Therapists in Sammamish, WA

Photo of Adriana S. Prengler, LMHC, MA, FIPA, Counselor
Adriana S. Prengler
Counselor, LMHC, MA, FIPA
Verified Verified
Sammamish, WA 98075
People can feel trapped in anxiety, depression, grief, traumatic experiences and difficult relationships OR they can explore those problems psychotherapeutically to derive insight into their feelings and behaviors. As a psychotherapist and psychoanalyst I can help you manage your emotional pain,understand your feelings and the repetitive nature of your problems and find new ways of dealing with your problems, in order to minimize suffering and achieve your goals.
People can feel trapped in anxiety, depression, grief, traumatic experiences and difficult relationships OR they can explore those problems psychotherapeutically to derive insight into their feelings and behaviors. As a psychotherapist and psychoanalyst I can help you manage your emotional pain,understand your feelings and the repetitive nature of your problems and find new ways of dealing with your problems, in order to minimize suffering and achieve your goals.
(425) 312-6227 View (425) 312-6227
Photo of Steph Regus, PsyD, MA, Psychologist
Steph Regus
Psychologist, PsyD, MA
Verified Verified
Sammamish, WA 98075
Not accepting new clients
I believe that every client has complex underpinnings to who they are as an individual. Part of therapy is recognizing that there is pain, discrimination, anger, and fear that comes from your unique culture and identity. I try to be mindful of this as I work with clients and hear your story. I am passionate about helping clients further understand their values and identity. Some of my specific focus areas are OCD, trauma recovery, interpersonal conflicts, faith and spiritual conflicts, problematic sexual behaviors, anxiety and depression.
I believe that every client has complex underpinnings to who they are as an individual. Part of therapy is recognizing that there is pain, discrimination, anger, and fear that comes from your unique culture and identity. I try to be mindful of this as I work with clients and hear your story. I am passionate about helping clients further understand their values and identity. Some of my specific focus areas are OCD, trauma recovery, interpersonal conflicts, faith and spiritual conflicts, problematic sexual behaviors, anxiety and depression.
(425) 437-3292 View (425) 437-3292
Photo of Dr. Diane Shin, PsyD, Psychologist
Dr. Diane Shin
Psychologist, PsyD
Verified Verified
Sammamish, WA 98075
I specialize in comprehensive neuropsychological and psychological evaluations for children, adolescents, and adults up to age 30. My work focuses on collaborating with clients and families to address concerns related to attention and focus, executive functioning, learning or school challenges, social-emotional and behavioral issues, sensory differences, and giftedness. These evaluations help identify strengths and vulnerabilities, providing guidance and recommendations for home and school (IEP/504 supports) as well as treatment goals for therapists. I also have expertise in autism assessments for children, adolescents, and adults.
I specialize in comprehensive neuropsychological and psychological evaluations for children, adolescents, and adults up to age 30. My work focuses on collaborating with clients and families to address concerns related to attention and focus, executive functioning, learning or school challenges, social-emotional and behavioral issues, sensory differences, and giftedness. These evaluations help identify strengths and vulnerabilities, providing guidance and recommendations for home and school (IEP/504 supports) as well as treatment goals for therapists. I also have expertise in autism assessments for children, adolescents, and adults.
View
Photo of Peter Kaperick - Centered Mind Counseling, MSW, LICSW, Clinical Social Work/Therapist
Peter Kaperick - Centered Mind Counseling
Clinical Social Work/Therapist, MSW, LICSW
Not Verified Not Verified
Sammamish, WA 98075
In-Network with Aetna and Premera -- Accepting New Clients! Evening appointments available. I work with children, adolescents, adults and couples. In my counseling work, my starting point is a strength-based, client-focused approach to understand you as an individual, as well as the strengths you have to positively change your situation. (I know we don't always feel these strengths. I think we typically are more hurt than we show, and we are also not as broken as we feel.) My focus has been to sit and listen with an open mind so I can best learn about you and your life.
In-Network with Aetna and Premera -- Accepting New Clients! Evening appointments available. I work with children, adolescents, adults and couples. In my counseling work, my starting point is a strength-based, client-focused approach to understand you as an individual, as well as the strengths you have to positively change your situation. (I know we don't always feel these strengths. I think we typically are more hurt than we show, and we are also not as broken as we feel.) My focus has been to sit and listen with an open mind so I can best learn about you and your life.
(425) 269-3277 View (425) 269-3277
Photo of Anne McKenzie, PhD, LMHC, Counselor
Anne McKenzie
Counselor, PhD, LMHC
Verified Verified
Sammamish, WA 98074
* At present I am only seeing only existing clients, and only via telehealth. I am a positive and approachable mental health professional. I utilize current research and best practices to help you to relieve distress and live a productive, meaningful, and satisfying life. I work with you to determine outcome goals which may include reducing challenging behaviors getting in the way of your success, improving work or school performance, navigating painful transitions, and/or making family time more enjoyable.
* At present I am only seeing only existing clients, and only via telehealth. I am a positive and approachable mental health professional. I utilize current research and best practices to help you to relieve distress and live a productive, meaningful, and satisfying life. I work with you to determine outcome goals which may include reducing challenging behaviors getting in the way of your success, improving work or school performance, navigating painful transitions, and/or making family time more enjoyable.
(425) 598-0399 View (425) 598-0399
Photo of Jami Sweeney, MA, MEd, LMHCA, Counselor
Jami Sweeney
Counselor, MA, MEd, LMHCA
Verified Verified
Sammamish, WA 98075
I work with youth and adults of all identities using a relational approach that includes an anti-oppressive, trauma-informed, and healing focus. While engaging my training in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) I partner closely with my clients to identify and support their counseling goals in an open and nonjudgmental environment. Together, we engage your strengths, interests, passions, and intersecting identities as the vehicle for your transformation and healing. I work with individuals and families to identify sources of friction or discomfort, embrace emotions, and understand distress.
I work with youth and adults of all identities using a relational approach that includes an anti-oppressive, trauma-informed, and healing focus. While engaging my training in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) I partner closely with my clients to identify and support their counseling goals in an open and nonjudgmental environment. Together, we engage your strengths, interests, passions, and intersecting identities as the vehicle for your transformation and healing. I work with individuals and families to identify sources of friction or discomfort, embrace emotions, and understand distress.
(425) 906-3361 View (425) 906-3361
Photo of Daniel Menely, LMHC
Daniel Menely
Mental Health Counselor, LMHC
Verified Verified
Sammamish, WA 98075  (Online Only)
As your therapist, I provide a warm and supportive space where you can talk freely without being judged. I won't just sit there – instead, I'll ask questions, offer suggestions, and reflect on what you share. Together, we'll work on dealing with the things that are bothering you in your everyday life, be it challenges with relationships, work, or family. Whether our work is one-on-one, with you two as a couple, my clients gain valuable insights and practical tools to get unstuck and move forward. Imagine leaving each session feeling understood, empowered, and equipped to navigate life with confidence.
As your therapist, I provide a warm and supportive space where you can talk freely without being judged. I won't just sit there – instead, I'll ask questions, offer suggestions, and reflect on what you share. Together, we'll work on dealing with the things that are bothering you in your everyday life, be it challenges with relationships, work, or family. Whether our work is one-on-one, with you two as a couple, my clients gain valuable insights and practical tools to get unstuck and move forward. Imagine leaving each session feeling understood, empowered, and equipped to navigate life with confidence.
(425) 426-2913 View (425) 426-2913
Photo of Dr. Kevin Klar, PhD, LMHC, Counselor
Dr. Kevin Klar
Counselor, PhD, LMHC
Verified Verified
Sammamish, WA 98074
You've been dealing with this thing forever–depression, anxiety, or maybe just that relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you "what" it is, you've lived with it for this long and you're fairly clear on that point. But "why"? Why is it there? What is motivating it? Why does "this" keep happening? What are the unseen forces that you feel, but can't seem to name? Until we know why, we can never get down to the root of the problem–we will only be dealing with the symptoms and not the cause.
You've been dealing with this thing forever–depression, anxiety, or maybe just that relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you "what" it is, you've lived with it for this long and you're fairly clear on that point. But "why"? Why is it there? What is motivating it? Why does "this" keep happening? What are the unseen forces that you feel, but can't seem to name? Until we know why, we can never get down to the root of the problem–we will only be dealing with the symptoms and not the cause.
(425) 657-3629 View (425) 657-3629
Photo of Bob Smith - Avanti Psychological Services, PsyD, LMHC, Psychologist
Avanti Psychological Services
Psychologist, PsyD, LMHC
Verified Verified
Sammamish, WA 98075
In a stressful world, we’ll help you find healing, clarity and confidence. We provide therapy and psychological assessment for children, adolescents, young adults, couples and families. We believe that a foundation of our therapy is the relationship with our trusted and trained therapists who can help you deal with the causes of distress and help you acquire the skills to cope more successfully in the future.
In a stressful world, we’ll help you find healing, clarity and confidence. We provide therapy and psychological assessment for children, adolescents, young adults, couples and families. We believe that a foundation of our therapy is the relationship with our trusted and trained therapists who can help you deal with the causes of distress and help you acquire the skills to cope more successfully in the future.
(425) 559-7980 View (425) 559-7980
Photo of Jon Leong, MA, LMHC, Counselor
Jon Leong
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Sammamish, WA 98075  (Online Only)
Struggling in your relationships or within yourself? Seeking ways to foster healthier connections? I'm here to assist! Through attentive listening, I guide clients in understanding life challenges and uncovering root causes of distress.
Struggling in your relationships or within yourself? Seeking ways to foster healthier connections? I'm here to assist! Through attentive listening, I guide clients in understanding life challenges and uncovering root causes of distress.
(425) 225-4748 View (425) 225-4748
Photo of Jacqueline Layton, PhD, Psychologist
Jacqueline Layton
Psychologist, PhD
Verified Verified
2 Endorsed
Sammamish, WA 98075  (Online Only)
If you're stuck in patterns of over-working, people-pleasing, self-doubt, or burnout, you're in the right place. I know how exhausting it is to pour so much of yourself into your work and relationships and still wonder why you feel like this. You can break free from patterns of stress, trauma and burnout with the right support. This is where I come in. Whether you are a trauma survivor, cycle-breaking parent, change-maker or entrepreneur, free-thinking creative, returning veteran, tired activist, and fellow provider, I would love to help you take back your story and make lasting changes in your life, work and relationships.
If you're stuck in patterns of over-working, people-pleasing, self-doubt, or burnout, you're in the right place. I know how exhausting it is to pour so much of yourself into your work and relationships and still wonder why you feel like this. You can break free from patterns of stress, trauma and burnout with the right support. This is where I come in. Whether you are a trauma survivor, cycle-breaking parent, change-maker or entrepreneur, free-thinking creative, returning veteran, tired activist, and fellow provider, I would love to help you take back your story and make lasting changes in your life, work and relationships.
(737) 299-0653 View (737) 299-0653
Photo of Tracy Askilsrud, MA, LMFT, Marriage & Family Therapist
Tracy Askilsrud
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Sammamish, WA 98075
You are in a committed relationship but feeling so lonely and frustrated. You try to communicate your needs to your partner, but each time the two of you end up in a disagreement, leaving you feeling worse than before. You feel you are out of options for how to have these discussions differently. You are unsure how the two of you can reconnect and get your needs met. You yearn for your partner to respond to your needs in a way that feels loving and accepting instead of reactive. You would love to rekindle the love you once felt in your relationship and move from being roommates back to loving partners with a satisfying sex life.
You are in a committed relationship but feeling so lonely and frustrated. You try to communicate your needs to your partner, but each time the two of you end up in a disagreement, leaving you feeling worse than before. You feel you are out of options for how to have these discussions differently. You are unsure how the two of you can reconnect and get your needs met. You yearn for your partner to respond to your needs in a way that feels loving and accepting instead of reactive. You would love to rekindle the love you once felt in your relationship and move from being roommates back to loving partners with a satisfying sex life.
(425) 600-7687 View (425) 600-7687
Photo of Nathan Shin, MA, LMHCA, Counselor
Nathan Shin
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Sammamish, WA 98075
Life is hard! Whether it be due to depression, anxiety, school, work, life transitions, grief, break-ups, and a host of other issues, there’s no way of denying this universal reality. And while our challenges may currently put a cloud over everything we do, I believe that these obstacles do not need to define us, and that there is a path forward towards greater health and wholeness. To get to this desired destination, I create a safe space where I partner with my clients to identify and address the difficulties that they face and collaboratively create goals and outcomes that they would like to see in their lives.
Life is hard! Whether it be due to depression, anxiety, school, work, life transitions, grief, break-ups, and a host of other issues, there’s no way of denying this universal reality. And while our challenges may currently put a cloud over everything we do, I believe that these obstacles do not need to define us, and that there is a path forward towards greater health and wholeness. To get to this desired destination, I create a safe space where I partner with my clients to identify and address the difficulties that they face and collaboratively create goals and outcomes that they would like to see in their lives.
(425) 473-1710 View (425) 473-1710
Photo of Kevin Klar, LMHC, Counselor
Kevin Klar
Counselor, LMHC
Verified Verified
Sammamish, WA 98074
Kevin is an associate working toward full licensure under a clinical supervisor. You've been dealing with this thing forever"“depression, anxiety, or maybe just that familiar relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you what it is, you've lived with it for this long and you're fairly clear on that point. But why? Why is it there? What is motivating it? Why does this keep happening? What are the unseen forces that you feel, but can't seem to name?.
Kevin is an associate working toward full licensure under a clinical supervisor. You've been dealing with this thing forever"“depression, anxiety, or maybe just that familiar relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you what it is, you've lived with it for this long and you're fairly clear on that point. But why? Why is it there? What is motivating it? Why does this keep happening? What are the unseen forces that you feel, but can't seem to name?.
(425) 243-0025 View (425) 243-0025
Photo of Sheryl R Brown, MS, LMFT, Marriage & Family Therapist
Sheryl R Brown
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sammamish, WA 98075
Increasing conflict is making simple communication a real pain - you're alternating back and forth from explosive words to tense silence. Depression or anxiety is creeping up on you, and you know it's bad for the kids to sense the lack of stability. If you are tired of the same old argument with your partner, and are even throwing out the dreaded "D" word (Divorce) in the heat of it, I can help you get the clarity you need to decide if your relationship is worth saving - and to do what's needed to get things back on track.
Increasing conflict is making simple communication a real pain - you're alternating back and forth from explosive words to tense silence. Depression or anxiety is creeping up on you, and you know it's bad for the kids to sense the lack of stability. If you are tired of the same old argument with your partner, and are even throwing out the dreaded "D" word (Divorce) in the heat of it, I can help you get the clarity you need to decide if your relationship is worth saving - and to do what's needed to get things back on track.
(425) 652-1413 View (425) 652-1413
Photo of Paula Johnson - Centered Mind Counseling - Sammamish Location, PsyD, LMHC, ARNP, LICSW, LMFT, Counselor
Centered Mind Counseling - Sammamish Location
Counselor, PsyD, LMHC, ARNP, LICSW, LMFT
Verified Verified
4 Endorsed
Sammamish, WA 98075
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
(425) 269-3277 View (425) 269-3277
Photo of Dr. Cheryl D'Ettorre, PsyD, Psychologist
Dr. Cheryl D'Ettorre
Psychologist, PsyD
Verified Verified
Sammamish, WA 98075  (Online Only)
If you are searching for a compassionate and understanding therapist, you’ve come to the right place. I believe in meeting people where they are, and I am convinced that the therapeutic relationship provides a healing environment. My approach to each client is dependent upon the nature and need of the individual seeking help. Life can be full of various transitions and challenges. Aging parents, adult children, and complex relationships. And at the same time, desiring to be healthy in mind, body, and soul.
If you are searching for a compassionate and understanding therapist, you’ve come to the right place. I believe in meeting people where they are, and I am convinced that the therapeutic relationship provides a healing environment. My approach to each client is dependent upon the nature and need of the individual seeking help. Life can be full of various transitions and challenges. Aging parents, adult children, and complex relationships. And at the same time, desiring to be healthy in mind, body, and soul.
(425) 385-0420 View (425) 385-0420
Photo of Stephani Wolfe, LICSW, Clinical Social Work/Therapist
Stephani Wolfe
Clinical Social Work/Therapist, LICSW
Verified Verified
Sammamish, WA 98074
Stephani Wolfe is a Licensed Independent Clinical Social Worker in Arizona who has been practicing since 2007. Stephani supports individuals as they work to understand and better navigate the world around them. She has worked with individuals with depression, anxiety, bipolar disorder, OCD, as well as those without formal diagnoses that are simply going through difficult times. Stephani comes from a client centered and cognitive behavioral framework but believes that the relationship and trust between the client and provider is paramount.
Stephani Wolfe is a Licensed Independent Clinical Social Worker in Arizona who has been practicing since 2007. Stephani supports individuals as they work to understand and better navigate the world around them. She has worked with individuals with depression, anxiety, bipolar disorder, OCD, as well as those without formal diagnoses that are simply going through difficult times. Stephani comes from a client centered and cognitive behavioral framework but believes that the relationship and trust between the client and provider is paramount.
(425) 243-0790 View (425) 243-0790
Photo of Sibel Ulger, MA , LMHCA, Counselor
Sibel Ulger
Counselor, MA , LMHCA
Verified Verified
2 Endorsed
Sammamish, WA 98074  (Online Only)
Are you seeking a compassionate, culturally sensitive therapist who truly understands the unique challenges of diverse communities? I’m here to help. As a positive and approachable mental health professional, I offer a safe, non-judgmental space where you can explore your thoughts and feelings. With a multicultural and bilingual background, I specialize in supporting individuals from various walks of life, ensuring that you feel understood and respected.
Are you seeking a compassionate, culturally sensitive therapist who truly understands the unique challenges of diverse communities? I’m here to help. As a positive and approachable mental health professional, I offer a safe, non-judgmental space where you can explore your thoughts and feelings. With a multicultural and bilingual background, I specialize in supporting individuals from various walks of life, ensuring that you feel understood and respected.
(425) 584-5988 View (425) 584-5988
Photo of Matthew St. Clair -Centered Mind Counseling, MA, LMFT, Marriage & Family Therapist
Matthew St. Clair -Centered Mind Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sammamish, WA 98075
Help for adolescents and adults. Our attempts to connect with others or express our fears and worries are often met with criticism or a "let's fix it and move on" attitude. It is normal to feel shame and fear, frustration, anger, and at times stuck. In therapy I give you the space to freely speak, be heard, and sit with an idea, thought, or feeling at your own pace. I will give you practical assistance for the challenges you are facing.
Help for adolescents and adults. Our attempts to connect with others or express our fears and worries are often met with criticism or a "let's fix it and move on" attitude. It is normal to feel shame and fear, frustration, anger, and at times stuck. In therapy I give you the space to freely speak, be heard, and sit with an idea, thought, or feeling at your own pace. I will give you practical assistance for the challenges you are facing.
(425) 269-3277 View (425) 269-3277

See more therapy options for Sammamish

How does your Therapist compare?

Number of Therapists in Sammamish, WA

100+

Average cost per session

$170

Therapists in Sammamish, WA who prioritize treating:

95% Anxiety
86% Depression
80% Relationship Issues
70% Self Esteem
69% Stress
67% Trauma and PTSD
66% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

75% Premera Blue Cross
63% Aetna
55% Regence

How Therapists in Sammamish, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sammamish?

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.