Therapists in Provo, UT
![Photo of Jamal Pugmire, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d60adf68-c6fd-4ea2-9c53-dfce68b1e21a/1/320x400.jpeg)
Jamal Pugmire
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Provo, UT 84604
Let's foster a healthier relationship with the things in your life that you value most. Maybe that's with yourself, maybe it's with others, maybe it's both. Relationships are one of my guiding principles in how I engage with individuals in the therapeutic process. I care and desire that you have the best relationship with the things in your life that you value most. I work with adolescents, and adults with anxiety, depression, behavioral or emotional issues, suicidality, self-harm, grief and loss, and pornography. I am an LGBTQ-affirming therapist.
Let's foster a healthier relationship with the things in your life that you value most. Maybe that's with yourself, maybe it's with others, maybe it's both. Relationships are one of my guiding principles in how I engage with individuals in the therapeutic process. I care and desire that you have the best relationship with the things in your life that you value most. I work with adolescents, and adults with anxiety, depression, behavioral or emotional issues, suicidality, self-harm, grief and loss, and pornography. I am an LGBTQ-affirming therapist.
![Photo of Quintin Hunt - Olive View Therapy, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0b038b7a-5583-4639-be0e-70935375fcda/2/320x400.png)
Olive View Therapy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Provo, UT 84606
Our typical clients are people struggling with depression, anxiety, and thoughts of suicide—most grappling with deep emotional and relational struggles that stem from dysfunctional patterns and relationships throughout their life. Our therapy work is almost always systemic; identifying disempowering patterns in your life, working to break out of these dysfunctional pattern and then inviting and teaching other important people in your life how to support you in healthier living.
Our typical clients are people struggling with depression, anxiety, and thoughts of suicide—most grappling with deep emotional and relational struggles that stem from dysfunctional patterns and relationships throughout their life. Our therapy work is almost always systemic; identifying disempowering patterns in your life, working to break out of these dysfunctional pattern and then inviting and teaching other important people in your life how to support you in healthier living.
![Photo of Hannah Whitaker, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/94699e7d-e0a9-421e-b29f-e89e635a6cc8/2/320x400.jpeg)
Hannah Whitaker
Clinical Social Work/Therapist, LCSW
Verified Verified
Provo, UT 84604 (Online Only)
Hi! I am so happy you are here on Psychology Today taking the first steps to receiving therapy. I am excited to get to know you and assist on your journey. I am currently taking Telehealth clients only. I work with clients who struggle with anxiety, depression, trauma, spirituality, body image issues, and life stressors whose goal is to find acceptance, knowledge, and change. I am passionate about helping you find healthy coping skills and happiness!
Hi! I am so happy you are here on Psychology Today taking the first steps to receiving therapy. I am excited to get to know you and assist on your journey. I am currently taking Telehealth clients only. I work with clients who struggle with anxiety, depression, trauma, spirituality, body image issues, and life stressors whose goal is to find acceptance, knowledge, and change. I am passionate about helping you find healthy coping skills and happiness!
![Photo of Kimberlie Johnson, CSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/68accff0-6e49-4147-8598-553212f8e3a6/2/320x400.png)
As a trauma-informed therapist, it's important to help individuals find safety in their environment and surroundings. In session, we start by developing skills to manage emotional triggers before working through personal stressors/traumas. After coping skills are established, we will begin processing the stressors/traumas through a variety of modalities depending on what feels best for each client. Because therapy is not one size fits all, I take an eclectic approach to therapy, providing a wide range of tools and resources to help each client work through their personal struggles.
As a trauma-informed therapist, it's important to help individuals find safety in their environment and surroundings. In session, we start by developing skills to manage emotional triggers before working through personal stressors/traumas. After coping skills are established, we will begin processing the stressors/traumas through a variety of modalities depending on what feels best for each client. Because therapy is not one size fits all, I take an eclectic approach to therapy, providing a wide range of tools and resources to help each client work through their personal struggles.
![Photo of Jason P Wootton, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/473ddf44-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have considerable experience and success working with individuals who struggle with pornography addiction issues, anxiety, depression, self esteem and other distorted and irrational beliefs of themselves and their experiences in life that results in struggles with daily functioning and coping strategies. I thoroughly enjoy being a part of the therapeutic process while watching individuals make positive changes for the better in their lives.
I have considerable experience and success working with individuals who struggle with pornography addiction issues, anxiety, depression, self esteem and other distorted and irrational beliefs of themselves and their experiences in life that results in struggles with daily functioning and coping strategies. I thoroughly enjoy being a part of the therapeutic process while watching individuals make positive changes for the better in their lives.
![Photo of Aaron Allred, PhD, Psychologist](https://photos.psychologytoday.com/4ba7100c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
***For detailed information about evaluations, visit www.utexcel.com*** I provide psychological testing for adults, adolescents, or children. I specialize in diagnosing ADD/ADHD, learning disorders, Autism Spectrum Disorder, emotional disorders, personality disorders, schizophrenia spectrum disorders, and other conditions. In many instances, psychological testing is needed to gain insight into your problems or to provide recommendations for treatment. In other instances, testing is needed provide documentation of a disability (e.g., for accommodations on a standardized test or for social security benefits).
***For detailed information about evaluations, visit www.utexcel.com*** I provide psychological testing for adults, adolescents, or children. I specialize in diagnosing ADD/ADHD, learning disorders, Autism Spectrum Disorder, emotional disorders, personality disorders, schizophrenia spectrum disorders, and other conditions. In many instances, psychological testing is needed to gain insight into your problems or to provide recommendations for treatment. In other instances, testing is needed provide documentation of a disability (e.g., for accommodations on a standardized test or for social security benefits).
![Photo of Lacey A Bagley, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/276e1a5e-117d-4acf-82eb-c4fa33d31727/2/320x400.jpeg)
Hi! I am a bisexual, cisgender woman and love to CELEBRATE my queer community! My goal as a therapist is to help clients find healing from within to become empowered to make changes in their external world. My approach includes an element of play and/or art, to help clients have new emotional experiences through the therapeutic approaches of Internal Family Systems and Emotionally Focused Therapy.
Hi! I am a bisexual, cisgender woman and love to CELEBRATE my queer community! My goal as a therapist is to help clients find healing from within to become empowered to make changes in their external world. My approach includes an element of play and/or art, to help clients have new emotional experiences through the therapeutic approaches of Internal Family Systems and Emotionally Focused Therapy.
![Photo of Peter Bown, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d1e113b-078d-4169-8684-46408bd6c08a/2/320x400.jpeg)
Hi, I'm Peter! I am a licensed therapist and here to help empower you to create a life you enjoy, and to find peace. I work with adults, teens, and couples facing challenges including addiction, trauma, anxiety, depression, grief, PTSD, and relationship problems, among others. I have experience using proven therapeutic techniques such as ACT, CBT, DBT, IFS, and Narrative Therapy.
Hi, I'm Peter! I am a licensed therapist and here to help empower you to create a life you enjoy, and to find peace. I work with adults, teens, and couples facing challenges including addiction, trauma, anxiety, depression, grief, PTSD, and relationship problems, among others. I have experience using proven therapeutic techniques such as ACT, CBT, DBT, IFS, and Narrative Therapy.
![Photo of Tasha Diaz - Covenant Sex Therapy, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/44047d27-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. Most of my clients are from a conservative religious background, but this is not a must. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment. We also have a Spanish speaking therapist.
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. Most of my clients are from a conservative religious background, but this is not a must. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment. We also have a Spanish speaking therapist.
![Photo of Joshua Kirk Thorn, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/41ce04eb-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in adolescents, young adults & parenting. My main areas of expertise are processing information challenges (as defined by rigid thinking, stress sensitive, disorganized, "not getting it", struggles with change/transitions, & social struggles), anxiety, depression, ADHD, attachment/adoption, trauma & problematic pornography viewing. I help clients build resilience in their lives to more effectively face their challenges & take an active approach when needed with experiential therapy (going for a walk, jog, hike or bike ride--depending on the need & value to help the client progress and grow). EMDR trained.
I specialize in adolescents, young adults & parenting. My main areas of expertise are processing information challenges (as defined by rigid thinking, stress sensitive, disorganized, "not getting it", struggles with change/transitions, & social struggles), anxiety, depression, ADHD, attachment/adoption, trauma & problematic pornography viewing. I help clients build resilience in their lives to more effectively face their challenges & take an active approach when needed with experiential therapy (going for a walk, jog, hike or bike ride--depending on the need & value to help the client progress and grow). EMDR trained.
![Photo of Andrew Renick, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/800adb46-94f7-46f8-a165-b71f629adaaa/2/320x400.jpeg)
Are you struggling with a sexual health or relationship challenge that is interacting unhelpfully with your current or past faith commitments or worldview? I specialize in helping individuals and couples meet their relationship needs and promote their sexual health. I have a particular interest in working on these issues with individuals who currently or historically have a relationship with The Church of Jesus Christ of Latter-day Saints. Many of my clients have worked through sexual shame, conflict, and dysfunction and have vastly improved the quality of their most important relationships.
Are you struggling with a sexual health or relationship challenge that is interacting unhelpfully with your current or past faith commitments or worldview? I specialize in helping individuals and couples meet their relationship needs and promote their sexual health. I have a particular interest in working on these issues with individuals who currently or historically have a relationship with The Church of Jesus Christ of Latter-day Saints. Many of my clients have worked through sexual shame, conflict, and dysfunction and have vastly improved the quality of their most important relationships.
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I believe that relationships are the cornerstone of life, and having healthy and trusting connections with ourselves, partners, and families allows us to truly be who we were meant to be. In therapy, I offer a safe and collaborative environment where you can feel heard, understood, and empowered as we work towards your goals. I honor your unique lived experience and focus on your individual needs, guiding you on a journey of self-exploration & healing. With experience of working with diverse populations and diagnoses, my areas of specialty are childhood trauma, anxiety, the intricacies of womanhood & as a wife and mother, & couples.
I believe that relationships are the cornerstone of life, and having healthy and trusting connections with ourselves, partners, and families allows us to truly be who we were meant to be. In therapy, I offer a safe and collaborative environment where you can feel heard, understood, and empowered as we work towards your goals. I honor your unique lived experience and focus on your individual needs, guiding you on a journey of self-exploration & healing. With experience of working with diverse populations and diagnoses, my areas of specialty are childhood trauma, anxiety, the intricacies of womanhood & as a wife and mother, & couples.
![Photo of Priscila Olson, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/50c030ca-4c79-4046-9d43-12942aa49f56/3/320x400.jpeg)
Priscila Olson
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Provo, UT 84606 (Online Only)
In life, we experience new challenges making us feel overwhelmed. You do not have to face them alone. I am here to help you reach your therapeutic goals by building a solid therapeutic relationship and supporting you while you grow to meet life’s challenges.
In life, we experience new challenges making us feel overwhelmed. You do not have to face them alone. I am here to help you reach your therapeutic goals by building a solid therapeutic relationship and supporting you while you grow to meet life’s challenges.
![Photo of Isaac Vazquez, MS, CMHC, LMFT, Counselor](https://photos.psychologytoday.com/3ee5ba33-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I can help you work towards the real issue right away and help you start feeling better from the first session. First thing I want to say is that I am so sorry your heart is feeling a consistent pain...This pain is very important to me and I am here for you. We can make it. A broken heart is the root of most individual and relationship problems. The brains job is to reduce pain and numb the heart. I believe that you can learn all the coping skills in the world, however, if your heart is broken, those skills usually will not work. Once the heart feels soothed and understood then the mind may accept new solutions and skills.
I can help you work towards the real issue right away and help you start feeling better from the first session. First thing I want to say is that I am so sorry your heart is feeling a consistent pain...This pain is very important to me and I am here for you. We can make it. A broken heart is the root of most individual and relationship problems. The brains job is to reduce pain and numb the heart. I believe that you can learn all the coping skills in the world, however, if your heart is broken, those skills usually will not work. Once the heart feels soothed and understood then the mind may accept new solutions and skills.
![Photo of Cory Dennis, PhD, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/525deeb2-f441-414c-bc24-49a5f8d3ff38/3/320x400.jpeg)
Together, we will explore your world, your experiences, and your story, towards understanding how this life-narrative is shaping your current everyday reality. By heightening awareness around the impact of your life-narrative, we can consider the core struggles inherent in the human condition, exploring them in context and with intention that can be more life-changing than symptom reducing. I approach clients with the assumption that they come to therapy to engage in the challenging inner-work that, while uncomfortable, is life-changing.
Together, we will explore your world, your experiences, and your story, towards understanding how this life-narrative is shaping your current everyday reality. By heightening awareness around the impact of your life-narrative, we can consider the core struggles inherent in the human condition, exploring them in context and with intention that can be more life-changing than symptom reducing. I approach clients with the assumption that they come to therapy to engage in the challenging inner-work that, while uncomfortable, is life-changing.
![Photo of Suzette Bartlett, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4cb60c38-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
There’s a reason you’re searching for a therapist - something in life isn’t quite right. Are pain, trauma, and mental health issues in the driver's seat? Are you tired of being unsatisfied with your life? That makes sense! Therapy can help.
There’s a reason you’re searching for a therapist - something in life isn’t quite right. Are pain, trauma, and mental health issues in the driver's seat? Are you tired of being unsatisfied with your life? That makes sense! Therapy can help.
![Photo of Alan Jacob, LCMHC, Counselor](https://photos.psychologytoday.com/8a08f865-7a31-4f6e-aa4a-94e871a22f73/1/320x400.jpeg)
My primary goal is to help restore the power of the individual, to the individual. It is difficult to create ourselves to our true self until we uncreate the thinking and believing that is causing our distress because "whatever we resist, persists." To empower those I work with to see acceptance as a possible way out of their distress by realizing their true control in any given situation. This begins to uncreate the old thinking and responses that lead to further distress. To help those heal to freedom by removing danger, not increasing it, by providing effective tools of creation through improved thought, word and action.
My primary goal is to help restore the power of the individual, to the individual. It is difficult to create ourselves to our true self until we uncreate the thinking and believing that is causing our distress because "whatever we resist, persists." To empower those I work with to see acceptance as a possible way out of their distress by realizing their true control in any given situation. This begins to uncreate the old thinking and responses that lead to further distress. To help those heal to freedom by removing danger, not increasing it, by providing effective tools of creation through improved thought, word and action.
![Photo of Denhi Chaney, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e29e2d83-bf41-4e23-9282-6c4554e84d73/2/320x400.jpeg)
There are few things in life that bring as much joy as helping people change and grow. I love my work as a therapist and I look forward to helping my clients find confidence and motivation to change and improve their lives. I’m a licensed marriage and family therapist and I work with individuals, couples, and families. I am fluent in Spanish and enjoy working with the Latino population with their unique challenges.
There are few things in life that bring as much joy as helping people change and grow. I love my work as a therapist and I look forward to helping my clients find confidence and motivation to change and improve their lives. I’m a licensed marriage and family therapist and I work with individuals, couples, and families. I am fluent in Spanish and enjoy working with the Latino population with their unique challenges.
![Photo of Teresa Marie Hoffmann, CMHC, EMDR, Counselor](https://photos.psychologytoday.com/66eec0fe-f62e-46e2-b94a-4c98032cd6a3/1/320x400.jpeg)
Hello, my name is Teresa Hoffman and I work at Utah Lakes Neuroscience Mental Health Center where we use an integrative approach to mental health. If you struggling with the ability to think clearly, feel sadness, fear or anger, struggling in your relationships or having a crisis of faith or identity then I am here for you. I became a therapist after my military deployment to Afghanistan and experienced invalidation for my PTSD. I developed a desire to help others who are struggling and want others to understand that their experiences are valid and that there is hope for recovery from what you may be struggling with.
Hello, my name is Teresa Hoffman and I work at Utah Lakes Neuroscience Mental Health Center where we use an integrative approach to mental health. If you struggling with the ability to think clearly, feel sadness, fear or anger, struggling in your relationships or having a crisis of faith or identity then I am here for you. I became a therapist after my military deployment to Afghanistan and experienced invalidation for my PTSD. I developed a desire to help others who are struggling and want others to understand that their experiences are valid and that there is hope for recovery from what you may be struggling with.
![Photo of Mignon Walker, MD](https://photos.psychologytoday.com/029b2caf-703f-4574-9069-c52a5eb6c736/1/320x400.png)
Imagine a place where your feelings of self-doubt, unworthiness, powerlessness, and imperfection are deeply understood and possible to overcome. Welcome to SLIP Resilience Coaching, founded by Dr. Mignon Walker, a respected Stanford School of Medicine alumnus. We fuse gamma-powered peak performance technology and trauma-informed somatic coaching in a groundbreaking approach that gets results quickly. 96% of our clients feel better after the first session, and 94% are still enjoying greater self-confidence, better relationships, and are feeling empowered to achieve their personal and career goals after 2 years.
Imagine a place where your feelings of self-doubt, unworthiness, powerlessness, and imperfection are deeply understood and possible to overcome. Welcome to SLIP Resilience Coaching, founded by Dr. Mignon Walker, a respected Stanford School of Medicine alumnus. We fuse gamma-powered peak performance technology and trauma-informed somatic coaching in a groundbreaking approach that gets results quickly. 96% of our clients feel better after the first session, and 94% are still enjoying greater self-confidence, better relationships, and are feeling empowered to achieve their personal and career goals after 2 years.
See more therapy options for Provo
How does your Therapist compare?
Number of Therapists in Provo, UT
400+
Average cost per session
$140
Therapists in Provo, UT who prioritize treating:
92% | Anxiety |
88% | Depression |
79% | Trauma and PTSD |
75% | Relationship Issues |
74% | Self Esteem |
68% | Stress |
61% | Grief |
Average years in practice
8 Years
Top 3 insurances accepted
77% | EMI Health |
77% | SelectHealth |
71% | BlueCross and BlueShield |
How Therapists in Provo, UT see their clients
81% | In Person and Online | |
19% | Online Only |
Gender breakdown
62% | Female | |
37% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Provo?
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
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.
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.
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.