Therapists in Estacada, OR

Photo of Heather Sherman, Clinical Social Work/Therapist, LCSW
Heather Sherman
Clinical Social Work/Therapist, LCSW
Estacada, OR 97023
Most frequently, I work with adoptive parents as well as teen and adult adopted persons and women experiencing perimenopause and menopause. As an adoptive parent myself, I have focused for the last 12 years on education and training that has made me a more adoption competent therapist and parent. Parents, if your child has special needs, learning disabilities, or experience with trauma I know it can be especially hard to set aside the time to get help for yourself, but I hope you call. Teens and young adult adopted persons, I want to walk alongside you as you take on the tough task of finding identity. You deserve to be heard!
Most frequently, I work with adoptive parents as well as teen and adult adopted persons and women experiencing perimenopause and menopause. As an adoptive parent myself, I have focused for the last 12 years on education and training that has made me a more adoption competent therapist and parent. Parents, if your child has special needs, learning disabilities, or experience with trauma I know it can be especially hard to set aside the time to get help for yourself, but I hope you call. Teens and young adult adopted persons, I want to walk alongside you as you take on the tough task of finding identity. You deserve to be heard!
(971) 205-1895 View (971) 205-1895
Photo of Valerie M. Calhoun, Pre-Licensed Professional, MA, PCA
Valerie M. Calhoun
Pre-Licensed Professional, MA, PCA
Estacada, OR 97023
Philosophy: I believe that people can learn, grow, and transform themselves to live a healthy life, full of purpose and meaning. I believe that healthy relationships are the main attribute to a healthy, and satisfying life. My goal is to provide a positive environment that expresses empathy, safety, hope, and understanding. I employ holistic mental health therapy by integrating treatment plans that include interventions for mental health, physical well being, and spiritual balance as part of the therapeutic process for the client.
Philosophy: I believe that people can learn, grow, and transform themselves to live a healthy life, full of purpose and meaning. I believe that healthy relationships are the main attribute to a healthy, and satisfying life. My goal is to provide a positive environment that expresses empathy, safety, hope, and understanding. I employ holistic mental health therapy by integrating treatment plans that include interventions for mental health, physical well being, and spiritual balance as part of the therapeutic process for the client.
(503) 461-7045 View (503) 461-7045
Photo of Kelly Salusova Welcoming New Cts Currently, Counselor, MS, NCC, LPC, LMHC
Kelly Salusova Welcoming New Cts Currently
Counselor, MS, NCC, LPC, LMHC
1 Endorsed
Online Only
Our therapist-client relationship is one that relies on our shared wisdom. You are the expert in the subject area of you, while I bring over 20 years of therapeutic knowledge and experience. I have worked with individuals and families across the lifespan including: teens, adults, and seniors. I use a variety of therapeutic approaches and interventions. I hold a Masters Degree in Counseling and am an LPC and LMHC. I am accepting new clients with immediate openings.
Our therapist-client relationship is one that relies on our shared wisdom. You are the expert in the subject area of you, while I bring over 20 years of therapeutic knowledge and experience. I have worked with individuals and families across the lifespan including: teens, adults, and seniors. I use a variety of therapeutic approaches and interventions. I hold a Masters Degree in Counseling and am an LPC and LMHC. I am accepting new clients with immediate openings.
(503) 506-4657 View (503) 506-4657
Photo of Todd Forsman, Clinical Social Work/Therapist, LCSW, CADC-I, LICSW
Todd Forsman
Clinical Social Work/Therapist, LCSW, CADC-I, LICSW
Serves Area
Even in the darkest hours there is hope that healing and wholeness is possible. Do you suffer with the effects of depression, anxiety, addiction, self-loathing or lack of self-esteem? Do you have trouble with anger, communication or setting boundaries? There is hope! You are the author of your own story, and a skilled, caring counselor can help you find the tools you need to navigate through the hard times and be able to feel empowered to continue writing your story.
Even in the darkest hours there is hope that healing and wholeness is possible. Do you suffer with the effects of depression, anxiety, addiction, self-loathing or lack of self-esteem? Do you have trouble with anger, communication or setting boundaries? There is hope! You are the author of your own story, and a skilled, caring counselor can help you find the tools you need to navigate through the hard times and be able to feel empowered to continue writing your story.
(503) 678-9191 View (503) 678-9191
Photo of Annie Zander - Sandy Counseling Center, Annie Zander , Clinical Social Work/Therapist, LCSW, CADCIII
Sandy Counseling Center, Annie Zander
Clinical Social Work/Therapist, LCSW, CADCIII
Serves Area
We provide DUII Rehabilitation, Individual Counseling and Life Coaching. My philosophy is to provide a person-centered approach to individual health and healing. I take pride in the ability to offer customized counseling and addiction recovery services. My counseling center is dedicated to helping individuals find a wide range of supports and foster lasting change. I offer trauma-informed, evidence-based treatment for substance abuse, mental health disorders, and life coaching.
We provide DUII Rehabilitation, Individual Counseling and Life Coaching. My philosophy is to provide a person-centered approach to individual health and healing. I take pride in the ability to offer customized counseling and addiction recovery services. My counseling center is dedicated to helping individuals find a wide range of supports and foster lasting change. I offer trauma-informed, evidence-based treatment for substance abuse, mental health disorders, and life coaching.
(503) 854-0523 View (503) 854-0523
Photo of Lara Lunsford, Professional Counselor Associate, MA, PCA
Lara Lunsford
Professional Counselor Associate, MA, PCA
Serves Area
Relationships—whether with ourselves, others, or the world—are at the heart of our well-being. When we feel stuck, disconnected, overwhelmed, or lost, counseling can be a powerful tool for healing, growth, and greater self-awareness. Life can be painful or confusing, and feeling alone in difficult situations can amplify our distress. My goal is to come alongside individuals and couples to navigate life’s challenges with clarity and confidence, fostering deeper connections and emotional resilience. I am passionate about providing the space and tools needed to help people thrive and to empower clients to move forward with purpose.
Relationships—whether with ourselves, others, or the world—are at the heart of our well-being. When we feel stuck, disconnected, overwhelmed, or lost, counseling can be a powerful tool for healing, growth, and greater self-awareness. Life can be painful or confusing, and feeling alone in difficult situations can amplify our distress. My goal is to come alongside individuals and couples to navigate life’s challenges with clarity and confidence, fostering deeper connections and emotional resilience. I am passionate about providing the space and tools needed to help people thrive and to empower clients to move forward with purpose.
(503) 852-5553 View (503) 852-5553
Photo of Michelle Whitney, Clinical Social Work/Therapist, LCSW
Michelle Whitney
Clinical Social Work/Therapist, LCSW
Online Only
Hello! I am a licensed clinical social worker in Oregon. I obtained my graduate degree in social work from Portland State University in 2007. I specialize in working with clients who struggle with anxiety, depression, bipolar disorder, trauma, substance use, grief and loss, chronic illness, interpersonal relationships and life transitions. I am interested in helping those that are struggling with situational stressors or long-standing concerns.
Hello! I am a licensed clinical social worker in Oregon. I obtained my graduate degree in social work from Portland State University in 2007. I specialize in working with clients who struggle with anxiety, depression, bipolar disorder, trauma, substance use, grief and loss, chronic illness, interpersonal relationships and life transitions. I am interested in helping those that are struggling with situational stressors or long-standing concerns.
(503) 406-8989 View (503) 406-8989
Photo of Tim Joachim, Professional Counselor Associate, MA
Tim Joachim
Professional Counselor Associate, MA
Serves Area
I help adults and couples work through what’s weighing them down—whether it’s past experiences, current stress, or feeling stuck in patterns that no longer work. I’m also trained in EMDR, a powerful method for processing trauma and shifting deeply rooted beliefs that keep people stuck. I work with people navigating trauma, stress, major life/career transitions, and relationship issues. I also work with first responders, people in ministry, and those going through or recovering from divorce and infidelity.
I help adults and couples work through what’s weighing them down—whether it’s past experiences, current stress, or feeling stuck in patterns that no longer work. I’m also trained in EMDR, a powerful method for processing trauma and shifting deeply rooted beliefs that keep people stuck. I work with people navigating trauma, stress, major life/career transitions, and relationship issues. I also work with first responders, people in ministry, and those going through or recovering from divorce and infidelity.
(503) 770-0083 View (503) 770-0083
Photo of Taunya M Gesner, Licensed Professional Counselor, MEd
Taunya M Gesner
Licensed Professional Counselor, MEd
Online Only
Sometimes when the world feels overwhelming, we don't connect how past abuse has led us to emotions that feel out of control. It's like when stress builds up over lots of little things and you finally snap at someone you care about in a way you didn't mean. Or feeling overly tired of trying to live in this world because every choice you make seems hard and a large amount of effort. These are things I can help with. Additionally - if you are struggling with your significant other, like feeling not heard, or having problems in the bedroom, or feeling like you are carrying more than your share; we can work on this together.
Sometimes when the world feels overwhelming, we don't connect how past abuse has led us to emotions that feel out of control. It's like when stress builds up over lots of little things and you finally snap at someone you care about in a way you didn't mean. Or feeling overly tired of trying to live in this world because every choice you make seems hard and a large amount of effort. These are things I can help with. Additionally - if you are struggling with your significant other, like feeling not heard, or having problems in the bedroom, or feeling like you are carrying more than your share; we can work on this together.
(971) 274-5497 View (971) 274-5497

More Therapists Nearby

Photo of Megan Quigley, Clinical Social Work/Therapist, MSW, LCSW
Megan Quigley
Clinical Social Work/Therapist, MSW, LCSW
11 Endorsed
Portland, OR 97210
Fast heartbeat, stomach in knots. Worry has become your constant companion. Right now everything feels as if it's covered in a veil of "what-if's." The hopelessness and depression are growing. In the midst of it all, it can seem as if there's no way out, that these emotions will last forever. You're so tired of life feeling dreary, tiresome, and hopeless. The anxiety and sadness have gone on far too long. It is a lonely and isolating place to be. You can't help but wonder, "How long can I go on this way?!" There is hope. Therapy can help anyone, including you! Armed with the right tools, you can overcome the fear and sadness.
Fast heartbeat, stomach in knots. Worry has become your constant companion. Right now everything feels as if it's covered in a veil of "what-if's." The hopelessness and depression are growing. In the midst of it all, it can seem as if there's no way out, that these emotions will last forever. You're so tired of life feeling dreary, tiresome, and hopeless. The anxiety and sadness have gone on far too long. It is a lonely and isolating place to be. You can't help but wonder, "How long can I go on this way?!" There is hope. Therapy can help anyone, including you! Armed with the right tools, you can overcome the fear and sadness.
(971) 444-8419 View (971) 444-8419
Photo of Marguerite Congoran, LPC Intern, LPC
Marguerite Congoran
LPC Intern, LPC
Online Only
I work with individuals, couples and families of all different ages and backgrounds. As a depth oriented and relational therapist, I use inner work, self-awareness techniques, parts work (IFS), dreamwork, relationship work, art, conflict resolution and communication techniques. My work helps individuals heal personal and intergenerational trauma, and find a greater sense of wholeness through the integration of the mind, body, and spirit. I am a good listener and follow closely the unfolding process of my clients. Supporting clients to listen to the wisdom held in their own body and in the natural world is at the core of my work.
I work with individuals, couples and families of all different ages and backgrounds. As a depth oriented and relational therapist, I use inner work, self-awareness techniques, parts work (IFS), dreamwork, relationship work, art, conflict resolution and communication techniques. My work helps individuals heal personal and intergenerational trauma, and find a greater sense of wholeness through the integration of the mind, body, and spirit. I am a good listener and follow closely the unfolding process of my clients. Supporting clients to listen to the wisdom held in their own body and in the natural world is at the core of my work.
(503) 868-2179 View (503) 868-2179
Photo of Albie Paris, Pre-Licensed Professional, MA, MHCA
Albie Paris
Pre-Licensed Professional, MA, MHCA
Serves Area
I work with adults 18+ across all life stages. I might be the best fit for individuals seeking a space to explore their emotions, relationships, and identities without judgment. My practice is inclusive of LGBTQIA+ individuals as well as straight and cisgender people. I work with folks navigating complex emotions, relationship challenges, or experiences that may feel “too much” to share elsewhere. I work with people navigating grief, anxiety, depression, questions about meaning, and challenges in relationships or boundaries. I also offer space to explore intimacy, desire, and the parts of life that aren’t always easy to name.
I work with adults 18+ across all life stages. I might be the best fit for individuals seeking a space to explore their emotions, relationships, and identities without judgment. My practice is inclusive of LGBTQIA+ individuals as well as straight and cisgender people. I work with folks navigating complex emotions, relationship challenges, or experiences that may feel “too much” to share elsewhere. I work with people navigating grief, anxiety, depression, questions about meaning, and challenges in relationships or boundaries. I also offer space to explore intimacy, desire, and the parts of life that aren’t always easy to name.
(360) 226-7272 View (360) 226-7272
Photo of Abby Tuttle-Shamblin, Marriage & Family Therapist, MEd, LMFT
Abby Tuttle-Shamblin
Marriage & Family Therapist, MEd, LMFT
3 Endorsed
Serves Area
All of us face experiences in our lives where we can benefit from the support and connection that therapy provides. Scientific evidence demonstrates that a strong and consistent therapeutic relationship is restorative, healing and emotionally regulating. As a therapist, I believe in connecting with clients, human-to-human, and I regularly feel a deep sense of understanding for those with whom I work. There is so much noise around us that it is often difficult for us to hear our own truth. I offer a compassionate, heart-centered space to help you to deeply trust your own inner strength and core values.
All of us face experiences in our lives where we can benefit from the support and connection that therapy provides. Scientific evidence demonstrates that a strong and consistent therapeutic relationship is restorative, healing and emotionally regulating. As a therapist, I believe in connecting with clients, human-to-human, and I regularly feel a deep sense of understanding for those with whom I work. There is so much noise around us that it is often difficult for us to hear our own truth. I offer a compassionate, heart-centered space to help you to deeply trust your own inner strength and core values.
(541) 625-1168 View (541) 625-1168
Photo of Nicholas Revilla, Licensed Professional Counselor, MA, Profess
Nicholas Revilla
Licensed Professional Counselor, MA, Profess
Clackamas, OR 97015
Nicholas Revilla is a Licensed Associate Professional Counselor in Oregon who has been practicing since 2022. He has an M.A. in Professional Mental Health Counseling from the University of Mary Hardin-Baylor. Nicholas offers a warm, welcoming environment that encourages collaboration and co-creation of therapeutic moments that lead to growth and healing. Outside of work, Nicholas enjoys reading fantasy novels, listening to music, playing video games, and hiking.
Nicholas Revilla is a Licensed Associate Professional Counselor in Oregon who has been practicing since 2022. He has an M.A. in Professional Mental Health Counseling from the University of Mary Hardin-Baylor. Nicholas offers a warm, welcoming environment that encourages collaboration and co-creation of therapeutic moments that lead to growth and healing. Outside of work, Nicholas enjoys reading fantasy novels, listening to music, playing video games, and hiking.
(971) 458-5391 View (971) 458-5391
Photo of Dr. Margaret Burkes, ND
Dr. Margaret Burkes
Verified Verified
Lake Oswego, OR 97035
Managing ADHD can taxing. That’s why, as a naturopathic physician, I provide clear, effective, and natural solutions to help children hone their high energy, make better behavior choices, and improve their focus in school and at home. So you can stress less, reclaim energy for yourself and your family, and transform chaos into calm.
Managing ADHD can taxing. That’s why, as a naturopathic physician, I provide clear, effective, and natural solutions to help children hone their high energy, make better behavior choices, and improve their focus in school and at home. So you can stress less, reclaim energy for yourself and your family, and transform chaos into calm.
(503) 461-8454 View (503) 461-8454
Photo of Todd Jeter - Fjord Counseling LLC, Clinical Social Work/Therapist, LCSW, CADCIII
Fjord Counseling LLC
Clinical Social Work/Therapist, LCSW, CADCIII
1 Endorsed
Serves Area
Fjord Counseling was born out of the desire to create a practice that encourages healing, inspires reflection and provides a safe place for doing the hard work of therapy. We are here to walk with you together on your journey of personal growth, not as your guide, but as fellow travelers pursuing the same path. We specialize in the areas of grief and loss, trauma, anxiety, depression, chronic stress, addiction, young adult issues, life transitions, cancer and relationships. We also provide LCSW clinical supervision for CSWA's pursuing licensure as well as professional behavioral health consulting services.
Fjord Counseling was born out of the desire to create a practice that encourages healing, inspires reflection and provides a safe place for doing the hard work of therapy. We are here to walk with you together on your journey of personal growth, not as your guide, but as fellow travelers pursuing the same path. We specialize in the areas of grief and loss, trauma, anxiety, depression, chronic stress, addiction, young adult issues, life transitions, cancer and relationships. We also provide LCSW clinical supervision for CSWA's pursuing licensure as well as professional behavioral health consulting services.
(541) 368-2076 View (541) 368-2076
Photo of Bo Christal, Licensed Professional Counselor, MA, LPC
Bo Christal
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
Counseling is a challenging avenue to pursue. Usually at moments of confusion, loss, even desperation. Having been in the field for over 20 years, I can admit I don't have 1 answer. However, having that amount of professional (and considerable personal) experience, I've accumulated quite a tool box. It may not guide you to immediate enlightenment, but it will help with the journey. I hope to hear from you.
Counseling is a challenging avenue to pursue. Usually at moments of confusion, loss, even desperation. Having been in the field for over 20 years, I can admit I don't have 1 answer. However, having that amount of professional (and considerable personal) experience, I've accumulated quite a tool box. It may not guide you to immediate enlightenment, but it will help with the journey. I hope to hear from you.
(541) 256-3032 View (541) 256-3032
Photo of Kim Summerhays - Kim Summerhays - NOCD, Licensed Professional Counselor, LPC, MA
Kim Summerhays - NOCD
Licensed Professional Counselor, LPC, MA
Online Only
I believe the foundation of therapy is a strong, trusting partnership. With honesty and collaboration, real progress is possible—and I’ll be there beside you every step of the way. My goal is to create a space where you feel safe to express what’s working, what’s not, and what you truly need. Together, we’ll focus on helping you feel heard and empowered to make lasting change. In addition to OCD, I specialize in PTSD, trauma-informed care, somatic concerns, and integrated medical treatment.
I believe the foundation of therapy is a strong, trusting partnership. With honesty and collaboration, real progress is possible—and I’ll be there beside you every step of the way. My goal is to create a space where you feel safe to express what’s working, what’s not, and what you truly need. Together, we’ll focus on helping you feel heard and empowered to make lasting change. In addition to OCD, I specialize in PTSD, trauma-informed care, somatic concerns, and integrated medical treatment.
(503) 308-7864 View (503) 308-7864
Photo of Val Cashman, Professional Counselor Associate, MA, MS
Val Cashman
Professional Counselor Associate, MA, MS
3 Endorsed
Tigard, OR 97223
I provide counseling for adults seeking to increase their self-understanding and mental well-being. Counseling is a creative, collaborative, and individualized process for exploration, growth, and empowerment. I use CBT, DBT, Radically Open DBT, Bibliotherapy, and other modalities to aid in the process of discovery and change. Call 425-477-4216 for an appointment.
I provide counseling for adults seeking to increase their self-understanding and mental well-being. Counseling is a creative, collaborative, and individualized process for exploration, growth, and empowerment. I use CBT, DBT, Radically Open DBT, Bibliotherapy, and other modalities to aid in the process of discovery and change. Call 425-477-4216 for an appointment.
(503) 300-6480 View (503) 300-6480
Photo of Carl Jensen, Licensed Professional Counselor, MS, LPC
Carl Jensen
Licensed Professional Counselor, MS, LPC
Portland, OR 97214
"...Psychotherapy...is as varied as human individuals. Treat every patient as individual as possible...the solution of the problem is always an individual one," wrote CG Jung. While living our lives we all go through periods of struggle and difficulty. From time to time help is needed in the form of counseling to assimilate and integrate the problems, and/or otherwise painful emotions. My approach to therapy is humanistic and client centered. I value each person as an individual. I will work collaboratively with you to nurture and support the healing and changes you envision for yourself.
"...Psychotherapy...is as varied as human individuals. Treat every patient as individual as possible...the solution of the problem is always an individual one," wrote CG Jung. While living our lives we all go through periods of struggle and difficulty. From time to time help is needed in the form of counseling to assimilate and integrate the problems, and/or otherwise painful emotions. My approach to therapy is humanistic and client centered. I value each person as an individual. I will work collaboratively with you to nurture and support the healing and changes you envision for yourself.
(971) 803-3641 View (971) 803-3641

See more therapy options for Estacada

How does your Therapist compare?

Number of Therapists in Estacada, OR

< 10

Therapists in Estacada, OR who prioritize treating:

89% Anxiety
78% Depression
78% Grief
67% Relationship Issues
67% Parenting
67% Trauma and PTSD
67% Family Conflict

Average years in practice

6 Years

Top 3 insurances accepted

71% Aetna
71% PacificSource
57% Providence

How Therapists in Estacada, OR see their clients

67% In Person and Online
33% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Estacada?

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.