Therapists in Butler County, PA

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Photo of Jennifer Johns - Resilient Roots Counseling , Licensed Professional Counselor
Resilient Roots Counseling
Licensed Professional Counselor
Life is hard! Our goal is to work together to help you discover your best self in a non-judgmental way. We believe in the therapeutic process of discovery, understanding, healing, and, ultimately, facilitating the creation of meaning in one's life and circumstances. We strive to create a warm, safe, and comfortable environment for all and believe that no issue is too big or too small for counseling. As Licensed Professional Counselors, we have experience working with children, teens, adults, couples and families and look forward to helping each individual that we work with grow through the process of therapy.
Life is hard! Our goal is to work together to help you discover your best self in a non-judgmental way. We believe in the therapeutic process of discovery, understanding, healing, and, ultimately, facilitating the creation of meaning in one's life and circumstances. We strive to create a warm, safe, and comfortable environment for all and believe that no issue is too big or too small for counseling. As Licensed Professional Counselors, we have experience working with children, teens, adults, couples and families and look forward to helping each individual that we work with grow through the process of therapy.
(724) 686-5158 View (724) 686-5158
Photo of Crystal Parish - Crystal Parish, LPC -PA Center for Change , Licensed Professional Counselor, LPC
Crystal Parish, LPC -PA Center for Change
Licensed Professional Counselor, LPC
2 Endorsed
Change can come in many forms in our lives. It might come suddenly like a tidal wave, or gradually like a slow dripping leak. It might come in the form of devastating tragedy, difficult choices, broken relationships, or even new opportunities. Although change can be extremely hard, it can also be extremely necessary. Experiencing anything great in life requires us to challenge ourselves to push past our comfort zones. However, we oftentimes avoid change out of fear of the unknown, or self-doubt. Other times, we don’t realize the need for change until we experience pain.
Change can come in many forms in our lives. It might come suddenly like a tidal wave, or gradually like a slow dripping leak. It might come in the form of devastating tragedy, difficult choices, broken relationships, or even new opportunities. Although change can be extremely hard, it can also be extremely necessary. Experiencing anything great in life requires us to challenge ourselves to push past our comfort zones. However, we oftentimes avoid change out of fear of the unknown, or self-doubt. Other times, we don’t realize the need for change until we experience pain.
(724) 390-6257 View (724) 390-6257
Photo of Dr. John E. Neyman Jr., Pastoral Counselor, MA, ThD, BCPC
Dr. John E. Neyman Jr.
Pastoral Counselor, MA, ThD, BCPC
1 Endorsed
Sarver, PA 16055
John Neyman has been teaching families for the last 40 years. He is a Therapist/Counselor/ Behavioral Specialist and that specializes in Marriage, Depression, Anger Management, Parenting "special needs children", Addiction, Anxiety Disorders, Panic Attacks, and such. Dr. John has created The Neyman Strategy that combines Observational Science and Universal Laws that transforms lives. If you are struggling and have not found freedom perhaps The Neyman Strategy is just the program for you. If you have "anxiety problems" Call JDr. ohn Neyman. John is a member AACC.
John Neyman has been teaching families for the last 40 years. He is a Therapist/Counselor/ Behavioral Specialist and that specializes in Marriage, Depression, Anger Management, Parenting "special needs children", Addiction, Anxiety Disorders, Panic Attacks, and such. Dr. John has created The Neyman Strategy that combines Observational Science and Universal Laws that transforms lives. If you are struggling and have not found freedom perhaps The Neyman Strategy is just the program for you. If you have "anxiety problems" Call JDr. ohn Neyman. John is a member AACC.
(724) 812-5311 View (724) 812-5311
Photo of Robert Bartek, Psychologist, PhD
Robert Bartek
Psychologist, PhD
Mars, PA 16046
Family means everything and when one member suffers the whole family suffers. Our marriages matter, our children matter, our families matter and so do you. I have been in the field of psychology since 1983. I specialize in marital, child, and adolescent therapies and issues related to depression, anxiety, bipolar and personality disorders. Behavioral, relationship and personality variables all contribute to wellness. I offer behavioral, cognitive and psychodynamic modalities to address these issues. Please call, no e-mails. Thank you.
Family means everything and when one member suffers the whole family suffers. Our marriages matter, our children matter, our families matter and so do you. I have been in the field of psychology since 1983. I specialize in marital, child, and adolescent therapies and issues related to depression, anxiety, bipolar and personality disorders. Behavioral, relationship and personality variables all contribute to wellness. I offer behavioral, cognitive and psychodynamic modalities to address these issues. Please call, no e-mails. Thank you.
(724) 245-3620 View (724) 245-3620
Photo of Mary Murrin, Clinical Social Work/Therapist, LCSW
Mary Murrin
Clinical Social Work/Therapist, LCSW
Therapy can be a wonderful opportunity to work toward resolving personal struggles. I offer a confidential place for counseling and support in a collaborative environment. For over 20 years, I have worked with individuals, couples, and families in multiple behavioral health settings which have included private practice, outpatient behavioral agencies, schools, drug and alcohol centers, and in-patient units.
Therapy can be a wonderful opportunity to work toward resolving personal struggles. I offer a confidential place for counseling and support in a collaborative environment. For over 20 years, I have worked with individuals, couples, and families in multiple behavioral health settings which have included private practice, outpatient behavioral agencies, schools, drug and alcohol centers, and in-patient units.
(724) 577-7927 View (724) 577-7927
Photo of Lauren Johnson, Licensed Professional Counselor, MS, LPC
Lauren Johnson
Licensed Professional Counselor, MS, LPC
1 Endorsed
Seeking help can feel uncomfortable, not only to those who have never sought therapy before, but also to those who have had negative experiences with counseling in the past. With over 18 years of experience working with those who struggle with ADHD, Anxiety, Autism, Behavioral Problems, Depression, Motivation, OCD, Parenting, Relationship Issues, Work Issues, etc., my goal is to create a comfortable atmosphere where we work together to achieve your goals. Your goals will be based on what you want for yourself.
Seeking help can feel uncomfortable, not only to those who have never sought therapy before, but also to those who have had negative experiences with counseling in the past. With over 18 years of experience working with those who struggle with ADHD, Anxiety, Autism, Behavioral Problems, Depression, Motivation, OCD, Parenting, Relationship Issues, Work Issues, etc., my goal is to create a comfortable atmosphere where we work together to achieve your goals. Your goals will be based on what you want for yourself.
(724) 728-9114 View (724) 728-9114
Photo of Steven Friebe, Licensed Professional Counselor, MA, LPC
Steven Friebe
Licensed Professional Counselor, MA, LPC
1 Endorsed
Slippery Rock, PA 16057
Life is hard and is often so very different from what we imagined it would be. We wrestle day in and day out with disappointment--the sadness that comes from recognizing the gap between reality and how we imagined our lives would look. We lament the gravity of our history and the way it has come between us and our dreams. We suffer the shame of recognizing how our choices have shaped our current situations. We study the wounds we carry as reminders of the pain that has been inflicted upon us. We mourn our weary past and fear the unknown future. After all we've been through, how can we expect to hold onto hope for a better tomorrow?
Life is hard and is often so very different from what we imagined it would be. We wrestle day in and day out with disappointment--the sadness that comes from recognizing the gap between reality and how we imagined our lives would look. We lament the gravity of our history and the way it has come between us and our dreams. We suffer the shame of recognizing how our choices have shaped our current situations. We study the wounds we carry as reminders of the pain that has been inflicted upon us. We mourn our weary past and fear the unknown future. After all we've been through, how can we expect to hold onto hope for a better tomorrow?
(724) 585-8262 View (724) 585-8262
Photo of Alicia Sewald-Cisneros (Bilingual), Licensed Professional Counselor, LPC, CCTP, NCC
Alicia Sewald-Cisneros (Bilingual)
Licensed Professional Counselor, LPC, CCTP, NCC
3 Endorsed
Seven Fields, PA 16046
Unconditional positive regard is where we would start to build a therapeutic relationship in which the main goal is your well-being. We would work collaboratively at your pace toward settling your inner conflicts, healing traumatic events or problematic relationships, processing difficult feelings, or making changes in your life that you deem necessary. I have experience working with adults, children, and teens with their families in English as well as Spanish. El punto de partida de nuestra relacion terapeutica sera la aceptacion incondicional de tu persona.
Unconditional positive regard is where we would start to build a therapeutic relationship in which the main goal is your well-being. We would work collaboratively at your pace toward settling your inner conflicts, healing traumatic events or problematic relationships, processing difficult feelings, or making changes in your life that you deem necessary. I have experience working with adults, children, and teens with their families in English as well as Spanish. El punto de partida de nuestra relacion terapeutica sera la aceptacion incondicional de tu persona.
(878) 206-0977 View (878) 206-0977
Photo of Victoria Reich, Licensed Social Worker, MSW, LSW
Victoria Reich
Licensed Social Worker, MSW, LSW
I strive to provide a welcoming environment for all clients. I believe that lasting changes can come from a therapeutic relationship that is supportive and nonjudgmental, and strive to provide this for my clients using a trauma-informed approach. My past experience working in Multi-Systemic Therapy allows me to view individuals and their concerns in the context of all life and environmental factors at play. I see adolescents and adults with a specialty in anxiety, depression, mood disorders, life transitions, and parent-child conflicts.
I strive to provide a welcoming environment for all clients. I believe that lasting changes can come from a therapeutic relationship that is supportive and nonjudgmental, and strive to provide this for my clients using a trauma-informed approach. My past experience working in Multi-Systemic Therapy allows me to view individuals and their concerns in the context of all life and environmental factors at play. I see adolescents and adults with a specialty in anxiety, depression, mood disorders, life transitions, and parent-child conflicts.
(724) 414-2070 View (724) 414-2070
Photo of Natalie McCormick - Natalie McCormick Counseling, LLC, Licensed Professional Counselor, MSCP, LPC, NCC, BC-TMH
Natalie McCormick Counseling, LLC
Licensed Professional Counselor, MSCP, LPC, NCC, BC-TMH
1 Endorsed
Online Only
Being a human is hard! Let's work together to help you live your best life: Whatever that means and looks like for you. I believe in the therapeutic process of discovery, understanding, healing and ultimately creating meaning in one's life and circumstances. As your therapist, my goal is to create a comfortable space to work towards your goals. I am a Licensed Professional Counselor experienced working with adults, teens, couples and families struggling with a variety of concerns including: anxiety, depression, life transitions, career changes, anger management, self-esteem, relationships, and postpartum transitions.
Being a human is hard! Let's work together to help you live your best life: Whatever that means and looks like for you. I believe in the therapeutic process of discovery, understanding, healing and ultimately creating meaning in one's life and circumstances. As your therapist, my goal is to create a comfortable space to work towards your goals. I am a Licensed Professional Counselor experienced working with adults, teens, couples and families struggling with a variety of concerns including: anxiety, depression, life transitions, career changes, anger management, self-esteem, relationships, and postpartum transitions.
(412) 455-3150 View (412) 455-3150
Photo of Christina Esposito - Branch Upward Coaching, PsyD, EdS
Branch Upward Coaching
Verified Verified
Mars, PA 16046
Having a child with ADHD can feel overwhelming. I can empathize because my oldest daughter went through an ADHD journey that felt like a roller coaster ride! Have you tried strategies but they just don't seem to work? I can help you calm the chaos with my specialized approach to parent coaching because it will empower you as a parent to better support your child. A safe and non-judgmental coaching relationship will help you gain insight on when, why, and how you are triggered by your child’s behaviors. My collaborative approach will also delineate a plan tailored to meet the needs of you and your family.
Having a child with ADHD can feel overwhelming. I can empathize because my oldest daughter went through an ADHD journey that felt like a roller coaster ride! Have you tried strategies but they just don't seem to work? I can help you calm the chaos with my specialized approach to parent coaching because it will empower you as a parent to better support your child. A safe and non-judgmental coaching relationship will help you gain insight on when, why, and how you are triggered by your child’s behaviors. My collaborative approach will also delineate a plan tailored to meet the needs of you and your family.
(878) 206-6401 View (878) 206-6401
Photo of Richard K Miller, Psychologist, MEd
Richard K Miller
Psychologist, MEd
1 Endorsed
Online Only
I am a licensed psychologist with more than 20 years of experience. I use both a skill building and a developmental approach in therapy. Skill development includes affect management, stress/anger management, and resolving marital conflict and communication problems. A developmental approach considers your unique story of childhood and how you became the person you are today. Approaches include Attachment Theory, Schema Therapy, and brain development.
I am a licensed psychologist with more than 20 years of experience. I use both a skill building and a developmental approach in therapy. Skill development includes affect management, stress/anger management, and resolving marital conflict and communication problems. A developmental approach considers your unique story of childhood and how you became the person you are today. Approaches include Attachment Theory, Schema Therapy, and brain development.
(412) 339-1987 View (412) 339-1987
Photo of Michael Watterson - Inspiring Change
Inspiring Change
Verified Verified
Butler, PA 16001
We inspire people to feel better, be more present daily, embrace strengths, and move toward growth and wellness. Our innovative, creative therapies are based on effective treatment models and tailored to meet your unique needs. Inspiring Change is here to help people navigate difficult and stressful situations. Our trained mental health professionals do direct face-to-face counseling in the office at a prescheduled appointment with individuals, couples, families, or groups. We also offer our services through secure, HIPAA-compliant telehealth platforms when appropriate for the needs of the individual.
We inspire people to feel better, be more present daily, embrace strengths, and move toward growth and wellness. Our innovative, creative therapies are based on effective treatment models and tailored to meet your unique needs. Inspiring Change is here to help people navigate difficult and stressful situations. Our trained mental health professionals do direct face-to-face counseling in the office at a prescheduled appointment with individuals, couples, families, or groups. We also offer our services through secure, HIPAA-compliant telehealth platforms when appropriate for the needs of the individual.
(724) 256-9881 View (724) 256-9881
Photo of Lindsay Boehler, MSW, LSW
Lindsay Boehler
Verified Verified
Zelienople, PA 16063
Currently accepting clients! Are you wanting to enjoy life more and feel more comfortable in being you? Are you facing relationship challenges, feelings of anxiety, depression, sadness, loneliness or low motivation and joy? Or perhaps need assistance with substance use and addiction? Even if you are just looking for someone to walk alongside you in your journey, please feel free to reach out. I have experience with trauma and come from a person-centered and strengths based approach and would love to be a small part of your journey.
Currently accepting clients! Are you wanting to enjoy life more and feel more comfortable in being you? Are you facing relationship challenges, feelings of anxiety, depression, sadness, loneliness or low motivation and joy? Or perhaps need assistance with substance use and addiction? Even if you are just looking for someone to walk alongside you in your journey, please feel free to reach out. I have experience with trauma and come from a person-centered and strengths based approach and would love to be a small part of your journey.
(724) 582-7731 View (724) 582-7731
Photo of Sarah Wagner - Balanced Mind, LLC, Licensed Professional Counselor, LPC
Balanced Mind, LLC
Licensed Professional Counselor, LPC
Slippery Rock, PA 16057
Looking for a judgement free zone to improve your quality of life and work on the issues that are holding you back? Balanced Mind, LLC is a small private practice that offers a safe, judgement free, and confidential place to explore personal growth. We would love the opportunity to help you improve your mood, increase coping strategies, reduce conflict, explore the past and work to improve your future. If you are ready to take the first step, give us a call today!
Looking for a judgement free zone to improve your quality of life and work on the issues that are holding you back? Balanced Mind, LLC is a small private practice that offers a safe, judgement free, and confidential place to explore personal growth. We would love the opportunity to help you improve your mood, increase coping strategies, reduce conflict, explore the past and work to improve your future. If you are ready to take the first step, give us a call today!
(878) 313-2217 x101 View (878) 313-2217 x101
Photo of Ricky Lake, Licensed Professional Counselor, LPC
Ricky Lake
Licensed Professional Counselor, LPC
Butler, PA 16002
I am licensed in Pennsylvania with 22 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with grief and loss, parenting issues, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs.
I am licensed in Pennsylvania with 22 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with grief and loss, parenting issues, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs.
(724) 571-2758 View (724) 571-2758
Photo of Susan R. Bella-Nesbitt, Licensed Professional Counselor, LPC
Susan R. Bella-Nesbitt
Licensed Professional Counselor, LPC
Butler, PA 16001
Whether you're struggling with a particular issue or just feeling alone in this world, Good Choices Counseling, LLC can help. We provide a caring environment in which you can identify and explore those issues that may be getting in the way of a more rewarding home life/career or more fulfilling relationships. The goal is to help provide you with the insights and tools you need to move beyond old, limiting, beliefs and behaviors. In Spiritual Counseling, we love our Lord and want to help you build your faith, hope, trust and obedience in Him!
Whether you're struggling with a particular issue or just feeling alone in this world, Good Choices Counseling, LLC can help. We provide a caring environment in which you can identify and explore those issues that may be getting in the way of a more rewarding home life/career or more fulfilling relationships. The goal is to help provide you with the insights and tools you need to move beyond old, limiting, beliefs and behaviors. In Spiritual Counseling, we love our Lord and want to help you build your faith, hope, trust and obedience in Him!
(724) 991-0048 View (724) 991-0048
Photo of Dana Henry, Licensed Professional Counselor, MS, LPC
Dana Henry
Licensed Professional Counselor, MS, LPC
4 Endorsed
Many of my clients come to their first appointment wanting to make changes in their lives and relationships but are waking up every day with same unhealthy patterns that keep them stuck. Difficulty regulating their emotions - they are angry, irritable, and lashing out. People-pleasing. Stuffing and numbing their feelings. A lifetime of trying to get difficult people to be good to them. Feeling sad, panicky and out of control. Find their identity in others and feel as if they have lost themselves. Worries and negative looping thoughts such as "I am a bad person; The world feels unsafe; It's all my fault."
Many of my clients come to their first appointment wanting to make changes in their lives and relationships but are waking up every day with same unhealthy patterns that keep them stuck. Difficulty regulating their emotions - they are angry, irritable, and lashing out. People-pleasing. Stuffing and numbing their feelings. A lifetime of trying to get difficult people to be good to them. Feeling sad, panicky and out of control. Find their identity in others and feel as if they have lost themselves. Worries and negative looping thoughts such as "I am a bad person; The world feels unsafe; It's all my fault."
(412) 528-2584 View (412) 528-2584
Photo of Amber Rhodes, Licensed Professional Counselor, LPC
Amber Rhodes
Licensed Professional Counselor, LPC
1 Endorsed
I believe that the most effective therapy to help you see the changes you want to see begins with the relationship between the therapist and the client. My approach is unique to every client and my focus is on you as a person. I have a very eclectic style that is very much trauma-informed, and I am a fully trained EMDR therapist.
I believe that the most effective therapy to help you see the changes you want to see begins with the relationship between the therapist and the client. My approach is unique to every client and my focus is on you as a person. I have a very eclectic style that is very much trauma-informed, and I am a fully trained EMDR therapist.
(724) 268-4748 View (724) 268-4748
Photo of Jacqueline Petruzzi - Interwoven Wellness, Licensed Professional Counselor, LPC, PCIT, CCTP, MH
Interwoven Wellness
Licensed Professional Counselor, LPC, PCIT, CCTP, MH
Online Only
Are you feeling overwhelmed by parenting? Are you struggling to manage big emotions or behaviors from your child? I have over a decade of experience working with children and families in many capacities and with a host of differing challenges. I am trained in Parent Child Interaction Therapy and I specialize in supporting challenging dynamics between parents and children of all ages. I can coach extremely effective parenting solutions via teletherapy. I have worked with many different concerns, ranging from attention-deficit hyperactivity disorder to trauma, as well as anxiety and depression. My experience has taught me the benefit
Are you feeling overwhelmed by parenting? Are you struggling to manage big emotions or behaviors from your child? I have over a decade of experience working with children and families in many capacities and with a host of differing challenges. I am trained in Parent Child Interaction Therapy and I specialize in supporting challenging dynamics between parents and children of all ages. I can coach extremely effective parenting solutions via teletherapy. I have worked with many different concerns, ranging from attention-deficit hyperactivity disorder to trauma, as well as anxiety and depression. My experience has taught me the benefit
(724) 481-5081 View (724) 481-5081

See more therapy options for Butler County

How does your Therapist compare?

Number of Therapists in Butler County, PA

200+

Average cost per session

$125

Therapists in Butler County, PA who prioritize treating:

92% Anxiety
88% Depression
77% Relationship Issues
72% Coping Skills
72% Self Esteem
70% Trauma and PTSD
70% Stress

Average years in practice

12 Years

Top 3 insurances accepted

82% Highmark
81% Aetna
76% BlueCross and BlueShield

How Therapists in Butler County, PA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Butler 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.