Therapists in Birmingham, AL

Photo of Celena Kemp, Counselor in Birmingham, AL
Celena Kemp
Counselor, MS, LPC
Verified Verified
1 Endorsed
Birmingham, AL 35209
With everything going on in the world many children, adolescents, and adults have problems that affect how they feel, act, or learn. With counseling, children, adolescents, and adults will learn how to cope in situations they may face. Counseling builds helpful thinking patterns and healthy behavioral habits.
With everything going on in the world many children, adolescents, and adults have problems that affect how they feel, act, or learn. With counseling, children, adolescents, and adults will learn how to cope in situations they may face. Counseling builds helpful thinking patterns and healthy behavioral habits.
(205) 551-0896 View (205) 551-0896
Photo of Lindsay Kate Skinner, Counselor in Birmingham, AL
Lindsay Kate Skinner
Counselor, ALC, NCC
Verified Verified
1 Endorsed
Birmingham, AL 35205
We face things everyday that can feel overwhelming, frustrating, or disappointing. These things can affect our mental health. If you find you are need of someone to talk with regarding anxious thoughts, negative feelings, unhealthy life patterns, the loss of a loved one, pain from the past, or depressive moods, you are not alone. The next step is to invite a counselor into your story and allow them to work through their speciality in assisting you to become the best you.
We face things everyday that can feel overwhelming, frustrating, or disappointing. These things can affect our mental health. If you find you are need of someone to talk with regarding anxious thoughts, negative feelings, unhealthy life patterns, the loss of a loved one, pain from the past, or depressive moods, you are not alone. The next step is to invite a counselor into your story and allow them to work through their speciality in assisting you to become the best you.
(205) 236-5419 View (205) 236-5419
Photo of Luther Durham, Clinical Social Work/Therapist in Birmingham, AL
Luther Durham
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
Birmingham, AL 35226
Experienced Therapist with a demonstrated history of working in the mental health care industry. Skilled in Rational Emotive Behavioral Therapy (REBT), Mindfulness, Group Therapy, Crisis Intervention, and Family Therapy. Strong community and social services professional with a Master's degree focused in Clinical Social Work from University of Alabama.
Experienced Therapist with a demonstrated history of working in the mental health care industry. Skilled in Rational Emotive Behavioral Therapy (REBT), Mindfulness, Group Therapy, Crisis Intervention, and Family Therapy. Strong community and social services professional with a Master's degree focused in Clinical Social Work from University of Alabama.
(205) 498-5351 View (205) 498-5351
Photo of Michelle McClintock, Clinical Social Work/Therapist in Birmingham, AL
Michelle McClintock
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Birmingham, AL 35242
Waitlist for new clients
Welcome. Thank you for taking the time to check out Welcome Home Wellness - where my primary focus is on you. I believe it is a privilege to help people who are feeling confused, frustrated, anxious, depressed, or lost in life. I do not take the level of trust and vulnerability it takes to allow someone into your personal life for granted. Creating a safe, compassionate, nonjudgmental, and nurturing space where you can heal and grow is what I hope to achieve together. It takes strength and courage to ask for help and I find it an honor to be able to offer support or offer a referral to help you navigate your way.
Welcome. Thank you for taking the time to check out Welcome Home Wellness - where my primary focus is on you. I believe it is a privilege to help people who are feeling confused, frustrated, anxious, depressed, or lost in life. I do not take the level of trust and vulnerability it takes to allow someone into your personal life for granted. Creating a safe, compassionate, nonjudgmental, and nurturing space where you can heal and grow is what I hope to achieve together. It takes strength and courage to ask for help and I find it an honor to be able to offer support or offer a referral to help you navigate your way.
(205) 772-3083 View (205) 772-3083
Photo of Jalana Johnson, Licensed Professional Counselor in Birmingham, AL
Jalana Johnson
Licensed Professional Counselor, MEd, LPC, JSOCC
Verified Verified
Birmingham, AL 35235
We all have to deal with a concept called LIFE! It is impossible to escape, but you have the ability to maneuver through it in a positive, safe, and healthy manner. It is my passion to equip clients with the tools to overcome circumstances that life has dealt them. I enjoy working with a myriad of age groups and concerns. I specialize in Cognitive Behavioral Therapy. I collaborate with clients to develop achievable/realistic goals that will improve their current life circumstances. I take a relatable approach in therapy creating an environment that invites clients to safely share. I have been practicing counseling for 8 years.
We all have to deal with a concept called LIFE! It is impossible to escape, but you have the ability to maneuver through it in a positive, safe, and healthy manner. It is my passion to equip clients with the tools to overcome circumstances that life has dealt them. I enjoy working with a myriad of age groups and concerns. I specialize in Cognitive Behavioral Therapy. I collaborate with clients to develop achievable/realistic goals that will improve their current life circumstances. I take a relatable approach in therapy creating an environment that invites clients to safely share. I have been practicing counseling for 8 years.
(205) 270-5547 View (205) 270-5547
Photo of Tommy Wald, Counselor in Birmingham, AL
Tommy Wald
Counselor, MA, ALC
Verified Verified
1 Endorsed
Birmingham, AL 35205
Not accepting new clients
Life can be difficult, confusing, and sometimes feel overwhelming. We may experience periods of feeling like we have made a wrong turn somehow, or that we have become lost with no clear sense of where the path is. We can find ourselves feeling unheard, anxious, depressed or down, or stuck in repetitive cycles. These feelings can sometimes be accompanied by frustration that ways in which we used to cope with difficult experiences are no longer working for us, or we become concerned that certain things we are doing might actually be making things worse. When we find ourselves in these or similar situations counseling can help.
Life can be difficult, confusing, and sometimes feel overwhelming. We may experience periods of feeling like we have made a wrong turn somehow, or that we have become lost with no clear sense of where the path is. We can find ourselves feeling unheard, anxious, depressed or down, or stuck in repetitive cycles. These feelings can sometimes be accompanied by frustration that ways in which we used to cope with difficult experiences are no longer working for us, or we become concerned that certain things we are doing might actually be making things worse. When we find ourselves in these or similar situations counseling can help.
Photo of Caitlin Chapman, Clinical Social Work/Therapist in Birmingham, AL
Caitlin Chapman
Clinical Social Work/Therapist, LICSW
Verified Verified
Birmingham, AL 35244
As a dedicated clinical social worker and therapist, I consider it a privilege to have the opportunity to walk alongside and accompany you in navigating a path toward healing.
As a dedicated clinical social worker and therapist, I consider it a privilege to have the opportunity to walk alongside and accompany you in navigating a path toward healing.
(205) 236-7067 View (205) 236-7067
Photo of David James Palaia, Licensed Professional Counselor in Birmingham, AL
David James Palaia
Licensed Professional Counselor, LPC, NCC, CPT
Verified Verified
Birmingham, AL 35244
Most people come to therapy knowing that they have something they would like to address. It is my job to help you develop new ways of thinking and being, so that you can get beyond whatever is holding you back in your life. I use an integrative, wholistic approach which draws on the many disciplines in which I have training. Whether you enter therapy wanting to deal with anxiety, past trauma, or addiction, or you just want to function better in daily life, together we can work to meet your goals.
Most people come to therapy knowing that they have something they would like to address. It is my job to help you develop new ways of thinking and being, so that you can get beyond whatever is holding you back in your life. I use an integrative, wholistic approach which draws on the many disciplines in which I have training. Whether you enter therapy wanting to deal with anxiety, past trauma, or addiction, or you just want to function better in daily life, together we can work to meet your goals.
(205) 476-0212 View (205) 476-0212
Photo of Katie O'Donnell Pietri, Pre-Licensed Professional in Birmingham, AL
Katie O'Donnell Pietri
Pre-Licensed Professional, MEd, ALC, NCC
Verified Verified
3 Endorsed
Birmingham, AL 35226
Reaching out for help is hard. As your therapist, my goal is to help you walk through what comes after asking for help. One of the most important parts of being a therapist is creating a safe space for you to share your story. I honor the courage it takes to share with others and make every effort to create a space where you can feel encouraged to share.
Reaching out for help is hard. As your therapist, my goal is to help you walk through what comes after asking for help. One of the most important parts of being a therapist is creating a safe space for you to share your story. I honor the courage it takes to share with others and make every effort to create a space where you can feel encouraged to share.
(205) 851-8596 View (205) 851-8596
Photo of Caroline Bria, Marriage & Family Therapist in Birmingham, AL
Caroline Bria
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Birmingham, AL 35226
Waitlist for new clients
Are you feeling stuck in some part of your life? Trying to navigate a romantic, peer, or parent-child relationship, life transition, anxiety or depression? Struggling to figure out what's getting in the way sexually, emotionally, or mentally? Does it feel like something is inhibiting life satisfaction, security and connection but hard to figure out what that is? I want to meet you where you are and help you get to where you want to be. I use a collaborative approach to tailor therapeutic techniques to fit your unique needs and personality. My joy and passion in being an MFT stems from the journey of moving through change with you.
Are you feeling stuck in some part of your life? Trying to navigate a romantic, peer, or parent-child relationship, life transition, anxiety or depression? Struggling to figure out what's getting in the way sexually, emotionally, or mentally? Does it feel like something is inhibiting life satisfaction, security and connection but hard to figure out what that is? I want to meet you where you are and help you get to where you want to be. I use a collaborative approach to tailor therapeutic techniques to fit your unique needs and personality. My joy and passion in being an MFT stems from the journey of moving through change with you.
(205) 272-6861 View (205) 272-6861
Photo of Kenton Bartlett, Licensed Professional Counselor in Birmingham, AL
Kenton Bartlett
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
1 Endorsed
Birmingham, AL 35243
If you've been stuck in a dark place, and are ready to work on yourself in a deep way with innovative and effective techniques, you've come to the right place! The growing practice of incorporating psychedelic medicine into mental health is a primary specialty, and I currently offer Ketamine Assisted Psychotherapy, EMDR, and Brainspotting. Areas I'm most passionate about include trauma, eating disorders, existential crises, suicidality, philosophical and/or spiritual concerns, addiction, depression, anxiety, relationships, and who you are as a person. If working together feels right, I'd love to get to know you!
If you've been stuck in a dark place, and are ready to work on yourself in a deep way with innovative and effective techniques, you've come to the right place! The growing practice of incorporating psychedelic medicine into mental health is a primary specialty, and I currently offer Ketamine Assisted Psychotherapy, EMDR, and Brainspotting. Areas I'm most passionate about include trauma, eating disorders, existential crises, suicidality, philosophical and/or spiritual concerns, addiction, depression, anxiety, relationships, and who you are as a person. If working together feels right, I'd love to get to know you!
(205) 272-5951 View (205) 272-5951
Photo of Isabella Ashley, Counselor in Birmingham, AL
Isabella Ashley
Counselor, ALC, NCC
Verified Verified
1 Endorsed
Birmingham, AL 35235  (Online Only)
A famous quote says.... "Life is 10 percent of what happens and 90 percent of how you react to it". What does this mean to you? I believe it means that although some life experiences are out of our control, we hold the power to choose how we navigate through them. As a human being, I understand how life’s challenges can cause doubt, hopelessness, and feeling stuck. As a clinician, I understand the importance of mental wellness, and a safe space to equip you to better handle every aspect of daily living. With 5 years of experience, I've helped empower teens, adults, families and couples to manage and embrace life at its fullness.
A famous quote says.... "Life is 10 percent of what happens and 90 percent of how you react to it". What does this mean to you? I believe it means that although some life experiences are out of our control, we hold the power to choose how we navigate through them. As a human being, I understand how life’s challenges can cause doubt, hopelessness, and feeling stuck. As a clinician, I understand the importance of mental wellness, and a safe space to equip you to better handle every aspect of daily living. With 5 years of experience, I've helped empower teens, adults, families and couples to manage and embrace life at its fullness.
(205) 891-5072 View (205) 891-5072
Photo of Jennifer W George, Licensed Professional Counselor in Birmingham, AL
Jennifer W George
Licensed Professional Counselor, NCC, LPC, MEd
Verified Verified
1 Endorsed
Birmingham, AL 35244
Waitlist for new clients
Does life sometimes feel overwhelming and stressful? Have you noticed when just one thing in life is out of balance it can spill over into other areas too? This imbalance affects our moods and behaviors, our relationships and interactions with others personally and professionally. This does not just affect adults, it's affecting our youth and our children. The good thing is there is hope and resolution you already have access to, but perhaps haven't been able to tap into.. just yet.
Does life sometimes feel overwhelming and stressful? Have you noticed when just one thing in life is out of balance it can spill over into other areas too? This imbalance affects our moods and behaviors, our relationships and interactions with others personally and professionally. This does not just affect adults, it's affecting our youth and our children. The good thing is there is hope and resolution you already have access to, but perhaps haven't been able to tap into.. just yet.
(205) 843-6482 View (205) 843-6482
Photo of Joseph E Schumacher, Psychologist in Birmingham, AL
Joseph E Schumacher
Psychologist, PhD
Verified Verified
Birmingham, AL 35205
Are you or others concerned about your drinking. Not interested in treatment. Need professional advice. See if you are eligible for Schumacher Intensives. Schumacher Intensives is a one-day, small group, classroom format, pre-addiction program for problem drinkers. Schumacher Intensives is an effective and convenient addition to the existing continuum of care when traditional treatment is too much, and peer support is not enough.
Are you or others concerned about your drinking. Not interested in treatment. Need professional advice. See if you are eligible for Schumacher Intensives. Schumacher Intensives is a one-day, small group, classroom format, pre-addiction program for problem drinkers. Schumacher Intensives is an effective and convenient addition to the existing continuum of care when traditional treatment is too much, and peer support is not enough.
(205) 990-4149 View (205) 990-4149
Photo of Christina Webb, Licensed Professional Counselor in Birmingham, AL
Christina Webb
Licensed Professional Counselor, LPC, NCC
Verified Verified
Birmingham, AL 35235
Are you feeling lost, or overwhelmed by changes in your life? Life was not delivered with a book of instructions. It can be challenging, disappointing, stressful, and even lonely at times. Each of us has to make sense of our world. When things don't make sense we experience anxiety, depression, anger, confusion, stress, or other difficulties. Therapy is directed at helping each individual or couple become more effective at dealing with and developing coping skills so they can better manage their own unique life situation. Each person is unique; therefore, we will work together to craft a specific plan designed for your needs.
Are you feeling lost, or overwhelmed by changes in your life? Life was not delivered with a book of instructions. It can be challenging, disappointing, stressful, and even lonely at times. Each of us has to make sense of our world. When things don't make sense we experience anxiety, depression, anger, confusion, stress, or other difficulties. Therapy is directed at helping each individual or couple become more effective at dealing with and developing coping skills so they can better manage their own unique life situation. Each person is unique; therefore, we will work together to craft a specific plan designed for your needs.
(205) 751-4010 View (205) 751-4010
Photo of ACTS Counseling, Licensed Professional Counselor in Birmingham, AL
ACTS Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Birmingham, AL 35213
Relationships can be messy. Times can be confusing. In every life, it gets dark, lonely or just plain TOO overwhelming. You don't have to go at it alone. I have spent many years working with individuals, including adolescents and adults, couples and families. My areas of expertise include marital crises/infidelity, anxiety, depression, trauma, PTSD, grief and loss, negative thinking and low self-esteem. I can help you, and you can feel hope again.
Relationships can be messy. Times can be confusing. In every life, it gets dark, lonely or just plain TOO overwhelming. You don't have to go at it alone. I have spent many years working with individuals, including adolescents and adults, couples and families. My areas of expertise include marital crises/infidelity, anxiety, depression, trauma, PTSD, grief and loss, negative thinking and low self-esteem. I can help you, and you can feel hope again.
(205) 535-1087 View (205) 535-1087
Photo of Julie Knox, Clinical Social Work/Therapist in Birmingham, AL
Julie Knox
Clinical Social Work/Therapist, MSW, LICSW, CHC
Verified Verified
1 Endorsed
Birmingham, AL 35226  (Online Only)
I am licensed in Alabama, Arizona, Massachusetts, Nevada, and Washington with 20 years of professional clinical, counseling, and coaching experience. I have experience in helping clients with stress and anxiety, relationship issues, & depression. I also have experience working with clients coping with life changes. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
I am licensed in Alabama, Arizona, Massachusetts, Nevada, and Washington with 20 years of professional clinical, counseling, and coaching experience. I have experience in helping clients with stress and anxiety, relationship issues, & depression. I also have experience working with clients coping with life changes. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
(659) 201-7317 View (659) 201-7317
Photo of Cheri Lynn Flow, Licensed Professional Counselor in Birmingham, AL
Cheri Lynn Flow
Licensed Professional Counselor, EdD, LPC
Verified Verified
2 Endorsed
Birmingham, AL 35244
Life is not always easy. Anxiety, depression, addiction, conflict, major life changes such as the death of a loved one, entering college, or divorce, etc., and every day stressors can result in loneliness, anger, compulsiveness, and a feeling of hopelessness. However, therapeutic interventions provided in an atmosphere of acceptance and respect allows individuals to develop new ways to overcome and/or cope with life’s challenges. I am eager to listen, help you gain insight, provide resources, and share tools that can help you transition to a life that aligns with your personal values and goals.
Life is not always easy. Anxiety, depression, addiction, conflict, major life changes such as the death of a loved one, entering college, or divorce, etc., and every day stressors can result in loneliness, anger, compulsiveness, and a feeling of hopelessness. However, therapeutic interventions provided in an atmosphere of acceptance and respect allows individuals to develop new ways to overcome and/or cope with life’s challenges. I am eager to listen, help you gain insight, provide resources, and share tools that can help you transition to a life that aligns with your personal values and goals.
(205) 619-6397 x8 View (205) 619-6397 x8
Photo of Jasmine Nichols, Licensed Professional Counselor in Birmingham, AL
Jasmine Nichols
Licensed Professional Counselor, NCC
Verified Verified
Birmingham, AL 35244
Have you ever felt that life is just too overwhelming? Like maybe you’re taking 3 steps forward and 2 steps back or as hard as you try things just don’t seem to fall into place? If so then you could benefit from having a professional counselor to help you process what’s going on in your life. My job would be to walk with you on your journey, hold up a mirror for you to help you identify any patterns and obstacles and help come up with possible solutions. My job is to help you not have to walk on your journey alone.
Have you ever felt that life is just too overwhelming? Like maybe you’re taking 3 steps forward and 2 steps back or as hard as you try things just don’t seem to fall into place? If so then you could benefit from having a professional counselor to help you process what’s going on in your life. My job would be to walk with you on your journey, hold up a mirror for you to help you identify any patterns and obstacles and help come up with possible solutions. My job is to help you not have to walk on your journey alone.
(205) 964-9557 View (205) 964-9557
Photo of Mollie Kelly Thomas, Psychologist in Birmingham, AL
Mollie Kelly Thomas
Psychologist, PhD, LLC
Verified Verified
4 Endorsed
Birmingham, AL 35244
I am a licensed clinical psychologist with a B.A. from Auburn University and M.A. and Ph.D. from the University of Arkansas. I completed my internship at the University of Alabama at Birmingham (UAB) Medical School. I also completed a fellowship at the UAB Center for Psychiatric Medicine. I am a member of the American Academy of Experts in Traumatic Stress and Board Member of the National Register of Health Providers in Psychology. My areas of expertise include assessment and treatment of addiction, trauma, impulsivity, personality disorders, and mood disorders. I provide individual, marital, family, and group therapy.
I am a licensed clinical psychologist with a B.A. from Auburn University and M.A. and Ph.D. from the University of Arkansas. I completed my internship at the University of Alabama at Birmingham (UAB) Medical School. I also completed a fellowship at the UAB Center for Psychiatric Medicine. I am a member of the American Academy of Experts in Traumatic Stress and Board Member of the National Register of Health Providers in Psychology. My areas of expertise include assessment and treatment of addiction, trauma, impulsivity, personality disorders, and mood disorders. I provide individual, marital, family, and group therapy.
(205) 690-0926 View (205) 690-0926

How does your Therapist compare?

Number of Therapists in Birmingham, AL

600+

Average cost per session

$136

Therapists in Birmingham, AL who prioritize treating:

92% Anxiety
89% Depression
78% Self Esteem
76% Coping Skills
75% Relationship Issues
72% Stress
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
50% New Directions | Lucet
46% Cigna and Evernorth

How Therapists in Birmingham, AL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

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

How can I find a therapist in Birmingham?

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.