Therapists in Palmyra, VA

Photo of Steven Welsh, Licensed Professional Counselor in Palmyra, VA
Steven Welsh
Licensed Professional Counselor, LPC
Verified Verified
Palmyra, VA 22963
I focus on adults to help them actualize their innate qualities of goodness and wholeness. I support people who are overwhelmed with stress, anxiety, or depression, in order to help them learn to transform their life challenges into opportunities for healing and growth. Individuals will learn to recognize behaviors and thoughts that keep them stuck and are provided with tools to help them process difficult emotions and connect and communicate more effectively and lovingly.Through establishing a caring therapeutic relationship clients can become more confident and secure within themselves.
I focus on adults to help them actualize their innate qualities of goodness and wholeness. I support people who are overwhelmed with stress, anxiety, or depression, in order to help them learn to transform their life challenges into opportunities for healing and growth. Individuals will learn to recognize behaviors and thoughts that keep them stuck and are provided with tools to help them process difficult emotions and connect and communicate more effectively and lovingly.Through establishing a caring therapeutic relationship clients can become more confident and secure within themselves.
(434) 277-2206 View (434) 277-2206
Photo of Jennifer Bailey, Clinical Social Work/Therapist in Palmyra, VA
Jennifer Bailey
Clinical Social Work/Therapist, LCSW
Verified Verified
Palmyra, VA 22963  (Online Only)
Are there things you would like to accomplish but you don't know where to start? Do you feel like you are at a crossroads and unsure which direction to choose? Do you feel unsatisfied or feel like you are not reaching your full potential in life? We all have moments where we feel this way. Whether the source of these feelings is from experiencing a loss, reaching a new milestone or feeling as though you are in a rut. Therapy is a place where you explore these feelings. You can work with me to figure out a plan for your life. A plan that you feel content with and maybe even proud of.
Are there things you would like to accomplish but you don't know where to start? Do you feel like you are at a crossroads and unsure which direction to choose? Do you feel unsatisfied or feel like you are not reaching your full potential in life? We all have moments where we feel this way. Whether the source of these feelings is from experiencing a loss, reaching a new milestone or feeling as though you are in a rut. Therapy is a place where you explore these feelings. You can work with me to figure out a plan for your life. A plan that you feel content with and maybe even proud of.
(434) 623-9402 View (434) 623-9402
Photo of Megan Osburn, Licensed Professional Counselor in Palmyra, VA
Megan Osburn
Licensed Professional Counselor, MS, LPC
Verified Verified
Palmyra, VA 22963  (Online Only)
My ideal client is someone who is wanting to take a deeper look at their own reflection. Have you ever seen a movie or television show with an insensitive therapist and thought: Is this what therapy is supposed to look like? I can tell you therapy with me will not look like the disinterested professional depicted on television. My therapy style is built on the keystone of rapport building. I value our time together and respect boundaries as we work collaboratively to navigate some of life’s hardships.
My ideal client is someone who is wanting to take a deeper look at their own reflection. Have you ever seen a movie or television show with an insensitive therapist and thought: Is this what therapy is supposed to look like? I can tell you therapy with me will not look like the disinterested professional depicted on television. My therapy style is built on the keystone of rapport building. I value our time together and respect boundaries as we work collaboratively to navigate some of life’s hardships.
(434) 204-4413 View (434) 204-4413
Photo of A Step Forward Counseling, Marriage & Family Therapist in Palmyra, VA
A Step Forward Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Palmyra, VA 22963
First and foremost I want to praise you for taking the first step in making a positive change in your life (as I'm well aware this is NOT easy)! Here are issues/concerns I best target that can help along your journey: anger control, anxiety, blended family issues, depression, low self-esteem/worth, lying/manipulative, miscommunication, negative thinking, oppositional defiant, parenting, peer/sibling conflict, and the inability to see perspectives different from their own. Again these shifts are NOT easy to make so please know I do my best to assist with as much ease as possible :)
First and foremost I want to praise you for taking the first step in making a positive change in your life (as I'm well aware this is NOT easy)! Here are issues/concerns I best target that can help along your journey: anger control, anxiety, blended family issues, depression, low self-esteem/worth, lying/manipulative, miscommunication, negative thinking, oppositional defiant, parenting, peer/sibling conflict, and the inability to see perspectives different from their own. Again these shifts are NOT easy to make so please know I do my best to assist with as much ease as possible :)
(434) 436-2925 View (434) 436-2925
Photo of Shannon Garrett-Redmond, Clinical Social Work/Therapist in Palmyra, VA
Shannon Garrett-Redmond
Clinical Social Work/Therapist, LCSW
Verified Verified
Palmyra, VA 22963
It is hard to sleep at night and you find it is hard to enjoy your life, or concentrate on the things that matter to you. You are lost and you worry that you will be overcome by fear and anger at any moment You are tired of feeling numb, but afraid you will be overwhelmed by your feelings at the same time. You are worried that his feeling will never end. If you are a parent, your child does not sleep anymore, and is worried and scared all the time. You do not know how to help your child with what has happened. They are withdrawn or angry and you miss the child they were before.
It is hard to sleep at night and you find it is hard to enjoy your life, or concentrate on the things that matter to you. You are lost and you worry that you will be overcome by fear and anger at any moment You are tired of feeling numb, but afraid you will be overwhelmed by your feelings at the same time. You are worried that his feeling will never end. If you are a parent, your child does not sleep anymore, and is worried and scared all the time. You do not know how to help your child with what has happened. They are withdrawn or angry and you miss the child they were before.
(434) 201-4330 View (434) 201-4330
Photo of Raechel Brittain, Clinical Social Work/Therapist in Palmyra, VA
Raechel Brittain
Clinical Social Work/Therapist, LCSW
Verified Verified
Palmyra, VA 22963  (Online Only)
Welcome – I’m happily accepting new clients with availability on Saturday mornings and evenings on weekdays! I am a Licensed Clinical Social Worker (LCSW) in Virginia with over ten years of clinical experience working with adolescents and adults in a variety of therapeutic settings. In moments of great change, challenging decisions, or feeling disconnected from ourselves and others, a welcoming non-judgmental therapeutic environment can help you reconnect with your inner resilience and find new ways forward.
Welcome – I’m happily accepting new clients with availability on Saturday mornings and evenings on weekdays! I am a Licensed Clinical Social Worker (LCSW) in Virginia with over ten years of clinical experience working with adolescents and adults in a variety of therapeutic settings. In moments of great change, challenging decisions, or feeling disconnected from ourselves and others, a welcoming non-judgmental therapeutic environment can help you reconnect with your inner resilience and find new ways forward.
(434) 474-1629 View (434) 474-1629
Photo of Jennifer Bates, Clinical Social Work/Therapist in Palmyra, VA
Jennifer Bates
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
Palmyra, VA 22963  (Online Only)
There are some changes and losses in life that break us. Completely. Totally. Every area is fragmented, jagged and raw. Sometimes the hurt is so overwhelming that we become numb, afraid, avoiding things that we used to enjoy. It’s hard to put those pieces back together again. They don’t fit the way they did before. While time may heal some wounds, moving from being functional in your pain to being free from that hurt takes effort and therapy. As a licensed clinical social worker with over ten years of experience, I’m here to assist you in moving from function to freedom.
There are some changes and losses in life that break us. Completely. Totally. Every area is fragmented, jagged and raw. Sometimes the hurt is so overwhelming that we become numb, afraid, avoiding things that we used to enjoy. It’s hard to put those pieces back together again. They don’t fit the way they did before. While time may heal some wounds, moving from being functional in your pain to being free from that hurt takes effort and therapy. As a licensed clinical social worker with over ten years of experience, I’m here to assist you in moving from function to freedom.
(434) 201-2576 View (434) 201-2576
Photo of Steven Welsh, Licensed Professional Counselor in Palmyra, VA
Steven Welsh
Licensed Professional Counselor, LPC
Verified Verified
Palmyra, VA 22963
I enjoy working with teenagers, adults, and families. I have experience working with a variety of mental health needs from anxiety and depression to anger, trauma and behavioral issues. I support clients who are overwhelmed with stress and life adjustments and help them learn to transform their life challenges into opportunities for healing and growth. Individuals will learn to recognize behaviors and thoughts that keep them stuck and are provided with tools to help them process difficult emotions.
I enjoy working with teenagers, adults, and families. I have experience working with a variety of mental health needs from anxiety and depression to anger, trauma and behavioral issues. I support clients who are overwhelmed with stress and life adjustments and help them learn to transform their life challenges into opportunities for healing and growth. Individuals will learn to recognize behaviors and thoughts that keep them stuck and are provided with tools to help them process difficult emotions.
(434) 813-6309 View (434) 813-6309
Photo of Cynthia Starnes, Clinical Social Work/Therapist in Palmyra, VA
Cynthia Starnes
Clinical Social Work/Therapist, LCSW
Verified Verified
Palmyra, VA 22963  (Online Only)
I have extensive experience supporting clients who suffer from trauma-related disorders, including intimate partner violence, childhood abuse/sexual abuse, post-traumatic stress disorder, depression, and loss and grief issues. I have experience working with EMS/First Responders as well. We will work together as partners in your treatment, developing a plan to process your trauma and move from the role of victim to that of a strong and successful survivor. I now offer online sessions via a HIPAA compliant, secure, easy to use platform. Easy online scheduling.
I have extensive experience supporting clients who suffer from trauma-related disorders, including intimate partner violence, childhood abuse/sexual abuse, post-traumatic stress disorder, depression, and loss and grief issues. I have experience working with EMS/First Responders as well. We will work together as partners in your treatment, developing a plan to process your trauma and move from the role of victim to that of a strong and successful survivor. I now offer online sessions via a HIPAA compliant, secure, easy to use platform. Easy online scheduling.
(434) 264-5326 View (434) 264-5326
Photo of Kenneth Adrian Deneault, Licensed Professional Counselor in Palmyra, VA
Kenneth Adrian Deneault
Licensed Professional Counselor, LPC
Verified Verified
Palmyra, VA 22963
Ken Deneault is a Licensed Professional Counselor (LPC) with over 5 years of experience with children, adolescents, adults and elderly persons dealing with a variety of issues that affect their well being. Ken offers office hours for outpatient therapy.
Ken Deneault is a Licensed Professional Counselor (LPC) with over 5 years of experience with children, adolescents, adults and elderly persons dealing with a variety of issues that affect their well being. Ken offers office hours for outpatient therapy.
(434) 201-7563 View (434) 201-7563
Photo of Jessica Campos, Clinical Social Work/Therapist in Palmyra, VA
Jessica Campos
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Palmyra, VA 22963
I have worked in the field as a mental health provider for at-risk and vulnerable populations since 2006. I am certified in Trauma and Resilience and also have a minor in special education.
I have worked in the field as a mental health provider for at-risk and vulnerable populations since 2006. I am certified in Trauma and Resilience and also have a minor in special education.
(434) 331-1023 View (434) 331-1023
Photo of Devin Byam, Licensed Professional Counselor in Palmyra, VA
Devin Byam
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Palmyra, VA 22963
I am passionate about working with individuals, couples and families in order to create healthy and sustainable thoughts, feelings, and patterns of behavior that empower them to be their best selves. My ideal client is someone who is motivated to change and recognizes that, even in life's hard times, you can still make positive changes that will empower you to move forward.
I am passionate about working with individuals, couples and families in order to create healthy and sustainable thoughts, feelings, and patterns of behavior that empower them to be their best selves. My ideal client is someone who is motivated to change and recognizes that, even in life's hard times, you can still make positive changes that will empower you to move forward.
(434) 277-2061 View (434) 277-2061
Photo of Charlotte A. Schafer, Licensed Professional Counselor in Palmyra, VA
Charlotte A. Schafer
Licensed Professional Counselor, BS, MA
Verified Verified
1 Endorsed
Palmyra, VA 22963  (Online Only)
Do you wish you knew better coping strategies for managing ADD, anxiety, or depression? Are you feeling under the control of others and don’t know how to break free? Are you experiencing guilt, or sadness that doesn't go away? As a professional counselor I can help you find your way back to a more joyful, healthy life. As a caring professional I can teach you techniques that make these distresses lesson or even leave, and help you regain a more balanced perspective over your emotional issues. Are you looking for empowerment over emotional habiting? As a balanced Christian counselor I have answers, I would love to help you.
Do you wish you knew better coping strategies for managing ADD, anxiety, or depression? Are you feeling under the control of others and don’t know how to break free? Are you experiencing guilt, or sadness that doesn't go away? As a professional counselor I can help you find your way back to a more joyful, healthy life. As a caring professional I can teach you techniques that make these distresses lesson or even leave, and help you regain a more balanced perspective over your emotional issues. Are you looking for empowerment over emotional habiting? As a balanced Christian counselor I have answers, I would love to help you.
(434) 595-3062 View (434) 595-3062
Photo of Karen Cersley, Licensed Professional Counselor in Palmyra, VA
Karen Cersley
Licensed Professional Counselor, LPC, MBA, MA
Verified Verified
2 Endorsed
Palmyra, VA 22963
Waitlist for new clients
Are you looking for more fulfillment in life, more happiness, and more tools for self-discovery, relationship-building, and problem-solving? Through our collaboration, we will identify and set specific goals and then work together to make meaningful changes. Through a spiritual psychology approach, we will partner together to help you maintain physical, emotional, mental, and spiritual health & well-being. If you are willing to invest yourself in the process, I will walk beside you on your journey to reach your goals and dreams while you learn more effectively how to deal with situations in your life. How can I serve you?
Are you looking for more fulfillment in life, more happiness, and more tools for self-discovery, relationship-building, and problem-solving? Through our collaboration, we will identify and set specific goals and then work together to make meaningful changes. Through a spiritual psychology approach, we will partner together to help you maintain physical, emotional, mental, and spiritual health & well-being. If you are willing to invest yourself in the process, I will walk beside you on your journey to reach your goals and dreams while you learn more effectively how to deal with situations in your life. How can I serve you?
(434) 473-7243 View (434) 473-7243
Photo of Rebecca McIntyre Psychotherapy LLC, Clinical Social Work/Therapist in Palmyra, VA
Rebecca McIntyre Psychotherapy LLC
Clinical Social Work/Therapist, MA, MEd, LCSW
Verified Verified
Palmyra, VA 22963
Not accepting new clients
Rebecca is a licensed clinical social worker with extensive training and experience working with individuals, couples and families dealing with the challenges of mental health issues, and/or physical illness such as cancer. She has expertise working with anxiety, depression, ADHD (Adults and Children), trauma, dealing with serious illness, relationships, and grief and loss. Rebecca practices with a kind and gentle approach using proven strategies to help clients regain control and move forward with a focus on building resilience and overall healthy functioning.
Rebecca is a licensed clinical social worker with extensive training and experience working with individuals, couples and families dealing with the challenges of mental health issues, and/or physical illness such as cancer. She has expertise working with anxiety, depression, ADHD (Adults and Children), trauma, dealing with serious illness, relationships, and grief and loss. Rebecca practices with a kind and gentle approach using proven strategies to help clients regain control and move forward with a focus on building resilience and overall healthy functioning.
(434) 218-0654 View (434) 218-0654
Photo of Erinn Falls in Palmyra, VA
Erinn Falls
MSW
Verified Verified
1 Endorsed
Palmyra, VA 22963  (Online Only)
When we feel securely and safely connected to our significant other we experience a sense of well-being and the ability to respond more flexibly to the inevitable stressors of life. When we feel disconnected however, we may experience anxiety, irritability, anger or depression. This distress impacts every area of our lives and diminishes our ability to live, work and parent from our optimal self. Often we numb that disconnection through work, addiction, or an over-focus on being co-parents versus best friends and romantic partners. Usually this impairs our ability to connect sexually in a meaningful and satisfying way as well.
When we feel securely and safely connected to our significant other we experience a sense of well-being and the ability to respond more flexibly to the inevitable stressors of life. When we feel disconnected however, we may experience anxiety, irritability, anger or depression. This distress impacts every area of our lives and diminishes our ability to live, work and parent from our optimal self. Often we numb that disconnection through work, addiction, or an over-focus on being co-parents versus best friends and romantic partners. Usually this impairs our ability to connect sexually in a meaningful and satisfying way as well.
(434) 361-3155 View (434) 361-3155
Photo of Angela L. Leyshon, Licensed Professional Counselor in Palmyra, VA
Angela L. Leyshon
Licensed Professional Counselor, MA, LPC
Verified Verified
Palmyra, VA 22963
Journeying alongside clients during life struggles takes relationship building and rebuilding: relationship with self and others. My goal is helping clients work through strongholds to create a healthier person to have a healthier life and healthier relationships. Getting rid of old habits and wrong beliefs to usher in habits and truths that benefit a well lived life, is a complete life changing make-over that takes time, effort, sweat, and tears. Together, my clients and I work toward conquering mountains by uncovering these strongholds, allowing healing and empowerment to be achieved to live a life with authority.
Journeying alongside clients during life struggles takes relationship building and rebuilding: relationship with self and others. My goal is helping clients work through strongholds to create a healthier person to have a healthier life and healthier relationships. Getting rid of old habits and wrong beliefs to usher in habits and truths that benefit a well lived life, is a complete life changing make-over that takes time, effort, sweat, and tears. Together, my clients and I work toward conquering mountains by uncovering these strongholds, allowing healing and empowerment to be achieved to live a life with authority.
(434) 201-8019 View (434) 201-8019
Photo of Paige Nolt, Clinical Social Work/Therapist in Palmyra, VA
Paige Nolt
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Palmyra, VA 22963
Waitlist for new clients
The attempt to ignore or suppress emotions, the pressure to "get over it", is where feelings of anxiety, depression, anger and loneliness thrive. I believe in the intelligence of our internal emotional system, viewing symptoms not as a problem to be solved but a roadmap to follow towards feeling and functioning better. The process of therapy will connect you with the internal resources needed to navigate life from a calmer and more connected space.
The attempt to ignore or suppress emotions, the pressure to "get over it", is where feelings of anxiety, depression, anger and loneliness thrive. I believe in the intelligence of our internal emotional system, viewing symptoms not as a problem to be solved but a roadmap to follow towards feeling and functioning better. The process of therapy will connect you with the internal resources needed to navigate life from a calmer and more connected space.
(434) 448-2983 View (434) 448-2983
Photo of January Marshall, Licensed Professional Counselor in Palmyra, VA
January Marshall
Licensed Professional Counselor, LPC
Verified Verified
Palmyra, VA 22963
January offers a safe, compassionate environment for clients to be seen and heard. She understands that mental distress is not a condition to be "fixed," but comes alongside each client to guide them in pathways to emotional, relational, and spiritual healing. Though she utilizes a Christian perspectives, January also realizes that every client is on a different spirtiual and life journey, and is experienced in working with persons of every walk of life and faith. She recognizes that emotional distress is universal to all, life is filled with an abundance of storms throughout our lifetimes, and healing is available to all.
January offers a safe, compassionate environment for clients to be seen and heard. She understands that mental distress is not a condition to be "fixed," but comes alongside each client to guide them in pathways to emotional, relational, and spiritual healing. Though she utilizes a Christian perspectives, January also realizes that every client is on a different spirtiual and life journey, and is experienced in working with persons of every walk of life and faith. She recognizes that emotional distress is universal to all, life is filled with an abundance of storms throughout our lifetimes, and healing is available to all.
(434) 231-5089 View (434) 231-5089
Photo of Randy J Nolt, Clinical Social Work/Therapist in Palmyra, VA
Randy J Nolt
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Palmyra, VA 22963
I specialize in working with children, adolescents, young adults, and families who are looking for help around challenges with ADHD, neurodivergence, anxiety, depression, behavioral difficulties, and those that are twice exceptional. I view my role as helping individuals discover their capabilities and strengths to overcome life challenges. Many times, this means helping them identify new coping strategies, ways to communicate with others, and an overall healthier way of living.
I specialize in working with children, adolescents, young adults, and families who are looking for help around challenges with ADHD, neurodivergence, anxiety, depression, behavioral difficulties, and those that are twice exceptional. I view my role as helping individuals discover their capabilities and strengths to overcome life challenges. Many times, this means helping them identify new coping strategies, ways to communicate with others, and an overall healthier way of living.
(434) 277-4628 View (434) 277-4628

See more therapy options for Palmyra

How does your Therapist compare?

Number of Therapists in Palmyra, VA

20+

Average cost per session

$140

Therapists in Palmyra, VA who prioritize treating:

92% Anxiety
84% Self Esteem
80% Depression
80% Coping Skills
76% Trauma and PTSD
76% Stress
68% Grief

Average years in practice

12 Years

Top 3 insurances accepted

80% Anthem | Elevance
75% Aetna
60% BlueCross and BlueShield

How Therapists in Palmyra, VA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
21% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Palmyra?

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.