Therapists in Oregon City, OR

Photo of John Sickler, LCSW, Clinical Social Work/Therapist
John Sickler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Oregon City, OR 97045
I utilize an insight and awareness oriented style of therapy that is committed to authenticity and humor when possible. More than half of my clients are involved in or exploring ethical non-monogamy or a queer sexual orientation but the most important thing I look for in clients is just a good therapy chemistry between us. I prioritize new clients with Kaiser health insurance due to a new and specific contract I have with them.
I utilize an insight and awareness oriented style of therapy that is committed to authenticity and humor when possible. More than half of my clients are involved in or exploring ethical non-monogamy or a queer sexual orientation but the most important thing I look for in clients is just a good therapy chemistry between us. I prioritize new clients with Kaiser health insurance due to a new and specific contract I have with them.
(503) 966-8297 View (503) 966-8297
Photo of Stacy Forrest, LPC, MAC, CADC, BCLC, Licensed Professional Counselor
Stacy Forrest
Licensed Professional Counselor, LPC, MAC, CADC, BCLC
Verified Verified
1 Endorsed
Oregon City, OR 97045  (Online Only)
Not accepting new clients
Self-care can help improve mental and physical health, reduce symptoms of depression, anxiety and overall stress reduction. Counseling is an aspect of healthy living that can enhance mental and emotional well-being. The process can be exhilarating, challenging, and profoundly rewarding as you gain clarity through increased awareness. Respecting the sensitive nature of therapy, I offer a friendly atmosphere that's welcoming and supportive. I actively engage in session focusing on you and your needs. Together we identify stressors, fears and thinking errors, and develop coping skills which are key for mental balance and positivity.
Self-care can help improve mental and physical health, reduce symptoms of depression, anxiety and overall stress reduction. Counseling is an aspect of healthy living that can enhance mental and emotional well-being. The process can be exhilarating, challenging, and profoundly rewarding as you gain clarity through increased awareness. Respecting the sensitive nature of therapy, I offer a friendly atmosphere that's welcoming and supportive. I actively engage in session focusing on you and your needs. Together we identify stressors, fears and thinking errors, and develop coping skills which are key for mental balance and positivity.
(971) 216-5861 View (971) 216-5861
Photo of Thomas Deshler, PhD, Psychologist
Thomas Deshler
Psychologist, PhD
Verified Verified
Oregon City, OR 97045
I create a comfortable environment in my office where people feel safe to share. It is my belief that each of us is unique in our histories and in the strengths that we bring to a situation. Part of the experience of therapy is to identify the strengths and successes we have had in our lives and to discover how these things can impact the current concerns we are facing. Often through the experience of talking with a therapist people are able to figure out how to take the steps that will make their life situation and relationships work better.
I create a comfortable environment in my office where people feel safe to share. It is my belief that each of us is unique in our histories and in the strengths that we bring to a situation. Part of the experience of therapy is to identify the strengths and successes we have had in our lives and to discover how these things can impact the current concerns we are facing. Often through the experience of talking with a therapist people are able to figure out how to take the steps that will make their life situation and relationships work better.
(503) 406-2366 View (503) 406-2366
Photo of Amanda Ayala, MA, Marriage & Family Therapist Associate
Amanda Ayala
Marriage & Family Therapist Associate, MA
Verified Verified
2 Endorsed
Oregon City, OR 97045
As a therapist, I place an emphasis on utilizing an intersectional, inclusive, body positive, and an anti-oppressive lens. This means our conversations will naturally include your cultural identities, social locations, family history, and the broader contexts of your lived experience. I believe you are the expert of your own life. I take a collaborative approach, so we can work together and bring forth meaningful transformation.
As a therapist, I place an emphasis on utilizing an intersectional, inclusive, body positive, and an anti-oppressive lens. This means our conversations will naturally include your cultural identities, social locations, family history, and the broader contexts of your lived experience. I believe you are the expert of your own life. I take a collaborative approach, so we can work together and bring forth meaningful transformation.
(971) 298-7881 View (971) 298-7881
Photo of Rosanne Chien, PhD, NCSP, Psychologist
Rosanne Chien
Psychologist, PhD, NCSP
Verified Verified
Oregon City, OR 97045  (Online Only)
I am a licensed psychologist who specializes in working with children, adolescents, and their families. I offer a goal-centered, collaborative approach to therapy, using your child’s unique strengths and needs to identify challenges and develop skills to meet them. I provide a safe environment where both you and your child will be heard and supported, while giving caring, honest feedback to help you explore issues, reduce conflict and problematic behaviors, and increase happiness for both you and your family.
I am a licensed psychologist who specializes in working with children, adolescents, and their families. I offer a goal-centered, collaborative approach to therapy, using your child’s unique strengths and needs to identify challenges and develop skills to meet them. I provide a safe environment where both you and your child will be heard and supported, while giving caring, honest feedback to help you explore issues, reduce conflict and problematic behaviors, and increase happiness for both you and your family.
(971) 236-0159 View (971) 236-0159
Photo of Emily Greso, CSWA, MSW, Pre-Licensed Professional
Emily Greso
Pre-Licensed Professional, CSWA, MSW
Verified Verified
Oregon City, OR 97045
Youth are constantly experiencing new situations and emotions. It is often confusing to identify which emotions are common in each stage of growing up when compared to feelings that more closely align with anxiety, depression, and other mental health challenges. I am here to support adolescents’ capacity for self-awareness, healing, and building skills to support their own wellbeing. Creating a toolkit of knowledge empowers youth to manage what is within their control, and build up inner resources to interact with what is outside their control.
Youth are constantly experiencing new situations and emotions. It is often confusing to identify which emotions are common in each stage of growing up when compared to feelings that more closely align with anxiety, depression, and other mental health challenges. I am here to support adolescents’ capacity for self-awareness, healing, and building skills to support their own wellbeing. Creating a toolkit of knowledge empowers youth to manage what is within their control, and build up inner resources to interact with what is outside their control.
(971) 366-2757 View (971) 366-2757
Photo of Miranda Orich, Pre-Licensed Professional
Miranda Orich
Pre-Licensed Professional
Verified Verified
Oregon City, OR 97045
I am a recent graduate with a Masters of Arts in Counseling from Northwestern University's Graduate School. I am intentional about practicing inclusive therapy for people of all religions, ethnicities, and cultural backgrounds, specifically those in the LGBTQIA2S+ communities. I aim to create a safe space for thems, femmes, and women in order to empower and uplift my community.
I am a recent graduate with a Masters of Arts in Counseling from Northwestern University's Graduate School. I am intentional about practicing inclusive therapy for people of all religions, ethnicities, and cultural backgrounds, specifically those in the LGBTQIA2S+ communities. I aim to create a safe space for thems, femmes, and women in order to empower and uplift my community.
(971) 365-4566 View (971) 365-4566
Photo of Erin Taylor, LCSW, CADC1, Clinical Social Work/Therapist
Erin Taylor
Clinical Social Work/Therapist, LCSW, CADC1
Verified Verified
2 Endorsed
Oregon City, OR 97045
Erin Taylor is a Licensed Clinical Social Worker and a certified Alcohol and Drug Counselor in the state of Oregon, with over two decades of clinical experience. As a highly sensitive person with a passion for integrating trauma-informed care across all systems of care, empathy is the driving force behind Erin’s work. Drawing eclectically from cognitive behavioral therapy, dialectical behavioral therapy, experiential therapy, existentialism, systems theory, polyvagal theory, and positive disintegration, Erin uses each moment as a guide for the next. Erin is also known for encouraging creativity throughout the therapeutic process.
Erin Taylor is a Licensed Clinical Social Worker and a certified Alcohol and Drug Counselor in the state of Oregon, with over two decades of clinical experience. As a highly sensitive person with a passion for integrating trauma-informed care across all systems of care, empathy is the driving force behind Erin’s work. Drawing eclectically from cognitive behavioral therapy, dialectical behavioral therapy, experiential therapy, existentialism, systems theory, polyvagal theory, and positive disintegration, Erin uses each moment as a guide for the next. Erin is also known for encouraging creativity throughout the therapeutic process.
(503) 470-2499 View (503) 470-2499
Photo of Megan Ostler, CSWA, Pre-Licensed Professional
Megan Ostler
Pre-Licensed Professional, CSWA
Verified Verified
Oregon City, OR 97045  (Online Only)
My name is Megan, and I am accepting new clients in Oregon. Taking those first steps towards self-improvement is not always easy and finding the right therapist can sometimes feel overwhelming. It is my goal to help you feel more comfortable as you embark on the journey. Creating a safe, accepting, and non-judgmental space where hope, healing, and self-discovery can flourish is what drives my work. I believe that the therapeutic process is different for each unique individual and there is not a one size fits all approach.
My name is Megan, and I am accepting new clients in Oregon. Taking those first steps towards self-improvement is not always easy and finding the right therapist can sometimes feel overwhelming. It is my goal to help you feel more comfortable as you embark on the journey. Creating a safe, accepting, and non-judgmental space where hope, healing, and self-discovery can flourish is what drives my work. I believe that the therapeutic process is different for each unique individual and there is not a one size fits all approach.
(971) 606-5181 View (971) 606-5181
Photo of Brooke Miller - Neupathway (Brooke Miller), LCSW, CPC, Clinical Social Work/Therapist
Neupathway (Brooke Miller)
Clinical Social Work/Therapist, LCSW, CPC
Verified Verified
Oregon City, OR 97045
Are you feeling overwhelmed or stuck? As a stress and anxiety expert, I teach my clients coping and communication skills to increase mental and physical well being, improve relationship satisfaction and create better work/life balance. My mission is my passion: to support clients in their journey to wholeness and authenticity so that they can experience more confidence and joy across every area of life. My style is empathic, empowering and direct, with a good dose of humor :). I am also a Certified Professional Coach, which means I will give you a nudge and hold you accountable when you need it!
Are you feeling overwhelmed or stuck? As a stress and anxiety expert, I teach my clients coping and communication skills to increase mental and physical well being, improve relationship satisfaction and create better work/life balance. My mission is my passion: to support clients in their journey to wholeness and authenticity so that they can experience more confidence and joy across every area of life. My style is empathic, empowering and direct, with a good dose of humor :). I am also a Certified Professional Coach, which means I will give you a nudge and hold you accountable when you need it!
(503) 445-6091 View (503) 445-6091
Photo of Jessica Macklin, LPC, CADCIII, MA, Licensed Professional Counselor
Jessica Macklin
Licensed Professional Counselor, LPC, CADCIII, MA
Verified Verified
4 Endorsed
Oregon City, OR 97045  (Online Only)
I believe that human nature in its many forms is always evolving and if we are able to harness and lean into this change and learn to grow in healthy ways we can become our best selves. I seek to build a positive therapeutic relationship with all my clients to better comprehend the problems that they may be dealing with in their lives and attempt to assist them in finding healthy resolutions.
I believe that human nature in its many forms is always evolving and if we are able to harness and lean into this change and learn to grow in healthy ways we can become our best selves. I seek to build a positive therapeutic relationship with all my clients to better comprehend the problems that they may be dealing with in their lives and attempt to assist them in finding healthy resolutions.
(971) 239-4985 View (971) 239-4985
Photo of Brittany Potter, CSWA
Brittany Potter
Clinical Social Work Associate, CSWA
Verified Verified
Oregon City, OR 97045  (Online Only)
Hi, my name is Brittany and I am accepting new clients in Oregon! Taking the first step towards therapy can be a very important and sometimes challenging endeavor. I believe that we all maintain the power and resources within to guide us toward healing. My goal as a therapist is to assist you in your journey of living a more fulfilling life, however that looks for you. I work with teens and adults 14 years and older. My areas of focus include trauma, grief, addiction, anxiety, depression, self-esteem issues.
Hi, my name is Brittany and I am accepting new clients in Oregon! Taking the first step towards therapy can be a very important and sometimes challenging endeavor. I believe that we all maintain the power and resources within to guide us toward healing. My goal as a therapist is to assist you in your journey of living a more fulfilling life, however that looks for you. I work with teens and adults 14 years and older. My areas of focus include trauma, grief, addiction, anxiety, depression, self-esteem issues.
(503) 461-0722 View (503) 461-0722
Photo of Katie Way, PCA, Pre-Licensed Professional
Katie Way
Pre-Licensed Professional, PCA
Verified Verified
Oregon City, OR 97045  (Online Only)
Hello, my name is Katie and I am currently accepting new clients in Oregon. I utilize a person-centered approach to therapy, meaning I believe that the individual is the expert on their life. Working from this approach, I can incorporate other evidence-based therapies I am trained in. I want to empower you to recognize your strengths, be able to feel grounded in the present, and gain hope for the future.
Hello, my name is Katie and I am currently accepting new clients in Oregon. I utilize a person-centered approach to therapy, meaning I believe that the individual is the expert on their life. Working from this approach, I can incorporate other evidence-based therapies I am trained in. I want to empower you to recognize your strengths, be able to feel grounded in the present, and gain hope for the future.
(503) 751-3951 View (503) 751-3951
Photo of Ben Cobb, LPC, MA, Licensed Professional Counselor
Ben Cobb
Licensed Professional Counselor, LPC, MA
Verified Verified
Oregon City, OR 97045
If you are struggling with closing the gap between where you are currently and where you want to be in the future, I would be privileged to support you in making this happen. These challenges and patterns often block us from realizing our potential and may lead to isolation, hopelessness, and a loss of purpose in our lives. In working through these barriers we are able to uncover the true gifts which give life meaning and purpose.
If you are struggling with closing the gap between where you are currently and where you want to be in the future, I would be privileged to support you in making this happen. These challenges and patterns often block us from realizing our potential and may lead to isolation, hopelessness, and a loss of purpose in our lives. In working through these barriers we are able to uncover the true gifts which give life meaning and purpose.
(971) 803-5381 View (971) 803-5381
Photo of Maribel Aheran - Neupathway (Maribel Aheran), Eed, LPC, LMHC, Licensed Professional Counselor
Neupathway (Maribel Aheran)
Licensed Professional Counselor, Eed, LPC, LMHC
Verified Verified
Oregon City, OR 97045
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
(971) 299-6921 View (971) 299-6921
Photo of Lea Maria Kujala, LCSW, MAC, CADCIII, Clinical Social Work/Therapist
Lea Maria Kujala
Clinical Social Work/Therapist, LCSW, MAC, CADCIII
Verified Verified
1 Endorsed
Oregon City, OR 97045
“We don’t have to do all of it alone. We were never meant to.” Brenée Brown We are resilient human beings who go through life trying not to be too banged up, and sometimes we get broken. There is a Japanese art form that I love called Kintsugi, where one fixes the broken pot with gold or silver to highlight where it was once broken and thus rendering it beautiful again. Trauma and addiction make us feel like we are broken inside, I work with you to apply your gold or silver highlights.
“We don’t have to do all of it alone. We were never meant to.” Brenée Brown We are resilient human beings who go through life trying not to be too banged up, and sometimes we get broken. There is a Japanese art form that I love called Kintsugi, where one fixes the broken pot with gold or silver to highlight where it was once broken and thus rendering it beautiful again. Trauma and addiction make us feel like we are broken inside, I work with you to apply your gold or silver highlights.
(503) 765-1306 View (503) 765-1306
Photo of Tamara Corley, MSW, LCSW, Clinical Social Work/Therapist
Tamara Corley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Oregon City, OR 97045  (Online Only)
Waitlist for new clients
Is it time? Is enough, enough? Are you ready for change in your life? Then let’s do it! Let’s take the first step together to begin healing, find closure and let go of the baggage that weighs you down and no longer serves you, today. Take a leap of faith for yourself and we will take the journey together. My areas of specialty include Depression, Anxiety, Trauma, Relationship Issues, PTSD and Grief and Loss. I am inclusive, serve the LGBTQIA+ community and have experience working with Neurodivergent folx.
Is it time? Is enough, enough? Are you ready for change in your life? Then let’s do it! Let’s take the first step together to begin healing, find closure and let go of the baggage that weighs you down and no longer serves you, today. Take a leap of faith for yourself and we will take the journey together. My areas of specialty include Depression, Anxiety, Trauma, Relationship Issues, PTSD and Grief and Loss. I am inclusive, serve the LGBTQIA+ community and have experience working with Neurodivergent folx.
(503) 966-5069 View (503) 966-5069
Photo of Tasha Miniszweski, LCSW, Clinical Social Work/Therapist
Tasha Miniszweski
Clinical Social Work/Therapist, LCSW
Verified Verified
Oregon City, OR 97045  (Online Only)
Hello, my name is Tasha and I am accepting new clients in Oregon. With nearly two decades of experience, I’ve had the privilege of working with diverse populations, continuously gaining valuable insights from each individual. Establishing and building trust in the therapeutic relationship is essential to my work. My journey in this field is driven by a passion for facilitating safe experiences of growth.
Hello, my name is Tasha and I am accepting new clients in Oregon. With nearly two decades of experience, I’ve had the privilege of working with diverse populations, continuously gaining valuable insights from each individual. Establishing and building trust in the therapeutic relationship is essential to my work. My journey in this field is driven by a passion for facilitating safe experiences of growth.
(971) 306-8449 View (971) 306-8449
Photo of Gina Worley Individual And Couples Therapist, LMFT, Marriage & Family Therapist
Gina Worley Individual And Couples Therapist
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Oregon City, OR 97045
Waitlist for new clients
Have you been feeling stuck in your relationships or old memories and experiences you thought you were over? Anxiety, depression and feeling overwhelmed can keep us from being present in our everyday lives. How about communication with those you are close to? Do you avoid hot topics for fear it will lead to another fight? Has infidelity created painful wounds? These are common issues that many people struggle with and yet there are solutions to these difficulties even if you have had the same argument for 30 years. Let me help you navigate a new way with your partner, your family, your co-workers.
Have you been feeling stuck in your relationships or old memories and experiences you thought you were over? Anxiety, depression and feeling overwhelmed can keep us from being present in our everyday lives. How about communication with those you are close to? Do you avoid hot topics for fear it will lead to another fight? Has infidelity created painful wounds? These are common issues that many people struggle with and yet there are solutions to these difficulties even if you have had the same argument for 30 years. Let me help you navigate a new way with your partner, your family, your co-workers.
(503) 343-9346 View (503) 343-9346
Photo of Paige Cameron - Come As You Are Counseling LLC, LPC, MA, #C6978, Licensed Professional Counselor
Come As You Are Counseling LLC
Licensed Professional Counselor, LPC, MA, #C6978
Verified Verified
4 Endorsed
Oregon City, OR 97045
Waitlist for new clients
Inquire for openings! EMDR Certified Therapist. Do you find yourself feeling anxious, depressed, or frozen? Are these symptoms affecting your ability to function in daily life tasks? If this sounds familiar, know that you're not alone, and real practical help is available. I am passionate about helping people understand their mental health, how their nervous system works, and in finding helpful research based coping strategies. While helping you heal and grow, I will lend a sharp, empathetic, trained ear, shedding light on your strengths as we find the way forward in progress and desired change. I look forward to hearing from you!
Inquire for openings! EMDR Certified Therapist. Do you find yourself feeling anxious, depressed, or frozen? Are these symptoms affecting your ability to function in daily life tasks? If this sounds familiar, know that you're not alone, and real practical help is available. I am passionate about helping people understand their mental health, how their nervous system works, and in finding helpful research based coping strategies. While helping you heal and grow, I will lend a sharp, empathetic, trained ear, shedding light on your strengths as we find the way forward in progress and desired change. I look forward to hearing from you!
(503) 714-7284 View (503) 714-7284
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How does your Therapist compare?

Number of Therapists in Oregon City, OR

200+

Average cost per session

$150

Therapists in Oregon City, OR who prioritize treating:

97% Anxiety
91% Depression
77% Trauma and PTSD
67% Grief
63% Life Transitions
61% Relationship Issues
57% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

67% Aetna
63% Providence
62% BlueCross and BlueShield

How Therapists in Oregon City, OR see their clients

60% In Person and Online
40% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Oregon City?

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.