Therapists in Union City, OH

Photo of Stephanie Gainer, Clinical Social Work/Therapist, LISW-S
Stephanie Gainer
Clinical Social Work/Therapist, LISW-S
Online Only
Congratulations on taking the first on your healing journey! I am passionate about empowering individuals. I aim to join you in successfully reaching your goals of resolving conflicts, lessening distress and emotional pain, solving problems, and enhancing your overall well-being. I work hard to create a safe, calm place where my clients feel heard.
Congratulations on taking the first on your healing journey! I am passionate about empowering individuals. I aim to join you in successfully reaching your goals of resolving conflicts, lessening distress and emotional pain, solving problems, and enhancing your overall well-being. I work hard to create a safe, calm place where my clients feel heard.
(513) 647-5327 View (513) 647-5327

More Therapists Nearby

Photo of Jewel Romero, Licensed Professional Counselor, MS, LPC
Jewel Romero
Licensed Professional Counselor, MS, LPC
Serves Area
Hi there! I am so happy that U are taking the first step & reaching out for help! It takes a lot of courage to open up to a stranger about the most intimate things in your life. So thank you! As a Therapist, I am here to remind you of WHO you are & ALL of the things that U are capable of accomplishing. We all go through different seasons in life: Some high, Some low. There's no shame in reaching out for help! We all deserve Support & a Safe Space. It would be an honor to walk alongside U on your journey. Everything U need is inside of you & I'm here to help you see that. If you're ready to move forward, I'm ready to hold your hand!
Hi there! I am so happy that U are taking the first step & reaching out for help! It takes a lot of courage to open up to a stranger about the most intimate things in your life. So thank you! As a Therapist, I am here to remind you of WHO you are & ALL of the things that U are capable of accomplishing. We all go through different seasons in life: Some high, Some low. There's no shame in reaching out for help! We all deserve Support & a Safe Space. It would be an honor to walk alongside U on your journey. Everything U need is inside of you & I'm here to help you see that. If you're ready to move forward, I'm ready to hold your hand!
(614) 714-5311 View (614) 714-5311
Photo of Janine Marie Campbell, Licensed Professional Counselor, MA, LPC
Janine Marie Campbell
Licensed Professional Counselor, MA, LPC
Serves Area
Are you struggling with communication, trust, or intimacy in your relationship? Is your marriage or partnership facing a difficult time? I'm Janine, a compassionate therapist specializing in relationships and couples counseling. I’m passionate about helping individuals and couples reconnect, heal, and grow. In a safe, non-judgmental space, we’ll explore your thoughts and feelings to help you strengthen your bond and move forward with confidence. Let’s work together to create the fulfilling relationship you deserve.
Are you struggling with communication, trust, or intimacy in your relationship? Is your marriage or partnership facing a difficult time? I'm Janine, a compassionate therapist specializing in relationships and couples counseling. I’m passionate about helping individuals and couples reconnect, heal, and grow. In a safe, non-judgmental space, we’ll explore your thoughts and feelings to help you strengthen your bond and move forward with confidence. Let’s work together to create the fulfilling relationship you deserve.
(937) 707-6404 View (937) 707-6404
Photo of Jennifer Gobel, Licensed Professional Clinical Counselor, MS, LPCC
Jennifer Gobel
Licensed Professional Clinical Counselor, MS, LPCC
Online Only
Hello. My name is Jennifer (Jen) Gobel. I am a Licensed Professional Clinical Counselor (LPCC) practicing virtually via teletherapy in Ohio. I received my Master’s degree in Clinical Mental Health Counseling from Walden University. I have worked in a variety of settings since becoming a counselor and have found my niche in private practice. I have worked with individuals ranging in ages from 5 to 65+ with issues such as anxiety, depression, grief, and much more. I have enjoyed the unique characteristics that each person brings as we are all such interesting individuals.
Hello. My name is Jennifer (Jen) Gobel. I am a Licensed Professional Clinical Counselor (LPCC) practicing virtually via teletherapy in Ohio. I received my Master’s degree in Clinical Mental Health Counseling from Walden University. I have worked in a variety of settings since becoming a counselor and have found my niche in private practice. I have worked with individuals ranging in ages from 5 to 65+ with issues such as anxiety, depression, grief, and much more. I have enjoyed the unique characteristics that each person brings as we are all such interesting individuals.
(513) 613-4382 View (513) 613-4382
Pinpoint Behavioral Health
Clinical Social Work/Therapist
1 Endorsed
Serves Area
Pinpoint is a unique group of clinicians. We don't serve everyone. We serve those who serve others. We specialize in serving the first responder, military and veteran community with people that "get it". We are able to also treat children and work with individuals who suffer from grief and loss.
Pinpoint is a unique group of clinicians. We don't serve everyone. We serve those who serve others. We specialize in serving the first responder, military and veteran community with people that "get it". We are able to also treat children and work with individuals who suffer from grief and loss.
(513) 434-3054 View (513) 434-3054
Photo of Shayla Garman, Clinical Social Work/Therapist, MSW, LISW, CSAYC
Shayla Garman
Clinical Social Work/Therapist, MSW, LISW, CSAYC
Online Only
Welcome! I am a Licensed Independent Social Work based in Ohio. I received my Masters degree from The Ohio State University and have been practicing for 3 years. I specialize in treating children and adolescents with problematic sexual behaviors and sexual trauma. I also am certified in Parent Child Interaction Therapy to assist with children aged 2.5-7 with emotional regulation and discipline.
Welcome! I am a Licensed Independent Social Work based in Ohio. I received my Masters degree from The Ohio State University and have been practicing for 3 years. I specialize in treating children and adolescents with problematic sexual behaviors and sexual trauma. I also am certified in Parent Child Interaction Therapy to assist with children aged 2.5-7 with emotional regulation and discipline.
(380) 205-2790 View (380) 205-2790
Photo of Donna Blaisdell Hurd - Donna Hurd Counseling, LLC, Licensed Professional Clinical Counselor , MA, LPCC
Donna Hurd Counseling, LLC
Licensed Professional Clinical Counselor , MA, LPCC
Online Only
Emotional pain from childhood can affect many aspects of adulthood. You many feel that your past is: Compromising your ability to enjoy the present; Creating a disconnect from those around you; Causing you to please everyone but yourself; Contributing to generally unmothered, unsettled, and unhappy feelings. If this describes what you have been feeling, let's talk. I will help you make sense of those feelings in a very caring and understanding manner. We will find ways to help you move forward and enable you to appreciate who you are.
Emotional pain from childhood can affect many aspects of adulthood. You many feel that your past is: Compromising your ability to enjoy the present; Creating a disconnect from those around you; Causing you to please everyone but yourself; Contributing to generally unmothered, unsettled, and unhappy feelings. If this describes what you have been feeling, let's talk. I will help you make sense of those feelings in a very caring and understanding manner. We will find ways to help you move forward and enable you to appreciate who you are.
(513) 813-2172 View (513) 813-2172
Photo of Rick Reihing, Licensed Professional Clinical Counselor, LPCC S
Rick Reihing
Licensed Professional Clinical Counselor, LPCC S
Online Only
If you’re feeling overwhelmed by anxiety, depression, trauma, PTSD, or relationship struggles, you don’t have to face it alone. I’m here to support you through a compassionate, collaborative approach tailored to your needs. I offer a safe, nonjudgmental space where you can begin healing and find relief. With over 14 years of experience as a firefighter and paramedic—and 4 years of service in the U.S. Air Force—I understand the emotional toll of high-stress roles. I use CBT, DBT, EMDR, and stress-reduction techniques to help reduce symptoms, process trauma, and restore your emotional well-being. Clients can expect a supportive atm
If you’re feeling overwhelmed by anxiety, depression, trauma, PTSD, or relationship struggles, you don’t have to face it alone. I’m here to support you through a compassionate, collaborative approach tailored to your needs. I offer a safe, nonjudgmental space where you can begin healing and find relief. With over 14 years of experience as a firefighter and paramedic—and 4 years of service in the U.S. Air Force—I understand the emotional toll of high-stress roles. I use CBT, DBT, EMDR, and stress-reduction techniques to help reduce symptoms, process trauma, and restore your emotional well-being. Clients can expect a supportive atm
(920) 561-2114 View (920) 561-2114
Photo of Cynthia Kenny, Licensed Professional Clinical Counselor, MA, LPCC-S
Cynthia Kenny
Licensed Professional Clinical Counselor, MA, LPCC-S
3 Endorsed
Serves Area
Thank you for showing up and visiting my profile. You have taken the first step on your new counseling journey! I work well with adults experiencing a variety of concerns, including anxiety, trauma, and women who have experienced relationship trauma or abuse. I offer a counseling environment filled with warmth, empathy, and compassion. And provide a safe space that encourages the development of trust for processing change and traumatic life, chronic emotional and physical pain, as well as experiences, such as loss, grief, or separation from a loved one.
Thank you for showing up and visiting my profile. You have taken the first step on your new counseling journey! I work well with adults experiencing a variety of concerns, including anxiety, trauma, and women who have experienced relationship trauma or abuse. I offer a counseling environment filled with warmth, empathy, and compassion. And provide a safe space that encourages the development of trust for processing change and traumatic life, chronic emotional and physical pain, as well as experiences, such as loss, grief, or separation from a loved one.
(567) 234-7859 View (567) 234-7859
Photo of Mike Madanat, Licensed Professional Counselor, MA, LPC
Mike Madanat
Licensed Professional Counselor, MA, LPC
9 Endorsed
Serves Area
At Authentic Life Counseling, I work with individuals ages 14 and up using evidence-based approaches like Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Therapy (CBT), while mixing in Relational as well as Liberation counseling. My passion is helping clients gain self-understanding and acceptance through a culturally sensitive lens. In our sessions, we’ll explore your values and what makes life meaningful for you. Clients often leave with greater clarity about the internal compass that guides their life, empowering them to create a life aligned with their true self.
At Authentic Life Counseling, I work with individuals ages 14 and up using evidence-based approaches like Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Therapy (CBT), while mixing in Relational as well as Liberation counseling. My passion is helping clients gain self-understanding and acceptance through a culturally sensitive lens. In our sessions, we’ll explore your values and what makes life meaningful for you. Clients often leave with greater clarity about the internal compass that guides their life, empowering them to create a life aligned with their true self.
(513) 643-9365 View (513) 643-9365
Photo of Kendal Conley, Counselor
Kendal Conley
Counselor
Online Only
I am looking forward to working with clients in the state of Ohio online for virtual sessions. I have 3 years experience so far in individual therapy practice. I work primarily with adults, though I have experience with working with adolescence as well. My graduate schooling was completed through Ashland Theological Seminary, I graduated in December of 2022 with a Master of Arts in Clinical Mental Health Counseling.
I am looking forward to working with clients in the state of Ohio online for virtual sessions. I have 3 years experience so far in individual therapy practice. I work primarily with adults, though I have experience with working with adolescence as well. My graduate schooling was completed through Ashland Theological Seminary, I graduated in December of 2022 with a Master of Arts in Clinical Mental Health Counseling.
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Photo of Heliana Ramirez, Clinical Social Work/Therapist, PhD, LISW, RSW
Heliana Ramirez
Clinical Social Work/Therapist, PhD, LISW, RSW
Online Only
I am an anti-racist and LGBTQ-Affirming trauma therapist who has worked with veterans, military servicemembers, and civilians for 20+ years. I help clients living with depression, anxiety, PTSD, ADHD, grief, and Ambiguous Losses like Layoffs, Infertility, and COVID-Cautious Life grief. As a Queer, Xicana of Mexican, Indigenous, Spanish, Irish, and Czech ancestry raised by a gay parent, I know the importance of culturally-responsive care that addresses the harm of oppression and stigma. I especially enjoy serving People of Color, LGBTQIA2S people, people who are neurodiverse, and people of diverse religious and spiritual faiths.
I am an anti-racist and LGBTQ-Affirming trauma therapist who has worked with veterans, military servicemembers, and civilians for 20+ years. I help clients living with depression, anxiety, PTSD, ADHD, grief, and Ambiguous Losses like Layoffs, Infertility, and COVID-Cautious Life grief. As a Queer, Xicana of Mexican, Indigenous, Spanish, Irish, and Czech ancestry raised by a gay parent, I know the importance of culturally-responsive care that addresses the harm of oppression and stigma. I especially enjoy serving People of Color, LGBTQIA2S people, people who are neurodiverse, and people of diverse religious and spiritual faiths.
(216) 677-6796 View (216) 677-6796
Photo of Brittany Green, Pre-Licensed Professional
Brittany Green
Pre-Licensed Professional
1 Endorsed
Serves Area
Hi, I’m Brittany Green, a Marriage and Family Therapist in training, specializing in helping individuals and couples build healthier, more intimate relationships. My passion lies in guiding clients through challenges that impact emotional and physical connection, such as communication struggles, infidelity, intimacy issues, and sexual health concerns.
Hi, I’m Brittany Green, a Marriage and Family Therapist in training, specializing in helping individuals and couples build healthier, more intimate relationships. My passion lies in guiding clients through challenges that impact emotional and physical connection, such as communication struggles, infidelity, intimacy issues, and sexual health concerns.
(937) 504-5522 View (937) 504-5522
Photo of Jacob Meddles, Counselor, LPCC, CSATc
Jacob Meddles
Counselor, LPCC, CSATc
Serves Area
I have been treating people with addiction issues my entire career. I have decided to focus on helping people with sex addiction and porn addiction. I have seen these addictions tear families apart. I want to help clients free themselves from these addictions and if possible help restore couples and families. I am very passionate about what I do. I deeply care about my clients and their needs. People can have freedom from sex addiction and porn addiction. Most of the time help is needed for sustained recovery. I want to be that help.
I have been treating people with addiction issues my entire career. I have decided to focus on helping people with sex addiction and porn addiction. I have seen these addictions tear families apart. I want to help clients free themselves from these addictions and if possible help restore couples and families. I am very passionate about what I do. I deeply care about my clients and their needs. People can have freedom from sex addiction and porn addiction. Most of the time help is needed for sustained recovery. I want to be that help.
(513) 986-5106 View (513) 986-5106
Photo of Jenna Ruth Hershberger, Counselor, LPCC
Jenna Ruth Hershberger
Counselor, LPCC
2 Endorsed
Serves Area
Are you a woman juggling life's demands and feeling overwhelmed by anxiety? Hi, I'm Jenna, a passionate mental health and addictions counselor dedicated to supporting women like you—moms and child-free women who need help finding balance amidst the chaos of daily life. As a mother of two young children, I truly understand the weight of responsibility, stress, and anxiety that comes with parenthood. It can feel impossible to take a step back and identify what's causing the overwhelm, but that's where I can help. Let’s focus on YOU. Together, we'll dive into what you need to feel fulfilled, not just survive but thrive.
Are you a woman juggling life's demands and feeling overwhelmed by anxiety? Hi, I'm Jenna, a passionate mental health and addictions counselor dedicated to supporting women like you—moms and child-free women who need help finding balance amidst the chaos of daily life. As a mother of two young children, I truly understand the weight of responsibility, stress, and anxiety that comes with parenthood. It can feel impossible to take a step back and identify what's causing the overwhelm, but that's where I can help. Let’s focus on YOU. Together, we'll dive into what you need to feel fulfilled, not just survive but thrive.
(614) 963-8006 View (614) 963-8006
Photo of Linda O'Leary, Clinical Social Work/Therapist, MSW, LISW-S, CCM, ASDCS
Linda O'Leary
Clinical Social Work/Therapist, MSW, LISW-S, CCM, ASDCS
Online Only
Accepting NEW clients. Have several early mornings (8am) & 8pm appointments open. I am passionate about working with those experiencing anxiety and depression disorders related to pregnancy, postpartum and parenting; looking to improve self-esteem, those who are neurodivergent, experiencing life transitions, grief, and relationship issues. I enjoy collaborating with my clients to form, work on and accomplish their goals. I believe goals need to be realistic, specific, measurable, and that you have to celebrate your wins.
Accepting NEW clients. Have several early mornings (8am) & 8pm appointments open. I am passionate about working with those experiencing anxiety and depression disorders related to pregnancy, postpartum and parenting; looking to improve self-esteem, those who are neurodivergent, experiencing life transitions, grief, and relationship issues. I enjoy collaborating with my clients to form, work on and accomplish their goals. I believe goals need to be realistic, specific, measurable, and that you have to celebrate your wins.
(440) 336-8892 View (440) 336-8892
Photo of Victoria Martin, Licensed Professional Clinical Counselor, PCC-S, LSW
Victoria Martin
Licensed Professional Clinical Counselor, PCC-S, LSW
Serves Area
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
(937) 588-6311 View (937) 588-6311
Photo of Jina Varanasi-Lee, Clinical Social Work/Therapist, MSW, LSW
Jina Varanasi-Lee
Clinical Social Work/Therapist, MSW, LSW
3 Endorsed
Online Only
Accepting new clients! Thanks for checking out my profile. I work with adults of all ages and backgrounds and my sessions are online, M-F as well as some early Saturday morning hours. I have experience helping my clients through a variety of issues including trauma, interpersonal relationships, mood and anxiety disorders, psychosis, women's issues and more. You will find a safe space to tell your story, and always receive unconditional positive regard, no matter what you are dealing with. If you would like to talk, feel free contact me at 380-500-0387. I look forward to hearing from you.
Accepting new clients! Thanks for checking out my profile. I work with adults of all ages and backgrounds and my sessions are online, M-F as well as some early Saturday morning hours. I have experience helping my clients through a variety of issues including trauma, interpersonal relationships, mood and anxiety disorders, psychosis, women's issues and more. You will find a safe space to tell your story, and always receive unconditional positive regard, no matter what you are dealing with. If you would like to talk, feel free contact me at 380-500-0387. I look forward to hearing from you.
(614) 820-1545 View (614) 820-1545
Photo of Jake Ross, Clinical Social Work/Therapist, MSW, LISW, LCSW
Jake Ross
Clinical Social Work/Therapist, MSW, LISW, LCSW
1 Endorsed
Serves Area
I empower millennial men who are feeling anxious to stop feeling like they cannot control their emotions, understand and improve their relationships, and feel like themselves again. Whether your stress is related to recently becoming a father, your relationships with others, or your career/work - I get it! We can work together to learn how to manage your stress more effectively so that you can enjoy a more fulfilling life and navigate all of your relationships (including romantic) with greater confidence.
I empower millennial men who are feeling anxious to stop feeling like they cannot control their emotions, understand and improve their relationships, and feel like themselves again. Whether your stress is related to recently becoming a father, your relationships with others, or your career/work - I get it! We can work together to learn how to manage your stress more effectively so that you can enjoy a more fulfilling life and navigate all of your relationships (including romantic) with greater confidence.
(740) 720-5581 View (740) 720-5581
Photo of Meghan M Parys, Clinical Social Work/Therapist, MSW, LISW-S
Meghan M Parys
Clinical Social Work/Therapist, MSW, LISW-S
1 Endorsed
Online Only
Hello! I currently have immediate openings for daytime appointments. I am passionate about supporting adults coping with issues related to anxiety, depression, grief, trauma, low self-esteem, attachment issues and substance use disorders. I would love to learn what has shaped your life and how it has impacted you. It is important to me to provide a non-judgmental space for you to work through your emotions. I look forward to helping you develop self-compassion and self-acceptance and work toward developing peace of mind.
Hello! I currently have immediate openings for daytime appointments. I am passionate about supporting adults coping with issues related to anxiety, depression, grief, trauma, low self-esteem, attachment issues and substance use disorders. I would love to learn what has shaped your life and how it has impacted you. It is important to me to provide a non-judgmental space for you to work through your emotions. I look forward to helping you develop self-compassion and self-acceptance and work toward developing peace of mind.
(513) 643-9716 View (513) 643-9716

How does your Therapist compare?

Number of Therapists in Union City, OH

< 10

Therapists in Union City, OH who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Parenting
100% Divorce
100% Anger Management
100% Family Conflict

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Union City, OH see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Union City?

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.