Therapists in New York, NY

View neighborhoods in New York
Photo of Maren Bush, Licensed Psychoanalyst in New York, NY
Maren Bush
Licensed Psychoanalyst, MFA, LP
Verified Verified
1 Endorsed
New York, NY 10010
I am a therapist specializing in depression, anxiety, career transitions, relationships and interpersonal issues.  I work particularly well with performing artists, people struggling with grief, lack of self-esteem or self-confidence, eating disorders, as well as many other issues. I am a psychodynamic and psychoanalytically trained therapist, which means that I explore what has contributed to your current situation and, of course, what you can do about it now. There is no "one size fits all" approach to therapy; we find what is useful to you. I draw on my background as a yoga teacher, when applicable.
I am a therapist specializing in depression, anxiety, career transitions, relationships and interpersonal issues.  I work particularly well with performing artists, people struggling with grief, lack of self-esteem or self-confidence, eating disorders, as well as many other issues. I am a psychodynamic and psychoanalytically trained therapist, which means that I explore what has contributed to your current situation and, of course, what you can do about it now. There is no "one size fits all" approach to therapy; we find what is useful to you. I draw on my background as a yoga teacher, when applicable.
(332) 456-7138 View (332) 456-7138
Photo of Vicki Meyer, Clinical Social Work/Therapist in New York, NY
Vicki Meyer
Clinical Social Work/Therapist, MSc, LCSW
Verified Verified
New York, NY 10034
Although some struggle is an inevitable part of life, there is the danger of accepting continual pain & struggle as "the way life is". This way of thinking can keep a person trapped, unable to even imagine what "better" would look like. Therapy offers a way out. For some, the traumas suffered in the past make it difficult to find happiness. Others may find themselves behaving in ways that leave them feeling worse, or once again in the same hurtful relationships. Some may be consumed with regrets about past mistakes, or filled with fear of the future, missing opportunities to live well in the present.
Although some struggle is an inevitable part of life, there is the danger of accepting continual pain & struggle as "the way life is". This way of thinking can keep a person trapped, unable to even imagine what "better" would look like. Therapy offers a way out. For some, the traumas suffered in the past make it difficult to find happiness. Others may find themselves behaving in ways that leave them feeling worse, or once again in the same hurtful relationships. Some may be consumed with regrets about past mistakes, or filled with fear of the future, missing opportunities to live well in the present.
(646) 863-5308 View (646) 863-5308
Photo of Olivia Orley, Clinical Social Work/Therapist in New York, NY
Olivia Orley
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10001
Olivia Orley is a psychotherapist working with adults and couples. She has a Masters in Social Work from NYU, and has done additional training in substance abuse and all things family planning and fertility. She is focused on working with those who are going through major changes, seeking to improve their coping skills, and changing behaviors that no longer serve them.
Olivia Orley is a psychotherapist working with adults and couples. She has a Masters in Social Work from NYU, and has done additional training in substance abuse and all things family planning and fertility. She is focused on working with those who are going through major changes, seeking to improve their coping skills, and changing behaviors that no longer serve them.
(332) 877-9361 View (332) 877-9361
Photo of Allison Baidoo, Counselor in New York, NY
Allison Baidoo
Counselor, MS, MSEd, LMHC
Verified Verified
New York, NY 10010  (Online Only)
Change is rarely easy. Life comes with changes that sometimes can feel overwhelming to navigate. Acknowledgment is the first step, and seeking help comes next. My approach is to meet you where you are, in a genuine and empathetic way. I provide a neutral, non-judgmental, yet challenging environment to explore and find positive coping strategies. I believe positive coping strategies empower us to live better lives and handle change effectively. I will walk with you on this path of your life, and will help you to become who you are destined to be.
Change is rarely easy. Life comes with changes that sometimes can feel overwhelming to navigate. Acknowledgment is the first step, and seeking help comes next. My approach is to meet you where you are, in a genuine and empathetic way. I provide a neutral, non-judgmental, yet challenging environment to explore and find positive coping strategies. I believe positive coping strategies empower us to live better lives and handle change effectively. I will walk with you on this path of your life, and will help you to become who you are destined to be.
(929) 493-4068 View (929) 493-4068
Photo of Naomi Haber, Clinical Social Work/Therapist in New York, NY
Naomi Haber
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10023
I have more than 30 years of experience working with clients who have anxiety, depression, eating disorders, or difficulties in their personal relationships or at work. In developing a therapeutic relationship with you, I aim to create a warm and safe environment in which to explore and understand the behavior, thought patterns and feelings that are a source of concern for you. I will develop with you an individualized approach that may draw upon traditional psychodynamic therapy or newer behavioral treatments such as cognitive behavioral therapy (CBT).
I have more than 30 years of experience working with clients who have anxiety, depression, eating disorders, or difficulties in their personal relationships or at work. In developing a therapeutic relationship with you, I aim to create a warm and safe environment in which to explore and understand the behavior, thought patterns and feelings that are a source of concern for you. I will develop with you an individualized approach that may draw upon traditional psychodynamic therapy or newer behavioral treatments such as cognitive behavioral therapy (CBT).
(646) 350-3769 View (646) 350-3769
Photo of Sarah Lucas, MHC-LP at Dr. Fallon's Practice in New York, NY
Sarah Lucas, MHC-LP at Dr. Fallon's Practice
MA, EdM, MHC-LP
Verified Verified
New York, NY 10017  (Online Only)
Sarah is a Columbia University trained psychotherapist and Mental Health Counselor with a limited permit who is deeply passionate about working with people who are seeking help with LGBTQ+ affirmative care, self-esteem, relationship concerns, anxiety (general, social, performance-based), trauma, and depression. As a former division one athlete, Sarah is also extremely passionate about working with athletes of all levels to enhance their mental well-being. Sarah works from a person-centered perspective, integrating both cognitive-behavioral and narrative therapy techniques.
Sarah is a Columbia University trained psychotherapist and Mental Health Counselor with a limited permit who is deeply passionate about working with people who are seeking help with LGBTQ+ affirmative care, self-esteem, relationship concerns, anxiety (general, social, performance-based), trauma, and depression. As a former division one athlete, Sarah is also extremely passionate about working with athletes of all levels to enhance their mental well-being. Sarah works from a person-centered perspective, integrating both cognitive-behavioral and narrative therapy techniques.
(646) 681-1742 View (646) 681-1742
Photo of Dr. Katrina Anderson, Counselor in New York, NY
Dr. Katrina Anderson
Counselor, PhD, LMHC
Verified Verified
3 Endorsed
New York, NY 10003
Waitlist for new clients
The decision to begin Psychotherapy can be anxiety producing in and of itself. I aim to create a supportive therapeutic environment in which I actively address my clients' needs. I take an integrative approach and honor individuality. I believe as human beings we are wired to heal, my goal is to provide the tools to facilitate the self-healing process. Every Person's path is different and your goals are the ultimate priority of our journey together.
The decision to begin Psychotherapy can be anxiety producing in and of itself. I aim to create a supportive therapeutic environment in which I actively address my clients' needs. I take an integrative approach and honor individuality. I believe as human beings we are wired to heal, my goal is to provide the tools to facilitate the self-healing process. Every Person's path is different and your goals are the ultimate priority of our journey together.
(646) 461-4044 View (646) 461-4044
Photo of Cyndi Darnell in New York, NY
Cyndi Darnell
MHSci, MNT, GDipC
Verified Verified
New York, NY 10007
Stop struggling & start loving. If you're struggling with sex, life and relationships, you've come to the right place. Turn your relationships around and get the intimacy you long for. Good sex and easy connections are right around the corner. I help people just like you find that 'certain something' they've been looking for. Pleasure, eroticism, epic sex, rich intimacy and easy communication can all be yours. Whether single, partnered, married /divorced broken-up or non-monogamous your pleasure matters. No need to be shy or embarrassed. All genders, sexualities and sexual lifestyles catered for.
Stop struggling & start loving. If you're struggling with sex, life and relationships, you've come to the right place. Turn your relationships around and get the intimacy you long for. Good sex and easy connections are right around the corner. I help people just like you find that 'certain something' they've been looking for. Pleasure, eroticism, epic sex, rich intimacy and easy communication can all be yours. Whether single, partnered, married /divorced broken-up or non-monogamous your pleasure matters. No need to be shy or embarrassed. All genders, sexualities and sexual lifestyles catered for.
(646) 970-1901 View (646) 970-1901
Photo of Leon Setton, Clinical Social Work/Therapist in New York, NY
Leon Setton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10011
I utilize an eclectic, psychodynamic approach that is tailored to your individual needs. I work with a wide range of people facing a diversity of challenges. I have specific experience with issues related to substance misuse, LGBTQ identities, HIV/AIDS, anxiety, depression, sexual compulsions, romantic relationships, spirituality & religion, and trauma. I welcome the opportunity to talk with you and be a part of your process of growth and development. Feel free to contact me for more information or an initial consultation.
I utilize an eclectic, psychodynamic approach that is tailored to your individual needs. I work with a wide range of people facing a diversity of challenges. I have specific experience with issues related to substance misuse, LGBTQ identities, HIV/AIDS, anxiety, depression, sexual compulsions, romantic relationships, spirituality & religion, and trauma. I welcome the opportunity to talk with you and be a part of your process of growth and development. Feel free to contact me for more information or an initial consultation.
(917) 708-8925 View (917) 708-8925
Photo of Michele Itskowitch, Clinical Social Work/Therapist in New York, NY
Michele Itskowitch
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10128
I may not be the right therapist for everyone. A successful therapeutic relationship begins with a rapport between the therapist and their patient. Often, patients will meet me and we have an instant empathic connection. We both have a gut feeling it will develop into a good working alliance. My goal is to help patients become more aware of their obstacles, to find ways to resolve their inner conflicts, and make better choices. Patients are often unaware of how deeply other people and experiences have impacted them.
I may not be the right therapist for everyone. A successful therapeutic relationship begins with a rapport between the therapist and their patient. Often, patients will meet me and we have an instant empathic connection. We both have a gut feeling it will develop into a good working alliance. My goal is to help patients become more aware of their obstacles, to find ways to resolve their inner conflicts, and make better choices. Patients are often unaware of how deeply other people and experiences have impacted them.
(646) 679-7335 View (646) 679-7335
Photo of Abbie Ruth- Expansive Therapy , Counselor in New York, NY
Abbie Ruth- Expansive Therapy
Counselor, LMHC
Verified Verified
New York, NY 10007
I am a Licensed Clinical Social Worker in New York State. In my work I find it useful to draw on a variety of clinical perspectives as each client brings to the process a unique set of needs, strengths, and goals. I love helping clients get unstuck from the patterns they live and relive over and over, whether it be in their jobs, families, relationships, or even inside their own heads. I am passionate about offering a non-judgmental, open, and empathic environment so that clients feel safe in exploring their concerns.
I am a Licensed Clinical Social Worker in New York State. In my work I find it useful to draw on a variety of clinical perspectives as each client brings to the process a unique set of needs, strengths, and goals. I love helping clients get unstuck from the patterns they live and relive over and over, whether it be in their jobs, families, relationships, or even inside their own heads. I am passionate about offering a non-judgmental, open, and empathic environment so that clients feel safe in exploring their concerns.
(914) 350-5843 View (914) 350-5843
Photo of Candela Bonaccorso, Psychologist in New York, NY
Candela Bonaccorso
Psychologist, PsyD
Verified Verified
2 Endorsed
New York, NY 10016
Waitlist for new clients
I have 20 years of experience in the mental health field helping people with problems with relationships, work, life transitions, and self-esteem issues. I am originally from South America and have worked extensively with English- and Spanish-speaking people. Whatever your background or difficulty, finding a therapist with whom you feel comfortable and who listens empathically is important. My goal is to create a space in which you feel safe to talk openly and for us to work together on figuring out what is getting in your way so that you feel empowered to pursue your goals.
I have 20 years of experience in the mental health field helping people with problems with relationships, work, life transitions, and self-esteem issues. I am originally from South America and have worked extensively with English- and Spanish-speaking people. Whatever your background or difficulty, finding a therapist with whom you feel comfortable and who listens empathically is important. My goal is to create a space in which you feel safe to talk openly and for us to work together on figuring out what is getting in your way so that you feel empowered to pursue your goals.
(917) 746-3052 View (917) 746-3052
Photo of Kristine Troescher, Counselor in New York, NY
Kristine Troescher
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
New York, NY 10036  (Online Only)
Most of my focus and experience has been in private practice working with people living with anxiety, depression and mood disorders. I favor an integrative approach of CBT and psychodynamic therapies. I am a compassion-focused therapist and draw on motivational interviewing, mindfulness practices and psychoeducation. Some common challenges I work with are low motivation, low self-esteem, people-pleasing behavior/setting boundaries, an overactive mind, vulnerability/communication issues and low mood. What works for one will not work for all as everyone is complex so interventions used are tailored to each client's goals and needs.
Most of my focus and experience has been in private practice working with people living with anxiety, depression and mood disorders. I favor an integrative approach of CBT and psychodynamic therapies. I am a compassion-focused therapist and draw on motivational interviewing, mindfulness practices and psychoeducation. Some common challenges I work with are low motivation, low self-esteem, people-pleasing behavior/setting boundaries, an overactive mind, vulnerability/communication issues and low mood. What works for one will not work for all as everyone is complex so interventions used are tailored to each client's goals and needs.
(631) 250-8553 x717 View (631) 250-8553 x717
Photo of John Steen, Clinical Social Work/Therapist in New York, NY
John Steen
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
1 Endorsed
New York, NY 10001
Therapy offers you a place to feel seen, heard, and accepted so that you can understand yourself differently and move closer to the life you desire. I practice psychotherapy in the belief that flourishing in the face of past traumas and present challenges is possible. Despite the uncertainty of our current world, working with a therapist you trust can restore hope, instill calm, and imbue life with new meaning.
Therapy offers you a place to feel seen, heard, and accepted so that you can understand yourself differently and move closer to the life you desire. I practice psychotherapy in the belief that flourishing in the face of past traumas and present challenges is possible. Despite the uncertainty of our current world, working with a therapist you trust can restore hope, instill calm, and imbue life with new meaning.
(332) 334-9078 View (332) 334-9078
Photo of Jean Messeroux, Licensed Master Social Worker in New York, NY
Jean Messeroux
Licensed Master Social Worker, LMSW
Verified Verified
New York, NY 10010  (Online Only)
Hello, I appreciate you creating time to be here. I'm Jean Messeroux (he/him), a Licensed Psychotherapist and Wellness Coach. With a background as an educator and social worker, I'm passionate about supporting mental health journeys. I hold a Bachelor's in English and African-American Studies from UMass Amherst and a Master of Science in Social Work from Columbia University. Beyond therapy, I'm a creative entrepreneur, using photography and design for healing and self-expression. Let's connect!
Hello, I appreciate you creating time to be here. I'm Jean Messeroux (he/him), a Licensed Psychotherapist and Wellness Coach. With a background as an educator and social worker, I'm passionate about supporting mental health journeys. I hold a Bachelor's in English and African-American Studies from UMass Amherst and a Master of Science in Social Work from Columbia University. Beyond therapy, I'm a creative entrepreneur, using photography and design for healing and self-expression. Let's connect!
View
Photo of Aimee Rubin, Clinical Social Work/Therapist in New York, NY
Aimee Rubin
Clinical Social Work/Therapist, LCSW , MA
Verified Verified
New York, NY 10019
You are not alone. I am here to help and guide you through your journey. I specialize in OCD, anxiety, PTSD, and depression. I utilize Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Exposure Response Prevention Therapy. Together we will develop a treatment plan that is specific towards your needs. I strive to provide you with the support and tools for a better as well as healthier you.
You are not alone. I am here to help and guide you through your journey. I specialize in OCD, anxiety, PTSD, and depression. I utilize Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Exposure Response Prevention Therapy. Together we will develop a treatment plan that is specific towards your needs. I strive to provide you with the support and tools for a better as well as healthier you.
(845) 818-3066 View (845) 818-3066
Photo of Mikayla Singleton in New York, NY
Mikayla Singleton
MA, MHC-LP
Verified Verified
New York, NY 10016  (Online Only)
I utilize a strength-based approach to connect and help you overcome challenges such as anxiety, depression, substance use, work-related stressors, relationships, cultural-related stressors, and trauma. In sessions, my priority is to adhere to your needs, develop a therapeutic alliance to collaborate, and encourage growth to create positive change. I have also worked with adolescents navigating educational and career transitions. I have been associated with Fairleigh Dickinson University, New York University and Center for Alternative Sentencing and Employment Services.
I utilize a strength-based approach to connect and help you overcome challenges such as anxiety, depression, substance use, work-related stressors, relationships, cultural-related stressors, and trauma. In sessions, my priority is to adhere to your needs, develop a therapeutic alliance to collaborate, and encourage growth to create positive change. I have also worked with adolescents navigating educational and career transitions. I have been associated with Fairleigh Dickinson University, New York University and Center for Alternative Sentencing and Employment Services.
(646) 461-2102 View (646) 461-2102
Photo of Edward G Mandelbaum, Clinical Social Work/Therapist in New York, NY
Edward G Mandelbaum
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
In these difficult times, the support that therapy can provide is more needed than ever. The use of telephone and video is an adjustment for us all but the therapeutic encounter is still powerful. This is a time when feelings of loneliness and isolation, anxiety and uncertainty can take hold. Having a professional to talk to and to connect with can help us through this challenging time.
In these difficult times, the support that therapy can provide is more needed than ever. The use of telephone and video is an adjustment for us all but the therapeutic encounter is still powerful. This is a time when feelings of loneliness and isolation, anxiety and uncertainty can take hold. Having a professional to talk to and to connect with can help us through this challenging time.
(917) 791-2121 View (917) 791-2121
Photo of Dalita Getzoyan, Art Therapist in New York, NY
Dalita Getzoyan
Art Therapist, LCAT, MT-BC, MA
Verified Verified
1 Endorsed
New York, NY 10037  (Online Only)
Congratulations on taking the first step towards your personal goals! Whether you're new to therapy or experienced, I welcome you wherever you are in your journey. I've worked across diverse settings, spanning ages 3 to 105, and I meet you without judgment. In therapy with me, you can expect: a warm and inviting space for your emotions; a space to share your history, culture, and current context and have to be heard and understood; identifying your strengths and areas for change; exploring past experiences, including trauma, and their impact; creating new life approaches based on insights; and positive energy, smiles, and laughter!
Congratulations on taking the first step towards your personal goals! Whether you're new to therapy or experienced, I welcome you wherever you are in your journey. I've worked across diverse settings, spanning ages 3 to 105, and I meet you without judgment. In therapy with me, you can expect: a warm and inviting space for your emotions; a space to share your history, culture, and current context and have to be heard and understood; identifying your strengths and areas for change; exploring past experiences, including trauma, and their impact; creating new life approaches based on insights; and positive energy, smiles, and laughter!
(646) 630-7998 View (646) 630-7998
Photo of Tamar Izcovich, Clinical Social Work/Therapist in New York, NY
Tamar Izcovich
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10021
I am a licensed clinical social worker with experience treating families and children ages 0-5. With training and experience in varied brief strategic as well as psychodynamic approaches and interventions, I utilize mindfulness along with the practical application of other tools to help individuals become more effective in the ways they wish along their journey. I work collaboratively with individuals and couples identifying and deepening our understanding of their issues. These often include challenges around parenting and co-parenting. Our co-constructed goals always include warmth and deepening self-discovery as well as the sense of feeling more capable.
I am a licensed clinical social worker with experience treating families and children ages 0-5. With training and experience in varied brief strategic as well as psychodynamic approaches and interventions, I utilize mindfulness along with the practical application of other tools to help individuals become more effective in the ways they wish along their journey. I work collaboratively with individuals and couples identifying and deepening our understanding of their issues. These often include challenges around parenting and co-parenting. Our co-constructed goals always include warmth and deepening self-discovery as well as the sense of feeling more capable.
(929) 239-4977 View (929) 239-4977

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

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

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

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

How can I find a therapist in New York?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.