Therapists in Carroll County, NH

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Kristin Honsberger
Clinical Social Work/Therapist, LICSW
Verified Verified
Ossipee, NH 03864
Waitlist for new clients
My name is Kris Honsberger.I am a Licensed Clinical Social Worker with a Master's degree from Boston College and a concentration in Children and Families.I have been in the field of mental health for over 30 years and in private practice for 15. I currently hold a National Certification in Anxiety Treatment.
My name is Kris Honsberger.I am a Licensed Clinical Social Worker with a Master's degree from Boston College and a concentration in Children and Families.I have been in the field of mental health for over 30 years and in private practice for 15. I currently hold a National Certification in Anxiety Treatment.
(603) 810-8753 View (603) 810-8753
Photo of Caitlyn Cook, LCMHC, LCPC, LCAT, Counselor
Caitlyn Cook
Counselor, LCMHC, LCPC, LCAT
Verified Verified
2 Endorsed
Online Only
Life’s challenges don’t end when we grow up. In a world where we are constantly bombarded with messages about who, how, and what we should be, the pressure to measure up often feels overwhelming and it can be tough to know where to turn for help. For over a decade, I have worked with teens, adults and parents who are learning how to navigate life with self-awareness, skill, and confidence. I listen deeply, reading between the lines to understand what’s really going on, and help clients carve out their own unique path forward.
Life’s challenges don’t end when we grow up. In a world where we are constantly bombarded with messages about who, how, and what we should be, the pressure to measure up often feels overwhelming and it can be tough to know where to turn for help. For over a decade, I have worked with teens, adults and parents who are learning how to navigate life with self-awareness, skill, and confidence. I listen deeply, reading between the lines to understand what’s really going on, and help clients carve out their own unique path forward.
(207) 200-8396 View (207) 200-8396
Photo of Kathleen Gestewitz, MHC, Pre-Licensed Professional
Kathleen Gestewitz
Pre-Licensed Professional, MHC
Verified Verified
1 Endorsed
Wolfeboro, NH 03894
Past trauma and stressors have a way of unexpectedly surprising survivors at the most inopportune time leaving them feeling vulnerable, alone, overwhelmed, and stuck. Work, school, church, social events, and family functions become places to avoid because big emotions, panic, anxiety, guilt, and shame rob survivors of the self-esteem, self-confidence, and self-efficacy needed to build healthy relationships, balanced lives, and freedom. Learn to have more confidence, self-control over reactions and inner strength.
Past trauma and stressors have a way of unexpectedly surprising survivors at the most inopportune time leaving them feeling vulnerable, alone, overwhelmed, and stuck. Work, school, church, social events, and family functions become places to avoid because big emotions, panic, anxiety, guilt, and shame rob survivors of the self-esteem, self-confidence, and self-efficacy needed to build healthy relationships, balanced lives, and freedom. Learn to have more confidence, self-control over reactions and inner strength.
(833) 536-1845 View (833) 536-1845
Photo of Stevi Gelinas Sex Therapy Online, MS, MFT-A, Marriage & Family Therapist Associate
Stevi Gelinas Sex Therapy Online
Marriage & Family Therapist Associate, MS, MFT-A
Verified Verified
1 Endorsed
Online Only
I am dedicated to addressing sensitive and often overlooked topics in traditional therapy related to sex and intimacy, as these issues can significantly impact individuals' overall well-being and relationships. By shining a light on areas such as erectile dysfunction, sexual pain, kink-related concerns, religious shame, and infidelity, I aim to provide a safe and non-judgmental space for individuals to explore and work through these challenges. I support clients in both monogamous and polyamorous relationships ultimately helping individuals strengthen their self-identity and foster meaningful connections.
I am dedicated to addressing sensitive and often overlooked topics in traditional therapy related to sex and intimacy, as these issues can significantly impact individuals' overall well-being and relationships. By shining a light on areas such as erectile dysfunction, sexual pain, kink-related concerns, religious shame, and infidelity, I aim to provide a safe and non-judgmental space for individuals to explore and work through these challenges. I support clients in both monogamous and polyamorous relationships ultimately helping individuals strengthen their self-identity and foster meaningful connections.
(833) 322-6258 View (833) 322-6258
Photo of Anne Marie Lackey Allwine - PEEPS Psychotherapy LLC, MSW, LICSW, Clinical Social Work/Therapist
PEEPS Psychotherapy LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Wolfeboro, NH 03894
My name is Anne Marie Allwine LICSW with P.E.E.P.S. Psychotherapy. P.E.E.P.S. stands for: P.eople seeking E.mpathy E.mpowerment P.ersonal growth and S.upport. I have worked in the mental health field for over 30 years in a variety of settings, most recently as the School Counselor for a private high school. I use a supportive strengths-based approach but also will challenge one's thoughts if they are irrational or self- destructive (CBT). I find it is also helpful to assist people to learn coping strategies and build skills that work for them.
My name is Anne Marie Allwine LICSW with P.E.E.P.S. Psychotherapy. P.E.E.P.S. stands for: P.eople seeking E.mpathy E.mpowerment P.ersonal growth and S.upport. I have worked in the mental health field for over 30 years in a variety of settings, most recently as the School Counselor for a private high school. I use a supportive strengths-based approach but also will challenge one's thoughts if they are irrational or self- destructive (CBT). I find it is also helpful to assist people to learn coping strategies and build skills that work for them.
(603) 569-4776 x3 View (603) 569-4776 x3
W. Kieran Cunningham
Counselor, PhD, MLADC, LCMHC, LCS
Verified Verified
North Conway, NH 03860
Living in today's world with its fast pace; we can find ourselves overly scheduled and overly stimulated by all the media technology. As a result, we may feel anxious and stressed with little time to relax or to be with the ones we love. Stress impacts us and those round us, on both an emotional and physical level. One of the most significant signs of stress is an inability to express feelings and emotions in a healthy manner causing anger to erupt. I can help you to learn alternative ways of coping and de-stressing, please call, I can help.
Living in today's world with its fast pace; we can find ourselves overly scheduled and overly stimulated by all the media technology. As a result, we may feel anxious and stressed with little time to relax or to be with the ones we love. Stress impacts us and those round us, on both an emotional and physical level. One of the most significant signs of stress is an inability to express feelings and emotions in a healthy manner causing anger to erupt. I can help you to learn alternative ways of coping and de-stressing, please call, I can help.
(603) 262-3162 View (603) 262-3162
Photo of Alicia J. Porkka, LICSW, Clinical Social Work/Therapist
Alicia J. Porkka
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Online Only
In our moments of quiet reflection, which are often fleeting in today's fast-paced world, we may find ourselves listening to an inner monologue that is in limbo. Perhaps you feel there is no time to sort through all of your thoughts and feelings, and you're stuck in "go-mode", juggling the day to day but not living your life to the fullest. This stress may manifest as substance misuse, relationship conflict, avoidance, feeling "numb", neglecting one's self-care, work or school problems, parenting challenges, and more. These challenges, if the origins are not understood, can reinforce feelings of failure and self-doubt.
In our moments of quiet reflection, which are often fleeting in today's fast-paced world, we may find ourselves listening to an inner monologue that is in limbo. Perhaps you feel there is no time to sort through all of your thoughts and feelings, and you're stuck in "go-mode", juggling the day to day but not living your life to the fullest. This stress may manifest as substance misuse, relationship conflict, avoidance, feeling "numb", neglecting one's self-care, work or school problems, parenting challenges, and more. These challenges, if the origins are not understood, can reinforce feelings of failure and self-doubt.
(603) 545-9386 View (603) 545-9386
Photo of Christine Free Sabo, LCMHC, MS, CSTIP, Reiki 2, Counselor
Christine Free Sabo
Counselor, LCMHC, MS, CSTIP, Reiki 2
Verified Verified
Online Only
Merkaba Sacred Healing & Counseling aims to not just be a counseling office, but so much more, by offering other wellness services. Connecting individuals & couples to their authentic selves, uniting them back to a home deep within their bones. Wherever you may be on your path, let us work together to find the right therapeutic tools & avenues needed to help you or you & your partner. Being impeccable doesn't mean being perfect but great integrity, I hope to provide this in my services & to help others connect & grow their own impeccability. You are everything and nothing less.
Merkaba Sacred Healing & Counseling aims to not just be a counseling office, but so much more, by offering other wellness services. Connecting individuals & couples to their authentic selves, uniting them back to a home deep within their bones. Wherever you may be on your path, let us work together to find the right therapeutic tools & avenues needed to help you or you & your partner. Being impeccable doesn't mean being perfect but great integrity, I hope to provide this in my services & to help others connect & grow their own impeccability. You are everything and nothing less.
(603) 691-1438 View (603) 691-1438
Photo of Issanna Loughman, MSW, Pre-Licensed Professional
Issanna Loughman
Pre-Licensed Professional, MSW
Verified Verified
Wolfeboro, NH 03894
The stressors of life can have profound impacts on youth. I provide children and adolescents (ages 3-19) with compassionate integrative care to meet their unique needs; this can include CBT, Play Therapy, Exposure Therapy, Sandtray Therapy, and Expressive Art Therapy. To me, working with youth also means providing support and guidance to their families via separate family and parenting sessions, as needed.
The stressors of life can have profound impacts on youth. I provide children and adolescents (ages 3-19) with compassionate integrative care to meet their unique needs; this can include CBT, Play Therapy, Exposure Therapy, Sandtray Therapy, and Expressive Art Therapy. To me, working with youth also means providing support and guidance to their families via separate family and parenting sessions, as needed.
(855) 430-8632 View (855) 430-8632
Photo of Ashleigh Galiano, MA, MFT, Pre-Licensed Professional
Ashleigh Galiano
Pre-Licensed Professional, MA, MFT
Verified Verified
1 Endorsed
Wolfeboro, NH 03894
Now accepting new Anthem BCBS and self-pay clients! We are not given directions on how to walk the path of this life. The number one thing I believe in is the fact that we do not have to walk it alone. Through therapy, I will strive to help you recognize patterns and obstacles of your past and present to help you gain understanding to create a better future.
Now accepting new Anthem BCBS and self-pay clients! We are not given directions on how to walk the path of this life. The number one thing I believe in is the fact that we do not have to walk it alone. Through therapy, I will strive to help you recognize patterns and obstacles of your past and present to help you gain understanding to create a better future.
(603) 691-2014 View (603) 691-2014
Photo of Laurie Vachon - Laurie Vachon Counseling, LCMHC, Counselor
Laurie Vachon Counseling
Counselor, LCMHC
Verified Verified
Online Only
Are you an adult feeling stressed, uncertain of your relationships, coping with grief and loss, longing for understanding of your experiences and emotions? I offer an environment of genuine understanding, empathy, and encouragement as you come to understand yourself in a deeper way and gain more confidence and direction in your life.
Are you an adult feeling stressed, uncertain of your relationships, coping with grief and loss, longing for understanding of your experiences and emotions? I offer an environment of genuine understanding, empathy, and encouragement as you come to understand yourself in a deeper way and gain more confidence and direction in your life.
(603) 651-5069 View (603) 651-5069
Photo of Sarah Stewart - Sarah Stewart Consulting, MSW, CPC
Sarah Stewart Consulting
MSW, CPC
Verified Verified
Online Only
Coaching is about pushing you beyond your comfort zone to achieve your goals. Coaching is about action and commitment. If you are looking to make changes in your life, coaching may be an option for you. Coaching is all about examining what you want to achieve, a change in your relationship patterns, a healthier life style, a new career; and putting the right plan and actions in place to do so. Maybe you don't know where to begin, tried and not succeeded, or just keep repeating the same patterns. Coaching can help move you forward.
Coaching is about pushing you beyond your comfort zone to achieve your goals. Coaching is about action and commitment. If you are looking to make changes in your life, coaching may be an option for you. Coaching is all about examining what you want to achieve, a change in your relationship patterns, a healthier life style, a new career; and putting the right plan and actions in place to do so. Maybe you don't know where to begin, tried and not succeeded, or just keep repeating the same patterns. Coaching can help move you forward.
(603) 810-8725 View (603) 810-8725
Photo of Russell Beebe, LCMHC, LMHC, CSAT, MLADC, LADC-I, Counselor
Russell Beebe
Counselor, LCMHC, LMHC, CSAT, MLADC, LADC-I
Verified Verified
Online Only
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives. Not being able to stop can be incredibly painful and frustrating. And harmful to those closest to you. Many times this frustration is made worse by an inability to stop despite a strong desire to do so. If you or someone you know struggles with sex addiction or porn addiction contact me to schedule a free 20 minute introduction to see if working with me is the right fit!
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives. Not being able to stop can be incredibly painful and frustrating. And harmful to those closest to you. Many times this frustration is made worse by an inability to stop despite a strong desire to do so. If you or someone you know struggles with sex addiction or porn addiction contact me to schedule a free 20 minute introduction to see if working with me is the right fit!
(603) 236-7459 View (603) 236-7459
Photo of Monica A Nicoll, PhD, LCMHC, Counselor
Monica A Nicoll
Counselor, PhD, LCMHC
Verified Verified
North Conway, NH 03860
Waitlist for new clients
At the Resilience Counseling & Training Center (RCTC), I assist you in enhancing your resilience quotient, RQ, and to build your personal, marital and family resilience enabling the realization of a happier and more fulfilling personal, professional, marital, and/or family life. I provide a variety of resilience focused services including: Counseling & Therapy (Individual, Marital, Family), Parent Education/Parent Coaching, and Relationship Enhancement Workshops.
At the Resilience Counseling & Training Center (RCTC), I assist you in enhancing your resilience quotient, RQ, and to build your personal, marital and family resilience enabling the realization of a happier and more fulfilling personal, professional, marital, and/or family life. I provide a variety of resilience focused services including: Counseling & Therapy (Individual, Marital, Family), Parent Education/Parent Coaching, and Relationship Enhancement Workshops.
(603) 931-3429 View (603) 931-3429
Photo of Rex L Bunnell, MA, MLADC, Drug & Alcohol Counselor
Rex L Bunnell
Drug & Alcohol Counselor, MA, MLADC
Verified Verified
Wolfeboro, NH 03894
My name is Rex L. Bunnell, a master's level licensed alcohol and drug counselor at Wallastook Counseling. I have over 25 years of experience working in the addictions field. I not only understand the entire process of how recovery unfolds, but I also have a personal connection with recovery. Our first meeting gives the client and clinician an opportunity to develop a therapeutic alliance and presents the client with an opportunity to explore what his needs and goals are in counseling. Issues such as isolation, relationship conflicts, emotional dysregulation, and cognitive distortions all lead to alcohol and drug abuse.
My name is Rex L. Bunnell, a master's level licensed alcohol and drug counselor at Wallastook Counseling. I have over 25 years of experience working in the addictions field. I not only understand the entire process of how recovery unfolds, but I also have a personal connection with recovery. Our first meeting gives the client and clinician an opportunity to develop a therapeutic alliance and presents the client with an opportunity to explore what his needs and goals are in counseling. Issues such as isolation, relationship conflicts, emotional dysregulation, and cognitive distortions all lead to alcohol and drug abuse.
(603) 945-0189 View (603) 945-0189
Photo of Jan Hodges Coville, CCC, MPC, MS
Jan Hodges Coville
CCC, MPC, MS
Verified Verified
1 Endorsed
Do you need to make a change? As a Career Counselor and Life Coach, I love helping people of all ages to design new life chapters infused with meaning and purpose. I believe that people are happiest when they are fully engaged in work that fits them and is a positive part of a well-lived life. Through a process of exploration, identifying goals and developing a plan, it is always possible to create positive change. Regardless of whether the goal is to perform better in your current role or to find a new one, let me help you to design a life you love.
Do you need to make a change? As a Career Counselor and Life Coach, I love helping people of all ages to design new life chapters infused with meaning and purpose. I believe that people are happiest when they are fully engaged in work that fits them and is a positive part of a well-lived life. Through a process of exploration, identifying goals and developing a plan, it is always possible to create positive change. Regardless of whether the goal is to perform better in your current role or to find a new one, let me help you to design a life you love.
(603) 707-1216 View (603) 707-1216
Photo of Cheryl Bedan, MA, LCPC, NCC, LCMHC, Counselor
Cheryl Bedan
Counselor, MA, LCPC, NCC, LCMHC
Verified Verified
North Conway, NH 03860
Cheryl creates a safe, judgment free space, where a trusting therapeutic relationship is developed to bring about effective change and enhance well-being. Her counseling approach will not only support you to understand and address psychological and emotional distress but it can also be a preventative and proactive practice toward mental health wellness. Her approach is individualized and brings together concepts from different therapeutic modalities to increase self-awareness and healing. Change and development are continuous throughout our lifespan and we can all benefit from support to achieve, and maintain, mental wellness.
Cheryl creates a safe, judgment free space, where a trusting therapeutic relationship is developed to bring about effective change and enhance well-being. Her counseling approach will not only support you to understand and address psychological and emotional distress but it can also be a preventative and proactive practice toward mental health wellness. Her approach is individualized and brings together concepts from different therapeutic modalities to increase self-awareness and healing. Change and development are continuous throughout our lifespan and we can all benefit from support to achieve, and maintain, mental wellness.
(207) 843-3020 View (207) 843-3020
Photo of Jessica Reisner, MS, LMFT, Marriage & Family Therapist
Jessica Reisner
Marriage & Family Therapist, MS, LMFT
Verified Verified
When looking for a therapist to help listen, process and sort through so many of life's varying worries, concerns, and obstacles that we experience on a daily basis, whether immediate or long term, it is all about finding the right fit and developing a trusting relationship. Empathy, understanding, and the ability to listen with open ears are what I strive to provide to you and your family in your time of need. I approach you and your family as individuals while believing that you all exist within a large system made up of many moving parts that need to be included and considered as part of your healing and rebuilding process.
When looking for a therapist to help listen, process and sort through so many of life's varying worries, concerns, and obstacles that we experience on a daily basis, whether immediate or long term, it is all about finding the right fit and developing a trusting relationship. Empathy, understanding, and the ability to listen with open ears are what I strive to provide to you and your family in your time of need. I approach you and your family as individuals while believing that you all exist within a large system made up of many moving parts that need to be included and considered as part of your healing and rebuilding process.
(603) 541-7863 View (603) 541-7863
Photo of Judith Fay Kollmorgen, MSW, LICSW, Clinical Social Work/Therapist
Judith Fay Kollmorgen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Online Only
Are you an individual who finds it difficult to release the grip of old patterns that keep you from experiencing true freedom within your relationships? Are you a couple having difficulty with intimacy, communication, or trust? I can help! Often times underlying trauma, anxiety, and depression can impact our ability to form meaningful relationships with ourselves and others. My approach is rooted in evidence-based techniques, combined with a direct and empathetic style that fosters growth and healing for individuals and couples.
Are you an individual who finds it difficult to release the grip of old patterns that keep you from experiencing true freedom within your relationships? Are you a couple having difficulty with intimacy, communication, or trust? I can help! Often times underlying trauma, anxiety, and depression can impact our ability to form meaningful relationships with ourselves and others. My approach is rooted in evidence-based techniques, combined with a direct and empathetic style that fosters growth and healing for individuals and couples.
(603) 932-5369 View (603) 932-5369
Photo of Dr. Lawrence R Carbonaro Jr, DSL
Dr. Lawrence R Carbonaro Jr
DSL
Verified Verified
1 Endorsed
North Conway, NH 03860
With coaching, you are not alone. My strength-based coaching approach is rooted with a blend of evidence-based methodologies and practical insights garnered through my 20-year career in leadership, Doctorate in Leadership development, and ICF and Gallup Strengths coach certifications. The focus of your guided coaching journey is empowering you to look inward and bring awareness. You are the leader - I am the guide.
With coaching, you are not alone. My strength-based coaching approach is rooted with a blend of evidence-based methodologies and practical insights garnered through my 20-year career in leadership, Doctorate in Leadership development, and ICF and Gallup Strengths coach certifications. The focus of your guided coaching journey is empowering you to look inward and bring awareness. You are the leader - I am the guide.
(833) 206-5157 View (833) 206-5157
1

See more therapy options for Carroll County

How does your Therapist compare?

Number of Therapists in Carroll County, NH

50+

Average cost per session

$135

Therapists in Carroll County, NH who prioritize treating:

83% Anxiety
78% Depression
72% Coping Skills
72% Self Esteem
72% Stress
63% Trauma and PTSD
61% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
76% Anthem
68% Cigna and Evernorth

How Therapists in Carroll County, NH see their clients

63% In Person and Online
37% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Carroll 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.