Therapists in Lexington, MA

Photo of Rebecca Lawrence, Clinical Social Work/Therapist in Lexington, MA
Rebecca Lawrence
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
Lexington, MA 02421  (Online Only)
Waitlist for new clients
I practice from a person-centered and strengths based perspective, and I believe therapy should be a collaborative process. I work to create a warm and open environment where my clients can safely explore and process their emotions. My clients would describe me as compassionate, genuine, non-judgemental, and not afraid to use a little humor. Together, we will work to identify your goals and build a plan to help you move forward. You are the expert on your own life, and I consider it an honor to support you on your journey.
I practice from a person-centered and strengths based perspective, and I believe therapy should be a collaborative process. I work to create a warm and open environment where my clients can safely explore and process their emotions. My clients would describe me as compassionate, genuine, non-judgemental, and not afraid to use a little humor. Together, we will work to identify your goals and build a plan to help you move forward. You are the expert on your own life, and I consider it an honor to support you on your journey.
(339) 300-5823 x5 View (339) 300-5823 x5
Photo of Pamela Aulis, Counselor in Lexington, MA
Pamela Aulis
Counselor, LMHC
Verified Verified
Lexington, MA 02420
I enjoy working with people who are experiencing life transitions, changing careers, going through grief or loss, experiencing anxiety, looking for support with trauma, developing coping skills, or just seeking support with the messiness of life. I want to work with clients who are motivated to engage in self-reflection and make a commitment to creating space for themselves to work through their current patterns that are no longer serving them. I meet the person where they are at and understand what ways they would like to make changes in their life.
I enjoy working with people who are experiencing life transitions, changing careers, going through grief or loss, experiencing anxiety, looking for support with trauma, developing coping skills, or just seeking support with the messiness of life. I want to work with clients who are motivated to engage in self-reflection and make a commitment to creating space for themselves to work through their current patterns that are no longer serving them. I meet the person where they are at and understand what ways they would like to make changes in their life.
(339) 220-2970 View (339) 220-2970
Photo of Sophia Sgarlat, Clinical Social Work/Therapist in Lexington, MA
Sophia Sgarlat
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, MA 02420
Do you think you may have ADHD or Autism? Have you struggled to assert boundaries at work, with family, & partners? Have you felt curious about exploring different pronouns and gender identity? Do you feel bad that you have a disability and don't know how to tell your friends that you can't do certain activities? You may have goals to tell your friends your preferred pronouns. Goals to get a diagnosis for your disability & curious about medication, goals to reevaluate your relationship with cannabis/alcohol. You may feel shame & anger about your childhood & the way your parents handled your behavior.
Do you think you may have ADHD or Autism? Have you struggled to assert boundaries at work, with family, & partners? Have you felt curious about exploring different pronouns and gender identity? Do you feel bad that you have a disability and don't know how to tell your friends that you can't do certain activities? You may have goals to tell your friends your preferred pronouns. Goals to get a diagnosis for your disability & curious about medication, goals to reevaluate your relationship with cannabis/alcohol. You may feel shame & anger about your childhood & the way your parents handled your behavior.
(339) 218-6636 View (339) 218-6636
Photo of Karin Schroeder-Nothaft, Counselor in Lexington, MA
Karin Schroeder-Nothaft
Counselor, MS, NCC, LMHC, LCPC
Verified Verified
Lexington, MA 02421  (Online Only)
Not accepting new clients
Does anxiety, worry and stress control your life? Take control back. I am a licensed clinical professional counselor, nationally certified counselor and licensed mental health counselor specialized in assessment and treatment of children, teens, adolescents, and adults with anxiety, OCD and related disorders. I provide evidence based treatment, including cognitive behavior therapy (CBT), exposure and response prevention (ERP), and acceptance and commitment therapy (ACT). I include mindfulness based strategies and principles of positive psychology to empower my clients. In addition to office-based-sessions I offer home and community based treatment, videoconferencing and intensive outpatient treatment as clinically indicated. .
Does anxiety, worry and stress control your life? Take control back. I am a licensed clinical professional counselor, nationally certified counselor and licensed mental health counselor specialized in assessment and treatment of children, teens, adolescents, and adults with anxiety, OCD and related disorders. I provide evidence based treatment, including cognitive behavior therapy (CBT), exposure and response prevention (ERP), and acceptance and commitment therapy (ACT). I include mindfulness based strategies and principles of positive psychology to empower my clients. In addition to office-based-sessions I offer home and community based treatment, videoconferencing and intensive outpatient treatment as clinically indicated. .
(312) 818-4987 View (312) 818-4987
Photo of Rebecca Munini, Counselor in Lexington, MA
Rebecca Munini
Counselor, LMHC
Verified Verified
Lexington, MA 02420
Not accepting new clients
I specialize in working with adults who have experienced trauma and those that suffer from insomnia. I enjoy helping others who feel stuck, helpless or hopeless to grow and change to become more comfortable, confident and successful and to strengthen their relationships and achieve their goals.
I specialize in working with adults who have experienced trauma and those that suffer from insomnia. I enjoy helping others who feel stuck, helpless or hopeless to grow and change to become more comfortable, confident and successful and to strengthen their relationships and achieve their goals.
(781) 357-6274 View (781) 357-6274
Photo of Jane Song, Pre-Licensed Professional in Lexington, MA
Jane Song
Pre-Licensed Professional
Verified Verified
Lexington, MA 02420
Jane Song is a Resident in Counseling who specializes in treating anxiety, depression, life transitions, self-esteem, and stress in adolescents and adults. During her work at Boston Harbor Christian Counseling Center, Jane serviced both couples and individuals. Her clients differed in age, gender, religion, and social/academic background. They ranged from college students to professionals to retirees. Due to the pandemic, most of Jane’s clients experienced symptoms such as depression, anxiety, adjustment disorder, marital issues, substance-related issues, trauma, covid-related complications, and work and life balance concerns.
Jane Song is a Resident in Counseling who specializes in treating anxiety, depression, life transitions, self-esteem, and stress in adolescents and adults. During her work at Boston Harbor Christian Counseling Center, Jane serviced both couples and individuals. Her clients differed in age, gender, religion, and social/academic background. They ranged from college students to professionals to retirees. Due to the pandemic, most of Jane’s clients experienced symptoms such as depression, anxiety, adjustment disorder, marital issues, substance-related issues, trauma, covid-related complications, and work and life balance concerns.
(781) 633-7185 View (781) 633-7185
Photo of Marci Beth Simon, Counselor in Lexington, MA
Marci Beth Simon
Counselor, LMHC
Verified Verified
1 Endorsed
Lexington, MA 02420
Not accepting new clients
Whether you're worried about your mood, relationship issues, stressful live events, or something else entirely, I can help you to identify the problems you are facing, adapt, and develop new coping skills. Most of my clients are doing really well in their lives until something comes along and they get "stuck"; It's my job to help you get unstuck and get to a better emotional place that is more balanced and more stable.
Whether you're worried about your mood, relationship issues, stressful live events, or something else entirely, I can help you to identify the problems you are facing, adapt, and develop new coping skills. Most of my clients are doing really well in their lives until something comes along and they get "stuck"; It's my job to help you get unstuck and get to a better emotional place that is more balanced and more stable.
(617) 702-2023 View (617) 702-2023
Photo of Martha Queenin, Clinical Social Work/Therapist in Lexington, MA
Martha Queenin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Lexington, MA 02421
Asking for support & pursuing therapy can feel difficult for many and yet I am a believer that tremendous growth can happen when we find ourselves in tough spaces. While creating a safe and supportive environment, I enjoy partnering with older adolescents, young adults and parents as they navigate the challenges and complicated feelings that often come with life's transitions or unexpected life events; the uncertainly, anxiety, sadness or fears. My ultimate goal is to empower you to be the best version of yourself.
Asking for support & pursuing therapy can feel difficult for many and yet I am a believer that tremendous growth can happen when we find ourselves in tough spaces. While creating a safe and supportive environment, I enjoy partnering with older adolescents, young adults and parents as they navigate the challenges and complicated feelings that often come with life's transitions or unexpected life events; the uncertainly, anxiety, sadness or fears. My ultimate goal is to empower you to be the best version of yourself.
(339) 300-1784 View (339) 300-1784
Photo of Michael Lank, Clinical Social Work/Therapist in Lexington, MA
Michael Lank
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
1 Endorsed
Lexington, MA 02420
I am a Licensed Certified Social Worker currently providing individual therapy on in office and telehealth basis at the Verge Therapy Lexington location. I work with issues including anxiety, depression, trauma, grief, life transitions, and issues at the intersection of spirituality, religion and mental health.
I am a Licensed Certified Social Worker currently providing individual therapy on in office and telehealth basis at the Verge Therapy Lexington location. I work with issues including anxiety, depression, trauma, grief, life transitions, and issues at the intersection of spirituality, religion and mental health.
(781) 570-3530 View (781) 570-3530
Photo of Melanie Shear, Clinical Social Work/Therapist in Lexington, MA
Melanie Shear
Clinical Social Work/Therapist, LICSW
Verified Verified
Lexington, MA 02421
Not accepting new referrals at this time. Are you looking for a safe place to address feelings and behaviors that seem overwhelming? With a direct and gentle approach, and over twenty five years of experience, I offer the space you need to feel safe and begin to notice your own life patterns. Getting unstuck means developing increased awareness and finding new ways of being in our relationship with ourselves and others. I work with people to address concerns from sadness, grief, loss, trauma, depression, shame, low motivation, excessive worry, eating disorders, and adjustment to the many challenges and transitions in life.
Not accepting new referrals at this time. Are you looking for a safe place to address feelings and behaviors that seem overwhelming? With a direct and gentle approach, and over twenty five years of experience, I offer the space you need to feel safe and begin to notice your own life patterns. Getting unstuck means developing increased awareness and finding new ways of being in our relationship with ourselves and others. I work with people to address concerns from sadness, grief, loss, trauma, depression, shame, low motivation, excessive worry, eating disorders, and adjustment to the many challenges and transitions in life.
(978) 434-5322 View (978) 434-5322
Photo of Bridget Merrill, Clinical Social Work/Therapist in Lexington, MA
Bridget Merrill
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, MA 02420
In the ideal scenario, my client seeks therapy to address a range of concerns such as anxiety, depression, eating disorders, and everyday life stressors. They desire a safe and supportive space to freely express themselves without fear of judgment. Their goals include developing healthier thought patterns, improving emotional regulation, and fostering greater self-awareness. Ultimately, they aspire to cultivate a deeper sense of fulfillment, inner peace, and authenticity, driven by a desire for personal growth and meaningful connections with others.
In the ideal scenario, my client seeks therapy to address a range of concerns such as anxiety, depression, eating disorders, and everyday life stressors. They desire a safe and supportive space to freely express themselves without fear of judgment. Their goals include developing healthier thought patterns, improving emotional regulation, and fostering greater self-awareness. Ultimately, they aspire to cultivate a deeper sense of fulfillment, inner peace, and authenticity, driven by a desire for personal growth and meaningful connections with others.
(339) 500-7690 View (339) 500-7690
Photo of Lindsey Fox, Counselor in Lexington, MA
Lindsey Fox
Counselor, LMHC
Verified Verified
Lexington, MA 02420
Your life is a constant juggle, a never-ending to-do list. College, work, family, & unexpected life shifts—your plate is full to the brim. Sometimes, it feels like you're drowning in responsibilities. The weight of it all can be suffocating, leaving you utterly exhausted. You've become a master at putting others' needs first, but who's taking care of you? You keep telling yourself, "It'll be okay," while pushing down the mounting pressure, but deep inside, you're struggling. You wear a brave face but you long for a moment to pause, to be heard, to acknowledge that it's okay to not be okay.
Your life is a constant juggle, a never-ending to-do list. College, work, family, & unexpected life shifts—your plate is full to the brim. Sometimes, it feels like you're drowning in responsibilities. The weight of it all can be suffocating, leaving you utterly exhausted. You've become a master at putting others' needs first, but who's taking care of you? You keep telling yourself, "It'll be okay," while pushing down the mounting pressure, but deep inside, you're struggling. You wear a brave face but you long for a moment to pause, to be heard, to acknowledge that it's okay to not be okay.
(339) 356-0975 View (339) 356-0975
Photo of Dana Rochman, Clinical Social Work/Therapist in Lexington, MA
Dana Rochman
Clinical Social Work/Therapist, LICSW
Verified Verified
Lexington, MA 02421
Do things feel out of control? Maybe you're searching for someone to help support your child's mental health. Maybe the tension between you and your partner erupts into conflict too often. Maybe you don't feel like yourself anymore..... whatever the situation, you decided to reach out for some support. That's an amazing first step. I understand - opening up to a stranger can be terrifying! I try my best to make it less so. I’m a relational therapist - this means that who I am is part of the work I do. I come to this work with my own insecurities and vulnerabilities.
Do things feel out of control? Maybe you're searching for someone to help support your child's mental health. Maybe the tension between you and your partner erupts into conflict too often. Maybe you don't feel like yourself anymore..... whatever the situation, you decided to reach out for some support. That's an amazing first step. I understand - opening up to a stranger can be terrifying! I try my best to make it less so. I’m a relational therapist - this means that who I am is part of the work I do. I come to this work with my own insecurities and vulnerabilities.
View
Photo of Joanne Loomer, Clinical Social Work/Therapist in Lexington, MA
Joanne Loomer
Clinical Social Work/Therapist, LICSW
Verified Verified
Lexington, MA 02420
Welcome! I specialize in working with older adolescents, young adults, and parents, to help develop strategies to manage a variety of stressors including depression, anxiety, low self esteem, grief and loss, academic challenges, life transitions and relationship struggles. My style encompasses an active, collaborative, strengths-based approach, utilizing humor, compassion and warmth, to build a safe and trusting relationship with my clients. My goal is to help you explore road blocks, to gain insight into your thoughts, feelings and behaviors, and to attain solutions that improves overall wellness and enhances personal growth.
Welcome! I specialize in working with older adolescents, young adults, and parents, to help develop strategies to manage a variety of stressors including depression, anxiety, low self esteem, grief and loss, academic challenges, life transitions and relationship struggles. My style encompasses an active, collaborative, strengths-based approach, utilizing humor, compassion and warmth, to build a safe and trusting relationship with my clients. My goal is to help you explore road blocks, to gain insight into your thoughts, feelings and behaviors, and to attain solutions that improves overall wellness and enhances personal growth.
(339) 330-4297 View (339) 330-4297
Photo of Cynthia S Tavilla, Psychologist in Lexington, MA
Cynthia S Tavilla
Psychologist, PsyD
Verified Verified
1 Endorsed
Lexington, MA 02420
My practice is usually FULL. If you have a direct referral from a colleague of mine, please email me with details. It is very difficult for me to return phone calls in a timely way, so if that is the only way for you to contact me, I will do my best! I have been practicing psychotherapy for 35 years and am as passionate about what I do as ever. Recently completed an Accredited Certificate Training Program to provide Psychedelic Assisted Psychotherapy (PAT.) For folks who are journeying, I offer preparation and integration services. Trained and currently able to legally provide Ketamine Assisted Psychotherapy.
My practice is usually FULL. If you have a direct referral from a colleague of mine, please email me with details. It is very difficult for me to return phone calls in a timely way, so if that is the only way for you to contact me, I will do my best! I have been practicing psychotherapy for 35 years and am as passionate about what I do as ever. Recently completed an Accredited Certificate Training Program to provide Psychedelic Assisted Psychotherapy (PAT.) For folks who are journeying, I offer preparation and integration services. Trained and currently able to legally provide Ketamine Assisted Psychotherapy.
(781) 476-5444 View (781) 476-5444
Photo of Tharros House, Lexington MA in Lexington, MA
Tharros House, Lexington MA
Verified Verified
Lexington, MA 02421
Waitlist for new clients
Our program is for adult males, but our clients are defined by motivation and commitment rather than age. Tharros House is a high standards, structured sober living home for those who desire a safe, supportive, and comfortable environment. We utilize tenants of positive psychology to help clients create a constructive and optimistic life approach in sobriety. Clients have 24/7 peer support by expert staff who have all experienced early recovery, and it's challenges. Our goal is to help clients achieve long term recovery by building a solid foundation, a strong community, and by moving on from shame.
Our program is for adult males, but our clients are defined by motivation and commitment rather than age. Tharros House is a high standards, structured sober living home for those who desire a safe, supportive, and comfortable environment. We utilize tenants of positive psychology to help clients create a constructive and optimistic life approach in sobriety. Clients have 24/7 peer support by expert staff who have all experienced early recovery, and it's challenges. Our goal is to help clients achieve long term recovery by building a solid foundation, a strong community, and by moving on from shame.
(617) 440-3216 View (617) 440-3216
Photo of Colleen Goode, Counselor in Lexington, MA
Colleen Goode
Counselor, LMHC
Verified Verified
Lexington, MA 02420  (Online Only)
Colleen is an experienced Licensed Mental Health Counselor with decades of experience counseling. She has worked in schools with children, adolescents and their caregivers to address symptoms of anxiety, depression, trauma, substance abuse, and relational concerns. Colleen uses clinical and evidenced based techniques to help her clients feel empowered to improve the quality of their lives by setting goals, overcoming obstacles, and laying the groundwork for positive change.
Colleen is an experienced Licensed Mental Health Counselor with decades of experience counseling. She has worked in schools with children, adolescents and their caregivers to address symptoms of anxiety, depression, trauma, substance abuse, and relational concerns. Colleen uses clinical and evidenced based techniques to help her clients feel empowered to improve the quality of their lives by setting goals, overcoming obstacles, and laying the groundwork for positive change.
(781) 230-6711 View (781) 230-6711
Photo of Kerlie Merizier, Counselor in Lexington, MA
Kerlie Merizier
Counselor, LMHC
Verified Verified
Lexington, MA 02420
My ideal client is someone who is ready to explore their patterns, thoughts, and unique stories. They may be struggling with anxiety or depression or haven't fully processed traumas and attachment issues in their lifetime. This ideal client may be detached from their emotions, have a hard time letting go, or find it difficult to experience joy. This person is motivated for change and seeks more insight about themselves.
My ideal client is someone who is ready to explore their patterns, thoughts, and unique stories. They may be struggling with anxiety or depression or haven't fully processed traumas and attachment issues in their lifetime. This ideal client may be detached from their emotions, have a hard time letting go, or find it difficult to experience joy. This person is motivated for change and seeks more insight about themselves.
(339) 218-4587 View (339) 218-4587
Photo of Shanthi P. Ganesan, LICSW, Clinical Social Work/Therapist in Lexington, MA
Shanthi P. Ganesan, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Lexington, MA 02420  (Online Only)
I specialize in working with children, adolescents, families, and adults around life transitions, grief, adult and child ADD/ADHD, depression, anxiety, and stress. Additionally, as a first generation Asian Indian who was raised in the US, I have firsthand knowledge around the socially and culturally sensitive issues relating to the experience of immigrant families.
I specialize in working with children, adolescents, families, and adults around life transitions, grief, adult and child ADD/ADHD, depression, anxiety, and stress. Additionally, as a first generation Asian Indian who was raised in the US, I have firsthand knowledge around the socially and culturally sensitive issues relating to the experience of immigrant families.
(339) 674-6602 View (339) 674-6602
Photo of Rebecca Durgin, Counselor in Lexington, MA
Rebecca Durgin
Counselor, LMHC
Verified Verified
Lexington, MA 02420
My ideal client is an individual facing challenges with the impacts of their symptoms on their daily life, encompassing both professional and personal spheres, as well as interpersonal relationships. This client seeks support in developing coping skills, enhancing self-esteem, and improving relational abilities. Their primary goals involve effective symptom management, cultivating positive relationships, and achieving greater satisfaction with life. Together, we work towards addressing their aspirations, empowering them to lead a fulfilling and meaningful life.
My ideal client is an individual facing challenges with the impacts of their symptoms on their daily life, encompassing both professional and personal spheres, as well as interpersonal relationships. This client seeks support in developing coping skills, enhancing self-esteem, and improving relational abilities. Their primary goals involve effective symptom management, cultivating positive relationships, and achieving greater satisfaction with life. Together, we work towards addressing their aspirations, empowering them to lead a fulfilling and meaningful life.
(339) 675-2406 View (339) 675-2406

How does your Therapist compare?

Number of Therapists in Lexington, MA

300+

Average cost per session

$180

Therapists in Lexington, MA who prioritize treating:

91% Anxiety
85% Depression
71% Relationship Issues
69% Self Esteem
66% Coping Skills
60% Stress
59% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
58% UnitedHealthcare UHC | UBH
54% Optum

How Therapists in Lexington, MA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lexington?

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.