Therapists in New London County, CT

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Photo of TJ Butcher, MA, LPC, BCPC, CH, CSC, Licensed Professional Counselor in New London County, CT
TJ Butcher, MA, LPC, BCPC, CH, CSC
Licensed Professional Counselor, MA, LPC, BCPC, CH, CSC
Verified Verified
East Lyme, CT 06333
No matter what you are suffering from or want to improve, there are ways to get your brain to function better and give you the life you deserve.
No matter what you are suffering from or want to improve, there are ways to get your brain to function better and give you the life you deserve.
(959) 666-6432 View (959) 666-6432
Photo of Walter Van Sambeck, Licensed Professional Counselor in New London County, CT
Walter Van Sambeck
Licensed Professional Counselor, DplPsy, LPC, LADC
Verified Verified
1 Endorsed
Colchester, CT 06415
Grounded in the belief that knowing and being true to oneself is the key to mental health and a meaningful existence, I attempt to provide a safe environment enabling my clients to explorer their deepest feelings, thought, and beliefs. Having a compassionate understanding of human nature and psyche I facilitate the process of self discovery and healing with genuineness and expertise.In the last decade I have gained a particular interest and expertise in working with trauma. Work as well as training has taught me deep appreciation and empathy for the suffering that stems from such extraordinary experience.
Grounded in the belief that knowing and being true to oneself is the key to mental health and a meaningful existence, I attempt to provide a safe environment enabling my clients to explorer their deepest feelings, thought, and beliefs. Having a compassionate understanding of human nature and psyche I facilitate the process of self discovery and healing with genuineness and expertise.In the last decade I have gained a particular interest and expertise in working with trauma. Work as well as training has taught me deep appreciation and empathy for the suffering that stems from such extraordinary experience.
(860) 578-2412 View (860) 578-2412
Photo of Diana Cavaliere Cooke, Marriage & Family Therapist in New London County, CT
Diana Cavaliere Cooke
Marriage & Family Therapist, MS, LMFT
Verified Verified
Jewett City, CT 06351  (Online Only)
I work with individuals and families with hearing loss and Deafness. As a specialist in hearing loss and the psychosocial effects of Deafness I work with people on building and maintaining solid relationships. Growth and change are always possible and a core foundation to my approach. Learning to balance your stressors negative and positive is what makes change possible, and is how I will work with you towards building hope. My VP number for Deaf clients is 860-591-9088. I am licensed to practice in Rhode Island and Connecticut.
I work with individuals and families with hearing loss and Deafness. As a specialist in hearing loss and the psychosocial effects of Deafness I work with people on building and maintaining solid relationships. Growth and change are always possible and a core foundation to my approach. Learning to balance your stressors negative and positive is what makes change possible, and is how I will work with you towards building hope. My VP number for Deaf clients is 860-591-9088. I am licensed to practice in Rhode Island and Connecticut.
(860) 431-2109 View (860) 431-2109
Photo of Lori Standish, Marriage & Family Therapist in New London County, CT
Lori Standish
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Colchester, CT 06415  (Online Only)
Do you want to change your course? Move in a different direction? We all develop perceptions about ourselves and our relationships based on our unique experiences. Sometimes these perceptions can detour us from successful adaptation to life's ever-changing circumstances. Do you want to explore and resolve issues hindering your ability to navigate changes? I serve clients seeking greater satisfaction in their relationships and self identity. You'll collaborate in designing a treatment approach based on respect and compassion. Our focus is on your goals for change and your personal story.
Do you want to change your course? Move in a different direction? We all develop perceptions about ourselves and our relationships based on our unique experiences. Sometimes these perceptions can detour us from successful adaptation to life's ever-changing circumstances. Do you want to explore and resolve issues hindering your ability to navigate changes? I serve clients seeking greater satisfaction in their relationships and self identity. You'll collaborate in designing a treatment approach based on respect and compassion. Our focus is on your goals for change and your personal story.
(860) 650-1994 View (860) 650-1994
Photo of Jill Whitney, Marriage & Family Therapist in New London County, CT
Jill Whitney
Marriage & Family Therapist, LMFT, MFT, AAMFT
Verified Verified
Old Lyme, CT 06371
Do you feel stuck in your life or in your relationship(s)? Or are you in a transition that's bogging you down? You don't have to go it alone. Together, we can clarify what isn't working for you and identify areas for change; tap into your strengths and talents; and help you move toward greater joy and deeper connections.
Do you feel stuck in your life or in your relationship(s)? Or are you in a transition that's bogging you down? You don't have to go it alone. Together, we can clarify what isn't working for you and identify areas for change; tap into your strengths and talents; and help you move toward greater joy and deeper connections.
(860) 724-4127 View (860) 724-4127
Photo of A Diamond in the Rough, Clinical Social Work/Therapist in New London County, CT
A Diamond in the Rough
Clinical Social Work/Therapist, LCSW, LMFT
Verified Verified
East Lyme, CT 06333
Do you feel anxious, depressed, stressed, unable to balance life and emotions? Do you feel like there’s no way out? Hello, my name is Michele Chenevert, but call me Shelley. I am a licensed clinical social worker and licensed master of family therapist. I have been trained as certified Accelerated Resolution Therapist. I work from a family systems orientation in a person centered manner, emphasizing relational, realistic perspectives. I have worked both inpatient and out. I treat individuals, aged twelve and up, and couples.
Do you feel anxious, depressed, stressed, unable to balance life and emotions? Do you feel like there’s no way out? Hello, my name is Michele Chenevert, but call me Shelley. I am a licensed clinical social worker and licensed master of family therapist. I have been trained as certified Accelerated Resolution Therapist. I work from a family systems orientation in a person centered manner, emphasizing relational, realistic perspectives. I have worked both inpatient and out. I treat individuals, aged twelve and up, and couples.
(860) 792-4200 View (860) 792-4200
Photo of Diane Smith, Clinical Social Work/Therapist in New London County, CT
Diane Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Lyme, CT 06333  (Online Only)
Welcome! I am a Licensed Clinical Social Worker currently accepting individual clients ages 13 and up, for virtual therapy ONLY. Depression, anxiety, shame about the past, fear about the future, and insecurities prevent us from being present and thriving in life. I provide a safe, understanding space for you to be heard, to explore, to feel, and to learn.
Welcome! I am a Licensed Clinical Social Worker currently accepting individual clients ages 13 and up, for virtual therapy ONLY. Depression, anxiety, shame about the past, fear about the future, and insecurities prevent us from being present and thriving in life. I provide a safe, understanding space for you to be heard, to explore, to feel, and to learn.
(860) 362-3692 View (860) 362-3692
Photo of Kirsten Burdick, Marriage & Family Therapist in New London County, CT
Kirsten Burdick
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Colchester, CT 06415
You deserve to be happy. You deserve to have fulfilling and authentic relationships. Seeking therapy is the first step to healing so you can live your life to the fullest. And I thank you for considering me to be a part of your journey. So many factors in life can lead us to feeling unfulfilled in our lives and/or our relationships. Life transitions, relational challenges, low self esteem, anxiety, depression, work stress, traumatic experiences, multi generational cycles and not to mention the inevitable curve balls life throws at us. These are just a few of the many factors that impact every single one of us.
You deserve to be happy. You deserve to have fulfilling and authentic relationships. Seeking therapy is the first step to healing so you can live your life to the fullest. And I thank you for considering me to be a part of your journey. So many factors in life can lead us to feeling unfulfilled in our lives and/or our relationships. Life transitions, relational challenges, low self esteem, anxiety, depression, work stress, traumatic experiences, multi generational cycles and not to mention the inevitable curve balls life throws at us. These are just a few of the many factors that impact every single one of us.
(860) 362-2593 View (860) 362-2593
Photo of Cristina Dominijanni, Psychologist in New London County, CT
Cristina Dominijanni
Psychologist, PhD
Verified Verified
Waterford, CT 06385
Life is difficult at times and we have all found ourselves in situations that are overwhelming. With more than 35+ years experience as a Clinical Psychologist, my goal is to help you use your inner strengths and resources to overcome your difficulties, to find new strategies to deal with challenges, and enable you to gain a more positive perspective on your life.
Life is difficult at times and we have all found ourselves in situations that are overwhelming. With more than 35+ years experience as a Clinical Psychologist, my goal is to help you use your inner strengths and resources to overcome your difficulties, to find new strategies to deal with challenges, and enable you to gain a more positive perspective on your life.
(860) 300-3572 View (860) 300-3572
Photo of Andrea Cyr, Licensed Professional Counselor in New London County, CT
Andrea Cyr
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Colchester, CT 06415
I bring a down-to-earth approach to what can be a difficult, but rewarding, process. I have been practicing since 1999 and have learned, without a doubt, that people heal and grow when they feel safe, not judged and understood. So, that is exactly what you can expect. I work deeply and emphasize teaching clients about their emotional lives. Psychological difficulties are often rooted in barriers to knowing, understanding or supporting ones feelings and needs. This leads to emotional distress and is at the root of anxiety, depression, and the impact of trauma. This is often the emphasis of therapy.
I bring a down-to-earth approach to what can be a difficult, but rewarding, process. I have been practicing since 1999 and have learned, without a doubt, that people heal and grow when they feel safe, not judged and understood. So, that is exactly what you can expect. I work deeply and emphasize teaching clients about their emotional lives. Psychological difficulties are often rooted in barriers to knowing, understanding or supporting ones feelings and needs. This leads to emotional distress and is at the root of anxiety, depression, and the impact of trauma. This is often the emphasis of therapy.
(860) 458-3236 View (860) 458-3236
Photo of Linda Suriyakham, Psychologist in New London County, CT
Linda Suriyakham
Psychologist, PhD
Verified Verified
Mystic, CT 06355
Waitlist for new clients
I believe in the healing power of human connection, which can bring about transformative change. Clients come to psychotherapy for many reasons, and my job is learning about your concerns in order to design a course of psychotherapy that moves you towards feeling well and functioning at your optimum capacity. If you're burned out, restless, stressed, or scared, supportive counseling can get you through a difficult transition. Mindfulness-Based Cognitive Behavioral Therapy and Relational Psychodynamic Therapy help you experience relief of troubling symptoms that occur during mood and trauma-related disorders.
I believe in the healing power of human connection, which can bring about transformative change. Clients come to psychotherapy for many reasons, and my job is learning about your concerns in order to design a course of psychotherapy that moves you towards feeling well and functioning at your optimum capacity. If you're burned out, restless, stressed, or scared, supportive counseling can get you through a difficult transition. Mindfulness-Based Cognitive Behavioral Therapy and Relational Psychodynamic Therapy help you experience relief of troubling symptoms that occur during mood and trauma-related disorders.
(860) 770-0518 View (860) 770-0518
Photo of Laura Hetherington, Clinical Social Work/Therapist in New London County, CT
Laura Hetherington
Clinical Social Work/Therapist, LCSW
Verified Verified
Mystic, CT 06355
I have been working with children and families in New London County for 18 years. I am a trained Adoption and trauma therapist as well as an Adoptive mom myself. I truly understand the daily struggles that life hands you when you or someone you love has experienced trauma or is experiencing high levels of stress. When you come into therapy we will work together on the goals that you have for yourself in order for you to lead a happy and healthy life!
I have been working with children and families in New London County for 18 years. I am a trained Adoption and trauma therapist as well as an Adoptive mom myself. I truly understand the daily struggles that life hands you when you or someone you love has experienced trauma or is experiencing high levels of stress. When you come into therapy we will work together on the goals that you have for yourself in order for you to lead a happy and healthy life!
(860) 724-2027 View (860) 724-2027
Photo of Rita Gilman, Licensed Professional Counselor in New London County, CT
Rita Gilman
Licensed Professional Counselor, LMHC, MA, LPC, CT
Verified Verified
Mystic, CT 06355
People often go into therapy feeling a great deal of shame, guilt and with secrets. It's important to me that the therapeutic environment I provide allow people to feel they are part of a non-judgmental, safe and warm environment. The goal of therapy is to help clients make behavioral changes and increase insight into the cause of those behaviors and the purpose they serve. I specialize in the treatment of eating disorders, emotional/stress eating, body image, depression and anxiety. In addition, I run groups for individuals struggling with binge eating disorder.
People often go into therapy feeling a great deal of shame, guilt and with secrets. It's important to me that the therapeutic environment I provide allow people to feel they are part of a non-judgmental, safe and warm environment. The goal of therapy is to help clients make behavioral changes and increase insight into the cause of those behaviors and the purpose they serve. I specialize in the treatment of eating disorders, emotional/stress eating, body image, depression and anxiety. In addition, I run groups for individuals struggling with binge eating disorder.
(860) 566-8932 View (860) 566-8932
Photo of Grateful Guidance LLC, Licensed Professional Counselor in New London County, CT
Grateful Guidance LLC
Licensed Professional Counselor, MA, LPC, PMH-C
Verified Verified
1 Endorsed
Colchester, CT 06415
Welcome! Life can be challenging, but you don’t have to go at it alone. My name is Andrea, and I am here to offer guidance, helping you dive deeper into your sense of self, the world, and how you experience it. Through clinical tools and exploration, I will help you construct a life that feels aligned with the one you have always envisioned for yourself. Through client-tailored techniques, we will work through your unique experiences while overcoming obstacles to help you live your best life. My empathy-first and inclusive approach to individual and couples therapy will help get you to a place of healing, peace, and wellbeing.
Welcome! Life can be challenging, but you don’t have to go at it alone. My name is Andrea, and I am here to offer guidance, helping you dive deeper into your sense of self, the world, and how you experience it. Through clinical tools and exploration, I will help you construct a life that feels aligned with the one you have always envisioned for yourself. Through client-tailored techniques, we will work through your unique experiences while overcoming obstacles to help you live your best life. My empathy-first and inclusive approach to individual and couples therapy will help get you to a place of healing, peace, and wellbeing.
(860) 467-1049 View (860) 467-1049
Photo of Psychology CT LLC, Psychologist in New London County, CT
Psychology CT LLC
Psychologist, PsyD
Verified Verified
1 Endorsed
Waterford, CT 06385
With over a decade of telethealth experience (long before COVID-19 led to an increase in telehealth), and with most of our practitioners having 1-2 decades or more of experience, our practice is ready to tackle some of the most complex challenges you can bring us. We're currently taking clients for diagnostic evaluations, couples, & group therapy.
With over a decade of telethealth experience (long before COVID-19 led to an increase in telehealth), and with most of our practitioners having 1-2 decades or more of experience, our practice is ready to tackle some of the most complex challenges you can bring us. We're currently taking clients for diagnostic evaluations, couples, & group therapy.
(860) 248-7930 View (860) 248-7930
Photo of Julie Wojnar, Pre-Licensed Professional in New London County, CT
Julie Wojnar
Pre-Licensed Professional
Verified Verified
Mystic, CT 06355
Sometimes you just need someone to be there for you to guide you through the difficult times. Life is complicated, and while there are many things we cannot change, there are things we can do to improve the quality of our lives despite the challenges we face. Whether you are experiencing feelings of loneliness, dealing with difficulties in a relationship, or just needing some strategies to work through a life transition, I am an open-minded therapist who listens without judgement and helps people to find the best solutions for themselves.
Sometimes you just need someone to be there for you to guide you through the difficult times. Life is complicated, and while there are many things we cannot change, there are things we can do to improve the quality of our lives despite the challenges we face. Whether you are experiencing feelings of loneliness, dealing with difficulties in a relationship, or just needing some strategies to work through a life transition, I am an open-minded therapist who listens without judgement and helps people to find the best solutions for themselves.
(860) 792-4538 View (860) 792-4538
Photo of Patricia Medling, Clinical Social Work/Therapist in New London County, CT
Patricia Medling
Clinical Social Work/Therapist, L, C, S, W
Verified Verified
New London, CT 06320
Based on my 25 plus years of working as a clinical therapist, I believe that given the right support, everyone has the ability to resolve their issues and rewrite the stories of their lives. As each individual's path to wellness is unique, I utilize an integrative, holistic approach tailored to each specific client to optimize the therapeutic experience and ensure the best possible outcomes. Challenging life experiences can lead to people becoming stuck in negative, self-defeating patterns. I can assist you in determining the right course of action to take in order to achieve the clarity, self confidence and courage required to heal. Move forward and break free from unwanted behavioral patterns and limiting beliefs! I work with individuals, couples, and adolescents. I have developed an immense toolkit of therapeutic techniques over the years to share with my clients. I am steeped in Eastern as well as Western treatment modalities, and enjoy incorporating somatic, sound, and mindfulness healing techniques into my work in addition to the more traditional forms of cognitive and behavioral therapies.
Based on my 25 plus years of working as a clinical therapist, I believe that given the right support, everyone has the ability to resolve their issues and rewrite the stories of their lives. As each individual's path to wellness is unique, I utilize an integrative, holistic approach tailored to each specific client to optimize the therapeutic experience and ensure the best possible outcomes. Challenging life experiences can lead to people becoming stuck in negative, self-defeating patterns. I can assist you in determining the right course of action to take in order to achieve the clarity, self confidence and courage required to heal. Move forward and break free from unwanted behavioral patterns and limiting beliefs! I work with individuals, couples, and adolescents. I have developed an immense toolkit of therapeutic techniques over the years to share with my clients. I am steeped in Eastern as well as Western treatment modalities, and enjoy incorporating somatic, sound, and mindfulness healing techniques into my work in addition to the more traditional forms of cognitive and behavioral therapies.
(860) 772-0177 View (860) 772-0177
Photo of Jenna T Cohen, Clinical Social Work/Therapist in New London County, CT
Jenna T Cohen
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Mystic, CT 06355
If you are struggling with Chronic Pain, Anxiety, Trauma, you’ve come to the right plan. At our center, we understand the frustration of feeling like you’ve tried everything and nothing has worked. Our evidence-based approaches which include Pain Reprocessing Therapy (PRT), EMDR, Expressive Arts Therapy, Mindfulness, and CBT, are designed to help your mind and body heal, enabling you to live the fulfilling life you deserve. Take a deep breath…it’s ok to have hope in healing
If you are struggling with Chronic Pain, Anxiety, Trauma, you’ve come to the right plan. At our center, we understand the frustration of feeling like you’ve tried everything and nothing has worked. Our evidence-based approaches which include Pain Reprocessing Therapy (PRT), EMDR, Expressive Arts Therapy, Mindfulness, and CBT, are designed to help your mind and body heal, enabling you to live the fulfilling life you deserve. Take a deep breath…it’s ok to have hope in healing
(860) 431-3918 View (860) 431-3918
Photo of Nicole Krys, Drug & Alcohol Counselor in New London County, CT
Nicole Krys
Drug & Alcohol Counselor, LADC, LPCA
Verified Verified
2 Endorsed
New London, CT 06320
Addiction is powerful but so are you! I believe that sometimes all people need is a little help remembering how much power they have within themselves. It is easy to fall into the trap of constantly feeling like you are not good enough. Developing a solid sense of self can be achieved by exploring your feelings, finding meaning in your life, and focusing on your strengths. My vision for the people I work with is to support them in finding freedom, rebuilding their lives, and using their strengths to reach their goals.
Addiction is powerful but so are you! I believe that sometimes all people need is a little help remembering how much power they have within themselves. It is easy to fall into the trap of constantly feeling like you are not good enough. Developing a solid sense of self can be achieved by exploring your feelings, finding meaning in your life, and focusing on your strengths. My vision for the people I work with is to support them in finding freedom, rebuilding their lives, and using their strengths to reach their goals.
(860) 238-3744 View (860) 238-3744
Photo of Karina Sanchez, Clinical Social Work/Therapist in New London County, CT
Karina Sanchez
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
New London, CT 06320  (Online Only)
I am accepting new clients. I am passionate about supporting and empowering others throughout life's challenges and transitions. Each client can expect to be treated with dignity and respect. I will provide a supportive and non-judgmental environment to help you move towards wellness.
I am accepting new clients. I am passionate about supporting and empowering others throughout life's challenges and transitions. Each client can expect to be treated with dignity and respect. I will provide a supportive and non-judgmental environment to help you move towards wellness.
(860) 530-2845 View (860) 530-2845

See more therapy options for New London County

How does your Therapist compare?

Number of Therapists in New London County, CT

400+

Average cost per session

$150

Therapists in New London County, CT who prioritize treating:

92% Anxiety
88% Depression
79% Self Esteem
77% Relationship Issues
73% Trauma and PTSD
73% Coping Skills
66% Stress

Average years in practice

15 Years

Top 3 insurances accepted

74% Husky | CT BHP
70% UnitedHealthcare UHC | UBH
63% Anthem | Elevance

How Therapists in New London County, CT see their clients

74% In Person and Online
26% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New London County?

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.