Therapists in High Falls, NY

Photo of Henrietta L Shannon, Clinical Social Work/Therapist, LCSW
Henrietta L Shannon
Clinical Social Work/Therapist, LCSW
4 Endorsed
High Falls, NY 12440
Developmental and life transitions can often cause anxiety, depression or lead to feelings of hopelessness and confusion. However crisis can also be an opportunity for growth and healing, a catalyst for positive change in our lives. By creating a space for self-exploration, free from judgment and pressure, I can help you to discover and develop your strengths, develop advanced coping skills to manage conflicts and develop a compassionate understanding of your vulnerabilities. We will work together to identify and change self-defeating patterns helping you to feel more productive in your life and satisfied with your relationships.
Developmental and life transitions can often cause anxiety, depression or lead to feelings of hopelessness and confusion. However crisis can also be an opportunity for growth and healing, a catalyst for positive change in our lives. By creating a space for self-exploration, free from judgment and pressure, I can help you to discover and develop your strengths, develop advanced coping skills to manage conflicts and develop a compassionate understanding of your vulnerabilities. We will work together to identify and change self-defeating patterns helping you to feel more productive in your life and satisfied with your relationships.
(845) 415-4087 View (845) 415-4087
Photo of Kara Tucker, Clinical Social Work/Therapist, LCSW-R
Kara Tucker
Clinical Social Work/Therapist, LCSW-R
Online Only
I can assist you to explore what keeps you stuck and to make long-term changes in your life. Through the process we can help you improve your relationships, deal with parenting issues, improve your mood, decrease fears and reach your life goals. I am trained in both psychodynamic interpersonal therapy and short-term modalities. I believe in working on the integration of physical health (diet, exercise, sleep, medical problems) to improve mental health. I will assist you to identify your health goals and make lifestyle changes.
I can assist you to explore what keeps you stuck and to make long-term changes in your life. Through the process we can help you improve your relationships, deal with parenting issues, improve your mood, decrease fears and reach your life goals. I am trained in both psychodynamic interpersonal therapy and short-term modalities. I believe in working on the integration of physical health (diet, exercise, sleep, medical problems) to improve mental health. I will assist you to identify your health goals and make lifestyle changes.
(845) 203-3459 View (845) 203-3459
Photo of Kerry Pharmer - Clove Valley Creative Arts Therapy, Art Therapist, LCAT
Clove Valley Creative Arts Therapy
Art Therapist, LCAT
High Falls, NY 12440
Kerry Pharmer is a licensed Creative Arts Therapist who combines mindfulness meditation, visual art, poetry and Cognitive Behavioral Therapy to help clients live happier, more connected fulfilling lives. Clove Valley Creative Arts Therapy offers group, couple, family and individual sessions for adolescents and adults.
Kerry Pharmer is a licensed Creative Arts Therapist who combines mindfulness meditation, visual art, poetry and Cognitive Behavioral Therapy to help clients live happier, more connected fulfilling lives. Clove Valley Creative Arts Therapy offers group, couple, family and individual sessions for adolescents and adults.
(845) 447-9661 View (845) 447-9661
Photo of Courtney Letus, Counselor, LMHC
Courtney Letus
Counselor, LMHC
Online Only
I am a compassionate and empathetic Clinical Licensed Mental Health Counselor in New York State who has been practicing since 2019. I obtained my Master’s Degree from State University of New York at New Paltz. My clinical approach involves validating and supporting my clients to create the change that is needed in their lives to be more positive and successful.
I am a compassionate and empathetic Clinical Licensed Mental Health Counselor in New York State who has been practicing since 2019. I obtained my Master’s Degree from State University of New York at New Paltz. My clinical approach involves validating and supporting my clients to create the change that is needed in their lives to be more positive and successful.
(845) 514-5284 View (845) 514-5284
Photo of Diana Gongora, Art Therapist, ATR-BC, LCAT
Diana Gongora
Art Therapist, ATR-BC, LCAT
High Falls, NY 12440
I take a holistic approach to healing, integrating psychotherapy, art therapy, and personalized nutritional choices. With 17 years of experience working with children, individuals, and couples—whether navigating mental health diagnoses, trauma, or everyday life challenges—I work with children through art and play therapy to address daily stressors and anxieties. I also assist individuals and couples explore new communications skills. I believe that our thoughts, nutrition, habits, patterns, and family history are all deeply connected to each other and play an important role in our mental and emotional well-being.
I take a holistic approach to healing, integrating psychotherapy, art therapy, and personalized nutritional choices. With 17 years of experience working with children, individuals, and couples—whether navigating mental health diagnoses, trauma, or everyday life challenges—I work with children through art and play therapy to address daily stressors and anxieties. I also assist individuals and couples explore new communications skills. I believe that our thoughts, nutrition, habits, patterns, and family history are all deeply connected to each other and play an important role in our mental and emotional well-being.
(845) 660-8706 View (845) 660-8706
Photo of Michele Conner-Shephard, Psychologist, PsyD, MBA
Michele Conner-Shephard
Psychologist, PsyD, MBA
1 Endorsed
Online Only
I specialize in working with children, adolescents, and adults who are navigating challenges related to anxiety, depression, and trauma. Whether it's school-related stress, family dynamics, or overwhelming emotions, I provide a safe, supportive space where clients can begin to feel heard, understood, and empowered.
I specialize in working with children, adolescents, and adults who are navigating challenges related to anxiety, depression, and trauma. Whether it's school-related stress, family dynamics, or overwhelming emotions, I provide a safe, supportive space where clients can begin to feel heard, understood, and empowered.
(914) 800-7671 View (914) 800-7671
Photo of Stephanie Kristal, MA, CHT
Stephanie Kristal
Verified Verified
Serves Area
If you feel stuck, limited, habitually repeating unwanted behaviors; caught up in negative thoughts/feelings; have experienced trauma and its long lasting effects, I offer you a gentle, compassionate, safe space as well as tools and skills to grow, change and heal. If you are blocked or lacking in passion, I will help you develop resources and pathways to a more joyous and fulfilling life. My work with couples/families focuses on improving communication, connection, problem solving; growing conscious, loving relationships. If you are wanting to embrace/embody graceful aging, let's help you live your most joyful, vital life.
If you feel stuck, limited, habitually repeating unwanted behaviors; caught up in negative thoughts/feelings; have experienced trauma and its long lasting effects, I offer you a gentle, compassionate, safe space as well as tools and skills to grow, change and heal. If you are blocked or lacking in passion, I will help you develop resources and pathways to a more joyous and fulfilling life. My work with couples/families focuses on improving communication, connection, problem solving; growing conscious, loving relationships. If you are wanting to embrace/embody graceful aging, let's help you live your most joyful, vital life.
(845) 538-4385 View (845) 538-4385

More Therapists Nearby

Photo of Kaeleigh S Clark, Counselor, LMHC
Kaeleigh S Clark
Counselor, LMHC
Online Only
My ideal client is someone struggling with anxiety, trauma or depression who feels overwhelmed by their emotions and unsure how to regain control. I help by offering a warm, collaborative space where clients feel genuinely understood while learning practical, evidence-based emotional regulation skills they can use in everyday life. What makes my work unique is my balance of compassion and structure—meeting clients where they are emotionally while actively guiding them toward lasting, meaningful change.
My ideal client is someone struggling with anxiety, trauma or depression who feels overwhelmed by their emotions and unsure how to regain control. I help by offering a warm, collaborative space where clients feel genuinely understood while learning practical, evidence-based emotional regulation skills they can use in everyday life. What makes my work unique is my balance of compassion and structure—meeting clients where they are emotionally while actively guiding them toward lasting, meaningful change.
(845) 478-8017 View (845) 478-8017
Photo of Leslie Karen Malin, Clinical Social Work/Therapist, LCSW-R, ACSW
Leslie Karen Malin
Clinical Social Work/Therapist, LCSW-R, ACSW
1 Endorsed
Online Only
I work with individuals: young adults to seniors. Want more productive communication, have anger subside, grief mourned, and misunderstandings clarified; as well as a less antagonistic and stressful ways to live? As a psychotherapist, coach, and workshop facilitator, I offer a rich, experienced perspective. I work with people in ways that will be meaningful to them. I integrate many different approaches, an intuitive sense; and a hands-on, action-oriented approach that's road tested and shown to produce results. Career/Life Transitions. Coping with Chronic Illness, and as well as dealing with emotional challenges are specialties.
I work with individuals: young adults to seniors. Want more productive communication, have anger subside, grief mourned, and misunderstandings clarified; as well as a less antagonistic and stressful ways to live? As a psychotherapist, coach, and workshop facilitator, I offer a rich, experienced perspective. I work with people in ways that will be meaningful to them. I integrate many different approaches, an intuitive sense; and a hands-on, action-oriented approach that's road tested and shown to produce results. Career/Life Transitions. Coping with Chronic Illness, and as well as dealing with emotional challenges are specialties.
(845) 652-5228 View (845) 652-5228
Photo of Connor McCann, Clinical Social Work/Therapist, LCSW
Connor McCann
Clinical Social Work/Therapist, LCSW
6 Endorsed
Online Only
Are you or a loved one feeling stuck - uncertain about navigating changes in your life, how you see yourself, or how to reconnect with those close to you? When we feel stuck, taking steps forward can feel like a monumental task. We can work together to break down your thoughts and uncertainties, determine the best way forward, and put practical strategies into action, to empower you to create the life you want for yourself. In me, you'll have a collaborator who will listen and follow your lead but also be willing to challenge you and continue to motivate you towards achieving your goals. Let's figure out the next steps together.
Are you or a loved one feeling stuck - uncertain about navigating changes in your life, how you see yourself, or how to reconnect with those close to you? When we feel stuck, taking steps forward can feel like a monumental task. We can work together to break down your thoughts and uncertainties, determine the best way forward, and put practical strategies into action, to empower you to create the life you want for yourself. In me, you'll have a collaborator who will listen and follow your lead but also be willing to challenge you and continue to motivate you towards achieving your goals. Let's figure out the next steps together.
(646) 762-5092 View (646) 762-5092
Photo of Alyson Lewis-Anner, Clinical Social Work/Therapist, LCSW
Alyson Lewis-Anner
Clinical Social Work/Therapist, LCSW
Beacon, NY 12508
Choosing to see a therapist can be the first step towards a happier, more fulfilling life. Do you find yourself struggling to create healthy relationships, feeling overwhelmed by life's pressures, or yearning to achieve a peaceful state of mind? Perhaps you feel weighted down by troubling past experiences that have created self-defeating patterns, and worry that you won't be able to break the cycle. With my help, you can overcome obstacles to healthy relationships, increase your ability to manage stress, free yourself from past burdens, and feel more in control of your own life's journey.
Choosing to see a therapist can be the first step towards a happier, more fulfilling life. Do you find yourself struggling to create healthy relationships, feeling overwhelmed by life's pressures, or yearning to achieve a peaceful state of mind? Perhaps you feel weighted down by troubling past experiences that have created self-defeating patterns, and worry that you won't be able to break the cycle. With my help, you can overcome obstacles to healthy relationships, increase your ability to manage stress, free yourself from past burdens, and feel more in control of your own life's journey.
(516) 271-3507 View (516) 271-3507
Photo of Dbt Natalie Ruvola, Counselor, LMHC, C-DBT
Dbt Natalie Ruvola
Counselor, LMHC, C-DBT
1 Endorsed
Online Only
As a certified Dialectical Behavioral Therapist, It is my belief that when we learn how to prioritize our mental health, implement practical skills, and put our relationship with our higher self first, we get the opportunity to experience true joy and stability in our lives. This will inevitably lead to better relationships and overall well-being! I commend you for taking that step! My approach to therapy is trauma-informed, includes the mutual creation of safe professional space where you'll learn practical DBT & CBT skills all while gaining the power & insight into your thoughts, feelings, & behaviors, that haven’t been working.
As a certified Dialectical Behavioral Therapist, It is my belief that when we learn how to prioritize our mental health, implement practical skills, and put our relationship with our higher self first, we get the opportunity to experience true joy and stability in our lives. This will inevitably lead to better relationships and overall well-being! I commend you for taking that step! My approach to therapy is trauma-informed, includes the mutual creation of safe professional space where you'll learn practical DBT & CBT skills all while gaining the power & insight into your thoughts, feelings, & behaviors, that haven’t been working.
(646) 933-1420 View (646) 933-1420
Photo of Carolee E Iltis, Psychologist, PsyD
Carolee E Iltis
Psychologist, PsyD
Online Only
Do you know what you are looking for in a therapist? You are probably reading this because you are considering talking to someone about your anxiety/depression, work/relationship, life transition, or possibly trauma or bereavement issues. I am a NYS licensed psychologist and treat these and many other issues. I work with highly successful people who have problems, in addition to those who want to do better in their lives, and those with more serious problems. I provide clients a supportive working relationship because I am an excellent listener and like what I do, in addition to benefiting from doctoral training.
Do you know what you are looking for in a therapist? You are probably reading this because you are considering talking to someone about your anxiety/depression, work/relationship, life transition, or possibly trauma or bereavement issues. I am a NYS licensed psychologist and treat these and many other issues. I work with highly successful people who have problems, in addition to those who want to do better in their lives, and those with more serious problems. I provide clients a supportive working relationship because I am an excellent listener and like what I do, in addition to benefiting from doctoral training.
(914) 487-3575 View (914) 487-3575
Photo of Meghan Cobham, Pre-Licensed Professional, MHC-LP
Meghan Cobham
Pre-Licensed Professional, MHC-LP
2 Endorsed
Online Only
I am dedicated to helping you uncover more joy, cultivate healthy relationships, and live a life that feels meaningful to you. My approach involves creating an intentional, affirming, and collaborative space designed to empower you and foster abundant growth. I am passionate about guiding individuals and families through complex trauma, life transitions, and self-discovery, always through the lens of whole-person wellness. As a trauma certified therapist (CCTP) with additional training in gender-affirming care, I support my clients in achieving their goals at their own pace.
I am dedicated to helping you uncover more joy, cultivate healthy relationships, and live a life that feels meaningful to you. My approach involves creating an intentional, affirming, and collaborative space designed to empower you and foster abundant growth. I am passionate about guiding individuals and families through complex trauma, life transitions, and self-discovery, always through the lens of whole-person wellness. As a trauma certified therapist (CCTP) with additional training in gender-affirming care, I support my clients in achieving their goals at their own pace.
(585) 669-6417 View (585) 669-6417
Photo of Lourdes Villanueva-Cruz, Clinical Social Work/Therapist, LMSW, MAR
Lourdes Villanueva-Cruz
Clinical Social Work/Therapist, LMSW, MAR
1 Endorsed
Middletown, NY 10940
We all face situations throughout life that can make us feel overwhelmed and in need of support, encouragement, planning. This may involve family life transitions, a parent-child relationship, peer groups, marriage, divorce, social issues, or behavioral issues. I am a bilingual Social Worker/therapist and pastoral counselor, and I specialize in working with adolescents, young adults, adults and families. I am experienced in working with youth diagnosed with a variety of behavioral and emotional issues. I am also experienced in working with adults experiencing life stressors.
We all face situations throughout life that can make us feel overwhelmed and in need of support, encouragement, planning. This may involve family life transitions, a parent-child relationship, peer groups, marriage, divorce, social issues, or behavioral issues. I am a bilingual Social Worker/therapist and pastoral counselor, and I specialize in working with adolescents, young adults, adults and families. I am experienced in working with youth diagnosed with a variety of behavioral and emotional issues. I am also experienced in working with adults experiencing life stressors.
(845) 460-0696 View (845) 460-0696
Photo of Jess Harman, Licensed Master Social Work, LMSW
Jess Harman
Licensed Master Social Work, LMSW
9 Endorsed
Fishkill, NY 12524
I believe in the power of collaboration to help clients achieve their goals. As a therapist at Impact Psychological Services, I guide clients toward a deeper understanding of themselves so they can truly thrive. I draw from multiple modalities to support trauma treatment, explore identity, reduce shame, build self-esteem, and strengthen communication and conflict resolution skills. I work with clients of all ages, supporting those experiencing anxiety, depression, and trauma. I also specialize in working with neurodivergent and LGBTQIA+ youth, adults, couples, and multi-partnered relationships navigating connection and relationship
I believe in the power of collaboration to help clients achieve their goals. As a therapist at Impact Psychological Services, I guide clients toward a deeper understanding of themselves so they can truly thrive. I draw from multiple modalities to support trauma treatment, explore identity, reduce shame, build self-esteem, and strengthen communication and conflict resolution skills. I work with clients of all ages, supporting those experiencing anxiety, depression, and trauma. I also specialize in working with neurodivergent and LGBTQIA+ youth, adults, couples, and multi-partnered relationships navigating connection and relationship
(845) 366-2039 View (845) 366-2039
Photo of Laurenne Benzenberg, Clinical Social Work/Therapist, MA, LCSW, C-DBT
Laurenne Benzenberg
Clinical Social Work/Therapist, MA, LCSW, C-DBT
2 Endorsed
Online Only
If you're someone who is deeply motivated to understand yourself and improve your emotional well-being, I can help. You might be dealing with stress, unresolved trauma or negative past experiences, and life transitions that are impacting your daily life and relationships. You might need a safe space to work through your emotions, gain insight and self-awareness into your thoughts and behaviors, and practical tools and coping strategies to better manage symptoms and improve responses to stressors.
If you're someone who is deeply motivated to understand yourself and improve your emotional well-being, I can help. You might be dealing with stress, unresolved trauma or negative past experiences, and life transitions that are impacting your daily life and relationships. You might need a safe space to work through your emotions, gain insight and self-awareness into your thoughts and behaviors, and practical tools and coping strategies to better manage symptoms and improve responses to stressors.
(646) 847-7051 View (646) 847-7051
Photo of Laura Palermo, Clinical Social Work/Therapist, LCSW-R, NY-EMT
Laura Palermo
Clinical Social Work/Therapist, LCSW-R, NY-EMT
1 Endorsed
Fishkill, NY 12524
My work is informed by decades of diverse experience in the field, including working with issues such as chronic and terminal illness, grief and loss, anxiety, caregiver burnout, relationship transitions, and trauma/PTSD. Sessions employ an integrative approach with focus on nature based, narrative and IFS therapies. Connect with me to start your new journey. If you’d like to see if we’re a good fit, send me an email and we can find a time to talk over the phone.
My work is informed by decades of diverse experience in the field, including working with issues such as chronic and terminal illness, grief and loss, anxiety, caregiver burnout, relationship transitions, and trauma/PTSD. Sessions employ an integrative approach with focus on nature based, narrative and IFS therapies. Connect with me to start your new journey. If you’d like to see if we’re a good fit, send me an email and we can find a time to talk over the phone.
(845) 470-6360 View (845) 470-6360
Photo of Robert Owens - Owens Mental Health Counseling, Counselor, LMHC
Owens Mental Health Counseling
Counselor, LMHC
2 Endorsed
Rhinebeck, NY 12572
My name is Bobby, and I'm the owner of Owens Mental Health Counseling. I believe that my clients see me as a genuine person who is both relatable and easy to talk to. I've worked with clients of all ages through a variety of issues, including: life transitions/adjustments, anxiety, depression, addiction, and relationship issues, among others. I believe that everyone has the ability to work through their concerns and as a therapist I provide a supportive space conducive to finding a positive path forward.
My name is Bobby, and I'm the owner of Owens Mental Health Counseling. I believe that my clients see me as a genuine person who is both relatable and easy to talk to. I've worked with clients of all ages through a variety of issues, including: life transitions/adjustments, anxiety, depression, addiction, and relationship issues, among others. I believe that everyone has the ability to work through their concerns and as a therapist I provide a supportive space conducive to finding a positive path forward.
(845) 250-6575 View (845) 250-6575
Photo of Kara Olsson - Upstate Therapy Group, Clinical Social Work/Therapist, LCSW
Upstate Therapy Group
Clinical Social Work/Therapist, LCSW
Kingston, NY 12401
Our mission is to bridge the gap between access to quality care and the need for therapeutic support in the Hudson Valley. Upstate Therapy Group encourages you to bring all of the different parts of yourself to therapy, even the parts that might not be so comfortable to share. We get it. We respect the multi-layered, many meanings of the human condition and are dedicated to helping you understand yourself more deeply, allowing you to experience more freedom, joy, and creativity in your life.
Our mission is to bridge the gap between access to quality care and the need for therapeutic support in the Hudson Valley. Upstate Therapy Group encourages you to bring all of the different parts of yourself to therapy, even the parts that might not be so comfortable to share. We get it. We respect the multi-layered, many meanings of the human condition and are dedicated to helping you understand yourself more deeply, allowing you to experience more freedom, joy, and creativity in your life.
(914) 491-5159 View (914) 491-5159

See more therapy options for High Falls

How does your Therapist compare?

Number of Therapists in High Falls, NY

< 10

Therapists in High Falls, NY who prioritize treating:

86% Relationship Issues
86% Anxiety
86% Self Esteem
86% Marriage Counseling
71% Depression
71% Trauma and PTSD
71% Women's Issues

Average years in practice

23 Years

Top 3 insurances accepted

75% Aetna
75% Anthem
75% Carelon Behavioral Health

How Therapists in High Falls, NY see their clients

57% In Person and Online
43% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in High Falls?

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.