Therapists in Pleasant Hill, CA

Photo of Jane Kwok-Yee Leung, LMFT, SEP, Marriage & Family Therapist
Jane Kwok-Yee Leung
Marriage & Family Therapist, LMFT, SEP
Verified Verified
Pleasant Hill, CA 94523  (Online Only)
Helping clients live a more full life by understanding themselves is at the core of my practice. Trauma is the cause of a significant amount of mental health issues. Sometimes it can be a shock trauma like a car accident. Other times it can be a developmental trauma from difficult childhood relationships. I am a trained somatic therapist. My goal is to support clients to understand how trauma affects their lives inside out and to teach them tools to better regulate their somatic symptoms.
Helping clients live a more full life by understanding themselves is at the core of my practice. Trauma is the cause of a significant amount of mental health issues. Sometimes it can be a shock trauma like a car accident. Other times it can be a developmental trauma from difficult childhood relationships. I am a trained somatic therapist. My goal is to support clients to understand how trauma affects their lives inside out and to teach them tools to better regulate their somatic symptoms.
(925) 267-6304 View (925) 267-6304
Photo of Abigail Smith, MA, Marriage & Family Therapist
Abigail Smith
Marriage & Family Therapist, MA
Verified Verified
Pleasant Hill, CA 94523  (Online Only)
Waitlist for new clients
Whether you are taking your first steps towards healing, seeking a new therapist, or in need of solutions to improve difficult areas in your life, I am honored to support you on your healing and growth journey. Through engagement in therapeutic processes, whether that entail EMDR, mindfulness, talk therapy, dream work, narrative therapy, use of your spiritual belief system, and/or engagement in the creative process; one can deepen their level of self-awareness, develop a more expansive level of consciousness, and discover new ways of being in the world. In doing so, we begin tending to our deepest core soul wounds.
Whether you are taking your first steps towards healing, seeking a new therapist, or in need of solutions to improve difficult areas in your life, I am honored to support you on your healing and growth journey. Through engagement in therapeutic processes, whether that entail EMDR, mindfulness, talk therapy, dream work, narrative therapy, use of your spiritual belief system, and/or engagement in the creative process; one can deepen their level of self-awareness, develop a more expansive level of consciousness, and discover new ways of being in the world. In doing so, we begin tending to our deepest core soul wounds.
(925) 476-0852 View (925) 476-0852
Photo of Bri Byrne, MA, LMFT, Marriage & Family Therapist
Bri Byrne
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pleasant Hill, CA 94523
Not accepting new clients
You've taken a big first step just by making it to this page. Even if you are just scrolling for now, good for you. Some people come to therapy to grow as a person or to build insight. Most people seek out therapy because they are in some pain. Their immediate goal is to make the pain stop as quickly as possible. I am much more interested in getting to know your pain than I am in getting rid of it ASAP. We need to know where the pain stems from, how you hide it and why it scares you. That way we aren't "fixing" your pain in this moment, but we are preparing for the next time life inevitably throws a version of that pain at you.
You've taken a big first step just by making it to this page. Even if you are just scrolling for now, good for you. Some people come to therapy to grow as a person or to build insight. Most people seek out therapy because they are in some pain. Their immediate goal is to make the pain stop as quickly as possible. I am much more interested in getting to know your pain than I am in getting rid of it ASAP. We need to know where the pain stems from, how you hide it and why it scares you. That way we aren't "fixing" your pain in this moment, but we are preparing for the next time life inevitably throws a version of that pain at you.
(925) 300-8659 View (925) 300-8659
Photo of Crystal Blanton, LCSW, SUDCCIV, Clinical Social Work/Therapist
Crystal Blanton
Clinical Social Work/Therapist, LCSW, SUDCCIV
Verified Verified
Pleasant Hill, CA 94523
Not accepting new clients
I am a Licensed Clinical Social Worker with over 20 years of experience in the counseling field. I have worked with culturally diverse populations in a variety of settings to support with concerns related to depression, anxiety, trauma, substance abuse, and other life challenges. I am always honored to work with people who are in some stage of uncovering the next steps in achieving balance, wellness, and feelings of self fulfillment by exploring the intersecting elements of a person's experiences.
I am a Licensed Clinical Social Worker with over 20 years of experience in the counseling field. I have worked with culturally diverse populations in a variety of settings to support with concerns related to depression, anxiety, trauma, substance abuse, and other life challenges. I am always honored to work with people who are in some stage of uncovering the next steps in achieving balance, wellness, and feelings of self fulfillment by exploring the intersecting elements of a person's experiences.
(925) 965-0485 View (925) 965-0485
Photo of Mark Koch, Marriage & Family Therapist
Mark Koch
Marriage & Family Therapist
Verified Verified
Pleasant Hill, CA 94523  (Online Only)
You may have often heard some people say that therapy is for only those with a mental illness or are "crazy". I'm Mark G. Koch and have been a licensed Marriage Family Therapist since 1996, and I can honestly tell you that those type of statements are a myth. Everyone has a view of how the world works and we use the tools we have to deal with our issues, but occasionally there comes a time when a problem arises that we have no answer to. At this point we become "stuck".
You may have often heard some people say that therapy is for only those with a mental illness or are "crazy". I'm Mark G. Koch and have been a licensed Marriage Family Therapist since 1996, and I can honestly tell you that those type of statements are a myth. Everyone has a view of how the world works and we use the tools we have to deal with our issues, but occasionally there comes a time when a problem arises that we have no answer to. At this point we become "stuck".
(925) 406-3153 View (925) 406-3153
Photo of Joyce A Martin, MA, PsyD, Psychologist
Joyce A Martin
Psychologist, MA, PsyD
Verified Verified
Pleasant Hill, CA 94523
Let go of stress and return to wellness with personalized counseling psychotherapy sessions. I integrate traditional psychology using Humanistic Theory, CBT, Motivational Interviewing, and Positive Psychology to promote holistic mental health and well-being to help you feel more centered.
Let go of stress and return to wellness with personalized counseling psychotherapy sessions. I integrate traditional psychology using Humanistic Theory, CBT, Motivational Interviewing, and Positive Psychology to promote holistic mental health and well-being to help you feel more centered.
(925) 666-6214 View (925) 666-6214
Photo of Celeste Ryan, LCP, Psychologist
Celeste Ryan
Psychologist, LCP
Verified Verified
Pleasant Hill, CA 94523
My name is Celeste Ryan. I use a mixture of depth psychology (Jungian) and somatic experiencing. I am also attachment focused. I work both virtually and in person. I work mostly with individuals and couples. But also, with adolescents and children. I use a mixture of Jungian psychotherapy (awareness of the unconscious and its complexes through dreams, fantasies, and behaviors) in intersection with the body (felt sensations, emotions, how trauma gets held). Work with developing affect tolerance (nonreactivity).
My name is Celeste Ryan. I use a mixture of depth psychology (Jungian) and somatic experiencing. I am also attachment focused. I work both virtually and in person. I work mostly with individuals and couples. But also, with adolescents and children. I use a mixture of Jungian psychotherapy (awareness of the unconscious and its complexes through dreams, fantasies, and behaviors) in intersection with the body (felt sensations, emotions, how trauma gets held). Work with developing affect tolerance (nonreactivity).
(925) 397-1768 View (925) 397-1768
Photo of Sora Yoon, MFT, ATR, Marriage & Family Therapist
Sora Yoon
Marriage & Family Therapist, MFT, ATR
Verified Verified
Pleasant Hill, CA 94523
Are you seeking to dive deeper into finding awareness & meaning in life? I work with both children & adults in the areas of developmental trauma, PTSD, child-parent relationship issues & disordered eating issues. I have a background working in both patient & outpatient settings. I bring ability to work with more complicated If you are looking to find someone to help process these difficulties through holistic healing please give a call to see if we are a good fit.
Are you seeking to dive deeper into finding awareness & meaning in life? I work with both children & adults in the areas of developmental trauma, PTSD, child-parent relationship issues & disordered eating issues. I have a background working in both patient & outpatient settings. I bring ability to work with more complicated If you are looking to find someone to help process these difficulties through holistic healing please give a call to see if we are a good fit.
(925) 297-4815 View (925) 297-4815
Photo of Dr. Jennifer Malabag-Evans, PsyD, Psychologist
Dr. Jennifer Malabag-Evans
Psychologist, PsyD
Verified Verified
Pleasant Hill, CA 94523
Not accepting new clients
My focus is working with children, adolescents, families, and adults who are struggling with emotional and behavioral issues. Some examples include school challenges, behavioral problems, depression, anxiety, trauma, self-esteem, grief, and relationship issues. How I work, depends on the individual and situation. I believe everyone’s experience is unique and I work from a relational, culturally competent, warm, and nonjudgmental way. I have over 10 yrs of experience working with children, adolescents, families, and adults with trauma (including sexual and physical abuse), depression, anxiety, and academic and behavioral issues.
My focus is working with children, adolescents, families, and adults who are struggling with emotional and behavioral issues. Some examples include school challenges, behavioral problems, depression, anxiety, trauma, self-esteem, grief, and relationship issues. How I work, depends on the individual and situation. I believe everyone’s experience is unique and I work from a relational, culturally competent, warm, and nonjudgmental way. I have over 10 yrs of experience working with children, adolescents, families, and adults with trauma (including sexual and physical abuse), depression, anxiety, and academic and behavioral issues.
(925) 290-6395 View (925) 290-6395
Photo of Maria Holguin, LMFT, Marriage & Family Therapist
Maria Holguin
Marriage & Family Therapist, LMFT
Verified Verified
Pleasant Hill, CA 94523
My name is Maria. I am a bilingual Spanish and English Licensed Marriage and Family Therapist. I have been practicing for over 8 years in a County outpatient mental health clinic that services a multicultural and diverse population. y experience includes but is not limited to conducting therapy for Pregnant and postpartum women, adults, older/mature adults, client’s suffering from emotional and crisis situations, mood conditions, depression, anxiety, panic attacks, psychosis, substance abuse, domestic violence, trauma’s, post-traumatic stress disorder, fear, tragedy, paranoia, adoption, grief, and loss.
My name is Maria. I am a bilingual Spanish and English Licensed Marriage and Family Therapist. I have been practicing for over 8 years in a County outpatient mental health clinic that services a multicultural and diverse population. y experience includes but is not limited to conducting therapy for Pregnant and postpartum women, adults, older/mature adults, client’s suffering from emotional and crisis situations, mood conditions, depression, anxiety, panic attacks, psychosis, substance abuse, domestic violence, trauma’s, post-traumatic stress disorder, fear, tragedy, paranoia, adoption, grief, and loss.
(925) 332-0651 View (925) 332-0651
Photo of Josh Gressel, PhD, Psychologist
Josh Gressel
Psychologist, PhD
Verified Verified
2 Endorsed
Pleasant Hill, CA 94523
There are points in life where you may ask yourself if the path you're on is leading you where you need to be going. You may be asking yourself questions like: "Is this the best I can expect from my marriage?" "Is this what I'm supposed to be doing with my life?" "Is the work I'm doing the work I was born to be doing?" I will work with you both to get answers to these questions and to more fully accept the answers you receive.
There are points in life where you may ask yourself if the path you're on is leading you where you need to be going. You may be asking yourself questions like: "Is this the best I can expect from my marriage?" "Is this what I'm supposed to be doing with my life?" "Is the work I'm doing the work I was born to be doing?" I will work with you both to get answers to these questions and to more fully accept the answers you receive.
(925) 308-5953 x7 View (925) 308-5953 x7
Photo of Leila Mohajerany, MA, AMFT, Marriage & Family Therapist Associate
Leila Mohajerany
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Pleasant Hill, CA 94523
Whether it's the weight of external pressures or the depth of internal emotions, reaching out for support requires immense bravery in the face of hardship. I extend my hand to offer you a safe haven, free from judgment, where you can explore your thoughts, emotions, and fears. Together, we'll uncover fresh avenues to conquer these challenges. I am a compassionate, and thoughtful listener, and my ultimate objective is to empower you. We will use your strengths to initiate a transformative journey to understand and break through the barriers holding you back.
Whether it's the weight of external pressures or the depth of internal emotions, reaching out for support requires immense bravery in the face of hardship. I extend my hand to offer you a safe haven, free from judgment, where you can explore your thoughts, emotions, and fears. Together, we'll uncover fresh avenues to conquer these challenges. I am a compassionate, and thoughtful listener, and my ultimate objective is to empower you. We will use your strengths to initiate a transformative journey to understand and break through the barriers holding you back.
(408) 320-5740 View (408) 320-5740
Photo of Jennifer Brookman - Mindful Path Counseling, MA, MFT, Marriage & Family Therapist
Mindful Path Counseling
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523  (Online Only)
In the best of conditions, orienting ourselves towards personal growth is challenging and requires focus, dedication, and support. During major life events, staying on this mindful path can become overwhelming and we may find ourselves unable to find our bearings. For over 12 years, I have helped clients navigate difficult life transitions, such as recovery from addiction, overcoming trauma, healing from grief, cultivating healthy relationships, and achieving developmental milestones.
In the best of conditions, orienting ourselves towards personal growth is challenging and requires focus, dedication, and support. During major life events, staying on this mindful path can become overwhelming and we may find ourselves unable to find our bearings. For over 12 years, I have helped clients navigate difficult life transitions, such as recovery from addiction, overcoming trauma, healing from grief, cultivating healthy relationships, and achieving developmental milestones.
(925) 268-7434 View (925) 268-7434
Photo of Jennifer Bakowsky, MA, LMFT, Marriage & Family Therapist
Jennifer Bakowsky
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pleasant Hill, CA 94523
Is your child experiencing challenging behaviors? Have you or a family member had a recent stressful event or transition? Having trouble with intense emotional responses or reactions? Has there been a trauma that is causing anxiety or upset in your family? Families can become overwhelmed by stage-of-life transitions, can be at a loss as to how to help their intensely emotional children, or address the special and behavioral needs of individual family members or children. I will help you assess and plan for these special needs and develop a family behavior plan that targets specific areas for positive change.
Is your child experiencing challenging behaviors? Have you or a family member had a recent stressful event or transition? Having trouble with intense emotional responses or reactions? Has there been a trauma that is causing anxiety or upset in your family? Families can become overwhelmed by stage-of-life transitions, can be at a loss as to how to help their intensely emotional children, or address the special and behavioral needs of individual family members or children. I will help you assess and plan for these special needs and develop a family behavior plan that targets specific areas for positive change.
(510) 417-3781 View (510) 417-3781
Photo of Yin Chun Siu, MS, LMFT, Marriage & Family Therapist
Yin Chun Siu
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523  (Online Only)
Do you feel unheard, undervalued or stuck in life? When things are troubling you and you're feeling depressed and/or stressed, yet talking with friends or families only goes so far. In their desire to help, they shower you with advice, try to cheer you up and distract you. But when distraction is no longer an option, and you want or need to face what it is, that is troubling you. Then I am here for you. I am a bilingual (English/Cantonese) licensed Marriage Family Therapist. I have over 20 years of clinical experience in mental health including my current position at Berkeley Mental Health as a Senior Behavioral Health Clinician.
Do you feel unheard, undervalued or stuck in life? When things are troubling you and you're feeling depressed and/or stressed, yet talking with friends or families only goes so far. In their desire to help, they shower you with advice, try to cheer you up and distract you. But when distraction is no longer an option, and you want or need to face what it is, that is troubling you. Then I am here for you. I am a bilingual (English/Cantonese) licensed Marriage Family Therapist. I have over 20 years of clinical experience in mental health including my current position at Berkeley Mental Health as a Senior Behavioral Health Clinician.
(925) 722-6734 View (925) 722-6734
Photo of Julie Levin, MA, MFT, Marriage & Family Therapist
Julie Levin
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Pleasant Hill, CA 94523  (Online Only)
I help adults who were raised by immature, narcissistic, or highly critical parents heal the wound of never feeling good enough. When parents are emotionally unavailable or inconsistent, kids assume it's their fault. They try to be "better," to win love, approval, and that sense of belonging we all need. If that was you, you're probably still following the unspoken, unconscious rules you learned in your family: to be loved, you have to support and bolster the unconscious needs of insecure people. This leaves you in one sided relationships, exhausted and resentful.
I help adults who were raised by immature, narcissistic, or highly critical parents heal the wound of never feeling good enough. When parents are emotionally unavailable or inconsistent, kids assume it's their fault. They try to be "better," to win love, approval, and that sense of belonging we all need. If that was you, you're probably still following the unspoken, unconscious rules you learned in your family: to be loved, you have to support and bolster the unconscious needs of insecure people. This leaves you in one sided relationships, exhausted and resentful.
(925) 233-4700 View (925) 233-4700
Photo of Mark W Clayton, MFTMA, Marriage & Family Therapist
Mark W Clayton
Marriage & Family Therapist, MFTMA
Verified Verified
Pleasant Hill, CA 94523
Are you caught in a pattern of doing the same old thing and it is just not working? Or perhaps you're overwhelmed by life's unexpected challenges. Often, these problems cause difficulties in our relationships. My hope is to provide a safe place to be heard and understood. I seek to create a connection with you built through non-judgmental acceptance no matter what your situation. After the first session or two, you will decide if we make a good team for the purpose of addressing your concerns. The fit and connection is essential for success in our sessions.
Are you caught in a pattern of doing the same old thing and it is just not working? Or perhaps you're overwhelmed by life's unexpected challenges. Often, these problems cause difficulties in our relationships. My hope is to provide a safe place to be heard and understood. I seek to create a connection with you built through non-judgmental acceptance no matter what your situation. After the first session or two, you will decide if we make a good team for the purpose of addressing your concerns. The fit and connection is essential for success in our sessions.
(925) 968-4226 View (925) 968-4226
Photo of Robin Farrell, PsyD , Psychologist
Robin Farrell
Psychologist, PsyD
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523
Looking for clients who are interested in understanding themselves, developing further insight, and willing to challenge themselves. They enjoy my directive style and enjoy the therapeutic process.
Looking for clients who are interested in understanding themselves, developing further insight, and willing to challenge themselves. They enjoy my directive style and enjoy the therapeutic process.
(925) 281-2461 View (925) 281-2461
Photo of Jacqueline Susan Cooper, LMFT, Marriage & Family Therapist Associate
Jacqueline Susan Cooper
Marriage & Family Therapist Associate, LMFT
Verified Verified
Pleasant Hill, CA 94523
My ideal client takes many different forms and they are all individualized. My client is suffering and I see it as my role to reduce human suffering so that it is no longer unbearable. I provide both short term (goal oriented), and long term (perhaps, more Existential and Gestalt based) therapy. I'm not going to change your personality, why would I? That makes you the unique individual that you are. My goal is to adjust and provide strategies for eliminating harmful behaviors that cause suffering and an inability to live in peace with oneself and with others.
My ideal client takes many different forms and they are all individualized. My client is suffering and I see it as my role to reduce human suffering so that it is no longer unbearable. I provide both short term (goal oriented), and long term (perhaps, more Existential and Gestalt based) therapy. I'm not going to change your personality, why would I? That makes you the unique individual that you are. My goal is to adjust and provide strategies for eliminating harmful behaviors that cause suffering and an inability to live in peace with oneself and with others.
(925) 267-6701 View (925) 267-6701
Photo of Katy Henry, MS, ACSW, Clinical Social Work/Therapist
Katy Henry
Clinical Social Work/Therapist, MS, ACSW
Verified Verified
Pleasant Hill, CA 94523  (Online Only)
I offer: tangible solutions that you can use moving forward and take with you for the rest of your life. I help you understand and process your past as a way to begin to move forward in your future and thrive in your present. I focus on a holistic approach by not only looking at your mental health struggles, but what factors you have in your life that contribute to your wellbeing. We set goals together and work as a team every step of the way!
I offer: tangible solutions that you can use moving forward and take with you for the rest of your life. I help you understand and process your past as a way to begin to move forward in your future and thrive in your present. I focus on a holistic approach by not only looking at your mental health struggles, but what factors you have in your life that contribute to your wellbeing. We set goals together and work as a team every step of the way!
(925) 722-6495 View (925) 722-6495

See more therapy options for Pleasant Hill

How does your Therapist compare?

Number of Therapists in Pleasant Hill, CA

100+

Average cost per session

$170

Therapists in Pleasant Hill, CA who prioritize treating:

94% Anxiety
87% Depression
76% Relationship Issues
76% Self Esteem
69% Trauma and PTSD
66% Grief
65% Stress

Average years in practice

14 Years

Top 3 insurances accepted

53% Cigna and Evernorth
52% Aetna
45% UnitedHealthcare UHC | UBH

How Therapists in Pleasant Hill, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pleasant Hill?

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.