Therapists in Mcclain County, OK

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Photo of Aimee S Walker, LPC, Licensed Professional Counselor
Aimee S Walker
Licensed Professional Counselor, LPC
Verified Verified
Newcastle, OK 73065
I am a Licensed Professional Counselor (LPC) licensed in Oklahoma. I work with clients on a wide range of concerns including but not limited to depression, anxiety, chronic pain, parenting concerns, ADHD, and PTSD. My approach includes cognitive behavioral, client centered, mindfulness, EMDR, Neurofeedback and faith to name a few. I tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you. I look forward to working with you!
I am a Licensed Professional Counselor (LPC) licensed in Oklahoma. I work with clients on a wide range of concerns including but not limited to depression, anxiety, chronic pain, parenting concerns, ADHD, and PTSD. My approach includes cognitive behavioral, client centered, mindfulness, EMDR, Neurofeedback and faith to name a few. I tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you. I look forward to working with you!
(405) 784-7164 View (405) 784-7164
Photo of Catherine Coffey, MSW, LCSW, Clinical Social Work/Therapist
Catherine Coffey
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Newcastle, OK 73065  (Online Only)
Waitlist for new clients
Taking the first step to come in to counseling can feel scary, especially if this is your first time. I want every client I see to feel safe, comfortable, and heard. My approach to therapy is very down-to-earth, professional, non-judgmental, and warm. You are driving the car, and I am simply helping point out the road signs. I see women from all walks of life struggling with a variety or life stressors from depression, to life transitions, grief and loss, anxiety, stress, and any other issue that could be a road block to living a fulfilling and positive life.
Taking the first step to come in to counseling can feel scary, especially if this is your first time. I want every client I see to feel safe, comfortable, and heard. My approach to therapy is very down-to-earth, professional, non-judgmental, and warm. You are driving the car, and I am simply helping point out the road signs. I see women from all walks of life struggling with a variety or life stressors from depression, to life transitions, grief and loss, anxiety, stress, and any other issue that could be a road block to living a fulfilling and positive life.
(405) 251-8674 View (405) 251-8674
Photo of Jaime N Conover, MA, LPC, LCPC, CEDS, Licensed Professional Counselor
Jaime N Conover
Licensed Professional Counselor, MA, LPC, LCPC, CEDS
Verified Verified
2 Endorsed
Newcastle, OK 73065  (Online Only)
I provide a safe and confidential environment in which we can build a trusting therapeutic relationship. This will allow us to explore the concerns you bring into therapy. I work with individuals struggling with eating disorders, disordered eating, pre and post bariatric surgery, self-esteem and general women's issues. I will incorporate your faith and beliefs as you would prefer.
I provide a safe and confidential environment in which we can build a trusting therapeutic relationship. This will allow us to explore the concerns you bring into therapy. I work with individuals struggling with eating disorders, disordered eating, pre and post bariatric surgery, self-esteem and general women's issues. I will incorporate your faith and beliefs as you would prefer.
(405) 758-5839 View (405) 758-5839
Photo of Deborah ‘Debb’ Charlton ', MSW, LCSW, Clinical Social Work/Therapist
Deborah ‘Debb’ Charlton '
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Blanchard, OK 73010  (Online Only)
I believe life happens to us all and sometimes we need a little support in navigating through the difficult times. I believe in steadfast, on-target support that will help you reset and renew your concept of who you are and who you want to be. If you are feeling lost, frustrated, or uncertain give me a call. I would love to help you ID your target and navigate a new path to achieve the best possible you!
I believe life happens to us all and sometimes we need a little support in navigating through the difficult times. I believe in steadfast, on-target support that will help you reset and renew your concept of who you are and who you want to be. If you are feeling lost, frustrated, or uncertain give me a call. I would love to help you ID your target and navigate a new path to achieve the best possible you!
(405) 288-4868 View (405) 288-4868
Photo of Becca Marie Doll, LPC, Licensed Professional Counselor
Becca Marie Doll
Licensed Professional Counselor, LPC
Verified Verified
Newcastle, OK 73065  (Online Only)
I am an LPC and I have a passion for working with young adults, couples, the LGBTQ+ community, neurodivergent folks and those who have experienced trauma. For those who desire to have an extremely open, non-judgmental counselor help you work through whatever they are going through, I would be honored to help you.
I am an LPC and I have a passion for working with young adults, couples, the LGBTQ+ community, neurodivergent folks and those who have experienced trauma. For those who desire to have an extremely open, non-judgmental counselor help you work through whatever they are going through, I would be honored to help you.
(405) 963-3491 View (405) 963-3491
Photo of Shannon J Murphy, MEd , LPC, Licensed Professional Counselor
Shannon J Murphy
Licensed Professional Counselor, MEd , LPC
Verified Verified
1 Endorsed
Washington, OK 73093  (Online Only)
Accepting clients in Colorado and Oklahoma Pronouns: she/her/hers Fuck fear and self-doubt! Held back from fulfilling experiences? Feeling overwhelmed? Can't find your voice? Struggling with feeling unable, not good enough, or like you're too much? I have helped hundreds of people learn what is holding them back, and tap into their personal power to live their best life. I believe you already have it in you. I just help you find it. I will help you identify what is keeping you stuck and develop a plan for hope.
Accepting clients in Colorado and Oklahoma Pronouns: she/her/hers Fuck fear and self-doubt! Held back from fulfilling experiences? Feeling overwhelmed? Can't find your voice? Struggling with feeling unable, not good enough, or like you're too much? I have helped hundreds of people learn what is holding them back, and tap into their personal power to live their best life. I believe you already have it in you. I just help you find it. I will help you identify what is keeping you stuck and develop a plan for hope.
(405) 588-1734 View (405) 588-1734
Photo of Amanda Rowell, LPC, Counselor
Amanda Rowell
Counselor, LPC
Verified Verified
Blanchard, OK 73010  (Online Only)
Depression, anxiety, or past traumas sneaking up on you? Feel like you are lost as a parent and your kids won't listen?
Depression, anxiety, or past traumas sneaking up on you? Feel like you are lost as a parent and your kids won't listen?
(405) 477-1201 View (405) 477-1201
Photo of Ellen L Donaldson, MHR, LMFT, LADC, Marriage & Family Therapist
Ellen L Donaldson
Marriage & Family Therapist, MHR, LMFT, LADC
Verified Verified
Purcell, OK 73080
I believe in taking a holistic approach to counseling. Since most issues are interrelated, positive change in one area begins a ripple effect of change in others. My training and over 25 years of clinical experience is diverse, including issues related to relationship problems, anxiety, depression, addictions, trauma and grief. In addition, I offer women's groups and individualized anger management. Since 1995, as an Adjunct Assistant Professor of Human Relations at the University of Oklahoma, I've taught courses on: Understanding Addictions, Chemical Dependency, Human Emotions, Stress Management and Advanced Counseling Skills.
I believe in taking a holistic approach to counseling. Since most issues are interrelated, positive change in one area begins a ripple effect of change in others. My training and over 25 years of clinical experience is diverse, including issues related to relationship problems, anxiety, depression, addictions, trauma and grief. In addition, I offer women's groups and individualized anger management. Since 1995, as an Adjunct Assistant Professor of Human Relations at the University of Oklahoma, I've taught courses on: Understanding Addictions, Chemical Dependency, Human Emotions, Stress Management and Advanced Counseling Skills.
(405) 455-8261 View (405) 455-8261
Photo of Stormy Chase Worster Williams, LPC, LADC, Licensed Professional Counselor
Stormy Chase Worster Williams
Licensed Professional Counselor, LPC, LADC
Verified Verified
1 Endorsed
Newcastle, OK 73065
Not accepting new clients
I have worked with adolescents in an inpatient setting for 12 plus years with mental health and substance abuse issues. I have also worked with families to maintain cohesiveness. I have experience working with all types of mental illness and would love to expand working with adolescents and adults with co-occurring issues, relationship stressors, trauma and daily life functionality. I'm also interested in working with adults as well as couples. I will work beside you to help you meet your goals and combat barriers as they become present. I currently accept BCBS, Health Choice, Beacon, Magellan, Tricare and self-pay.
I have worked with adolescents in an inpatient setting for 12 plus years with mental health and substance abuse issues. I have also worked with families to maintain cohesiveness. I have experience working with all types of mental illness and would love to expand working with adolescents and adults with co-occurring issues, relationship stressors, trauma and daily life functionality. I'm also interested in working with adults as well as couples. I will work beside you to help you meet your goals and combat barriers as they become present. I currently accept BCBS, Health Choice, Beacon, Magellan, Tricare and self-pay.
(405) 585-2068 View (405) 585-2068
Photo of Rose W Williams, MHR, LPC, Licensed Professional Counselor
Rose W Williams
Licensed Professional Counselor, MHR, LPC
Verified Verified
1 Endorsed
Purcell, OK 73080
Do you struggle with anxiety, depression, grief, or in a challenging relationship? Do you feel exhausted, overwhelmed by the thought that there is no light at the end of the tunnel? Do you have racing thoughts? Do you want to include a Christian worldview in your therapy? Now, more than ever, men and women are feeling anxious, depressed and overwhelmed about overcoming a difficult relationship, working through a loss and finding their place in life. I want you to know that there is hope, and I would love to help you.
Do you struggle with anxiety, depression, grief, or in a challenging relationship? Do you feel exhausted, overwhelmed by the thought that there is no light at the end of the tunnel? Do you have racing thoughts? Do you want to include a Christian worldview in your therapy? Now, more than ever, men and women are feeling anxious, depressed and overwhelmed about overcoming a difficult relationship, working through a loss and finding their place in life. I want you to know that there is hope, and I would love to help you.
(405) 898-0781 View (405) 898-0781
Photo of Cody Commander, PsyD, HSP, CMPC, Psychologist
Cody Commander
Psychologist, PsyD, HSP, CMPC
Verified Verified
1 Endorsed
Newcastle, OK 73065
**Only accepting psychological testing clients** Do you wish you could change something about your life? I am a licensed clinical & sport psychologist who helps individuals create change in their lives. I understand the difficulties of initially seeking help, and provide services in a safe and non-judging manner. I provide individual and family counseling, ADHD and learning disability evaluations, and performance psychology for athletes and performers.
**Only accepting psychological testing clients** Do you wish you could change something about your life? I am a licensed clinical & sport psychologist who helps individuals create change in their lives. I understand the difficulties of initially seeking help, and provide services in a safe and non-judging manner. I provide individual and family counseling, ADHD and learning disability evaluations, and performance psychology for athletes and performers.
(405) 295-7834 View (405) 295-7834
Photo of Ava G Linden - Ava Gault Linden Private Practice (North Office), MA, LPC, LADC, Licensed Professional Counselor
Ava Gault Linden Private Practice (North Office)
Licensed Professional Counselor, MA, LPC, LADC
Verified Verified
2 Endorsed
Newcastle, OK 73065
Waitlist for new clients
"We all experience challenges in life allow those to bring us down/overcome them. Ideally through those situations we can learn & draw strength & wisdom that's where I'd like to come in to help. Change isn't easy but together we can work to minimize your negative coping skills, thoughts &reactions. Learn to cope in healthy ways &improve your quality of life. I'd like to walk alongside you during that journey & see you come out the other side a stronger, healthier, happier person." Therapy is an opportunity to re-establish balance in your life &reconnect with yourself & others in new & meaningful ways.
"We all experience challenges in life allow those to bring us down/overcome them. Ideally through those situations we can learn & draw strength & wisdom that's where I'd like to come in to help. Change isn't easy but together we can work to minimize your negative coping skills, thoughts &reactions. Learn to cope in healthy ways &improve your quality of life. I'd like to walk alongside you during that journey & see you come out the other side a stronger, healthier, happier person." Therapy is an opportunity to re-establish balance in your life &reconnect with yourself & others in new & meaningful ways.
(405) 546-2993 View (405) 546-2993
Photo of Randy L Hendrix, MEd, LPC, LMFT, Licensed Professional Counselor
Randy L Hendrix
Licensed Professional Counselor, MEd, LPC, LMFT
Verified Verified
Newcastle, OK 73065
You don't have to be "crazy" to seek counseling. Some people are just stuck and need some help getting back on track. Others are at a point in life they're not sure what to do next, so they come to figure that out. Some people have relationship problems in the family or at work, and want help to work through it. Some have emotional problems, or are haunted by past events and want to break free of them. Still others are wanting to grow and develop a clearer sense of purpose, or gain a stronger sense of spirituality.
You don't have to be "crazy" to seek counseling. Some people are just stuck and need some help getting back on track. Others are at a point in life they're not sure what to do next, so they come to figure that out. Some people have relationship problems in the family or at work, and want help to work through it. Some have emotional problems, or are haunted by past events and want to break free of them. Still others are wanting to grow and develop a clearer sense of purpose, or gain a stronger sense of spirituality.
(405) 585-0672 View (405) 585-0672
Photo of Allan L Dupuis, MEd, LPC, LADC, Licensed Professional Counselor
Allan L Dupuis
Licensed Professional Counselor, MEd, LPC, LADC
Verified Verified
Newcastle, OK 73065
Waitlist for new clients
One of the biggest obstacles that we have to deal with is change. But what is interesting is that we go through some type of change every moment, from a psychological, emotional or physical experience. I believe that in order to deal with life changing events, we have to learn how to adapt in a manner that provides the least amount of discomfort. And because we are unique, there are no perfect therapeutic techniques or procedures that makes us change. If the desire to change is present, either from an internal or external perspective, we have the ability to adapt.
One of the biggest obstacles that we have to deal with is change. But what is interesting is that we go through some type of change every moment, from a psychological, emotional or physical experience. I believe that in order to deal with life changing events, we have to learn how to adapt in a manner that provides the least amount of discomfort. And because we are unique, there are no perfect therapeutic techniques or procedures that makes us change. If the desire to change is present, either from an internal or external perspective, we have the ability to adapt.
(405) 551-8105 View (405) 551-8105
Photo of Dr. Micheline Chrisman, Psychologist
Dr. Micheline Chrisman
Psychologist
Verified Verified
Newcastle, OK 73065
Waitlist for new clients
If change was easy, everyone would do it. I understand the difficult steps it takes to make changes and maintain that change. Therefore, my goal is to help you build the confidence and readiness to make positive changes in your life. I believe that good mental health is the foundation to a satisfying, well-rounded life. Without it, we may find ourselves struggling in a variety of ways. I firmly believe that attending therapy is the best investment you can make in yourself and I look forward to helping you make positive gains that will last a lifetime.
If change was easy, everyone would do it. I understand the difficult steps it takes to make changes and maintain that change. Therefore, my goal is to help you build the confidence and readiness to make positive changes in your life. I believe that good mental health is the foundation to a satisfying, well-rounded life. Without it, we may find ourselves struggling in a variety of ways. I firmly believe that attending therapy is the best investment you can make in yourself and I look forward to helping you make positive gains that will last a lifetime.
(405) 547-9745 View (405) 547-9745
Photo of Pamela J Foster, LPC, LADC, Licensed Professional Counselor
Pamela J Foster
Licensed Professional Counselor, LPC, LADC
Verified Verified
Blanchard, OK 73010
Waitlist for new clients
Missing something? Let us help you find your joy! Life gets hard, overwhelming and sometimes leaves you wondering where it all went wrong. Great news! You are not alone, and there are ways to get you back on track! We want to help you!
Missing something? Let us help you find your joy! Life gets hard, overwhelming and sometimes leaves you wondering where it all went wrong. Great news! You are not alone, and there are ways to get you back on track! We want to help you!
(405) 694-4585 View (405) 694-4585
Photo of Cameron Hollingsworth, MA, LPC, LMFT, Licensed Professional Counselor
Cameron Hollingsworth
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
Newcastle, OK 73065
Waitlist for new clients
I enjoy working with all types of people to improve emotional wellbeing and gain a positive outlook on life. I believe that all of us have the tools and abilities to create the quality of life that we desire. Along with support, insight, and understanding it is possible to gain control over life and find relief for emotional and mental distress. I work with individuals, families, couples, and parents to address the challenges and stresses that are present in life.
I enjoy working with all types of people to improve emotional wellbeing and gain a positive outlook on life. I believe that all of us have the tools and abilities to create the quality of life that we desire. Along with support, insight, and understanding it is possible to gain control over life and find relief for emotional and mental distress. I work with individuals, families, couples, and parents to address the challenges and stresses that are present in life.
(405) 384-7379 View (405) 384-7379
Photo of Shoko Baker, MEd, LPC, SEP, Licensed Professional Counselor
Shoko Baker
Licensed Professional Counselor, MEd, LPC, SEP
Verified Verified
1 Endorsed
Newcastle, OK 73065
Not accepting new clients
Welcome to my profile. I have been a LPC since 2003 and became an EMDR Certified Therapist in 2015. I began my Somatic Experiencing (SE) Therapy training in January of 2020 and have enjoyed integrating SE in my practice. SE is a naturalistic form of healing that will help you to learn how to settle and release physiological activation from your body. Very often this process helps people to reduce stress and return to a sense of of regulation and mastery in their lives. SE is particularly useful in managing stress because so many of the symptoms are physiological. To learn more about SE, please visit www.traumahealing.org.
Welcome to my profile. I have been a LPC since 2003 and became an EMDR Certified Therapist in 2015. I began my Somatic Experiencing (SE) Therapy training in January of 2020 and have enjoyed integrating SE in my practice. SE is a naturalistic form of healing that will help you to learn how to settle and release physiological activation from your body. Very often this process helps people to reduce stress and return to a sense of of regulation and mastery in their lives. SE is particularly useful in managing stress because so many of the symptoms are physiological. To learn more about SE, please visit www.traumahealing.org.
(405) 622-4979 View (405) 622-4979
Photo of Elizabeth Kathryn Brakefield, MEd, LPC, Licensed Professional Counselor
Elizabeth Kathryn Brakefield
Licensed Professional Counselor, MEd, LPC
Verified Verified
Purcell, OK 73080
I believe one of the bravest things you can do is begin to understand your own story. Anyone can dream, but it takes true courage to look inside ourselves and begin the journey of awakening. I would love the opportunity to guide you in your journey of self-discovery. As a therapist I will provide you with a safe and accepting environment that fosters growth and supports you while you transform the vision of the life you were always meant to live into a reality. “Until you make the unconscious conscious, it will direct your life and you will call it fate.” Carl Jung
I believe one of the bravest things you can do is begin to understand your own story. Anyone can dream, but it takes true courage to look inside ourselves and begin the journey of awakening. I would love the opportunity to guide you in your journey of self-discovery. As a therapist I will provide you with a safe and accepting environment that fosters growth and supports you while you transform the vision of the life you were always meant to live into a reality. “Until you make the unconscious conscious, it will direct your life and you will call it fate.” Carl Jung
(405) 493-8895 View (405) 493-8895
Photo of Casi Bournival, MSBS, LMFT-S, RPT, Marriage & Family Therapist
Casi Bournival
Marriage & Family Therapist, MSBS, LMFT-S, RPT
Verified Verified
2 Endorsed
Newcastle, OK 73065
Do you feel like your child may be a bit more challenging than others? Going through a tough time yourself? Let's work together to help everyone get back on track and functioning better so that we can make the most of each day. My passion is in supporting parents and children to build the confidence and skills needed to address challenging behaviors. I also work with adults on self-improvement! We all have our struggles, and I have experience with issues such as family dysfunction, trauma, ADHD (my JAM), and anxiety. My office is a safe and welcoming space for the LGBTQ+ community and neurodivergent individuals!
Do you feel like your child may be a bit more challenging than others? Going through a tough time yourself? Let's work together to help everyone get back on track and functioning better so that we can make the most of each day. My passion is in supporting parents and children to build the confidence and skills needed to address challenging behaviors. I also work with adults on self-improvement! We all have our struggles, and I have experience with issues such as family dysfunction, trauma, ADHD (my JAM), and anxiety. My office is a safe and welcoming space for the LGBTQ+ community and neurodivergent individuals!
(405) 725-2327 View (405) 725-2327

See more therapy options for Mcclain County

How does your Therapist compare?

Number of Therapists in Mcclain County, OK

20+

Average cost per session

$140

Therapists in Mcclain County, OK who prioritize treating:

100% Anxiety
96% Depression
92% Trauma and PTSD
84% Coping Skills
84% Self Esteem
80% Relationship Issues
72% Grief

Average years in practice

9 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
87% Health Choice
57% UnitedHealthcare UHC | UBH

How Therapists in Mcclain County, OK see their clients

76% In Person and Online
24% Online Only

Gender breakdown

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

How can I find a therapist in Mcclain 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.