Therapists in Middletown, CT

Photo of Brittany Quagan, Licensed Professional Counselor in Middletown, CT
Brittany Quagan
Licensed Professional Counselor, MS, LPC
Verified Verified
Middletown, CT 06457  (Online Only)
Our minds are often full of made up stories we have been telling ourselves for years. Often, they are stories that have been written based on who others have told us we are or are "supposed" to be. My clients are those who want to rewrite the stories that create a sense of heaviness or limit their life experience, including stories full of anxiety and negative thoughts. I help those who are looking to find inner peace, clarity, a better understanding of themselves, and freedom from the heaviness our minds and life experiences can bring.
Our minds are often full of made up stories we have been telling ourselves for years. Often, they are stories that have been written based on who others have told us we are or are "supposed" to be. My clients are those who want to rewrite the stories that create a sense of heaviness or limit their life experience, including stories full of anxiety and negative thoughts. I help those who are looking to find inner peace, clarity, a better understanding of themselves, and freedom from the heaviness our minds and life experiences can bring.
(860) 792-4281 View (860) 792-4281
Photo of Viv Torres-Calcagno, Licensed Professional Counselor in Middletown, CT
Viv Torres-Calcagno
Licensed Professional Counselor, LPC, ATR-BC
Verified Verified
1 Endorsed
Middletown, CT 06457  (Online Only)
I’m Viviana Torres-Calcagno, a licensed Art Therapist, Professional Counselor and artist. Whether you are looking to process, heal and move through trauma, regulate your nervous system, work through grief, life transitions, or relationship problems, or slow down, connect to nature, and find your soul’s sacred purpose, I feel passionate about working with you from a wholistic, humanistic, and strength-based approach to help you build the tools and skills to live a more nourishing life that is more in alignment with your true self.
I’m Viviana Torres-Calcagno, a licensed Art Therapist, Professional Counselor and artist. Whether you are looking to process, heal and move through trauma, regulate your nervous system, work through grief, life transitions, or relationship problems, or slow down, connect to nature, and find your soul’s sacred purpose, I feel passionate about working with you from a wholistic, humanistic, and strength-based approach to help you build the tools and skills to live a more nourishing life that is more in alignment with your true self.
(860) 580-5349 View (860) 580-5349
Photo of Fabiana Silva, Clinical Social Work/Therapist in Middletown, CT
Fabiana Silva
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Middletown, CT 06457
With nearly a decade of experience in the field of psychotherapy, I am Fabiana Silva, a passionate and dedicated professional specializing in healing trauma. My extensive expertise spans across various therapeutic modalities, enabling me to provide comprehensive and personalized care to my clients. As a multilingual therapist fluent in English, Portuguese, and Spanish, I am the founder of Sunrise Mental Health Services, dedicated to offering compassionate and culturally sensitive mental health support.
With nearly a decade of experience in the field of psychotherapy, I am Fabiana Silva, a passionate and dedicated professional specializing in healing trauma. My extensive expertise spans across various therapeutic modalities, enabling me to provide comprehensive and personalized care to my clients. As a multilingual therapist fluent in English, Portuguese, and Spanish, I am the founder of Sunrise Mental Health Services, dedicated to offering compassionate and culturally sensitive mental health support.
(860) 846-3728 View (860) 846-3728
Photo of Middletown Counseling Llc, Clinical Social Work/Therapist in Middletown, CT
Middletown Counseling Llc
Clinical Social Work/Therapist
Verified Verified
Middletown, CT 06457
We are currently taking new clients! Hi there! We are a small group practice housing several lovely clinicians with varying specialities. The one thing we all have in common is a passion for working with people to make life better. Please feel free to reach out to see if one of us could be a good fit for you, we look forward to hearing from you! To learn more about us individually, check out our website: https://www.middletowncounselingllc.org/
We are currently taking new clients! Hi there! We are a small group practice housing several lovely clinicians with varying specialities. The one thing we all have in common is a passion for working with people to make life better. Please feel free to reach out to see if one of us could be a good fit for you, we look forward to hearing from you! To learn more about us individually, check out our website: https://www.middletowncounselingllc.org/
(959) 214-4772 View (959) 214-4772
Photo of Donna S. Grisham, Drug & Alcohol Counselor in Middletown, CT
Donna S. Grisham
Drug & Alcohol Counselor, LADC, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
My work as a Licensed Alcohol and Drug Counselor and a Licensed Clinical Social Worker with a Master of Social Work in Mental Health and Addiction is to assist individuals and family members in reaching their goals and potential as they overcome their challenges and make use of their opportunities. I have had the pleasure of working with people in this field for over 20 years.
My work as a Licensed Alcohol and Drug Counselor and a Licensed Clinical Social Worker with a Master of Social Work in Mental Health and Addiction is to assist individuals and family members in reaching their goals and potential as they overcome their challenges and make use of their opportunities. I have had the pleasure of working with people in this field for over 20 years.
(860) 598-4672 View (860) 598-4672
Photo of Melanie Lucanie, Clinical Social Work/Therapist in Middletown, CT
Melanie Lucanie
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
I'm Melanie, a licensed clinical social worker in CT and NY. I congratulate you for prioritizing the time to care for yourself. Seeking therapy can be an intimidating task, as we often have to open up, speak to and challenge parts of ourselves we've tucked away. Perhaps you have experienced a big life transition and are seeking helping navigating this next chapter. Perhaps you have noticed the same patterns emerging in your relationships or find yourself going to the same old, familiar place to keep your head above the water. These roads can feel isolating on your own, I would be honored to join you and work together.
I'm Melanie, a licensed clinical social worker in CT and NY. I congratulate you for prioritizing the time to care for yourself. Seeking therapy can be an intimidating task, as we often have to open up, speak to and challenge parts of ourselves we've tucked away. Perhaps you have experienced a big life transition and are seeking helping navigating this next chapter. Perhaps you have noticed the same patterns emerging in your relationships or find yourself going to the same old, familiar place to keep your head above the water. These roads can feel isolating on your own, I would be honored to join you and work together.
(860) 787-0853 View (860) 787-0853
Photo of Allissa Tamiso, Licensed Professional Counselor in Middletown, CT
Allissa Tamiso
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Middletown, CT 06457
I’m Allissa Tamiso, a Licensed Professional Counselor with a Master’s degree in Counseling from Central Connecticut State University. I know that you’re just trying to be happy, and it feels like happiness is harder than it should be. You see other people who seem to understand how to navigate life seamlessly, while you feel like you don’t quite get it, or that there are endless obstacles in your way. This is where our work begins. I have worked with folks struggling with anxiety, depression, grief and loss, PTSD, ADHD, relationship issues and life transitions.
I’m Allissa Tamiso, a Licensed Professional Counselor with a Master’s degree in Counseling from Central Connecticut State University. I know that you’re just trying to be happy, and it feels like happiness is harder than it should be. You see other people who seem to understand how to navigate life seamlessly, while you feel like you don’t quite get it, or that there are endless obstacles in your way. This is where our work begins. I have worked with folks struggling with anxiety, depression, grief and loss, PTSD, ADHD, relationship issues and life transitions.
(860) 831-3347 View (860) 831-3347
Photo of Brian A Zelesky, Clinical Social Work/Therapist in Middletown, CT
Brian A Zelesky
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
I am a Licensed Clinical Social Worker with approximately twenty years experience providing professional clinical treatment to children, adolescents, adults and families. I have successfully engaged clients of all ages in a trusting therapeutic relationship and I am committed to establishing a collaborative relationship between the client and myself. My experience has given me a unique ability to connect to difficult children and adolescents. My goal is to help provide clinical insight and counseling resulting in effective changes for the clients I serve. I practice a goal oriented approach that involves the family.
I am a Licensed Clinical Social Worker with approximately twenty years experience providing professional clinical treatment to children, adolescents, adults and families. I have successfully engaged clients of all ages in a trusting therapeutic relationship and I am committed to establishing a collaborative relationship between the client and myself. My experience has given me a unique ability to connect to difficult children and adolescents. My goal is to help provide clinical insight and counseling resulting in effective changes for the clients I serve. I practice a goal oriented approach that involves the family.
(860) 308-1583 View (860) 308-1583
Photo of Edward Langford, Licensed Professional Counselor in Middletown, CT
Edward Langford
Licensed Professional Counselor, LPC
Verified Verified
Middletown, CT 06457
Waitlist for new clients
Temporarily, not taking any new patients. Available appointments typically within 24-48 hours. If you are struggling, you do not have to go it alone. I am here to help and taking personal responsibility is enabling and reaching out for support is the first step! If you are feeling overwhelmed by the demands of the day, my services aim to introduce clarity and self-motivation. Together we will practice techniques to better manage the emotional stressors and triggers that can be present in our daily lives. I have experience dedicated to providing mental health services to adults, children including adolescents and their families.
Temporarily, not taking any new patients. Available appointments typically within 24-48 hours. If you are struggling, you do not have to go it alone. I am here to help and taking personal responsibility is enabling and reaching out for support is the first step! If you are feeling overwhelmed by the demands of the day, my services aim to introduce clarity and self-motivation. Together we will practice techniques to better manage the emotional stressors and triggers that can be present in our daily lives. I have experience dedicated to providing mental health services to adults, children including adolescents and their families.
(860) 316-2994 View (860) 316-2994
Photo of Katie Chesanek, Clinical Social Work/Therapist in Middletown, CT
Katie Chesanek
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Middletown, CT 06457
Are you feeling anxious or depressed? Struggling with a life transition such as beginning college or a divorce? Grieving the loss of a loved one? The decision you have made to start therapy is an incredibly important first step in improving your quality of life and achieving your wellness goals. I am happy you are here!
Are you feeling anxious or depressed? Struggling with a life transition such as beginning college or a divorce? Grieving the loss of a loved one? The decision you have made to start therapy is an incredibly important first step in improving your quality of life and achieving your wellness goals. I am happy you are here!
View
Photo of Christine O'Grady, Clinical Social Work/Therapist in Middletown, CT
Christine O'Grady
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
I look forward to working with and helping people of all ages. Individuals and families can expect the use of reflective practice, mindfulness and humor. Many individuals are dealing with stressful situations with life's ever present changes. I offer assistance in goal setting and follow through. For young children and their families I use a Child-Parent Psychotherapeutic approach and can combine this with trauma work. Perinatal families can expect a deep understanding of the stages of becoming a parent and struggling.
I look forward to working with and helping people of all ages. Individuals and families can expect the use of reflective practice, mindfulness and humor. Many individuals are dealing with stressful situations with life's ever present changes. I offer assistance in goal setting and follow through. For young children and their families I use a Child-Parent Psychotherapeutic approach and can combine this with trauma work. Perinatal families can expect a deep understanding of the stages of becoming a parent and struggling.
(860) 852-4634 View (860) 852-4634
Photo of Martina Jackson, Clinical Social Work/Therapist in Middletown, CT
Martina Jackson
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
*Accepting new in person and/or telehealth (virtual) referrals * People choose therapy for various reasons but the goal remains the same: wanting to heal, feel better, and learn how to be mentally healthy long term. For over 10 years I have helped teens and adults achieve those results through education, mindfulness, authentic and culturally responsive communication, and various evidence based practices. Identifying mental health concerns and understanding how they impact you is not always an easy task. Having the right person to support and guide is an essential piece to your healing and growth.
*Accepting new in person and/or telehealth (virtual) referrals * People choose therapy for various reasons but the goal remains the same: wanting to heal, feel better, and learn how to be mentally healthy long term. For over 10 years I have helped teens and adults achieve those results through education, mindfulness, authentic and culturally responsive communication, and various evidence based practices. Identifying mental health concerns and understanding how they impact you is not always an easy task. Having the right person to support and guide is an essential piece to your healing and growth.
(860) 390-4697 View (860) 390-4697
Photo of Nicole Williams, Licensed Professional Counselor in Middletown, CT
Nicole Williams
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Middletown, CT 06457
Not accepting new clients
Not currently accepting new clients. "The secret of change is to focus all your energy, not on fighting the old, but on building the new" [Socrates] My approach is to help individuals achieve their goals and overcome any obstacles that may be hindering their ability to live the happiest version of themselves. I believe an important step in this process is developing and maintaining a genuine relationship with the client, as well as providing a warm and safe environment. I also believe in the importance of focusing on an individual's strengths and attributes while identifying goals in order to grow and improve oneself.
Not currently accepting new clients. "The secret of change is to focus all your energy, not on fighting the old, but on building the new" [Socrates] My approach is to help individuals achieve their goals and overcome any obstacles that may be hindering their ability to live the happiest version of themselves. I believe an important step in this process is developing and maintaining a genuine relationship with the client, as well as providing a warm and safe environment. I also believe in the importance of focusing on an individual's strengths and attributes while identifying goals in order to grow and improve oneself.
(203) 689-7827 View (203) 689-7827
Photo of Heather Agid, Clinical Social Work/Therapist in Middletown, CT
Heather Agid
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
Are you looking for a supportive space to process your thoughts, emotions, and experiences without judgement? Are you carrying around the weight of stress, trauma or worry all day? Whether you're looking for structured trauma treatment such as EMDR, anxiety and depression management through CBT or emotionally focused talk therapy for everyday challenges, your needs will be prioritized in sessions. Together, we will work on creating a plan that feels comfortable and effective at helping you feel better so you can get back to your life. I offer in person and virtual appointments depending on your preference.
Are you looking for a supportive space to process your thoughts, emotions, and experiences without judgement? Are you carrying around the weight of stress, trauma or worry all day? Whether you're looking for structured trauma treatment such as EMDR, anxiety and depression management through CBT or emotionally focused talk therapy for everyday challenges, your needs will be prioritized in sessions. Together, we will work on creating a plan that feels comfortable and effective at helping you feel better so you can get back to your life. I offer in person and virtual appointments depending on your preference.
(860) 590-8217 View (860) 590-8217
Photo of Carolyn Noonan Sowa, Clinical Social Work/Therapist in Middletown, CT
Carolyn Noonan Sowa
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
Carolyn is a Licensed Clinical Social Worker with over 20 years of experience working with children, adolescents, adults and the elderly in a variety of settings including hospitals, assisted living facilities, residential centers, mobile crisis, private practice and community based mental health centers. Carolyn specializes in the treatment of anxiety, depression, trauma, relational issues, aging, adjustment related issues, bereavement and loss. She uses a person centered, strength based and goal-oriented approach in her therapy practice.
Carolyn is a Licensed Clinical Social Worker with over 20 years of experience working with children, adolescents, adults and the elderly in a variety of settings including hospitals, assisted living facilities, residential centers, mobile crisis, private practice and community based mental health centers. Carolyn specializes in the treatment of anxiety, depression, trauma, relational issues, aging, adjustment related issues, bereavement and loss. She uses a person centered, strength based and goal-oriented approach in her therapy practice.
(860) 935-6061 View (860) 935-6061
Photo of Jaclyn McCabe, LPC Associate in Middletown, CT
Jaclyn McCabe
LPC Associate, MA, LPCA, NCC, CEDS-C
Verified Verified
1 Endorsed
Middletown, CT 06457
Jaclyn is a Licensed Professional Counselor Associate, National Board-Certified Counselor, and Certified Eating Disorder Specialist Candidate who is passionate about supporting individuals on their recovery journey in healing from eating disorders and co-occurring mood disorders including anxiety, depression, and trauma-stressor related disorders.
Jaclyn is a Licensed Professional Counselor Associate, National Board-Certified Counselor, and Certified Eating Disorder Specialist Candidate who is passionate about supporting individuals on their recovery journey in healing from eating disorders and co-occurring mood disorders including anxiety, depression, and trauma-stressor related disorders.
(860) 854-4038 View (860) 854-4038
Photo of Lauren Cooper, Clinical Social Work/Therapist in Middletown, CT
Lauren Cooper
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457  (Online Only)
Do you find yourself feeling stressed or overwhelmed? Life can be challenging and it can be even more difficult to identify how to make changes. I utilize an eclectic approach to guide you through your own process at your own pace. I focus on helping individuals navigate through life changes or hardships. I am a Licensed Clinical Social Worker who specializes in treating children, adolescents, and adults. My background includes working with individuals in a variety of settings who experience depression, anxiety, trauma, relationship issues, substance use, family stressors, and more.
Do you find yourself feeling stressed or overwhelmed? Life can be challenging and it can be even more difficult to identify how to make changes. I utilize an eclectic approach to guide you through your own process at your own pace. I focus on helping individuals navigate through life changes or hardships. I am a Licensed Clinical Social Worker who specializes in treating children, adolescents, and adults. My background includes working with individuals in a variety of settings who experience depression, anxiety, trauma, relationship issues, substance use, family stressors, and more.
(860) 407-3875 View (860) 407-3875
Photo of Catherine Stone, Clinical Social Work/Therapist in Middletown, CT
Catherine Stone
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
Waitlist for new clients
It is inevitable that life brings its share of pain and suffering. Sometimes this pain and suffering can be overwhelming and prevent us from living a meaningful and happy life. We can start feeling despair, hopeless, or stuck. Trauma, loss, mental illness, and stressful life events are just some of the complicating factors. With over 25 years of experience working in the field of mental health and wellness, I can help you work through the challenges you face and lead you to a more fulfilling life. I offer both short-term and long-term models of psychotherapy for adults and youth of all ages and walks of life.
It is inevitable that life brings its share of pain and suffering. Sometimes this pain and suffering can be overwhelming and prevent us from living a meaningful and happy life. We can start feeling despair, hopeless, or stuck. Trauma, loss, mental illness, and stressful life events are just some of the complicating factors. With over 25 years of experience working in the field of mental health and wellness, I can help you work through the challenges you face and lead you to a more fulfilling life. I offer both short-term and long-term models of psychotherapy for adults and youth of all ages and walks of life.
(860) 300-2187 View (860) 300-2187
Photo of Diane Allen, Clinical Social Work/Therapist in Middletown, CT
Diane Allen
Clinical Social Work/Therapist, LCSW, NSW-C
Verified Verified
2 Endorsed
Middletown, CT 06457
Have you been experiencing anxiety due to a recently diagnosed of Cancer or a chronic medical condition? Are you starting a new phase of life and feel overwhelmed? Did you recently experience the loss of your beloved spouse or dear friend? All of these are anxiety producing and very difficult. It can be hard to navigate these life transitions when you feel as though you lost control and feel uncertain about who to turn to for help. I am here to help you with these overwhelming feelings so that you can handle these hard life events in the best way possible.
Have you been experiencing anxiety due to a recently diagnosed of Cancer or a chronic medical condition? Are you starting a new phase of life and feel overwhelmed? Did you recently experience the loss of your beloved spouse or dear friend? All of these are anxiety producing and very difficult. It can be hard to navigate these life transitions when you feel as though you lost control and feel uncertain about who to turn to for help. I am here to help you with these overwhelming feelings so that you can handle these hard life events in the best way possible.
(860) 358-0948 View (860) 358-0948
Photo of Laura Liistro, Clinical Social Work/Therapist in Middletown, CT
Laura Liistro
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
Waitlist for new clients
Currently Waitlist for New Clients If you are suffering and looking for an environment to share your thoughts, feelings, and anxieties; I would love to provide the safe and judgement free space for you to do so. As a team, we will create a plan to tackle the things you are struggling with and help you become the best version of yourself.
Currently Waitlist for New Clients If you are suffering and looking for an environment to share your thoughts, feelings, and anxieties; I would love to provide the safe and judgement free space for you to do so. As a team, we will create a plan to tackle the things you are struggling with and help you become the best version of yourself.
(860) 935-6727 View (860) 935-6727

How does your Therapist compare?

Number of Therapists in Middletown, CT

200+

Average cost per session

$145

Therapists in Middletown, CT who prioritize treating:

93% Anxiety
90% Depression
82% Relationship Issues
78% Self Esteem
74% Trauma and PTSD
71% Coping Skills
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

75% Cigna and Evernorth
71% Husky | CT BHP
68% Aetna

How Therapists in Middletown, CT see their clients

72% In Person and Online
28% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Middletown?

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.