Therapists in Northborough, MA

Photo of Catherine Johnson, MA, Pre-Licensed Professional
Catherine Johnson
Pre-Licensed Professional, MA
Verified Verified
Northborough, MA 01532
Hello! Within my therapy sessions, my lens is holistic, in that I work with the “whole” person; emotionally, spiritually, physically, and mentally. I use Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) informed therapies, as well as Motivational Interviewing and Mindfulness based techniques. I am a firm believer that warmth, connection, humor and vulnerability are must haves to form a therapeutic relationship.
Hello! Within my therapy sessions, my lens is holistic, in that I work with the “whole” person; emotionally, spiritually, physically, and mentally. I use Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) informed therapies, as well as Motivational Interviewing and Mindfulness based techniques. I am a firm believer that warmth, connection, humor and vulnerability are must haves to form a therapeutic relationship.
(508) 393-2731 View (508) 393-2731
Photo of Chloe Blair, MA, Pre-Licensed Professional
Chloe Blair
Pre-Licensed Professional, MA
Verified Verified
Northborough, MA 01532
I enjoy working with children, adolescents, and young adults through their life transitions and changes. I am also passionate about my work with the LGBTQ+ community and strive to help individuals in the community overcome negative thought patterns, learn self-acceptance, and feel safe in their own body. I work to provide clients with a safe space in order to foster a comfortable and trustworthy therapeutic relationship.
I enjoy working with children, adolescents, and young adults through their life transitions and changes. I am also passionate about my work with the LGBTQ+ community and strive to help individuals in the community overcome negative thought patterns, learn self-acceptance, and feel safe in their own body. I work to provide clients with a safe space in order to foster a comfortable and trustworthy therapeutic relationship.
(508) 393-2731 View (508) 393-2731
Photo of Elizabeth Nixon - E.N. Psychotherapy, LLC, MSW, LICSW, Clinical Social Work/Therapist
E.N. Psychotherapy, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Northborough, MA 01532
*Sorry! No availability * Therapy with me will focus upon promoting positive changes through problem solving and finding better ways to cope or manage your situation. Effective psychotherapy techniques are used as I address your specific concerns. I have over 25 years of experience treating a variety of mental health conditions. I provide supportive guidance, teach coping strategies, effective communication skills and offer parenting advice. I can also help you to uncover the underlying reasons causing your distress. Many clients I work with struggle with anxiety, depression, sleep problems, grief and relationship issues. .
*Sorry! No availability * Therapy with me will focus upon promoting positive changes through problem solving and finding better ways to cope or manage your situation. Effective psychotherapy techniques are used as I address your specific concerns. I have over 25 years of experience treating a variety of mental health conditions. I provide supportive guidance, teach coping strategies, effective communication skills and offer parenting advice. I can also help you to uncover the underlying reasons causing your distress. Many clients I work with struggle with anxiety, depression, sleep problems, grief and relationship issues. .
(508) 338-4552 View (508) 338-4552
Photo of Jillian Garofano-Staines, MS, LMHC, Counselor
Jillian Garofano-Staines
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Northborough, MA 01532
Current Openings: Daytime/Adults. Hi, my name is Jillian and I am a licensed mental health counselor. My main goal is to help individuals and families understand their struggles and behaviors in a more accepting and deeper way. I think that true growth and development can be achieved with the right connection and therapeutic relationship. The majority of my experience is helping individuals and families to manage depression, anxiety, overwhelming stress and treating maladaptive coping skills (self injury, substance use, eating disorder, etc).
Current Openings: Daytime/Adults. Hi, my name is Jillian and I am a licensed mental health counselor. My main goal is to help individuals and families understand their struggles and behaviors in a more accepting and deeper way. I think that true growth and development can be achieved with the right connection and therapeutic relationship. The majority of my experience is helping individuals and families to manage depression, anxiety, overwhelming stress and treating maladaptive coping skills (self injury, substance use, eating disorder, etc).
(351) 206-1464 View (351) 206-1464
Photo of Rachel Gaillard Smook, PsyD, Psychologist
Rachel Gaillard Smook
Psychologist, PsyD
Verified Verified
Northborough, MA 01532  (Online Only)
I believe that coming to therapy when your life is not proceeding in the way you wish is a courageous and important step in building the life you want. Although it is sometimes difficult or frightening to make that first phone call, it's a strong sign of your belief in yourself and your desire to live fully and joyfully. I respect the decision to begin therapy and understand that it's sometimes a hard step that requires great courage. I firmly believe that however you're feeling now, there is a capacity for healing, change, and joy within you.
I believe that coming to therapy when your life is not proceeding in the way you wish is a courageous and important step in building the life you want. Although it is sometimes difficult or frightening to make that first phone call, it's a strong sign of your belief in yourself and your desire to live fully and joyfully. I respect the decision to begin therapy and understand that it's sometimes a hard step that requires great courage. I firmly believe that however you're feeling now, there is a capacity for healing, change, and joy within you.
(508) 925-0530 View (508) 925-0530
Photo of Anna Munro, LICSW, Clinical Social Work/Therapist
Anna Munro
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Northborough, MA 01532
You’ve realized you’re drinking or getting high more than you planned to and more than you want to but don’t know how to stop. The shame is dragging you down and you’re too embarrassed to admit you have a "problem." People in your life are concerned and want to offer help but what they’re offering just isn’t what you think you need. You might be numbing how you feel about letting things get to this point and not being able to change. Maybe someone else thinks your behavior is a problem and as much as you’d rather just get them off your back, there’s a part of you that’s starting to agree and wondering what you can do about it.
You’ve realized you’re drinking or getting high more than you planned to and more than you want to but don’t know how to stop. The shame is dragging you down and you’re too embarrassed to admit you have a "problem." People in your life are concerned and want to offer help but what they’re offering just isn’t what you think you need. You might be numbing how you feel about letting things get to this point and not being able to change. Maybe someone else thinks your behavior is a problem and as much as you’d rather just get them off your back, there’s a part of you that’s starting to agree and wondering what you can do about it.
(508) 413-2249 View (508) 413-2249
Photo of Jennifer F Spirito, MSW, LICSW, Clinical Social Work/Therapist
Jennifer F Spirito
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northborough, MA 01532  (Online Only)
My practice focuses on working with women ages 18+ to enhance overall well-being. I work with clients in the areas of anxiety disorders, adjustment to life transitions/stressors, relationship/marital issues and depression. My experience encompass the areas related to college readiness/preparation, pre- and post-college transitions, depression, anxiety, low self-image/self-esteem, relationship conflicts, academic stress, and bereavement. I am invested in working with my clients to provide them with the tools and skills to achieve their personal goals and improve overall sense of well-being.
My practice focuses on working with women ages 18+ to enhance overall well-being. I work with clients in the areas of anxiety disorders, adjustment to life transitions/stressors, relationship/marital issues and depression. My experience encompass the areas related to college readiness/preparation, pre- and post-college transitions, depression, anxiety, low self-image/self-esteem, relationship conflicts, academic stress, and bereavement. I am invested in working with my clients to provide them with the tools and skills to achieve their personal goals and improve overall sense of well-being.
(508) 802-5273 View (508) 802-5273
Photo of Nejla Sezer - Serene Skies Counseling, LMHC, Counselor
Nejla Sezer - Serene Skies Counseling
Counselor, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
Welcome to my practice. The fact that you are here is a testament to your desire for a better future full of healing and growth. I am acutely aware of how difficult this first step can be, and I am here to support you on your journey. I firmly believe that establishing a strong therapeutic relationship is vital in helping my clients strive for the better. To that end, I always aim to provide a safe, open and non-judgemental atmosphere where my clients can comfortably explore the most intimate details of their lives.
Welcome to my practice. The fact that you are here is a testament to your desire for a better future full of healing and growth. I am acutely aware of how difficult this first step can be, and I am here to support you on your journey. I firmly believe that establishing a strong therapeutic relationship is vital in helping my clients strive for the better. To that end, I always aim to provide a safe, open and non-judgemental atmosphere where my clients can comfortably explore the most intimate details of their lives.
(508) 466-4606 View (508) 466-4606
Photo of Nadine Lucas, CAGS, LMHC, Counselor
Nadine Lucas
Counselor, CAGS, LMHC
Verified Verified
1 Endorsed
Northborough, MA 01532
The Authentic Self radiates divine, healing energy, and innate wisdom. It is our source of loving, compassionate energy that heals all dis-ease in our bodies, minds, and emotions. Some aspects of your Authentic Self include compassion, clarity, confidence, courage, patience, persistence, perspective, playfulness, gratitude, and curiosity. My intention, with profound curiosity, is to help you reconnect to your Authentic Self and rediscover the answers already within you, which may help ease your pain and suffering. This is called Internal Family Systems Therapy. I also offer group therapy for Eating Disorders and Women.
The Authentic Self radiates divine, healing energy, and innate wisdom. It is our source of loving, compassionate energy that heals all dis-ease in our bodies, minds, and emotions. Some aspects of your Authentic Self include compassion, clarity, confidence, courage, patience, persistence, perspective, playfulness, gratitude, and curiosity. My intention, with profound curiosity, is to help you reconnect to your Authentic Self and rediscover the answers already within you, which may help ease your pain and suffering. This is called Internal Family Systems Therapy. I also offer group therapy for Eating Disorders and Women.
(774) 757-6134 View (774) 757-6134
Photo of Darcy Woods, MA, LMHC, Counselor
Darcy Woods
Counselor, MA, LMHC
Verified Verified
Northborough, MA 01532  (Online Only)
The present is the ever moving shadow that divides yesterday from tomorrow. In that lies hope. - Frank Lloyd Wright. One of my main goals in the therapeutic relationship is to be a guide for people to have a safe space to develop what they already hold and have within to create the change they are seeking. Having hope and being able to tolerate the present moment are key components to coping with change and distress.
The present is the ever moving shadow that divides yesterday from tomorrow. In that lies hope. - Frank Lloyd Wright. One of my main goals in the therapeutic relationship is to be a guide for people to have a safe space to develop what they already hold and have within to create the change they are seeking. Having hope and being able to tolerate the present moment are key components to coping with change and distress.
(508) 794-3544 View (508) 794-3544
Photo of Deborah Golden - Northborough Counseling Services, MA, LMHC, Counselor
Northborough Counseling Services
Counselor, MA, LMHC
Verified Verified
Northborough, MA 01532
Individuals and couples, children and adults, who experience symptoms of depression, anxiety, attention deficits, impulsivity, and interpersonal problems often benefit from mental health counseling. Cognitive Behavioral Therapy (CBT) is an evidenced based practice used to reduce these symptoms and conflicts. Long term and short term counseling can provide coping strategies and knowledge for clients to better function in life.
Individuals and couples, children and adults, who experience symptoms of depression, anxiety, attention deficits, impulsivity, and interpersonal problems often benefit from mental health counseling. Cognitive Behavioral Therapy (CBT) is an evidenced based practice used to reduce these symptoms and conflicts. Long term and short term counseling can provide coping strategies and knowledge for clients to better function in life.
(508) 257-7423 View (508) 257-7423
Photo of Jennifer LaFlamme, LMHC, Counselor
Jennifer LaFlamme
Counselor, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
Welcome! I am so glad that you have taken the first steps to well-being and better mental health. I feel that we all have the strengths needed to manage life’s challenges, but sometimes we need someone to guide us back toward those strengths. I am a licensed mental health counselor who supports individuals experiencing various challenges, such as anxiety, depression, trauma, and relationship issues. I look forward to working with you to explore your concerns, help you manage your symptoms, build your coping skills, and work toward personal growth.
Welcome! I am so glad that you have taken the first steps to well-being and better mental health. I feel that we all have the strengths needed to manage life’s challenges, but sometimes we need someone to guide us back toward those strengths. I am a licensed mental health counselor who supports individuals experiencing various challenges, such as anxiety, depression, trauma, and relationship issues. I look forward to working with you to explore your concerns, help you manage your symptoms, build your coping skills, and work toward personal growth.
(774) 220-7399 View (774) 220-7399
Photo of Sarah Tilton, LCSW, Clinical Social Work/Therapist
Sarah Tilton
Clinical Social Work/Therapist, LCSW
Verified Verified
Northborough, MA 01532
I take an eclectic approach to therapy, utilizing various modalities such as dialectical behavior therapy, trauma focused cognitive behavioral therapy, solution-focused therapy, as well as various play and art therapy techniques in both individual and group sessions. I believe in creating an inclusive, supportive, and empowering environment for my clients where they can work toward their therapeutic goals. I have worked with individuals experiencing anxiety, depression, complex trauma, self-acceptance and self-image challenges, life transitions, ADHD, as well as individuals on the autism spectrum.
I take an eclectic approach to therapy, utilizing various modalities such as dialectical behavior therapy, trauma focused cognitive behavioral therapy, solution-focused therapy, as well as various play and art therapy techniques in both individual and group sessions. I believe in creating an inclusive, supportive, and empowering environment for my clients where they can work toward their therapeutic goals. I have worked with individuals experiencing anxiety, depression, complex trauma, self-acceptance and self-image challenges, life transitions, ADHD, as well as individuals on the autism spectrum.
(508) 393-2731 View (508) 393-2731
Photo of Casey M Rickli, MA, LMHC, Counselor
Casey M Rickli
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532  (Online Only)
A happier life is within reach when we are able to let go of old behaviors and ways of thinking. Maybe you are feeling anxious, depressed or stuck in your life. You want to improve your relationships with yourself and those that you love. With curiosity and humor, I strive to create a safe, supportive and non-judgmental partnership with clients to promote healing, growth and change.
A happier life is within reach when we are able to let go of old behaviors and ways of thinking. Maybe you are feeling anxious, depressed or stuck in your life. You want to improve your relationships with yourself and those that you love. With curiosity and humor, I strive to create a safe, supportive and non-judgmental partnership with clients to promote healing, growth and change.
(774) 214-2688 View (774) 214-2688
Photo of Eugenia Garbolevsky, MA,  , PhD
Eugenia Garbolevsky
MA, , PhD
Verified Verified
Northborough, MA 01532  (Online Only)
Besides being personally transformed by the healing touch of mindfulness, yoga, meditation and other modalities related to the integrative and holistic approach, I enjoy helping others to appreciate the transformational touch of modalities focusing on the mind-body connection. In my practice, I combine techniques, such as mindfulness, mindfulness-based cognitive therapy, meditation, yoga, somatic therapy, psychoanalysis, and, (in the near future) hypnotherapy, in order to determine which combination will best meet my client’s needs.
Besides being personally transformed by the healing touch of mindfulness, yoga, meditation and other modalities related to the integrative and holistic approach, I enjoy helping others to appreciate the transformational touch of modalities focusing on the mind-body connection. In my practice, I combine techniques, such as mindfulness, mindfulness-based cognitive therapy, meditation, yoga, somatic therapy, psychoanalysis, and, (in the near future) hypnotherapy, in order to determine which combination will best meet my client’s needs.
(508) 715-8720 View (508) 715-8720
Photo of Janice M Lundberg - Solutions Mental Health, MA, LMHC, Counselor
Solutions Mental Health
Counselor, MA, LMHC
Verified Verified
Northborough, MA 01532
Is depression or anxiety taking over your life? Are you finding communication with your child mission impossible? Just talking with a friend will only be a temporary solution. And enduring a bad situation will not help. I can offer either short or long term collaboraton aimed at meeting your current life challenges which block your realization towards greater life satisfaction. I can help you reduce that anxiety by assisting you to feel more in control over your life. I can help you to gain strength to go forward while bearing sadness. You do not have to take the journey alone.
Is depression or anxiety taking over your life? Are you finding communication with your child mission impossible? Just talking with a friend will only be a temporary solution. And enduring a bad situation will not help. I can offer either short or long term collaboraton aimed at meeting your current life challenges which block your realization towards greater life satisfaction. I can help you reduce that anxiety by assisting you to feel more in control over your life. I can help you to gain strength to go forward while bearing sadness. You do not have to take the journey alone.
(508) 306-1941 View (508) 306-1941
Photo of Nicole Phillips, LICSW, Clinical Social Work/Therapist
Nicole Phillips
Clinical Social Work/Therapist, LICSW
Verified Verified
Northborough, MA 01532
Whether you are facing a situational challenge, struggling with a longstanding problem, or stuck in a place you can no longer bear; a therapeutic relationship can help change your life. There are many difficult things in life but getting support and guidance should not be one of them. I am an Independently Licensed Clinical Social Worker with over 15 years of success working with people to make their dreams a reality. I specialize in working with adults, couples and families to explore areas of their lives that are challenging. We work together to achieve growth, connection and happiness. Change can happen!
Whether you are facing a situational challenge, struggling with a longstanding problem, or stuck in a place you can no longer bear; a therapeutic relationship can help change your life. There are many difficult things in life but getting support and guidance should not be one of them. I am an Independently Licensed Clinical Social Worker with over 15 years of success working with people to make their dreams a reality. I specialize in working with adults, couples and families to explore areas of their lives that are challenging. We work together to achieve growth, connection and happiness. Change can happen!
(508) 286-7744 View (508) 286-7744
Photo of Amelia Hasbun, MS, LMFT, Marriage & Family Therapist
Amelia Hasbun
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Northborough, MA 01532
Waitlist for new clients
I find great joy in collaborating with individuals, couples, and families who bring a sense of motivation, open-mindedness, and a deep drive to enrich their overall well-being. It's truly heartening to work with clients who proactively seek therapy, demonstrating a strong commitment to addressing diverse challenges and fostering personal growth within themselves and their relationships. Whether they're grappling with communication hurdles, navigating complexities of identity, or adapting to new environments due to relocation, I deeply appreciate their willingness to embark on this journey of exploration and growth together.
I find great joy in collaborating with individuals, couples, and families who bring a sense of motivation, open-mindedness, and a deep drive to enrich their overall well-being. It's truly heartening to work with clients who proactively seek therapy, demonstrating a strong commitment to addressing diverse challenges and fostering personal growth within themselves and their relationships. Whether they're grappling with communication hurdles, navigating complexities of identity, or adapting to new environments due to relocation, I deeply appreciate their willingness to embark on this journey of exploration and growth together.
(857) 971-8044 View (857) 971-8044
Photo of Nicholas Rotolo, PsyD, Psychologist
Nicholas Rotolo
Psychologist, PsyD
Verified Verified
2 Endorsed
Northborough, MA 01532
Updated 08/21/2024: Limited daytime availability in Waltham and Northborough: My career has involved working with individuals and families across the life span, in both outpatient and hospital-based settings. In addition to providing psychotherapy, I also do comprehensive diagnostic, psychological, and educational assessments for individuals and families. Further, I routinely consult with parents and teachers to better address the needs of students, in accordance with a thorough evaluation of their individual strengths and weaknesses.
Updated 08/21/2024: Limited daytime availability in Waltham and Northborough: My career has involved working with individuals and families across the life span, in both outpatient and hospital-based settings. In addition to providing psychotherapy, I also do comprehensive diagnostic, psychological, and educational assessments for individuals and families. Further, I routinely consult with parents and teachers to better address the needs of students, in accordance with a thorough evaluation of their individual strengths and weaknesses.
(508) 306-8016 View (508) 306-8016
Photo of Leah Nystedt, MA, LMHC, Counselor
Leah Nystedt
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
Not accepting new clients
Do you feel like panic, anxiety, or sadness is running your life? Are you ready to break free of the cycle and make lasting positive changes to improve your life satisfaction? I will help you examine your patterns of thinking, feeling, and behaving and empower you to identify where and how make those changes.
Do you feel like panic, anxiety, or sadness is running your life? Are you ready to break free of the cycle and make lasting positive changes to improve your life satisfaction? I will help you examine your patterns of thinking, feeling, and behaving and empower you to identify where and how make those changes.
(774) 462-5403 View (774) 462-5403
1

See more therapy options for Northborough

How does your Therapist compare?

Number of Therapists in Northborough, MA

90+

Average cost per session

$150

Therapists in Northborough, MA who prioritize treating:

93% Anxiety
84% Depression
72% Relationship Issues
68% Coping Skills
67% Self Esteem
64% Stress
63% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
73% UnitedHealthcare UHC | UBH
72% Optum

How Therapists in Northborough, MA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Northborough?

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.