Photo of Marisol Perez-Cadena, MLSW, LCSW, LBS, Clinical Social Work/Therapist
Marisol Perez-Cadena
Clinical Social Work/Therapist, MLSW, LCSW, LBS
Verified Verified
Laureldale, PA 19605
Bilingual spanish therapist offering both in person and virtual sessions. My mission is to promote empowerment, voice, choice, and security. I believe in change and that everyone possesses their unique strengths. When individuals have the skills and support to embrace their mental well-being, to improve the quality of their lives, they can be successful. I will help you pursue your personal goals; fulfill your roles in your living, working, and social environments while honoring your values. I am confident we can work together to gain self-awareness and facilitate deep healing.
Bilingual spanish therapist offering both in person and virtual sessions. My mission is to promote empowerment, voice, choice, and security. I believe in change and that everyone possesses their unique strengths. When individuals have the skills and support to embrace their mental well-being, to improve the quality of their lives, they can be successful. I will help you pursue your personal goals; fulfill your roles in your living, working, and social environments while honoring your values. I am confident we can work together to gain self-awareness and facilitate deep healing.
(610) 859-4242 View (610) 859-4242
Photo of Erica Hesselson, LCSW, CST, CD, Clinical Social Work/Therapist
Erica Hesselson
Clinical Social Work/Therapist, LCSW, CST, CD
Verified Verified
2 Endorsed
Reading, PA 19605
Does the committee in your mind never shut up? Do you struggle with a lack of self love or confidence? Are you in a rut or major life change? Do you often compare yourself to others or get overly nostalgic about the past? If you have answered yes to any of these questions, Ahava Counseling and Wellness Services is the right place for you.
Does the committee in your mind never shut up? Do you struggle with a lack of self love or confidence? Are you in a rut or major life change? Do you often compare yourself to others or get overly nostalgic about the past? If you have answered yes to any of these questions, Ahava Counseling and Wellness Services is the right place for you.
(610) 998-3638 View (610) 998-3638
Photo of Giannina Reyes, MA, LPC, NCC, Licensed Professional Counselor
Giannina Reyes
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Reading, PA 19605
I am a Licensed Professional Counselor who works effectively with adolescents and adults. I am a bilingual counselor that understands and has worked with multicultural issues. My goal is to help you achieve your own goals in a safe an I will like to offer you a safe and non judgmental environment in which we can both work together towards healing, recovery and growth. I am eager to help you and/or a loved one rebuild healthy and rewarding relationships; helping you discover your own strengths and abilities.
I am a Licensed Professional Counselor who works effectively with adolescents and adults. I am a bilingual counselor that understands and has worked with multicultural issues. My goal is to help you achieve your own goals in a safe an I will like to offer you a safe and non judgmental environment in which we can both work together towards healing, recovery and growth. I am eager to help you and/or a loved one rebuild healthy and rewarding relationships; helping you discover your own strengths and abilities.
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Photo of Kelli Schulthess, MA, LPC, C-DBT, Licensed Professional Counselor
Kelli Schulthess
Licensed Professional Counselor, MA, LPC, C-DBT
Verified Verified
3 Endorsed
Reading, PA 19605
Not accepting new clients
As a therapist, my goal is to help individuals find more effective ways to make meaningful changes in their lives. I believe in a collaborative approach to identify how your thoughts and feelings are impacting your behavior, mood, self-esteem and interpersonal relationships. I strive to maintain a supportive and nonjudgemental environment as we navigate the issues that you bring to sessions.
As a therapist, my goal is to help individuals find more effective ways to make meaningful changes in their lives. I believe in a collaborative approach to identify how your thoughts and feelings are impacting your behavior, mood, self-esteem and interpersonal relationships. I strive to maintain a supportive and nonjudgemental environment as we navigate the issues that you bring to sessions.
(610) 600-6295 View (610) 600-6295
Photo of Deidre Lupia, LPC, Licensed Professional Counselor
Deidre Lupia
Licensed Professional Counselor, LPC
Verified Verified
Reading, PA 19605  (Online Only)
What would it look like for you to live your life authentically, meaningfully and free? Together, we can find out. We may explore how your family system and trauma adaptations are getting in the way of your ability to manage moods and set boundaries with others. Or maybe you’ve had experiences where you question your self-worth, asking yourself, “Am I good enough? Am I enough?” We may explore where these beliefs and expectations come from, and how to establish self-compassion. Or maybe you’re finding it challenging to regulate your emotions, so we may discover ways to self-regulate and become more grounded in the present.
What would it look like for you to live your life authentically, meaningfully and free? Together, we can find out. We may explore how your family system and trauma adaptations are getting in the way of your ability to manage moods and set boundaries with others. Or maybe you’ve had experiences where you question your self-worth, asking yourself, “Am I good enough? Am I enough?” We may explore where these beliefs and expectations come from, and how to establish self-compassion. Or maybe you’re finding it challenging to regulate your emotions, so we may discover ways to self-regulate and become more grounded in the present.
(610) 621-5176 View (610) 621-5176
Photo of Zaida E Guadalupe Sánchez, MHC, LPC, Coach, Licensed Professional Counselor
Zaida E Guadalupe Sánchez
Licensed Professional Counselor, MHC, LPC, Coach
Verified Verified
1 Endorsed
Reading, PA 19605
The times we are all living and all the situations we face, produce a shift that is challenging us to be focused on getting a healthy life balance. Commitment 5 is an Action-Oriented Therapy and Holistic Approach that works with five areas of your life while you, alongside me (as a team), work hand to hand on an effective treatment plan. We together will be setting up realistic and measuring targets. I am also inviting you to know about Wellness Coaching that work directly with the goal in mind.
The times we are all living and all the situations we face, produce a shift that is challenging us to be focused on getting a healthy life balance. Commitment 5 is an Action-Oriented Therapy and Holistic Approach that works with five areas of your life while you, alongside me (as a team), work hand to hand on an effective treatment plan. We together will be setting up realistic and measuring targets. I am also inviting you to know about Wellness Coaching that work directly with the goal in mind.
(484) 668-1504 View (484) 668-1504
Photo of McKenzie Marie Epler, MA, Pre-Licensed Professional
McKenzie Marie Epler
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Reading, PA 19605
You deserve to live a life that leaves you excited to wake up every morning. As a clinical therapist, I am dedicated to fostering growth and resilience in individuals facing life’s challenges. My approach integrates evidence-based practices with compassion and empathy, creating a safe space where clients can explore their thoughts, emotions, and behaviors. I specialize in helping clients navigate transitions, manage stress and anxiety, and cultivate healthier relationships. Through a collaborative and client-centered approach, I empower individuals to discover their strengths and develop strategies for achieving their goals.
You deserve to live a life that leaves you excited to wake up every morning. As a clinical therapist, I am dedicated to fostering growth and resilience in individuals facing life’s challenges. My approach integrates evidence-based practices with compassion and empathy, creating a safe space where clients can explore their thoughts, emotions, and behaviors. I specialize in helping clients navigate transitions, manage stress and anxiety, and cultivate healthier relationships. Through a collaborative and client-centered approach, I empower individuals to discover their strengths and develop strategies for achieving their goals.
(484) 699-1153 View (484) 699-1153
Photo of Chelsea Harris - Chelsea Harris Counseling LLC, MSW, LCSW, Clinical Social Work/Therapist
Chelsea Harris Counseling LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Reading, PA 19605
Waitlist for new clients
I am a Licensed Clinical Social Worker who has experience treating depression, anxiety and trauma. I work with children (8+), teens and adults. I hope to foster an environment where you can feel safe and open to express your thoughts, feelings and experiences, and work on learning new and healthier ways to express and cope with your emotions and stressors. If you have an allergy or fear of dogs, please let me know as I often have a therapy dog in my office. - At this time, I do not have openings for after school or evening appointments for new clients, and can only accept new clients with daytime availability-
I am a Licensed Clinical Social Worker who has experience treating depression, anxiety and trauma. I work with children (8+), teens and adults. I hope to foster an environment where you can feel safe and open to express your thoughts, feelings and experiences, and work on learning new and healthier ways to express and cope with your emotions and stressors. If you have an allergy or fear of dogs, please let me know as I often have a therapy dog in my office. - At this time, I do not have openings for after school or evening appointments for new clients, and can only accept new clients with daytime availability-
(610) 632-7220 View (610) 632-7220
Photo of Jessica Yetto, LPC, Licensed Professional Counselor
Jessica Yetto
Licensed Professional Counselor, LPC
Verified Verified
Reading, PA 19605  (Online Only)
Hello, my name is Jessica. I am a Licensed Professional Counselor practicing in PA. I have been in the mental health field over twenty years and have been licensed for over ten years. I greatly enjoy seeing people make positive changes in their life and enjoy life. I would like to assist you in making positive changes.
Hello, my name is Jessica. I am a Licensed Professional Counselor practicing in PA. I have been in the mental health field over twenty years and have been licensed for over ten years. I greatly enjoy seeing people make positive changes in their life and enjoy life. I would like to assist you in making positive changes.
(610) 819-7718 View (610) 819-7718
Photo of Lauren Alicea, MA
Lauren Alicea
MA
Verified Verified
1 Endorsed
Reading, PA 19605
In sessions I will guide you understanding the connection between your thoughts, emotions, and behaviors. I recognize that every person is unique and their needs are not one-size-fits-all. I'm committed to meeting clients where they are in their personal journey and incorporating techniques from a wide array of clinical approaches to best suit their specific needs. One of my main focuses in sessions is helping clients develop positive skills to effectively manage symptoms and equipping them with skills to be empowered when facing challenges. Whether that is coping skills, communication skills, boundary setting among many others.
In sessions I will guide you understanding the connection between your thoughts, emotions, and behaviors. I recognize that every person is unique and their needs are not one-size-fits-all. I'm committed to meeting clients where they are in their personal journey and incorporating techniques from a wide array of clinical approaches to best suit their specific needs. One of my main focuses in sessions is helping clients develop positive skills to effectively manage symptoms and equipping them with skills to be empowered when facing challenges. Whether that is coping skills, communication skills, boundary setting among many others.
(484) 699-0824 View (484) 699-0824
Photo of Elizabeth S Heffner, MEd, LPC, Licensed Professional Counselor
Elizabeth S Heffner
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Reading, PA 19605  (Online Only)
I have a passion for guiding others through some of their toughest times, and assisting in their recovery. I also have a strength based approach, which has assisted in the success of my clients. My office is a safe place for clients of any race, color, national origin, religion, sex, gender identity, gender expression, sexual orientation, age, marital status, and disability.
I have a passion for guiding others through some of their toughest times, and assisting in their recovery. I also have a strength based approach, which has assisted in the success of my clients. My office is a safe place for clients of any race, color, national origin, religion, sex, gender identity, gender expression, sexual orientation, age, marital status, and disability.
(484) 209-5156 View (484) 209-5156
Photo of Gianirda Santiago, MS, Pre-Licensed Professional
Gianirda Santiago
Pre-Licensed Professional, MS
Verified Verified
Reading, PA 19605
I have a background in applied psychology as well as ABA. I have been a mental health therapist for the past decade working closely with children, adolescences and adults both in Spanish and in English. I have experience working with individuals with a variety of social and mental health needs that also involved the educational system and several members of an interdisciplinary team. The focus of my education was in applied behavioral analysis and I often utilized strategies from this practice model along with an eclectic variety of strategies when working with those whom presented with depressive and anxiety disorders.
I have a background in applied psychology as well as ABA. I have been a mental health therapist for the past decade working closely with children, adolescences and adults both in Spanish and in English. I have experience working with individuals with a variety of social and mental health needs that also involved the educational system and several members of an interdisciplinary team. The focus of my education was in applied behavioral analysis and I often utilized strategies from this practice model along with an eclectic variety of strategies when working with those whom presented with depressive and anxiety disorders.
(484) 309-9563 View (484) 309-9563
Photo of Hillary Aponte-Chimelis, LPC, PMH-C, R-PLC, Licensed Professional Counselor
Hillary Aponte-Chimelis
Licensed Professional Counselor, LPC, PMH-C, R-PLC
Verified Verified
Reading, PA 19605
I am a bilingual licensed professional counselor with over 15 years experience working with children, adolescents, adults, and their families.
I am a bilingual licensed professional counselor with over 15 years experience working with children, adolescents, adults, and their families.
(484) 558-2688 View (484) 558-2688
Photo of Lizbeth Valencia-Lucero, LCSW, Clinical Social Work/Therapist
Lizbeth Valencia-Lucero
Clinical Social Work/Therapist, LCSW
Verified Verified
Reading, PA 19605  (Online Only)
Welcome! My name is Lizbeth, a Licensed Clinical Social Worker. I know that making the decision to see a therapist is not easy; and being open, vulnerable, and honest about what you've been going through is a big deal. But guess what? You don't have to face any of life's obstacles, changes, ups or downs alone. I will walk alongside you in your journey to healing and self-growth. I'm here to offer you support, kindness, and a non-judgmental, listening ear to help you navigate each milestone and stage of your life.
Welcome! My name is Lizbeth, a Licensed Clinical Social Worker. I know that making the decision to see a therapist is not easy; and being open, vulnerable, and honest about what you've been going through is a big deal. But guess what? You don't have to face any of life's obstacles, changes, ups or downs alone. I will walk alongside you in your journey to healing and self-growth. I'm here to offer you support, kindness, and a non-judgmental, listening ear to help you navigate each milestone and stage of your life.
(323) 643-8569 View (323) 643-8569
Photo of Jose Luis Cortes-Pantoja - Agape Counseling LLC, Marriage & Family Therapist Intern
Agape Counseling LLC
Marriage & Family Therapist Intern
Verified Verified
Reading, PA 19605
Imagine an individual, couple, or a family at a crossroads, feeling overwhelmed by the challenges of maintaining healthy relationships amidst the pressures of daily life. My ideal clients are those who recognize the need for change—whether they’re couples struggling to communicate effectively, individuals facing anxiety or depression, or adolescents navigating the tumultuous path of growing up. These clients seek not only relief from their immediate issues but also a deeper understanding of themselves and their relationships. I understand the weight of life's challenges.
Imagine an individual, couple, or a family at a crossroads, feeling overwhelmed by the challenges of maintaining healthy relationships amidst the pressures of daily life. My ideal clients are those who recognize the need for change—whether they’re couples struggling to communicate effectively, individuals facing anxiety or depression, or adolescents navigating the tumultuous path of growing up. These clients seek not only relief from their immediate issues but also a deeper understanding of themselves and their relationships. I understand the weight of life's challenges.
(610) 510-6027 View (610) 510-6027
Photo of Lisa Vespico-Mull, LPC, SAP, ICAADC, Licensed Professional Counselor
Lisa Vespico-Mull
Licensed Professional Counselor, LPC, SAP, ICAADC
Verified Verified
1 Endorsed
Reading, PA 19605  (Online Only)
Embrace Your Change LLC helps adolescents and adults struggling with Substance Use. I have a calm demeanor and I am very empathetic. I have always been passionate about assisting people with addiction and their family members but I have also served many experiencing depression, anxiety, grief, divorce, marital issues, stress, OCD, and life transitions. I can work with teens, couples, and families. I will address your goals and help encourage you to see your blind spots and move forward. Due to my life experiences, I am able to connect on many levels and use my intuition and skills to help you make change and find solutions.
Embrace Your Change LLC helps adolescents and adults struggling with Substance Use. I have a calm demeanor and I am very empathetic. I have always been passionate about assisting people with addiction and their family members but I have also served many experiencing depression, anxiety, grief, divorce, marital issues, stress, OCD, and life transitions. I can work with teens, couples, and families. I will address your goals and help encourage you to see your blind spots and move forward. Due to my life experiences, I am able to connect on many levels and use my intuition and skills to help you make change and find solutions.
(484) 900-8032 View (484) 900-8032
Photo of Cori White - Our Whole Living Counseling, LPC, Counselor
Our Whole Living Counseling
Counselor, LPC
Verified Verified
Reading, PA 19605
If you need a couples counselor NOW, we are the practice for you. We always have available counselors with no waitlist. Our clients tell us they love our therapists because they're real humans. We pride ourselves in being down to earth and keeping it real with our couples and families. In sessions with our counselors, you can feel free to be you (F-bombs welcomed). Whether your dragging your partner to counseling, or you're both excited to jump in - our counselors will make you feel comfortable and ready to start making changes in your relationship.
If you need a couples counselor NOW, we are the practice for you. We always have available counselors with no waitlist. Our clients tell us they love our therapists because they're real humans. We pride ourselves in being down to earth and keeping it real with our couples and families. In sessions with our counselors, you can feel free to be you (F-bombs welcomed). Whether your dragging your partner to counseling, or you're both excited to jump in - our counselors will make you feel comfortable and ready to start making changes in your relationship.
(610) 595-4942 View (610) 595-4942
Photo of LaTasha Thomas, Licensed Professional Counselor
LaTasha Thomas
Licensed Professional Counselor
Verified Verified
1 Endorsed
Reading, PA 19605
Are you having trouble navigating difficult times? Do you struggle with depression or anxiety? Has life become overwhelming? If so, I can help. I am a Licensed Professional Counselor and Registered Yoga Teacher that uses a combination of traditional clinical techniques, as well as mindfulness and movement, to assist in the unpacking and healing of emotional baggage and pain. If you or a loved one are looking to relieve emotional strain and tension or regain your personal power and authenticity, I am the professional for you.
Are you having trouble navigating difficult times? Do you struggle with depression or anxiety? Has life become overwhelming? If so, I can help. I am a Licensed Professional Counselor and Registered Yoga Teacher that uses a combination of traditional clinical techniques, as well as mindfulness and movement, to assist in the unpacking and healing of emotional baggage and pain. If you or a loved one are looking to relieve emotional strain and tension or regain your personal power and authenticity, I am the professional for you.
(484) 685-4335 View (484) 685-4335
Photo of Alberto Figueroa, LPC, Licensed Professional Counselor
Alberto Figueroa
Licensed Professional Counselor, LPC
Verified Verified
Reading, PA 19605  (Online Only)
Dr. Alberto Figueroa is a Licensed Professional Counselor (LPC, CFT) and a Certified Family Therapist with more than 17 years of experience working with individuals, couples, and families. He specializes in treating anxiety, depression, chronic stress, couples issues, family conflict, and more. He earned his Master's degree in Clinical Counseling and went on to earn a Doctoral degree in Counseling Psychology from Northcentral University. Additionally, he studied structural family therapy to understand people's interconnectedness.
Dr. Alberto Figueroa is a Licensed Professional Counselor (LPC, CFT) and a Certified Family Therapist with more than 17 years of experience working with individuals, couples, and families. He specializes in treating anxiety, depression, chronic stress, couples issues, family conflict, and more. He earned his Master's degree in Clinical Counseling and went on to earn a Doctoral degree in Counseling Psychology from Northcentral University. Additionally, he studied structural family therapy to understand people's interconnectedness.
(610) 379-1926 View (610) 379-1926
Photo of Joseph H Lucas - ACTS for Kids, PsyD, ABSNP, Licensed Professional Counselor
ACTS for Kids
Licensed Professional Counselor, PsyD, ABSNP
Verified Verified
1 Endorsed
Reading, PA 19605
The end of July is coming! Is your child's emotions or behaviors problematic? Get help for your child now. Need a clinician that specializes in treating & evaluating individuals (preschool through college-aged)? Our therapist really care. ACTS is an evidenced-based practice (therapy proven effective; i.e. Cognitive Behavioral Therapy). We have 2 convenient Locations; Wyomissing (Berks) & Manheim Township (Lancaster). We provide solutions for all types of cognitive, emotional or behavioral challenges, call/email today. We specialize in Counseling, Testing & Neurofeedback. ACTS has a reputation for excelling in Behavioral Health.
The end of July is coming! Is your child's emotions or behaviors problematic? Get help for your child now. Need a clinician that specializes in treating & evaluating individuals (preschool through college-aged)? Our therapist really care. ACTS is an evidenced-based practice (therapy proven effective; i.e. Cognitive Behavioral Therapy). We have 2 convenient Locations; Wyomissing (Berks) & Manheim Township (Lancaster). We provide solutions for all types of cognitive, emotional or behavioral challenges, call/email today. We specialize in Counseling, Testing & Neurofeedback. ACTS has a reputation for excelling in Behavioral Health.
(610) 839-7668 View (610) 839-7668
1

How does your Therapist compare?

Number of Therapists in 19605

20+

Average cost per session

$120

Therapists in 19605 who prioritize treating:

86% Depression
86% Anxiety
68% Relationship Issues
68% Self Esteem
64% Trauma and PTSD
64% Family Conflict
64% Stress

Average years in practice

12 Years

Top 3 insurances accepted

94% Aetna
89% Highmark
83% Independence Blue Cross

How Therapists in 19605 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 19605?

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.