Therapists in Tuscaloosa, AL

Photo of Anastacia M Rogers, LICSW, PIP, Clinical Social Work/Therapist
Anastacia M Rogers
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
3 Endorsed
Tuscaloosa, AL 35401
EMDR TRAINED. If you are exploring Psychology today, it is likely that you are struggling with something significant in your life.This is the first step in taking control of your life. My years of experience and background covers every age, and every developmental stage as it relates to appropriate care practice. I have had the opportunity to work with clients with a broad range of concerns including depression, anxiety, grief, life style changes/adjustment, stress related issues, career challenges/career adjustments, Obsessive-compulsive Disorders,PTSD, and phobias. I provide exposure therapy in and out of off office.
EMDR TRAINED. If you are exploring Psychology today, it is likely that you are struggling with something significant in your life.This is the first step in taking control of your life. My years of experience and background covers every age, and every developmental stage as it relates to appropriate care practice. I have had the opportunity to work with clients with a broad range of concerns including depression, anxiety, grief, life style changes/adjustment, stress related issues, career challenges/career adjustments, Obsessive-compulsive Disorders,PTSD, and phobias. I provide exposure therapy in and out of off office.
(205) 255-9588 View (205) 255-9588
Photo of Rachel Neubacher, MA, LPC, Licensed Professional Counselor
Rachel Neubacher
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Tuscaloosa, AL 35404
Many life events and choices have led me to where I am today. What has defined who you are and who you plan to be? Difficulties and hardships have inspired many to become better or stronger versions of themselves. I am passionate about helping others find and work towards healing despite trauma or other difficulties. I know each of us are impacted by both our own and other's stressors.
Many life events and choices have led me to where I am today. What has defined who you are and who you plan to be? Difficulties and hardships have inspired many to become better or stronger versions of themselves. I am passionate about helping others find and work towards healing despite trauma or other difficulties. I know each of us are impacted by both our own and other's stressors.
(205) 890-3041 View (205) 890-3041
Photo of Hannah Johnston, LICSW, PIP, Clinical Social Work/Therapist
Hannah Johnston
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
1 Endorsed
Tuscaloosa, AL 35404  (Online Only)
We all struggle with something at some point in our lives and you don’t have to go through it alone. I don’t claim to have all the answers but I will walk alongside you as we figure them out together. I strive to create a supportive, non-judgmental space for my clients. I take a collaborative approach- you are the expert of your life and I am here to help you reconnect with your authentic self and restore feelings of worth and hope.
We all struggle with something at some point in our lives and you don’t have to go through it alone. I don’t claim to have all the answers but I will walk alongside you as we figure them out together. I strive to create a supportive, non-judgmental space for my clients. I take a collaborative approach- you are the expert of your life and I am here to help you reconnect with your authentic self and restore feelings of worth and hope.
(205) 523-5117 View (205) 523-5117
Photo of Greer Jones, MS, LMFT-S, Marriage & Family Therapist
Greer Jones
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
1 Endorsed
Tuscaloosa, AL 35401
Waitlist for new clients
I love working with those who are ready to make a change in their lives. I think trust and comfort are the two most important factors when choosing a therapist. For real progress to happen, the therapist has to be a good fit for you. I think each client comes in with individual and specific challenges, meaning therapy has to be tailored to fit each client. I'd love to be able to take the time to figure out what is happening for you and what can be helpful in overcoming obstacles.
I love working with those who are ready to make a change in their lives. I think trust and comfort are the two most important factors when choosing a therapist. For real progress to happen, the therapist has to be a good fit for you. I think each client comes in with individual and specific challenges, meaning therapy has to be tailored to fit each client. I'd love to be able to take the time to figure out what is happening for you and what can be helpful in overcoming obstacles.
(205) 512-2487 View (205) 512-2487
Photo of Gabrielle Williams, MS, LMFT, Marriage & Family Therapist
Gabrielle Williams
Marriage & Family Therapist, MS, LMFT
Verified Verified
Tuscaloosa, AL 35406
My work as a therapist is centered on empowering clients to rewrite the story of their lives. Whether you need help with everyday problems or deep rooted trauma, S.O.U.L. Therapy is the place to help you unpack your life's story. My clients and I work collaboratively to heal, overcome, and explore. I am qualified to treat a variety of emotional and behavioral issues, and make it my goal to help each client reach their desired destination. I have dedicated my work to creating a safe space for all clients to come and feel heard. I also offer supervision to pre-licensed clinicians.
My work as a therapist is centered on empowering clients to rewrite the story of their lives. Whether you need help with everyday problems or deep rooted trauma, S.O.U.L. Therapy is the place to help you unpack your life's story. My clients and I work collaboratively to heal, overcome, and explore. I am qualified to treat a variety of emotional and behavioral issues, and make it my goal to help each client reach their desired destination. I have dedicated my work to creating a safe space for all clients to come and feel heard. I also offer supervision to pre-licensed clinicians.
(659) 200-6027 View (659) 200-6027
Photo of Maggie Monroe, LMFTA, CFLE-P, Marriage & Family Therapist Associate
Maggie Monroe
Marriage & Family Therapist Associate, LMFTA, CFLE-P
Verified Verified
9 Endorsed
Tuscaloosa, AL 35401
Hi there! My name is Maggie and I am so glad you are here. As someone who went to therapy as a child and an adult, I understand that reaching out can feel overwhelming, so let me applaud you on taking this first step. I believe therapy is a beneficial tool for anyone who is looking to grow, change, or heal and I consider it a privilege to work with individuals through the highs and lows of life. While I have been trained for a variety of needs, I have a focus specifically on trauma, spirituality, emotion regulation, relationships, and connection.
Hi there! My name is Maggie and I am so glad you are here. As someone who went to therapy as a child and an adult, I understand that reaching out can feel overwhelming, so let me applaud you on taking this first step. I believe therapy is a beneficial tool for anyone who is looking to grow, change, or heal and I consider it a privilege to work with individuals through the highs and lows of life. While I have been trained for a variety of needs, I have a focus specifically on trauma, spirituality, emotion regulation, relationships, and connection.
(205) 947-3144 View (205) 947-3144
Photo of Carol G Adams - Carol G. Adams, LCSW, LCSW, Clinical Social Work/Therapist
Carol G. Adams, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Tuscaloosa, AL 35405
Carol Adams, LCSW, has trained both nationally and internationally in the fields of Trauma, Eating Disorders, Addictions, Women's Issues, and Depression/Anxiety. Emphasis is placed on the connection between mind and body, as physical illness may sometimes be a manifestation of our psychological state. She integrates mind, body and emotion, so that clients come to experience more harmony and wholeness. In her experience, "we all have within us an enormous potential to heal. We learn to utilize our own inner resources to achieve and maintain a sense of balance, clarity and well-being."
Carol Adams, LCSW, has trained both nationally and internationally in the fields of Trauma, Eating Disorders, Addictions, Women's Issues, and Depression/Anxiety. Emphasis is placed on the connection between mind and body, as physical illness may sometimes be a manifestation of our psychological state. She integrates mind, body and emotion, so that clients come to experience more harmony and wholeness. In her experience, "we all have within us an enormous potential to heal. We learn to utilize our own inner resources to achieve and maintain a sense of balance, clarity and well-being."
(205) 289-3139 View (205) 289-3139
Photo of Julie Vence, LPC, Licensed Professional Counselor
Julie Vence
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Tuscaloosa, AL 35401
*EVENING & WEEKEND APPOINTMENTS AVAILABLE* Do you feel your mental health is getting in the way of your everyday experiences and quality of life? You are not alone. Many people struggle with mental health issues that get in the way of being able to enjoy life and achieve their goals. Whether it is experiencing anxiety, depression, panic attacks, ADHD, or major life changes; my goal is to provide a safe and helpful environment to explore feelings and emotions that have been creating distress in your life. Whether it's learning to eliminate invasive negative thoughts about yourself, disordered eating, depression, anxiety, and more.
*EVENING & WEEKEND APPOINTMENTS AVAILABLE* Do you feel your mental health is getting in the way of your everyday experiences and quality of life? You are not alone. Many people struggle with mental health issues that get in the way of being able to enjoy life and achieve their goals. Whether it is experiencing anxiety, depression, panic attacks, ADHD, or major life changes; my goal is to provide a safe and helpful environment to explore feelings and emotions that have been creating distress in your life. Whether it's learning to eliminate invasive negative thoughts about yourself, disordered eating, depression, anxiety, and more.
(205) 273-5289 View (205) 273-5289
Photo of Madison Delaney, LMFTA, Marriage & Family Therapist Associate
Madison Delaney
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Tuscaloosa, AL 35404  (Online Only)
Finding the right therapist can sometimes feel like you're lost at sea. I'm so glad you're here! In the ocean, the tides help sailors to navigate the waters. At High Tide Therapy Services, we help clients navigate their "ocean". The brain can be like an ocean, with emotions coming and going like waves. When you can't seem to find direction past the waves or just feel like diving deeper in your sea, Madison would love to help you navigate.
Finding the right therapist can sometimes feel like you're lost at sea. I'm so glad you're here! In the ocean, the tides help sailors to navigate the waters. At High Tide Therapy Services, we help clients navigate their "ocean". The brain can be like an ocean, with emotions coming and going like waves. When you can't seem to find direction past the waves or just feel like diving deeper in your sea, Madison would love to help you navigate.
(205) 953-8144 View (205) 953-8144
Photo of Sarah Tarnakow, LICSW, Clinical Social Work/Therapist
Sarah Tarnakow
Clinical Social Work/Therapist, LICSW
Verified Verified
Tuscaloosa, AL 35401
Not accepting new clients
Evening/weekend appts available! Let's start this journey together. We can celebrate the good times and figure out the hard parts. You deserve to feel heard and understood. We might be a good fit if you want to understand the "why" behind your problems and are ready for change.
Evening/weekend appts available! Let's start this journey together. We can celebrate the good times and figure out the hard parts. You deserve to feel heard and understood. We might be a good fit if you want to understand the "why" behind your problems and are ready for change.
(205) 364-2670 View (205) 364-2670
Photo of Michael King, MA, MS, LMFT, Marriage & Family Therapist
Michael King
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
3 Endorsed
Tuscaloosa, AL 35401
I'm deeply committed to the simple things that make therapy rewarding. I want people to leave my office feeling like they're important and worth being understood. Most of my clients are struggling with depression, anxiety, or a feeling of being stuck and frustrated in life. Together, we will work on gaining self-knowledge, improving functioning in life, and becoming more connected to what really matters to you. As a Marriage and Family Therapist, my primary focus is on pain and healing in the context of relationships - with others and yourself.
I'm deeply committed to the simple things that make therapy rewarding. I want people to leave my office feeling like they're important and worth being understood. Most of my clients are struggling with depression, anxiety, or a feeling of being stuck and frustrated in life. Together, we will work on gaining self-knowledge, improving functioning in life, and becoming more connected to what really matters to you. As a Marriage and Family Therapist, my primary focus is on pain and healing in the context of relationships - with others and yourself.
(205) 351-0223 View (205) 351-0223
Photo of Mona E Ochoa-Horshok - Mona Ochoa-Horshok, M.S., LPC, MS, LPC, Licensed Professional Counselor
Mona Ochoa-Horshok, M.S., LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
Tuscaloosa, AL 35401
With 30 years of experience in the mental health field, I am equipped to work with people from all walks of life with a large variety of issues. Whether you are dealing with relationship problems, panic and/or anxiety, depression or other mood disorders, low self-esteem, eating disorders, sexual identity issues, chronic pain or spiritual or existential questions, or just want to feel more fulfilled and self-aware, I would love to work with you to help you achieve a better quality of life and a happier state of being.
With 30 years of experience in the mental health field, I am equipped to work with people from all walks of life with a large variety of issues. Whether you are dealing with relationship problems, panic and/or anxiety, depression or other mood disorders, low self-esteem, eating disorders, sexual identity issues, chronic pain or spiritual or existential questions, or just want to feel more fulfilled and self-aware, I would love to work with you to help you achieve a better quality of life and a happier state of being.
(205) 588-6178 View (205) 588-6178
Photo of Catherine Howell, MA, MSW, LICSW, Clinical Social Work/Therapist
Catherine Howell
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
Tuscaloosa, AL 35401
Do you feel lost and as though you have no one to turn to? Are your fears of being judged and misunderstood preventing you from reaching out for help? Do you struggle to open up to people and feel as though you have to hide your true self out of fear of being misunderstood or misjudged? Do you feel as though you struggle with negative thoughts about yourself and others that hold you back from building relationships? Taking the first step in acknowledging that you need support along your healing journey can be difficult and scary.
Do you feel lost and as though you have no one to turn to? Are your fears of being judged and misunderstood preventing you from reaching out for help? Do you struggle to open up to people and feel as though you have to hide your true self out of fear of being misunderstood or misjudged? Do you feel as though you struggle with negative thoughts about yourself and others that hold you back from building relationships? Taking the first step in acknowledging that you need support along your healing journey can be difficult and scary.
(205) 896-3319 View (205) 896-3319
Photo of Rachel Hartman, LCSW, Clinical Social Work/Therapist
Rachel Hartman
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Tuscaloosa, AL 35401
Give yourself permission for a fresh outlook! On average people wait 5 years before they choose to pursue therapy, but there's no need. Life is difficult and struggling with mental health or issues with relationship dynamics makes it more difficult. Take a brave first step with hope and schedule an appointment today, there's no need to wait.
Give yourself permission for a fresh outlook! On average people wait 5 years before they choose to pursue therapy, but there's no need. Life is difficult and struggling with mental health or issues with relationship dynamics makes it more difficult. Take a brave first step with hope and schedule an appointment today, there's no need to wait.
(205) 831-4027 View (205) 831-4027
Photo of Anna Orr Marshall, LPC, NCC, CT, Licensed Professional Counselor
Anna Orr Marshall
Licensed Professional Counselor, LPC, NCC, CT
Verified Verified
Tuscaloosa, AL 35401
As an Licensed Professional Counselor, I offer a counseling approach designed to suit the needs of each client. I have experience with adults, children, groups, and couples from various backgrounds and ages. I have a desire and commitment for walking with others as they journey through life's challenges, the losses and disappointments as well as changing seasons of life. There are times when life can seem to be overwhelming. You can sometimes become lost in the journey known as life and not know how to deal with it.
As an Licensed Professional Counselor, I offer a counseling approach designed to suit the needs of each client. I have experience with adults, children, groups, and couples from various backgrounds and ages. I have a desire and commitment for walking with others as they journey through life's challenges, the losses and disappointments as well as changing seasons of life. There are times when life can seem to be overwhelming. You can sometimes become lost in the journey known as life and not know how to deal with it.
(205) 872-0408 View (205) 872-0408
Photo of Kay Gillette, MEd, LMFT, Marriage & Family Therapist
Kay Gillette
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Tuscaloosa, AL 35406
I am licensed in Alabama and Texas. I enjoy working with people in times of transition such as ages and stages of life. I aim to be an affirmative space for identity formation. I want my clients to find self acceptance, direction and practical solutions. My practice can best be described as compassionate, engaged, enthusiastic, creative, and enriched with some laughter and hope.
I am licensed in Alabama and Texas. I enjoy working with people in times of transition such as ages and stages of life. I aim to be an affirmative space for identity formation. I want my clients to find self acceptance, direction and practical solutions. My practice can best be described as compassionate, engaged, enthusiastic, creative, and enriched with some laughter and hope.
(205) 537-5620 View (205) 537-5620
Photo of Jordan English Valentim, MS, LMFT, Marriage & Family Therapist
Jordan English Valentim
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Tuscaloosa, AL 35401
Waitlist for new clients
Every person has individual, unique experiences that they bring into the room, which means their own therapy needs may look very different than another’s. I am passionate about working alongside clients who are motivated to pursue lasting change in their lives, whether that be processing complex trauma, learning new relationship skills, navigating life transitions, or formulating healthy boundaries and self care practices. It can be painful to talk about and face the things that have brought you to the place you are currently in, but just like resetting a broken bone, the rewards of healing far outweigh the pain of healing!
Every person has individual, unique experiences that they bring into the room, which means their own therapy needs may look very different than another’s. I am passionate about working alongside clients who are motivated to pursue lasting change in their lives, whether that be processing complex trauma, learning new relationship skills, navigating life transitions, or formulating healthy boundaries and self care practices. It can be painful to talk about and face the things that have brought you to the place you are currently in, but just like resetting a broken bone, the rewards of healing far outweigh the pain of healing!
(205) 273-5230 View (205) 273-5230
Photo of Dr. Terissa Upchurch-Butler, LIMHP, LPC, NCC, BC-TMH, ACS, Licensed Professional Counselor
Dr. Terissa Upchurch-Butler
Licensed Professional Counselor, LIMHP, LPC, NCC, BC-TMH, ACS
Verified Verified
Tuscaloosa, AL 35407  (Online Only)
You're ready to make changes in your life. You're tired of feeling depressed and anxious as time goes by taking your peace, joy, dreams, and self-worth with it. You haven't been able to figure things out on your own. Yet you know that you need to gain insight and to learn techniques to help alleviate your symptoms (e.g., isolation, sadness, problems with sleep, low self-esteem, excessive worry, hypervigilance, people pleasing, perfectionism, problems with appetite). You've set a goal to embrace and change your life. Seriously this time. You're ready for brighter days ahead.
You're ready to make changes in your life. You're tired of feeling depressed and anxious as time goes by taking your peace, joy, dreams, and self-worth with it. You haven't been able to figure things out on your own. Yet you know that you need to gain insight and to learn techniques to help alleviate your symptoms (e.g., isolation, sadness, problems with sleep, low self-esteem, excessive worry, hypervigilance, people pleasing, perfectionism, problems with appetite). You've set a goal to embrace and change your life. Seriously this time. You're ready for brighter days ahead.
(205) 952-7343 View (205) 952-7343
Photo of Matt Heatherly, PhD, ALC, Counselor
Matt Heatherly
Counselor, PhD, ALC
Verified Verified
Tuscaloosa, AL 35401
Serving individuals, couples, and families in Tuscaloosa and central Alabama. Treating anxiety and depression as well as other issues ranging from negative self-image to anger to chemical dependence. If you are struggling with anxiety, depression, or other personal struggles, including addictive behavior, there is help - you don't have to live this way. Contact me via email or phone. I'll respond back within 2 hours, 7 days a week.
Serving individuals, couples, and families in Tuscaloosa and central Alabama. Treating anxiety and depression as well as other issues ranging from negative self-image to anger to chemical dependence. If you are struggling with anxiety, depression, or other personal struggles, including addictive behavior, there is help - you don't have to live this way. Contact me via email or phone. I'll respond back within 2 hours, 7 days a week.
(205) 737-3896 View (205) 737-3896
Photo of Alison Bigham, LPC, Licensed Professional Counselor
Alison Bigham
Licensed Professional Counselor, LPC
Verified Verified
Tuscaloosa, AL 35401
Hi. My name is Alison. I am a Licensed Professional Counselor in the state of Alabama. I have over 20 years of experience in the Mental Health field and have provided inpatient and outpatient services to clients with severe mental illness, Substance abuse challenges and issues related to trauma. I am certified in Trauma therapy and trained in EMDR. I have a background providing for victims of domestic violence and educating the community on DV. I use various treatment modalities, designed to treat each individual client based on their needs.
Hi. My name is Alison. I am a Licensed Professional Counselor in the state of Alabama. I have over 20 years of experience in the Mental Health field and have provided inpatient and outpatient services to clients with severe mental illness, Substance abuse challenges and issues related to trauma. I am certified in Trauma therapy and trained in EMDR. I have a background providing for victims of domestic violence and educating the community on DV. I use various treatment modalities, designed to treat each individual client based on their needs.
(205) 964-9459 View (205) 964-9459

How does your Therapist compare?

Number of Therapists in Tuscaloosa, AL

100+

Average cost per session

$135

Therapists in Tuscaloosa, AL who prioritize treating:

92% Anxiety
85% Depression
74% Self Esteem
71% Coping Skills
70% Relationship Issues
69% Stress
68% Grief

Average years in practice

9 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
43% New Directions | Lucet
41% Cigna and Evernorth

How Therapists in Tuscaloosa, AL see their clients

77% In Person and Online
23% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Tuscaloosa?

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.