Therapists in Alameda, CA

Photo of Dr. Kammy Kwok, PhD, Psychologist
Dr. Kammy Kwok
Psychologist, PhD
Verified Verified
1 Endorsed
Alameda, CA 94501
Starting therapy can be scary, exciting, and bring up feelings of uncertainty. You may feel alone, stuck, have difficulty expressing your thoughts/feelings, and not know who to share these intimate and vulnerable thoughts/feelings with. An important part of having a positive therapy experience is a warm, trusting, and open therapeutic relationship. My aim is to provide this positive experience and support your overall well-being. I also speak Cantonese (廣東話) with native fluency and have experience in providing psychotherapy and parent support in Cantonese.
Starting therapy can be scary, exciting, and bring up feelings of uncertainty. You may feel alone, stuck, have difficulty expressing your thoughts/feelings, and not know who to share these intimate and vulnerable thoughts/feelings with. An important part of having a positive therapy experience is a warm, trusting, and open therapeutic relationship. My aim is to provide this positive experience and support your overall well-being. I also speak Cantonese (廣東話) with native fluency and have experience in providing psychotherapy and parent support in Cantonese.
(415) 862-3934 View (415) 862-3934
Photo of Carrie P. Wasson, PsyD, PMH-C, Psychologist
Carrie P. Wasson
Psychologist, PsyD, PMH-C
Verified Verified
4 Endorsed
Alameda, CA 94501
Whether this is your first time looking for a therapist or you are coming back to therapy, it can feel hard to find someone you feel you can trust and really click with. Life is hard enough, finding a therapist shouldn't feel impossible, my goal is to make the process as smooth as possible. I have over 15 years of clinical experience and enjoy working with individuals and especially new parents. I hope to work with clients to strengthen relationships, foster change and enhance what might already be working. I have helped clients to learn effective strategies to live more fulfilling and satisfying lives.
Whether this is your first time looking for a therapist or you are coming back to therapy, it can feel hard to find someone you feel you can trust and really click with. Life is hard enough, finding a therapist shouldn't feel impossible, my goal is to make the process as smooth as possible. I have over 15 years of clinical experience and enjoy working with individuals and especially new parents. I hope to work with clients to strengthen relationships, foster change and enhance what might already be working. I have helped clients to learn effective strategies to live more fulfilling and satisfying lives.
(510) 296-5242 View (510) 296-5242
Photo of Audrina Smith, MA, LMFT, Marriage & Family Therapist
Audrina Smith
Marriage & Family Therapist, MA, LMFT
Verified Verified
Alameda, CA 94501
You are struggling and you feel alone. I can help. Have you ever been told you are too sensitive? Do you often feel judged or alone? Are you interested in looking within, learning more about yourself and creating the life you deserve? If so, I am here to help. I support clients struggling with depression and anxiety, learning about and coping with the highly sensitive trait, as well as grief and difficult life transitions. I specialize in older teens, college students, young adulthood/emerging professionals. and women around issues of fertility, pregnancy, postpartum and family life.
You are struggling and you feel alone. I can help. Have you ever been told you are too sensitive? Do you often feel judged or alone? Are you interested in looking within, learning more about yourself and creating the life you deserve? If so, I am here to help. I support clients struggling with depression and anxiety, learning about and coping with the highly sensitive trait, as well as grief and difficult life transitions. I specialize in older teens, college students, young adulthood/emerging professionals. and women around issues of fertility, pregnancy, postpartum and family life.
(510) 288-9386 View (510) 288-9386
Photo of Dr. Ellis Edmunds, PsyD, Psychologist
Dr. Ellis Edmunds
Psychologist, PsyD
Verified Verified
9 Endorsed
Alameda, CA 94501
Anxiety sucks. I get it. It can keep you stuck in an exhausting inner battle of fear and panic. Perhaps you have had a panic attack and worry about having another one. Or maybe you find yourself frequently worrying about your relationship with your partner. Obsessive thoughts might be keeping you up at night and disrupting your ability to focus at work. And you might feel frustrated or embarrassment that you can't get your anxiety under control. You might be trying to cope with your anxiety by staying busy, distracting yourself with technology, or turning to drugs or drinking. The good news is, it does not have to be this way.
Anxiety sucks. I get it. It can keep you stuck in an exhausting inner battle of fear and panic. Perhaps you have had a panic attack and worry about having another one. Or maybe you find yourself frequently worrying about your relationship with your partner. Obsessive thoughts might be keeping you up at night and disrupting your ability to focus at work. And you might feel frustrated or embarrassment that you can't get your anxiety under control. You might be trying to cope with your anxiety by staying busy, distracting yourself with technology, or turning to drugs or drinking. The good news is, it does not have to be this way.
(510) 878-4017 View (510) 878-4017
Photo of Christina Narensky, PsyD, Psychologist
Christina Narensky
Psychologist, PsyD
Verified Verified
1 Endorsed
Alameda, CA 94501
My approach emphasizes respect, transparency, authenticity, and collaboration. I believe that most problems exert their influence on people by blinding them to their own strengths, resources and potential solutions. Problems can saturate people's lives in complex and expansive ways. As a curious outsider with training and experience, I work with clients to debunk dysfunctional assumptions, and to challenge problem-inspired patterns. It's an honor to witness and support clients, as they practice living more consistently with their articulated values and goals, progressing towards more preferred ways of being.
My approach emphasizes respect, transparency, authenticity, and collaboration. I believe that most problems exert their influence on people by blinding them to their own strengths, resources and potential solutions. Problems can saturate people's lives in complex and expansive ways. As a curious outsider with training and experience, I work with clients to debunk dysfunctional assumptions, and to challenge problem-inspired patterns. It's an honor to witness and support clients, as they practice living more consistently with their articulated values and goals, progressing towards more preferred ways of being.
(510) 907-7365 View (510) 907-7365
Photo of Khaliun Jargalsaikhan, LMFT, Marriage & Family Therapist
Khaliun Jargalsaikhan
Marriage & Family Therapist, LMFT
Verified Verified
Alameda, CA 94501
My name is Khaliun Jargalsaikhan. I strive to create relationships with my clients that foster their growth and help them achieve their full potential. I value empathy and unconditional positive regard toward my clients. I work well with highly motivated clients. I treat anxiety, and depression and focus on working with low self-esteem and worth issues. I prefer working with young adults, adults, and elderly people.
My name is Khaliun Jargalsaikhan. I strive to create relationships with my clients that foster their growth and help them achieve their full potential. I value empathy and unconditional positive regard toward my clients. I work well with highly motivated clients. I treat anxiety, and depression and focus on working with low self-esteem and worth issues. I prefer working with young adults, adults, and elderly people.
(510) 617-1645 View (510) 617-1645
Photo of Shefali Thaman, MA, MEd, LMFT, Marriage & Family Therapist
Shefali Thaman
Marriage & Family Therapist, MA, MEd, LMFT
Verified Verified
1 Endorsed
Alameda, CA 94501  (Online Only)
It can be overwhelming to struggle with interfering anxiety or OCD or see your teen experience some of these anxiety symptoms. Sometimes people only recently start to experience these feelings and for many others these feelings have been around for a while. These feelings can be distressing! Having worked extensively with adolescents, parents and young adults progressing through different developmental stages, I meet my young clients where they are. I am a Licensed Marriage and Family Therapist at Lumate Health. My orientation is grounded in Cognitive-Behavioral Therapy.
It can be overwhelming to struggle with interfering anxiety or OCD or see your teen experience some of these anxiety symptoms. Sometimes people only recently start to experience these feelings and for many others these feelings have been around for a while. These feelings can be distressing! Having worked extensively with adolescents, parents and young adults progressing through different developmental stages, I meet my young clients where they are. I am a Licensed Marriage and Family Therapist at Lumate Health. My orientation is grounded in Cognitive-Behavioral Therapy.
(510) 588-1788 View (510) 588-1788
Photo of Sonia Zubrin Lakin, LCSW, Clinical Social Work/Therapist
Sonia Zubrin Lakin
Clinical Social Work/Therapist, LCSW
Verified Verified
Alameda, CA 94501
Waitlist for new clients
I specialize in working with teens and young adults who are navigating the transition to adulthood. This moment can bring up big questions: Who am I? Who do I want to be? Where am I headed? It can be overwhelming, but it's also a perfect moment to invest in the support you need to move skillfully into the next phase of life. I want you to feel capable of handling difficult moments as they arise, and to have a solid sense of who you and what you want out of life.
I specialize in working with teens and young adults who are navigating the transition to adulthood. This moment can bring up big questions: Who am I? Who do I want to be? Where am I headed? It can be overwhelming, but it's also a perfect moment to invest in the support you need to move skillfully into the next phase of life. I want you to feel capable of handling difficult moments as they arise, and to have a solid sense of who you and what you want out of life.
(510) 930-1096 View (510) 930-1096
Photo of Lisa Martin, LCSW, Clinical Social Work/Therapist
Lisa Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
Alameda, CA 94501  (Online Only)
My professional career started in 2004 and I continue to love helping people progress to their goals. I have a holistic approach to health and wellness. Therapeutically speaking, my primary modalities include Cognitive Behavioral, Solutions Focused, and Strengths-based therapies; however, I believe every person and circumstance should be individualized based on the client's wants and needs. I like to meet people where they are and draw off of their strengths to guide them in improving their circumstances and overall quality of life.
My professional career started in 2004 and I continue to love helping people progress to their goals. I have a holistic approach to health and wellness. Therapeutically speaking, my primary modalities include Cognitive Behavioral, Solutions Focused, and Strengths-based therapies; however, I believe every person and circumstance should be individualized based on the client's wants and needs. I like to meet people where they are and draw off of their strengths to guide them in improving their circumstances and overall quality of life.
(415) 969-5753 View (415) 969-5753
Photo of Christine Olson, MA, LPCC, Counselor
Christine Olson
Counselor, MA, LPCC
Verified Verified
Alameda, CA 94501  (Online Only)
Welcome! Engaging in therapy is a vulnerable and courageous process; as such, I aim to hold space and gently meet you wherever you are in your journey. I am a culturally-responsive, somatically-oriented trauma therapist with a decade of experience supporting individuals healing and growing from trauma (single-event and complex PTSD), attachment wounds, anxiety, grief and loss, as well as challenges related to identity and life transitions. I am especially passionate about serving members of Queer/LGBTQIA+, gender expansive, and BIPOC communities.
Welcome! Engaging in therapy is a vulnerable and courageous process; as such, I aim to hold space and gently meet you wherever you are in your journey. I am a culturally-responsive, somatically-oriented trauma therapist with a decade of experience supporting individuals healing and growing from trauma (single-event and complex PTSD), attachment wounds, anxiety, grief and loss, as well as challenges related to identity and life transitions. I am especially passionate about serving members of Queer/LGBTQIA+, gender expansive, and BIPOC communities.
(510) 867-3491 View (510) 867-3491
Photo of Max Antor, MFT, MST, Marriage & Family Therapist
Max Antor
Marriage & Family Therapist, MFT, MST
Verified Verified
Alameda, CA 94501
As your therapist, I will help you address the challenges that are holding you back from creating the life you want. Many times this involves simple, guided questions that explore how you came to feel the way you feel and why you do the things you do. I utilize a relational framework when working with adults and older teens. Research has shown that the most important aspect of therapy is the relationship you have with your therapist. The modalities change over time, but the need to experience trust in examining your inner landscape is essential and unwavering.
As your therapist, I will help you address the challenges that are holding you back from creating the life you want. Many times this involves simple, guided questions that explore how you came to feel the way you feel and why you do the things you do. I utilize a relational framework when working with adults and older teens. Research has shown that the most important aspect of therapy is the relationship you have with your therapist. The modalities change over time, but the need to experience trust in examining your inner landscape is essential and unwavering.
(510) 216-1702 View (510) 216-1702
Photo of Kelly M. Sharp, LMFT, LPCC, Marriage & Family Therapist
Kelly M. Sharp
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
9 Endorsed
Alameda, CA 94501
Are you feeling stuck or generally disconnected? Do you struggle to feel content or relaxed? The last few years have resulted in big questions related to our careers, our relationships, and our management of multiple roles and responsibilities. I work with individuals and couples to identify aspects of life that are in need of an intentional shift and offer the insights, tools and skills to help you live a more connected and meaningful life.
Are you feeling stuck or generally disconnected? Do you struggle to feel content or relaxed? The last few years have resulted in big questions related to our careers, our relationships, and our management of multiple roles and responsibilities. I work with individuals and couples to identify aspects of life that are in need of an intentional shift and offer the insights, tools and skills to help you live a more connected and meaningful life.
(510) 230-2721 View (510) 230-2721
Photo of Ashley McLaughlin, LMFT, Marriage & Family Therapist
Ashley McLaughlin
Marriage & Family Therapist, LMFT
Verified Verified
Alameda, CA 94501  (Online Only)
I seek to guide you through the overwhelming and isolating feelings that accompany substantial life struggles. Whether you've been struggling with anxiety or feeling "lost" on how to move forward, experienced the loss of a loved one, became a new parent or contemplating other major life transitions- I am equipped to walk alongside you as you navigate these experiences. When working with couples we center the element of communication and attachment, developing and deepening the connection between the two of you.
I seek to guide you through the overwhelming and isolating feelings that accompany substantial life struggles. Whether you've been struggling with anxiety or feeling "lost" on how to move forward, experienced the loss of a loved one, became a new parent or contemplating other major life transitions- I am equipped to walk alongside you as you navigate these experiences. When working with couples we center the element of communication and attachment, developing and deepening the connection between the two of you.
(510) 726-6992 View (510) 726-6992
Photo of Heidi K Wells, MA, LMFT, Marriage & Family Therapist
Heidi K Wells
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Alameda, CA 94501
I am a licensed clinician with over 15 years experience and an extensive background in trauma, childhood abuse, substance abuse and co-occurring disorders along with codependency and relational/attachment issues. Together we will work to develop healthy coping skills and healing that allow you to navigate life's challenges. In this healing space, we can address your anxiety, depression, fears, anger, grief and underlying trauma in a safe, caring and non-judgmental environment, meeting you where you are in your journey. Let's work together to find a solution that works best for you.
I am a licensed clinician with over 15 years experience and an extensive background in trauma, childhood abuse, substance abuse and co-occurring disorders along with codependency and relational/attachment issues. Together we will work to develop healthy coping skills and healing that allow you to navigate life's challenges. In this healing space, we can address your anxiety, depression, fears, anger, grief and underlying trauma in a safe, caring and non-judgmental environment, meeting you where you are in your journey. Let's work together to find a solution that works best for you.
(510) 422-1731 View (510) 422-1731
Photo of Natalie Silverman, LMFT, Marriage & Family Therapist
Natalie Silverman
Marriage & Family Therapist, LMFT
Verified Verified
Alameda, CA 94501  (Online Only)
My approach to therapy is holistic and evidence-based. I'm a huge advocate of my clients and I follow their guidance, fully believing in them and their abilities. I truly believe in the ancient wisdom and knowing that our bodies, and soul, can heal. I look at the bigger picture of your life. Using the most effective interventions and modalities. We will examine your thoughts and feelings, increase self-compassion, and renegotiate difficult moods, poor habits, and patterns. Ultimately, gently allowing you to manifest a more fulfilling and joyful life.
My approach to therapy is holistic and evidence-based. I'm a huge advocate of my clients and I follow their guidance, fully believing in them and their abilities. I truly believe in the ancient wisdom and knowing that our bodies, and soul, can heal. I look at the bigger picture of your life. Using the most effective interventions and modalities. We will examine your thoughts and feelings, increase self-compassion, and renegotiate difficult moods, poor habits, and patterns. Ultimately, gently allowing you to manifest a more fulfilling and joyful life.
(510) 892-4262 View (510) 892-4262
Photo of David Samlan, MA, LMFT, Marriage & Family Therapist
David Samlan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Alameda, CA 94501
When it comes to getting help for yourself or your family, finding a therapist you feel comfortable with is an important first step. I create a supportive and authentic environment where we can focus on your individual goals so you can move forward with your life. I take a practical and eclectic approach to therapy, incorporating family systems theory, evidenced based practices, and mindfulness practices into sessions, and work to help you feel better as quickly as possible.
When it comes to getting help for yourself or your family, finding a therapist you feel comfortable with is an important first step. I create a supportive and authentic environment where we can focus on your individual goals so you can move forward with your life. I take a practical and eclectic approach to therapy, incorporating family systems theory, evidenced based practices, and mindfulness practices into sessions, and work to help you feel better as quickly as possible.
(510) 405-3059 View (510) 405-3059
Photo of Vicki Matthews, LCPC, Counselor
Vicki Matthews
Counselor, LCPC
Verified Verified
Alameda, CA 94501
Hello, my name is Vicki Matthews and, I am an M.A. LPCC dual licensed in CA and NM. I focus on guiding my child, teen, and adult clients to be their own agents of change, catering to their needs, and meeting my clients where they are at in life. I focus on realistic and attainable goals working together with my clients to achieve therapeutic wellness, towards improving their daily functioning. My goal is to be a part of the curative process for all my clients.
Hello, my name is Vicki Matthews and, I am an M.A. LPCC dual licensed in CA and NM. I focus on guiding my child, teen, and adult clients to be their own agents of change, catering to their needs, and meeting my clients where they are at in life. I focus on realistic and attainable goals working together with my clients to achieve therapeutic wellness, towards improving their daily functioning. My goal is to be a part of the curative process for all my clients.
(510) 621-6299 View (510) 621-6299
Photo of Marilyn G Marco, MFT, Marriage & Family Therapist
Marilyn G Marco
Marriage & Family Therapist, MFT
Verified Verified
Alameda, CA 94501
With over 35 years of experience as an individual and family therapist in many types of settings, I view therapy as a co-created, compassionate and courageous journey into the discovery of the self. I work with individuals and couples, and particularly enjoy helping people find their true passion, gifts and sense of self. I also work with individuals who are in life transition, struggling with depression, anxiety, work stress, spiritual crisis, relationship issues, parenting issues, or any issue that is interfering with living life fully.
With over 35 years of experience as an individual and family therapist in many types of settings, I view therapy as a co-created, compassionate and courageous journey into the discovery of the self. I work with individuals and couples, and particularly enjoy helping people find their true passion, gifts and sense of self. I also work with individuals who are in life transition, struggling with depression, anxiety, work stress, spiritual crisis, relationship issues, parenting issues, or any issue that is interfering with living life fully.
(510) 864-2565 View (510) 864-2565
Photo of Matt Van Pelt, MA, LMFT, Marriage & Family Therapist
Matt Van Pelt
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Alameda, CA 94501
Confidence and connection are the key ingredients for a meaningful life, but they can be compromised in times of stress or transition. The foundations of the past, once familiar and secure, are shaken. Anxieties encroach. Connections are lost. Yet, I believe that despite the pain and difficulty of these phases, there is immense potential for positive change and personal growth. Helping you discover that potential is what I love most about my work, so I encourage you to reach out to me to get started today. You can email me at vanpeltcounseling@gmail.com or text me at 510-859-4448 to set up a free consultation. I will respond ASAP.
Confidence and connection are the key ingredients for a meaningful life, but they can be compromised in times of stress or transition. The foundations of the past, once familiar and secure, are shaken. Anxieties encroach. Connections are lost. Yet, I believe that despite the pain and difficulty of these phases, there is immense potential for positive change and personal growth. Helping you discover that potential is what I love most about my work, so I encourage you to reach out to me to get started today. You can email me at vanpeltcounseling@gmail.com or text me at 510-859-4448 to set up a free consultation. I will respond ASAP.
(510) 201-5946 View (510) 201-5946
Photo of Genica Robbins, PsyD, Psychologist
Genica Robbins
Psychologist, PsyD
Verified Verified
Alameda, CA 94501
Waitlist for new clients
Making changes is challenging, but together we can work to find ways to make it more possible. If you are wanting to discover why you do what you do and why you choose the people to do it with that you do, we may work well together. I am very warm and empathic, and enjoy working with you to address the problems that you want to change without judgment.
Making changes is challenging, but together we can work to find ways to make it more possible. If you are wanting to discover why you do what you do and why you choose the people to do it with that you do, we may work well together. I am very warm and empathic, and enjoy working with you to address the problems that you want to change without judgment.
(510) 746-8097 View (510) 746-8097
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How does your Therapist compare?

Number of Therapists in Alameda, CA

300+

Average cost per session

$180

Therapists in Alameda, CA who prioritize treating:

92% Anxiety
90% Depression
74% Relationship Issues
72% Grief
72% Stress
68% Self Esteem
68% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

60% Cigna and Evernorth
58% Aetna
48% Optum

How Therapists in Alameda, CA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alameda?

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.