Therapists in West Los Angeles, Los Angeles, CA

Photo of Hagit Harel, PsyD, Psychologist
Hagit Harel
Psychologist, PsyD
Verified Verified
West Los Angeles, Los Angeles, CA 90025
I’m a Licensed Clinical Psychologist with over 20 years of experience in mental health. Having worked in both psychiatric inpatient and intensive outpatient settings, as well as in individual, group, and family therapy modalities with adult clients, I bring an extensive set of tools and experiences to clients. In particular, I specialize in treating complex and co-occurring conditions, mood disorders, trauma-based and anxiety disorders, psychosis, interpersonal, and occupational problems.
I’m a Licensed Clinical Psychologist with over 20 years of experience in mental health. Having worked in both psychiatric inpatient and intensive outpatient settings, as well as in individual, group, and family therapy modalities with adult clients, I bring an extensive set of tools and experiences to clients. In particular, I specialize in treating complex and co-occurring conditions, mood disorders, trauma-based and anxiety disorders, psychosis, interpersonal, and occupational problems.
(310) 957-5561 View (310) 957-5561
Photo of Rachel Marks - Dr. Rachel Marks, PsyD, Psychologist
Dr. Rachel Marks
Psychologist, PsyD
Verified Verified
West Los Angeles, Los Angeles, CA 90025
Welcome to my therapy practice. I am a licensed clinical psychologist who works with individual adults, adolescents, couples, and families dealing with a variety of challenges. Over the years, I have primarily helped clients with their depression, anxiety or major life transitions. Sometimes it is just that you have a general sense that something is wrong, or out of balance, and you need a place to talk or you are concerned for a loved one. I am here to listen and provide you with insight so that over time, you will feel clearer with yourself.
Welcome to my therapy practice. I am a licensed clinical psychologist who works with individual adults, adolescents, couples, and families dealing with a variety of challenges. Over the years, I have primarily helped clients with their depression, anxiety or major life transitions. Sometimes it is just that you have a general sense that something is wrong, or out of balance, and you need a place to talk or you are concerned for a loved one. I am here to listen and provide you with insight so that over time, you will feel clearer with yourself.
(424) 532-7452 View (424) 532-7452
Photo of Shani Nisimov Elhiani, LMFT, Marriage & Family Therapist
Shani Nisimov Elhiani
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
West Los Angeles, Los Angeles, CA 90035
My focus is to help clients become aware of their inner strengths and capabilities. I provide a neutral safe space, listen to your concerns, and customize a treatment plan to help you reach your goals and achieve balance. I strive to help you heal and grow from your struggles and pain in order to move forward to where you want to be in your life. I provide individual, couples, group, and family therapy. My specialities include depression, anxiety, PTSD, ADHD, social skills, and autism spectrum.
My focus is to help clients become aware of their inner strengths and capabilities. I provide a neutral safe space, listen to your concerns, and customize a treatment plan to help you reach your goals and achieve balance. I strive to help you heal and grow from your struggles and pain in order to move forward to where you want to be in your life. I provide individual, couples, group, and family therapy. My specialities include depression, anxiety, PTSD, ADHD, social skills, and autism spectrum.
(213) 297-4282 View (213) 297-4282
Photo of Chase Upton Bishov, AMFT, Marriage & Family Therapist Associate
Chase Upton Bishov
Marriage & Family Therapist Associate, AMFT
Verified Verified
West Los Angeles, Los Angeles, CA 90034  (Online Only)
I believe in the inherent worthiness of all human beings. Unfortunately, each of us likely have experiences in our lives that teach us that there is something wrong with who we at the core. Psychotherapy is a space for remembering and unearthing the self-love and gifts that each of us come into this life possessing. Through relating authentically, being compassionately curious with whatever arises, and developing a deeper relationship with the body’s intelligence, I hope to help my clients become more expressed in who they truly are, build lasting, meaningful relationships and connect more deeply to their purpose for being alive.
I believe in the inherent worthiness of all human beings. Unfortunately, each of us likely have experiences in our lives that teach us that there is something wrong with who we at the core. Psychotherapy is a space for remembering and unearthing the self-love and gifts that each of us come into this life possessing. Through relating authentically, being compassionately curious with whatever arises, and developing a deeper relationship with the body’s intelligence, I hope to help my clients become more expressed in who they truly are, build lasting, meaningful relationships and connect more deeply to their purpose for being alive.
(424) 531-9801 View (424) 531-9801
Photo of Maya Thompson - Maya Dajon - Chill Vibrations, MA, MFT, BHSS
Maya Dajon - Chill Vibrations
MA, MFT, BHSS
Verified Verified
3 Endorsed
West Los Angeles, Los Angeles, CA 90064  (Online Only)
Hello, I'm Maya. Do you question your self-worth and value? Are your relationships suffering? Are you struggling to connect with your partner?
Hello, I'm Maya. Do you question your self-worth and value? Are your relationships suffering? Are you struggling to connect with your partner?
(424) 370-1883 View (424) 370-1883
Susan Maxwell
Marriage & Family Therapist, LMFT, CPC
Verified Verified
1 Endorsed
West Los Angeles, Los Angeles, CA 90025
I am proactive and motivational in my approach and create an atmosphere of empathy and support. I believe in empowering my clients to develop the coping skills, self-esteem and self-understanding necessary to create lasting positive change. I feel it is important to understand ones past and its impact on ones behavior patterns and attitudes, in order to create change necessary for a happier, more fulfilling life. I have a wide variety of experience , having worked in substance abuse and eating disorders programs, and in several hospitals settings. Many of my clients have communication or money problems with a significant other.
I am proactive and motivational in my approach and create an atmosphere of empathy and support. I believe in empowering my clients to develop the coping skills, self-esteem and self-understanding necessary to create lasting positive change. I feel it is important to understand ones past and its impact on ones behavior patterns and attitudes, in order to create change necessary for a happier, more fulfilling life. I have a wide variety of experience , having worked in substance abuse and eating disorders programs, and in several hospitals settings. Many of my clients have communication or money problems with a significant other.
(424) 235-1733 View (424) 235-1733
Photo of Esther Jacob, LCSW, Clinical Social Work/Therapist
Esther Jacob
Clinical Social Work/Therapist, LCSW
Verified Verified
West Los Angeles, Los Angeles, CA 90025
I am an experienced Licensed Clinical Social Worker and Divorce Coach practicing virtually and in-person in Westwood and Encino. I treat individuals with Anxiety, Panic Disorder, Agoraphobia, OCD, Relationship conflicts, Adjustment to life stressors, Depression, Divorce, Parenting, and Co-parenting issues.
I am an experienced Licensed Clinical Social Worker and Divorce Coach practicing virtually and in-person in Westwood and Encino. I treat individuals with Anxiety, Panic Disorder, Agoraphobia, OCD, Relationship conflicts, Adjustment to life stressors, Depression, Divorce, Parenting, and Co-parenting issues.
(310) 651-5066 View (310) 651-5066
Photo of Lauren Natasha Carrington, MSW, LCSW, Clinical Social Work/Therapist
Lauren Natasha Carrington
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
West Los Angeles, Los Angeles, CA 90064
Welcome! I specialize in working with children, teens, and young adults. I help my clients build skills to cope with anxiety, depression, trauma, and grief. I prioritize creating a warm and nurturing environment so that you can feel at ease sharing your feelings and experiences. If you're feeling anxious, dysregulated in your body, unfocused, a lack of joy in life, insecure, unsure of how to navigate relationships, or going through a big life transition, I'm here to support you.
Welcome! I specialize in working with children, teens, and young adults. I help my clients build skills to cope with anxiety, depression, trauma, and grief. I prioritize creating a warm and nurturing environment so that you can feel at ease sharing your feelings and experiences. If you're feeling anxious, dysregulated in your body, unfocused, a lack of joy in life, insecure, unsure of how to navigate relationships, or going through a big life transition, I'm here to support you.
(310) 349-3732 View (310) 349-3732
Photo of Tori Washburn, LMFT, LPCC, Marriage & Family Therapist
Tori Washburn
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
2 Endorsed
West Los Angeles, Los Angeles, CA 90064
I believe all have inner strength, and can rise above their challenges, choose the best path to live well and make choices that support growth and self-love. The foundation of my therapeutic approach is empowering my clients through self exploration.
I believe all have inner strength, and can rise above their challenges, choose the best path to live well and make choices that support growth and self-love. The foundation of my therapeutic approach is empowering my clients through self exploration.
(424) 325-7668 View (424) 325-7668
Photo of Pam Sirota, PsyD, MFT, Marriage & Family Therapist
Pam Sirota
Marriage & Family Therapist, PsyD, MFT
Verified Verified
1 Endorsed
West Los Angeles, Los Angeles, CA 90034
Having children is the easy part however,raising them to be self-respecting and other respecting, successful individuals is more difficult. Let me be there to assist you on this journey alone, along with your spouse and also children. In addition to parenting and family issues, I work with individuals and couples dealing with early trauma, hostile communication dynamics,healing after infidelity and issues around major life cycle transitions. Children on the spectrum and their sibblings make up a substantial part of my work.
Having children is the easy part however,raising them to be self-respecting and other respecting, successful individuals is more difficult. Let me be there to assist you on this journey alone, along with your spouse and also children. In addition to parenting and family issues, I work with individuals and couples dealing with early trauma, hostile communication dynamics,healing after infidelity and issues around major life cycle transitions. Children on the spectrum and their sibblings make up a substantial part of my work.
(424) 401-3818 View (424) 401-3818
Photo of Stephanie Farokhi, Marriage & Family Therapist Associate
Stephanie Farokhi
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
West Los Angeles, Los Angeles, CA 90064
As an Associate Marriage and Family Therapist, I'm deeply passionate about mental health. I specialize in helping individuals navigate anxiety, depression, and OCD. Through a blend of talk therapy and evidence-based practices like CBT, my aim is to provide a safe space for clients to find relief from their everyday struggles. Together, we embark on a journey of growth and resilience, fostering a renewed sense of well-being in a supportive and non-judgmental environment. I hold a Master’s degree from UMass Global, with registration number 145905, under the supervision of Dr. Ronit Farzam.
As an Associate Marriage and Family Therapist, I'm deeply passionate about mental health. I specialize in helping individuals navigate anxiety, depression, and OCD. Through a blend of talk therapy and evidence-based practices like CBT, my aim is to provide a safe space for clients to find relief from their everyday struggles. Together, we embark on a journey of growth and resilience, fostering a renewed sense of well-being in a supportive and non-judgmental environment. I hold a Master’s degree from UMass Global, with registration number 145905, under the supervision of Dr. Ronit Farzam.
(310) 987-4861 View (310) 987-4861
Photo of Emily Rebecca Ward, AMFT, Marriage & Family Therapist Associate
Emily Rebecca Ward
Marriage & Family Therapist Associate, AMFT
Verified Verified
9 Endorsed
West Los Angeles, Los Angeles, CA 90064  (Online Only)
Are you ready to stop feeling anxious and/or depressed? Do you want to learn skills to calm your racing mind? Do you remember a time when anxiety, depression, & personal issues weren’t a part of your daily life? I can give you the tools and coping skills to change this. I help children/teenagers, couples, and individuals just like you: ones that have it within them to learn how to cope with their anxiety or depression and go back to living life the way that they remember it. I can support you on your journey towards feeling more self-confident, happy, fulfilled. I can help to guide you to a better understanding of yourself & others.
Are you ready to stop feeling anxious and/or depressed? Do you want to learn skills to calm your racing mind? Do you remember a time when anxiety, depression, & personal issues weren’t a part of your daily life? I can give you the tools and coping skills to change this. I help children/teenagers, couples, and individuals just like you: ones that have it within them to learn how to cope with their anxiety or depression and go back to living life the way that they remember it. I can support you on your journey towards feeling more self-confident, happy, fulfilled. I can help to guide you to a better understanding of yourself & others.
(310) 564-0604 View (310) 564-0604
Photo of Natalie Abrahami, LCSW, Clinical Social Work/Therapist
Natalie Abrahami
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
West Los Angeles, Los Angeles, CA 90025
Welcome to my practice. I am the founder of Transcend Anxiety, an LA based integrative group psychotherapy practice that strives to honor the connections between mind, body and spirit in the human healing journey. In addition to providing general growth services, we specialize in providing integrative evidence based treatment for Anxiety Disorders in children and adults. Our specialty in treating anxiety disorders also includes a high level of expertise in the treatment of Obsessive Compulsive Disorder (OCD). At the heart of challenges with anxiety and self growth is our relationship with the experience of fear.
Welcome to my practice. I am the founder of Transcend Anxiety, an LA based integrative group psychotherapy practice that strives to honor the connections between mind, body and spirit in the human healing journey. In addition to providing general growth services, we specialize in providing integrative evidence based treatment for Anxiety Disorders in children and adults. Our specialty in treating anxiety disorders also includes a high level of expertise in the treatment of Obsessive Compulsive Disorder (OCD). At the heart of challenges with anxiety and self growth is our relationship with the experience of fear.
(818) 305-6644 View (818) 305-6644
Photo of Michele Shepherd, LMFT, Marriage & Family Therapist
Michele Shepherd
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
West Los Angeles, Los Angeles, CA 90064  (Online Only)
Don't go it alone! You're making the first step by looking for a therapist. I work with people who are going through life transitions who need help improving their natural coping skills and learning new ones. Many people experience life changes such as the birth of a child, starting college, starting a career, getting married or divorced, parenting, empty nesting, assisting with an aging parent or the death of a loved one. Having worked as a manager in a workplace I can offer support and guidance in workplace conflicts and communication. I provide support as we work together to improve the things that aren't working.
Don't go it alone! You're making the first step by looking for a therapist. I work with people who are going through life transitions who need help improving their natural coping skills and learning new ones. Many people experience life changes such as the birth of a child, starting college, starting a career, getting married or divorced, parenting, empty nesting, assisting with an aging parent or the death of a loved one. Having worked as a manager in a workplace I can offer support and guidance in workplace conflicts and communication. I provide support as we work together to improve the things that aren't working.
(747) 246-7815 View (747) 246-7815
Photo of Eve F. Blum, MA, AMFT, Marriage & Family Therapist Associate
Eve F. Blum
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
West Los Angeles, Los Angeles, CA 90025  (Online Only)
Not accepting new clients
Are you feeling depressed, anxious, struggling with trauma or just stuck in your life? I want to help. The fact that you are reading this tells me that you are brave and open to working on yourself, and I commend you for taking this bold step. With me as your therapist, you will have a nurturing environment and an empathetic ear to listen to you and help you feel understood in a safe space.
Are you feeling depressed, anxious, struggling with trauma or just stuck in your life? I want to help. The fact that you are reading this tells me that you are brave and open to working on yourself, and I commend you for taking this bold step. With me as your therapist, you will have a nurturing environment and an empathetic ear to listen to you and help you feel understood in a safe space.
(424) 855-1638 View (424) 855-1638
Photo of Katya Kosarenko, LCSW, Clinical Social Work/Therapist
Katya Kosarenko
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
West Los Angeles, Los Angeles, CA 90025  (Online Only)
It takes a certain person to look for support, and I commend you on taking this first step. Life is challenging, and there are times when no matter how hard we try, things just don’t change. We often find ourselves spinning out of control feeling overwhelmed, scared, sad and tired… beyond tired, feeling alone, stuck and in pain, dealing with distressing thoughts, feelings and body symptoms. And the list goes on.
It takes a certain person to look for support, and I commend you on taking this first step. Life is challenging, and there are times when no matter how hard we try, things just don’t change. We often find ourselves spinning out of control feeling overwhelmed, scared, sad and tired… beyond tired, feeling alone, stuck and in pain, dealing with distressing thoughts, feelings and body symptoms. And the list goes on.
(310) 773-0281 View (310) 773-0281
Photo of Dr. Ashley Bradley, PsyD, Psychologist
Dr. Ashley Bradley
Psychologist, PsyD
Verified Verified
West Los Angeles, Los Angeles, CA 90034
My approach to therapy encompasses warmth, humor, empathy and effective strategies to help you work through barriers that cause you to feel stuck, unfulfilled and disconnected. Our work together will help you generate more insight into your thoughts, feelings and behaviors in order to understand and work through the unconscious processes that are getting in your way. Cultivating a healthy relationship with yourself is the most rewarding investment you can make and I am committed to creating an environment where you feel inspired to make meaningful change.
My approach to therapy encompasses warmth, humor, empathy and effective strategies to help you work through barriers that cause you to feel stuck, unfulfilled and disconnected. Our work together will help you generate more insight into your thoughts, feelings and behaviors in order to understand and work through the unconscious processes that are getting in your way. Cultivating a healthy relationship with yourself is the most rewarding investment you can make and I am committed to creating an environment where you feel inspired to make meaningful change.
(323) 693-9608 View (323) 693-9608
Photo of Isaac Carlos Wright, LCSW, Clinical Social Work/Therapist
Isaac Carlos Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
West Los Angeles, Los Angeles, CA 90064  (Online Only)
Not accepting new clients
The symptoms and sensations of post-traumatic stress, anxiety, grief, and depression can often feel debilitating, and may leave us bereft of hope that things will ever get better. My main goal and focus is to facilitate healing and collaborate with clients to carve out a path towards a greater sense of inner peace, meaning, and connection. I find that cultivating psychological flexibility and emotional regulation will often facilitate this endeavor and aim to guide and support my clients to this end.
The symptoms and sensations of post-traumatic stress, anxiety, grief, and depression can often feel debilitating, and may leave us bereft of hope that things will ever get better. My main goal and focus is to facilitate healing and collaborate with clients to carve out a path towards a greater sense of inner peace, meaning, and connection. I find that cultivating psychological flexibility and emotional regulation will often facilitate this endeavor and aim to guide and support my clients to this end.
(424) 283-5069 View (424) 283-5069
Photo of Allison Brown, LCSW, Clinical Social Work/Therapist
Allison Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
West Los Angeles, Los Angeles, CA 90064  (Online Only)
With 15 years of professional experience providing psychotherapy I have had the honor of working with people from all walks of life from Community Mental Health to providing therapy to sexual assault survivors at UCLA. Now, as the owner of my own practice, I feel passionate about working with people to identify what is holding you back, process your thoughts and feelings and empower you with new skills and tools to help you feel more connected to yourself and find a path forward.
With 15 years of professional experience providing psychotherapy I have had the honor of working with people from all walks of life from Community Mental Health to providing therapy to sexual assault survivors at UCLA. Now, as the owner of my own practice, I feel passionate about working with people to identify what is holding you back, process your thoughts and feelings and empower you with new skills and tools to help you feel more connected to yourself and find a path forward.
(818) 824-8667 View (818) 824-8667
Photo of Gabriella Azzam, PsyD, Psychologist
Gabriella Azzam
Psychologist, PsyD
Verified Verified
1 Endorsed
West Los Angeles, Los Angeles, CA 90025
Is a lack of intimacy or stress in your relationship causing you to feel disconnected as a couple? Do you have a hard time feeling heard and seen in your partnership? Are you worried that you’re no longer on the same page about the goals, values, and visions you once shared together? Has one, or maybe even both, of you been unfaithful in your relationship? Sometimes life has a way of getting between us and our partners, leading us to turn away from—instead of towards—one another. Common obstacles like career stress, parenting, and significant life transitions can take up a lot of space in our lives without ample room to connect.
Is a lack of intimacy or stress in your relationship causing you to feel disconnected as a couple? Do you have a hard time feeling heard and seen in your partnership? Are you worried that you’re no longer on the same page about the goals, values, and visions you once shared together? Has one, or maybe even both, of you been unfaithful in your relationship? Sometimes life has a way of getting between us and our partners, leading us to turn away from—instead of towards—one another. Common obstacles like career stress, parenting, and significant life transitions can take up a lot of space in our lives without ample room to connect.
(424) 349-5416 View (424) 349-5416
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How does your Therapist compare?

Number of Therapists in West Los Angeles, Los Angeles, CA

500+

Average cost per session

$200

Therapists in West Los Angeles, Los Angeles, CA who prioritize treating:

93% Anxiety
90% Depression
85% Relationship Issues
72% Stress
69% Life Transitions
65% Trauma and PTSD
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

80% Aetna
62% Cigna and Evernorth
56% Anthem

How Therapists in West Los Angeles, Los Angeles, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Los Angeles, Los Angeles?

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.