Therapists in North Andover, MA

Photo of Mussuba Samati, Pre-Licensed Professional in North Andover, MA
Mussuba Samati
Pre-Licensed Professional
Verified Verified
North Andover, MA 01845  (Online Only)
Feeling overwhelmed by life's challenges? You're not alone. Whether you're struggling with ADHD, anxiety, depression, or the everyday pressures of work and relationships, these hurdles can leave you feeling lost and out of control. Perhaps you're facing deeper issues like trauma or wrestling with self-esteem and identity development. No matter the obstacle, therapy can be a powerful tool for navigating these complex experiences. Here, we'll work together to explore your thoughts and feelings, establish personalized goals, and develop coping strategies tailored to your unique journey.
Feeling overwhelmed by life's challenges? You're not alone. Whether you're struggling with ADHD, anxiety, depression, or the everyday pressures of work and relationships, these hurdles can leave you feeling lost and out of control. Perhaps you're facing deeper issues like trauma or wrestling with self-esteem and identity development. No matter the obstacle, therapy can be a powerful tool for navigating these complex experiences. Here, we'll work together to explore your thoughts and feelings, establish personalized goals, and develop coping strategies tailored to your unique journey.
(508) 978-5327 View (508) 978-5327
Photo of Rebecca A Mallen, Clinical Social Work/Therapist in North Andover, MA
Rebecca A Mallen
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
North Andover, MA 01845
I've been in practice for 20 years and have worked in a variety of settings. My experience has taught me that the most effective way to address issues is to first identify strengths and use those to address weaknesses. I believe that people are driven toward peace and happiness and need to be empowered by identifying goals and creating a plan for achieving those goals. Sessions are always client driven; your treatment must be about your agenda and no one else's.
I've been in practice for 20 years and have worked in a variety of settings. My experience has taught me that the most effective way to address issues is to first identify strengths and use those to address weaknesses. I believe that people are driven toward peace and happiness and need to be empowered by identifying goals and creating a plan for achieving those goals. Sessions are always client driven; your treatment must be about your agenda and no one else's.
(978) 819-4163 View (978) 819-4163
Photo of Nasya Smith, Counselor in North Andover, MA
Nasya Smith
Counselor, MA, LMHC
Verified Verified
North Andover, MA 01845
My ideal client may have a difficult time identifying their emotions and feeling like they are not “allowed” to feel emotions. My ideal client may tend to intellectualize or overthink their experiences. This person may work hard to maintain a high standard that is often unrealistic. My ideal client may have a history of depression, anxiety, suicidal ideation, and chronic illness. The client’s goal is to learn to understand how they feel and give themselves permission to feel the way they do. This client recognizes that they are feeling overwhelmed, resentful, anxious, frustrated, sad, angry and they are looking for a change.
My ideal client may have a difficult time identifying their emotions and feeling like they are not “allowed” to feel emotions. My ideal client may tend to intellectualize or overthink their experiences. This person may work hard to maintain a high standard that is often unrealistic. My ideal client may have a history of depression, anxiety, suicidal ideation, and chronic illness. The client’s goal is to learn to understand how they feel and give themselves permission to feel the way they do. This client recognizes that they are feeling overwhelmed, resentful, anxious, frustrated, sad, angry and they are looking for a change.
(508) 321-6362 View (508) 321-6362
Photo of Sara Correia Ladc-1 Cadc, Drug & Alcohol Counselor in North Andover, MA
Sara Correia Ladc-1 Cadc
Drug & Alcohol Counselor, MEd, LADC-1, CADC
Verified Verified
North Andover, MA 01845
Not accepting new clients
Are you or someone you love struggling with alcohol or substance use or other mental health issues? If you answer YES to this question you are taking a great first step towards recovery by reaching out to me.
Are you or someone you love struggling with alcohol or substance use or other mental health issues? If you answer YES to this question you are taking a great first step towards recovery by reaching out to me.
(351) 222-2698 View (351) 222-2698
Photo of Postpartum Therapist Meagan Catricala, Clinical Social Work/Therapist in North Andover, MA
Postpartum Therapist Meagan Catricala
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
1 Endorsed
North Andover, MA 01845  (Online Only)
Waitlist for new clients
Are you struggling with increased anxiety or negative thinking since becoming a new mom or becoming pregnant? Often times during a big life transition like motherhood, there are a lot of emotions including processing a new identity and figuring out a new way of living. You may be feeling lonely or sad, which may be something you never thought you would feel after the birth of your baby. It is okay to ask for help so you can explore these feelings, learn healthy ways to cope with your feelings, and thrive as a new mom.
Are you struggling with increased anxiety or negative thinking since becoming a new mom or becoming pregnant? Often times during a big life transition like motherhood, there are a lot of emotions including processing a new identity and figuring out a new way of living. You may be feeling lonely or sad, which may be something you never thought you would feel after the birth of your baby. It is okay to ask for help so you can explore these feelings, learn healthy ways to cope with your feelings, and thrive as a new mom.
(978) 216-4019 View (978) 216-4019
Photo of Eli Adler-Roth, Clinical Social Work/Therapist in North Andover, MA
Eli Adler-Roth
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
North Andover, MA 01845  (Online Only)
I became a therapist because I saw early on how men are conditioned not to practice emotional vulnerability and I wanted to model something different in my own life. In the decade since I started down this path, I've met many people grappling with social expectations as I have. My experience working with clients of all backgrounds has reaffirmed for me that, while we all lead very different lives, today's world nudges each of us towards feelings of isolation, anxiety, insecurity, and overwhelm. If you're feeling stuck, burnt out, or just want a nonjudgmental space to explore your emotional landscape, let's chat.
I became a therapist because I saw early on how men are conditioned not to practice emotional vulnerability and I wanted to model something different in my own life. In the decade since I started down this path, I've met many people grappling with social expectations as I have. My experience working with clients of all backgrounds has reaffirmed for me that, while we all lead very different lives, today's world nudges each of us towards feelings of isolation, anxiety, insecurity, and overwhelm. If you're feeling stuck, burnt out, or just want a nonjudgmental space to explore your emotional landscape, let's chat.
(978) 404-8293 View (978) 404-8293
Photo of Aaron Krueger, Counselor in North Andover, MA
Aaron Krueger
Counselor, LMHC, MFT, MDiv
Verified Verified
North Andover, MA 01845
Not accepting new clients
My primary goal as a therapist is to help individuals, couples and families develop healthy relationships; being empowered in meeting their full potential. I’m a licensed mental health counselor, with over 10 years of experience as an outpatient therapist, along with five additional years related to the mental health field.
My primary goal as a therapist is to help individuals, couples and families develop healthy relationships; being empowered in meeting their full potential. I’m a licensed mental health counselor, with over 10 years of experience as an outpatient therapist, along with five additional years related to the mental health field.
(978) 315-6420 View (978) 315-6420
Photo of Karen Weinberg LeClaire, Counselor in North Andover, MA
Karen Weinberg LeClaire
Counselor, LMHC, LCMHC
Verified Verified
2 Endorsed
North Andover, MA 01845
Openings Available! As a therapist with over 25 years of experience working with children, adolescents & adults, and the owner of North Andover Counseling, I am proud to provide personalized high quality mental health care to children, teens and adults. I specialize in treating individuals with Post Traumatic Stress Disorder (PTSD), Trauma, Anxiety and Depression. EMDR, Eye Movement Desensitization Reprocessing Therapy is used for most PTSD and Trauma related situations. I also follow a structured Cognitive Behavioral Therapy (CBT) treatment modality that is designed to produce measurable progress each week.
Openings Available! As a therapist with over 25 years of experience working with children, adolescents & adults, and the owner of North Andover Counseling, I am proud to provide personalized high quality mental health care to children, teens and adults. I specialize in treating individuals with Post Traumatic Stress Disorder (PTSD), Trauma, Anxiety and Depression. EMDR, Eye Movement Desensitization Reprocessing Therapy is used for most PTSD and Trauma related situations. I also follow a structured Cognitive Behavioral Therapy (CBT) treatment modality that is designed to produce measurable progress each week.
(978) 767-4896 View (978) 767-4896
Photo of Alliance Lifetime Mental Health in North Andover, MA
Alliance Lifetime Mental Health
Verified Verified
North Andover, MA 01845
Alliance Lifetime Mental Health is an outpatient mental health clinic with locations in Lawrence, MA and Bedford, NH. We provide services for children, adolescents and adults seeking mental health services and support. We are committed to delivering quality services to the communities we serve. We offer counseling and medication management services with appointments offered both in office and via telehealth. Spanish speaking counselors are available!
Alliance Lifetime Mental Health is an outpatient mental health clinic with locations in Lawrence, MA and Bedford, NH. We provide services for children, adolescents and adults seeking mental health services and support. We are committed to delivering quality services to the communities we serve. We offer counseling and medication management services with appointments offered both in office and via telehealth. Spanish speaking counselors are available!
(978) 391-2470 View (978) 391-2470
Photo of Beth Chase, Counselor in North Andover, MA
Beth Chase
Counselor, LMHC
Verified Verified
North Andover, MA 01845
My ideal client is an adult who is facing challenges associated with depression, anxiety, life changes, and life stages. My client seeks to find joy in life and expand tools to meet the day's challenges. Another ideal client would be the neuroatypical person seeking to understand how to navigate a world they struggle to understand. This could include those on the autism spectrum or ADHD. Another ideal client would be seniors seeking to navigate the challenges of aging, including loss of jobs through retirement, changing health, or any other issue.
My ideal client is an adult who is facing challenges associated with depression, anxiety, life changes, and life stages. My client seeks to find joy in life and expand tools to meet the day's challenges. Another ideal client would be the neuroatypical person seeking to understand how to navigate a world they struggle to understand. This could include those on the autism spectrum or ADHD. Another ideal client would be seniors seeking to navigate the challenges of aging, including loss of jobs through retirement, changing health, or any other issue.
(508) 978-1742 View (508) 978-1742
Photo of Catherine Harvey, Clinical Social Work/Therapist in North Andover, MA
Catherine Harvey
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
North Andover, MA 01845
My ideal client would be someone who is ready and willing to participate in treatment. I am comfortable with an array of different diagnoses and struggles. Their needs would include working towards tangible goals that we are able to breakdown in the treatment setting. They may want to work on self-esteem, depression, anxiety, PTSD symptoms etc. They would want to minimize their symptoms and improve everyday functioning. The goal would ultimately be to no longer need treatment as they have reached their goals.
My ideal client would be someone who is ready and willing to participate in treatment. I am comfortable with an array of different diagnoses and struggles. Their needs would include working towards tangible goals that we are able to breakdown in the treatment setting. They may want to work on self-esteem, depression, anxiety, PTSD symptoms etc. They would want to minimize their symptoms and improve everyday functioning. The goal would ultimately be to no longer need treatment as they have reached their goals.
(508) 978-4256 View (508) 978-4256
Photo of Carrie Eichmann, Clinical Social Work/Therapist in North Andover, MA
Carrie Eichmann
Clinical Social Work/Therapist, LICSW, CMPC
Verified Verified
5 Endorsed
North Andover, MA 01845
From the outside you appear put together and accomplished, yet inside you don’t always feel that way. Sometimes you worry about things you can't control, create plans for the possible “what ifs” down the road, and wonder if others will discover that you don’t actually have it all figured out. You can’t calm your mind or find a healthy balance, and it’s getting in the way of your ambitions. You’ve tried managing on your own yet feel stuck. We can work together to harness your inner strengths while mending the parts that make life feel challenging.
From the outside you appear put together and accomplished, yet inside you don’t always feel that way. Sometimes you worry about things you can't control, create plans for the possible “what ifs” down the road, and wonder if others will discover that you don’t actually have it all figured out. You can’t calm your mind or find a healthy balance, and it’s getting in the way of your ambitions. You’ve tried managing on your own yet feel stuck. We can work together to harness your inner strengths while mending the parts that make life feel challenging.
(351) 444-3310 View (351) 444-3310
Photo of Andie Loiseau, Clinical Social Work/Therapist in North Andover, MA
Andie Loiseau
Clinical Social Work/Therapist, LCSW
Verified Verified
North Andover, MA 01845
My ideal client is the client that has an idea of what they want in life but is overwhelmed with life stressors such as anxiety and depression. This client need a safe space to explore their life options and the triggers that are causing negative thinking patterns, self-doubt and low self-confidence. This client need support, encouragement and a non-judgmental approach to achieve their goals.
My ideal client is the client that has an idea of what they want in life but is overwhelmed with life stressors such as anxiety and depression. This client need a safe space to explore their life options and the triggers that are causing negative thinking patterns, self-doubt and low self-confidence. This client need support, encouragement and a non-judgmental approach to achieve their goals.
(508) 794-3576 View (508) 794-3576
Photo of Cammy Adler-Roth, Clinical Social Work/Therapist in North Andover, MA
Cammy Adler-Roth
Clinical Social Work/Therapist, LICSW, CCLS
Verified Verified
North Andover, MA 01845  (Online Only)
Life and death - perhaps the biggest adjustments of the human experience. Each can stir up feelings such as overwhelm, guilt, and loneliness. If someone you care about is seriously ill or has died, if you're grieving loss due to miscarriage/stillbirth, or are trying to conceive, prepare for birth, or adjust to postpartum life, know that you do not have to move through these chapters alone. I have personal and professional background supporting children/families through hospice/grief and through the transition into parenthood. Together we'll create space to process your journey and identify tools to help you continue moving forward.
Life and death - perhaps the biggest adjustments of the human experience. Each can stir up feelings such as overwhelm, guilt, and loneliness. If someone you care about is seriously ill or has died, if you're grieving loss due to miscarriage/stillbirth, or are trying to conceive, prepare for birth, or adjust to postpartum life, know that you do not have to move through these chapters alone. I have personal and professional background supporting children/families through hospice/grief and through the transition into parenthood. Together we'll create space to process your journey and identify tools to help you continue moving forward.
(978) 616-6290 View (978) 616-6290
Photo of Laura Howell, Counselor in North Andover, MA
Laura Howell
Counselor, MS, LMHC
Verified Verified
1 Endorsed
North Andover, MA 01845  (Online Only)
Life can be difficult and overwhelming. All of us have times when we struggle and feel alone or unclear about what to do. Entering into a therapeutic relationship is a courageous and powerful way to get unstuck and find a path forward. Since 1991, I have enjoyed working with adults and adolescents who come to counseling with a wide range of concerns, including depression, anxiety, relationship issues, and chronic stress. I utilize both traditional and innovative therapeutic approaches based on your unique preferences and needs.
Life can be difficult and overwhelming. All of us have times when we struggle and feel alone or unclear about what to do. Entering into a therapeutic relationship is a courageous and powerful way to get unstuck and find a path forward. Since 1991, I have enjoyed working with adults and adolescents who come to counseling with a wide range of concerns, including depression, anxiety, relationship issues, and chronic stress. I utilize both traditional and innovative therapeutic approaches based on your unique preferences and needs.
(978) 878-5629 View (978) 878-5629
Photo of Katy Ong, Clinical Social Work/Therapist in North Andover, MA
Katy Ong
Clinical Social Work/Therapist, LICSW, MSW, MPH
Verified Verified
North Andover, MA 01845
Not accepting new clients
I am a cognitive-behavioral therapist specializing in anxiety, mood disorders, grief, and trauma. While using an evidence-based, theory-driven approach, I acknowledge that each person is unique; therefore, I tailor the session with the intent to help each person gain clarity and insight into his/her individual situation.
I am a cognitive-behavioral therapist specializing in anxiety, mood disorders, grief, and trauma. While using an evidence-based, theory-driven approach, I acknowledge that each person is unique; therefore, I tailor the session with the intent to help each person gain clarity and insight into his/her individual situation.
(617) 500-6189 View (617) 500-6189
Photo of Isabella Blanchette, Clinical Social Work/Therapist in North Andover, MA
Isabella Blanchette
Clinical Social Work/Therapist, LCSW
Verified Verified
North Andover, MA 01845
I am currently accepting new in-person and telehealth referrals. Life is challenging for everyone especially in a world that is so focused on what is going wrong rather than what is going right. While you cannot often control the difficulties you face, you can decide how you react to them. Everyone can benefit from someone in their life who supports them and helps process their experiences while also challenging the unhelpful thoughts and habits holding them back. My strength-based approach promotes the development of personal confidence and useful skills to manage whatever successes or challenges life presents.
I am currently accepting new in-person and telehealth referrals. Life is challenging for everyone especially in a world that is so focused on what is going wrong rather than what is going right. While you cannot often control the difficulties you face, you can decide how you react to them. Everyone can benefit from someone in their life who supports them and helps process their experiences while also challenging the unhelpful thoughts and habits holding them back. My strength-based approach promotes the development of personal confidence and useful skills to manage whatever successes or challenges life presents.
(508) 761-1552 View (508) 761-1552
Photo of Suzan Cahill, Clinical Social Work/Therapist in North Andover, MA
Suzan Cahill
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
North Andover, MA 01845
My Ideal client: 36 yo male, divorced, with two children. The patient was incarcerated 16 years, due to drug addiction/trafficking. He spent his early childhood living with his mother and father, who sexually abused him. They were also addicted to drugs due to their childhood experiences of being abused. The patient's parents also prostituted him in exchange for drugs for others. The patient turned to drugs to escape the pain, embarrassment, and overall trauma from his childhood. He now wants sobriety and to overcome his trauma, which includes flashbacks and negative self-image, self-hatred, and hatred of his parents.
My Ideal client: 36 yo male, divorced, with two children. The patient was incarcerated 16 years, due to drug addiction/trafficking. He spent his early childhood living with his mother and father, who sexually abused him. They were also addicted to drugs due to their childhood experiences of being abused. The patient's parents also prostituted him in exchange for drugs for others. The patient turned to drugs to escape the pain, embarrassment, and overall trauma from his childhood. He now wants sobriety and to overcome his trauma, which includes flashbacks and negative self-image, self-hatred, and hatred of his parents.
(508) 690-8192 View (508) 690-8192
Photo of Bette Jo A. Toppin, Counselor in North Andover, MA
Bette Jo A. Toppin
Counselor, MEd, LMHC, CCHT, EMDR
Verified Verified
North Andover, MA 01845
Telehealth offered! Life with mental illness is not easy. So many times, my clients will focus on what is going wrong with their lives, which can cause them to feel self-defeated, empty, and alone. The model of therapy I use offers my clients the skills to look at their lives differently and break out of dysfunctional cycles to achieve an individual state of peace. My toolbox consists of humor, reality, holistic, spirituality, and mindfulness. I also provide counseling services directed towards individuals with maladaptive behaviors and trauma. Now in North Andover, MA
Telehealth offered! Life with mental illness is not easy. So many times, my clients will focus on what is going wrong with their lives, which can cause them to feel self-defeated, empty, and alone. The model of therapy I use offers my clients the skills to look at their lives differently and break out of dysfunctional cycles to achieve an individual state of peace. My toolbox consists of humor, reality, holistic, spirituality, and mindfulness. I also provide counseling services directed towards individuals with maladaptive behaviors and trauma. Now in North Andover, MA
(978) 228-2939 View (978) 228-2939
Photo of Julie Bernstein, LICSW, Clinical Social Work/Therapist in North Andover, MA
Julie Bernstein, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
North Andover, MA 01845
Waitlist for new clients
Many people come to therapy with specific goals, while others are looking for support and compassionate understanding about life's challenges and a desire to make a change. Whatever you are hoping to explore, I will work with you to help identify your goals and support your personal growth. I have 20 years of experience working with children, adults and families using a strengths-based model to improve their life circumstances. I have psycho-dynamic training and use a variety of treatment modalities, (CBT, Mindfulness, Narrative therapy) to help understand and teach practical coping strategies for you to use in everyday life.
Many people come to therapy with specific goals, while others are looking for support and compassionate understanding about life's challenges and a desire to make a change. Whatever you are hoping to explore, I will work with you to help identify your goals and support your personal growth. I have 20 years of experience working with children, adults and families using a strengths-based model to improve their life circumstances. I have psycho-dynamic training and use a variety of treatment modalities, (CBT, Mindfulness, Narrative therapy) to help understand and teach practical coping strategies for you to use in everyday life.
(351) 200-8723 View (351) 200-8723

See more therapy options for North Andover

How does your Therapist compare?

Number of Therapists in North Andover, MA

100+

Average cost per session

$150

Therapists in North Andover, MA who prioritize treating:

93% Anxiety
91% Depression
79% Coping Skills
77% Self Esteem
72% Relationship Issues
71% Stress
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
75% Optum
73% UnitedHealthcare UHC | UBH

How Therapists in North Andover, MA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in North Andover?

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.