Therapists in Salida, CO

Photo of Lesley Fulton, Pre-Licensed Professional
Lesley Fulton
Pre-Licensed Professional
Verified Verified
2 Endorsed
Salida, CO 81201  (Online Only)
I specialize in working with people who are seeking to develop greater self-trust, overcome adversity and create the beautiful life they desire. I am especially passionate about supporting those who've been harmed by systems of oppression. My goal as a counselor is to help others find healing and wholeness within themselves. In my work, I prioritize attention to somatic, embodiment practices that help clients feel safe in their own bodies and with their own emotions. Together, we will work as a team to confront the struggles you're facing and find a path forward to a happier and more authentic life.
I specialize in working with people who are seeking to develop greater self-trust, overcome adversity and create the beautiful life they desire. I am especially passionate about supporting those who've been harmed by systems of oppression. My goal as a counselor is to help others find healing and wholeness within themselves. In my work, I prioritize attention to somatic, embodiment practices that help clients feel safe in their own bodies and with their own emotions. Together, we will work as a team to confront the struggles you're facing and find a path forward to a happier and more authentic life.
(719) 752-2141 View (719) 752-2141
Photo of Mark T. Palmer, PhD, LP, DJA, Psychologist
Mark T. Palmer
Psychologist, PhD, LP, DJA
Verified Verified
Salida, CO 81201
(Scheduling in-person and Zoom now) Sometimes we experience disturbing levels of anxiety, depression, anger, or loss. Sometimes we feel disconnected or not able to get a handle on things. In those times emotions can be overwhelming or confusing, and our usual ways of dealing with life don't seem to work anymore. Therapy offers a way to increase awareness of who we are, measure our limits, and expand our personal and interpersonal abilities to make significant changes. I believe we have within us the potential for a healthy and creative life. In the therapy process, we have an opportunity to discover and unleash that potential.
(Scheduling in-person and Zoom now) Sometimes we experience disturbing levels of anxiety, depression, anger, or loss. Sometimes we feel disconnected or not able to get a handle on things. In those times emotions can be overwhelming or confusing, and our usual ways of dealing with life don't seem to work anymore. Therapy offers a way to increase awareness of who we are, measure our limits, and expand our personal and interpersonal abilities to make significant changes. I believe we have within us the potential for a healthy and creative life. In the therapy process, we have an opportunity to discover and unleash that potential.
(720) 316-7224 View (720) 316-7224
Photo of Renee E Duricy, MSW, LCSW, Clinical Social Work/Therapist
Renee E Duricy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salida, CO 81201
"Connection - The energy that exists between people when they feel seen, heard, and valued; when they can give and receive without judgment; and when they derive sustenance and strength from the relationship" (Brene Brown).
"Connection - The energy that exists between people when they feel seen, heard, and valued; when they can give and receive without judgment; and when they derive sustenance and strength from the relationship" (Brene Brown).
(719) 626-8703 View (719) 626-8703
Photo of Mike Harris, MA, LPC, LAC, Licensed Professional Counselor
Mike Harris
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
1 Endorsed
Salida, CO 81201
Many of my clients have been in psychotherapy/counseling before and start working with me to go deeper to transform from the repetitive relational patterns that hold them back. Most of my clients value psychotherapy and see the benefit from telling the emotionally significant story of their lives in a confidential safe setting. Trauma, addiction, depression, and anxiety are issues that I have the most experience relating with. Some of life's dilemmas require a conversation to resolve. A conversation that weaves past and present, fantasy and reality, desire and inhibition to form a detailed understanding of one's life.
Many of my clients have been in psychotherapy/counseling before and start working with me to go deeper to transform from the repetitive relational patterns that hold them back. Most of my clients value psychotherapy and see the benefit from telling the emotionally significant story of their lives in a confidential safe setting. Trauma, addiction, depression, and anxiety are issues that I have the most experience relating with. Some of life's dilemmas require a conversation to resolve. A conversation that weaves past and present, fantasy and reality, desire and inhibition to form a detailed understanding of one's life.
(719) 355-8194 View (719) 355-8194
Photo of Sara VonderHaar Papathakis, LCSW, MSW, Clinical Social Work/Therapist
Sara VonderHaar Papathakis
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Salida, CO 81201
I believe that each person has a deep wisdom inside of them, and part of my job is to help you learn and remember how to trust yourself. Supporting people to cultivate both self-awareness and self-compassion are a central focus of mine. I also feel passionate about cultivating a safe and trusted connection with clients that provides the opportunity for healing and growth. Each of us has a unique journey and I help people to feel more at home in themselves, both in times of joy and hardship. Learning to support ourselves in times of pain and suffering takes practice, and we are not meant to do it alone.
I believe that each person has a deep wisdom inside of them, and part of my job is to help you learn and remember how to trust yourself. Supporting people to cultivate both self-awareness and self-compassion are a central focus of mine. I also feel passionate about cultivating a safe and trusted connection with clients that provides the opportunity for healing and growth. Each of us has a unique journey and I help people to feel more at home in themselves, both in times of joy and hardship. Learning to support ourselves in times of pain and suffering takes practice, and we are not meant to do it alone.
(719) 745-2970 View (719) 745-2970
Photo of Mamie Tisue, LCSW, SEP, Clinical Social Work/Therapist
Mamie Tisue
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
Salida, CO 81201
I am a somatic psychotherapist specializing in anxiety, depression, PTSD and complex and developmental trauma. My approach is warm, holistic and gently challenging. I work with people experiencing a wide range of symptoms including anxiety, depression, isolation, hyper vigilance, physical symptoms with no medical cause, and the feeling that it's impossible to relax or 'turn off'. I am experienced in providing therapy to therapists as well as people seeking therapy for the first time.
I am a somatic psychotherapist specializing in anxiety, depression, PTSD and complex and developmental trauma. My approach is warm, holistic and gently challenging. I work with people experiencing a wide range of symptoms including anxiety, depression, isolation, hyper vigilance, physical symptoms with no medical cause, and the feeling that it's impossible to relax or 'turn off'. I am experienced in providing therapy to therapists as well as people seeking therapy for the first time.
(720) 792-7490 View (720) 792-7490
Photo of Juli Waters - Ketamine Assisted Psychotherapy, Licensed Professional Counselor
Juli Waters - Ketamine Assisted Psychotherapy
Licensed Professional Counselor
Verified Verified
Salida, CO 81201
Are you curious about psychedelic therapy, or ketamine therapy? Have you tried talk therapy or medications, and still feel stuck? Do you want to do more than "just talk?" Ketamine-assisted psychotherapy is a safe and effective treatment for depression, anxiety, PTSD and addiction. Discover the clarity you need to live the life you deserve.
Are you curious about psychedelic therapy, or ketamine therapy? Have you tried talk therapy or medications, and still feel stuck? Do you want to do more than "just talk?" Ketamine-assisted psychotherapy is a safe and effective treatment for depression, anxiety, PTSD and addiction. Discover the clarity you need to live the life you deserve.
(719) 212-4281 View (719) 212-4281
Photo of Lori Samantha Weckbaugh - Recovery Support & Accountability, MS, CAC-III, Drug & Alcohol Counselor
Recovery Support & Accountability
Drug & Alcohol Counselor, MS, CAC-III
Verified Verified
Salida, CO 81201  (Online Only)
I’m in your pocket— Utilizing “Telecare” via Zoom or FaceTime on your mobile device, I’m available! With over 30 years of experience, I am an expert in achieving success for individuals and their families. Enlivening your relationships with “sober time” we help heal broken family relationships, restoring lives impacted by addictions, or assisting those needing aftercare support for their recovery. Successful Interventions! (drug & alcohol dependency, or substance abuse.) My clients say that I am empathetic, kind, open and willing, in meeting them where they are emotionally and physically. You’re supported & accountable, today!
I’m in your pocket— Utilizing “Telecare” via Zoom or FaceTime on your mobile device, I’m available! With over 30 years of experience, I am an expert in achieving success for individuals and their families. Enlivening your relationships with “sober time” we help heal broken family relationships, restoring lives impacted by addictions, or assisting those needing aftercare support for their recovery. Successful Interventions! (drug & alcohol dependency, or substance abuse.) My clients say that I am empathetic, kind, open and willing, in meeting them where they are emotionally and physically. You’re supported & accountable, today!
(719) 259-4463 View (719) 259-4463
Photo of Kelsey McNeill, LPC, Licensed Professional Counselor
Kelsey McNeill
Licensed Professional Counselor, LPC
Verified Verified
Salida, CO 81201  (Online Only)
Every human beings has a true genuine authentic self. Trauma is the disconnection from it and healing is the reconnection to it. - Dr. Gabor Mate Life is full of beauty and hardship. We all have experiences that shape who we are, how we feel, and what we believe about ourselves. Sometimes we need a compassionate space to explore and heal our wounds. From young professionals to helping professionals to new moms to folks in the LGBTQ+ folks, I invite deep exploration and support clients to develop understanding of how the adversities they've faced impact their minds, bodies, and spirits.
Every human beings has a true genuine authentic self. Trauma is the disconnection from it and healing is the reconnection to it. - Dr. Gabor Mate Life is full of beauty and hardship. We all have experiences that shape who we are, how we feel, and what we believe about ourselves. Sometimes we need a compassionate space to explore and heal our wounds. From young professionals to helping professionals to new moms to folks in the LGBTQ+ folks, I invite deep exploration and support clients to develop understanding of how the adversities they've faced impact their minds, bodies, and spirits.
(303) 586-7791 View (303) 586-7791
Photo of Andrea Rotz, LPC, Licensed Professional Counselor
Andrea Rotz
Licensed Professional Counselor, LPC
Verified Verified
Salida, CO 81201
Waitlist for new clients
Currently accepting clients only for Ketamine Assisted Therapy. Is your inner critic working overtime? Are you feeling down or anxious and like you aren't living life to your full potential? Maybe you are stuck in repeated conflict with your partner, wondering where the intimacy, joy, and love went. Perhaps your family is struggling with communication, distance, loss or change. I know that being human can be messy, painful, and confusing and draw from my 17 years of experience to help families, couples, and individuals navigate struggles to live more fulfilling lives.
Currently accepting clients only for Ketamine Assisted Therapy. Is your inner critic working overtime? Are you feeling down or anxious and like you aren't living life to your full potential? Maybe you are stuck in repeated conflict with your partner, wondering where the intimacy, joy, and love went. Perhaps your family is struggling with communication, distance, loss or change. I know that being human can be messy, painful, and confusing and draw from my 17 years of experience to help families, couples, and individuals navigate struggles to live more fulfilling lives.
(719) 735-7911 View (719) 735-7911
Photo of Jill Flodstrom, MA, LAC, LPC, Licensed Professional Counselor
Jill Flodstrom
Licensed Professional Counselor, MA, LAC, LPC
Verified Verified
Salida, CO 81201
I practice a body-based, relational psychotherapy and incorporate somatic interventions which can uncover and heal dissociated experiences that are often the seeds to adult mental and physical suffering. Together, we will navigate the journey of discovering your inner wisdom and removing barriers to living authentically.
I practice a body-based, relational psychotherapy and incorporate somatic interventions which can uncover and heal dissociated experiences that are often the seeds to adult mental and physical suffering. Together, we will navigate the journey of discovering your inner wisdom and removing barriers to living authentically.
(719) 625-2687 View (719) 625-2687
Alisa Adams
Licensed Professional Counselor, MAAT, LPC
Verified Verified
Salida, CO 81201
I am here to support you with the challenges that you are experiencing at this time. I will guide you through the use of cognitive behavioral therapy, mindfulness techniques, dialectical behavioral therapy, motivational interviewing and other creative approaches that I gained in my Counseling and Art Therapy graduate program at University of Illinois at Chicago. For 20 years I have worked with families and adults individually and in groups in a variety of settings; including day treatment and residential treatment programs, a children's hospital, corrections, community mental health, schools, and home-based treatment.
I am here to support you with the challenges that you are experiencing at this time. I will guide you through the use of cognitive behavioral therapy, mindfulness techniques, dialectical behavioral therapy, motivational interviewing and other creative approaches that I gained in my Counseling and Art Therapy graduate program at University of Illinois at Chicago. For 20 years I have worked with families and adults individually and in groups in a variety of settings; including day treatment and residential treatment programs, a children's hospital, corrections, community mental health, schools, and home-based treatment.
(719) 642-6645 View (719) 642-6645
Photo of Rainer Barnhart - Inner Power Therapeutics , MSW, LMSW, WHM
Inner Power Therapeutics
Licensed Social Worker, MSW, LMSW, WHM
Verified Verified
Salida, CO 81201
Rainer Barnhart is a licensed Social Worker and mental health advocate with a passion for helping individuals live happier, healthier lives. With over 7 years of experience in the mental health field, Rainer has worked extensively with various populations, addressing a wide range of mental health concerns. Having completed a Master's in Social Work from Western New Mexico University, Rainer is well-versed in evidence-based therapeutic approaches, specializing in physiotherapy. He believes in the power of creating a safe and non-judgmental space to foster healing and growth.
Rainer Barnhart is a licensed Social Worker and mental health advocate with a passion for helping individuals live happier, healthier lives. With over 7 years of experience in the mental health field, Rainer has worked extensively with various populations, addressing a wide range of mental health concerns. Having completed a Master's in Social Work from Western New Mexico University, Rainer is well-versed in evidence-based therapeutic approaches, specializing in physiotherapy. He believes in the power of creating a safe and non-judgmental space to foster healing and growth.
(719) 398-7434 View (719) 398-7434
Photo of Lea Burns, Psychologist
Lea Burns
Psychologist
Verified Verified
Salida, CO 81201  (Online Only)
Asking for help is a vulnerable and courageous act. Keep going! Alongside the joy and wonder this life can bring, we will also be struck by grief, major life changes, trauma, relationship struggles, acute or chronic stress, and crises of mental, spiritual or physical health. Sometimes we need help. Therapy with a provider that you feel safe and understood by can help you to heal and grow. "We don't have to do it alone. We were never meant to" - Brené Brown
Asking for help is a vulnerable and courageous act. Keep going! Alongside the joy and wonder this life can bring, we will also be struck by grief, major life changes, trauma, relationship struggles, acute or chronic stress, and crises of mental, spiritual or physical health. Sometimes we need help. Therapy with a provider that you feel safe and understood by can help you to heal and grow. "We don't have to do it alone. We were never meant to" - Brené Brown
(719) 824-2281 View (719) 824-2281
Photo of Lisa Maret VonderHaar - Lisa M. VonderHaar, Ph.D.,LLC, PhD, Psychologist
Lisa M. VonderHaar, Ph.D.,LLC
Psychologist, PhD
Verified Verified
Salida, CO 81201
I am committed to providing psychotherapy that is both compassionate and empowering. My perspective is holistic in that I believe we are connected in body, heart, mind and spirit. Furthermore, I believe that deep within each of us resides our truth and my work with you is to support you in releasing any barriers that interfere with your awareness of this inner wisdom. As you are able to live your truth, you will experience contentment with yourself and in relationship with others. My approach is eclectic, blending cognitive-behavioral techniques, family therapy systems, relational techniques and mindfulness techniques.
I am committed to providing psychotherapy that is both compassionate and empowering. My perspective is holistic in that I believe we are connected in body, heart, mind and spirit. Furthermore, I believe that deep within each of us resides our truth and my work with you is to support you in releasing any barriers that interfere with your awareness of this inner wisdom. As you are able to live your truth, you will experience contentment with yourself and in relationship with others. My approach is eclectic, blending cognitive-behavioral techniques, family therapy systems, relational techniques and mindfulness techniques.
(970) 415-8256 View (970) 415-8256
Photo of Sarah Rasmussen, MSW, SWC
Sarah Rasmussen
Clinical Social Work Candidate, MSW, SWC
Verified Verified
2 Endorsed
Salida, CO 81201
Everyone deserves healing, connection, and the ability to thrive. In this challenging world, I seek to empower individuals to create a healthier way of being where supportive relationships counteract the adverse experiences of life. Using restorative and healing-centered approaches based on the ecological biopsychosocial models of practice, I work in collaboration with those I serve. I offer trauma-informed, regenerative, and liberatory-based practices that balance modern science and research with wisdom and creativity to support the health and well-being of individuals, families, and communities.
Everyone deserves healing, connection, and the ability to thrive. In this challenging world, I seek to empower individuals to create a healthier way of being where supportive relationships counteract the adverse experiences of life. Using restorative and healing-centered approaches based on the ecological biopsychosocial models of practice, I work in collaboration with those I serve. I offer trauma-informed, regenerative, and liberatory-based practices that balance modern science and research with wisdom and creativity to support the health and well-being of individuals, families, and communities.
(719) 938-0356 View (719) 938-0356
Photo of Richard Sanderson, MA, Registered Psychotherapist
Richard Sanderson
Registered Psychotherapist, MA
Verified Verified
Salida, CO 81201
In this age of narcissism and self-discovery, many are feeling isolated and alienated from others, causing us to reassess our relationships and personal choices. Many are disillusioned, anxious and depressed due to unwanted life experiences that threaten our sense of security and block our path to happiness. During this time of cultural and personal insecurity, some seek a space for guided reflection, discovery and contemplation of possibilities previously unconsidered. I provide services that promote healthy outcomes and empower clients to make authentic, self-directed changes that align with personal needs, values and aspirations.
In this age of narcissism and self-discovery, many are feeling isolated and alienated from others, causing us to reassess our relationships and personal choices. Many are disillusioned, anxious and depressed due to unwanted life experiences that threaten our sense of security and block our path to happiness. During this time of cultural and personal insecurity, some seek a space for guided reflection, discovery and contemplation of possibilities previously unconsidered. I provide services that promote healthy outcomes and empower clients to make authentic, self-directed changes that align with personal needs, values and aspirations.
(719) 212-2065 View (719) 212-2065
Photo of Donna Mills, MS,  LPC, *EMDR, Licensed Professional Counselor
Donna Mills
Licensed Professional Counselor, MS, LPC, *EMDR
Verified Verified
Salida, CO 81201
I love to help clients come through tough times and discover their resilience. With 20 years of experience, I use a multi-theory approach to use what best fits for each client. Your story is unique and I am here to help you create a beautiful next chapter in your life. I specialize working with trauma, abuse, grief, depression and anxiety, or simply creating life goals. I look forward to meeting you and walking with you along your life's path.
I love to help clients come through tough times and discover their resilience. With 20 years of experience, I use a multi-theory approach to use what best fits for each client. Your story is unique and I am here to help you create a beautiful next chapter in your life. I specialize working with trauma, abuse, grief, depression and anxiety, or simply creating life goals. I look forward to meeting you and walking with you along your life's path.
(719) 350-3796 View (719) 350-3796
Photo of Melissa Barbash, MA, LPC, LAC, Licensed Professional Counselor
Melissa Barbash
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
1 Endorsed
Salida, CO 81201
Your desire in seeking therapy is to break away from making yourself smaller in relationships and feel sturdier within yourself and in your connections with others.
Your desire in seeking therapy is to break away from making yourself smaller in relationships and feel sturdier within yourself and in your connections with others.
(720) 575-2557 View (720) 575-2557
Photo of Jennifer Hotchner, LPC, EMDR, Licensed Professional Counselor
Jennifer Hotchner
Licensed Professional Counselor, LPC, EMDR
Verified Verified
1 Endorsed
Salida, CO 81201
My work specializes in trauma informed care and spiritually focused counseling. I am trained in EMDR and Somatic Experiencing. I have learned throughout the years that thorough healing comes not only from addressing our wounds and traumas but from a deep exploration of what we have decided about ourselves and our place in the world. I am highly valued as a compassionate, competent therapist who will provide understanding and skills that support moving through and coping with traumatic events/responses recent and past, and the spiritual evolution born out of traumatic wounds.
My work specializes in trauma informed care and spiritually focused counseling. I am trained in EMDR and Somatic Experiencing. I have learned throughout the years that thorough healing comes not only from addressing our wounds and traumas but from a deep exploration of what we have decided about ourselves and our place in the world. I am highly valued as a compassionate, competent therapist who will provide understanding and skills that support moving through and coping with traumatic events/responses recent and past, and the spiritual evolution born out of traumatic wounds.
(520) 356-5514 View (520) 356-5514
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See more therapy options for Salida

How does your Therapist compare?

Number of Therapists in Salida, CO

40+

Average cost per session

$125

Therapists in Salida, CO who prioritize treating:

83% Anxiety
80% Depression
78% Trauma and PTSD
75% Relationship Issues
68% Self Esteem
65% Coping Skills
65% Stress

Average years in practice

16 Years

Top 3 insurances accepted

75% Aetna
70% Cigna and Evernorth
70% UnitedHealthcare UHC | UBH

How Therapists in Salida, CO see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Salida?

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.