Therapists in Oakmont Downs, San Antonio, TX

Photo of George S Cox, MS, LPC-S, Licensed Professional Counselor
George S Cox
Licensed Professional Counselor, MS, LPC-S
Verified Verified
2 Endorsed
Oakmont Downs, San Antonio, TX 78249
I have been working with kids, teens, adults and families in some role for over 30 years. Having worked as direct care staff while in grad-school, church staff, teaching, and as a therapist, I have had many opportunities to help individuals and families to build on their strengths, and overcome their weaknesses. In addition to my work, I am a parent. In fact I have been a parent in a wonderfully blended family where I have had the privilege to parent 21 children.
I have been working with kids, teens, adults and families in some role for over 30 years. Having worked as direct care staff while in grad-school, church staff, teaching, and as a therapist, I have had many opportunities to help individuals and families to build on their strengths, and overcome their weaknesses. In addition to my work, I am a parent. In fact I have been a parent in a wonderfully blended family where I have had the privilege to parent 21 children.
(210) 960-9692 View (210) 960-9692
Photo of Lisa A. Sullivan, MA, LPC, Licensed Professional Counselor
Lisa A. Sullivan
Licensed Professional Counselor, MA, LPC
Verified Verified
Oakmont Downs, San Antonio, TX 78249
Not accepting new clients
I enjoy helping clients of any age relieve stress and negative energy and become more effective in relationships and the art of living. I work with each persons specific goals towards a more holistic life.
I enjoy helping clients of any age relieve stress and negative energy and become more effective in relationships and the art of living. I work with each persons specific goals towards a more holistic life.
(210) 585-2697 View (210) 585-2697
Photo of Vanessa Bernal, MA, LMFT-S, LPC-S, Marriage & Family Therapist
Vanessa Bernal
Marriage & Family Therapist, MA, LMFT-S, LPC-S
Verified Verified
Oakmont Downs, San Antonio, TX 78249
Most of us, at one time or another, experience personal problems. Sometimes they affect one's overall performance, sometimes they don't. I am available for those times when situations in life cause personal problems and you need help to get you through them. You don't have to do it alone. I strive to provide a comfortable and trusting environment where you can relax and feel safe. I aim to make therapy a place where you like to go. I know that we are all very unique. I approach each client in a way that is specific to their needs. I am also accepting licensed interns needing supervision.
Most of us, at one time or another, experience personal problems. Sometimes they affect one's overall performance, sometimes they don't. I am available for those times when situations in life cause personal problems and you need help to get you through them. You don't have to do it alone. I strive to provide a comfortable and trusting environment where you can relax and feel safe. I aim to make therapy a place where you like to go. I know that we are all very unique. I approach each client in a way that is specific to their needs. I am also accepting licensed interns needing supervision.
(210) 774-6429 View (210) 774-6429
Photo of Rebecca Roman Montez, MS, LPC, BCN, Licensed Professional Counselor
Rebecca Roman Montez
Licensed Professional Counselor, MS, LPC, BCN
Verified Verified
Oakmont Downs, San Antonio, TX 78249  (Online Only)
Seneca Therapy is 100% online for all Texas residents! Hours are 5 a.m. to Noon to support alternate shift schedules: military, first responders, medical professionals, & more! When you face challenges in your daily life, relationships, or meeting your goals, I am here to support you in discovering how to process big emotions and grow through each difficulty. I provide counseling to teens, adults, and couples. I seek to empower clients to improve and restore balance in their lives by tapping into their personal strengths. I employ integrative approaches including CBT, neuroscience, narrative therapy, EMDR, and Relational Therapy.
Seneca Therapy is 100% online for all Texas residents! Hours are 5 a.m. to Noon to support alternate shift schedules: military, first responders, medical professionals, & more! When you face challenges in your daily life, relationships, or meeting your goals, I am here to support you in discovering how to process big emotions and grow through each difficulty. I provide counseling to teens, adults, and couples. I seek to empower clients to improve and restore balance in their lives by tapping into their personal strengths. I employ integrative approaches including CBT, neuroscience, narrative therapy, EMDR, and Relational Therapy.
(830) 264-5406 View (830) 264-5406
Photo of Jamie Mershon, MA, LPC, Licensed Professional Counselor
Jamie Mershon
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249
Are you In search of a caring professional who is equipped and experienced? Whether you're an adult, family, teen or child---the time for change is now. My 15 years of experience with working in the schools has given me an invaluable insight as to how our younger years, shape and mold us in our later years. Regardless of where you are struggling; past, present and/or future, there is hope. By getting to the root of the problem, we aren’t just treating the symptoms but instead, you will be finding freedom from issues/feelings/situations that seem to be surfacing or returning.
Are you In search of a caring professional who is equipped and experienced? Whether you're an adult, family, teen or child---the time for change is now. My 15 years of experience with working in the schools has given me an invaluable insight as to how our younger years, shape and mold us in our later years. Regardless of where you are struggling; past, present and/or future, there is hope. By getting to the root of the problem, we aren’t just treating the symptoms but instead, you will be finding freedom from issues/feelings/situations that seem to be surfacing or returning.
(210) 801-9076 View (210) 801-9076
Photo of Janet Lantry, LCSW-S, RYT, Clinical Social Work/Therapist
Janet Lantry
Clinical Social Work/Therapist, LCSW-S, RYT
Verified Verified
Oakmont Downs, San Antonio, TX 78249  (Online Only)
Waitlist for new clients
Are you seeking relief and improved functioning, using evidence-based approaches and an integration of the mind and body? Janet specializes in treating PTSD, depression, anxiety, insomnia, relationship conflict, substance use disorders, and uses play therapy as a primary modality when working with children. She is certified in EMDR. She works with all genders, including people who identify as transgender and non-binary and members of the LGBTQIA+ community. Janet also has extensive experience working with veterans, active duty service members, and their families, with a unique empathy for being a military child.
Are you seeking relief and improved functioning, using evidence-based approaches and an integration of the mind and body? Janet specializes in treating PTSD, depression, anxiety, insomnia, relationship conflict, substance use disorders, and uses play therapy as a primary modality when working with children. She is certified in EMDR. She works with all genders, including people who identify as transgender and non-binary and members of the LGBTQIA+ community. Janet also has extensive experience working with veterans, active duty service members, and their families, with a unique empathy for being a military child.
(210) 981-3936 View (210) 981-3936
Photo of Migdalia Sosa Pierce, MA, LPC, Licensed Professional Counselor
Migdalia Sosa Pierce
Licensed Professional Counselor, MA, LPC
Verified Verified
Oakmont Downs, San Antonio, TX 78249
For as long as I can remember, I always wanted to be a therapist. I truly enjoy working with my clients and am passionate about helping others through tough times in their lives. The therapeutic relationship is a unique relationship in itself that alone can be healing. I have worked with a great variety of problems and would be honored to work with you.
For as long as I can remember, I always wanted to be a therapist. I truly enjoy working with my clients and am passionate about helping others through tough times in their lives. The therapeutic relationship is a unique relationship in itself that alone can be healing. I have worked with a great variety of problems and would be honored to work with you.
(210) 348-3850 View (210) 348-3850
Photo of Steve Reynolds, MS, LPC, Licensed Professional Counselor
Steve Reynolds
Licensed Professional Counselor, MS, LPC
Verified Verified
Oakmont Downs, San Antonio, TX 78249  (Online Only)
I work primarily as a social worker, in which I support parents and their children, provide them with resources, and help them be successful in any way that they may need. When working with new families, we start by asking three basic questions: - What is working well? What are you currently worried about? What needs to change? I approach counseling in very much the same way.
I work primarily as a social worker, in which I support parents and their children, provide them with resources, and help them be successful in any way that they may need. When working with new families, we start by asking three basic questions: - What is working well? What are you currently worried about? What needs to change? I approach counseling in very much the same way.
(210) 981-4404 View (210) 981-4404
Photo of Jorge A Ramos, MA, LPC, Licensed Professional Counselor
Jorge A Ramos
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249  (Online Only)
As a Licensed Professional Counselor with years of experience in individual therapy, I am committed to fostering personal growth, healing, and self-awareness in every client I work with. Throughout my career, I have had the privilege of working with individuals facing a variety of challenges, such as anxiety, depression, trauma, and academic or career concerns. I take a person-centered approach in my practice, recognizing that every individual is unique and deserves an environment in which they feel heard, valued, and empowered.
As a Licensed Professional Counselor with years of experience in individual therapy, I am committed to fostering personal growth, healing, and self-awareness in every client I work with. Throughout my career, I have had the privilege of working with individuals facing a variety of challenges, such as anxiety, depression, trauma, and academic or career concerns. I take a person-centered approach in my practice, recognizing that every individual is unique and deserves an environment in which they feel heard, valued, and empowered.
(830) 396-5534 View (830) 396-5534
Photo of Cortnee Jo Schraer, MS, LPC, Licensed Professional Counselor
Cortnee Jo Schraer
Licensed Professional Counselor, MS, LPC
Verified Verified
Oakmont Downs, San Antonio, TX 78249
Hello, I am Cortnee, a Licensed Professional Counselor (LPC). I have a passion for helping children, adolescents, and adults of all ages. I support individuals in a collaborative approach to address varying presenting concerns such as anxiety, depression, OCD, sensory process disorder, grief and loss, trauma, emotional difficulties, phase of life issues, and multicultural issues. Additionally, I also work with children who develop symptoms from adoption, abandonment, divorce, trauma, academic or social problems.
Hello, I am Cortnee, a Licensed Professional Counselor (LPC). I have a passion for helping children, adolescents, and adults of all ages. I support individuals in a collaborative approach to address varying presenting concerns such as anxiety, depression, OCD, sensory process disorder, grief and loss, trauma, emotional difficulties, phase of life issues, and multicultural issues. Additionally, I also work with children who develop symptoms from adoption, abandonment, divorce, trauma, academic or social problems.
(210) 794-6733 View (210) 794-6733
Photo of Amy Mertz, MA, LPC, Licensed Professional Counselor
Amy Mertz
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249
I have a special interest in working with clients suffering from Post-Traumatic Stress Disorder (PTSD), survivors of sexual trauma, anxiety, codependency/loved ones of those suffering from addiction and life transitions/adjustments. My main goal in therapy is to provide hope to my clients. Specifically, hope that despite life’s continual difficult circumstances, joy, contentment and thriving can still be found.
I have a special interest in working with clients suffering from Post-Traumatic Stress Disorder (PTSD), survivors of sexual trauma, anxiety, codependency/loved ones of those suffering from addiction and life transitions/adjustments. My main goal in therapy is to provide hope to my clients. Specifically, hope that despite life’s continual difficult circumstances, joy, contentment and thriving can still be found.
(830) 219-4163 View (830) 219-4163
Photo of Krista Vazquez, MS, NCC, LPC Intern
Krista Vazquez
LPC Intern, MS, NCC
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249
I have experience working with individuals from all walks of life. I believe in the resilience and strength of individuals and will empower my clients to use that strength to grow and create the change that they want to see in their own lives. I believe that everyone is the own expert in their life and deserves to be heard and celebrated. I feel honored to help people achieve their goals of growth, healing, and gaining new skills.
I have experience working with individuals from all walks of life. I believe in the resilience and strength of individuals and will empower my clients to use that strength to grow and create the change that they want to see in their own lives. I believe that everyone is the own expert in their life and deserves to be heard and celebrated. I feel honored to help people achieve their goals of growth, healing, and gaining new skills.
(830) 365-0968 View (830) 365-0968
Photo of Ricardo Guerrero, MEd, LPC, Licensed Professional Counselor
Ricardo Guerrero
Licensed Professional Counselor, MEd, LPC
Verified Verified
Oakmont Downs, San Antonio, TX 78249
I believe a theme of therapy should focus on becoming self-aware and open to exploring thoughts and behaviors. By actively seeking insight into challenges and a willingness to engage in constructive feedback, therapy should focus on an understanding that can facilitate growth. I encourage clients to be motivated to work on gaining a deeper understanding of themselves and their patterns, fostering a collaborative therapeutic environment. Their commitment to personal development makes our work together both productive and enriching.
I believe a theme of therapy should focus on becoming self-aware and open to exploring thoughts and behaviors. By actively seeking insight into challenges and a willingness to engage in constructive feedback, therapy should focus on an understanding that can facilitate growth. I encourage clients to be motivated to work on gaining a deeper understanding of themselves and their patterns, fostering a collaborative therapeutic environment. Their commitment to personal development makes our work together both productive and enriching.
(512) 877-8639 View (512) 877-8639
Photo of Kimberly Moton, LCSW, Clinical Social Work/Therapist
Kimberly Moton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249
I am experienced providing outpatient, residential, and community-based mental health services. My expertise is working with individuals with severe and persistent mental illness (may be transitioning from acute psychiatric hospitalization), substance abuse, Depression, Anxiety, and Post Traumatic Stress Disorder (PTSD).
I am experienced providing outpatient, residential, and community-based mental health services. My expertise is working with individuals with severe and persistent mental illness (may be transitioning from acute psychiatric hospitalization), substance abuse, Depression, Anxiety, and Post Traumatic Stress Disorder (PTSD).
(979) 347-5196 View (979) 347-5196
Photo of Barbara Viridiana Davis, MS, LPC, Licensed Professional Counselor
Barbara Viridiana Davis
Licensed Professional Counselor, MS, LPC
Verified Verified
Oakmont Downs, San Antonio, TX 78249
Hi, my name is Barbara! Its so very nice to meet you! I am a Licensed Professional Counselor having over 20 years of experience working with children, adolescents, young adult, middle age adults and seniors. With almost three decades of experience, I've come to know that all great things are worthwhile and therefore require consistency and patience. I cannot promise you a solution, but I can guarantee you that together we can make great progress along your life journey! I am bilingual Spanish!
Hi, my name is Barbara! Its so very nice to meet you! I am a Licensed Professional Counselor having over 20 years of experience working with children, adolescents, young adult, middle age adults and seniors. With almost three decades of experience, I've come to know that all great things are worthwhile and therefore require consistency and patience. I cannot promise you a solution, but I can guarantee you that together we can make great progress along your life journey! I am bilingual Spanish!
(210) 764-5661 View (210) 764-5661
Photo of Joana Rebollo, LCSW-S, Clinical Social Work/Therapist
Joana Rebollo
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249  (Online Only)
Your well-being is my top priority, and I want you to know that I'm not just a therapist; I'm a dedicated professional with 5+ years of experience in helping individuals overcome clinician depression, anxiety, and PTSD. My therapeutic approach is grounded in evidence-based practices, and I take a personalized and holistic approach to your treatment. I understand the unique challenges you face, and my commitment to your healing journey is unwavering.
Your well-being is my top priority, and I want you to know that I'm not just a therapist; I'm a dedicated professional with 5+ years of experience in helping individuals overcome clinician depression, anxiety, and PTSD. My therapeutic approach is grounded in evidence-based practices, and I take a personalized and holistic approach to your treatment. I understand the unique challenges you face, and my commitment to your healing journey is unwavering.
(281) 946-2763 View (281) 946-2763
Photo of Veronica B Carranza, LCSW, CCTP, CTMH, Clinical Social Work/Therapist
Veronica B Carranza
Clinical Social Work/Therapist, LCSW, CCTP, CTMH
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249  (Online Only)
You’re taking a big step toward your search for peace and stability. Facing emotional challenges like anxiety, stress, depression, or trauma can feel daunting, and you don’t have to navigate it alone. Together, we will work to foster empowerment, change and resilience in a safe and compassionate environment. I am dedicated to healing paths and wellbeing. My goal is to provide personalized therapeutic care that is tailored to your specific needs, helping you navigate challenges. With three decades of social service work experience managing a wide range of challenges, I work with clients statewide via telehealth. Let's begin...
You’re taking a big step toward your search for peace and stability. Facing emotional challenges like anxiety, stress, depression, or trauma can feel daunting, and you don’t have to navigate it alone. Together, we will work to foster empowerment, change and resilience in a safe and compassionate environment. I am dedicated to healing paths and wellbeing. My goal is to provide personalized therapeutic care that is tailored to your specific needs, helping you navigate challenges. With three decades of social service work experience managing a wide range of challenges, I work with clients statewide via telehealth. Let's begin...
(830) 283-7936 View (830) 283-7936
Photo of Jessica Martin, MS, NCC
Jessica Martin
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
1 Endorsed
Oakmont Downs, San Antonio, TX 78249
I am an LPC Associate, supervised by Miranda Solis, LPC-S. I have worked with teens who have been in partial or inpatient hospitalization, teens currently in the child welfare system in the group home setting, and children and families following an outcry of abuse. A big part of working with this population is working with their parents, so I could be a good fit if your child has experienced any of these events. I also have experience with depression, anxiety, trauma, and bipolar disorder. My age range is from age 8-80.
I am an LPC Associate, supervised by Miranda Solis, LPC-S. I have worked with teens who have been in partial or inpatient hospitalization, teens currently in the child welfare system in the group home setting, and children and families following an outcry of abuse. A big part of working with this population is working with their parents, so I could be a good fit if your child has experienced any of these events. I also have experience with depression, anxiety, trauma, and bipolar disorder. My age range is from age 8-80.
(210) 767-9183 View (210) 767-9183
Photo of Lisa Cantu - Thriveworks Counseling & Psychiatry San Antonio, Counselor
Thriveworks Counseling & Psychiatry San Antonio
Counselor
Verified Verified
Oakmont Downs, San Antonio, TX 78249
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(830) 271-4363 View (830) 271-4363
Photo of Sharon Alvandi, MSW, LCSW-S, MAT, Clinical Social Work/Therapist
Sharon Alvandi
Clinical Social Work/Therapist, MSW, LCSW-S, MAT
Verified Verified
4 Endorsed
Oakmont Downs, San Antonio, TX 78249
I DO have availability. PLEASE EMAIL sharoninbodied@gmail.com or text (734)985-0848 for intake setup. I also supervise LMSW's and LBSW's in TX. My approach to working with people involves identifying motivation through reflection and supporting through transitions. I work with individuals to build connections with their bodies. I use these modalities: Somatic Experiencing, Motivational Interviewing, Acceptance and Commitment Therapy, Solution Focused Therapy, and mindfulness practices. Note: I presently don't work with teenagers under 17 years of age or in high school
I DO have availability. PLEASE EMAIL sharoninbodied@gmail.com or text (734)985-0848 for intake setup. I also supervise LMSW's and LBSW's in TX. My approach to working with people involves identifying motivation through reflection and supporting through transitions. I work with individuals to build connections with their bodies. I use these modalities: Somatic Experiencing, Motivational Interviewing, Acceptance and Commitment Therapy, Solution Focused Therapy, and mindfulness practices. Note: I presently don't work with teenagers under 17 years of age or in high school
(210) 571-7264 View (210) 571-7264
1

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How does your Therapist compare?

Number of Therapists in Oakmont Downs, San Antonio, TX

50+

Average cost per session

$125

Therapists in Oakmont Downs, San Antonio, TX who prioritize treating:

91% Anxiety
89% Depression
81% Coping Skills
79% Self Esteem
79% Stress
74% Trauma and PTSD
72% Relationship Issues

Average years in practice

8 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
80% Aetna
80% UnitedHealthcare UHC | UBH

How Therapists in Oakmont Downs, San Antonio, TX see their clients

58% In Person and Online
42% Online Only

Gender breakdown

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

How can I find a therapist in Oakmont Downs, San Antonio?

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.