Therapists in Trinidad, CO

Photo of Victoria Hearn, LPC, Licensed Professional Counselor
Victoria Hearn
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
Hi, I’m Tori. Are you feeling overwhelmed by anxiety, depression, PTSD, trauma, or personality disorders? Have you experienced sexual assault, abuse, or relationship violence? You might be seeking an affirming, judgment-free space to navigate these challenges. You want to feel heard, understood, and supported as you work through your struggles. If this resonates with you, I'm here to help.
Hi, I’m Tori. Are you feeling overwhelmed by anxiety, depression, PTSD, trauma, or personality disorders? Have you experienced sexual assault, abuse, or relationship violence? You might be seeking an affirming, judgment-free space to navigate these challenges. You want to feel heard, understood, and supported as you work through your struggles. If this resonates with you, I'm here to help.
(720) 783-1208 View (720) 783-1208
Brett Skyba
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
Hi there! I am an experienced LPC that has worked with many types of people with many types of conditions. I have experience with trauma-based therapy, addiction therapy, and working through life's everyday issues that we deal with. I'm eclectic with my approach to counseling and one of the main things I strive for is to build trust so that I can help you get to where you would like to go quicker. I am very personable and love to bring humor into the sessions that we do together.
Hi there! I am an experienced LPC that has worked with many types of people with many types of conditions. I have experience with trauma-based therapy, addiction therapy, and working through life's everyday issues that we deal with. I'm eclectic with my approach to counseling and one of the main things I strive for is to build trust so that I can help you get to where you would like to go quicker. I am very personable and love to bring humor into the sessions that we do together.
(720) 817-5489 View (720) 817-5489
Photo of Diane George Buscarello, MA, LPC, Counselor
Diane George Buscarello
Counselor, MA, LPC
Verified Verified
Trinidad, CO 81082
I am a Licensed Professional Counselor in the State of Colorado, Licensed in 1990 and practice in Trinidad, Colorado and Colorado Springs, Colorado. I am an individual, family and couples therapist. I work with families and individuals experiencing divorce, depression and anxiety. I also work with those who have experienced trauma and I am trained in EMDR, Level I and II. I work with those who experience life stressors. I am a provider for the following insurances. Cigna, United Behavioral Health and Medicaid in Colorado.
I am a Licensed Professional Counselor in the State of Colorado, Licensed in 1990 and practice in Trinidad, Colorado and Colorado Springs, Colorado. I am an individual, family and couples therapist. I work with families and individuals experiencing divorce, depression and anxiety. I also work with those who have experienced trauma and I am trained in EMDR, Level I and II. I work with those who experience life stressors. I am a provider for the following insurances. Cigna, United Behavioral Health and Medicaid in Colorado.
(719) 212-1260 View (719) 212-1260
Lorna Hassard
Clinical Social Work/Therapist, LCSW
Verified Verified
Trinidad, CO 81082  (Online Only)
As a licensed clinical social worker for the past decade I have had the pleasure of helping many people in their daily lives. Navigating life in general can be challenging. As we progress through the stages of our lives we often need to adapt. Each stage of our lives creates new challenges. Learning new tools and skills as we change is beneficial. I believe that knowledge helps us to gain emotional balance. Building a comfortable environment during conversation often leads to discovery of patterns as well as unhelpful old behaviors. These old patterns and behaviors often no longer work to alleviate symptoms in current situatioions
As a licensed clinical social worker for the past decade I have had the pleasure of helping many people in their daily lives. Navigating life in general can be challenging. As we progress through the stages of our lives we often need to adapt. Each stage of our lives creates new challenges. Learning new tools and skills as we change is beneficial. I believe that knowledge helps us to gain emotional balance. Building a comfortable environment during conversation often leads to discovery of patterns as well as unhelpful old behaviors. These old patterns and behaviors often no longer work to alleviate symptoms in current situatioions
(719) 752-5654 View (719) 752-5654
Photo of Taylor Lorenz, LPC, Licensed Professional Counselor
Taylor Lorenz
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
Hello! I'm glad you're here. My name is Taylor Lorenz. I have been working in the mental health field for ten years, including work as a elementary and middle school counselor. I moved from Philadelphia, Pennsylvania to Denver, CO in 2012 to attend the University of Denver. I hold a Masters degree in Counseling Psychology, as well as a Masters degree in Early Childhood Education from the Erikson Institute, in Chicago, IL. I specialize in anxiety, stress, and conflict resolution.
Hello! I'm glad you're here. My name is Taylor Lorenz. I have been working in the mental health field for ten years, including work as a elementary and middle school counselor. I moved from Philadelphia, Pennsylvania to Denver, CO in 2012 to attend the University of Denver. I hold a Masters degree in Counseling Psychology, as well as a Masters degree in Early Childhood Education from the Erikson Institute, in Chicago, IL. I specialize in anxiety, stress, and conflict resolution.
(720) 902-7295 View (720) 902-7295
Photo of Charity Barone, LPC, Licensed Professional Counselor
Charity Barone
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
Hello! If you're seeking compassionate support and guidance to navigate life's challenges, you've come to the right place. Whether you're struggling with anxiety, depression, or navigating life transitions, you're looking for a therapist who values your unique experiences and offers holistic support. You're ready to embark on a journey of self-discovery, healing, and empowerment, and you seek a therapist who meets you where you are with understanding and empathy.
Hello! If you're seeking compassionate support and guidance to navigate life's challenges, you've come to the right place. Whether you're struggling with anxiety, depression, or navigating life transitions, you're looking for a therapist who values your unique experiences and offers holistic support. You're ready to embark on a journey of self-discovery, healing, and empowerment, and you seek a therapist who meets you where you are with understanding and empathy.
(720) 986-4519 View (720) 986-4519
Photo of Maryann Paligo, LCSW, Clinical Social Work/Therapist
Maryann Paligo
Clinical Social Work/Therapist, LCSW
Verified Verified
Trinidad, CO 81082
Hello! My name is MaryAnn Paligo, LCSW. I have lived in Colorado for 15 years and love it here! I am originally from Utah. I grew up on a dairy farm in south-central Utah, and then studied Psychology at Brigham Young University in Provo, UT. I then earned my Masters of Social Work from the University of Utah in Salt Lake City, UT. My husband and I have five children and I have always loved being around children. I love working with kids in all aspects, but especially in helping them learn to handle big emotions and big situations in life.
Hello! My name is MaryAnn Paligo, LCSW. I have lived in Colorado for 15 years and love it here! I am originally from Utah. I grew up on a dairy farm in south-central Utah, and then studied Psychology at Brigham Young University in Provo, UT. I then earned my Masters of Social Work from the University of Utah in Salt Lake City, UT. My husband and I have five children and I have always loved being around children. I love working with kids in all aspects, but especially in helping them learn to handle big emotions and big situations in life.
(720) 807-8388 View (720) 807-8388
Photo of Teresa Dawn (Stidsen) Keller - Upaya PLLC, LPC-S, CYT, ADS, Counselor
Upaya PLLC
Counselor, LPC-S, CYT, ADS
Verified Verified
Trinidad, CO 81082  (Online Only)
Not accepting new clients
Hello, my name is Teresa (Stidsen) Keller, Director of Upaya PLLC. Upaya offers virtual dharma-based (Buddhist) clinical consult, supervision, and program management. Upāya (Sanskrit: उपाय) is transliterated as "skillful means". Within the scope of direct experience and understanding, the practitioner shares effective tools with the purpose of freedom from suffering for all. Potential associates, organizations, and interns are encouraged to inquire about collaborative opportunities.
Hello, my name is Teresa (Stidsen) Keller, Director of Upaya PLLC. Upaya offers virtual dharma-based (Buddhist) clinical consult, supervision, and program management. Upāya (Sanskrit: उपाय) is transliterated as "skillful means". Within the scope of direct experience and understanding, the practitioner shares effective tools with the purpose of freedom from suffering for all. Potential associates, organizations, and interns are encouraged to inquire about collaborative opportunities.
(719) 496-8195 View (719) 496-8195
Photo of Pamela Cook - Hygge Holistic Counseling, Inc, MA, LPC, NCC, Licensed Professional Counselor
Hygge Holistic Counseling, Inc
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Trinidad, CO 81082
Empowering individuals to achieve personal goals and improve their well-being through holistic, evidence-based counseling. At Hygge Holistic Counseling, I am a Licensed Professional Counselor who works with individuals and couples. I'm passionate about educating and helping individuals confidently navigate life changes. I come from the philosophy that we are not solely our physical body, not only our thoughts and emotions, but a composite of the finite and infinite gained through connection with others and our community.
Empowering individuals to achieve personal goals and improve their well-being through holistic, evidence-based counseling. At Hygge Holistic Counseling, I am a Licensed Professional Counselor who works with individuals and couples. I'm passionate about educating and helping individuals confidently navigate life changes. I come from the philosophy that we are not solely our physical body, not only our thoughts and emotions, but a composite of the finite and infinite gained through connection with others and our community.
(719) 652-5470 View (719) 652-5470
Photo of Amber Moyo, LPC , Counselor
Amber Moyo
Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
My name is Amber Moyo. I am an LPC in Colorado and an LPC-MHSP-S in Tennessee. I specialize in treating trauma and anxiety-related disorders. My primary approach to therapy is one based in psychoeducation, compassion, and building tools for resilience. My goal is to create an environment where clients can be themselves and feel supported. I am authentic and encourage my clients to do the same. I communicate with compassion and support but back it up with psychoeducation and gentle thought challenging.
My name is Amber Moyo. I am an LPC in Colorado and an LPC-MHSP-S in Tennessee. I specialize in treating trauma and anxiety-related disorders. My primary approach to therapy is one based in psychoeducation, compassion, and building tools for resilience. My goal is to create an environment where clients can be themselves and feel supported. I am authentic and encourage my clients to do the same. I communicate with compassion and support but back it up with psychoeducation and gentle thought challenging.
(720) 918-3172 View (720) 918-3172
Photo of Shelly L. Brady - Quest4Change, RPT, CACI, CST
Quest4Change
Unlicensed Psychotherapist, RPT, CACI, CST
Verified Verified
Trinidad, CO 81082
Don’t you think it‘s TIME to: “Make a CHOICE; to Take a CHANCE; then Make your CHANGE?” Quest4Change offers counseling in my private office in Denver and in Pueblo. Plus TeleTherapy Counseling to Colorado Statewide clients only.
Don’t you think it‘s TIME to: “Make a CHOICE; to Take a CHANCE; then Make your CHANGE?” Quest4Change offers counseling in my private office in Denver and in Pueblo. Plus TeleTherapy Counseling to Colorado Statewide clients only.
(720) 606-2762 View (720) 606-2762
Photo of Kristen Eldridge, LPC, Licensed Professional Counselor
Kristen Eldridge
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
Thank you for considering me as your counselor. I am a state licensed and nationally certified counselor offering mental health counseling to individual, families and groups. I have a Bachelors of Education from Northern Illinois University and a Masters of Education from Arizona State University, and I taught elementary and junior high school students for 18 years. After a highly successful career in education, I went back to school and earned a Masters of Counseling from Arizona State University.
Thank you for considering me as your counselor. I am a state licensed and nationally certified counselor offering mental health counseling to individual, families and groups. I have a Bachelors of Education from Northern Illinois University and a Masters of Education from Arizona State University, and I taught elementary and junior high school students for 18 years. After a highly successful career in education, I went back to school and earned a Masters of Counseling from Arizona State University.
(720) 730-6072 View (720) 730-6072
Photo of Kate Taylor, LPC, Licensed Professional Counselor
Kate Taylor
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
Bravely taking the first step towards healing by connecting with a therapist takes courage, curiosity, vulnerability, and trust. Lasting change in therapy requires finding a supportive and safe environment where you feel deeply seen and accepted. Through facing challenges and recognizing unhealthy narratives together, while realizing your own unique potential, unearthing your strengths, and testing various therapeutic tools, you can create a fuller life. I believe all people can heal and realize their best self through being offered a safe and authentically caring environment where they can explore all parts of themselves.
Bravely taking the first step towards healing by connecting with a therapist takes courage, curiosity, vulnerability, and trust. Lasting change in therapy requires finding a supportive and safe environment where you feel deeply seen and accepted. Through facing challenges and recognizing unhealthy narratives together, while realizing your own unique potential, unearthing your strengths, and testing various therapeutic tools, you can create a fuller life. I believe all people can heal and realize their best self through being offered a safe and authentically caring environment where they can explore all parts of themselves.
(720) 650-6838 View (720) 650-6838
Photo of William Schmahl, LPC, Licensed Professional Counselor
William Schmahl
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
I want to take a moment to acknowledge the courage it takes to even consider seeking help. Life can be overwhelming at times, and it's okay to ask for support. Your feelings are valid, and your well-being matters. If you ever feel ready to take that step towards healing, growth, and self-discovery, please know that I am here to support you on your journey. My goal is to empower my clients to develop a stronger sense of self-worth and security, enabling them to build more satisfying connections and lead more fulfilling lives.
I want to take a moment to acknowledge the courage it takes to even consider seeking help. Life can be overwhelming at times, and it's okay to ask for support. Your feelings are valid, and your well-being matters. If you ever feel ready to take that step towards healing, growth, and self-discovery, please know that I am here to support you on your journey. My goal is to empower my clients to develop a stronger sense of self-worth and security, enabling them to build more satisfying connections and lead more fulfilling lives.
(303) 493-9533 View (303) 493-9533
Photo of Jamie Zornes, LCSW, Clinical Social Work/Therapist
Jamie Zornes
Clinical Social Work/Therapist, LCSW
Verified Verified
Trinidad, CO 81082  (Online Only)
I have more than a decade working with the most vulnerable members of society and the criminal justice system, I am passionate about building a therapeutic relationship based on a trusting partnership between myself and my clients. When there is a relationship built on familiarity and trust everyone feels comfortable which fosters growth and change. My education and on the job experience developed my interpersonal skills highlighting my ability to be understanding, courteous, empathic. These experiences have helped me to relate well to people from varied backgrounds and situations.
I have more than a decade working with the most vulnerable members of society and the criminal justice system, I am passionate about building a therapeutic relationship based on a trusting partnership between myself and my clients. When there is a relationship built on familiarity and trust everyone feels comfortable which fosters growth and change. My education and on the job experience developed my interpersonal skills highlighting my ability to be understanding, courteous, empathic. These experiences have helped me to relate well to people from varied backgrounds and situations.
(720) 966-2748 View (720) 966-2748
Photo of Eleonora Juliana, LMFT, Marriage & Family Therapist
Eleonora Juliana
Marriage & Family Therapist, LMFT
Verified Verified
Trinidad, CO 81082
I am licensed in South Carolina, Colorado, and Utah with 8 years of professional work experience. I have experience in helping clients with depression, anxiety, addictions, family conflicts, stress, trauma and abuse. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. Eleonora Juliana, Ph.D., is a Licensed Marriage and Family Therapist and Licensed Addiction Counselor in South Carolina, Colorado, and Utah.
I am licensed in South Carolina, Colorado, and Utah with 8 years of professional work experience. I have experience in helping clients with depression, anxiety, addictions, family conflicts, stress, trauma and abuse. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. Eleonora Juliana, Ph.D., is a Licensed Marriage and Family Therapist and Licensed Addiction Counselor in South Carolina, Colorado, and Utah.
(720) 797-7070 View (720) 797-7070
Photo of William Gaub, LPC, Licensed Professional Counselor
William Gaub
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
My approach to counseling centers around one fundamental principle: you are the expert on your own life. You, not your therapist or another provider, possess what is needed right now to take steps towards the healing you need. But connecting with this inner healing intelligence can be exceedingly difficult without the guidance and support of a specially trained, licensed professional. Depending on your specific needs and life circumstances, I will utilize one of several therapy modalities to help you to connect with your inner healer: accepting yourself more fully and unequivocally embracing your strengths.
My approach to counseling centers around one fundamental principle: you are the expert on your own life. You, not your therapist or another provider, possess what is needed right now to take steps towards the healing you need. But connecting with this inner healing intelligence can be exceedingly difficult without the guidance and support of a specially trained, licensed professional. Depending on your specific needs and life circumstances, I will utilize one of several therapy modalities to help you to connect with your inner healer: accepting yourself more fully and unequivocally embracing your strengths.
(720) 307-1255 View (720) 307-1255
Photo of Marisela Elliott, LCSW, Clinical Social Work/Therapist
Marisela Elliott
Clinical Social Work/Therapist, LCSW
Verified Verified
Trinidad, CO 81082  (Online Only)
I began providing trauma-informed family preservation services in 2006. Since 2009, I have provided clinical services to clients and patients in various settings, including private practice, outpatient SUD treatment, treatment specialty courts, regional hospitals, community mental health, and in-home hospices with end-of-life counseling for patients and their families. I diagnose and treat mental, behavioral, and emotional disorders. I’m specially trained in CAMS framework (suicide treatment), Complicated Grief Therapy, Dialectical Behavior Therapy, Domestic Violence Offender Treatment, Motivational Interviewing.
I began providing trauma-informed family preservation services in 2006. Since 2009, I have provided clinical services to clients and patients in various settings, including private practice, outpatient SUD treatment, treatment specialty courts, regional hospitals, community mental health, and in-home hospices with end-of-life counseling for patients and their families. I diagnose and treat mental, behavioral, and emotional disorders. I’m specially trained in CAMS framework (suicide treatment), Complicated Grief Therapy, Dialectical Behavior Therapy, Domestic Violence Offender Treatment, Motivational Interviewing.
(720) 821-6145 View (720) 821-6145
Photo of Derek Bonds, LPC, Licensed Professional Counselor
Derek Bonds
Licensed Professional Counselor, LPC
Verified Verified
Trinidad, CO 81082  (Online Only)
Feeling overwhelmed by life's challenges? Seeking hope and direction? Longing for support and encouragement to navigate anxiety, depression, and life transitions? Let's embark on a journey of healing and growth together, finding peace and purpose along the way.
Feeling overwhelmed by life's challenges? Seeking hope and direction? Longing for support and encouragement to navigate anxiety, depression, and life transitions? Let's embark on a journey of healing and growth together, finding peace and purpose along the way.
(720) 783-3328 View (720) 783-3328
Photo of Leah Raulerson, LPC , ACS, BCN, Licensed Professional Counselor
Leah Raulerson
Licensed Professional Counselor, LPC , ACS, BCN
Verified Verified
4 Endorsed
Trinidad, CO 81082
Everyone wants to feel better, but I want to know: how does that look for you? My style is compassionate, trauma-informed, and client-centered, integrating concepts of somatic work, DBT, existential psychotherapy, parts work, EMDR, Neurostimulation and Neurofeedback. I specialize in working with adult survivors of childhood sexual assault, domestic violence, emotional abuse and neglect, grief and loss, and other traumas. My clients are living with anxiety, depression, relationship challenges, grief, life transitions, and existential questions.
Everyone wants to feel better, but I want to know: how does that look for you? My style is compassionate, trauma-informed, and client-centered, integrating concepts of somatic work, DBT, existential psychotherapy, parts work, EMDR, Neurostimulation and Neurofeedback. I specialize in working with adult survivors of childhood sexual assault, domestic violence, emotional abuse and neglect, grief and loss, and other traumas. My clients are living with anxiety, depression, relationship challenges, grief, life transitions, and existential questions.
(720) 702-4740 View (720) 702-4740
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See more therapy options for Trinidad

How does your Therapist compare?

Number of Therapists in Trinidad, CO

30+

Average cost per session

$119

Therapists in Trinidad, CO who prioritize treating:

86% Stress
83% Depression
83% Anxiety
77% Life Transitions
74% Trauma and PTSD
57% Grief
43% ADHD

Average years in practice

13 Years

Top 3 insurances accepted

97% Cigna and Evernorth
97% UnitedHealthcare UHC | UBH
93% Aetna

How Therapists in Trinidad, CO see their clients

74% Online Only
26% In Person and Online

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Trinidad?

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.