Therapists in Great Falls, MT

Photo of Susan L Armstrong, Counselor in Great Falls, MT
Susan L Armstrong
Counselor, LCPC
Verified Verified
Great Falls, MT 59401
I believe that life is amazing, however, it can also be challenging. At times there may be situations that occur that we may find overwhelming which cause our day to day activities become more difficult. You do not have to face those difficult times alone. I would like to provide information, tools and skills to help guide you through the difficult times and help you find a solution to the problem as well as relief.
I believe that life is amazing, however, it can also be challenging. At times there may be situations that occur that we may find overwhelming which cause our day to day activities become more difficult. You do not have to face those difficult times alone. I would like to provide information, tools and skills to help guide you through the difficult times and help you find a solution to the problem as well as relief.
(406) 578-0499 View (406) 578-0499
Photo of Olive Branch Psychotherapy LLC, Counselor in Great Falls, MT
Olive Branch Psychotherapy LLC
Counselor, DMFT, LCPC, EMDR, II
Verified Verified
Great Falls, MT 59401
In therapy, Dr. Parrish maintains an integrative approach, incorporating Cognitive-Behavioral, Narrative and Solution-Focused therapies predicated from a Christian perspective. He also places strong emphasis on self-care and mindfulness. Dr. Parrish appreciates the difficulties associated with living and being human. He also appreciates the importance of "being" with clients wherever they are in their journey. He feels honored and excited to witness clients' self-discovery of their own "inner-expert" through the therapeutic process.
In therapy, Dr. Parrish maintains an integrative approach, incorporating Cognitive-Behavioral, Narrative and Solution-Focused therapies predicated from a Christian perspective. He also places strong emphasis on self-care and mindfulness. Dr. Parrish appreciates the difficulties associated with living and being human. He also appreciates the importance of "being" with clients wherever they are in their journey. He feels honored and excited to witness clients' self-discovery of their own "inner-expert" through the therapeutic process.
(406) 924-1860 View (406) 924-1860
Photo of Georgia Hansen, Counselor in Great Falls, MT
Georgia Hansen
Counselor, MEd, LCPC
Verified Verified
Great Falls, MT 59401
Not accepting new clients
Life is full of battles and challenges that can sometimes feel impossible to face alone. I offer individual and family therapy to help my clients overcome life's challenges and feel empowered. I have found that not one theory of therapy works for all clients. For that reason, I have studied and practiced cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavioral therapy, and person-centered therapy as best suited for each client. I also have a level III certification in Eating Disorder Intuitive Therapy.
Life is full of battles and challenges that can sometimes feel impossible to face alone. I offer individual and family therapy to help my clients overcome life's challenges and feel empowered. I have found that not one theory of therapy works for all clients. For that reason, I have studied and practiced cognitive behavioral therapy, rational emotive behavior therapy, dialectical behavioral therapy, and person-centered therapy as best suited for each client. I also have a level III certification in Eating Disorder Intuitive Therapy.
(406) 540-6420 View (406) 540-6420
Photo of CMP Power of Healing Counseling and TC, LLC in Great Falls, MT
CMP Power of Healing Counseling and TC, LLC
LAC, LCPC-C, NAMA, IOP, CSATC
Verified Verified
Great Falls, MT 59404
CMP Power of Healing Counseling and Treatment Center, LLC is an Outpatient Substance Use Disorder Facility with 2,1 level of care or Intensive Outpatient Program and Outpatient Program. Services: IOP, mental health counseling, co-occurring disorders, addiction counseling or treatment for substance use disorder, pastoral counseling, spiritual counseling, porn addiction counseling, sex addiction counseling, sex offenders counseling, counseling for sex offenders, anger management counseling, domestic violence/abuse counseling, batterer intervention program: Duluth Model. the twelve steps and more. Hablamos Espanol fluentemente.
CMP Power of Healing Counseling and Treatment Center, LLC is an Outpatient Substance Use Disorder Facility with 2,1 level of care or Intensive Outpatient Program and Outpatient Program. Services: IOP, mental health counseling, co-occurring disorders, addiction counseling or treatment for substance use disorder, pastoral counseling, spiritual counseling, porn addiction counseling, sex addiction counseling, sex offenders counseling, counseling for sex offenders, anger management counseling, domestic violence/abuse counseling, batterer intervention program: Duluth Model. the twelve steps and more. Hablamos Espanol fluentemente.
(406) 205-0205 View (406) 205-0205
Photo of Breaking Trail Therapy, Clinical Social Work/Therapist in Great Falls, MT
Breaking Trail Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Great Falls, MT 59404  (Online Only)
I typically treat depression and anxiety along with questions of identity and existential concerns. My passion is helping you explore and discover your true self and your path forward in life. In my experience, we grow and thrive when we learn to have more kindness and compassion for ourselves. I am honored to continue helping clients to uproot unhelpful, self-sabotaging beliefs that hold them back from a more meaningful and enjoyable life.
I typically treat depression and anxiety along with questions of identity and existential concerns. My passion is helping you explore and discover your true self and your path forward in life. In my experience, we grow and thrive when we learn to have more kindness and compassion for ourselves. I am honored to continue helping clients to uproot unhelpful, self-sabotaging beliefs that hold them back from a more meaningful and enjoyable life.
(406) 630-7061 View (406) 630-7061
Photo of Corin J Fisch in Great Falls, MT
Corin J Fisch
LCPC, LAC, EMDR
Verified Verified
Great Falls, MT 59401
Hi, I'm Corin and I provide in person and telehealth. I have a diverse background, am trained by Emdria for EMDR therapy, Mental Health (LCPC) and also have a second license as an Addictions Counselor (LAC). I treat clients struggling with Depression, Grief/Loss, Borderline Personality Disorder, Trauma History, and also with Addiction issues, or a combination of those. Give me a call and we can see if we are a fit!
Hi, I'm Corin and I provide in person and telehealth. I have a diverse background, am trained by Emdria for EMDR therapy, Mental Health (LCPC) and also have a second license as an Addictions Counselor (LAC). I treat clients struggling with Depression, Grief/Loss, Borderline Personality Disorder, Trauma History, and also with Addiction issues, or a combination of those. Give me a call and we can see if we are a fit!
(406) 434-8171 View (406) 434-8171
Photo of Kennedy Counseling, LLC, Counselor in Great Falls, MT
Kennedy Counseling, LLC
Counselor, LCPC, LMFT, LAC
Verified Verified
Great Falls, MT 59401
Do What You Love, Love What You Do. I love being able help people work through problems that may be holding them back from living the life they dream.
Do What You Love, Love What You Do. I love being able help people work through problems that may be holding them back from living the life they dream.
(406) 662-4094 View (406) 662-4094
Photo of Megan Dunlap, Counselor in Great Falls, MT
Megan Dunlap
Counselor, MA, PCLC
Verified Verified
1 Endorsed
Great Falls, MT 59401
I am so glad you are here! This moment of seeking help is an incredibly brave step in healing. I believe there is healing for one’s relationship with their body and food. You are more than the number on a scale or jean size. I understand the grip an eating disorder can have on your body, heart, soul, and mind, especially when you are wrestling with other mental health struggles. Together, we can navigate the ins and outs of taking the next steps to healing.
I am so glad you are here! This moment of seeking help is an incredibly brave step in healing. I believe there is healing for one’s relationship with their body and food. You are more than the number on a scale or jean size. I understand the grip an eating disorder can have on your body, heart, soul, and mind, especially when you are wrestling with other mental health struggles. Together, we can navigate the ins and outs of taking the next steps to healing.
(406) 642-8665 View (406) 642-8665
Photo of Destiny Marie Freiburg, Counselor in Great Falls, MT
Destiny Marie Freiburg
Counselor, LCPC
Verified Verified
Great Falls, MT 59401
Transcendence; to rise above or go beyond the limits of to triumph over the negative restrictive aspects of : overcome to rise above or extend notably beyond ordinary limits. I offer in-office and online counseling. I am devoted to helping to optimize the mental health of individuals in Montana, and improve access to counseling. Online counseling is a great option to engage in counseling and work toward a better quality of life. I have a holistic approach to counseling, and I work with my clients to incorporate their beliefs in counseling such as emotional, spiritual, and physical aspects.
Transcendence; to rise above or go beyond the limits of to triumph over the negative restrictive aspects of : overcome to rise above or extend notably beyond ordinary limits. I offer in-office and online counseling. I am devoted to helping to optimize the mental health of individuals in Montana, and improve access to counseling. Online counseling is a great option to engage in counseling and work toward a better quality of life. I have a holistic approach to counseling, and I work with my clients to incorporate their beliefs in counseling such as emotional, spiritual, and physical aspects.
(406) 412-2758 View (406) 412-2758
Photo of KWCounseling, PLLC, Counselor in Great Falls, MT
KWCounseling, PLLC
Counselor, PhD, LCPC, LPC, CACIII, NCC
Verified Verified
Great Falls, MT 59405  (Online Only)
Waitlist for new clients
Which path you choose will either allow you to experience peace and contentment or leave you feeling so overwhelmed as you struggle with feelings of frustration, doubt, anger, sadness, anxiety, shame, guilt, fear, or hopelessness. You are not broken, in need of fixing. Instead, you are deeply hurt and in need of care. Identifying some of these emotions may make you unsure what to do next. Rest assured, you are not alone. Many have felt the same but have found more efficient ways to heal through seeking help in the search for the cause.
Which path you choose will either allow you to experience peace and contentment or leave you feeling so overwhelmed as you struggle with feelings of frustration, doubt, anger, sadness, anxiety, shame, guilt, fear, or hopelessness. You are not broken, in need of fixing. Instead, you are deeply hurt and in need of care. Identifying some of these emotions may make you unsure what to do next. Rest assured, you are not alone. Many have felt the same but have found more efficient ways to heal through seeking help in the search for the cause.
(406) 285-2880 View (406) 285-2880
Photo of Dana M DelGuerra, Counselor in Great Falls, MT
Dana M DelGuerra
Counselor, LCPC, MSc, ATR, RYT
Verified Verified
Great Falls, MT 59401
Often people are searching for new ways to find their potential. Through counseling, I help people to explore, understand self limiting thinking and behaviors to live more meaningful and purposeful lives. I use an Eclectic therapeutic approach to serve each client's need to assist the process of working toward balance.
Often people are searching for new ways to find their potential. Through counseling, I help people to explore, understand self limiting thinking and behaviors to live more meaningful and purposeful lives. I use an Eclectic therapeutic approach to serve each client's need to assist the process of working toward balance.
(406) 564-4022 View (406) 564-4022
Photo of Dusti B Zimmer, Clinical Social Work/Therapist in Great Falls, MT
Dusti B Zimmer
Clinical Social Work/Therapist, LCSW, ACSW, MHPP
Verified Verified
Great Falls, MT 59401
I am licensed in the beautiful state of Montana with 20 years of professional work experience. I have experience in helping clients with stress management, anxiety, depression, coping with grief and loss, self-esteem, bipolar disorder, mood disorders, ADHD, intellectual disabilities, EMDR, as well as evaluations to determine what maybe be impacting you. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and well-adjusted life and to take the first steps towards change, creating goals and achieving success.
I am licensed in the beautiful state of Montana with 20 years of professional work experience. I have experience in helping clients with stress management, anxiety, depression, coping with grief and loss, self-esteem, bipolar disorder, mood disorders, ADHD, intellectual disabilities, EMDR, as well as evaluations to determine what maybe be impacting you. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and well-adjusted life and to take the first steps towards change, creating goals and achieving success.
(406) 780-3576 View (406) 780-3576
Photo of Alissa Engel, Counselor in Great Falls, MT
Alissa Engel
Counselor, PhD, LCPC, LMFT
Verified Verified
Great Falls, MT 59401
I've been a practicing counselor for over 17 years. I received my bachelor's degree in Sociology from California State University Fullerton, my master's degree from Montana State University in Marriage and Family Therapy, and my PhD from The University of Montana in Counselor Education and Supervision. I am a 23-year member of the Montana Air National Guard. I specialize in the military/veteran community, first responders, EMDR, Internal Family Systems (IFS), trauma, dissociative disorders, psychosomatic disorders, insomnia/sleep disorders, narcissistic abuse recovery, and spiritual abuse/high control group/cult recovery.
I've been a practicing counselor for over 17 years. I received my bachelor's degree in Sociology from California State University Fullerton, my master's degree from Montana State University in Marriage and Family Therapy, and my PhD from The University of Montana in Counselor Education and Supervision. I am a 23-year member of the Montana Air National Guard. I specialize in the military/veteran community, first responders, EMDR, Internal Family Systems (IFS), trauma, dissociative disorders, psychosomatic disorders, insomnia/sleep disorders, narcissistic abuse recovery, and spiritual abuse/high control group/cult recovery.
(406) 315-6242 View (406) 315-6242
Photo of Big Sky Counseling LLC, Counselor in Great Falls, MT
Big Sky Counseling LLC
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Great Falls, MT 59404  (Online Only)
Welcome to Big Sky Counseling, a compassionate space to move toward healing. Our primary areas of focus include OCD and related Anxiety Disorders (see below for details on expanded areas of support we offer) . We approach treatment by integrating structured ERP (Exposure and Response Prevention Therapy), ACT (Acceptance and Commitment Therapy), and CBT/ICBT (Cognitive Behavioral Therapy) to disrupt the obsessive-compulsive cycle and return to values-based living. We are currently scheduling new telehealth clients for folks residing in MT with Ashley Schwartzman, PCLC, under the clinical supervision of Kelli Smith, LCPC.
Welcome to Big Sky Counseling, a compassionate space to move toward healing. Our primary areas of focus include OCD and related Anxiety Disorders (see below for details on expanded areas of support we offer) . We approach treatment by integrating structured ERP (Exposure and Response Prevention Therapy), ACT (Acceptance and Commitment Therapy), and CBT/ICBT (Cognitive Behavioral Therapy) to disrupt the obsessive-compulsive cycle and return to values-based living. We are currently scheduling new telehealth clients for folks residing in MT with Ashley Schwartzman, PCLC, under the clinical supervision of Kelli Smith, LCPC.
(406) 296-5204 View (406) 296-5204
Photo of Ryanne Stellingwerf, Counselor in Great Falls, MT
Ryanne Stellingwerf
Counselor, MS, LCPC, CCTP
Verified Verified
3 Endorsed
Great Falls, MT 59401
You are great at working. You are a successful, professional woman. You enjoy your career and are inspired by each challenge. You feel the rush of success and achievement. You wake every morning with purpose and ambition and may have never looked beyond having a successful career. But now you are finding that your life is a bit out of balance. You wouldn’t say you are “depressed.” You don’t have “anxiety.” And you probably don’t fit the “diagnostic criteria” for a mental health diagnoses. But you are noticing that the career stress is taking its toll. Your relationships or health may be suffering and you don’t have hobbies.
You are great at working. You are a successful, professional woman. You enjoy your career and are inspired by each challenge. You feel the rush of success and achievement. You wake every morning with purpose and ambition and may have never looked beyond having a successful career. But now you are finding that your life is a bit out of balance. You wouldn’t say you are “depressed.” You don’t have “anxiety.” And you probably don’t fit the “diagnostic criteria” for a mental health diagnoses. But you are noticing that the career stress is taking its toll. Your relationships or health may be suffering and you don’t have hobbies.
(406) 944-0136 View (406) 944-0136
Photo of One Beautiful Life Wellness and Therapy, Counselor in Great Falls, MT
One Beautiful Life Wellness and Therapy
Counselor, MA, LCPC
Verified Verified
Great Falls, MT 59405  (Online Only)
You have taken the first step toward achieving your wellness goals, and I am so happy for you! Therapy can seem intimidating at first, but with my help, you can be on your way to living your best life quickly. I have been a licensed therapist for 25 years, and specialize in anxiety, depression, trauma, and chronic health issues such as fibromyalgia. Because I hold a certification in Integrative Medicine, I can help you improve all aspects of wellness: social, spiritual, physical, mental, and emotional health. I work with compassion and nonjudgement, and I look forward exploring your journey with you!
You have taken the first step toward achieving your wellness goals, and I am so happy for you! Therapy can seem intimidating at first, but with my help, you can be on your way to living your best life quickly. I have been a licensed therapist for 25 years, and specialize in anxiety, depression, trauma, and chronic health issues such as fibromyalgia. Because I hold a certification in Integrative Medicine, I can help you improve all aspects of wellness: social, spiritual, physical, mental, and emotional health. I work with compassion and nonjudgement, and I look forward exploring your journey with you!
(406) 302-8012 View (406) 302-8012
Photo of Jamie Hauer, Marriage & Family Therapist in Great Falls, MT
Jamie Hauer
Marriage & Family Therapist, LMFT
Verified Verified
Great Falls, MT 59401
"Everyday is a second chance." I believe all people hold within themselves the strength and knowledge to make changes in their lives and find healing. I believe my responsibility is to help my clients find that strength and knowledge within themselves and to develop the skills to use them. I'm a Licensed Marriage and Family Therapist/Licensed Clinical Professional Counselor. I earned my Masters Degree from the Minnesota School of Professional Psychology at Argosy University. I am a Certified PREPARE/ENRICH Counselor (Relationship Counseling). I works with children, adolescents, adults, couples, families, and groups dealing with various life changes.
"Everyday is a second chance." I believe all people hold within themselves the strength and knowledge to make changes in their lives and find healing. I believe my responsibility is to help my clients find that strength and knowledge within themselves and to develop the skills to use them. I'm a Licensed Marriage and Family Therapist/Licensed Clinical Professional Counselor. I earned my Masters Degree from the Minnesota School of Professional Psychology at Argosy University. I am a Certified PREPARE/ENRICH Counselor (Relationship Counseling). I works with children, adolescents, adults, couples, families, and groups dealing with various life changes.
(406) 944-4329 View (406) 944-4329
Photo of Bridgette Pence, Counselor in Great Falls, MT
Bridgette Pence
Counselor, PCLC
Verified Verified
Great Falls, MT 59401
You are dedicated to “getting it right”. You work hard - in your job, your relationships - but it never seems to be enough. You are exhausted. You feel defeated. And despite all of your efforts, things are still falling apart. The areas of your life that you can’t fully control - a relationship, your child, a circumstance or negative event, a life transition- leave you feeling like a failure. You are functional, but life doesn’t genuinely feel optimal. Despite your exhaustive efforts…it wasn’t enough. You believe you weren’t enough.
You are dedicated to “getting it right”. You work hard - in your job, your relationships - but it never seems to be enough. You are exhausted. You feel defeated. And despite all of your efforts, things are still falling apart. The areas of your life that you can’t fully control - a relationship, your child, a circumstance or negative event, a life transition- leave you feeling like a failure. You are functional, but life doesn’t genuinely feel optimal. Despite your exhaustive efforts…it wasn’t enough. You believe you weren’t enough.
(406) 308-5670 View (406) 308-5670
Photo of Mountain Therapy, LLC, Counselor in Great Falls, MT
Mountain Therapy, LLC
Counselor, LCPC, LAC, C-DBT
Verified Verified
Great Falls, MT 59405
We will focus on personal strengths and teach you how to build on and improve self-image by way of lifestyle and behavior changes. We assess emotional, spiritual and physical health and work to improve the quality of your life. We take the time to listen to your story and meet you where you are. Positivity, encouragement and guidance is effective and part of the healing and recovery process. Our team is culturally diverse and ready to work with you today.
We will focus on personal strengths and teach you how to build on and improve self-image by way of lifestyle and behavior changes. We assess emotional, spiritual and physical health and work to improve the quality of your life. We take the time to listen to your story and meet you where you are. Positivity, encouragement and guidance is effective and part of the healing and recovery process. Our team is culturally diverse and ready to work with you today.
(406) 630-4114 View (406) 630-4114
Photo of Enlightening Minds for everlasting recovery, Counselor in Great Falls, MT
Enlightening Minds for everlasting recovery
Counselor, LCPC, LAC, SAP, CAMS-II
Verified Verified
Great Falls, MT 59401
"There came a time when the risk to remain tight in the bud was more painful than the risk it took to blossom." I am here to help you through the pain and to watch you blossom.
"There came a time when the risk to remain tight in the bud was more painful than the risk it took to blossom." I am here to help you through the pain and to watch you blossom.
(406) 412-2808 View (406) 412-2808

How does your Therapist compare?

Number of Therapists in Great Falls, MT

70+

Average cost per session

$167

Therapists in Great Falls, MT who prioritize treating:

92% Anxiety
87% Depression
79% Trauma and PTSD
74% Self Esteem
73% Relationship Issues
70% Grief
70% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
76% Cigna and Evernorth
76% Allegiance

How Therapists in Great Falls, MT see their clients

71% In Person and Online
29% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Great Falls?

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.