Therapists in 95064
![Photo of Alisia Murphy, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/704b1965-7663-49d3-8c0a-fec4918588dd/1/320x400.jpeg)
Alisia Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Santa Cruz, CA 95064 (Online Only)
You are a woman who would like to know how to deeply trust and nurture yourself. To care for the parts of you that need tenderness and a place to explore what brings you alive and what gets in the way of this. You may not know how or where to begin because you were not shown how. You’re so good at taking care of others that there’s nothing left for you. Or, perhaps you have learned to put yourself to the side because that is what feels safest. You may be asking yourself, “Is it okay to take care of me and what I want?”
You are a woman who would like to know how to deeply trust and nurture yourself. To care for the parts of you that need tenderness and a place to explore what brings you alive and what gets in the way of this. You may not know how or where to begin because you were not shown how. You’re so good at taking care of others that there’s nothing left for you. Or, perhaps you have learned to put yourself to the side because that is what feels safest. You may be asking yourself, “Is it okay to take care of me and what I want?”
![Photo of Kendra F. Dunlap, MS, MFT, PPSC, Marriage & Family Therapist](https://photos.psychologytoday.com/3fbd7ce9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Kendra F. Dunlap
Marriage & Family Therapist, MS, MFT, PPSC
Verified Verified
4 Endorsed
Santa Cruz, CA 95064 (Online Only)
Clients seeking my services are looking for a safe and supportive space where they can bring their authentic whole “self” and explore and discuss issues centered on intersectional oppressions, identity exploration, trauma exploration, managing anxiety and stress, depression reduction, relational and attachment struggles, managing imposter syndrome, improving self-esteem, increasing communications skills and learning to identify and set healthy boundaries.
Clients seeking my services are looking for a safe and supportive space where they can bring their authentic whole “self” and explore and discuss issues centered on intersectional oppressions, identity exploration, trauma exploration, managing anxiety and stress, depression reduction, relational and attachment struggles, managing imposter syndrome, improving self-esteem, increasing communications skills and learning to identify and set healthy boundaries.
![Photo of Chiara V. Cabiglio, AMFT, MA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/93d47012-a879-4c27-8cb3-83e1f830b6b0/2/320x400.jpeg)
Chiara V. Cabiglio
Marriage & Family Therapist Associate, AMFT, MA
Verified Verified
2 Endorsed
Santa Cruz, CA 95064 (Online Only)
Are you an adolescent who feels crippled by anxiety and depression? Or a couple who feels trapped in a cycle of distrust, blame, and feeling unheard, unseen, or misunderstood by your partner? Or maybe you are an adult living with chronic illness and trauma and feel hopeless that you’ll ever truly heal and live your life free of invisible disability? I’ve been where you are and know what it’s like to feel stuck, afraid, lost and alone. Seeking therapy is the beginning of you blooming into a lotus flower and rising from the ashes. You have the answers within you and the capacity to heal. I'm a transpersonal therapist here to walk
Are you an adolescent who feels crippled by anxiety and depression? Or a couple who feels trapped in a cycle of distrust, blame, and feeling unheard, unseen, or misunderstood by your partner? Or maybe you are an adult living with chronic illness and trauma and feel hopeless that you’ll ever truly heal and live your life free of invisible disability? I’ve been where you are and know what it’s like to feel stuck, afraid, lost and alone. Seeking therapy is the beginning of you blooming into a lotus flower and rising from the ashes. You have the answers within you and the capacity to heal. I'm a transpersonal therapist here to walk
![Photo of Keith Britany, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/40510e21-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Are you seeking counseling for you, your teen, or your family? Considering divorce or developing your will or trust & need support? My name is Keith Britany, Licensed Marriage and Family Therapist. Private practice offices in Los Gatos & Santa Cruz, CA. My goal is assisting you in identifying your strengths, needs & concerns and find ways to use those strengths to build a better outcome for you and those in your life. Keith Britany LMFT, Helping Individuals and Families Live Healthier Lives. Services include: Therapy, Mediation, Collaborative Trusts and Estates, Collaborative Divorce & Communication Coaching. 831-566-3728, www.therapy-and-coaching.com
Are you seeking counseling for you, your teen, or your family? Considering divorce or developing your will or trust & need support? My name is Keith Britany, Licensed Marriage and Family Therapist. Private practice offices in Los Gatos & Santa Cruz, CA. My goal is assisting you in identifying your strengths, needs & concerns and find ways to use those strengths to build a better outcome for you and those in your life. Keith Britany LMFT, Helping Individuals and Families Live Healthier Lives. Services include: Therapy, Mediation, Collaborative Trusts and Estates, Collaborative Divorce & Communication Coaching. 831-566-3728, www.therapy-and-coaching.com
![Photo of Imuri Pacheco, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/1e5fe239-230c-4cb9-a83a-4827edab08a4/1/320x400.jpeg)
Imuri Pacheco
Marriage & Family Therapist, MS, LMFT
Verified Verified
5 Endorsed
Santa Cruz, CA 95064 (Online Only)
In a world fixated on productivity, I intend to offer a nurturing sanctuary where you can simply exist. Therapy should wholeheartedly embrace your unique individuality and diversity, moving at the pace of your inner world. Together, we'll curiously delve into the various facets of your being, working harmoniously for your overall well-being, while also embracing the value of simply being who you are in this moment. With utmost care and patience, we seek to earn the trust of your internal system, allowing you to step into self-leadership and, ultimately, to lead a more fulfilling and purposeful life.
In a world fixated on productivity, I intend to offer a nurturing sanctuary where you can simply exist. Therapy should wholeheartedly embrace your unique individuality and diversity, moving at the pace of your inner world. Together, we'll curiously delve into the various facets of your being, working harmoniously for your overall well-being, while also embracing the value of simply being who you are in this moment. With utmost care and patience, we seek to earn the trust of your internal system, allowing you to step into self-leadership and, ultimately, to lead a more fulfilling and purposeful life.
![Photo of Winona Suyenobu, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/5f2585cb-8ac0-4734-af14-1564680e632d/2/320x400.jpeg)
My approach to working with clients: Holistic Psychotherapy , Somatic Psychotherapy, Mindfulnes, specializing in Sexual Abuse, Trauma, Anxiety, Stress. Each client I see has their own story - the beliefs they hold about themselves, and the patterns (automatic ways of acting and thinking) that support those beliefs. Perhaps one was neglected as a child, and believes they need to do everything for themselves. Perhaps there was childhood abuse, and it's difficult to trust people, or to feel safe with intimacy. Perhaps one is stuck in their family role (for example: hero, lost child, mascot, scapegoat).
My approach to working with clients: Holistic Psychotherapy , Somatic Psychotherapy, Mindfulnes, specializing in Sexual Abuse, Trauma, Anxiety, Stress. Each client I see has their own story - the beliefs they hold about themselves, and the patterns (automatic ways of acting and thinking) that support those beliefs. Perhaps one was neglected as a child, and believes they need to do everything for themselves. Perhaps there was childhood abuse, and it's difficult to trust people, or to feel safe with intimacy. Perhaps one is stuck in their family role (for example: hero, lost child, mascot, scapegoat).
![Photo of Shira Stone, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/5444f1db-253c-44a7-9ff8-3f3cd39674e1/1/320x400.jpeg)
I have thirty years experience helping people who are suffering from depression, anxiety, trauma, PTSD, relationship conflict, stress, and many other issues that take away from quality of life. My approach goes beyond plain talk therapy. My goal is to help you release old wounds, connect with your true inner self, and find your power. Whether you are completely new to therapy or have had many therapists and are discouraged with a lack of results, I am dedicated to listening and finding the right approach for you, the unique human that you are. I want to empower you to achieve your goals and live the fulfilling life that you deserve.
I have thirty years experience helping people who are suffering from depression, anxiety, trauma, PTSD, relationship conflict, stress, and many other issues that take away from quality of life. My approach goes beyond plain talk therapy. My goal is to help you release old wounds, connect with your true inner self, and find your power. Whether you are completely new to therapy or have had many therapists and are discouraged with a lack of results, I am dedicated to listening and finding the right approach for you, the unique human that you are. I want to empower you to achieve your goals and live the fulfilling life that you deserve.
![Photo of Carolyn A Vitale, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/f7a33233-5aff-4875-9d42-40d2b821c5c4/2/320x400.jpeg)
Carolyn A Vitale
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Santa Cruz, CA 95064
I like to work with a wide range of folks from 8yr old kids to those aging. Often with adults I am interested in getting beyond everyday conversation into deeper layers of self, incorporating an inward focus of the body, mind and spirit. I am eclectic and offer a strength-based approach to help with depression, anxiety, transitions, relationship challenges, overall stuckness and other challenges. My approach is humanistic and compassionate, providing the support needed to get through hardships into a more empowered, creative and celebratory self.
I like to work with a wide range of folks from 8yr old kids to those aging. Often with adults I am interested in getting beyond everyday conversation into deeper layers of self, incorporating an inward focus of the body, mind and spirit. I am eclectic and offer a strength-based approach to help with depression, anxiety, transitions, relationship challenges, overall stuckness and other challenges. My approach is humanistic and compassionate, providing the support needed to get through hardships into a more empowered, creative and celebratory self.
![Photo of Terri Drake, Marriage & Family Therapist](https://photos.psychologytoday.com/7b366034-574c-4b1c-8565-7a4735309b9d/2/320x400.jpeg)
I want you to have a better life. Maybe you're lonely or sad. Maybe you're struggling in your relationships. Together, we'll get to the root of your pain. We'll uncover the patterns and wounds that get in the way of having the life you want. My caring presence provides a place where you can revitalize your life and fill it with new meaning.
I want you to have a better life. Maybe you're lonely or sad. Maybe you're struggling in your relationships. Together, we'll get to the root of your pain. We'll uncover the patterns and wounds that get in the way of having the life you want. My caring presence provides a place where you can revitalize your life and fill it with new meaning.
![Photo of Jolene Odile Jensen, MA, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/83b3ceb8-0ca3-4dc6-87bf-97c3b52e77bd/2/320x400.jpeg)
Jolene Odile Jensen
Marriage & Family Therapist, MA, MFT
Verified Verified
Santa Cruz, CA 95064 (Online Only)
Hi. My name is Jolene Jensen. I am a Licensed Marriage and Family Therapist in Santa Cruz, CA. I am from New Mexico and have over 20 years of experience in the mental health profession, serving a diverse range of clients. I specialize in individual adults with trauma, life transitions, chronic illness/pain, infertility issues, relational challenges and supporting the GLBT+ community. I also serve college age population who are underserved by the University.
Hi. My name is Jolene Jensen. I am a Licensed Marriage and Family Therapist in Santa Cruz, CA. I am from New Mexico and have over 20 years of experience in the mental health profession, serving a diverse range of clients. I specialize in individual adults with trauma, life transitions, chronic illness/pain, infertility issues, relational challenges and supporting the GLBT+ community. I also serve college age population who are underserved by the University.
![Photo of David Schulkin, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3d376ef8-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
I am an experienced therapist who has the natural ability to make almost anybody feel comfortable. I have a compassionate and relaxed personal style, which can be good potential fit for therapeutic work with people of many ages and backgrounds. Along with working with individuals, I enjoy working with the interpersonal where there is often powerful opportunities for change. I work well with couples, because I am able to see multiple points of view and I have a disarming presence, which makes me easily approachable.
I am an experienced therapist who has the natural ability to make almost anybody feel comfortable. I have a compassionate and relaxed personal style, which can be good potential fit for therapeutic work with people of many ages and backgrounds. Along with working with individuals, I enjoy working with the interpersonal where there is often powerful opportunities for change. I work well with couples, because I am able to see multiple points of view and I have a disarming presence, which makes me easily approachable.
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![Photo of Linda Bloombecker, PhD, Marriage & Family Therapist](https://photos.psychologytoday.com/3ceafd4a-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
My ideal client is motivated to be honest, courageous in exploring themselves, and committed to the therapeutic goals we set together.
My ideal client is motivated to be honest, courageous in exploring themselves, and committed to the therapeutic goals we set together.
![Photo of Rahul Manchanda, MA, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/42b7c796-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Rahul Manchanda
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Santa Cruz, CA 95064
Waitlist for new clients
These are challenging times. Having focused attention can help to unfold problems that can give rise to their own solutions as well as growth opportunity. I have 20 years of experience working with people of all ages, in a variety of settings. My therapy work includes somatic (body-centered), mindfulness, "parts work”, as well as traditional talk therapy. Sometimes my job is to simply hold a space for you to gain clarity. Other times, I offer exercises to help you access and work through the unconscious.
These are challenging times. Having focused attention can help to unfold problems that can give rise to their own solutions as well as growth opportunity. I have 20 years of experience working with people of all ages, in a variety of settings. My therapy work includes somatic (body-centered), mindfulness, "parts work”, as well as traditional talk therapy. Sometimes my job is to simply hold a space for you to gain clarity. Other times, I offer exercises to help you access and work through the unconscious.
![Photo of Sarah McKnight, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/45a2dbeb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Welcome! May I walk beside you as you continue to uncover, untangle, embody and enliven your life's purpose? I seek to be witness and ally to your own personal life's journey. C.G. Jung states, "Every advance; even the smallest, along the path of conscious realization adds that much to the world".
Welcome! May I walk beside you as you continue to uncover, untangle, embody and enliven your life's purpose? I seek to be witness and ally to your own personal life's journey. C.G. Jung states, "Every advance; even the smallest, along the path of conscious realization adds that much to the world".
![Photo of Heather Docker, LMFT, MA, MBA, Marriage & Family Therapist](https://photos.psychologytoday.com/4389ba29-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Heather Docker
Marriage & Family Therapist, LMFT, MA, MBA
Verified Verified
6 Endorsed
Santa Cruz, CA 95064
Not accepting new clients
The decision to pursue therapy is a powerful step towards change and personal growth. Whether you're feeling stuck, overwhelmed by transition, needing to heal past hurts, grieve losses, or learn how to live a more authentic and meaningful life, together we will explore desired areas of change and growth. Even if what needs to change or what is holding you back is unclear, I welcome you to come in and start wherever you are. As your therapist my intention is to help you process life events, increase self-awareness, and discover insights in a safe and supportive environment.
The decision to pursue therapy is a powerful step towards change and personal growth. Whether you're feeling stuck, overwhelmed by transition, needing to heal past hurts, grieve losses, or learn how to live a more authentic and meaningful life, together we will explore desired areas of change and growth. Even if what needs to change or what is holding you back is unclear, I welcome you to come in and start wherever you are. As your therapist my intention is to help you process life events, increase self-awareness, and discover insights in a safe and supportive environment.
Daniel Christopher Dailey
Marriage & Family Therapist, LMFT, 113459
Verified Verified
Santa Cruz, CA 95064
I work primarily with couples and individuals toward creating better communication and developing coping strategies to help with stress.
I work primarily with couples and individuals toward creating better communication and developing coping strategies to help with stress.
![Photo of Chris Mann, LCSW](https://photos.psychologytoday.com/12aaed0d-76af-4bed-aa11-af80e2f45dab/2/320x400.jpeg)
Life is full of up and downs, transitions, discoveries and lessons and it can be difficult navigating it all. Therapy can be a dedicated safe space for you to process your unique experience (the struggles, the joy and everything in between). I work with and support people ages 17+ and as a member of the LGBTQIA2S community I am committed to supporting individuals who also identify as LGBTQIA2S. I’ve spent my career advancing LGBTQ+ health equity at UCLA Health by developing and managing the UCLA Gender Health Program and currently work on the inpatient psychiatry unit at UCLA.
Life is full of up and downs, transitions, discoveries and lessons and it can be difficult navigating it all. Therapy can be a dedicated safe space for you to process your unique experience (the struggles, the joy and everything in between). I work with and support people ages 17+ and as a member of the LGBTQIA2S community I am committed to supporting individuals who also identify as LGBTQIA2S. I’ve spent my career advancing LGBTQ+ health equity at UCLA Health by developing and managing the UCLA Gender Health Program and currently work on the inpatient psychiatry unit at UCLA.
![Photo of Eric Ochoa, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/13c8effb-3c9b-401d-a98e-813f2bb8f8c1/2/320x400.jpeg)
I am committed to helping you find the best clinician for your needs. Feel free to reach out to me and I will listen to your needs and help connect you with someone who can help--whether that is me or another clinician.
I am committed to helping you find the best clinician for your needs. Feel free to reach out to me and I will listen to your needs and help connect you with someone who can help--whether that is me or another clinician.
![Photo of Tim Desmond - Tim Desmond, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/20c01d4e-9896-4a37-8a64-09fe9120a439/2/320x400.jpeg)
“A longtime meditator and skilled clinician, Tim Desmond offers exceptionally clear, accessible, and insightful guidance in how to facilitate deep transformation while addressing the spectrum of emotional suffering” — Tara Brach, author of Radical Acceptance and True Refuge
“A longtime meditator and skilled clinician, Tim Desmond offers exceptionally clear, accessible, and insightful guidance in how to facilitate deep transformation while addressing the spectrum of emotional suffering” — Tara Brach, author of Radical Acceptance and True Refuge
![Photo of Sage Swiatek, ACSW, Pre-Licensed Professional](https://photos.psychologytoday.com/ea37eb47-f35e-4e60-8b09-9811517e4cdd/1/320x400.png)
Healing isn't something we do best in isolation. As a therapist, I work with clients to build greater connection and community to support them on their path. My clients are women and LGBTQIA+ folks seeking therapy where they can show up and be seen as their authentic selves. Many have a history of trauma or have experienced interpersonal violence, such as domestic abuse or sexual assault. Others are working to manage chronic stress and anxiety at work or at home. Whatever concerns are bringing you to my (online) office today, I'll work with you from a place of respect, curiosity, and collaboration.
Healing isn't something we do best in isolation. As a therapist, I work with clients to build greater connection and community to support them on their path. My clients are women and LGBTQIA+ folks seeking therapy where they can show up and be seen as their authentic selves. Many have a history of trauma or have experienced interpersonal violence, such as domestic abuse or sexual assault. Others are working to manage chronic stress and anxiety at work or at home. Whatever concerns are bringing you to my (online) office today, I'll work with you from a place of respect, curiosity, and collaboration.
See more therapy options for 95064
How does your Therapist compare?
Number of Therapists in 95064
20+
Average cost per session
$175
Therapists in 95064 who prioritize treating:
96% | Depression |
92% | Anxiety |
85% | Relationship Issues |
81% | Trauma and PTSD |
81% | Stress |
69% | Self Esteem |
65% | Grief |
Average years in practice
11 Years
Top 3 insurances accepted
50% | UnitedHealthcare UHC | UBH |
50% | Elevance |
42% | Aetna |
How Therapists in 95064 see their clients
62% | In Person and Online | |
38% | Online Only |
Gender breakdown
70% | Female | |
26% | Male | |
4% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 95064?
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.