Therapists in Marion County, OR

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Photo of Teara Tyler, LPC-A, CADC-1
Teara Tyler
Professional Counselor Associate, LPC-A, CADC-1
Verified Verified
Salem, OR 97301  (Online Only)
Waitlist for new clients
The willingness to seek help is a brave step forward into making some sense out of life’s messiness and challenges. Looking deeper at issues, working on ourselves and seeking support from others can be scary and feel vulnerable, even but it can also be a beneficial step towards healing. I believe we all have an ability within ourselves to heal but sometimes we need the support and guidance from others. As a Counselor, I am here to support you and provide you with the clinical care and guidance you need to move through these challenges and to take the steps to improve your wellbeing.
The willingness to seek help is a brave step forward into making some sense out of life’s messiness and challenges. Looking deeper at issues, working on ourselves and seeking support from others can be scary and feel vulnerable, even but it can also be a beneficial step towards healing. I believe we all have an ability within ourselves to heal but sometimes we need the support and guidance from others. As a Counselor, I am here to support you and provide you with the clinical care and guidance you need to move through these challenges and to take the steps to improve your wellbeing.
(503) 483-6834 View (503) 483-6834
Photo of Lindsay Wilson, MA
Lindsay Wilson
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Turner, OR 97392  (Online Only)
You wake up not sure where to start your day with so many swirling tasks in your head. You often feel alone in your struggles and unsure of where to turn, not wanting to seem like a burden. You want to make time for yourself but it feels impossible with the never ending to do list. You feel your anxiety levels consistently rising, and are noticing shifts in your relationships as feelings bubble up inside. Sometimes it's hard to recognize this new person you’ve become.
You wake up not sure where to start your day with so many swirling tasks in your head. You often feel alone in your struggles and unsure of where to turn, not wanting to seem like a burden. You want to make time for yourself but it feels impossible with the never ending to do list. You feel your anxiety levels consistently rising, and are noticing shifts in your relationships as feelings bubble up inside. Sometimes it's hard to recognize this new person you’ve become.
(503) 714-7347 View (503) 714-7347
Photo of Sara Guthrie, LPC, MA, PMH-C, Licensed Professional Counselor
Sara Guthrie
Licensed Professional Counselor, LPC, MA, PMH-C
Verified Verified
2 Endorsed
Salem, OR 97301
Not accepting new clients
Life is full of transitions and challenges; one of the biggest is parenting. Whether it’s navigating a newborn, the tempestuous toddler years, potty training, or starting school, having someone to help you and your child succeed with minimum stress and decreased behavioral concerns is my specialty. Anxiety, depression, ADHD, trauma, and mental health affects the family as a whole and I’m sensitive to that. Parenting is hard enough. You don’t have to do it alone. Let me partner with you, your child, and your family on this bumpy road called life.
Life is full of transitions and challenges; one of the biggest is parenting. Whether it’s navigating a newborn, the tempestuous toddler years, potty training, or starting school, having someone to help you and your child succeed with minimum stress and decreased behavioral concerns is my specialty. Anxiety, depression, ADHD, trauma, and mental health affects the family as a whole and I’m sensitive to that. Parenting is hard enough. You don’t have to do it alone. Let me partner with you, your child, and your family on this bumpy road called life.
(503) 836-8964 View (503) 836-8964
Photo of Amanda Lynn Jones, LPC, CASOT, Licensed Professional Counselor
Amanda Lynn Jones
Licensed Professional Counselor, LPC, CASOT
Verified Verified
Salem, OR 97306
Waitlist for new clients
Hello! I believe strongly that different things work for different people at different times. I will collaborate with you in the direction to take to achieve goals for therapy.
Hello! I believe strongly that different things work for different people at different times. I will collaborate with you in the direction to take to achieve goals for therapy.
(503) 486-4560 View (503) 486-4560
Photo of Nicole Frangella, MA
Nicole Frangella
Professional Counselor Associate, MA
Verified Verified
3 Endorsed
Salem, OR 97301
Whether you are seeking mental health support for yourself or a loved one, picking a counselor/therapist can be an overwhelming process. I work with preteens, teenagers, and young adults who are struggling with anything related to life transitions, symptoms of anxiety & depression, self-harm, low self-worth, and body image/ disordered eating issues. It is always an honor to work with clients who are ready to address these concerns, create attainable goals, and participate in the life-changing work of therapy.
Whether you are seeking mental health support for yourself or a loved one, picking a counselor/therapist can be an overwhelming process. I work with preteens, teenagers, and young adults who are struggling with anything related to life transitions, symptoms of anxiety & depression, self-harm, low self-worth, and body image/ disordered eating issues. It is always an honor to work with clients who are ready to address these concerns, create attainable goals, and participate in the life-changing work of therapy.
(503) 868-2714 View (503) 868-2714
Photo of David C. Brillhart, PsyD, Psychologist
David C. Brillhart
Psychologist, PsyD
Verified Verified
1 Endorsed
Salem, OR 97302  (Online Only)
Not accepting new clients
If you've ever watched a good movie or seen a compelling drama on the stage, you know the story doesn't resolve itself until the second act. Just as "life imitates art," you may experience situations, thoughts, and emotions road blocking your "second act." I’m honored to help you navigate life choices amidst these roadblocks through my combined approach using Acceptance and Commitment Therapy (ACT) and mindfulness-based exposure therapy. ACT is an evidenced-based therapy consistent with the sentiment of the "Serenity Prayer" in focusing on change we can control; letting go of things we cannot.
If you've ever watched a good movie or seen a compelling drama on the stage, you know the story doesn't resolve itself until the second act. Just as "life imitates art," you may experience situations, thoughts, and emotions road blocking your "second act." I’m honored to help you navigate life choices amidst these roadblocks through my combined approach using Acceptance and Commitment Therapy (ACT) and mindfulness-based exposure therapy. ACT is an evidenced-based therapy consistent with the sentiment of the "Serenity Prayer" in focusing on change we can control; letting go of things we cannot.
(503) 567-9681 View (503) 567-9681
Photo of Jessica Johnson, LCSW, Clinical Social Work/Therapist
Jessica Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97302
I’m passionate about supporting people along their path of healing: whether it’s learning to stand in your power, restoring yourself after loss, or finding your center again after a life transition, trauma or experience of oppression. I work to support you in expressing your one unique voice; helping you to identify your values and act with integrity and courage. My approach incorporates the whole human experience. I draw upon the creative and expressive arts to invite healing and change, first helping you learn to identify and express your feelings, cope with overwhelming stressors, and then exploring next steps.
I’m passionate about supporting people along their path of healing: whether it’s learning to stand in your power, restoring yourself after loss, or finding your center again after a life transition, trauma or experience of oppression. I work to support you in expressing your one unique voice; helping you to identify your values and act with integrity and courage. My approach incorporates the whole human experience. I draw upon the creative and expressive arts to invite healing and change, first helping you learn to identify and express your feelings, cope with overwhelming stressors, and then exploring next steps.
(971) 265-0140 View (971) 265-0140
Photo of Genevieve Strange, PsyD, Psychologist
Genevieve Strange
Psychologist, PsyD
Verified Verified
1 Endorsed
Salem, OR 97301
Not accepting new clients
The damn is ready to break - the tears are right behind your eyes! What happens if it breaks? You don’t know that you can put it back together let alone rebuild it completely. Nobody understands how hard it is to keep going. Life has just been so hard since it happened. The bad dreams only make it worse, you can’t remember the last time you got a good night's sleep. The constant anxiety and feeling on edge is just a cruel bonus. You’re afraid, embarrassed and stressed. Somehow, you pull yourself together...again. But every time you do you feel even more crushed and drained. As if you, the real you, is eroding.
The damn is ready to break - the tears are right behind your eyes! What happens if it breaks? You don’t know that you can put it back together let alone rebuild it completely. Nobody understands how hard it is to keep going. Life has just been so hard since it happened. The bad dreams only make it worse, you can’t remember the last time you got a good night's sleep. The constant anxiety and feeling on edge is just a cruel bonus. You’re afraid, embarrassed and stressed. Somehow, you pull yourself together...again. But every time you do you feel even more crushed and drained. As if you, the real you, is eroding.
(503) 461-7155 View (503) 461-7155
Photo of Lin Brownell, MA, Licensed Professional Counselor
Lin Brownell
Licensed Professional Counselor, MA
Verified Verified
5 Endorsed
Jefferson, OR 97352
At some point in our lives, most of us find ourselves in need of supportive help from another person, whether we are struggling with tangled relationships, overwhelming feelings, difficult choices, losses and/or afflictions. Sometimes we don't even know exactly what we need, just that life isn't working out for us in some way. My desire is to work together with you to identify your needs/goals, explore possible paths of growth and/or change, process the feelings that accompany those explorations, and develop your personal resources (which might include family, faith, friendships, etc.).
At some point in our lives, most of us find ourselves in need of supportive help from another person, whether we are struggling with tangled relationships, overwhelming feelings, difficult choices, losses and/or afflictions. Sometimes we don't even know exactly what we need, just that life isn't working out for us in some way. My desire is to work together with you to identify your needs/goals, explore possible paths of growth and/or change, process the feelings that accompany those explorations, and develop your personal resources (which might include family, faith, friendships, etc.).
(971) 252-4044 View (971) 252-4044
Photo of Angela Eller, MS, QMHP
Angela Eller
Professional Counselor Associate, MS, QMHP
Verified Verified
Salem, OR 97301
I believe miracles can occur in people’s lives when they feel heard, seen, validated, and empathized with. As a mental health provider, I strive to meet each individual where they are and through a trauma focused lens work to develop a strong therapeutic alliance, help facilitate identification of the root causes of emotional distress, collaborate on developing healthy coping mechanisms and assist in finding those things that spark joy in a person’s life. I am dedicated to creating a space that can cultivate hope and healing, where an individual can feel empowered to find their authentic and best self.
I believe miracles can occur in people’s lives when they feel heard, seen, validated, and empathized with. As a mental health provider, I strive to meet each individual where they are and through a trauma focused lens work to develop a strong therapeutic alliance, help facilitate identification of the root causes of emotional distress, collaborate on developing healthy coping mechanisms and assist in finding those things that spark joy in a person’s life. I am dedicated to creating a space that can cultivate hope and healing, where an individual can feel empowered to find their authentic and best self.
(541) 588-5263 x1 View (541) 588-5263 x1
Photo of Patricia Duncan, LPC, Licensed Professional Counselor
Patricia Duncan
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Silverton, OR 97381
Newly established private practice now accepting clients! I can't wait to meet you and hear about your personal journey! By helping you to become present in the here and now, I believe that I can help facilitate a nurturing, compassionate, and holistic environment where wellness can begin to manifest itself allowing for growth and change. I believe people have the ability to change inhibiting thinking and/or behavior to produce a more healthy, productive, and fulfilling lifestyle.
Newly established private practice now accepting clients! I can't wait to meet you and hear about your personal journey! By helping you to become present in the here and now, I believe that I can help facilitate a nurturing, compassionate, and holistic environment where wellness can begin to manifest itself allowing for growth and change. I believe people have the ability to change inhibiting thinking and/or behavior to produce a more healthy, productive, and fulfilling lifestyle.
(503) 868-0249 View (503) 868-0249
Photo of Ryan Connor - Professional Counseling Group, DMin, MA, LPC, Licensed Professional Counselor
Professional Counseling Group
Licensed Professional Counselor, DMin, MA, LPC
Verified Verified
3 Endorsed
Salem, OR 97301
Professional Counseling Group, LLC, provides counseling and therapy for individuals, couples, and families—in person and online via telehealth. The counselors at PCG are skillful and caring masters and doctoral-level professionals, trained to provide the highest level of care for people struggling with mental health and emotional problems, including anxiety, depression, stress, trauma, grief, and relational issues. We work from an integrated behavioral, holistic, relational, and systemic perspective to help clients better understand their problems, find solutions and healing, and rebuild healthy relationships.
Professional Counseling Group, LLC, provides counseling and therapy for individuals, couples, and families—in person and online via telehealth. The counselors at PCG are skillful and caring masters and doctoral-level professionals, trained to provide the highest level of care for people struggling with mental health and emotional problems, including anxiety, depression, stress, trauma, grief, and relational issues. We work from an integrated behavioral, holistic, relational, and systemic perspective to help clients better understand their problems, find solutions and healing, and rebuild healthy relationships.
(503) 213-9388 View (503) 213-9388
Photo of Darcey Kirkwood, MSW, LCSW, Clinical Social Work/Therapist
Darcey Kirkwood
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Salem, OR 97306  (Online Only)
Not accepting new clients
I believe that one of the most powerful things in the world is to feel seen, heard, cared for, and understood. It is my goal that each person I meet with feels these needs being met. One of the greatest privileges of my work is to walk alongside individuals during some of their darkest seasons of life. I strive to provide a space for hope and healing.
I believe that one of the most powerful things in the world is to feel seen, heard, cared for, and understood. It is my goal that each person I meet with feels these needs being met. One of the greatest privileges of my work is to walk alongside individuals during some of their darkest seasons of life. I strive to provide a space for hope and healing.
(503) 563-7162 View (503) 563-7162
Photo of Kimberly Peters - Quality of Life Therapy LLC, MSW, LCSW, Clinical Social Work/Therapist
Quality of Life Therapy LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salem, OR 97302
Walking alongside you as you seek therapy is my passion. Helping those who are experiencing anxiety, depression, grief, caregiver burn out, health care complexities or a life limiting illness that may be impacting your quality of life, is the focus of my practice. Please anticipate some homework as you work with me. My practice focuses on individual counseling but at times, when we agree it will be helpful, integrates other family members.
Walking alongside you as you seek therapy is my passion. Helping those who are experiencing anxiety, depression, grief, caregiver burn out, health care complexities or a life limiting illness that may be impacting your quality of life, is the focus of my practice. Please anticipate some homework as you work with me. My practice focuses on individual counseling but at times, when we agree it will be helpful, integrates other family members.
(503) 743-7545 View (503) 743-7545
Photo of Helen P Kelley, MEd, LMHC, Licensed Professional Counselor
Helen P Kelley
Licensed Professional Counselor, MEd, LMHC
Verified Verified
Silverton, OR 97381  (Online Only)
Waitlist for new clients
Possibilities. Isn’t that what every good fairy tale is made of? Inviting you to imagine the impossible. The truth about personal change is that it requires you to participate in making it happen. With over 30 years of experience, I am passionate about helping others find their own possibilities and providing them the skills to begin making changes in their lives to Move Forward.
Possibilities. Isn’t that what every good fairy tale is made of? Inviting you to imagine the impossible. The truth about personal change is that it requires you to participate in making it happen. With over 30 years of experience, I am passionate about helping others find their own possibilities and providing them the skills to begin making changes in their lives to Move Forward.
(503) 386-0783 View (503) 386-0783
Photo of Dana Crane, MS, LPC, LMHC, NCC, Licensed Professional Counselor
Dana Crane
Licensed Professional Counselor, MS, LPC, LMHC, NCC
Verified Verified
Salem, OR 97302  (Online Only)
Good Sense Counseling helps people grow their mental health by getting to know themselves well and building skills for a thriving life full of curiosity, confidence, resilience, and fun. Clients learn to clarify core values, set goals, identify and overcome barriers, build strategies, solve problems, and celebrate successes.
Good Sense Counseling helps people grow their mental health by getting to know themselves well and building skills for a thriving life full of curiosity, confidence, resilience, and fun. Clients learn to clarify core values, set goals, identify and overcome barriers, build strategies, solve problems, and celebrate successes.
(503) 822-7471 View (503) 822-7471
Photo of Rebecca Snyder Ahnsdotter, MSW, CSWA, QMHP-R, Clinical Social Work/Therapist
Rebecca Snyder Ahnsdotter
Clinical Social Work/Therapist, MSW, CSWA, QMHP-R
Verified Verified
Salem, OR 97302
Waitlist for new clients
When you walk through my office door you will be greeted with warmth and compassion. Whether you are overwhelmed by life and it’s varying demands and disappointments, or struggling through a life transition, devastating loss, work or relationship stress or conflict, I will provide a safe, empathetic space for you as we explore your personal history and background as well as your inner and outer worlds in search of greater understanding, awareness and acceptance. I believe everyone holds a deep, abiding source of internal strength, wisdom, and hope, and I will walk alongside you as we uncover these peace-giving resources together.
When you walk through my office door you will be greeted with warmth and compassion. Whether you are overwhelmed by life and it’s varying demands and disappointments, or struggling through a life transition, devastating loss, work or relationship stress or conflict, I will provide a safe, empathetic space for you as we explore your personal history and background as well as your inner and outer worlds in search of greater understanding, awareness and acceptance. I believe everyone holds a deep, abiding source of internal strength, wisdom, and hope, and I will walk alongside you as we uncover these peace-giving resources together.
(541) 209-5844 View (541) 209-5844
Photo of Ashlie Black, MS, LPC, Licensed Professional Counselor
Ashlie Black
Licensed Professional Counselor, MS, LPC
Verified Verified
Salem, OR 97301
Waitlist for new clients
Sometimes seeking support can often feel like an exposing and vulnerable process, yet it doesn't have to be. Unpacking deep-rooted patterns and beliefs takes time, and can happen when we feel safe enough to disclose to others. I value connection and relationship in my practice, and aim to create a space where that processing can truly happen. I assist clients in identifying their different parts, patterns, and core beliefs and support them in strengthening their sense of self. My dog, Sam, is also in training to be a therapy dog and can be present in the session if you wish.
Sometimes seeking support can often feel like an exposing and vulnerable process, yet it doesn't have to be. Unpacking deep-rooted patterns and beliefs takes time, and can happen when we feel safe enough to disclose to others. I value connection and relationship in my practice, and aim to create a space where that processing can truly happen. I assist clients in identifying their different parts, patterns, and core beliefs and support them in strengthening their sense of self. My dog, Sam, is also in training to be a therapy dog and can be present in the session if you wish.
(503) 563-2417 View (503) 563-2417
Photo of Debbie Williams, MA, LMFT, Marriage & Family Therapist
Debbie Williams
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Salem, OR 97301
Not accepting new clients
I work with children and adults experiencing worry, anxiety, grief, depression, shame, low self-esteem, and other stressors, challenges, or changes in life. We are not meant to deal with the difficulties of life alone. Therapy provides a place to feel heard and understood. It can offer a fresh perspective and help you find solutions. I believe that when a person feels safe, accepted, and emotionally supported that healing can begin. My style is warm, gentle, encouraging, and collaborative. I focus on connecting with you, exploring your story, and identifying strengths and opportunities.
I work with children and adults experiencing worry, anxiety, grief, depression, shame, low self-esteem, and other stressors, challenges, or changes in life. We are not meant to deal with the difficulties of life alone. Therapy provides a place to feel heard and understood. It can offer a fresh perspective and help you find solutions. I believe that when a person feels safe, accepted, and emotionally supported that healing can begin. My style is warm, gentle, encouraging, and collaborative. I focus on connecting with you, exploring your story, and identifying strengths and opportunities.
(971) 220-5232 View (971) 220-5232
Photo of Martha Witt - Witt Health & Wellness, MS, LPC, Licensed Professional Counselor
Witt Health & Wellness
Licensed Professional Counselor, MS, LPC
Verified Verified
Keizer, OR 97303  (Online Only)
With over a decade of experience in the mental health field, my experience is well rounded. My opportunities have allowed me the privilege to help persons of all backgrounds, ages, races and cultures. I believe with adequate support & resources all persons have the power, within them, to make changes needed for life satisfaction. Originally from Mexico I know all to well how life can present barriers. I believe, my experiences as an immigrant, a victim of trauma, a single parent and divorcee are at the root of my skills as a helper.
With over a decade of experience in the mental health field, my experience is well rounded. My opportunities have allowed me the privilege to help persons of all backgrounds, ages, races and cultures. I believe with adequate support & resources all persons have the power, within them, to make changes needed for life satisfaction. Originally from Mexico I know all to well how life can present barriers. I believe, my experiences as an immigrant, a victim of trauma, a single parent and divorcee are at the root of my skills as a helper.
(971) 298-8154 View (971) 298-8154

See more therapy options for Marion County

How does your Therapist compare?

Number of Therapists in Marion County, OR

500+

Average cost per session

$150

Therapists in Marion County, OR who prioritize treating:

89% Anxiety
85% Depression
74% Trauma and PTSD
72% Relationship Issues
71% Stress
70% Self Esteem
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

63% PacificSource
49% Providence
49% Oregon Health Plan (OHP)

How Therapists in Marion County, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Marion 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.