Therapists in Lincoln County, CO

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Photo of Marissa Schier, MS, LPC, Licensed Professional Counselor
Marissa Schier
Licensed Professional Counselor, MS, LPC
Verified Verified
Hugo, CO 80821  (Online Only)
Do you find yourself feeling stressed and overwhelmed, ruminating on thoughts or feeling as though you will never feel good again? These issues have a way of sneaking up on us when we least expect it, especially when we are going through life transitions, grief or loss, or have experienced trauma. It can be challenging to navigate life stressors without the proper tools and support. I can help guide your mental and emotional journey as we work together identifying tools and resources to become your best self.
Do you find yourself feeling stressed and overwhelmed, ruminating on thoughts or feeling as though you will never feel good again? These issues have a way of sneaking up on us when we least expect it, especially when we are going through life transitions, grief or loss, or have experienced trauma. It can be challenging to navigate life stressors without the proper tools and support. I can help guide your mental and emotional journey as we work together identifying tools and resources to become your best self.
(660) 527-6790 View (660) 527-6790
Photo of Dr. Michelle D Morrissey, PhD, LMFT, Marriage & Family Therapist
Dr. Michelle D Morrissey
Marriage & Family Therapist, PhD, LMFT
Verified Verified
4 Endorsed
Hugo, CO 80821  (Online Only)
Not accepting new clients
Parents can be imperfect, children can be cruel, and life can be unfair. The resulting trauma can make us feel like we are living life without the directions or making choices without conscious control, doomed to repeat bad decisions and poor choices; believing that we are not worthy or deserving of anything better. Sometimes we do not know why we are doing what we are doing and for the life of us, we cannot let it go and reinvent ourselves or change our future. If you have been struggling with please call our team for help.
Parents can be imperfect, children can be cruel, and life can be unfair. The resulting trauma can make us feel like we are living life without the directions or making choices without conscious control, doomed to repeat bad decisions and poor choices; believing that we are not worthy or deserving of anything better. Sometimes we do not know why we are doing what we are doing and for the life of us, we cannot let it go and reinvent ourselves or change our future. If you have been struggling with please call our team for help.
(719) 249-6890 View (719) 249-6890
Photo of Brandy Jo Metzger, MA, Pre-Licensed Professional
Brandy Jo Metzger
Pre-Licensed Professional, MA
Verified Verified
Limon, CO 80828
I am so proud that you have made the decision to be here, and start your healing journey! I know it can be scary and difficult, but you don't have to do it alone! I am grateful to walk this journey with you. It's time to start thriving and not just surviving.
I am so proud that you have made the decision to be here, and start your healing journey! I know it can be scary and difficult, but you don't have to do it alone! I am grateful to walk this journey with you. It's time to start thriving and not just surviving.
(719) 454-2250 View (719) 454-2250
Photo of Anna Likhacheva, MA, LPCC, Counselor
Anna Likhacheva
Counselor, MA, LPCC
Verified Verified
Karval, CO 80823
I dedicate my career to working with children and young adolescent. I work with clients aged 6-25 and offer various approaches such as Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT, and Acceptance and Commitment Therapy (ACT). Also, I have experience in treating patients diagnosed with autism spectrum disorder or intellectual disabilities. I conduct thorough psychiatric evaluations and provide exceptional individual and family therapy. I collaborate with medical practitioners and educators to provide quality case management.
I dedicate my career to working with children and young adolescent. I work with clients aged 6-25 and offer various approaches such as Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT, and Acceptance and Commitment Therapy (ACT). Also, I have experience in treating patients diagnosed with autism spectrum disorder or intellectual disabilities. I conduct thorough psychiatric evaluations and provide exceptional individual and family therapy. I collaborate with medical practitioners and educators to provide quality case management.
(720) 806-5737 View (720) 806-5737
Photo of Jenna Deubler, LPC, Licensed Professional Counselor
Jenna Deubler
Licensed Professional Counselor, LPC
Verified Verified
Limon, CO 80826
Are you stuck in traumatic experiences or the past? I can be there to support you as you work your way through the pain. My specialty and passion is working through trauma and relational pain. I am EMDR trained and use it most often in treatment. I work with children, teens, adults, and couples (on a limited basis using the Gottman Method).
Are you stuck in traumatic experiences or the past? I can be there to support you as you work your way through the pain. My specialty and passion is working through trauma and relational pain. I am EMDR trained and use it most often in treatment. I work with children, teens, adults, and couples (on a limited basis using the Gottman Method).
(719) 203-2040 View (719) 203-2040
Photo of Laura Renee Burk, MA, LPC-S, NCC, Counselor
Laura Renee Burk
Counselor, MA, LPC-S, NCC
Verified Verified
3 Endorsed
Limon, CO 80828
Life transitions and unresolved trauma can make us feel like we have become trapped in our own bodies and unable to escape constant worry, anxiety and guilt. Feeling stuck and unable to explore personal worries can affect our abilities to have healthy social interaction, parenting, and family relationships. Thankfully, there is hope and healing beyond trauma. If you are struggling with trauma, anxiety, depression, addiction, difficulties within relationships, or foster care or adoptive related issues, I can provide a safe, unbiased, and nonjudgmental environment where you can explore your concerns and move towards healing.
Life transitions and unresolved trauma can make us feel like we have become trapped in our own bodies and unable to escape constant worry, anxiety and guilt. Feeling stuck and unable to explore personal worries can affect our abilities to have healthy social interaction, parenting, and family relationships. Thankfully, there is hope and healing beyond trauma. If you are struggling with trauma, anxiety, depression, addiction, difficulties within relationships, or foster care or adoptive related issues, I can provide a safe, unbiased, and nonjudgmental environment where you can explore your concerns and move towards healing.
(719) 259-1708 View (719) 259-1708
Photo of Jason J Bickley, EMDR, AASAT, LPC, Licensed Professional Counselor
Jason J Bickley
Licensed Professional Counselor, EMDR, AASAT, LPC
Verified Verified
1 Endorsed
Limon, CO 80828
So you're looking for a change - let's get started! You might be stuck, perhaps held back by the past, not sure how to live in the present, or uncertain about moving into the future. If that's you, it's a good time for some counseling. I am a man of faith, a motorcycle rider, a runner, a reader, and one or two other things outside of counseling, just in case we still haven't connected. In counseling and support groups, I’ve spent most of my time helping people face addictions, trauma, and all the relationships in between. I often rely on the AASAT addiction training and EMDR to help people move towards their change.
So you're looking for a change - let's get started! You might be stuck, perhaps held back by the past, not sure how to live in the present, or uncertain about moving into the future. If that's you, it's a good time for some counseling. I am a man of faith, a motorcycle rider, a runner, a reader, and one or two other things outside of counseling, just in case we still haven't connected. In counseling and support groups, I’ve spent most of my time helping people face addictions, trauma, and all the relationships in between. I often rely on the AASAT addiction training and EMDR to help people move towards their change.
(704) 610-5352 View (704) 610-5352

Online Therapists

Photo of Tunnel Light Therapy - - - Heidi R Smith, MBA, MS, LPCC
Tunnel Light Therapy - - - Heidi R Smith
Licensed Professional Counselor Candidate, MBA, MS, LPCC
Verified Verified
Castle Rock, CO 80104
Do you crave connection, validation, and empathy? Have you struggled to feel understood and free from judgement while navigating life and processing your deep thoughts, big emotions, and prior trauma? At Tunnel Light Therapy, that's possible. Offering in-person and online therapy to clients in most life stages (teenagers, adults, couples) and specializing in anxiety, trauma, EMDR, depression, mood and personality disorders, I can serve as a safe and compassionate partner to you (or your child) on the path toward greater, more sustainable mental health. Your unique therapeutic needs and goals are welcome at Tunnel Light Therapy.
Do you crave connection, validation, and empathy? Have you struggled to feel understood and free from judgement while navigating life and processing your deep thoughts, big emotions, and prior trauma? At Tunnel Light Therapy, that's possible. Offering in-person and online therapy to clients in most life stages (teenagers, adults, couples) and specializing in anxiety, trauma, EMDR, depression, mood and personality disorders, I can serve as a safe and compassionate partner to you (or your child) on the path toward greater, more sustainable mental health. Your unique therapeutic needs and goals are welcome at Tunnel Light Therapy.
(720) 902-9993 View (720) 902-9993
Photo of Holly Jones, MA, LPC, NCC, Licensed Professional Counselor
Holly Jones
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Are you wanting to make the most of more moments and to feel more present? Are anxiety and life in general clouding your thinking and leaving you feeling empty? I believe my role is to be encouraging and objective as I assist clients through their unique process of developing insight and skills to experience more healing, freedom, and joy. I have an empathetic and professional approach, and I utilize evidence based strategies. I teach tools to help both adults and youth manage anxiety, strengthen relationships, better problem solve, process through change or grief, feel more confident & empowered, and to reach goals.
Are you wanting to make the most of more moments and to feel more present? Are anxiety and life in general clouding your thinking and leaving you feeling empty? I believe my role is to be encouraging and objective as I assist clients through their unique process of developing insight and skills to experience more healing, freedom, and joy. I have an empathetic and professional approach, and I utilize evidence based strategies. I teach tools to help both adults and youth manage anxiety, strengthen relationships, better problem solve, process through change or grief, feel more confident & empowered, and to reach goals.
(833) 942-1266 View (833) 942-1266
Photo of Megan Jaw, MA, LPCC, Counselor
Megan Jaw
Counselor, MA, LPCC
Verified Verified
​Welcome and I’m so glad you are here! I believe that life’s circumstances can be overwhelming at times, and everyone can benefit from counseling during difficult seasons. I am genuinely interested and curious about people and the stories they have to tell. As a counselor, I enjoy helping clients develop their own sense of curiosity about themselves to increase self-awareness and foster personal growth. My counseling style is soft, compassionate, empathetic, and caring with poignant and challenging observations when needed. I enjoy sharing a space where my clients can feel seen and cared for to help them reach their goals in life.
​Welcome and I’m so glad you are here! I believe that life’s circumstances can be overwhelming at times, and everyone can benefit from counseling during difficult seasons. I am genuinely interested and curious about people and the stories they have to tell. As a counselor, I enjoy helping clients develop their own sense of curiosity about themselves to increase self-awareness and foster personal growth. My counseling style is soft, compassionate, empathetic, and caring with poignant and challenging observations when needed. I enjoy sharing a space where my clients can feel seen and cared for to help them reach their goals in life.
(719) 759-8578 x704 View (719) 759-8578 x704
Photo of Dana Faler, MA MFT, LMFT, Marriage & Family Therapist
Dana Faler
Marriage & Family Therapist, MA MFT, LMFT
Verified Verified
2 Endorsed
The relationships in our lives are often the most important thing to us and when they aren't going well it's easy to feel stuck. Stuck fighting over the same things, stuck feeling like your needs aren't being met, and stuck feeling lonely and depressed. This can leave us feeling overwhelmed and longing for connection. When life and our relationships get difficult to manage that's when therapy can help.
The relationships in our lives are often the most important thing to us and when they aren't going well it's easy to feel stuck. Stuck fighting over the same things, stuck feeling like your needs aren't being met, and stuck feeling lonely and depressed. This can leave us feeling overwhelmed and longing for connection. When life and our relationships get difficult to manage that's when therapy can help.
(719) 496-8266 View (719) 496-8266
Photo of Gregory Kenneth Matthews, MA, LPCC
Gregory Kenneth Matthews
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
Centennial, CO 80121  (Online Only)
Working in Behavioral Health for many years, I have learned that we all have something going on whether it be big or small and it's how we address the challenges that come are way that counts. I have dedicated my life serving others and truly enjoy seeing people evolve into their best possible self. In life we will always have difficulties and we can use them as opportunities for growth and personal development. Recognizing that we all need guidance is something that we all must understand and be willing to be able to knock the walls down that are keeping us from moving forward in life.
Working in Behavioral Health for many years, I have learned that we all have something going on whether it be big or small and it's how we address the challenges that come are way that counts. I have dedicated my life serving others and truly enjoy seeing people evolve into their best possible self. In life we will always have difficulties and we can use them as opportunities for growth and personal development. Recognizing that we all need guidance is something that we all must understand and be willing to be able to knock the walls down that are keeping us from moving forward in life.
(720) 547-7278 x110 View (720) 547-7278 x110
Photo of Christina S Anderson - Christina Anderson Counseling & Art Therapy, MA, LPC, ATR-BC, Licensed Professional Counselor
Christina Anderson Counseling & Art Therapy
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
2 Endorsed
Life can get crazy sometimes, it can feel lonely, confusing, and like being lost down a road that first had an exciting glimmer of hope. I'd like to offer compassion in these moments of need, to help take a look at strengthening coping strategies to help navigate through difficult moments, relationships or big life decisions. With over 17 years of experience I have a large collection of coping strategies to help cater to each client. Special focus on assisting young adults with big life decisions, refueling energy and personal care to therapists and caregivers, and increasing satisfaction with aging and life changes.
Life can get crazy sometimes, it can feel lonely, confusing, and like being lost down a road that first had an exciting glimmer of hope. I'd like to offer compassion in these moments of need, to help take a look at strengthening coping strategies to help navigate through difficult moments, relationships or big life decisions. With over 17 years of experience I have a large collection of coping strategies to help cater to each client. Special focus on assisting young adults with big life decisions, refueling energy and personal care to therapists and caregivers, and increasing satisfaction with aging and life changes.
(844) 914-3573 View (844) 914-3573
Photo of Meridith Marshall, LMFTC
Meridith Marshall
Marriage and Family Therapist Candidate, LMFTC
Verified Verified
1 Endorsed
Denver, CO 80222
Meridith uses Emotionally Focused Therapy with her clients to better understand how emotions are influencing the decision-making process in relationships and family systems. She enjoys working with individuals, couples, families, and business partners struggling with anxiety, ADHD, trauma, and relationship challenges. You’ll find her approach is solution-oriented, which is why she likes to begin new client engagements by discussing and defining the outcomes to be worked toward in therapy. She uses a multicultural lens in her practice to create space for cultural influences and perspectives that have shaped her clients’ lives.
Meridith uses Emotionally Focused Therapy with her clients to better understand how emotions are influencing the decision-making process in relationships and family systems. She enjoys working with individuals, couples, families, and business partners struggling with anxiety, ADHD, trauma, and relationship challenges. You’ll find her approach is solution-oriented, which is why she likes to begin new client engagements by discussing and defining the outcomes to be worked toward in therapy. She uses a multicultural lens in her practice to create space for cultural influences and perspectives that have shaped her clients’ lives.
(720) 802-0829 View (720) 802-0829
Photo of Randy Breunig, MA, LPC, Counselor
Randy Breunig
Counselor, MA, LPC
Verified Verified
2 Endorsed
Frederick, CO 80504  (Online Only)
I offer individuals and couples support in developing a better relationship with themselves, practicing healthy communication, managing life transitions, improving self-esteem, coping with stress and exploring what feeds anxiety, depression and unhealthy relationships. I feel change is often the result of having the courage to practice self-awareness with less judgment, self-acceptance and self-love. I see therapy as an opportunity to create a working relationship with your whole self, challenging defeating self-talk and destructive narratives of “I’m not enough,” and establishing a new foundation of self-worth to grow from.
I offer individuals and couples support in developing a better relationship with themselves, practicing healthy communication, managing life transitions, improving self-esteem, coping with stress and exploring what feeds anxiety, depression and unhealthy relationships. I feel change is often the result of having the courage to practice self-awareness with less judgment, self-acceptance and self-love. I see therapy as an opportunity to create a working relationship with your whole self, challenging defeating self-talk and destructive narratives of “I’m not enough,” and establishing a new foundation of self-worth to grow from.
(720) 728-1509 View (720) 728-1509
Photo of Inna Ermakov, LPC, Licensed Professional Counselor
Inna Ermakov
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Centennial, CO 80112
I sincerely appreciate the bravery of individuals and couples that initiate help for themselves or a loved one, often in their most vulnerable moments! My training and experience have prepared me to provide compassionate, timely, and evidence-based care so that you can get to feeling better and living the life that you want to live. I am happily married to my husband and we have two wonderful boys ages 14 and 18.
I sincerely appreciate the bravery of individuals and couples that initiate help for themselves or a loved one, often in their most vulnerable moments! My training and experience have prepared me to provide compassionate, timely, and evidence-based care so that you can get to feeling better and living the life that you want to live. I am happily married to my husband and we have two wonderful boys ages 14 and 18.
(720) 964-2289 View (720) 964-2289
Photo of Belina Nassi Fruitman - Your Intervention, LCSW, CAS, Clinical Social Work/Therapist
Your Intervention
Clinical Social Work/Therapist, LCSW, CAS
Verified Verified
1 Endorsed
Denver, CO 80231
We all know someone who needs professional help. It is clear to you and others that they are not healthy, they are sabotaging their life through a slow form of suicide. Typically this looks like heavy drinking, and/or drug abuse which then is reflected in their personal and professional relationships. Through an intervention by Belina, a clinician of over 25 years, you can get effective help. When a team of loved ones, plus a facilitator such as a seasoned clinician, gathers, change can begin. Call soon, no time should be wasted.
We all know someone who needs professional help. It is clear to you and others that they are not healthy, they are sabotaging their life through a slow form of suicide. Typically this looks like heavy drinking, and/or drug abuse which then is reflected in their personal and professional relationships. Through an intervention by Belina, a clinician of over 25 years, you can get effective help. When a team of loved ones, plus a facilitator such as a seasoned clinician, gathers, change can begin. Call soon, no time should be wasted.
(720) 438-4409 View (720) 438-4409
Photo of Erin Phipps, LCSW, ACS, Clinical Social Work/Therapist
Erin Phipps
Clinical Social Work/Therapist, LCSW, ACS
Verified Verified
Denver, CO 80209
I provide therapy to Queer, and Neurodivergent people by focusing on making ease of change through connection, reflection, intention, and learning to feel. People who seek out my help generally have not had the space or guidance to explore the complexity of their identity, which often leads to feelings of worry and confusion. I help people reconnect to their unique inner landscape through exploration of the mind & body connection.
I provide therapy to Queer, and Neurodivergent people by focusing on making ease of change through connection, reflection, intention, and learning to feel. People who seek out my help generally have not had the space or guidance to explore the complexity of their identity, which often leads to feelings of worry and confusion. I help people reconnect to their unique inner landscape through exploration of the mind & body connection.
(720) 463-1186 View (720) 463-1186
Photo of Emily Rotert, MS, LPC, Licensed Professional Counselor
Emily Rotert
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Denver, CO 80202  (Online Only)
Are you feeling disconnected from yourself? Are you overwhelmed trying to keep up with life? You may find little solace in your typical self-care practices, or struggle to find stability amid changes in life and identity. Stress and anxiety are constant, and despite your accomplishments, you are not experiencing the happiness that you expected. You regularly feel on-edge or detached, and significantly struggle being present in your life. With others, you yearn for deep connection while doubting your ability to sustain a loving relationship.
Are you feeling disconnected from yourself? Are you overwhelmed trying to keep up with life? You may find little solace in your typical self-care practices, or struggle to find stability amid changes in life and identity. Stress and anxiety are constant, and despite your accomplishments, you are not experiencing the happiness that you expected. You regularly feel on-edge or detached, and significantly struggle being present in your life. With others, you yearn for deep connection while doubting your ability to sustain a loving relationship.
(720) 702-1965 View (720) 702-1965
Photo of Jasleen Karir, SWC, Clinical Social Work/Therapist
Jasleen Karir
Clinical Social Work/Therapist, SWC
Verified Verified
1 Endorsed
Aurora, CO 80014
Hello and welcome! Navigating life transitions and interpersonal relationships can feel overwhelming and complex, especially while having marginalized experiences. As a clinician, it is one of my priorities to provide therapeutic support that is culturally responsive and unique to your individual life experiences and needs.
Hello and welcome! Navigating life transitions and interpersonal relationships can feel overwhelming and complex, especially while having marginalized experiences. As a clinician, it is one of my priorities to provide therapeutic support that is culturally responsive and unique to your individual life experiences and needs.
(719) 781-3342 View (719) 781-3342

How does your Therapist compare?

Number of Therapists in Lincoln County, CO

< 10

Therapists in Lincoln County, CO who prioritize treating:

100% Trauma and PTSD
86% Depression
71% Relationship Issues
71% Anxiety
71% Coping Skills
71% Stress
57% Other

Average years in practice

5 Years

Top 3 insurances accepted

100% UnitedHealthcare UHC | UBH
86% BlueCross and BlueShield
86% Cigna and Evernorth

How Therapists in Lincoln County, CO see their clients

72% In Person and Online
28% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lincoln County?

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.