Therapists in Orleans Parish, LA

William Arendell
Clinical Social Work/Therapist, LCSW
1 Endorsed
New Orleans, LA 70118
I tailor traditional therapies with the latest research and techniques to deliver individualized and effective treatment.
I tailor traditional therapies with the latest research and techniques to deliver individualized and effective treatment.
(504) 264-5527 View (504) 264-5527
Photo of Katharine Miles - Take Your Time Counseling, LLC. , Clinical Social Work/Therapist, LCSW, CTRP-E
Take Your Time Counseling, LLC.
Clinical Social Work/Therapist, LCSW, CTRP-E
1 Endorsed
New Orleans, LA 70115
I specialize in working with teens & adults who have been impacted by many stressors including; learning disabilities, mental health challenges and neurodivergence who are seeking guidance in navigating the complexities of daily life. Whether it’s managing time, finances, building social connections, or boosting your self-esteem, I focus on practical strategies that align with your goals, strengths, and lifestyle. Alongside this, I help you address and manage mental health challenges such as anxiety and depression, which often accompany the stress of living in a world that isn’t always accommodating to those experiencing challenges.
I specialize in working with teens & adults who have been impacted by many stressors including; learning disabilities, mental health challenges and neurodivergence who are seeking guidance in navigating the complexities of daily life. Whether it’s managing time, finances, building social connections, or boosting your self-esteem, I focus on practical strategies that align with your goals, strengths, and lifestyle. Alongside this, I help you address and manage mental health challenges such as anxiety and depression, which often accompany the stress of living in a world that isn’t always accommodating to those experiencing challenges.
(504) 370-0441 View (504) 370-0441
Photo of Eric Brown, Pre-Licensed Professional, MS, PLPC, NCC
Eric Brown
Pre-Licensed Professional, MS, PLPC, NCC
2 Endorsed
New Orleans, LA 70130
Hi, I’m Eric. Together, we will engage in a process that can transform the way you relate to yourself, others, and the world around you. I offer a compassionate and nurturing space where you will be encouraged to build self-awareness, while honoring your own strengths and personal values. This exploration of your lived experience - through dimensions of thought, emotion, sensation, and behavior - can empower you to make conscious, creative choices toward personally meaningful change and a more fulfilling life. You may be amazed at the possibilities that emerge when you bring the power of your own intuition into the living moment!
Hi, I’m Eric. Together, we will engage in a process that can transform the way you relate to yourself, others, and the world around you. I offer a compassionate and nurturing space where you will be encouraged to build self-awareness, while honoring your own strengths and personal values. This exploration of your lived experience - through dimensions of thought, emotion, sensation, and behavior - can empower you to make conscious, creative choices toward personally meaningful change and a more fulfilling life. You may be amazed at the possibilities that emerge when you bring the power of your own intuition into the living moment!
(504) 370-2462 View (504) 370-2462
Photo of Tavi Harbold, Licensed Professional Counselor, LPC, LAC, NCC
Tavi Harbold
Licensed Professional Counselor, LPC, LAC, NCC
3 Endorsed
New Orleans, LA 70119
I am a Licensed Professional Counselor and Licensed Addiction Counselor offering therapy in a cozy, quiet setting in Mid-City New Orleans. I welcome individuals and groups to share this space as we seek to bring about lasting change in your life. Often, people seeking help start by identifying the external changes that are needed- when 12-Step programs says 'people, places, and things' they mean it! This approach is tremendously helpful in stabilizing one's situation, but going deeper can be a confusing and sometimes upsetting process. I am here to help those who need clinical support navigating the internal changes they seek.
I am a Licensed Professional Counselor and Licensed Addiction Counselor offering therapy in a cozy, quiet setting in Mid-City New Orleans. I welcome individuals and groups to share this space as we seek to bring about lasting change in your life. Often, people seeking help start by identifying the external changes that are needed- when 12-Step programs says 'people, places, and things' they mean it! This approach is tremendously helpful in stabilizing one's situation, but going deeper can be a confusing and sometimes upsetting process. I am here to help those who need clinical support navigating the internal changes they seek.
(504) 414-4705 View (504) 414-4705
Photo of Dr. Hope Gersovitz-Duncan, Licensed Professional Counselor, PhD, LMFT, LPC-S, CCHt
Dr. Hope Gersovitz-Duncan
Licensed Professional Counselor, PhD, LMFT, LPC-S, CCHt
3 Endorsed
New Orleans, LA 70119
Are you having trouble adjusting to changes in your life, such as a loss of a relationship, difficult event, or shifts in career/job? Therapy can be useful in helping individuals cope with stress, and improve relationships with significant others, family members, and self. New Orleans Counseling & Hypnosis Center (NOCHC) values the healing qualities of a strong relationship between client and therapist. At NOCHC we use psycho-education to encourage better coping skills and self-care. NOCHC provides options to incorporate clinical hypnosis into treatment for those that are interested.
Are you having trouble adjusting to changes in your life, such as a loss of a relationship, difficult event, or shifts in career/job? Therapy can be useful in helping individuals cope with stress, and improve relationships with significant others, family members, and self. New Orleans Counseling & Hypnosis Center (NOCHC) values the healing qualities of a strong relationship between client and therapist. At NOCHC we use psycho-education to encourage better coping skills and self-care. NOCHC provides options to incorporate clinical hypnosis into treatment for those that are interested.
(504) 684-7364 View (504) 684-7364
Photo of Karen Nelkin Brandao, Clinical Social Work/Therapist, MSSW, LCSW, MA
Karen Nelkin Brandao
Clinical Social Work/Therapist, MSSW, LCSW, MA
1 Endorsed
New Orleans, LA 70118
I have over 20 years experience using evidence-based practices, primarily CBT, to help clients gain relief from their symptoms or concerns. I provide a safe environment for individuals to clarify feelings as well as learn new tools such as communication skills around feelings, and coping skills. I specialize in working with adults, and young adults on issues such as depression, anxiety, ADHD, anger-management, school issues, and relationship issues. A native of New Orleans, I hold an MSW from UT Austin, an MA in Education from Stanford University, and a BA in Anthropology with a minor in Ethnic Studies from UC Berkeley.
I have over 20 years experience using evidence-based practices, primarily CBT, to help clients gain relief from their symptoms or concerns. I provide a safe environment for individuals to clarify feelings as well as learn new tools such as communication skills around feelings, and coping skills. I specialize in working with adults, and young adults on issues such as depression, anxiety, ADHD, anger-management, school issues, and relationship issues. A native of New Orleans, I hold an MSW from UT Austin, an MA in Education from Stanford University, and a BA in Anthropology with a minor in Ethnic Studies from UC Berkeley.
(504) 641-4756 View (504) 641-4756
Photo of Stacie Rodriguez, Licensed Professional Counselor, LPC-S
Stacie Rodriguez
Licensed Professional Counselor, LPC-S
Online Only
I am a clinician with over a decade of experience working in a variety of settings, including IOP and non-profit organizations. I have supported clients facing a range of challenges, including sexual assaults' and trauma, depression, anxiety, and relationship difficulties. My therapeutic approach integrates Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help clients identify emotional triggers and recognize unhelpful thought patterns; fostering healthier coping strategies, emotional resilience, and empowering change.
I am a clinician with over a decade of experience working in a variety of settings, including IOP and non-profit organizations. I have supported clients facing a range of challenges, including sexual assaults' and trauma, depression, anxiety, and relationship difficulties. My therapeutic approach integrates Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help clients identify emotional triggers and recognize unhelpful thought patterns; fostering healthier coping strategies, emotional resilience, and empowering change.
(504) 732-1990 View (504) 732-1990
Photo of Margaret Lee Winston, Licensed Professional Counselor, LPC
Margaret Lee Winston
Licensed Professional Counselor, LPC
New Orleans, LA 70118
It is my belief that therapy is a collaborative effort between client and counselor. Therefore, during our sessions we will work together to define your goals, illuminate critical issues, and explore specific patterns of behavior, emotions, and feelings. Our work together begins as we sift through your past and present relationships, family dynamics, and important life themes. As a resource for processing, I can offer you insight, suggestions, and encouragement towards achieving your goals. I believe that if you understand the feelings behind your beliefs you will achieve clarity to make different choices. Together we will develop strategies to faciltate change.
It is my belief that therapy is a collaborative effort between client and counselor. Therefore, during our sessions we will work together to define your goals, illuminate critical issues, and explore specific patterns of behavior, emotions, and feelings. Our work together begins as we sift through your past and present relationships, family dynamics, and important life themes. As a resource for processing, I can offer you insight, suggestions, and encouragement towards achieving your goals. I believe that if you understand the feelings behind your beliefs you will achieve clarity to make different choices. Together we will develop strategies to faciltate change.
(504) 383-7980 View (504) 383-7980
Photo of Paul Doyen, Clinical Social Work/Therapist, MS, LMSW
Paul Doyen
Clinical Social Work/Therapist, MS, LMSW
8 Endorsed
New Orleans, LA 70119
Waitlist for new clients
People entering therapy are often overwhelmed with distressing thoughts and emotions. Others feel stuck repeating destructive behaviors or chasing dissatisfying relationships. Many clients have tried therapy in the past and want a deeper approach that gets to the root of their issues.
People entering therapy are often overwhelmed with distressing thoughts and emotions. Others feel stuck repeating destructive behaviors or chasing dissatisfying relationships. Many clients have tried therapy in the past and want a deeper approach that gets to the root of their issues.
(504) 420-9156 View (504) 420-9156
Photo of Gabriella DeMatteo, Provisional Licensed Professional Counselor, PLPC, NCC
Gabriella DeMatteo
Provisional Licensed Professional Counselor, PLPC, NCC
1 Endorsed
New Orleans, LA 70119
I’m a New Orleans native who values connection and community. I strive to bring warmth and compassion into each session. My goal is to create a space where clients feel heard and understood. Helping people face life’s challenges with kindness and tailored support is central to my approach. Whether it’s children learning to express their feelings, teens navigating identity, or adults working through anxiety, grief, or self-doubt, I aim to help each of my clients gain self-understanding, healing, and growth. Offering a supportive environment that encourages healing and empowers clients to move forward with confidence is my priority.
I’m a New Orleans native who values connection and community. I strive to bring warmth and compassion into each session. My goal is to create a space where clients feel heard and understood. Helping people face life’s challenges with kindness and tailored support is central to my approach. Whether it’s children learning to express their feelings, teens navigating identity, or adults working through anxiety, grief, or self-doubt, I aim to help each of my clients gain self-understanding, healing, and growth. Offering a supportive environment that encourages healing and empowers clients to move forward with confidence is my priority.
(504) 353-7831 View (504) 353-7831
Photo of Jayne Strecker, Licensed Professional Counselor, MS, LPC, NCC
Jayne Strecker
Licensed Professional Counselor, MS, LPC, NCC
2 Endorsed
New Orleans, LA 70130
You’re doing your best—but sometimes it just feels like too much. Maybe your mind won’t stop racing, or you feel stuck in patterns you don’t fully understand. Maybe your child is struggling, and you're overwhelmed trying to support them while holding everything else together. You might be navigating a big change in your life, questioning your direction, or managing a brain that works a little differently—and wondering why it sometimes feels so hard just to be. You don’t have to do this alone.
You’re doing your best—but sometimes it just feels like too much. Maybe your mind won’t stop racing, or you feel stuck in patterns you don’t fully understand. Maybe your child is struggling, and you're overwhelmed trying to support them while holding everything else together. You might be navigating a big change in your life, questioning your direction, or managing a brain that works a little differently—and wondering why it sometimes feels so hard just to be. You don’t have to do this alone.
(504) 223-0747 View (504) 223-0747
Photo of Stephen A Roberts, Licensed Professional Counselor, MA, LPC-S
Stephen A Roberts
Licensed Professional Counselor, MA, LPC-S
1 Endorsed
New Orleans, LA 70122
My passion is helping individuals who have experienced trauma heal. Most of my professional work has been working with the lower 9th ward community of New Orleans. My experience has taught me that the best path to a full life is healing l the parts that hold the pain from past experiences.
My passion is helping individuals who have experienced trauma heal. Most of my professional work has been working with the lower 9th ward community of New Orleans. My experience has taught me that the best path to a full life is healing l the parts that hold the pain from past experiences.
(504) 385-0100 View (504) 385-0100
Photo of Janeé C. Mitchell, Licensed Professional Counselor, MAMFC, LPC-S, NCC
Janeé C. Mitchell
Licensed Professional Counselor, MAMFC, LPC-S, NCC
Online Only
Therapy encompasses journeying together to pinpoint your strengths and utilize them to develop fruitful solutions to life challenges. It is my mission to provide encouragement, information, evaluation, and illumination to assist in achieving your goals. Our emphasis will be on reaching back and gathering the best of what the past has to teach so that you can achieve your full potential as you move forward.
Therapy encompasses journeying together to pinpoint your strengths and utilize them to develop fruitful solutions to life challenges. It is my mission to provide encouragement, information, evaluation, and illumination to assist in achieving your goals. Our emphasis will be on reaching back and gathering the best of what the past has to teach so that you can achieve your full potential as you move forward.
(504) 233-6795 View (504) 233-6795
Photo of Ashley Anne Hannon - Ashley Anne Fletcher Acadian Counseling Center, Licensed Professional Counselor, MS, LPC, NCC
Ashley Anne Fletcher Acadian Counseling Center
Licensed Professional Counselor, MS, LPC, NCC
New Orleans, LA 70119
We all have problems, habits and "quirks" of personality and wonder sometimes when life gets rough, whether we need therapy or if it would be a good option. When life is getting on top of you, when you begin to feel strong emotions that you didn't know that you had, when you feel lost or hopeless or just want to reach your full potential, then give yourself a chance to seek a new solution. I can help. I believe that each individual is creative and unique and that there is no "one" way to be happy or live life. For New Orleans I offer virtual, telehealth appointments & EMDR and Gottman Relationship Counseling.
We all have problems, habits and "quirks" of personality and wonder sometimes when life gets rough, whether we need therapy or if it would be a good option. When life is getting on top of you, when you begin to feel strong emotions that you didn't know that you had, when you feel lost or hopeless or just want to reach your full potential, then give yourself a chance to seek a new solution. I can help. I believe that each individual is creative and unique and that there is no "one" way to be happy or live life. For New Orleans I offer virtual, telehealth appointments & EMDR and Gottman Relationship Counseling.
(337) 221-9414 View (337) 221-9414
Photo of Monica Matuska, Marriage & Family Therapist, LMFT
Monica Matuska
Marriage & Family Therapist, LMFT
3 Endorsed
Online Only
I am a Licensed Marriage and Family Therapist in the state of Florida and Louisiana. I am trained in looking at the whole puzzle, not just one piece to fully understand you and the part you play in your life. I have experience working with individuals, couples and groups who have symptoms of anxiety, depression, anger, relationship issues and substance use.
I am a Licensed Marriage and Family Therapist in the state of Florida and Louisiana. I am trained in looking at the whole puzzle, not just one piece to fully understand you and the part you play in your life. I have experience working with individuals, couples and groups who have symptoms of anxiety, depression, anger, relationship issues and substance use.
(504) 553-3884 View (504) 553-3884
Photo of Dr. Wellington John Coleman Jr - Insight Professional Counseling Services LLC, Licensed Professional Counselor, PhD, MSN, M Ed, LPC-S
Insight Professional Counseling Services LLC
Licensed Professional Counselor, PhD, MSN, M Ed, LPC-S
New Orleans, LA 70119
I have had the opportunity to work in the medical profession prior to my working as a therpaist. I worked as a nurse in many disciplines and particularly psychiatry, learning how to treat mental health issues at the extreme of the mental health disorders. I am now working as an independent therpist and have worked primarily in the field of chemical dependency treatment and am presently treating clients in my private practice with diagnoses of chemical dependency, anxiety, depression, and other issues with mental health. I prefer to work collaratively with clients where we, together develop a plan of care for the client's goals.
I have had the opportunity to work in the medical profession prior to my working as a therpaist. I worked as a nurse in many disciplines and particularly psychiatry, learning how to treat mental health issues at the extreme of the mental health disorders. I am now working as an independent therpist and have worked primarily in the field of chemical dependency treatment and am presently treating clients in my private practice with diagnoses of chemical dependency, anxiety, depression, and other issues with mental health. I prefer to work collaratively with clients where we, together develop a plan of care for the client's goals.
(504) 527-8048 View (504) 527-8048
Garden District Mental Health
Psychologist, Psy, MP
1 Endorsed
New Orleans, LA 70115
Garden District Mental Health offers a variety of services to support your needs and goals. Through the use of self-reflection and self-examination, individual therapy is aimed at identifying patterns that lead to difficulties with the goal of reducing symptoms and fostering an overall healthier life experience. Couple and Family Therapy works with partners in intimate relationships to nurture communication, change, and development. Psychological testing is available to examine and address a variety of issues.
Garden District Mental Health offers a variety of services to support your needs and goals. Through the use of self-reflection and self-examination, individual therapy is aimed at identifying patterns that lead to difficulties with the goal of reducing symptoms and fostering an overall healthier life experience. Couple and Family Therapy works with partners in intimate relationships to nurture communication, change, and development. Psychological testing is available to examine and address a variety of issues.
(504) 315-1830 View (504) 315-1830
Photo of Monica Cazes - Monica Cazes, Full Circle Counseling , Licensed Professional Counselor, LPC
Monica Cazes, Full Circle Counseling
Licensed Professional Counselor, LPC
10 Endorsed
New Orleans, LA 70115
I offer marriage/premarital counseling and relationship therapy with a focus on navigating healthy communication, conflict resolution, infidelity and intimacy. I work with a variety of couples and individuals in a safe space where all are welcome and LGBTQ+ clients are encouraged. My approach is empathic, curious, comfortable and compassionate. I believe in meeting my clients where they are to highlight your strengths, preferences, and needs. Reaching out to find a therapist who feels like a good fit can be the hardest part of getting started. I take an active approach in fostering personal growth and self-reflection.
I offer marriage/premarital counseling and relationship therapy with a focus on navigating healthy communication, conflict resolution, infidelity and intimacy. I work with a variety of couples and individuals in a safe space where all are welcome and LGBTQ+ clients are encouraged. My approach is empathic, curious, comfortable and compassionate. I believe in meeting my clients where they are to highlight your strengths, preferences, and needs. Reaching out to find a therapist who feels like a good fit can be the hardest part of getting started. I take an active approach in fostering personal growth and self-reflection.
(504) 353-9948 View (504) 353-9948
Photo of Dr. Emmanuel Paul, Licensed Professional Counselor, PhD, LPC, NCC
Dr. Emmanuel Paul
Licensed Professional Counselor, PhD, LPC, NCC
1 Endorsed
Online Only
The ideal therapy client is an individual who actively seeks personal growth and emotional well-being. They may be grappling with various challenges, such as anxiety, depression, relationship difficulties, or low self-esteem. What sets them apart is their authentic and sincere desire for change. Ultimately, the ideal client seeks a greater sense of fulfillment and balance in life. They believe in the potential for personal growth and are motivated to achieve a more meaningful existence. They understand that therapy can be a transformative journey that empowers them to lead a life aligned with their values, passions, and purpose.
The ideal therapy client is an individual who actively seeks personal growth and emotional well-being. They may be grappling with various challenges, such as anxiety, depression, relationship difficulties, or low self-esteem. What sets them apart is their authentic and sincere desire for change. Ultimately, the ideal client seeks a greater sense of fulfillment and balance in life. They believe in the potential for personal growth and are motivated to achieve a more meaningful existence. They understand that therapy can be a transformative journey that empowers them to lead a life aligned with their values, passions, and purpose.
(504) 788-1545 View (504) 788-1545
Photo of Mary L. Munger, Clinical Social Work/Therapist, MSW, LCSW
Mary L. Munger
Clinical Social Work/Therapist, MSW, LCSW
New Orleans, LA 70115
As a psychotherapist, I strive to create a supportive and hopeful atmosphere where you may safely address barriers to leading a life that fulfills you. I use a blend of psychodynamic, cognitive behavioral, EMDR, and mindfulness-based therapies, drawing from my own training and practice in mindfulness.
As a psychotherapist, I strive to create a supportive and hopeful atmosphere where you may safely address barriers to leading a life that fulfills you. I use a blend of psychodynamic, cognitive behavioral, EMDR, and mindfulness-based therapies, drawing from my own training and practice in mindfulness.
(504) 360-9248 View (504) 360-9248

See more therapy options for Orleans Parish

How does your Therapist compare?

Number of Therapists in Orleans Parish, LA

1,000+

Average cost per session

$126

Therapists in Orleans Parish, LA who prioritize treating:

92% Anxiety
89% Depression
77% Relationship Issues
76% Self Esteem
70% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

71% BlueCross and BlueShield
70% Aetna
64% UnitedHealthcare UHC | UBH

How Therapists in Orleans Parish, LA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Orleans Parish?

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.