Therapists in Bend, OR

Photo of Cherie Skillings - Cherie Skillings Counseling Services Inc, MS, LPC, Licensed Professional Counselor
Cherie Skillings Counseling Services Inc
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Bend, OR 97701
I believe that each individual has strength and ability to meet their therapeutic goals. I have 10+ years experience working with adults and children who’ve experienced early childhood trauma. I use an attachment focus understanding that trauma in the early years has a life-long impact on health and well-being. Experience and training include play therapy, parent-child interaction therapy, family therapy, and one on one counseling. I use a cognitive behavioral approach, EMDR, motivational interviewing and therapeutic techniques to promote healing and progress towards client driven goals.
I believe that each individual has strength and ability to meet their therapeutic goals. I have 10+ years experience working with adults and children who’ve experienced early childhood trauma. I use an attachment focus understanding that trauma in the early years has a life-long impact on health and well-being. Experience and training include play therapy, parent-child interaction therapy, family therapy, and one on one counseling. I use a cognitive behavioral approach, EMDR, motivational interviewing and therapeutic techniques to promote healing and progress towards client driven goals.
(541) 236-9146 View (541) 236-9146
Photo of Phoebe S Clark, MA, LPC, ATR, Licensed Professional Counselor
Phoebe S Clark
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
Bend, OR 97703
Currently accepting clients for morning appointments only. Office hours M-W 8am-6pm. As a Therapist I provide a safe, non judgmental, and compassionate environment for my clients to explore their own lives. My ideal client would come to therapy open, ready, and willing to engage in the therapeutic process. I believe that we are constantly creating and bettering ourselves and have the ability to overcome even life's hardest obstacles. We all have the ability to grow and heal and are capable of taking control of our own lives.
Currently accepting clients for morning appointments only. Office hours M-W 8am-6pm. As a Therapist I provide a safe, non judgmental, and compassionate environment for my clients to explore their own lives. My ideal client would come to therapy open, ready, and willing to engage in the therapeutic process. I believe that we are constantly creating and bettering ourselves and have the ability to overcome even life's hardest obstacles. We all have the ability to grow and heal and are capable of taking control of our own lives.
(541) 229-2568 View (541) 229-2568
Photo of Briana Fox, MS, LPC, CADCIII, Licensed Professional Counselor
Briana Fox
Licensed Professional Counselor, MS, LPC, CADCIII
Verified Verified
Bend, OR 97702
Not accepting new clients
My approach to counseling is primarily person-centered and trauma-informed, which is grounded in the principles of mindfulness, authenticity, and compassion. I believe we all have the capacity to access our innate wisdom and ability to grow and heal. My role as a therapist is to help you in your recovery process so that you can increase insight and acceptance of your inner struggles. I am committed to assisting individuals with finding meaning in their pain and purpose in their lives. My philosophy is holistic and integrates emotional, cognitive, somatic, interpersonal, environmental, and spiritual aspects of the human experience.
My approach to counseling is primarily person-centered and trauma-informed, which is grounded in the principles of mindfulness, authenticity, and compassion. I believe we all have the capacity to access our innate wisdom and ability to grow and heal. My role as a therapist is to help you in your recovery process so that you can increase insight and acceptance of your inner struggles. I am committed to assisting individuals with finding meaning in their pain and purpose in their lives. My philosophy is holistic and integrates emotional, cognitive, somatic, interpersonal, environmental, and spiritual aspects of the human experience.
(541) 604-9560 View (541) 604-9560
Photo of JP Avery, MC, CADC I, NCC, Licensed Professional Counselor
JP Avery
Licensed Professional Counselor, MC, CADC I, NCC
Verified Verified
1 Endorsed
Bend, OR 97701
Not accepting new clients
If you are looking to start, continue or deepen your healing journey we may be a good fit. Trauma can impact us in many ways that we may or may not even be aware of. If you are struggling with symptoms of PTSD, anxiety, relational issues, or confusion about your lived experience you are the type of person I've worked well with throughout my career. If you are motivated to make actual change, learn more about yourself & what you've been through, and are seeking a caring, supportive, educated, and experienced counselor feel free to reach out today for a free initial consult.
If you are looking to start, continue or deepen your healing journey we may be a good fit. Trauma can impact us in many ways that we may or may not even be aware of. If you are struggling with symptoms of PTSD, anxiety, relational issues, or confusion about your lived experience you are the type of person I've worked well with throughout my career. If you are motivated to make actual change, learn more about yourself & what you've been through, and are seeking a caring, supportive, educated, and experienced counselor feel free to reach out today for a free initial consult.
(458) 241-5904 View (458) 241-5904
Photo of Jennifer L DeFeo, PhD, Psychologist
Jennifer L DeFeo
Psychologist, PhD
Verified Verified
3 Endorsed
Bend, OR 97701
I am a licensed Clinical Psychologist in California and Oregon and have been practicing for over 20 years. Therapy is about safety, which encompasses a trusting and non-judgmental environment. This is the biggest asset that you will experience when working with me; safety and unconditional positive regard. I am committed to empowering my clients to navigate their challenges and provide the safe environment to do so. I enjoy working with a wide variety of clientele and believe that therapy is a joint experience that we will pursue together.
I am a licensed Clinical Psychologist in California and Oregon and have been practicing for over 20 years. Therapy is about safety, which encompasses a trusting and non-judgmental environment. This is the biggest asset that you will experience when working with me; safety and unconditional positive regard. I am committed to empowering my clients to navigate their challenges and provide the safe environment to do so. I enjoy working with a wide variety of clientele and believe that therapy is a joint experience that we will pursue together.
(541) 203-6701 View (541) 203-6701
Photo of Maryam Mirahmadi, LPC-A, MCOUN, Pre-Licensed Professional
Maryam Mirahmadi
Pre-Licensed Professional, LPC-A, MCOUN
Verified Verified
Bend, OR 97702
Notice: While I am not currently accepting new clients, I would love to chat with you about referrals or getting onto my waitlist. I believe that we are relational beings, and the pathway towards healing is through connection. Together, we can explore how our experiences impact the way we show up in our current relationships with both others and ourselves. It is my role to set a compassionate, non-judgmental container that allows for deeply authentic self-expression. From this place, we can illuminate blind spots, examine coping strategies, and begin the work of healing on a nervous system level.
Notice: While I am not currently accepting new clients, I would love to chat with you about referrals or getting onto my waitlist. I believe that we are relational beings, and the pathway towards healing is through connection. Together, we can explore how our experiences impact the way we show up in our current relationships with both others and ourselves. It is my role to set a compassionate, non-judgmental container that allows for deeply authentic self-expression. From this place, we can illuminate blind spots, examine coping strategies, and begin the work of healing on a nervous system level.
(458) 217-6098 View (458) 217-6098
Photo of Naomi Passarelli, MA, Pre-Licensed Professional
Naomi Passarelli
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Bend, OR 97701
Now accepting new clients! I specialize in adults experiencing stress, anxiety, and challenging life changes (such as a job/career change, college stress, new parenting, recently divorced, and breakups). I am experienced in Post Traumatic Stress Disorder and trauma including chronic trauma. I also love to help people struggling to deal with strong emotions such as anger or fear.
Now accepting new clients! I specialize in adults experiencing stress, anxiety, and challenging life changes (such as a job/career change, college stress, new parenting, recently divorced, and breakups). I am experienced in Post Traumatic Stress Disorder and trauma including chronic trauma. I also love to help people struggling to deal with strong emotions such as anger or fear.
(458) 224-1532 View (458) 224-1532
Photo of Cynthia Stidd, MSW, LCSW, Clinical Social Work/Therapist
Cynthia Stidd
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bend, OR 97702  (Online Only)
I enjoy working with adults (18+) to help them learn how deal with life's struggles and to learn more about themselves as people. I am passionate about helping others improve their lives and believe all people can make progress and experience real change. I offer a safe, non-judgemental, and empathetic space for you on your journey of self discovery, growth, and healing. I will offer feedback and help with direction as we discuss your needs/mental health. I specialize in trauma, anxiety, depression, and severe and persistent mental illness (SPMI) to name a few.
I enjoy working with adults (18+) to help them learn how deal with life's struggles and to learn more about themselves as people. I am passionate about helping others improve their lives and believe all people can make progress and experience real change. I offer a safe, non-judgemental, and empathetic space for you on your journey of self discovery, growth, and healing. I will offer feedback and help with direction as we discuss your needs/mental health. I specialize in trauma, anxiety, depression, and severe and persistent mental illness (SPMI) to name a few.
(458) 203-1560 View (458) 203-1560
Photo of Liz Morgan, LCSW, Clinical Social Work/Therapist
Liz Morgan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bend, OR 97701  (Online Only)
Liz is a dedicated social worker with a wealth of experience working with individuals of all ages across diverse settings in both rural and urban areas of Oregon and Washington. Her passion lies in helping clients who have faced challenging pasts and those currently navigating difficult times. Embracing a lifelong learning philosophy, Liz firmly believes that every individual possesses the potential to improve their life.
Liz is a dedicated social worker with a wealth of experience working with individuals of all ages across diverse settings in both rural and urban areas of Oregon and Washington. Her passion lies in helping clients who have faced challenging pasts and those currently navigating difficult times. Embracing a lifelong learning philosophy, Liz firmly believes that every individual possesses the potential to improve their life.
(458) 235-4533 View (458) 235-4533
Photo of Shannon M. Kearney, MA, LMFT, Marriage & Family Therapist
Shannon M. Kearney
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bend, OR 97703
I believe the key to having a good therapeutic outcome, is finding a therapist who you are compatible with. I have honed my skills over the years working with Individuals, Families, Couples, and Children. As a Licensed Marriage Family Therapist, I have been specifically educated and trained in working with people on their relationships. My specialty is in treating depression, anxiety, self-esteem issues, and grief. As my client, you will unfold at your own rate. Therapy sessions will look different for each person, as we each have different needs. We will work together, towards your goals, in a safe and nonjudgemental place.
I believe the key to having a good therapeutic outcome, is finding a therapist who you are compatible with. I have honed my skills over the years working with Individuals, Families, Couples, and Children. As a Licensed Marriage Family Therapist, I have been specifically educated and trained in working with people on their relationships. My specialty is in treating depression, anxiety, self-esteem issues, and grief. As my client, you will unfold at your own rate. Therapy sessions will look different for each person, as we each have different needs. We will work together, towards your goals, in a safe and nonjudgemental place.
(541) 359-4262 View (541) 359-4262
Photo of Richard Parker, MA, LMFT, Marriage & Family Therapist
Richard Parker
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bend, OR 97709  (Online Only)
After more than 35 years of clinical practice, I am now working with individuals and couples exploring emotional issues as a pathway to understanding and living fuller lives. We often view our difficulties as something being wrong with us, as opposed to an invitation to discovery.
After more than 35 years of clinical practice, I am now working with individuals and couples exploring emotional issues as a pathway to understanding and living fuller lives. We often view our difficulties as something being wrong with us, as opposed to an invitation to discovery.
(541) 833-9059 View (541) 833-9059
Photo of Cathryn Lamb, MA, LPC, Licensed Professional Counselor
Cathryn Lamb
Licensed Professional Counselor, MA, LPC
Verified Verified
Bend, OR 97703
For all of us, life is a combination of joy and grief. When we have the courage to face our grief, we get to live our joy to the fullest. I strive to offer a compassionate, accepting place to hold space for your process. This allows you opportunity to move through stuck pain and grief, with gentle guidance and support, so you are able to embrace the goodness life has to offer. I am open to meeting with adolescents and adults who are ready to do their emotional growth work, regardless of gender or profile. Children are also more than welcome in my practice.
For all of us, life is a combination of joy and grief. When we have the courage to face our grief, we get to live our joy to the fullest. I strive to offer a compassionate, accepting place to hold space for your process. This allows you opportunity to move through stuck pain and grief, with gentle guidance and support, so you are able to embrace the goodness life has to offer. I am open to meeting with adolescents and adults who are ready to do their emotional growth work, regardless of gender or profile. Children are also more than welcome in my practice.
(458) 237-4616 View (458) 237-4616
Photo of Katie Ford, MS, MFT, LPC, Licensed Professional Counselor
Katie Ford
Licensed Professional Counselor, MS, MFT, LPC
Verified Verified
1 Endorsed
Bend, OR 97702
I am a Pacific Source Health Plan provider as well as an OHP provider for Central Oregon clients with an office in Bend Oregon. I apologize that I am not a provider for the greater Portland area at this time. I am licensed in Oregon and California and available online for clients in both states for Counseling support. I offer daytime appointments. I've had the great pleasure of supporting wounded hearts since 1997.
I am a Pacific Source Health Plan provider as well as an OHP provider for Central Oregon clients with an office in Bend Oregon. I apologize that I am not a provider for the greater Portland area at this time. I am licensed in Oregon and California and available online for clients in both states for Counseling support. I offer daytime appointments. I've had the great pleasure of supporting wounded hearts since 1997.
(541) 287-7224 View (541) 287-7224
Photo of Sammi Fe - Aldrich, MA, LPC
Sammi Fe - Aldrich
MA, LPC
Verified Verified
1 Endorsed
Bend, OR 97701  (Online Only)
When working with clients I work from a holistic person centered approach to support the individual needs of clients and help them achieve meaningful growth and change in their lives. I work from somatic and expressive arts trauma informed and mindfulness based intervention methods; geared to support clients in processing and overcoming life traumas, such as sexual abuse; anxiety; depression; postpartum depression; infant mental health; pain management, emotional eating; grief/loss; emotional dysregulation; child/parent interactions. My role is to assist clients in their healing so that they may reclaim their lives.
When working with clients I work from a holistic person centered approach to support the individual needs of clients and help them achieve meaningful growth and change in their lives. I work from somatic and expressive arts trauma informed and mindfulness based intervention methods; geared to support clients in processing and overcoming life traumas, such as sexual abuse; anxiety; depression; postpartum depression; infant mental health; pain management, emotional eating; grief/loss; emotional dysregulation; child/parent interactions. My role is to assist clients in their healing so that they may reclaim their lives.
(855) 429-0085 View (855) 429-0085
Photo of Nicole Landis, LMFT, Marriage & Family Therapist
Nicole Landis
Marriage & Family Therapist, LMFT
Verified Verified
Bend, OR 97702  (Online Only)
Waitlist for new clients
My goal as your therapist is to help you reach your full potential. Life is not always easy, and I help to navigate my clients through a variety of stage of life issues and changes that may come their way. I come from a family systems perspective where my focus is always on the family unit as a whole. I work with families and individuals from a holistic approach to help them discover their strengths, behavior patterns, and healthy solutions. I use evidenced-based therapies such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Family Systems theory to provide effective and professional treatment to my clients.
My goal as your therapist is to help you reach your full potential. Life is not always easy, and I help to navigate my clients through a variety of stage of life issues and changes that may come their way. I come from a family systems perspective where my focus is always on the family unit as a whole. I work with families and individuals from a holistic approach to help them discover their strengths, behavior patterns, and healthy solutions. I use evidenced-based therapies such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Family Systems theory to provide effective and professional treatment to my clients.
(458) 217-5525 View (458) 217-5525
Photo of Liesl Farnsworth, PhD, LPC, Licensed Professional Counselor
Liesl Farnsworth
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Bend, OR 97703
One of the most unifying truths is that all sentient beings long to live their lives in relative peace and safety. For many of us, however, this is elusive. Past experiences, exposure to violence, health concerns, and feelings of isolation because of unsupportive social norms or a lack of caring relationships can make realizing our desired life impossible. Counseling is an avenue for exploration, clarity in values and desires, and a safe place of committed support. Together, we can find and strengthen your innate ability to move beyond obstacles and connect with your inherent wholeness.
One of the most unifying truths is that all sentient beings long to live their lives in relative peace and safety. For many of us, however, this is elusive. Past experiences, exposure to violence, health concerns, and feelings of isolation because of unsupportive social norms or a lack of caring relationships can make realizing our desired life impossible. Counseling is an avenue for exploration, clarity in values and desires, and a safe place of committed support. Together, we can find and strengthen your innate ability to move beyond obstacles and connect with your inherent wholeness.
(458) 203-1723 View (458) 203-1723
Photo of Matt Lauziere, MS, LMT, LPC Intern
Matt Lauziere
LPC Intern, MS, LMT
Verified Verified
Bend, OR 97701
As far back as I can remember, I have been interested in relationship building, healing, and the exquisite complexity of the human mind. I’ve endeavored to understand the roots of suffering and I’ve searched extensively–reading countless books, inquiring with experienced teachers, and attending a variety of trainings–for the tools to help people find their way out of life’s darkness, and into peace and aliveness.
As far back as I can remember, I have been interested in relationship building, healing, and the exquisite complexity of the human mind. I’ve endeavored to understand the roots of suffering and I’ve searched extensively–reading countless books, inquiring with experienced teachers, and attending a variety of trainings–for the tools to help people find their way out of life’s darkness, and into peace and aliveness.
(458) 204-4563 View (458) 204-4563
Photo of David A Hart - Dr. David A Hart - Serenity & Strength LLC, MD
Dr. David A Hart - Serenity & Strength LLC
MD
Verified Verified
Bend, OR 97702  (Online Only)
Serenity & Strength LLC is a 100% online mental health service treating adults anywhere in Oregon. My therapeutic approach is active and uses research-proven treatments when possible. This is effective for motivated individuals and helps establish long-term stable results. As a psychiatrist, I prescribe medications when appropriate, but do not emphasize the use of medications in my practice. Please note, I do not prescribe controlled substances (e.g. benzodiazepine sedatives, stimulant medication, opioid pain medications).
Serenity & Strength LLC is a 100% online mental health service treating adults anywhere in Oregon. My therapeutic approach is active and uses research-proven treatments when possible. This is effective for motivated individuals and helps establish long-term stable results. As a psychiatrist, I prescribe medications when appropriate, but do not emphasize the use of medications in my practice. Please note, I do not prescribe controlled substances (e.g. benzodiazepine sedatives, stimulant medication, opioid pain medications).
(458) 219-8660 View (458) 219-8660
Photo of Linnetta R Cooley, LCSW, RPT, Clinical Social Work/Therapist
Linnetta R Cooley
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
2 Endorsed
Bend, OR 97702
Unconditional empathy and understanding are rare in this world, and yet we all need both. I recognizes change is difficult but believes people have a strength and the ability greater than they realize to move through difficult times and heal. My goal is to cultivate a supportive and healing environment in which clients feel seen, secure, and protected. My focus is on a person’s potential and not problematic behaviors. My approach provides the space for individuals to step into a growth mindset, gain insight, belief in themself, and opportunity to appreciate their uniqueness.
Unconditional empathy and understanding are rare in this world, and yet we all need both. I recognizes change is difficult but believes people have a strength and the ability greater than they realize to move through difficult times and heal. My goal is to cultivate a supportive and healing environment in which clients feel seen, secure, and protected. My focus is on a person’s potential and not problematic behaviors. My approach provides the space for individuals to step into a growth mindset, gain insight, belief in themself, and opportunity to appreciate their uniqueness.
(458) 230-5294 View (458) 230-5294
Photo of Megan Angela Ostby, LPCA, Licensed Professional Counselor
Megan Angela Ostby
Licensed Professional Counselor, LPCA
Verified Verified
Bend, OR 97701
“Emotional wellbeing is just as important to us as breathing is.” My approach to counseling concentrates on looking at the whole individual. I believe that mental health is connected to the whole person and physical, emotional, social, and spiritual well-being should be supported as well. I also focus on a client’s positive aspects rather than their dysfunction with the goal of self-improvement.
“Emotional wellbeing is just as important to us as breathing is.” My approach to counseling concentrates on looking at the whole individual. I believe that mental health is connected to the whole person and physical, emotional, social, and spiritual well-being should be supported as well. I also focus on a client’s positive aspects rather than their dysfunction with the goal of self-improvement.
(458) 217-1728 View (458) 217-1728

How does your Therapist compare?

Number of Therapists in Bend, OR

600+

Average cost per session

$165

Therapists in Bend, OR who prioritize treating:

92% Anxiety
87% Depression
81% Relationship Issues
77% Trauma and PTSD
77% Self Esteem
77% Stress
71% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

78% PacificSource
56% Oregon Health Plan (OHP)
39% Aetna

How Therapists in Bend, OR see their clients

65% In Person and Online
35% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bend?

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.