Photo of Debra Miller, PsyD, Psychologist
Debra Miller
Psychologist, PsyD
Verified Verified
Sacramento, CA 94205
I offer in person and tele therapy. My goal is to provide a safe and caring environment. I enjoy working with a wide variety of people. I specialize in those who are struggling with depression, anxiety, chronic pain, addiction, trauma and PTSD. I work with clients who are dealing with opioid and/or benzodiazepine abuse/dependency. My style is a common sense, straight forward approach. I believe that the connection between the therapist and client is the most important piece in the therapeutic process.
I offer in person and tele therapy. My goal is to provide a safe and caring environment. I enjoy working with a wide variety of people. I specialize in those who are struggling with depression, anxiety, chronic pain, addiction, trauma and PTSD. I work with clients who are dealing with opioid and/or benzodiazepine abuse/dependency. My style is a common sense, straight forward approach. I believe that the connection between the therapist and client is the most important piece in the therapeutic process.
(530) 475-6710 View (530) 475-6710
Photo of Dean Leav - Men's Issues - Dr. Dean, PsyD, QME, Author, Psychologist
Men's Issues - Dr. Dean
Psychologist, PsyD, QME, Author
Verified Verified
Sacramento, CA 94205
Welcome to my practice. I have been in practice since 2007 and have been featured on ABC, NBC, and KCAL as an expert psychologist. I work primarily with men who have hit “rock bottom” and would like help getting up. These men are often in crisis when we first meet. The issues I address are typically related to unhealthy sexual behaviors, infidelity, financial recklessness, gambling, drugs/alcohol, dishonesty/lying, and relational conflicts. My therapy approach is a combination of psychoanalytic, cognitive-behavioral, and the 12-Step recovery model. I also share insight from my own painful but redemptive recovery journey.
Welcome to my practice. I have been in practice since 2007 and have been featured on ABC, NBC, and KCAL as an expert psychologist. I work primarily with men who have hit “rock bottom” and would like help getting up. These men are often in crisis when we first meet. The issues I address are typically related to unhealthy sexual behaviors, infidelity, financial recklessness, gambling, drugs/alcohol, dishonesty/lying, and relational conflicts. My therapy approach is a combination of psychoanalytic, cognitive-behavioral, and the 12-Step recovery model. I also share insight from my own painful but redemptive recovery journey.
(510) 983-7281 View (510) 983-7281
Photo of Kellie Bougard Jordan, LPCC, MA, PPS, Counselor
Kellie Bougard Jordan
Counselor, LPCC, MA, PPS
Verified Verified
1 Endorsed
Sacramento, CA 94205  (Online Only)
When life presents hardships and challenges, even the most resilient individuals can experience stress, loneliness, despair, insecurity and can lose a sense of direction. Healing Humanity Counseling and Wellness creates a safe, supportive, non judgmental environment in which acceptance, healing, and self love is cultivated. I am a Licensed Professional Clinical Counselor (LPCC), owner of Healing Humanity Counseling And Wellness. I have over seven years of experience across a variety of settings. I have worked with many diverse populations with specific needs ranging from mild acuity to the severe and persistent mentally ill.
When life presents hardships and challenges, even the most resilient individuals can experience stress, loneliness, despair, insecurity and can lose a sense of direction. Healing Humanity Counseling and Wellness creates a safe, supportive, non judgmental environment in which acceptance, healing, and self love is cultivated. I am a Licensed Professional Clinical Counselor (LPCC), owner of Healing Humanity Counseling And Wellness. I have over seven years of experience across a variety of settings. I have worked with many diverse populations with specific needs ranging from mild acuity to the severe and persistent mentally ill.
(909) 639-6472 View (909) 639-6472
Photo of Mahesh Francis, MA, AMFT, N134572, APCC, N#12508, Marriage & Family Therapist Associate
Mahesh Francis
Marriage & Family Therapist Associate, MA, AMFT, N134572, APCC, N#12508
Verified Verified
3 Endorsed
Sacramento, CA 94205
What have you been through, and how is it affecting you? When you went through some serious trauma, it can affect your everyday life and sometimes feel like it happened yesterday. It is my commitment to provide the highest quality of attention and support to each individual and couple and healing is the aim. I am also consistently expanding my therapy skills to provide the most relevant tools to support my clients. From a theoretical perspective, I primarily utilize a combination of cognitive, relational, and psychodynamic approaches. I am depth-oriented and am always seeking to explore the deeper layers of any experience.
What have you been through, and how is it affecting you? When you went through some serious trauma, it can affect your everyday life and sometimes feel like it happened yesterday. It is my commitment to provide the highest quality of attention and support to each individual and couple and healing is the aim. I am also consistently expanding my therapy skills to provide the most relevant tools to support my clients. From a theoretical perspective, I primarily utilize a combination of cognitive, relational, and psychodynamic approaches. I am depth-oriented and am always seeking to explore the deeper layers of any experience.
(925) 966-1283 View (925) 966-1283
Photo of Jessica Rowe - Dr. Jess' Mind Care Center, MS, PsyD, Psychologist
Dr. Jess' Mind Care Center
Psychologist, MS, PsyD
Verified Verified
Sacramento, CA 94205
Dr. Jessica Rowe, Psy.D. is the founder of Dr. Jess' Mind Care Center in Northern California. Dr. Rowe is a doctor of psychology & she is a mental health expert and enthusiast who focuses on providing the most thorough evidence-based treatment practices & psychlegal assessments. She is a legal psychologist, consultant, & expert witness, and she works with defense & plaintiff attorneys & clients nationwide. She works in employment, personal injury, military, abuse, veteran, forensic, and civilian contractor cases. She also conducts peer reviews & participates in trials & depositions regularly.
Dr. Jessica Rowe, Psy.D. is the founder of Dr. Jess' Mind Care Center in Northern California. Dr. Rowe is a doctor of psychology & she is a mental health expert and enthusiast who focuses on providing the most thorough evidence-based treatment practices & psychlegal assessments. She is a legal psychologist, consultant, & expert witness, and she works with defense & plaintiff attorneys & clients nationwide. She works in employment, personal injury, military, abuse, veteran, forensic, and civilian contractor cases. She also conducts peer reviews & participates in trials & depositions regularly.
(916) 496-3850 View (916) 496-3850
Photo of Ryan Thom - Consistent Talk Therapy , LMFT, Marriage & Family Therapist
Consistent Talk Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 94205  (Online Only)
I have worked well with clients navigating struggles with major life transition, ADHD, depression, interpersonal communication, and identity.
I have worked well with clients navigating struggles with major life transition, ADHD, depression, interpersonal communication, and identity.
(916) 249-0857 View (916) 249-0857
Photo of Karl Stenske, AMFT, APCC, Marriage & Family Therapist Associate
Karl Stenske
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
Sacramento, CA 94205
You may feel that life isn’t what you thought it would be, perhaps feeling lonely or hopeless or full of fear and anxiety. Sleep problems may arise but so do feelings that there is something wrong with you. Comparing yourself to others doesn’t help and there are real problems in the world. Seeking help is a sign of self-awareness & readiness for change. I believe I can help you with these thoughts and feelings and bring a new perspective.
You may feel that life isn’t what you thought it would be, perhaps feeling lonely or hopeless or full of fear and anxiety. Sleep problems may arise but so do feelings that there is something wrong with you. Comparing yourself to others doesn’t help and there are real problems in the world. Seeking help is a sign of self-awareness & readiness for change. I believe I can help you with these thoughts and feelings and bring a new perspective.
(424) 233-0967 View (424) 233-0967
Photo of Dr. Lagen Biles Schulte -  TherapyMH  -  Dr. Lagen Biles Schulte , Psychologist
TherapyMH - Dr. Lagen Biles Schulte
Psychologist
Verified Verified
2 Endorsed
Sacramento, CA 94205
Welcome! Are you feeling stuck or unhappy? When we encounter life challenges and stress, we sometimes forget our strengths, lose touch with who we are, and even forget what it feels like to be happy, engaged, and in control. I can help you make practical and sustainable changes to improve your mood, behaviors, and joy experience.
Welcome! Are you feeling stuck or unhappy? When we encounter life challenges and stress, we sometimes forget our strengths, lose touch with who we are, and even forget what it feels like to be happy, engaged, and in control. I can help you make practical and sustainable changes to improve your mood, behaviors, and joy experience.
(669) 202-7588 View (669) 202-7588
Photo of Nasha K Mazaira, MSW, LCSW, EMDR, Clinical Social Work/Therapist
Nasha K Mazaira
Clinical Social Work/Therapist, MSW, LCSW, EMDR
Verified Verified
Sacramento, CA 94205  (Online Only)
Hello, and welcome to my page! Using holistic approaches to connect to your inner wisdom, we will work together to create more connection, joy, and aliveness in your life. Using a decolonial lens, I often support highly sensitive people who are who are processing relational, attachment & intergenerational trauma, or who need to process single-incident or complex traumas.
Hello, and welcome to my page! Using holistic approaches to connect to your inner wisdom, we will work together to create more connection, joy, and aliveness in your life. Using a decolonial lens, I often support highly sensitive people who are who are processing relational, attachment & intergenerational trauma, or who need to process single-incident or complex traumas.
(323) 515-1802 View (323) 515-1802
Photo of Annie Le, LCSW, Clinical Social Work/Therapist
Annie Le
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Sacramento, CA 94205  (Online Only)
Have you ever experienced something deeply distressing that it holds you back from living your life? No matter how hard you try to suppress it, those negative feelings seem to resurface when you desperately need it to go away. Feeling a loss of control can cause you to feel defeated, lonely, and unmotivated. You don't need to go through this alone and this feeling doesn’t need to be permanent. I am committed to providing a nonjudgmental space for you to make sense of these experiences. I am a strength-based therapist that utilizes an integrative and client-centered approach. Let’s work collaboratively to help you heal and grow.
Have you ever experienced something deeply distressing that it holds you back from living your life? No matter how hard you try to suppress it, those negative feelings seem to resurface when you desperately need it to go away. Feeling a loss of control can cause you to feel defeated, lonely, and unmotivated. You don't need to go through this alone and this feeling doesn’t need to be permanent. I am committed to providing a nonjudgmental space for you to make sense of these experiences. I am a strength-based therapist that utilizes an integrative and client-centered approach. Let’s work collaboratively to help you heal and grow.
(323) 676-1168 View (323) 676-1168
Photo of Crystal Barrera, LCSW, Clinical Social Work/Therapist
Crystal Barrera
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 94205  (Online Only)
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
(415) 903-9997 View (415) 903-9997
Photo of Jenni Moore, LCSW, MSW, Clinical Social Work/Therapist
Jenni Moore
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Sacramento, CA 94205  (Online Only)
Hello, I am a Licensed Clinical Social Worker (LCSW) and I am a Certified Eye Movement Desensitization and Reprocessing (EMDR) therapist with EMDRIA. EMDR accesses the brain's innate ability to overcome the obstacles of past trauma. I understand how past traumas can lend to people feeling "stuck," and can contribute to a great many symptoms and problematic behaviors. I work with people from age five and up, to help overcome challenges, particularly those which are compounded by past traumas. I am ready to help you to learn new tools to overcome your current and past challenges and to move toward future peace and ease.
Hello, I am a Licensed Clinical Social Worker (LCSW) and I am a Certified Eye Movement Desensitization and Reprocessing (EMDR) therapist with EMDRIA. EMDR accesses the brain's innate ability to overcome the obstacles of past trauma. I understand how past traumas can lend to people feeling "stuck," and can contribute to a great many symptoms and problematic behaviors. I work with people from age five and up, to help overcome challenges, particularly those which are compounded by past traumas. I am ready to help you to learn new tools to overcome your current and past challenges and to move toward future peace and ease.
(209) 299-6848 View (209) 299-6848
Photo of Monica Hendrix - Gadda Hendrix Consulting, MA, LMFT, Marriage & Family Therapist
Gadda Hendrix Consulting
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 94205
Gadda Hendrix Consulting offers comprehensive behavioral health consultation & support to public and private organizations across California. Please visit my website for more information on my background and available services.
Gadda Hendrix Consulting offers comprehensive behavioral health consultation & support to public and private organizations across California. Please visit my website for more information on my background and available services.
(916) 378-1240 View (916) 378-1240
Photo of Dr. Wendy Burchett, PsyD, LMFT, Marriage & Family Therapist
Dr. Wendy Burchett
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 94205
I have been working as a Licensed Marriage and Family Therapist for the last 12 years and I completed my doctoral degree in 2024. I have worked in the community with individuals, couples, youth with high risk behaviors, and military families. I specialize in working with individuals, women's issues, couples, substance abuse and recovery, trauma, military population, and adolescents. While working with my clients I focus on the whole person, pulling forward your own strengths and wisdom to solve life's challenges.
I have been working as a Licensed Marriage and Family Therapist for the last 12 years and I completed my doctoral degree in 2024. I have worked in the community with individuals, couples, youth with high risk behaviors, and military families. I specialize in working with individuals, women's issues, couples, substance abuse and recovery, trauma, military population, and adolescents. While working with my clients I focus on the whole person, pulling forward your own strengths and wisdom to solve life's challenges.
(858) 808-2288 View (858) 808-2288
Photo of Cameron Lewis, MA, LMFT, Marriage & Family Therapist
Cameron Lewis
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 94205  (Online Only)
Cameron Lewis is Licensed Marriage & Family Therapist who has a passion for holding space for others & helping client's see their truest potential. Cameron graduated from the University of San Francisco and has earned a Master's degree in Counseling Psychology with an emphasis in Marriage & Family Therapy. Cameron has several years of experience working with adolescents, teens, adults and individuals with development differences & co-occurring disorders in variety of settings including in-home, school-based setting, and private practice.
Cameron Lewis is Licensed Marriage & Family Therapist who has a passion for holding space for others & helping client's see their truest potential. Cameron graduated from the University of San Francisco and has earned a Master's degree in Counseling Psychology with an emphasis in Marriage & Family Therapy. Cameron has several years of experience working with adolescents, teens, adults and individuals with development differences & co-occurring disorders in variety of settings including in-home, school-based setting, and private practice.
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Photo of Jeremy Gregory, MSW, ASW, Pre-Licensed Professional
Jeremy Gregory
Pre-Licensed Professional, MSW, ASW
Verified Verified
5 Endorsed
Sacramento, CA 94205  (Online Only)
The rest of the world looks at you and thinks you have it all together, but you have been tirelessly juggling all the demands of your family, profession, and life in general and you're exhausted: mentally, spiritually, and emotionally. You're entire life you've been considered the successful one who makes all the right choices and is the person your friends and family look up to. There's no room for failure. You don't feel you have any choices, so you suck it up and keep moving forward. You don't even have time for therapy, even though you know you deserve to work on yourself. You don't have to carry your burdens alone anymore.
The rest of the world looks at you and thinks you have it all together, but you have been tirelessly juggling all the demands of your family, profession, and life in general and you're exhausted: mentally, spiritually, and emotionally. You're entire life you've been considered the successful one who makes all the right choices and is the person your friends and family look up to. There's no room for failure. You don't feel you have any choices, so you suck it up and keep moving forward. You don't even have time for therapy, even though you know you deserve to work on yourself. You don't have to carry your burdens alone anymore.
(530) 777-5442 View (530) 777-5442
Photo of Terry Basile, LMFT, Marriage & Family Therapist
Terry Basile
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 94205  (Online Only)
I offer you a 'strength based' therapy. I use support, introspection, assessment, direction and referral as a way to bring change to your life. We all experience loss, doubt, changes in our life beyond our control. For some people 'Therapy' is a place to re-charge. For others is it a vital experience needed to explore core issues ( trauma ) and re-organize their sense of self and move forward. I believe I offer a safe place online for you to grow. Online Zoom sesions only. I enjoy working on issues of anxiety, depression, relationships and parenting. I am a survivor of the Camp Fire and feel qualified to work with other survivors.
I offer you a 'strength based' therapy. I use support, introspection, assessment, direction and referral as a way to bring change to your life. We all experience loss, doubt, changes in our life beyond our control. For some people 'Therapy' is a place to re-charge. For others is it a vital experience needed to explore core issues ( trauma ) and re-organize their sense of self and move forward. I believe I offer a safe place online for you to grow. Online Zoom sesions only. I enjoy working on issues of anxiety, depression, relationships and parenting. I am a survivor of the Camp Fire and feel qualified to work with other survivors.
(707) 734-0554 View (707) 734-0554
Photo of Jenée L Harris First Responder And Trauma Support, LMFT, EMDR, Marriage & Family Therapist
Jenée L Harris First Responder And Trauma Support
Marriage & Family Therapist, LMFT, EMDR
Verified Verified
Sacramento, CA 94205  (Online Only)
Hi, I’m so glad you have taken a step to beginning therapy. I work with a variety of clients who are 18+ via Telehealth in California. I have specialized training as well as both personal and professional experience with supporting first responders, military personnel, and their families. I also see civilians at my practice. My approach is caring, supportive, and direct. Your time is important, I will work with you to identify goals and work toward them in a way that meets your needs. I bring humor, honesty, and compassion into sessions to create a space and relationship that allows for trust, safety, and accountability.
Hi, I’m so glad you have taken a step to beginning therapy. I work with a variety of clients who are 18+ via Telehealth in California. I have specialized training as well as both personal and professional experience with supporting first responders, military personnel, and their families. I also see civilians at my practice. My approach is caring, supportive, and direct. Your time is important, I will work with you to identify goals and work toward them in a way that meets your needs. I bring humor, honesty, and compassion into sessions to create a space and relationship that allows for trust, safety, and accountability.
(619) 949-3731 View (619) 949-3731
Photo of Debra S. Butler, MS, LMFT, Marriage & Family Therapist
Debra S. Butler
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sacramento, CA 94205
I am a clinician whose passion is working with individuals, couples and groups from diverse cultures and backgrounds. I work from a whole-person and inclusive perspective, welcoming clients with their own personal circumstances. At times, anyone may feel overwhelmed, stressed, stumble and just feel unsure of what to do. This is a great time to talk with a clinician who is interested in your concerns, your well-being and desired outcome. The initial meeting is intended to be informative and decisive. With commitment and partnership during the therapy process, getting to a productive and restored place is expected .
I am a clinician whose passion is working with individuals, couples and groups from diverse cultures and backgrounds. I work from a whole-person and inclusive perspective, welcoming clients with their own personal circumstances. At times, anyone may feel overwhelmed, stressed, stumble and just feel unsure of what to do. This is a great time to talk with a clinician who is interested in your concerns, your well-being and desired outcome. The initial meeting is intended to be informative and decisive. With commitment and partnership during the therapy process, getting to a productive and restored place is expected .
(510) 369-0503 View (510) 369-0503
Photo of Carlos Guerrero, MSW, LCSW, Clinical Social Work/Therapist
Carlos Guerrero
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 94205  (Online Only)
Sometimes with life’s challenges, people can get “stuck” in vicious cycles. If you are here, it means you are taking the steps to break this cycle. I value that the client does most of the talking & my role is to be an active and nonjudgmental listener. I often jump in and challenge the client when appropriate and I actively teach new skills and tools.
Sometimes with life’s challenges, people can get “stuck” in vicious cycles. If you are here, it means you are taking the steps to break this cycle. I value that the client does most of the talking & my role is to be an active and nonjudgmental listener. I often jump in and challenge the client when appropriate and I actively teach new skills and tools.
(925) 433-7553 View (925) 433-7553
1

See more therapy options for 94205

How does your Therapist compare?

Number of Therapists in 94205

20+

Average cost per session

$175

Therapists in 94205 who prioritize treating:

87% Anxiety
83% Depression
78% Relationship Issues
78% Trauma and PTSD
74% Coping Skills
74% Self Esteem
74% Stress

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
53% Cigna and Evernorth
47% Optum

How Therapists in 94205 see their clients

56% Online Only
44% In Person and Online

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 94205?

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.