Therapists in Boston, MA
![Photo of Susan Scheufele, EdM, LPC, LP, Licensed Psychoanalyst](https://photos.psychologytoday.com/3ce9e932-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Susan Scheufele
Licensed Psychoanalyst, EdM, LPC, LP
Verified Verified
Boston, MA 02116
Waitlist for new clients
I am a psychotherapist and psychoanalyst with over 25 years experience in private practice. Individuals come to see me about anxiety, depression, trauma, relationships, eating disorders, gender identity, parenting, and life transitions. I will help you understand the causes of your stress and anxieties as we explore your thoughts, feelings and past and present day experiences. Together we will develop strategies for healing and pathways to personal change so that you may move forward and grow.
I am a psychotherapist and psychoanalyst with over 25 years experience in private practice. Individuals come to see me about anxiety, depression, trauma, relationships, eating disorders, gender identity, parenting, and life transitions. I will help you understand the causes of your stress and anxieties as we explore your thoughts, feelings and past and present day experiences. Together we will develop strategies for healing and pathways to personal change so that you may move forward and grow.
![Photo of Libby Flavin, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/80f029a5-a00a-4eda-aa76-942413539d8d/1/320x400.png)
I am a licensed independent clinical social worker (LICSW) who graduated from Boston College School of Social Work. I specialize in the areas include eating disorders, anxiety, depression, perfectionism, body image distress, and peer/family conflict. I have a background in higher levels of care as well as outpatient settings. I enjoy working with individuals of all ages. I value connection and aim to provide a nonjudgmental space that meets each clients individual needs. I hope to assist you in navigating life’s various challenges through the development of effective coping skills and problem-solving techniques.
I am a licensed independent clinical social worker (LICSW) who graduated from Boston College School of Social Work. I specialize in the areas include eating disorders, anxiety, depression, perfectionism, body image distress, and peer/family conflict. I have a background in higher levels of care as well as outpatient settings. I enjoy working with individuals of all ages. I value connection and aim to provide a nonjudgmental space that meets each clients individual needs. I hope to assist you in navigating life’s various challenges through the development of effective coping skills and problem-solving techniques.
![Photo of Michelle Morawiak, MSW, LCSW, LADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/979a2ad2-f891-4c06-945e-caa195019924/1/320x400.png)
Michelle Morawiak
Clinical Social Work/Therapist, MSW, LCSW, LADC
Verified Verified
Boston, MA 02114
My ideal patient is someone who engages fully with me during our entire 60-minute session. They are open to suggestions and eager to try new approaches to their treatment. This patient understands that therapy is about progress, not perfection, and recognizes that sometimes the process may unfold more slowly than anticipated. I hope for a patient who maintains open communication with me, feels comfortable sharing anything that troubles them, and knows they will never be judged.
My ideal patient is someone who engages fully with me during our entire 60-minute session. They are open to suggestions and eager to try new approaches to their treatment. This patient understands that therapy is about progress, not perfection, and recognizes that sometimes the process may unfold more slowly than anticipated. I hope for a patient who maintains open communication with me, feels comfortable sharing anything that troubles them, and knows they will never be judged.
![Photo of Rachel Schwartz, LMHC, Counselor](https://photos.psychologytoday.com/742a8b56-43c4-4f27-a7e2-7ec6efe9619c/1/320x400.png)
I am a Licensed Mental Health Counselor and graduate of Boston University. I strive to create an open, safe space to help people develop an understanding of themselves to better support them. I specialize in working with people who experience anxiety, panic disorders, depression, and have a history of experiencing trauma.
I am a Licensed Mental Health Counselor and graduate of Boston University. I strive to create an open, safe space to help people develop an understanding of themselves to better support them. I specialize in working with people who experience anxiety, panic disorders, depression, and have a history of experiencing trauma.
![Photo of Andrei Augusto Silva - Movement For The Mind, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/fa42156c-e05b-4d67-82f3-86529ffbacfe/2/320x400.png)
Andrei Augusto Silva - Movement For The Mind
Pre-Licensed Professional, MA
Verified Verified
Boston, MA 02115 (Online Only)
Hi, my name is Andrei, I have 10 plus years of experience helping individuals navigate their emotions, fears , insecurities, concerns, and much more. I'm here to work with you, as I believed you are the specialist/expert in your life.
Hi, my name is Andrei, I have 10 plus years of experience helping individuals navigate their emotions, fears , insecurities, concerns, and much more. I'm here to work with you, as I believed you are the specialist/expert in your life.
![Photo of Victoria Cross, LMHC, Counselor](https://photos.psychologytoday.com/69a417cb-4450-42d2-af77-1d3b7ea286a7/1/320x400.jpeg)
I enjoy working with people from all backgrounds and walks of life who are motivated and have a desire to see change in their lives. We all have unique experiences that have led us to where we are and picked up some not so helpful habits as well as wonderful characteristics along the way. My goal is to help empower my clients to be able to identify and move in the direction that you want from building your confidence to processing difficult emotions and experience or even just gaining clarity around understanding what makes you tick and why you do what you do.
I enjoy working with people from all backgrounds and walks of life who are motivated and have a desire to see change in their lives. We all have unique experiences that have led us to where we are and picked up some not so helpful habits as well as wonderful characteristics along the way. My goal is to help empower my clients to be able to identify and move in the direction that you want from building your confidence to processing difficult emotions and experience or even just gaining clarity around understanding what makes you tick and why you do what you do.
![Photo of Heidi Schliesske, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ba5e3ca4-9490-4cfb-af8c-12fbe673a5d0/1/320x400.jpeg)
Heidi Schliesske
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02109
**Updated March 1, 2024: I have availability for in-person sessions. I do not have openings before 9am or after 4pm at this time.** I have over 20 years of experience as a psychotherapist. I have worked in a broad range of mental health settings, including traditional outpatient and also acute psychiatric settings providing individual therapy to kids, adults, and families, and clinical supervision and training to staff and trainees. I work with clients of all ages, and across cultures. I also provide clinical supervision and consultation services. My approach is collaborative, client-centered and strengths based.
**Updated March 1, 2024: I have availability for in-person sessions. I do not have openings before 9am or after 4pm at this time.** I have over 20 years of experience as a psychotherapist. I have worked in a broad range of mental health settings, including traditional outpatient and also acute psychiatric settings providing individual therapy to kids, adults, and families, and clinical supervision and training to staff and trainees. I work with clients of all ages, and across cultures. I also provide clinical supervision and consultation services. My approach is collaborative, client-centered and strengths based.
![Photo of Timothy Petersen, PhD, Psychologist](https://photos.psychologytoday.com/5333a35a-cef4-4068-b720-126a24c930a7/1/320x400.jpeg)
Welcome to my clinical psychology practice located in the financial district in Boston, MA with a secondary location in Scituate, MA. I have 25 years of experience providing clinical care through my position at Mass General Hospital/Harvard Medical School. I welcome new referrals of adolescents, adults, and couples. Among the areas I specialize in are: anxiety, mood disorders, posttraumatic stress disorder and life transitions/adjustments. I work in a very collaborative manner with clients including establishing goals and tracking progress throughout treatment.
Welcome to my clinical psychology practice located in the financial district in Boston, MA with a secondary location in Scituate, MA. I have 25 years of experience providing clinical care through my position at Mass General Hospital/Harvard Medical School. I welcome new referrals of adolescents, adults, and couples. Among the areas I specialize in are: anxiety, mood disorders, posttraumatic stress disorder and life transitions/adjustments. I work in a very collaborative manner with clients including establishing goals and tracking progress throughout treatment.
![Photo of Mitch Lisa - Dr. Mitch-Lisa Marriage/Couples Workshops/Seminars, PsyD, MSW, Life, Coach](https://photos.psychologytoday.com/a9557052-1056-4e11-a2d0-0a9aad02984d/1/320x400.jpeg)
Dr. Mitch-Lisa Marriage/Couples Workshops/Seminars
PsyD, MSW, Life, Coach
Verified Verified
Boston, MA 02110
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Seminars, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session (Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops/Seminars are Designed to be Informative & Powerful, in order to Accelerate Your Healing Process & Stop any further Damage from Occurring. Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Seminars, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session (Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops/Seminars are Designed to be Informative & Powerful, in order to Accelerate Your Healing Process & Stop any further Damage from Occurring. Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
![Photo of Maria Mantilla, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/1b28ad61-7a28-480f-a013-b22ea61b91d6/1/320x400.jpeg)
I believe that self-discovery is a lifelong journey, shaped by the people we meet, the situations we encounter, and the events that unfold in our lives. Each of these experiences offers a unique opportunity to learn more about ourselves and grow. As a dedicated therapist, I am committed to providing a warm and supportive environment that will guide you through this transformative process.
I believe that self-discovery is a lifelong journey, shaped by the people we meet, the situations we encounter, and the events that unfold in our lives. Each of these experiences offers a unique opportunity to learn more about ourselves and grow. As a dedicated therapist, I am committed to providing a warm and supportive environment that will guide you through this transformative process.
![Photo of Candace Gaeta, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/991fa67d-0ef1-4f66-9670-5ba5d10c16b4/1/320x400.jpeg)
What does your typical day look like? What has been a roadblock that’s prevented you from feeling happy? Are you willing to set goals to achieve a new sense of happiness? Change is hard, and you will face new challenges that will test your ability to try something new. When you put the work and effort into making change, you will discover a new sense of well-being and make a positive change in your life.
What does your typical day look like? What has been a roadblock that’s prevented you from feeling happy? Are you willing to set goals to achieve a new sense of happiness? Change is hard, and you will face new challenges that will test your ability to try something new. When you put the work and effort into making change, you will discover a new sense of well-being and make a positive change in your life.
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![Photo of Anne Liblich, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ddec0a3b-3ea3-4a04-9141-4785b9f7274e/3/320x400.jpeg)
Are you looking for a therapist for yourself, or loved one and unsure where to begin? Finding a new therapist can be quite daunting, and time consuming. Do you worry about connecting with your new therapist, or aligning with values? I believe the rapport built between therapist and client is a critical component in receiving adequate treatment, and support. I pride myself on creating a safe, nonjudgmental and compassionate space allowing one to feel comfortable discussing sensitive and private matters. I am available for tele-health sessions from the comfort of your own home in both MA & NY.
Are you looking for a therapist for yourself, or loved one and unsure where to begin? Finding a new therapist can be quite daunting, and time consuming. Do you worry about connecting with your new therapist, or aligning with values? I believe the rapport built between therapist and client is a critical component in receiving adequate treatment, and support. I pride myself on creating a safe, nonjudgmental and compassionate space allowing one to feel comfortable discussing sensitive and private matters. I am available for tele-health sessions from the comfort of your own home in both MA & NY.
![Photo of Dr. Vanessa Rojas, PhD, CSAT, C-PD, CCTP-II, EMDR, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c4679e9e-c20e-4d51-b298-d4d5104bab75/1/320x400.jpeg)
Dr. Vanessa Rojas
Clinical Social Work/Therapist, PhD, CSAT, C-PD, CCTP-II, EMDR
Verified Verified
5 Endorsed
Boston, MA 02116 (Online Only)
Not accepting new clients
Do you dread coming home to conflict or the cold shoulder? Did you just find out your partner has been repeatedly cheating on you? Are you looking for a therapist who specializes in personality disorders to help you understand what exactly you are dealing with? Wondering how you keep ending up in toxic situationships? Is unprocessed trauma from growing up in an alcoholic and/or dysfunctional family causing you difficulties in all areas of your life? Allow me to help you heal yourself and/or relationship.
Do you dread coming home to conflict or the cold shoulder? Did you just find out your partner has been repeatedly cheating on you? Are you looking for a therapist who specializes in personality disorders to help you understand what exactly you are dealing with? Wondering how you keep ending up in toxic situationships? Is unprocessed trauma from growing up in an alcoholic and/or dysfunctional family causing you difficulties in all areas of your life? Allow me to help you heal yourself and/or relationship.
![Photo of Jeff Pesaturo, LMHC, SAC, Counselor](https://photos.psychologytoday.com/c08b224b-72c2-420c-afdb-a8cfe3b17607/2/320x400.jpeg)
Change can be difficult but progress is impossible without it. Whether you are looking to address an immediate barrier in your life or work though something that has been challenging you for sometime, change is possible.
Change can be difficult but progress is impossible without it. Whether you are looking to address an immediate barrier in your life or work though something that has been challenging you for sometime, change is possible.
![Photo of Kristina Altomari, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bba8e95b-a190-43b4-af6c-dd2bc82cd72e/1/320x400.jpeg)
Kristina Altomari
Clinical Social Work/Therapist, LCSW
Verified Verified
Boston, MA 02110 (Online Only)
I help anxious and overwhelmed individuals navigate life stress, flourish in life transitions, and heal from painful experiences. You may be a young adult navigating a new life phase, you may be experiencing grief and loss, or you may be working through trauma. You may simply be looking to shift habits that are negatively affecting your life. All of these needs can be challenging to face alone, which is why working together in the context of a therapeutic alliance can be so helpful.
I help anxious and overwhelmed individuals navigate life stress, flourish in life transitions, and heal from painful experiences. You may be a young adult navigating a new life phase, you may be experiencing grief and loss, or you may be working through trauma. You may simply be looking to shift habits that are negatively affecting your life. All of these needs can be challenging to face alone, which is why working together in the context of a therapeutic alliance can be so helpful.
![Photo of Brittany J Hartman, MS, LMHC, LCPC, Counselor](https://photos.psychologytoday.com/352799be-a8e7-4dd3-b4f4-517d1edf2669/3/320x400.jpeg)
In therapy, Brittany maintains an integrative approach, incorporating Cognitive-Behavioral, Narrative, Solution-Focused and Brainspotting therapies. She also places strong emphasis on self-care and mindfulness. Brittany appreciates the importance of "being" with clients wherever they are on their journey. She feels honored and excited to witness clients' self-discovery of their own "inner-expert" through the therapeutic process.
In therapy, Brittany maintains an integrative approach, incorporating Cognitive-Behavioral, Narrative, Solution-Focused and Brainspotting therapies. She also places strong emphasis on self-care and mindfulness. Brittany appreciates the importance of "being" with clients wherever they are on their journey. She feels honored and excited to witness clients' self-discovery of their own "inner-expert" through the therapeutic process.
![Photo of Amanda Elyse Sieferman, LMHC, Counselor](https://photos.psychologytoday.com/1d9f4064-6c47-4747-a077-dc904abf1c6e/3/320x400.jpeg)
I am a therapist who specializes in increasing sexual communication, pleasure, and satisfaction for my clients. I work with both individuals and couples to achieve the sexual lives they are looking for. People struggle with sex for many reasons such as learning "sex is bad", concern about differences in desire, no desire, struggling with sex/gender identity, trauma, lack of comfort/education about sex, anxiety about having sex/talking about sex with others, pelvic pain, not orgasming, ED, premature ejaculation etc. If this sounds like you I am here to help without judgement, to collaborate on how to create a new sexual narrative.
I am a therapist who specializes in increasing sexual communication, pleasure, and satisfaction for my clients. I work with both individuals and couples to achieve the sexual lives they are looking for. People struggle with sex for many reasons such as learning "sex is bad", concern about differences in desire, no desire, struggling with sex/gender identity, trauma, lack of comfort/education about sex, anxiety about having sex/talking about sex with others, pelvic pain, not orgasming, ED, premature ejaculation etc. If this sounds like you I am here to help without judgement, to collaborate on how to create a new sexual narrative.
![Photo of Samar Wahid, LMHC](https://photos.psychologytoday.com/f3bdc8a5-d3c5-4a33-941b-e45a79e488c0/2/320x400.jpeg)
You are going through a life transition and finding it more difficult than you imagined. You feel out of place, different from your coworkers, peers, or family members. Stress makes it tough for you to function at your best and you are burnt out. You find yourself feeling depressed, anxious, angry, lonely, or misunderstood.
You are going through a life transition and finding it more difficult than you imagined. You feel out of place, different from your coworkers, peers, or family members. Stress makes it tough for you to function at your best and you are burnt out. You find yourself feeling depressed, anxious, angry, lonely, or misunderstood.
![Photo of Cathleen Grant, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/54d38d96-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have been practicing psychotherapy for over 35 years providing services to children, adolescents and adults which are individualized , adaptive, and strength based . I have an integrative approach , using modalities in which I have received extensive training : EMDR, Internal Family Systems, Hypnotherapy, all of which incorporate a trauma informed dimension. In addition, I received a Post Graduate Certification in Addiction: Evaluation and Treatment from Boston University. Woven through my work is my meditation practice ( Vipassana) of 20 years.
I have been practicing psychotherapy for over 35 years providing services to children, adolescents and adults which are individualized , adaptive, and strength based . I have an integrative approach , using modalities in which I have received extensive training : EMDR, Internal Family Systems, Hypnotherapy, all of which incorporate a trauma informed dimension. In addition, I received a Post Graduate Certification in Addiction: Evaluation and Treatment from Boston University. Woven through my work is my meditation practice ( Vipassana) of 20 years.
![Photo of Princess Alston - Princess Alston , LMHC, CADC, Counselor](https://photos.psychologytoday.com/44150f9e-8233-4b70-a515-74bc38e844ed/1/320x400.jpeg)
Hi there! My name is Princess Alston, and I am the founder and primary facilitator of Cultivated Core. We specialize in providing therapy and mental performance coaching services to help you achieve holistic wellness and peak performance in your personal life, career, sports, and academics. Our team prioritizes cultural responsiveness and assists clients in overcoming challenges related to self-confidence, decision-making, time management, and mental health issues such as anxiety, depression, trauma, grief, and stress management.
Hi there! My name is Princess Alston, and I am the founder and primary facilitator of Cultivated Core. We specialize in providing therapy and mental performance coaching services to help you achieve holistic wellness and peak performance in your personal life, career, sports, and academics. Our team prioritizes cultural responsiveness and assists clients in overcoming challenges related to self-confidence, decision-making, time management, and mental health issues such as anxiety, depression, trauma, grief, and stress management.
See more therapy options for Boston
How does your Therapist compare?
Number of Therapists in Boston, MA
3,000+
Average cost per session
$154
Therapists in Boston, MA who prioritize treating:
93% | Anxiety |
86% | Depression |
74% | Relationship Issues |
72% | Self Esteem |
70% | Stress |
69% | Trauma and PTSD |
66% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
78% | BlueCross and BlueShield |
65% | Aetna |
62% | UnitedHealthcare UHC | UBH |
How Therapists in Boston, MA see their clients
62% | Online Only | |
38% | In Person and Online |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Boston?
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.