Therapists in Citrus Heights, CA

Photo of Janene Kingsley, Marriage & Family Therapist, MA, APCC, LMFT
Janene Kingsley
Marriage & Family Therapist, MA, APCC, LMFT
6 Endorsed
Citrus Heights, CA 95610
Waitlist for new clients
I help individuals and couples with relationship issues, intimacy, sex/porn addiction, emotional regulation, trauma, and anxiety. Treatment is tailored to your needs using approaches like CBT, DBT, EMDR, and Relational Life Therapy. We'll identify patterns, build awareness, and develop healthier coping and communication skills. Clients often feel more grounded, connected, and empowered to create meaningful change in their lives and relationships.
I help individuals and couples with relationship issues, intimacy, sex/porn addiction, emotional regulation, trauma, and anxiety. Treatment is tailored to your needs using approaches like CBT, DBT, EMDR, and Relational Life Therapy. We'll identify patterns, build awareness, and develop healthier coping and communication skills. Clients often feel more grounded, connected, and empowered to create meaningful change in their lives and relationships.
(916) 884-2802 View (916) 884-2802
Photo of Tani Graham Shaffer, Psychologist, PhD
Tani Graham Shaffer
Psychologist, PhD
Online Only
Not accepting new clients
I am a licensed clinical psychologist in California with decades of experience in providing psychotherapy to culturally diverse clients, working in a variety of settings with ages ranging from 13-90. I excel at helping clients build a sense of resiliency & self-efficacy using EMDR, Internal Family Systems (IFS level 2 certified) & biofeedback/somatic interventions. I strive to create a calm healing space for you to mindfully reflect on our emotional, physical & cognitive responses to stressful life events. As a partner in your healing journey, I will always strive to ensure that our therapeutic work together is a safe place for you.
I am a licensed clinical psychologist in California with decades of experience in providing psychotherapy to culturally diverse clients, working in a variety of settings with ages ranging from 13-90. I excel at helping clients build a sense of resiliency & self-efficacy using EMDR, Internal Family Systems (IFS level 2 certified) & biofeedback/somatic interventions. I strive to create a calm healing space for you to mindfully reflect on our emotional, physical & cognitive responses to stressful life events. As a partner in your healing journey, I will always strive to ensure that our therapeutic work together is a safe place for you.
(916) 545-6589 View (916) 545-6589
Photo of Jaimee Boman, Marriage & Family Therapist, LMFT
Jaimee Boman
Marriage & Family Therapist, LMFT
Online Only
My name is Jaimee Boman, and I am a Licensed Marriage and Family Therapist (LMFT) and Licensed Professional Clinical Counselor (LPCC) based in Sacramento, CA, and working with clients throughout California via telehealth. I work primarily with adolescents and young adults, and specialize in anxiety, trauma, depression, and family conflict. Honesty is my number one value, both in and out of therapy- I will always strive to be honest with you and support you in starting to feel better and achieve your goals.
My name is Jaimee Boman, and I am a Licensed Marriage and Family Therapist (LMFT) and Licensed Professional Clinical Counselor (LPCC) based in Sacramento, CA, and working with clients throughout California via telehealth. I work primarily with adolescents and young adults, and specialize in anxiety, trauma, depression, and family conflict. Honesty is my number one value, both in and out of therapy- I will always strive to be honest with you and support you in starting to feel better and achieve your goals.
(661) 486-5027 View (661) 486-5027
Photo of Steve Yahn, Marriage & Family Therapist Associate, AMFT, APCC
Steve Yahn
Marriage & Family Therapist Associate, AMFT, APCC
1 Endorsed
Online Only
I am dedicated toward fostering a safe and nonjudgmental therapeutic environment, where I will work with you to develop a customized treatment plan that supports living a life congruent with your values, and what you find meaningful. Sessions are focused around helping you become more in tune with your present self, identifying behavioral and thought patterns which are working against how you ideally want to live and be in the world.
I am dedicated toward fostering a safe and nonjudgmental therapeutic environment, where I will work with you to develop a customized treatment plan that supports living a life congruent with your values, and what you find meaningful. Sessions are focused around helping you become more in tune with your present self, identifying behavioral and thought patterns which are working against how you ideally want to live and be in the world.
(916) 884-2959 View (916) 884-2959
Photo of Karelin Wadkins, Marriage & Family Therapist, LMFT
Karelin Wadkins
Marriage & Family Therapist, LMFT
Citrus Heights, CA 95610
I work with college students, women navigating menopause, and individuals addressing codependency, trauma, or substance use. My approach is mindful, direct, warm, and often infused with humor. I believe therapy should feel like a comfortable, collaborative conversation—one where you feel respected, supported, and safe to be fully yourself. My goal is to create a space where you can be honest about what’s really going on and feel truly heard as we work together toward meaningful change.
I work with college students, women navigating menopause, and individuals addressing codependency, trauma, or substance use. My approach is mindful, direct, warm, and often infused with humor. I believe therapy should feel like a comfortable, collaborative conversation—one where you feel respected, supported, and safe to be fully yourself. My goal is to create a space where you can be honest about what’s really going on and feel truly heard as we work together toward meaningful change.
(916) 409-7543 View (916) 409-7543
Photo of Jessica Churchill, Clinical Social Work/Therapist, LCSW
Jessica Churchill
Clinical Social Work/Therapist, LCSW
Online Only
My name is Jessica Churchill. I am a Licensed Clinical Social Worker (LCSW) providing telehealth therapy services for adult individuals. I also currently work as an Emergency Department Social Worker. My prior experience working in outpatient, residential, and in-home mental health services has fueled my passion for assisting individuals in navigating crises, setting healthy boundaries, and practicing effective coping skills in their day-to-day lives.
My name is Jessica Churchill. I am a Licensed Clinical Social Worker (LCSW) providing telehealth therapy services for adult individuals. I also currently work as an Emergency Department Social Worker. My prior experience working in outpatient, residential, and in-home mental health services has fueled my passion for assisting individuals in navigating crises, setting healthy boundaries, and practicing effective coping skills in their day-to-day lives.
(916) 848-7026 View (916) 848-7026
Photo of Charlie Ruff, Marriage & Family Therapist, LMFT
Charlie Ruff
Marriage & Family Therapist, LMFT
Online Only
My name is Charlie Ruff (She, her). I am a Licensed Marriage and Family Therapist (38646) who sees individuals and couples via Telehealth. People often experience anxiety and depression regarding their relationships. I particularly enjoy helping my clients talk to themselves and their partners about their concerns in ways that help them de-escalate and create a secure bond. My approach with both individuals and couples is Emotionally Focused Therapy, an evidenced-based therapy for couples as evaluated by Division 12 of the American Psychological Association according to 1998 guidelines.
My name is Charlie Ruff (She, her). I am a Licensed Marriage and Family Therapist (38646) who sees individuals and couples via Telehealth. People often experience anxiety and depression regarding their relationships. I particularly enjoy helping my clients talk to themselves and their partners about their concerns in ways that help them de-escalate and create a secure bond. My approach with both individuals and couples is Emotionally Focused Therapy, an evidenced-based therapy for couples as evaluated by Division 12 of the American Psychological Association according to 1998 guidelines.
(707) 394-0220 View (707) 394-0220
Photo of Mary Catherine Williams, Marriage & Family Therapist, MA, LMFT
Mary Catherine Williams
Marriage & Family Therapist, MA, LMFT
Citrus Heights, CA 95610
Not accepting new clients
My ideal clients want to realize the ways that anxiety, depression and unprocessed traumas are negatively affecting their lives and relationships. Clients of all areas of functioning are welcome; the desire to do the work to affect positive change is one of the most important factors in client progress. Goals are to work collaboratively to define success on the client's terms, regardless of whether they are what society might dictate. Clients want greater mental health, wellbeing, connection, healing from trauma, and insight into themselves, their motivations, wants, needs, values, and truths.
My ideal clients want to realize the ways that anxiety, depression and unprocessed traumas are negatively affecting their lives and relationships. Clients of all areas of functioning are welcome; the desire to do the work to affect positive change is one of the most important factors in client progress. Goals are to work collaboratively to define success on the client's terms, regardless of whether they are what society might dictate. Clients want greater mental health, wellbeing, connection, healing from trauma, and insight into themselves, their motivations, wants, needs, values, and truths.
(530) 236-6481 View (530) 236-6481
Photo of Katelyn Shields, Marriage & Family Therapist, LMFT
Katelyn Shields
Marriage & Family Therapist, LMFT
2 Endorsed
Citrus Heights, CA 95610
Finding a therapist who you feel comfortable with and who fits your needs can be a challenging task. I specialize in working with LGBQAIP, Trans, GNC, Non-binary, and 2-spirit communities, and I’m currently pursuing a certification in Sex Therapy. My hope is that the information provided here will help you move closer to finding the therapist that is right for you or continuing your search elsewhere. Therapy can be scary, vulnerable, difficult, exciting, unexpected, rewarding, and completely life-changing. I’m here for all of that and whatever else our work brings us.
Finding a therapist who you feel comfortable with and who fits your needs can be a challenging task. I specialize in working with LGBQAIP, Trans, GNC, Non-binary, and 2-spirit communities, and I’m currently pursuing a certification in Sex Therapy. My hope is that the information provided here will help you move closer to finding the therapist that is right for you or continuing your search elsewhere. Therapy can be scary, vulnerable, difficult, exciting, unexpected, rewarding, and completely life-changing. I’m here for all of that and whatever else our work brings us.
(510) 858-2373 View (510) 858-2373
Photo of Katelyn Shields, Marriage & Family Therapist, LMFT
Katelyn Shields
Marriage & Family Therapist, LMFT
Online Only
I love being a therapist. While I can serve and help many people with a variety of life’s challenges. I am currently working towards a certification in Sex Therapy. I want to specialize my training to work with LGBQAIP, Trans/GNC/Non-binary/2 spirit communities. I work with individuals. I am Kinky/BDSM/poly friendly. As I personally identify with many of the above-mentioned identities, I can provide therapy and expertise from a lived experience.
I love being a therapist. While I can serve and help many people with a variety of life’s challenges. I am currently working towards a certification in Sex Therapy. I want to specialize my training to work with LGBQAIP, Trans/GNC/Non-binary/2 spirit communities. I work with individuals. I am Kinky/BDSM/poly friendly. As I personally identify with many of the above-mentioned identities, I can provide therapy and expertise from a lived experience.
(916) 932-2114 View (916) 932-2114
Photo of Adam Andreadakis, Marriage & Family Therapist, MA, MFT
Adam Andreadakis
Marriage & Family Therapist, MA, MFT
Online Only
As an experienced therapist, a clinical supervisor, and a Certified Anxiety Treatment Professional. I am passionate about helping adults and teenagers struggling with anxiety, depression, anger, and unwanted compulsive behaviors reclaim lives. I also help blind and low vision individuals dealing with significant life changes cope, heal, and build hope.
As an experienced therapist, a clinical supervisor, and a Certified Anxiety Treatment Professional. I am passionate about helping adults and teenagers struggling with anxiety, depression, anger, and unwanted compulsive behaviors reclaim lives. I also help blind and low vision individuals dealing with significant life changes cope, heal, and build hope.
(916) 721-2793 View (916) 721-2793
Photo of Curtis Buzanski - Resolve Therapeutic Services, Marriage & Family Therapist, LMFT, CCDS
Resolve Therapeutic Services
Marriage & Family Therapist, LMFT, CCDS
1 Endorsed
Citrus Heights, CA 95610
Mental health, trauma, and substance abuse struggles are often complex and multi-layered, treatment should reflect this. Resolve is a specialized therapy group whose focus is to provide comprehensive and individualized therapy for co-occurring or "dual diagnosis" issues such as mental health, trauma, and/or substance abuse. We pride ourselves in focusing on more than simply stabilizing symptoms but addressing the root causes. Whether you are struggling with stuck negative beliefs, depression, anxiety, trauma, or any sort of addictive patterns, we are able to help. Often these issues overlap, and that is where we excel.
Mental health, trauma, and substance abuse struggles are often complex and multi-layered, treatment should reflect this. Resolve is a specialized therapy group whose focus is to provide comprehensive and individualized therapy for co-occurring or "dual diagnosis" issues such as mental health, trauma, and/or substance abuse. We pride ourselves in focusing on more than simply stabilizing symptoms but addressing the root causes. Whether you are struggling with stuck negative beliefs, depression, anxiety, trauma, or any sort of addictive patterns, we are able to help. Often these issues overlap, and that is where we excel.
(916) 970-3487 View (916) 970-3487
Photo of Dena Webster, Clinical Social Work/Therapist, LCSW
Dena Webster
Clinical Social Work/Therapist, LCSW
Online Only
My name is Dena Webster; I am a licensed clinical social worker. My goal in providing therapy is to make a difference for everyone one day at a time. I meet my clients where they are and consider their whole environment when identifying issues and resolving them. My approach to therapy is eclectic; I incorporate cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, and coping skills. I realized that having someone to talk to and a safe place to say the hard things was helpful. I also noticed I have always been that friend everyone talks to process their problems.
My name is Dena Webster; I am a licensed clinical social worker. My goal in providing therapy is to make a difference for everyone one day at a time. I meet my clients where they are and consider their whole environment when identifying issues and resolving them. My approach to therapy is eclectic; I incorporate cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, and coping skills. I realized that having someone to talk to and a safe place to say the hard things was helpful. I also noticed I have always been that friend everyone talks to process their problems.
(707) 520-8606 View (707) 520-8606
Photo of Christy Brown, Clinical Social Work/Therapist, LCSW
Christy Brown
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Waitlist for new clients
I have a passion for helping individuals find inner balance and emotional well-being through Dialectical Behavior Therapy (DBT). If you find yourself struggling with impulsiveness, intense and unmanageable emotions, unstable relationships, or low self-confidence, you've come to the right place. In our warm and inviting sessions, I provide a nonjudgmental space where you can explore the challenges that are affecting your life.
I have a passion for helping individuals find inner balance and emotional well-being through Dialectical Behavior Therapy (DBT). If you find yourself struggling with impulsiveness, intense and unmanageable emotions, unstable relationships, or low self-confidence, you've come to the right place. In our warm and inviting sessions, I provide a nonjudgmental space where you can explore the challenges that are affecting your life.
(916) 527-9267 View (916) 527-9267
Photo of R. Ryan Gunton, Psychologist, PhD
R. Ryan Gunton
Psychologist, PhD
1 Endorsed
Citrus Heights, CA 95610
Life can change in an instant. What was once predictable, safe, and familiar is gone and we are left with the unknown. Life transitions, both big and small, require support. Some are easily manageable while others cause us to forget who we once were. In my practice I focus on working together to again find equilibrium. Sometimes we can't be who we once were but it absolutely does not mean we cannot discover who we are now or who we want to be in the future.
Life can change in an instant. What was once predictable, safe, and familiar is gone and we are left with the unknown. Life transitions, both big and small, require support. Some are easily manageable while others cause us to forget who we once were. In my practice I focus on working together to again find equilibrium. Sometimes we can't be who we once were but it absolutely does not mean we cannot discover who we are now or who we want to be in the future.
(279) 400-1251 View (279) 400-1251
Photo of Melody Chu, Clinical Social Work/Therapist, LCSW
Melody Chu
Clinical Social Work/Therapist, LCSW
Online Only
Starting therapy is a big step. I hope I can be a part of your journey in improving your wellness and reaching your goals. I specialize in working with individuals navigating through the transitions of life, including grief and loss, managing anxiety, and depression. I am honored to walk alongside you, and together we will create a space that feels safe, meaningful, and uniquely yours. Therapy is not one-size-fits-all, and neither is my approach. Together, we will create a space that reflects your goals and values. In our work together, I take a client-centered approach and tailor to what feels most helpful for you.
Starting therapy is a big step. I hope I can be a part of your journey in improving your wellness and reaching your goals. I specialize in working with individuals navigating through the transitions of life, including grief and loss, managing anxiety, and depression. I am honored to walk alongside you, and together we will create a space that feels safe, meaningful, and uniquely yours. Therapy is not one-size-fits-all, and neither is my approach. Together, we will create a space that reflects your goals and values. In our work together, I take a client-centered approach and tailor to what feels most helpful for you.
(310) 878-0949 View (310) 878-0949
Photo of Janene Moore, Marriage & Family Therapist, LMFT
Janene Moore
Marriage & Family Therapist, LMFT
Citrus Heights, CA 95610
I offer a variety of therapeutic approaches, including CBT, DBT, EMDR, Psychodynamic, Cognitive Restructuring, and Exposure Therapy. My focus is on individuals and couples, addressing Personality Disorders, Addiction, Relationship struggles, Stress & Anxiety, and ADHD. LMFT, APCC. I have a very Gestalt approach to therapy allowing the client to be in control of their treatment and focus. The first session will focus on my understanding of the individual, their needs, and their goals for treatment. I often challenge clients to do homework assignments to create progress and focus.
I offer a variety of therapeutic approaches, including CBT, DBT, EMDR, Psychodynamic, Cognitive Restructuring, and Exposure Therapy. My focus is on individuals and couples, addressing Personality Disorders, Addiction, Relationship struggles, Stress & Anxiety, and ADHD. LMFT, APCC. I have a very Gestalt approach to therapy allowing the client to be in control of their treatment and focus. The first session will focus on my understanding of the individual, their needs, and their goals for treatment. I often challenge clients to do homework assignments to create progress and focus.
(510) 443-6990 View (510) 443-6990
Photo of Bill Burg, Marriage & Family Therapist, MC, LMFT
Bill Burg
Marriage & Family Therapist, MC, LMFT
Citrus Heights, CA 95610
Have you ever stayed awake wondering if your problems will ever end? If he or she will ever stop making demands on you? If your kids, or whoever, will ever respect you? If the world will ever get off your back? If anyone will ever hear your side? If anyone will ever care? I teach people to create and maintain healthy loving relationships with their children, with each other, and with themselves. To know more about my services, please check out my website at www.healthychoicescounseling.com.
Have you ever stayed awake wondering if your problems will ever end? If he or she will ever stop making demands on you? If your kids, or whoever, will ever respect you? If the world will ever get off your back? If anyone will ever hear your side? If anyone will ever care? I teach people to create and maintain healthy loving relationships with their children, with each other, and with themselves. To know more about my services, please check out my website at www.healthychoicescounseling.com.
(916) 382-7593 View (916) 382-7593
Photo of Craig A. Brewick, Pastoral Counselor, PhD, MA
Craig A. Brewick
Pastoral Counselor, PhD, MA
Citrus Heights, CA 95621
“The time is now. The time is now.” This short but dominating sentence is now going on in your mind. “Corey hasn’t been close for a long time. I remember when he was always interested in me, wanting to know about me, my thoughts and dreams. He would often approach me for sex and it was like we were just one person.” Heather has been thinking about how things have changed over the last year. She tells me in her initial phone call that he has been secretive and his mind has been occupied. Heather says they need help NOW to communicate in better ways.
“The time is now. The time is now.” This short but dominating sentence is now going on in your mind. “Corey hasn’t been close for a long time. I remember when he was always interested in me, wanting to know about me, my thoughts and dreams. He would often approach me for sex and it was like we were just one person.” Heather has been thinking about how things have changed over the last year. She tells me in her initial phone call that he has been secretive and his mind has been occupied. Heather says they need help NOW to communicate in better ways.
(916) 619-3746 View (916) 619-3746
Photo of Jennifer Ferguson, Licensed Professional Counselor, MS, LPC, LPCC, CPC
Jennifer Ferguson
Licensed Professional Counselor, MS, LPC, LPCC, CPC
Online Only
Taking the first step toward mental health support can feel daunting, but you don’t have to go it alone. Reaching out for help is a true act of courage, and I’m here to make sure you feel heard, understood, and supported. With me, you’ll have someone who listens without judgment, offers guidance when needed, and isn’t afraid to gently challenge you to grow. My goal is to help you build the skills to face life’s challenges confidently and, when you’re ready, move forward on your own—knowing I’m here as a safety net if needed.
Taking the first step toward mental health support can feel daunting, but you don’t have to go it alone. Reaching out for help is a true act of courage, and I’m here to make sure you feel heard, understood, and supported. With me, you’ll have someone who listens without judgment, offers guidance when needed, and isn’t afraid to gently challenge you to grow. My goal is to help you build the skills to face life’s challenges confidently and, when you’re ready, move forward on your own—knowing I’m here as a safety net if needed.
(855) 464-4709 View (855) 464-4709

See more therapy options for Citrus Heights

How does your Therapist compare?

Number of Therapists in Citrus Heights, CA

100+

Average cost per session

$150

Therapists in Citrus Heights, CA who prioritize treating:

90% Anxiety
88% Depression
74% Coping Skills
68% Self Esteem
63% Relationship Issues
61% Grief
59% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

82% Aetna
78% Cigna and Evernorth
67% Optum

How Therapists in Citrus Heights, CA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Citrus Heights?

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.