Photo of Shanna T Fishel, LICSW, MSW, MEd, Clinical Social Work/Therapist
Shanna T Fishel
Clinical Social Work/Therapist, LICSW, MSW, MEd
Verified Verified
Easthampton, MA 01027
Waitlist for new clients
Therapy is hard work. Acknowledging the challenges, I embrace the potential for healing and personal growth. At the core of my therapeutic approach, I prioritize honesty and a non-judgmental attitude on the journey toward well-being. My clients often seek support for various challenges, including anxiety, depression, the effects of trauma, and a desire to explore a more fulfilling way of life. Through collaborative therapeutic methods, I maintain a sense of curiosity and unwavering compassion, holding a space to explore hurt parts of self and work towards your version of wellness and wholeness.
Therapy is hard work. Acknowledging the challenges, I embrace the potential for healing and personal growth. At the core of my therapeutic approach, I prioritize honesty and a non-judgmental attitude on the journey toward well-being. My clients often seek support for various challenges, including anxiety, depression, the effects of trauma, and a desire to explore a more fulfilling way of life. Through collaborative therapeutic methods, I maintain a sense of curiosity and unwavering compassion, holding a space to explore hurt parts of self and work towards your version of wellness and wholeness.
(413) 287-9961 View (413) 287-9961
Photo of Scot Coar, MEd, LMFT, Marriage & Family Therapist
Scot Coar
Marriage & Family Therapist, MEd, LMFT
Verified Verified
1 Endorsed
Easthampton, MA 01027  (Online Only)
My 14+ years working in a therapeutic milieu as well as my time in private practice working with individuals, couples and families has contributed to developing an approach that seeks to help clients better navigate their systems (Families, Schools, Jobs, Relationships, Peer groups, etc.) as well as the issues they might be struggling with individually. Incorporating cognitive behavioral, psychodynamic, narrative and mindfulness based techniques, I strive to help the people I work with develop coping skills, improve self esteem/assertiveness, reduce anxiety/depression, cope with loss and trauma as well as improve relationships and overall sense of well being.
My 14+ years working in a therapeutic milieu as well as my time in private practice working with individuals, couples and families has contributed to developing an approach that seeks to help clients better navigate their systems (Families, Schools, Jobs, Relationships, Peer groups, etc.) as well as the issues they might be struggling with individually. Incorporating cognitive behavioral, psychodynamic, narrative and mindfulness based techniques, I strive to help the people I work with develop coping skills, improve self esteem/assertiveness, reduce anxiety/depression, cope with loss and trauma as well as improve relationships and overall sense of well being.
(413) 340-0528 View (413) 340-0528
Photo of Stan Gajda, MA, PsyD, LMHC, Counselor
Stan Gajda
Counselor, MA, PsyD, LMHC
Verified Verified
3 Endorsed
Easthampton, MA 01027  (Online Only)
I use an approach that is both client-centered and evidence-based. I let the client guide me where they want to go and what they want to achieve through treatment. Everyone has strengths that can be used to better manage their concerns. From my perspective progress in treatment is wholly determined by the individual.
I use an approach that is both client-centered and evidence-based. I let the client guide me where they want to go and what they want to achieve through treatment. Everyone has strengths that can be used to better manage their concerns. From my perspective progress in treatment is wholly determined by the individual.
(413) 277-7047 View (413) 277-7047
Photo of Rosenthal Beverly, LMFT, PPS, CATC-IV, Marriage & Family Therapist
Rosenthal Beverly
Marriage & Family Therapist, LMFT, PPS, CATC-IV
Verified Verified
Easthampton, MA 01027
Not accepting new clients
Congratulations. Taking initiative to seek therapy is a sign of health as well as an investment in self-care, and wholeness. Our mind can affect every aspect of our health. Exploring a therapeutic option is an important step in gaining motivation to explore your potential. Therapy can help facilitate growth as well as developing skills to manage and cope. I am not able to accept new clients presently. Thank you
Congratulations. Taking initiative to seek therapy is a sign of health as well as an investment in self-care, and wholeness. Our mind can affect every aspect of our health. Exploring a therapeutic option is an important step in gaining motivation to explore your potential. Therapy can help facilitate growth as well as developing skills to manage and cope. I am not able to accept new clients presently. Thank you
(805) 876-9133 View (805) 876-9133
Photo of Carol Ostiguy-Finneran, LMHC, Counselor
Carol Ostiguy-Finneran
Counselor, LMHC
Verified Verified
Easthampton, MA 01027
I specialize in the use of EMDR and expressive arts therapies. Clients are invited to explore and resolve what is blocking progress toward self-fulfillment and inner peace. I approach therapy as a journey of self-discovery. I strive to create a respectful and non-judgmental space for healing. I believe that healing can begin when we listen to and honor the wisdom and guidance that emerges from our inner wise self.
I specialize in the use of EMDR and expressive arts therapies. Clients are invited to explore and resolve what is blocking progress toward self-fulfillment and inner peace. I approach therapy as a journey of self-discovery. I strive to create a respectful and non-judgmental space for healing. I believe that healing can begin when we listen to and honor the wisdom and guidance that emerges from our inner wise self.
(413) 887-3832 x387 View (413) 887-3832 x387
Photo of Coralee Chase, MEd, LMHC, CADC, Counselor
Coralee Chase
Counselor, MEd, LMHC, CADC
Verified Verified
Easthampton, MA 01027
Not accepting new clients
My name is Coralee (Cora for short). I have been a professional in the valley for 30 plus years. I believe we all have beliefs, a story that prevents us from living to our greater good. I am here and open to supporting that journey into wellness. My field of expertise is Substance Disorders, Mental Health issues. I also work with individuals around the loss of loved ones, jobs, homes. I am particularly open to working with families that have lost a family member to substance use, ie overdose, alcohol side affects. I also work with families around dealing with an afflicted family member. I look forward to helping with your journey.
My name is Coralee (Cora for short). I have been a professional in the valley for 30 plus years. I believe we all have beliefs, a story that prevents us from living to our greater good. I am here and open to supporting that journey into wellness. My field of expertise is Substance Disorders, Mental Health issues. I also work with individuals around the loss of loved ones, jobs, homes. I am particularly open to working with families that have lost a family member to substance use, ie overdose, alcohol side affects. I also work with families around dealing with an afflicted family member. I look forward to helping with your journey.
(413) 200-3567 View (413) 200-3567
Photo of Samantha Armer, LICSW, LMSW, Clinical Social Work/Therapist
Samantha Armer
Clinical Social Work/Therapist, LICSW, LMSW
Verified Verified
7 Endorsed
Easthampton, MA 01027
Waitlist for new clients
Limited slots currently available (April 2023). Free consults are available to determine fit for working together in the future. I am a clinical social worker with an MSW from University of Albany's School of Social Welfare. Earlier graduate work was a Master of Psychology, concentrating in Marriage and Family Therapy. Additionally I spent over ten years working as a birth and postpartum doula and childbirth educator, which has offered me a unique background for working with families. In addition I completed a certificate training for working with victims of assault to enhance my knowledge of trauma and its effects.
Limited slots currently available (April 2023). Free consults are available to determine fit for working together in the future. I am a clinical social worker with an MSW from University of Albany's School of Social Welfare. Earlier graduate work was a Master of Psychology, concentrating in Marriage and Family Therapy. Additionally I spent over ten years working as a birth and postpartum doula and childbirth educator, which has offered me a unique background for working with families. In addition I completed a certificate training for working with victims of assault to enhance my knowledge of trauma and its effects.
(347) 682-4614 View (347) 682-4614
Photo of Tara Haines, LICSW, Clinical Social Work/Therapist
Tara Haines
Clinical Social Work/Therapist, LICSW
Verified Verified
Easthampton, MA 01027  (Online Only)
You do so much for others, always there to provide care, comfort and a shoulder to lean on. You are a partner, mother, daughter, sister, friend to everyone….and you have completely lost yourself. Once, you had goals, dreams and a firm sense of who you were. But now, the pressures of day to day life are leaving you depressed, anxious and uncertain. Things are changing all around you but you feel stuck, wanting to feel happy and fulfilled but not sure if that's even possible. You wonder if you will ever feel good enough. The one thing you know is you feel drained, disconnected and aren't sure how your life ended up this way.
You do so much for others, always there to provide care, comfort and a shoulder to lean on. You are a partner, mother, daughter, sister, friend to everyone….and you have completely lost yourself. Once, you had goals, dreams and a firm sense of who you were. But now, the pressures of day to day life are leaving you depressed, anxious and uncertain. Things are changing all around you but you feel stuck, wanting to feel happy and fulfilled but not sure if that's even possible. You wonder if you will ever feel good enough. The one thing you know is you feel drained, disconnected and aren't sure how your life ended up this way.
(413) 384-5502 View (413) 384-5502
Photo of Peter Dopp, PsyD, Psychologist
Peter Dopp
Psychologist, PsyD
Verified Verified
4 Endorsed
Easthampton, MA 01027  (Online Only)
WAITLIST (Please follow instructions on New Clients page at www.hnetworks.net). I welcome the chance to offer you down-to-earth, goal-oriented therapy using a calm, non-judgmental approach. I like to keep therapy simple as I help you deal with life's complexities. I listen to your concerns, remind you of your strengths and successes, and suggest research-based strategies tailored to your unique situation and style. By the end of therapy, I want you to have what you need to maintain gains made in therapy and to thrive through future challenges.
WAITLIST (Please follow instructions on New Clients page at www.hnetworks.net). I welcome the chance to offer you down-to-earth, goal-oriented therapy using a calm, non-judgmental approach. I like to keep therapy simple as I help you deal with life's complexities. I listen to your concerns, remind you of your strengths and successes, and suggest research-based strategies tailored to your unique situation and style. By the end of therapy, I want you to have what you need to maintain gains made in therapy and to thrive through future challenges.
(413) 259-6478 View (413) 259-6478
Photo of Rachel Lynch, MA, LMHC, Counselor
Rachel Lynch
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Easthampton, MA 01027  (Online Only)
This shit is hard. Of course you need therapy! Life throws constant challenges that can make it feel like an uphill battle just to be yourself. From figuring out when to hit the hay to questioning your purpose in a wildly chaotic world, it's a lot to handle. Imagine taking a breather, stepping back, and unraveling the tangle of thoughts and emotions that often make life feel like a whirlwind.
This shit is hard. Of course you need therapy! Life throws constant challenges that can make it feel like an uphill battle just to be yourself. From figuring out when to hit the hay to questioning your purpose in a wildly chaotic world, it's a lot to handle. Imagine taking a breather, stepping back, and unraveling the tangle of thoughts and emotions that often make life feel like a whirlwind.
View
Photo of Mowie Freeman, Clinical Social Work/Therapist
Mowie Freeman
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Easthampton, MA 01027
Waitlist for new clients
I support folks in reconnecting with what our bodies have to tell us about our hurts and healing. I am a somatic and Gestalt-trained therapist, meaning that I have particular experience leading folks in reconnecting to their bodies, + working with their nervous systems to access new possibilities for healing. I often work with individuals navigating anxiety, relational difficulties, obsessive compulsive patternings, chronic illness, and grief + loss. I especially enjoy working with folks who have a mindfulness/meditation practice, are curious about embodiment, and interested in cultivating deeper intimacy with themselves and others.
I support folks in reconnecting with what our bodies have to tell us about our hurts and healing. I am a somatic and Gestalt-trained therapist, meaning that I have particular experience leading folks in reconnecting to their bodies, + working with their nervous systems to access new possibilities for healing. I often work with individuals navigating anxiety, relational difficulties, obsessive compulsive patternings, chronic illness, and grief + loss. I especially enjoy working with folks who have a mindfulness/meditation practice, are curious about embodiment, and interested in cultivating deeper intimacy with themselves and others.
(413) 259-0531 View (413) 259-0531
Photo of Simone Rainaud, MA, LMFT, LMT, Marriage & Family Therapist
Simone Rainaud
Marriage & Family Therapist, MA, LMFT, LMT
Verified Verified
1 Endorsed
Easthampton, MA 01027  (Online Only)
Not accepting new clients
I work from a trauma-informed, systemic perspective, creating a safe supportive environment to allow for growth and change. I believe that clients have the power to heal themselves but can get stuck by past trauma and have difficulty accessing their own inner strength. I am here to help you access your own natural resources to navigate difficult times. I want to get you to your goals as quickly as possible and am happy to work short-term or long-term. My clients generally have relationship or family conflicts, PTSD, anxiety, behavioral issues or mood disorders.
I work from a trauma-informed, systemic perspective, creating a safe supportive environment to allow for growth and change. I believe that clients have the power to heal themselves but can get stuck by past trauma and have difficulty accessing their own inner strength. I am here to help you access your own natural resources to navigate difficult times. I want to get you to your goals as quickly as possible and am happy to work short-term or long-term. My clients generally have relationship or family conflicts, PTSD, anxiety, behavioral issues or mood disorders.
(774) 241-9618 View (774) 241-9618
Photo of Marcy Waliser, LICSW, Clinical Social Work/Therapist
Marcy Waliser
Clinical Social Work/Therapist, LICSW
Verified Verified
Easthampton, MA 01027  (Online Only)
Not accepting new clients
We're fortunate to be in a time where there is so much access to good psychological information. But there can also be a lot of pressure to figure things out on our own and get things right. Therapy can be enormously helpful in gaining clarity about what we think and feel and identify what is important to us. With clarity it is easier to make choices or change or even let go of some of the things that have been holding us back.
We're fortunate to be in a time where there is so much access to good psychological information. But there can also be a lot of pressure to figure things out on our own and get things right. Therapy can be enormously helpful in gaining clarity about what we think and feel and identify what is important to us. With clarity it is easier to make choices or change or even let go of some of the things that have been holding us back.
(413) 754-0614 View (413) 754-0614
Photo of Amanda Sposato, MSW, LICSW, LCSW, Clinical Social Work/Therapist
Amanda Sposato
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Easthampton, MA 01027
Not accepting new clients
I believe that every person makes sense in context. You might wonder why you often feel anxious, unfulfilled, or discontent. You might be curious about the patterns in your relationships or your reactions to others or events. You may wish to explore the ways you feel simultaneously connected and disconnected from yourself or the world. I'd love to work with you to help cultivate a curious stance to better understand yourself in the fuller context of your life. We will work together to expand your feelings of aliveness and acceptance while also helping you to more flexibly express needs, manage emotions, and deepen relationships.
I believe that every person makes sense in context. You might wonder why you often feel anxious, unfulfilled, or discontent. You might be curious about the patterns in your relationships or your reactions to others or events. You may wish to explore the ways you feel simultaneously connected and disconnected from yourself or the world. I'd love to work with you to help cultivate a curious stance to better understand yourself in the fuller context of your life. We will work together to expand your feelings of aliveness and acceptance while also helping you to more flexibly express needs, manage emotions, and deepen relationships.
(413) 588-7108 View (413) 588-7108
Photo of Jay Sefton, LMHC, Counselor
Jay Sefton
Counselor, LMHC
Verified Verified
Easthampton, MA 01027
Not accepting new clients
It is our birthright to know who we truly are and experience our lives to their fullest potential. Each of us has a story, actually many stories, that reveal beliefs we hold about ourselves and the world. These stories and beliefs often stand in the way of expressing our full potential and experiencing the present moment more deeply. Within a supportive, judgment-free space, I help adults, couples, and adolescents claim their strengths and talents, and construct belief systems to support them so they can be shared with the world.
It is our birthright to know who we truly are and experience our lives to their fullest potential. Each of us has a story, actually many stories, that reveal beliefs we hold about ourselves and the world. These stories and beliefs often stand in the way of expressing our full potential and experiencing the present moment more deeply. Within a supportive, judgment-free space, I help adults, couples, and adolescents claim their strengths and talents, and construct belief systems to support them so they can be shared with the world.
(617) 675-4305 View (617) 675-4305
Photo of Alison Carla Kinsey, LICSW, Clinical Social Work/Therapist
Alison Carla Kinsey
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Easthampton, MA 01027
Is the way it has been the way it always has to be? I can assist you in making the changes you need in your life by supporting you in overcoming obstacles created by symptoms of anxiety, depression, trauma, and/or anger, or by other challenging life transitions. Together we can safely challenge yourself in the ways that open you to growth and healing. I understand that everyone has different needs and preferences, and work collaboratively with my clients to determine the best approach for them.
Is the way it has been the way it always has to be? I can assist you in making the changes you need in your life by supporting you in overcoming obstacles created by symptoms of anxiety, depression, trauma, and/or anger, or by other challenging life transitions. Together we can safely challenge yourself in the ways that open you to growth and healing. I understand that everyone has different needs and preferences, and work collaboratively with my clients to determine the best approach for them.
(413) 339-3842 View (413) 339-3842
Photo of Trish Hasper, MEd, MSW, JD, LICSW, Clinical Social Work/Therapist
Trish Hasper
Clinical Social Work/Therapist, MEd, MSW, JD, LICSW
Verified Verified
2 Endorsed
Easthampton, MA 01027  (Online Only)
Not accepting new clients
I have enjoyed practicing psychotherapy for almost 29 years now. It is a great privilege to work with individuals from all backgrounds who are courageous enough to share the most intimate details of their lives and work towards self-improvement. I specialize in working with adults with a wide range of concerns, and am skilled in a variety of theoretical frameworks. As a licensed attorney, certified mediator and guardian ad litem I have significant experience helping couples divorce amicably and ensuring that special needs children secure their entitled supports and services through the public school system.
I have enjoyed practicing psychotherapy for almost 29 years now. It is a great privilege to work with individuals from all backgrounds who are courageous enough to share the most intimate details of their lives and work towards self-improvement. I specialize in working with adults with a wide range of concerns, and am skilled in a variety of theoretical frameworks. As a licensed attorney, certified mediator and guardian ad litem I have significant experience helping couples divorce amicably and ensuring that special needs children secure their entitled supports and services through the public school system.
(413) 274-4070 View (413) 274-4070
Photo of Peggy O'Neill, PhD, LICSW, LCSW, Clinical Social Work/Therapist
Peggy O'Neill
Clinical Social Work/Therapist, PhD, LICSW, LCSW
Verified Verified
Easthampton, MA 01027  (Online Only)
Welcome! Seeking a therapist is an important process and not always an easy one. It can take courage to take the first steps to connect with a therapist – even if you have been in therapy before. I see the therapy relationship as a collaborative relationship and one that can serve as a foundation for positive and healthy change in your life. It is important that you find a therapist you believe you can work with in order to tend to your needs and interests.
Welcome! Seeking a therapist is an important process and not always an easy one. It can take courage to take the first steps to connect with a therapist – even if you have been in therapy before. I see the therapy relationship as a collaborative relationship and one that can serve as a foundation for positive and healthy change in your life. It is important that you find a therapist you believe you can work with in order to tend to your needs and interests.
(413) 420-5290 View (413) 420-5290
Eileen A Messer
Counselor, MEd, LMHC
Verified Verified
Easthampton, MA 01027
Not accepting new clients
I have 30 years of experience working with Children, Teenagers and Adults in psychotherapy. I am a firm believer that an empathic connection is central to effective healing at any age.
I have 30 years of experience working with Children, Teenagers and Adults in psychotherapy. I am a firm believer that an empathic connection is central to effective healing at any age.
(413) 862-5507 View (413) 862-5507
Photo of Renee Grelecki, MA, LMFT, Marriage & Family Therapist
Renee Grelecki
Marriage & Family Therapist, MA, LMFT
Verified Verified
Easthampton, MA 01027  (Online Only)
I work with individuals to strengthen their sense of choice and meaning in their lives. I believe we can emerge more whole when we get curious about the parts of us that seem inglorious. I do not believe in oversimplifying the human condition into "good" or "bad" because there is more truth in the spectrum. I want therapy to be accessible, helpful and grounded in the reality that we live our day-to-day lives outside the therapy office. Good therapy extends beyond one hour a week; good therapy informs how we relate to, engage with and move through the real world.
I work with individuals to strengthen their sense of choice and meaning in their lives. I believe we can emerge more whole when we get curious about the parts of us that seem inglorious. I do not believe in oversimplifying the human condition into "good" or "bad" because there is more truth in the spectrum. I want therapy to be accessible, helpful and grounded in the reality that we live our day-to-day lives outside the therapy office. Good therapy extends beyond one hour a week; good therapy informs how we relate to, engage with and move through the real world.
(510) 939-7273 View (510) 939-7273

How does your Therapist compare?

Number of Therapists in 01027

100+

Average cost per session

$150

Therapists in 01027 who prioritize treating:

94% Anxiety
91% Depression
78% Relationship Issues
77% Trauma and PTSD
76% Self Esteem
69% Coping Skills
62% Grief

Average years in practice

14 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
55% Optum
54% UnitedHealthcare UHC | UBH

How Therapists in 01027 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 01027?

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.