Therapists in Tulsa, OK
![Photo of Hallie Msongamwanja, MA, LPC-S, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/84955eb5-4e0c-4c96-a6e6-29dcff87a01e/2/320x400.jpeg)
Hallie Msongamwanja
Licensed Professional Counselor, MA, LPC-S, LCPC
Verified Verified
4 Endorsed
Tulsa, OK 74136
I am a board approved LPC Supervisor and am currently accepting supervisees. Hello there! Congrats on the brave choice you have made to reach out for help! I have a passion for helping people find healing and connection in their lives and relationships. You might be looking for a therapist who seeks to understand you, be with you in hard things, and help you to move from where you are to where you want to be. Well, you have come to the right place! I offer a safe, judgment-free place for you to lay aside your image and come have a real in depth conversation about whatever may be bothering you.
I am a board approved LPC Supervisor and am currently accepting supervisees. Hello there! Congrats on the brave choice you have made to reach out for help! I have a passion for helping people find healing and connection in their lives and relationships. You might be looking for a therapist who seeks to understand you, be with you in hard things, and help you to move from where you are to where you want to be. Well, you have come to the right place! I offer a safe, judgment-free place for you to lay aside your image and come have a real in depth conversation about whatever may be bothering you.
![Photo of Judy Totty, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c7aeda3-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Many adults may seek the help of a therapist when they are feeling depressed or anxious. Often they might be experiencing disillusionment, discontent, doubt or restlessness but are not sure of the reasons why. Many times they seek to alleviate the painful emotions resulting from loss, or dysfunction in interpersonal relationships. I believe my role is to assist these clients in determining the source of their discontent and developing coping skills to live successfully and happily, in spite of life's challenges. I especially enjoy working with adults experiencing midlife transitions and the associated challenges of the afternoon of life.
Many adults may seek the help of a therapist when they are feeling depressed or anxious. Often they might be experiencing disillusionment, discontent, doubt or restlessness but are not sure of the reasons why. Many times they seek to alleviate the painful emotions resulting from loss, or dysfunction in interpersonal relationships. I believe my role is to assist these clients in determining the source of their discontent and developing coping skills to live successfully and happily, in spite of life's challenges. I especially enjoy working with adults experiencing midlife transitions and the associated challenges of the afternoon of life.
![Photo of Jordan Gustin, MA, Licensed Professional Counselor](https://photos.psychologytoday.com/a3ff7f2b-1f9a-4d6f-ae34-ef076929feef/6/320x400.jpeg)
Jordan Gustin
Licensed Professional Counselor, MA
Verified Verified
4 Endorsed
Tulsa, OK 74105 (Online Only)
Sometimes we need extra support. Whether it’s because we’re trying to navigate things after trauma, we’re feeling lonely, or this season of life is tough, extra support from therapy can go a long way in enhancing our lives.
Sometimes we need extra support. Whether it’s because we’re trying to navigate things after trauma, we’re feeling lonely, or this season of life is tough, extra support from therapy can go a long way in enhancing our lives.
![Photo of Stephanie Rowland, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/416d673f-1ed5-4ed6-8d52-bdc5fe8d5033/3/320x400.jpeg)
I am a Licensed Clinical Social Worker who has worked in the mental health field since 2005, which has allowed me to work with a diverse population and a variety of mental health issues. I work with adolescents or adults. I love working with teenagers and want to help set them up for success as adults.
I am a Licensed Clinical Social Worker who has worked in the mental health field since 2005, which has allowed me to work with a diverse population and a variety of mental health issues. I work with adolescents or adults. I love working with teenagers and want to help set them up for success as adults.
![Photo of Frederic Hendreson, MHR, Licensed Professional Counselor](https://photos.psychologytoday.com/ca100a1f-b3c5-471a-b983-e96f19f5f2fa/1/320x400.jpeg)
Frederic Hendreson
Licensed Professional Counselor, MHR
Verified Verified
1 Endorsed
Tulsa, OK 74129
When men get hurt, the first reaction is to lash out or shut down. Neither helps us to understand or process the pain. What no one tells us is that “I don’t want to talk about it” is the first step to locking ourselves into a self-made prison. It's not only destructive to ourselves, but to the people around us. In that prison, pain becomes a wound that festers and makes it difficult for us to enjoy healthy relationships. Logically, the key to getting out of that prison is talking things out. That’s what I'm here for.
When men get hurt, the first reaction is to lash out or shut down. Neither helps us to understand or process the pain. What no one tells us is that “I don’t want to talk about it” is the first step to locking ourselves into a self-made prison. It's not only destructive to ourselves, but to the people around us. In that prison, pain becomes a wound that festers and makes it difficult for us to enjoy healthy relationships. Logically, the key to getting out of that prison is talking things out. That’s what I'm here for.
![Photo of Rachel Calvin, LMSW, STC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2d6d6640-4a94-403b-a018-e31c1d90f191/1/320x400.jpeg)
Talking about sex shouldn't feel shameful or embarrassing. Are you seeking meaningful change and personal growth? I help individuals struggling with sexual issues, relationships, and mental health difficulties like anxiety, depression, and trauma. You will always have a safe, non-judgmental space to explore concerns, evidence-based strategies to address challenges, and compassionate support. If your goals include enhancing intimacy and sexual health, improving communication in relationships, and building self-worth, I’m here to help. I aim to see you lead a more fulfilling, balanced, and empowered life.
Talking about sex shouldn't feel shameful or embarrassing. Are you seeking meaningful change and personal growth? I help individuals struggling with sexual issues, relationships, and mental health difficulties like anxiety, depression, and trauma. You will always have a safe, non-judgmental space to explore concerns, evidence-based strategies to address challenges, and compassionate support. If your goals include enhancing intimacy and sexual health, improving communication in relationships, and building self-worth, I’m here to help. I aim to see you lead a more fulfilling, balanced, and empowered life.
![Photo of Amanda May Kleeman Summers - Anchored BHC Interns, Licensed Professional Counselor](https://photos.psychologytoday.com/d0ddda59-c6f5-4280-b7f3-da46cbeaca40/2/320x400.png)
Welcome to Anchored BHC's intern page. Anchored BHC offers Pro Bono counseling services given by qualified Master level Interns. These Interns have a large array of experiences and knowledge to assist you in your journey. Anchored is here to continue to remove the barriers so that you can receive counseling services.
Welcome to Anchored BHC's intern page. Anchored BHC offers Pro Bono counseling services given by qualified Master level Interns. These Interns have a large array of experiences and knowledge to assist you in your journey. Anchored is here to continue to remove the barriers so that you can receive counseling services.
![Photo of Kellye Baggett, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e2ff1f52-2e71-420c-9928-814c830a8914/1/320x400.jpeg)
Kellye Baggett, LCSW has worked in the field of trauma for over 15 years, 10 of those years as a clinician. Kellye has worked with children, teens, adults and families in the school, shelter, home and agency settings, addressing parenting, adoption and foster care, disrupted placements, relationship problems, behavioral problems, trauma, depression, anxiety and suicidal thoughts and behaviors
Kellye Baggett, LCSW has worked in the field of trauma for over 15 years, 10 of those years as a clinician. Kellye has worked with children, teens, adults and families in the school, shelter, home and agency settings, addressing parenting, adoption and foster care, disrupted placements, relationship problems, behavioral problems, trauma, depression, anxiety and suicidal thoughts and behaviors
![Photo of Matt Crawford - Sport Psychology, MA, MSE](https://photos.psychologytoday.com/678588f3-faf1-4c68-8227-84fae1db02ec/3/320x400.jpeg)
Note: All sessions will be offered online. You are an athlete, a performer, a person with a purpose. I want to help you chase after your goals as you pursue greatness. No matter the odds or circumstances you are facing, I believe in coaching someone to help them achieve their maximum potential mentally, emotionally, and physically. The topics we will cover will be with you long after your playing days are over. Of course, I want to see you have success in the current season of your life, but I am also invested in seeing who you become as an individual outside of sport. The Good Lord has a plan for you. Let's talk about it.
Note: All sessions will be offered online. You are an athlete, a performer, a person with a purpose. I want to help you chase after your goals as you pursue greatness. No matter the odds or circumstances you are facing, I believe in coaching someone to help them achieve their maximum potential mentally, emotionally, and physically. The topics we will cover will be with you long after your playing days are over. Of course, I want to see you have success in the current season of your life, but I am also invested in seeing who you become as an individual outside of sport. The Good Lord has a plan for you. Let's talk about it.
![Photo of Misti Center, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3c358468-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My practice focus is based on clients gaining self awareness, insight into problems, and coping skills/resiliency to live a more fulfilling, healthy and productive life. I use an eclectic approach that leans heavily toward Acceptance Commitment/ACT and Dialectical Behavior/DBT. I create an individualized approach to address specific client needs relying heavily on the client therapist relationship. Specializations include navigating challenging relationships, healing and restoration in relationships, issues stemming from childhood/family of origin and parent coaching. I also provide therapeutic visitation through the court system.
My practice focus is based on clients gaining self awareness, insight into problems, and coping skills/resiliency to live a more fulfilling, healthy and productive life. I use an eclectic approach that leans heavily toward Acceptance Commitment/ACT and Dialectical Behavior/DBT. I create an individualized approach to address specific client needs relying heavily on the client therapist relationship. Specializations include navigating challenging relationships, healing and restoration in relationships, issues stemming from childhood/family of origin and parent coaching. I also provide therapeutic visitation through the court system.
![Photo of Amanda Peevsasser, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6799ecae-87d3-4e0e-b42b-3889cbd8296a/2/320x400.jpeg)
Now Accepting New Clients! Life can be stressful, and even oftentimes overwhelming. Stressors and trauma can impact our lives in many ways, negatively contributing to our physical and emotional health. I believe the mind has the innate capacity to heal. Therapy can provide the key to unlocking our own power to make positive changes, improving how we respond to life's challenges. The process of change and emotional growth is one that starts with the initial step of reaching out. Therapy can provide a safe, confidential, judgement free environment to explore how to manage stress and live life fully.
Now Accepting New Clients! Life can be stressful, and even oftentimes overwhelming. Stressors and trauma can impact our lives in many ways, negatively contributing to our physical and emotional health. I believe the mind has the innate capacity to heal. Therapy can provide the key to unlocking our own power to make positive changes, improving how we respond to life's challenges. The process of change and emotional growth is one that starts with the initial step of reaching out. Therapy can provide a safe, confidential, judgement free environment to explore how to manage stress and live life fully.
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![Photo of Stacy L King, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4037c5a3-7771-46e5-be32-2ebee670a293/2/320x400.png)
Welcome to King's Crossing Counseling and Consultation! KCCC is a mental health therapy provider in Tulsa, Ok. Our vision is to reach those who need hope in difficult spaces to find support, resilience, and growth. The world we live in is full of distractions, comparisons, traumatic experiences, and adjustments to change. At times these can become difficult to navigate. Counseling can help us to find solutions to our paths and build our natural ability to create the life we strive to live.
Welcome to King's Crossing Counseling and Consultation! KCCC is a mental health therapy provider in Tulsa, Ok. Our vision is to reach those who need hope in difficult spaces to find support, resilience, and growth. The world we live in is full of distractions, comparisons, traumatic experiences, and adjustments to change. At times these can become difficult to navigate. Counseling can help us to find solutions to our paths and build our natural ability to create the life we strive to live.
![Photo of Adair Welsh, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7a2763dd-3e9f-4ac7-a6cd-279008a6f425/1/320x400.jpeg)
I have a strong passion to help women, non-binary and transgender individuals struggling with their bodies and relationship with food. I enjoy working with those who have experienced trauma and complex trauma, to help you find healing and to become the true authentic human you were meant to be. I can also provide a safe space to process the complicated emotions and challenges that arise from chronic illness. Additionally, I have a special interest in and enjoy working alongside those living with autism and lower support needs.
I have a strong passion to help women, non-binary and transgender individuals struggling with their bodies and relationship with food. I enjoy working with those who have experienced trauma and complex trauma, to help you find healing and to become the true authentic human you were meant to be. I can also provide a safe space to process the complicated emotions and challenges that arise from chronic illness. Additionally, I have a special interest in and enjoy working alongside those living with autism and lower support needs.
![Photo of Caleb Demarais, MS, LPC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/1ee9ca7e-1803-442d-97b0-957a4c657739/2/320x400.jpeg)
I enjoy working with children, adolescents, and young adults most, and am a strong ally of the LGBTQIA community. I work really with anxiety, depression, ptsd, behavioral problems in young children, and existential issues.
I enjoy working with children, adolescents, and young adults most, and am a strong ally of the LGBTQIA community. I work really with anxiety, depression, ptsd, behavioral problems in young children, and existential issues.
![Photo of Chris Green, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/c2ac66a3-af2f-4956-b18e-6d8d27489b84/2/320x400.jpeg)
The last few years have been rough on everyone, but they've been particularly rough on relationships. How do you shift from "survival mode" into something better? How do you reconnect and create a better version of your partnership? Something's got to give. You're tired of just barely keeping your head above water while pretending everything is okay. It's time for a change.
The last few years have been rough on everyone, but they've been particularly rough on relationships. How do you shift from "survival mode" into something better? How do you reconnect and create a better version of your partnership? Something's got to give. You're tired of just barely keeping your head above water while pretending everything is okay. It's time for a change.
![Photo of Julie Mullins-Marshall, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/d66721f5-7a77-432c-a064-2355f979a161/2/320x400.jpeg)
Julie Mullins-Marshall
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Tulsa, OK 74133
The steps in reaching out for help can be a daunting task. I am here to help you clear the path toward wellbeing & happiness in your life. Whether this involves confronting your innermost feelings, examining the past & letting go of learned defenses, or you are looking for help in overcoming other tough challenges in life, I will walk alongside you to find direction & support in this journey. I enjoy working with clients in exploring ways to learn to live in the “here & now” successfully. Aligning with a client’s goals & needs, my approach is to provide a safe, secure space to move through self-discovery, healing & empowerment.
The steps in reaching out for help can be a daunting task. I am here to help you clear the path toward wellbeing & happiness in your life. Whether this involves confronting your innermost feelings, examining the past & letting go of learned defenses, or you are looking for help in overcoming other tough challenges in life, I will walk alongside you to find direction & support in this journey. I enjoy working with clients in exploring ways to learn to live in the “here & now” successfully. Aligning with a client’s goals & needs, my approach is to provide a safe, secure space to move through self-discovery, healing & empowerment.
![Photo of Mary Tidwell, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/eb950b30-63c9-4fc7-967a-b2ab5e2ae8eb/3/320x400.jpeg)
Mary Tidwell
Licensed Professional Counselor, MS, LPC
Verified Verified
Tulsa, OK 74103
Not accepting new clients
There are so many reasons we may find ourselves struggling with our mental health, whether it be from a traumatic childhood to current life stress. I see clients with a variety of issues but mostly focus on anxiety, depression, stress management, suicidality, and religious trauma. While I respect and value all my clients' personal religious and spiritual backgrounds, I operate from a non-religious standpoint in my counseling process. As a member of the LGBTQIA+ community myself, I also work with clients on issues surrounding gender and sexuality and consider my office a safe space for others within the community.
There are so many reasons we may find ourselves struggling with our mental health, whether it be from a traumatic childhood to current life stress. I see clients with a variety of issues but mostly focus on anxiety, depression, stress management, suicidality, and religious trauma. While I respect and value all my clients' personal religious and spiritual backgrounds, I operate from a non-religious standpoint in my counseling process. As a member of the LGBTQIA+ community myself, I also work with clients on issues surrounding gender and sexuality and consider my office a safe space for others within the community.
![Photo of Molly Meyer, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3e3805e3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Change is often scary, but with it, life can improve! Taking control or knowing what you want may seem too difficult. When we are ready, having a teammate can help us make the most of it. Therapy doesn't have to be overwhelming and scary. The goal is to partner with someone trained in providing support and guidance on your journey. Whether struggling with depression, anxiety, anger or facing a past trauma, changes are possible!
Change is often scary, but with it, life can improve! Taking control or knowing what you want may seem too difficult. When we are ready, having a teammate can help us make the most of it. Therapy doesn't have to be overwhelming and scary. The goal is to partner with someone trained in providing support and guidance on your journey. Whether struggling with depression, anxiety, anger or facing a past trauma, changes are possible!
![Photo of Ashleigh Gabriel, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/154acba7-9e84-4ded-b0a3-c34be46f03a9/1/320x400.jpeg)
Ashleigh Gabriel
Clinical Social Work/Therapist, LCSW
Verified Verified
Tulsa, OK 74105
Waitlist for new clients
We all need help sometimes! If you are looking for help in managing the stress of life; maybe you have a child or teen you are concerned about; maybe you are struggling with anxiety or depression; or maybe you just feel like you could use someone to talk to, then I'd love to work with you! I take a holistic approach to therapy by looking at all areas of wellness in one's life and how we can work together to make improvements across the board. I develop strong relationships with my clients to identify your strengths and use those to overcome challenges, develop more positive coping skills, and live a healthier, happier life.
We all need help sometimes! If you are looking for help in managing the stress of life; maybe you have a child or teen you are concerned about; maybe you are struggling with anxiety or depression; or maybe you just feel like you could use someone to talk to, then I'd love to work with you! I take a holistic approach to therapy by looking at all areas of wellness in one's life and how we can work together to make improvements across the board. I develop strong relationships with my clients to identify your strengths and use those to overcome challenges, develop more positive coping skills, and live a healthier, happier life.
![Photo of Amber Gene Cox, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/54913ce7-f927-48ed-a3f3-d9cdcb2b7538/1/320x400.jpeg)
The hardest part of going to therapy is attending the first appointment. It takes courage, and a lot of it! Trauma, addiction, depression, and anxiety can feel overwhelming and overtaking at times, but if you have the courage to attend the first session, you have the courage to face and process what is causing you pain. As a counselor, I take a gentle, yet honest approach to help you cultivate the strengths within you to overcome what is holding you back and walk with you as you find your path to hope and healing.
The hardest part of going to therapy is attending the first appointment. It takes courage, and a lot of it! Trauma, addiction, depression, and anxiety can feel overwhelming and overtaking at times, but if you have the courage to attend the first session, you have the courage to face and process what is causing you pain. As a counselor, I take a gentle, yet honest approach to help you cultivate the strengths within you to overcome what is holding you back and walk with you as you find your path to hope and healing.
See more therapy options for Tulsa
How does your Therapist compare?
Number of Therapists in Tulsa, OK
700+
Average cost per session
$130
Therapists in Tulsa, OK who prioritize treating:
91% | Anxiety |
88% | Depression |
77% | Trauma and PTSD |
74% | Relationship Issues |
74% | Self Esteem |
70% | Coping Skills |
68% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
76% | BlueCross and BlueShield |
66% | UnitedHealthcare UHC | UBH |
65% | Health Choice |
How Therapists in Tulsa, OK see their clients
78% | In Person and Online | |
22% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Tulsa?
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.