Therapists in Poway, CA

Photo of Melissa Pollock, Clinical Social Work/Therapist in Poway, CA
Melissa Pollock
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Even in the best of times, anxiety and depression can take away from the joy of life that we all deserve. In times of struggle and transition, loneliness and confusion are natural responses to changing tides. My goal in entering into a therapeutic relationship with you is to support you through the ebbs and flows of life by-focusing on alleviating depression, anxiety, relationship stress, low self-esteem, and other issues that get in the way of a fulfilling life. Well-being is the natural state of existence and I can assist you accessing the potential goodness that you have within you. Life can be different!
Even in the best of times, anxiety and depression can take away from the joy of life that we all deserve. In times of struggle and transition, loneliness and confusion are natural responses to changing tides. My goal in entering into a therapeutic relationship with you is to support you through the ebbs and flows of life by-focusing on alleviating depression, anxiety, relationship stress, low self-esteem, and other issues that get in the way of a fulfilling life. Well-being is the natural state of existence and I can assist you accessing the potential goodness that you have within you. Life can be different!
(619) 648-5566 View (619) 648-5566
Photo of Caryn Cole, Marriage & Family Therapist in Poway, CA
Caryn Cole
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064  (Online Only)
Do you feel lost, hopeless, or stuck? Do you find yourself worried and self-conscious? Are you experiencing conflict with family members, co-workers, or other important relationships in your life? Are you a parent wanting extra support? You are not alone. My style is nurturing, kind, empathetic, and patient. I am here to establish a safe environment where you will be respected, heard, and validated. Therapy sessions are tailored to your individual needs. I meet clients where they are at and work at their pace to achieve hope, empowerment, and growth.
Do you feel lost, hopeless, or stuck? Do you find yourself worried and self-conscious? Are you experiencing conflict with family members, co-workers, or other important relationships in your life? Are you a parent wanting extra support? You are not alone. My style is nurturing, kind, empathetic, and patient. I am here to establish a safe environment where you will be respected, heard, and validated. Therapy sessions are tailored to your individual needs. I meet clients where they are at and work at their pace to achieve hope, empowerment, and growth.
(858) 244-9443 View (858) 244-9443
Photo of Marsha Orman, Clinical Social Work/Therapist in Poway, CA
Marsha Orman
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Poway, CA 92064  (Online Only)
My work is based on the belief that by working together, we can improve the quality of your life. Many of my clients are in stressful life situations that have caused them to turn to such destructive behaviors as misuse of alcohol and drugs, over-eating, or over-working. Many haven't learned how to communicate in a way that promotes satisfying relationships. Within a safe, non-judgmental environment where you are truly listened to, we'll work together to help you understand how some of your behaviors and thoughts may not be serving you well.
My work is based on the belief that by working together, we can improve the quality of your life. Many of my clients are in stressful life situations that have caused them to turn to such destructive behaviors as misuse of alcohol and drugs, over-eating, or over-working. Many haven't learned how to communicate in a way that promotes satisfying relationships. Within a safe, non-judgmental environment where you are truly listened to, we'll work together to help you understand how some of your behaviors and thoughts may not be serving you well.
(858) 375-4159 View (858) 375-4159
Photo of Michele R Manker, Clinical Social Work/Therapist in Poway, CA
Michele R Manker
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Poway, CA 92064
I like working with individuals, couples, or families who are motivated to examine patterns in their thinking or behavior for positive change. I enjoy working in a collaborative manner where there is an active exchange and where my client is open to feeling some discomfort for change - no pain/no gain. I believe that we are all capable of change through insight and that our upbringing can result in both good and bad habits that are flexible as long as we are conscious. I enjoy bringing in spirituality/meaning of life discussions to further my clients self awareness and growth.
I like working with individuals, couples, or families who are motivated to examine patterns in their thinking or behavior for positive change. I enjoy working in a collaborative manner where there is an active exchange and where my client is open to feeling some discomfort for change - no pain/no gain. I believe that we are all capable of change through insight and that our upbringing can result in both good and bad habits that are flexible as long as we are conscious. I enjoy bringing in spirituality/meaning of life discussions to further my clients self awareness and growth.
(619) 346-4349 View (619) 346-4349
Photo of Nesreen Alsoraimi, Psychologist in Poway, CA
Nesreen Alsoraimi
Psychologist, PhD
Verified Verified
1 Endorsed
Poway, CA 92064  (Online Only)
At the core of healing and growth is a solid and caring relationship with oneself and others. I aim to foster this while addressing your specific needs. I honor each individual I meet with and take a uniquely tailored and collaborative approach to therapy. Pursuing your goals with creativity, compassion and humor can help make the "work" of therapy flow more naturally and comfortably. I can help you gain insight in addressing various aspects of your individualized healing process holistically, which may include expressive art therapy, nature therapy, relational-cultural therapy as well as more traditional approaches.
At the core of healing and growth is a solid and caring relationship with oneself and others. I aim to foster this while addressing your specific needs. I honor each individual I meet with and take a uniquely tailored and collaborative approach to therapy. Pursuing your goals with creativity, compassion and humor can help make the "work" of therapy flow more naturally and comfortably. I can help you gain insight in addressing various aspects of your individualized healing process holistically, which may include expressive art therapy, nature therapy, relational-cultural therapy as well as more traditional approaches.
(858) 212-0929 View (858) 212-0929
Photo of Tatiana Marie Baroni, Clinical Social Work/Therapist in Poway, CA
Tatiana Marie Baroni
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Are you interested in changing the way you think and feel about yourself in order to promote self esteem, develop healthy relationships and achieve personal goals? If so, I am here to support you in making those changes in order to help you feel better about yourself and live the life you deserve. I specialize in assisting individuals with identifying patterns in their lives preventing them from resolving life’s challenges. By primarily utilizing a Cognitive Behavioral Therapy approach, I help clients change negative thinking and behavioral patterns to increase self-esteem, personal growth, and meaningful connections.
Are you interested in changing the way you think and feel about yourself in order to promote self esteem, develop healthy relationships and achieve personal goals? If so, I am here to support you in making those changes in order to help you feel better about yourself and live the life you deserve. I specialize in assisting individuals with identifying patterns in their lives preventing them from resolving life’s challenges. By primarily utilizing a Cognitive Behavioral Therapy approach, I help clients change negative thinking and behavioral patterns to increase self-esteem, personal growth, and meaningful connections.
(858) 221-9661 View (858) 221-9661
Photo of Miriam Chor Freitas, LCSW., Clinical Social Work/Therapist in Poway, CA
Miriam Chor Freitas, LCSW.
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Poway, CA 92064
Are you struggling with difficulties that are robbing you of your ability to be present and experience physical and emotional health and peace of mind in your life today? Are you ready to transform your life? So let's do this! I'm a therapist who has worked with very diverse clients on trauma and a variety of other mental health issues and challenging life circumstances for over 15 years. It's is not our difficulties that define us but our willingness to recognize the problem and start the journey towards health and healing.
Are you struggling with difficulties that are robbing you of your ability to be present and experience physical and emotional health and peace of mind in your life today? Are you ready to transform your life? So let's do this! I'm a therapist who has worked with very diverse clients on trauma and a variety of other mental health issues and challenging life circumstances for over 15 years. It's is not our difficulties that define us but our willingness to recognize the problem and start the journey towards health and healing.
(858) 256-7984 View (858) 256-7984
Photo of Caron Collins, Marriage & Family Therapist in Poway, CA
Caron Collins
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064
Hey there! My name is Caron and I am a Licensed Marriage and Family Therapist with over 22 years of experience. I specialize in helping individuals navigate issues including aging, coping skills, depression, family conflict, and stress. The client's I currently work with seem to like the Solution Focused, Narrative Therapy approach I use, because the therapy work is client focused and is usually brief (3-6 months sometimes). This approach works best with people who are truly motivated to explore the root causes of their discomfort, and begin working on resolving them.
Hey there! My name is Caron and I am a Licensed Marriage and Family Therapist with over 22 years of experience. I specialize in helping individuals navigate issues including aging, coping skills, depression, family conflict, and stress. The client's I currently work with seem to like the Solution Focused, Narrative Therapy approach I use, because the therapy work is client focused and is usually brief (3-6 months sometimes). This approach works best with people who are truly motivated to explore the root causes of their discomfort, and begin working on resolving them.
(858) 901-8382 View (858) 901-8382
Photo of Pedro Ivan Soltero, Marriage & Family Therapist in Poway, CA
Pedro Ivan Soltero
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064
Hello, my name is Pedro Soltero, and I am a bilingual (Spanish) Licensed Marriage and Family therapist with over 8 years of experience. My goal is to help clients explore and understand their struggles and identify solutions to enjoy a more fulfilling life. I have worked with clients concerns such as anxiety, depression, trauma, grief, relationship challenges, phases of life, and difficulties with establishing boundaries.
Hello, my name is Pedro Soltero, and I am a bilingual (Spanish) Licensed Marriage and Family therapist with over 8 years of experience. My goal is to help clients explore and understand their struggles and identify solutions to enjoy a more fulfilling life. I have worked with clients concerns such as anxiety, depression, trauma, grief, relationship challenges, phases of life, and difficulties with establishing boundaries.
(858) 251-8383 View (858) 251-8383
Photo of Theresa Huang, Marriage & Family Therapist in Poway, CA
Theresa Huang
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Poway, CA 92064
Not accepting new clients
I enjoy working with every individual of all ages, but I absolutely love working with children and teens. I tailor my approach based on what the client needs. I use play or art therapy as play is the language of the children. It helps them to express their internal world when they have no words for it. I have completed the core competencies for Parent Child Interaction Therapy (PCIT) under International Model. PCIT is an evidence-based intervention that promotes positive parent-child relationships while reducing disruptive behaviors at home. I am also a certified Positive Discipline Parenting Educator.
I enjoy working with every individual of all ages, but I absolutely love working with children and teens. I tailor my approach based on what the client needs. I use play or art therapy as play is the language of the children. It helps them to express their internal world when they have no words for it. I have completed the core competencies for Parent Child Interaction Therapy (PCIT) under International Model. PCIT is an evidence-based intervention that promotes positive parent-child relationships while reducing disruptive behaviors at home. I am also a certified Positive Discipline Parenting Educator.
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Photo of Elizabeth Murney, Clinical Social Work/Therapist in Poway, CA
Elizabeth Murney
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Beth Murney is a licensed clinical social worker with over 20 years of experience providing supportive services to adults, children and families in San Diego. She was employed by San Diego County Children's Services Bureau from 1985-2007. Licensed in 1999, she has been in clinical practice with PsyCare since 2003 . She has extensive knowledge and experience in the areas of child protection, adoption, parenting education, chemical dependency, and domestic violence.
Beth Murney is a licensed clinical social worker with over 20 years of experience providing supportive services to adults, children and families in San Diego. She was employed by San Diego County Children's Services Bureau from 1985-2007. Licensed in 1999, she has been in clinical practice with PsyCare since 2003 . She has extensive knowledge and experience in the areas of child protection, adoption, parenting education, chemical dependency, and domestic violence.
(858) 758-3417 View (858) 758-3417
Photo of Victoria Velasquez, Marriage & Family Therapist in Poway, CA
Victoria Velasquez
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064  (Online Only)
Victoria is a member of the American Association for Marriage and Family Therapy. Victoria has experience working with groups, individuals, couples, and families across different populations and mental health challenges. Victoria aims to create a safe and non-judgmental environment. Including, individualizing therapy according to the needs of the couple, individual and/or family.
Victoria is a member of the American Association for Marriage and Family Therapy. Victoria has experience working with groups, individuals, couples, and families across different populations and mental health challenges. Victoria aims to create a safe and non-judgmental environment. Including, individualizing therapy according to the needs of the couple, individual and/or family.
(858) 544-3015 View (858) 544-3015
Photo of Jamie Young, Marriage & Family Therapist in Poway, CA
Jamie Young
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064
We can work together as you build a life that has meaning for you. I will teach you techniques to change your self-talk so you can build your self-confidence and feel good about yourself and your relationships.
We can work together as you build a life that has meaning for you. I will teach you techniques to change your self-talk so you can build your self-confidence and feel good about yourself and your relationships.
(858) 330-3034 View (858) 330-3034
Photo of Marilee Davis, Marriage & Family Therapist in Poway, CA
Marilee Davis
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Poway, CA 92064  (Online Only)
I use the Relational Life Therapy model to challenge existing patterns in a stuck relationship to encourage lasting change in how partners and family members relate to one another. I will teach you strategies and skills that can help move your life and relationships in the direction you want to go. I can help you feel more confident in your ability to cope with life’s ups and downs; relate to yourself and others with more patience and compassion; and change negative, fearful, or destructive patterns that are getting in the way of the kind of life you want for yourself.
I use the Relational Life Therapy model to challenge existing patterns in a stuck relationship to encourage lasting change in how partners and family members relate to one another. I will teach you strategies and skills that can help move your life and relationships in the direction you want to go. I can help you feel more confident in your ability to cope with life’s ups and downs; relate to yourself and others with more patience and compassion; and change negative, fearful, or destructive patterns that are getting in the way of the kind of life you want for yourself.
(858) 365-8639 View (858) 365-8639
Photo of Tracy Aronlee, Clinical Social Work/Therapist in Poway, CA
Tracy Aronlee
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
I am here to help! I am a Licensed Clinical Social Worker specializing in working with trauma and how it impacts relationships in children, teens, adults and families. When faced with a challenge, have you ever felt like one part of you wants to shut down or hide, and another part wants to yell and scream? These are different parts of you that need our individual attention and compassion to heal. With my expertise and compassionate approach, I am dedicated to helping you learn more about these parts of you and build meaningful connections to cultivate healthy relationships and more peace in your life
I am here to help! I am a Licensed Clinical Social Worker specializing in working with trauma and how it impacts relationships in children, teens, adults and families. When faced with a challenge, have you ever felt like one part of you wants to shut down or hide, and another part wants to yell and scream? These are different parts of you that need our individual attention and compassion to heal. With my expertise and compassionate approach, I am dedicated to helping you learn more about these parts of you and build meaningful connections to cultivate healthy relationships and more peace in your life
(858) 304-7045 View (858) 304-7045
Photo of Michelle Paulsen, Clinical Social Work/Therapist in Poway, CA
Michelle Paulsen
Clinical Social Work/Therapist, LMFT
Verified Verified
Poway, CA 92064
Michelle Paulsen is a Licensed Marriage Family Therapist with over 10 years of experience specializing in depression, anxiety, trauma, LGBTQ+ issues, OCD and PTSD. Michelle treats patient between the ages of 12 and 90 utilizing Person Centered, Cognitive Behavioral Therapy, DBT, Gestalt, and ERP in her approach with clients. Michelle has extensive experience counseling children, adolescents, adults, families, military, and groups in both clinical and outpatient settings. In her clinical work, Michelle is well versed in both traditional therapeutic techniques as well as creative modalities such as role play and empty chair.
Michelle Paulsen is a Licensed Marriage Family Therapist with over 10 years of experience specializing in depression, anxiety, trauma, LGBTQ+ issues, OCD and PTSD. Michelle treats patient between the ages of 12 and 90 utilizing Person Centered, Cognitive Behavioral Therapy, DBT, Gestalt, and ERP in her approach with clients. Michelle has extensive experience counseling children, adolescents, adults, families, military, and groups in both clinical and outpatient settings. In her clinical work, Michelle is well versed in both traditional therapeutic techniques as well as creative modalities such as role play and empty chair.
(858) 463-6932 View (858) 463-6932
Photo of Anne Watson, Psychologist in Poway, CA
Anne Watson
Psychologist, PhD
Verified Verified
Poway, CA 92064
Christine Watson is a clinical psychologist who has been practicing psychotherapy since 1982. She graduated from The Fielding Institute with a doctorate in clinical psychology and from Texas Woman's University with a masters in marriage and family therapy. Christine's background in family systems, as well as evidence based perspectives, inform her approach to individual therapy. Her main areas of focus include adult depression and anxiety. In her spare time, Christine enjoys gardening and hiking.
Christine Watson is a clinical psychologist who has been practicing psychotherapy since 1982. She graduated from The Fielding Institute with a doctorate in clinical psychology and from Texas Woman's University with a masters in marriage and family therapy. Christine's background in family systems, as well as evidence based perspectives, inform her approach to individual therapy. Her main areas of focus include adult depression and anxiety. In her spare time, Christine enjoys gardening and hiking.
(858) 321-8470 View (858) 321-8470
Photo of Candice Clayton, Clinical Social Work/Therapist in Poway, CA
Candice Clayton
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Hello! My name is Candice Clayton, and I am a Licensed Clinical Social Worker with over 12 years of experience in mental health. I use a strength-based and solution-focused approach to support your personal growth and mental health journey. I have a wide experience in the mental health field from children to adults to couples. I mainly treat adults and couples at this time who are going through various phases and changes in life. I treat trauma, anxiety, depression, infidelity, relationship issues, and imposter syndrome.
Hello! My name is Candice Clayton, and I am a Licensed Clinical Social Worker with over 12 years of experience in mental health. I use a strength-based and solution-focused approach to support your personal growth and mental health journey. I have a wide experience in the mental health field from children to adults to couples. I mainly treat adults and couples at this time who are going through various phases and changes in life. I treat trauma, anxiety, depression, infidelity, relationship issues, and imposter syndrome.
(858) 358-7607 View (858) 358-7607
Photo of Nela Cavelis, Clinical Social Work/Therapist in Poway, CA
Nela Cavelis
Clinical Social Work/Therapist, LCSW
Verified Verified
Poway, CA 92064
Have you been feeling anxiety, stress, feeling out of balance? Do you desire to discuss your situation with a professional, to get more clarity and understanding? Maybe you are going through a difficult life transition, or - you are in a good place right now - however feel that your history may be holding you back from experiencing your full potential. Perhaps you simply want to learn some strategies that will help you manage and thrive in your mental health and overall well being.
Have you been feeling anxiety, stress, feeling out of balance? Do you desire to discuss your situation with a professional, to get more clarity and understanding? Maybe you are going through a difficult life transition, or - you are in a good place right now - however feel that your history may be holding you back from experiencing your full potential. Perhaps you simply want to learn some strategies that will help you manage and thrive in your mental health and overall well being.
(858) 358-5401 View (858) 358-5401
Photo of Amy Belanger, Marriage & Family Therapist in Poway, CA
Amy Belanger
Marriage & Family Therapist, LMFT
Verified Verified
Poway, CA 92064
Amy Belanger is a licensed Marriage and Family Therapist. She earned her Bachelor's Degree from San Diego State University in 1994 and her Master's Degree in Counseling Psychology from National University in 1996. Amy has over twenty years of experience working with adults, children, and families. Amy's areas of special interest include trauma and trauma-based disorders, victims of crime, relationship issues, blended family issues, child abuse, and domestic violence. Amy relates to many theoretical approaches but is drawn to solution-focused therapy while also utilizing cognitive behavioral techniques.
Amy Belanger is a licensed Marriage and Family Therapist. She earned her Bachelor's Degree from San Diego State University in 1994 and her Master's Degree in Counseling Psychology from National University in 1996. Amy has over twenty years of experience working with adults, children, and families. Amy's areas of special interest include trauma and trauma-based disorders, victims of crime, relationship issues, blended family issues, child abuse, and domestic violence. Amy relates to many theoretical approaches but is drawn to solution-focused therapy while also utilizing cognitive behavioral techniques.
(858) 923-5826 View (858) 923-5826

How does your Therapist compare?

Number of Therapists in Poway, CA

100+

Average cost per session

$167

Therapists in Poway, CA who prioritize treating:

95% Anxiety
89% Depression
74% Relationship Issues
69% Self Esteem
66% Trauma and PTSD
64% Coping Skills
63% Stress

Average years in practice

14 Years

Top 3 insurances accepted

74% Aetna
73% UnitedHealthcare UHC | UBH
70% Cigna and Evernorth

How Therapists in Poway, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Poway?

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.