Therapists in Marysville, WA
![Photo of Cassandra Wilson, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/c752b364-95ba-4fde-af23-b12147a366ed/2/320x400.jpeg)
Revive and Thrive Relational Therapy is a private practice specializing in relationships providing therapy services to anyone located in the state of Washington, Florida or Vermont. As a trained marriage and family therapist, I work to improve each relationship dynamic that comes in. I am sex and kink positive, LGBTQIA+ inclusive and relationship focused (including poly and non-monogamy). Relational therapy can be difficult, but as we work together, your lives will become more harmonious.
Revive and Thrive Relational Therapy is a private practice specializing in relationships providing therapy services to anyone located in the state of Washington, Florida or Vermont. As a trained marriage and family therapist, I work to improve each relationship dynamic that comes in. I am sex and kink positive, LGBTQIA+ inclusive and relationship focused (including poly and non-monogamy). Relational therapy can be difficult, but as we work together, your lives will become more harmonious.
![Photo of Denise Redford - Reflections Counseling, LMFT, MHP, Marriage & Family Therapist](https://photos.psychologytoday.com/25b83c24-58a9-4ea4-b38f-920976a38d17/3/320x400.jpeg)
Reflections Counseling
Marriage & Family Therapist, LMFT, MHP
Verified Verified
Marysville, WA 98270
The thing that is universal to why someone is seeking therapy is that they want a place to talk about thoughts, feelings and relationships without fear of being judged or of hurting someone's feelings. It is always an honor to be trusted to hear people’s thoughts, feelings and experiences. I do not believe it is my roll to tell someone how to do things, how to feel about things or how to think about things. I believe my role is to ask you questions, offer relevant information and skills but mostly listen to what you what. To do this, I use a variety of different techniques, skills and theories.
The thing that is universal to why someone is seeking therapy is that they want a place to talk about thoughts, feelings and relationships without fear of being judged or of hurting someone's feelings. It is always an honor to be trusted to hear people’s thoughts, feelings and experiences. I do not believe it is my roll to tell someone how to do things, how to feel about things or how to think about things. I believe my role is to ask you questions, offer relevant information and skills but mostly listen to what you what. To do this, I use a variety of different techniques, skills and theories.
![Photo of Rebecca Barrett, MSW, LICSW, LMHCA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8876dea1-6141-480d-b600-88fc0daf2433/1/320x400.jpeg)
Rebecca Barrett
Clinical Social Work/Therapist, MSW, LICSW, LMHCA
Verified Verified
Marysville, WA 98271 (Online Only)
BCBS In Network. I know how much strength it requires to make the decision to seek a therapist. It’s important to make time for mental self-care just like you would schedule a workout or physical. Sometimes we all need a little extra help or an outside perspective. My goal is that you will feel welcomed, accepted, and validated by being your true self with me. If you are seeking to heal toxic patterns or to implement positive changes toward new growth, I provide a non-judgmental, safe place for you to explore the changes that are healthiest and doable for you. I am a skilled listener who offers unconditional acceptance and hope.
BCBS In Network. I know how much strength it requires to make the decision to seek a therapist. It’s important to make time for mental self-care just like you would schedule a workout or physical. Sometimes we all need a little extra help or an outside perspective. My goal is that you will feel welcomed, accepted, and validated by being your true self with me. If you are seeking to heal toxic patterns or to implement positive changes toward new growth, I provide a non-judgmental, safe place for you to explore the changes that are healthiest and doable for you. I am a skilled listener who offers unconditional acceptance and hope.
![Photo of Christine Jackson, MS, LMHC, Counselor](https://photos.psychologytoday.com/a5a13e81-1962-4630-a513-a48cf003cd47/3/320x400.jpeg)
Now Accepting New Clients.... Are you looking for support in understanding your actions and intentions? Counseling offers the experience of support while exploring your personal narratives. You may feel defined by the layers of thoughts and feelings that have developed throughout your life experiences. You may feel overwhelmed by the behaviors that do not really fit who you want to be in this world. Counseling offers a respectful and nonjudgmental environment for you to safely explore your life experiences and identify your values and motivations.
Now Accepting New Clients.... Are you looking for support in understanding your actions and intentions? Counseling offers the experience of support while exploring your personal narratives. You may feel defined by the layers of thoughts and feelings that have developed throughout your life experiences. You may feel overwhelmed by the behaviors that do not really fit who you want to be in this world. Counseling offers a respectful and nonjudgmental environment for you to safely explore your life experiences and identify your values and motivations.
![Photo of Dr. Vance Whippo, DMin, MA, LMHCA, CCC, MHP, Counselor](https://photos.psychologytoday.com/471b334b-9cdf-49a7-a788-4ee23f60854a/1/320x400.jpeg)
Most clients come to me from the military and emergency services but I also work with many relationships as they struggle with anxiety and mild depression, largely stemming from work-related stress and a lack of work-life balance. They are highly motivated and self-aware, acknowledging their need for help and actively seeking it. They have a supportive network but feel isolated in their experiences, yearning for a space to express their feelings without judgment. They also want to explore underlying issues contributing to their mental health challenges, such as perfectionism and fear of failure.
Most clients come to me from the military and emergency services but I also work with many relationships as they struggle with anxiety and mild depression, largely stemming from work-related stress and a lack of work-life balance. They are highly motivated and self-aware, acknowledging their need for help and actively seeking it. They have a supportive network but feel isolated in their experiences, yearning for a space to express their feelings without judgment. They also want to explore underlying issues contributing to their mental health challenges, such as perfectionism and fear of failure.
![Photo of Ashley Brewer - Onward & Upward Counseling Center, LLC, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/50c97f59-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Onward & Upward Counseling Center, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Marysville, WA 98271 (Online Only)
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
![Photo of Tracy Kazda, LMHC, MHP, MA, Counselor](https://photos.psychologytoday.com/dfbe99be-b0a1-488c-9776-3b5aef4877ed/2/320x400.jpeg)
Tracy Kazda
Counselor, LMHC, MHP, MA
Verified Verified
Marysville, WA 98271 (Online Only)
Not accepting new clients
There are many different reasons people spend time seeking the help of a professional counselor. Some have a specific targeted problem they wish to overcome. Others need a safe and comfortable space to talk to a nonjudgmental person outside of their usual friends and family. While still others may need help navigating their interpersonal relationships. Whatever your reason is for seeking counseling, it is my goal to help you overcome those issues in your own journey to healing.
There are many different reasons people spend time seeking the help of a professional counselor. Some have a specific targeted problem they wish to overcome. Others need a safe and comfortable space to talk to a nonjudgmental person outside of their usual friends and family. While still others may need help navigating their interpersonal relationships. Whatever your reason is for seeking counseling, it is my goal to help you overcome those issues in your own journey to healing.
![Photo of Conner Cress, MA, LMHC, Counselor](https://photos.psychologytoday.com/087609b7-2862-4d27-aa4f-c8bc9613e600/2/320x400.jpeg)
There exists in all of us a wound or hurt that we have learned to either live with, or maybe disguise-a protective and gracious attempt at avoiding pain. Therapy is a unique setting to safely explore not only past wounds, but how they impact your present life and relationships. In this way, we can learn to have compassion for the parts of us that have not felt cared for and move towards healing and new ways of relating to self and others.
There exists in all of us a wound or hurt that we have learned to either live with, or maybe disguise-a protective and gracious attempt at avoiding pain. Therapy is a unique setting to safely explore not only past wounds, but how they impact your present life and relationships. In this way, we can learn to have compassion for the parts of us that have not felt cared for and move towards healing and new ways of relating to self and others.
![Photo of Wendell Demarr Moss - Wendell Moss MA Counseling, MA, Counselor](https://photos.psychologytoday.com/3ea3999c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a Christian therapist trained in the interpersonal/relational psychoanalytic theory. I've also engaged both object relational and cognitive behavioral theories through varied clinical experiences. I've mostly trained under Dan Allender. I am trained well to serve clients that desire to face issues of sexual abuse/trauma, narrative, and relational dynamics within relationships. I'm also able to help clients think through potential cultural issues that can also have impact on ones dealing with issues of abuse, story, and relationship.
I am a Christian therapist trained in the interpersonal/relational psychoanalytic theory. I've also engaged both object relational and cognitive behavioral theories through varied clinical experiences. I've mostly trained under Dan Allender. I am trained well to serve clients that desire to face issues of sexual abuse/trauma, narrative, and relational dynamics within relationships. I'm also able to help clients think through potential cultural issues that can also have impact on ones dealing with issues of abuse, story, and relationship.
![Photo of Kathie Stratmeyer - Fountaingate Wellness, LMHC, LMFT, LMT, HP, Marriage & Family Therapist](https://photos.psychologytoday.com/fd608b90-02ed-49ef-8dd0-90e54f2472ad/1/320x400.png)
Fountaingate Wellness
Marriage & Family Therapist, LMHC, LMFT, LMT, HP
Verified Verified
Marysville, WA 98270
Do you feel overwhelmed, lost, or burned out? Maybe you are stuck in an unsuccessful and unfulfilling place and you need tools and encouragement to set and achieve your goals. Fountaingate is ready to assist you in recognizing and managing the obstacles preventing you from walking in that place of confidence and security.
Do you feel overwhelmed, lost, or burned out? Maybe you are stuck in an unsuccessful and unfulfilling place and you need tools and encouragement to set and achieve your goals. Fountaingate is ready to assist you in recognizing and managing the obstacles preventing you from walking in that place of confidence and security.
![Photo of Stephanie Overton - Family First Family Services LLC, MS, CCC, CSOTP, Counselor](https://photos.psychologytoday.com/bc11c449-50df-4b7d-b778-a24cb7c3b94d/2/320x400.jpeg)
COUNSELING FOR YOU & THE ONES YOU LOVE MOST...I am devoted to supporting you and the ones you love through tough times-the kind of support and solutions needed to start feeling better and living life again. I bring expertise aimed at resolving a wide range of life's emotional and relational difficulties. In a very comfortable, accepting and supportive atmosphere, my goal is to provide the assistance needed to get beyond the obstacles you currently face.
COUNSELING FOR YOU & THE ONES YOU LOVE MOST...I am devoted to supporting you and the ones you love through tough times-the kind of support and solutions needed to start feeling better and living life again. I bring expertise aimed at resolving a wide range of life's emotional and relational difficulties. In a very comfortable, accepting and supportive atmosphere, my goal is to provide the assistance needed to get beyond the obstacles you currently face.
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![Photo of Lexi Cress, MA, LMHC, LPCC, Counselor](https://photos.psychologytoday.com/4c99d33d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I approach therapy from a relational, psychodynamic model, meaning the relationship between client and therapist can be a healing vessel in your therapeutic process. I pull from attachment theory, neuroscience, somatic approaches, and utilize EMDR in my work. My therapeutic approach also draws from my personality, which integrates humor, playfulness, and authenticity. I am now licensed in both California and Washington and am accepting new CA clients virtually.
I approach therapy from a relational, psychodynamic model, meaning the relationship between client and therapist can be a healing vessel in your therapeutic process. I pull from attachment theory, neuroscience, somatic approaches, and utilize EMDR in my work. My therapeutic approach also draws from my personality, which integrates humor, playfulness, and authenticity. I am now licensed in both California and Washington and am accepting new CA clients virtually.
![Photo of Cassandra Mary Wilson, MA, LMHC, EMMHS](https://photos.psychologytoday.com/f5cd31ed-95cc-4df0-9b28-1de85ed479d5/1/320x400.jpeg)
Cassandra Mary Wilson
Mental Health Counselor, MA, LMHC, EMMHS
Verified Verified
Marysville, WA 98270 (Online Only)
My focus in the therapeutic relationship is to work along side someone who wants to examine the many parts of their life in every aspect from their thoughts, feelings, family dynamics, current relationships, and where they would like to be headed. We often find ourselves attached to one identity in an attempt to preserve the expectations of others, losing sight of the other complexities that make up our whole self. With deep desires to meet the needs of others, whether family, school, work, or in relationships, we forget to establish and nourish our own needs.
My focus in the therapeutic relationship is to work along side someone who wants to examine the many parts of their life in every aspect from their thoughts, feelings, family dynamics, current relationships, and where they would like to be headed. We often find ourselves attached to one identity in an attempt to preserve the expectations of others, losing sight of the other complexities that make up our whole self. With deep desires to meet the needs of others, whether family, school, work, or in relationships, we forget to establish and nourish our own needs.
![Photo of Katie Barrett, MA, LMHCA, MHP, Counselor](https://photos.psychologytoday.com/ad894f9b-1b80-4729-bfab-97304612393f/1/320x400.png)
As a therapist, I aim to provide my clients with a safe space to share, connect, and work on treatment goals together. My hope is to create a therapeutic relationship with my clients where they can learn about themselves and how to best cope with life's challenges. I am especially interested in working with adolescents and young adults who have suffered trauma in their life. I believe we all have the strengths within us to persevere even after unique challenges in our lives.
As a therapist, I aim to provide my clients with a safe space to share, connect, and work on treatment goals together. My hope is to create a therapeutic relationship with my clients where they can learn about themselves and how to best cope with life's challenges. I am especially interested in working with adolescents and young adults who have suffered trauma in their life. I believe we all have the strengths within us to persevere even after unique challenges in our lives.
![Photo of Julissa Anguiano Perez, LSWAIC, Pre-Licensed Professional](https://photos.psychologytoday.com/4a114982-2f03-4a5d-ad1f-b109de36a758/1/320x400.jpeg)
Julissa Anguiano Perez
Pre-Licensed Professional, LSWAIC
Verified Verified
1 Endorsed
Marysville, WA 98271 (Online Only)
As of 08/20/24, I am accepting new clients. I'm dedicated to providing services to Spanish-speaking and other BIPOC individuals, using a trauma-informed approach that respects and considers cultural backgrounds and diverse life experiences. I also offer support to undocumented communities and can conduct immigration evaluations. My expertise also includes supporting individuals dealing with pregnancy, fertility issues, pregnancy loss, grief, and other parenthood challenges. I understand these experiences can be complex and emotionally challenging, and I am dedicated to providing compassionate care and guidance.
As of 08/20/24, I am accepting new clients. I'm dedicated to providing services to Spanish-speaking and other BIPOC individuals, using a trauma-informed approach that respects and considers cultural backgrounds and diverse life experiences. I also offer support to undocumented communities and can conduct immigration evaluations. My expertise also includes supporting individuals dealing with pregnancy, fertility issues, pregnancy loss, grief, and other parenthood challenges. I understand these experiences can be complex and emotionally challenging, and I am dedicated to providing compassionate care and guidance.
![Photo of Madison Boyce, LMHC](https://photos.psychologytoday.com/489f1468-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with individuals from the age of 14 and up struggling with issues of self-worth, trauma, grief, interpersonal conflict, and those who feel ‘stuck’ in life.
I work with individuals from the age of 14 and up struggling with issues of self-worth, trauma, grief, interpersonal conflict, and those who feel ‘stuck’ in life.
![Photo of Deborah P Kukahiko, MA, LMHC, Counselor](https://photos.psychologytoday.com/4a5e6694-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I understand that finding a therapist is challenging. It is an important relationship that by its very nature may help you develop new skills and tools.
I understand that finding a therapist is challenging. It is an important relationship that by its very nature may help you develop new skills and tools.
![Photo of Amber Noone, MA, LCPC, LMHC, Counselor](https://photos.psychologytoday.com/6145c997-f635-42b5-98e9-c88a3b9b8cb3/2/320x400.png)
Whether it is events of the past that you are struggling to make sense of or current situations that are challenging you, it is my honor to walk alongside you on this journey as you aim to sort it all out. I operate from a strengths-based approach as I truly believe that every person has the answer and solution to their struggles within them. Sometimes, we just need a little help from an outside source to uncover those answers and find our truth. Together, we will work towards healing and gaining insight from your experiences so that you can achieve your fullest potential and live a balanced life.
Whether it is events of the past that you are struggling to make sense of or current situations that are challenging you, it is my honor to walk alongside you on this journey as you aim to sort it all out. I operate from a strengths-based approach as I truly believe that every person has the answer and solution to their struggles within them. Sometimes, we just need a little help from an outside source to uncover those answers and find our truth. Together, we will work towards healing and gaining insight from your experiences so that you can achieve your fullest potential and live a balanced life.
![Photo of Dana Laffin, PsyD, Psychologist](https://photos.psychologytoday.com/3d1c0bb9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Are you feeling lost or stuck? As is life is passing you by? Bothered by old memories? I work with people everyday who struggle with depression, anxiety, trauma, addiction, identity confusion, relationship problems, or feel like their emotions are out of control. The first call for help might seem intimidating. But, once you make it you'll know you've taken the first step toward feeling better. Growth and change is often difficult and painful, but the pain and fear you're feeling is probably worse. I will provide you with non-judgmental support and careful guidance through this process.
Are you feeling lost or stuck? As is life is passing you by? Bothered by old memories? I work with people everyday who struggle with depression, anxiety, trauma, addiction, identity confusion, relationship problems, or feel like their emotions are out of control. The first call for help might seem intimidating. But, once you make it you'll know you've taken the first step toward feeling better. Growth and change is often difficult and painful, but the pain and fear you're feeling is probably worse. I will provide you with non-judgmental support and careful guidance through this process.
![Photo of Arlether Wilson, LMHC, Counselor](https://photos.psychologytoday.com/3740ae81-a1d8-46ff-b61a-53a18bc86366/2/320x400.png)
Hello there! I'm Arlether I am a Licensed Mental Health Counselor located in Kirkland, WA. I also see clients virtually in Texas. In my practice I work with clients with substance abuse and mental health challenges, helping them regain control over their lives. I work with clients ages 18 and up who are dealing with substance abuse and mental health issues to help them regain control over their lives.
Hello there! I'm Arlether I am a Licensed Mental Health Counselor located in Kirkland, WA. I also see clients virtually in Texas. In my practice I work with clients with substance abuse and mental health challenges, helping them regain control over their lives. I work with clients ages 18 and up who are dealing with substance abuse and mental health issues to help them regain control over their lives.
See more therapy options for Marysville
Nearby Searches for Marysville
- Arlington
- Camano Island
- Clinton
- Everett
- Freeland
- Greenbank
- Lake Stevens
- Langley
- Monroe
- Mukilteo
- Snohomish
- Stanwood
How does your Therapist compare?
Number of Therapists in Marysville, WA
100+
Average cost per session
$150
Therapists in Marysville, WA who prioritize treating:
92% | Anxiety |
89% | Depression |
80% | Trauma and PTSD |
77% | Relationship Issues |
77% | Coping Skills |
72% | Self Esteem |
67% | Grief |
Average years in practice
9 Years
Top 3 insurances accepted
75% | Premera Blue Cross |
67% | Regence |
55% | Aetna |
How Therapists in Marysville, WA see their clients
68% | In Person and Online | |
32% | Online Only |
Gender breakdown
75% | Female | |
25% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Marysville?
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
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.
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.
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.