Therapists in Carlsbad, CA
Vickie Lynn Dowling
Psychologist, PsyD
Verified Verified
1 Endorsed
Carlsbad, CA 92008
Not accepting new clients
Safety and trust are critical to feel comfortable in therapy. Choosing the right psychologist for you is important. My approach is a team approach where we work together. I can best help you if we are on the same page with one another. Your personal comfort is one of the most important factors for us to achieve successful teamwork, and for you to feel better. We choose your goals together to maximize your results. We can also partner with your medical doctor(s). Let's problem solve together and find some tools to create a personalized "coping skills" toolbox.
Safety and trust are critical to feel comfortable in therapy. Choosing the right psychologist for you is important. My approach is a team approach where we work together. I can best help you if we are on the same page with one another. Your personal comfort is one of the most important factors for us to achieve successful teamwork, and for you to feel better. We choose your goals together to maximize your results. We can also partner with your medical doctor(s). Let's problem solve together and find some tools to create a personalized "coping skills" toolbox.
Michelle Bourgerie
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
1 Endorsed
Carlsbad, CA 92011
People can't tell how badly you're hurting on the inside. You might walk through your days with a smile on your face. You achieve at work or at home for the most part. People probably even comment on how well you're doing, and at how much you accomplish. But no one knows that you cry in private and are grieving your loved one so desperately. Sometimes you can't even cry when you want to, because you hide your grief most days, not feeling free to grieve unless you're alone. You know you need support, but it's hard to ask for help.
People can't tell how badly you're hurting on the inside. You might walk through your days with a smile on your face. You achieve at work or at home for the most part. People probably even comment on how well you're doing, and at how much you accomplish. But no one knows that you cry in private and are grieving your loved one so desperately. Sometimes you can't even cry when you want to, because you hide your grief most days, not feeling free to grieve unless you're alone. You know you need support, but it's hard to ask for help.
It is my belief that all individuals innately have the capability to enact the changes they would like to see in their lives. Yet too often in my work have outside forces taken a strong hold on the individuals locus of control. My role is to support my client with providing perspective and encouragement, in order to understand how to go about that enactment. Every person has the ability to rise to their challenges. At first it might not seem so because of whatever internal and/or external barriers they have encountered however I firmly believe each client is the hero of their own story and they will overcome their challenges.
It is my belief that all individuals innately have the capability to enact the changes they would like to see in their lives. Yet too often in my work have outside forces taken a strong hold on the individuals locus of control. My role is to support my client with providing perspective and encouragement, in order to understand how to go about that enactment. Every person has the ability to rise to their challenges. At first it might not seem so because of whatever internal and/or external barriers they have encountered however I firmly believe each client is the hero of their own story and they will overcome their challenges.
New Growth Counseling Service
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Carlsbad, CA 92008
At New Growth you'll feel understood, respected, and safe. When you open up sensitive issues you need an understanding and down-to-earth therapist who has the tools that will work for you. Hundreds of individuals, couples, and families have had this experience at New Growth. Its easy to discover if one of counselors is right for you. Meet our team and watch each therapist's personal videos. Take advantage of a complimentary 20-minute consultation with any or all of our counselors. When you feel the match is right, schedule an appointment and get started on the path to New Growth.
At New Growth you'll feel understood, respected, and safe. When you open up sensitive issues you need an understanding and down-to-earth therapist who has the tools that will work for you. Hundreds of individuals, couples, and families have had this experience at New Growth. Its easy to discover if one of counselors is right for you. Meet our team and watch each therapist's personal videos. Take advantage of a complimentary 20-minute consultation with any or all of our counselors. When you feel the match is right, schedule an appointment and get started on the path to New Growth.
Suse Argollo
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Carlsbad, CA 92009 (Online Only)
Waitlist for new clients
Do you feel like the past is robbing you from the present moment? Or like the past keeps repeating itself? It may be a new relationship or experience but you continue to feel this anguish as if "it is happening all over again." Traumatic experiences can leave very deep wounds in our psyche; most times, we don't even realize how these unprocessed experiences continue to impact our present, including our relationships. Increasing our awareness regarding our past and understanding our present patterns without judgment, help us to expand our ability to live a meaningful life in wholeness. Therapy is a safe space to start.
Do you feel like the past is robbing you from the present moment? Or like the past keeps repeating itself? It may be a new relationship or experience but you continue to feel this anguish as if "it is happening all over again." Traumatic experiences can leave very deep wounds in our psyche; most times, we don't even realize how these unprocessed experiences continue to impact our present, including our relationships. Increasing our awareness regarding our past and understanding our present patterns without judgment, help us to expand our ability to live a meaningful life in wholeness. Therapy is a safe space to start.
I believe that understanding someone’s present world requires insight regarding the past and how it is impacting life now. Therapy can help you break out of old, maladaptive patterns of behavior that are not useful anymore while concurrently providing you concrete strategies for managing overwhelming feelings and challenges in the moment. Sometimes it’s difficult to even imagine your goals, understand what’s going wrong or think of solutions to overwhelming problems. Whether you are struggling with depression, anxiety, or just a general sense of dissatisfaction, therapy can help you grow and maximize your true potential.
I believe that understanding someone’s present world requires insight regarding the past and how it is impacting life now. Therapy can help you break out of old, maladaptive patterns of behavior that are not useful anymore while concurrently providing you concrete strategies for managing overwhelming feelings and challenges in the moment. Sometimes it’s difficult to even imagine your goals, understand what’s going wrong or think of solutions to overwhelming problems. Whether you are struggling with depression, anxiety, or just a general sense of dissatisfaction, therapy can help you grow and maximize your true potential.
Stephanie Hassani
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Carlsbad, CA 92010 (Online Only)
At times we become stuck in patterns that lead to self-defeat, frustration, despair and hopelessness. Psychotherapy is a process that can help individuals and families move in new directions, fostering psychological growth and a sense of well being. With warmth, humor, and honesty, I strive to create a space where you can feel supported, seen, and safe to explore patterns that are no longer serving you. Wherever you find yourself today, I can guide you along the path of discovering your natural ability to heal, to love and to live a healthy and fulfilling life.
At times we become stuck in patterns that lead to self-defeat, frustration, despair and hopelessness. Psychotherapy is a process that can help individuals and families move in new directions, fostering psychological growth and a sense of well being. With warmth, humor, and honesty, I strive to create a space where you can feel supported, seen, and safe to explore patterns that are no longer serving you. Wherever you find yourself today, I can guide you along the path of discovering your natural ability to heal, to love and to live a healthy and fulfilling life.
I am an experienced psychotherapist with a specialized practice that combines IFS, CBT, Bibilical counseling, and clinical hypnosis. I offer an integrative form of treatment that focuses on the psychological, social, physical and spiritual aspects of an individual's experience. I use a variety of therapeutic approaches to tailor treatment to the specific needs of my clients. Areas of clinical specialty include depression, anxiety, trauma recovery, posttraumatic stress, relationship issues, family issues, anger management, grief, spiritual conflict, physical and sexual abuse.
I am an experienced psychotherapist with a specialized practice that combines IFS, CBT, Bibilical counseling, and clinical hypnosis. I offer an integrative form of treatment that focuses on the psychological, social, physical and spiritual aspects of an individual's experience. I use a variety of therapeutic approaches to tailor treatment to the specific needs of my clients. Areas of clinical specialty include depression, anxiety, trauma recovery, posttraumatic stress, relationship issues, family issues, anger management, grief, spiritual conflict, physical and sexual abuse.
Juliet Schmitt, LMFT, Inc.
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Carlsbad, CA 92008
Waitlist for new clients
We are all searching for something and we are all on a journey. Some of us are trying to make our way toward a more complete and genuine sense of self and identity. Many of us struggle to utilize positive coping to deal with previous challenges and future obstacles. Others of us are young, experiencing intense emotions, and do not know how to handle them. Some of us are parents who genuinely want to be more calm and peaceful around our kids. And there are also many of us who are facing big life changes, feeling unprepared for what we will find on the road ahead. All of us need an experienced and supportive guide along the way.
We are all searching for something and we are all on a journey. Some of us are trying to make our way toward a more complete and genuine sense of self and identity. Many of us struggle to utilize positive coping to deal with previous challenges and future obstacles. Others of us are young, experiencing intense emotions, and do not know how to handle them. Some of us are parents who genuinely want to be more calm and peaceful around our kids. And there are also many of us who are facing big life changes, feeling unprepared for what we will find on the road ahead. All of us need an experienced and supportive guide along the way.
Online Therapy With Deborah Redmond
Marriage & Family Therapist, MA, LMFT
Verified Verified
Carlsbad, CA 92008 (Online Only)
Telehealth in California, Florida, Ohio, Pennsylvania, South Carolina, Texas, Washington, and Canada. You are warmly invited you to share in the amazing possibilities of psychotherapy. Psychotherapy can be instrumental in recovery from challenges of mind and heart including: depression, anxiety, trauma, finding purpose, life transitions, and many more. It can make heartbreak understandable, tolerable, and even growth-producing. It can provide the foundation for creating new healthier relationships based on respect, trust, compromise, and compassion. It can take an ordinary life and make it extraordinarily rich and purposeful.
Telehealth in California, Florida, Ohio, Pennsylvania, South Carolina, Texas, Washington, and Canada. You are warmly invited you to share in the amazing possibilities of psychotherapy. Psychotherapy can be instrumental in recovery from challenges of mind and heart including: depression, anxiety, trauma, finding purpose, life transitions, and many more. It can make heartbreak understandable, tolerable, and even growth-producing. It can provide the foundation for creating new healthier relationships based on respect, trust, compromise, and compassion. It can take an ordinary life and make it extraordinarily rich and purposeful.
Judy Stanigar
Clinical Social Work/Therapist, LCSW
Verified Verified
Carlsbad, CA 92009 (Online Only)
Hi and welcome! I am a Licensed Clinical Social Worker who practices in California. I bring over 30 years of experience, empathy and compassion to my practice. My aim is to help you achieve your goals and I believe in meeting the client where he/she is. I am passionate about what I do and I honor the courage it takes to seek therapy. I look forward to working with you.
Hi and welcome! I am a Licensed Clinical Social Worker who practices in California. I bring over 30 years of experience, empathy and compassion to my practice. My aim is to help you achieve your goals and I believe in meeting the client where he/she is. I am passionate about what I do and I honor the courage it takes to seek therapy. I look forward to working with you.
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Robert Irwin, Ph.D., Clinical and Professional Psychologist and the founder and CEO of the Sport of Mind Inc,. Specializes as a clinical psychologist with a cutting edge mindset from neuroscience. He realizes that life is about how our perceptions have created current predominant beliefs. From this premise, he created the "Belief Matrix" and the "IDEAL Plan". Over 5000 clients have utilized this clinically proven and scientific approach to overcoming life's obstacles. He utilizes the recent neuroscience discoveries (including NeuroFeedback) in fitness and health using the conscious brain to re-program the all powerful subconscious beliefs.
Robert Irwin, Ph.D., Clinical and Professional Psychologist and the founder and CEO of the Sport of Mind Inc,. Specializes as a clinical psychologist with a cutting edge mindset from neuroscience. He realizes that life is about how our perceptions have created current predominant beliefs. From this premise, he created the "Belief Matrix" and the "IDEAL Plan". Over 5000 clients have utilized this clinically proven and scientific approach to overcoming life's obstacles. He utilizes the recent neuroscience discoveries (including NeuroFeedback) in fitness and health using the conscious brain to re-program the all powerful subconscious beliefs.
Challenges and obstacles are a natural part of life. I believe, clients can draw from their strengths in combination with self awareness, stress management and therapeutic tools, to overcome most hurdles in their lives. My therapeutic approach depends on the individual or the couples needs. After a thorough assessment, I will then establish a treatment plan designed to meet my clients needs. My individualized treatment plans are based on 20 years of experience and constructed with input from my client. We will work together to identify; understand and resolve difficulties which undermine daily functioning and well being.
Challenges and obstacles are a natural part of life. I believe, clients can draw from their strengths in combination with self awareness, stress management and therapeutic tools, to overcome most hurdles in their lives. My therapeutic approach depends on the individual or the couples needs. After a thorough assessment, I will then establish a treatment plan designed to meet my clients needs. My individualized treatment plans are based on 20 years of experience and constructed with input from my client. We will work together to identify; understand and resolve difficulties which undermine daily functioning and well being.
Soudabeh Rahmankhah
Marriage & Family Therapist, LMFT, M-RAS
Verified Verified
1 Endorsed
Carlsbad, CA 92008
There is an undeniable urge toward growth, wholeness and healing within each individual. The journey of healing and growth is unique process for every individual. My approach to psychotherapy is holistic, creative, and embodied within a framework of Jungian psychology. It is tailored to meet the unique needs of individual and build on existing strengths. I implement evidence based treatment modalities such as CBT, DBT, and ACT as well as creative approach. I tailor my approach for each client using a variety of tools including play therapy, sand tray, expressive art, active imagination and dream work.
There is an undeniable urge toward growth, wholeness and healing within each individual. The journey of healing and growth is unique process for every individual. My approach to psychotherapy is holistic, creative, and embodied within a framework of Jungian psychology. It is tailored to meet the unique needs of individual and build on existing strengths. I implement evidence based treatment modalities such as CBT, DBT, and ACT as well as creative approach. I tailor my approach for each client using a variety of tools including play therapy, sand tray, expressive art, active imagination and dream work.
California Psychology, Couple and Sex Therapy
Psychologist, PsyD, CST
Verified Verified
7 Endorsed
Carlsbad, CA 92011 (Online Only)
I'm an experienced Psychologist in private practice since 2002. I love working with couples, adults, teens and families. I believe it takes strength and courage to seek therapy and I work hard to help my clients reach their goals. I highly respect my clients' willingness to share their lives with me and I think of it as a privilege to work with them. I want to connect with my clients and I strive to help them create lasting change in their lives. I also believe therapy can be short term and still be very effective. I believe therapy should be affordable for EVERYONE and will work with clients to find a fee that is comfortable.
I'm an experienced Psychologist in private practice since 2002. I love working with couples, adults, teens and families. I believe it takes strength and courage to seek therapy and I work hard to help my clients reach their goals. I highly respect my clients' willingness to share their lives with me and I think of it as a privilege to work with them. I want to connect with my clients and I strive to help them create lasting change in their lives. I also believe therapy can be short term and still be very effective. I believe therapy should be affordable for EVERYONE and will work with clients to find a fee that is comfortable.
Alana C Smith
Clinical Social Work/Therapist, LCSW , LCDC
Verified Verified
Carlsbad, CA 92008 (Online Only)
Learn to access your innate ability to transform and heal. In my therapeutic work I am committed to supporting you to make lasting, transformational changes in your life. I have extensive experience (residential and outpatient treatment centers) working with addictions, both early recovery and issues in long-term recovery. My expertise is in working with families impacted by addiction, addressing the specific trauma responses (family of origin work and inter-generational trauma). My work with clients goes beyond typical 'Co-Dependency' issues, to address the mental and emotional aspects of healing and lasting change.
Learn to access your innate ability to transform and heal. In my therapeutic work I am committed to supporting you to make lasting, transformational changes in your life. I have extensive experience (residential and outpatient treatment centers) working with addictions, both early recovery and issues in long-term recovery. My expertise is in working with families impacted by addiction, addressing the specific trauma responses (family of origin work and inter-generational trauma). My work with clients goes beyond typical 'Co-Dependency' issues, to address the mental and emotional aspects of healing and lasting change.
Rebecca Westfall
Licensed Professional Counselor, MA, LPCC, NCC, CCATP, C-DBT
Verified Verified
1 Endorsed
Carlsbad, CA 92008 (Online Only)
I help people improve their lives. I am passionate about helping others feel more empowered and confident. Through guided self-exploration, you can overcome life's most difficult challenges and build a better you. I provide safe and collaborative experiences for my clients by combining empathy with professional excellence to guide the therapeutic process. Whether you need support navigating through a difficult time, or have a specific issue holding you back, therapy can help.
I help people improve their lives. I am passionate about helping others feel more empowered and confident. Through guided self-exploration, you can overcome life's most difficult challenges and build a better you. I provide safe and collaborative experiences for my clients by combining empathy with professional excellence to guide the therapeutic process. Whether you need support navigating through a difficult time, or have a specific issue holding you back, therapy can help.
Erin Kennedy
Licensed Professional Clinical Counselor, MA, MEd, APCC
Verified Verified
4 Endorsed
Carlsbad, CA 92009
Does it look like you have it all together on the outside, but deep down you feel anxious, exhausted, or empty? It seems like happiness is something "out there" or baked into your next achievement, but when you actually get what you're striving for, the emptiness quickly returns? Or maybe you feel like something is "off" in your life, but you can't pinpoint exactly what it is? As a (recovering) perfectionist myself, I've been there & I get it. I have a passion for helping adults and adolescents deepen their connection to themselves to get to the root of symptoms such as chronic anxiety, perfectionism, & relational instability.
Does it look like you have it all together on the outside, but deep down you feel anxious, exhausted, or empty? It seems like happiness is something "out there" or baked into your next achievement, but when you actually get what you're striving for, the emptiness quickly returns? Or maybe you feel like something is "off" in your life, but you can't pinpoint exactly what it is? As a (recovering) perfectionist myself, I've been there & I get it. I have a passion for helping adults and adolescents deepen their connection to themselves to get to the root of symptoms such as chronic anxiety, perfectionism, & relational instability.
Jason Richardson
Psychologist, MBA, PsyD
Verified Verified
2 Endorsed
Carlsbad, CA 92009 (Online Only)
I work with clients who value making an investment in themselves and their personal/professional development. If you're an entrepreneur, executive, manager, athlete, or past athlete--maybe a combination of two or three!--there is a lot I can show you! Better concentration, greater confidence, ability to focus on the task, stress/anxiety/attentional control strategies, more positive thoughts and imagery, more determination. We will also work on effective goal-setting strategies (beyond SMART goals), managing distractions, managing triggers, and true leadership development. There isn't enough room to type all of the work we can do!
I work with clients who value making an investment in themselves and their personal/professional development. If you're an entrepreneur, executive, manager, athlete, or past athlete--maybe a combination of two or three!--there is a lot I can show you! Better concentration, greater confidence, ability to focus on the task, stress/anxiety/attentional control strategies, more positive thoughts and imagery, more determination. We will also work on effective goal-setting strategies (beyond SMART goals), managing distractions, managing triggers, and true leadership development. There isn't enough room to type all of the work we can do!
Janet K Bastien
Marriage & Family Therapist, MA, LMFT
Verified Verified
Carlsbad, CA 92008 (Online Only)
My passion as a therapist is to help individuals, parents, and children explore their challenges, from either the present or past. When clients are self-motivated to apply methods and skills whether for themselves or their family, positive transformation will happen! If you want to learn positive parenting skills, teach children the value of self-esteem, or identify behaviors and maladapted attachments, all of this is talk-able and worthy of investing your time and energy. I am here to listen and help dissolve trauma from childhood or social-emotional experiences in order to regain a healthy and happy life!
My passion as a therapist is to help individuals, parents, and children explore their challenges, from either the present or past. When clients are self-motivated to apply methods and skills whether for themselves or their family, positive transformation will happen! If you want to learn positive parenting skills, teach children the value of self-esteem, or identify behaviors and maladapted attachments, all of this is talk-able and worthy of investing your time and energy. I am here to listen and help dissolve trauma from childhood or social-emotional experiences in order to regain a healthy and happy life!
See more therapy options for Carlsbad
How does your Therapist compare?
Number of Therapists in Carlsbad, CA
600+
Average cost per session
$175
Therapists in Carlsbad, CA who prioritize treating:
93% | Anxiety |
88% | Depression |
78% | Relationship Issues |
73% | Self Esteem |
70% | Trauma and PTSD |
66% | Stress |
63% | Grief |
Average years in practice
13 Years
Top 3 insurances accepted
71% | Aetna |
59% | Cigna and Evernorth |
49% | UnitedHealthcare UHC | UBH |
How Therapists in Carlsbad, CA see their clients
71% | In Person and Online | |
29% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Carlsbad?
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.