Therapists in Gold River, CA

Photo of Margot Frost, Clinical Social Work/Therapist in Gold River, CA
Margot Frost
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Gold River, CA 95670  (Online Only)
Do you suspect that you have ADHD or autism (formerly known as Asperger's), or that your mind has always worked a little differently? Do you feel like your suspected diagnosis is holding you back? Congratulations, you are in the right place. Whether it's relationship problems, job issues, or just feeling overwhelmed and disorganized, sometimes it can feel like you just can’t get it right, despite tremendous effort. Let's work together to change those self-destructive thought patterns and create a new narrative.
Do you suspect that you have ADHD or autism (formerly known as Asperger's), or that your mind has always worked a little differently? Do you feel like your suspected diagnosis is holding you back? Congratulations, you are in the right place. Whether it's relationship problems, job issues, or just feeling overwhelmed and disorganized, sometimes it can feel like you just can’t get it right, despite tremendous effort. Let's work together to change those self-destructive thought patterns and create a new narrative.
(916) 252-4469 View (916) 252-4469
Photo of Elizabeth Reyes, Marriage & Family Therapist Associate in Gold River, CA
Elizabeth Reyes
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Gold River, CA 95670
I believe each person’s journey of growth and healing is unique. I am passionate about empowering individuals through complex life experiences and unlocking their resilience. I’ve had the opportunity to work with folks of various ages from young childhood to adulthood in individual, family, and group therapy. I’ve worked with a range of mental health and life challenges related to anxiety, depression, life transitions, eating disorders, mood disorders, and family dynamics.
I believe each person’s journey of growth and healing is unique. I am passionate about empowering individuals through complex life experiences and unlocking their resilience. I’ve had the opportunity to work with folks of various ages from young childhood to adulthood in individual, family, and group therapy. I’ve worked with a range of mental health and life challenges related to anxiety, depression, life transitions, eating disorders, mood disorders, and family dynamics.
(916) 659-7707 View (916) 659-7707
Photo of Meghana Tembe, Psychologist in Gold River, CA
Meghana Tembe
Psychologist, PsyD
Verified Verified
Gold River, CA 95670
"In the midst of every crisis lies great opportunity".... Albert Einstein. Are you experiencing fear/uncertainty due to a recent crisis or change/transition in your life? Feeling overwhelmed or torn about challenges/imbalances in your personal & professional life? Or find yourself stuck, dissatisfied, living a life devoid of purpose & passion? I can be a catalyst in helping you transform your crisis/challenges into opportunities for discovering a new realm of possibilities. I am passionate about empowering people to create innovative paradigms for personal & professional fulfillment -to live a life of full of purpose & passion!
"In the midst of every crisis lies great opportunity".... Albert Einstein. Are you experiencing fear/uncertainty due to a recent crisis or change/transition in your life? Feeling overwhelmed or torn about challenges/imbalances in your personal & professional life? Or find yourself stuck, dissatisfied, living a life devoid of purpose & passion? I can be a catalyst in helping you transform your crisis/challenges into opportunities for discovering a new realm of possibilities. I am passionate about empowering people to create innovative paradigms for personal & professional fulfillment -to live a life of full of purpose & passion!
(916) 713-3831 View (916) 713-3831
Photo of Price Cusolito, Pre-Licensed Professional in Gold River, CA
Price Cusolito
Pre-Licensed Professional, PhD, MA
Verified Verified
Gold River, CA 95670
I love collaborating with my clients in creating and sustaining the changes they wish to make and surprising them with how quickly and deeply these changes can take place. I have extensive experience with chronic illness, chronic pain, physical and emotional trauma, spirituality, parenting issues, grief and dying, and men's sexuality.
I love collaborating with my clients in creating and sustaining the changes they wish to make and surprising them with how quickly and deeply these changes can take place. I have extensive experience with chronic illness, chronic pain, physical and emotional trauma, spirituality, parenting issues, grief and dying, and men's sexuality.
(916) 818-1521 View (916) 818-1521
Photo of Jennifer A Alexander, Marriage & Family Therapist in Gold River, CA
Jennifer A Alexander
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Gold River, CA 95670
I am honored to serve anyone struggling with any type of trauma/PTSD, addiction, depression, or anxiety who wants life to be a little different. Total healing IS possible! I have a passion for non-judgemental connection with people who are nervous about being vulnerable, don’t want therapy, or have had a bad experience in the past. It can be fun and is worth the work! I like to partner with you to discover your strengths and help you reach YOUR goals. My ideal client is someone who has a good sense of humor, a desire for change, an open mind, ok w/an occassional bad word (or two), and MUST love dogs. I do animal assisted therapy.
I am honored to serve anyone struggling with any type of trauma/PTSD, addiction, depression, or anxiety who wants life to be a little different. Total healing IS possible! I have a passion for non-judgemental connection with people who are nervous about being vulnerable, don’t want therapy, or have had a bad experience in the past. It can be fun and is worth the work! I like to partner with you to discover your strengths and help you reach YOUR goals. My ideal client is someone who has a good sense of humor, a desire for change, an open mind, ok w/an occassional bad word (or two), and MUST love dogs. I do animal assisted therapy.
(916) 461-5853 View (916) 461-5853
Photo of Amita Khare, Marriage & Family Therapist in Gold River, CA
Amita Khare
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Gold River, CA 95670
I provide evidence-based trauma therapy for CA residents with a focus on women and children. Trauma can be crippling. Your trauma experience has changed you. You would like to wake up in the morning without feelings of dread, hopelessness, and despair. You might be thinking to yourself that you are a slave to your past and nothing can set you free. Your professional success feels unreal because of the unbearable anxiety, imposter syndrome, and persistent sadness. Thank you for showing up for yourself. It is a courageous act. Let us work together to achieve your goals.
I provide evidence-based trauma therapy for CA residents with a focus on women and children. Trauma can be crippling. Your trauma experience has changed you. You would like to wake up in the morning without feelings of dread, hopelessness, and despair. You might be thinking to yourself that you are a slave to your past and nothing can set you free. Your professional success feels unreal because of the unbearable anxiety, imposter syndrome, and persistent sadness. Thank you for showing up for yourself. It is a courageous act. Let us work together to achieve your goals.
(916) 623-1254 View (916) 623-1254
Photo of Jason Cantrill, Marriage & Family Therapist in Gold River, CA
Jason Cantrill
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Gold River, CA 95670
Not accepting new clients
Okay, so if you're reading this it's probably because something in your life isn't working right or is causing problems. Maybe you're looking for solutions to problems that haven't improved with your past efforts. You may be struggling to adjust to a major life event. Perhaps you're looking for relief from feeling overwhelmed by the demands of work or relationships. You may be looking for relief from emotional pain that time has not healed. Maybe you are just looking for ways to feel happier, more fulfilled, or more effective.
Okay, so if you're reading this it's probably because something in your life isn't working right or is causing problems. Maybe you're looking for solutions to problems that haven't improved with your past efforts. You may be struggling to adjust to a major life event. Perhaps you're looking for relief from feeling overwhelmed by the demands of work or relationships. You may be looking for relief from emotional pain that time has not healed. Maybe you are just looking for ways to feel happier, more fulfilled, or more effective.
(916) 502-8408 View (916) 502-8408
Photo of Tanya Grubaugh, Clinical Social Work/Therapist in Gold River, CA
Tanya Grubaugh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Gold River, CA 95670
I have a passion for wholeness and feel honored to walk alongside those who want to grow and those who just feel stuck - whether it's grieving a loss, the immobility of anxiety or depression, coping with life transitions, or working through the heartache of a troubled relationship. I work with men and women, young adults through older adults, and couples. I facilitate groups, and EMDR for trauma. I value spiritual growth and health and can include a spiritual focus.
I have a passion for wholeness and feel honored to walk alongside those who want to grow and those who just feel stuck - whether it's grieving a loss, the immobility of anxiety or depression, coping with life transitions, or working through the heartache of a troubled relationship. I work with men and women, young adults through older adults, and couples. I facilitate groups, and EMDR for trauma. I value spiritual growth and health and can include a spiritual focus.
(530) 429-3014 View (530) 429-3014
Photo of Diana Dee Sundukos, Clinical Social Work/Therapist in Gold River, CA
Diana Dee Sundukos
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Gold River, CA 95670
In searching for a therapist, you have taken the courageous first step towards emotional freedom. Whether it is to cope with the challenges of everyday life, overcoming negative or traumatic life experiences, or learning how to work through difficult relationships, I am here to help you achieve a happy healthy future. I work with individuals of all ages including children and adolescents. I strive to provide a safe place where you and/or your child can explore confusing feelings, improve communication, learn to problem solve, and develop healthy boundaries for healthier happier relationships.
In searching for a therapist, you have taken the courageous first step towards emotional freedom. Whether it is to cope with the challenges of everyday life, overcoming negative or traumatic life experiences, or learning how to work through difficult relationships, I am here to help you achieve a happy healthy future. I work with individuals of all ages including children and adolescents. I strive to provide a safe place where you and/or your child can explore confusing feelings, improve communication, learn to problem solve, and develop healthy boundaries for healthier happier relationships.
(916) 249-7642 View (916) 249-7642
Photo of Kimberly Studer, Associate Clinical Social Worker in Gold River, CA
Kimberly Studer
Associate Clinical Social Worker, ACSW
Verified Verified
1 Endorsed
Gold River, CA 95670
I am accepting new clients! I support teens and adults enduring challenges such as depression, anxiety, trauma, life changes, and building a sense of self-empowerment. My method of practice is centered around developing a positive therapeutic relationship by establishing a foundation of trust, compassion, and empathy.
I am accepting new clients! I support teens and adults enduring challenges such as depression, anxiety, trauma, life changes, and building a sense of self-empowerment. My method of practice is centered around developing a positive therapeutic relationship by establishing a foundation of trust, compassion, and empathy.
(916) 256-2930 View (916) 256-2930
Eileen Degruccio
Marriage & Family Therapist, MS, MFT, CSAT
Not Verified Not Verified
Gold River, CA 95670
I am a Marriage & Family Therapist in private practice for nearly 30 years, with a breadth of experience working with individuals, couples and families. I work with those who are looking for change in their lives. I enjoy meeting with clients and helping them discover the peace and happiness they desire and deserve. Change is hard & takes courage to even admit we need to change. A person has to be willing take the risk to change in order to grow. That is when a person will benefit the most from therapy. That is what therapy is about......Growth!
I am a Marriage & Family Therapist in private practice for nearly 30 years, with a breadth of experience working with individuals, couples and families. I work with those who are looking for change in their lives. I enjoy meeting with clients and helping them discover the peace and happiness they desire and deserve. Change is hard & takes courage to even admit we need to change. A person has to be willing take the risk to change in order to grow. That is when a person will benefit the most from therapy. That is what therapy is about......Growth!
(916) 472-2672 View (916) 472-2672
Photo of Kaitlyn Vo, Associate Marriage & Family Therapist in Gold River, CA
Kaitlyn Vo
Associate Marriage & Family Therapist, AMFT
Verified Verified
1 Endorsed
Gold River, CA 95670
Has life become increasingly overwhelming lately? Have you noticed that the stressors in your life are affecting your mood, relationships, or work? Do you wish you could hit pause just to take a moment to reorient yourself? As someone who has been on both ends of therapy, I understand how difficult it can be to reach out and ask for help. In a session with me, you can expect to be deeply heard and listened to in an empathetic and non-judgmental space. I am here to help you explore your thoughts and feelings, and to support you in your journey toward healing, growth, and change.
Has life become increasingly overwhelming lately? Have you noticed that the stressors in your life are affecting your mood, relationships, or work? Do you wish you could hit pause just to take a moment to reorient yourself? As someone who has been on both ends of therapy, I understand how difficult it can be to reach out and ask for help. In a session with me, you can expect to be deeply heard and listened to in an empathetic and non-judgmental space. I am here to help you explore your thoughts and feelings, and to support you in your journey toward healing, growth, and change.
(916) 665-0105 View (916) 665-0105
Photo of Nasser A Ganji, Marriage & Family Therapist in Gold River, CA
Nasser A Ganji
Marriage & Family Therapist, MA
Verified Verified
Gold River, CA 95670
I mostly employ insight-oriented approach to psychotherapy. I believe, SELF-ACCEPTANCE is the first step in the path of happiness, I will help you accept yourself and experience making right choices. I use the power of now and mindfulness to help you tend to your emotions, thoughts, and sensations that occur in the present moment. I believe nothing is perfect, and relationships are complex. I will welcome the opportunity to work with you in understanding and improving your life.
I mostly employ insight-oriented approach to psychotherapy. I believe, SELF-ACCEPTANCE is the first step in the path of happiness, I will help you accept yourself and experience making right choices. I use the power of now and mindfulness to help you tend to your emotions, thoughts, and sensations that occur in the present moment. I believe nothing is perfect, and relationships are complex. I will welcome the opportunity to work with you in understanding and improving your life.
(916) 742-6148 View (916) 742-6148
Photo of Nathalie Davis, Marriage & Family Therapist Associate in Gold River, CA
Nathalie Davis
Marriage & Family Therapist Associate, AMFT
Verified Verified
Gold River, CA 95670
Therapy offers a space for individuals to explore their past, present and future self. Your story matters. The more we try to hide, keep quiet or ignore our journey the harder it seems to find out what truly matters to us. Therapy can often be the last resort for many individuals and families suffering. I'd love for it to be the first option to a path of fulfillment. I still remember my first therapy session, the relief I felt when the therapist normalized my experience. It felt as if a weight had been lifted. A weight I carried for too long. I'd love to be the person who can offer relief and support to you and your loved ones.
Therapy offers a space for individuals to explore their past, present and future self. Your story matters. The more we try to hide, keep quiet or ignore our journey the harder it seems to find out what truly matters to us. Therapy can often be the last resort for many individuals and families suffering. I'd love for it to be the first option to a path of fulfillment. I still remember my first therapy session, the relief I felt when the therapist normalized my experience. It felt as if a weight had been lifted. A weight I carried for too long. I'd love to be the person who can offer relief and support to you and your loved ones.
(916) 866-3433 View (916) 866-3433
Photo of Bob Parkins, Marriage & Family Therapist in Gold River, CA
Bob Parkins
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Gold River, CA 95670
I work from a Christian perspective, helping people heal from broken relationships and symptoms resulting from emotional wounds (depression, anxiety, anger, addiction, etc.). I integrate faith with psychological techniques. My clients are not exclusively Christian, and for those not interested in integrating faith, I respectfully only focus on clinical issues.
I work from a Christian perspective, helping people heal from broken relationships and symptoms resulting from emotional wounds (depression, anxiety, anger, addiction, etc.). I integrate faith with psychological techniques. My clients are not exclusively Christian, and for those not interested in integrating faith, I respectfully only focus on clinical issues.
(916) 527-9946 View (916) 527-9946
Photo of Ketamine-Assisted Psychotherapy, Marriage & Family Therapist in Gold River, CA
Ketamine-Assisted Psychotherapy
Marriage & Family Therapist, LMFT, MS
Verified Verified
Gold River, CA 95670
Do you find yourself taking care of everyone else's needs rather than your own? Do you often feel self-conscious, judge yourself harshly, and worry about making mistakes? Are you struggling with anxiety or insomnia? Many of us had experiences in childhood that made us feel that we weren’t good enough or that we had to be perfect in order to be loved. These beliefs are so ingrained in us that we often aren’t even aware that they exist, but they affect how we see ourselves, how we see the world, and how we relate to others. The good news is that these beliefs CAN be changed.
Do you find yourself taking care of everyone else's needs rather than your own? Do you often feel self-conscious, judge yourself harshly, and worry about making mistakes? Are you struggling with anxiety or insomnia? Many of us had experiences in childhood that made us feel that we weren’t good enough or that we had to be perfect in order to be loved. These beliefs are so ingrained in us that we often aren’t even aware that they exist, but they affect how we see ourselves, how we see the world, and how we relate to others. The good news is that these beliefs CAN be changed.
(916) 249-6486 View (916) 249-6486
Photo of Kateri Marie Ross, Marriage & Family Therapist in Gold River, CA
Kateri Marie Ross
Marriage & Family Therapist, MA, LMFT
Verified Verified
Gold River, CA 95670
I'd like to guide and empower the process of your change! We all have negative thoughts at times that can disrupt our lives and interfere with our ability to move forward. Negative thinking can take on many forms that can cause or worsen anxiety, depression, and past trauma and can even have an impact on our physical health. Negative thinking doesn't occur without consequences because it can affect every part of your life including how you feel, your relationships, and decision-making. Fortunately, there are steps and techniques you can use to counteract negative thinking and I would like to guide you in this process.
I'd like to guide and empower the process of your change! We all have negative thoughts at times that can disrupt our lives and interfere with our ability to move forward. Negative thinking can take on many forms that can cause or worsen anxiety, depression, and past trauma and can even have an impact on our physical health. Negative thinking doesn't occur without consequences because it can affect every part of your life including how you feel, your relationships, and decision-making. Fortunately, there are steps and techniques you can use to counteract negative thinking and I would like to guide you in this process.
(916) 249-8085 View (916) 249-8085
Photo of Hooman Ghazanfari in Gold River, CA
Hooman Ghazanfari
MA, EXCC
Verified Verified
3 Endorsed
Gold River, CA 95670
I work with people who are looking to transform their personal and professional lives into the lives they want through professional coaching. My ideal clients are stuck and are wondering what they need to do to get better results. Their current patterns are causing them stress, disappointment and frustration.
I work with people who are looking to transform their personal and professional lives into the lives they want through professional coaching. My ideal clients are stuck and are wondering what they need to do to get better results. Their current patterns are causing them stress, disappointment and frustration.
(916) 702-8281 View (916) 702-8281
Photo of Tara Emerick, Clinical Social Work/Therapist in Gold River, CA
Tara Emerick
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gold River, CA 95670  (Online Only)
A sense of belonging is crucial. Life is hard. I believe that everyone has a plan and a purpose for their life and during hard times, we all need someone to come along the side of us to lend encouragement and non-judgmental support. Therapy can be scary; I would love to listen to your story and work with you towards health and healing. Walking alongside of others with curiosity and empathy during hard times is a passion of mine. Learning and building coping skills and a sense of belonging, while being curious about your plan and purpose is what I'd love to help you with. I offer faith based counseling and traditional counseling.
A sense of belonging is crucial. Life is hard. I believe that everyone has a plan and a purpose for their life and during hard times, we all need someone to come along the side of us to lend encouragement and non-judgmental support. Therapy can be scary; I would love to listen to your story and work with you towards health and healing. Walking alongside of others with curiosity and empathy during hard times is a passion of mine. Learning and building coping skills and a sense of belonging, while being curious about your plan and purpose is what I'd love to help you with. I offer faith based counseling and traditional counseling.
(916) 299-3169 View (916) 299-3169
Photo of Audrey Nelson, Marriage & Family Therapist Associate in Gold River, CA
Audrey Nelson
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
5 Endorsed
Gold River, CA 95670
If you’ve found your way here, you may be having a difficult time expressing certain feelings or being vulnerable, or may be feeling overwhelmed with worry or sadness. Sometimes we feel confused or stuck in the wake of distress, anxiety, or during life transitions. Whether you’ve tried therapy before or this is your first time, it can be scary and hard. Together, we will foster a safe environment in which you feel seen, heard, and valued. You have already taken a huge and brave step toward starting your journey in therapy, where we can discover how your past can shape your present and your future.
If you’ve found your way here, you may be having a difficult time expressing certain feelings or being vulnerable, or may be feeling overwhelmed with worry or sadness. Sometimes we feel confused or stuck in the wake of distress, anxiety, or during life transitions. Whether you’ve tried therapy before or this is your first time, it can be scary and hard. Together, we will foster a safe environment in which you feel seen, heard, and valued. You have already taken a huge and brave step toward starting your journey in therapy, where we can discover how your past can shape your present and your future.
(916) 655-9403 View (916) 655-9403

See more therapy options for Gold River

How does your Therapist compare?

Number of Therapists in Gold River, CA

60+

Average cost per session

$150

Therapists in Gold River, CA who prioritize treating:

92% Anxiety
88% Depression
77% Relationship Issues
75% Self Esteem
68% Stress
65% Trauma and PTSD
63% Grief

Average years in practice

12 Years

Top 3 insurances accepted

59% Optum
51% UnitedHealthcare UHC | UBH
49% Cigna and Evernorth

How Therapists in Gold River, CA see their clients

89% In Person and Online
11% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Gold River?

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.