Therapists in Desert Hills, AZ

Photo of Cynthia J Spencer, MC, LPC, Licensed Professional Counselor
Cynthia J Spencer
Licensed Professional Counselor, MC, LPC
Verified Verified
1 Endorsed
Desert Hills, AZ 85086
I have been working with children, young adults, and families for the past 20 years. I began my work in Early Childhood Development and worked with children birth-12 years old and later focused my work to include adolescents and the needs of this unique age group. I specialize in family therapy, grief, anger management, ADHD, social skill difficulties, spectrum disorders, anxiety difficulties, and early childhood traumas including, sexual abuse and child abuse. I also hold a certification in DBT. Please contact me and we can discuss how I can be helpful in treating your child or your family.
I have been working with children, young adults, and families for the past 20 years. I began my work in Early Childhood Development and worked with children birth-12 years old and later focused my work to include adolescents and the needs of this unique age group. I specialize in family therapy, grief, anger management, ADHD, social skill difficulties, spectrum disorders, anxiety difficulties, and early childhood traumas including, sexual abuse and child abuse. I also hold a certification in DBT. Please contact me and we can discuss how I can be helpful in treating your child or your family.
(480) 428-2657 View (480) 428-2657
Photo of Jillian Caldwell, LMSW, Clinical Social Work/Therapist
Jillian Caldwell
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Desert Hills, AZ 85086
Reaching out for help is the first step to living a better life. I am proud of you for making that step because it is often the hardest one to make. I work from a strengths-based approach to empower you to make whatever changes you would like to make or cope with any problems you are having. Together, we can develop new skills and insights to gain more control over your behaviors and mindset. All this will help you become empowered to explore new possibilities in all areas of your life.
Reaching out for help is the first step to living a better life. I am proud of you for making that step because it is often the hardest one to make. I work from a strengths-based approach to empower you to make whatever changes you would like to make or cope with any problems you are having. Together, we can develop new skills and insights to gain more control over your behaviors and mindset. All this will help you become empowered to explore new possibilities in all areas of your life.
(623) 745-8641 View (623) 745-8641

More Therapists Nearby

Photo of Kelley Asburry - Kelley Asburry, MSW, LCSW, MSW, LCSW, Clinical Social Work/Therapist
Kelley Asburry, MSW, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Phoenix, AZ 85086
I believe that change occurs when we are met with compassion, deep listening and provided with a sense of hope. I focus specifically on traumatic grief with an understanding there is no wrong way to feel, no timeline or expectations. My approach is individualized and draws upon several interventions such as the ATTEND Model, mindfulness and CBT. I come from a trauma-informed perspective and believe that each person's experience is unique with their own strengths to be utilized. Many of my clients have lost loved ones due to suicide, homicide, accidental deaths, medical malpractice, unresolved deaths and long term illnesses.
I believe that change occurs when we are met with compassion, deep listening and provided with a sense of hope. I focus specifically on traumatic grief with an understanding there is no wrong way to feel, no timeline or expectations. My approach is individualized and draws upon several interventions such as the ATTEND Model, mindfulness and CBT. I come from a trauma-informed perspective and believe that each person's experience is unique with their own strengths to be utilized. Many of my clients have lost loved ones due to suicide, homicide, accidental deaths, medical malpractice, unresolved deaths and long term illnesses.
(520) 210-5631 View (520) 210-5631
Photo of Hannah Carr, LPC, BC-TMH, Licensed Professional Counselor
Hannah Carr
Licensed Professional Counselor, LPC, BC-TMH
Verified Verified
6 Endorsed
Cave Creek, AZ 85331  (Online Only)
Not accepting new clients
I love working with people who are on the fence! Whether it be related to a relationship, a career change, having a child, exploring identity, diving into trauma, changing a habit, stopping a substance or any other change in life. My favorite word in therapy is ambivalence: having mixed feelings! Sometimes it is wanting one thing and also wanting the other. Learning to navigate mixed emotions is a key piece of growth in therapy. I work in private practice virtually part time, and my full time position is at Nexus Teen Academy.
I love working with people who are on the fence! Whether it be related to a relationship, a career change, having a child, exploring identity, diving into trauma, changing a habit, stopping a substance or any other change in life. My favorite word in therapy is ambivalence: having mixed feelings! Sometimes it is wanting one thing and also wanting the other. Learning to navigate mixed emotions is a key piece of growth in therapy. I work in private practice virtually part time, and my full time position is at Nexus Teen Academy.
(623) 244-7795 View (623) 244-7795
Photo of Shannon Keating, LPC, NCC, MA, Licensed Professional Counselor
Shannon Keating
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
Cave Creek, AZ 85331  (Online Only)
Hi! I'm so glad you're here! :) I know how overwhelming and intimidating it can be to look for help. A safe place and a non-judgmental/unbiased ear are highly coveted and sought after in today's society. Therapy can address infinite issues and struggles that arise in daily life. Whether you're struggling with depression, anxiety, grief, PTSD, relationship issues, or just life in general, take comfort that I'm here to help! Together, we can work through whatever it is that you need to lead your "best" happy and healthy life. Please take note of my specialties and other areas of expertise.
Hi! I'm so glad you're here! :) I know how overwhelming and intimidating it can be to look for help. A safe place and a non-judgmental/unbiased ear are highly coveted and sought after in today's society. Therapy can address infinite issues and struggles that arise in daily life. Whether you're struggling with depression, anxiety, grief, PTSD, relationship issues, or just life in general, take comfort that I'm here to help! Together, we can work through whatever it is that you need to lead your "best" happy and healthy life. Please take note of my specialties and other areas of expertise.
(623) 471-1804 View (623) 471-1804
Photo of Ben Patrick Dickerson, MA, MS, LAC, Counselor
Ben Patrick Dickerson
Counselor, MA, MS, LAC
Verified Verified
Anthem, AZ 85086
I specialize in helping people to create stability in their families through supportive, in-depth therapy. I specialize in counseling therapy for Christian men and women struggling with marital strife, parenting challenges, sexual addiction, depression, and anxiety. I was an educator at the K-12 level for 20 years, so naturally I also counsel a lot of children and teenagers.
I specialize in helping people to create stability in their families through supportive, in-depth therapy. I specialize in counseling therapy for Christian men and women struggling with marital strife, parenting challenges, sexual addiction, depression, and anxiety. I was an educator at the K-12 level for 20 years, so naturally I also counsel a lot of children and teenagers.
(602) 903-3340 View (602) 903-3340
Photo of Samuel S Lample, MA, LPC, Licensed Professional Counselor
Samuel S Lample
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Anthem, AZ 85086
If you value a close connection with your therapist above all, then you and I would be a good fit. I am a firm believer that most of our emotional pain is caused by unhealthy relationships and that we find healing through healthy relationships. We will work together to develop a deep, authentic, therapeutic relationship walking along side you from stuck to free. If life has become lifeless, let me help you find some passion and some hope.
If you value a close connection with your therapist above all, then you and I would be a good fit. I am a firm believer that most of our emotional pain is caused by unhealthy relationships and that we find healing through healthy relationships. We will work together to develop a deep, authentic, therapeutic relationship walking along side you from stuck to free. If life has become lifeless, let me help you find some passion and some hope.
(602) 734-5815 View (602) 734-5815
Photo of Cindy Guzman, MS, LAC, Counselor
Cindy Guzman
Counselor, MS, LAC
Verified Verified
1 Endorsed
Cave Creek, AZ 85331
Life can be inspiring, beautiful, and meaningful. Unfortunately, it can also be tough. For many of us, the path can become muddled with pain, loss, sadness, and uncertainty. Do you struggle to find your purpose, strengths, voice, or simply you? You’re not alone. Fortunately, you do not need to take the path toward healing alone. Together, we can work through challenges, improve your self-confidence, and bring more positive experiences into your life.
Life can be inspiring, beautiful, and meaningful. Unfortunately, it can also be tough. For many of us, the path can become muddled with pain, loss, sadness, and uncertainty. Do you struggle to find your purpose, strengths, voice, or simply you? You’re not alone. Fortunately, you do not need to take the path toward healing alone. Together, we can work through challenges, improve your self-confidence, and bring more positive experiences into your life.
(602) 833-5797 View (602) 833-5797
Photo of Nicole Frost (North Phoenix), LCSW, CSAT, CPTT, Clinical Social Work/Therapist
Nicole Frost (North Phoenix)
Clinical Social Work/Therapist, LCSW, CSAT, CPTT
Verified Verified
1 Endorsed
Phoenix, AZ 85086  (Online Only)
Therapy takes courage. Every time a client walks in my door whether it's for an initial consultation or after a year of weekly sessions, I have great respect for them. My goal is to meet you where you are and help you move in the direction you want to go, providing support and insight along the way. If you are searching for a solution and have the tiniest motivation to change, I commit to helping you increase the quality of your life. By identifying current life stressors and dysfunction, we will explore the impact on your relationship with self and others.
Therapy takes courage. Every time a client walks in my door whether it's for an initial consultation or after a year of weekly sessions, I have great respect for them. My goal is to meet you where you are and help you move in the direction you want to go, providing support and insight along the way. If you are searching for a solution and have the tiniest motivation to change, I commit to helping you increase the quality of your life. By identifying current life stressors and dysfunction, we will explore the impact on your relationship with self and others.
(520) 842-0474 View (520) 842-0474
Tonya Kinnaman
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Cave Creek, AZ 85331
I am passionate about providing support for those adults who have lost a companion animal. Pets are an important part of our lives and when we lose one, a whole range of emotions can come up including grief, confusion, anger, guilt and depression. I have a Pet Loss Grief Support Group that can provide you support and encouragement in your journey of grief after losing your pet.
I am passionate about providing support for those adults who have lost a companion animal. Pets are an important part of our lives and when we lose one, a whole range of emotions can come up including grief, confusion, anger, guilt and depression. I have a Pet Loss Grief Support Group that can provide you support and encouragement in your journey of grief after losing your pet.
(623) 294-5738 View (623) 294-5738
Photo of Kendra Anderson, LPC, NCC, Licensed Professional Counselor
Kendra Anderson
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Cave Creek, AZ 85331
Reaching out for help is never easy. This may have been something on your mind for awhile or you may have recently experienced a life changing event. In any case, it is a privilege to have you here. My goal is for you to achieve a more fulfilling life - maybe that means one with less anxiety and depression. Perhaps it’s a deeper connection with friends and family. Other times it’s breaking free from past trauma, toxic relationships and dysfunctional patterns that prevent you from moving forward. Together, we will determine how to best reach those goals using your own personal strengths, comfortable level and at your own pace.
Reaching out for help is never easy. This may have been something on your mind for awhile or you may have recently experienced a life changing event. In any case, it is a privilege to have you here. My goal is for you to achieve a more fulfilling life - maybe that means one with less anxiety and depression. Perhaps it’s a deeper connection with friends and family. Other times it’s breaking free from past trauma, toxic relationships and dysfunctional patterns that prevent you from moving forward. Together, we will determine how to best reach those goals using your own personal strengths, comfortable level and at your own pace.
(480) 418-2317 View (480) 418-2317
Photo of April Swortzel, LMSW, Pre-Licensed Professional
April Swortzel
Pre-Licensed Professional, LMSW
Verified Verified
Phoenix, AZ 85085
Life can be overwhelming, and when anxiety takes hold, it can consume our thoughts and make it difficult to live the life we truly want. Navigating life's challenges whether it's dealing with stress, managing relationships, or coping with past trauma can feel daunting and exhausting. But you don’t have to face these challenges alone. My approach is rooted in evidence-based therapies such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing. These methods help you develop practical skills to manage anxiety, regulate emotions, and make positive changes in your life.
Life can be overwhelming, and when anxiety takes hold, it can consume our thoughts and make it difficult to live the life we truly want. Navigating life's challenges whether it's dealing with stress, managing relationships, or coping with past trauma can feel daunting and exhausting. But you don’t have to face these challenges alone. My approach is rooted in evidence-based therapies such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing. These methods help you develop practical skills to manage anxiety, regulate emotions, and make positive changes in your life.
(928) 436-6247 View (928) 436-6247
Photo of Sandra O'Connell, MS, LPC, Counselor
Sandra O'Connell
Counselor, MS, LPC
Verified Verified
Phoenix, AZ 85085  (Online Only)
Are you struggling to function in the present or feeling paralyzed by events of the past? Are you experiencing the effects of debilitating grief and loss? Are you feeling stifled from reaching your full potential and connecting to how you are being led moment by moment? Whether your blocks are the result of PTSD, abuse, chronic pain or illness, or painful losses, there is hope for the future. It is possible to live a life freed from the symptoms that prevent you from engaging fully in life. Now you can live the life purpose for which you have been created. You can soar freed from the chains that bind.
Are you struggling to function in the present or feeling paralyzed by events of the past? Are you experiencing the effects of debilitating grief and loss? Are you feeling stifled from reaching your full potential and connecting to how you are being led moment by moment? Whether your blocks are the result of PTSD, abuse, chronic pain or illness, or painful losses, there is hope for the future. It is possible to live a life freed from the symptoms that prevent you from engaging fully in life. Now you can live the life purpose for which you have been created. You can soar freed from the chains that bind.
(602) 428-9445 View (602) 428-9445
Photo of Norma Barkley, LCSW, Clinical Social Work/Therapist
Norma Barkley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Phoenix, AZ 85086
My experience includes working with depression, anxiety, low self-esteem, personality disorders, interpersonal issues, and relationship issues. I utilize a variety of approaches to address my client's individual needs using different therapeutic approaches including, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, and Acceptance & Commitment Therapy (ACT). I provide telehealth services.
My experience includes working with depression, anxiety, low self-esteem, personality disorders, interpersonal issues, and relationship issues. I utilize a variety of approaches to address my client's individual needs using different therapeutic approaches including, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, and Acceptance & Commitment Therapy (ACT). I provide telehealth services.
(602) 483-6291 View (602) 483-6291
Photo of Amber Adams, LPC, MS, Counselor
Amber Adams
Counselor, LPC, MS
Verified Verified
Anthem, AZ 85086  (Online Only)
As a counselor, my goal is to assist you in the development and achievement of your own goals. The way we are raised, the way we are taught how to behave, and how we experience life is what makes every one of us unique. My focus as your therapist is to help you process and grow through your experiences. In a session with me, we will work together to learn new and healthy ways of coping, identify and express emotions both past and present, and continue to make steps forward for a future worth living.
As a counselor, my goal is to assist you in the development and achievement of your own goals. The way we are raised, the way we are taught how to behave, and how we experience life is what makes every one of us unique. My focus as your therapist is to help you process and grow through your experiences. In a session with me, we will work together to learn new and healthy ways of coping, identify and express emotions both past and present, and continue to make steps forward for a future worth living.
(602) 598-5696 View (602) 598-5696
Photo of Elizabeth F Doak, PhD, Psychologist
Elizabeth F Doak
Psychologist, PhD
Verified Verified
Cave Creek, AZ 85331
Dr. Doak has over thirty years of experience working with children, teenagers, adults and families. She focuses on a strengths based, positive psychology approach to helping individuals and families solve their problems. In her experience, focusing on strengths and positive qualities best facilitates problem resolution. She uses research based strategies such as Cognitive Behavioral Therapy, Play Therapy, and Family Therapy. Psychological Testing can be used to better understand behavioral, learning and emotional problems.
Dr. Doak has over thirty years of experience working with children, teenagers, adults and families. She focuses on a strengths based, positive psychology approach to helping individuals and families solve their problems. In her experience, focusing on strengths and positive qualities best facilitates problem resolution. She uses research based strategies such as Cognitive Behavioral Therapy, Play Therapy, and Family Therapy. Psychological Testing can be used to better understand behavioral, learning and emotional problems.
(480) 719-2672 View (480) 719-2672
Photo of Samantha Kingma, MS, LMFT, Marriage & Family Therapist
Samantha Kingma
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Cave Creek, AZ 85331  (Online Only)
Feeling like you can't enjoy the present moment because you are stuck in your head? Lying awake at night going back through all the things you said today (or last year, or 10 years ago)? Maybe you've created multiple to-do lists and come up with plans and systems to make life easier - yet something is still keeping you stuck. Anxiety, OCD, perfectionism, and burnout can significantly impact the way your brain handles the stresses of day-to-day life. But there is hope – you don’t have to stay stuck. I'd love to talk to you about how you can begin to feel like yourself again.
Feeling like you can't enjoy the present moment because you are stuck in your head? Lying awake at night going back through all the things you said today (or last year, or 10 years ago)? Maybe you've created multiple to-do lists and come up with plans and systems to make life easier - yet something is still keeping you stuck. Anxiety, OCD, perfectionism, and burnout can significantly impact the way your brain handles the stresses of day-to-day life. But there is hope – you don’t have to stay stuck. I'd love to talk to you about how you can begin to feel like yourself again.
(520) 224-9545 View (520) 224-9545
Photo of Talia Toon - Seashell Therapy, LLC, LCSW, EMDR, CCTS-I, Clinical Social Work/Therapist
Seashell Therapy, LLC
Clinical Social Work/Therapist, LCSW, EMDR, CCTS-I
Verified Verified
Phoenix, AZ 85086  (Online Only)
Accepting New Clients! As an EMDR trained clinician, I make it a priority to build a supportive and close relationship my clients will need to move forward in a positive and productive way! I specialize in working with clients struggling with trauma, depression, anxiety, grief/loss issues, substance abuse issues, chronic pain and chronic disease. My goal is to offer a trauma focused healing space for you! Because I see clients by video, I provide therapy throughout the state of Arizona!
Accepting New Clients! As an EMDR trained clinician, I make it a priority to build a supportive and close relationship my clients will need to move forward in a positive and productive way! I specialize in working with clients struggling with trauma, depression, anxiety, grief/loss issues, substance abuse issues, chronic pain and chronic disease. My goal is to offer a trauma focused healing space for you! Because I see clients by video, I provide therapy throughout the state of Arizona!
(928) 396-1373 View (928) 396-1373
Photo of Lisa Geiser, MA, LAC, Counselor
Lisa Geiser
Counselor, MA, LAC
Verified Verified
4 Endorsed
Phoenix, AZ 85086
I'm here for all of it. Therapy provides a space to explore, process, and heal from what no longer serves us. I understand that sharing and exposing those parts can feel scary and vulnerable. We often form attachments to those parts, believing they keep us safe and protect us. However, in doing so, we prevent ourselves from living our best lives—lives where we freely love, allow ourselves to feel love, and embrace being loved.
I'm here for all of it. Therapy provides a space to explore, process, and heal from what no longer serves us. I understand that sharing and exposing those parts can feel scary and vulnerable. We often form attachments to those parts, believing they keep us safe and protect us. However, in doing so, we prevent ourselves from living our best lives—lives where we freely love, allow ourselves to feel love, and embrace being loved.
(480) 568-3391 View (480) 568-3391
Photo of Rachael Grantham, PsyD, Psychologist
Rachael Grantham
Psychologist, PsyD
Verified Verified
Anthem, AZ 85086  (Online Only)
As a Licensed Clinical Psychologist, I have worked for over 10 years serving adolescents, young adults, and families. I provide support to clients through an online virtual therapy platform. Working in a variety of settings, both inpatient and outpatient, has allowed me to connect at a deeper level with clients to provide them the best care. I value the time spent creating relationships, and seeing individuals start to live a life more in line with their values and passions. I aim to create a trusting space to navigate current situations and to explore the past.
As a Licensed Clinical Psychologist, I have worked for over 10 years serving adolescents, young adults, and families. I provide support to clients through an online virtual therapy platform. Working in a variety of settings, both inpatient and outpatient, has allowed me to connect at a deeper level with clients to provide them the best care. I value the time spent creating relationships, and seeing individuals start to live a life more in line with their values and passions. I aim to create a trusting space to navigate current situations and to explore the past.
(707) 943-2392 View (707) 943-2392

See more therapy options for Desert Hills

How does your Therapist compare?

Number of Therapists in Desert Hills, AZ

< 10

Therapists in Desert Hills, AZ who prioritize treating:

100% Depression
100% Anxiety
100% ADHD
100% Grief
100% Trauma and PTSD
100% Autism
100% School Issues

Average years in practice

10 Years

Gender breakdown

100% Female

How Therapists in Desert Hills, AZ see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Desert Hills?

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.