Therapists in Rio Arriba County, NM

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Photo of Alyssa Butler - Nature's Palette Therapeutics, MA, LPCC, Counselor
Nature's Palette Therapeutics
Counselor, MA, LPCC
Verified Verified
Los Ojos, NM 87551
I have a waitlist at this time. My goal as your therapist is to help you become confident in who you are and the gifts you offer. My focus is to get to know who you are so together we can create a plan for you to achieve your goals. You are the expert on your life, which I know can get cloudy and muddled, and I will support you in sorting through your past and present experiences that are not serving you to help you move towards wellness in all areas of your life. You can achieve mental, emotional, physical and spiritual wellbeing!
I have a waitlist at this time. My goal as your therapist is to help you become confident in who you are and the gifts you offer. My focus is to get to know who you are so together we can create a plan for you to achieve your goals. You are the expert on your life, which I know can get cloudy and muddled, and I will support you in sorting through your past and present experiences that are not serving you to help you move towards wellness in all areas of your life. You can achieve mental, emotional, physical and spiritual wellbeing!
(575) 552-7438 View (575) 552-7438
Photo of Jeffrey Mark Koenigsberg, LCSW, Clinical Social Work/Therapist
Jeffrey Mark Koenigsberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Espanola, NM 87532  (Online Only)
I am available to be of service to virtually anyone that is struggling to enjoy their lives, who feel that there are barriers standing in the way of reaching their goals and fulfilling their potential. Anxiety is a significant challenge and interferes with day-to-day life in many ways. These challenges may come from any number of situations—family, jobs, trauma (physical, sexual, or situational),  poor self-image, feelings of inadequacy, fear of any number of daily situations, and the horrible feeling of powerlessness. I have considerable experience working with individuals with substance abuse challenges.
I am available to be of service to virtually anyone that is struggling to enjoy their lives, who feel that there are barriers standing in the way of reaching their goals and fulfilling their potential. Anxiety is a significant challenge and interferes with day-to-day life in many ways. These challenges may come from any number of situations—family, jobs, trauma (physical, sexual, or situational),  poor self-image, feelings of inadequacy, fear of any number of daily situations, and the horrible feeling of powerlessness. I have considerable experience working with individuals with substance abuse challenges.
(505) 657-8720 View (505) 657-8720
Photo of Jean V Holley, LPCC, Counselor
Jean V Holley
Counselor, LPCC
Verified Verified
Espanola, NM 87532  (Online Only)
I enjoy assisting clients in finding meaning, joy and connection in their lives. All of us have had painful and traumatic experiences. Modern life is very stressful, and sometimes we need guidance and support in how to cope with difficult circumstances we might find ourselves facing. I can offer a variety of methods to let go of the past and find clarity and peace in the present, and hope for the future. Meditation, mindfulness, guided imagery, and EMDR are some of the techniques I utilize most. I look forward to meeting and working with you!
I enjoy assisting clients in finding meaning, joy and connection in their lives. All of us have had painful and traumatic experiences. Modern life is very stressful, and sometimes we need guidance and support in how to cope with difficult circumstances we might find ourselves facing. I can offer a variety of methods to let go of the past and find clarity and peace in the present, and hope for the future. Meditation, mindfulness, guided imagery, and EMDR are some of the techniques I utilize most. I look forward to meeting and working with you!
(505) 605-6881 View (505) 605-6881
Photo of Hannah-Leigh Bull, MA, LMFT, Marriage & Family Therapist
Hannah-Leigh Bull
Marriage & Family Therapist, MA, LMFT
Verified Verified
El Rito, NM 87530
Waitlist for new clients
Do you seek greater influence over life? Have people and experiences clouded your vision of meaningful life participation? My collaborative approach to therapy respects you as ultimate authority in your life and the one who knows yourself best; you can integrate holistic well-being, on physical, mental, emotional, spiritual, social, and ethical areas of life. You can work to resolve trauma and unrest from depression, anxiety, and anger. Trauma resolution, couple and familial relationships, codependency, compromised attachment, destructive narcissism, and harassment are areas of focus in my practice.
Do you seek greater influence over life? Have people and experiences clouded your vision of meaningful life participation? My collaborative approach to therapy respects you as ultimate authority in your life and the one who knows yourself best; you can integrate holistic well-being, on physical, mental, emotional, spiritual, social, and ethical areas of life. You can work to resolve trauma and unrest from depression, anxiety, and anger. Trauma resolution, couple and familial relationships, codependency, compromised attachment, destructive narcissism, and harassment are areas of focus in my practice.
(707) 314-5440 View (707) 314-5440
Photo of Sarah Grenzeback, MA, LPCC, ATR, Counselor
Sarah Grenzeback
Counselor, MA, LPCC, ATR
Verified Verified
2 Endorsed
Youngsville, NM 87064  (Online Only)
I currently have openings for telehealth! Whatever you are going through, you don't have to go through it alone.
I currently have openings for telehealth! Whatever you are going through, you don't have to go through it alone.
(256) 576-9550 View (256) 576-9550
Photo of Barbara J Moore, EdD, LPC, LMFT, CEAP, CPCC, Counselor
Barbara J Moore
Counselor, EdD, LPC, LMFT, CEAP, CPCC
Verified Verified
Youngsville, NM 87064
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a eclectic therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a eclectic therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(817) 870-1985 View (817) 870-1985
Photo of Theresa Benson, PhD, Psychologist
Theresa Benson
Psychologist, PhD
Verified Verified
1 Endorsed
Coyote, NM 87012  (Online Only)
In a time of unraveling, you are at the forefront of addressing some of the greatest needs of our time. You have been working relentlessly to make a difference in the lives of those in your community because you believe in a future where humans can live more in balance with earth and the more than human world. But you get tired of carrying this weight. You want and need someone who understands both the passion and pain of pursuing your higher vision. You long for a place where you are able to replenish and resource in order to have the energy and ability to continue your work.
In a time of unraveling, you are at the forefront of addressing some of the greatest needs of our time. You have been working relentlessly to make a difference in the lives of those in your community because you believe in a future where humans can live more in balance with earth and the more than human world. But you get tired of carrying this weight. You want and need someone who understands both the passion and pain of pursuing your higher vision. You long for a place where you are able to replenish and resource in order to have the energy and ability to continue your work.
(505) 539-1019 View (505) 539-1019
Photo of Eliza Skye - The Mountain Center Counseling Services Del Norte, LCSW, LMHC, LMSW, CCSS, Clinical Social Work/Therapist
The Mountain Center Counseling Services Del Norte
Clinical Social Work/Therapist, LCSW, LMHC, LMSW, CCSS
Verified Verified
Espanola, NM 87532
Compassionate, non-judgmental therapy meets you where you’re at when you choose The Mountain Center. Founded in 1979, we offer client-centered, evidence-based, and trauma-informed counseling. Our diverse team of clinicians, trained in both traditional and nature-based modalities, provide a safe, inclusive environment for all. Our practice invites whatever challenge you are navigating - whether it’s everyday anxiety or a major life event, we are here for you! We aim to help you develop coping tools, find healing, cultivate joy and achieve personal growth. We provide services in-person at our offices and through telehealth statewide.
Compassionate, non-judgmental therapy meets you where you’re at when you choose The Mountain Center. Founded in 1979, we offer client-centered, evidence-based, and trauma-informed counseling. Our diverse team of clinicians, trained in both traditional and nature-based modalities, provide a safe, inclusive environment for all. Our practice invites whatever challenge you are navigating - whether it’s everyday anxiety or a major life event, we are here for you! We aim to help you develop coping tools, find healing, cultivate joy and achieve personal growth. We provide services in-person at our offices and through telehealth statewide.
(505) 303-0726 View (505) 303-0726
Photo of Lori Padilla, MA, LPCC, Counselor
Lori Padilla
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Espanola, NM 87532
Addictions and trauma can have negative impacts on individuals and families. They can also be opportunities for growth and healing. In a safe environment, I work with clients to identify their inherent ability to heal and grow from the impact of addiction and trauma in their life.
Addictions and trauma can have negative impacts on individuals and families. They can also be opportunities for growth and healing. In a safe environment, I work with clients to identify their inherent ability to heal and grow from the impact of addiction and trauma in their life.
(505) 395-5362 View (505) 395-5362
Photo of Judy Baker - Judy Baker LCSW, MSW, LCSW, Clinical Social Work/Therapist
Judy Baker LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Espanola, NM 87532  (Online Only)
Currently, I am opening my practice to a couple of new clients. My practice is substantially focused on clients who are experiencing the effects of trauma, from childhood trauma to recent trauma. Using a variety of modalities including EMDR, CBT, some somatic, emotional release, and more, my goal is to help my clients find resolution and move forward. My passion is assisting those who come to me with finding their way to their most inspired, integrated way of life.
Currently, I am opening my practice to a couple of new clients. My practice is substantially focused on clients who are experiencing the effects of trauma, from childhood trauma to recent trauma. Using a variety of modalities including EMDR, CBT, some somatic, emotional release, and more, my goal is to help my clients find resolution and move forward. My passion is assisting those who come to me with finding their way to their most inspired, integrated way of life.
(505) 399-3837 View (505) 399-3837
Photo of Rich Ryan, PhD, LCSW, LISW, Clinical Social Work/Therapist
Rich Ryan
Clinical Social Work/Therapist, PhD, LCSW, LISW
Verified Verified
1 Endorsed
Espanola, NM 87532
Not accepting new clients
I will provide you with a warm, safe and confidential environment in which we will explore whatever is preventing you from living your best life. I can help you achieve greater levels of self empowerment, self acceptance and effectiveness in all areas of your life. My practice is guided by my training in clinical social work, my PhD in clinical psychology, and Jungian analysis. I employ an eclectic mix of psychodynamic techniques. I treat symptoms of Depression, Anxiety, and PTSD. Please visit my website: www.richryanphd.com for more information, contact and mapping
I will provide you with a warm, safe and confidential environment in which we will explore whatever is preventing you from living your best life. I can help you achieve greater levels of self empowerment, self acceptance and effectiveness in all areas of your life. My practice is guided by my training in clinical social work, my PhD in clinical psychology, and Jungian analysis. I employ an eclectic mix of psychodynamic techniques. I treat symptoms of Depression, Anxiety, and PTSD. Please visit my website: www.richryanphd.com for more information, contact and mapping
(505) 930-5419 View (505) 930-5419
Photo of Ruth Omlin, LPAT, ATR-BC, MPS, Art Therapist
Ruth Omlin
Art Therapist, LPAT, ATR-BC, MPS
Verified Verified
2 Endorsed
Espanola, NM 87532
Not accepting new clients
It is my commitment to help my clients find solutions and healing from problems arising from life transitions, anxiety, depression, trauma and addictive behaviors. I have many years of experience in inpatient settings and private practice.
It is my commitment to help my clients find solutions and healing from problems arising from life transitions, anxiety, depression, trauma and addictive behaviors. I have many years of experience in inpatient settings and private practice.
(505) 807-9896 View (505) 807-9896
Photo of Michael Wallington, MA, LPCC, Counselor
Michael Wallington
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Espanola, NM 87532  (Online Only)
Life brings us experiences which cause us stress, stretch our capacity to cope. We respond with depression and anxiety. We resort to ineffective behaviors such as substance use, attempting to maintain our stability. The impact on us can be devastating and we can spiral out of control, often resulting in a disruption in our relationships, ability to work, ability to manage tasks and affairs and our ability to find satisfaction or meaning in our lives. Using mindfulness based approaches and Internal Family Systems to remove blocking emotions and beliefs can help find balance and promote healing.
Life brings us experiences which cause us stress, stretch our capacity to cope. We respond with depression and anxiety. We resort to ineffective behaviors such as substance use, attempting to maintain our stability. The impact on us can be devastating and we can spiral out of control, often resulting in a disruption in our relationships, ability to work, ability to manage tasks and affairs and our ability to find satisfaction or meaning in our lives. Using mindfulness based approaches and Internal Family Systems to remove blocking emotions and beliefs can help find balance and promote healing.
(505) 407-0997 View (505) 407-0997
Photo of Susan N Harris - Susan HarrisLPCC, LLC, MA, LPCC, Counselor
Susan HarrisLPCC, LLC
Counselor, MA, LPCC
Verified Verified
Espanola, NM 87532  (Online Only)
I have been in practice in New Mexico for 23 years, treating depression, anxiety, relationships, and life changes. I am continuing to do video and telephonic sessions for individuals. I like to use a listening, supportive stance with clients to help them feel comfortable in talking about their problems. Some of the techniques I use are mindfulness, regulating emotions, relationship skills, tolerating distress, and mind/body techniques. I believe that therapy works, and is worth the time, effort, and money you put into it.
I have been in practice in New Mexico for 23 years, treating depression, anxiety, relationships, and life changes. I am continuing to do video and telephonic sessions for individuals. I like to use a listening, supportive stance with clients to help them feel comfortable in talking about their problems. Some of the techniques I use are mindfulness, regulating emotions, relationship skills, tolerating distress, and mind/body techniques. I believe that therapy works, and is worth the time, effort, and money you put into it.
(505) 913-7074 View (505) 913-7074
Photo of Gail Rae Walker, LCSW, MSW, MA, Clinical Social Work/Therapist
Gail Rae Walker
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
Espanola, NM 87532
I offer deep therapy based on attachment theory and communication skills development, depending on your needs, to engage you (and/or your partner) in a meaningful and heartfelt exploration of your life support needs. Move past limiting thoughts and behaviors and develop deeper connections. Clients have said that they appreciate my non-judgmental, yet direct approach. My response - "I am in your corner, routing for you". It takes courage but once you embark on this journey you will say, "Why didn't I do this sooner"?
I offer deep therapy based on attachment theory and communication skills development, depending on your needs, to engage you (and/or your partner) in a meaningful and heartfelt exploration of your life support needs. Move past limiting thoughts and behaviors and develop deeper connections. Clients have said that they appreciate my non-judgmental, yet direct approach. My response - "I am in your corner, routing for you". It takes courage but once you embark on this journey you will say, "Why didn't I do this sooner"?
(505) 391-1897 View (505) 391-1897
Photo of Anika Kelso, LCSW, Clinical Social Work/Therapist
Anika Kelso
Clinical Social Work/Therapist, LCSW
Verified Verified
Espanola, NM 87532  (Online Only)
I have a FEW openings for MEDiCAID clients. I really enjoy working with teens and young adults. I also work with adults of all ages. Most of my clients are working on resolving sexual orientation questions, gender identity concerns, low self-esteem, self-identity issues, depression, anxiety, and social fears, among other problems. As a member of the LGBTQIA+ community, I have a particular interest in supporting gender non-conforming people and the community as a whole. If I don't feel like the right therapist for you, please see our website for profiles of all of our therapists.
I have a FEW openings for MEDiCAID clients. I really enjoy working with teens and young adults. I also work with adults of all ages. Most of my clients are working on resolving sexual orientation questions, gender identity concerns, low self-esteem, self-identity issues, depression, anxiety, and social fears, among other problems. As a member of the LGBTQIA+ community, I have a particular interest in supporting gender non-conforming people and the community as a whole. If I don't feel like the right therapist for you, please see our website for profiles of all of our therapists.
(505) 369-6161 View (505) 369-6161
Photo of Meryl L Wolper, MSW, LCSW, Clinical Social Work/Therapist
Meryl L Wolper
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Espanola, NM 87532
In my work with childhood trauma, attachment/abandonment, addiction, and most personality disorders, my style is: Using existing resources, anxiety reducing modalities. Transforming reactive defensiveness into conscious responsiveness. Modeling integrity, mindfulness, and compassion for self and others. Reflecting cultural attitudes and beliefs to transform the past and embrace the future. Utilizing pet therapy to elicit healthy attachment.
In my work with childhood trauma, attachment/abandonment, addiction, and most personality disorders, my style is: Using existing resources, anxiety reducing modalities. Transforming reactive defensiveness into conscious responsiveness. Modeling integrity, mindfulness, and compassion for self and others. Reflecting cultural attitudes and beliefs to transform the past and embrace the future. Utilizing pet therapy to elicit healthy attachment.
(505) 570-6912 View (505) 570-6912
Photo of Dawn Barr, MSW, LISW, Clinical Social Work/Therapist
Dawn Barr
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Espanola, NM 87532
Life throws us some very difficult situations. I am here to help people find a path forward. We would join together and create a more peaceful, calm approach to life. I enjoy working with children, teens, parents, families and senior citizens. My 30 years of experience include ADHD, behavioral problems, family issues, depression, anxiety and autism issues.
Life throws us some very difficult situations. I am here to help people find a path forward. We would join together and create a more peaceful, calm approach to life. I enjoy working with children, teens, parents, families and senior citizens. My 30 years of experience include ADHD, behavioral problems, family issues, depression, anxiety and autism issues.
(505) 832-3402 View (505) 832-3402
Photo of Scott Deily - Southwest Passages: Counseling/Consulting, MSW, LCSW, Clinical Social Work/Therapist
Southwest Passages: Counseling/Consulting
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Espanola, NM 87532
Southwest Passages is dedicated to supporting individuals, couples and families find enhanced meaning and aliveness through successful navigation of life's challenges and transitions. In a supportive environment we listen for what the language of the body and psyche is wanting to communicate, asking even, so the natural architecture of who you are can realign itself. Shedding of skins and integration of unresolved grief and trauma may be an important aspect of our work together. Besides traditional therapy, healing and expressive arts SE (Somatic Experiencing) nature based practices and individual and couples wilderness retreats are additionally offered.
Southwest Passages is dedicated to supporting individuals, couples and families find enhanced meaning and aliveness through successful navigation of life's challenges and transitions. In a supportive environment we listen for what the language of the body and psyche is wanting to communicate, asking even, so the natural architecture of who you are can realign itself. Shedding of skins and integration of unresolved grief and trauma may be an important aspect of our work together. Besides traditional therapy, healing and expressive arts SE (Somatic Experiencing) nature based practices and individual and couples wilderness retreats are additionally offered.
(505) 985-7287 View (505) 985-7287
Photo of Brian Serna - Serna Solutions LLC, MA, LPCC, LADAC, Clinical Social Work/Therapist
Serna Solutions LLC
Clinical Social Work/Therapist, MA, LPCC, LADAC
Verified Verified
2 Endorsed
Espanola, NM 87532
Welcome! At Serna Solutions we look forward to helping you achieve your best self. We have specially trained counselors and social workers who can help individuals, couples and families deal with a wide range of issues. We are also one of the few organizations in the world who specialize in Community Reinforcement Approach and Family Training (CRAFT). CRAFT is the ONLY evidence-based practice approved as an intervention for assisting those who have a loved one struggling with an addiction. We can do CRAFT coaching in person or online for those who live outside of the New Mexico area. W
Welcome! At Serna Solutions we look forward to helping you achieve your best self. We have specially trained counselors and social workers who can help individuals, couples and families deal with a wide range of issues. We are also one of the few organizations in the world who specialize in Community Reinforcement Approach and Family Training (CRAFT). CRAFT is the ONLY evidence-based practice approved as an intervention for assisting those who have a loved one struggling with an addiction. We can do CRAFT coaching in person or online for those who live outside of the New Mexico area. W
(505) 333-0436 View (505) 333-0436

See more therapy options for Rio Arriba County

How does your Therapist compare?

Number of Therapists in Rio Arriba County, NM

30+

Average cost per session

$125

Therapists in Rio Arriba County, NM who prioritize treating:

94% Anxiety
88% Depression
76% Grief
76% Trauma and PTSD
76% Self Esteem
74% Coping Skills
74% Life Transitions

Average years in practice

20 Years

Top 3 insurances accepted

79% Presbyterian
76% BlueCross and BlueShield
72% Medicaid

How Therapists in Rio Arriba County, NM see their clients

65% In Person and Online
35% Online Only

Gender breakdown

67% Female
27% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rio Arriba 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.