Therapists in Steamboat Springs, CO

Photo of Heidi Berend, MA, Licensed Professional Counselor
Heidi Berend
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Steamboat Springs, CO 80477
I specialize in building healthy relationships with your partner, children and family members. In life we develop negative coping skills in our family of origin that protect us in our youth but do not support us in forming healthy relationships in our present and future. I believe we can break these negative cycles through a combination of healing our past, increased awareness of our negative patterns and gaining tools to change these behaviors. I specifically work with adult children of alcoholics & addicts and family members currently faced with these challenges. I offer support, hope and empowerment during an extremely unmanageable time.
I specialize in building healthy relationships with your partner, children and family members. In life we develop negative coping skills in our family of origin that protect us in our youth but do not support us in forming healthy relationships in our present and future. I believe we can break these negative cycles through a combination of healing our past, increased awareness of our negative patterns and gaining tools to change these behaviors. I specifically work with adult children of alcoholics & addicts and family members currently faced with these challenges. I offer support, hope and empowerment during an extremely unmanageable time.
(970) 296-8208 View (970) 296-8208
Photo of Caelen S Cann, MA, LPC, LAC, ADS, Licensed Professional Counselor
Caelen S Cann
Licensed Professional Counselor, MA, LPC, LAC, ADS
Verified Verified
Steamboat Springs, CO 80487
Sometimes we get stuck; stuck in certain behaviors, beliefs about ourselves and the world, in our personal relationships, and/or substances. That's where I come in. As a psychotherapist, I offer guidance and reflection for alleviating symptoms of past experiences affecting your life and relationships today, as well as providing movement for change and implementing new, more rewarding behavior and positive movement in your life through individual counseling and in your relationship with a Psychobiological Approach to Couples Therapy (PACT).
Sometimes we get stuck; stuck in certain behaviors, beliefs about ourselves and the world, in our personal relationships, and/or substances. That's where I come in. As a psychotherapist, I offer guidance and reflection for alleviating symptoms of past experiences affecting your life and relationships today, as well as providing movement for change and implementing new, more rewarding behavior and positive movement in your life through individual counseling and in your relationship with a Psychobiological Approach to Couples Therapy (PACT).
(970) 875-6597 View (970) 875-6597
Photo of Jennifer Simbre, LCSW, Clinical Social Work/Therapist
Jennifer Simbre
Clinical Social Work/Therapist, LCSW
Verified Verified
Steamboat Springs, CO 80487
I am a Licensed Clinical Social Worker with over 20 years of experience. I work with teens and adults experiencing a variety of challenges including depression, anxiety, mood disorders, addictions, trauma, or adjusting to life changes and daily stressors.
I am a Licensed Clinical Social Worker with over 20 years of experience. I work with teens and adults experiencing a variety of challenges including depression, anxiety, mood disorders, addictions, trauma, or adjusting to life changes and daily stressors.
(970) 367-7756 View (970) 367-7756
Photo of Margaret Masaracchia, LPC, Licensed Professional Counselor
Margaret Masaracchia
Licensed Professional Counselor, LPC
Verified Verified
Steamboat Springs, CO 80487  (Online Only)
I believe all of us strive for significance and belonging. I am passionate about walking alongside individuals and helping them tap into courage, connection, their own capability, and an environment where they count. By utilizing an integrative blend of evidence-based counseling modalities, my goal is to meet my clients exactly where they are through a relational therapeutic environment. I am a National Certified Counselor (NCC) and have pursued additional training in a variety of counseling methods.
I believe all of us strive for significance and belonging. I am passionate about walking alongside individuals and helping them tap into courage, connection, their own capability, and an environment where they count. By utilizing an integrative blend of evidence-based counseling modalities, my goal is to meet my clients exactly where they are through a relational therapeutic environment. I am a National Certified Counselor (NCC) and have pursued additional training in a variety of counseling methods.
(720) 893-8924 View (720) 893-8924
Photo of Tracy Boh, LCSW, Clinical Social Work/Therapist
Tracy Boh
Clinical Social Work/Therapist, LCSW
Verified Verified
Steamboat Springs, CO 80487  (Online Only)
Life transitions or the loss of a loved one, may create a sense of emotional and physical instability. When we experience an imbalance in our life, even simple daily tasks can feel overwhelming. I will teach you tools that can be easily used outside of therapy sessions. I am trained in using grounding techniques, such as, guided relaxation, breathing exercises and yoga poses to increase mind/body awareness and calm the central nervous system. I work collaboratively with my patients and tailor techniques to fit their needs.
Life transitions or the loss of a loved one, may create a sense of emotional and physical instability. When we experience an imbalance in our life, even simple daily tasks can feel overwhelming. I will teach you tools that can be easily used outside of therapy sessions. I am trained in using grounding techniques, such as, guided relaxation, breathing exercises and yoga poses to increase mind/body awareness and calm the central nervous system. I work collaboratively with my patients and tailor techniques to fit their needs.
(720) 740-1435 View (720) 740-1435
Photo of Holly James - Trailhead Counseling, MS,  LPC, Licensed Professional Counselor
Trailhead Counseling
Licensed Professional Counselor, MS, LPC
Verified Verified
Steamboat Springs, CO 80487
I am a licensed psychotherapist with my M.S. in Clinical Mental Health Counseling and a medical background in physical therapy. My medical background enables me to provide a global understanding of my client's well being in combining both the medical and mental health components to your care. I have had the privilege of working in several medical settings helping patients with orthopedic, neurologic, sensory integration, and wound care related issues for the past 16 years. I am now the owner of Trailhead Counseling in Steamboat Springs.
I am a licensed psychotherapist with my M.S. in Clinical Mental Health Counseling and a medical background in physical therapy. My medical background enables me to provide a global understanding of my client's well being in combining both the medical and mental health components to your care. I have had the privilege of working in several medical settings helping patients with orthopedic, neurologic, sensory integration, and wound care related issues for the past 16 years. I am now the owner of Trailhead Counseling in Steamboat Springs.
(970) 673-4282 View (970) 673-4282
Photo of Alison Hobson, LCSW, Clinical Social Work/Therapist
Alison Hobson
Clinical Social Work/Therapist, LCSW
Verified Verified
Steamboat Springs, CO 80477
Therapy is a supportive place for you to investigate your inner world with compassion and curiosity. I'll work with you to develop inner resources so that you can live from your self energy which is calm, creative and intentional. I will support you in gaining insights and developing tools to heal any reactivity, shame, anxiety or hopelessness you've been carrying. You'll learn research-based practices that can improve your mood, your sense of self, and your relationships. Therapy practices I utilize include Internal Family Systems, Mindfulness-Based Cognitive Behavioral Therapy, EMDR, and Gottman Relationship Practices.
Therapy is a supportive place for you to investigate your inner world with compassion and curiosity. I'll work with you to develop inner resources so that you can live from your self energy which is calm, creative and intentional. I will support you in gaining insights and developing tools to heal any reactivity, shame, anxiety or hopelessness you've been carrying. You'll learn research-based practices that can improve your mood, your sense of self, and your relationships. Therapy practices I utilize include Internal Family Systems, Mindfulness-Based Cognitive Behavioral Therapy, EMDR, and Gottman Relationship Practices.
View
Photo of Rebecca Nowosielski, MA, LMFT, EMDR, Marriage & Family Therapist
Rebecca Nowosielski
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
4 Endorsed
Steamboat Springs, CO 80487
I am proud to offer Couples & Individual therapy that helps each client generate insight into what is working, what is not working, and how to collaboratively work towards your goals for change. I use an integrated and collaborative therapy approach that highlights exploration, introspection, insight, healing, and growth.
I am proud to offer Couples & Individual therapy that helps each client generate insight into what is working, what is not working, and how to collaboratively work towards your goals for change. I use an integrated and collaborative therapy approach that highlights exploration, introspection, insight, healing, and growth.
(720) 571-7303 View (720) 571-7303
Photo of William Hambleton Bishop, MA, LPC, LMFT, Counselor
William Hambleton Bishop
Counselor, MA, LPC, LMFT
Verified Verified
3 Endorsed
Steamboat Springs, CO 80487  (Online Only)
My process is attuned, artistic, playful, philosophical, and kind while being intentional, strategic, and insightful. We will strengthen your ability to stay conscious and deliberate while we observe your fears and habits, develop your relational skills, build on your emotional intelligence and resilience, increase your ability to feel regulated and present, and identify your core self so that you can feel congruent with a sense of purpose and a set of values. One of my niche specialties is working with high-functioning motivated clients who benefit from a more intellectual/philosophical intervention style.
My process is attuned, artistic, playful, philosophical, and kind while being intentional, strategic, and insightful. We will strengthen your ability to stay conscious and deliberate while we observe your fears and habits, develop your relational skills, build on your emotional intelligence and resilience, increase your ability to feel regulated and present, and identify your core self so that you can feel congruent with a sense of purpose and a set of values. One of my niche specialties is working with high-functioning motivated clients who benefit from a more intellectual/philosophical intervention style.
(970) 399-5077 View (970) 399-5077
Barbara Philip
Clinical Social Work/Therapist, LCSW
Verified Verified
Steamboat Springs, CO 80477
Not accepting new clients
I love my work as a psychotherapist. I feel humbled and honored to have had the opportunity to help many individuals and couples make the life changes they have desired in my career of 34 years. My clients have sought help from me for issues such as depression, anxiety, relationship problems, past trauma which is still affecting them, divorce, illness, death, etc. I use a variety of therapy techniques to help my clients achieve their goals and learn tools that they can continue to use after therapy is completed.
I love my work as a psychotherapist. I feel humbled and honored to have had the opportunity to help many individuals and couples make the life changes they have desired in my career of 34 years. My clients have sought help from me for issues such as depression, anxiety, relationship problems, past trauma which is still affecting them, divorce, illness, death, etc. I use a variety of therapy techniques to help my clients achieve their goals and learn tools that they can continue to use after therapy is completed.
(970) 368-4555 x5 View (970) 368-4555 x5
Photo of Liz Smith, MSEd, LPC, Licensed Professional Counselor
Liz Smith
Licensed Professional Counselor, MSEd, LPC
Verified Verified
1 Endorsed
Steamboat Springs, CO 80477
Waitlist for new clients
Not every day is bad, but you're tired - tired of feeling stuck in the same recurring patterns and not knowing the way out. Sometimes, you feel anxious and worried "for no reason." You find yourself feeling obligated to say yes when you really mean no. You feel like you have to change yourself to fit in with the people around you or else you won't be accepted. The roller coaster of emotions becomes so overwhelming the only way to relax is through scrolling, substances, or Netflix, but you feel worse later. You worry there is something wrong with you but hope that there is relief from your anxiety and pain.
Not every day is bad, but you're tired - tired of feeling stuck in the same recurring patterns and not knowing the way out. Sometimes, you feel anxious and worried "for no reason." You find yourself feeling obligated to say yes when you really mean no. You feel like you have to change yourself to fit in with the people around you or else you won't be accepted. The roller coaster of emotions becomes so overwhelming the only way to relax is through scrolling, substances, or Netflix, but you feel worse later. You worry there is something wrong with you but hope that there is relief from your anxiety and pain.
(970) 548-3652 View (970) 548-3652
Photo of Eddie Konold, MA, LPC, CAC, II, Licensed Professional Counselor
Eddie Konold
Licensed Professional Counselor, MA, LPC, CAC, II
Verified Verified
Steamboat Springs, CO 80487
I specialize in working with couples in committed relationships and individuals working with relationship issues ranging from premarital counseling, deciding to commit or not, getting divorced, but mostly making marriages happy and fulfilling. Love is complicated, and loving well is even harder. I use Relational Life Therapy, Emotion Focussed Therapy and my own unique theory to help couples find their way back to feeling loved and cherished by each other.
I specialize in working with couples in committed relationships and individuals working with relationship issues ranging from premarital counseling, deciding to commit or not, getting divorced, but mostly making marriages happy and fulfilling. Love is complicated, and loving well is even harder. I use Relational Life Therapy, Emotion Focussed Therapy and my own unique theory to help couples find their way back to feeling loved and cherished by each other.
(970) 315-3196 View (970) 315-3196
Photo of Brooke Lightner, CSW, Clinical Social Work/Therapist
Brooke Lightner
Clinical Social Work/Therapist, CSW
Verified Verified
Steamboat Springs, CO 80487
I am a licensed clinical social worker and a certified Synergetic Play Therapist. I serve youth and families, providing individual play therapy and family therapy in my private practice in Steamboat Springs. I see clients ages 5 to mid twenties primarily. I have been working in a youth serving capacity for 25 years and as a therapist since 2015. I welcome the opportunity to support your child and your family.
I am a licensed clinical social worker and a certified Synergetic Play Therapist. I serve youth and families, providing individual play therapy and family therapy in my private practice in Steamboat Springs. I see clients ages 5 to mid twenties primarily. I have been working in a youth serving capacity for 25 years and as a therapist since 2015. I welcome the opportunity to support your child and your family.
(970) 341-2163 View (970) 341-2163
Photo of Madison Farrell, MA, LPC, Licensed Professional Counselor
Madison Farrell
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Steamboat Springs, CO 80487  (Online Only)
You’ll experience a calming, empathetic presence when you meet with Madison. You’ll be seen and validated. Your boundaries will be respected in the safe environment she provides. You’ll be able to make it your own space in which you can heal.
You’ll experience a calming, empathetic presence when you meet with Madison. You’ll be seen and validated. Your boundaries will be respected in the safe environment she provides. You’ll be able to make it your own space in which you can heal.
(970) 465-7064 View (970) 465-7064
Photo of Sean William Erno, MSW, LCSW, Clinical Social Work/Therapist
Sean William Erno
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Steamboat Springs, CO 80487  (Online Only)
Your life is too precious to go through your days feeling like you are just going through the motions; disconnected from your sense of joy and awe, disconnected from yourself and the people you love. It’s time to reclaim your life. Self searching is the means by which we bring new vision, action and grace to the negative side of our natures. Lets rediscover your life’s purpose. Lets pursue the things which bring you meaning. Lets open our minds and hearts to all the possibilities around us. Lets get back on track. I invite you to begin healing. Lets find some time to talk, you are well worth the effort.
Your life is too precious to go through your days feeling like you are just going through the motions; disconnected from your sense of joy and awe, disconnected from yourself and the people you love. It’s time to reclaim your life. Self searching is the means by which we bring new vision, action and grace to the negative side of our natures. Lets rediscover your life’s purpose. Lets pursue the things which bring you meaning. Lets open our minds and hearts to all the possibilities around us. Lets get back on track. I invite you to begin healing. Lets find some time to talk, you are well worth the effort.
(970) 594-9141 View (970) 594-9141
Photo of Craig Thornhill, LPC, LAC, Licensed Professional Counselor
Craig Thornhill
Licensed Professional Counselor, LPC, LAC
Verified Verified
Steamboat Springs, CO 80487
Clients who experience dual diagnoses with mental health and addiction concerns are who I specialize in. Adults and adolescents (16 years or older) who struggle with mood disorder, anxiety, prior adverse trauma and/or addiction can find treatment here. Treatment goals are individualized according to a client's needs and are formed collaboratively. You can find more detailed information at https://www.thornhillcounseling.com/.
Clients who experience dual diagnoses with mental health and addiction concerns are who I specialize in. Adults and adolescents (16 years or older) who struggle with mood disorder, anxiety, prior adverse trauma and/or addiction can find treatment here. Treatment goals are individualized according to a client's needs and are formed collaboratively. You can find more detailed information at https://www.thornhillcounseling.com/.
(970) 875-6449 x7 View (970) 875-6449 x7
Photo of Colleen Clark Lay, LCSW, Clinical Social Work/Therapist
Colleen Clark Lay
Clinical Social Work/Therapist, LCSW
Verified Verified
Steamboat Springs, CO 80487
The decision to seek counseling is a life altering one. It is a commitment of time, energy and money. Therefore, finding a counselor that you can make a connection with is very important. With 19+ years of experience, my unique approach to individual counseling is to treat the whole person. A healthy self is made up of physical, emotional and spiritual components. All of which need nurturing to feel happy and fulfilled. My approach to couples counseling is to treat each of the components of the relationship. The you, the partner, the relationship. In that process, my role is to be on the side of the relationship.
The decision to seek counseling is a life altering one. It is a commitment of time, energy and money. Therefore, finding a counselor that you can make a connection with is very important. With 19+ years of experience, my unique approach to individual counseling is to treat the whole person. A healthy self is made up of physical, emotional and spiritual components. All of which need nurturing to feel happy and fulfilled. My approach to couples counseling is to treat each of the components of the relationship. The you, the partner, the relationship. In that process, my role is to be on the side of the relationship.
(970) 875-6605 View (970) 875-6605
Photo of Justin Hoffman, LCSW, Clinical Social Work/Therapist
Justin Hoffman
Clinical Social Work/Therapist, LCSW
Verified Verified
Steamboat Springs, CO 80487  (Online Only)
Despite outward appearances, are you grappling with feelings of being lost and alone? Do you find yourself freezing when faced with tough choices during pivotal life stages? Do challenging tasks often leave you struggling to persevere? I understand the weight of forcing a smile when happiness eludes you and the despair of feeling painfully isolated. Let me help you shed some of that emotional burden. Together, let's uncover the root causes. Through a comprehensive approach, you can experience a significant reduction in anxiety and reclaim control over your life.
Despite outward appearances, are you grappling with feelings of being lost and alone? Do you find yourself freezing when faced with tough choices during pivotal life stages? Do challenging tasks often leave you struggling to persevere? I understand the weight of forcing a smile when happiness eludes you and the despair of feeling painfully isolated. Let me help you shed some of that emotional burden. Together, let's uncover the root causes. Through a comprehensive approach, you can experience a significant reduction in anxiety and reclaim control over your life.
(720) 706-2321 View (720) 706-2321
Photo of Zak Conway, LPC, LAC, Licensed Professional Counselor
Zak Conway
Licensed Professional Counselor, LPC, LAC
Verified Verified
Steamboat Springs, CO 80487
I have been licensed as a therapist since 2013. Originally from Wisconsin I have lived in Steamboat Springs, Colorado since 2017. I focus primarily in treating addictions, anxiety, depression, OCD, sleep issues, sports performance improvement and trauma (PTSD). When people seek out a therapist they often fall into two categories. The first being those who are seeking therapy for the first time. The second are people who have been in therapy before who are seeking a therapist who can help them heal permanently from whatever issue they are dealing with. That is my goal, to help people heal permanently and move forward in their lives.
I have been licensed as a therapist since 2013. Originally from Wisconsin I have lived in Steamboat Springs, Colorado since 2017. I focus primarily in treating addictions, anxiety, depression, OCD, sleep issues, sports performance improvement and trauma (PTSD). When people seek out a therapist they often fall into two categories. The first being those who are seeking therapy for the first time. The second are people who have been in therapy before who are seeking a therapist who can help them heal permanently from whatever issue they are dealing with. That is my goal, to help people heal permanently and move forward in their lives.
(970) 514-6312 View (970) 514-6312
Photo of Danielle Aimone, LCSW, LAC, Clinical Social Work/Therapist
Danielle Aimone
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Steamboat Springs, CO 80487  (Online Only)
Inspired by the mind-body-spirit guidance I have received on my own healing journey, I offer a holistic approach towards healing for women struggling with anxiety, trauma (including childhood sexual abuse), substance use, relationships, loss/grief, PMDD, learning differences, and the needs of the empath/highly sensitive person. As an empath, I understand that a warm, genuine, non-judgmental, loving energy is of utmost importance for us sensitive (or in-tune) individuals when entering the vulnerable space of therapeutic work. I support women navigate this beautiful and challenging trait so they can protect their peace.
Inspired by the mind-body-spirit guidance I have received on my own healing journey, I offer a holistic approach towards healing for women struggling with anxiety, trauma (including childhood sexual abuse), substance use, relationships, loss/grief, PMDD, learning differences, and the needs of the empath/highly sensitive person. As an empath, I understand that a warm, genuine, non-judgmental, loving energy is of utmost importance for us sensitive (or in-tune) individuals when entering the vulnerable space of therapeutic work. I support women navigate this beautiful and challenging trait so they can protect their peace.
(970) 286-0907 View (970) 286-0907
1

See more therapy options for Steamboat Springs

Nearby Searches for Steamboat Springs

See More Therapists

How does your Therapist compare?

Number of Therapists in Steamboat Springs, CO

70+

Average cost per session

$120

Therapists in Steamboat Springs, CO who prioritize treating:

89% Anxiety
82% Depression
77% Life Transitions
74% Stress
64% Trauma and PTSD
47% Relationship Issues
47% Self Esteem

Average years in practice

14 Years

Top 3 insurances accepted

82% Cigna and Evernorth
82% UnitedHealthcare UHC | UBH
78% Aetna

How Therapists in Steamboat Springs, CO see their clients

57% Online Only
43% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Steamboat Springs?

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.