Photo of Rebecca Coleman Curtis, Psychologist in 33133, FL
Rebecca Coleman Curtis
Psychologist, PhD, CP
Verified Verified
Miami, FL 33133
I help people with relationships and work, depression, anxiety, sexual issues, coping with fame. Integrating interventions from all orientations, I taught a course on therapy techniques to PhD candidates at Adelphi where I also supervised psychologists in training in doing therapy. I also trained as a psychoanalyst at the White Institute where I supervise and served as Society President. See my book "Desire,Self, Mind & the Psychotherapies" partly on Google Books and my profile on Wikipedia for more information about professional organizations to which I belong and photo. You can find on SKYPE as well for video therapy.
I help people with relationships and work, depression, anxiety, sexual issues, coping with fame. Integrating interventions from all orientations, I taught a course on therapy techniques to PhD candidates at Adelphi where I also supervised psychologists in training in doing therapy. I also trained as a psychoanalyst at the White Institute where I supervise and served as Society President. See my book "Desire,Self, Mind & the Psychotherapies" partly on Google Books and my profile on Wikipedia for more information about professional organizations to which I belong and photo. You can find on SKYPE as well for video therapy.
(855) 906-1815 x917836 View (855) 906-1815 x917836
Photo of Darren Bernal, Psychologist in 33133, FL
Darren Bernal
Psychologist, PhD
Verified Verified
1 Endorsed
Miami, FL 33133  (Online Only)
Waitlist for new clients
My practice focuses on people who have been finding their way but are now stuck or struggling due to change, loss, relationships, or life. Training as a Psychologist has prepared me to work with a wide variety of problems, but I am particularly experienced working with grief, anxiety, problems from all types of relationships, identity, intimacy, and performance issues. I use a multipart approach involving social relationships, cultural beliefs, books, physical activity, nature, and nutrition. IN therapy we will reconnect with the things that have worked and find new ways to help you accept and adapt.
My practice focuses on people who have been finding their way but are now stuck or struggling due to change, loss, relationships, or life. Training as a Psychologist has prepared me to work with a wide variety of problems, but I am particularly experienced working with grief, anxiety, problems from all types of relationships, identity, intimacy, and performance issues. I use a multipart approach involving social relationships, cultural beliefs, books, physical activity, nature, and nutrition. IN therapy we will reconnect with the things that have worked and find new ways to help you accept and adapt.
(786) 244-2084 View (786) 244-2084
Photo of Stephanie Taylor, Clinical Social Work/Therapist in 33133, FL
Stephanie Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33133
My name is Stephanie Taylor, and I am a Licensed Clinical Social worker based in Florida and working with clients statewide via telehealth. I work with teens through older adults using a systems and cognitive behavioral approach and specialize in stress, anxiety, aging, caregiver burnout, high school to college transitions, self-esteem, and weight loss struggles. I have found my approach to be beneficial at various ages. I meet the client he/she is. I can relate to the over 50 population as well as parent with high school and college age children. I can relate to being a caregiver, parent, working mom, teen and college ages.
My name is Stephanie Taylor, and I am a Licensed Clinical Social worker based in Florida and working with clients statewide via telehealth. I work with teens through older adults using a systems and cognitive behavioral approach and specialize in stress, anxiety, aging, caregiver burnout, high school to college transitions, self-esteem, and weight loss struggles. I have found my approach to be beneficial at various ages. I meet the client he/she is. I can relate to the over 50 population as well as parent with high school and college age children. I can relate to being a caregiver, parent, working mom, teen and college ages.
(786) 823-3342 View (786) 823-3342
Photo of Cristina Behrens-Soulavy, Counselor in 33133, FL
Cristina Behrens-Soulavy
Counselor, MS, LMHC
Verified Verified
Miami, FL 33133
I take great satisfaction in collaborating with those recognizing untapped potential. My focus includes transitional phases often underestimated by society such as new relationships, college transitions, pregnancy, parenting, and the 'empty nest' phase. I also support during difficult periods like grief, breakups, and professional stagnation or disappointments. My goal is to guide and assist individuals on these diverse life journeys.
I take great satisfaction in collaborating with those recognizing untapped potential. My focus includes transitional phases often underestimated by society such as new relationships, college transitions, pregnancy, parenting, and the 'empty nest' phase. I also support during difficult periods like grief, breakups, and professional stagnation or disappointments. My goal is to guide and assist individuals on these diverse life journeys.
(786) 833-7058 View (786) 833-7058
Photo of Dr. Austin Aibel, Psychologist in 33133, FL
Dr. Austin Aibel
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33133  (Online Only)
Hello there! My name is Dr. Austin Aibel. I am a licensed clinical psychologist and I specialize in eating disorders and body image issues. I have also done a lot of work with folks struggling with trauma, OCD, chronic illness/complex medical conditions, and identity concerns. I often work with individuals in their teens, twenties, and thirties (but love working with people across the age spectrum). I am passionate about this work and this shows in sessions. I am not a "smile and nod therapist"- Clients have described me as interactive, genuine, and energetic.
Hello there! My name is Dr. Austin Aibel. I am a licensed clinical psychologist and I specialize in eating disorders and body image issues. I have also done a lot of work with folks struggling with trauma, OCD, chronic illness/complex medical conditions, and identity concerns. I often work with individuals in their teens, twenties, and thirties (but love working with people across the age spectrum). I am passionate about this work and this shows in sessions. I am not a "smile and nod therapist"- Clients have described me as interactive, genuine, and energetic.
(312) 626-5114 View (312) 626-5114
Photo of Jennifer Stark, Pre-Licensed Professional in 33133, FL
Jennifer Stark
Pre-Licensed Professional, MS, CWC, CLSC, CPT, CGFI
Not Verified Not Verified
1 Endorsed
Miami, FL 33133  (Online Only)
Feeling stressed, depressed, anxious, out of control? Struggling to decide your future? Are your relationships suffering? Is your health declining? You CAN overcome emotional and physical health challenges, start and maintain a healthy lifestyle, revive a relationship, establish & attain exciting goals, and find joy in living. I'm here to help you, and we can work together from anywhere in the world - convenient online sessions available: audio/video. Men & women I work with love the ease of remote sessions and not having to worry about commuting to an office. I love the flexibility I can offer them. WhatsApp +507 6413-0516.
Feeling stressed, depressed, anxious, out of control? Struggling to decide your future? Are your relationships suffering? Is your health declining? You CAN overcome emotional and physical health challenges, start and maintain a healthy lifestyle, revive a relationship, establish & attain exciting goals, and find joy in living. I'm here to help you, and we can work together from anywhere in the world - convenient online sessions available: audio/video. Men & women I work with love the ease of remote sessions and not having to worry about commuting to an office. I love the flexibility I can offer them. WhatsApp +507 6413-0516.
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Photo of Sharon FitzGerald, Art Therapist in 33133, FL
Sharon FitzGerald
Art Therapist, MA, ATR
Verified Verified
1 Endorsed
Miami, FL 33133  (Online Only)
I am now offering therapy sessions via video! I specialize in treating adults and children (6-16), and am accepting new clients. If you or your child experiences anxiety, depression or fear related to school or social difficulties, you or they will find relief and healing in the calm, centered mindfulness of Art Therapy. The inner self has its own innate ability to heal itself, given the right environment to do so: Art Therapy can provide a personal, creative, psychologically healing experience that is beneficial for all!
I am now offering therapy sessions via video! I specialize in treating adults and children (6-16), and am accepting new clients. If you or your child experiences anxiety, depression or fear related to school or social difficulties, you or they will find relief and healing in the calm, centered mindfulness of Art Therapy. The inner self has its own innate ability to heal itself, given the right environment to do so: Art Therapy can provide a personal, creative, psychologically healing experience that is beneficial for all!
(786) 686-3132 View (786) 686-3132
Photo of Luz Martinez, Counselor in 33133, FL
Luz Martinez
Counselor, LMHC, CCM, MS, CCTP, MCAP
Verified Verified
Miami, FL 33133
I'm Luz Martinez, a Licensed Mental Health Counselor, specializing in individual, couples and family therapy, and maintain a private practice in Miami, FL. In 2008, I graduated from Florida International University with a Master of Science in Psychology. I've worked in multiple treatment settings with populations ranging from adolescents to the elderly.
I'm Luz Martinez, a Licensed Mental Health Counselor, specializing in individual, couples and family therapy, and maintain a private practice in Miami, FL. In 2008, I graduated from Florida International University with a Master of Science in Psychology. I've worked in multiple treatment settings with populations ranging from adolescents to the elderly.
(786) 460-5708 View (786) 460-5708
Photo of Dr. Janice Hynes, Psychologist in 33133, FL
Dr. Janice Hynes
Psychologist, PsyD
Verified Verified
1 Endorsed
Coconut Grove, FL 33133
Are you your own worst critic? Is there a battle in your mind interfering with healthy progress and happiness in your life? If conflict within or with others is exhausting you, practical tools can begin to lower stress and increase effectiveness today. I use a brain-based cutting-edge approach that lowers anxiety, balances emotions, and makes your rational mind more effective. You are invited to a safe accepting therapy environment. My approach is unique, supportive, and offers practical help now, not unending therapy. If too much precious time has been spent in emotional struggle, you can begin to make positive changes now.
Are you your own worst critic? Is there a battle in your mind interfering with healthy progress and happiness in your life? If conflict within or with others is exhausting you, practical tools can begin to lower stress and increase effectiveness today. I use a brain-based cutting-edge approach that lowers anxiety, balances emotions, and makes your rational mind more effective. You are invited to a safe accepting therapy environment. My approach is unique, supportive, and offers practical help now, not unending therapy. If too much precious time has been spent in emotional struggle, you can begin to make positive changes now.
(305) 712-6235 View (305) 712-6235
Photo of Eva Ugarte, Counselor in 33133, FL
Eva Ugarte
Counselor, LMHC, CAP, CT, CST
Verified Verified
Miami, FL 33133
I am passionate about psychology, neurobiology and wellness. This passion has driven my desire to constantly gather knowledge in the field. Curiosity and unconditional regard for human beings fuels my clinical work. I have been working in the mental health field since 2002. My background is in trauma, domestic violence and substance abuse. I specialize in the treatment of depression, anxiety, weight loss, addiction and trauma.
I am passionate about psychology, neurobiology and wellness. This passion has driven my desire to constantly gather knowledge in the field. Curiosity and unconditional regard for human beings fuels my clinical work. I have been working in the mental health field since 2002. My background is in trauma, domestic violence and substance abuse. I specialize in the treatment of depression, anxiety, weight loss, addiction and trauma.
(786) 563-4813 View (786) 563-4813
Photo of Julio Cesar Perez-Delgado in 33133, FL
Julio Cesar Perez-Delgado
LMHC, MCAP
Verified Verified
Miami, FL 33133
Seeking counseling is a sign of strength. If you feel stuck in a phase of life, after trying enough to steer clear form family conflicts, feelings worthlessness, guilt, addiction, compulsiveness, anxiety, worries, fears, depression; fears to speak in public, trauma with intrusive memories, lack of happiness poor sleep, bullying or a developmental conditions. If any of these issues are starting to get in the way of your life, then let's share the strength to find a solution. Get your life back. Life is still way too precious to procrastinate.
Seeking counseling is a sign of strength. If you feel stuck in a phase of life, after trying enough to steer clear form family conflicts, feelings worthlessness, guilt, addiction, compulsiveness, anxiety, worries, fears, depression; fears to speak in public, trauma with intrusive memories, lack of happiness poor sleep, bullying or a developmental conditions. If any of these issues are starting to get in the way of your life, then let's share the strength to find a solution. Get your life back. Life is still way too precious to procrastinate.
(786) 592-2323 View (786) 592-2323
Photo of Josiane Bonte Apollon, Counselor in 33133, FL
Josiane Bonte Apollon
Counselor, PhD , LMHC
Verified Verified
1 Endorsed
Coconut Grove, FL 33133  (Online Only)
Are you feeling stressed, depressed, and emotionally exhausted, from fighting with your partner, family, or boss, for not seeing you for who you are? No, it isn't about having bad luck or being cursed! It's more about learning how to create a shift in your relationship with the challenges you're facing to be more connected and live happier than before. Trained with the best experts in brief and relational therapy, with 20 years of experience, I'd love to help you, whether you are an individual, a couple, or a family, to restore your vision, renegotiate your relationships, for more meaning and quality in your life.
Are you feeling stressed, depressed, and emotionally exhausted, from fighting with your partner, family, or boss, for not seeing you for who you are? No, it isn't about having bad luck or being cursed! It's more about learning how to create a shift in your relationship with the challenges you're facing to be more connected and live happier than before. Trained with the best experts in brief and relational therapy, with 20 years of experience, I'd love to help you, whether you are an individual, a couple, or a family, to restore your vision, renegotiate your relationships, for more meaning and quality in your life.
(786) 651-3935 View (786) 651-3935
Photo of Michael Sanchez, Marriage & Family Therapist in 33133, FL
Michael Sanchez
Marriage & Family Therapist, MS, LMFT
Verified Verified
Coral Gables, FL 33133  (Online Only)
I am dedicated to making a positive impact on those struggling with mental health issues. I specialize in working with diverse populations, including high-risk children, families, couples, and individuals facing conditions such as: schizophrenia, bipolar disorder, depression, anxiety and substance abuse. Throughout my career, I have immersed myself in various therapy settings, from residential and partial hospitalization programs to intensive outpatient and standard outpatient care. My systemic approach enables me to grasp the complexities of my clients' lives, guiding them through challenges and facilitating meaningful solutions.
I am dedicated to making a positive impact on those struggling with mental health issues. I specialize in working with diverse populations, including high-risk children, families, couples, and individuals facing conditions such as: schizophrenia, bipolar disorder, depression, anxiety and substance abuse. Throughout my career, I have immersed myself in various therapy settings, from residential and partial hospitalization programs to intensive outpatient and standard outpatient care. My systemic approach enables me to grasp the complexities of my clients' lives, guiding them through challenges and facilitating meaningful solutions.
(305) 851-7190 View (305) 851-7190
Photo of Aldrich Chan, Psychologist in 33133, FL
Aldrich Chan
Psychologist, PsyD
Verified Verified
Miami, FL 33133
Dr. Aldrich Chan is a neuropsychologist. He is the founder of The Center for Neuropsychology and Consciousness, a practice specializing in neuropsychological evaluations, psychotherapy, education, cognitive rehabilitation and consultation. In addition, he is an Adjunct Professor for the Doctoral and Masters program at Pepperdine University and author of an award-winning book "Reassembling Models of Reality" for the W. W. Nortons acclaimed Interpersonal Neurobiology Series. For more info visit his website: www.drchancnc.com. For reviews look up "The Center for Neuropsychology and Consciousness" on google.
Dr. Aldrich Chan is a neuropsychologist. He is the founder of The Center for Neuropsychology and Consciousness, a practice specializing in neuropsychological evaluations, psychotherapy, education, cognitive rehabilitation and consultation. In addition, he is an Adjunct Professor for the Doctoral and Masters program at Pepperdine University and author of an award-winning book "Reassembling Models of Reality" for the W. W. Nortons acclaimed Interpersonal Neurobiology Series. For more info visit his website: www.drchancnc.com. For reviews look up "The Center for Neuropsychology and Consciousness" on google.
(305) 930-6697 View (305) 930-6697
Photo of Sarah Getz, Psychologist in 33133, FL
Sarah Getz
Psychologist, PhD
Verified Verified
Miami, FL 33133
Coming soon
Coming soon
(305) 614-3745 View (305) 614-3745
Photo of Dr. Lisa Reiss, Mental Health Counselor in 33133, FL
Dr. Lisa Reiss
Mental Health Counselor, PhD, LMHC, ACS
Verified Verified
1 Endorsed
Miami, FL 33133
As a licensed Mental Health Counselor with a Ph.D. in Marriage and Family, I treat a number of problem areas including depression, anxiety, relationship problems, and stressful life transition changes. I specialize in providing therapy to those struggling with depression, anxiety, and I welcome anyone in need of therapy for other emotional and psychological issues. During the course of your therapy, you’ll gain the skills to overcome your struggles and obtain a fresh perspective on life’s issues.
As a licensed Mental Health Counselor with a Ph.D. in Marriage and Family, I treat a number of problem areas including depression, anxiety, relationship problems, and stressful life transition changes. I specialize in providing therapy to those struggling with depression, anxiety, and I welcome anyone in need of therapy for other emotional and psychological issues. During the course of your therapy, you’ll gain the skills to overcome your struggles and obtain a fresh perspective on life’s issues.
(786) 738-9211 View (786) 738-9211
Photo of Alexander Hernandez, Counselor in 33133, FL
Alexander Hernandez
Counselor, LMHC, MCAP, QS-MHC
Verified Verified
Miami, FL 33133
My clients suffer from anxiety, depression, drug abuse and addiction, career issues and dissatisfaction, life transition challenges and other common stressors. They seek relief from emotional pain and achievement of their personal goals. My clients want to be happy and successful.
My clients suffer from anxiety, depression, drug abuse and addiction, career issues and dissatisfaction, life transition challenges and other common stressors. They seek relief from emotional pain and achievement of their personal goals. My clients want to be happy and successful.
(786) 933-9436 View (786) 933-9436
Photo of Stephanie R Carter, Psychologist in 33133, FL
Stephanie R Carter
Psychologist
Verified Verified
Miami, FL 33133  (Online Only)
I really care about my work. I really care about you. It has been my privilege for many years to help adults, adolescents and children as well as families and couples improve their lives. I can help you create the life you want so you can handle whatever happens and feel good about the way you handle it. I help in a variety of ways, depending on your needs: by engaging you in therapeutic conversation, hypnosis, EMDR, and psychodynamic, cognitive behavioral and behavioral interventions. I look forward to getting to know you.
I really care about my work. I really care about you. It has been my privilege for many years to help adults, adolescents and children as well as families and couples improve their lives. I can help you create the life you want so you can handle whatever happens and feel good about the way you handle it. I help in a variety of ways, depending on your needs: by engaging you in therapeutic conversation, hypnosis, EMDR, and psychodynamic, cognitive behavioral and behavioral interventions. I look forward to getting to know you.
(786) 401-5148 View (786) 401-5148
Photo of Sarah Maria Filgueiras, Counselor in 33133, FL
Sarah Maria Filgueiras
Counselor, MSEd, MPhilEd
Verified Verified
1 Endorsed
Miami, FL 33133  (Online Only)
Welcome to a space of healing, growth, and sexual empowerment! Sarah Maria Filgueiras, aka “Figs,” is a dedicated psychotherapist with a deep passion for helping individuals and couples navigate their intimate lives and embrace their authentic sexual selves. Her warm and inviting approach creates a safe space where clients can explore their desires, overcome challenges, and cultivate a healthy and fulfilling relationship with their sexuality. Through a collaborative and holistic approach, Figs tailors her therapeutic interventions to suit her client's needs and goals.
Welcome to a space of healing, growth, and sexual empowerment! Sarah Maria Filgueiras, aka “Figs,” is a dedicated psychotherapist with a deep passion for helping individuals and couples navigate their intimate lives and embrace their authentic sexual selves. Her warm and inviting approach creates a safe space where clients can explore their desires, overcome challenges, and cultivate a healthy and fulfilling relationship with their sexuality. Through a collaborative and holistic approach, Figs tailors her therapeutic interventions to suit her client's needs and goals.
(305) 889-7382 View (305) 889-7382
Photo of Jacquie Rangel, Licensed Mental Health Counselor in 33133, FL
Jacquie Rangel
Licensed Mental Health Counselor, MSEd, LMHC, CMPC, RYT
Verified Verified
1 Endorsed
Miami, FL 33133
My ideal client is excited to be part of the therapeutic process. They're tired of feeling stuck and overwhelmed, and they're ready to invest in themselves and their well-being. They understand that therapy is a journey of self-discovery and growth, and they're committed to putting in the work to achieve lasting positive change. Ultimately, what they truly want is to feel empowered – to manage their emotions effectively, build stronger connections, and live a more meaningful and fulfilling life, aligned with their values and goals.
My ideal client is excited to be part of the therapeutic process. They're tired of feeling stuck and overwhelmed, and they're ready to invest in themselves and their well-being. They understand that therapy is a journey of self-discovery and growth, and they're committed to putting in the work to achieve lasting positive change. Ultimately, what they truly want is to feel empowered – to manage their emotions effectively, build stronger connections, and live a more meaningful and fulfilling life, aligned with their values and goals.
(786) 481-0109 View (786) 481-0109

How does your Therapist compare?

Number of Therapists in 33133

100+

Average cost per session

$180

Therapists in 33133 who prioritize treating:

94% Anxiety
87% Depression
76% Relationship Issues
71% Self Esteem
62% Coping Skills
62% Stress
60% Family Conflict

Average years in practice

15 Years

Top 3 insurances accepted

73% Aetna
68% Cigna and Evernorth
57% UnitedHealthcare UHC | UBH

How Therapists in 33133 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 33133?

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.