Therapists in Newark, DE
![Photo of Debra Thompson - Newark Behavioral Health, PsyD, Psychologist](https://photos.psychologytoday.com/191fede5-477e-445e-91af-8d21c28e67c4/1/320x400.png)
In-Person or Online Appointments! NBH has therapist available to help you with immediate, convenient appointments. We accept most major insurance providers. Conveniently located near the University of Delaware. NBH therapists approach each client with care and compassion. We have experience in helping children, teens, adults and couples to meet their goals and thrive! NBH counselors are all licensed professional who have been trained to help you with depression, anxiety, trauma, anger issues, addiction, and relationship problems, as well as many other issues.
In-Person or Online Appointments! NBH has therapist available to help you with immediate, convenient appointments. We accept most major insurance providers. Conveniently located near the University of Delaware. NBH therapists approach each client with care and compassion. We have experience in helping children, teens, adults and couples to meet their goals and thrive! NBH counselors are all licensed professional who have been trained to help you with depression, anxiety, trauma, anger issues, addiction, and relationship problems, as well as many other issues.
![Photo of Bernice Banks, MA-CP, Pre-Licensed Professional](https://photos.psychologytoday.com/766e1e40-3311-4ac6-a243-094fafcb17a0/3/320x400.jpeg)
I specialize in life transitions, grief and loss, self-esteem, anxiety and motivation. In addition to an individualized person-centered approach, I offer acceptance and commitment therapy.
I specialize in life transitions, grief and loss, self-esteem, anxiety and motivation. In addition to an individualized person-centered approach, I offer acceptance and commitment therapy.
![Photo of Thomas J Gildea, PhD, Psychologist](https://photos.psychologytoday.com/4f92eae8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I feel that compassion, trust, and understanding are the foundations of therapy. In my 25 years of practice, I have found this personal approach works best to help heal emotional pain. I help people who have been experiencing problems like anxiety, panic, depression, relationship problems, co-dependence, chronic worry and more. In a safe and respectful environment, I will work to understand your personal struggle with emotional pain and help you to work toward a better life.
I feel that compassion, trust, and understanding are the foundations of therapy. In my 25 years of practice, I have found this personal approach works best to help heal emotional pain. I help people who have been experiencing problems like anxiety, panic, depression, relationship problems, co-dependence, chronic worry and more. In a safe and respectful environment, I will work to understand your personal struggle with emotional pain and help you to work toward a better life.
![Photo of Donna Huntington, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/18f410d2-d01e-41b1-89d3-2d0a50910870/2/320x400.jpeg)
Donna V. Huntington is a Licensed Clinical Social Worker in Delaware who has been practicing since 1996. Do you ever feel like life is overwhelming? Things are spinning so fast, and they just don’t make any sense? Relationships are really hard, and you feel like you need a rope or an anchor to hold onto, something to hope for? It’s time to take some time for yourself, to consider the amazing person you are, and everything that you can become. Donna specializes in helping you attain your specific goals and helping you to find purpose and meaning in your life. She strives to help you to find your answers to your struggles.
Donna V. Huntington is a Licensed Clinical Social Worker in Delaware who has been practicing since 1996. Do you ever feel like life is overwhelming? Things are spinning so fast, and they just don’t make any sense? Relationships are really hard, and you feel like you need a rope or an anchor to hold onto, something to hope for? It’s time to take some time for yourself, to consider the amazing person you are, and everything that you can become. Donna specializes in helping you attain your specific goals and helping you to find purpose and meaning in your life. She strives to help you to find your answers to your struggles.
![Photo of Tiara Fryer Harris, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/aaac8f97-f2a3-499f-9144-bd6c58eae47c/1/320x400.jpeg)
It's nice to meet you! I am Tiara, and I am passionate about helping people navigate challenging life experiences. Life can throw you curveballs, and although reaching out for support can be difficult, I strive to make it a little easier. Therapy is a place for you to talk to someone about how you feel and what you think. It is also a place for you to feel safe and empowered to tackle life stressors. I know that therapy can be challenging at times, but my goal is to provide a safe space where you can feel comfortable and able to express yourself.
It's nice to meet you! I am Tiara, and I am passionate about helping people navigate challenging life experiences. Life can throw you curveballs, and although reaching out for support can be difficult, I strive to make it a little easier. Therapy is a place for you to talk to someone about how you feel and what you think. It is also a place for you to feel safe and empowered to tackle life stressors. I know that therapy can be challenging at times, but my goal is to provide a safe space where you can feel comfortable and able to express yourself.
![Photo of Wallesca Priscilla Castro Rodriguez Subasic, PsyD, Psychological Associate](https://photos.psychologytoday.com/0dccb6be-8865-4985-8cf4-8b73016966d1/1/320x400.jpeg)
Wallesca Priscilla Castro Rodriguez Subasic
Psychological Associate, PsyD
Verified Verified
1 Endorsed
Newark, DE 19711
I'm here to listen, support, advocate, and sometimes stay silent with the person in front of me that presents issues such as multicultural and social justice, anxiety, depression, trauma, identity development, minorities, psycho-oncology, end-of-life issues, health disparities, LGBTQ+ and Latinxs. The most important thing I want you to take from therapy is that you'll rise again. Understanding that being able to be your true self is one of the most vital components of good mental health, I am glad to be part of that journey with you. There's no ideal or perfect client; there's a human struggling or going through tough times.
I'm here to listen, support, advocate, and sometimes stay silent with the person in front of me that presents issues such as multicultural and social justice, anxiety, depression, trauma, identity development, minorities, psycho-oncology, end-of-life issues, health disparities, LGBTQ+ and Latinxs. The most important thing I want you to take from therapy is that you'll rise again. Understanding that being able to be your true self is one of the most vital components of good mental health, I am glad to be part of that journey with you. There's no ideal or perfect client; there's a human struggling or going through tough times.
![Photo of Brent O'Neill, MSW, MDiv, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bfa0e32-f698-42af-9c2c-c86dc00acde7/1/320x400.jpeg)
Brent O'Neill
Clinical Social Work/Therapist, MSW, MDiv, LMSW
Verified Verified
1 Endorsed
Newark, DE 19702
Waitlist for new clients
Brent is passionate about working with adolescents and adults experiencing depression, anxiety, substance use disorders, and challenges with adjusting to new chapters in life. He specializes in working with LGBTQ+ individuals and religious & spiritual professionals. In creating a therapeutic relationship with clients, Brent operates from empathy- and skills-based perspectives. He works towards understanding clients as they understand themselves, so that together they can work towards healthier coping strategies and relationship patterns.
Brent is passionate about working with adolescents and adults experiencing depression, anxiety, substance use disorders, and challenges with adjusting to new chapters in life. He specializes in working with LGBTQ+ individuals and religious & spiritual professionals. In creating a therapeutic relationship with clients, Brent operates from empathy- and skills-based perspectives. He works towards understanding clients as they understand themselves, so that together they can work towards healthier coping strategies and relationship patterns.
![Photo of Angela Turley, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b4582f16-2a83-4083-bbef-2b35fd187e0b/1/320x400.jpeg)
Angela Turley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Newark, DE 19713 (Online Only)
Hi. I am a Licensed Clinical Social Worker. I have been practicing for nineteen years. I specialize in Grief and Loss with children and adults after many years of working in Hospice care. I currently work with adults who are patients and caregivers. I also work with children who have lost parents, siblings, and grandparents.
Hi. I am a Licensed Clinical Social Worker. I have been practicing for nineteen years. I specialize in Grief and Loss with children and adults after many years of working in Hospice care. I currently work with adults who are patients and caregivers. I also work with children who have lost parents, siblings, and grandparents.
![Photo of Raenisha Williams, MS, LACMH, Pre-Licensed Professional](https://photos.psychologytoday.com/3e0f6654-dd36-4eef-b73c-f86f90d9019a/2/320x400.jpeg)
Raenisha Williams
Pre-Licensed Professional, MS, LACMH
Verified Verified
1 Endorsed
Newark, DE 19702
Struggling to swim neck deep in all aspects of our life including work/life balance, family issues, relationships, past trauma, low self-esteem, etc. leading us to develop a strong need for control. Now we are irritable, angry, sad. "If I do it, I can feel safe. If I think ahead w/plan A/B/C then we good. We strive to be perfect, feel validated, needing love. We cannot have full control of our lives, but, w/attention to the mind, body & soul, we can create a new safe zone. Utilizing healthy coping skills which can include journaling, mediation, yoga, mindfulness, exercise which helps us in creating internal peace within ourselves.
Struggling to swim neck deep in all aspects of our life including work/life balance, family issues, relationships, past trauma, low self-esteem, etc. leading us to develop a strong need for control. Now we are irritable, angry, sad. "If I do it, I can feel safe. If I think ahead w/plan A/B/C then we good. We strive to be perfect, feel validated, needing love. We cannot have full control of our lives, but, w/attention to the mind, body & soul, we can create a new safe zone. Utilizing healthy coping skills which can include journaling, mediation, yoga, mindfulness, exercise which helps us in creating internal peace within ourselves.
![Photo of Sharon A Magee, MS, NCC, Counselor](https://photos.psychologytoday.com/48b57074-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Working with children, families, young adults and women by providing support with anxiety, life transitions, blended families, grief as well as navigating educational settings.
Working with children, families, young adults and women by providing support with anxiety, life transitions, blended families, grief as well as navigating educational settings.
![Photo of Fayth Polite, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1b5654c0-b86e-43e2-883e-723c53e716c8/2/320x400.jpeg)
In the realm of virtual life coaching and therapy, Fayth Polite Solutions, LLC Stands as a beacon of hope, support, and transformation, especially for couples and women navigating the intricate balance of work, family, and love.
In the realm of virtual life coaching and therapy, Fayth Polite Solutions, LLC Stands as a beacon of hope, support, and transformation, especially for couples and women navigating the intricate balance of work, family, and love.
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![Photo of Marissa Beadle, MS, NCC, LACMH, Counselor](https://photos.psychologytoday.com/5a14114a-1630-40fa-a945-36b8871d4a8b/2/320x400.jpeg)
Overthinking is a common problem many face, and it can be caused by various reasons such as stress, anxiety, self-doubt, or perfectionism. When we overthink, we tend to focus on the negative aspects of situations and often exaggerate them in our minds. This can lead to feelings of worry, fear, and even panic. Overthinking can take up so much mental energy that it makes it difficult for us to focus on other tasks at hand or fully engage with people around us. It is important to allow ourselves the freedom to enjoy the present moment and find joy in life's simple pleasures.
Overthinking is a common problem many face, and it can be caused by various reasons such as stress, anxiety, self-doubt, or perfectionism. When we overthink, we tend to focus on the negative aspects of situations and often exaggerate them in our minds. This can lead to feelings of worry, fear, and even panic. Overthinking can take up so much mental energy that it makes it difficult for us to focus on other tasks at hand or fully engage with people around us. It is important to allow ourselves the freedom to enjoy the present moment and find joy in life's simple pleasures.
![Photo of Dr. Nickisha Lingham, PhD, LMSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/00925f6a-905c-4fdd-8c41-def4e0010acb/5/320x400.png)
Dr. Nickisha Lingham
Clinical Social Work/Therapist, PhD, LMSW, CAADC
Verified Verified
1 Endorsed
Newark, DE 19702 (Online Only)
Dr. Nickisha Lingham was born and raised in Philadelphia Pennsylvania. She began working in the human services field in 1995 at a residential treatment facility for individuals with visual impairments. She later worked at various residential, outpatient and department of correction facilities to provide mental health services for individuals ranging from 4y/o to over 80 y/o, as she continued to further her education. Dr. Lingham and her family relocated to Delaware in 2013. She graduated from Wilmington University with a Doctorate degree in Social Science, majoring in Prevention Science.
Dr. Nickisha Lingham was born and raised in Philadelphia Pennsylvania. She began working in the human services field in 1995 at a residential treatment facility for individuals with visual impairments. She later worked at various residential, outpatient and department of correction facilities to provide mental health services for individuals ranging from 4y/o to over 80 y/o, as she continued to further her education. Dr. Lingham and her family relocated to Delaware in 2013. She graduated from Wilmington University with a Doctorate degree in Social Science, majoring in Prevention Science.
![Photo of Vivian Johnson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c55baf9f-0df6-4394-9392-53568b11cc0a/1/320x400.jpeg)
Vivian works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Vivian believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Vivian works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Vivian believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
![Photo of Letty Ye, LACMH, MSEd, MPhiEd, Counselor](https://photos.psychologytoday.com/1380823b-f4d0-41a3-8500-7b3adef1f11a/3/320x400.jpeg)
Hi there, and welcome! I'm really proud of you for taking the big first step in seeking help. You are not alone in your struggle. I am a therapist having a multicultural background; I grew up in Shanghai and have spent considerable time in Japan. I moved to the U.S. after high school and completed my undergraduate degree in California and my graduate training at the University of Pennsylvania. I possess firsthand experience as an immigrant and an astute cultural awareness that helps me to serve clients from many diverse backgrounds dealing with different life transitions. It's important to me that you feel seen and heard.
Hi there, and welcome! I'm really proud of you for taking the big first step in seeking help. You are not alone in your struggle. I am a therapist having a multicultural background; I grew up in Shanghai and have spent considerable time in Japan. I moved to the U.S. after high school and completed my undergraduate degree in California and my graduate training at the University of Pennsylvania. I possess firsthand experience as an immigrant and an astute cultural awareness that helps me to serve clients from many diverse backgrounds dealing with different life transitions. It's important to me that you feel seen and heard.
![Photo of Stefanie Walker, LMHC, Counselor](https://photos.psychologytoday.com/1b2782ee-8375-4de5-b0f5-b10a9fab36a3/1/320x400.jpeg)
Hello! My name is Stefanie Walker and I am License Professional Counselor in the following states Delaware, Georgia and the state of Oklahoma via telehealth. I work with all populations from children, adolescents and adults specializing in trauma, anxiety, depression, self esteem and ADHD to name a few utilizing CBT Cognitive Behavioral Therapy and Mindfulness to assist with symptom reduction.
Hello! My name is Stefanie Walker and I am License Professional Counselor in the following states Delaware, Georgia and the state of Oklahoma via telehealth. I work with all populations from children, adolescents and adults specializing in trauma, anxiety, depression, self esteem and ADHD to name a few utilizing CBT Cognitive Behavioral Therapy and Mindfulness to assist with symptom reduction.
![Photo of Rasheeda Davis, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/987f4806-45b3-4b0f-9e59-4d18d113237e/2/320x400.jpeg)
As a Master Level Therapist specializing in marriage counseling and individual therapy, my passion lies in guiding couples through the rough waters of relationship strife and helping individuals navigate the complexities of anxiety, depression, and significant life transitions. I believe in the power of healing and growth that comes from compassion, nonjudgemental support and understanding. My approach to therapy is rooted in the belief that every individual and relationship has the strength to overcome challenges when provided with the right support and tools.
As a Master Level Therapist specializing in marriage counseling and individual therapy, my passion lies in guiding couples through the rough waters of relationship strife and helping individuals navigate the complexities of anxiety, depression, and significant life transitions. I believe in the power of healing and growth that comes from compassion, nonjudgemental support and understanding. My approach to therapy is rooted in the belief that every individual and relationship has the strength to overcome challenges when provided with the right support and tools.
![Photo of Ebony S Hunter, LPCMH, NCC, MA, Licensed Professional Counselor](https://photos.psychologytoday.com/572fab20-4383-4e0e-98db-0e8b54df0c47/2/320x400.jpeg)
Ebony S Hunter
Licensed Professional Counselor, LPCMH, NCC, MA
Verified Verified
1 Endorsed
Newark, DE 19702 (Online Only)
Hi, thank you for being here! I understand that this journey through life can be difficult at times and I would like to be a supporting guide to assist you through it. I believe that everyone holds the key to their mental health and, with a bit of guidance, they are able to unlock positive personal growth. I will work with you to provide the support you need to achieve your goals - whatever they are!
Hi, thank you for being here! I understand that this journey through life can be difficult at times and I would like to be a supporting guide to assist you through it. I believe that everyone holds the key to their mental health and, with a bit of guidance, they are able to unlock positive personal growth. I will work with you to provide the support you need to achieve your goals - whatever they are!
![Photo of Katricia Thompson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d1a96b79-bb33-41f5-8bfa-c49a7af9c14c/2/320x400.jpeg)
Katricia Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Newark, DE 19713 (Online Only)
Today, let’s start becoming the best version of you! Often, we get hung up on defining ourselves by what we have, what we have done and what we have been through. What we neglect to think about is the opportunity we have daily to start anew and change the way we think and feel. Therapy offers the opportunity to have support in processing, finding direction and learning how to continuously cope with the unpredictable nature of life. I truly believe that when we have a safe, nonjudgmental space to be our authentic selves, we can have the freedom to feel vulnerable and gain an understanding of who we are and who we want to become.
Today, let’s start becoming the best version of you! Often, we get hung up on defining ourselves by what we have, what we have done and what we have been through. What we neglect to think about is the opportunity we have daily to start anew and change the way we think and feel. Therapy offers the opportunity to have support in processing, finding direction and learning how to continuously cope with the unpredictable nature of life. I truly believe that when we have a safe, nonjudgmental space to be our authentic selves, we can have the freedom to feel vulnerable and gain an understanding of who we are and who we want to become.
![Photo of Donyetta Cross, LPCMH, Licensed Professional Counselor](https://photos.psychologytoday.com/1025a285-2bc7-4aad-8e67-15120e013985/2/320x400.png)
Donyetta Cross
Licensed Professional Counselor, LPCMH
Verified Verified
Newark, DE 19713 (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
See more therapy options for Newark
How does your Therapist compare?
Number of Therapists in Newark, DE
300+
Average cost per session
$135
Therapists in Newark, DE who prioritize treating:
93% | Anxiety |
88% | Depression |
70% | Trauma and PTSD |
68% | Relationship Issues |
67% | Self Esteem |
64% | Coping Skills |
59% | Grief |
Average years in practice
13 Years
Top 3 insurances accepted
81% | Aetna |
76% | BlueCross and BlueShield |
75% | Highmark |
How Therapists in Newark, DE see their clients
69% | In Person and Online | |
31% | Online Only |
Gender breakdown
77% | Female | |
22% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Newark?
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.