Therapists in Olympia, WA
![Photo of Philip A Holcombe - Better Together Counseling & Educational Services, PhD, ABPP, Psychologist](https://photos.psychologytoday.com/50513cc1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Better Together Counseling & Educational Services
Psychologist, PhD, ABPP
Verified Verified
Olympia, WA 98502
UPDATE: We are currently accepting new patients who are open to working with graduate level students under the supervision of Dr. Holcombe for significantly reduced private pay fees of $75.00 per individual session.
UPDATE: We are currently accepting new patients who are open to working with graduate level students under the supervision of Dr. Holcombe for significantly reduced private pay fees of $75.00 per individual session.
![Photo of Stacey Plate, MA, LMHC, Counselor](https://photos.psychologytoday.com/460fdade-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
If you want a chance to know all parts of yourself—especially those you wish didn’t exist—bringing love and compassion to wounded places that have been in the dark; if you want to do deep healing work you intuitively know you need, but that has seemed to allude you; if you want to experience the freedom of having some separation from your parts, being in relationship to them instead of reactively acting or speaking from them; and if you want to feel better about yourself, enjoy life and relationships more, and trust that you can face hard things, endure pain, experience grief, and truly be okay then I may be a good fit for you.
If you want a chance to know all parts of yourself—especially those you wish didn’t exist—bringing love and compassion to wounded places that have been in the dark; if you want to do deep healing work you intuitively know you need, but that has seemed to allude you; if you want to experience the freedom of having some separation from your parts, being in relationship to them instead of reactively acting or speaking from them; and if you want to feel better about yourself, enjoy life and relationships more, and trust that you can face hard things, endure pain, experience grief, and truly be okay then I may be a good fit for you.
![Photo of Ben Barner, MA, LMHC, Counselor](https://photos.psychologytoday.com/44a14dc1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Whether you're facing a severe crises or simply seeking direction, we will work together to help you discover and create new possibilities. As a therapist, I provide a supportive and non-judgmental stance in which you can feel safe in discussing your problems and in turn discover ways to solve those issues and create a new healthier way of being.
Whether you're facing a severe crises or simply seeking direction, we will work together to help you discover and create new possibilities. As a therapist, I provide a supportive and non-judgmental stance in which you can feel safe in discussing your problems and in turn discover ways to solve those issues and create a new healthier way of being.
![Photo of Peggy J Duquette, MA, LMHC, Counselor](https://photos.psychologytoday.com/8317ed7a-a3ce-43ff-a135-603344321e2c/1/320x400.jpeg)
Are you suffering with anxiety and depression every day? Do you experience current triggers associated with past childhood or recent trauma? Most importantly, are these symptoms interfering with your daily life - are they making it difficult to impossible for you to experience joy and happiness? If you're reading this, then you are driven to recovery, which is the first and most important step to healing these symptoms. Childhood trauma (neglect, verbal, mental, emotional, physical, sexual abuse) can have a lasting effect on our lives, and we get stuck with negative beliefs and negative internalized stories about ourselves.
Are you suffering with anxiety and depression every day? Do you experience current triggers associated with past childhood or recent trauma? Most importantly, are these symptoms interfering with your daily life - are they making it difficult to impossible for you to experience joy and happiness? If you're reading this, then you are driven to recovery, which is the first and most important step to healing these symptoms. Childhood trauma (neglect, verbal, mental, emotional, physical, sexual abuse) can have a lasting effect on our lives, and we get stuck with negative beliefs and negative internalized stories about ourselves.
![Photo of John Norman Shattuck - John Shattuck MA, LMHC, MA, LMHC, Counselor](https://photos.psychologytoday.com/3f0697bc-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I work with people experiencing grief and loss, depression, anxiety, behavioral impacts of trauma, abuse, addictions, mood disorders, ADD, ADHD, and coping with major life transitions. I have an extensive history of work with youth on issues related to adolescent development, divorce, and self esteem. I use a variety of methods to help people free themselves from self defeating patterns of thought and behavior.
I work with people experiencing grief and loss, depression, anxiety, behavioral impacts of trauma, abuse, addictions, mood disorders, ADD, ADHD, and coping with major life transitions. I have an extensive history of work with youth on issues related to adolescent development, divorce, and self esteem. I use a variety of methods to help people free themselves from self defeating patterns of thought and behavior.
![Photo of Erin Daly (She-They), MA, LMFT, ATR-P, Marriage & Family Therapist](https://photos.psychologytoday.com/4ead5a36-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Erin Daly (She-They)
Marriage & Family Therapist, MA, LMFT, ATR-P
Verified Verified
Olympia, WA 98501
I specialize in providing affirming and competent therapy to people across a broad spectrum of gender, sexuality, and relationship diversity. I love working with folks who identify across the LGBTQIA2-S++ spectrum, as well as those who have other marginalized and/or non-normative identities and life experiences. My work is trauma-informed and rooted in values of collective liberation, anti-oppression, resilience, and intersectionality. My work is systemically focused, meaning that I work to support you in your growth as a whole self who lives as an interconnected and interdependent being within the unique context of your life.
I specialize in providing affirming and competent therapy to people across a broad spectrum of gender, sexuality, and relationship diversity. I love working with folks who identify across the LGBTQIA2-S++ spectrum, as well as those who have other marginalized and/or non-normative identities and life experiences. My work is trauma-informed and rooted in values of collective liberation, anti-oppression, resilience, and intersectionality. My work is systemically focused, meaning that I work to support you in your growth as a whole self who lives as an interconnected and interdependent being within the unique context of your life.
![Photo of Sarah L Boyd, LMHC, Counselor](https://photos.psychologytoday.com/96ca6095-8235-4875-a9d1-b7087e09d1b7/2/320x400.jpeg)
These days it seems everyone is dealing with trauma and overwhelming distress - whether childhood, complex, combat, generational, or just keeping up with the jones's, it is making our society sicker everyday as we forget how to care for one another and are forced into solitary corners of suffering. Those with the strongest natural supports and biological defenses will thrive, but more and more those natural supports and defenses are weakening, even for the most successful as the illness becomes pervasive.
These days it seems everyone is dealing with trauma and overwhelming distress - whether childhood, complex, combat, generational, or just keeping up with the jones's, it is making our society sicker everyday as we forget how to care for one another and are forced into solitary corners of suffering. Those with the strongest natural supports and biological defenses will thrive, but more and more those natural supports and defenses are weakening, even for the most successful as the illness becomes pervasive.
![Photo of Art Tolentino - Pathways Mental Health Services, PLLC, PhD, MA, MSW, MS](https://photos.psychologytoday.com/c6512bdd-11cc-4e7d-9d8a-a5a163397fc2/1/320x400.jpeg)
We offer mental health outpatient counseling/therapy services for children, adolescents, and adults. We also provide Telemental Health for Overseas US Military Families and Expats.
We offer mental health outpatient counseling/therapy services for children, adolescents, and adults. We also provide Telemental Health for Overseas US Military Families and Expats.
![Photo of Mukti Khanna, PhD, Psychologist](https://photos.psychologytoday.com/3c71a1ee-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Have you ever wondered how you can become a more active participant in your own healthcare? Mind-Body Medicine Psychology can provide a biopsychosocial perspective to help alleviate individual and intergenerational trauma, chronic pain, depression, anxiety, spiritual emergence and other health related concerns. Learning to regulate your nervous system through mindfulness based practices, expressive arts therapy and energy psychology can decrease stress, enhance emotional well being and self care for both the person who has a health challenge and their caregivers or family members.
Have you ever wondered how you can become a more active participant in your own healthcare? Mind-Body Medicine Psychology can provide a biopsychosocial perspective to help alleviate individual and intergenerational trauma, chronic pain, depression, anxiety, spiritual emergence and other health related concerns. Learning to regulate your nervous system through mindfulness based practices, expressive arts therapy and energy psychology can decrease stress, enhance emotional well being and self care for both the person who has a health challenge and their caregivers or family members.
![Photo of Renee Newton, MS, LMHC, CSOTP, CSTIP, Counselor](https://photos.psychologytoday.com/91f7a188-2881-420d-99d7-f417101cb81a/3/320x400.jpeg)
Sex is an essential part of intimacy and thriving as an individual and couple. However, many people are struggling to address barriers to sexual satisfaction. I work with sexual issues such as erectile dysfunction, sexual performance anxiety, and changes in sexual functioning related to underlying health issues or life circumstances. This could include the challenges of fostering sex and intimacy during pregnancy and post-baby when many women struggle with body image and relationships with partners. I will provide a safe space to explore your sexual erotic template, as everyone’s erotic template is unique.
Sex is an essential part of intimacy and thriving as an individual and couple. However, many people are struggling to address barriers to sexual satisfaction. I work with sexual issues such as erectile dysfunction, sexual performance anxiety, and changes in sexual functioning related to underlying health issues or life circumstances. This could include the challenges of fostering sex and intimacy during pregnancy and post-baby when many women struggle with body image and relationships with partners. I will provide a safe space to explore your sexual erotic template, as everyone’s erotic template is unique.
![Photo of Kit Gould-Knight, MA, LMHCA, Counselor](https://photos.psychologytoday.com/67209f97-9d1c-4a5e-ab91-ab3a0ecc84c8/1/320x400.jpeg)
Kit Gould-Knight
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Olympia, WA 98506
Not accepting new clients
I offer therapeutic companionship for adults who are experiencing grief and loss, anxiety, depression, self-doubt, burnout due to performance and perfectionism, relational troubles, and creative blocks. I am an apprentice to grief and intrigued by the relationship it has with being alive. I am here to bear witness to that grief and honor it rather than "fix" it. We will focus on identifying the conditions necessary to help you life a wholehearted, self-led and textured life, where you get to feel the full range of emotions.
I offer therapeutic companionship for adults who are experiencing grief and loss, anxiety, depression, self-doubt, burnout due to performance and perfectionism, relational troubles, and creative blocks. I am an apprentice to grief and intrigued by the relationship it has with being alive. I am here to bear witness to that grief and honor it rather than "fix" it. We will focus on identifying the conditions necessary to help you life a wholehearted, self-led and textured life, where you get to feel the full range of emotions.
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![Photo of Dr. Jan Coleman, PsyD, Counselor](https://photos.psychologytoday.com/3d4e0968-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
In the words of Thoreau, "Go confidently . . . live the life you've imagined." Do you often wish you were more confident, less anxious, no longer feeling depressed -- or stuck? Would you like to better understand yourself and others? Few things help more in this process than a relationship with a trusted and skilled therapist. With over 30 years experience, I am committed to the highest standards in comprehensive mental health care. I work with individuals and couples to help heal depression, relieve anxiety, reduce stress, improve relationships, process grief and loss, and navigate painful or challenging life transitions.
In the words of Thoreau, "Go confidently . . . live the life you've imagined." Do you often wish you were more confident, less anxious, no longer feeling depressed -- or stuck? Would you like to better understand yourself and others? Few things help more in this process than a relationship with a trusted and skilled therapist. With over 30 years experience, I am committed to the highest standards in comprehensive mental health care. I work with individuals and couples to help heal depression, relieve anxiety, reduce stress, improve relationships, process grief and loss, and navigate painful or challenging life transitions.
![Photo of Destiny Rendon, MA, LMHC, Counselor](https://photos.psychologytoday.com/f6755afe-d6c7-4da3-9665-d159f209ec29/1/320x400.jpeg)
We are living through challenging times and many of us are becoming aware of the things in our lives that aren’t working for us any longer and are looking for growth, healing, and change. Every person has the capacity to heal and live a life of meaning and positive well-being but often, many of us do not have the right support or skills that we need to make changes in our lives, or perhaps we haven't resonated with the therapists or types of therapy we have experienced in the past. Sometimes we need to explore alternatives to the traditional therapies we've already tried.
We are living through challenging times and many of us are becoming aware of the things in our lives that aren’t working for us any longer and are looking for growth, healing, and change. Every person has the capacity to heal and live a life of meaning and positive well-being but often, many of us do not have the right support or skills that we need to make changes in our lives, or perhaps we haven't resonated with the therapists or types of therapy we have experienced in the past. Sometimes we need to explore alternatives to the traditional therapies we've already tried.
![Photo of Maile M Bay, JD, PsyD, MSCP, Psychologist](https://photos.psychologytoday.com/3c4f654f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Therapy is unique for each person. Respect and understanding are vital in helping each person. Solution-focused to help solve and resolve problems.
Therapy is unique for each person. Respect and understanding are vital in helping each person. Solution-focused to help solve and resolve problems.
![Photo of Aurora Fernwood, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/41bb6951-8ec0-4889-8baa-ba7cca190783/1/320x400.jpeg)
Aurora Fernwood
Marriage & Family Therapist, MS, LMFT
Verified Verified
Olympia, WA 98506 (Online Only)
You know there is more of who you truly are, under the surface, waiting to be unlocked. You sense that you have old beliefs or conditioning or fears, picked up from other people or culture, that hold you back from feeling truly open and free and comfortable with yourself. Yet, maybe you can't quite figure out how to break free from these feelings...from these limitations that you didn't ask for. There is nothing wrong with you. Things have just happened to you in life. If you're reading this, then perhaps you're at a place where you're ready to step more fully into your self...a place where there is more compassion and freedom.
You know there is more of who you truly are, under the surface, waiting to be unlocked. You sense that you have old beliefs or conditioning or fears, picked up from other people or culture, that hold you back from feeling truly open and free and comfortable with yourself. Yet, maybe you can't quite figure out how to break free from these feelings...from these limitations that you didn't ask for. There is nothing wrong with you. Things have just happened to you in life. If you're reading this, then perhaps you're at a place where you're ready to step more fully into your self...a place where there is more compassion and freedom.
![Photo of Jessyca Opp - Mindful Methods Counseling, LLC , MA, LMHC, SUDP, Counselor](https://photos.psychologytoday.com/85fb0fd3-293b-44b2-9865-1731b4d3c0c3/2/320x400.jpeg)
Mindful Methods Counseling, LLC
Counselor, MA, LMHC, SUDP
Verified Verified
1 Endorsed
Olympia, WA 98501 (Online Only)
You’ve probably already read books like The Power of Now, The Secret, and The Four Agreements but still feel a bit lost. You wake up in the morning, trudge through your day, do your best to get things done on your never ending list, just to have it start over again. You ask yourself questions like: What am I even doing? Where do I want to go? What do I want to be? What do I even want to do with my life? We’re all still constantly figuring it out and doing our best, but there are things we can do to better understand what it is we want to create so we can start actually manifesting the future we want into existence.
You’ve probably already read books like The Power of Now, The Secret, and The Four Agreements but still feel a bit lost. You wake up in the morning, trudge through your day, do your best to get things done on your never ending list, just to have it start over again. You ask yourself questions like: What am I even doing? Where do I want to go? What do I want to be? What do I even want to do with my life? We’re all still constantly figuring it out and doing our best, but there are things we can do to better understand what it is we want to create so we can start actually manifesting the future we want into existence.
![Photo of Emilie Kromer, MA, LMHC, NCC, Counselor](https://photos.psychologytoday.com/9b582984-f422-4851-8937-92a33829a6b8/1/320x400.png)
Emilie Kromer
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Olympia, WA 98506
Not accepting new clients
MOVE FROM SUFFERING TO SERENE.....Whether you are distressed about career or depressed/anxious about life, I am here to help. I am a career specialist and family counselor, with a friendly, calm, open style. I converse back and forth with clients, often offering them feedback. Also, I frequently mention near-universals, ways in which other people might react to situations similar to those the client is experiencing. Clients frequently give me feedback that they feel comfortable, reassured, and understood when we meet and that they can talk easily with me. I have several special interests in my practice. They are the following:
MOVE FROM SUFFERING TO SERENE.....Whether you are distressed about career or depressed/anxious about life, I am here to help. I am a career specialist and family counselor, with a friendly, calm, open style. I converse back and forth with clients, often offering them feedback. Also, I frequently mention near-universals, ways in which other people might react to situations similar to those the client is experiencing. Clients frequently give me feedback that they feel comfortable, reassured, and understood when we meet and that they can talk easily with me. I have several special interests in my practice. They are the following:
![Photo of Jessica Martinez, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/5116d8a4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jessica Martinez
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Olympia, WA 98506
Not accepting new clients
My approach is trauma-informed care with an emphasis on anti-oppression theory. You are the expert of your own experience and we will collaborate on your healing journey to encompass a more enriching experience of belonging to Self and others. I specialize in areas of sexual abuse, substance use, trauma, and grief/loss.
My approach is trauma-informed care with an emphasis on anti-oppression theory. You are the expert of your own experience and we will collaborate on your healing journey to encompass a more enriching experience of belonging to Self and others. I specialize in areas of sexual abuse, substance use, trauma, and grief/loss.
![Photo of Diana Carlson, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/130c7ac5-8478-407e-ad18-93b5fc61b49e/1/320x400.jpeg)
Diana Carlson
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Olympia, WA 98512 (Online Only)
I provide support when you feel overwhelmed by emotion or find yourself seeking out ways to numb yourself. Relationships might make you feel alone or isolated and seeking connections that bring comfort and happiness. Therapy can help you reconnect with yourself, your inner strengths, resiliency, and capacity for deep joy and meaning. It can feel liberating to work through difficult past issues and feel more alive in the here and now. Feeling more balanced and confident on the inside can bring you more connection, intimacy, and power to navigate the demands of life.
I provide support when you feel overwhelmed by emotion or find yourself seeking out ways to numb yourself. Relationships might make you feel alone or isolated and seeking connections that bring comfort and happiness. Therapy can help you reconnect with yourself, your inner strengths, resiliency, and capacity for deep joy and meaning. It can feel liberating to work through difficult past issues and feel more alive in the here and now. Feeling more balanced and confident on the inside can bring you more connection, intimacy, and power to navigate the demands of life.
![Photo of Living Sound Therapeutic Services, Marriage & Family Therapist](https://photos.psychologytoday.com/380ef7e3-4527-42b7-822b-569d71209cc1/1/320x400.png)
Living Sound Therapeutic Services
Marriage & Family Therapist
Verified Verified
1 Endorsed
Olympia, WA 98506
Living Sound Therapeutic Services, PLLC is a group practice made up of professionals who provide a wide variety of services, with specialties in anxiety, depression, trauma, and PTSD. We are an LGBTQ+ friendly business that welcomes everybody to start their journey to wellness. Our goal is to provide a warm, empathetic, and compassionate environment conducive to positive change.
Living Sound Therapeutic Services, PLLC is a group practice made up of professionals who provide a wide variety of services, with specialties in anxiety, depression, trauma, and PTSD. We are an LGBTQ+ friendly business that welcomes everybody to start their journey to wellness. Our goal is to provide a warm, empathetic, and compassionate environment conducive to positive change.
See more therapy options for Olympia
How does your Therapist compare?
Number of Therapists in Olympia, WA
500+
Average cost per session
$150
Therapists in Olympia, WA who prioritize treating:
92% | Anxiety |
88% | Depression |
79% | Trauma and PTSD |
75% | Relationship Issues |
73% | Self Esteem |
72% | Stress |
67% | Life Transitions |
Average years in practice
9 Years
Top 3 insurances accepted
71% | Premera Blue Cross |
70% | Regence |
63% | Aetna |
How Therapists in Olympia, WA see their clients
56% | In Person and Online | |
44% | Online Only |
Gender breakdown
74% | Female | |
19% | Male | |
7% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Olympia?
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
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.
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.
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.