Therapists in West Conshohocken, PA

Photo of Dana Marcus, MSS, LCSW, Clinical Social Work/Therapist
Dana Marcus
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
West Conshohocken, PA 19428
​​Relationships and experiences shape who we are as individuals, partners, and members of groups. Familial patterns impact who we are and how we relate to others. Therapy can be a supportive space to gain understanding about oneself and others, to learn new ways of relating, and to get better at identifying and expressing needs and boundaries.
​​Relationships and experiences shape who we are as individuals, partners, and members of groups. Familial patterns impact who we are and how we relate to others. Therapy can be a supportive space to gain understanding about oneself and others, to learn new ways of relating, and to get better at identifying and expressing needs and boundaries.
(484) 380-9152 View (484) 380-9152
Photo of Jennifer Weeks, PhD, LPC, CAADC, CSAT, Licensed Professional Counselor
Jennifer Weeks
Licensed Professional Counselor, PhD, LPC, CAADC, CSAT
Verified Verified
West Conshohocken, PA 19428
The decision to seek treatment is often very difficult. I work to make the therapeutic environment comfortable, offering a non-judgmental arena to work on issues of addiction, sexual addiction and trauma. I work to meet the client where they are in the moment and help guide them on the journey to recovery, well-being and peace of mind
The decision to seek treatment is often very difficult. I work to make the therapeutic environment comfortable, offering a non-judgmental arena to work on issues of addiction, sexual addiction and trauma. I work to meet the client where they are in the moment and help guide them on the journey to recovery, well-being and peace of mind
(908) 444-0215 View (908) 444-0215

More Therapists Nearby

Photo of Megan MacDonnell, PsyD, Psychologist
Megan MacDonnell
Psychologist, PsyD
Verified Verified
1 Endorsed
Plymouth Meeting, PA 19462
Seeking therapy takes immense strength and courage. It can feel vulnerable to trust another human with your struggles, fear, and pain. From the beginning, I will do my best to listen deeply and carefully, respecting that you have been doing the best you can with what you’ve been handed in life. I believe that our symptoms often provide information about how we have had to adapt to our circumstances. I therefore strive to honor how you have had to cope while working towards alleviating your distress and deepening your connection with yourself and others.
Seeking therapy takes immense strength and courage. It can feel vulnerable to trust another human with your struggles, fear, and pain. From the beginning, I will do my best to listen deeply and carefully, respecting that you have been doing the best you can with what you’ve been handed in life. I believe that our symptoms often provide information about how we have had to adapt to our circumstances. I therefore strive to honor how you have had to cope while working towards alleviating your distress and deepening your connection with yourself and others.
View
Photo of Jeffrey Johnson, MS, LMFT, Marriage & Family Therapist
Jeffrey Johnson
Marriage & Family Therapist, MS, LMFT
Verified Verified
Gladwyne, PA 19035  (Online Only)
If you are looking to transform yourself or your relationship and have healthier forms of communication, more intimate and emotional forms of connection and ,overall, improve your sense of self and relationships let your journey begin. With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help.
If you are looking to transform yourself or your relationship and have healthier forms of communication, more intimate and emotional forms of connection and ,overall, improve your sense of self and relationships let your journey begin. With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help.
(267) 214-4821 View (267) 214-4821
Photo of Jaime Zuckerman - The Z Group, PsyD, Psychologist
The Z Group
Psychologist, PsyD
Verified Verified
Villanova, PA 19085
Feel out of control or stuck in your life? Can't stop worrying? Carrying heavy sadness? We can help. The Z Group specializes in the treatment of adults dealing with anxiety, depression, and complex relationship issues. These difficulties, along with life's everyday stressors, can greatly impact your ability to enjoy life, connect with loved ones. Through therapy you will learn behavior strategies and emotional coping skills needed to achieve your goals, helping you to live a more fulfilled life.
Feel out of control or stuck in your life? Can't stop worrying? Carrying heavy sadness? We can help. The Z Group specializes in the treatment of adults dealing with anxiety, depression, and complex relationship issues. These difficulties, along with life's everyday stressors, can greatly impact your ability to enjoy life, connect with loved ones. Through therapy you will learn behavior strategies and emotional coping skills needed to achieve your goals, helping you to live a more fulfilled life.
(610) 628-1463 View (610) 628-1463
Photo of Lisa DePaul Emdr Eating disorders, LPC, EMDR, IFS, Licensed Professional Counselor
Lisa DePaul Emdr Eating disorders
Licensed Professional Counselor, LPC, EMDR, IFS
Verified Verified
3 Endorsed
Plymouth Meeting, PA 19462
You find yourself feeling overwhelmed by life and your emotions. Maybe you have turned to substances, food or relationships to ease the pain. You have lost trust in yourself and others. Do you struggle setting boundaries, people-pleasing or perfectionism? I help people find relief from the effects of trauma and growing up in a dysfunctional family system. Together we will identify and heal the parts of you blocking your authentic self. Sometimes talk therapy isn't enough. I have specialized training in body-based techniques to help you learn how to balance your nervous system and feel more embodied.
You find yourself feeling overwhelmed by life and your emotions. Maybe you have turned to substances, food or relationships to ease the pain. You have lost trust in yourself and others. Do you struggle setting boundaries, people-pleasing or perfectionism? I help people find relief from the effects of trauma and growing up in a dysfunctional family system. Together we will identify and heal the parts of you blocking your authentic self. Sometimes talk therapy isn't enough. I have specialized training in body-based techniques to help you learn how to balance your nervous system and feel more embodied.
(484) 878-4515 View (484) 878-4515
Photo of Carly McDade, LMFT, PMH-C, TCTSY-F, Marriage & Family Therapist
Carly McDade
Marriage & Family Therapist, LMFT, PMH-C, TCTSY-F
Verified Verified
5 Endorsed
Lafayette Hill, PA 19444
Is it difficult to feel present or manage your stress? Do you wish for greater balance in your life? I serve adults & couples who struggle with anxiety, caretaking, grief/loss, and complex trauma. Whatever challenges impact you, I hope together we can explore healthier ways of regulating during emotional uncertainty, as well as empower your voice in the processes of healing.
Is it difficult to feel present or manage your stress? Do you wish for greater balance in your life? I serve adults & couples who struggle with anxiety, caretaking, grief/loss, and complex trauma. Whatever challenges impact you, I hope together we can explore healthier ways of regulating during emotional uncertainty, as well as empower your voice in the processes of healing.
(267) 723-7169 View (267) 723-7169
Photo of Deborah Miller, PhD, Psychologist
Deborah Miller
Psychologist, PhD
Verified Verified
Gulph Mills, PA 19428
I have a collaborative approach; where actively working together to deeply understand you and your issues is the first step. Working together to understand and not judge the thoughts, feelings, beliefs and experiences that are contributing to your patterns is essential. Decreasing shame, and increasing self esteem, acceptance, and compassion, are integral aspects to therapy I offer, and necessary to reducing the internal conflict which so often fuels the problems and patterns. For therapy to be effective, it calls for a very active effort on your part, as well as mine.
I have a collaborative approach; where actively working together to deeply understand you and your issues is the first step. Working together to understand and not judge the thoughts, feelings, beliefs and experiences that are contributing to your patterns is essential. Decreasing shame, and increasing self esteem, acceptance, and compassion, are integral aspects to therapy I offer, and necessary to reducing the internal conflict which so often fuels the problems and patterns. For therapy to be effective, it calls for a very active effort on your part, as well as mine.
(484) 652-8209 View (484) 652-8209
Photo of Persa DeLapp, MEd, LPC, Licensed Professional Counselor
Persa DeLapp
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Plymouth Meeting, PA 19462
I view therapy as a collaborative approach between myself and my clients. I believe in creating a non-judgmental and safe environment in which my clients can tell their story and explore the issues that brought them into therapy. My approach is nurturing and compassionate, and I strive to make my clients feel understood. I also believe in building a strong and trusting therapeutic partnership that supports my clients in achieving their goals and full potential. My practice focuses on helping individuals with life transitions, depression, PTSD, anxiety, addiction, grief and loss and family issues.
I view therapy as a collaborative approach between myself and my clients. I believe in creating a non-judgmental and safe environment in which my clients can tell their story and explore the issues that brought them into therapy. My approach is nurturing and compassionate, and I strive to make my clients feel understood. I also believe in building a strong and trusting therapeutic partnership that supports my clients in achieving their goals and full potential. My practice focuses on helping individuals with life transitions, depression, PTSD, anxiety, addiction, grief and loss and family issues.
(484) 854-2092 View (484) 854-2092
Photo of Jeanae M. Hopgood, LMFT, MEd, PMH-C, CAGCS, Marriage & Family Therapist
Jeanae M. Hopgood
Marriage & Family Therapist, LMFT, MEd, PMH-C, CAGCS
Verified Verified
5 Endorsed
Plymouth Meeting, PA 19462  (Online Only)
Are you having difficulty in your interpersonal relationships? Struggling to communicate concerns about identity, sexual orientation, gender identity or any intersection of these areas? Are you & your partner(s) in need of support around improved communication? Are you having fertility challenges & need help sorting through options & feelings? Have you experienced perinatal loss? If you are challenged by life's transitions and are looking for help processing & planning, contact me. I am a couple & family therapist specializing in sexuality, relational patterns, perinatal mental health, and grief & loss .
Are you having difficulty in your interpersonal relationships? Struggling to communicate concerns about identity, sexual orientation, gender identity or any intersection of these areas? Are you & your partner(s) in need of support around improved communication? Are you having fertility challenges & need help sorting through options & feelings? Have you experienced perinatal loss? If you are challenged by life's transitions and are looking for help processing & planning, contact me. I am a couple & family therapist specializing in sexuality, relational patterns, perinatal mental health, and grief & loss .
(484) 334-2961 View (484) 334-2961
Photo of Judith Palmer, MSW,  LCSW, Clinical Social Work/Therapist
Judith Palmer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Gladwyne, PA 19035
Judith Max Palmer is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2017. Judith’s practice is always guided by her patients’ goals and needs. During your work together with Judith, you will come to a deeper understanding of who you are, where you’re coming from, where you want to go, and what’s been holding you back. Judith’s therapeutic technique is grounded in a genuine interest in the person in front of her, and a recognition of everyone’s innate ability to heal.
Judith Max Palmer is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2017. Judith’s practice is always guided by her patients’ goals and needs. During your work together with Judith, you will come to a deeper understanding of who you are, where you’re coming from, where you want to go, and what’s been holding you back. Judith’s therapeutic technique is grounded in a genuine interest in the person in front of her, and a recognition of everyone’s innate ability to heal.
(484) 613-3372 View (484) 613-3372
Photo of Jessica Cydnee Feldman, MSS, LCSW, Clinical Social Work/Therapist
Jessica Cydnee Feldman
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Lafayette Hill, PA 19444
Therapy and the treatment of anxiety is challenging and ultimately highly rewarding work when clients receive relief from their symptoms. I value the balance of the interpersonal and relational components of the therapeutic relationship with the development of practical and evidence- based skills to achieve long lasting symptom reduction.
Therapy and the treatment of anxiety is challenging and ultimately highly rewarding work when clients receive relief from their symptoms. I value the balance of the interpersonal and relational components of the therapeutic relationship with the development of practical and evidence- based skills to achieve long lasting symptom reduction.
(215) 709-7662 View (215) 709-7662
Photo of Kristine Boward - The Centered Brain, PsyD, BCN, Psychologist
The Centered Brain
Psychologist, PsyD, BCN
Verified Verified
Conshohocken, PA 19428
The Centered Brain offers a unique integrated approach using therapy, heart rate variability, and neurofeedback. We work to regulate your physiology to help you make the most out of treatment. Most clients experience significant improvement in focus, brain fog, sleep, anxiety, rumination, hypervigilance, migraine pain, and elevated fight/flight freeze response.
The Centered Brain offers a unique integrated approach using therapy, heart rate variability, and neurofeedback. We work to regulate your physiology to help you make the most out of treatment. Most clients experience significant improvement in focus, brain fog, sleep, anxiety, rumination, hypervigilance, migraine pain, and elevated fight/flight freeze response.
(610) 878-9330 View (610) 878-9330
Photo of Jacqueline Siempelkamp, MS, NCC, LPC, Licensed Professional Counselor
Jacqueline Siempelkamp
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Conshohocken, PA 19428
As a Licensed Professional Counselor, I have experience (and enjoy!) working with clients of all ages. I regularly work with children as young as 4, adolescents, college-age clients, and adults alike. I am equipped to help clients who are experiencing symptoms related to depression, anxiety, anger, ADHD, self-esteem, body image, eating habits/behaviors, divorce, substance abuse, suicidal ideation, relationships, behavioral concerns, sexuality and gender exploration (LGBTQIA+), academic or school issues, and phase of life adjustment or transitions.
As a Licensed Professional Counselor, I have experience (and enjoy!) working with clients of all ages. I regularly work with children as young as 4, adolescents, college-age clients, and adults alike. I am equipped to help clients who are experiencing symptoms related to depression, anxiety, anger, ADHD, self-esteem, body image, eating habits/behaviors, divorce, substance abuse, suicidal ideation, relationships, behavioral concerns, sexuality and gender exploration (LGBTQIA+), academic or school issues, and phase of life adjustment or transitions.
(215) 352-4683 View (215) 352-4683
Photo of Meredith Seltzer, MS, LPC, Counselor
Meredith Seltzer
Counselor, MS, LPC
Verified Verified
Lafayette Hill, PA 19444  (Online Only)
Today's world offers many challenges for individuals, families, and couples a like. Just like adults, teens can be under extreme stress, which takes its toll on their mental and emotional well-being. The stress can come from, the pressure to perform well in school/sports/activities, family, or from their own friendship/dating relationships. I also work with adults suffering from similar issues, as well as, stress due to family/relationship conflicts, job/career, etc. When I work with couples, they learn how to communicate more effectively with each other through practice with me and without me.
Today's world offers many challenges for individuals, families, and couples a like. Just like adults, teens can be under extreme stress, which takes its toll on their mental and emotional well-being. The stress can come from, the pressure to perform well in school/sports/activities, family, or from their own friendship/dating relationships. I also work with adults suffering from similar issues, as well as, stress due to family/relationship conflicts, job/career, etc. When I work with couples, they learn how to communicate more effectively with each other through practice with me and without me.
(610) 795-5216 View (610) 795-5216
Photo of Scott Horowitz - Ellie Mental Health - Fort Washington, PA, LPC, MT-BC, ACS, Licensed Professional Counselor
Ellie Mental Health - Fort Washington, PA
Licensed Professional Counselor, LPC, MT-BC, ACS
Verified Verified
Plymouth Meeting, PA 19462
Ellie Mental Health in Fort Washington, Pennsylvania isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs. Our awesome team of therapists sees clients ages 5 to end of life, and work with individuals, couples and families.
Ellie Mental Health in Fort Washington, Pennsylvania isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs. Our awesome team of therapists sees clients ages 5 to end of life, and work with individuals, couples and families.
(484) 715-9440 View (484) 715-9440
Photo of John Gentry, PsyD, Psychologist
John Gentry
Psychologist, PsyD
Verified Verified
Plymouth Meeting, PA 19462
Dr. John Gentry, PsyD is a licensed psychologist who received his doctorate in clinical psychology from the University of Denver, and previously a master's degree in counseling psychology from Texas Technological University. He combines both Humanistic-Existential and Cognitive-Behavioral orientations to provide a safe and non-judgmental place for learning how to have a happier and better quality of life, with peace of mind and fulfillment.
Dr. John Gentry, PsyD is a licensed psychologist who received his doctorate in clinical psychology from the University of Denver, and previously a master's degree in counseling psychology from Texas Technological University. He combines both Humanistic-Existential and Cognitive-Behavioral orientations to provide a safe and non-judgmental place for learning how to have a happier and better quality of life, with peace of mind and fulfillment.
(484) 559-6095 View (484) 559-6095
Photo of Liz Peart, MSS, LCSW, Clinical Social Work/Therapist
Liz Peart
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Plymouth Meeting, PA 19462
Not accepting new clients
Do you ever wonder, "Why do I remember an event from long ago so vividly and still get upset?" Or "Why do I behave that way? That's not like me". Our behaviors, thoughts, feelings, and emotions are not random and meaningless, but hold important information that guides us through life. We all have experienced events that we would rather not think about again, but unfortunately, those are often the memories, body sensations, and emotions that inform who we love, how we parent, or even where we work.
Do you ever wonder, "Why do I remember an event from long ago so vividly and still get upset?" Or "Why do I behave that way? That's not like me". Our behaviors, thoughts, feelings, and emotions are not random and meaningless, but hold important information that guides us through life. We all have experienced events that we would rather not think about again, but unfortunately, those are often the memories, body sensations, and emotions that inform who we love, how we parent, or even where we work.
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Photo of Dan Cohn, PsyD, MS, MA, Psychologist
Dan Cohn
Psychologist, PsyD, MS, MA
Verified Verified
1 Endorsed
Gladwyne, PA 19035  (Online Only)
It’s commendable to consider starting therapy. Life presents challenges that are difficult to navigate, but the willingness to confront them offers opportunity for insight, increased purpose, and improved wellbeing. I specialize in working with high-achieving individuals who are eager to explore and understand the underlying reasons behind their struggles—I assist with managing stress/anxiety, perfectionism, relationship challenges, and improving overall mental health. If you're ready to reflect on how to better your current situation and develop a greater understanding of yourself, I’d be honored to support you in that journey.
It’s commendable to consider starting therapy. Life presents challenges that are difficult to navigate, but the willingness to confront them offers opportunity for insight, increased purpose, and improved wellbeing. I specialize in working with high-achieving individuals who are eager to explore and understand the underlying reasons behind their struggles—I assist with managing stress/anxiety, perfectionism, relationship challenges, and improving overall mental health. If you're ready to reflect on how to better your current situation and develop a greater understanding of yourself, I’d be honored to support you in that journey.
(267) 494-6772 View (267) 494-6772
Photo of Jessica Getson, LPC, C-DBT, Licensed Professional Counselor
Jessica Getson
Licensed Professional Counselor, LPC, C-DBT
Verified Verified
4 Endorsed
Lafayette Hill, PA 19444
People enter therapy at all levels of readiness for change. While some people are ready for immediate change, others need time to process their readiness. Ambivalence is understandable in a client's journey. My non-judgmental approach helps clients explore potential barriers to change in order to help them make positive life choices. The therapeutic alliance is absolutely central to the work that is done and the outcomes that are achieved. I create an environment that allows safety, promotes a sense of compassion and empathy and fosters trust. When the therapeutic relationship is strong, clients are empowered to work towards change.
People enter therapy at all levels of readiness for change. While some people are ready for immediate change, others need time to process their readiness. Ambivalence is understandable in a client's journey. My non-judgmental approach helps clients explore potential barriers to change in order to help them make positive life choices. The therapeutic alliance is absolutely central to the work that is done and the outcomes that are achieved. I create an environment that allows safety, promotes a sense of compassion and empathy and fosters trust. When the therapeutic relationship is strong, clients are empowered to work towards change.
(610) 915-8076 View (610) 915-8076

See more therapy options for West Conshohocken

How does your Therapist compare?

Number of Therapists in West Conshohocken, PA

< 10

Therapists in West Conshohocken, PA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Trauma and PTSD
100% Other
100% Coping Skills
100% Self Esteem

Average years in practice

6 Years

Gender breakdown

100% Female

How Therapists in West Conshohocken, PA see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in West Conshohocken?

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.