Therapists in North Bend, WA

Photo of Dr. Teresa Evans, ND, NP-CNM, IBCLC
Dr. Teresa Evans
ND, NP-CNM, IBCLC
Verified Verified
North Bend, WA 98045  (Online Only)
Greetings! Are you looking for support towards the life you really want? Are you looking to work with a Naturopathic Physician who can help you manage anxiety, depression, gender-affirmation, LGBTQ+, grief, chronic pain, or life transitions? Adults with these traits may struggle with work, relationships, and family. I offer medication management and/or counseling. I am kink, poly, and HAES friendly. I come from a wholistic lens often including nutrition (additive), sleep care, and joyful movement. From a social justice lens, I am trained in Acceptance and Commitment Therapy and LGBTQ-Affirmative-CBT and Mindfulness.
Greetings! Are you looking for support towards the life you really want? Are you looking to work with a Naturopathic Physician who can help you manage anxiety, depression, gender-affirmation, LGBTQ+, grief, chronic pain, or life transitions? Adults with these traits may struggle with work, relationships, and family. I offer medication management and/or counseling. I am kink, poly, and HAES friendly. I come from a wholistic lens often including nutrition (additive), sleep care, and joyful movement. From a social justice lens, I am trained in Acceptance and Commitment Therapy and LGBTQ-Affirmative-CBT and Mindfulness.
(206) 508-5889 View (206) 508-5889
Photo of David Paul Eck, MA, LMHC, Counselor
David Paul Eck
Counselor, MA, LMHC
Verified Verified
North Bend, WA 98045
For 31 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
For 31 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
(425) 786-9923 View (425) 786-9923
Photo of Katie Zundel - Reflections Counseling, LMFTA, Marriage & Family Therapist Associate
Katie Zundel - Reflections Counseling
Marriage & Family Therapist Associate, LMFTA
Verified Verified
North Bend, WA 98045
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
(425) 209-8216 View (425) 209-8216
Photo of Abbygail Parker I Larch Counseling, LMFTA, Marriage & Family Therapist Associate
Abbygail Parker I Larch Counseling
Marriage & Family Therapist Associate, LMFTA
Verified Verified
14 Endorsed
North Bend, WA 98045
I want you to feel heard and safe. Some things that make us human are our complex, safety-focused, and connection-centered, brains. Regardless of our similarities, we all still navigate challenges uniquely. How we approach our stories impacts how we see ourselves and the world around us. Challenges in this world are certain; this may leave us feeling scared, overwhelmed, or depressed. These difficult experiences can lead to isolation, stuckness, panic, and other uncomfortable feelings. Rather than battle it out in your relationships, or on your own, I work from a headspace of inspiring hope and seeking peace within.
I want you to feel heard and safe. Some things that make us human are our complex, safety-focused, and connection-centered, brains. Regardless of our similarities, we all still navigate challenges uniquely. How we approach our stories impacts how we see ourselves and the world around us. Challenges in this world are certain; this may leave us feeling scared, overwhelmed, or depressed. These difficult experiences can lead to isolation, stuckness, panic, and other uncomfortable feelings. Rather than battle it out in your relationships, or on your own, I work from a headspace of inspiring hope and seeking peace within.
(425) 243-8951 View (425) 243-8951
Photo of Alexandria Packard - Alexandria Packard I Larch Counseling, MS, LMFTA, Marriage & Family Therapist Associate
Alexandria Packard I Larch Counseling
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
15 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 272-6784 View (425) 272-6784
Photo of Jessica Milian | Larch Counseling, LMFT, Marriage & Family Therapist
Jessica Milian | Larch Counseling
Marriage & Family Therapist, LMFT
Verified Verified
13 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 357-7461 x38 View (425) 357-7461 x38
Photo of Jordan Beck I Larch Counseling, MA, CFT, Marriage & Family Therapist Associate
Jordan Beck I Larch Counseling
Marriage & Family Therapist Associate, MA, CFT
Verified Verified
14 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between, find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between, find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 906-5078 View (425) 906-5078
Photo of Jim Morley - Reflections Counseling, MA, LMHC, SUDP, Counselor
Jim Morley - Reflections Counseling
Counselor, MA, LMHC, SUDP
Verified Verified
North Bend, WA 98045
Waitlist for new clients
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
(425) 209-8216 View (425) 209-8216
Photo of Mario Gaspar de Alba Larch Counseling, MFTcand, Marriage & Family Therapist Associate
Mario Gaspar de Alba Larch Counseling
Marriage & Family Therapist Associate, MFTcand
Verified Verified
14 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 407-5044 x35 View (425) 407-5044 x35
Photo of Jean Fitzharris - Reflections Counseling, LMHCA, Counselor
Jean Fitzharris - Reflections Counseling
Counselor, LMHCA
Verified Verified
North Bend, WA 98045
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
(425) 209-8216 View (425) 209-8216
Photo of Lauren Thomas, MSW, LICSW, Clinical Social Work/Therapist
Lauren Thomas
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
North Bend, WA 98045  (Online Only)
Lauren is a Licensed Independent Clinical Social Worker. She received her Bachelor’s in Social Work from University of Utah and her Master’s in Social Work from University of Michigan - Ann Arbor. Lauren has graduate and post-graduate clinical training in assessing, diagnosing, and treating OCD, ADHD, PTSD, school refusal, and other areas of need. Lauren specializes in treatment of adolescents and family systems, and is dedicated to this work and enjoys helping others.
Lauren is a Licensed Independent Clinical Social Worker. She received her Bachelor’s in Social Work from University of Utah and her Master’s in Social Work from University of Michigan - Ann Arbor. Lauren has graduate and post-graduate clinical training in assessing, diagnosing, and treating OCD, ADHD, PTSD, school refusal, and other areas of need. Lauren specializes in treatment of adolescents and family systems, and is dedicated to this work and enjoys helping others.
(425) 202-5330 View (425) 202-5330
Photo of Jenna Patterson - Reflections Counseling, MS, LMFT, SUDP, CMHS, MHP, Marriage & Family Therapist
Jenna Patterson - Reflections Counseling
Marriage & Family Therapist, MS, LMFT, SUDP, CMHS, MHP
Verified Verified
3 Endorsed
North Bend, WA 98045
Waitlist for new clients
I view each individual's problems in the context of their life and relationships. My approach to therapy is best described as relational, client centered, and outcomes-focused. I provide therapeutic services to individuals, families, and couples whose interests are personal growth and development, relationship enhancement, individual and career transitions. I feel passionate about working with families and helping to foster better communication between couples as well as children and their parents.
I view each individual's problems in the context of their life and relationships. My approach to therapy is best described as relational, client centered, and outcomes-focused. I provide therapeutic services to individuals, families, and couples whose interests are personal growth and development, relationship enhancement, individual and career transitions. I feel passionate about working with families and helping to foster better communication between couples as well as children and their parents.
(425) 209-8216 View (425) 209-8216
Photo of Serena Robertson | Larch Counseling, MS, LMFT, Marriage & Family Therapist
Serena Robertson | Larch Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
15 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 382-7525 View (425) 382-7525
Photo of Gavin Versi - Reflections Counseling, Pre-Licensed Professional
Gavin Versi - Reflections Counseling
Pre-Licensed Professional
Verified Verified
5 Endorsed
North Bend, WA 98045
Waitlist for new clients
My specialties are managing depression/anxiety, healing trauma, and relationship enhancement. I also enjoy working with individuals and families facing addiction, especially process addictions such as social media, pornography, gambling, and food. My style is best described as experiential, which means that we learn and grow through experience (rather than being told what to do). I view everyone's problems in the context of their life, history, and relationships. As a somatic practitioner, I believe that our body is our most effective healing tool.
My specialties are managing depression/anxiety, healing trauma, and relationship enhancement. I also enjoy working with individuals and families facing addiction, especially process addictions such as social media, pornography, gambling, and food. My style is best described as experiential, which means that we learn and grow through experience (rather than being told what to do). I view everyone's problems in the context of their life, history, and relationships. As a somatic practitioner, I believe that our body is our most effective healing tool.
(425) 585-4665 View (425) 585-4665
Photo of Dan Claussen | Larch Counseling, MS, LMFT, Marriage & Family Therapist
Dan Claussen | Larch Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
14 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 200-0130 View (425) 200-0130
Photo of Letitia Johnson, MSW, LICSW, CHT, BC-TMH, Clinical Social Work/Therapist
Letitia Johnson
Clinical Social Work/Therapist, MSW, LICSW, CHT, BC-TMH
Verified Verified
North Bend, WA 98045
Do you feel that a better version of you is waiting to emerge? I believe there is. Do you want to be happier? Have a better relationship? More fulfilling career? I believe you can have all those things. I also believe the seeds of change are within each of us. Whether changes are subtle or more global, I can help. My job, as your therapist and coach, is to help find the pathways within you to move toward change. I believe we have the answers within to the dilemmas we face, although we may need guidance to find those answers.
Do you feel that a better version of you is waiting to emerge? I believe there is. Do you want to be happier? Have a better relationship? More fulfilling career? I believe you can have all those things. I also believe the seeds of change are within each of us. Whether changes are subtle or more global, I can help. My job, as your therapist and coach, is to help find the pathways within you to move toward change. I believe we have the answers within to the dilemmas we face, although we may need guidance to find those answers.
(425) 470-6053 View (425) 470-6053
Photo of Aubrey Lane | Larch Counseling, MS, LMFT, Marriage & Family Therapist
Aubrey Lane | Larch Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
15 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 382-8878 View (425) 382-8878
Photo of Kimberly Paige McMartin, MA, LPC, LMHC, Licensed Professional Counselor
Kimberly Paige McMartin
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
1 Endorsed
North Bend, WA 98045
Are you feeling a sense of dissatisfaction with the way things are in your life right now? Being overwhelmed, discouraged and dissatisfied are often indicators that you have stepped out of alignment with your inner wisdom. That wise part of yourself is calling for your attention. I work with adults and older adolescents from a non-pathologizing perspective, meaning I don’t place much emphasis on diagnoses.
Are you feeling a sense of dissatisfaction with the way things are in your life right now? Being overwhelmed, discouraged and dissatisfied are often indicators that you have stepped out of alignment with your inner wisdom. That wise part of yourself is calling for your attention. I work with adults and older adolescents from a non-pathologizing perspective, meaning I don’t place much emphasis on diagnoses.
(425) 502-5990 View (425) 502-5990
Photo of Stephen P Chick, MA, LMHC, Counselor
Stephen P Chick
Counselor, MA, LMHC
Verified Verified
North Bend, WA 98045
I've worked as a child, family, and adult therapist since 1999. I'm committed to helping people better understand and manage events in their lives which they find challenging. In addition to child, family, and adult therapy, I also specialize in the following areas: ADD/ADHD, enhancing parenting skills, anger management, attachment issues, mood disorders, grief issues, posttraumatic stress, self-esteem, drug/alcohol problems, self exploration, career issues, depression, anxiety, oppositional/defiant behavior, and others. I am also trained to use EMDR to help people work through traumas they have been through.
I've worked as a child, family, and adult therapist since 1999. I'm committed to helping people better understand and manage events in their lives which they find challenging. In addition to child, family, and adult therapy, I also specialize in the following areas: ADD/ADHD, enhancing parenting skills, anger management, attachment issues, mood disorders, grief issues, posttraumatic stress, self-esteem, drug/alcohol problems, self exploration, career issues, depression, anxiety, oppositional/defiant behavior, and others. I am also trained to use EMDR to help people work through traumas they have been through.
(425) 441-3072 View (425) 441-3072
Photo of Michelle Furtado, MA, LMHC, Counselor
Michelle Furtado
Counselor, MA, LMHC
Verified Verified
2 Endorsed
North Bend, WA 98045
Whether you are seeking therapy due to understanding a relationship, trying to manage a life transition or develop new coping skills, my work with clients focuses on helping you get to know yourself better so you are equip to navigate life’s challenges. Together we will focus on identifying your values and how to live those out.
Whether you are seeking therapy due to understanding a relationship, trying to manage a life transition or develop new coping skills, my work with clients focuses on helping you get to know yourself better so you are equip to navigate life’s challenges. Together we will focus on identifying your values and how to live those out.
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How does your Therapist compare?

Number of Therapists in North Bend, WA

30+

Average cost per session

$165

Therapists in North Bend, WA who prioritize treating:

87% Depression
87% Anxiety
84% Relationship Issues
68% Stress
66% Family Conflict
66% Coping Skills
66% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

91% Premera Blue Cross
82% Regence
64% BlueCross and BlueShield

How Therapists in North Bend, WA see their clients

87% In Person and Online
13% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in North 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.