Therapists in Park County, MT

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Photo of David Michael Hardy, Licensed Professional Counselor, LCPC
David Michael Hardy
Licensed Professional Counselor, LCPC
Livingston, MT 59047
The teenage years can be really tough on teens AND their parents. Changes happen that can throw their emotions on a rollercoaster -- sadness, worry or anger can take over. Friends can push a teen toward dangerous choices. Add on the stress of high school, early romantic relationships, working towards independence, and there are all sorts of places that a teenager can struggle. It takes a special sort of counselor to work with a teen. Someone who is serious and kind when they struggle, but keeps a sense of humor, wonder and joy that can connect with them past those struggles.
The teenage years can be really tough on teens AND their parents. Changes happen that can throw their emotions on a rollercoaster -- sadness, worry or anger can take over. Friends can push a teen toward dangerous choices. Add on the stress of high school, early romantic relationships, working towards independence, and there are all sorts of places that a teenager can struggle. It takes a special sort of counselor to work with a teen. Someone who is serious and kind when they struggle, but keeps a sense of humor, wonder and joy that can connect with them past those struggles.
(406) 548-5309 View (406) 548-5309
Photo of Dr. Alexandria Saunders, Counselor, PhD, LCPC
Dr. Alexandria Saunders
Counselor, PhD, LCPC
Online Only
As a holistic practitioner and a sex therapist, I will hold sacred, safe space for integration in order to feel whole and aligned with the true self. I enter the therapeutic relationship honoring who you are and where you are on life's journey. I offer psychological, embodied, and intuitive medicine to feel help feel wholeness and aliveness within relationship with yourself, others, your inner knowing and intuition, and your sexuality. I mostly work with sexuality, trauma, and couples, though at times work with those in need of a holistic approach to healing.
As a holistic practitioner and a sex therapist, I will hold sacred, safe space for integration in order to feel whole and aligned with the true self. I enter the therapeutic relationship honoring who you are and where you are on life's journey. I offer psychological, embodied, and intuitive medicine to feel help feel wholeness and aliveness within relationship with yourself, others, your inner knowing and intuition, and your sexuality. I mostly work with sexuality, trauma, and couples, though at times work with those in need of a holistic approach to healing.
(406) 296-5539 View (406) 296-5539
Photo of Tavin Moria Stewart - Tavin Stewart, LCPC, Counselor, LCPC
Tavin Stewart, LCPC
Counselor, LCPC
Livingston, MT 59047
Hello, I specialize in counseling children, adolescents, and young adults in addressing issues like anxiety, emotional dysregulation, low self-esteem, attachment, depression, and trauma. I mainly counsel through Person Centered, Adlerian, and Family Systems lenses which means I believe in occasionally touching base with parents and guardians to increase communication and connection.
Hello, I specialize in counseling children, adolescents, and young adults in addressing issues like anxiety, emotional dysregulation, low self-esteem, attachment, depression, and trauma. I mainly counsel through Person Centered, Adlerian, and Family Systems lenses which means I believe in occasionally touching base with parents and guardians to increase communication and connection.
(406) 629-4600 View (406) 629-4600
Photo of Chelsea McNamara - Rooted Awareness, Clinical Social Work/Therapist, LCSW, CCTP, RYT
Rooted Awareness
Clinical Social Work/Therapist, LCSW, CCTP, RYT
Livingston, MT 59047
Accepting New Clients! During the therapeutic process, you are in the driver’s seat and I am here to help facilitate the change and healing that you want to see in your life. I need you as the client to be dedicated to venture through the therapeutic process with me. You will need to be prepared to increase your awareness of your beliefs, challenges, habits, and patterns. I will support you by utilizing integrative approaches to help you improve your overall wellbeing (emotions, mind, body, spirit).
Accepting New Clients! During the therapeutic process, you are in the driver’s seat and I am here to help facilitate the change and healing that you want to see in your life. I need you as the client to be dedicated to venture through the therapeutic process with me. You will need to be prepared to increase your awareness of your beliefs, challenges, habits, and patterns. I will support you by utilizing integrative approaches to help you improve your overall wellbeing (emotions, mind, body, spirit).
(406) 629-4541 View (406) 629-4541
Photo of Amy Titgemeier Stevens, Clinical Social Work/Therapist, LCSW, MSW
Amy Titgemeier Stevens
Clinical Social Work/Therapist, LCSW, MSW
Livingston, MT 59047
I am here to help guide you on your path to wellness. This is a journey that you and I take together. If you are seeking assistance to uncover your potential I would love to support you in that. Anxiety, depression, and feeling overwhelmed, are all emotions that leave us feeling stuck. I would like to help you build a foundation that is supportive and solid for you.
I am here to help guide you on your path to wellness. This is a journey that you and I take together. If you are seeking assistance to uncover your potential I would love to support you in that. Anxiety, depression, and feeling overwhelmed, are all emotions that leave us feeling stuck. I would like to help you build a foundation that is supportive and solid for you.
(406) 416-4723 View (406) 416-4723
Photo of Lisa Talcott, Clinical Social Work/Therapist, MSW, LCSW
Lisa Talcott
Clinical Social Work/Therapist, MSW, LCSW
Livingston, MT 59047
My fundamental belief about therapy is that the most important ingredient for growth is a safe, compassionate, and supportive relationship between therapist and client. From there we can venture into the tender areas of life that are in need of gentle, respectful attention. Perhaps you are struggling with depression, anxiety, or unresolved issues related to childhood trauma. Or you may be facing the challenges of a major life transition, grief and loss, aging, or chronic illness. I believe every person has the capacity to grow into the person they want to be. I'd like to be part a partner in that journey with you.
My fundamental belief about therapy is that the most important ingredient for growth is a safe, compassionate, and supportive relationship between therapist and client. From there we can venture into the tender areas of life that are in need of gentle, respectful attention. Perhaps you are struggling with depression, anxiety, or unresolved issues related to childhood trauma. Or you may be facing the challenges of a major life transition, grief and loss, aging, or chronic illness. I believe every person has the capacity to grow into the person they want to be. I'd like to be part a partner in that journey with you.
(406) 282-8289 View (406) 282-8289
Photo of Julie H Eaton, Counselor, MA, LCPC
Julie H Eaton
Counselor, MA, LCPC
1 Endorsed
Livingston, MT 59047
I help people grow and live more satisfying lives. My clients can expect to learn new tools for emotional regulation and feeling better. Therapy is dynamic and I utilize a variety of approaches to help my clients find the right road map to recovery and better living. Surprisingly as it sounds, therapy can be fun, enlightening and a place not only out of pain but onto a more rewarded life. By developing our natural curiosity we can start letting go of our inner critic and open ourselves up to more balance and connection.
I help people grow and live more satisfying lives. My clients can expect to learn new tools for emotional regulation and feeling better. Therapy is dynamic and I utilize a variety of approaches to help my clients find the right road map to recovery and better living. Surprisingly as it sounds, therapy can be fun, enlightening and a place not only out of pain but onto a more rewarded life. By developing our natural curiosity we can start letting go of our inner critic and open ourselves up to more balance and connection.
(406) 204-4894 View (406) 204-4894
Photo of Lindsey A. Hurley (Healing Horizons Counseling), Counselor, LCPC, MHPP, MBA
Lindsey A. Hurley (Healing Horizons Counseling)
Counselor, LCPC, MHPP, MBA
Online Only
Using a person-centered approach, I offer a safe place without judgment to explore your thoughts, feelings, and life stressors. I am an experienced Licensed Clinical Professional Counselor who specializes in individual therapy, crisis counseling, and working towards becoming certified in perinatal mental health. I have spent much of my career working in various settings including an emergency department, schools, crisis houses, and with adults that have severe disabling mental illnesses. Together we will come up with a plan that works best for you, while focusing on your strengths and exploring new strategies to heal and find hope.
Using a person-centered approach, I offer a safe place without judgment to explore your thoughts, feelings, and life stressors. I am an experienced Licensed Clinical Professional Counselor who specializes in individual therapy, crisis counseling, and working towards becoming certified in perinatal mental health. I have spent much of my career working in various settings including an emergency department, schools, crisis houses, and with adults that have severe disabling mental illnesses. Together we will come up with a plan that works best for you, while focusing on your strengths and exploring new strategies to heal and find hope.
(406) 631-3925 View (406) 631-3925
Photo of Megan Fettig, Counselor, MA, LCPC, LPC
Megan Fettig
Counselor, MA, LCPC, LPC
Livingston, MT 59047
Waitlist for new clients
Are you struggling with difficult feelings such as overwhelm, grief, or anxiety? Do you find yourself held back by limiting beliefs you're ready to shed? Are you ready to gain trust in yourself and touch into your own inherent wisdom? I’m a traveler, outdoors woman, educator, and therapist with nearly two decades of experience guiding people on transformative, healing, and self-actualizing journeys. I draw upon several evidenced based modalities in my heart-centered and trauma-informed approach including Somatic Experiencing, EMDR, Parts Work, Nature-Based & Mindfulness approaches.
Are you struggling with difficult feelings such as overwhelm, grief, or anxiety? Do you find yourself held back by limiting beliefs you're ready to shed? Are you ready to gain trust in yourself and touch into your own inherent wisdom? I’m a traveler, outdoors woman, educator, and therapist with nearly two decades of experience guiding people on transformative, healing, and self-actualizing journeys. I draw upon several evidenced based modalities in my heart-centered and trauma-informed approach including Somatic Experiencing, EMDR, Parts Work, Nature-Based & Mindfulness approaches.
(406) 823-2781 View (406) 823-2781
Photo of Mark Knox, Marriage & Family Therapist, PhD, DMin, LMFT, EMDR
Mark Knox
Marriage & Family Therapist, PhD, DMin, LMFT, EMDR
Livingston, MT 59047
I am dedicated to providing help for the hurting, in a safe and compassionate environment. We all have times when we could use a little help, but change is possible and can lead to a great life. I combine evidence-based, cutting-edge therapies intended to bring healing to the brain. These include LENs Neurofeedback, EMDR (I am an approved consultant), and Emotionally Focused Couples Therapy. As a 25-year military veteran, I have a solid understanding of issues experienced by military and veteran clients and their families, and a deep desire to provide veterans and first-responders with help.
I am dedicated to providing help for the hurting, in a safe and compassionate environment. We all have times when we could use a little help, but change is possible and can lead to a great life. I combine evidence-based, cutting-edge therapies intended to bring healing to the brain. These include LENs Neurofeedback, EMDR (I am an approved consultant), and Emotionally Focused Couples Therapy. As a 25-year military veteran, I have a solid understanding of issues experienced by military and veteran clients and their families, and a deep desire to provide veterans and first-responders with help.
(406) 412-6766 View (406) 412-6766
Photo of Sarah Gamble Karls - Sarah Karls Counseling, Counselor, MS, LCPC
Sarah Karls Counseling
Counselor, MS, LCPC
Livingston, MT 59047
I strongly believe that every human being goes through difficult times in their lives when counseling may be beneficial. We all struggle with various circumstances where it may be helpful to have a separate, unbiased party and support to process through life events. I see individuals, families and couples and have been working in a therapeutic setting for the last 13 years. My specialties include working with those who struggle with depression, self-esteem and relationship issues, as well as other mood and personality disorders.
I strongly believe that every human being goes through difficult times in their lives when counseling may be beneficial. We all struggle with various circumstances where it may be helpful to have a separate, unbiased party and support to process through life events. I see individuals, families and couples and have been working in a therapeutic setting for the last 13 years. My specialties include working with those who struggle with depression, self-esteem and relationship issues, as well as other mood and personality disorders.
(406) 960-4606 View (406) 960-4606
Photo of Lorraine (Rainey) Hellman - Rainey Counseling PLLC, Counselor, LCPC, LPC
Rainey Counseling PLLC
Counselor, LCPC, LPC
Online Only
Lorraine “Rainey” Hellman’s therapeutic philosophy centers around creating a safe and nurturing environment where clients can openly explore their experiences. By employing a range of therapeutic approaches, she collaborates with clients to develop personalized strategies for coping, healing, and achieving their goals. Clients are drawn to her empathetic nature, her ability to adapt therapy to individual needs, and her dedication to fostering positive change. Embarking on a therapeutic journey with Rainey means embarking on a path of empowerment, healing, and resilience. Together we overcome challenges!
Lorraine “Rainey” Hellman’s therapeutic philosophy centers around creating a safe and nurturing environment where clients can openly explore their experiences. By employing a range of therapeutic approaches, she collaborates with clients to develop personalized strategies for coping, healing, and achieving their goals. Clients are drawn to her empathetic nature, her ability to adapt therapy to individual needs, and her dedication to fostering positive change. Embarking on a therapeutic journey with Rainey means embarking on a path of empowerment, healing, and resilience. Together we overcome challenges!
(406) 416-5598 View (406) 416-5598
Photo of Meriweather Campbell, Counselor, LCPC, LAC
Meriweather Campbell
Counselor, LCPC, LAC
Livingston, MT 59047
Not accepting new clients
Hello! I specialize in addictions and mood disorders, however I have broad background in the multifaceted spectrum of mental health disorders and challenges. I enjoy working with people who are curious about themselves and the patterns that dictate their lives and relationships. Change is hard and brave and rewarding work!
Hello! I specialize in addictions and mood disorders, however I have broad background in the multifaceted spectrum of mental health disorders and challenges. I enjoy working with people who are curious about themselves and the patterns that dictate their lives and relationships. Change is hard and brave and rewarding work!
(406) 642-8698 View (406) 642-8698
Photo of Randilee Groff, Clinical Social Work/Therapist, MSW, LCSW
Randilee Groff
Clinical Social Work/Therapist, MSW, LCSW
Livingston, MT 59047
As a Licensed Clinical Social Worker (LCSW) with a Master’s in Social Work (MSW), I am passionate about helping children, adolescents, young adults, and families navigate life’s challenges. I have over ten years of experience supporting clients as young as three through their early twenties, working with a range of concerns including anxiety, depression, sexual abuse, adjustment disorders, complex trauma, parenting, and family dynamics. My previous work as a school social worker gave me a deep understanding of the unique needs and strengths of youth in diverse settings.
As a Licensed Clinical Social Worker (LCSW) with a Master’s in Social Work (MSW), I am passionate about helping children, adolescents, young adults, and families navigate life’s challenges. I have over ten years of experience supporting clients as young as three through their early twenties, working with a range of concerns including anxiety, depression, sexual abuse, adjustment disorders, complex trauma, parenting, and family dynamics. My previous work as a school social worker gave me a deep understanding of the unique needs and strengths of youth in diverse settings.
(406) 468-7601 View (406) 468-7601
Photo of Anna Dewees (Mountain Wellness Therapy), Counselor, LCPC, LAC
Anna Dewees (Mountain Wellness Therapy)
Counselor, LCPC, LAC
Livingston, MT 59047
I believe in meeting people where they are at and through safe and non-judgmental guidance exploring past and current struggles to allow for a happier and healthier future. I believe that people innately have what they need inside them and with the proper tools they can pull the strengths and resilience that they have out to lead a life that they strive to live. Together we will work to explore the impact that our past has had on our present and modify maladaptive and unhealthy patterns to move towards a future that has a more sustainable outcome.
I believe in meeting people where they are at and through safe and non-judgmental guidance exploring past and current struggles to allow for a happier and healthier future. I believe that people innately have what they need inside them and with the proper tools they can pull the strengths and resilience that they have out to lead a life that they strive to live. Together we will work to explore the impact that our past has had on our present and modify maladaptive and unhealthy patterns to move towards a future that has a more sustainable outcome.
(406) 295-8274 View (406) 295-8274
Photo of Kelcy Willyerd, Pre-Licensed Professional, PCLC
Kelcy Willyerd
Pre-Licensed Professional, PCLC
Livingston, MT 59047
Not accepting new clients
I am a genuine counselor who works to help you find peace within yourself. I work with adolescents and adults with a wide variety of issues like PTSD, attachment, emotion dysregulation, trauma, and more. I also work with couples and families to increase communication and connection. I help people find acceptance for themselves while walking alongside them to find the growth they desire. I offer tools that facilitate expansion and understanding to help you gain emotional intelligence, stability, and personal development. The counseling relationship is sacred to me and of the utmost importance in our work together.
I am a genuine counselor who works to help you find peace within yourself. I work with adolescents and adults with a wide variety of issues like PTSD, attachment, emotion dysregulation, trauma, and more. I also work with couples and families to increase communication and connection. I help people find acceptance for themselves while walking alongside them to find the growth they desire. I offer tools that facilitate expansion and understanding to help you gain emotional intelligence, stability, and personal development. The counseling relationship is sacred to me and of the utmost importance in our work together.
(406) 578-5056 View (406) 578-5056
Photo of Jack Holt, Clinical Social Work/Therapist, MSW, LCSW
Jack Holt
Clinical Social Work/Therapist, MSW, LCSW
Livingston, MT 59047
Tackling suicidal ideation is a passion of mine and I work to remove the stigma associated so those who deal with it can seek the support they need. Clients who deal with anxiety, depression, trauma, and navigating frustrations in managing day-to-day is something I enjoy helping with. Whether it's talk therapy, CBT, DBT, or even EMDR, I am here to tackle challenges you face along with you.
Tackling suicidal ideation is a passion of mine and I work to remove the stigma associated so those who deal with it can seek the support they need. Clients who deal with anxiety, depression, trauma, and navigating frustrations in managing day-to-day is something I enjoy helping with. Whether it's talk therapy, CBT, DBT, or even EMDR, I am here to tackle challenges you face along with you.
(406) 717-7884 View (406) 717-7884
Photo of Lisa McNamee, Counselor, MS, LCPC, SEP
Lisa McNamee
Counselor, MS, LCPC, SEP
Livingston, MT 59047
I am committed to offering clients my supportive and engaged presence. My approach is both intuitive and evidence-based, drawing on a diverse range of modalities. Our work together will be collaborative in order to cultivate support that is attuned to your specific needs. I am engaged in ongoing extensive trainings and consultation that incorporate critical advances in neuroscience, trauma and the mind-body connection in order to offer my clients the most effective interventions available.
I am committed to offering clients my supportive and engaged presence. My approach is both intuitive and evidence-based, drawing on a diverse range of modalities. Our work together will be collaborative in order to cultivate support that is attuned to your specific needs. I am engaged in ongoing extensive trainings and consultation that incorporate critical advances in neuroscience, trauma and the mind-body connection in order to offer my clients the most effective interventions available.
(406) 333-0664 View (406) 333-0664
Photo of L. Iona Yabut, Counselor, LCPC, ATR, CDBT, CTMH
L. Iona Yabut
Counselor, LCPC, ATR, CDBT, CTMH
Online Only
Waitlist for new clients
Sometimes friends and family can't provide the type of support that we need. I offer more than a decade of experience working with a diverse range of clients and concerns, including support for women managing changes occurring with perimenopause; those undergoing the transgender process; those managing divorce; and children with cancer, to name a few. Life experience as a first generation Asian American, trauma survivor, and ally of the LGBTQIA+ community inform my work. To all, I offer a therapeutic alliance rooted in compassion, authenticity, and nonjudgement.
Sometimes friends and family can't provide the type of support that we need. I offer more than a decade of experience working with a diverse range of clients and concerns, including support for women managing changes occurring with perimenopause; those undergoing the transgender process; those managing divorce; and children with cancer, to name a few. Life experience as a first generation Asian American, trauma survivor, and ally of the LGBTQIA+ community inform my work. To all, I offer a therapeutic alliance rooted in compassion, authenticity, and nonjudgement.
(406) 296-4495 View (406) 296-4495
Photo of Hannah Jester Len, Counselor, LCPC
Hannah Jester Len
Counselor, LCPC
Livingston, MT 59047
I genuinely believe that healing comes from an authentic, non-judgmental space, and that is what I have to offer you. I show up as my authentic self and encourage you to as well. I work with individuals primarily, though I am open to doing family and/or couples work in conjoint with another provider. I work with those who are experiencing: anxiety, depression, identity exploration, religious trauma, low self-esteem and confidence struggles, acceptance from self or others, guilt, and/or shame. I am available for in-person (office, community, or out in nature) and/or telehealth sessions.
I genuinely believe that healing comes from an authentic, non-judgmental space, and that is what I have to offer you. I show up as my authentic self and encourage you to as well. I work with individuals primarily, though I am open to doing family and/or couples work in conjoint with another provider. I work with those who are experiencing: anxiety, depression, identity exploration, religious trauma, low self-esteem and confidence struggles, acceptance from self or others, guilt, and/or shame. I am available for in-person (office, community, or out in nature) and/or telehealth sessions.
(406) 412-2558 View (406) 412-2558

See more therapy options for Park County

How does your Therapist compare?

Number of Therapists in Park County, MT

90+

Average cost per session

$170

Therapists in Park County, MT who prioritize treating:

92% Anxiety
85% Depression
81% Trauma and PTSD
80% Relationship Issues
76% Self Esteem
70% Stress
69% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
84% PacificSource
83% Allegiance

How Therapists in Park County, MT see their clients

87% In Person and Online
13% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Park County?

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.