Therapists in Billings, MT

Photo of Charles J. Habeck - Charles J. Habeck Psy.D., LCPC, LAC,PC, PsyD, LCPC, LAC, MAC, Counselor
Charles J. Habeck Psy.D., LCPC, LAC,PC
Counselor, PsyD, LCPC, LAC, MAC
Verified Verified
1 Endorsed
Billings, MT 59102
Waitlist for new clients
The struggle is real- for all of us. I am committed to helping a person grow toward improved insights and coping skills to resolve their problems and related emotions, in a non-judgmental and supportive manner. My goal is for one to learn more about themselves and to function at a higher level in the whole-person dimensions of their life. Whether one is motivated for short-term and situational concerns, or more internally motivated for deeper understanding of self and life-stage fulfillment, the counselor/ client relationship remains paramount as an agent of change.
The struggle is real- for all of us. I am committed to helping a person grow toward improved insights and coping skills to resolve their problems and related emotions, in a non-judgmental and supportive manner. My goal is for one to learn more about themselves and to function at a higher level in the whole-person dimensions of their life. Whether one is motivated for short-term and situational concerns, or more internally motivated for deeper understanding of self and life-stage fulfillment, the counselor/ client relationship remains paramount as an agent of change.
(406) 415-2010 View (406) 415-2010
Photo of Rick Hegenbart - Flickering Light Counseling, MS, LCPC, Counselor
Flickering Light Counseling
Counselor, MS, LCPC
Verified Verified
Billings, MT 59105
Passionate about empowering, fostering personal growth, and providing trauma-informed care, Rick is a dedicated Licensed Clinical Professional Counselor (LCPC) committed to making a positive impact in the lives of children, adolescents, and adults alike. With a blend of clinical expertise, trauma-informed approaches, and active community involvement, Rick offers compassionate counseling services that support mental health, resilience, and holistic development. Rick specializes in working with children, providing a nurturing and inclusive space where young individuals can explore their emotions and build essential life skills.
Passionate about empowering, fostering personal growth, and providing trauma-informed care, Rick is a dedicated Licensed Clinical Professional Counselor (LCPC) committed to making a positive impact in the lives of children, adolescents, and adults alike. With a blend of clinical expertise, trauma-informed approaches, and active community involvement, Rick offers compassionate counseling services that support mental health, resilience, and holistic development. Rick specializes in working with children, providing a nurturing and inclusive space where young individuals can explore their emotions and build essential life skills.
(406) 384-5875 View (406) 384-5875
Photo of Ailine Ostby, LCPC, Counselor
Ailine Ostby
Counselor, LCPC
Verified Verified
Billings, MT 59101  (Online Only)
Waitlist for new clients
I work with adults and couples who experience depression, anxiety, PTSD, Dissociative Disorders, difficulty relating to others or dissatisfaction with life; particularly second half of life issues, divorce, co-parenting, traumatic events, changing careers, empty nest syndrome, retirement, grief and loss, who want to feel better about themselves and their relationships.
I work with adults and couples who experience depression, anxiety, PTSD, Dissociative Disorders, difficulty relating to others or dissatisfaction with life; particularly second half of life issues, divorce, co-parenting, traumatic events, changing careers, empty nest syndrome, retirement, grief and loss, who want to feel better about themselves and their relationships.
(406) 412-3431 View (406) 412-3431
Photo of Marlayne Worthington, MS, LCPC
Marlayne Worthington
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Billings, MT 59102
While we all strive to live a life full of joy, excitement, success and fulfillment, we all encounter times when our plans for ourselves get derailed. Some may struggle with relationships, mental illness, trauma, tragedy or life stage transitions. We all need some help during these times to help get back on the path to wellness and happiness. I believe that while these trials are difficult, they can also be used as stepping stones to help us become a better version of ourselves. How we face our challenges gives us the opportunity for personal growth. I would love to be the one to help you with that process.
While we all strive to live a life full of joy, excitement, success and fulfillment, we all encounter times when our plans for ourselves get derailed. Some may struggle with relationships, mental illness, trauma, tragedy or life stage transitions. We all need some help during these times to help get back on the path to wellness and happiness. I believe that while these trials are difficult, they can also be used as stepping stones to help us become a better version of ourselves. How we face our challenges gives us the opportunity for personal growth. I would love to be the one to help you with that process.
(406) 282-8018 View (406) 282-8018
Photo of Jeanie Shade, LCSW, Clinical Social Work/Therapist
Jeanie Shade
Clinical Social Work/Therapist, LCSW
Verified Verified
Billings, MT 59101  (Online Only)
Are you on a journey of self-discovery? Perhaps you have been a lifelong student of self-improvement. Or perhaps you are in the middle of a crisis that has gotten your attention and you notice you are repeating unhealthy patterns in your life. Either way, I would love to work with you and teach you a variety of tools to use for finding the best version of yourself. I can help you sort through and understand complex emotions like shame, guilt, despair, hopelessness, and lack of purpose. I will also help you look at your deepest core beliefs that drive much of what you experience in life and help you to learn how to change them.
Are you on a journey of self-discovery? Perhaps you have been a lifelong student of self-improvement. Or perhaps you are in the middle of a crisis that has gotten your attention and you notice you are repeating unhealthy patterns in your life. Either way, I would love to work with you and teach you a variety of tools to use for finding the best version of yourself. I can help you sort through and understand complex emotions like shame, guilt, despair, hopelessness, and lack of purpose. I will also help you look at your deepest core beliefs that drive much of what you experience in life and help you to learn how to change them.
(406) 412-8437 View (406) 412-8437
Photo of Jolane Flanigan, PhD, MS, LCPC, Counselor
Jolane Flanigan
Counselor, PhD, MS, LCPC
Verified Verified
Billings, MT 59102
I have come to understand that much of our pain comes from things that strain or break our connection to others or that interfere with achieving our goals. I’m guessing if you’re reading this, you are in a hard spot in your life. It will get better. In therapy, you will learn more about yourself and how your past is adversely shaping your today. I will bring my experience and training to help in the process of overcoming your roadblocks to happiness.
I have come to understand that much of our pain comes from things that strain or break our connection to others or that interfere with achieving our goals. I’m guessing if you’re reading this, you are in a hard spot in your life. It will get better. In therapy, you will learn more about yourself and how your past is adversely shaping your today. I will bring my experience and training to help in the process of overcoming your roadblocks to happiness.
(406) 296-5513 View (406) 296-5513
Photo of Dianna Grantham, LCPC, LAC, Counselor
Dianna Grantham
Counselor, LCPC, LAC
Verified Verified
1 Endorsed
Billings, MT 59102
I am a Licensed Clinical Professional Counselor and a Licensed Addiction Counselor in the State of Montana. Addiction is a treatable disease and can be managed successfully. Some individuals have co-occurring disorders, which I also treat. I specialize in Chemical Dependency and Gambling evaluations, Court ordered treatment, Relapse Prevention, Couples/Marriage Counseling, as well as anxiety, depression, and grief issues you may be dealing with. I offer a highly personalized approach tailored to each individual, focusing on your strengths. Together, we will identify and develop goals, moving towards positive solutions. I provide a safe, non-judgmental, and confidential environment.
I am a Licensed Clinical Professional Counselor and a Licensed Addiction Counselor in the State of Montana. Addiction is a treatable disease and can be managed successfully. Some individuals have co-occurring disorders, which I also treat. I specialize in Chemical Dependency and Gambling evaluations, Court ordered treatment, Relapse Prevention, Couples/Marriage Counseling, as well as anxiety, depression, and grief issues you may be dealing with. I offer a highly personalized approach tailored to each individual, focusing on your strengths. Together, we will identify and develop goals, moving towards positive solutions. I provide a safe, non-judgmental, and confidential environment.
(406) 224-4196 View (406) 224-4196
Photo of Lisa L Matovich-Brooke Anxiety Depression Ptsd, LCPC, Counselor
Lisa L Matovich-Brooke Anxiety Depression Ptsd
Counselor, LCPC
Verified Verified
Billings, MT 59101
Are you ready to heal from PTSD, trauma, grief, anxiety or depression? Are you tired of feeling overwhelmed and stressed out? Life can throw us curveballs which can leave us sad, unmotivated, and heartbroken. Loved ones can leave us, relationships end, and life can sometimes be difficult. I believe that even though bad things happen, we can heal and have good lives. I help my clients to work toward finding solutions and skills so that they can find happiness after traumatic events. Life is too short to be sad, anxious, and depressed. You deserve to feel good about yourself!
Are you ready to heal from PTSD, trauma, grief, anxiety or depression? Are you tired of feeling overwhelmed and stressed out? Life can throw us curveballs which can leave us sad, unmotivated, and heartbroken. Loved ones can leave us, relationships end, and life can sometimes be difficult. I believe that even though bad things happen, we can heal and have good lives. I help my clients to work toward finding solutions and skills so that they can find happiness after traumatic events. Life is too short to be sad, anxious, and depressed. You deserve to feel good about yourself!
(406) 642-7846 View (406) 642-7846
Photo of Meghan Alane Salyer, LAC, LCSW, Clinical Social Work/Therapist
Meghan Alane Salyer
Clinical Social Work/Therapist, LAC, LCSW
Verified Verified
Billings, MT 59102
Not accepting new clients
I believe the most important relationship we have in this life is with ourselves. Therapy can offer us a deeper understanding and connection with ourselves. Learning to love ourselves is a difficult process and is also very transformative and healing. I like to approach therapy with the ideas of helping a client develop a safe and trusting relationship with themself and to also approach themself with curiosity and compassion. I believe in the healing power of our minds and bodies and love to help clients learn how to cultivate this for themselves.
I believe the most important relationship we have in this life is with ourselves. Therapy can offer us a deeper understanding and connection with ourselves. Learning to love ourselves is a difficult process and is also very transformative and healing. I like to approach therapy with the ideas of helping a client develop a safe and trusting relationship with themself and to also approach themself with curiosity and compassion. I believe in the healing power of our minds and bodies and love to help clients learn how to cultivate this for themselves.
(406) 319-3589 View (406) 319-3589
Photo of Ashley Novakovich, LCSW, Clinical Social Work/Therapist
Ashley Novakovich
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Billings, MT 59101
Waitlist for new clients
I’m an EMDR and EFT trained therapist committed to helping you overcome the roadblocks in your life. My work focuses on understanding your experience and creating a safe environment to challenge and change patterns. I come to the therapy relationship with a humanistic approach and a grounding in attachment theory. I believe therapy is a collaborative process to meet your goals.
I’m an EMDR and EFT trained therapist committed to helping you overcome the roadblocks in your life. My work focuses on understanding your experience and creating a safe environment to challenge and change patterns. I come to the therapy relationship with a humanistic approach and a grounding in attachment theory. I believe therapy is a collaborative process to meet your goals.
(406) 412-6869 View (406) 412-6869
Photo of Desire Meismer, MS, LCPC, Counselor
Desire Meismer
Counselor, MS, LCPC
Verified Verified
3 Endorsed
Billings, MT 59102
Waitlist for new clients
Throughout our lives we may encounter painful, traumatic, or difficult scenarios that leave us feeling hopeless or stuck. I believe every person has a resiliency and strength to pull from to achieve an enjoyable and fulfilling life. Sometimes we need outside support to tap into our full potential and to overcome challenges. My background includes addressing struggles related to anxiety, depression, PTSD, oppositional defiant disorder, bipolar disorder, adjustment difficulties, trauma, and more.
Throughout our lives we may encounter painful, traumatic, or difficult scenarios that leave us feeling hopeless or stuck. I believe every person has a resiliency and strength to pull from to achieve an enjoyable and fulfilling life. Sometimes we need outside support to tap into our full potential and to overcome challenges. My background includes addressing struggles related to anxiety, depression, PTSD, oppositional defiant disorder, bipolar disorder, adjustment difficulties, trauma, and more.
(406) 637-6497 View (406) 637-6497
Photo of Tasha Wickens, MS, LCPC, Counselor
Tasha Wickens
Counselor, MS, LCPC
Verified Verified
Billings, MT 59102
Not accepting new clients
I have been a therapist in Billings for 18 years working with a variety of mental health concerns. Primarily, I work with adults experiencing, depression, anxiety, PTSD, grief/loss, pregnancy loss/infertility, divorce, parenting concerns, and phase of life problems.
I have been a therapist in Billings for 18 years working with a variety of mental health concerns. Primarily, I work with adults experiencing, depression, anxiety, PTSD, grief/loss, pregnancy loss/infertility, divorce, parenting concerns, and phase of life problems.
(406) 802-5729 View (406) 802-5729
Photo of Michael R. Bütz - Aspen Practice, P.C., dba Michael R. Bütz, Ph.D., PhD, Psychologist
Aspen Practice, P.C., dba Michael R. Bütz, Ph.D.
Psychologist, PhD
Verified Verified
Billings, MT 59101
Dr. Bütz has been a licensed psychologist for over twenty years, working both in executive management and conducting clinical, forensic and neuropsychological work. During the fall of 2015, Dr. Bütz moved his clinical and neuropsychoogical practice to St. Vincent Healthcare Behavioral Health Associates and maintained his forensic practice under Aspen Practice, P.C.
Dr. Bütz has been a licensed psychologist for over twenty years, working both in executive management and conducting clinical, forensic and neuropsychological work. During the fall of 2015, Dr. Bütz moved his clinical and neuropsychoogical practice to St. Vincent Healthcare Behavioral Health Associates and maintained his forensic practice under Aspen Practice, P.C.
(406) 948-4419 View (406) 948-4419
Photo of Lisa H Hjelmstad - Wellness Possebilities, MSW, LCSW, LMFT, MAC, SAP, Clinical Social Work/Therapist
Wellness Possebilities
Clinical Social Work/Therapist, MSW, LCSW, LMFT, MAC, SAP
Verified Verified
Billings, MT 59102
I am committed to helping clients move through a variety of challenges by building self-awareness and supporting the practice of new actions. I provide integrated client solution focused therapy. I am trained in trauma informed interventions, am sensitive to a client's attachment style and work to empower clients to achieve their goals. I enjoy working with individuals, couples and groups. I have a special interest in teaching of behavioral management, mindfulness, somatic experiencing, EMDR, emotional regulation, and distress tolerance. Cognitive behavioral resources and tools are the foundation of all my work.
I am committed to helping clients move through a variety of challenges by building self-awareness and supporting the practice of new actions. I provide integrated client solution focused therapy. I am trained in trauma informed interventions, am sensitive to a client's attachment style and work to empower clients to achieve their goals. I enjoy working with individuals, couples and groups. I have a special interest in teaching of behavioral management, mindfulness, somatic experiencing, EMDR, emotional regulation, and distress tolerance. Cognitive behavioral resources and tools are the foundation of all my work.
(406) 578-0646 View (406) 578-0646
Photo of Tammy Hanify, LCPC, LAC, Counselor
Tammy Hanify
Counselor, LCPC, LAC
Verified Verified
Billings, MT 59101
Not accepting new clients
My goal is to assist clients in recognizing and understanding what is troubling them, process emotions, identify solutions, and, ultimately, help them achieve their individual goals. I am available to help with difficulties such as anxiety, depression, life changes and stressors, relationship issues, trauma, and grief and loss.
My goal is to assist clients in recognizing and understanding what is troubling them, process emotions, identify solutions, and, ultimately, help them achieve their individual goals. I am available to help with difficulties such as anxiety, depression, life changes and stressors, relationship issues, trauma, and grief and loss.
(406) 413-9021 View (406) 413-9021
Photo of Jenna Christensen, PCLC, Counselor
Jenna Christensen
Counselor, PCLC
Verified Verified
Billings, MT 59101
Hello and welcome! I'm Jenna Christensen, a dedicated and compassionate counselor with a passion for helping individuals navigate life's challenges and cultivate meaningful change. I specialize in trauma recovery, anxiety, depression, and LGBT+ issues. I have had the privilege of working with diverse individuals facing a range of issues. My academic background includes a Bachelor's and Master's Degree in Psychology from Montana State University.
Hello and welcome! I'm Jenna Christensen, a dedicated and compassionate counselor with a passion for helping individuals navigate life's challenges and cultivate meaningful change. I specialize in trauma recovery, anxiety, depression, and LGBT+ issues. I have had the privilege of working with diverse individuals facing a range of issues. My academic background includes a Bachelor's and Master's Degree in Psychology from Montana State University.
(406) 729-4993 View (406) 729-4993
Photo of Tawny Stark, LCPC, PMH-C, Counselor
Tawny Stark
Counselor, LCPC, PMH-C
Verified Verified
2 Endorsed
Billings, MT 59102
I believe that people are capable of making changes in their life and that is why I do what I do. I approach counseling from a cognitive behavioral perspective which means that I help clients examine their thought processes and how those processes drive their behavior. I also believe that we all have the resources in ourselves to find solutions to our problems. Mindfulness has become a well-known practice in helping to manage anxiety, depression, stress, and chronic pain. I have seen the benefits of this work in myself and with my clients and will incorporate this approach in my work with you.
I believe that people are capable of making changes in their life and that is why I do what I do. I approach counseling from a cognitive behavioral perspective which means that I help clients examine their thought processes and how those processes drive their behavior. I also believe that we all have the resources in ourselves to find solutions to our problems. Mindfulness has become a well-known practice in helping to manage anxiety, depression, stress, and chronic pain. I have seen the benefits of this work in myself and with my clients and will incorporate this approach in my work with you.
(406) 365-1213 View (406) 365-1213
Photo of Jonathan C Angel, MS, LCPC, Counselor
Jonathan C Angel
Counselor, MS, LCPC
Verified Verified
Billings, MT 59102
My work with individuals and their families is based on a life time of personal and family experience learning to live with serious mental illness. I have spent much of my adult life involved in research through the National Institute of Mental Health, advocating for families and individuals through the National Alliance on Mental Illness and working with the most vulnerable populations through the Mental Health Center PACT program. I believe that everyone is capable of meaningful recovery through the pursuit of education, healing, and personal growth.
My work with individuals and their families is based on a life time of personal and family experience learning to live with serious mental illness. I have spent much of my adult life involved in research through the National Institute of Mental Health, advocating for families and individuals through the National Alliance on Mental Illness and working with the most vulnerable populations through the Mental Health Center PACT program. I believe that everyone is capable of meaningful recovery through the pursuit of education, healing, and personal growth.
(406) 876-4936 View (406) 876-4936
Photo of Aimery Richard, MSW, SWLC, Pre-Licensed Professional
Aimery Richard
Pre-Licensed Professional, MSW, SWLC
Verified Verified
1 Endorsed
Billings, MT 59102
I work with children, teens, and adults. I see clients that are experiencing anxiety, depression, high stress from work and or personal life. You might struggle with low self-esteem and navigating significant life transitions like career changes or moving. I am a compassionate therapist who can provide emotional support, practical coping strategies, and empathy. Together, let’s reduce your anxiety and depressive symptoms, improve stress management, boost self-confidence, and heal from past traumas. Let’s work together to set realistic goals and help you thrive through life's challenges finding peace in a happy, healthy life.
I work with children, teens, and adults. I see clients that are experiencing anxiety, depression, high stress from work and or personal life. You might struggle with low self-esteem and navigating significant life transitions like career changes or moving. I am a compassionate therapist who can provide emotional support, practical coping strategies, and empathy. Together, let’s reduce your anxiety and depressive symptoms, improve stress management, boost self-confidence, and heal from past traumas. Let’s work together to set realistic goals and help you thrive through life's challenges finding peace in a happy, healthy life.
(406) 796-3981 View (406) 796-3981
Photo of Dragonfly Counseling - Dragonfly Counseling, MA, MSW, LCSW, Clinical Social Work/Therapist
Dragonfly Counseling
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
1 Endorsed
Billings, MT 59101
Waitlist for new clients
Waitlist Is Now Open! When clients visit with us, you will get therapists who are invested in your goals and in your journey to achieve those goals. Clients coping with anxiety, depression, gender identity, LGBTQ+ concerns, school based issues, family stressors, life transitions, losses, and other mental health concerns are our ideal people to work with. Together we can help you live your best life.
Waitlist Is Now Open! When clients visit with us, you will get therapists who are invested in your goals and in your journey to achieve those goals. Clients coping with anxiety, depression, gender identity, LGBTQ+ concerns, school based issues, family stressors, life transitions, losses, and other mental health concerns are our ideal people to work with. Together we can help you live your best life.
(406) 296-5459 View (406) 296-5459
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How does your Therapist compare?

Number of Therapists in Billings, MT

300+

Average cost per session

$165

Therapists in Billings, MT who prioritize treating:

89% Anxiety
86% Depression
77% Trauma and PTSD
72% Relationship Issues
71% Coping Skills
71% Self Esteem
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
72% Allegiance
70% Aetna

How Therapists in Billings, MT see their clients

79% In Person and Online
21% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Billings?

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.