Therapists in Sorrento Valley, San Diego, CA
Angeline Baucom
Marriage & Family Therapist Associate, MA, AMFT, SUDCC, APCC
Verified Verified
1 Endorsed
Sorrento Valley, San Diego, CA 92121
Clients that have experienced trauma, substance abuse and family issues. Struggling with depression and anxiety.
Clients that have experienced trauma, substance abuse and family issues. Struggling with depression and anxiety.
Jessica Taverniti
Psychologist, PSY, BCBA-D, LBA
Verified Verified
Sorrento Valley, San Diego, CA 92121
Waitlist for new clients
I am a a Licensed Clinical Psychologist, Board Certified Behavior Analyst, and Licensed Behavior Analyst. Clinically, I have been working in the field of Neurodiversity and TAY (Transitional Aged Youth Population), and young adults in a diversity of settings for many years. I am passionate about helping individuals and families work through life’s challenges, transition, and personal growth leading to maximizing potential personally and professionally.
I am a a Licensed Clinical Psychologist, Board Certified Behavior Analyst, and Licensed Behavior Analyst. Clinically, I have been working in the field of Neurodiversity and TAY (Transitional Aged Youth Population), and young adults in a diversity of settings for many years. I am passionate about helping individuals and families work through life’s challenges, transition, and personal growth leading to maximizing potential personally and professionally.
Myles Childs
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
Reaching out for help? In a time of need, it can be overwhelming. I want to commend you for acknowledging that you would like some support. Through individual, couple, family, group, and other relational therapy, I provide emotional and mental support to help my clients gain, regain, and maintain a healthy life. As a therapist of color, I'm intentional about creating a safe space where diversity and cultural differences are respected and valued. I'm passionate about my clients’ wellness and aim to provide clients with space and time to be their most authentic and unapologetic selves without fear of judgment.
Reaching out for help? In a time of need, it can be overwhelming. I want to commend you for acknowledging that you would like some support. Through individual, couple, family, group, and other relational therapy, I provide emotional and mental support to help my clients gain, regain, and maintain a healthy life. As a therapist of color, I'm intentional about creating a safe space where diversity and cultural differences are respected and valued. I'm passionate about my clients’ wellness and aim to provide clients with space and time to be their most authentic and unapologetic selves without fear of judgment.
Soraya Susan Behbehani
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sorrento Valley, San Diego, CA 92121
I am a licensed Marriage and Family Therapist with overyears of experience in indivual, family and couple's counseling. My expertise is in anxiety disorders, stress management and depression. My background is very diverse and multi-cultural and I conduct therapy in Spanish, Farsi and French, aside from English. In therapy I combine Cognitive Therapy with a Spiritual perspective along with Stress Mangement and mindfulness techniques to help individuals grow and attain their full potential. My unique and comprehensive orientation combining Eastern Spiritual Wisdom with Traditional Psychotherapy speeds up the therapeutic process and helps clients to create changes at a much deeper level.
I am a licensed Marriage and Family Therapist with overyears of experience in indivual, family and couple's counseling. My expertise is in anxiety disorders, stress management and depression. My background is very diverse and multi-cultural and I conduct therapy in Spanish, Farsi and French, aside from English. In therapy I combine Cognitive Therapy with a Spiritual perspective along with Stress Mangement and mindfulness techniques to help individuals grow and attain their full potential. My unique and comprehensive orientation combining Eastern Spiritual Wisdom with Traditional Psychotherapy speeds up the therapeutic process and helps clients to create changes at a much deeper level.
Purpose Therapy Group
Marriage & Family Therapist, LMFT, AMFT
Verified Verified
Sorrento Valley, San Diego, CA 92121
PURPOSE THERAPY GROUP is a place you can come to support any counseling need you have – physically, mentally, and emotionally. We at PURPOSE have specific skills that allow you find a practitioner that matches your unique and whole self. Our mission is to support you with finding Purpose where you are currently blocked. Whether it is for your body, heart, mind, or relationship – when you find Purpose, you get CLARITY on your WHY, the blockage clears leading you to trust, grow, and thrive. We consider all aspects: type of therapy, availability, finances, and overall counseling needs, including holistic and alternative approaches.
PURPOSE THERAPY GROUP is a place you can come to support any counseling need you have – physically, mentally, and emotionally. We at PURPOSE have specific skills that allow you find a practitioner that matches your unique and whole self. Our mission is to support you with finding Purpose where you are currently blocked. Whether it is for your body, heart, mind, or relationship – when you find Purpose, you get CLARITY on your WHY, the blockage clears leading you to trust, grow, and thrive. We consider all aspects: type of therapy, availability, finances, and overall counseling needs, including holistic and alternative approaches.
Due to my own personal experience with childhood trauma, I work mostly with clients who have suffered trauma/PTSD. I also have experience working with those who have gone through or are going through a divorce, who are experiencing anxiety, and depression. I have a more collaborative approach. I tend to be more conversational and laid back. I am also very patient and will respect your timeframe. Not everyone wants to address the hard parts right away. I enjoy working with clients who are consistent and put in the work.
Due to my own personal experience with childhood trauma, I work mostly with clients who have suffered trauma/PTSD. I also have experience working with those who have gone through or are going through a divorce, who are experiencing anxiety, and depression. I have a more collaborative approach. I tend to be more conversational and laid back. I am also very patient and will respect your timeframe. Not everyone wants to address the hard parts right away. I enjoy working with clients who are consistent and put in the work.
Georgina Ramirez, MFT (Bilingual)
Marriage & Family Therapist, MA, MFT, English, Spanish
Verified Verified
Sorrento Valley, San Diego, CA 92121
"Feeling tired, confused, stressed out, and don't know why? Are you worried about your relationships and your level of satisfaction in life?" Georgina is a professional, caring, and practical BILINGUAL & BI-CULTURAL (Eng/Spanish) THERAPIST WITH 20+ YEARS OF PROFESSIONAL EXPERIENCE. LICENSED AS A MARRIAGE AND FAMILY THERAPIST AND EFFECTIVELY WORKING WITH INDIVIDUALS, COUPLES AND FAMILIES. CONFIDENTIAL. Georgina specializes in Relationship Issues (premarital, marital problems, affairs, financial stress, divorce); Trauma Recovery (post traumatic stress, victims of crime, grief, death, dying); Teen Issues (op-positional/defiant, peer pressure); Women's Issues (loving too much, dependency, co-dependency); Anxiety or Fears, Career Development, and Depression.
"Feeling tired, confused, stressed out, and don't know why? Are you worried about your relationships and your level of satisfaction in life?" Georgina is a professional, caring, and practical BILINGUAL & BI-CULTURAL (Eng/Spanish) THERAPIST WITH 20+ YEARS OF PROFESSIONAL EXPERIENCE. LICENSED AS A MARRIAGE AND FAMILY THERAPIST AND EFFECTIVELY WORKING WITH INDIVIDUALS, COUPLES AND FAMILIES. CONFIDENTIAL. Georgina specializes in Relationship Issues (premarital, marital problems, affairs, financial stress, divorce); Trauma Recovery (post traumatic stress, victims of crime, grief, death, dying); Teen Issues (op-positional/defiant, peer pressure); Women's Issues (loving too much, dependency, co-dependency); Anxiety or Fears, Career Development, and Depression.
Dr. Joanna Savarese is a Neuropsychologist and Clinical Psychologist and the Founder of San Diego BrainWorks. Dr. Savarese and her team have specific and extensive training in neuropsychological, psychoeducational, and psychological assessment. San Diego BrainWorks specializes in comprehensive evaluations, IEE (Independent Educational Evaluations) and differential diagnosis of specific learning disorders, ADHD, Autism, neurodevelopmental disorders, mental health disorders, and genetic and medical disorders. Dr. Savarese conducts evaluations to aid in diagnostic specificity, treatment recommendations, and academic accommodations.
Dr. Joanna Savarese is a Neuropsychologist and Clinical Psychologist and the Founder of San Diego BrainWorks. Dr. Savarese and her team have specific and extensive training in neuropsychological, psychoeducational, and psychological assessment. San Diego BrainWorks specializes in comprehensive evaluations, IEE (Independent Educational Evaluations) and differential diagnosis of specific learning disorders, ADHD, Autism, neurodevelopmental disorders, mental health disorders, and genetic and medical disorders. Dr. Savarese conducts evaluations to aid in diagnostic specificity, treatment recommendations, and academic accommodations.
Baya L Mebarek
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Sorrento Valley, San Diego, CA 92121
I can help you learn to develop and sustain the relationship you have always wanted, re-discover the love that brought you together, heal the wounds that have severed your bond re-build the trust and intimacy, communicate honestly and respectfully, handle and resolve conflicts in a way that brings you closer to one another, and build shared meaning, and purpose for you and your family. Although challenging at times, making the decision to enter into therapy may help you move beyond your relationship pain and challenges and help you live your life more confidently, more passionately and more fully.
I can help you learn to develop and sustain the relationship you have always wanted, re-discover the love that brought you together, heal the wounds that have severed your bond re-build the trust and intimacy, communicate honestly and respectfully, handle and resolve conflicts in a way that brings you closer to one another, and build shared meaning, and purpose for you and your family. Although challenging at times, making the decision to enter into therapy may help you move beyond your relationship pain and challenges and help you live your life more confidently, more passionately and more fully.
I offer therapy based upon Mindfulness Skills Training. This type of psychotherapy is a gentle, effective method that will help you overcome negative thoughts, feelings, emotions as well as habitual reactive patterns. You will learn to become a neutral observer and manage life's stressful events in a calmer, healthier fashion. You will develop skills that help you improve the qualities in your interpersonal relationships. These skills are based in DBT, the theraputic skill of Focusing along with mind//body awareness techniques and meditation tools. Weekly homework helps you integrate this skills into your daily life.
I offer therapy based upon Mindfulness Skills Training. This type of psychotherapy is a gentle, effective method that will help you overcome negative thoughts, feelings, emotions as well as habitual reactive patterns. You will learn to become a neutral observer and manage life's stressful events in a calmer, healthier fashion. You will develop skills that help you improve the qualities in your interpersonal relationships. These skills are based in DBT, the theraputic skill of Focusing along with mind//body awareness techniques and meditation tools. Weekly homework helps you integrate this skills into your daily life.
EQ Psychological Services focuses on achieving emotional equilibrium through comprehensive testing evaluations and coaching sessions that pinpoint areas for growth and support for you or your child. Assessments include developmental evaluations and general mental health. Emotional intelligence is encouraged by teaching skills to understand and effectively manage emotions. I look forward to working with you in a collaborative format to fully understand your needs and develop obtainable goals.
EQ Psychological Services focuses on achieving emotional equilibrium through comprehensive testing evaluations and coaching sessions that pinpoint areas for growth and support for you or your child. Assessments include developmental evaluations and general mental health. Emotional intelligence is encouraged by teaching skills to understand and effectively manage emotions. I look forward to working with you in a collaborative format to fully understand your needs and develop obtainable goals.
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Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Sorrento Valley, San Diego, CA 92121
As a therapist, I aim to help clients build healthy relationships with themselves and others by promoting authenticity, empathy, self-love, boundaries, and awareness to facilitate positive, lasting change. I focus on establishing a natural and accepting setting where clients can freely express themselves, and work through their challenges, insecurities, and fears while feeling safe and accepted. I use a combination of evidence-based practices, modalities, and interventions customized to each client's specific needs.
As a therapist, I aim to help clients build healthy relationships with themselves and others by promoting authenticity, empathy, self-love, boundaries, and awareness to facilitate positive, lasting change. I focus on establishing a natural and accepting setting where clients can freely express themselves, and work through their challenges, insecurities, and fears while feeling safe and accepted. I use a combination of evidence-based practices, modalities, and interventions customized to each client's specific needs.
Vanessa Norman
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Sorrento Valley, San Diego, CA 92121
Hello, I’m Vanessa Norman, and I am passionate about helping individuals enhance their relationships and create meaningful connections. As someone who genuinely cares about my clients’ well-being, I am deeply invested in supporting them on their journey towards a better future. I work with couples, clients with trauma, grief, depression, anxiety, ADHD, substance abuse, and much more utilizing several modalities. Whether you’re seeking assistance in navigating a specific issue or simply striving to enhance your life overall, I am here to support and empower you every step of the way.
Hello, I’m Vanessa Norman, and I am passionate about helping individuals enhance their relationships and create meaningful connections. As someone who genuinely cares about my clients’ well-being, I am deeply invested in supporting them on their journey towards a better future. I work with couples, clients with trauma, grief, depression, anxiety, ADHD, substance abuse, and much more utilizing several modalities. Whether you’re seeking assistance in navigating a specific issue or simply striving to enhance your life overall, I am here to support and empower you every step of the way.
People often feel vulnerable and overwhelmed when starting therapy. My approach to therapy is that therapy is a partnership between the client and the therapist. I believe it is important that we both are working towards the same goal and that you feel comfortable enough to be honest and open to my help. Creating a partnership will help the two of us make progress together and empower you to be aware of your own potential.
I provide individual, couples, family and group therapies. All therapies focus on developing skills to make lasting change and to improve self esteem.
People often feel vulnerable and overwhelmed when starting therapy. My approach to therapy is that therapy is a partnership between the client and the therapist. I believe it is important that we both are working towards the same goal and that you feel comfortable enough to be honest and open to my help. Creating a partnership will help the two of us make progress together and empower you to be aware of your own potential.
I provide individual, couples, family and group therapies. All therapies focus on developing skills to make lasting change and to improve self esteem.
As a Licensed Clinical Social Worker I provide mental health counseling to individuals in office/ or telehealth options. I am credentialed with Tricare and service military members and their families. I provide low cost and sliding scale psycho-educational assessments to adults. I can address issues such PTSD, postpartum, anxiety and panic disorders, personality disorders and eating disorders. I will protect your confidentiality and will meet all ethical standards associated with the practice of therapy.
As a Licensed Clinical Social Worker I provide mental health counseling to individuals in office/ or telehealth options. I am credentialed with Tricare and service military members and their families. I provide low cost and sliding scale psycho-educational assessments to adults. I can address issues such PTSD, postpartum, anxiety and panic disorders, personality disorders and eating disorders. I will protect your confidentiality and will meet all ethical standards associated with the practice of therapy.
Donica Dohrenwend
Psychologist, PhD
Verified Verified
3 Endorsed
Sorrento Valley, San Diego, CA 92121
Dr. Donica Dohrenwend, PhD and her team at Psychology 360, specialize in assessments and evaluations to help clarify diagnoses and identify the best supports and interventions for children, adolescents, and adults. Evaluations can assist with diagnosing ADHD, Learning Disorders (Dyslexia/Dyscalculia), Autism Spectrum Disorder, Mood Disorders, Anxiety Disorders etc). Psychology 360 also offers brief individual therapy, parent consultation, medication management and brain scans.
Dr. Donica Dohrenwend, PhD and her team at Psychology 360, specialize in assessments and evaluations to help clarify diagnoses and identify the best supports and interventions for children, adolescents, and adults. Evaluations can assist with diagnosing ADHD, Learning Disorders (Dyslexia/Dyscalculia), Autism Spectrum Disorder, Mood Disorders, Anxiety Disorders etc). Psychology 360 also offers brief individual therapy, parent consultation, medication management and brain scans.
Welcome! I am passionate about my work and take great pride in the therapeutic relationships I have built overtime with my clients, which is why I believe in tailoring counseling to each individuals unique needs. Therapy is most effective when a trusting relationship exists between a counselor & the client. Some relationships hurt us while others are meant to heal. I believe that my job isn't to tell you what to do or how you live your life but to provide a safe, trusting environment where you express yourself & have an experience of being listened to without judgment & together we come up with creative solutions.
Welcome! I am passionate about my work and take great pride in the therapeutic relationships I have built overtime with my clients, which is why I believe in tailoring counseling to each individuals unique needs. Therapy is most effective when a trusting relationship exists between a counselor & the client. Some relationships hurt us while others are meant to heal. I believe that my job isn't to tell you what to do or how you live your life but to provide a safe, trusting environment where you express yourself & have an experience of being listened to without judgment & together we come up with creative solutions.
I have supported clients through an array of life experiences, including coping with transitions, trauma, stress, substance use, depression, low self-esteem, anxiety, and loss. My experience with a wide range of ethnic, racial, cultural, and socioeconomic backgrounds enables me to lead with acceptance and compassion. We will work together to explore your thoughts, emotions, lifestyle, and patterns to discover options that aim to increase your personal life satisfaction. We all have basic human needs and can seek to address those needs in ways that best align with our own unique values and goals.
I have supported clients through an array of life experiences, including coping with transitions, trauma, stress, substance use, depression, low self-esteem, anxiety, and loss. My experience with a wide range of ethnic, racial, cultural, and socioeconomic backgrounds enables me to lead with acceptance and compassion. We will work together to explore your thoughts, emotions, lifestyle, and patterns to discover options that aim to increase your personal life satisfaction. We all have basic human needs and can seek to address those needs in ways that best align with our own unique values and goals.
David Rosen
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sorrento Valley, San Diego, CA 92121
The strongest person is the one who knows when to ask for help. Everyone struggles, but why do some people handle life's challenges so well? My goal is to help my clients have a happy and fulfilling life. What this means is clearly different from person to person. My aim is to identify the behaviors that are keeping this from happening, implement these changes, practice them in real life and moving on. I am a short term-solution focused therapist. The more you do outside of therapy, the faster you can achieve the changes you desire.
The strongest person is the one who knows when to ask for help. Everyone struggles, but why do some people handle life's challenges so well? My goal is to help my clients have a happy and fulfilling life. What this means is clearly different from person to person. My aim is to identify the behaviors that are keeping this from happening, implement these changes, practice them in real life and moving on. I am a short term-solution focused therapist. The more you do outside of therapy, the faster you can achieve the changes you desire.
Raquel Garber
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Sorrento Valley, San Diego, CA 92121
Specializing in empowering individuals and couples, I believe therapy unlocks pathways to a more enriching life. Starting from your unique point, I foster a secure space to delve into personal challenges. My primary passion lies in nurturing relationships. Ellyn Bader Ph.D., aptly noted, ‘Couples therapy not only fortifies families but also fosters profound personal evolution.’ Join me in exploring and fostering healthier, stronger connections that endure and thrive. As a Certified Grief Educator, I offer unparalleled support, navigating the often unspoken complexities of grief helping you find greater resilience in the face of loss
Specializing in empowering individuals and couples, I believe therapy unlocks pathways to a more enriching life. Starting from your unique point, I foster a secure space to delve into personal challenges. My primary passion lies in nurturing relationships. Ellyn Bader Ph.D., aptly noted, ‘Couples therapy not only fortifies families but also fosters profound personal evolution.’ Join me in exploring and fostering healthier, stronger connections that endure and thrive. As a Certified Grief Educator, I offer unparalleled support, navigating the often unspoken complexities of grief helping you find greater resilience in the face of loss
See more therapy options for Sorrento Valley, San Diego
Nearby Searches for Sorrento Valley, San Diego
- Bay Ho
- Carmel Valley
- Clairemont
- Clairemont Mesa
- Kearny Mesa
- La Jolla
- Mira Mesa
- Miramar
- North Clairemont
- Sorrento Mesa
- Torrey Pines
- University City
How does your Therapist compare?
Number of Therapists in Sorrento Valley, San Diego, CA
100+
Average cost per session
$175
Therapists in Sorrento Valley, San Diego, CA who prioritize treating:
90% | Anxiety |
88% | Depression |
81% | Relationship Issues |
72% | Trauma and PTSD |
70% | Self Esteem |
67% | Coping Skills |
67% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
63% | Cigna and Evernorth |
54% | Aetna |
46% | UnitedHealthcare UHC | UBH |
How Therapists in Sorrento Valley, San Diego, CA see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
76% | Female | |
23% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Sorrento Valley, San Diego?
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.