Therapists in Lexington, KY

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Photo of Trent Parker, Marriage & Family Therapist, PhD, LMFT
Trent Parker
Marriage & Family Therapist, PhD, LMFT
Lexington, KY 40502
I believe self-acceptance is a key part to living a balanced, content life. As such, I believe that compassion, honesty, and being genuine are the way to achieve both inner balance and healthy relationships. I see myself and those with whom I work as humans striving to do our best, to grow, and to achieve. Whatever your background, beliefs, sexual orientation, gender identity, or life experiences, I strive to create an accepting environment that encourages this exploration.
I believe self-acceptance is a key part to living a balanced, content life. As such, I believe that compassion, honesty, and being genuine are the way to achieve both inner balance and healthy relationships. I see myself and those with whom I work as humans striving to do our best, to grow, and to achieve. Whatever your background, beliefs, sexual orientation, gender identity, or life experiences, I strive to create an accepting environment that encourages this exploration.
(859) 469-4315 View (859) 469-4315
Photo of Jessica Coburn, Licensed Professional Clinical Counselor, MA, LPCC, LCADC
Jessica Coburn
Licensed Professional Clinical Counselor, MA, LPCC, LCADC
1 Endorsed
Lexington, KY 40509
I am trained to work with adolescents and adults with a variety of mental health needs, including anxiety, depression, career and vocational issues, substance abuse, family/marital concerns, Alzheimer's disease, bereavement, anger, and other mood disorders. I utilize various treatment modalities, including cognitive behavior therapy, solution-focused therapy, motivational interviewing, and dialectical behavior therapy. I provide a holistic approach believing you are the expert on what can work for you and will work just as hard as you to help you achieve your goals.
I am trained to work with adolescents and adults with a variety of mental health needs, including anxiety, depression, career and vocational issues, substance abuse, family/marital concerns, Alzheimer's disease, bereavement, anger, and other mood disorders. I utilize various treatment modalities, including cognitive behavior therapy, solution-focused therapy, motivational interviewing, and dialectical behavior therapy. I provide a holistic approach believing you are the expert on what can work for you and will work just as hard as you to help you achieve your goals.
(859) 927-3844 View (859) 927-3844
Photo of Lisa Hernandez, Clinical Social Work/Therapist, MSW, LCSW, LCADC
Lisa Hernandez
Clinical Social Work/Therapist, MSW, LCSW, LCADC
2 Endorsed
Lexington, KY 40509
I am independently licensed to provide mental health services in the state of Kentucky as a Licensed Clinical Social Worker and a Licensed Clinical Alcohol and Drug Counselor, currently serving adolescents and adults. I received a Bachelor’s Degree in Social Work from Mountain State University in West Virginia and a Master’s Degree in Social Work from the University of Kentucky. I work with a variety of clients to assist with mood management, behavior management, life transitions, and recovery.
I am independently licensed to provide mental health services in the state of Kentucky as a Licensed Clinical Social Worker and a Licensed Clinical Alcohol and Drug Counselor, currently serving adolescents and adults. I received a Bachelor’s Degree in Social Work from Mountain State University in West Virginia and a Master’s Degree in Social Work from the University of Kentucky. I work with a variety of clients to assist with mood management, behavior management, life transitions, and recovery.
(859) 217-4923 View (859) 217-4923
Photo of Gerry K. Hearn, Clinical Social Work/Therapist, LCSW, KLPC
Gerry K. Hearn
Clinical Social Work/Therapist, LCSW, KLPC
Lexington, KY 40513
I am a Licensed Clinical Social Worker practicing in the Commonwealth of Kentucky and the State of Rhode Island. I am also a Kentucky Licensed Pastoral Counselor. I work from a bio-psychosocial-spiritual, strengths-based perspective utilizing behavioral therapies (acceptance commitment therapy, cognitive behavioral therapy, dialectical behavioral therapy and rational emotive behavioral therapy), coaching, faith-based counseling, mindfulness, motivational interviewing, pastoral counseling, psychodynamic psychotherapy, solution focused therapy, and spiritual disciplines and formation.
I am a Licensed Clinical Social Worker practicing in the Commonwealth of Kentucky and the State of Rhode Island. I am also a Kentucky Licensed Pastoral Counselor. I work from a bio-psychosocial-spiritual, strengths-based perspective utilizing behavioral therapies (acceptance commitment therapy, cognitive behavioral therapy, dialectical behavioral therapy and rational emotive behavioral therapy), coaching, faith-based counseling, mindfulness, motivational interviewing, pastoral counseling, psychodynamic psychotherapy, solution focused therapy, and spiritual disciplines and formation.
(859) 328-5471 View (859) 328-5471
Photo of Larissa Overton Flint, Clinical Social Work/Therapist, LCSW
Larissa Overton Flint
Clinical Social Work/Therapist, LCSW
Lexington, KY 40513
Larissa is especially passionate about supporting individuals navigating trauma, PTSD, and motivational challenges, as well as those managing post-partum depression and anxiety. She understands the complex impact these experiences can have on daily life and relationships and works to create personalized strategies to foster resilience, emotional stability, and overall well-being. Her areas of clinical focus include anxiety, depression, ADHD, and alcohol or drug use issues, with additional expertise in couple’s issues, grief, and psychosis.
Larissa is especially passionate about supporting individuals navigating trauma, PTSD, and motivational challenges, as well as those managing post-partum depression and anxiety. She understands the complex impact these experiences can have on daily life and relationships and works to create personalized strategies to foster resilience, emotional stability, and overall well-being. Her areas of clinical focus include anxiety, depression, ADHD, and alcohol or drug use issues, with additional expertise in couple’s issues, grief, and psychosis.
(859) 587-6663 View (859) 587-6663
Photo of Laura Brown, Clinical Social Work/Therapist, MSW, LCSW
Laura Brown
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Laura Brown received her Master of Social Work from the University of Kentucky. She has worked with children, adolescents, and adults in a variety of outpatient settings. Specialties include anxiety/panic, depression, bipolar disorder, adjustment disorders, grief, anger management, OCD, PTSD, stress.
Laura Brown received her Master of Social Work from the University of Kentucky. She has worked with children, adolescents, and adults in a variety of outpatient settings. Specialties include anxiety/panic, depression, bipolar disorder, adjustment disorders, grief, anger management, OCD, PTSD, stress.
(859) 765-7093 View (859) 765-7093
Photo of Katie Clinkenbeard, Counselor, LPCA, MAEd
Katie Clinkenbeard
Counselor, LPCA, MAEd
2 Endorsed
Lexington, KY 40509
I understand that no two individuals are the same and their paths to healing are just as distinct. I focus on being adaptable to the client’s needs and utilize different theories and philosophies to personalize the care for each individual. I emphasize the importance of multicultural and diversity counseling, am LGBTQIA+ and neurodiversity affirming, and continually work to ensure a safe and non-judgmental environment for all clients. Your journey is yours to lead, and I am prepared to assist you along your path.
I understand that no two individuals are the same and their paths to healing are just as distinct. I focus on being adaptable to the client’s needs and utilize different theories and philosophies to personalize the care for each individual. I emphasize the importance of multicultural and diversity counseling, am LGBTQIA+ and neurodiversity affirming, and continually work to ensure a safe and non-judgmental environment for all clients. Your journey is yours to lead, and I am prepared to assist you along your path.
(859) 340-8816 View (859) 340-8816
Photo of Madison Miller, Clinical Social Work/Therapist, MSW, LCSW
Madison Miller
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Lexington, KY 40517
Not accepting new clients
I help clients feel more excited about living their beautiful, messy lives! Together we'll work to build resilience in an unpredictable world. I trust in the ability of our minds and nervous systems to heal from traumatic experiences. As you unburden wounded parts of yourself, we will honor the adaptive ways your brain has protected you. We'll work together to build cohesion between your parts to help them better serve you in seeking the future you want.
I help clients feel more excited about living their beautiful, messy lives! Together we'll work to build resilience in an unpredictable world. I trust in the ability of our minds and nervous systems to heal from traumatic experiences. As you unburden wounded parts of yourself, we will honor the adaptive ways your brain has protected you. We'll work together to build cohesion between your parts to help them better serve you in seeking the future you want.
(859) 600-6085 View (859) 600-6085
Photo of Emma Henkel, Clinical Social Work/Therapist, LCSW, CSAT
Emma Henkel
Clinical Social Work/Therapist, LCSW, CSAT
1 Endorsed
Online Only
If you're here, you may be carrying something heavy — shame you've never said aloud, behaviors that feel out of control, or the pain of an unexpected betrayal. You don't have to face it alone. I specialize in trauma recovery and the treatment of sex and porn addiction. Whether you're struggling with compulsive behaviors or reeling as a partner from broken trust, I offer a safe, nonjudgmental space to explore this with honesty and care. My approach is holistic and trauma-informed, attending to how past experiences, mental health, and behaviors connect — and to what the body holds, using EMDR to help release what you carry.
If you're here, you may be carrying something heavy — shame you've never said aloud, behaviors that feel out of control, or the pain of an unexpected betrayal. You don't have to face it alone. I specialize in trauma recovery and the treatment of sex and porn addiction. Whether you're struggling with compulsive behaviors or reeling as a partner from broken trust, I offer a safe, nonjudgmental space to explore this with honesty and care. My approach is holistic and trauma-informed, attending to how past experiences, mental health, and behaviors connect — and to what the body holds, using EMDR to help release what you carry.
(502) 289-0859 View (502) 289-0859
Photo of Anthony Moody, Counselor, LPCA
Anthony Moody
Counselor, LPCA
3 Endorsed
Lexington, KY 40503
As a devoted LPCA and servant of the Most High, I work with men, young adults, students, couples, and individuals navigating stress, trauma, anger, anxiety, grief, identity concerns, relationship struggles, and the weight of feeling misunderstood. I am especially passionate about helping reduce mental health stigma in the Black community while supporting clients from all backgrounds. My goal is to help you feel seen, supported, and empowered as you move toward healing and growth.
As a devoted LPCA and servant of the Most High, I work with men, young adults, students, couples, and individuals navigating stress, trauma, anger, anxiety, grief, identity concerns, relationship struggles, and the weight of feeling misunderstood. I am especially passionate about helping reduce mental health stigma in the Black community while supporting clients from all backgrounds. My goal is to help you feel seen, supported, and empowered as you move toward healing and growth.
(859) 407-6217 View (859) 407-6217
Photo of Kalee Culver, Clinical Social Work/Therapist, LCSW
Kalee Culver
Clinical Social Work/Therapist, LCSW
1 Endorsed
Lexington, KY 40503
Hello and welcome! I am a Licensed Clinical Social Worker with over 7 years of experience supporting individuals through life’s challenges with compassion and care. I believe healing begins in a space where you feel heard, understood, and accepted. My approach is warm, collaborative, and client-centered, and I am deeply committed to walking alongside you on your mental health journey—at your pace—as you work toward growth, balance, and lasting change.
Hello and welcome! I am a Licensed Clinical Social Worker with over 7 years of experience supporting individuals through life’s challenges with compassion and care. I believe healing begins in a space where you feel heard, understood, and accepted. My approach is warm, collaborative, and client-centered, and I am deeply committed to walking alongside you on your mental health journey—at your pace—as you work toward growth, balance, and lasting change.
(859) 374-8146 View (859) 374-8146
Photo of Clark Courtney, Marriage & Family Therapist Associate, MS
Clark Courtney
Marriage & Family Therapist Associate, MS
1 Endorsed
Lexington, KY 40517
Are you feeling stuck, overwhelmed, or disconnected from the life you want to live? I work with individuals, couples, and families, offering a supportive space where you set the pace.
Are you feeling stuck, overwhelmed, or disconnected from the life you want to live? I work with individuals, couples, and families, offering a supportive space where you set the pace.
(859) 251-7623 View (859) 251-7623
Photo of Lucy Hunt, Marriage & Family Therapist Associate, PhD, MFT-A
Lucy Hunt
Marriage & Family Therapist Associate, PhD, MFT-A
1 Endorsed
Lexington, KY 40503
I am a systemic, experiential therapist with specialties in couples and family therapy. My approach is collaborative, interactive, and evidence-based. I draw upon a variety of disciplines and techniques to fit the unique needs of each client. I treat children, adolescents, and adult individuals as well as couples and families.
I am a systemic, experiential therapist with specialties in couples and family therapy. My approach is collaborative, interactive, and evidence-based. I draw upon a variety of disciplines and techniques to fit the unique needs of each client. I treat children, adolescents, and adult individuals as well as couples and families.
(859) 407-7293 View (859) 407-7293
Photo of Sharla Mize, Licensed Professional Clinical Counselor, LPCC
Sharla Mize
Licensed Professional Clinical Counselor, LPCC
Lexington, KY 40503
With over a decade of experience in psychotherapy, training, and consultation, I specializes in DBT, Motivational Interviewing, the NeuroAffective Relational Model, Internal Family Systems, and Accelerated Resolution Therapy. I have worked extensively with individuals facing complex challenges such as borderline personality disorder, substance use disorders, anxiety, depression, low self-worth, PTSD, and developmental trauma. Taking an integrative approach, I help clients set attainable treatment goals, heal from childhood pain, and navigate relationship challenges in adulthood.
With over a decade of experience in psychotherapy, training, and consultation, I specializes in DBT, Motivational Interviewing, the NeuroAffective Relational Model, Internal Family Systems, and Accelerated Resolution Therapy. I have worked extensively with individuals facing complex challenges such as borderline personality disorder, substance use disorders, anxiety, depression, low self-worth, PTSD, and developmental trauma. Taking an integrative approach, I help clients set attainable treatment goals, heal from childhood pain, and navigate relationship challenges in adulthood.
(859) 636-0917 x4 View (859) 636-0917 x4
Photo of Ellen London, Licensed Professional Counselor Associate, MA, LPCA, NCC
Ellen London
Licensed Professional Counselor Associate, MA, LPCA, NCC
2 Endorsed
Lexington, KY 40502
In today’s fast-paced world, the pressures of personal and professional life can feel overwhelming. The constant demand for success in every aspect of life often leads to anxiety, depression, self-doubt, and strained relationships. These challenges can leave you feeling disconnected from others and even from yourself. If you’re struggling with anxiety, depression, grief, stress, relationships or marriage issues, intrusive thoughts, traumatic experiences, life transitions, or just trying to find purpose and meaning, I’m here to help. Together, we’ll explore your concerns, and identify solutions
In today’s fast-paced world, the pressures of personal and professional life can feel overwhelming. The constant demand for success in every aspect of life often leads to anxiety, depression, self-doubt, and strained relationships. These challenges can leave you feeling disconnected from others and even from yourself. If you’re struggling with anxiety, depression, grief, stress, relationships or marriage issues, intrusive thoughts, traumatic experiences, life transitions, or just trying to find purpose and meaning, I’m here to help. Together, we’ll explore your concerns, and identify solutions
(859) 696-6502 View (859) 696-6502
Photo of Don F Sizemore, Clinical Social Work/Therapist, LCSW
Don F Sizemore
Clinical Social Work/Therapist, LCSW
Lexington, KY 40517
Hello folks, I am a graduate of Duke University and the University of North Carolina at Chapel Hill. My wife Carolyn and I have lived in Lexington for 30 yrs since we moved to Kentucky from North Carolina in 1991. Carolyn and I have three children, Seth, Danielle, and Isaac. I have been a practicing counselor for over thirty years in a variety of clinical settings but mostly in private practice. I love helping people figure out where they are stuck, what they are overwhelmed by, and what they need to do to change; experienced, effective therapists make a difference.
Hello folks, I am a graduate of Duke University and the University of North Carolina at Chapel Hill. My wife Carolyn and I have lived in Lexington for 30 yrs since we moved to Kentucky from North Carolina in 1991. Carolyn and I have three children, Seth, Danielle, and Isaac. I have been a practicing counselor for over thirty years in a variety of clinical settings but mostly in private practice. I love helping people figure out where they are stuck, what they are overwhelmed by, and what they need to do to change; experienced, effective therapists make a difference.
(859) 667-1205 x224 View (859) 667-1205 x224
Photo of Donald V Crowe, Psychologist, PhD
Donald V Crowe
Psychologist, PhD
1 Endorsed
Lexington, KY 40508
Not accepting new clients
My guiding philosophy in working with clients is that what is right with a person can enable them to overcome what is wrong with them. My years of working with patients in various treatment settings have only strengthened that view. Whether the issue is depression, trauma, painful personal loss or getting through a difficult crossroad in one's life, my basic approach is to help the person find their own pathways to healing. This is like a process of making "repairs," not of the body necessarily, but repairing one's perspective on life and finding the wherewithal to constructively move forward.
My guiding philosophy in working with clients is that what is right with a person can enable them to overcome what is wrong with them. My years of working with patients in various treatment settings have only strengthened that view. Whether the issue is depression, trauma, painful personal loss or getting through a difficult crossroad in one's life, my basic approach is to help the person find their own pathways to healing. This is like a process of making "repairs," not of the body necessarily, but repairing one's perspective on life and finding the wherewithal to constructively move forward.
(859) 838-1206 View (859) 838-1206
Photo of Ashlee Mayberry-Marshall, Licensed Professional Counselor
Ashlee Mayberry-Marshall
Licensed Professional Counselor
Online Only
Hi my name is Ashlee! I'm an independently licensed therapist specializing in Anxiety and Depression working with Adolescents, Adults, Couples and Families. I have a Bachelor’s Degree in Psychology from Clark Atlanta University and a Master’s Degree in Clinical Mental Health Counseling from Georgia State University. I have 6 years of working experience as a licensed counselor and currently independently licensed in the state of Kentucky and Georgia. My mission is to help instill a sense of hope and allow the opportunity to open your eyes to a new perspective on life less desirable and unfortunate
Hi my name is Ashlee! I'm an independently licensed therapist specializing in Anxiety and Depression working with Adolescents, Adults, Couples and Families. I have a Bachelor’s Degree in Psychology from Clark Atlanta University and a Master’s Degree in Clinical Mental Health Counseling from Georgia State University. I have 6 years of working experience as a licensed counselor and currently independently licensed in the state of Kentucky and Georgia. My mission is to help instill a sense of hope and allow the opportunity to open your eyes to a new perspective on life less desirable and unfortunate
(470) 536-1458 View (470) 536-1458
Photo of Geoff Wilson, Clinical Social Work/Therapist, LCSW, LCADC
Geoff Wilson
Clinical Social Work/Therapist, LCSW, LCADC
1 Endorsed
Lexington, KY 40509
I am a licensed clinical social worker and licensed clinical alcohol and drug counselor who has been practicing in Kentucky for over 23 years. I've practiced in a variety of different treatment settings, including inpatient, outpatient, and residential levels of care. In these settings, I have had extensive experience treating individuals with depression, anxiety, trauma, addiction, co-dependency, relationship and family issues. If you are struggling with a mental health or substance use issue, a current or past relationship, or just feeling stuck, don't hesitate to reach out to me to begin your path to recovery.
I am a licensed clinical social worker and licensed clinical alcohol and drug counselor who has been practicing in Kentucky for over 23 years. I've practiced in a variety of different treatment settings, including inpatient, outpatient, and residential levels of care. In these settings, I have had extensive experience treating individuals with depression, anxiety, trauma, addiction, co-dependency, relationship and family issues. If you are struggling with a mental health or substance use issue, a current or past relationship, or just feeling stuck, don't hesitate to reach out to me to begin your path to recovery.
(859) 667-1183 View (859) 667-1183
Photo of Samantha N Upshaw Maxey, Licensed Professional Clinical Counselor, MA, LPCC-S
Samantha N Upshaw Maxey
Licensed Professional Clinical Counselor, MA, LPCC-S
2 Endorsed
Lexington, KY 40509
Living life to the fullest is sometimes easier said than done. I believe people are innately good and wish to do their very best. Sometimes we get to places where doing our best, or living our best lives, is the most difficult thing we can face. My goal, as a clinical counselor, is to help people see their potential and help them identify ways to reach that potential. I specialize in an array of clients and look forward to finding individualized paths to help lead people to a more fulfilled life.
Living life to the fullest is sometimes easier said than done. I believe people are innately good and wish to do their very best. Sometimes we get to places where doing our best, or living our best lives, is the most difficult thing we can face. My goal, as a clinical counselor, is to help people see their potential and help them identify ways to reach that potential. I specialize in an array of clients and look forward to finding individualized paths to help lead people to a more fulfilled life.
(859) 594-7132 View (859) 594-7132

See more therapy options for Lexington

How does your Therapist compare?

Number of Therapists in Lexington, KY

800+

Average cost per session

$125

Therapists in Lexington, KY who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
86% Depression
73% Trauma and PTSD
73% Complex PTSD

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
76% Anthem
68% BlueCross and BlueShield

How Therapists in Lexington, KY see their clients

63% In Person and Online
37% Online Only

Gender breakdown

78% Female
21% 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.