Therapists in Block Island, RI

Photo of Kerri Gaffett, Counselor in Block Island, RI
Kerri Gaffett
Counselor, LMHC, MA
Verified Verified
2 Endorsed
Block Island, RI 02807
Hi! If you are looking for a therapist that works a little outside of the box then we should meet. I offer early morning appointments, online video sessions, outside Walk/Talk sessions. I am a Licensed Mental Health Counselor wanting to help you to help yourself. I have two offices, one in Wickford and one on Block island. My focus is you and what works for you. Please call me to set up an appointment . I look forward to meeting you.
Hi! If you are looking for a therapist that works a little outside of the box then we should meet. I offer early morning appointments, online video sessions, outside Walk/Talk sessions. I am a Licensed Mental Health Counselor wanting to help you to help yourself. I have two offices, one in Wickford and one on Block island. My focus is you and what works for you. Please call me to set up an appointment . I look forward to meeting you.
(401) 752-9504 View (401) 752-9504
Photo of Carolyn Lee Downes, Counselor in Block Island, RI
Carolyn Lee Downes
Counselor, LCMHC, LMHC
Verified Verified
Block Island, RI 02807  (Online Only)
Anxiety, insecurity, depression, irritability, and control issues are side effects of living life… as much as your happiness, achievements, and pride. If you’re like me, you’ve experienced both (aka success and trauma). The problem is, life’s traumatic side effects are getting in the way of you experiencing MORE of the happy and successful kind. What you want is to be able to be more present and less fixated on things that get your mind get stuck in issues from the past, negative thinking, out of control behaviors, triggered emotions, and avoidance patterns.
Anxiety, insecurity, depression, irritability, and control issues are side effects of living life… as much as your happiness, achievements, and pride. If you’re like me, you’ve experienced both (aka success and trauma). The problem is, life’s traumatic side effects are getting in the way of you experiencing MORE of the happy and successful kind. What you want is to be able to be more present and less fixated on things that get your mind get stuck in issues from the past, negative thinking, out of control behaviors, triggered emotions, and avoidance patterns.
(904) 364-1465 View (904) 364-1465

Online Therapists

Photo of Daniel Balassone, Clinical Social Work/Therapist in Block Island, RI
Daniel Balassone
Clinical Social Work/Therapist, LCSW
Verified Verified
Providence, RI 02903
Are you living an anxious, depressed, or angry life? Are you feeling lost, insecure, or struggling to find your place in the world? Do you wish you had better relationships, better self esteem, or a more fulfilling career? I understand how difficult it can be when you aren’t living the life you want but I’ve seen in countless cases how the therapeutic process can be transformational in helping you achieve the change you so desperately seek.
Are you living an anxious, depressed, or angry life? Are you feeling lost, insecure, or struggling to find your place in the world? Do you wish you had better relationships, better self esteem, or a more fulfilling career? I understand how difficult it can be when you aren’t living the life you want but I’ve seen in countless cases how the therapeutic process can be transformational in helping you achieve the change you so desperately seek.
(401) 271-7165 View (401) 271-7165
Photo of Jessica Brickle, Clinical Social Work/Therapist in Block Island, RI
Jessica Brickle
Clinical Social Work/Therapist, BSW, MSW, LCSW
Verified Verified
Warwick, RI 02888
I work with a wide age range, 10-70. I specialize in working with middle and high school students struggling with anxiety, depression, ADHD, peer pressure, trauma and trauma related mental health issues and body issues. I have extensive experience working with adolescents and adults on the spectrum as well as living with a myriad of personality disorders. I utilize psychological testing, CBT, DBT, Behavioral therapy, holistic, motivational interviewing and supportive therapies. Offering a safe environment and building a trusting working relationship is paramount. My style is strength based and consistently client centered.
I work with a wide age range, 10-70. I specialize in working with middle and high school students struggling with anxiety, depression, ADHD, peer pressure, trauma and trauma related mental health issues and body issues. I have extensive experience working with adolescents and adults on the spectrum as well as living with a myriad of personality disorders. I utilize psychological testing, CBT, DBT, Behavioral therapy, holistic, motivational interviewing and supportive therapies. Offering a safe environment and building a trusting working relationship is paramount. My style is strength based and consistently client centered.
(401) 329-3891 View (401) 329-3891
Photo of Hannah Goodman in Block Island, RI
Hannah Goodman
LMHC, CGS, MEd
Verified Verified
Barrington, RI 02806
With a background in teaching, career and college counseling, my specialty is helping clients learn how to cope with school and career-related stressors. Additionally, as a writer, I offer clients an understanding into the creative life. My clinical experience in mental health has been focused on helping clients navigate the various transitions throughout the lifespan related to a variety of psychosocial stressors. Additionally, I am experienced in anxiety and mood management, teaching clients both how to become more aware of these symptoms and how to apply behavioral skills to these symptoms in an effective way.
With a background in teaching, career and college counseling, my specialty is helping clients learn how to cope with school and career-related stressors. Additionally, as a writer, I offer clients an understanding into the creative life. My clinical experience in mental health has been focused on helping clients navigate the various transitions throughout the lifespan related to a variety of psychosocial stressors. Additionally, I am experienced in anxiety and mood management, teaching clients both how to become more aware of these symptoms and how to apply behavioral skills to these symptoms in an effective way.
(401) 293-2330 View (401) 293-2330
Photo of Art Erskine, Counselor in Block Island, RI
Art Erskine
Counselor, LMHC
Verified Verified
Providence, RI 02903
Hello, I’m Art Erskine and I have been counseling individuals, families and groups since 1998. I graduated from Assumption College in Worcester, MA with my Master’s in Counseling Psychology. The bulk of my early training centered around Cognitive Behavioral Therapy and Structural Family Therapy. Motivational interviewing, aggression replacement training, person centered therapy, and coaching have been skills I have built over the years.
Hello, I’m Art Erskine and I have been counseling individuals, families and groups since 1998. I graduated from Assumption College in Worcester, MA with my Master’s in Counseling Psychology. The bulk of my early training centered around Cognitive Behavioral Therapy and Structural Family Therapy. Motivational interviewing, aggression replacement training, person centered therapy, and coaching have been skills I have built over the years.
(401) 208-2857 View (401) 208-2857
Photo of Elizabeth S. Robinson, Counselor in Block Island, RI
Elizabeth S. Robinson
Counselor, LMHC, MA, LMT, RM
Verified Verified
3 Endorsed
Cranston, RI 02920
I am passionate about helping others to reconnect to their essential nature, and to live more fully from a place of inner truth. I view my job as helping you to navigate back to your own Truest self and inner guidance system. I draw from the foundations of Hakomi, somatic awareness, attachment work, and mindfulness based approaches to support you on your journey. I hold a compassionate container where all of the emotions are honored and welcomed, and where we can lean into what is causing distress to mine for inner wisdom. We will use creativity to find new ways of navigating with self and all those we come into contact with.
I am passionate about helping others to reconnect to their essential nature, and to live more fully from a place of inner truth. I view my job as helping you to navigate back to your own Truest self and inner guidance system. I draw from the foundations of Hakomi, somatic awareness, attachment work, and mindfulness based approaches to support you on your journey. I hold a compassionate container where all of the emotions are honored and welcomed, and where we can lean into what is causing distress to mine for inner wisdom. We will use creativity to find new ways of navigating with self and all those we come into contact with.
(401) 210-5314 View (401) 210-5314
Photo of Chantele Petrocelli, Counselor in Block Island, RI
Chantele Petrocelli
Counselor, LMHC
Verified Verified
1 Endorsed
Warwick, RI 02889  (Online Only)
**VIRTUAL THERAPY** I am an Independent, Licensed Mental Health Counselor with licenses in the states of Rhode Island and Florida, who provides flexible, consumer-oriented therapy that is built on acceptance and trust in a nonjudgemental environment. My therapeutic approach combines traditional psychotherapy with a practical, problem-solving approach that creates a dynamic and efficient path for change and problem resolution.
**VIRTUAL THERAPY** I am an Independent, Licensed Mental Health Counselor with licenses in the states of Rhode Island and Florida, who provides flexible, consumer-oriented therapy that is built on acceptance and trust in a nonjudgemental environment. My therapeutic approach combines traditional psychotherapy with a practical, problem-solving approach that creates a dynamic and efficient path for change and problem resolution.
(401) 367-4295 View (401) 367-4295
Photo of Jonathan Gershon, Psychologist in Block Island, RI
Jonathan Gershon
Psychologist, PhD
Verified Verified
Providence, RI 02906
Operations Director, Rhode Island Dr. Jonathan Gershon is a clinical psychologist who has been practicing for over twenty years. He obtained his doctorate in Clinical Psychology from Emory University in Atlanta, GA. He completed his internship at the Boston Consortium in child psychology and behavioral medicine. His postdoctoral fellowship was at the Brown University Training Consortium and Bradley Hospital. Dr. Gershon received his bachelor's degree from Northwestern University. Prior to joining LifeStance Health, Dr. Gershon was a founding partner and psychologist at Gershon Psychological Associates for over fifteen years.Operatio
Operations Director, Rhode Island Dr. Jonathan Gershon is a clinical psychologist who has been practicing for over twenty years. He obtained his doctorate in Clinical Psychology from Emory University in Atlanta, GA. He completed his internship at the Boston Consortium in child psychology and behavioral medicine. His postdoctoral fellowship was at the Brown University Training Consortium and Bradley Hospital. Dr. Gershon received his bachelor's degree from Northwestern University. Prior to joining LifeStance Health, Dr. Gershon was a founding partner and psychologist at Gershon Psychological Associates for over fifteen years.Operatio
(430) 245-6142 View (430) 245-6142
Photo of Monica Lee Bailey, Drug & Alcohol Counselor in Block Island, RI
Monica Lee Bailey
Drug & Alcohol Counselor, MEd, LCDP
Verified Verified
Warren, RI 02885
I believe that each individual, when supported with dignity and respect, has the innate ability to achieve their personal goals, reduce stress and increase their enjoyment of life in a positive and productive way.
I believe that each individual, when supported with dignity and respect, has the innate ability to achieve their personal goals, reduce stress and increase their enjoyment of life in a positive and productive way.
(401) 246-8871 View (401) 246-8871
Photo of Samuel P Lauro, Clinical Social Work/Therapist in Block Island, RI
Samuel P Lauro
Clinical Social Work/Therapist, LCSW
Verified Verified
Warwick, RI 02886
Children and Adults ages 6-65. Assist with a whole host of diagnoses and issues that clients present with, specializing in treatment for ADHD, Depression and Anxiety. Samuel likes to facilitate sessions in a way where the client is made to feel comfortable and safe while having a friendly rapport, taking the "friendly ear versus service robot" approach.
Children and Adults ages 6-65. Assist with a whole host of diagnoses and issues that clients present with, specializing in treatment for ADHD, Depression and Anxiety. Samuel likes to facilitate sessions in a way where the client is made to feel comfortable and safe while having a friendly rapport, taking the "friendly ear versus service robot" approach.
(401) 556-4445 View (401) 556-4445
Photo of Unique Pelletier, Drug & Alcohol Counselor in Block Island, RI
Unique Pelletier
Drug & Alcohol Counselor, LCDP
Verified Verified
1 Endorsed
Cumberland, RI 02864
Waitlist for new clients
**My focus includes ALL mental health treatment NOT just drug & alcohol counseling!**. The fact that you’re here, reading this means that you’re ready for something in your life to change, & I hope after viewing my profile that I seem like a good fit to accompany you on this journey of change. A little about me: I am a master’s level clinician with a degree in Clinical Mental Health Counseling from Johnson and Wales University. I also am a Licensed Chemical Dependency Professional (LCDP). I have over five years of experience in the mental health field and have experience working with adolescents & adults.
**My focus includes ALL mental health treatment NOT just drug & alcohol counseling!**. The fact that you’re here, reading this means that you’re ready for something in your life to change, & I hope after viewing my profile that I seem like a good fit to accompany you on this journey of change. A little about me: I am a master’s level clinician with a degree in Clinical Mental Health Counseling from Johnson and Wales University. I also am a Licensed Chemical Dependency Professional (LCDP). I have over five years of experience in the mental health field and have experience working with adolescents & adults.
(401) 214-9514 View (401) 214-9514
Photo of Rachel Taggart, Clinical Social Work/Therapist in Block Island, RI
Rachel Taggart
Clinical Social Work/Therapist, LICSW
Verified Verified
Providence, RI 02903
My name is Rachel Taggart and I am a passionate licensed clinical social worker with over five years of experience working with individuals of all ages, families, and groups. I specialize in issues ranging from sexual trauma, mood disorders, anxiety, depression, life challenges, life transitions, relationship difficulties, low self-esteem, self-harm, and eating disorders. I take a person-centered approach by implementing modalities such as cognitive behavioral therapy, solution-focused counseling, strength-based counseling, trauma-informed counseling, and mindfulness.
My name is Rachel Taggart and I am a passionate licensed clinical social worker with over five years of experience working with individuals of all ages, families, and groups. I specialize in issues ranging from sexual trauma, mood disorders, anxiety, depression, life challenges, life transitions, relationship difficulties, low self-esteem, self-harm, and eating disorders. I take a person-centered approach by implementing modalities such as cognitive behavioral therapy, solution-focused counseling, strength-based counseling, trauma-informed counseling, and mindfulness.
(401) 496-9366 x103 View (401) 496-9366 x103
Photo of Ken Jaeger, Clinical Social Work/Therapist in Block Island, RI
Ken Jaeger
Clinical Social Work/Therapist, LICSW, CGP
Verified Verified
Providence, RI 02903
Waitlist for new clients
Psychotherapy doesn't have to be a mysterious process. I try to work openly with my patients to lay out a path for easing their distress and engaging more happily and effectively in their lives. I seek a balance between exploring the past for insights while also working in the present to make life better. I offer an open, compassionate place to explore how memories, thoughts, and emotions affect and limit people in their current experiences. With those insights I support patients in venturing past familiar limitations to live a better life.
Psychotherapy doesn't have to be a mysterious process. I try to work openly with my patients to lay out a path for easing their distress and engaging more happily and effectively in their lives. I seek a balance between exploring the past for insights while also working in the present to make life better. I offer an open, compassionate place to explore how memories, thoughts, and emotions affect and limit people in their current experiences. With those insights I support patients in venturing past familiar limitations to live a better life.
(401) 340-3121 View (401) 340-3121
Photo of Innovative Counseling Llc, Clinical Social Work/Therapist in Block Island, RI
Innovative Counseling Llc
Clinical Social Work/Therapist, LICSW
Verified Verified
Johnston, RI 02919
If you are reading this, you have taken the first, the most difficult step to obtaining the help you have been looking for. Trusting someone new and making changes to your life are also difficult. Here you will find a safe space where you can be yourself, judgement free, and process what it is that might be a barrier in your life. My passion in life is helping others find and live to their fullest potential. To find their true self within and find happiness, by processing emotions, past trauma/present trauma, depression, anxiety, managing ADHD, or managing life transitions. I work with children, adolescents, adults, & older adult.
If you are reading this, you have taken the first, the most difficult step to obtaining the help you have been looking for. Trusting someone new and making changes to your life are also difficult. Here you will find a safe space where you can be yourself, judgement free, and process what it is that might be a barrier in your life. My passion in life is helping others find and live to their fullest potential. To find their true self within and find happiness, by processing emotions, past trauma/present trauma, depression, anxiety, managing ADHD, or managing life transitions. I work with children, adolescents, adults, & older adult.
(401) 271-5227 View (401) 271-5227
Photo of Jody J Ritter, Counselor in Block Island, RI
Jody J Ritter
Counselor, CAGS, LMHC
Verified Verified
2 Endorsed
South Kingstown, RI 02879  (Online Only)
Life is full of ups and downs. Most People just want to feel better. I'm a licensed mental health counselor with over 20 years of experience working with adults in trauma related fields. My goal is to help you or your loved ones navigate through your problems, live in the present, process feelings and alleviate fear and grief. Together we can explore the best way for you to face what can sometimes feel completely overwhelming finding interventions that will work for you and help create more joy and peace in your life." Get better at feeling and in the process feel better". Telehealth mostly with Limited in office appointments
Life is full of ups and downs. Most People just want to feel better. I'm a licensed mental health counselor with over 20 years of experience working with adults in trauma related fields. My goal is to help you or your loved ones navigate through your problems, live in the present, process feelings and alleviate fear and grief. Together we can explore the best way for you to face what can sometimes feel completely overwhelming finding interventions that will work for you and help create more joy and peace in your life." Get better at feeling and in the process feel better". Telehealth mostly with Limited in office appointments
(401) 409-4723 View (401) 409-4723
Photo of Shannon Angelotti, Clinical Social Work/Therapist in Block Island, RI
Shannon Angelotti
Clinical Social Work/Therapist, LICSW
Verified Verified
Scituate, RI 02857  (Online Only)
Hi and welcome to my page. If talking to friends or family, going on hikes or going to the beach, trying every self care trick you can think of no longer works, therapy may be the next best step for you. If you find yourself isolating, or do not have a healthy support system, adding in a counselor may be a benefit. My goal is to get to know you and your goals so that we may work together to help you overcome obstacles that may be holding you back from living your best life.
Hi and welcome to my page. If talking to friends or family, going on hikes or going to the beach, trying every self care trick you can think of no longer works, therapy may be the next best step for you. If you find yourself isolating, or do not have a healthy support system, adding in a counselor may be a benefit. My goal is to get to know you and your goals so that we may work together to help you overcome obstacles that may be holding you back from living your best life.
(401) 208-2457 View (401) 208-2457
Photo of Tyler Puryear, Counselor in Block Island, RI
Tyler Puryear
Counselor, LMHC, MPH, MS
Verified Verified
Providence, RI 02906
Tyler is a licensed therapist in Rhode Island and a Certified Clinical Anxiety Treatment Professional (CCATP). Tyler works with young adults, college students, and adults struggling with addiction, chronic illness, anxiety, depression, and life transitions. He specializes in working with LGBTQ+ clients who are exploring their sexual identity development and/or are in need of an affirming therapeutic space to process other concerns. He has experience working with clients of diverse racial, ethnic and gender identities and tailors therapeutic interventions to fit your individual identity and needs.
Tyler is a licensed therapist in Rhode Island and a Certified Clinical Anxiety Treatment Professional (CCATP). Tyler works with young adults, college students, and adults struggling with addiction, chronic illness, anxiety, depression, and life transitions. He specializes in working with LGBTQ+ clients who are exploring their sexual identity development and/or are in need of an affirming therapeutic space to process other concerns. He has experience working with clients of diverse racial, ethnic and gender identities and tailors therapeutic interventions to fit your individual identity and needs.
(401) 388-6068 View (401) 388-6068
Photo of Megan DeAscentis, Clinical Social Work/Therapist in Block Island, RI
Megan DeAscentis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Slatersville, RI 02876  (Online Only)
Now Accepting New Clients- virtual sessions! -Megan is a licensed clinical social worker who believes in helping build people up through support, understanding and fun. Life can be really hard some days but those days do not have to define who we are. Megan earned her Masters in Social Work from Simmons University and her Bachelor's in Psychology from Salve Regina University. Not accepting Medicaid/Medicare at this time.
Now Accepting New Clients- virtual sessions! -Megan is a licensed clinical social worker who believes in helping build people up through support, understanding and fun. Life can be really hard some days but those days do not have to define who we are. Megan earned her Masters in Social Work from Simmons University and her Bachelor's in Psychology from Salve Regina University. Not accepting Medicaid/Medicare at this time.
(401) 361-3524 View (401) 361-3524
Photo of Jonathan W Dator, Psychologist in Block Island, RI
Jonathan W Dator
Psychologist, PhD , MSCP, CGP
Verified Verified
12 Endorsed
Providence, RI 02906  (Online Only)
Waitlist for new clients
I am a Licensed Counseling Psychologist in New York and Rhode Island. Born in San José, Costa Rica and raised in the New York City Tri-State Area, I identify as a bilingual (English & Spanish) and bicultural therapist. I provide individual therapy to teens and adults. I have focused my clinical work on providing care to disenfranchised, marginalized, and underserved groups. I believe therapy should be a place where you truly feel safe and comfortable enough to discuss everything going on in your life. I see the therapist-client relationship as unique, and a collaborative alliance.
I am a Licensed Counseling Psychologist in New York and Rhode Island. Born in San José, Costa Rica and raised in the New York City Tri-State Area, I identify as a bilingual (English & Spanish) and bicultural therapist. I provide individual therapy to teens and adults. I have focused my clinical work on providing care to disenfranchised, marginalized, and underserved groups. I believe therapy should be a place where you truly feel safe and comfortable enough to discuss everything going on in your life. I see the therapist-client relationship as unique, and a collaborative alliance.
(401) 409-4672 View (401) 409-4672

See more therapy options for Block Island

How does your Therapist compare?

Number of Therapists in Block Island, RI

< 10

Therapists in Block Island, RI who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Other
100% Anger Management
100% School Issues

Average years in practice

8 Years

Gender breakdown

100% Female

How Therapists in Block Island, RI see their clients

50% In Person and Online
50% Online Only

FAQs - About Therapy and Counseling

How can I find a therapist in Block Island?

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.