Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Caleb A Dodson, MA, LMHC, Counselor
Caleb A Dodson
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98109
Having an emotional life can be overwhelming, lonely, and disorienting. Perhaps you've never had the chance, or it feels unsafe, or you've never been understood. You feel stuck and don't really know how to think about this emotional life. Our feelings are where we build a life, an identity, and an inner foundation. Life can 'look' great on paper but feel very different. Therapy is where we begin to get back in touch with and live from this emotional place - the internal gym of our life. It's through relationships that we've been hurt and where we start to grow again.
Having an emotional life can be overwhelming, lonely, and disorienting. Perhaps you've never had the chance, or it feels unsafe, or you've never been understood. You feel stuck and don't really know how to think about this emotional life. Our feelings are where we build a life, an identity, and an inner foundation. Life can 'look' great on paper but feel very different. Therapy is where we begin to get back in touch with and live from this emotional place - the internal gym of our life. It's through relationships that we've been hurt and where we start to grow again.
(206) 350-3369 View (206) 350-3369
Photo of Alexandra Szablya, MA, LMHC, Counselor
Alexandra Szablya
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98121
I work with individuals and couples who are looking to get more out of their lives. Choosing the right therapist for you is important - email, text or call to set up a free consult to see if we're a good match to work through your issues. With couples, I help increase communication and understanding of each other using Emotionally Focused Therapy (EFT) and Gottman. My areas of focus for individuals include work issues, depression and anxiety, grief, navigating American culture, and sexual issues that get in the way of committed relationships.
I work with individuals and couples who are looking to get more out of their lives. Choosing the right therapist for you is important - email, text or call to set up a free consult to see if we're a good match to work through your issues. With couples, I help increase communication and understanding of each other using Emotionally Focused Therapy (EFT) and Gottman. My areas of focus for individuals include work issues, depression and anxiety, grief, navigating American culture, and sexual issues that get in the way of committed relationships.
(206) 981-5260 View (206) 981-5260
Meg M. Sweeney
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98117  (Online Only)
Not accepting new clients
Depression is very treatable, especially with time spent understanding the causes as well as developing strategies to gradually engage with life again. I also specialize and deeply enjoy working with clients who identify as Highly Sensitive, who tend to get overwhelmed in our busy culture and crave more private time. Highly Sensitive People often have beliefs of shame and inferiority related to how they see themselves.
Depression is very treatable, especially with time spent understanding the causes as well as developing strategies to gradually engage with life again. I also specialize and deeply enjoy working with clients who identify as Highly Sensitive, who tend to get overwhelmed in our busy culture and crave more private time. Highly Sensitive People often have beliefs of shame and inferiority related to how they see themselves.
(206) 829-6811 View (206) 829-6811
Photo of Robert Peterson, LCSW, Clinical Social Work/Therapist
Robert Peterson
Clinical Social Work/Therapist, LCSW
Verified Verified
Seattle, WA 98115  (Online Only)
Robert Peterson is a Licensed Independent Clinical Social Worker with over 30 years of experience helping children, adolescents, and adults overcome life's challenges. Having spent much of his career in international school settings, Robert has deep expertise in helping youth cope with cultural adjustment, displacement, isolation, and stress. Utilizing evidence-based approaches including CBT and solution-focused therapy, Robert develops resilience in clients facing trauma, grief, relationship conflicts, and other crises.
Robert Peterson is a Licensed Independent Clinical Social Worker with over 30 years of experience helping children, adolescents, and adults overcome life's challenges. Having spent much of his career in international school settings, Robert has deep expertise in helping youth cope with cultural adjustment, displacement, isolation, and stress. Utilizing evidence-based approaches including CBT and solution-focused therapy, Robert develops resilience in clients facing trauma, grief, relationship conflicts, and other crises.
(509) 400-5795 View (509) 400-5795
Photo of Caleb Pierce, LMHCA, Counselor
Caleb Pierce
Counselor, LMHCA
Verified Verified
Seattle, WA 98122
I seek to provide a supportive space to work with issues including anxiety, depression, life transitions, and relationship to self, others, and the world. How do you make sense of the world? What holds meaning for you? Is there a way to find more room to breathe? I hope to help navigate the places where you might feel stuck, from a place of connection and genuine investment. Also, I grew up overseas and have an interest in international clients and clients navigating cultural/intergenerational issues.
I seek to provide a supportive space to work with issues including anxiety, depression, life transitions, and relationship to self, others, and the world. How do you make sense of the world? What holds meaning for you? Is there a way to find more room to breathe? I hope to help navigate the places where you might feel stuck, from a place of connection and genuine investment. Also, I grew up overseas and have an interest in international clients and clients navigating cultural/intergenerational issues.
(206) 203-5125 View (206) 203-5125
Photo of Kerry Billingham, MS, LMHC, Counselor
Kerry Billingham
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98115  (Online Only)
I am a therapist in north Seattle. I specialize in adults with depression, anxiety, trauma and relationship problems. I am certified in Dialectical Behavior Therapy. I help people who have unstable emotions, relationships, and are frequently in crisis. I teach mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills. I offer DBT groups. I also work with couples, specifically neurodiverse couples where at least one person is ADHD or on the autism spectrum. For couples, I use a combination of DBT, attachment theory, Gottman, and when applicable Neurodiverse Relationship interventions.
I am a therapist in north Seattle. I specialize in adults with depression, anxiety, trauma and relationship problems. I am certified in Dialectical Behavior Therapy. I help people who have unstable emotions, relationships, and are frequently in crisis. I teach mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills. I offer DBT groups. I also work with couples, specifically neurodiverse couples where at least one person is ADHD or on the autism spectrum. For couples, I use a combination of DBT, attachment theory, Gottman, and when applicable Neurodiverse Relationship interventions.
(206) 569-5371 View (206) 569-5371
Photo of David Sims, LMHC, Counselor
David Sims
Counselor, LMHC
Verified Verified
Seattle, WA 98107
Waitlist for new clients
My passion lies in working with both youth and adults alike and believe that counseling offers an opportunity to reflect on the current challenges that you may be experiencing in life, and working together with you on moving forward. In particular I have a heart and passion for working with youth and young adults of color. I believe that racial identity is linked to every aspect of daily lives for people of color and often leads to ongoing symptoms of stress and anxiety. I love working with individuals of all races and ethnicities, including folks who identify as children of immigrants.
My passion lies in working with both youth and adults alike and believe that counseling offers an opportunity to reflect on the current challenges that you may be experiencing in life, and working together with you on moving forward. In particular I have a heart and passion for working with youth and young adults of color. I believe that racial identity is linked to every aspect of daily lives for people of color and often leads to ongoing symptoms of stress and anxiety. I love working with individuals of all races and ethnicities, including folks who identify as children of immigrants.
(206) 222-1585 View (206) 222-1585
Photo of Horizon Therapy Seattle - Jen Davis, MA, LMFTA, Marriage & Family Therapist Associate
Horizon Therapy Seattle - Jen Davis
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98133
As a couple, family, & individual therapist, I honor the importance of our inherent human need to be in fulfilling connection with others and ourselves. And I recognize how difficult this can sometimes be. Whether you're feeling disconnected from your partner, overwhelmed by the level of conflict in your day-to-day family interactions, going through a major life transition, or seeking individual therapy to explore how past hurt and current challenges are constraining you from more fully inhabiting your life, therapy can be a powerful tool for growth. I offer a free consultation to explore our possible work together.
As a couple, family, & individual therapist, I honor the importance of our inherent human need to be in fulfilling connection with others and ourselves. And I recognize how difficult this can sometimes be. Whether you're feeling disconnected from your partner, overwhelmed by the level of conflict in your day-to-day family interactions, going through a major life transition, or seeking individual therapy to explore how past hurt and current challenges are constraining you from more fully inhabiting your life, therapy can be a powerful tool for growth. I offer a free consultation to explore our possible work together.
(206) 752-5538 View (206) 752-5538
Photo of Catherine Harrison, MSW, LSWAIC, Clinical Social Work/Therapist
Catherine Harrison
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98199
You have taken a courageous step to consider counseling! It is my privilege to create a safe, nurturing space for you to breathe... to concentrate on self-care. There is rest, here. There is room for you to BE you. Room to step back, to consider, to contemplate. Room to grow in understanding, practical skills, and a fresh perspective. There is room for hope. My practice focuses on strengthening marriages, couples' relationships, and on individual counseling for a variety of issues. My approach is attachment based, client focused, interactive, and is grounded in Biblical principles of love, gratitude and grace.
You have taken a courageous step to consider counseling! It is my privilege to create a safe, nurturing space for you to breathe... to concentrate on self-care. There is rest, here. There is room for you to BE you. Room to step back, to consider, to contemplate. Room to grow in understanding, practical skills, and a fresh perspective. There is room for hope. My practice focuses on strengthening marriages, couples' relationships, and on individual counseling for a variety of issues. My approach is attachment based, client focused, interactive, and is grounded in Biblical principles of love, gratitude and grace.
(206) 278-2372 View (206) 278-2372
Photo of Crystal DeLoach, PhD, Psychologist
Crystal DeLoach
Psychologist, PhD
Verified Verified
Seattle, WA 98119
Not accepting new clients
I work with women, men, adolescents, and couples struggling with stress, anxiety, depression, grief/loss, relationship difficulties, and/or working toward personal growth, self-exploration, and relationship enhancement. I also have advanced training in helping people work through the emotional and psychological issues related to medical problems including infertility, high-risk pregnancy, peripartum loss, postpartum depression, cancer, adjustment to parenting, and other issues. I have a specialization in reproductive medicine and conduct psychotherapy as well as psychological evaluations required prior to participation in third party reproduction.
I work with women, men, adolescents, and couples struggling with stress, anxiety, depression, grief/loss, relationship difficulties, and/or working toward personal growth, self-exploration, and relationship enhancement. I also have advanced training in helping people work through the emotional and psychological issues related to medical problems including infertility, high-risk pregnancy, peripartum loss, postpartum depression, cancer, adjustment to parenting, and other issues. I have a specialization in reproductive medicine and conduct psychotherapy as well as psychological evaluations required prior to participation in third party reproduction.
(206) 466-3714 View (206) 466-3714
Photo of Juan Pablo Valbuena, PsyD, Psychologist
Juan Pablo Valbuena
Psychologist, PsyD
Verified Verified
1 Endorsed
Seattle, WA 98103
I am a bilingual and bicultural licensed clinical psychologist with more than 15 years of experience working with children, adolescents, young adults (college-age up to 25), and their families from a variety of cultural backgrounds. I take an active role in my work with patients using cognitive-behavioral and family systems techniques in a supportive and compassionate environment.
I am a bilingual and bicultural licensed clinical psychologist with more than 15 years of experience working with children, adolescents, young adults (college-age up to 25), and their families from a variety of cultural backgrounds. I take an active role in my work with patients using cognitive-behavioral and family systems techniques in a supportive and compassionate environment.
(425) 903-8858 View (425) 903-8858
Photo of Hannah Haveman, LMHCA, Counselor
Hannah Haveman
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98119  (Online Only)
Change is difficult and I deeply honor the growing pains that can come with change. It is hard to be uncomfortable, as growth and change happen outside of our comfort zone. Therefore, I also enjoy empowering and supporting clients to find the correct tools that can help foster their wanted growth. I place a high value on working to understand where you come from and your experiences. I am curious to learn about you and create a collaborative relationship with you, so we can work together towards your goals. You are the expert of their own life and I am here to walk alongside you.
Change is difficult and I deeply honor the growing pains that can come with change. It is hard to be uncomfortable, as growth and change happen outside of our comfort zone. Therefore, I also enjoy empowering and supporting clients to find the correct tools that can help foster their wanted growth. I place a high value on working to understand where you come from and your experiences. I am curious to learn about you and create a collaborative relationship with you, so we can work together towards your goals. You are the expert of their own life and I am here to walk alongside you.
(206) 672-2548 View (206) 672-2548
Photo of Heather Reid, LICSW, Clinical Social Work/Therapist
Heather Reid
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98109
Many of our wounds may have been formed in the absence of a witness or lack of connection. You may be struggling with an eating disorder, body image concerns, low self-worth, anxiety, or relationship challenges. Often, these wounds are formed in the absence of validation and support, or a lack of connection. Because wounds are often started in relationships, it makes sense for healing to happen in a relational way. I believe in the transformational and impactful work that happens within relationships both in and outside of the therapy space.
Many of our wounds may have been formed in the absence of a witness or lack of connection. You may be struggling with an eating disorder, body image concerns, low self-worth, anxiety, or relationship challenges. Often, these wounds are formed in the absence of validation and support, or a lack of connection. Because wounds are often started in relationships, it makes sense for healing to happen in a relational way. I believe in the transformational and impactful work that happens within relationships both in and outside of the therapy space.
(206) 202-4906 View (206) 202-4906
Photo of Kali Shilvock, MA, LMFTA, Marriage & Family Therapist Associate
Kali Shilvock
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98109  (Online Only)
I believe that one of the greatest ways that we can empower ourselves to navigate a wide variety of issues is by developing self-awareness and self-compassion. I enjoy working with clients who want a collaborative relationship with their therapist and are willing to approach our work with curiosity and an open mind. I also love to empower individuals and partners with the tools they need to create the changes they seek in their own lives, which requires a mutual investment in and commitment to our work together.
I believe that one of the greatest ways that we can empower ourselves to navigate a wide variety of issues is by developing self-awareness and self-compassion. I enjoy working with clients who want a collaborative relationship with their therapist and are willing to approach our work with curiosity and an open mind. I also love to empower individuals and partners with the tools they need to create the changes they seek in their own lives, which requires a mutual investment in and commitment to our work together.
(206) 944-3698 View (206) 944-3698
Photo of Kelvin Peprah, MA, LMHC
Kelvin Peprah
Mental Health Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98108  (Online Only)
Accepting New Clients: Having difficulty finding a therapist of color who understands your experience? I understand your struggle. As an African American male, I too had trouble finding a therapist of my own. Being a person of color in our society comes with its own unique experience, along with the everyday struggles and challenges we all face. It’s difficult and frustrating to have to explain this unique experience to someone before you can even address your reason for being there. But you continue searching because you know you need someone who understands your experience and can help you with life’s struggles.
Accepting New Clients: Having difficulty finding a therapist of color who understands your experience? I understand your struggle. As an African American male, I too had trouble finding a therapist of my own. Being a person of color in our society comes with its own unique experience, along with the everyday struggles and challenges we all face. It’s difficult and frustrating to have to explain this unique experience to someone before you can even address your reason for being there. But you continue searching because you know you need someone who understands your experience and can help you with life’s struggles.
(206) 385-3168 View (206) 385-3168
Photo of Mike Krepick, MSW, LICSW, Clinical Social Work/Therapist
Mike Krepick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98121
I counsel people who strive to excel and do good in the world. They often start therapy during transitions, needing to recalibrate old ways of thinking and acting to feel and function better. Some work in stressful careers and struggle with mood, motivation, attention, and work-life balance. Some experience social anxiety, avoidance, isolation, conflict, or depression. Some suffer with intrusive thoughts, avoidance, “stuck” thoughts, and distress associated with trauma. Some express systemic, existential, and spiritual concerns for the world. Some are young-adult or middle-aged men striving to adapt and grow through life’s stages.
I counsel people who strive to excel and do good in the world. They often start therapy during transitions, needing to recalibrate old ways of thinking and acting to feel and function better. Some work in stressful careers and struggle with mood, motivation, attention, and work-life balance. Some experience social anxiety, avoidance, isolation, conflict, or depression. Some suffer with intrusive thoughts, avoidance, “stuck” thoughts, and distress associated with trauma. Some express systemic, existential, and spiritual concerns for the world. Some are young-adult or middle-aged men striving to adapt and grow through life’s stages.
(206) 339-7830 View (206) 339-7830
Photo of Dr. Jarryn Robinson-Ellis, PhD, LMFT, Marriage & Family Therapist
Dr. Jarryn Robinson-Ellis
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98121  (Online Only)
I am deeply committed to creating a safe and inclusive therapeutic space for individuals and couples. My passion lies in addressing the unique challenges faced by women, particularly in the realm of motherhood and parenting. I recognize the complexities and emotional nuances of these roles, and I'm dedicated to helping clients navigate their journeys with empathy, resilience, and self-discovery. In addition to my focus on women's issues and motherhood, I am passionate about exploring the experiences of BIPOC individuals, Couples, and those struggling with concerns like anxiety, depression, and attachment related concerns.
I am deeply committed to creating a safe and inclusive therapeutic space for individuals and couples. My passion lies in addressing the unique challenges faced by women, particularly in the realm of motherhood and parenting. I recognize the complexities and emotional nuances of these roles, and I'm dedicated to helping clients navigate their journeys with empathy, resilience, and self-discovery. In addition to my focus on women's issues and motherhood, I am passionate about exploring the experiences of BIPOC individuals, Couples, and those struggling with concerns like anxiety, depression, and attachment related concerns.
(206) 800-6366 x100 View (206) 800-6366 x100
Photo of Marie Marotta, LICSW, Clinical Social Work/Therapist
Marie Marotta
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98107
My passion lies in supporting people to learn the skills necessary to live their best life at every stage. There are times in life when a professional perspective is needed, and my goal is to provide for psychosocial and emotional healing, helping to navigate difficult circumstances and provide for a supportive environment where each individual can achieve growth and fulfillment on their terms.
My passion lies in supporting people to learn the skills necessary to live their best life at every stage. There are times in life when a professional perspective is needed, and my goal is to provide for psychosocial and emotional healing, helping to navigate difficult circumstances and provide for a supportive environment where each individual can achieve growth and fulfillment on their terms.
(206) 573-8259 View (206) 573-8259
Photo of Crissa Parsley, MSW, LICSW, Clinical Social Work/Therapist
Crissa Parsley
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98116
Not accepting new clients
My desire is to create a safe place for adolescents and young adults to express themselves and work through the challenges of life. Growing up brings many natural transitions that can be challenging at times. With additional life stressors, life can feel overwhelming. Problems at school, low self-esteem, family conflict, past traumas, loss/grief, and other issues can create strong feelings that get in the way of normal functioning. I believe every person has a story of resilience and my role is to help integrate past experiences, cope with present hardships and create hope for the future.
My desire is to create a safe place for adolescents and young adults to express themselves and work through the challenges of life. Growing up brings many natural transitions that can be challenging at times. With additional life stressors, life can feel overwhelming. Problems at school, low self-esteem, family conflict, past traumas, loss/grief, and other issues can create strong feelings that get in the way of normal functioning. I believe every person has a story of resilience and my role is to help integrate past experiences, cope with present hardships and create hope for the future.
(206) 455-6736 View (206) 455-6736
Photo of Loretta Baud, MA, LMHC, Counselor
Loretta Baud
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98103
Choosing to see someone for counseling is a courageous step. I believe we all can benefit and grow from having an objective person looking at our lives with us. I am honored to have this role in the lives of others.
Choosing to see someone for counseling is a courageous step. I believe we all can benefit and grow from having an objective person looking at our lives with us. I am honored to have this role in the lives of others.
(206) 759-7703 View (206) 759-7703
1
...

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
77% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

68% Premera Blue Cross
58% Aetna
50% Regence

How Therapists in Seattle, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.