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Therapists in Jurupa Valley, CA

Photo of Jacob Garel, LMFT, Marriage & Family Therapist
Jacob Garel
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
My name is Jacob Garel, I'm a licensed marriage and family therapist with a unique background in the military as a Pararescueman. With 20 years of experience serving and saving lives, I bring a deep understanding of crisis situations and a passion for helping individuals and families in need. Whether it's grief work, PTSD therapy, or accompanying you on your mental health journey, I am dedicated to walking beside you every step of the way. I am passionate about providing support to first responders, police, military personnel, and their families.
My name is Jacob Garel, I'm a licensed marriage and family therapist with a unique background in the military as a Pararescueman. With 20 years of experience serving and saving lives, I bring a deep understanding of crisis situations and a passion for helping individuals and families in need. Whether it's grief work, PTSD therapy, or accompanying you on your mental health journey, I am dedicated to walking beside you every step of the way. I am passionate about providing support to first responders, police, military personnel, and their families.
(951) 336-0407 View (951) 336-0407
Photo of Alexander Largaespada, LMFT, Marriage & Family Therapist
Alexander Largaespada
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Alexander Largaespada is a dedicated marriage and family therapist with a passion for helping individuals, couples, and families navigate challenges and cultivate healthier relationships. With a compassionate and client-centered approach, Alexander strives to create a safe and supportive space for his clients to explore their emotions, improve communication, and build stronger connections.
Alexander Largaespada is a dedicated marriage and family therapist with a passion for helping individuals, couples, and families navigate challenges and cultivate healthier relationships. With a compassionate and client-centered approach, Alexander strives to create a safe and supportive space for his clients to explore their emotions, improve communication, and build stronger connections.
(951) 540-3023 View (951) 540-3023
Photo of Theldon Fryberger, LCSW, Clinical Social Work/Therapist
Theldon Fryberger
Clinical Social Work/Therapist, LCSW
Verified Verified
Jurupa Valley, CA 92509
Welcome, I'm Theldon Fryberger, a 52-year-old LCSW with over 20 years of experience working with a wide variety of patient situations and needs. I focus on working on providing individual treatment for adults experiencing challenges with anxiety of all types, mood/depression, and relationship challenges. I am open to working with a wide variety of situations and people. I strongly consider the role of culture and am appreciative of diversity. I primarily work with adults but have experience with teens.
Welcome, I'm Theldon Fryberger, a 52-year-old LCSW with over 20 years of experience working with a wide variety of patient situations and needs. I focus on working on providing individual treatment for adults experiencing challenges with anxiety of all types, mood/depression, and relationship challenges. I am open to working with a wide variety of situations and people. I strongly consider the role of culture and am appreciative of diversity. I primarily work with adults but have experience with teens.
(951) 916-3836 View (951) 916-3836
Photo of Lacey Palmer, LMFT, Marriage & Family Therapist
Lacey Palmer
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
I completed the Ph.D. program in Psychology, Public Policy, and Law with an emphasis on Criminal Behavior under the umbrella of Forensic Psychology in March 2023, which has increased insight and awareness of the intersection between mental health and criminal justice systems. Additionally, I am a Licensed Marriage and Family Therapist (LMFT), I have a Master's degree in Counseling Psychology with an emphasis on Mindfulness, I am a certified Personality Disorder Provider (C-PD) and Chemical Dependency Specialist (CDS), and I have a Bachelor's degree in Psychology with a minor in Criminal Justice.
I completed the Ph.D. program in Psychology, Public Policy, and Law with an emphasis on Criminal Behavior under the umbrella of Forensic Psychology in March 2023, which has increased insight and awareness of the intersection between mental health and criminal justice systems. Additionally, I am a Licensed Marriage and Family Therapist (LMFT), I have a Master's degree in Counseling Psychology with an emphasis on Mindfulness, I am a certified Personality Disorder Provider (C-PD) and Chemical Dependency Specialist (CDS), and I have a Bachelor's degree in Psychology with a minor in Criminal Justice.
(951) 467-4894 View (951) 467-4894
Photo of Crystal Corona Mendoza, LMFT, Marriage & Family Therapist
Crystal Corona Mendoza
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
I am a compassionate marriage and family therapist who is dedicated to providing a safe space for children, youth, and families to grow and heal through counseling. Crystal has experience working with diverse populations in various settings and is passionate about providing services to individuals with diverse backgrounds and challenges. I believe in individualizing clients' care by utilizing a client-centered approach and integrating a variety of modalities such as CBT, Solution Focused, Strength-based and Narrative therapy. I am bilingual and offer services in both English and Spanish.
I am a compassionate marriage and family therapist who is dedicated to providing a safe space for children, youth, and families to grow and heal through counseling. Crystal has experience working with diverse populations in various settings and is passionate about providing services to individuals with diverse backgrounds and challenges. I believe in individualizing clients' care by utilizing a client-centered approach and integrating a variety of modalities such as CBT, Solution Focused, Strength-based and Narrative therapy. I am bilingual and offer services in both English and Spanish.
(951) 379-3830 View (951) 379-3830
Photo of Kyvele Artinian, LMFT, Marriage & Family Therapist
Kyvele Artinian
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Hello there my name is Kyvele and I have been working as a Marriage and Family Therapist in California for over 20 years. I am skilled at assisting folks navigate, psychological and interpersonal issues in a growth related and non-judgmental manner. I have a casual approach to therapy and want you to be comfortable during our sessions. I have worked in a variety of settings as a clinician for children, teens, individuals and families and I modify my therapeutic approach to your individual needs.
Hello there my name is Kyvele and I have been working as a Marriage and Family Therapist in California for over 20 years. I am skilled at assisting folks navigate, psychological and interpersonal issues in a growth related and non-judgmental manner. I have a casual approach to therapy and want you to be comfortable during our sessions. I have worked in a variety of settings as a clinician for children, teens, individuals and families and I modify my therapeutic approach to your individual needs.
(951) 724-5232 View (951) 724-5232
Photo of Tina Williams, LMFT, Marriage & Family Therapist
Tina Williams
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Hello, my name is Tina Williams and I am a Licensed Marriage Family Therapist, based in Southern California and working with clients statewide via telehealth. I work with families, couples, children, and individuals, to strengthen their relationships hoping to help them find a healthy perception of themselves, to be peaceful, whole, complete, and safe. I'm most comfortable working with clients that are struggling with depression, anxiety, low-self esteem, and intrusive thoughts. I value cognitive behavioral therapy and person-centered therapy, though there is no single approach that is the right one for every individual.
Hello, my name is Tina Williams and I am a Licensed Marriage Family Therapist, based in Southern California and working with clients statewide via telehealth. I work with families, couples, children, and individuals, to strengthen their relationships hoping to help them find a healthy perception of themselves, to be peaceful, whole, complete, and safe. I'm most comfortable working with clients that are struggling with depression, anxiety, low-self esteem, and intrusive thoughts. I value cognitive behavioral therapy and person-centered therapy, though there is no single approach that is the right one for every individual.
(951) 494-2776 View (951) 494-2776
Photo of Stacey Soares, LMFT, Marriage & Family Therapist
Stacey Soares
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Stacey Soares, LMFT I have been a licensed therapist for 13 years but have been working in this field for over 30 years. I have used a variety of approaches depending on the patient's needs. Empowerment and Positive Thoughts for growth and change are key. I have done a lot of work with abuse and trauma, chronic illness, feeling lost, depressed, and anxious. I have worked with foster and adopted kids and families for years. Currently older kids and adults who have been in the system. But will work with parents of younger kids. And those who have been trafficked.
Stacey Soares, LMFT I have been a licensed therapist for 13 years but have been working in this field for over 30 years. I have used a variety of approaches depending on the patient's needs. Empowerment and Positive Thoughts for growth and change are key. I have done a lot of work with abuse and trauma, chronic illness, feeling lost, depressed, and anxious. I have worked with foster and adopted kids and families for years. Currently older kids and adults who have been in the system. But will work with parents of younger kids. And those who have been trafficked.
(951) 540-2475 View (951) 540-2475
Photo of Laura Neimark-Gizara, LCSW, Clinical Social Work/Therapist
Laura Neimark-Gizara
Clinical Social Work/Therapist, LCSW
Verified Verified
Jurupa Valley, CA 91752
A little about me… I am a licensed clinical social worker (LCSW). I received my master’s degree in social work from the University of Nevada at Reno. I have a teaching credential from Sierra Nevada College and a bachelor of science degree in nutrition from Cal Poly Pomona. I have many years of experience working with adults, children, and parents, helping them to heal and function more effectively in their lives.
A little about me… I am a licensed clinical social worker (LCSW). I received my master’s degree in social work from the University of Nevada at Reno. I have a teaching credential from Sierra Nevada College and a bachelor of science degree in nutrition from Cal Poly Pomona. I have many years of experience working with adults, children, and parents, helping them to heal and function more effectively in their lives.
(909) 403-4146 View (909) 403-4146
Photo of Mara Snider, LMFT, Marriage & Family Therapist
Mara Snider
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 91752
Hello my name is Mara Snider. I am an MFT, CA Lic. 105397. I utilize a strengths-based, client-centered approach to therapy. I recognize the necessity of developing a safe relationship based on trust and non-judgmental response to meet your needs and honor your experience.
Hello my name is Mara Snider. I am an MFT, CA Lic. 105397. I utilize a strengths-based, client-centered approach to therapy. I recognize the necessity of developing a safe relationship based on trust and non-judgmental response to meet your needs and honor your experience.
(951) 878-9870 View (951) 878-9870
Photo of Jill Shinn, LMFT, Marriage & Family Therapist
Jill Shinn
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Jill Shinn, Licensed Marriage and Family Therapist Hi there, I'm Jill! I'm a licensed Marriage and Family Therapist whose focus is on helping clients move from where they are now, to a better place in their lives. Whether the main goal is reducing anxiety, increasing self-esteem, healing old wounds, or improving relationships, we will work together to upgrade your life! Near and dear to my heart is working with clients who are struggling with self worth and/or relationship issues. I find that many of us have a nagging sense that we are "not good enough", and this shows up in a variety of symptoms.
Jill Shinn, Licensed Marriage and Family Therapist Hi there, I'm Jill! I'm a licensed Marriage and Family Therapist whose focus is on helping clients move from where they are now, to a better place in their lives. Whether the main goal is reducing anxiety, increasing self-esteem, healing old wounds, or improving relationships, we will work together to upgrade your life! Near and dear to my heart is working with clients who are struggling with self worth and/or relationship issues. I find that many of us have a nagging sense that we are "not good enough", and this shows up in a variety of symptoms.
(951) 463-5614 View (951) 463-5614
Photo of Quynh Pham, LCSW, Clinical Social Work/Therapist
Quynh Pham
Clinical Social Work/Therapist, LCSW
Verified Verified
Jurupa Valley, CA 91752
Hi, my name is Quynh Pham, and I am a Licensed Clinical Social Worker. I was born in Vietnam and came to America when I was 12 years old. I was inspired to step out of my comfort zone and adapt not only to a new language but also to the cultural shift. This challenging experience taught me to respect and connect well with people from all backgrounds. I value the quality time I spend with friends and family who I love. I enjoy traveling, cooking, and exploring the culinary world because I believe a hearty dish brings everyone together.
Hi, my name is Quynh Pham, and I am a Licensed Clinical Social Worker. I was born in Vietnam and came to America when I was 12 years old. I was inspired to step out of my comfort zone and adapt not only to a new language but also to the cultural shift. This challenging experience taught me to respect and connect well with people from all backgrounds. I value the quality time I spend with friends and family who I love. I enjoy traveling, cooking, and exploring the culinary world because I believe a hearty dish brings everyone together.
(909) 490-4541 View (909) 490-4541
Photo of Katherine Bergam, LMFT, Marriage & Family Therapist
Katherine Bergam
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Hello, my name is Dr. Kate Bergam. I am a licensed marriage family therapist. I have been enjoyed working with clients for more than 20 years. I received my undergraduate degree in Psychology at UCLA and earned my masters and doctorate degree in marriage family therapy at California Graduate Institute of Professional Psychology in 2001. Currently I'm working part time at College Hospital (Partial Hospitalization Program) in Signal Hill, CA. I work with clients who have been diagnosed with Bipolar, Severe anxiety, Major Depression, PTSD, Schizoaffective D/O and ADHD.
Hello, my name is Dr. Kate Bergam. I am a licensed marriage family therapist. I have been enjoyed working with clients for more than 20 years. I received my undergraduate degree in Psychology at UCLA and earned my masters and doctorate degree in marriage family therapy at California Graduate Institute of Professional Psychology in 2001. Currently I'm working part time at College Hospital (Partial Hospitalization Program) in Signal Hill, CA. I work with clients who have been diagnosed with Bipolar, Severe anxiety, Major Depression, PTSD, Schizoaffective D/O and ADHD.
(951) 484-1364 View (951) 484-1364
Photo of Ivy Smyth, LMFT, Marriage & Family Therapist
Ivy Smyth
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Hello, my name is Ivy Smyth and I am a licensed marriage and family therapist in California. My goal is to help clients of all ages uncover a sense of purpose and meaning in their lives while equipping them with practical skills to address anxiety, depression, suicidal ideation, and compulsions. I also have significant experience working with children and their families to address a variety of behavioral and relational challenges. I best serve adolescents and young adults working to identify what they want out of life who may be feeling lost or overwhelmed at the prospect of the future.
Hello, my name is Ivy Smyth and I am a licensed marriage and family therapist in California. My goal is to help clients of all ages uncover a sense of purpose and meaning in their lives while equipping them with practical skills to address anxiety, depression, suicidal ideation, and compulsions. I also have significant experience working with children and their families to address a variety of behavioral and relational challenges. I best serve adolescents and young adults working to identify what they want out of life who may be feeling lost or overwhelmed at the prospect of the future.
(951) 783-3662 View (951) 783-3662
Photo of Sholonda Jasper, LCSW, Clinical Social Work/Therapist
Sholonda Jasper
Clinical Social Work/Therapist, LCSW
Verified Verified
Jurupa Valley, CA 92509
Greetings, my name is Sholonda Jackson-Jasper, Licensed Clinical Social Worker (LCSW 118287). I am based in Oakland, CA, and provide therapy to participants statewide via PATH telehealth. I work well with adults, individuals, couples, and families. I have worked with people from varying backgrounds, such as ethnically and culturally diverse older adult client populations, veterans, youth, and adult re-entry offenders. Those experiencing symptoms associated with schizophrenia, bipolar, anxiety, stress, and trauma.
Greetings, my name is Sholonda Jackson-Jasper, Licensed Clinical Social Worker (LCSW 118287). I am based in Oakland, CA, and provide therapy to participants statewide via PATH telehealth. I work well with adults, individuals, couples, and families. I have worked with people from varying backgrounds, such as ethnically and culturally diverse older adult client populations, veterans, youth, and adult re-entry offenders. Those experiencing symptoms associated with schizophrenia, bipolar, anxiety, stress, and trauma.
(951) 498-5640 View (951) 498-5640
Photo of Simone Zwipf, LMFT, Marriage & Family Therapist
Simone Zwipf
Marriage & Family Therapist, LMFT
Not Verified Not Verified
Jurupa Valley, CA 91752
My name is Simone Stear Zwipf and I am so excited to partner with you. I am a licensed marriage and family therapist as well as a licensed professional clinical counselor. I believe that therapy should feel empowering and enjoyable. My strength is working with clients to build self-esteem, reduce anxiety and depressive symptoms, process difficult experiences and trauma, help those with substance use disorders, and improve couple and family relationships.
My name is Simone Stear Zwipf and I am so excited to partner with you. I am a licensed marriage and family therapist as well as a licensed professional clinical counselor. I believe that therapy should feel empowering and enjoyable. My strength is working with clients to build self-esteem, reduce anxiety and depressive symptoms, process difficult experiences and trauma, help those with substance use disorders, and improve couple and family relationships.
(951) 396-4889 View (951) 396-4889
Photo of Dennis Le, LMFT, Marriage & Family Therapist
Dennis Le
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
Hello, I am glad you are seeking support during this time. I see therapy as an honor to be a guest in your life and hope that we can share stories of resilience and strengths to help guide you to where you want to be in your life.
Hello, I am glad you are seeking support during this time. I see therapy as an honor to be a guest in your life and hope that we can share stories of resilience and strengths to help guide you to where you want to be in your life.
(951) 338-8580 View (951) 338-8580
Photo of Alexander Ochoa, LMFT, Marriage & Family Therapist
Alexander Ochoa
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 92509
My name is Dr. Alexander Ochoa is a Licensed Marriage and Family Therapist located in San Francisco, CA. I provide individual therapy for teens, young adults, and adults. I focus on sports mental health, athletes struggling with fears of re-injury, effective communication, identity loss, anxiety, depression, substance use, life transitions, parenting, and conflict resolution. I specialize in working with individuals who would like to grow their performance by prioritizing their mental health.
My name is Dr. Alexander Ochoa is a Licensed Marriage and Family Therapist located in San Francisco, CA. I provide individual therapy for teens, young adults, and adults. I focus on sports mental health, athletes struggling with fears of re-injury, effective communication, identity loss, anxiety, depression, substance use, life transitions, parenting, and conflict resolution. I specialize in working with individuals who would like to grow their performance by prioritizing their mental health.
(951) 468-9227 View (951) 468-9227
Photo of Joann Celeste, LMFT, Marriage & Family Therapist
Joann Celeste
Marriage & Family Therapist, LMFT
Verified Verified
Jurupa Valley, CA 91752
Hi, my name is Joann Celeste. I am a Licensed Marriage and Family Therapist in CA and NV. I have over 10 years of clinical experience guiding clients through a variety of issues. I consider myself a client-centered therapist who encourages self-exploration and growth. I believe in the process of empathically collaborating with my clients while supporting them through challenging times. My role is to ask the questions that motivate insight and inspire change. I would describe my therapeutic approach as eclectic.
Hi, my name is Joann Celeste. I am a Licensed Marriage and Family Therapist in CA and NV. I have over 10 years of clinical experience guiding clients through a variety of issues. I consider myself a client-centered therapist who encourages self-exploration and growth. I believe in the process of empathically collaborating with my clients while supporting them through challenging times. My role is to ask the questions that motivate insight and inspire change. I would describe my therapeutic approach as eclectic.
(909) 551-4814 View (909) 551-4814
Photo of Tamekia Flanngan, LCSW, Clinical Social Work/Therapist
Tamekia Flanngan
Clinical Social Work/Therapist, LCSW
Verified Verified
Jurupa Valley, CA 92509
Hello, my name is Tamekia Flanngan, also known as Mika. I am LCSW with a diverse and broad background working with many populations, such as adults, seniors, the disabled, families, teens, and children for many years. I believe there is always hope, and each patient has the innate ability to create their own narrative. My overall goal is to provide a safe, supportive, and collaborative environment to find reasonable solutions to overwhelming and everyday challenges. I am open, transparent and patient to the needs of all of my clients.
Hello, my name is Tamekia Flanngan, also known as Mika. I am LCSW with a diverse and broad background working with many populations, such as adults, seniors, the disabled, families, teens, and children for many years. I believe there is always hope, and each patient has the innate ability to create their own narrative. My overall goal is to provide a safe, supportive, and collaborative environment to find reasonable solutions to overwhelming and everyday challenges. I am open, transparent and patient to the needs of all of my clients.
(951) 470-3518 View (951) 470-3518

See more therapy options for Jurupa Valley

How does your Therapist compare?

Number of Therapists in Jurupa Valley, CA

30+

Average cost per session

$112

Therapists in Jurupa Valley, CA who prioritize treating:

79% Depression
79% Anxiety
71% Self Esteem
63% Relationship Issues
63% Stress
61% Coping Skills
53% Family Conflict

Average years in practice

6 Years

Top 3 insurances accepted

97% Aetna
97% Cigna and Evernorth
97% MHN | Health Net

How Therapists in Jurupa Valley, CA see their clients

100% In Person and Online

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Jurupa Valley?

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.