Therapists in Shady Oaks, San Antonio, TX

Photo of Andrew D. Reichert, PhD, PLLC, Psychologist
Andrew D. Reichert
Psychologist, PhD, PLLC
Verified Verified
Shady Oaks, San Antonio, TX 78232
Not accepting new clients
A native of San Antonio, I am a semi-retired Licensed Psychologist with a specialty in completing psychological evaluations for veterans, which I do on a contract basis for a company called Veteran's Evaluation Services (VES). I am no longer taking private therapy clients. My degrees are from Texas A&M University and Duke University.
A native of San Antonio, I am a semi-retired Licensed Psychologist with a specialty in completing psychological evaluations for veterans, which I do on a contract basis for a company called Veteran's Evaluation Services (VES). I am no longer taking private therapy clients. My degrees are from Texas A&M University and Duke University.
(210) 879-3894 View (210) 879-3894
Photo of Neli A Rogers, MS, LMFT, Marriage & Family Therapist
Neli A Rogers
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
My theoretical orientation is cognitive behavioral. My therapy style is goal oriented, solutions focused. I am a no-nonsense therapist who works to help my clients find solutions to their problems in the most effective, non-intrusive way possible. I also offer Christian/LDS counseling upon request.
My theoretical orientation is cognitive behavioral. My therapy style is goal oriented, solutions focused. I am a no-nonsense therapist who works to help my clients find solutions to their problems in the most effective, non-intrusive way possible. I also offer Christian/LDS counseling upon request.
(210) 585-2535 View (210) 585-2535
Photo of Stephanie Triana, PhD, Psychologist
Stephanie Triana
Psychologist, PhD
Verified Verified
Serves Area
I believe healing begins with you, but you don't have to do it alone. I'm here for you during this journey. I have 18 years experience in the mental health field and 16 years experience in treatment. I am EMDR trained, and love helping clients heal from trauma, depression, and anxiety. Trauma is a lot more common than you realize, and includes any experience that has affected your self worth and/or wellbeing. If you feel different or like you don't belong, come see me. I'm real, compassionate, empathic, and transparent.
I believe healing begins with you, but you don't have to do it alone. I'm here for you during this journey. I have 18 years experience in the mental health field and 16 years experience in treatment. I am EMDR trained, and love helping clients heal from trauma, depression, and anxiety. Trauma is a lot more common than you realize, and includes any experience that has affected your self worth and/or wellbeing. If you feel different or like you don't belong, come see me. I'm real, compassionate, empathic, and transparent.
(210) 880-1810 View (210) 880-1810
Photo of Martin V Bendernagel, MA, LPC, LCDC, Licensed Professional Counselor
Martin V Bendernagel
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Serves Area
Many people are hurting and seek help with relationship issues, with their spouse, and other family members; I strive to help restore marriage and family relationships. Common problems that clients bring to me include relationship problems, depression, anxiety, grief, past trauma, child behavior problems, addictions, and having problems adjusting to changes in life. I practice spiritually-integrated counseling from a Christian worldview.
Many people are hurting and seek help with relationship issues, with their spouse, and other family members; I strive to help restore marriage and family relationships. Common problems that clients bring to me include relationship problems, depression, anxiety, grief, past trauma, child behavior problems, addictions, and having problems adjusting to changes in life. I practice spiritually-integrated counseling from a Christian worldview.
(210) 714-1805 View (210) 714-1805
Photo of Kozue Shibazaki, PhD, Psychologist
Kozue Shibazaki
Psychologist, PhD
Verified Verified
Serves Area
While serving as the director and staff psychologist for over 14 years at the Counseling Service at the University of Texas Health Science Center, I had the opportunity to work with individuals presenting with wide range of presenting issues. The decision to seek psychotherapy is one that takes much courage and can positively change the current path of your life. While largely influenced by cognitive-behavioral, psychodynamic, and person-centered theories, I believe strongly in the need to tailor my interventions to meet the specific needs of my clients.
While serving as the director and staff psychologist for over 14 years at the Counseling Service at the University of Texas Health Science Center, I had the opportunity to work with individuals presenting with wide range of presenting issues. The decision to seek psychotherapy is one that takes much courage and can positively change the current path of your life. While largely influenced by cognitive-behavioral, psychodynamic, and person-centered theories, I believe strongly in the need to tailor my interventions to meet the specific needs of my clients.
(210) 579-9889 View (210) 579-9889
Photo of Alison Victoria Raymer, LPC, Licensed Professional Counselor
Alison Victoria Raymer
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Serves Area
I believe that through periods of difficulty and challenge lie great opportunities for personal growth and healing. Through a warm and supportive client-centered relationship an atmosphere of compassion and trust can develop that can help clients gain insights and develop the tools necessary to cope and thrive. I enjoy working with adults, couples and adolescents struggling with anxiety, depression, self-esteem issues, and who desire healthier, more effective ways of coping with life and relationships. I enjoy helping clients through times of major transition such as adjustment to parenthood, divorce, grief, and empty-nest.
I believe that through periods of difficulty and challenge lie great opportunities for personal growth and healing. Through a warm and supportive client-centered relationship an atmosphere of compassion and trust can develop that can help clients gain insights and develop the tools necessary to cope and thrive. I enjoy working with adults, couples and adolescents struggling with anxiety, depression, self-esteem issues, and who desire healthier, more effective ways of coping with life and relationships. I enjoy helping clients through times of major transition such as adjustment to parenthood, divorce, grief, and empty-nest.
(210) 361-0997 View (210) 361-0997
Photo of Susan Genie Chakmakian, MA, MFT, Marriage & Family Therapist
Susan Genie Chakmakian
Marriage & Family Therapist, MA, MFT
Verified Verified
4 Endorsed
Online Only
Are you stressed and overwhelmed by difficulties with relationships, your job, your purpose in life? There is hope. I believe that deeper understanding of yourself can create contentment, acceptance and peace. Through a collaborative process, I will support you in uncovering the emotional truth of your struggle, which will reduce stress, support healing and change, and help facilitate a more meaningful direction. Finding new and better ways of dealing with your conflicts may be challenging at times, but it's time to start feeling better and the rewards are worth it.
Are you stressed and overwhelmed by difficulties with relationships, your job, your purpose in life? There is hope. I believe that deeper understanding of yourself can create contentment, acceptance and peace. Through a collaborative process, I will support you in uncovering the emotional truth of your struggle, which will reduce stress, support healing and change, and help facilitate a more meaningful direction. Finding new and better ways of dealing with your conflicts may be challenging at times, but it's time to start feeling better and the rewards are worth it.
(818) 864-0320 View (818) 864-0320
Photo of Jan Braun, MS, LPC, SEP, Licensed Professional Counselor
Jan Braun
Licensed Professional Counselor, MS, LPC, SEP
Verified Verified
Serves Area
You may be thinking it's time for change. I believe in your capacity to do that through therapy. I'm here to support you through the process. I offer you supportive and accepting space where you can feel free to explore, grow and heal. By honoring your direct experience we can begin to alter the habitual reactions and outdated stories that keep you stuck, anxious or depressed. Engaging your moment to moment experience and body's wisdom can facilitate a deeper appreciation of who you are and create more ease in your system.
You may be thinking it's time for change. I believe in your capacity to do that through therapy. I'm here to support you through the process. I offer you supportive and accepting space where you can feel free to explore, grow and heal. By honoring your direct experience we can begin to alter the habitual reactions and outdated stories that keep you stuck, anxious or depressed. Engaging your moment to moment experience and body's wisdom can facilitate a deeper appreciation of who you are and create more ease in your system.
(210) 741-9546 View (210) 741-9546
Photo of Tiffany Frias, MA, LPC, Licensed Professional Counselor
Tiffany Frias
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
Serves Area
Let's be honest for a minute - you are currently reading this because there is something in your life that is causing you pain. That "something" may be a major life transition; such as a divorce, the growing pains of new parenthood, or a major career change. Maybe its some sort of repeating pattern you experience in relationships. It could be that the sheer weight of our current world feels heavy each day. Depression, anxiety, and grief are other common pain points; perhaps you are struggling with one of these.
Let's be honest for a minute - you are currently reading this because there is something in your life that is causing you pain. That "something" may be a major life transition; such as a divorce, the growing pains of new parenthood, or a major career change. Maybe its some sort of repeating pattern you experience in relationships. It could be that the sheer weight of our current world feels heavy each day. Depression, anxiety, and grief are other common pain points; perhaps you are struggling with one of these.
(210) 774-6627 View (210) 774-6627
Photo of Michelle Vignon, LPC-A
Michelle Vignon
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Serves Area
There are times in life when the challenges of life feel like they are hanging on like a weight. ADHD, emotional intensities, perfectionism, and underachievement are like crashing waves where you feel out of control. Events in your life hanging on into the present. So many things have been tried, for you or your child, yet no change. Those moments of frustration and discouragement continue to grow with no relief. Not knowing what to do makes this time feels discouraging, alone, and without hope. You want relief, a way to make it through, a way to move forward so that life can begin to feel more bearable and less like a struggle.
There are times in life when the challenges of life feel like they are hanging on like a weight. ADHD, emotional intensities, perfectionism, and underachievement are like crashing waves where you feel out of control. Events in your life hanging on into the present. So many things have been tried, for you or your child, yet no change. Those moments of frustration and discouragement continue to grow with no relief. Not knowing what to do makes this time feels discouraging, alone, and without hope. You want relief, a way to make it through, a way to move forward so that life can begin to feel more bearable and less like a struggle.
(210) 985-9577 View (210) 985-9577
Photo of Priscilla Sheridan-Roberson - PSR Counseling, DHA, LMFT-S, Marriage & Family Therapist
PSR Counseling
Marriage & Family Therapist, DHA, LMFT-S
Verified Verified
2 Endorsed
Online Only
Are you feeling overwhelmed in your relationships? Do you struggle with communication or experience anxiety and depression? You’re not alone, and there is hope for change. Dr. Priscilla Sheridan-Roberson, DHA, LMFT-S, is committed to helping couples and individuals navigate challenges, improve communication, resolve conflict, and rebuild trust. She also empowers clients to heal from trauma using EMDR therapy. With a Doctorate in Health Administration (DHA), Priscilla enhances her work by streamlining teletherapy, applying evidence-based approaches, and ensuring effective, compassionate care tailored to your needs.
Are you feeling overwhelmed in your relationships? Do you struggle with communication or experience anxiety and depression? You’re not alone, and there is hope for change. Dr. Priscilla Sheridan-Roberson, DHA, LMFT-S, is committed to helping couples and individuals navigate challenges, improve communication, resolve conflict, and rebuild trust. She also empowers clients to heal from trauma using EMDR therapy. With a Doctorate in Health Administration (DHA), Priscilla enhances her work by streamlining teletherapy, applying evidence-based approaches, and ensuring effective, compassionate care tailored to your needs.
(210) 987-8352 View (210) 987-8352
Photo of Zayna Achmar, PsyD, Pre-Licensed Professional
Zayna Achmar
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Serves Area
Dr. Zayna Achmar earned her doctorate in Clinical Psychology (Psy.D) from Adler University in Chicago, Illinois. She is a post doctoral fellow earning her hours toward licensure in the state of Texas as a psychologist. She has been helping children, adolescents, and adults of all backgrounds since 2014. Dr. Achmar’s approach cultivates a genuine relationship with clients that serve as the foundation for growth, healing, and self-understanding. Ultimately she wants to support clients as they explore presenting issues while making connections from past experiences and relationships that may be causing difficulty at present. D
Dr. Zayna Achmar earned her doctorate in Clinical Psychology (Psy.D) from Adler University in Chicago, Illinois. She is a post doctoral fellow earning her hours toward licensure in the state of Texas as a psychologist. She has been helping children, adolescents, and adults of all backgrounds since 2014. Dr. Achmar’s approach cultivates a genuine relationship with clients that serve as the foundation for growth, healing, and self-understanding. Ultimately she wants to support clients as they explore presenting issues while making connections from past experiences and relationships that may be causing difficulty at present. D
(210) 791-6869 View (210) 791-6869
Photo of Cathlinn Busch, MS, LPC, NCC, Licensed Professional Counselor
Cathlinn Busch
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Serves Area
I provide individual and family therapy to those struggling with depression, anxiety, infertility, relationship and family issues. I specialize in working with marriage conflict and help the couple grow in communication. I also specialize in working with couples and individuals who are going through women's issues such as infertility, family building, prenatal and postnatal issues. I work with children and adolescents on coping with everyday challenges. As your therapist we will collaborate to help you and/or your family reach your goals.
I provide individual and family therapy to those struggling with depression, anxiety, infertility, relationship and family issues. I specialize in working with marriage conflict and help the couple grow in communication. I also specialize in working with couples and individuals who are going through women's issues such as infertility, family building, prenatal and postnatal issues. I work with children and adolescents on coping with everyday challenges. As your therapist we will collaborate to help you and/or your family reach your goals.
(210) 418-1144 View (210) 418-1144
Photo of Mark Sibley Jones - Well Mind Center, Licensed Professional Counselor
Well Mind Center
Licensed Professional Counselor
Verified Verified
Serves Area
The Well Mind Center of San Antonio is an integrative environment for mental health. We utilize powerful evidence-based practices to individualize our approach, addressing your specific needs. The highly skilled clinicians of the Well Mind Center welcome you to call for an appointment.
The Well Mind Center of San Antonio is an integrative environment for mental health. We utilize powerful evidence-based practices to individualize our approach, addressing your specific needs. The highly skilled clinicians of the Well Mind Center welcome you to call for an appointment.
(210) 319-4569 View (210) 319-4569
Photo of Alexis Alfaro, MS
Alexis Alfaro
Licensed Professional Counselor Associate, MS
Verified Verified
1 Endorsed
Serves Area
Whether you are in a new phase of life, have been “doing fine” for as long as you can remember, or searching for a more in touch sense of self, I am committed to supporting you along every step of the way. Therapy sessions with me are all about creating a space to be authentically YOU (with jokes, tears, and anything in between), showing up unfiltered, and connecting with someone who understands you. I strive to create a genuine connection with each person sitting across from me. Being able to provide a sense of stability, a place for healing, and empowering others to be their most genuine self is an incredibly rewarding experience.
Whether you are in a new phase of life, have been “doing fine” for as long as you can remember, or searching for a more in touch sense of self, I am committed to supporting you along every step of the way. Therapy sessions with me are all about creating a space to be authentically YOU (with jokes, tears, and anything in between), showing up unfiltered, and connecting with someone who understands you. I strive to create a genuine connection with each person sitting across from me. Being able to provide a sense of stability, a place for healing, and empowering others to be their most genuine self is an incredibly rewarding experience.
(210) 767-9195 View (210) 767-9195
Photo of Tracy Cooper, LPC, Licensed Professional Counselor
Tracy Cooper
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Serves Area
Accepting New Clients! Life is short. Why spend it unhappy? My goal for you as your counselor is to help you be happy, have meaningful relationships, and live the life you want. This happens in a collaborative counseling relationship. Let's work together to help you reach your goals. I help adults, adolescents, and couples who are struggling with anxiety, depression, relationship issues, negative behaviors, social stressors & more. I believe change is possible and begins with self awareness and the motivation to change. I provide support and encouragement in a safe, warm and empathetic environment.
Accepting New Clients! Life is short. Why spend it unhappy? My goal for you as your counselor is to help you be happy, have meaningful relationships, and live the life you want. This happens in a collaborative counseling relationship. Let's work together to help you reach your goals. I help adults, adolescents, and couples who are struggling with anxiety, depression, relationship issues, negative behaviors, social stressors & more. I believe change is possible and begins with self awareness and the motivation to change. I provide support and encouragement in a safe, warm and empathetic environment.
(210) 762-5100 View (210) 762-5100
Photo of Dr. Leslie Marie Gordon, EdD, MA, LPC, EMDR, Licensed Professional Counselor
Dr. Leslie Marie Gordon
Licensed Professional Counselor, EdD, MA, LPC, EMDR
Verified Verified
4 Endorsed
Serves Area
As a Christian counselor I long to encourage and uplift. I consider it an honor when clients share their personal pain and struggle with me. Whatever your personal trial is right now, I want to establish a trusting relationship in which we can work through it together. Sometimes it just takes a caring counselor to process emotions with and other times an objective perspective or guidance may be needed. My integrative approach to counseling gives you the benefit of a wide range of options in seeking a peaceful solution to life's struggles.
As a Christian counselor I long to encourage and uplift. I consider it an honor when clients share their personal pain and struggle with me. Whatever your personal trial is right now, I want to establish a trusting relationship in which we can work through it together. Sometimes it just takes a caring counselor to process emotions with and other times an objective perspective or guidance may be needed. My integrative approach to counseling gives you the benefit of a wide range of options in seeking a peaceful solution to life's struggles.
(210) 762-4166 View (210) 762-4166
Photo of Sean Patrick, LCPC, Counselor
Sean Patrick
Counselor, LCPC
Verified Verified
1 Endorsed
Online Only
I enjoy working with clients of all ages, from all cultural backgrounds and from all walks of life. I offer online therapy and retreats for individuals, couples, families, and groups. My lifelong love and appreciation for the outdoors called me to make a bold move to Montana. This is where I was exposed to the many opportunities to use my love of the outdoors to enrich the therapeutic process.
I enjoy working with clients of all ages, from all cultural backgrounds and from all walks of life. I offer online therapy and retreats for individuals, couples, families, and groups. My lifelong love and appreciation for the outdoors called me to make a bold move to Montana. This is where I was exposed to the many opportunities to use my love of the outdoors to enrich the therapeutic process.
(406) 640-8714 View (406) 640-8714
Photo of Dirk Magdahl, PhD, LPC, Licensed Professional Counselor
Dirk Magdahl
Licensed Professional Counselor, PhD, LPC
Verified Verified
Serves Area
I love what I do.....I have been doing it for 28 years.....I am the kind of therapist that understands the value of psychotherapy because I have been a client at different times in my life. I know that we all need a safe place to talk, in which confidentiality is as important as feeling accepted. I love working with clients that are dealing with a variety of anxiety disorders as well as people with self esteem issues including people that seems to have a need to please others. I am passionate about Integrative Breathwork and Transpersonal Psychology in which we explore the needs of the mind body and spirit. Fluent in Spanish.
I love what I do.....I have been doing it for 28 years.....I am the kind of therapist that understands the value of psychotherapy because I have been a client at different times in my life. I know that we all need a safe place to talk, in which confidentiality is as important as feeling accepted. I love working with clients that are dealing with a variety of anxiety disorders as well as people with self esteem issues including people that seems to have a need to please others. I am passionate about Integrative Breathwork and Transpersonal Psychology in which we explore the needs of the mind body and spirit. Fluent in Spanish.
(210) 920-9883 View (210) 920-9883
Photo of Vanessa A Montez - BVOY Counseling, LCSW-S, Clinical Social Work/Therapist
BVOY Counseling
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Online Only
Are you a mom and tired of feeling overwhelmed, stressed and stuck? Like no matter how hard you work, people don’t recognize, reward or reciprocate your efforts? Do you doubt yourself and wonder how you will ever heal from your past trauma? You are ready to connect with your voice, set healthier boundaries and heal from your unresolved past wounding. I am an expert in helping ambitious women tap into their strength, heal their inner wounds and love their bodies in order to attract healthy relationships, inner peace and to become the best versions of themselves.
Are you a mom and tired of feeling overwhelmed, stressed and stuck? Like no matter how hard you work, people don’t recognize, reward or reciprocate your efforts? Do you doubt yourself and wonder how you will ever heal from your past trauma? You are ready to connect with your voice, set healthier boundaries and heal from your unresolved past wounding. I am an expert in helping ambitious women tap into their strength, heal their inner wounds and love their bodies in order to attract healthy relationships, inner peace and to become the best versions of themselves.
(210) 864-7760 View (210) 864-7760
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See more therapy options for Shady Oaks, San Antonio

How does your Therapist compare?

Number of Therapists in Shady Oaks, San Antonio, TX

50+

Average cost per session

$150

Therapists in Shady Oaks, San Antonio, TX who prioritize treating:

98% Depression
92% Anxiety
84% Relationship Issues
82% Coping Skills
76% Grief
75% Self Esteem
67% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

85% Aetna
82% BlueCross and BlueShield
67% UnitedHealthcare UHC | UBH

How Therapists in Shady Oaks, San Antonio, TX see their clients

73% In Person and Online
27% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Shady Oaks, San Antonio?

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.