Therapists in Richmond, VA

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Photo of Maryann D McCoul, Psychologist in Richmond, VA
Maryann D McCoul
Psychologist, PhD
Verified Verified
Richmond, VA 23238  (Online Only)
I use an eclectic approach with an emphasis on interpersonal relations focusing on what works best for clients. I am actively involved in the process of inviting clients to explore curiosities, moving away from negative beliefs and self -judgements towards a place of understanding, integration and acceptance. I believe engaging clients on their terms is critical to creating a comfortable environment to discuss any issues of concern. I engage clients to explore and understand how their past influences the present , as well as patterns of behaviors and functioning that may both interfere and support their current life situations.
I use an eclectic approach with an emphasis on interpersonal relations focusing on what works best for clients. I am actively involved in the process of inviting clients to explore curiosities, moving away from negative beliefs and self -judgements towards a place of understanding, integration and acceptance. I believe engaging clients on their terms is critical to creating a comfortable environment to discuss any issues of concern. I engage clients to explore and understand how their past influences the present , as well as patterns of behaviors and functioning that may both interfere and support their current life situations.
(804) 286-4153 View (804) 286-4153
Photo of Constance L Parker, Clinical Social Work/Therapist in Richmond, VA
Constance L Parker
Clinical Social Work/Therapist, MBA, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23222  (Online Only)
Not accepting new clients
I am a Licensed Clinical Social Worker (LCSW) and DONA-trained Birth Doula, who has worked in maternal mental health, veteran health, and healthcare for unhoused individuals. I have experience working with those who are struggling with anxiety, depression, and the effects of sexual and race-based traumas.
I am a Licensed Clinical Social Worker (LCSW) and DONA-trained Birth Doula, who has worked in maternal mental health, veteran health, and healthcare for unhoused individuals. I have experience working with those who are struggling with anxiety, depression, and the effects of sexual and race-based traumas.
(804) 567-8658 View (804) 567-8658
Photo of Gerald Ott, Pre-Licensed Professional in Richmond, VA
Gerald Ott
Pre-Licensed Professional, RIC
Verified Verified
Richmond, VA 23220
Gerald Ott is a Resident in Counseling who has worked in the mental health field in various settings, from outpatient therapy to hospitals, and even mental health counseling in schools. He is passionate about meeting clients where they are and creating a treatment plan together based on the best modality to treat one's needs. Gerald specializes in depression, anxiety, grief, trauma, relationship issues, major life transitions, and disorders. Gerald is passionate about providing therapy for individuals from all walks of life. Gerald’s personal and professional experiences enable him to provide treatment in many researched areas.
Gerald Ott is a Resident in Counseling who has worked in the mental health field in various settings, from outpatient therapy to hospitals, and even mental health counseling in schools. He is passionate about meeting clients where they are and creating a treatment plan together based on the best modality to treat one's needs. Gerald specializes in depression, anxiety, grief, trauma, relationship issues, major life transitions, and disorders. Gerald is passionate about providing therapy for individuals from all walks of life. Gerald’s personal and professional experiences enable him to provide treatment in many researched areas.
(804) 376-9860 View (804) 376-9860
Photo of Debbie Anderson, Clinical Social Work/Therapist in Richmond, VA
Debbie Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23235
Hi! My name is Debbie and I am a Licensed Clinical Social Worker who has been practicing in the field for over 13 years. I specialize primarily in the treatment of trauma, depression, and anxiety, but have also helped individuals diagnosed with Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia. I am trained in CBT, DBT, Cognitive Processing Therapy, and EMDR, and have spent the majority of my adult life developing and authenticating my skills to help those in need. I am very passionate about the work I do, and believe that all have the power within them to heal and recover, whatever that might look like.
Hi! My name is Debbie and I am a Licensed Clinical Social Worker who has been practicing in the field for over 13 years. I specialize primarily in the treatment of trauma, depression, and anxiety, but have also helped individuals diagnosed with Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia. I am trained in CBT, DBT, Cognitive Processing Therapy, and EMDR, and have spent the majority of my adult life developing and authenticating my skills to help those in need. I am very passionate about the work I do, and believe that all have the power within them to heal and recover, whatever that might look like.
(804) 593-0535 View (804) 593-0535
Photo of Beth Montgomery, Clinical Social Work/Therapist in Richmond, VA
Beth Montgomery
Clinical Social Work/Therapist, LMSW, MSW, MPH
Verified Verified
Richmond, VA 23221
Hi, my name is Beth and thank you for visiting my page! My clinical practice focuses on individual, couples, and family therapy. Drawing from my rich life experiences. I employ a collaborative, strengths-based approach to helping clients uncover their strengths and assets that lead to healthy solutions.
Hi, my name is Beth and thank you for visiting my page! My clinical practice focuses on individual, couples, and family therapy. Drawing from my rich life experiences. I employ a collaborative, strengths-based approach to helping clients uncover their strengths and assets that lead to healthy solutions.
(804) 735-1265 View (804) 735-1265
Photo of Jeannette Sedor, Licensed Professional Counselor in Richmond, VA
Jeannette Sedor
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression.
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression.
(804) 352-2387 View (804) 352-2387
Photo of Stephen Barlow, Resident in Counseling in Richmond, VA
Stephen Barlow
Resident in Counseling, ME
Verified Verified
2 Endorsed
Richmond, VA 23235
My ideal client is someone who feels that they are facing difficulties in their mental health and would like some help and outside perspective. I want to help clients with a huge variety of issues and struggles, from many different backgrounds. I will learn alongside them on the best ways to help and provide support. For my clients, I know that it is a difficult thing to share about deeply personal issues, so I only ask that they take a brave step and be willing to talk a little about what is bringing them in
My ideal client is someone who feels that they are facing difficulties in their mental health and would like some help and outside perspective. I want to help clients with a huge variety of issues and struggles, from many different backgrounds. I will learn alongside them on the best ways to help and provide support. For my clients, I know that it is a difficult thing to share about deeply personal issues, so I only ask that they take a brave step and be willing to talk a little about what is bringing them in
(804) 294-4176 View (804) 294-4176
Photo of Sonja Harrison, Clinical Social Work/Therapist in Richmond, VA
Sonja Harrison
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23223
I believe that everyone has the capacity to accomplish their goals. My role is to help you uncover and understand the obstacles and trauma that are getting in the way of achieving what you desire, and then help you tap into your inner resources to succeed. With empathy and authenticity, I work alongside my clients to promote healing and discovery of their power to change. Whether you are experiencing symptoms related to anxiety, depression, grief and loss; problems with relationships, parenting, or self-esteem; or a general sense of disconnectedness – whatever it is – I recognize that therapy is self-work, and it's not easy.
I believe that everyone has the capacity to accomplish their goals. My role is to help you uncover and understand the obstacles and trauma that are getting in the way of achieving what you desire, and then help you tap into your inner resources to succeed. With empathy and authenticity, I work alongside my clients to promote healing and discovery of their power to change. Whether you are experiencing symptoms related to anxiety, depression, grief and loss; problems with relationships, parenting, or self-esteem; or a general sense of disconnectedness – whatever it is – I recognize that therapy is self-work, and it's not easy.
(804) 346-5688 View (804) 346-5688
Photo of Anwar Taylor, Pre-Licensed Professional in Richmond, VA
Anwar Taylor
Pre-Licensed Professional, LMFT-R
Verified Verified
1 Endorsed
Richmond, VA 23235  (Online Only)
Relationships are the foundation of our identity. Our relational experiences shape our identity, worldview, choices, patterns of interaction, and purpose in life. They let us know what is loveable about us, what needs we can expect to be met, which emotions are acceptable, and what kind of security may or may not be available to us. I work with individuals, couples, families (age 2-18) and parents, helping them understand their experiences of connection and any patterns, protections, wounds, vulnerabilities, adaptations, or indirect strategies for getting their needs met that may have emerged. I look forward to being alongside you.
Relationships are the foundation of our identity. Our relational experiences shape our identity, worldview, choices, patterns of interaction, and purpose in life. They let us know what is loveable about us, what needs we can expect to be met, which emotions are acceptable, and what kind of security may or may not be available to us. I work with individuals, couples, families (age 2-18) and parents, helping them understand their experiences of connection and any patterns, protections, wounds, vulnerabilities, adaptations, or indirect strategies for getting their needs met that may have emerged. I look forward to being alongside you.
(571) 341-7128 View (571) 341-7128
Photo of Micky Greene, Clinical Social Work/Therapist in Richmond, VA
Micky Greene
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23220
Michelle “Micky” Greene is a therapist and Licensed Clinical Social Worker (LCSW) who strives to create a safe, nonjudgmental space for each person she serves. Micky has experience treating a diverse range of diagnoses and life challenges such as trauma/PTSD, depression, anxiety, and LGBTQIA+ issues. Micky earned her Master's degree from Virginia Commonwealth University, and majored in psychology and gender/sexuality/women’s studies at William & Mary. She uses a trauma-informed, strengths-based approach to build a genuine relationship with her clients.
Michelle “Micky” Greene is a therapist and Licensed Clinical Social Worker (LCSW) who strives to create a safe, nonjudgmental space for each person she serves. Micky has experience treating a diverse range of diagnoses and life challenges such as trauma/PTSD, depression, anxiety, and LGBTQIA+ issues. Micky earned her Master's degree from Virginia Commonwealth University, and majored in psychology and gender/sexuality/women’s studies at William & Mary. She uses a trauma-informed, strengths-based approach to build a genuine relationship with her clients.
(804) 373-8721 View (804) 373-8721
Photo of Luz Rivera, Clinical Social Work/Therapist in Richmond, VA
Luz Rivera
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Richmond, VA 23284  (Online Only)
I'm here to offer professional support and guidance. I am a compassionate and an insightful counselor. I have a Bachelor's Degree and Master's Degree in Social Work. I have been a social worker for 20 years and worked in many different settings in the social work field. I have worked with children (age 3 and up), teens, and adults. I have experienced working with military children and families both in the states as well as overseas. I have experience working with clients struggling with anxiety, depression, self-esteem, interpersonal relationships, codependency and trauma in an individual and group settings.
I'm here to offer professional support and guidance. I am a compassionate and an insightful counselor. I have a Bachelor's Degree and Master's Degree in Social Work. I have been a social worker for 20 years and worked in many different settings in the social work field. I have worked with children (age 3 and up), teens, and adults. I have experienced working with military children and families both in the states as well as overseas. I have experience working with clients struggling with anxiety, depression, self-esteem, interpersonal relationships, codependency and trauma in an individual and group settings.
(321) 635-1309 View (321) 635-1309
Photo of Dr. Sibhon Brown, LLC , Licensed Professional Counselor in Richmond, VA
Dr. Sibhon Brown, LLC
Licensed Professional Counselor, PhD, LPC, LSATP
Verified Verified
Richmond, VA 23223  (Online Only)
Do you feel misunderstood? Do you need someone to talk to? I have a wide-range background working with children, adolescents, and adults, providing psychotherapy. I have worked in a variety of localities to include but not limited to: schools, hospitals, private practices, and community settings. I am zealous about aiding people of varying ages and families reach their maximum potential.
Do you feel misunderstood? Do you need someone to talk to? I have a wide-range background working with children, adolescents, and adults, providing psychotherapy. I have worked in a variety of localities to include but not limited to: schools, hospitals, private practices, and community settings. I am zealous about aiding people of varying ages and families reach their maximum potential.
(804) 298-2782 View (804) 298-2782
Photo of John H Weaver, Licensed Professional Counselor in Richmond, VA
John H Weaver
Licensed Professional Counselor, LPC, CAADC, CSAC, CCTP
Verified Verified
1 Endorsed
Richmond, VA 23225
Waitlist for new clients
Life’s challenges may cause us to react and respond in many different ways. Our current situation may or may not be in our immediate control, but when we look at our life, long-term, it will be the decisions that we make today that set the course of the overall outcome. Experiencing depression, anxiety, grief, confusion, and frustration (to name a few) may be a part of that journey, but you do not have to go down that road alone. It's important to have a safe and confidential space to work through challenges, become more resilient, and come out on the other side with confidence and skills to manage the situations you face.
Life’s challenges may cause us to react and respond in many different ways. Our current situation may or may not be in our immediate control, but when we look at our life, long-term, it will be the decisions that we make today that set the course of the overall outcome. Experiencing depression, anxiety, grief, confusion, and frustration (to name a few) may be a part of that journey, but you do not have to go down that road alone. It's important to have a safe and confidential space to work through challenges, become more resilient, and come out on the other side with confidence and skills to manage the situations you face.
(804) 315-2893 View (804) 315-2893
Photo of Alan Kleinkopf, Psychologist in Richmond, VA
Alan Kleinkopf
Psychologist, PsyD
Verified Verified
Richmond, VA 23226
Welcome! As a licensed clinical psychologist, I have been helping individuals and couples overcome obstacles to achieving happiness and contentment for over 30 years. Sometimes the issues can seem insurmountable when it's really the way one is trying to cope with them that is the problem. That way of thinking can often be adjusted and can make all the difference! Whether you're experiencing a situational adjustment related issue or a more longstanding one as an individual or couple with depression, excessive stress, anxiety or anger, help yourself by making an appointment and get started.
Welcome! As a licensed clinical psychologist, I have been helping individuals and couples overcome obstacles to achieving happiness and contentment for over 30 years. Sometimes the issues can seem insurmountable when it's really the way one is trying to cope with them that is the problem. That way of thinking can often be adjusted and can make all the difference! Whether you're experiencing a situational adjustment related issue or a more longstanding one as an individual or couple with depression, excessive stress, anxiety or anger, help yourself by making an appointment and get started.
(804) 424-5526 View (804) 424-5526
Photo of Danyale Little, Licensed Professional Counselor in Richmond, VA
Danyale Little
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Educated and trained at Wake Forest University, I am a community based mental health / mental wellness professional. My work targets issues including Marriage and Family, substance addiction, depression, anxiety, LGBTQ(plus) concerns, and challenging life transitions. I have expertise in working with clients of all ages with most of my client being families and adults (ages 18 and up).
Educated and trained at Wake Forest University, I am a community based mental health / mental wellness professional. My work targets issues including Marriage and Family, substance addiction, depression, anxiety, LGBTQ(plus) concerns, and challenging life transitions. I have expertise in working with clients of all ages with most of my client being families and adults (ages 18 and up).
(804) 825-2811 View (804) 825-2811
Photo of Jewel Gear, Psychologist in Richmond, VA
Jewel Gear
Psychologist, PsyD
Verified Verified
Richmond, VA 23230
Jewel works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Jewel believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Jewel works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Jewel believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(804) 361-7691 View (804) 361-7691
Photo of Amanda Steiner, Pre-Licensed Professional in Richmond, VA
Amanda Steiner
Pre-Licensed Professional, PreLPC
Verified Verified
Richmond, VA 23223  (Online Only)
Amanda Steiner is a Resident in Counseling with 5 years of experience in the mental health field. Amanda specializes in depression, anxiety, grief, trauma, religious trauma, and major life transitions. Amanda is passionate about assisting clients in finding internal safety, meeting their individual goals, and breaking cycles of generational trauma.
Amanda Steiner is a Resident in Counseling with 5 years of experience in the mental health field. Amanda specializes in depression, anxiety, grief, trauma, religious trauma, and major life transitions. Amanda is passionate about assisting clients in finding internal safety, meeting their individual goals, and breaking cycles of generational trauma.
(804) 913-2634 View (804) 913-2634
Photo of Meg Harney, Psychologist in Richmond, VA
Meg Harney
Psychologist, PhD
Verified Verified
1 Endorsed
Richmond, VA 23220
Providing clients with a sense of empowerment is a cornerstone of my practice. I approach each client with compassion and curiosity and am committed to helping clients resolve the beliefs and behaviors that have felt unhelpful or unrelenting. I am experienced treating individuals with anxiety, depression (including peripartum depression), relationship difficulties, infertility, emotion dysregulation, grief, and difficulty adjusting to new roles such as the transition to college. I specialize in treating individuals who express concerns about their eating or who feel dissatisfied with their bodies, including individuals with anorexia nervosa, bulimia nervosa, or binge eating disorder.
Providing clients with a sense of empowerment is a cornerstone of my practice. I approach each client with compassion and curiosity and am committed to helping clients resolve the beliefs and behaviors that have felt unhelpful or unrelenting. I am experienced treating individuals with anxiety, depression (including peripartum depression), relationship difficulties, infertility, emotion dysregulation, grief, and difficulty adjusting to new roles such as the transition to college. I specialize in treating individuals who express concerns about their eating or who feel dissatisfied with their bodies, including individuals with anorexia nervosa, bulimia nervosa, or binge eating disorder.
(804) 376-9769 View (804) 376-9769
Photo of Virginia Therapy & Forensic Services, Clinical Social Work/Therapist in Richmond, VA
Virginia Therapy & Forensic Services
Clinical Social Work/Therapist, LCSW, CSAC
Verified Verified
1 Endorsed
Richmond, VA 23219
Welcome to VTFS. Currently, we are offering individual, family, and group therapy. We also offer clinical supervision for social workers, consultation for various subject matter, and juvenile competency evaluations. It has been rewarding to start a private practice; where we strive to help address issues and everyday struggles people may have. Clients who want to seek therapy services with the practice; want to seek services were therapists are personable, competent, and passionate about helping individuals and families. Give us a call or send us a email to inquiry about services.
Welcome to VTFS. Currently, we are offering individual, family, and group therapy. We also offer clinical supervision for social workers, consultation for various subject matter, and juvenile competency evaluations. It has been rewarding to start a private practice; where we strive to help address issues and everyday struggles people may have. Clients who want to seek therapy services with the practice; want to seek services were therapists are personable, competent, and passionate about helping individuals and families. Give us a call or send us a email to inquiry about services.
(804) 361-8470 View (804) 361-8470
Photo of Angela W Fitzgerald, Resident in Marriage and Family Therapy in Richmond, VA
Angela W Fitzgerald
Resident in Marriage and Family Therapy, LMHP-R, M Ed, MFT-R
Verified Verified
Richmond, VA 23219
I have counseling experience with adults, children, and couples in areas to include Individual and Group Counseling Couples Counseling, Child Behavior and Development, Grief and Loss, Interpersonal Relationships, Life Coaching, Crisis Intervention, Cognitive Behavior Therapy, Emotional Behavior Therapy, and using the Narrative Approach to aid others in achieving a greater well-being for themselves.
I have counseling experience with adults, children, and couples in areas to include Individual and Group Counseling Couples Counseling, Child Behavior and Development, Grief and Loss, Interpersonal Relationships, Life Coaching, Crisis Intervention, Cognitive Behavior Therapy, Emotional Behavior Therapy, and using the Narrative Approach to aid others in achieving a greater well-being for themselves.
(804) 391-7833 View (804) 391-7833

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.