Photo of Frank W. Thewes, Clinical Social Work/Therapist, LCSW, CCTP
Frank W. Thewes
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
2 Endorsed
Hamilton, NJ 08619
Are you ready to break free from racing thoughts, emotional burnout, or feeling stuck in life? Whether you’re struggling with sadness, low motivation, recurring arguments with your partner, or decisions that leave you paralyzed, you don’t have to go through it alone. You deserve more than just a quick fix—it’s time for therapy that’s truly about you. I understand how overwhelming life can feel when challenges seem endless. If you’ve been avoiding difficult feelings or stuck in patterns that drain your energy, I offer a different approach: therapy that is personalized to your unique needs.
Are you ready to break free from racing thoughts, emotional burnout, or feeling stuck in life? Whether you’re struggling with sadness, low motivation, recurring arguments with your partner, or decisions that leave you paralyzed, you don’t have to go through it alone. You deserve more than just a quick fix—it’s time for therapy that’s truly about you. I understand how overwhelming life can feel when challenges seem endless. If you’ve been avoiding difficult feelings or stuck in patterns that drain your energy, I offer a different approach: therapy that is personalized to your unique needs.
(609) 997-0731 View (609) 997-0731
Photo of Samantha Phillips, Clinical Social Work/Therapist, LSW
Samantha Phillips
Clinical Social Work/Therapist, LSW
Verified Verified
Trenton, NJ 08619
In my role as your therapist, my goal is to create a secure environment where your emotions and past encounters are understood with compassion and a dedication to reshaping your personal story. We will join forces to explore the path of recovery and self-empowerment by centering on your unique journey and experiences. Let’s collaborate on embracing your truest self!
In my role as your therapist, my goal is to create a secure environment where your emotions and past encounters are understood with compassion and a dedication to reshaping your personal story. We will join forces to explore the path of recovery and self-empowerment by centering on your unique journey and experiences. Let’s collaborate on embracing your truest self!
(609) 766-0598 View (609) 766-0598
Photo of Madelena Rizzo, Psychologist, PhD, JD
Madelena Rizzo
Psychologist, PhD, JD
Verified Verified
Hamilton, NJ 08619
I am comfortable working with children and adults experiencing a wide range of clinical presentations, from anxiety and depression to personality disorders and psychotic symptoms. I also have experience working with chronic illness and substance use recovery. Whether you have been through multiple iterations of therapy in the past and are looking for a new experience, or you have never been in therapy before, I look forward to connecting to see if it would be a good fit.
I am comfortable working with children and adults experiencing a wide range of clinical presentations, from anxiety and depression to personality disorders and psychotic symptoms. I also have experience working with chronic illness and substance use recovery. Whether you have been through multiple iterations of therapy in the past and are looking for a new experience, or you have never been in therapy before, I look forward to connecting to see if it would be a good fit.
(640) 252-1912 View (640) 252-1912
Photo of Lindsay Hutchison, Licensed Professional Counselor, MS, LPC, LCADC
Lindsay Hutchison
Licensed Professional Counselor, MS, LPC, LCADC
Verified Verified
1 Endorsed
Online Only
I feel that anyone who is looking for guidance and needs someone to help them along their journey is a client that I can help. Everyone of us has struggles and I want to help my clients reach the potential that they know they have and live the life that they always wanted for themselves.
I feel that anyone who is looking for guidance and needs someone to help them along their journey is a client that I can help. Everyone of us has struggles and I want to help my clients reach the potential that they know they have and live the life that they always wanted for themselves.
(609) 245-6861 View (609) 245-6861
Photo of Rayshawn Ledet, Clinical Social Work/Therapist, LCSW
Rayshawn Ledet
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
As a black male therapist, I understand there are not a lot of black male therapists which can be a deterring factor in participating in therapy. “I finally found a black male therapist” is one of the most common things I hear when speaking to parents and black men seeking therapy services. I want to help serve the black community by providing services to the black community. You want a therapist that's relatable and can understand your perspective on life as a man and as a black man in society. I'm glad we found each other. Together, we'll identify and address any barriers interfering with you living a more desirable life.
As a black male therapist, I understand there are not a lot of black male therapists which can be a deterring factor in participating in therapy. “I finally found a black male therapist” is one of the most common things I hear when speaking to parents and black men seeking therapy services. I want to help serve the black community by providing services to the black community. You want a therapist that's relatable and can understand your perspective on life as a man and as a black man in society. I'm glad we found each other. Together, we'll identify and address any barriers interfering with you living a more desirable life.
(609) 312-5420 View (609) 312-5420
Photo of Charis Chase, Clinical Social Work/Therapist, LCSW
Charis Chase
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Hi, I’m a therapist specializing in anxiety, depression, trauma, emotional regulation, life transitions, and relationship challenges. I run a small private practice so I can truly get to know each client and offer highly personalized support. Therapy with me is collaborative—we’ll set clear, meaningful goals and work through the obstacles you’re facing together. Whether you’re coping with difficult emotions, navigating stress, or healing from the past, I’m here to help. I’ll support you in building mastery over your mental health so you can take charge of how you feel and create the life you want to be living.
Hi, I’m a therapist specializing in anxiety, depression, trauma, emotional regulation, life transitions, and relationship challenges. I run a small private practice so I can truly get to know each client and offer highly personalized support. Therapy with me is collaborative—we’ll set clear, meaningful goals and work through the obstacles you’re facing together. Whether you’re coping with difficult emotions, navigating stress, or healing from the past, I’m here to help. I’ll support you in building mastery over your mental health so you can take charge of how you feel and create the life you want to be living.
(609) 997-6129 View (609) 997-6129
Photo of Cassie Knechel, Marriage & Family Therapist Associate, MA, LAMFT
Cassie Knechel
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
Hamilton, NJ 08619
In our therapeutic work together, you will enter a warm, non-judgemental and creative environment where we will collaborate on a path to your optimal future self. You are the expert on yourself, and I bring evidence-based informed insight–locating areas that will benefit from curiosity, skills building and mindful compassion. Our conversations and the changes we set forth assist in igniting your therapeutic healing process and help shift any obstacles blocking the innate power of your self agency. Having grown up globally and parenting three children, I can offer multidimensional perspectives.I look forward to connecting with you!
In our therapeutic work together, you will enter a warm, non-judgemental and creative environment where we will collaborate on a path to your optimal future self. You are the expert on yourself, and I bring evidence-based informed insight–locating areas that will benefit from curiosity, skills building and mindful compassion. Our conversations and the changes we set forth assist in igniting your therapeutic healing process and help shift any obstacles blocking the innate power of your self agency. Having grown up globally and parenting three children, I can offer multidimensional perspectives.I look forward to connecting with you!
(609) 697-2186 View (609) 697-2186
Photo of Frank Thewes - Path Forward Therapy, Clinical Social Work/Therapist, LCSW
Path Forward Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Hamilton, NJ 08619
You want to move past racing thoughts and avoiding your life. Past sadness and low motivation. Past the same draining arguments with your partner. Past experiences that follow you and won't stay in the past. And past big decisions that get you stuck. You are looking to get out of feeling overwhelmed. You want to learn how to get more control. You want more than mediocre cookie-cutter therapy. You want therapy that is personalized for you and about you. You want therapy that fits into your stressful life. Even if asking for help is hard for you, you’re at a point where you are ready to do it because you want something to change.
You want to move past racing thoughts and avoiding your life. Past sadness and low motivation. Past the same draining arguments with your partner. Past experiences that follow you and won't stay in the past. And past big decisions that get you stuck. You are looking to get out of feeling overwhelmed. You want to learn how to get more control. You want more than mediocre cookie-cutter therapy. You want therapy that is personalized for you and about you. You want therapy that fits into your stressful life. Even if asking for help is hard for you, you’re at a point where you are ready to do it because you want something to change.
(609) 316-5516 View (609) 316-5516
Photo of Lauren O'Connell, Licensed Professional Counselor, LPC, ACS
Lauren O'Connell
Licensed Professional Counselor, LPC, ACS
Verified Verified
Online Only
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children (ages 8-17) and young adults (18 years and over) who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children (ages 8-17) and young adults (18 years and over) who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
(609) 849-3197 View (609) 849-3197
Photo of Carmen Lynn Hodges, Psychologist, PsyD, LCADC
Carmen Lynn Hodges
Psychologist, PsyD, LCADC
Verified Verified
Online Only
I am a NJ Licensed Psychologist & a NJ Licensed Clinical Alcohol & Drug Counselor with more than 30 years experience. I use a biopsychosocial model of assessment. I have worked in a number of places including: a domestic violence shelter, prisons, drug treatment facilities, colleges, a high school, nursing facilities, Joint Base MDL & Disability Determinations. I provide Telemedicine Only treatment (not face to face). for State of NJ Residents Only. We meet through a therapy portal. I do not provide couples, or family therapy, or treatment in Spanish. Emails with a phone number typically get a faster response.
I am a NJ Licensed Psychologist & a NJ Licensed Clinical Alcohol & Drug Counselor with more than 30 years experience. I use a biopsychosocial model of assessment. I have worked in a number of places including: a domestic violence shelter, prisons, drug treatment facilities, colleges, a high school, nursing facilities, Joint Base MDL & Disability Determinations. I provide Telemedicine Only treatment (not face to face). for State of NJ Residents Only. We meet through a therapy portal. I do not provide couples, or family therapy, or treatment in Spanish. Emails with a phone number typically get a faster response.
(609) 359-0293 View (609) 359-0293
Photo of Sherrille C McKethan - Sankofa Holistic Counseling Services, Clinical Social Work/Therapist, LCSW
Sankofa Holistic Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Trenton, NJ 08619
Are you feeling overwhelmed by anxiety, depression, or the weight of past experiences? Do you feel misunderstood or unseen? Whether you’re dealing with stress, trauma, self-esteem concerns, or other personal challenges, I’m here to support you at every stage of your healing journey. Together, we’ll work to uncover your goals, process difficult experiences, and cultivate a deep sense of self-compassion that can lead to meaningful growth and restoration.
Are you feeling overwhelmed by anxiety, depression, or the weight of past experiences? Do you feel misunderstood or unseen? Whether you’re dealing with stress, trauma, self-esteem concerns, or other personal challenges, I’m here to support you at every stage of your healing journey. Together, we’ll work to uncover your goals, process difficult experiences, and cultivate a deep sense of self-compassion that can lead to meaningful growth and restoration.
(609) 245-6523 View (609) 245-6523
Photo of Paula A Hussein, Clinical Social Work/Therapist
Paula A Hussein
Clinical Social Work/Therapist
Verified Verified
Trenton, NJ 08619
Hi, I’m Paula Alzate-Hussein, a Licensed Clinical Social Worker (LCSW) who works with children, teens, adults, and families facing challenges like anxiety, depression, trauma, or life transitions. I offer a compassionate, non-judgmental space where you’ll be treated with respect. My approach blends evidence-based practices like CBT and Motivational Interviewing to support emotional healing and personal growth. Together, we’ll work toward meaningful change—at your pace, in your way.
Hi, I’m Paula Alzate-Hussein, a Licensed Clinical Social Worker (LCSW) who works with children, teens, adults, and families facing challenges like anxiety, depression, trauma, or life transitions. I offer a compassionate, non-judgmental space where you’ll be treated with respect. My approach blends evidence-based practices like CBT and Motivational Interviewing to support emotional healing and personal growth. Together, we’ll work toward meaningful change—at your pace, in your way.
(609) 905-4667 View (609) 905-4667
Photo of Chenelle Williams, Licensed Professional Counselor, LPC, LCADC, ACS, CCS
Chenelle Williams
Licensed Professional Counselor, LPC, LCADC, ACS, CCS
Verified Verified
Online Only
Not accepting new clients
I am licensed in New Jersey with 8 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, relationship issues, & motivation, self esteem, and confidence. My approach to therapy is solution focused and client centered with a bit of fun and humor. I believe that a simple and casual approach makes therapy more palatable, allowing for openness and individualism. I work with my clients to find the ways that work for them to reach the goals that they would like to reach. I follow your lead towards achieving your goals
I am licensed in New Jersey with 8 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, relationship issues, & motivation, self esteem, and confidence. My approach to therapy is solution focused and client centered with a bit of fun and humor. I believe that a simple and casual approach makes therapy more palatable, allowing for openness and individualism. I work with my clients to find the ways that work for them to reach the goals that they would like to reach. I follow your lead towards achieving your goals
(609) 793-9485 View (609) 793-9485
Photo of Ahmika Johnson, Clinical Social Work/Therapist, LSW
Ahmika Johnson
Clinical Social Work/Therapist, LSW
Verified Verified
Trenton, NJ 08619
I will meet you where you are on your healing journey. As your therapist, it is my goal to cultivate a welcoming and judgment free zone that will allow you to explore your emotions, thoughts and feelings in a safe environment. Each person is the expert in their own lives, and through utilizing an empowering and holistic approach, we will identify and work towards your goals. During our time together we may talk, play and/or practice mindfulness-it is all guided by your unique needs. I am grateful to take this journey with you!
I will meet you where you are on your healing journey. As your therapist, it is my goal to cultivate a welcoming and judgment free zone that will allow you to explore your emotions, thoughts and feelings in a safe environment. Each person is the expert in their own lives, and through utilizing an empowering and holistic approach, we will identify and work towards your goals. During our time together we may talk, play and/or practice mindfulness-it is all guided by your unique needs. I am grateful to take this journey with you!
(609) 554-5314 View (609) 554-5314
Photo of Brian L'Oiseau, Licensed Professional Counselor, MA, LPC, NCC, BC-TMH
Brian L'Oiseau
Licensed Professional Counselor, MA, LPC, NCC, BC-TMH
Verified Verified
Hamilton, NJ 08619
At KNIC Counseling we believe that 'Knowledge is Necessary for the Improvement of our Communities.' We are community oriented and use knowledge from the theoretical perspective of Cognitive Behavioral Therapy (CBT) in our implementation of professional counseling services. Our goal is to empower clients to overcome life issues through clinical therapy. BRIAN L'OISEAU, LPC, NCC, BC-TMH manages KNIC Counseling & Consulting Services, LLC. Brian L'Oiseau received his Bachelors in Psychology from Rutgers, The State University of New Jersey. He received his Masters in Counselor Education from Kean University.
At KNIC Counseling we believe that 'Knowledge is Necessary for the Improvement of our Communities.' We are community oriented and use knowledge from the theoretical perspective of Cognitive Behavioral Therapy (CBT) in our implementation of professional counseling services. Our goal is to empower clients to overcome life issues through clinical therapy. BRIAN L'OISEAU, LPC, NCC, BC-TMH manages KNIC Counseling & Consulting Services, LLC. Brian L'Oiseau received his Bachelors in Psychology from Rutgers, The State University of New Jersey. He received his Masters in Counselor Education from Kean University.
(609) 812-2101 View (609) 812-2101
Photo of Tiffany Espinal, Counselor, LPC
Tiffany Espinal
Counselor, LPC
Verified Verified
Hamilton, NJ 08619
We all have our own story to tell and experiences that are unique to us. Therapy creates a safe space to share those experiences and make positive steps towards growth. I see therapy as a collaborative journey between the client and counselor. My approach will utilize various evidence-based practices that will be specific to your needs. I will work hard to learn about you and your journey as well as take steps to discover and learn how to help you along the way.
We all have our own story to tell and experiences that are unique to us. Therapy creates a safe space to share those experiences and make positive steps towards growth. I see therapy as a collaborative journey between the client and counselor. My approach will utilize various evidence-based practices that will be specific to your needs. I will work hard to learn about you and your journey as well as take steps to discover and learn how to help you along the way.
(609) 834-4592 View (609) 834-4592
Photo of Loren Galese - Lifebulb Counseling & Therapy, Licensed Professional Counselor, LPC
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Online Only
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
(609) 312-5820 View (609) 312-5820
Photo of Wendy Perello, Clinical Social Work/Therapist, LICSW, LCSW
Wendy Perello
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
2 Endorsed
Hamilton, NJ 08619
I have a specialized focus on helping individuals navigate through life transitions, trauma, career-focused stress, and self-esteem challenges. As a relationship expert, I work closely with those who struggle with anxious attachment and other relationship difficulties. I take a holistic approach that allows me to utilize a combination of modalities including mindfulness, narrative therapy and CBT.
I have a specialized focus on helping individuals navigate through life transitions, trauma, career-focused stress, and self-esteem challenges. As a relationship expert, I work closely with those who struggle with anxious attachment and other relationship difficulties. I take a holistic approach that allows me to utilize a combination of modalities including mindfulness, narrative therapy and CBT.
(609) 256-6288 View (609) 256-6288
Photo of Marcus DeMott, Clinical Social Work/Therapist, MSW, LCSW
Marcus DeMott
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hamilton, NJ 08619
Way to go! Just by being here and looking on this site, you are talking the first steps to being your whole self. You should feel proud today for this! As a Licensed Clinical Social Worker with over 10 years of therapy experience, I work with clients to find ways through the struggles they are experiencing to reach a place of solace where they feel able to manage the pressures of life. I use evidence-based approaches to help clients create lasting changes, and not just “Band-Aid” solutions.
Way to go! Just by being here and looking on this site, you are talking the first steps to being your whole self. You should feel proud today for this! As a Licensed Clinical Social Worker with over 10 years of therapy experience, I work with clients to find ways through the struggles they are experiencing to reach a place of solace where they feel able to manage the pressures of life. I use evidence-based approaches to help clients create lasting changes, and not just “Band-Aid” solutions.
(609) 219-1600 View (609) 219-1600
Photo of Kim Finnie, Clinical Social Work/Therapist, MSW, CSSW, LCSW
Kim Finnie
Clinical Social Work/Therapist, MSW, CSSW, LCSW
Verified Verified
1 Endorsed
Hamilton, NJ 08619
Some of human suffering is about the way we experience the events of our lives rather than the things themselves. Therapy offers an opportunity to bring awareness to our experiences and change our relationship to them rather than try to change the events themselves. Through this approach, we gain a sense of control in our lives and positively experience and influence its direction. If we believe that we have power within us to achieve health and happiness, then the events in our lives that cause us pain and suffering can be seen as an opportunity to learn about ourselves and experience personal growth.
Some of human suffering is about the way we experience the events of our lives rather than the things themselves. Therapy offers an opportunity to bring awareness to our experiences and change our relationship to them rather than try to change the events themselves. Through this approach, we gain a sense of control in our lives and positively experience and influence its direction. If we believe that we have power within us to achieve health and happiness, then the events in our lives that cause us pain and suffering can be seen as an opportunity to learn about ourselves and experience personal growth.
(856) 942-4717 View (856) 942-4717
1

See more therapy options for 08619

How does your Therapist compare?

Number of Therapists in 08619

70+

Average cost per session

$162

Therapists in 08619 who prioritize treating:

95% Anxiety
92% Depression
86% Self Esteem
83% Relationship Issues
79% Trauma and PTSD
71% Stress
67% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

92% Aetna
71% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in 08619 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 08619?

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.