs revolve around finding coping strategies and building resilience. Their primary goal is to achieve a more balanced and fulfilling life, free from limiting beliefs and emotional barriers. They want to develop healthier relationships and gain clarity about their purpose and identity, ultimately striving for lasting positive changes.
(205) 813-1513 View (205) 813-1513
Photo of Greg Evans, MDiv, MA, NCC, LPC, Counselor
Greg Evans
Counselor, MDiv, MA, NCC, LPC
Verified Verified
3 Endorsed
Tuscaloosa, AL 35401
Down To Earth Counseling is a professional and caring environment for all who need help getting through life that can be painful and confusing. Greg has extensive training and experience working with anxiety, trauma, and family and relational challenges. He works with diverse populations, including victims of rape, incest, and combat -related PTSD. He works with issues including depression, fears/phobias, religious beliefs, and anger/unforgiveness. He offers premarital therapy, and works with couples in crisis. Finally, Greg walks through life with many "plain old people with plain old problems."
Down To Earth Counseling is a professional and caring environment for all who need help getting through life that can be painful and confusing. Greg has extensive training and experience working with anxiety, trauma, and family and relational challenges. He works with diverse populations, including victims of rape, incest, and combat -related PTSD. He works with issues including depression, fears/phobias, religious beliefs, and anger/unforgiveness. He offers premarital therapy, and works with couples in crisis. Finally, Greg walks through life with many "plain old people with plain old problems."
(205) 610-9974 View (205) 610-9974
Photo of Christie W Gibson - Gibson Therapy Services, LLC, MSCE, MS, LMFT, Marriage & Family Therapist
Gibson Therapy Services, LLC
Marriage & Family Therapist, MSCE, MS, LMFT
Verified Verified
2 Endorsed
Tuscaloosa, AL 35401
I have had the opportunity to work as a mental health professional for over 15 years. Most of my focus in those years has been with children, youth and their families, helping both the young and their families to cope with various life situations or the affects of mental illness. I have begun to focus more on helping couples overcome obstacles that occur in their relationships, although I continue to see individuals of all ages.
I have had the opportunity to work as a mental health professional for over 15 years. Most of my focus in those years has been with children, youth and their families, helping both the young and their families to cope with various life situations or the affects of mental illness. I have begun to focus more on helping couples overcome obstacles that occur in their relationships, although I continue to see individuals of all ages.
(205) 490-2574 View (205) 490-2574
Photo of Brian Monroe - Tuscaloosa Couples Clinic, LMFT, PhD, Marriage & Family Therapist
Tuscaloosa Couples Clinic
Marriage & Family Therapist, LMFT, PhD
Verified Verified
Tuscaloosa, AL 35401
You know how much you value your marriage or relationship. What you want to know is, can the therapist keep my partner accountable when we discuss what’s not going well and what we want to change. Can they help communicate the issues to my partner in a different way so that they actually hear me? Can the therapist see what is actually wrong and help us fix things instead of getting bogged down in our argument that keeps happening? Can the therapist tell us what we’re doing wrong, and can they tell us what it looks like when it’s going right?
You know how much you value your marriage or relationship. What you want to know is, can the therapist keep my partner accountable when we discuss what’s not going well and what we want to change. Can they help communicate the issues to my partner in a different way so that they actually hear me? Can the therapist see what is actually wrong and help us fix things instead of getting bogged down in our argument that keeps happening? Can the therapist tell us what we’re doing wrong, and can they tell us what it looks like when it’s going right?
(205) 622-8046 View (205) 622-8046
Photo of Julie Vence, LPC, Licensed Professional Counselor
Julie Vence
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Tuscaloosa, AL 35401
I specialize in providing compassionate, individualized therapy for children, adolescents, and young adults. With a holistic approach, I believe in addressing the whole person—mind, body, and lifestyle—to foster lasting emotional and mental well-being. My therapeutic style is warm, engaging, collaborative, and solution focused, creating a safe space where you can feel heard, understood, and empowered to navigate life’s challenges. Understanding that life can be hectic, I offer weekend and evening appointments to accommodate busy schedules and ensure that support is accessible when you need it most.
I specialize in providing compassionate, individualized therapy for children, adolescents, and young adults. With a holistic approach, I believe in addressing the whole person—mind, body, and lifestyle—to foster lasting emotional and mental well-being. My therapeutic style is warm, engaging, collaborative, and solution focused, creating a safe space where you can feel heard, understood, and empowered to navigate life’s challenges. Understanding that life can be hectic, I offer weekend and evening appointments to accommodate busy schedules and ensure that support is accessible when you need it most.
(205) 273-5289 View (205) 273-5289
Photo of Susan Mills, EdS, LPC-S, NCC, Licensed Professional Counselor
Susan Mills
Licensed Professional Counselor, EdS, LPC-S, NCC
Verified Verified
Tuscaloosa, AL 35406
We each come from different backgrounds with unique experiences that intertwine to shape the individuals that we have become. Behaviors that once served to protect us from difficult past circumstances may no longer be appropriate and may now be creating problems in our relationships with friends, significant others and/or co-workers. We have patterned ways of coping with stress and anxiety that we developed in our family of origin. But we are not locked into patterns; patterns can be changed. I believe that as individuals we have a deep desire to be heard and understood. Each of us have a unique story that has molded us.
We each come from different backgrounds with unique experiences that intertwine to shape the individuals that we have become. Behaviors that once served to protect us from difficult past circumstances may no longer be appropriate and may now be creating problems in our relationships with friends, significant others and/or co-workers. We have patterned ways of coping with stress and anxiety that we developed in our family of origin. But we are not locked into patterns; patterns can be changed. I believe that as individuals we have a deep desire to be heard and understood. Each of us have a unique story that has molded us.
(205) 710-9697 View (205) 710-9697
Photo of Catherine Howell, MA, MSW, LICSW, Clinical Social Work/Therapist
Catherine Howell
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
Tuscaloosa, AL 35401
Do you feel lost and as though you have no one to turn to? Are your fears of being judged and misunderstood preventing you from reaching out for help? Do you struggle to open up to people and feel as though you have to hide your true self out of fear of being misunderstood or misjudged? Do you feel as though you struggle with negative thoughts about yourself and others that hold you back from building relationships? Taking the first step in acknowledging that you need support along your healing journey can be difficult and scary.
Do you feel lost and as though you have no one to turn to? Are your fears of being judged and misunderstood preventing you from reaching out for help? Do you struggle to open up to people and feel as though you have to hide your true self out of fear of being misunderstood or misjudged? Do you feel as though you struggle with negative thoughts about yourself and others that hold you back from building relationships? Taking the first step in acknowledging that you need support along your healing journey can be difficult and scary.
(205) 896-3319 View (205) 896-3319
Photo of Greer Jones, MS, LMFT-S, Marriage & Family Therapist
Greer Jones
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
1 Endorsed
Tuscaloosa, AL 35401
Waitlist for new clients
I love working with those who are ready to make a change in their lives. I think trust and comfort are the two most important factors when choosing a therapist. For real progress to happen, the therapist has to be a good fit for you. I think each client comes in with individual and specific challenges, meaning therapy has to be tailored to fit each client. I'd love to be able to take the time to figure out what is happening for you and what can be helpful in overcoming obstacles.
I love working with those who are ready to make a change in their lives. I think trust and comfort are the two most important factors when choosing a therapist. For real progress to happen, the therapist has to be a good fit for you. I think each client comes in with individual and specific challenges, meaning therapy has to be tailored to fit each client. I'd love to be able to take the time to figure out what is happening for you and what can be helpful in overcoming obstacles.
(205) 512-2487 View (205) 512-2487
Photo of Dr. Kimberly Jenkins-Richardson, PhD, LPC-S, Licensed Professional Counselor
Dr. Kimberly Jenkins-Richardson
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Tuscaloosa, AL 35401
Waitlist for new clients
I’m so glad you’ve taken the first step towards a better you! Starting is always the most challenging part, and I am excited to assist you along this journey. I am an interactive, solution-focused therapist, and my therapeutic approach aims to provide support and practical feedback to help clients meet their goals. Don't know your goals? No problem! I love helping my clients re-discover how amazing they already are! Next, we work together to figure out an action plan to help you live your best life!
I’m so glad you’ve taken the first step towards a better you! Starting is always the most challenging part, and I am excited to assist you along this journey. I am an interactive, solution-focused therapist, and my therapeutic approach aims to provide support and practical feedback to help clients meet their goals. Don't know your goals? No problem! I love helping my clients re-discover how amazing they already are! Next, we work together to figure out an action plan to help you live your best life!
(205) 270-5502 View (205) 270-5502
Photo of Teresa Taylor, MA, NCC, LPC, Licensed Professional Counselor
Teresa Taylor
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Tuscaloosa, AL 35401
I have worked with children, adolescents, families, and adults for over 20 years. This has given me experience in school settings, both in the elementary and high school areas, as well as, a mental health setting which implemented a team approach to care including psychiatrists, nurses, and psychotherapists. I have gained valuable experience in treating various disorders, as well as issues within families. Although I have worked in a variety of settings, my goal has remained constant: do all I can to encourage people to feel valued, to know they are cared about, and to feel empowered to act from their own inner wisdom.
I have worked with children, adolescents, families, and adults for over 20 years. This has given me experience in school settings, both in the elementary and high school areas, as well as, a mental health setting which implemented a team approach to care including psychiatrists, nurses, and psychotherapists. I have gained valuable experience in treating various disorders, as well as issues within families. Although I have worked in a variety of settings, my goal has remained constant: do all I can to encourage people to feel valued, to know they are cared about, and to feel empowered to act from their own inner wisdom.
(205) 236-2240 View (205) 236-2240
Photo of Kimberly Adams, LPC, CSAM, Licensed Professional Counselor
Kimberly Adams
Licensed Professional Counselor, LPC, CSAM
Verified Verified
2 Endorsed
Online Only
Life can present many challenges—whether it’s navigating transitions, dealing with relationship issues, or battling perfectionism and people-pleasing. These struggles can leave you feeling overwhelmed, exhausted, or unsupported, making it hard to find your way.
Life can present many challenges—whether it’s navigating transitions, dealing with relationship issues, or battling perfectionism and people-pleasing. These struggles can leave you feeling overwhelmed, exhausted, or unsupported, making it hard to find your way.
(334) 292-4371 View (334) 292-4371
Photo of Olivia Dorn, EdS, LPC-S, Licensed Professional Counselor
Olivia Dorn
Licensed Professional Counselor, EdS, LPC-S
Verified Verified
Tuscaloosa, AL 35406
Choosing a therapist and beginning therapy can feel overwhelming. Whether you are managing difficult life circumstances, experiencing anxiety or depression, or are seeking to improve wellness you have already taken the first step by researching your options. My goal is to make sure that each client I work with feels supported and respected as we work through their concerns together. My hope is that you find a counselor who is the best for for you!
Choosing a therapist and beginning therapy can feel overwhelming. Whether you are managing difficult life circumstances, experiencing anxiety or depression, or are seeking to improve wellness you have already taken the first step by researching your options. My goal is to make sure that each client I work with feels supported and respected as we work through their concerns together. My hope is that you find a counselor who is the best for for you!
(205) 319-4180 View (205) 319-4180
Photo of Amy Coleman Kirkman - Thriveworks Counseling & Therapy Tuscaloosa, Counselor
Thriveworks Counseling & Therapy Tuscaloosa
Counselor
Verified Verified
Tuscaloosa, AL 35401
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
Photo of Patricia A Doughty, MSW, LICSW, PIP, Clinical Social Work/Therapist
Patricia A Doughty
Clinical Social Work/Therapist, MSW, LICSW, PIP
Verified Verified
1 Endorsed
Tuscaloosa, AL 35405
"They always say time changes things, but you actually have to change them yourself." - Andy Warhol - - This quote describes my belief that everyone is capable of change. My mission is to empower each client to become the best version of themselves. By providing a safe, non-judgmental environment, I assist my clients with facing the past, focusing on the present while forming a path to a brighter future.
"They always say time changes things, but you actually have to change them yourself." - Andy Warhol - - This quote describes my belief that everyone is capable of change. My mission is to empower each client to become the best version of themselves. By providing a safe, non-judgmental environment, I assist my clients with facing the past, focusing on the present while forming a path to a brighter future.
(205) 927-4309 View (205) 927-4309
Photo of Savannah Kiesel, ALC, MA, NCC, Counselor
Savannah Kiesel
Counselor, ALC, MA, NCC
Verified Verified
Tuscaloosa, AL 35401
Hello there! Life can be hard at times, but we don't have to do it alone. Congratulations on reaching out and taking the first step toward a better you! I believe counseling can change your life if you let it and anyone can benefit from counseling. My ideal client is someone who understands that counseling isn't always easy, but is ready to start their journey with an open mindset and determination to make themselves better. Counseling is often like healing a wound, it can be uncomfortable, but the healing process can be so rewarding in the long run. I can't wait to walk alongside you!
Hello there! Life can be hard at times, but we don't have to do it alone. Congratulations on reaching out and taking the first step toward a better you! I believe counseling can change your life if you let it and anyone can benefit from counseling. My ideal client is someone who understands that counseling isn't always easy, but is ready to start their journey with an open mindset and determination to make themselves better. Counseling is often like healing a wound, it can be uncomfortable, but the healing process can be so rewarding in the long run. I can't wait to walk alongside you!
(205) 831-4825 View (205) 831-4825
Photo of Sara Nielsen, Licensed Professional Counselor
Sara Nielsen
Licensed Professional Counselor
Verified Verified
Online Only
I am an LPC (licensed practicing counselor) and have been practicing for about 15 years. I am licensed in Alabama, Missouri and Kansas. I have about 16 years experience as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, eating disorders, self-esteem, OCD, ADHD and many other concerns. I have worked in a wide variety of settings, including residential treatment, inpatient hospitalization, correctional settings, outpatient and online format as well.
I am an LPC (licensed practicing counselor) and have been practicing for about 15 years. I am licensed in Alabama, Missouri and Kansas. I have about 16 years experience as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, eating disorders, self-esteem, OCD, ADHD and many other concerns. I have worked in a wide variety of settings, including residential treatment, inpatient hospitalization, correctional settings, outpatient and online format as well.
(866) 738-3081 View (866) 738-3081

How does your Therapist compare?

Number of Therapists in Tuscaloosa, AL

100+

Average cost per session

$135

Therapists in Tuscaloosa, AL who prioritize treating:

92% Anxiety
87% Depression
71% Coping Skills
71% Self Esteem
69% Stress
68% Relationship Issues
68% Grief

Average years in practice

10 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
54% Cigna and Evernorth
54% UnitedHealthcare UHC | UBH

How Therapists in Tuscaloosa, AL see their clients

62% In Person and Online
38% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Tuscaloosa?

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.