Therapists in Mechanicsburg, PA

Photo of Lizvette Violeta Pappaterra, Music Therapist, MT-BC
Lizvette Violeta Pappaterra
Music Therapist, MT-BC
Mechanicsburg, PA 17050
Here at Notes of Healing, we provide in-home or virtual music therapy services to a variety of individuals who are seeking a unique and innovative way to enhance their quality of life. Music therapy has the ability to assist those of all ages and diagnoses with achieving their personal goals as they navigate through life. We focus on cultivating a collaborative relationship with our clients to create meaningful change through music which can include a variety of experiences based upon client preference. We offer sessions in both English and Spanish.
Here at Notes of Healing, we provide in-home or virtual music therapy services to a variety of individuals who are seeking a unique and innovative way to enhance their quality of life. Music therapy has the ability to assist those of all ages and diagnoses with achieving their personal goals as they navigate through life. We focus on cultivating a collaborative relationship with our clients to create meaningful change through music which can include a variety of experiences based upon client preference. We offer sessions in both English and Spanish.
(717) 827-9122 View (717) 827-9122
Photo of Rupa Patel, Licensed Professional Counselor, MS, LPC
Rupa Patel
Licensed Professional Counselor, MS, LPC
Mechanicsburg, PA 17055
Now accepting new clients in PA and Telehealth in MD. You might feel caught between worlds- wanting to honor your family and cultural values while also trying to build a life that feels true to you. On the outside, you may seem capable and composed. On the inside, you might feel overwhelmed, stuck, and emotionally exhausted. Therapy can be a space to sort through the pressure and reconnect with yourself. I provide individual therapy and specialize in working with children (10+), teens and adults who are struggling with anxiety, life transitions, south asian issues, racial and cultural identity, depression.
Now accepting new clients in PA and Telehealth in MD. You might feel caught between worlds- wanting to honor your family and cultural values while also trying to build a life that feels true to you. On the outside, you may seem capable and composed. On the inside, you might feel overwhelmed, stuck, and emotionally exhausted. Therapy can be a space to sort through the pressure and reconnect with yourself. I provide individual therapy and specialize in working with children (10+), teens and adults who are struggling with anxiety, life transitions, south asian issues, racial and cultural identity, depression.
(717) 923-5934 View (717) 923-5934
Photo of Eric Alnor - Eric Alnor Counseling, LLC, Licensed Professional Counselor, MS, LPC
Eric Alnor Counseling, LLC
Licensed Professional Counselor, MS, LPC
Online Only
My life's passions include honest self-examination and personal betterment, and I am blessed to be able to exercise these passions every day when I work with my clients. The decision to seek counseling is often difficult as it involves being vulnerable and confronting sensitive issues. I pride myself in my natural ability to make my clients feel comfortable discussing such issues by providing a warm and nonjudgemental counseling environment. I focus on treating individuals with all levels of depression and anxiety, as well as relationship concerns, though I am experienced in treating a wide range of presenting issues.
My life's passions include honest self-examination and personal betterment, and I am blessed to be able to exercise these passions every day when I work with my clients. The decision to seek counseling is often difficult as it involves being vulnerable and confronting sensitive issues. I pride myself in my natural ability to make my clients feel comfortable discussing such issues by providing a warm and nonjudgemental counseling environment. I focus on treating individuals with all levels of depression and anxiety, as well as relationship concerns, though I am experienced in treating a wide range of presenting issues.
(844) 711-7005 View (844) 711-7005
Photo of Erin Michelle Rohrer, Licensed Professional Counselor, MS, LPC
Erin Michelle Rohrer
Licensed Professional Counselor, MS, LPC
Mechanicsburg, PA 17055
Creating a safe place for you is my goal. Taking a step toward inner healing is not easy, but being alongside you for the journey is a great honor. Your feelings and experiences matter. Self-understanding is one of our greatest challenges in life, but the process of exploration is so worth it. I desire to help you create the space within yourself to do that work. You are not alone on this journey of life.
Creating a safe place for you is my goal. Taking a step toward inner healing is not easy, but being alongside you for the journey is a great honor. Your feelings and experiences matter. Self-understanding is one of our greatest challenges in life, but the process of exploration is so worth it. I desire to help you create the space within yourself to do that work. You are not alone on this journey of life.
(717) 483-8970 View (717) 483-8970
Photo of Shaunaca James, Licensed Professional Counselor, MS, LPC, NCC, BSC
Shaunaca James
Licensed Professional Counselor, MS, LPC, NCC, BSC
2 Endorsed
Mechanicsburg, PA 17055
Hello! My name is Shaunaca. (Pronounced like Hanukkah but with the "sh" sound) I graduated with a master's degree in Clinical Mental Health Counseling from Shippensburg University. I am nationally certified by the NBCC, as well as, licensed as a Behavior Specialist by the State Board of Medicine. I have worked in many different environments such as, schools, residential facilities, and outpatient clinics with all sorts of people and personalities. I enjoy working with teens and adults.
Hello! My name is Shaunaca. (Pronounced like Hanukkah but with the "sh" sound) I graduated with a master's degree in Clinical Mental Health Counseling from Shippensburg University. I am nationally certified by the NBCC, as well as, licensed as a Behavior Specialist by the State Board of Medicine. I have worked in many different environments such as, schools, residential facilities, and outpatient clinics with all sorts of people and personalities. I enjoy working with teens and adults.
(717) 316-0918 View (717) 316-0918
Photo of Kimberly Howe, Licensed Professional Counselor, MS, LPC, NCC
Kimberly Howe
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Mechanicsburg, PA 17055
Currently Accepting New Evening Clients! If you feel exhausted from overthinking, people-pleasing, or pretending you are fine, you are not alone. Kim works with teens and young adults navigating anxiety, identity questions, big life transitions, and more. She offers a space to show up honestly, sort through the noise, and begin building a life that feels more aligned.
Currently Accepting New Evening Clients! If you feel exhausted from overthinking, people-pleasing, or pretending you are fine, you are not alone. Kim works with teens and young adults navigating anxiety, identity questions, big life transitions, and more. She offers a space to show up honestly, sort through the noise, and begin building a life that feels more aligned.
(717) 922-4378 View (717) 922-4378
Photo of Kareem L Smith - AKS Inclusive Healing and Wellness, LLC, Licensed Associate Professional Counselor, MS, LAPC, C-NIT
AKS Inclusive Healing and Wellness, LLC
Licensed Associate Professional Counselor, MS, LAPC, C-NIT
1 Endorsed
Online Only
We all want to be seen, heard, and have our feelings, thoughts, and life experiences validated. Treatment should be based on each individual needs and goals with a therapist-client relationship that is empathetic, genuine, respectful, and culturally sensitive. I work from a person-centered, strength-based, and CBT approach. I also invite nature to join us as my co-therapist, offering its healing and grounding benefits while always keeping your unique needs in mind.
We all want to be seen, heard, and have our feelings, thoughts, and life experiences validated. Treatment should be based on each individual needs and goals with a therapist-client relationship that is empathetic, genuine, respectful, and culturally sensitive. I work from a person-centered, strength-based, and CBT approach. I also invite nature to join us as my co-therapist, offering its healing and grounding benefits while always keeping your unique needs in mind.
(717) 400-6909 View (717) 400-6909
Photo of Lauren Royer, Associate Professional Counselor, MS, LAPC, NCSP
Lauren Royer
Associate Professional Counselor, MS, LAPC, NCSP
2 Endorsed
Mechanicsburg, PA 17050
I believe that healing is rooted in connection—with ourselves, between parents and children, and throughout our relationships. I aim to offer a compassionate and authentic space built on safety and trust that encourages self-reflection and skill development as you move towards greater clarity, acceptance, and well-being. I'm a Licensed Associate Professional Counselor and Nationally Certified School Psychologist. I support children, adolescents, and adults navigating life's challenges. Whether you're seeking support for yourself or your child, I work alongside you to develop tools while exploring what's beneath the surface.
I believe that healing is rooted in connection—with ourselves, between parents and children, and throughout our relationships. I aim to offer a compassionate and authentic space built on safety and trust that encourages self-reflection and skill development as you move towards greater clarity, acceptance, and well-being. I'm a Licensed Associate Professional Counselor and Nationally Certified School Psychologist. I support children, adolescents, and adults navigating life's challenges. Whether you're seeking support for yourself or your child, I work alongside you to develop tools while exploring what's beneath the surface.
(717) 563-6452 View (717) 563-6452
Photo of Renae Nagle, Clinical Social Work/Therapist, LCSW, MSW, BS
Renae Nagle
Clinical Social Work/Therapist, LCSW, MSW, BS
Mechanicsburg, PA 17055
My ideal client is a human being who is struggling with life's traumas and stresses. Adolescent or Adult, it does not matter...we all need someone to talk to & sort things out every now and then. There is no shame in seeking out counseling to get unstuck, and move forward with your life. If you can commit to your appointments on a consistent basis, I know I can help you help you move forward. I offer coaching and counseling to teach self-empowerment, with respect and compassion for your issues. Call or email me to get started.
My ideal client is a human being who is struggling with life's traumas and stresses. Adolescent or Adult, it does not matter...we all need someone to talk to & sort things out every now and then. There is no shame in seeking out counseling to get unstuck, and move forward with your life. If you can commit to your appointments on a consistent basis, I know I can help you help you move forward. I offer coaching and counseling to teach self-empowerment, with respect and compassion for your issues. Call or email me to get started.
(717) 868-6841 View (717) 868-6841
Photo of David A Gordon, Associate Professional Counselor , LAPC, LMLP-T
David A Gordon
Associate Professional Counselor , LAPC, LMLP-T
1 Endorsed
Mechanicsburg, PA 17050
Waitlist for new clients
Feeling like your life’s on the rocks? Maybe someone close to you has urged—or demanded—you get help. You’ve tried to push through the stress or escape it with distractions—alcohol, pornography, video games—but deep down, you know it’s not working. I specialize in helping men break free from avoidance and reconnect with what truly matters. In our work together, you’ll gain tools to face challenges with confidence, rebuild meaningful connections, and live with a renewed sense of direction and purpose.
Feeling like your life’s on the rocks? Maybe someone close to you has urged—or demanded—you get help. You’ve tried to push through the stress or escape it with distractions—alcohol, pornography, video games—but deep down, you know it’s not working. I specialize in helping men break free from avoidance and reconnect with what truly matters. In our work together, you’ll gain tools to face challenges with confidence, rebuild meaningful connections, and live with a renewed sense of direction and purpose.
(717) 470-5318 View (717) 470-5318
Photo of Rosemarie Holland, Licensed Professional Counselor, MA, LPC, NCC, CCMHC, BCPC
Rosemarie Holland
Licensed Professional Counselor, MA, LPC, NCC, CCMHC, BCPC
Mechanicsburg, PA 17055
Are you overwhelmed with your life? Feeling like life is too much for you to handle?Do you feel helpless and alone with no where to turn? I'm here to help you overcome anxiety and depression using mindfulness based cognitive therapy and focusing on the whole person. Let me show you how to build on your strengths and manage life more successfully by removing the blocks that are preventing you from living the life you were meant to live! I'll show you how to make those shifts in a very private, confidential setting along the Yellow Breeches Creek.
Are you overwhelmed with your life? Feeling like life is too much for you to handle?Do you feel helpless and alone with no where to turn? I'm here to help you overcome anxiety and depression using mindfulness based cognitive therapy and focusing on the whole person. Let me show you how to build on your strengths and manage life more successfully by removing the blocks that are preventing you from living the life you were meant to live! I'll show you how to make those shifts in a very private, confidential setting along the Yellow Breeches Creek.
(717) 253-9792 View (717) 253-9792
Photo of Tiayra Villafane, MS, MA, LAPC
Tiayra Villafane
Verified Verified
1 Endorsed
Mechanicsburg, PA 17055
Life can be full of challenges and it can be a greater battle to ask for help. At times we may not know how to ask for help and that is okay. Sometimes the only thing we may need is someone to talk to or to find some guidance. One of the most common goals that most people have is to feel okay and what that may look like for you. As a therapist I am here to help you on that journey of achieving your goals.
Life can be full of challenges and it can be a greater battle to ask for help. At times we may not know how to ask for help and that is okay. Sometimes the only thing we may need is someone to talk to or to find some guidance. One of the most common goals that most people have is to feel okay and what that may look like for you. As a therapist I am here to help you on that journey of achieving your goals.
(717) 899-1720 View (717) 899-1720
Photo of DeAnna Smith, Licensed Professional Counselor, MA, LPC, LMFT, NCC
DeAnna Smith
Licensed Professional Counselor, MA, LPC, LMFT, NCC
Online Only
Not accepting new clients
Sometimes you want someone who understands your unique situation and can help you see that there is a way through. Experiences in life shape who we are. Whether it is navigating depression/anxiety, relationship challenges, or figuring out why you react the way you do (and what to do about it), I am here to help. With the belief that everyone's needs and path to change are different, I offer two areas of specialization: (1) Counseling women, teenagers, and those from diverse backgrounds and (2) Helping service providers process personal and work-related trauma; therefore being the “therapist’s therapist."
Sometimes you want someone who understands your unique situation and can help you see that there is a way through. Experiences in life shape who we are. Whether it is navigating depression/anxiety, relationship challenges, or figuring out why you react the way you do (and what to do about it), I am here to help. With the belief that everyone's needs and path to change are different, I offer two areas of specialization: (1) Counseling women, teenagers, and those from diverse backgrounds and (2) Helping service providers process personal and work-related trauma; therefore being the “therapist’s therapist."
(717) 510-1215 View (717) 510-1215
Photo of Chad Briggs, Clinical Social Work/Therapist, LSW
Chad Briggs
Clinical Social Work/Therapist, LSW
1 Endorsed
Mechanicsburg, PA 17055
Kids and teenagers encounter new challenges every day. School, sports, activities, and family dynamics can lead to anxiety, stress, and even depression. They may feel overwhelmed and struggle to talk about what is going on. They may be scared, feel embarrassed, or feel unsure of who to talk about what they are feeling. You may have noticed changes in their behavior or mood as a result. I work with kids, teenagers, and families to identify and gain understanding of what has led to their struggles and collaboratively work on how to move forward. I bring a different energy to therapy.
Kids and teenagers encounter new challenges every day. School, sports, activities, and family dynamics can lead to anxiety, stress, and even depression. They may feel overwhelmed and struggle to talk about what is going on. They may be scared, feel embarrassed, or feel unsure of who to talk about what they are feeling. You may have noticed changes in their behavior or mood as a result. I work with kids, teenagers, and families to identify and gain understanding of what has led to their struggles and collaboratively work on how to move forward. I bring a different energy to therapy.
(717) 229-0564 View (717) 229-0564
Photo of John King - Emerge Counseling Ministries PA, Licensed Professional Counselor, PhD, LPC, NCC, MDiv
Emerge Counseling Ministries PA
Licensed Professional Counselor, PhD, LPC, NCC, MDiv
1 Endorsed
Mechanicsburg, PA 17055
Emerge Counseling Ministries PA accepts clients 8 yrs and older. We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances. Please call us at (330)-867-5603 with any questions or send us an email.
Emerge Counseling Ministries PA accepts clients 8 yrs and older. We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances. Please call us at (330)-867-5603 with any questions or send us an email.
(717) 219-5181 View (717) 219-5181
Photo of Melissa Schoettle, Clinical Social Work/Therapist, LMSW
Melissa Schoettle
Clinical Social Work/Therapist, LMSW
1 Endorsed
Mechanicsburg, PA 17050
Are you someone who feels deeply? Do you think hard, and still find yourself stuck in painful patterns? If you find yourself struggling with intense emotions, relationship difficulties, or the weight of early trauma, I will use my expertise in treating trauma and attachment wounds to guide you through your healing journey. My approach blends warmth, deep insight, and practical coaching. Clients often tell me they feel truly seen—not pathologized, but understood. If you’re ready for therapy that’s compassionate and transformative, I’d be honored to work with you.
Are you someone who feels deeply? Do you think hard, and still find yourself stuck in painful patterns? If you find yourself struggling with intense emotions, relationship difficulties, or the weight of early trauma, I will use my expertise in treating trauma and attachment wounds to guide you through your healing journey. My approach blends warmth, deep insight, and practical coaching. Clients often tell me they feel truly seen—not pathologized, but understood. If you’re ready for therapy that’s compassionate and transformative, I’d be honored to work with you.
(717) 670-6825 View (717) 670-6825
Photo of Molly Myers, Licensed Professional Counselor, LPC
Molly Myers
Licensed Professional Counselor, LPC
Online Only
When was the last time you felt truly seen and heard? I offer a warm, authentic, and compassionate space where we’ll focus on your strengths, honor your story, and move toward what wellness means for you. My trauma-informed, strengths-based approach is about walking alongside you, at your pace, in your way.
When was the last time you felt truly seen and heard? I offer a warm, authentic, and compassionate space where we’ll focus on your strengths, honor your story, and move toward what wellness means for you. My trauma-informed, strengths-based approach is about walking alongside you, at your pace, in your way.
(717) 899-8749 View (717) 899-8749
Photo of Margie Melder, Marriage & Family Therapist, MTS, LMFT
Margie Melder
Marriage & Family Therapist, MTS, LMFT
1 Endorsed
Online Only
Life is complicated. It's full of twists and turns and sometimes we lose our way. My passion is to support you along this path and honor your courage to start a process of self-discovery. I can assist you in emerging from a life perspective where you feel stuck into an understanding of your choices that will help you heal, explore emotional patterns, and have more fulfilling relationships. My life experiences have taught me a lesson: that it's hard to be human and as such, my clients will always deserve all my empathy and attention.
Life is complicated. It's full of twists and turns and sometimes we lose our way. My passion is to support you along this path and honor your courage to start a process of self-discovery. I can assist you in emerging from a life perspective where you feel stuck into an understanding of your choices that will help you heal, explore emotional patterns, and have more fulfilling relationships. My life experiences have taught me a lesson: that it's hard to be human and as such, my clients will always deserve all my empathy and attention.
(717) 229-0338 View (717) 229-0338
Photo of Debra Sharon Egli-Flanagan - Susquehanna Valley Counseling
Susquehanna Valley Counseling
Verified Verified
Mechanicsburg, PA 17055
As a marriage and family therapist and mother of 5 and grandmother of 6, I bring a wealth of experience from my life journey, my own therapy and the therapy i do with clients. I have found that healing happens when an individual is aided in finding their buried best. We often get lost in our journey of life and from that may experience depression, disappointment, disillusionment, etc. I believe as a client becomes awakened to their strengths, the parts of them that have become lost, will emerge and true healing begin.
As a marriage and family therapist and mother of 5 and grandmother of 6, I bring a wealth of experience from my life journey, my own therapy and the therapy i do with clients. I have found that healing happens when an individual is aided in finding their buried best. We often get lost in our journey of life and from that may experience depression, disappointment, disillusionment, etc. I believe as a client becomes awakened to their strengths, the parts of them that have become lost, will emerge and true healing begin.
(717) 452-9709 View (717) 452-9709
Photo of Alyssa Drake, Associate Professional Counselor, MA, NCC, LAPC
Alyssa Drake
Associate Professional Counselor, MA, NCC, LAPC
Mechanicsburg, PA 17055
My hope is to ensure each client will feel seen, heard & accepted. I am passionate about working with the child, adolescent, teen, & young adult population. Dedicated to making my client's therapeutic experience a positive one, I work with clients to navigate through difficulties, explore and explain developmental processes, establish/enhance behavior management, adjust both socially and emotionally, and develop coping skills. I understand the importance of working with the family of the client as well and welcome a collaborative approach to give clients and their families a sense of security and support.
My hope is to ensure each client will feel seen, heard & accepted. I am passionate about working with the child, adolescent, teen, & young adult population. Dedicated to making my client's therapeutic experience a positive one, I work with clients to navigate through difficulties, explore and explain developmental processes, establish/enhance behavior management, adjust both socially and emotionally, and develop coping skills. I understand the importance of working with the family of the client as well and welcome a collaborative approach to give clients and their families a sense of security and support.
(717) 930-2881 View (717) 930-2881

See more therapy options for Mechanicsburg

How does your Therapist compare?

Number of Therapists in Mechanicsburg, PA

100+

Average cost per session

$135

Therapists in Mechanicsburg, PA who prioritize treating:

95% Anxiety
92% Depression
76% Trauma and PTSD
75% Self Esteem
72% Relationship Issues
70% Grief
69% Stress

Average years in practice

12 Years

Top 3 insurances accepted

93% Highmark
80% Capital Blue Cross
79% Aetna

How Therapists in Mechanicsburg, PA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mechanicsburg?

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.