Therapists in Los Angeles, CA

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Photo of Traniece Stephens, Marriage & Family Therapist in Los Angeles, CA
Traniece Stephens
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Los Angeles, CA 90007  (Online Only)
I’m a eclectic therapist who believes in treating the whole person. My motto is “ One size does not fit all”. Making the choice to attend therapy is often difficult no matter the reason. However, it’s also the first step in putting YOU first. No matter the reason that lead you here or where you are in your journey. I will work with you to identify your goals and create a safe and supportive environment to help you meet those goals.
I’m a eclectic therapist who believes in treating the whole person. My motto is “ One size does not fit all”. Making the choice to attend therapy is often difficult no matter the reason. However, it’s also the first step in putting YOU first. No matter the reason that lead you here or where you are in your journey. I will work with you to identify your goals and create a safe and supportive environment to help you meet those goals.
(323) 310-1568 View (323) 310-1568
Photo of Framework Associates, Psychologist in Los Angeles, CA
Framework Associates
Psychologist, PsyD, PhD, MFT, LCSW
Verified Verified
Los Angeles, CA 90025
Want to use your insurance to pay for therapy, but having a hard time finding a therapist who's accepting new clients? Stop your endless searching and skip the waitlists! We'd love to offer some help. Please visit FrameworkPsych.com to schedule your first appointment. Framework Associates was founded on the principles of providing affordable, accessible therapy from highly qualified therapists. We've invested in the latest healthcare technology that allows you to securely videochat with a therapist from the comfort of your own home.
Want to use your insurance to pay for therapy, but having a hard time finding a therapist who's accepting new clients? Stop your endless searching and skip the waitlists! We'd love to offer some help. Please visit FrameworkPsych.com to schedule your first appointment. Framework Associates was founded on the principles of providing affordable, accessible therapy from highly qualified therapists. We've invested in the latest healthcare technology that allows you to securely videochat with a therapist from the comfort of your own home.
(310) 496-3779 View (310) 496-3779
Photo of Alex Mirsakova, Marriage & Family Therapist Associate in Los Angeles, CA
Alex Mirsakova
Marriage & Family Therapist Associate, AMFT
Verified Verified
Los Angeles, CA 90019
Do you ever struggle with feeling disconnected, like you don't fit in, or like you're watching the world happen around you from the outside in? Do you feel like you need someone to really understand you? To feel heard and unconditionally accepted in a space of your own? Above all, the most important aspect of therapy is the relationship we will cultivate together in session, which is in and of itself an invaluable tool. I value the concepts of authenticity, comfort and client autonomy in the therapy space. We will always go at your own pace. Where you go in that space, I will be there beside you.
Do you ever struggle with feeling disconnected, like you don't fit in, or like you're watching the world happen around you from the outside in? Do you feel like you need someone to really understand you? To feel heard and unconditionally accepted in a space of your own? Above all, the most important aspect of therapy is the relationship we will cultivate together in session, which is in and of itself an invaluable tool. I value the concepts of authenticity, comfort and client autonomy in the therapy space. We will always go at your own pace. Where you go in that space, I will be there beside you.
(818) 928-3621 View (818) 928-3621
Photo of Tracy Sondern, Marriage & Family Therapist Associate in Los Angeles, CA
Tracy Sondern
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
7 Endorsed
Los Angeles, CA 90026
I help couples find connection again, so that everything doesn’t have to be so hard. I want to help you communicate more effectively, so that you can locate your friendship and be able to hear, see and support each other. My hope is to create a space for you to have the difficult conversations you avoid the rest of the week. I've been married for over 30 years, and I know firsthand the ups and downs of partnerships.
I help couples find connection again, so that everything doesn’t have to be so hard. I want to help you communicate more effectively, so that you can locate your friendship and be able to hear, see and support each other. My hope is to create a space for you to have the difficult conversations you avoid the rest of the week. I've been married for over 30 years, and I know firsthand the ups and downs of partnerships.
(323) 380-0176 View (323) 380-0176
Photo of Sofi Gelvan, Marriage & Family Therapist Associate in Los Angeles, CA
Sofi Gelvan
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
Los Angeles, CA 90004
Change is hard, especially when we feel stuck in old patterns, challenging relationships or unsatisfying careers . It can feel like a really lonely place to be. But you don't have to experience this alone. Therapy can help you make the changes you've been struggling to make on your own. We will explore your thoughts, feelings, and behaviors from the past and present, to understand the patterns that may be making you feel stuck on a loop. We will work to gain awareness and insight into barriers that may be standing in your way and preventing you from achieving your goals, while also identifying your strengths and how to use them.
Change is hard, especially when we feel stuck in old patterns, challenging relationships or unsatisfying careers . It can feel like a really lonely place to be. But you don't have to experience this alone. Therapy can help you make the changes you've been struggling to make on your own. We will explore your thoughts, feelings, and behaviors from the past and present, to understand the patterns that may be making you feel stuck on a loop. We will work to gain awareness and insight into barriers that may be standing in your way and preventing you from achieving your goals, while also identifying your strengths and how to use them.
(323) 894-9235 View (323) 894-9235
Photo of Alexia Holovatyk, Psychologist in Los Angeles, CA
Alexia Holovatyk
Psychologist, PhD
Verified Verified
5 Endorsed
Los Angeles, CA 90064
Are you objectively successful in life, but something still feels missing? Have you noticed yourself repeating old patterns that no longer serve you? I am passionate about creating a safe, supportive environment to guide women on this path to come out stronger on the other side. I utilize a mind-body approach to give you the tools to uncover the root causes of your "stuckness" and help you move forward to live a more full and authentic life. Together we can journey towards understanding how your past influences the way you currently relate in relationships, to yourself, and to the world.
Are you objectively successful in life, but something still feels missing? Have you noticed yourself repeating old patterns that no longer serve you? I am passionate about creating a safe, supportive environment to guide women on this path to come out stronger on the other side. I utilize a mind-body approach to give you the tools to uncover the root causes of your "stuckness" and help you move forward to live a more full and authentic life. Together we can journey towards understanding how your past influences the way you currently relate in relationships, to yourself, and to the world.
(424) 453-8090 View (424) 453-8090
Photo of Jim Roach, Marriage & Family Therapist in Los Angeles, CA
Jim Roach
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Los Angeles, CA 90025
I believe my position, as a therapist, is to partner with my clients in a safe environment that will allow resources to be uncovered and new choices to be discovered. These tools will equip them to find desired changes and/or fight their problems. Life experiences can limit what is available and by processing these experiences people can find understanding, healing and/or the ability to move on and thrive. I work with individuals, couples and families, and have a specialization in working with preteens/teens as well as persons with terminal illnesses. I offer a free phone consultation.
I believe my position, as a therapist, is to partner with my clients in a safe environment that will allow resources to be uncovered and new choices to be discovered. These tools will equip them to find desired changes and/or fight their problems. Life experiences can limit what is available and by processing these experiences people can find understanding, healing and/or the ability to move on and thrive. I work with individuals, couples and families, and have a specialization in working with preteens/teens as well as persons with terminal illnesses. I offer a free phone consultation.
(424) 242-3929 View (424) 242-3929
Photo of Sara Sherman, Psychologist in Los Angeles, CA
Sara Sherman
Psychologist, PsyD
Verified Verified
Los Angeles, CA 90046
Many caregivers have trouble understanding and managing their child’s behavior. I will strengthen your relationship with your child by teaching you how they think, and empowering you to change how they behave. My specialties include ADHD, anxiety, autism, depression, developmental disabilities, grief, OCD, oppositional defiance, and trauma.
Many caregivers have trouble understanding and managing their child’s behavior. I will strengthen your relationship with your child by teaching you how they think, and empowering you to change how they behave. My specialties include ADHD, anxiety, autism, depression, developmental disabilities, grief, OCD, oppositional defiance, and trauma.
(323) 207-1752 View (323) 207-1752
Photo of Ben C Bernstein, Marriage & Family Therapist Associate in Los Angeles, CA
Ben C Bernstein
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
17 Endorsed
Los Angeles, CA 90027
I love to work with people who are motivated to change. You might not know exactly what needs to change, but perhaps you have a vague feeling something better is out there. In my experience, new motivation or working harder is rarely what is needed. What we usually do need is to find a way to have relationships that are as soft, safe and connected as possible.
I love to work with people who are motivated to change. You might not know exactly what needs to change, but perhaps you have a vague feeling something better is out there. In my experience, new motivation or working harder is rarely what is needed. What we usually do need is to find a way to have relationships that are as soft, safe and connected as possible.
(818) 839-7429 View (818) 839-7429
Photo of Katrina Dela Cruz - Expansive Therapy, Licensed Professional Clinical Counselor in Los Angeles, CA
Katrina Dela Cruz - Expansive Therapy
Licensed Professional Clinical Counselor, LCSW
Verified Verified
Los Angeles, CA 90004  (Online Only)
My practice is informed by the interconnectedness of all things, especially the relationship between mind, body, and spirit (or soul), and the interrelationships between beings. I am influenced by Western psychological theories, as well as holistic, ancestral, and indigenous wellness rituals from around the world.
My practice is informed by the interconnectedness of all things, especially the relationship between mind, body, and spirit (or soul), and the interrelationships between beings. I am influenced by Western psychological theories, as well as holistic, ancestral, and indigenous wellness rituals from around the world.
(213) 682-3040 View (213) 682-3040
Photo of Dr. Aglaed Mayorga, Psychologist in Los Angeles, CA
Dr. Aglaed Mayorga
Psychologist, MA, PsyD
Verified Verified
Los Angeles, CA 90036  (Online Only)
Hi, I'm Dr. Aglaed Mayorga. I am a Clinical and Forensic Latina Psychologist with experience treating individuals who identify as LatinX, Black, Native/Indigenous, and or other persons of color. I specialize in symptoms of codependency, cultural inter-generational and generational trauma, anxiety, and depression. I use a cognitive behavioral therapeutic and holistic approach in my practice.
Hi, I'm Dr. Aglaed Mayorga. I am a Clinical and Forensic Latina Psychologist with experience treating individuals who identify as LatinX, Black, Native/Indigenous, and or other persons of color. I specialize in symptoms of codependency, cultural inter-generational and generational trauma, anxiety, and depression. I use a cognitive behavioral therapeutic and holistic approach in my practice.
(562) 620-5153 View (562) 620-5153
Photo of Elizabeth Weinberger, PhD, MPH, Psychologist in Los Angeles, CA
Elizabeth Weinberger, PhD, MPH
Psychologist, PhD, MPH
Verified Verified
1 Endorsed
Los Angeles, CA 90066  (Online Only)
Waitlist for new clients
Life is challenging enough without being hampered by painful or unpleasant thoughts, feelings or memories. I have been in private practice since 1990, helping people overcome the emotional obstacles that prevent them from living full and satisfying lives. These obstacles include: low self-esteem, difficulty relating to others, relationship problems, unresolved grief, immobilizing anxiety, unresolved issues from childhood, maladaptive ways of coping with stress etc.. I see adults only and do not do couple's therapy. When contacting me, please briefly state what you need help with, and, your insurance, if planning to use it.
Life is challenging enough without being hampered by painful or unpleasant thoughts, feelings or memories. I have been in private practice since 1990, helping people overcome the emotional obstacles that prevent them from living full and satisfying lives. These obstacles include: low self-esteem, difficulty relating to others, relationship problems, unresolved grief, immobilizing anxiety, unresolved issues from childhood, maladaptive ways of coping with stress etc.. I see adults only and do not do couple's therapy. When contacting me, please briefly state what you need help with, and, your insurance, if planning to use it.
(424) 289-6341 View (424) 289-6341
Photo of Barbara Herring, Marriage & Family Therapist in Los Angeles, CA
Barbara Herring
Marriage & Family Therapist, MA, LMFT
Verified Verified
9 Endorsed
Los Angeles, CA 90013
Seeking out therapy is a very heroic action in and of itself, perhaps your first proactive step into redefining your sense of self, creating a new life story, and taking a leap into the direction of self-care. If you are reading this, you may be in a state of uncertainty, or perhaps connected more deeply than you would like to be to the effects of depression, anxiety, or your daily life situations. Maybe, you are wrestling in a relationship with someone you love; perhaps, finding the words to communicate who you are and how you feel may seem unattainable and challenging at best.
Seeking out therapy is a very heroic action in and of itself, perhaps your first proactive step into redefining your sense of self, creating a new life story, and taking a leap into the direction of self-care. If you are reading this, you may be in a state of uncertainty, or perhaps connected more deeply than you would like to be to the effects of depression, anxiety, or your daily life situations. Maybe, you are wrestling in a relationship with someone you love; perhaps, finding the words to communicate who you are and how you feel may seem unattainable and challenging at best.
(424) 354-3038 View (424) 354-3038
Photo of Matthew Pfeiffer, Licensed Professional Clinical Counselor in Los Angeles, CA
Matthew Pfeiffer
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Los Angeles, CA 90048
When working with patients, I take a holistic approach and assess from a bio/psycho/social/spiritual point-of-view. I believe assessing the whole patient is the best way to understand underlying problems/symptoms related to psychopathology. Most importantly, empathy, trust, a therapeutic alliance and rapport is of utmost concern; I want your therapy hour to be useful, beneficial, and enjoyable. My areas of specialty include treatment of sleep disruptions/insomnia, depression and anxiety.
When working with patients, I take a holistic approach and assess from a bio/psycho/social/spiritual point-of-view. I believe assessing the whole patient is the best way to understand underlying problems/symptoms related to psychopathology. Most importantly, empathy, trust, a therapeutic alliance and rapport is of utmost concern; I want your therapy hour to be useful, beneficial, and enjoyable. My areas of specialty include treatment of sleep disruptions/insomnia, depression and anxiety.
(323) 709-7605 View (323) 709-7605
Photo of Roberta Rinaldi, Clinical Social Work/Therapist in Los Angeles, CA
Roberta Rinaldi
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90024  (Online Only)
Not accepting new clients
My ideal clients are those who have a strong desire to become freer of their problems, so they can become the best versions of themselves. I am certified in EMDR and have found it an incredible tool for overcoming trauma, both recent and long-standing. I especially enjoy working with clients who are overcoming the psychological damage incurred from being involved with narcissists, and artists working to overcome blocks to their creativity.
My ideal clients are those who have a strong desire to become freer of their problems, so they can become the best versions of themselves. I am certified in EMDR and have found it an incredible tool for overcoming trauma, both recent and long-standing. I especially enjoy working with clients who are overcoming the psychological damage incurred from being involved with narcissists, and artists working to overcome blocks to their creativity.
(424) 256-1980 View (424) 256-1980
Photo of Jessica Churchill, Clinical Social Work/Therapist in Los Angeles, CA
Jessica Churchill
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90045  (Online Only)
Hi, my name is Jess. I'm a Licensed Clinical Social Worker (LCSW) in California. I received my Master's in Social Welfare from UCLA and have been practicing for 3 1/2 years.
Hi, my name is Jess. I'm a Licensed Clinical Social Worker (LCSW) in California. I received my Master's in Social Welfare from UCLA and have been practicing for 3 1/2 years.
(424) 667-4456 View (424) 667-4456
Photo of Herlin Soto, Marriage & Family Therapist Associate in Los Angeles, CA
Herlin Soto
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Los Angeles, CA 90010
I help my clients find meaning behind their preferred narrative. Whether youre experiencing a life transition, find it challenging in setting boundaries, attachment wounds, or navigating your cultural/racial identity you may be thinking, "Do I even belong here? Am I not good enough?”. These experiences may bring up anxiety, depressive thoughts, or even traumatic stress. Digging deep into the origins of these experiences may uncover wounds from intergenerational trauma, childhood trauma, intersectional identities or environmental triggers. I hope to provide you a safe and trusting space to be able to feel heard, seen, and validated.
I help my clients find meaning behind their preferred narrative. Whether youre experiencing a life transition, find it challenging in setting boundaries, attachment wounds, or navigating your cultural/racial identity you may be thinking, "Do I even belong here? Am I not good enough?”. These experiences may bring up anxiety, depressive thoughts, or even traumatic stress. Digging deep into the origins of these experiences may uncover wounds from intergenerational trauma, childhood trauma, intersectional identities or environmental triggers. I hope to provide you a safe and trusting space to be able to feel heard, seen, and validated.
(310) 421-2256 View (310) 421-2256
Photo of Doug Friedman, Clinical Social Work/Therapist in Los Angeles, CA
Doug Friedman
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Los Angeles, CA 90027
My approach blends years of experience with natural compassion, humor and insight. I'm not a passive therapist. I'm interactive in sessions, using a holistic, relational approach with techniques from CBT, DBT, psychodynamic and narrative. I specialize in helping re-wire patterned thinking in your brain through talk therapy. Without a bunch of clinical jargon, we have relatable conversations in session where I will both nurture you and challenge you when needed. We stay in the present to shift behaviors and ways of thinking, while also getting to the root of the issues and feelings by understanding and processing them at the core.
My approach blends years of experience with natural compassion, humor and insight. I'm not a passive therapist. I'm interactive in sessions, using a holistic, relational approach with techniques from CBT, DBT, psychodynamic and narrative. I specialize in helping re-wire patterned thinking in your brain through talk therapy. Without a bunch of clinical jargon, we have relatable conversations in session where I will both nurture you and challenge you when needed. We stay in the present to shift behaviors and ways of thinking, while also getting to the root of the issues and feelings by understanding and processing them at the core.
(323) 825-4534 View (323) 825-4534
Photo of Jieun Kang, Marriage & Family Therapist in Los Angeles, CA
Jieun Kang
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90063
My name is Jieun Kang (Feel free to call me June). I am a Licensed Marriage and Family Therapist (LMFT) based in California. I'm working with clients statewide via telehealth. I work with adults and specialize in anxiety, depression, stress, life transitions, and trauma. I use Cognitive Behavioral Therapy (CBT) and Motivational Interviewing to help my clients work through emotional pain and achieve personal growth and self-love. Through my therapy practice, I have discovered that my style and approach resonate well with adult individuals seeking to understand themselves better and make better life choices.
My name is Jieun Kang (Feel free to call me June). I am a Licensed Marriage and Family Therapist (LMFT) based in California. I'm working with clients statewide via telehealth. I work with adults and specialize in anxiety, depression, stress, life transitions, and trauma. I use Cognitive Behavioral Therapy (CBT) and Motivational Interviewing to help my clients work through emotional pain and achieve personal growth and self-love. Through my therapy practice, I have discovered that my style and approach resonate well with adult individuals seeking to understand themselves better and make better life choices.
(323) 831-8376 View (323) 831-8376
Photo of Casey Cohen, Marriage & Family Therapist in Los Angeles, CA
Casey Cohen
Marriage & Family Therapist
Verified Verified
Los Angeles, CA 90010
Hello and welcome. So let's start by dispelling the common misconception that therapy is for the weak and broken. This could not be more untrue. Therapy is for the bold and intrepid. Therapy is for those who are unwilling to accept how things are and choose instead to brave the roads less traveled in search of something better. So whether your dissatisfaction lies in patterns that you can't seem to break free of, turbulent relationships with partners, family or friends, or in the daunting challenges posed by depression, anxiety, grief et al., your insistence for change not only should never be shamed, it should be deeply admired.
Hello and welcome. So let's start by dispelling the common misconception that therapy is for the weak and broken. This could not be more untrue. Therapy is for the bold and intrepid. Therapy is for those who are unwilling to accept how things are and choose instead to brave the roads less traveled in search of something better. So whether your dissatisfaction lies in patterns that you can't seem to break free of, turbulent relationships with partners, family or friends, or in the daunting challenges posed by depression, anxiety, grief et al., your insistence for change not only should never be shamed, it should be deeply admired.
(424) 324-3380 View (424) 324-3380

How does your Therapist compare?

Number of Therapists in Los Angeles, CA

3,000+

Average cost per session

$175

Therapists in Los Angeles, CA who prioritize treating:

93% Anxiety
88% Depression
74% Self Esteem
72% Relationship Issues
68% Trauma and PTSD
65% Coping Skills
63% Stress

Average years in practice

11 Years

Top 3 insurances accepted

76% Aetna
69% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in Los Angeles, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Los Angeles?

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.