Photo of William J Heran, PhD, LICSW, Clinical Social Work/Therapist
William J Heran
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
Boston, MA 02215
Are you, or someone you love struggling with addictions? If so, don't hesitate calling me for a consultation. The pain associated with addictions can be both overwhelming and hard to manage. You deserve a therapist with a top notch training and experience. Seeing Dr. Heran as a therapist, gives you a comprehensive assessment and best practice treatment support, while incorporating elements in the therapy that promotes a sustained recovery from alcohol and/or drug use.
Are you, or someone you love struggling with addictions? If so, don't hesitate calling me for a consultation. The pain associated with addictions can be both overwhelming and hard to manage. You deserve a therapist with a top notch training and experience. Seeing Dr. Heran as a therapist, gives you a comprehensive assessment and best practice treatment support, while incorporating elements in the therapy that promotes a sustained recovery from alcohol and/or drug use.
(857) 728-3005 View (857) 728-3005
Photo of Dr. Kenta Asakura, PhD, MSW, LICSW, LCSW, Clinical Social Work/Therapist
Dr. Kenta Asakura
Clinical Social Work/Therapist, PhD, MSW, LICSW, LCSW
Verified Verified
Boston, MA 02215  (Online Only)
Waitlist for new clients
Note: Accepting new clients again, starting in October 2024. As a tenured professor, I have firsthand insights into the unique, demanding, and often problematic professional institutions. My practice specializes in working with professionals, who are highly successful in many ways but have (had to) set aside and not been able to prioritize their emotional and interpersonal wellbeing. I have especially built an expertise in working with people of color, LGBTQ+ folks, and others, who have been historically overlooked by the traditional framework of professional institutions. I work with those located in MA, WA, and TX (online only).
Note: Accepting new clients again, starting in October 2024. As a tenured professor, I have firsthand insights into the unique, demanding, and often problematic professional institutions. My practice specializes in working with professionals, who are highly successful in many ways but have (had to) set aside and not been able to prioritize their emotional and interpersonal wellbeing. I have especially built an expertise in working with people of color, LGBTQ+ folks, and others, who have been historically overlooked by the traditional framework of professional institutions. I work with those located in MA, WA, and TX (online only).
(617) 616-8981 View (617) 616-8981
Photo of Angelica Griegel, MA
Angelica Griegel
MA
Verified Verified
1 Endorsed
Boston, MA 02215  (Online Only)
If you’re struggling with toxic relationships with your partner, family member, ex, or in a divorce, you’re in the right place. As someone who has personally navigated the tumultuous waters of toxic behaviors, narcissistic abuse, and family court, I bring firsthand experience to my work. I understand the feelings of helplessness and exhaustion that come from toxic relationships, and I’m here to let you know that toxic relationships are crazy-making, but you’re not crazy! I'm dedicated to helping you take back your power, heal, and find peace again no matter how bad the situation is.
If you’re struggling with toxic relationships with your partner, family member, ex, or in a divorce, you’re in the right place. As someone who has personally navigated the tumultuous waters of toxic behaviors, narcissistic abuse, and family court, I bring firsthand experience to my work. I understand the feelings of helplessness and exhaustion that come from toxic relationships, and I’m here to let you know that toxic relationships are crazy-making, but you’re not crazy! I'm dedicated to helping you take back your power, heal, and find peace again no matter how bad the situation is.
(508) 658-9062 View (508) 658-9062
Photo of Kimberly Schildbach, MEd, LMHC, Counselor
Kimberly Schildbach
Counselor, MEd, LMHC
Verified Verified
4 Endorsed
Boston, MA 02215  (Online Only)
I see couples and individuals. Do the fights with your partner follow the same pattern? Does one of you want to talk it out and the other wants some space? Has a painful experience or betrayal such as infidelity, loss, or reproductive trauma left you both feeling alone and shaken? You long for a playful and loving connection and I can help you get there. I help highly motivated clients and couples like you learn to understand themselves and each other again. I'm successful at what I do, and right now you need an expert to guide you.
I see couples and individuals. Do the fights with your partner follow the same pattern? Does one of you want to talk it out and the other wants some space? Has a painful experience or betrayal such as infidelity, loss, or reproductive trauma left you both feeling alone and shaken? You long for a playful and loving connection and I can help you get there. I help highly motivated clients and couples like you learn to understand themselves and each other again. I'm successful at what I do, and right now you need an expert to guide you.
(413) 414-5659 View (413) 414-5659
Photo of Gloria L Barbacoff, L8CSW, Clinical Social Work/Therapist
Gloria L Barbacoff
Clinical Social Work/Therapist, L8CSW
Verified Verified
Boston, MA 02215
I am a relational therapist and a psychoanalyst. I graduated from The General Training Program in Psychoanalysis at the Mass Institute for Psychoanalysis in 2019. After 30+ years of experience, I have found that each patient is unique and requires an individualized plan of treatment. My patients and I work together on creating a plan that addresses both the current problem(s), as well as the longer term goals. I strive to be flexible, open and creative in listening to and addressing patient's concerns. My style is warm and empathic and I incorporate humor into the work whenever possible.
I am a relational therapist and a psychoanalyst. I graduated from The General Training Program in Psychoanalysis at the Mass Institute for Psychoanalysis in 2019. After 30+ years of experience, I have found that each patient is unique and requires an individualized plan of treatment. My patients and I work together on creating a plan that addresses both the current problem(s), as well as the longer term goals. I strive to be flexible, open and creative in listening to and addressing patient's concerns. My style is warm and empathic and I incorporate humor into the work whenever possible.
(978) 522-6241 View (978) 522-6241
Photo of Katherine Scanlan Powell, LCSW, MPH, Clinical Social Work/Therapist
Katherine Scanlan Powell
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Boston, MA 02215  (Online Only)
You want intelligence, compassion, and someone to validate or challenge your thoughts and feelings? Utilizing Cognitive Behavioral Treatment interventions I can help you create a different narrative and see life though a different lens. I am a graduate of Columbia University with the degree of Master of Public Health in Healthcare Management. I have been a director of various psychiatric clinics/hospital departments prior to starting a private practice in 2015. I was clinically trained (MSW) at Florida State University, class of 1993. I am also a graduate of The University of Miami with a clinical psychology degree in 1990.
You want intelligence, compassion, and someone to validate or challenge your thoughts and feelings? Utilizing Cognitive Behavioral Treatment interventions I can help you create a different narrative and see life though a different lens. I am a graduate of Columbia University with the degree of Master of Public Health in Healthcare Management. I have been a director of various psychiatric clinics/hospital departments prior to starting a private practice in 2015. I was clinically trained (MSW) at Florida State University, class of 1993. I am also a graduate of The University of Miami with a clinical psychology degree in 1990.
(857) 371-8410 View (857) 371-8410
Photo of Vinu Arunagiri, PhD, Psychologist
Vinu Arunagiri
Psychologist, PhD
Verified Verified
Boston, MA 02215  (Online Only)
Waitlist for new clients
Do you feel like you go from really high intense moments to really low moments or not feeling anything at all? Do you beat yourself up for things and have that "mean" inner dialogue? Does your head feel like it's going to explode with all your thoughts? These are all issues that stem from emotion dysregulation and maladaptive schemas. The good news is there are a lot of ways we can help address this!
Do you feel like you go from really high intense moments to really low moments or not feeling anything at all? Do you beat yourself up for things and have that "mean" inner dialogue? Does your head feel like it's going to explode with all your thoughts? These are all issues that stem from emotion dysregulation and maladaptive schemas. The good news is there are a lot of ways we can help address this!
(646) 932-8612 View (646) 932-8612
Photo of Dale Young, PsyD, MPH, Psychologist
Dale Young
Psychologist, PsyD, MPH
Verified Verified
Boston, MA 02215
I am a psychologist practicing for over 30 years. My approach is to listen, understand the difficulties you have, and develop a way that we can work together so that you are able to deal with the issues that matter to you. I mostly work with people with depression, anxiety, and/or emotional trauma and help people who feel unhappy with themselves and/or who are having difficulties with others. I also work with people who feel they are not dealing well with changes in their life or believe they need to make changes.
I am a psychologist practicing for over 30 years. My approach is to listen, understand the difficulties you have, and develop a way that we can work together so that you are able to deal with the issues that matter to you. I mostly work with people with depression, anxiety, and/or emotional trauma and help people who feel unhappy with themselves and/or who are having difficulties with others. I also work with people who feel they are not dealing well with changes in their life or believe they need to make changes.
(617) 607-3037 View (617) 607-3037
Photo of undefined - Meridith Wirtz, LICSW, Leek Therapy, LICSW, Clinical Social Work/Therapist
Meridith Wirtz, LICSW, Leek Therapy
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02215
I am a partner in Leek Therapy.
I am a partner in Leek Therapy.
(857) 466-1472 View (857) 466-1472
Photo of undefined - Orlando Counseling & Supervision, LMHC, Counselor
Orlando Counseling & Supervision
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02215
I work with a number of different presenting issues including men's issues, anxiety, depression, bipolar disorder, life changes, couples and those who are struggling with substance use.
I work with a number of different presenting issues including men's issues, anxiety, depression, bipolar disorder, life changes, couples and those who are struggling with substance use.
(857) 422-6274 View (857) 422-6274
Photo of Monique Sisson, Pre-Licensed Professional
Monique Sisson
Pre-Licensed Professional
Verified Verified
1 Endorsed
Boston, MA 02215  (Online Only)
I am a queer-identifying (they/them) person of color, and a masters-level social work student intern in my last year of field placement. I am an activist and social justice-oriented individual. I have 6 years of experience working with children, youth, and guardians. I have worked with adolescence and families who have gone through major life transitions, children on the autism spectrum, ADHD, and adults with disabilities. My approach to therapy aligns with my core values, assisting individuals in their life journey with honor and consideration, and acknowledging that each person holds the authority on their own unique experiences.
I am a queer-identifying (they/them) person of color, and a masters-level social work student intern in my last year of field placement. I am an activist and social justice-oriented individual. I have 6 years of experience working with children, youth, and guardians. I have worked with adolescence and families who have gone through major life transitions, children on the autism spectrum, ADHD, and adults with disabilities. My approach to therapy aligns with my core values, assisting individuals in their life journey with honor and consideration, and acknowledging that each person holds the authority on their own unique experiences.
(339) 215-1833 View (339) 215-1833
Photo of Brian O'Keefe, LICSW, Clinical Social Work/Therapist
Brian O'Keefe
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02215  (Online Only)
Waitlist for new clients
Hello, I'm Brian (preferred pronouns: he/him/his) and I'm a Licensed Independent Clinical Social Worker working as a therapist in the Boston area for over seven years. I've worked with clients across the lifespan, and am especially passionate working with millennial's (ages 18-40) who struggle with anxiety, depression, post-traumatic stress disorder, and ADHD. I also focus on clients dealing with eco anxiety, climate anxiety, and solastalgia. My experience includes working in outpatient mental health settings such as community mental health centers, Boston Public Schools, a therapeutic day school, and as a Clinical Supervisor.
Hello, I'm Brian (preferred pronouns: he/him/his) and I'm a Licensed Independent Clinical Social Worker working as a therapist in the Boston area for over seven years. I've worked with clients across the lifespan, and am especially passionate working with millennial's (ages 18-40) who struggle with anxiety, depression, post-traumatic stress disorder, and ADHD. I also focus on clients dealing with eco anxiety, climate anxiety, and solastalgia. My experience includes working in outpatient mental health settings such as community mental health centers, Boston Public Schools, a therapeutic day school, and as a Clinical Supervisor.
(617) 544-2390 View (617) 544-2390
Photo of Jane Scherban, LMHC, Counselor
Jane Scherban
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02215
I have been in practice in the Boston area for over 30 years. My approach is interactive, collaborative, and respectful. I am trained in Cognitive Behavioral and Psychodynamic approaches to therapy.I see clients for both short-term and long-term psychotherapy dependent on their needs/preference. In addition to individual therapy I also work with couples.
I have been in practice in the Boston area for over 30 years. My approach is interactive, collaborative, and respectful. I am trained in Cognitive Behavioral and Psychodynamic approaches to therapy.I see clients for both short-term and long-term psychotherapy dependent on their needs/preference. In addition to individual therapy I also work with couples.
(617) 505-1870 View (617) 505-1870
Photo of undefined - Center for Anxiety & Related Disorders at Boston U, PhD, Psychologist
Center for Anxiety & Related Disorders at Boston U
Psychologist, PhD
Verified Verified
Boston, MA 02215
I currently direct and treat patients at the Center for Anxiety and Related Disorders (CARD) at Boston University. We provide evidence-based clinical services - primarily CBT, to individuals of all backgrounds. CBT is a skills based therapy meant to enhance coping strategies for those suffering from emotional difficulties. It focuses on understanding the connections between thoughts, feelings, and behaviors in order to foster positive changes. At CARD, we specialize in helping adults and children address a wide range of anxiety disorders and related challenges such as difficulties with mood, sleep, concentration, and pain.
I currently direct and treat patients at the Center for Anxiety and Related Disorders (CARD) at Boston University. We provide evidence-based clinical services - primarily CBT, to individuals of all backgrounds. CBT is a skills based therapy meant to enhance coping strategies for those suffering from emotional difficulties. It focuses on understanding the connections between thoughts, feelings, and behaviors in order to foster positive changes. At CARD, we specialize in helping adults and children address a wide range of anxiety disorders and related challenges such as difficulties with mood, sleep, concentration, and pain.
(857) 304-0500 View (857) 304-0500
Photo of undefined - Harbor Christian Counseling, LMHC, LSWA, CMHIMP, MDiv, MA, Counselor
Harbor Christian Counseling
Counselor, LMHC, LSWA, CMHIMP, MDiv, MA
Verified Verified
Boston, MA 02215
We are all designed uniquely and live uniquely. Every person that we encounter is shaped by the interwoven threads of mind, body, and spirit as well as relationships, work, education, culture, community, and history. As such, Harbor Christian Counseling (HCC) seeks to care for the whole person through services that take into account this full range of formative influences. Caring for the whole person also means that we partner with our clients to address unwanted or problematic behaviors while gradually moving deeper to explore root issues that might be hampering growth.
We are all designed uniquely and live uniquely. Every person that we encounter is shaped by the interwoven threads of mind, body, and spirit as well as relationships, work, education, culture, community, and history. As such, Harbor Christian Counseling (HCC) seeks to care for the whole person through services that take into account this full range of formative influences. Caring for the whole person also means that we partner with our clients to address unwanted or problematic behaviors while gradually moving deeper to explore root issues that might be hampering growth.
View
Photo of Knox Wilder, LICSW, Clinical Social Work/Therapist
Knox Wilder
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02215  (Online Only)
NOTE: I cannot accept insurances! I am passionate about serving the diverse needs of queer, trans, and gender non-conforming individuals and family systems! I work with adults, couples, or multi-partner partnerships of all genders and sexualities seeking help with depression, anxiety, parenting, life transitions, & other issues. I provide perinatal and postpartum therapeutic services, including issues related to fertility and family planning, co-/parenting, birthing/birth trauma(s), and blended families . I support sex workers and provide a sex positive space for folks of all identities and sexualities.
NOTE: I cannot accept insurances! I am passionate about serving the diverse needs of queer, trans, and gender non-conforming individuals and family systems! I work with adults, couples, or multi-partner partnerships of all genders and sexualities seeking help with depression, anxiety, parenting, life transitions, & other issues. I provide perinatal and postpartum therapeutic services, including issues related to fertility and family planning, co-/parenting, birthing/birth trauma(s), and blended families . I support sex workers and provide a sex positive space for folks of all identities and sexualities.
View
Photo of Diana Kutulos, LCSW, LICSW, Clinical Social Work/Therapist
Diana Kutulos
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02215  (Online Only)
Sometimes when life gets hard, it is difficult to ask for help. I aim to provide a safe and welcoming environment that encourages feeling seen and being heard to make that first step a little easier. I am passionate about helping adolescents, college students and young adults understand themselves better and build on their specific strengths. Together, we will work on adapting and personalizing tools to assist in learning how to regulate emotions, explore why certain patterns of thinking and behaving exist, and heal past wounds.
Sometimes when life gets hard, it is difficult to ask for help. I aim to provide a safe and welcoming environment that encourages feeling seen and being heard to make that first step a little easier. I am passionate about helping adolescents, college students and young adults understand themselves better and build on their specific strengths. Together, we will work on adapting and personalizing tools to assist in learning how to regulate emotions, explore why certain patterns of thinking and behaving exist, and heal past wounds.
(508) 500-6736 View (508) 500-6736
Photo of Trinasia Jones, LICSW, Clinical Social Work/Therapist
Trinasia Jones
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02215
Your journey, your pace, your healing. As a holistic behavioral therapist, my goal is to address the impact of stress in your life and to promote a culture of safety, empowerment and healing. While we work through challenges, we will uncover your short and long term goals. While at the same time, we will strive for you to build your self-confidence and self-worth. By utilizing a combination of therapeutic approaches, we will unlearn long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
Your journey, your pace, your healing. As a holistic behavioral therapist, my goal is to address the impact of stress in your life and to promote a culture of safety, empowerment and healing. While we work through challenges, we will uncover your short and long term goals. While at the same time, we will strive for you to build your self-confidence and self-worth. By utilizing a combination of therapeutic approaches, we will unlearn long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(617) 639-5778 View (617) 639-5778
Photo of undefined - Dr. Ashley Sweet, Certified Sex Therapist, PhD, LMHC, CST, Counselor
Dr. Ashley Sweet, Certified Sex Therapist
Counselor, PhD, LMHC, CST
Verified Verified
Boston, MA 02215  (Online Only)
As a clinical sexologist and Certified Sex Therapist, I help folks explore pleasure and better communicate in intimate relationships. As a relationship counselor, I work with couples and people in ENM relationships to improve their communication and connection. As a feminist therapist, I help clients dig deep to uncover their personal power, untangle anxiety and heal from trauma. I'm pro-choice, queer/bisexual identified, and welcome LGBTQ+ clients. I'm a curious counselor, and I help people dig to the roots of their pain. Fees are $200/session for individuals and $250 for couples (self-pay only, NO insurance).
As a clinical sexologist and Certified Sex Therapist, I help folks explore pleasure and better communicate in intimate relationships. As a relationship counselor, I work with couples and people in ENM relationships to improve their communication and connection. As a feminist therapist, I help clients dig deep to uncover their personal power, untangle anxiety and heal from trauma. I'm pro-choice, queer/bisexual identified, and welcome LGBTQ+ clients. I'm a curious counselor, and I help people dig to the roots of their pain. Fees are $200/session for individuals and $250 for couples (self-pay only, NO insurance).
(617) 539-2895 View (617) 539-2895
Photo of undefined - Nova Concierge Counseling, LLC, MSW, LICSW, Clinical Social Work/Therapist
Nova Concierge Counseling, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02215  (Online Only)
Nova Concierge Counseling, LLC is a boutique therapy practice catering to the individual needs of each client. We pride ourselves in being accessible, hands-on and in your corner to aide in challenges and celebrate your successes during every step of your journey. Our sessions are 60 minutes in length. We also offer concierge services as needed. We are a small practice, allowing us to be highly available and offer support services in addition to regular sessions. Please note that insurance is not accepted we are a private pay only practice.
Nova Concierge Counseling, LLC is a boutique therapy practice catering to the individual needs of each client. We pride ourselves in being accessible, hands-on and in your corner to aide in challenges and celebrate your successes during every step of your journey. Our sessions are 60 minutes in length. We also offer concierge services as needed. We are a small practice, allowing us to be highly available and offer support services in addition to regular sessions. Please note that insurance is not accepted we are a private pay only practice.
View

How does your Therapist compare?

Number of Therapists in 02215

100+

Average cost per session

$175

Therapists in 02215 who prioritize treating:

94% Anxiety
89% Depression
82% Relationship Issues
77% Self Esteem
75% Life Transitions
74% Stress
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
60% Aetna
59% UnitedHealthcare UHC | UBH

How Therapists in 02215 see their clients

58% Online Only
42% In Person and Online

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02215?

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.