Therapists in Roseville, CA

Photo of Alyson Sandoval, LMFT, PPS, MS, Marriage & Family Therapist
Alyson Sandoval
Marriage & Family Therapist, LMFT, PPS, MS
Verified Verified
Roseville, CA 95661
As a therapist, I love offering a safe and supportive space to process relationships, anxiety, depression, and other difficulties that can come as you navigate life. My hope is that our sessions feel casual and warm and that you feel met right where you are. My goal is to provide skills and perspective as you work towards your best self.
As a therapist, I love offering a safe and supportive space to process relationships, anxiety, depression, and other difficulties that can come as you navigate life. My hope is that our sessions feel casual and warm and that you feel met right where you are. My goal is to provide skills and perspective as you work towards your best self.
(530) 675-8465 View (530) 675-8465
Photo of Navdeep Bhullar, LCSW, Clinical Social Work/Therapist
Navdeep Bhullar
Clinical Social Work/Therapist, LCSW
Verified Verified
Roseville, CA 95678  (Online Only)
The healing process is an incredible journey, and I believe therapy can result in greater self-awareness by giving clients new skills to thrive and develop a deeper relationship with themselves and the world around them. To me, healing represents a journey in which you are able to explore past and present as well as develop the tools needed to work through life’s obstacles. I use a person centered, strengths-based approach that is collaborative and mindful. I strive to foster a safe space where clients can tell their story, and gain insight, all while providing a safe and secure relationship.
The healing process is an incredible journey, and I believe therapy can result in greater self-awareness by giving clients new skills to thrive and develop a deeper relationship with themselves and the world around them. To me, healing represents a journey in which you are able to explore past and present as well as develop the tools needed to work through life’s obstacles. I use a person centered, strengths-based approach that is collaborative and mindful. I strive to foster a safe space where clients can tell their story, and gain insight, all while providing a safe and secure relationship.
(510) 455-7918 View (510) 455-7918
Photo of Lyl Starr, MA, LMFT, EMDR, Trauma, LGBTQ+, Marriage & Family Therapist
Lyl Starr
Marriage & Family Therapist, MA, LMFT, EMDR, Trauma, LGBTQ+
Verified Verified
6 Endorsed
Roseville, CA 95661
Are you noticing experiences from your past showing up in your life or relationships today? Perhaps you’re realizing that the childhood you thought was “typical” was actually anything but, and you’re seeing the patterns showing up in the partners you choose or your tendency to try and keep everyone happy. Maybe you’re walking a road through parenthood that you never expected to be on: infertility, pregnancy loss, birth trauma, or postpartum anxiety or depression. While you might have pushed it away for a while, you now can’t ignore the impacts of these experiences on your body, your partner, your child, and your mental health.
Are you noticing experiences from your past showing up in your life or relationships today? Perhaps you’re realizing that the childhood you thought was “typical” was actually anything but, and you’re seeing the patterns showing up in the partners you choose or your tendency to try and keep everyone happy. Maybe you’re walking a road through parenthood that you never expected to be on: infertility, pregnancy loss, birth trauma, or postpartum anxiety or depression. While you might have pushed it away for a while, you now can’t ignore the impacts of these experiences on your body, your partner, your child, and your mental health.
(916) 656-0192 View (916) 656-0192
Photo of Ashlee Janzen, MS, LMFT, Marriage & Family Therapist
Ashlee Janzen
Marriage & Family Therapist, MS, LMFT
Verified Verified
Roseville, CA 95678
Relationships with ourselves or others is one of the most profound things we will do in our lives. My practice focus includes Infertility, First-responders and/or their spouses with an emphasis on Marriage & Family dynamics this line of work can bring, and Postpartum preparation & support. In therapy, we travel to the deepest wounds which is often difficult to do alone. It is my goal to give my clients a safe and judgement-free therapeutic environment where they can find freedom, healing, and wholeness.
Relationships with ourselves or others is one of the most profound things we will do in our lives. My practice focus includes Infertility, First-responders and/or their spouses with an emphasis on Marriage & Family dynamics this line of work can bring, and Postpartum preparation & support. In therapy, we travel to the deepest wounds which is often difficult to do alone. It is my goal to give my clients a safe and judgement-free therapeutic environment where they can find freedom, healing, and wholeness.
(916) 252-1417 View (916) 252-1417
Photo of Jessica Churchill, LCSW, Clinical Social Work/Therapist
Jessica Churchill
Clinical Social Work/Therapist, LCSW
Verified Verified
Roseville, CA 95747
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 Lisa A Gulino - Lisa Gulino, LMFT, MA, LMFT, Marriage & Family Therapist
Lisa Gulino, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Roseville, CA 95661
I love helping people work through their traumatic life experiences and helping them understand the effects of those events. If this applies to you or someone you care about, I am here to walk with you as you explore those things that leave you feeling "stuck" and guide you as you move forward into a better space. I work with individuals, children, families, and couples. My training has given me special insight into how trauma is passed down through the generations and the effects those traumas have on your life today. I want to share that insight with you.
I love helping people work through their traumatic life experiences and helping them understand the effects of those events. If this applies to you or someone you care about, I am here to walk with you as you explore those things that leave you feeling "stuck" and guide you as you move forward into a better space. I work with individuals, children, families, and couples. My training has given me special insight into how trauma is passed down through the generations and the effects those traumas have on your life today. I want to share that insight with you.
(916) 367-4874 View (916) 367-4874
Photo of Yevett Ogea, LCSW, Clinical Social Work/Therapist
Yevett Ogea
Clinical Social Work/Therapist, LCSW
Verified Verified
Roseville, CA 95747
My name is Yevett and I'm a Licensed Clinical Social Worker (LCSW) based in California. I work with adults using a variety of therapeutic approaches to address anxiety, depression, stress, trauma, and relationship issues. I use a collaborative and non-judgmental approach to help my clients get the most out of sessions. I primarily specialize in adults struggling with anxiety, depression, stress, and interpersonal relationships. I have also worked with clients who have experienced trauma and abuse.
My name is Yevett and I'm a Licensed Clinical Social Worker (LCSW) based in California. I work with adults using a variety of therapeutic approaches to address anxiety, depression, stress, trauma, and relationship issues. I use a collaborative and non-judgmental approach to help my clients get the most out of sessions. I primarily specialize in adults struggling with anxiety, depression, stress, and interpersonal relationships. I have also worked with clients who have experienced trauma and abuse.
(916) 587-7735 View (916) 587-7735
Photo of Kaellen Grace Lamonte, LCSW, MSW, Clinical Social Work/Therapist
Kaellen Grace Lamonte
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Roseville, CA 95678
I enjoy working with clients impacted by trauma stress depression anxiety and struggling with life's challenges. The therapeutic relationship is the cornerstone of health, wellbeing and success. I use therapeutic modalities of cognitive behavioral therapy, client centered therapy, relationship building practices which include supporting clients' Individual values and cultural experiences. I also am trained in dialectical behavioral therapy and trauma focused therapy. I work with all ages from approximately 8 years old to 100 years old. I am empathic, caring, supportive and resourceful
I enjoy working with clients impacted by trauma stress depression anxiety and struggling with life's challenges. The therapeutic relationship is the cornerstone of health, wellbeing and success. I use therapeutic modalities of cognitive behavioral therapy, client centered therapy, relationship building practices which include supporting clients' Individual values and cultural experiences. I also am trained in dialectical behavioral therapy and trauma focused therapy. I work with all ages from approximately 8 years old to 100 years old. I am empathic, caring, supportive and resourceful
(916) 525-8640 View (916) 525-8640
Photo of Manveer Mann, MA, Marriage & Family Therapist
Manveer Mann
Marriage & Family Therapist, MA
Verified Verified
1 Endorsed
Roseville, CA 95678
Beginning therapy takes courage, and I feel a direct and simplistic approach can help alleviate the struggle brought on by work, relationships, and personal challenges. I work with individuals, couples, and families who are experiencing struggles with life, relationships and/or a variety of mental health disorders. A client's goals can be defined in session and issues may be intertwined when explored in more detail. My style of therapy is adaptable to the need of the client. By working together we can gain a better understanding of your past to create a more optimistic future. I am bilingual Punjabi/English.
Beginning therapy takes courage, and I feel a direct and simplistic approach can help alleviate the struggle brought on by work, relationships, and personal challenges. I work with individuals, couples, and families who are experiencing struggles with life, relationships and/or a variety of mental health disorders. A client's goals can be defined in session and issues may be intertwined when explored in more detail. My style of therapy is adaptable to the need of the client. By working together we can gain a better understanding of your past to create a more optimistic future. I am bilingual Punjabi/English.
(209) 618-2582 View (209) 618-2582
Photo of Eddie Posadas - Benessere Marriage and Family Therapy, Inc, MS, LMFT, Marriage & Family Therapist
Benessere Marriage and Family Therapy, Inc
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Roseville, CA 95661
Waitlist for new clients
I am an Air Force veteran with a passionate in helping others. I was born in the Philippines but raised in Maryland. After graduating from high school, I made the decision to serve in the United States Air Force as an Equal Opportunity Advisor. During my time in the military, I came face-to-face with trauma and learned about the complexity of the human brain. It became evident to me that having a trusted person by your side can alleviate emotional intensity.
I am an Air Force veteran with a passionate in helping others. I was born in the Philippines but raised in Maryland. After graduating from high school, I made the decision to serve in the United States Air Force as an Equal Opportunity Advisor. During my time in the military, I came face-to-face with trauma and learned about the complexity of the human brain. It became evident to me that having a trusted person by your side can alleviate emotional intensity.
(916) 249-1069 View (916) 249-1069
Photo of Jeff Cowan, MA, LMFT, Marriage & Family Therapist
Jeff Cowan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Roseville, CA 95661  (Online Only)
Navigating life's challenges can be overwhelming. Talking with a trained, non-judgmental, and compassionate professional can make such a difference in our lives. I try to create a therapeutic space where clients can feel safe to be their authentic selves and where they feel trust in the therapeutic relationship. I often incorporate a person-centered, mindfulness, and psychodynamic lens in my work to facilitate both inner and outer change. I bring respect and reverence to whatever you are experiencing and work collaboratively with clients to create meaningful and positive change.
Navigating life's challenges can be overwhelming. Talking with a trained, non-judgmental, and compassionate professional can make such a difference in our lives. I try to create a therapeutic space where clients can feel safe to be their authentic selves and where they feel trust in the therapeutic relationship. I often incorporate a person-centered, mindfulness, and psychodynamic lens in my work to facilitate both inner and outer change. I bring respect and reverence to whatever you are experiencing and work collaboratively with clients to create meaningful and positive change.
(530) 240-7915 View (530) 240-7915
Photo of Ciara Wilcox, MA, LMFT, Marriage & Family Therapist
Ciara Wilcox
Marriage & Family Therapist, MA, LMFT
Verified Verified
Roseville, CA 95661
Life can be challenging, and sometimes we can feel inadequate in dealing with life struggles that come our way. Sometimes we feel like we've tried everything, but for some reason we still feel stuck despite our best efforts. Although there are times in our lives when we feel great, there are also times in our lives when we feel hopeless, anxious, depressed, or even lost. Sometimes, we can pinpoint why we feel this way, and other times, these feelings seem to just come upon us for no apparent reason. Both can make life incredibly difficult.
Life can be challenging, and sometimes we can feel inadequate in dealing with life struggles that come our way. Sometimes we feel like we've tried everything, but for some reason we still feel stuck despite our best efforts. Although there are times in our lives when we feel great, there are also times in our lives when we feel hopeless, anxious, depressed, or even lost. Sometimes, we can pinpoint why we feel this way, and other times, these feelings seem to just come upon us for no apparent reason. Both can make life incredibly difficult.
(916) 507-0281 View (916) 507-0281
Photo of Jessica R. Clark, LMFT, Marriage & Family Therapist
Jessica R. Clark
Marriage & Family Therapist, LMFT
Verified Verified
Roseville, CA 95678  (Online Only)
I am a Licensed Marriage and Family therapist who specializes in substance use and trauma. My goal as a clinician is to create a safe and collaborative space to identify each client’s personal goals for therapy and engage client centered interventions to assist them with achieving their goals. My personal style is to be supportive and non-judgemental in order to allow my clients to be free to experience and express all emotions. I use an eclectic approach to interventions, using skills based in Mindfulness, Motivational Interviewing, CBT and DBT to meet each of my client’s unique needs.
I am a Licensed Marriage and Family therapist who specializes in substance use and trauma. My goal as a clinician is to create a safe and collaborative space to identify each client’s personal goals for therapy and engage client centered interventions to assist them with achieving their goals. My personal style is to be supportive and non-judgemental in order to allow my clients to be free to experience and express all emotions. I use an eclectic approach to interventions, using skills based in Mindfulness, Motivational Interviewing, CBT and DBT to meet each of my client’s unique needs.
(310) 579-6625 View (310) 579-6625
Photo of Laurie Kroger, MA, MA, LMFT, Marriage & Family Therapist
Laurie Kroger
Marriage & Family Therapist, MA, MA, LMFT
Verified Verified
Roseville, CA 95661
Not accepting new clients
Are you ready to make changes in your life, your relationships, your marriage? Let's get started changing patterns of conflict, infidelity, negative emotions, and dysfunctional family patterns. My professional training includes a Master of Arts degree in Counseling Psychology- Marriage and Family Therapy from the University of San Francisco, and a Master of Arts degree in Counselor Education from the University of Wyoming. I have extensive experience working with couples, individuals, single adults, and teens. I have four children and have been married for 30 years.
Are you ready to make changes in your life, your relationships, your marriage? Let's get started changing patterns of conflict, infidelity, negative emotions, and dysfunctional family patterns. My professional training includes a Master of Arts degree in Counseling Psychology- Marriage and Family Therapy from the University of San Francisco, and a Master of Arts degree in Counselor Education from the University of Wyoming. I have extensive experience working with couples, individuals, single adults, and teens. I have four children and have been married for 30 years.
(916) 794-0527 View (916) 794-0527
Photo of Britt Bray, ACSW
Britt Bray
Associate Clinical Social Worker, ACSW
Verified Verified
1 Endorsed
Roseville, CA 95661
Not accepting new clients
I enjoy working with diverse populations and individuals with a variety of challenges, including depression, anxiety, PTSD, grief/loss, and issues related to identity. I specialize in supporting people with complex trauma, particularly individuals affected by sexual trauma and intimate partner violence. I believe in a holistic approach and use various therapeutic interventions customized to each person’s unique needs.
I enjoy working with diverse populations and individuals with a variety of challenges, including depression, anxiety, PTSD, grief/loss, and issues related to identity. I specialize in supporting people with complex trauma, particularly individuals affected by sexual trauma and intimate partner violence. I believe in a holistic approach and use various therapeutic interventions customized to each person’s unique needs.
(916) 623-7604 View (916) 623-7604
Photo of Zachary Ward, PhD, Psychologist
Zachary Ward
Psychologist, PhD
Verified Verified
1 Endorsed
Roseville, CA 95661
For some, therapy is about accumulating tools and strategies for addressing specific life-struggles. For others, therapy is about better understanding oneself: solidifying your understanding of how you arrived at this place in your life and exploring how to find your way to a better, more fulfilling space. I provide individual, couples, family, and group psychotherapy services for adults and adolescents. I have the luxury of saying that I love what I do for a living, and I look forward to working with you in addressing your presenting concerns. Feel welcome to contact me for more information about my practice.
For some, therapy is about accumulating tools and strategies for addressing specific life-struggles. For others, therapy is about better understanding oneself: solidifying your understanding of how you arrived at this place in your life and exploring how to find your way to a better, more fulfilling space. I provide individual, couples, family, and group psychotherapy services for adults and adolescents. I have the luxury of saying that I love what I do for a living, and I look forward to working with you in addressing your presenting concerns. Feel welcome to contact me for more information about my practice.
(530) 418-8457 View (530) 418-8457
Photo of Isaiah j Hulme, MFT, Marriage & Family Therapist
Isaiah j Hulme
Marriage & Family Therapist, MFT
Verified Verified
Roseville, CA 95678
You might be reading this because you or someone else is suffering. Possibly the life you worked for is in jeopardy. Maybe you are missing out by staying on the sidelines. Sometimes no matter how hard you try, you keep finding yourself in the same place again and again…STUCK. You can break the unhealthy patterns. Unfortunately to do so you might have to experience pain and emptiness to take steps to get better. My hope is that you find the support and help you need.
You might be reading this because you or someone else is suffering. Possibly the life you worked for is in jeopardy. Maybe you are missing out by staying on the sidelines. Sometimes no matter how hard you try, you keep finding yourself in the same place again and again…STUCK. You can break the unhealthy patterns. Unfortunately to do so you might have to experience pain and emptiness to take steps to get better. My hope is that you find the support and help you need.
(916) 571-0754 View (916) 571-0754
Photo of Benjamin Hoover, Marriage & Family Therapist
Benjamin Hoover
Marriage & Family Therapist
Verified Verified
7 Endorsed
Roseville, CA 95747
Therapy can be quite expensive, which may be the very thing that holds you back from getting support. Because of this, I want to make therapy affordable, based on your income, so you can have that opportunity for guidance.
Therapy can be quite expensive, which may be the very thing that holds you back from getting support. Because of this, I want to make therapy affordable, based on your income, so you can have that opportunity for guidance.
(916) 299-5868 View (916) 299-5868
Photo of Carmen Barcena Barba, MA, Marriage & Family Therapist Associate
Carmen Barcena Barba
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Roseville, CA 95747  (Online Only)
Each stage of life and facet of your identity presents its own obstacles to navigate. Maybe you’re a young person dealing with pressure from family & trying to define your identity. Or, maybe you’re an older adult who feels disconnected from yourself & like you’ve spent too much time caring for others. You might be an immigrant or first-generation American balancing cultures & trying to make things better for the next generation. In any case, it feels like change happens too fast, & it’s hard to catch your breath. All you want is to feel like yourself & find joy in your life, without feeling guilty for prioritizing your needs.
Each stage of life and facet of your identity presents its own obstacles to navigate. Maybe you’re a young person dealing with pressure from family & trying to define your identity. Or, maybe you’re an older adult who feels disconnected from yourself & like you’ve spent too much time caring for others. You might be an immigrant or first-generation American balancing cultures & trying to make things better for the next generation. In any case, it feels like change happens too fast, & it’s hard to catch your breath. All you want is to feel like yourself & find joy in your life, without feeling guilty for prioritizing your needs.
(916) 827-3106 View (916) 827-3106
Photo of Kristin Jibson, MA, LMFT, Marriage & Family Therapist
Kristin Jibson
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Roseville, CA 95678
Hello! Have you tried walk & talk therapy to tackle the mounting depression, anxiety, and stress you feel? If not, I encourage you to reach out. I have found walking and talking is the best way to get clients moving--both literally and figuratively! Research consistently shows that exercise can significantly impact depression, anxiety, and stress. Walking is good for both physical and mental health! For more information, please visit my website to watch a short, informational video about the benefits of walk and talk therapy.
Hello! Have you tried walk & talk therapy to tackle the mounting depression, anxiety, and stress you feel? If not, I encourage you to reach out. I have found walking and talking is the best way to get clients moving--both literally and figuratively! Research consistently shows that exercise can significantly impact depression, anxiety, and stress. Walking is good for both physical and mental health! For more information, please visit my website to watch a short, informational video about the benefits of walk and talk therapy.
(916) 694-0802 View (916) 694-0802
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How does your Therapist compare?

Number of Therapists in Roseville, CA

700+

Average cost per session

$150

Therapists in Roseville, CA who prioritize treating:

94% Anxiety
90% Depression
77% Relationship Issues
73% Self Esteem
70% Trauma and PTSD
68% Grief
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

67% Aetna
59% Cigna and Evernorth
52% Optum

How Therapists in Roseville, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Roseville?

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.