Therapists in New York, NY

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Photo of Lynn Berger Certified Career Counselor, Counselor in New York, NY
Lynn Berger Certified Career Counselor
Counselor, LMHC, NCC, CCC, MA, EdM
Verified Verified
2 Endorsed
New York, NY 10028
Career Counseling and Career Coaching can assist you to experience joy and balance. From time to time, we may need adjustments in our career or personal life to bring us the satisfaction, motivation, or fulfillment we need to improve the quality of our life. Consider making a career change if: your job situation or responsibilities have changed; you are feeling unfulfilled in your work and in your life; you are unhappy or bored with the career you have chosen; interpersonal issues at work are getting in your way and affecting your performance; stress affects you emotionally, mentally or physically or your demands are too burdensome
Career Counseling and Career Coaching can assist you to experience joy and balance. From time to time, we may need adjustments in our career or personal life to bring us the satisfaction, motivation, or fulfillment we need to improve the quality of our life. Consider making a career change if: your job situation or responsibilities have changed; you are feeling unfulfilled in your work and in your life; you are unhappy or bored with the career you have chosen; interpersonal issues at work are getting in your way and affecting your performance; stress affects you emotionally, mentally or physically or your demands are too burdensome
(646) 933-0876 View (646) 933-0876
Photo of Liudmila Bakhmat, Clinical Social Work/Therapist in New York, NY
Liudmila Bakhmat
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
New York, NY 10023  (Online Only)
I enjoy working with clients from diverse backgrounds dealing with a wide range of concerns. Clients seek therapy for a number of reasons: some need guidance through grief and uncertainty, others feel stuck, and some want to understand themselves better. Ultimately, my job is to guide a client through revelations, insights, and desires; to help them explore and understand what drives them and what might interfere with their journey; to support them in discovering the best relationship with themself and others.
I enjoy working with clients from diverse backgrounds dealing with a wide range of concerns. Clients seek therapy for a number of reasons: some need guidance through grief and uncertainty, others feel stuck, and some want to understand themselves better. Ultimately, my job is to guide a client through revelations, insights, and desires; to help them explore and understand what drives them and what might interfere with their journey; to support them in discovering the best relationship with themself and others.
(347) 609-7419 View (347) 609-7419
Photo of Miguel A Contreras, Clinical Social Work/Therapist in New York, NY
Miguel A Contreras
Clinical Social Work/Therapist, PsyD, LCSW, CASAC
Verified Verified
1 Endorsed
New York, NY 10023
As a dynamic, interactive, solution-focused therapist, my approach is to provide support and practical feedback to clients, as well as assisting them in resolving current problems and long-standing dysfunctional patterns. With sensitivity and compassion, my clients are helped to find solutions to a wide range of life challenges and psychological issues.
As a dynamic, interactive, solution-focused therapist, my approach is to provide support and practical feedback to clients, as well as assisting them in resolving current problems and long-standing dysfunctional patterns. With sensitivity and compassion, my clients are helped to find solutions to a wide range of life challenges and psychological issues.
(646) 651-4313 View (646) 651-4313
Photo of Meg Fleming, Clinical Social Work/Therapist in New York, NY
Meg Fleming
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10009
Who we are, who we want to be, and how we show up can be different! I understand firsthand how the intersectionality of the multiple identities we all carry, along with life experiences can have a profound impact on our wellness and equilibrium. The great news is, I believe we all possess the skills necessary to develop into the best version of ourselves while acknowledging all of our individual parts that make us unique. Most importantly, it is never too late to start on the journey of self-discovery and transformation and as your therapist, I'm here to facilitate hope and support that journey.
Who we are, who we want to be, and how we show up can be different! I understand firsthand how the intersectionality of the multiple identities we all carry, along with life experiences can have a profound impact on our wellness and equilibrium. The great news is, I believe we all possess the skills necessary to develop into the best version of ourselves while acknowledging all of our individual parts that make us unique. Most importantly, it is never too late to start on the journey of self-discovery and transformation and as your therapist, I'm here to facilitate hope and support that journey.
(646) 916-5492 View (646) 916-5492
Photo of Tobi Zausner, Clinical Social Work/Therapist in New York, NY
Tobi Zausner
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
New York, NY 10016
Hello and welcome to my psychotherapy practice. It is a safe supportive space to address the difficulties that you would like to resolve and gain strength from your increasing self-awareness. There is within all of us, great potential to access our inner resources and live a more rewarding and fulfilling life. Yet all too often emotional concerns such as anxiety, depression, trauma, stress, fears, eating disorders, blockages that hold us back from action, and even old habits prevent us from being the person we would like to be.
Hello and welcome to my psychotherapy practice. It is a safe supportive space to address the difficulties that you would like to resolve and gain strength from your increasing self-awareness. There is within all of us, great potential to access our inner resources and live a more rewarding and fulfilling life. Yet all too often emotional concerns such as anxiety, depression, trauma, stress, fears, eating disorders, blockages that hold us back from action, and even old habits prevent us from being the person we would like to be.
(646) 759-0338 View (646) 759-0338
Photo of Tucker Ranson, Clinical Social Work/Therapist in New York, NY
Tucker Ranson
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10001  (Online Only)
Tucker Ranson has maintained a private practice for twenty-five years, working with couples and individuals. Tucker is a graduate of Bellevue’s ongoing seminar in Family Therapy, as well as a graduate of NYU School of Social Work’s Seminar on Treatment of Drug and Alcohol Abusers. He received his psychoanalytic and psychotherapy training at the Postgraduate Center for Mental Health and at the New York Psychoanalytic Institute.
Tucker Ranson has maintained a private practice for twenty-five years, working with couples and individuals. Tucker is a graduate of Bellevue’s ongoing seminar in Family Therapy, as well as a graduate of NYU School of Social Work’s Seminar on Treatment of Drug and Alcohol Abusers. He received his psychoanalytic and psychotherapy training at the Postgraduate Center for Mental Health and at the New York Psychoanalytic Institute.
(212) 979-8433 View (212) 979-8433
Photo of Amber Nemeth, Psychologist in New York, NY
Amber Nemeth
Psychologist, PhD
Verified Verified
New York, NY 10075
I am a licensed clinical psychologist and psychoanalyst with over fifteen years of experience treating adolescents and adults. I have particular experience working with creative individuals and specialized training in the treatment of trauma and addictive behaviors. I have worked with many intelligent and creative people from all walks of life. Together we seek to better understand the nature of their difficulties, find relief from harmful repetitive patterns, and ultimately create a more fulfilling life.
I am a licensed clinical psychologist and psychoanalyst with over fifteen years of experience treating adolescents and adults. I have particular experience working with creative individuals and specialized training in the treatment of trauma and addictive behaviors. I have worked with many intelligent and creative people from all walks of life. Together we seek to better understand the nature of their difficulties, find relief from harmful repetitive patterns, and ultimately create a more fulfilling life.
(646) 872-5275 View (646) 872-5275
Photo of Naomi G. Marton, Clinical Social Work/Therapist in New York, NY
Naomi G. Marton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10025  (Online Only)
I work with people who are struggling in various aspects of life, and help identify and alleviate barriers to affect positive change or acceptance, Whether you have difficulty managing anxiety; are experiencing depressed mood; feel stuck in negative patters of communication; or want to improve your relationships with others or with yourself, I create a nurturing environment to support and challenge you to express your feelings, explore personal problems and goals, make meaning out of negative experiences or patterns, and generate positive behaviors and coping styles.
I work with people who are struggling in various aspects of life, and help identify and alleviate barriers to affect positive change or acceptance, Whether you have difficulty managing anxiety; are experiencing depressed mood; feel stuck in negative patters of communication; or want to improve your relationships with others or with yourself, I create a nurturing environment to support and challenge you to express your feelings, explore personal problems and goals, make meaning out of negative experiences or patterns, and generate positive behaviors and coping styles.
(917) 789-1218 View (917) 789-1218
Photo of Naureen Dharani (She Her), Counselor in New York, NY
Naureen Dharani (She Her)
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
New York, NY 10022  (Online Only)
Are you tired of feeling anxious, exhausted, and burned out? Do you long for a therapist that understands your cultural dynamics and related traumas? Have you been feeling riddled with grief? I believe that inside of you is your best potential waiting to be revealed to you. We are first humans before the labels society has given us and I believe we have to first expose our triumphs and ask for help before we can heal our souls. I am a compassionate person who understands the importance of not only feeling heard, but also not being judged. I use a combined therapeutic approach that is tailored and customized to each of my clients.
Are you tired of feeling anxious, exhausted, and burned out? Do you long for a therapist that understands your cultural dynamics and related traumas? Have you been feeling riddled with grief? I believe that inside of you is your best potential waiting to be revealed to you. We are first humans before the labels society has given us and I believe we have to first expose our triumphs and ask for help before we can heal our souls. I am a compassionate person who understands the importance of not only feeling heard, but also not being judged. I use a combined therapeutic approach that is tailored and customized to each of my clients.
(646) 490-9234 View (646) 490-9234
Photo of Nicholas Piombino, Clinical Social Work/Therapist in New York, NY
Nicholas Piombino
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10025
Careful listening and energetic, purposeful interaction are central in my method of treatment. Reducing anxiety, depression and difficulties in relationships and careers are crucial and worthwhile goals in my work as a psychotherapist. In the course of over 40 years of experience it has become my philosophy of psychotherapy that it is in the nature of relationships and careers to come to a crisis over time. Although the crisis invaribly leads to conflicts and is therefore anxiety producing, it is also an opportunity to work through issues to achieve insight and personal transformation.
Careful listening and energetic, purposeful interaction are central in my method of treatment. Reducing anxiety, depression and difficulties in relationships and careers are crucial and worthwhile goals in my work as a psychotherapist. In the course of over 40 years of experience it has become my philosophy of psychotherapy that it is in the nature of relationships and careers to come to a crisis over time. Although the crisis invaribly leads to conflicts and is therefore anxiety producing, it is also an opportunity to work through issues to achieve insight and personal transformation.
(646) 797-5697 View (646) 797-5697
Photo of Katherine Steblen, Mental Health Counselor in New York, NY
Katherine Steblen
Mental Health Counselor, LMHC
Verified Verified
New York, NY 10001  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(332) 262-7316 View (332) 262-7316
Photo of Sahar Hussain, Counselor in New York, NY
Sahar Hussain
Counselor, LMHC
Verified Verified
New York, NY 10001
Anxiety tends to become a problem when it starts impacting your ability to live the life you want for yourself. The feeling of anxiety can be very crippling and leave one feeling physically, mentally and emotionally fatigued. In our work together, my focus is to help you effectively work through your anxiety, fears, uncertainty and negative thought patterns. I value creating a safe space for my clients and approach relationships with empathy, compassion and acceptance,
Anxiety tends to become a problem when it starts impacting your ability to live the life you want for yourself. The feeling of anxiety can be very crippling and leave one feeling physically, mentally and emotionally fatigued. In our work together, my focus is to help you effectively work through your anxiety, fears, uncertainty and negative thought patterns. I value creating a safe space for my clients and approach relationships with empathy, compassion and acceptance,
(646) 846-8241 View (646) 846-8241
Photo of Lisbeth Parra, Mental Health Counselor in New York, NY
Lisbeth Parra
Mental Health Counselor, LMHC
Verified Verified
New York, NY 10018  (Online Only)
Lisbeth Parra is a licensed mental health counselor. She provides compassionate, patient-centered care for people struggling with mental health issues. She understands that patients are dealing with the stressors of everyday life, uncovering childhood trauma and its effects on their current reality, and feeling the anxiety that impacts their daily reality. Her goal is to instill a sense of strength in every patient so they can see that they have the power to live the life that they deserve. During sessions, patients can expect a supportive and empathetic environment where they can talk about their difficulties without judgement.
Lisbeth Parra is a licensed mental health counselor. She provides compassionate, patient-centered care for people struggling with mental health issues. She understands that patients are dealing with the stressors of everyday life, uncovering childhood trauma and its effects on their current reality, and feeling the anxiety that impacts their daily reality. Her goal is to instill a sense of strength in every patient so they can see that they have the power to live the life that they deserve. During sessions, patients can expect a supportive and empathetic environment where they can talk about their difficulties without judgement.
(929) 499-0544 View (929) 499-0544
Photo of Judy Steinfeld, Clinical Social Work/Therapist in New York, NY
Judy Steinfeld
Clinical Social Work/Therapist, CSW, CCH
Verified Verified
New York, NY 10003
Discover practical and empowering strategies to open up the possibility of loving life again. If you want more than traditional therapy, if you’re stuck in an emotional pattern and feel like you can’t get free, if you want help and support, it’s the perfect time to explore what you really desire in your life, what will bring you happiness and joy. And take a look at how your old tapes and programming have been “driving” and creating separation, pain, fear, anxieties and suffering.
Discover practical and empowering strategies to open up the possibility of loving life again. If you want more than traditional therapy, if you’re stuck in an emotional pattern and feel like you can’t get free, if you want help and support, it’s the perfect time to explore what you really desire in your life, what will bring you happiness and joy. And take a look at how your old tapes and programming have been “driving” and creating separation, pain, fear, anxieties and suffering.
(845) 630-0767 View (845) 630-0767
Photo of Connor L Myers, Pre-Licensed Professional in New York, NY
Connor L Myers
Pre-Licensed Professional
Verified Verified
1 Endorsed
New York, NY 10001  (Online Only)
Hello All! If you have ever struggled with the tension and pressure that surrounds us in the world we currently live in, if you have ever struggled with your otherness or identity, or if you have questions that pertain to your sexual identity, I know exactly what you are going through. I have a deep passion for working with queer individuals, couples, and groups. I believe that person centered, and evidence based practices can help reduce anxiety and stress that affects the modern day human and cant wait to collaborate on a wellness plan that gets you excited about life. Please check out my agencies website at ModernTherapyGroup.com
Hello All! If you have ever struggled with the tension and pressure that surrounds us in the world we currently live in, if you have ever struggled with your otherness or identity, or if you have questions that pertain to your sexual identity, I know exactly what you are going through. I have a deep passion for working with queer individuals, couples, and groups. I believe that person centered, and evidence based practices can help reduce anxiety and stress that affects the modern day human and cant wait to collaborate on a wellness plan that gets you excited about life. Please check out my agencies website at ModernTherapyGroup.com
(646) 693-9723 View (646) 693-9723
Photo of Christene Tucker, Clinical Social Work/Therapist in New York, NY
Christene Tucker
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
I specialize in working with clients who struggle with depression, anxiety, poor self-esteem and interpersonal challenges. I want clients to be themselves in session and I am big on storytelling - your narrative matters! I use a combination of trauma-based intersectional feminist therapy, gestalt therapy and trauma-informed CBT. I work with clients from all backgrounds; especially Black Indigenous People of Color (BIPOC) communities who have felt silenced or invalidated in their personal and professional lives. I believe in creating a safe, nurturing environment though I also believe in courageous conversations in session.
I specialize in working with clients who struggle with depression, anxiety, poor self-esteem and interpersonal challenges. I want clients to be themselves in session and I am big on storytelling - your narrative matters! I use a combination of trauma-based intersectional feminist therapy, gestalt therapy and trauma-informed CBT. I work with clients from all backgrounds; especially Black Indigenous People of Color (BIPOC) communities who have felt silenced or invalidated in their personal and professional lives. I believe in creating a safe, nurturing environment though I also believe in courageous conversations in session.
(929) 810-4140 View (929) 810-4140
Photo of Dr. Erin Falconer, Clinical Social Work/Therapist in New York, NY
Dr. Erin Falconer
Clinical Social Work/Therapist, PhD, MSc, LMSW
Verified Verified
New York, NY 10014
I take a thoughtful and caring approach to working together. The therapy is collaborative, and I aim to create a safe space to help you process trauma and address issues related to relationships, abuse, chronic illness, life and career concerns, identity, and creative expression. I also specialize in helping people recover from narcissistic abuse, religious trauma, and coercive control, including survivors of cultic abuse and high-demand groups.
I take a thoughtful and caring approach to working together. The therapy is collaborative, and I aim to create a safe space to help you process trauma and address issues related to relationships, abuse, chronic illness, life and career concerns, identity, and creative expression. I also specialize in helping people recover from narcissistic abuse, religious trauma, and coercive control, including survivors of cultic abuse and high-demand groups.
(718) 550-7685 View (718) 550-7685
Photo of Jennifer L. Hartstein, Psychologist in New York, NY
Jennifer L. Hartstein
Psychologist, PsyD
Verified Verified
New York, NY 10001
I work within a Cognitive Behavioral framework but am trained in a variety of techniques and frequently incorporate them into the treatment I provide. I am intensively trained in Dialectical Behavior Therapy and have extensive experience working with depressed, suicidal and self-injuring teens and their families. Additionally, I am trained to work with children with disruptive behaviors and their parents. I also conduct psychoeducational evaluations to determine appropriate school placement, identify learning issues and offer academic recommendations.
I work within a Cognitive Behavioral framework but am trained in a variety of techniques and frequently incorporate them into the treatment I provide. I am intensively trained in Dialectical Behavior Therapy and have extensive experience working with depressed, suicidal and self-injuring teens and their families. Additionally, I am trained to work with children with disruptive behaviors and their parents. I also conduct psychoeducational evaluations to determine appropriate school placement, identify learning issues and offer academic recommendations.
(646) 351-1668 View (646) 351-1668
Photo of Haley Kastner, Clinical Social Work/Therapist in New York, NY
Haley Kastner
Clinical Social Work/Therapist
Verified Verified
New York, NY 10165
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
View
Photo of Julie Leung, Clinical Social Work/Therapist in New York, NY
Julie Leung
Clinical Social Work/Therapist, LCSW NY, LCSW NJ
Verified Verified
New York, NY 10001
I believe it is an honor to be trusted with a person's deepest emotions and fears. And it is through this trusted therapeutic relationship, the miracle of healing takes place. I will challenge you in a supportive environment to take steps and go to places that you have been afraid of exploring. And together we will look at these issues that have been holding you back from achieving your fullest potential.
I believe it is an honor to be trusted with a person's deepest emotions and fears. And it is through this trusted therapeutic relationship, the miracle of healing takes place. I will challenge you in a supportive environment to take steps and go to places that you have been afraid of exploring. And together we will look at these issues that have been holding you back from achieving your fullest potential.
(855) 848-5967 View (855) 848-5967

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.