Therapists in Omaha, NE

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Photo of Kathryn Kriegler, Counselor in Omaha, NE
Kathryn Kriegler
Counselor, PLMHP, MSE
Verified Verified
2 Endorsed
Omaha, NE 68154
Thank you for making you and your mental health and wellbeing a priority. Sometimes that first step is the hardest to take. During difficult and challenging times people just want to be heard and validated in their experiences. Your feelings and experiences are 100% valid and I am here to help support you toward healthy change. Seeing a therapist can be intimidating, but I want you to rest assured knowing that my objective is to foster a safe, judgement free space where we can work together to build upon your strengths and accomplish your goals.
Thank you for making you and your mental health and wellbeing a priority. Sometimes that first step is the hardest to take. During difficult and challenging times people just want to be heard and validated in their experiences. Your feelings and experiences are 100% valid and I am here to help support you toward healthy change. Seeing a therapist can be intimidating, but I want you to rest assured knowing that my objective is to foster a safe, judgement free space where we can work together to build upon your strengths and accomplish your goals.
(402) 256-5833 View (402) 256-5833
Photo of Tracey Jahn, Counselor in Omaha, NE
Tracey Jahn
Counselor, MSEd, LIPC, LMHC
Verified Verified
Omaha, NE 68137
Are you tired of feeling unhappy, frustrated and discouraged? Are you ready to make a change, but don't know where to begin? When life is getting the best of you, I can offer hope. I help adults establish healthy boundaries and be assertive. Imagine having the confidence and communication skills to be taken seriously and understood in your personal and professional life. Imagine feeling in control. If you are struggling with grief, stress, anxiety, relationship or career issues I will help you achieve goals that lead to empowerment, happiness and satisfaction.
Are you tired of feeling unhappy, frustrated and discouraged? Are you ready to make a change, but don't know where to begin? When life is getting the best of you, I can offer hope. I help adults establish healthy boundaries and be assertive. Imagine having the confidence and communication skills to be taken seriously and understood in your personal and professional life. Imagine feeling in control. If you are struggling with grief, stress, anxiety, relationship or career issues I will help you achieve goals that lead to empowerment, happiness and satisfaction.
(402) 241-8563 View (402) 241-8563
Photo of Jason Workman, Counselor in Omaha, NE
Jason Workman
Counselor, LIMHP, LMHC, LADC
Verified Verified
Omaha, NE 68124
Living with trauma, stress, uncertainty, addiction, fear or loss are hard things to overcome. If you are dealing with any of these issues, it is preventing you from living your best life, it's time for change. Don't allow these things to prevent you from living your best life. Lets work on these issues together so you don't loss more than you already have in life, socially, career or family.
Living with trauma, stress, uncertainty, addiction, fear or loss are hard things to overcome. If you are dealing with any of these issues, it is preventing you from living your best life, it's time for change. Don't allow these things to prevent you from living your best life. Lets work on these issues together so you don't loss more than you already have in life, socially, career or family.
(402) 807-5133 View (402) 807-5133
Photo of Jenee Haines, Counselor in Omaha, NE
Jenee Haines
Counselor, LIMHP, LPC, NCC
Verified Verified
1 Endorsed
Omaha, NE 68127
My name is Jenee Haines and I am a Licensed Independent Mental Health Practitioner that specializes in treating eating disorders, along with treating body image issues, depression, anxiety, OCD, relationship issues, life transitions, dual diagnoses and many other mental health issues for individuals and families. Therapy is a rewarding and challenging journey that we will embark on together! I believe the foundation of effective treatment is a strong therapeutic relationship. I strive to achieve this with all of my clients, tailoring my approach to meet your personal needs and treating you with respect and dignity that you deserve.
My name is Jenee Haines and I am a Licensed Independent Mental Health Practitioner that specializes in treating eating disorders, along with treating body image issues, depression, anxiety, OCD, relationship issues, life transitions, dual diagnoses and many other mental health issues for individuals and families. Therapy is a rewarding and challenging journey that we will embark on together! I believe the foundation of effective treatment is a strong therapeutic relationship. I strive to achieve this with all of my clients, tailoring my approach to meet your personal needs and treating you with respect and dignity that you deserve.
(402) 509-2454 View (402) 509-2454
Photo of Aimee C Hollendieck, Counselor in Omaha, NE
Aimee C Hollendieck
Counselor, MS, LMHP, CPC
Verified Verified
4 Endorsed
Omaha, NE 68144  (Online Only)
Not accepting new clients
Welcome! Therapy is a journey of understanding, accepting, healing, and opening the door to a new peace. If you're ready to start then I'm ready to be by your side. I have experience working with a wide variety of clients, however, my specialty areas include: eating disorders, and the gender fluid population. I work with individual adult clients only.
Welcome! Therapy is a journey of understanding, accepting, healing, and opening the door to a new peace. If you're ready to start then I'm ready to be by your side. I have experience working with a wide variety of clients, however, my specialty areas include: eating disorders, and the gender fluid population. I work with individual adult clients only.
(531) 228-4732 View (531) 228-4732
Photo of Lynette Abler, Counselor in Omaha, NE
Lynette Abler
Counselor, MA, LMHP
Verified Verified
1 Endorsed
Omaha, NE 68154
Lynette Abler MA, LMHP is a licensed mental health professional and independent contractor at The Cord; Where Science Meets Connection. She works with children, teens and adults. She works with individuals and families struggling with conflict or past trauma in their life. She uses a nurturing, therapeutic approach with her clients that is very inviting. Her soft demeanor and sense of compassion towards her clients helps to empower them, and helps them through their difficult life experiences. Her sense of empathy and her intuitive nature helps to guide clients to where change is possible, in a nonjudgemental and accepting way.
Lynette Abler MA, LMHP is a licensed mental health professional and independent contractor at The Cord; Where Science Meets Connection. She works with children, teens and adults. She works with individuals and families struggling with conflict or past trauma in their life. She uses a nurturing, therapeutic approach with her clients that is very inviting. Her soft demeanor and sense of compassion towards her clients helps to empower them, and helps them through their difficult life experiences. Her sense of empathy and her intuitive nature helps to guide clients to where change is possible, in a nonjudgemental and accepting way.
(402) 913-8491 View (402) 913-8491
Photo of Andy Vuorela, Counselor in Omaha, NE
Andy Vuorela
Counselor, MS, PLMHP, NCC, JD
Verified Verified
1 Endorsed
Omaha, NE 68114
Congratulations on taking the first step to address your mental health concerns. I know it can be a little scary and intimidating to discuss your most personal matters with a complete stranger.
Congratulations on taking the first step to address your mental health concerns. I know it can be a little scary and intimidating to discuss your most personal matters with a complete stranger.
(402) 842-8248 View (402) 842-8248
Photo of Chris Sanders, Psychologist in Omaha, NE
Chris Sanders
Psychologist, PhD, ABN
Verified Verified
Omaha, NE 68106  (Online Only)
My focus in therapy is assisting in personal and interpersonal changes through the use of a treatment approach best suited for you. Approaches I typically use consist of Cognitive-Behavioral therapy. As a board certified Neuropsychologist, I specialize in Psychological and Neuropsychological testing for a variety of purposes. Due to COVID, I have switched to telehealth sessions. As such, the psychological and neuropsychological testing may be limited at this time. Serving Omaha, Bellevue, Grand Island, Kearney and Lincoln NE. Specializing in Personal Injury, PTSD. Nebraska Blue Cross.
My focus in therapy is assisting in personal and interpersonal changes through the use of a treatment approach best suited for you. Approaches I typically use consist of Cognitive-Behavioral therapy. As a board certified Neuropsychologist, I specialize in Psychological and Neuropsychological testing for a variety of purposes. Due to COVID, I have switched to telehealth sessions. As such, the psychological and neuropsychological testing may be limited at this time. Serving Omaha, Bellevue, Grand Island, Kearney and Lincoln NE. Specializing in Personal Injury, PTSD. Nebraska Blue Cross.
(402) 769-2497 View (402) 769-2497
Photo of Joan Elizabeth Fink, Licensed Professional Counselor in Omaha, NE
Joan Elizabeth Fink
Licensed Professional Counselor, PhD, NCC, LMHP, LPC, CST
Verified Verified
4 Endorsed
Omaha, NE 68114
The decision to seek therapeutic help is never an easy one. It often comes at a time when most people feel hopeless, vulnerable, frustrated and unable to cope without outside help or resources. Recognizing this, I strive to provide my clients with the utmost respect and compassion, in a confidential and safe environment. I work together with my clients, in an authentic, collaborative way, to bring about positive changes that make sense in their life, according to their personal values. My specialty is Relationships & Sex Therapy, identifying & working w/ intimacy issues and infidelity. I am a AASECT Certified Sex Therapist.
The decision to seek therapeutic help is never an easy one. It often comes at a time when most people feel hopeless, vulnerable, frustrated and unable to cope without outside help or resources. Recognizing this, I strive to provide my clients with the utmost respect and compassion, in a confidential and safe environment. I work together with my clients, in an authentic, collaborative way, to bring about positive changes that make sense in their life, according to their personal values. My specialty is Relationships & Sex Therapy, identifying & working w/ intimacy issues and infidelity. I am a AASECT Certified Sex Therapist.
(402) 902-4015 View (402) 902-4015
Photo of Anna Bartholet, Counselor in Omaha, NE
Anna Bartholet
Counselor, MS, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68144
Not accepting new clients
Throughout life we often have limited control over what we’re confronted with. Adapting our responses to the challenges we face can strengthen who we are as individuals and contribute to a positive emotional state. Collaborative care along with compassionate confrontation can lead to overcoming adversity or discovering a new beginning. I have experience working with clients overcoming substance abuse, anxiety, depressive symptoms, and disordered eating patterns among other co-occurring tribulations. I believe in collaboration, intentional listening, and explorative conversation to navigate personal challenges.
Throughout life we often have limited control over what we’re confronted with. Adapting our responses to the challenges we face can strengthen who we are as individuals and contribute to a positive emotional state. Collaborative care along with compassionate confrontation can lead to overcoming adversity or discovering a new beginning. I have experience working with clients overcoming substance abuse, anxiety, depressive symptoms, and disordered eating patterns among other co-occurring tribulations. I believe in collaboration, intentional listening, and explorative conversation to navigate personal challenges.
(402) 543-3741 View (402) 543-3741
Photo of Louisa Foster, Psychologist in Omaha, NE
Louisa Foster
Psychologist, PsyD, RDT/BCT
Verified Verified
1 Endorsed
Omaha, NE 68132
Modern life is stressful. We often feel like we don't have enough time, enough money, enough energy, or enough confidence in ourselves. We spend too much time feeling anxious or depleted. There is an alternative to the constant, unrelenting treadmill and chaos. There is another way of being present in your life and available to those you love. I practice Mindfulness-Based Psychology and Mindful Self-Compassion. By learning these skills, you can begin to slow down, befriend yourself, and make choices that reflect and further your values and dreams, rather than those imposed on you.
Modern life is stressful. We often feel like we don't have enough time, enough money, enough energy, or enough confidence in ourselves. We spend too much time feeling anxious or depleted. There is an alternative to the constant, unrelenting treadmill and chaos. There is another way of being present in your life and available to those you love. I practice Mindfulness-Based Psychology and Mindful Self-Compassion. By learning these skills, you can begin to slow down, befriend yourself, and make choices that reflect and further your values and dreams, rather than those imposed on you.
(531) 625-2488 x1 View (531) 625-2488 x1
Photo of Ben Higgins, Counselor in Omaha, NE
Ben Higgins
Counselor, PLMHP, MS, NCC
Verified Verified
1 Endorsed
Omaha, NE 68114
I am so happy you are here. This journey is focused completely on you! I love working with people to help them create the life they desire. I am extremely honored each time a person like you invites me to journey alongside them. I hope to help you build your strengths, overcome challenges, and win. I am a Licensed Professional Counselor (LPC) and EMDR Trained Clinician. Please schedule an appointment online or reach out with any questions you may have.
I am so happy you are here. This journey is focused completely on you! I love working with people to help them create the life they desire. I am extremely honored each time a person like you invites me to journey alongside them. I hope to help you build your strengths, overcome challenges, and win. I am a Licensed Professional Counselor (LPC) and EMDR Trained Clinician. Please schedule an appointment online or reach out with any questions you may have.
(402) 685-9608 View (402) 685-9608
Photo of Ebbs and Flows Therapy, Provisional Mental Health Practitioner in Omaha, NE
Ebbs and Flows Therapy
Provisional Mental Health Practitioner, MS, PLMHP , PLADC
Verified Verified
Omaha, NE 68105
At Ebbs and Flows Therapy, our mission is to empower clients with the tools needed to cultivate lives worth living. Ebbs and Flows is the place for you if you are going through changes that have you questioning your identity, capabilities, reality, or all of the above. Change in life is inevitable. It's how you address and process through said change that makes or breaks you. Whether the change is exciting and planned or devastating and catches you by surprise, we are here for you. We provide a nonjudgemental space for exploring alternative ways of coping and being.
At Ebbs and Flows Therapy, our mission is to empower clients with the tools needed to cultivate lives worth living. Ebbs and Flows is the place for you if you are going through changes that have you questioning your identity, capabilities, reality, or all of the above. Change in life is inevitable. It's how you address and process through said change that makes or breaks you. Whether the change is exciting and planned or devastating and catches you by surprise, we are here for you. We provide a nonjudgemental space for exploring alternative ways of coping and being.
(402) 532-1968 View (402) 532-1968
Photo of Linda Phosaly, Psychologist in Omaha, NE
Linda Phosaly
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Omaha, NE 68118
Everyone always says parenting is hard, but that it is so worth it… leaving you to wonder when that will be true for you and leaving you to feel guilty when you feel like screaming at your toddler for not listening, or pulling your hair out due to your child excessively worrying about nothing, or walking on eggshells around your moody teenager. While you’re still figuring out how to navigate and adjust to each new phase of your own life, you’re also trying to teach your kids how to be human and how to find their own authentic selves in this changing world.
Everyone always says parenting is hard, but that it is so worth it… leaving you to wonder when that will be true for you and leaving you to feel guilty when you feel like screaming at your toddler for not listening, or pulling your hair out due to your child excessively worrying about nothing, or walking on eggshells around your moody teenager. While you’re still figuring out how to navigate and adjust to each new phase of your own life, you’re also trying to teach your kids how to be human and how to find their own authentic selves in this changing world.
(402) 869-6364 x8 View (402) 869-6364 x8
Photo of Laura Lentz, Counselor in Omaha, NE
Laura Lentz
Counselor, MS, LIMHP
Verified Verified
Omaha, NE 68135
Finding the right therapist is perhaps the most important part of the therapy process. You want someone you can feel comfortable sharing your thoughts and feelings without judgment. You want to know that your therapist has your best interests in mind always, and sees things objectively. You want someone who has advanced training, experience, skill and offers sound encouragement. You want someone who would practice what is recommended and feels called to walk along side you during some of life's most difficult moments. If this is where you are beginning, consider starting here.
Finding the right therapist is perhaps the most important part of the therapy process. You want someone you can feel comfortable sharing your thoughts and feelings without judgment. You want to know that your therapist has your best interests in mind always, and sees things objectively. You want someone who has advanced training, experience, skill and offers sound encouragement. You want someone who would practice what is recommended and feels called to walk along side you during some of life's most difficult moments. If this is where you are beginning, consider starting here.
(402) 965-0989 View (402) 965-0989
Photo of Adrian Martin, Counselor in Omaha, NE
Adrian Martin
Counselor, MS, LIMFT
Verified Verified
Omaha, NE 68130
Are you looking to get help with your relationship or get relief from your own personal distress? I specialize in working with couples on their relationship issues and take a differentiation based approach to helping individuals and couples resolve their conflict, increase their intimacy and work towards reaching their full potential. I offer intensive couples therapy, using multiple-hour sessions, including half-day (3 hour) intensives and a multiple-day approach which is particularly aimed at couples who wish to travel to the Omaha area. Please visit my website: www.OmahaCouplesClinic.com for more information.
Are you looking to get help with your relationship or get relief from your own personal distress? I specialize in working with couples on their relationship issues and take a differentiation based approach to helping individuals and couples resolve their conflict, increase their intimacy and work towards reaching their full potential. I offer intensive couples therapy, using multiple-hour sessions, including half-day (3 hour) intensives and a multiple-day approach which is particularly aimed at couples who wish to travel to the Omaha area. Please visit my website: www.OmahaCouplesClinic.com for more information.
(402) 577-0727 View (402) 577-0727
Photo of Alicia Webber, Clinical Social Work/Therapist in Omaha, NE
Alicia Webber
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Omaha, NE 68134  (Online Only)
Your authentic self is beautiful. Unfortunately sometimes we lose ourselves when we get caught up in the way we think we "should" be in various relationships, workspaces, and societal expectations. Losing or ignoring who we truly are can lead to relationship issues, depression, anxiety, and general life dissatisfaction. Sometimes losing ourselves happens due to traumatic life circumstances and sometimes it's due to years of unrelenting pressures. Let's get curious about your passions, work together to let go of what's not working, and build a roadmap so you can step in to a more authentic you.
Your authentic self is beautiful. Unfortunately sometimes we lose ourselves when we get caught up in the way we think we "should" be in various relationships, workspaces, and societal expectations. Losing or ignoring who we truly are can lead to relationship issues, depression, anxiety, and general life dissatisfaction. Sometimes losing ourselves happens due to traumatic life circumstances and sometimes it's due to years of unrelenting pressures. Let's get curious about your passions, work together to let go of what's not working, and build a roadmap so you can step in to a more authentic you.
(402) 872-0866 View (402) 872-0866
Photo of Shane M Powers, Counselor in Omaha, NE
Shane M Powers
Counselor, MS, LIMHP, LMHC
Verified Verified
1 Endorsed
Omaha, NE 68154
I believe that the key to raising healthy well balanced children is to lead by example. Setting and some times re-establishing rules, boundaries and expectations for your children and family is vital for a happy home. My goals as a therapist are to help individuals and families discover balance and peace in their lives and to find a more hopeful perspective of life. I have over 7 years of experience working with children, adolescents and adults. Some of my areas of expertise include: treating depressive disorders, ADHD, and issues of self-esteem. I specialize in working with males 12 and up.
I believe that the key to raising healthy well balanced children is to lead by example. Setting and some times re-establishing rules, boundaries and expectations for your children and family is vital for a happy home. My goals as a therapist are to help individuals and families discover balance and peace in their lives and to find a more hopeful perspective of life. I have over 7 years of experience working with children, adolescents and adults. Some of my areas of expertise include: treating depressive disorders, ADHD, and issues of self-esteem. I specialize in working with males 12 and up.
(402) 810-8832 View (402) 810-8832
Photo of Veronica Olson, Counselor in Omaha, NE
Veronica Olson
Counselor, LMHP, LPC, NCC
Verified Verified
1 Endorsed
Omaha, NE 68132
Feeling overwhelmed, stuck, or depressed? I have assisted many clients in addressing and managing their mental health and wellness. I empower my clients with tools to move themselves through life's challenges by supporting and instilling hope. My experience ranges from helping people cope with depression, anxiety, family stressors, life changes, and transitions, work stress, relationship challenges, parenting, grief/loss, infertility, and pregnancy.
Feeling overwhelmed, stuck, or depressed? I have assisted many clients in addressing and managing their mental health and wellness. I empower my clients with tools to move themselves through life's challenges by supporting and instilling hope. My experience ranges from helping people cope with depression, anxiety, family stressors, life changes, and transitions, work stress, relationship challenges, parenting, grief/loss, infertility, and pregnancy.
(402) 383-5160 View (402) 383-5160
Photo of Susan Ann Meyer, Counselor in Omaha, NE
Susan Ann Meyer
Counselor, MS, LIMHP, LMHC
Verified Verified
1 Endorsed
Omaha, NE 68102
I work best with adolescent and adult clients who appreciate a direct, to-the-point approach. I give lots of feedback and make my thoughts known. This approach tends to open up awarenesses that may have been unknown for a very long time. It is exciting to see this process unfold in individual psychotherapy.
I work best with adolescent and adult clients who appreciate a direct, to-the-point approach. I give lots of feedback and make my thoughts known. This approach tends to open up awarenesses that may have been unknown for a very long time. It is exciting to see this process unfold in individual psychotherapy.
(402) 609-7141 View (402) 609-7141

How does your Therapist compare?

Number of Therapists in Omaha, NE

900+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

93% Anxiety
91% Depression
79% Self Esteem
77% Relationship Issues
76% Trauma and PTSD
74% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
67% Aetna

How Therapists in Omaha, NE see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Omaha?

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.