Therapists in River West, Chicago, IL

Photo of Jennifer Ngaonye, MA,  LPC, Licensed Professional Counselor
Jennifer Ngaonye
Licensed Professional Counselor, MA, LPC
Verified Verified
River West, Chicago, IL 60642
I believe that everyone has purpose and value no matter how big or small. My goal in counseling is to walk alongside my clients on their journey to mental wellness as they rediscover and align themselves with the lives they desire to live.
I believe that everyone has purpose and value no matter how big or small. My goal in counseling is to walk alongside my clients on their journey to mental wellness as they rediscover and align themselves with the lives they desire to live.
(708) 578-7197 View (708) 578-7197
Photo of Jessica Backus, LPC, Licensed Professional Counselor
Jessica Backus
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
River West, Chicago, IL 60642
I’m a warmhearted therapist dedicated to fostering deep connections and emotional safety. My approach will empower you to embrace your authentic self, navigate diverse emotions, and face challenges with courage and compassion. I’ll create a comfortable environment for us to work collaboratively, empowering you to make lasting changes aligned with your values and principles, leading to a more fulfilling life. My therapeutic approach is trauma-informed, empathetic, radically compassionate, playful, strength-based and non-judgmental.
I’m a warmhearted therapist dedicated to fostering deep connections and emotional safety. My approach will empower you to embrace your authentic self, navigate diverse emotions, and face challenges with courage and compassion. I’ll create a comfortable environment for us to work collaboratively, empowering you to make lasting changes aligned with your values and principles, leading to a more fulfilling life. My therapeutic approach is trauma-informed, empathetic, radically compassionate, playful, strength-based and non-judgmental.
(872) 204-1489 View (872) 204-1489
Photo of Logan Spicer, LCPC, Licensed Professional Counselor
Logan Spicer
Licensed Professional Counselor, LCPC
Verified Verified
River West, Chicago, IL 60642
Logan Spicer is a Licensed Clinical Professional Counselor (LCPC) with over 4 years of experience in the mental health care industry. She is passionate about helping young adults, adults, and older adults address their unique challenges and live more fulfilled lives. Logan specializes in depression, anxiety, executive functioning, ADHD coaching, trauma, relationship issues, and career development/transitions. Logan completed her Master's degree in Forensic Psychology from The Chicago School of Professional Psychology.
Logan Spicer is a Licensed Clinical Professional Counselor (LCPC) with over 4 years of experience in the mental health care industry. She is passionate about helping young adults, adults, and older adults address their unique challenges and live more fulfilled lives. Logan specializes in depression, anxiety, executive functioning, ADHD coaching, trauma, relationship issues, and career development/transitions. Logan completed her Master's degree in Forensic Psychology from The Chicago School of Professional Psychology.
(708) 933-5270 View (708) 933-5270
Photo of Robin Denk, LCSW, Clinical Social Work/Therapist
Robin Denk
Clinical Social Work/Therapist, LCSW
Verified Verified
River West, Chicago, IL 60642  (Online Only)
If you are experiencing anxiety, depression, life transitions, relationship or family difficulty, I am here to listen, empower and help you navigate these obstacles. Sometimes we need help identifying mood changes, habits, behavior patterns, dips in mood, triggers to our nervous system. I help clients identify these obstacles in daily life along with coping strategies, tools, techniques mindfulness and tolerance. I provide a safe space for clients to talk about these challenges, together we set goals along with action oriented plans for tackling these obstacles.
If you are experiencing anxiety, depression, life transitions, relationship or family difficulty, I am here to listen, empower and help you navigate these obstacles. Sometimes we need help identifying mood changes, habits, behavior patterns, dips in mood, triggers to our nervous system. I help clients identify these obstacles in daily life along with coping strategies, tools, techniques mindfulness and tolerance. I provide a safe space for clients to talk about these challenges, together we set goals along with action oriented plans for tackling these obstacles.
(708) 726-4823 View (708) 726-4823
Photo of Sarah Stephens Ramani, LCSW, Clinical Social Work/Therapist
Sarah Stephens Ramani
Clinical Social Work/Therapist, LCSW
Verified Verified
River West, Chicago, IL 60642
My goal in therapy is to facilitate trust, safety and healing by developing strong, authentic relationships with clients. I draw from psychodynamic and attachment theory in my work; I believe that articulating one's thoughts and feelings is a powerful process that can create profound positive change. With this in mind, I create a collaborative environment for clients in which to explore some of life’s most difficult moments.
My goal in therapy is to facilitate trust, safety and healing by developing strong, authentic relationships with clients. I draw from psychodynamic and attachment theory in my work; I believe that articulating one's thoughts and feelings is a powerful process that can create profound positive change. With this in mind, I create a collaborative environment for clients in which to explore some of life’s most difficult moments.
(708) 726-8524 View (708) 726-8524
Photo of Cassandra Kruchten, MSW, LSW, Clinical Social Work/Therapist
Cassandra Kruchten
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
River West, Chicago, IL 60642
I am a passionate therapist committed to creating a warm and inviting environment where healing and growth can flourish. My approach to therapy is rooted in the strengths-based perspective, which means I firmly believe that you already possess the inner strength and resilience needed to overcome life's challenges. My goal is to help you tap into those strengths, recognize your unique talents, and empower you to lead a more fulfilling and meaningful life. As a young therapist, I bring a fresh and open-minded outlook to our sessions. I understand the complexities of navigating today's world.
I am a passionate therapist committed to creating a warm and inviting environment where healing and growth can flourish. My approach to therapy is rooted in the strengths-based perspective, which means I firmly believe that you already possess the inner strength and resilience needed to overcome life's challenges. My goal is to help you tap into those strengths, recognize your unique talents, and empower you to lead a more fulfilling and meaningful life. As a young therapist, I bring a fresh and open-minded outlook to our sessions. I understand the complexities of navigating today's world.
(708) 726-3600 View (708) 726-3600
Photo of Susan Close, MA, LCPC, NCC, CTMH, Counselor
Susan Close
Counselor, MA, LCPC, NCC, CTMH
Verified Verified
1 Endorsed
River West, Chicago, IL 60642
I specialize in addressing trauma, anxiety, depression, self-esteem, ADHD and relationship issues. My therapeutic style is warm, direct, and centered on building a strong connection with my clients. I am committed to using evidence-based practices and a collaborative approach to help individuals and couples achieve their desired outcomes. To guide our work, I utilize Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Emotionally Focused Couple's Therapy and The Gottman Method.
I specialize in addressing trauma, anxiety, depression, self-esteem, ADHD and relationship issues. My therapeutic style is warm, direct, and centered on building a strong connection with my clients. I am committed to using evidence-based practices and a collaborative approach to help individuals and couples achieve their desired outcomes. To guide our work, I utilize Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Emotionally Focused Couple's Therapy and The Gottman Method.
(224) 207-4909 View (224) 207-4909
Photo of Dr. Alexandra Colón, PsyD, Pre-Licensed Professional
Dr. Alexandra Colón
Pre-Licensed Professional, PsyD
Verified Verified
River West, Chicago, IL 60642  (Online Only)
I believe embarking on the path of therapy demonstrates remarkable courage, and I am committed to honoring and validating this commitment in every session. Together, we will engage in a collaborative journey, navigating through challenging thoughts, memories, and emotions. My goal is to foster an environment where clients can authentically explore their strengths, and become aware of vulnerabilities, free from judgment. I have advanced training in working with adults and a special interest in supporting first responders, other clinicians, therapists, fellow Latino/Hispanic, & individuals dealing with anxiety, trauma, and depression.
I believe embarking on the path of therapy demonstrates remarkable courage, and I am committed to honoring and validating this commitment in every session. Together, we will engage in a collaborative journey, navigating through challenging thoughts, memories, and emotions. My goal is to foster an environment where clients can authentically explore their strengths, and become aware of vulnerabilities, free from judgment. I have advanced training in working with adults and a special interest in supporting first responders, other clinicians, therapists, fellow Latino/Hispanic, & individuals dealing with anxiety, trauma, and depression.
(708) 300-0541 View (708) 300-0541
Photo of Karem Muksed, LSW, Clinical Social Work/Therapist
Karem Muksed
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
River West, Chicago, IL 60642
Many of us seek supportive relationships and a meaningful life, yet internal distress can stop us from pursuing the life we want. We can become entangled in unhelpful patterns, making it difficult to move forward with what is important to us. I work with individuals grappling with distress related to anxiety, depression, relationship issues, and trauma. I help them improve their relationships and build a meaningful life. I also support those who feel overwhelmed and stuck, assisting them in overcoming prolonged cycles of distress.
Many of us seek supportive relationships and a meaningful life, yet internal distress can stop us from pursuing the life we want. We can become entangled in unhelpful patterns, making it difficult to move forward with what is important to us. I work with individuals grappling with distress related to anxiety, depression, relationship issues, and trauma. I help them improve their relationships and build a meaningful life. I also support those who feel overwhelmed and stuck, assisting them in overcoming prolonged cycles of distress.
(708) 847-3886 View (708) 847-3886
Photo of Katy Ibur, LCSW, Clinical Social Work/Therapist
Katy Ibur
Clinical Social Work/Therapist, LCSW
Verified Verified
River West, Chicago, IL 60642  (Online Only)
I support long-term couples struggling with conflict and disconnection who may feel unsure how to solve their challenges or rekindle their loving dynamic. I help couples improve communication skills, identify and express underlying vulnerable emotions, and ultimately deepen their intimacy and romantic connection. I also support folks with dysfunctional family and/or religious histories, who are interested in alternative healing approaches. This may entail witnessing the pain and patterns of the past, and then potentially reclaiming and reimagining their relationship with spirituality.
I support long-term couples struggling with conflict and disconnection who may feel unsure how to solve their challenges or rekindle their loving dynamic. I help couples improve communication skills, identify and express underlying vulnerable emotions, and ultimately deepen their intimacy and romantic connection. I also support folks with dysfunctional family and/or religious histories, who are interested in alternative healing approaches. This may entail witnessing the pain and patterns of the past, and then potentially reclaiming and reimagining their relationship with spirituality.
(708) 801-6613 View (708) 801-6613
Photo of Yvette Estrada, LCSW, Clinical Social Work/Therapist
Yvette Estrada
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
River West, Chicago, IL 60642
With a deep understanding of the complexities surrounding mental health, I offer a safe and nurturing environment where clients can explore their emotions, thoughts, and experiences. I tailor each session to meet the unique needs and goals of every individual, empowering them to cultivate inner strength and foster change. I am passionate about helping adults navigate through life's challenges with empathy and understanding. Specializing in addressing depression, anxiety, trauma, and grief, I provide support to both men and women as they journey towards healing and resilience.
With a deep understanding of the complexities surrounding mental health, I offer a safe and nurturing environment where clients can explore their emotions, thoughts, and experiences. I tailor each session to meet the unique needs and goals of every individual, empowering them to cultivate inner strength and foster change. I am passionate about helping adults navigate through life's challenges with empathy and understanding. Specializing in addressing depression, anxiety, trauma, and grief, I provide support to both men and women as they journey towards healing and resilience.
(708) 419-3455 View (708) 419-3455
Photo of Cristina Valencia, LCPC, CADC
Cristina Valencia
Licensed Clinical Professional Counselor, LCPC, CADC
Verified Verified
4 Endorsed
River West, Chicago, IL 60642  (Online Only)
Making the decision to enter therapy can be frightening and may weigh heavily on us yet it can make all the difference when we feel stuck, conflicted, or alone. If you have something in mind that you would like to see change, we can work collaboratively to address emotional barriers, past experiences, stressors, or relationship patterns that may be exacerbating your concern. I believe that a safe, warm, validating, culturally competent, and empathic therapeutic relationship is the foundation for change.
Making the decision to enter therapy can be frightening and may weigh heavily on us yet it can make all the difference when we feel stuck, conflicted, or alone. If you have something in mind that you would like to see change, we can work collaboratively to address emotional barriers, past experiences, stressors, or relationship patterns that may be exacerbating your concern. I believe that a safe, warm, validating, culturally competent, and empathic therapeutic relationship is the foundation for change.
(708) 809-3697 View (708) 809-3697
Photo of Clara Brennecke, LCPC, Counselor
Clara Brennecke
Counselor, LCPC
Verified Verified
7 Endorsed
River West, Chicago, IL 60642
I am a trauma informed therapist that can help you with your journey of personal growth. I primary work with adults dealing with anxiety, depression and complex relational dynamics. I often hear from clients I work with that they feel stuck, lonely, not happy in their day to day and that they are wanting to feel differently. My role as a therapist is to help my clients recover their true sense of self by learning to make healthier choices, and to improve the relationship with themselves and their loved ones.
I am a trauma informed therapist that can help you with your journey of personal growth. I primary work with adults dealing with anxiety, depression and complex relational dynamics. I often hear from clients I work with that they feel stuck, lonely, not happy in their day to day and that they are wanting to feel differently. My role as a therapist is to help my clients recover their true sense of self by learning to make healthier choices, and to improve the relationship with themselves and their loved ones.
(872) 704-8627 View (872) 704-8627
Photo of Constantine Trela, PhD, Psychologist
Constantine Trela
Psychologist, PhD
Verified Verified
3 Endorsed
River West, Chicago, IL 60642
The best therapeutic relationships walk the thin line between comfort/validation on one side and growth/critical reflection on the other. With all my patients I work to meet them were they're at in the moment and create a warm, welcoming, and non-judgmental space. I view my role in therapy as ultimately helping you to build the life you want to live. By necessity, that means no two people will have identical journeys. That said, my hope for all I work with is that through therapy you will experience a reduction of distress in the short-term and gain insight and the tools to feel you can effectively manage stressors in the long-term.
The best therapeutic relationships walk the thin line between comfort/validation on one side and growth/critical reflection on the other. With all my patients I work to meet them were they're at in the moment and create a warm, welcoming, and non-judgmental space. I view my role in therapy as ultimately helping you to build the life you want to live. By necessity, that means no two people will have identical journeys. That said, my hope for all I work with is that through therapy you will experience a reduction of distress in the short-term and gain insight and the tools to feel you can effectively manage stressors in the long-term.
(708) 616-1651 View (708) 616-1651
Photo of Alejandra Franco, MA, LMFT, Marriage & Family Therapist
Alejandra Franco
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
River West, Chicago, IL 60642
Sometimes we may be giving our all to something, hoping for a different result. When it doesn’t happen, these feelings can make us feel stuck and even overwhelmed. My role as a therapist is to give my clients the tools to achieve different ways of feeling and to start living in congruence with their authentic self.
Sometimes we may be giving our all to something, hoping for a different result. When it doesn’t happen, these feelings can make us feel stuck and even overwhelmed. My role as a therapist is to give my clients the tools to achieve different ways of feeling and to start living in congruence with their authentic self.
(708) 809-3557 View (708) 809-3557
Photo of Rebecca Ebben, LCPC, ATR-BC
Rebecca Ebben
LCPC, ATR-BC
Verified Verified
River West, Chicago, IL 60642
I use both talk therapy and art therapy to assist clients in building insight into thoughts, emotions, and behaviors, as well as developing skills to cope with difficult life stressors. I strongly believe that practicing kindness and self-compassion does not contradict with personal growth and self-improvement. I view the client as the expert in their own life when identifying areas to work on and setting goals, and I see myself as a "fellow traveler" who, through non-judgemental collaboration and support, can help guide the client towards living a life that feels in line with their personal values.
I use both talk therapy and art therapy to assist clients in building insight into thoughts, emotions, and behaviors, as well as developing skills to cope with difficult life stressors. I strongly believe that practicing kindness and self-compassion does not contradict with personal growth and self-improvement. I view the client as the expert in their own life when identifying areas to work on and setting goals, and I see myself as a "fellow traveler" who, through non-judgemental collaboration and support, can help guide the client towards living a life that feels in line with their personal values.
(708) 249-3623 View (708) 249-3623
Photo of Alexandra Garcia, LPC, Licensed Professional Counselor
Alexandra Garcia
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
River West, Chicago, IL 60642
I believe that being a therapist is a privilege. I understand that starting therapy or beginning to see a new therapist can be a vulnerable experience and it is an act of self-compassion. When a person has experienced trauma or is undergoing life challenges, it can be difficult to see a path forward. My role as a therapist is to assist you in finding ways to look ahead and to live a life that feels more aligned with yourself.
I believe that being a therapist is a privilege. I understand that starting therapy or beginning to see a new therapist can be a vulnerable experience and it is an act of self-compassion. When a person has experienced trauma or is undergoing life challenges, it can be difficult to see a path forward. My role as a therapist is to assist you in finding ways to look ahead and to live a life that feels more aligned with yourself.
(708) 607-9615 View (708) 607-9615
Photo of John Wickham, LCSW, Clinical Social Work/Therapist
John Wickham
Clinical Social Work/Therapist, LCSW
Verified Verified
River West, Chicago, IL 60642
I see therapy as a secure space where people can explore who they are and how they can overcome whatever obstacles they may face without fear of judgment. I approach my position with compassion, patience, and a sense of humor. Opening up to a stranger is not easy, and I respect the work it takes on a client's end to participate in therapy. Clients can gain a greater sense of insight into who they are by reflecting on their identity, life experiences, and relationships with themselves and others. My background includes work with survivors of childhood trauma, LGBTQ+ clients, older adults, refugees, and young men.
I see therapy as a secure space where people can explore who they are and how they can overcome whatever obstacles they may face without fear of judgment. I approach my position with compassion, patience, and a sense of humor. Opening up to a stranger is not easy, and I respect the work it takes on a client's end to participate in therapy. Clients can gain a greater sense of insight into who they are by reflecting on their identity, life experiences, and relationships with themselves and others. My background includes work with survivors of childhood trauma, LGBTQ+ clients, older adults, refugees, and young men.
(708) 729-5572 View (708) 729-5572
Photo of Dr. Lizette Solis, PhD, Pre-Licensed Professional
Dr. Lizette Solis
Pre-Licensed Professional, PhD
Verified Verified
2 Endorsed
River West, Chicago, IL 60642
Not accepting new clients
I am a trauma therapist who is passionate about supporting people navigating life’s challenges. My clinical experience has allowed me to work in direct care and as an administrator in corporate and non-profit environments. My role as a therapist is to support my clients uncover their most loving, powerful, and compassionate self. I like to invite clients to explore and resolve thoughts and behaviors that impact their life experience by acquiring self-leadership skills, new ways of coping and exploring long lasting change.
I am a trauma therapist who is passionate about supporting people navigating life’s challenges. My clinical experience has allowed me to work in direct care and as an administrator in corporate and non-profit environments. My role as a therapist is to support my clients uncover their most loving, powerful, and compassionate self. I like to invite clients to explore and resolve thoughts and behaviors that impact their life experience by acquiring self-leadership skills, new ways of coping and exploring long lasting change.
(708) 627-2906 View (708) 627-2906
Photo of Melissa Moreland, LCPC, Counselor
Melissa Moreland
Counselor, LCPC
Verified Verified
1 Endorsed
River West, Chicago, IL 60642  (Online Only)
Embrace your inner wisdom...Heal your heart...Connect with your authentic self. I'm a heart-centered intuitive therapist, passionate about helping spiritually conscious women to tap into their innate wisdom to reduce anxiety, stress, overwhelm, and or depression. I integrate energy healing, intuitive guidance, and ancient wisdom practices into my therapy sessions, offering a unique blend of traditional and holistic approaches.
Embrace your inner wisdom...Heal your heart...Connect with your authentic self. I'm a heart-centered intuitive therapist, passionate about helping spiritually conscious women to tap into their innate wisdom to reduce anxiety, stress, overwhelm, and or depression. I integrate energy healing, intuitive guidance, and ancient wisdom practices into my therapy sessions, offering a unique blend of traditional and holistic approaches.
(708) 980-0325 View (708) 980-0325
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See more therapy options for River West, Chicago

How does your Therapist compare?

Number of Therapists in River West, Chicago, IL

40+

Average cost per session

$160

Therapists in River West, Chicago, IL who prioritize treating:

96% Anxiety
92% Relationship Issues
92% Depression
85% Self Esteem
83% Life Transitions
75% Trauma and PTSD
71% Grief

Average years in practice

4 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
45% Aetna
32% Cigna and Evernorth

How Therapists in River West, Chicago, IL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in River West, Chicago?

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.