Therapists in Boston, MA
![Photo of Miatta Kangee, CAGS, NCSP, LEP](https://photos.psychologytoday.com/48ae05e3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Are you dealing with issues such as anxiety, depression, social stress, relational conflicts, low self-esteem, poor impulse control, trauma, or the challenges of work and/or school? There are times in life when you may struggle with adulting and social-emotional issues that are overwhelming. Navigating the myriad of social stressors frequently requires learning new skill sets, which we can work on together. We will identify and build on your strengths. We will uncover and discover those overlooked and underutilized resources that help your navigate the challenges of life and help you be you best self!
Are you dealing with issues such as anxiety, depression, social stress, relational conflicts, low self-esteem, poor impulse control, trauma, or the challenges of work and/or school? There are times in life when you may struggle with adulting and social-emotional issues that are overwhelming. Navigating the myriad of social stressors frequently requires learning new skill sets, which we can work on together. We will identify and build on your strengths. We will uncover and discover those overlooked and underutilized resources that help your navigate the challenges of life and help you be you best self!
![Photo of Beth Chase, LMHC, Counselor](https://photos.psychologytoday.com/56e2e16b-37e1-4ed7-a3ae-f15622cf5273/2/320x400.png)
My ideal client is an adult who is facing challenges associated with depression, anxiety, life changes, and life stages. My client seeks to find joy in life and expand tools to meet the day's challenges. Another ideal client would be the neuroatypical person seeking to understand how to navigate a world they struggle to understand. This could include those on the autism spectrum or ADHD. Another ideal client would be seniors seeking to navigate the challenges of aging, including loss of jobs through retirement, changing health, or any other issue.
My ideal client is an adult who is facing challenges associated with depression, anxiety, life changes, and life stages. My client seeks to find joy in life and expand tools to meet the day's challenges. Another ideal client would be the neuroatypical person seeking to understand how to navigate a world they struggle to understand. This could include those on the autism spectrum or ADHD. Another ideal client would be seniors seeking to navigate the challenges of aging, including loss of jobs through retirement, changing health, or any other issue.
![Photo of Danielle Pease, LICSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/dde6910f-262d-436f-9670-1244a1315fbb/5/320x400.jpeg)
Danielle Pease
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Boston, MA 02128 (Online Only)
Hello! My name is Danielle. In today's fast paced world, I'm passionate about providing a caring ear and teaching practical skills to make life feel, well… lighter. My specialization in Dialectical Behavioral Therapy (DBT) isn't just about talking through problems; It's about learning and implementing new tools to spark an authentic change. This approach, combined with psychodynamic and relational therapies, will facilitate a deeper understanding of yourself and strengthen your connections with others. You're here because you want to rediscover joy in the simplicities of life. And here, your journey has my undivided attention.
Hello! My name is Danielle. In today's fast paced world, I'm passionate about providing a caring ear and teaching practical skills to make life feel, well… lighter. My specialization in Dialectical Behavioral Therapy (DBT) isn't just about talking through problems; It's about learning and implementing new tools to spark an authentic change. This approach, combined with psychodynamic and relational therapies, will facilitate a deeper understanding of yourself and strengthen your connections with others. You're here because you want to rediscover joy in the simplicities of life. And here, your journey has my undivided attention.
![Photo of Joanne Bennett, LMHC, Counselor](https://photos.psychologytoday.com/4d09b909-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
We may find ourselves faced with struggles and challenges that can leave us feeling trapped within our circumstances, in our inner struggle, and in feeling that we are limited in our ability to imagine how things could be better. My goal in therapy is to help you expand the space that exists between you and your struggle, allowing room for hope and all the good things you deserve in life. I truly believe that anything is workable and I welcome the opportunity to support you on your journey.
We may find ourselves faced with struggles and challenges that can leave us feeling trapped within our circumstances, in our inner struggle, and in feeling that we are limited in our ability to imagine how things could be better. My goal in therapy is to help you expand the space that exists between you and your struggle, allowing room for hope and all the good things you deserve in life. I truly believe that anything is workable and I welcome the opportunity to support you on your journey.
![Photo of Erika Lundgren, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/251b4303-4341-4750-aa1d-37c701e29556/1/320x400.jpeg)
Does your mind immediately start racing when your head hits the pillow at night? Do you find yourself waking up in the middle of the night and being unable to get back to sleep? It's pretty miserable, isn't it? A lack of sleep can impact not only our physical health but our emotions as well. There are ways we can improve this and I'm passionate about helping you figure out how.
Does your mind immediately start racing when your head hits the pillow at night? Do you find yourself waking up in the middle of the night and being unable to get back to sleep? It's pretty miserable, isn't it? A lack of sleep can impact not only our physical health but our emotions as well. There are ways we can improve this and I'm passionate about helping you figure out how.
![Photo of Emilia Sabatowska, LMHC, Counselor](https://photos.psychologytoday.com/ca559883-f05f-4504-8735-1168d8b2e8d7/1/320x400.jpeg)
I offer an integrative approach that honors the mind and the body, while providing you with tools to navigate your unique path in life. If you are looking to live a more authentic life, and to deepen the connection with yourself and others, I am here to guide you. I specialize in supporting clients who may be exploring psychedelics for healing and personal growth, as well as those interested in meditation and spirituality.
I offer an integrative approach that honors the mind and the body, while providing you with tools to navigate your unique path in life. If you are looking to live a more authentic life, and to deepen the connection with yourself and others, I am here to guide you. I specialize in supporting clients who may be exploring psychedelics for healing and personal growth, as well as those interested in meditation and spirituality.
![Photo of Alana Shehadeh, MS, NCC, Pre-Licensed Professional](https://photos.psychologytoday.com/04a83375-cc59-4b4a-99be-b4f2df924213/1/320x400.jpeg)
As a therapist, I deeply believe in the profound impact of self-awareness, empathy, and genuine connection. I am a strong advocate for holistic healing, acknowledging the intricate link between the mind, body, and soul. In my practice, I integrate various evidence-based therapeutic techniques, such as Person-Centered, Empowerment, Cognitive Behavioral, Motivational Interviewing, Solution Focused, Acceptance and Commitment, and Psychodynamic approaches. My ultimate goal is to support clients in cultivating their fullest potential.
As a therapist, I deeply believe in the profound impact of self-awareness, empathy, and genuine connection. I am a strong advocate for holistic healing, acknowledging the intricate link between the mind, body, and soul. In my practice, I integrate various evidence-based therapeutic techniques, such as Person-Centered, Empowerment, Cognitive Behavioral, Motivational Interviewing, Solution Focused, Acceptance and Commitment, and Psychodynamic approaches. My ultimate goal is to support clients in cultivating their fullest potential.
![Photo of Cassandra Doughty, LMHC, LPC, Counselor](https://photos.psychologytoday.com/10c26f4a-4a99-4c40-9188-8afcf5054d04/1/320x400.jpeg)
I am a firm believer that anyone who is looking for help and support should receive it. I also believe that anyone willing and ready to make a change is capable of it. Whether or not this is your first or last time seeking out help, I understand that this process is not easy and can be intimidating, so I commend you for having the courage to give it a try. The good thing is, you don’t have to go at it alone! It would be my pleasure to help you through this journey of self-exploration by providing a safe space to be your authentic self and explore any problem that has been disruptive to your peace.
I am a firm believer that anyone who is looking for help and support should receive it. I also believe that anyone willing and ready to make a change is capable of it. Whether or not this is your first or last time seeking out help, I understand that this process is not easy and can be intimidating, so I commend you for having the courage to give it a try. The good thing is, you don’t have to go at it alone! It would be my pleasure to help you through this journey of self-exploration by providing a safe space to be your authentic self and explore any problem that has been disruptive to your peace.
![Photo of Carole A Calderon, LICSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ea3b3a50-4be2-48a6-bde9-5d754c6d4a25/2/320x400.jpeg)
Carole A Calderon
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Boston, MA 02136 (Online Only)
Talk with me – about feeling weighted down and “heavy” – about struggling with feeling out of sorts all the time, about difficulties in relationships, and becoming quick to anger. Inner conflict, confusion, and uncertainty are some of the hardest spaces to live in as they create fear. We all need support guidance, and encouragement to help navigate what feels hopeless. Let's work together toward establishing a sense of safety and security within yourself. Exploring destress tolerance techniques and creating a balance that allows you to be exactly where you are in this moment – I am a “real person” and a great listener.
Talk with me – about feeling weighted down and “heavy” – about struggling with feeling out of sorts all the time, about difficulties in relationships, and becoming quick to anger. Inner conflict, confusion, and uncertainty are some of the hardest spaces to live in as they create fear. We all need support guidance, and encouragement to help navigate what feels hopeless. Let's work together toward establishing a sense of safety and security within yourself. Exploring destress tolerance techniques and creating a balance that allows you to be exactly where you are in this moment – I am a “real person” and a great listener.
![Photo of Colleen Goodreau, MSW, LCSW, Pre-Licensed Professional](https://photos.psychologytoday.com/1ddb6c62-e366-48c4-9185-04a6a6e0bb5a/1/320x400.png)
Colleen Goodreau
Pre-Licensed Professional, MSW, LCSW
Verified Verified
1 Endorsed
Boston, MA 02109 (Online Only)
Hi, I'm Colleen! I have been a Social Worker for the last 17 years working with adults, adolescents, children and families. I will bring compassion, reflection and a little humor during our time together.
Hi, I'm Colleen! I have been a Social Worker for the last 17 years working with adults, adolescents, children and families. I will bring compassion, reflection and a little humor during our time together.
We are a group of mental health providers with over 15 years of experience working with children, adolescents, and families. We work with individuals and families who have parenting concerns, depression, anxiety, PTSD, ADHD, ODD, and autism. Our providers conduct neuropsychological evaluations for children and adults to help with diagnostic clarity and treatment planning.
We are a group of mental health providers with over 15 years of experience working with children, adolescents, and families. We work with individuals and families who have parenting concerns, depression, anxiety, PTSD, ADHD, ODD, and autism. Our providers conduct neuropsychological evaluations for children and adults to help with diagnostic clarity and treatment planning.
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![Photo of Luz-Anne Guerrier - Movement For The Mind, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/b58b5b65-24ce-441e-a59d-9602a74d64fe/1/320x400.png)
Luz-Anne Guerrier - Movement For The Mind
Pre-Licensed Professional, MA
Verified Verified
Boston, MA 02115
Growing up, I promised myself I would live up to the meaning of my name, light. I figured the best way I could achieve this goal is simply by helping others, so I became a therapist. I would like to guide others to find the light within themselves, each other, and/or pertaining to their situation to alleviate emotional burden and conquer personal challenges. I have experience working with individuals who struggle with addiction, mental disorders, trauma, and major stressors. I invite anyone to be welcomed into a safe space where they are the experts in their life.
Growing up, I promised myself I would live up to the meaning of my name, light. I figured the best way I could achieve this goal is simply by helping others, so I became a therapist. I would like to guide others to find the light within themselves, each other, and/or pertaining to their situation to alleviate emotional burden and conquer personal challenges. I have experience working with individuals who struggle with addiction, mental disorders, trauma, and major stressors. I invite anyone to be welcomed into a safe space where they are the experts in their life.
![Photo of Mema Mansouri - Neurodiverse Counseling, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cc71c916-6a15-4781-af75-5e658beda9b3/2/320x400.jpeg)
Neurodiverse Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02116 (Online Only)
You deserve a life filled with love, happiness, and fulfillment. At Neurodiverse Counseling, we're here to help you create that life. As therapists, we work to make you feel comfortable, establish a genuine connection that allows us to work collaboratively to help you achieve your personal goals and discover routes to true personal growth. We strive to earn your trust through our expertise, compassionately supporting your goals every step of the way.
You deserve a life filled with love, happiness, and fulfillment. At Neurodiverse Counseling, we're here to help you create that life. As therapists, we work to make you feel comfortable, establish a genuine connection that allows us to work collaboratively to help you achieve your personal goals and discover routes to true personal growth. We strive to earn your trust through our expertise, compassionately supporting your goals every step of the way.
![Photo of Dr. Asha Ragin - Uzima Health & Wellness, PhD, MAT, Psychologist](https://photos.psychologytoday.com/4a7e1ebb-9c12-47e8-9e7b-8fd98c8e767b/1/320x400.png)
Uzima Health & Wellness
Psychologist, PhD, MAT
Verified Verified
1 Endorsed
Boston, MA 02131 (Online Only)
We've been through a collective trauma of a dual pandemic. Are you struggling with re-entering and adjusting to life post-quarantine and having difficulty reconnecting with yourself and others? Therapy can provide a place to reset, rest, grieve, and grow into the life you find worth living. Please note: If you are an adult who primarily works with youth, meaning do you spend the majority of your work or volunteer time in service to youth (ages 0-25) you can be seen more quickly at trinityconnects.org/tbcc-intake/
We've been through a collective trauma of a dual pandemic. Are you struggling with re-entering and adjusting to life post-quarantine and having difficulty reconnecting with yourself and others? Therapy can provide a place to reset, rest, grieve, and grow into the life you find worth living. Please note: If you are an adult who primarily works with youth, meaning do you spend the majority of your work or volunteer time in service to youth (ages 0-25) you can be seen more quickly at trinityconnects.org/tbcc-intake/
![Photo of Marceline Vilmont, Pre-Licensed Professional](https://photos.psychologytoday.com/81409939-5072-4103-aa4e-34056dc75c15/1/320x400.png)
Marceline Vilmont
Pre-Licensed Professional
Verified Verified
Boston, MA 02114 (Online Only)
Not accepting new clients
Hello! My name is Mareceline and I am a proud member of Trust Therapeutics, LLC, dedicated to offering my support to a diverse range of individuals, including young adults, professionals, the Latino/a community, and individuals from all backgrounds, including LGBTQ+ and those with disabilities. I aim to create a safe and inclusive environment where you can openly express yourself, address your concerns, and embark on a path towards improved emotional, relational, and psychological well-being.
Hello! My name is Mareceline and I am a proud member of Trust Therapeutics, LLC, dedicated to offering my support to a diverse range of individuals, including young adults, professionals, the Latino/a community, and individuals from all backgrounds, including LGBTQ+ and those with disabilities. I aim to create a safe and inclusive environment where you can openly express yourself, address your concerns, and embark on a path towards improved emotional, relational, and psychological well-being.
![Photo of Laura Stevens, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/50f629a9-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Laura Stevens
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Boston, MA 02116 (Online Only)
I strive to provide a warm, supportive, non-judgmental atmosphere where clients are free to explore their difficulties as well as reconnect with and harness their strengths. I aim to create a space where growth, healing, and transformation can occur. I do this by using a client-centered approach, listening kindly, and offering constructive feedback to help clients challenge self-defeating beliefs and behaviors.
I strive to provide a warm, supportive, non-judgmental atmosphere where clients are free to explore their difficulties as well as reconnect with and harness their strengths. I aim to create a space where growth, healing, and transformation can occur. I do this by using a client-centered approach, listening kindly, and offering constructive feedback to help clients challenge self-defeating beliefs and behaviors.
![Photo of Finora Rodriques, Counselor](https://photos.psychologytoday.com/42e45566-3fa9-4a2e-973c-f35ba832a6b3/2/320x400.jpeg)
Hi! I'm Finora. Are you feeling burdened by the seemingly never ending demands of life and finding it difficult to manage expectations related to the self, relationships, and responsibilities? Do you have experience with distressful thoughts and/or feelings that you can't seem to shake?
Hi! I'm Finora. Are you feeling burdened by the seemingly never ending demands of life and finding it difficult to manage expectations related to the self, relationships, and responsibilities? Do you have experience with distressful thoughts and/or feelings that you can't seem to shake?
![Photo of Rolando Santiago-Díaz, MA, LMHC, Counselor](https://photos.psychologytoday.com/f4f9c52d-5bf1-4ddd-a449-f78b3e084078/2/320x400.png)
Will you finally take the step to allow yourself to experience real emotional healing through all layers of the past in your existence and into a resilient and joyful version of yourself? Many avoid to start this journey, yet as you read this you know this is only up to you. By taking an integrative approach in therapy, I guide you in discovering your unperceived wisdom and true essence of being. My vision is based on integrating compassion and genuine empathy in therapy. This is key in helping you process your emotions, while surfacing into light the roots of any situation present in your life and the traumas you have experienced.
Will you finally take the step to allow yourself to experience real emotional healing through all layers of the past in your existence and into a resilient and joyful version of yourself? Many avoid to start this journey, yet as you read this you know this is only up to you. By taking an integrative approach in therapy, I guide you in discovering your unperceived wisdom and true essence of being. My vision is based on integrating compassion and genuine empathy in therapy. This is key in helping you process your emotions, while surfacing into light the roots of any situation present in your life and the traumas you have experienced.
![Photo of Kate Allain, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/20820e51-3378-44e4-b526-5743d4adce80/2/320x400.jpeg)
Kate Allain
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02210 (Online Only)
Limited openings at this time - Life challenges can feel isolating, but you can find strength and support in therapy. From a place of connection, empathy, and understanding, we’ll work together to explore what’s holding you back from living a life that feels full and meaningful. As your therapist, I want to help you find the freedom to generate new ways of thinking, feeling & acting: to transform unhelpful personal narratives into strength-based versions you can use to thrive. Together we will join to heal old wounds, discover inner wisdom, and move towards self compassion.
Limited openings at this time - Life challenges can feel isolating, but you can find strength and support in therapy. From a place of connection, empathy, and understanding, we’ll work together to explore what’s holding you back from living a life that feels full and meaningful. As your therapist, I want to help you find the freedom to generate new ways of thinking, feeling & acting: to transform unhelpful personal narratives into strength-based versions you can use to thrive. Together we will join to heal old wounds, discover inner wisdom, and move towards self compassion.
![Photo of Healing With Trust Therapy Llc - Healing with Trust Therapy, LLC, LICSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/71d0f327-616d-4421-84e8-2d70db99c521/1/320x400.jpeg)
Healing with Trust Therapy, LLC
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Boston, MA 02122 (Online Only)
At Healing with Trust Therapy, LLC, we specialize in serving clients of Color and clients of Caribbean descent from clinicians who reflect the diaspora. We have clinicians of various backgrounds including Haitian, Cape Verdean, Trinidadian, African American, and Japanese!
At Healing with Trust Therapy, LLC, we specialize in serving clients of Color and clients of Caribbean descent from clinicians who reflect the diaspora. We have clinicians of various backgrounds including Haitian, Cape Verdean, Trinidadian, African American, and Japanese!
See more therapy options for Boston
How does your Therapist compare?
Number of Therapists in Boston, MA
3,000+
Average cost per session
$154
Therapists in Boston, MA who prioritize treating:
93% | Anxiety |
86% | Depression |
75% | Relationship Issues |
73% | Self Esteem |
70% | Stress |
68% | Trauma and PTSD |
67% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
79% | BlueCross and BlueShield |
62% | UnitedHealthcare UHC | UBH |
61% | Aetna |
How Therapists in Boston, MA see their clients
61% | Online Only | |
39% | In Person and Online |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Boston?
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.