Therapists in 45373
![Photo of Katie Minesinger, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3dd0b08e-9cd4-42e1-9641-4bf99dfcf18c/3/320x400.jpeg)
Hi there! I’m Katie Minesinger, a Licensed Professional Counselor (LPC) at Dolph Counseling & Wellness, LLC (DCW). I provide therapeutic services for various emotional and mental health needs for children, adolescents, adults, and couples. My goal is to provide my clients with a safe and welcoming environment as they embark on their self-healing journey. I am passionate about helping my clients become the healthiest version of themselves, offering them patience and acceptance along the way.
Hi there! I’m Katie Minesinger, a Licensed Professional Counselor (LPC) at Dolph Counseling & Wellness, LLC (DCW). I provide therapeutic services for various emotional and mental health needs for children, adolescents, adults, and couples. My goal is to provide my clients with a safe and welcoming environment as they embark on their self-healing journey. I am passionate about helping my clients become the healthiest version of themselves, offering them patience and acceptance along the way.
![Photo of Erin Brooks, LSW, CTP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/807345d0-a4c1-458b-91de-378d40a66716/2/320x400.jpeg)
Erin Brooks
Clinical Social Work/Therapist, LSW, CTP
Verified Verified
1 Endorsed
Troy, OH 45373
Not accepting new clients
My passion is working with children (ages 9 and up), teens and women to help them self regulate and manage the messy world of emotions, to live their best lives while learning the tools to navigate the challenges of mental illness and overcome trauma.
My passion is working with children (ages 9 and up), teens and women to help them self regulate and manage the messy world of emotions, to live their best lives while learning the tools to navigate the challenges of mental illness and overcome trauma.
![Photo of Tara Hagan, MS, LPCC-S, Counselor](https://photos.psychologytoday.com/2649d526-e41a-49cb-bac3-6fca12b6e5d2/2/320x400.jpeg)
Hello! I truly believe everyone goes through a period of time when they can benefit from working with a counselor who can look at things objectively and provide direction to create the changes that are desired. I offer counseling services in a compassionate, nurturing environment to teens and adults while focusing on what is most important to the client. I have been providing counseling services to teenagers, adults, couples, and families for over 25 years, with the hope of helping them live healthy and fulfilling lives and I look forward to beginning our relationship to create the life you are hoping for.
Hello! I truly believe everyone goes through a period of time when they can benefit from working with a counselor who can look at things objectively and provide direction to create the changes that are desired. I offer counseling services in a compassionate, nurturing environment to teens and adults while focusing on what is most important to the client. I have been providing counseling services to teenagers, adults, couples, and families for over 25 years, with the hope of helping them live healthy and fulfilling lives and I look forward to beginning our relationship to create the life you are hoping for.
![Photo of Victoria Martin, PCC-S, LSW](https://photos.psychologytoday.com/ee38b4e8-93a4-42af-85d5-0af1c0628040/1/320x400.jpeg)
Victoria Martin
Licensed Professional Clinical Counselor, PCC-S, LSW
Verified Verified
Troy, OH 45373
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
![Photo of Michelle A Ceyler - Revive Therapy LLC, MA, LPCC-S, LICDCCS](https://photos.psychologytoday.com/111d3937-5185-4fc1-b196-c3ebd6252506/2/320x400.jpeg)
Revive Therapy LLC
Licensed Professional Clinical Counselor, MA, LPCC-S, LICDCCS
Verified Verified
Troy, OH 45373
Not accepting new clients
Hello, my name is Michelle Ceyler. I am the owner of Revive Therapy as well as a licensed professional counselor. My scope of practice includes working with adult individuals who are overcoming past and current traumas as well as those who are struggling with addictions, anxiety, people pleasing behaviors, low self-esteem, and those struggling to find their identity. My goal is to create an open and judgement free space for you. I work with individuals of all different cultural and spiritual backgrounds. I welcome the LGBTQIA+ population and am gender affirming in everyone’s care.
Hello, my name is Michelle Ceyler. I am the owner of Revive Therapy as well as a licensed professional counselor. My scope of practice includes working with adult individuals who are overcoming past and current traumas as well as those who are struggling with addictions, anxiety, people pleasing behaviors, low self-esteem, and those struggling to find their identity. My goal is to create an open and judgement free space for you. I work with individuals of all different cultural and spiritual backgrounds. I welcome the LGBTQIA+ population and am gender affirming in everyone’s care.
![Photo of Tracey Stute, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d26eac72-5578-4a08-bc56-96147d20395d/1/320x400.jpeg)
Seeking help is courageous, taking the first step is the hardest. I am happy you are here and I'm looking forward to exploring how therapy may play a crucial role in your journey towards mental health and well-being. People have a variety of reasons for pursuing counseling, like reducing the negative impact of stress and anxiety, depression, and other mental health concerns. You may be wading through career difficulties and navigating challenging life transitions. If any of this sounds familiar there is hope.
Seeking help is courageous, taking the first step is the hardest. I am happy you are here and I'm looking forward to exploring how therapy may play a crucial role in your journey towards mental health and well-being. People have a variety of reasons for pursuing counseling, like reducing the negative impact of stress and anxiety, depression, and other mental health concerns. You may be wading through career difficulties and navigating challenging life transitions. If any of this sounds familiar there is hope.
![Photo of Janine Marie Campbell, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/00fc6324-1e9e-459c-ae75-91cdea8ef51f/1/320x400.jpeg)
Are you feeling overwhelmed by life's challenges? Struggling with issues like depression, anxiety, or navigating major life transitions? Seeking clarity on your life's purpose or working through self-esteem issues? Is your relationship or marriage in need of support and guidance? I'm Janine, a dedicated and compassionate counselor with a deep passion for helping individuals like you. I provide a safe, nurturing, and non-judgmental environment where you can explore your thoughts, feelings, and experiences.
Are you feeling overwhelmed by life's challenges? Struggling with issues like depression, anxiety, or navigating major life transitions? Seeking clarity on your life's purpose or working through self-esteem issues? Is your relationship or marriage in need of support and guidance? I'm Janine, a dedicated and compassionate counselor with a deep passion for helping individuals like you. I provide a safe, nurturing, and non-judgmental environment where you can explore your thoughts, feelings, and experiences.
![Photo of Gwen Helton, LPCC-S, LCDCIII](https://photos.psychologytoday.com/5d1128e0-3f64-44f5-ab38-ceb51af02247/2/320x400.jpeg)
Gwen Helton
Licensed Professional Clinical Counselor, LPCC-S, LCDCIII
Verified Verified
Troy, OH 45373
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the list? Do you feel overwhelmed, exhausted and frustrated that there seems to be no end in sight? Do you wonder if there is more to life than meeting other's needs and all of your responsibilities? More than ever, people are feeling anxious and uncertain how to manage relationships, careers and life in general. Continuing to push away your own wants and needs can result in long-term issues.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the list? Do you feel overwhelmed, exhausted and frustrated that there seems to be no end in sight? Do you wonder if there is more to life than meeting other's needs and all of your responsibilities? More than ever, people are feeling anxious and uncertain how to manage relationships, careers and life in general. Continuing to push away your own wants and needs can result in long-term issues.
![Photo of Kendra Hemminger, MS, LPCC-S](https://photos.psychologytoday.com/45781801-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kendra Hemminger
Licensed Professional Clinical Counselor, MS, LPCC-S
Verified Verified
7 Endorsed
Troy, OH 45373
Waitlist for new clients
Hello, I am happy you are considering counseling at this time, and doing your research to find the best counselor for you. Whatever it is you may be experiencing in this season of your life, I would be honored to hear your story and work with you through growth and healing. Please feel welcome to browse my website at SincereCounseling.com and contact me with any questions you may have. Wishing you peace and joy in the journey. Sincerely, Kendra
Hello, I am happy you are considering counseling at this time, and doing your research to find the best counselor for you. Whatever it is you may be experiencing in this season of your life, I would be honored to hear your story and work with you through growth and healing. Please feel welcome to browse my website at SincereCounseling.com and contact me with any questions you may have. Wishing you peace and joy in the journey. Sincerely, Kendra
![Photo of Kimberly Priester, MBA, MS, LPCC-S, Counselor](https://photos.psychologytoday.com/381f6e33-b5b4-4c7e-bb84-7a579f928de0/1/320x400.jpeg)
I enjoy helping individuals find a solution and come to their very own "aha moment'!
I enjoy helping individuals find a solution and come to their very own "aha moment'!
![Photo of Holly Alexander, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/01a29713-9941-406b-9440-472e91bbe154/1/320x400.jpeg)
Hello! I’m glad you made it to my Psychology Today page. Seeking counseling is a sign of strength, not weakness. By seeking counseling, you are making the choice to make positive changes to improve your life. I would be honored to hear your story and help you find healing and joy. Please email me with any questions you may have. Take care, Holly
Hello! I’m glad you made it to my Psychology Today page. Seeking counseling is a sign of strength, not weakness. By seeking counseling, you are making the choice to make positive changes to improve your life. I would be honored to hear your story and help you find healing and joy. Please email me with any questions you may have. Take care, Holly
![Photo of Chelsea Devine-Nafziger, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a1619ba2-c4be-4eac-bdfe-0f5e8381db9b/1/320x400.jpeg)
Chelsea Devine-Nafziger
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Troy, OH 45373
Waitlist for new clients
“The secret of getting ahead is getting started.”- Mark Twain. Welcome to Devine Counseling Services, LLC. My goal is to facilitate an effective therapeutic journey toward your vision of the best you; Whether that involves managing symptoms related to depression/anxiety, coping with work/school stress, navigating relationships, or someone to simply listen. I am a Licensed Independent Social Worker practicing individual/family/group therapy for 14 years in Community-based programs, Day Treatment, and Private Practice.
“The secret of getting ahead is getting started.”- Mark Twain. Welcome to Devine Counseling Services, LLC. My goal is to facilitate an effective therapeutic journey toward your vision of the best you; Whether that involves managing symptoms related to depression/anxiety, coping with work/school stress, navigating relationships, or someone to simply listen. I am a Licensed Independent Social Worker practicing individual/family/group therapy for 14 years in Community-based programs, Day Treatment, and Private Practice.
![Photo of Carolyn Walsh Wright - Navigation Counseling and Consulting, LLC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e4b50f8f-fe6e-4953-9bb8-cc35ac7bcaf3/1/320x400.jpeg)
Navigation Counseling and Consulting, LLC
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Troy, OH 45373
I am a clinical social worker with more than 25 years of experience in the field, serving clients from all walks of life. I have worked across a variety of settings, including schools, hospitals, veterans' organizations, LGBTQ organizations, domestic violence survivors and the courts. I work closely with my clients to address symptoms of depression, anxiety, stress management, relationship issues, parenting problems and career challenges. I recognize that many people may have experienced physical trauma or emotional abuse, and work to create a safe, non judgmental and accepting space for healing.
I am a clinical social worker with more than 25 years of experience in the field, serving clients from all walks of life. I have worked across a variety of settings, including schools, hospitals, veterans' organizations, LGBTQ organizations, domestic violence survivors and the courts. I work closely with my clients to address symptoms of depression, anxiety, stress management, relationship issues, parenting problems and career challenges. I recognize that many people may have experienced physical trauma or emotional abuse, and work to create a safe, non judgmental and accepting space for healing.
![Photo of Denise Hawkins, MS, LPCC](https://photos.psychologytoday.com/0378e84a-7adf-4fb3-86ea-c7a955557428/1/320x400.jpeg)
Hello! I provide counseling to adolescents and adults struggling with depression, anxiety, grief and adjustment to life transitions. I've been a licensed counselor for 13 years and have worked in a variety of settings. During our initial session I'll assess your symptoms and discuss your goals for therapy. My hope is for you to feel safe and comfortable talking about the stressors impacting your life.
Hello! I provide counseling to adolescents and adults struggling with depression, anxiety, grief and adjustment to life transitions. I've been a licensed counselor for 13 years and have worked in a variety of settings. During our initial session I'll assess your symptoms and discuss your goals for therapy. My hope is for you to feel safe and comfortable talking about the stressors impacting your life.
![Photo of Lauren Braun, MS, LPCC](https://photos.psychologytoday.com/a57abe39-00b1-4136-a877-7995ac8c94ad/3/320x400.jpeg)
Lauren Braun
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
Troy, OH 45373 (Online Only)
Not accepting new clients
Hello! I'm grateful you are here. Taking any (teeny tiny to giant leap) step toward counseling is incredibly vulnerable. I admire your bravery for starting the process. I tend to see life as messy and each person can benefit from having a time and space to develop or enhance skills on how to cope. I have served individuals navigating transition into and throughout parenthood, difficulties in parent-child relationships, challenges in building and maintaining relationships, learning to love themselves, healing from traumatic events and experiences, and how to navigate difficult-to-express feelings.
Hello! I'm grateful you are here. Taking any (teeny tiny to giant leap) step toward counseling is incredibly vulnerable. I admire your bravery for starting the process. I tend to see life as messy and each person can benefit from having a time and space to develop or enhance skills on how to cope. I have served individuals navigating transition into and throughout parenthood, difficulties in parent-child relationships, challenges in building and maintaining relationships, learning to love themselves, healing from traumatic events and experiences, and how to navigate difficult-to-express feelings.
![Photo of Kristin Dolph - Dolph Counseling & Wellness, LLC, MS, LPCC-S, NCC](https://photos.psychologytoday.com/0a101d43-82a6-4b1d-8880-a379d202fa56/2/320x400.jpeg)
Dolph Counseling & Wellness, LLC
Licensed Professional Clinical Counselor, MS, LPCC-S, NCC
Verified Verified
4 Endorsed
Troy, OH 45373
Hello! My name is Kristin Dolph. I am a Licensed Professional Clinical Counselor with Supervision designation specializing in trauma and wellness. I provide therapeutic services to a wide variety of emotional and mental health needs for adults, adolescents, children, and couples. My passion is to help my clients in becoming the best version of themselves. I strive to help all my clients by providing a safe and therapeutic environment filled with compassion and acceptance for optimal growth.
Hello! My name is Kristin Dolph. I am a Licensed Professional Clinical Counselor with Supervision designation specializing in trauma and wellness. I provide therapeutic services to a wide variety of emotional and mental health needs for adults, adolescents, children, and couples. My passion is to help my clients in becoming the best version of themselves. I strive to help all my clients by providing a safe and therapeutic environment filled with compassion and acceptance for optimal growth.
![Photo of Zachary Spoon, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/f84005cf-ca5e-4440-bec9-c9f85428dce9/6/320x400.jpeg)
Do you feel like you are anxious, depressed, or "never good enough"? Are you experiencing frequent conflict and confusion in your relationships?Most of us desire meaningful and safe connections with significant people in our lives, but healthy relationships can be difficult to create and sustain. Let's work together to find empowered solutions and allow for empathy, understanding, and compassion. I would be honored to help you address life’s challenges and support you on the journey.
Do you feel like you are anxious, depressed, or "never good enough"? Are you experiencing frequent conflict and confusion in your relationships?Most of us desire meaningful and safe connections with significant people in our lives, but healthy relationships can be difficult to create and sustain. Let's work together to find empowered solutions and allow for empathy, understanding, and compassion. I would be honored to help you address life’s challenges and support you on the journey.
![Photo of Megan J. Shepherd, MSEd, LPCC, Counselor](https://photos.psychologytoday.com/c0b88036-1cf0-4530-b8a2-4eb3c4147c59/1/320x400.jpeg)
If you want to get to the root of what you struggle with and understand who you are, I can offer you a nonjudgemental space to explore your past, enrich your present, and build a future you want to live in. People come to therapy for many reasons that basically boil down to something is wrong and you can't figure it out and don't know what to do. I can help. I am a huge proponent of wellness and believe that our mental and emotional states are impacted by our physical wellbeing, social wellbeing, relationships and visa versa. I am here to listen and provide you with an outside perspective to help you gain insight and clarity.
If you want to get to the root of what you struggle with and understand who you are, I can offer you a nonjudgemental space to explore your past, enrich your present, and build a future you want to live in. People come to therapy for many reasons that basically boil down to something is wrong and you can't figure it out and don't know what to do. I can help. I am a huge proponent of wellness and believe that our mental and emotional states are impacted by our physical wellbeing, social wellbeing, relationships and visa versa. I am here to listen and provide you with an outside perspective to help you gain insight and clarity.
![Photo of Samantha M Augaitis-Elzey, MS, LPCC-S, CCTS-I, Counselor](https://photos.psychologytoday.com/57913d5b-900c-4290-9920-27f5378542b9/1/320x400.png)
Hi there! My name is Samantha Augaitis-Elzey and I am a Licensed Professional Clinical Counselor (with Supervision Designation) and Certified Clinical Trauma Specialist- Individual affiliated with Sincere Counseling.
Hi there! My name is Samantha Augaitis-Elzey and I am a Licensed Professional Clinical Counselor (with Supervision Designation) and Certified Clinical Trauma Specialist- Individual affiliated with Sincere Counseling.
![Photo of Mark Ward - Ward Counseling, LLC, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a67606d1-aefc-40f6-9222-d2894581f77b/1/320x400.jpeg)
Ward Counseling, LLC
Clinical Social Work/Therapist, LISW-S
Verified Verified
Troy, OH 45373 (Online Only)
Accepting new telehealth clients. Are you feeling anxious, depressed, or stuck? If so, there is support here for you! We all have difficulties, struggles, and need support at times. We will work together to create a safe & comfortable place for you to explore your difficult moments in life; motivating growth and finding practical tools for change, creating a new path towards success. I am here to help develop new habits and skills to help you cope with life’s various challenges. My ideal client is someone who is willing to invest the time and effort it takes to make new choices to become the best version of themselves!
Accepting new telehealth clients. Are you feeling anxious, depressed, or stuck? If so, there is support here for you! We all have difficulties, struggles, and need support at times. We will work together to create a safe & comfortable place for you to explore your difficult moments in life; motivating growth and finding practical tools for change, creating a new path towards success. I am here to help develop new habits and skills to help you cope with life’s various challenges. My ideal client is someone who is willing to invest the time and effort it takes to make new choices to become the best version of themselves!
See more therapy options for 45373
How does your Therapist compare?
Number of Therapists in 45373
50+
Average cost per session
$110
Therapists in 45373 who prioritize treating:
92% | Depression |
90% | Anxiety |
85% | Self Esteem |
81% | Relationship Issues |
79% | Coping Skills |
75% | Trauma and PTSD |
71% | Stress |
Average years in practice
8 Years
Top 3 insurances accepted
91% | Aetna |
85% | Cigna and Evernorth |
85% | Elevance |
How Therapists in 45373 see their clients
89% | In Person and Online | |
11% | Online Only |
Gender breakdown
83% | Female | |
17% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 45373?
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.