Therapists in Boulder, CO
Dr. Annelizabeth Card
Psychologist, PhD
Verified Verified
Boulder, CO 80302 (Online Only)
Finding balance while juggling life's responsibilities can at times be overwhelming. We all need help sorting through our feelings. I have genuine empathy for people and the human experience. This quality underlines my passion to guide my clients to a purpose filled life. Whether you're faced with a temporary crisis or you're looking to learn skills necessary to have a balanced life, I offer a safe space, full of support with the goal to promote understanding and self-awareness.
Finding balance while juggling life's responsibilities can at times be overwhelming. We all need help sorting through our feelings. I have genuine empathy for people and the human experience. This quality underlines my passion to guide my clients to a purpose filled life. Whether you're faced with a temporary crisis or you're looking to learn skills necessary to have a balanced life, I offer a safe space, full of support with the goal to promote understanding and self-awareness.
Kristen Forrest
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Boulder, CO 80301 (Online Only)
My ideal client is someone who is struggling and needs support quickly. His/her/their issues could range with some mood dys-regulation to overwhelmed and stressed and/or dealing with trauma. Your goals would be to alleviate symptoms and obtain relief quickly, feel more balance and have more tools to help manage stressors. Perhaps, you are interested in gaining more awareness to your own thoughts, feelings, and sensations. My goal is to help people feel more emotionally regulated. I have worked in this field since 2008 and have a vast knowledge of strategies and techniques to use with you.
My ideal client is someone who is struggling and needs support quickly. His/her/their issues could range with some mood dys-regulation to overwhelmed and stressed and/or dealing with trauma. Your goals would be to alleviate symptoms and obtain relief quickly, feel more balance and have more tools to help manage stressors. Perhaps, you are interested in gaining more awareness to your own thoughts, feelings, and sensations. My goal is to help people feel more emotionally regulated. I have worked in this field since 2008 and have a vast knowledge of strategies and techniques to use with you.
Jeff Pincus
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Boulder, CO 80304
We are biologically wired for relationship. Despite relationship being so natural, it tends to be an area of human experience that is equally challenging, puzzling, and painful as it is rewarding, transformative, and blissful. Greater understanding can be be found through contemporary neuroscience, direct observation and deeper introspection. All too often, couples get stuck in cycles of fighting, withdrawal, and shutdown, without understanding the primitive biological and personally historic underpinnings that color their experience. When couples are caught in these dysregulating cycles, the loving connection once enjoyed in the relationship begins to wither.
We are biologically wired for relationship. Despite relationship being so natural, it tends to be an area of human experience that is equally challenging, puzzling, and painful as it is rewarding, transformative, and blissful. Greater understanding can be be found through contemporary neuroscience, direct observation and deeper introspection. All too often, couples get stuck in cycles of fighting, withdrawal, and shutdown, without understanding the primitive biological and personally historic underpinnings that color their experience. When couples are caught in these dysregulating cycles, the loving connection once enjoyed in the relationship begins to wither.
Stephanie Boulton
Counselor, MA, LPC
Verified Verified
1 Endorsed
Boulder, CO 80303
From navigating relationships, careers, identity, politics, culture: adulting is no small task for a person of any age..... let alone navigating overwhelming emotions, eating, sleeping and trauma on top of the energy it takes to get by on a daily basis. Some part of your life maybe feels elusive and takes a lot of extra energy...like being able to stay in relationships, be at peace in your body or satisfied with how you present yourself to the world. Therapy can be a helpful place to sort through all the messages that are unhelpful and get clear on what your real needs are.
From navigating relationships, careers, identity, politics, culture: adulting is no small task for a person of any age..... let alone navigating overwhelming emotions, eating, sleeping and trauma on top of the energy it takes to get by on a daily basis. Some part of your life maybe feels elusive and takes a lot of extra energy...like being able to stay in relationships, be at peace in your body or satisfied with how you present yourself to the world. Therapy can be a helpful place to sort through all the messages that are unhelpful and get clear on what your real needs are.
Matthew Tansey
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Boulder, CO 80301 (Online Only)
I help clients feel less anxious and more authentic in their relationships. I believe that many people experience struggle in their lives as a result of growing distant from their emotional compasses. I work with individual clients and couples to reconnect with these aspects of their experiences. Please note that I am only available for sessions via telehealth.
I help clients feel less anxious and more authentic in their relationships. I believe that many people experience struggle in their lives as a result of growing distant from their emotional compasses. I work with individual clients and couples to reconnect with these aspects of their experiences. Please note that I am only available for sessions via telehealth.
Dr. Jamal Waire
Psychologist, PsyD
Verified Verified
3 Endorsed
Boulder, CO 80301 (Online Only)
Welcome! My name is Jamal Waire, PsyD, founder of Grounded Mind Psychology. I am a licensed psychologist specializing in the treatment of OCD, perfectionism, anxiety, depression, and relationship distress. My approach to therapy is grounded in the principles of science and compassion, and I have extensive training in several evidenced-based modalities, including CBT, ERP, and ACT. My goal as a therapist is to provide a warm and validating space while forming a collaborative partnership with each of my clients.
Welcome! My name is Jamal Waire, PsyD, founder of Grounded Mind Psychology. I am a licensed psychologist specializing in the treatment of OCD, perfectionism, anxiety, depression, and relationship distress. My approach to therapy is grounded in the principles of science and compassion, and I have extensive training in several evidenced-based modalities, including CBT, ERP, and ACT. My goal as a therapist is to provide a warm and validating space while forming a collaborative partnership with each of my clients.
Bella Ouaknine
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boulder, CO 80303
Are you feeling stuck or struggling? Are you experiencing relationship difficulties or feeling disconnected from your partner? Are you stressed out or sad to the point that you can't live the life you want? Perhaps you are feeling unsure how to help yourself or your family cope during this difficult time. I am glad you found your way here! I specialize in helping individuals, couples, and families work through the challenges that are interfering with their quality of life.
Are you feeling stuck or struggling? Are you experiencing relationship difficulties or feeling disconnected from your partner? Are you stressed out or sad to the point that you can't live the life you want? Perhaps you are feeling unsure how to help yourself or your family cope during this difficult time. I am glad you found your way here! I specialize in helping individuals, couples, and families work through the challenges that are interfering with their quality of life.
Asia Jaworowska
Counselor, MA, LPC
Verified Verified
Boulder, CO 80304 (Online Only)
Our life journeys are unique to us all. New experiences are awaiting us in every new direction we take; I believe that there is never a wrong path. I base my therapeutic approach on the belief that we all are good at heart, worthy, and capable of making the right choices for ourselves. Even though we can't always choose what happens to us, we can choose how we respond. I believe the way we handle the tough things life throws at us - loss, hardship, adversity, rejection—is what defines each of us as a human.
Our life journeys are unique to us all. New experiences are awaiting us in every new direction we take; I believe that there is never a wrong path. I base my therapeutic approach on the belief that we all are good at heart, worthy, and capable of making the right choices for ourselves. Even though we can't always choose what happens to us, we can choose how we respond. I believe the way we handle the tough things life throws at us - loss, hardship, adversity, rejection—is what defines each of us as a human.
Keaton Gray
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
3 Endorsed
Boulder, CO 80303
Psychology is derived from the Greek words psyche; meaning soul, and logos; meaning knowledge. Considering this, I see therapy as the brave journey of knowing yourself and your life more deeply. As a therapist, I offer a genuine optimism and non-judgmental space for you to feel seen, heard, and met with kindness. You are provided guidance and skills that equip you to guide your nervous system and mind back to health. We won't go anywhere in therapy that you are not prepared to go. Sessions feel restorative, empowering, and practical. You can feel better at your own pace. And it is a real privilege to support you along the way.
Psychology is derived from the Greek words psyche; meaning soul, and logos; meaning knowledge. Considering this, I see therapy as the brave journey of knowing yourself and your life more deeply. As a therapist, I offer a genuine optimism and non-judgmental space for you to feel seen, heard, and met with kindness. You are provided guidance and skills that equip you to guide your nervous system and mind back to health. We won't go anywhere in therapy that you are not prepared to go. Sessions feel restorative, empowering, and practical. You can feel better at your own pace. And it is a real privilege to support you along the way.
Jacqueline Rose Richards-Shrestha
Counselor, MA, LPC
Verified Verified
4 Endorsed
Boulder, CO 80301
Does this resonate with you? You're constantly battling feelings of inadequacy and dissatisfaction with your appearance. Insecurity and frustration have become your daily companions. Lately, anxiety has been so overwhelming that you feel like crawling out of your skin. Instead, you find yourself numbing out—scrolling endlessly or overeating—stuck in a cycle of overwhelm. You know one thing for certain: you're ready for relief. You're eager to break free from the relentless barrage of critical thoughts. You're prepared to start feeling good enough, to find peace, and to embrace confidence and capability again. I'm here to help!
Does this resonate with you? You're constantly battling feelings of inadequacy and dissatisfaction with your appearance. Insecurity and frustration have become your daily companions. Lately, anxiety has been so overwhelming that you feel like crawling out of your skin. Instead, you find yourself numbing out—scrolling endlessly or overeating—stuck in a cycle of overwhelm. You know one thing for certain: you're ready for relief. You're eager to break free from the relentless barrage of critical thoughts. You're prepared to start feeling good enough, to find peace, and to embrace confidence and capability again. I'm here to help!
Kimberly Bryant
Licensed Professional Counselor, MA, LPC
Verified Verified
16 Endorsed
Boulder, CO 80302
Hello! I am a Family Therapist & Therapeutic Educational Consultant specializing in healing from relationship difficulties and traumatic events. I work alongside my clients closely through the therapeutic journey to assist the self-advocacy, compassion, and patience necessary for efficacy of treatment goals over time. Using a foundation of neuropsychology and systems theories, I tailor my counseling for each client/family from body-based practices, internal parts work, and reprocessing modalities. With an emphasis on best practice and informed sensitive care, I skillfully guide the process of deep change and long lasting transformation.
Hello! I am a Family Therapist & Therapeutic Educational Consultant specializing in healing from relationship difficulties and traumatic events. I work alongside my clients closely through the therapeutic journey to assist the self-advocacy, compassion, and patience necessary for efficacy of treatment goals over time. Using a foundation of neuropsychology and systems theories, I tailor my counseling for each client/family from body-based practices, internal parts work, and reprocessing modalities. With an emphasis on best practice and informed sensitive care, I skillfully guide the process of deep change and long lasting transformation.
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Pre-Licensed Professional, MSW, SCW
Verified Verified
Boulder, CO 80301
Imagine this: I'm your trusted companion on a journey towards a more fulfilling life, dedicated to empowering you as you uncover your unique path to personal growth. What sets me apart is my own transformative experience as an immigrant, venturing to the United States alone at 19. This journey taught me resilience, cross-cultural sensitivity, and the profound belief in the innate strength that resides within each person. My therapeutic approach is deeply influenced by these life-changing moments, and my mission is to assist you in discovering and harnessing that inner strength, helping you unleash your true potential.
Imagine this: I'm your trusted companion on a journey towards a more fulfilling life, dedicated to empowering you as you uncover your unique path to personal growth. What sets me apart is my own transformative experience as an immigrant, venturing to the United States alone at 19. This journey taught me resilience, cross-cultural sensitivity, and the profound belief in the innate strength that resides within each person. My therapeutic approach is deeply influenced by these life-changing moments, and my mission is to assist you in discovering and harnessing that inner strength, helping you unleash your true potential.
Kat Austin
Marriage & Family Therapist, MA, LMFT, LPC, LAC
Verified Verified
3 Endorsed
Boulder, CO 80302
Couples therapy: I am trained in Emotionally Focused Therapy. EFT leads a couple to get right to the heart of the problems that keep relationships unsatisfying and disconnected. The goal of EFT is to help you create safety and security in your relationship so that deep connection can grow from the practice of honesty and vulnerability. EFT has been found to be successful with about 75% of couples.
Couples therapy: I am trained in Emotionally Focused Therapy. EFT leads a couple to get right to the heart of the problems that keep relationships unsatisfying and disconnected. The goal of EFT is to help you create safety and security in your relationship so that deep connection can grow from the practice of honesty and vulnerability. EFT has been found to be successful with about 75% of couples.
Rachel Edwards
Counselor, MA, LPCC, NCC
Verified Verified
Boulder, CO 80303
Are you feeling overwhelmed, lonely, helpless, anxious or sad? Do you find it difficult to connect with friends, family and loved ones? These are common challenges that many of us face and you are not alone. My training and education have equipped me with a range of therapeutic techniques and approaches, including EMDR, Flash Technique, IFS, CBT, DBT, and mindfulness-based therapy. I believe that everyone is capable of growth, change and healing, and I am here to support you every step of the way. Together, we can work to rewire your nervous system and restore balance, peace, and happiness to your life.
Are you feeling overwhelmed, lonely, helpless, anxious or sad? Do you find it difficult to connect with friends, family and loved ones? These are common challenges that many of us face and you are not alone. My training and education have equipped me with a range of therapeutic techniques and approaches, including EMDR, Flash Technique, IFS, CBT, DBT, and mindfulness-based therapy. I believe that everyone is capable of growth, change and healing, and I am here to support you every step of the way. Together, we can work to rewire your nervous system and restore balance, peace, and happiness to your life.
Somatic Spiritual Counseling - Chris Cannon MA CAS
Registered Psychotherapist, MA, CAS
Verified Verified
3 Endorsed
Boulder, CO 80303
Our world, our relationships, and our minds often present us with challenges too difficult to work out on our own. These challenges can bar us from intimate contact with ourselves and others. They often take over our life, or makes certain parts of it unbearable. And if you are seeking out ways to work with them, I whole-heartedly salute you. My counseling is client-centered, mindfulness-based, and attachment-informed. This means that you choose what we work on, I help you to explore it in the present moment, and we use the power of relationship and care in that exploration.
Our world, our relationships, and our minds often present us with challenges too difficult to work out on our own. These challenges can bar us from intimate contact with ourselves and others. They often take over our life, or makes certain parts of it unbearable. And if you are seeking out ways to work with them, I whole-heartedly salute you. My counseling is client-centered, mindfulness-based, and attachment-informed. This means that you choose what we work on, I help you to explore it in the present moment, and we use the power of relationship and care in that exploration.
Aiya Staller
Licensed Professional Counselor, LPC, LAC, ATR-BC
Verified Verified
6 Endorsed
Boulder, CO 80303
Your thoughts are racing-examining what you did, or could have done, wondering if you are over-thinking the situation. You try to pretend everything is okay but deep down there is a nagging feeling that something is off. So you work on doing all of the right things, trying to fix yourself, trying to improve, but the feeling inside doesn't change. You may even over-perform in attempt to prove to yourself and the world that you are worthy. But the feeling lingers. Many of my clients have had similar struggles with anxiety, perfectionism, self-doubt, trauma histories, or difficulty feeling comfortable in relationships.
Your thoughts are racing-examining what you did, or could have done, wondering if you are over-thinking the situation. You try to pretend everything is okay but deep down there is a nagging feeling that something is off. So you work on doing all of the right things, trying to fix yourself, trying to improve, but the feeling inside doesn't change. You may even over-perform in attempt to prove to yourself and the world that you are worthy. But the feeling lingers. Many of my clients have had similar struggles with anxiety, perfectionism, self-doubt, trauma histories, or difficulty feeling comfortable in relationships.
Katy Lundy
Marriage and Family Therapist Candidate, MA, MFTC
Verified Verified
1 Endorsed
Boulder, CO 80303
Do you just feel stuck and unsure how to move forward? Are you desiring more from your life and relationships? Are you longing for a deeper connection with yourself or with a partner? Do you struggle to communicate your wants and needs to your partner? Has sex become more of a struggle than a pleasure? Do these questions feel familiar? If so, you are not alone. I’ll be happy to help you uncover authenticity, transform painful patterns, and create a life that is aligned with your highest values and deepest desires. I aim to provide clients a course of therapy that is tailored to best suit your unique needs.
Do you just feel stuck and unsure how to move forward? Are you desiring more from your life and relationships? Are you longing for a deeper connection with yourself or with a partner? Do you struggle to communicate your wants and needs to your partner? Has sex become more of a struggle than a pleasure? Do these questions feel familiar? If so, you are not alone. I’ll be happy to help you uncover authenticity, transform painful patterns, and create a life that is aligned with your highest values and deepest desires. I aim to provide clients a course of therapy that is tailored to best suit your unique needs.
Samantha Monk Grigsby
Psychologist, PhD
Verified Verified
1 Endorsed
Boulder, CO 80302
I help people feel less anxious, less stressed, less overwhelmed and less depressed by providing life-changing psychological services for long-lasting emotional wellness. I am committed to using the best cognitive behavioral therapies that have been extensively researched and proven to work. Using my expertise in these gold standard treatments, I collaborate with my clients to tailor treatment to their specific needs and provide these therapy services in a private, tranquil, peaceful environment. I am here to help you, and your loved ones, feel better through therapy that is grounded in compassion, understanding and empathy.
I help people feel less anxious, less stressed, less overwhelmed and less depressed by providing life-changing psychological services for long-lasting emotional wellness. I am committed to using the best cognitive behavioral therapies that have been extensively researched and proven to work. Using my expertise in these gold standard treatments, I collaborate with my clients to tailor treatment to their specific needs and provide these therapy services in a private, tranquil, peaceful environment. I am here to help you, and your loved ones, feel better through therapy that is grounded in compassion, understanding and empathy.
Klara N Brown
Licensed Professional Counselor, LPC
Verified Verified
Boulder, CO 80301 (Online Only)
As a certified marriage and family therapist and relationship coach focusing on women empowerment whether they seek individual or couples therapy. My clients are successful, intelligent, conscientious women who hold themselves to high standards. Intimate relationship is challenging. It's tough to get through the week without hurt feelings, upsets, or disagreement. They want to make things work. It feels like nothing ever changes. They feel powerless, unhappy, and unfulfilled. I can help even if their partner is not on board.
As a certified marriage and family therapist and relationship coach focusing on women empowerment whether they seek individual or couples therapy. My clients are successful, intelligent, conscientious women who hold themselves to high standards. Intimate relationship is challenging. It's tough to get through the week without hurt feelings, upsets, or disagreement. They want to make things work. It feels like nothing ever changes. They feel powerless, unhappy, and unfulfilled. I can help even if their partner is not on board.
Michele Hart
Licensed Professional Counselor, MA, LPC
Verified Verified
Boulder, CO 80302
I specialize in working with individuals who have suffered traumatic childhoods (sexual, physical, and emotional abuse, neglect, domestic violence) or traumatic experiences in adulthood and are in need of trauma-informed therapy. Symptoms include difficulty trusting others, feeling terminally alone, experiencing overwhelming emotions, a fear of abandonment or engulfment, experiencing flashbacks, feeling worried and anxious about bad things happening, struggling with body dysmorphia or disordered eating, engaging in self-harm, substance abuse issues, feelings of persistent hopelessness, suicidality, or feelings of unworthiness.
I specialize in working with individuals who have suffered traumatic childhoods (sexual, physical, and emotional abuse, neglect, domestic violence) or traumatic experiences in adulthood and are in need of trauma-informed therapy. Symptoms include difficulty trusting others, feeling terminally alone, experiencing overwhelming emotions, a fear of abandonment or engulfment, experiencing flashbacks, feeling worried and anxious about bad things happening, struggling with body dysmorphia or disordered eating, engaging in self-harm, substance abuse issues, feelings of persistent hopelessness, suicidality, or feelings of unworthiness.
See more therapy options for Boulder
How does your Therapist compare?
Number of Therapists in Boulder, CO
1,000+
Average cost per session
$150
Therapists in Boulder, CO who prioritize treating:
92% | Anxiety |
85% | Depression |
84% | Relationship Issues |
79% | Self Esteem |
76% | Trauma and PTSD |
70% | Stress |
70% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
69% | Aetna |
61% | UnitedHealthcare UHC | UBH |
59% | Cigna and Evernorth |
How Therapists in Boulder, CO see their clients
71% | In Person and Online | |
29% | Online Only |
Gender breakdown
75% | Female | |
22% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Boulder?
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
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.
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.
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.