Therapists in Akron, OH

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Photo of Robert Crook, Clinical Social Work/Therapist in Akron, OH
Robert Crook
Clinical Social Work/Therapist, LISW
Verified Verified
Akron, OH 44304
Most of us have been there: spinning our wheels trying to outrun our past, struggling to get out of bed and make it through the day, internally crippling under the weight of just so many thoughts and expectations, struggling to just feel like yourself from one day to the next. If you’re tired of fighting these battles alone, I want to help. As a mental health therapist, my goal is to help clients overcome trauma, depression, anxiety, and mood disorders.
Most of us have been there: spinning our wheels trying to outrun our past, struggling to get out of bed and make it through the day, internally crippling under the weight of just so many thoughts and expectations, struggling to just feel like yourself from one day to the next. If you’re tired of fighting these battles alone, I want to help. As a mental health therapist, my goal is to help clients overcome trauma, depression, anxiety, and mood disorders.
(234) 657-4096 View (234) 657-4096
Photo of Amanda Bushaw, Licensed Professional Counselor in Akron, OH
Amanda Bushaw
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Akron, OH 44312
Hello! Reaching out for help is not always easy. Congratulations on taking this step in your life! My name is Amanda and as a Licensed Professional Counselor I provide a safe place for all individuals to exist without judgment. Healing is sometimes a complex process, and I believe all people have a right to heal safely. I primarily work with children, adolescents, families, and couples that are working through a variety of problems. I work with concerns such as depression, anxiety, ADHD, trauma, identity development, self-esteem, relationship building, behavioral concerns, and more.
Hello! Reaching out for help is not always easy. Congratulations on taking this step in your life! My name is Amanda and as a Licensed Professional Counselor I provide a safe place for all individuals to exist without judgment. Healing is sometimes a complex process, and I believe all people have a right to heal safely. I primarily work with children, adolescents, families, and couples that are working through a variety of problems. I work with concerns such as depression, anxiety, ADHD, trauma, identity development, self-esteem, relationship building, behavioral concerns, and more.
(330) 654-6596 View (330) 654-6596
Photo of James Edwards-Roberts, Pre-Licensed Professional in Akron, OH
James Edwards-Roberts
Pre-Licensed Professional, SWT
Verified Verified
Akron, OH 44313  (Online Only)
Are you feeling anxious? Are you having trouble setting and reaching your goals? Are you feeling uneasy about your next steps? If your answer is yes, I believe that although this can be a difficult time, it is also an opportunity for growth. Feeling unsatisfied isn’t a bad thing. It can be the first step to making change and a time for rediscovery.
Are you feeling anxious? Are you having trouble setting and reaching your goals? Are you feeling uneasy about your next steps? If your answer is yes, I believe that although this can be a difficult time, it is also an opportunity for growth. Feeling unsatisfied isn’t a bad thing. It can be the first step to making change and a time for rediscovery.
(330) 632-1308 View (330) 632-1308
Photo of Hope Counseling and Educational Services, Counselor in Akron, OH
Hope Counseling and Educational Services
Counselor, LPCC
Verified Verified
Akron, OH 44313
I am here to help you discover the powerful you! My goal is to help you to create and achieve your goals. I will provide assistance in an affordable, confidential, friendly atmosphere, allowing you to openly express your feelings without judgment." When you call, please leave a message with your name and phone number.
I am here to help you discover the powerful you! My goal is to help you to create and achieve your goals. I will provide assistance in an affordable, confidential, friendly atmosphere, allowing you to openly express your feelings without judgment." When you call, please leave a message with your name and phone number.
(234) 231-6676 View (234) 231-6676
Photo of Plumb Line Counseling, Licensed Professional Counselor in Akron, OH
Plumb Line Counseling
Licensed Professional Counselor, MEd, LPC
Verified Verified
Akron, OH 44303
Plumb Line Counseling is a welcoming, neutral place where the client from age 5 to 90 can resolve difficulties. Confidentiality is important with safety as key, maintaining ethics and professionalism, within these boundaries a human presence is provided. Individual counseling involves a holistic effort from both counselor and client, that includes a working partnership - exercising interventions outside of session to obtain goals. This office provides interventions for mood disorders, anxiety disorders, neurological disorders, personality disorders, and interpersonal problems with respect for cultural backgrounds.
Plumb Line Counseling is a welcoming, neutral place where the client from age 5 to 90 can resolve difficulties. Confidentiality is important with safety as key, maintaining ethics and professionalism, within these boundaries a human presence is provided. Individual counseling involves a holistic effort from both counselor and client, that includes a working partnership - exercising interventions outside of session to obtain goals. This office provides interventions for mood disorders, anxiety disorders, neurological disorders, personality disorders, and interpersonal problems with respect for cultural backgrounds.
(234) 203-0159 View (234) 203-0159
Photo of Your Story Counseling Services, LLC, Licensed Professional Clinical Counselor in Akron, OH
Your Story Counseling Services, LLC
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
Akron, OH 44311
How we help depends on you. Located in Akron, Ohio, we believe you know yourself, and your child, the best. Therefore, therapy is individually based on what you would like to see change. Our counselors are here for you and we provide the best counseling services to you. We focus on cognitive behavioral therapy to help you become the best you can be. provide children and adults with counseling services to treat mental health problems that are interfering with a person’s daily functioning. Our services include; individual counseling, group counseling, family counseling and couples counseling.
How we help depends on you. Located in Akron, Ohio, we believe you know yourself, and your child, the best. Therefore, therapy is individually based on what you would like to see change. Our counselors are here for you and we provide the best counseling services to you. We focus on cognitive behavioral therapy to help you become the best you can be. provide children and adults with counseling services to treat mental health problems that are interfering with a person’s daily functioning. Our services include; individual counseling, group counseling, family counseling and couples counseling.
(234) 230-3668 View (234) 230-3668
Photo of Margo Gregor, Psychologist in Akron, OH
Margo Gregor
Psychologist, PhD
Verified Verified
1 Endorsed
Akron, OH 44304
We all experience difficult challenges and transitions which can cause painful feelings and disrupt our lives. My goal is to provide a safe, supportive, collaborative, and professional relationship to help you navigate these challenges. My focus is on helping client’s explore themselves, gain insight, and ultimately make changes that align with their unique goals. Whether you are looking to improve your relationships, manage anxiety/depression, increase academic or career path satisfaction, work on longstanding difficulties or just to understand yourself more fully, I aim to offer a space that promotes growth and positive outcomes.
We all experience difficult challenges and transitions which can cause painful feelings and disrupt our lives. My goal is to provide a safe, supportive, collaborative, and professional relationship to help you navigate these challenges. My focus is on helping client’s explore themselves, gain insight, and ultimately make changes that align with their unique goals. Whether you are looking to improve your relationships, manage anxiety/depression, increase academic or career path satisfaction, work on longstanding difficulties or just to understand yourself more fully, I aim to offer a space that promotes growth and positive outcomes.
(330) 590-5458 View (330) 590-5458
Photo of Jared Sparks, Counselor in Akron, OH
Jared Sparks
Counselor, MA, LPCC-S
Verified Verified
Akron, OH 44312
I am so glad you are here and advocating for your mental health! This first step is SO important! My main goal is to create a space where you can feel safe to express yourself without judgment and maintain an environment in which you can continue to grow and make changes in your life. I strive to be an accepting and understanding counselor while also challenging my clients to be the best version of themselves they can be. I will meet you where you are at! Counseling can feel scary, but I will work with you to make this feel enjoyable and comfortable!
I am so glad you are here and advocating for your mental health! This first step is SO important! My main goal is to create a space where you can feel safe to express yourself without judgment and maintain an environment in which you can continue to grow and make changes in your life. I strive to be an accepting and understanding counselor while also challenging my clients to be the best version of themselves they can be. I will meet you where you are at! Counseling can feel scary, but I will work with you to make this feel enjoyable and comfortable!
(330) 642-4751 View (330) 642-4751
Photo of Mindfulness, Meditation, & Mental Health Therapy, Counselor in Akron, OH
Mindfulness, Meditation, & Mental Health Therapy
Counselor, MA, Ed, LPC, CR
Verified Verified
Akron, OH 44313
I am a licensed, professional counselor in the state of Ohio. I am able to work with clients presenting with diverse issues related to personal and relational wellness. These issues include anxiety, grief and loss, adjustment to life changes or stressors, depression, trauma, substance use and addiction-related issues. Interventions are an effective strength of mine.
I am a licensed, professional counselor in the state of Ohio. I am able to work with clients presenting with diverse issues related to personal and relational wellness. These issues include anxiety, grief and loss, adjustment to life changes or stressors, depression, trauma, substance use and addiction-related issues. Interventions are an effective strength of mine.
(330) 267-2770 View (330) 267-2770
Photo of Tracy A. Burke, Psychologist in Akron, OH
Tracy A. Burke
Psychologist, PhD
Verified Verified
Akron, OH 44313
I offer a safe, compassionate, nonjudgmental relationship where we can work together toward growth and healing of life stressors and emotional struggles. I work with a variety of issues beginning in childhood through major adult life transitions, and am experienced with and committed to helping others use resources and inner strengths to transform their lives and reach desired goals. (**Because I am often in sessions with clients until 9PM, the easiest way to reach me is through texting. You may also email or leave a voicemail, but these are often answered in a less timely fashion. Thank you.)
I offer a safe, compassionate, nonjudgmental relationship where we can work together toward growth and healing of life stressors and emotional struggles. I work with a variety of issues beginning in childhood through major adult life transitions, and am experienced with and committed to helping others use resources and inner strengths to transform their lives and reach desired goals. (**Because I am often in sessions with clients until 9PM, the easiest way to reach me is through texting. You may also email or leave a voicemail, but these are often answered in a less timely fashion. Thank you.)
(330) 887-9080 View (330) 887-9080
Photo of Dana Burghardt, Licensed Professional Clinical Counselor in Akron, OH
Dana Burghardt
Licensed Professional Clinical Counselor, MAEd, LPCC-S, CDCA
Verified Verified
Akron, OH 44311
How we help depends on you. Located in Akron, Ohio, we believe you know yourself, and your child, the best. Therefore, therapy is individually based on what you would like to see change. Our counselors are here for you and we provide the best counseling services to you. We focus on cognitive behavioral therapy among others to help you become the best you can be. We provide counseling services to children, adolescents and adults to treat mental health problems that are interfering with a person’s daily functioning. Our services include individual counseling, family counseling and couples counseling.
How we help depends on you. Located in Akron, Ohio, we believe you know yourself, and your child, the best. Therefore, therapy is individually based on what you would like to see change. Our counselors are here for you and we provide the best counseling services to you. We focus on cognitive behavioral therapy among others to help you become the best you can be. We provide counseling services to children, adolescents and adults to treat mental health problems that are interfering with a person’s daily functioning. Our services include individual counseling, family counseling and couples counseling.
(330) 624-8604 View (330) 624-8604
Photo of BF Empowerment Center, Licensed Professional Counselor in Akron, OH
BF Empowerment Center
Licensed Professional Counselor
Verified Verified
Akron, OH 44311
BF Empowerment specializes in helping you reach your goals. Our specialty is helping those dealing with stress, feeling over-whelmed, trauma, relationship concerns, financial concerns, anxiety, and depression. We develop a plan to move you from feeling stressed and over-whelmed to feeling in control again. We work to improve your relationships with your loved ones and yourself. If you are feeling stuck and do not know where to turn. We will help you lighten the burden. We do not judge you because our goal is to help you accomplish your goals whatever they may be. You'll be able to face new challenges with greater confidence.
BF Empowerment specializes in helping you reach your goals. Our specialty is helping those dealing with stress, feeling over-whelmed, trauma, relationship concerns, financial concerns, anxiety, and depression. We develop a plan to move you from feeling stressed and over-whelmed to feeling in control again. We work to improve your relationships with your loved ones and yourself. If you are feeling stuck and do not know where to turn. We will help you lighten the burden. We do not judge you because our goal is to help you accomplish your goals whatever they may be. You'll be able to face new challenges with greater confidence.
(330) 882-7380 View (330) 882-7380
Photo of April Hankins, Licensed Professional Counselor in Akron, OH
April Hankins
Licensed Professional Counselor, LPC
Verified Verified
Akron, OH 44312  (Online Only)
I help adults who are deconstructing their evangelical fundamentalist faith. This path may have resulted in a loss of community, identity and/or employment. You may be feeling lost, hopeless and unsure if a path forward exists. You may be feeling on edge, having panic attacks, feeling lonely and/or experiencing suicidal thoughts. Your faith was your compass and now find yourself lost on which way to turn. You may want to rebuild your faith or you may want nothing to do with spirituality. Either way, I am here to help you determine your way through the wilderness of spiritual trauma. I am queer affirming.
I help adults who are deconstructing their evangelical fundamentalist faith. This path may have resulted in a loss of community, identity and/or employment. You may be feeling lost, hopeless and unsure if a path forward exists. You may be feeling on edge, having panic attacks, feeling lonely and/or experiencing suicidal thoughts. Your faith was your compass and now find yourself lost on which way to turn. You may want to rebuild your faith or you may want nothing to do with spirituality. Either way, I am here to help you determine your way through the wilderness of spiritual trauma. I am queer affirming.
(330) 476-7216 View (330) 476-7216
Photo of Emma McGlasson, Licensed Professional Counselor in Akron, OH
Emma McGlasson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Akron, OH 44313  (Online Only)
Emerge Counseling Ministries accepts clients 12 yrs and older in the state of Ohio and Missouri (telehealth only in MO). We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances within the state of Ohio. Please call us at (330)-867-5603 with any questions or send us an email.
Emerge Counseling Ministries accepts clients 12 yrs and older in the state of Ohio and Missouri (telehealth only in MO). We help those in need of marriage, couples, families or individual counseling. We help clients deal with many different mental health conditions from relationship and school-related issues to more specialized mental health issues. Our group is trained and skilled in the treatment of depression and anxiety-related disorders and multiple other mental health or life issues. We take most insurances within the state of Ohio. Please call us at (330)-867-5603 with any questions or send us an email.
(330) 594-9743 x612 View (330) 594-9743 x612
Photo of Matthew Escano, Licensed Professional Counselor in Akron, OH
Matthew Escano
Licensed Professional Counselor, MA , LPCC
Verified Verified
Akron, OH 44333
I specialize in anxiety, depression, ADHD, various forms of addiction, autism, & more. Are your goals oriented towards reducing maladaptive symptoms, identifying the behaviors you wish to engage in, being the person you want to be, and, ultimately, the life you aspire to live? Do you desire change and growth & are willing to put the necessary effort in? As your counselor, I do not effect change; that responsibility belongs to you. I aim to empower you to recognize your innate strengths, develop them further, and effectively use them towards your goals in life.
I specialize in anxiety, depression, ADHD, various forms of addiction, autism, & more. Are your goals oriented towards reducing maladaptive symptoms, identifying the behaviors you wish to engage in, being the person you want to be, and, ultimately, the life you aspire to live? Do you desire change and growth & are willing to put the necessary effort in? As your counselor, I do not effect change; that responsibility belongs to you. I aim to empower you to recognize your innate strengths, develop them further, and effectively use them towards your goals in life.
(330) 632-3973 View (330) 632-3973
Photo of Sarah L Lahoski, Counselor in Akron, OH
Sarah L Lahoski
Counselor, LPCC, MFT, ACHt, HHP, MA
Verified Verified
1 Endorsed
Akron, OH 44333
Transformative Path is about removing the obstacles in your path. Everyone is on a different path, but all of us have certain obstacles that hold us back form living the best life we can. At Transformative Path we honor the sacredness of each path by treating each individual holistically: mind, body, spirit. There is no way to stop certain things from happening, but you can have enough resources to have a happier, peaceful, loving connected abundant life. When you heal the obstacles, this leaves room for more positive experiences in your life. Are you ready for a better life?
Transformative Path is about removing the obstacles in your path. Everyone is on a different path, but all of us have certain obstacles that hold us back form living the best life we can. At Transformative Path we honor the sacredness of each path by treating each individual holistically: mind, body, spirit. There is no way to stop certain things from happening, but you can have enough resources to have a happier, peaceful, loving connected abundant life. When you heal the obstacles, this leaves room for more positive experiences in your life. Are you ready for a better life?
(216) 600-1374 View (216) 600-1374
Photo of Creative Therapy Collective, LLC, Counselor in Akron, OH
Creative Therapy Collective, LLC
Counselor, MA, LPCC, ATR, RYT 200
Verified Verified
3 Endorsed
Akron, OH 44308  (Online Only)
Not accepting new clients
My name is Jackie Fry and I am a Licensed Professional Clinical Counselor & Art Therapist who specializes in treating adults, teens, and couples experiencing anxiety, ADHD/neurodivergence, career/life transitions, persistent mood disorders, OCD, and trauma. In session, I incorporate trauma-informed skill development, creativity, and somatic practices to support clients process and move through life's struggles with compassion and confidence.
My name is Jackie Fry and I am a Licensed Professional Clinical Counselor & Art Therapist who specializes in treating adults, teens, and couples experiencing anxiety, ADHD/neurodivergence, career/life transitions, persistent mood disorders, OCD, and trauma. In session, I incorporate trauma-informed skill development, creativity, and somatic practices to support clients process and move through life's struggles with compassion and confidence.
(440) 271-8563 View (440) 271-8563
Photo of Jason Davis, Licensed Professional Clinical Counselor in Akron, OH
Jason Davis
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
Akron, OH 44333
The people I am best suited to help are those who are struggling with relationship concerns, hyperactive minds, past abuse and trauma, and those who feel disconnected from a sense of meaning and purpose in their lives. I want to help those who wish to cultivate a more stable intention towards wellness, more quiet in their minds, and a deeper connection with others.
The people I am best suited to help are those who are struggling with relationship concerns, hyperactive minds, past abuse and trauma, and those who feel disconnected from a sense of meaning and purpose in their lives. I want to help those who wish to cultivate a more stable intention towards wellness, more quiet in their minds, and a deeper connection with others.
(330) 576-8343 View (330) 576-8343
Photo of Terrance Tufts, Licensed Professional Clinical Counselor in Akron, OH
Terrance Tufts
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Akron, OH 44333
I have served those with Anxiety, Depression, Bipolar, Schizophrenia, Family Issues, etc. My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They have an open mind and can practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
I have served those with Anxiety, Depression, Bipolar, Schizophrenia, Family Issues, etc. My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They have an open mind and can practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
(740) 638-0752 View (740) 638-0752
Photo of Soul Beautiful Counseling & Consulting, LLC, Counselor in Akron, OH
Soul Beautiful Counseling & Consulting, LLC
Counselor, LPCC-S
Verified Verified
3 Endorsed
Akron, OH 44305  (Online Only)
Self-worth. The common denominator is low self-concept and low self-esteem that was not established or through adversity, trauma, violence, and/or abuse was severely damaged. The client wants to end the emotional and psychological pain of existing. Connection, structure, and consistency are the tools that aid in healing. Living and thriving become possible when we add options and perspective.
Self-worth. The common denominator is low self-concept and low self-esteem that was not established or through adversity, trauma, violence, and/or abuse was severely damaged. The client wants to end the emotional and psychological pain of existing. Connection, structure, and consistency are the tools that aid in healing. Living and thriving become possible when we add options and perspective.
(330) 846-5903 View (330) 846-5903

How does your Therapist compare?

Number of Therapists in Akron, OH

200+

Average cost per session

$125

Therapists in Akron, OH who prioritize treating:

91% Anxiety
88% Depression
81% Trauma and PTSD
73% Self Esteem
69% Relationship Issues
69% Coping Skills
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

75% Aetna
73% Medical Mutual
72% UnitedHealthcare UHC | UBH

How Therapists in Akron, OH see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Akron?

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.