Therapists in Waco, TX

Photo of Sharon Miles, LCSW-S, Clinical Social Work/Therapist
Sharon Miles
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Waco, TX 76701
Waitlist for new clients
My focus is to help individuals heal, energize and become aware of their inner strengths. This can be achieved by providing a neutral safe space, listening to your concerns and customizing a treatment plan tailored to your needs.
My focus is to help individuals heal, energize and become aware of their inner strengths. This can be achieved by providing a neutral safe space, listening to your concerns and customizing a treatment plan tailored to your needs.
(254) 400-2203 View (254) 400-2203
Photo of Kelly Tatsch, LPC, Licensed Professional Counselor
Kelly Tatsch
Licensed Professional Counselor, LPC
Verified Verified
Waco, TX 76712  (Online Only)
Kelly V. Tatsch is a Licensed Professional Counselor (LPC) who has worked with a wide range of individuals, including parents, children, families, individuals, military, civilian, and seniors. She has 10 years of experience in the mental health field. For Kelly, each client begins as an unknown individual that she will work with to develop a trusting, caring relationship, which is necessary for the client to relate their needs and goals. Many individuals begin the first session with a sense of concern that they do not know what to expect. Kelly’s best tool for therapy is her ability to listen without judgment.
Kelly V. Tatsch is a Licensed Professional Counselor (LPC) who has worked with a wide range of individuals, including parents, children, families, individuals, military, civilian, and seniors. She has 10 years of experience in the mental health field. For Kelly, each client begins as an unknown individual that she will work with to develop a trusting, caring relationship, which is necessary for the client to relate their needs and goals. Many individuals begin the first session with a sense of concern that they do not know what to expect. Kelly’s best tool for therapy is her ability to listen without judgment.
(254) 540-8733 View (254) 540-8733
Photo of Emma Fyffe, MA, LPC-A
Emma Fyffe
LPC-Associate, MA, LPC-A
Verified Verified
Waco, TX 76710  (Online Only)
Many of us face the challenges of life changes, trauma, parenting, relationship struggles, and finding ourselves. My goal is to help you work through these events, both past and present, so you can feel empowered to reestablish a connection with yourself and live your most meaningful life. As a clinician, I offer clients a safe, supportive, and non-judgmental space to share their experiences. I believe everyone can benefit from the support of a therapist and it would be my honor to provide that support to you.
Many of us face the challenges of life changes, trauma, parenting, relationship struggles, and finding ourselves. My goal is to help you work through these events, both past and present, so you can feel empowered to reestablish a connection with yourself and live your most meaningful life. As a clinician, I offer clients a safe, supportive, and non-judgmental space to share their experiences. I believe everyone can benefit from the support of a therapist and it would be my honor to provide that support to you.
(254) 321-3133 View (254) 321-3133
Photo of Tania Olivarri, MS, LPC-A, NCC
Tania Olivarri
Licensed Professional Counselor Associate, MS, LPC-A, NCC
Verified Verified
1 Endorsed
Waco, TX 76710
I am a bilingual therapist that works with children ages 3-14 years old who are experiencing anxiety, depression, post-traumatic stress symptoms, ADHD, autism, mood disorders, and behavioral challenges. I practice from a client-centered approach where I allow the client to lead their sessions. Dr. Landreth said “In play therapy, toys are viewed as the child’s words and play as the child’s language.” In the playroom, I have witnessed incredible bravery, compassion, and trust. I do this now, because I know the power of psychotherapy and I would love the opportunity to share it with others.
I am a bilingual therapist that works with children ages 3-14 years old who are experiencing anxiety, depression, post-traumatic stress symptoms, ADHD, autism, mood disorders, and behavioral challenges. I practice from a client-centered approach where I allow the client to lead their sessions. Dr. Landreth said “In play therapy, toys are viewed as the child’s words and play as the child’s language.” In the playroom, I have witnessed incredible bravery, compassion, and trust. I do this now, because I know the power of psychotherapy and I would love the opportunity to share it with others.
(254) 978-7155 View (254) 978-7155
Photo of Shannon Baker-Howard, LPC, MS, Licensed Professional Counselor
Shannon Baker-Howard
Licensed Professional Counselor, LPC, MS
Verified Verified
Waco, TX 76701
I have a passion for working with individuals who are experiencing anxiety, low self-esteem, relationship issues, stress and burnout. I utilize an integrative approach to therapy rooted in warmth, humor and empathy. My diverse background in business, hospitality, manufacturing and education allows me to relate to people from all walks of life. I am particularly passionate about reducing stigma, and increasing accessibility to mental health services in the BIPOC community.
I have a passion for working with individuals who are experiencing anxiety, low self-esteem, relationship issues, stress and burnout. I utilize an integrative approach to therapy rooted in warmth, humor and empathy. My diverse background in business, hospitality, manufacturing and education allows me to relate to people from all walks of life. I am particularly passionate about reducing stigma, and increasing accessibility to mental health services in the BIPOC community.
(254) 246-7889 View (254) 246-7889
Photo of Kate Pennington, MEd
Kate Pennington
LPC Associate, MEd
Verified Verified
2 Endorsed
Waco, TX 76710  (Online Only)
I work with individuals and couples navigating complex relationship issues. If you and your partner are struggling with escalating conflict, constant fighting, betrayal, or simply feeling disconnected from one another, let me help you build a love that lasts. If you are seeking more stable dating relationships or are rebuilding post separation, I can help you process the past and identify what you need in future relationships. I use attachment research and evidence-based interventions to teach you where things went wrong and how to build a stable, healthy relationship moving forward.
I work with individuals and couples navigating complex relationship issues. If you and your partner are struggling with escalating conflict, constant fighting, betrayal, or simply feeling disconnected from one another, let me help you build a love that lasts. If you are seeking more stable dating relationships or are rebuilding post separation, I can help you process the past and identify what you need in future relationships. I use attachment research and evidence-based interventions to teach you where things went wrong and how to build a stable, healthy relationship moving forward.
(806) 779-4882 View (806) 779-4882
Photo of Leslie Elizabeth Hunt, LPC, LCDC, Licensed Professional Counselor
Leslie Elizabeth Hunt
Licensed Professional Counselor, LPC, LCDC
Verified Verified
1 Endorsed
Waco, TX 76710
I am extremely passionate about guiding people to a better understanding of themselves and "why we do the things that we do". Our perspective dictates our emotional reactions to situations and therefore it affects our behavior; let me help you gain control of your reactions and change your thoughts! I am especially skilled with Depression/Anxiety, PTSD, substance abuse/addiction, sports psychology, relationships/communication, childhood issues, improving self-esteem, grief/loss, identity development and issues related to the child-to-adult transition. Please see my website and blog for more information.
I am extremely passionate about guiding people to a better understanding of themselves and "why we do the things that we do". Our perspective dictates our emotional reactions to situations and therefore it affects our behavior; let me help you gain control of your reactions and change your thoughts! I am especially skilled with Depression/Anxiety, PTSD, substance abuse/addiction, sports psychology, relationships/communication, childhood issues, improving self-esteem, grief/loss, identity development and issues related to the child-to-adult transition. Please see my website and blog for more information.
(214) 983-0198 View (214) 983-0198
Photo of Pi Chen, MS, LPC, Licensed Professional Counselor
Pi Chen
Licensed Professional Counselor, MS, LPC
Verified Verified
Waco, TX 76710
Seasons change and people change. Regardless of age, gender, and status, we all encounter challenges and difficulties throughout different stages in life. I help clients re-discover who they are, reclaim their lives, rebuild relationships that are meaningful to them, restore balance and satisfaction in life, reach insight and problem solve, or get to where they want to be. You determine the nature and amount of change you wish to make. I believe that helping people recognize and hone in their strengths can create new possibilities for action and new directions in life.
Seasons change and people change. Regardless of age, gender, and status, we all encounter challenges and difficulties throughout different stages in life. I help clients re-discover who they are, reclaim their lives, rebuild relationships that are meaningful to them, restore balance and satisfaction in life, reach insight and problem solve, or get to where they want to be. You determine the nature and amount of change you wish to make. I believe that helping people recognize and hone in their strengths can create new possibilities for action and new directions in life.
(254) 400-2377 View (254) 400-2377
Photo of Raymond P Bray, MA, LPC, LCDC, Licensed Professional Counselor
Raymond P Bray
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Waco, TX 76705  (Online Only)
I draw on my own life experiences and include validated, professional therapeutic techniques to collaborate with clients in overcoming obstacles in their careers, married life, parenting, and individual lives. For those clients who would like to integrate their spirituality in their journeys to heal and grow, I include prayer, scripture, and spiritual reading as part of the therapeutic process. Counseling is not about having a nice chat! I help clients determine ethical action to improve their lives.
I draw on my own life experiences and include validated, professional therapeutic techniques to collaborate with clients in overcoming obstacles in their careers, married life, parenting, and individual lives. For those clients who would like to integrate their spirituality in their journeys to heal and grow, I include prayer, scripture, and spiritual reading as part of the therapeutic process. Counseling is not about having a nice chat! I help clients determine ethical action to improve their lives.
(254) 977-8989 View (254) 977-8989
Photo of Alyssa Jacquez - Alyssa Jacquez - The Relationship Clinic, MFT, Intern, Marriage & Family Therapist Intern
Alyssa Jacquez - The Relationship Clinic
Marriage & Family Therapist Intern, MFT, Intern
Verified Verified
Waco, TX 76701
Not accepting new clients
It is my sincere belief that everyone deserves understanding, support, and the opportunity to heal and grow. I am deeply passionate about helping individuals, couples, and families navigate life's challenges and nurture healthy, fulfilling relationships. It is my desire that you feel heard, respected, and valued so that you can express yourself without fear of judgment. I am passionate about tailoring therapy to meet the specific needs of each individual, and would work collaboratively with you to co-create a therapeutic journey that feels safe, empowering, and growth-oriented.
It is my sincere belief that everyone deserves understanding, support, and the opportunity to heal and grow. I am deeply passionate about helping individuals, couples, and families navigate life's challenges and nurture healthy, fulfilling relationships. It is my desire that you feel heard, respected, and valued so that you can express yourself without fear of judgment. I am passionate about tailoring therapy to meet the specific needs of each individual, and would work collaboratively with you to co-create a therapeutic journey that feels safe, empowering, and growth-oriented.
(254) 274-5971 View (254) 274-5971
Photo of Jacob Brown, LPC, Licensed Professional Counselor
Jacob Brown
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Waco, TX 76710  (Online Only)
Not accepting new clients
Addiction is complicated. For a long time, society has stigmatized those struggling with addiction, assuming that "addicts" are just bad people who lack the willpower to stop. This couldn't be further from the truth. Addiction doesn't just happen. It is the unfortunate (and unintended) result of trying to alleviate or avoid emotional pain, emptiness, and disconnection; experiences often associated with trauma. This perspective applies to substance addictions and addictive behaviors including sex, pornography, gambling, video games, workaholism, shopping, or any other form of chronic escapism that results in negative consequences.
Addiction is complicated. For a long time, society has stigmatized those struggling with addiction, assuming that "addicts" are just bad people who lack the willpower to stop. This couldn't be further from the truth. Addiction doesn't just happen. It is the unfortunate (and unintended) result of trying to alleviate or avoid emotional pain, emptiness, and disconnection; experiences often associated with trauma. This perspective applies to substance addictions and addictive behaviors including sex, pornography, gambling, video games, workaholism, shopping, or any other form of chronic escapism that results in negative consequences.
(806) 758-7470 View (806) 758-7470
Photo of Anne-Marie Zellers, MA, LPC-S, Licensed Professional Counselor
Anne-Marie Zellers
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
Waco, TX 76701
Finding a therapist that you feel comfortable interacting with can help you get the most out of each session. I know that you are trusting me with your time, your story, and your journey in counseling. I look forward to working with you as you take steps to healing, discovering strengths, and learning more about yourself.
Finding a therapist that you feel comfortable interacting with can help you get the most out of each session. I know that you are trusting me with your time, your story, and your journey in counseling. I look forward to working with you as you take steps to healing, discovering strengths, and learning more about yourself.
(254) 414-0717 View (254) 414-0717
Photo of Raquel Saenz-Mathews Supervised By Dr. Melissa Schniers, MS
Raquel Saenz-Mathews Supervised By Dr. Melissa Schniers
Licensed Professional Counselor Associate, MS
Verified Verified
1 Endorsed
Waco, TX 76710
In the world we live in today it is not rare or uncommon for lives to unravel. Raquel's passion is to bring healing and living again to people who have stressors or have experienced traumatic events. Raquel helps clients find healthy perceptions of themselves and strengthens their relationships. Raquel strives for clients to know and accept themselves as peaceful, complete, whole, and safe in order to begin living their best life.
In the world we live in today it is not rare or uncommon for lives to unravel. Raquel's passion is to bring healing and living again to people who have stressors or have experienced traumatic events. Raquel helps clients find healthy perceptions of themselves and strengthens their relationships. Raquel strives for clients to know and accept themselves as peaceful, complete, whole, and safe in order to begin living their best life.
(254) 556-4168 View (254) 556-4168
Photo of Casey Benac, MA, LCMHC, LPC
Casey Benac
Licensed Clinical Mental Health Counselor, MA, LCMHC, LPC
Verified Verified
3 Endorsed
Waco, TX 76701
If you find yourself in a difficult place, let me be the first to say, you are not alone. We all have times in our lives when we need a voice of hope, a listening ear, and eyes to see beyond our current circumstances. Making the decision to seek support can be a humbling, yet extremely gratifying experience. What I hope to offer is a unique space where you can be yourself, learn about yourself, and more fully live into your true identity.
If you find yourself in a difficult place, let me be the first to say, you are not alone. We all have times in our lives when we need a voice of hope, a listening ear, and eyes to see beyond our current circumstances. Making the decision to seek support can be a humbling, yet extremely gratifying experience. What I hope to offer is a unique space where you can be yourself, learn about yourself, and more fully live into your true identity.
(210) 941-1571 View (210) 941-1571
Photo of Tabitha Jones - Get Out Of Your Head Therapy Texas, MSW, LCSW, LCDC, Clinical Social Work/Therapist
Get Out Of Your Head Therapy Texas
Clinical Social Work/Therapist, MSW, LCSW, LCDC
Verified Verified
Waco, TX 76712  (Online Only)
Tabitha decided to go into social work and counseling because she wanted to help people learn how to become the best versions of themselves. Tabitha has experience and passion working with individuals who are adjusting to major life changes such as birth of a child, becoming an empty nester, job changes, changes in marital status, etc. She has experience with helping clients learn to cope and thrive with mood disorders including anxiety, depression, and bi-polar diagnoses. Tabitha also works with patients experiencing disordered eating as well as adults and teens with ADHD and Autism Spectrum Disorder.
Tabitha decided to go into social work and counseling because she wanted to help people learn how to become the best versions of themselves. Tabitha has experience and passion working with individuals who are adjusting to major life changes such as birth of a child, becoming an empty nester, job changes, changes in marital status, etc. She has experience with helping clients learn to cope and thrive with mood disorders including anxiety, depression, and bi-polar diagnoses. Tabitha also works with patients experiencing disordered eating as well as adults and teens with ADHD and Autism Spectrum Disorder.
(859) 376-1831 View (859) 376-1831
Photo of Marlissa Morrow - Marlissa Morrow - The Relationship Clinic, MFT, Intern, Pre-Licensed Professional
Marlissa Morrow - The Relationship Clinic
Pre-Licensed Professional, MFT, Intern
Verified Verified
Waco, TX 76701
I like to think of myself as a very empathetic, reasonable and humanistic person. My goals are to help people become more aware of their flaws and see them as building blocks of character that help us accept who we are. No one is perfect and we are all humans. God made us all different and unique. Everyone needs compassion and understanding; without them, many unhealthy relationships emerge in our society today. I process events in life very systemically and believe that a lot of aspects of our unhealthy relationships are generational and systemically thrived.
I like to think of myself as a very empathetic, reasonable and humanistic person. My goals are to help people become more aware of their flaws and see them as building blocks of character that help us accept who we are. No one is perfect and we are all humans. God made us all different and unique. Everyone needs compassion and understanding; without them, many unhealthy relationships emerge in our society today. I process events in life very systemically and believe that a lot of aspects of our unhealthy relationships are generational and systemically thrived.
(254) 277-4538 View (254) 277-4538
Photo of Clayton F Watkins II, MS, LPC, Licensed Professional Counselor
Clayton F Watkins II
Licensed Professional Counselor, MS, LPC
Verified Verified
Waco, TX 76712
Often families, friends & colleagues will find themselves questioning options & even feeling they have tried everything to help someone struggling with alcoholism/addiction & mental health issues. The long standing belief that a person must reach rock-bottom before they will accept help is a distracting & dangerous lie. There is a way to intervene & create a safer rock bottom & help create a healthier life for ourselves as well as our loved one struggling with the addiction. The clinical intervention process has proven overwhelmingly successful in bringing about life-changing experiences for everyone involved in the intervention.
Often families, friends & colleagues will find themselves questioning options & even feeling they have tried everything to help someone struggling with alcoholism/addiction & mental health issues. The long standing belief that a person must reach rock-bottom before they will accept help is a distracting & dangerous lie. There is a way to intervene & create a safer rock bottom & help create a healthier life for ourselves as well as our loved one struggling with the addiction. The clinical intervention process has proven overwhelmingly successful in bringing about life-changing experiences for everyone involved in the intervention.
(254) 655-3039 View (254) 655-3039
Photo of Kristen A. Gammel, MA, LPC-A, NCC
Kristen A. Gammel
Licensed Professional Counselor Associate, MA, LPC-A, NCC
Verified Verified
Waco, TX 76710
Life is full of challenges that we were not created to overcome alone. I believe therapy is a valuable source of tools and encouragement that enables individuals to develop healthy skills and responses. My goal is to meet each client where they are, striving to create a welcoming environment where they can process and problem-solve. I collaborate with clients to explore and identify the root issues of struggles and conflicts. We then explore their strengths and weaknesses to find solutions and develop healthy coping strategies to assist them in setting and achieving reasonable goals.
Life is full of challenges that we were not created to overcome alone. I believe therapy is a valuable source of tools and encouragement that enables individuals to develop healthy skills and responses. My goal is to meet each client where they are, striving to create a welcoming environment where they can process and problem-solve. I collaborate with clients to explore and identify the root issues of struggles and conflicts. We then explore their strengths and weaknesses to find solutions and develop healthy coping strategies to assist them in setting and achieving reasonable goals.
(254) 405-7287 View (254) 405-7287
Photo of Amanda Ibanez - Amanda Ibanez Counseling , LCSW , Clinical Social Work/Therapist
Amanda Ibanez Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Waco, TX 76701
I enjoy walking alongside individuals in order to help them learn more about themselves, their mental health, and ways to build skills that they can utilize now and in the future. I enjoy working with teens, young adults, and older adults. I have a passion for advocacy and education, specifically surrounding the under-diagnosed and often misdiagnosis of ADHD in those who identify as female.
I enjoy walking alongside individuals in order to help them learn more about themselves, their mental health, and ways to build skills that they can utilize now and in the future. I enjoy working with teens, young adults, and older adults. I have a passion for advocacy and education, specifically surrounding the under-diagnosed and often misdiagnosis of ADHD in those who identify as female.
(254) 414-0908 View (254) 414-0908
Photo of Chelsea Jackson Garcia, LPC, NCC, Licensed Professional Counselor
Chelsea Jackson Garcia
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Waco, TX 76712  (Online Only)
Feeling stuck in the whirlwind of life, love, and intimacy? Whether you're experiencing low desire, divorce, infidelity, disability challenges, or just trying to figure out how to take back control, I'm here to help. Consider me a supportive partner on your journey to navigating the complexities of relationships and reclaiming your sense of empowerment—because we all deserve to feel confident and in control of our own lives.
Feeling stuck in the whirlwind of life, love, and intimacy? Whether you're experiencing low desire, divorce, infidelity, disability challenges, or just trying to figure out how to take back control, I'm here to help. Consider me a supportive partner on your journey to navigating the complexities of relationships and reclaiming your sense of empowerment—because we all deserve to feel confident and in control of our own lives.
(254) 587-6187 View (254) 587-6187
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How does your Therapist compare?

Number of Therapists in Waco, TX

200+

Average cost per session

$120

Therapists in Waco, TX who prioritize treating:

88% Anxiety
84% Depression
71% Stress
70% Self Esteem
68% Relationship Issues
67% Trauma and PTSD
66% Grief

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
78% Cigna and Evernorth
75% BlueCross and BlueShield

How Therapists in Waco, TX see their clients

65% In Person and Online
35% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Waco?

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.