Photo of Linda Levina LMHC, Reimagine Recovery, Counselor in 10306, NY
Linda Levina LMHC, Reimagine Recovery
Counselor, LMHC
Verified Verified
Staten Island, NY 10306
ACCEPTING NEW CLIENTS | INSURANCE ACCEPTED | VIDEO & PHONE SESSIONS AVAILABLE | Together, we will work toward conquering anxiety, emotional pain, and the barriers blocking you from healthy relationships with yourself and others. We will help you build a life that feels whole and filled with purpose.
ACCEPTING NEW CLIENTS | INSURANCE ACCEPTED | VIDEO & PHONE SESSIONS AVAILABLE | Together, we will work toward conquering anxiety, emotional pain, and the barriers blocking you from healthy relationships with yourself and others. We will help you build a life that feels whole and filled with purpose.
(929) 254-4878 View (929) 254-4878
Photo of Peace of Mind Mental Health Counseling SI PLLC, Counselor in 10306, NY
Peace of Mind Mental Health Counseling SI PLLC
Counselor, LMHC, LPC
Verified Verified
Staten Island, NY 10306
Do you have a lot on your plate and having difficulty managing everything? What about feeling lost, confused or do not know which way to turn? Living in a fast paced environment with so many things to do, we often forget to take care of ourselves. Sometimes, when we feel stuck or overwhelmed, we need a little guidance from a nonjudgmental and unbiased third party. Therapy helps many people struggling with relationships, careers, friendships and family issues. In a comfortable, accepting environment, let me help you regain the happiness you deserve by making connections, developing skills, understanding triggers, and better yet, understanding your life.
Do you have a lot on your plate and having difficulty managing everything? What about feeling lost, confused or do not know which way to turn? Living in a fast paced environment with so many things to do, we often forget to take care of ourselves. Sometimes, when we feel stuck or overwhelmed, we need a little guidance from a nonjudgmental and unbiased third party. Therapy helps many people struggling with relationships, careers, friendships and family issues. In a comfortable, accepting environment, let me help you regain the happiness you deserve by making connections, developing skills, understanding triggers, and better yet, understanding your life.
(929) 334-3521 View (929) 334-3521
Photo of John F. Catalfumo, Clinical Social Work/Therapist in 10306, NY
John F. Catalfumo
Clinical Social Work/Therapist, John C, MSW, LCSW
Verified Verified
Staten Island, NY 10306  (Online Only)
Do you sometimes feel overwhelmed? Depressed? sometimes even at the same time? Today’s world is sometimes complex and confusing. Are your own wants, needs and feelings striving to make it work within: a family? a job? a relationship? Maybe you are just trying to hold your own and make it to the next day. You don’t have to go it alone. I can help you put things into perspective and provide strategies to deal with the day to day. You are not "just a number" to me. I deliberately maintain a small practice to enable me to remain available. and connected to my clients.
Do you sometimes feel overwhelmed? Depressed? sometimes even at the same time? Today’s world is sometimes complex and confusing. Are your own wants, needs and feelings striving to make it work within: a family? a job? a relationship? Maybe you are just trying to hold your own and make it to the next day. You don’t have to go it alone. I can help you put things into perspective and provide strategies to deal with the day to day. You are not "just a number" to me. I deliberately maintain a small practice to enable me to remain available. and connected to my clients.
(914) 330-5810 View (914) 330-5810
Photo of Robyn Longo, Counselor in 10306, NY
Robyn Longo
Counselor, LMHC, EdM
Verified Verified
1 Endorsed
Staten Island, NY 10306  (Online Only)
Life can be overwhelming. Whether you're looking for support and guidance through a challenging situation, or seeking to increase your self awareness in order to make conscious changes in your life, I can help guide you in a non-judgmental setting to explore your experiences, feelings, and goals. My practice draws on a range of therapeutic approaches with a focus on helping clients develop increased understanding, effective coping skills, and positive self esteem. I view psychotherapy as a collaborative process. Let's work together to bolster your strengths and facilitate the change and growth you are seeking.
Life can be overwhelming. Whether you're looking for support and guidance through a challenging situation, or seeking to increase your self awareness in order to make conscious changes in your life, I can help guide you in a non-judgmental setting to explore your experiences, feelings, and goals. My practice draws on a range of therapeutic approaches with a focus on helping clients develop increased understanding, effective coping skills, and positive self esteem. I view psychotherapy as a collaborative process. Let's work together to bolster your strengths and facilitate the change and growth you are seeking.
(718) 305-4787 View (718) 305-4787
Photo of Marina Krugolets, Counselor in 10306, NY
Marina Krugolets
Counselor, LMHC, CDP
Verified Verified
Staten Island, NY 10306
Have you felt stressed, anxious, grief stricken, panicky, or depressed? Are relationships causing you conflict and it's as if no one understands you? You have made the first step to bettering yourself and I appreciate you. I am here to provide my experience, training and empathic approach to give you the tools to overcome your challenges. We will do this together. My almost 2 decades of being a psychotherapist has taught me great patience, compassion, empathy and understanding of our unique situations. I am looking forward to helping you overcome your difficulties in life and spreading your wings of emotional and inner freedom!
Have you felt stressed, anxious, grief stricken, panicky, or depressed? Are relationships causing you conflict and it's as if no one understands you? You have made the first step to bettering yourself and I appreciate you. I am here to provide my experience, training and empathic approach to give you the tools to overcome your challenges. We will do this together. My almost 2 decades of being a psychotherapist has taught me great patience, compassion, empathy and understanding of our unique situations. I am looking forward to helping you overcome your difficulties in life and spreading your wings of emotional and inner freedom!
(954) 751-3911 View (954) 751-3911
Photo of Susan Scarangello, Clinical Social Work/Therapist in 10306, NY
Susan Scarangello
Clinical Social Work/Therapist, LCSW
Verified Verified
Staten Island, NY 10306  (Online Only)
My name is Susan and I have been practicing social work for over 4 years. I have worked with families, adolescents and children in a multitude of settings including private practice, home-based and community-based interventions. I like to create a safe environment for my clients to grow and learn ways to better their overall well-being.
My name is Susan and I have been practicing social work for over 4 years. I have worked with families, adolescents and children in a multitude of settings including private practice, home-based and community-based interventions. I like to create a safe environment for my clients to grow and learn ways to better their overall well-being.
(332) 262-6974 View (332) 262-6974
Photo of Vannesa Mancero, Counselor in 10306, NY
Vannesa Mancero
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Staten Island, NY 10306
Do you feel like something is holding you back from living the life you want to live? You may know exactly what that something is, or you may have no idea why you are feeling what you are feeling; either way, you recognize it’s time for a change.  Whether the challenge is big or small, therapy can be the first step in getting control over your life again. I believe in providing my clients with a safe, non-judgemental space where we can work together to explore your thoughts and feelings and develop the coping skills necessary to help you overcome life challenges.
Do you feel like something is holding you back from living the life you want to live? You may know exactly what that something is, or you may have no idea why you are feeling what you are feeling; either way, you recognize it’s time for a change.  Whether the challenge is big or small, therapy can be the first step in getting control over your life again. I believe in providing my clients with a safe, non-judgemental space where we can work together to explore your thoughts and feelings and develop the coping skills necessary to help you overcome life challenges.
(347) 997-8546 View (347) 997-8546
Photo of Catherine Putkowski-O'Brien, Clinical Social Work/Therapist in 10306, NY
Catherine Putkowski-O'Brien
Clinical Social Work/Therapist, LCSW, EMDR II
Verified Verified
Staten Island, NY 10306
Are you feeling anxious/depressed or grieving the loss of a loved one? Have you been diagnosed with PTSD or experienced traumas in your past that are still effecting you today? Are you receiving or have you completed medical treatment for cancer or another devastating illness? As an EMDR, Level II traumatologist, I treat the whole person utilizing evident based psychotherapies/techniques in combination with meditation and other healing modalities. While we navigate your road to recovery, you will learn stress management methods to use in-between therapy sessions. We will work to reframe past hurts/traumas, and plan for a new future.
Are you feeling anxious/depressed or grieving the loss of a loved one? Have you been diagnosed with PTSD or experienced traumas in your past that are still effecting you today? Are you receiving or have you completed medical treatment for cancer or another devastating illness? As an EMDR, Level II traumatologist, I treat the whole person utilizing evident based psychotherapies/techniques in combination with meditation and other healing modalities. While we navigate your road to recovery, you will learn stress management methods to use in-between therapy sessions. We will work to reframe past hurts/traumas, and plan for a new future.
(347) 708-8975 View (347) 708-8975
Photo of Amy Bohm, LCSW, Clinical Social Work/Therapist in 10306, NY
Amy Bohm, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Staten Island, NY 10306
I specialize in the treatment of children, adolescents, and young adults. I also have extensive experience working with adults and families.
I specialize in the treatment of children, adolescents, and young adults. I also have extensive experience working with adults and families.
(917) 924-8617 View (917) 924-8617
Photo of Rosemarie Sgarlato, Clinical Social Work/Therapist in 10306, NY
Rosemarie Sgarlato
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Staten Island, NY 10306
I am a therapist who has provided effective treatment in a warm, caring environment for over 27 years. I have successfully treated clients with anxiety, depression and grief issues related to serious illness, death and divorce.
I am a therapist who has provided effective treatment in a warm, caring environment for over 27 years. I have successfully treated clients with anxiety, depression and grief issues related to serious illness, death and divorce.
(718) 395-2106 View (718) 395-2106
Photo of Mary Ann Sisto Clark, Clinical Social Work/Therapist in 10306, NY
Mary Ann Sisto Clark
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Staten Island, NY 10306  (Online Only)
Hi. I am a clinical social worker with extensive experience in mental health. I am a compassionate person who actively engages with my clients. If you are feeling overwhelmed with anxiety or sadness, I draw from a variety of interventions- psychodynamic and cognitive to get you to a better place and stay there! The therapeutic relationship is an essential part of therapy and I am skilled in making a genuine connection with my clients.
Hi. I am a clinical social worker with extensive experience in mental health. I am a compassionate person who actively engages with my clients. If you are feeling overwhelmed with anxiety or sadness, I draw from a variety of interventions- psychodynamic and cognitive to get you to a better place and stay there! The therapeutic relationship is an essential part of therapy and I am skilled in making a genuine connection with my clients.
(347) 427-5504 View (347) 427-5504
Photo of Christine O'Neill, Clinical Social Work/Therapist in 10306, NY
Christine O'Neill
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Staten Island, NY 10306
How many times have you heard the statement “Your Mental Health Matters” ? And how many times have you agreed with that statement but have no idea how to fully prioritize it due to your busy work schedule, school schedule, events, and just life itself?Sometimes, it feels easier to just power through and say “I’ll deal with it later.” But what happens when later just keeps getting pushed aside? We can begin to feel lonely, resentful, anxious, depressed, angry, and overwhelmed. Well, I am here to tell you that you do not need to just power through alone, and that there are ways to prioritize you!
How many times have you heard the statement “Your Mental Health Matters” ? And how many times have you agreed with that statement but have no idea how to fully prioritize it due to your busy work schedule, school schedule, events, and just life itself?Sometimes, it feels easier to just power through and say “I’ll deal with it later.” But what happens when later just keeps getting pushed aside? We can begin to feel lonely, resentful, anxious, depressed, angry, and overwhelmed. Well, I am here to tell you that you do not need to just power through alone, and that there are ways to prioritize you!
(718) 395-5927 View (718) 395-5927
Photo of Andrew Wakschal, Pre-Licensed Professional in 10306, NY
Andrew Wakschal
Pre-Licensed Professional, MS, MHC-LP
Verified Verified
Staten Island, NY 10306
Life isn’t always easy. Sometimes “overwhelming” and “unfair” seem like more accurate descriptions. When comfort, happiness, fulfillment, and optimism have become lost in the shadows of troublesome life experiences, it is hard to figure out our next step. Though it might be scary, contacting a counselor is the first step toward reclaiming the satisfaction that’s been since-missing. Whether you are seeking therapy for the first time, or looking for a new counselor that better suits your needs, you’ve come to the right place.
Life isn’t always easy. Sometimes “overwhelming” and “unfair” seem like more accurate descriptions. When comfort, happiness, fulfillment, and optimism have become lost in the shadows of troublesome life experiences, it is hard to figure out our next step. Though it might be scary, contacting a counselor is the first step toward reclaiming the satisfaction that’s been since-missing. Whether you are seeking therapy for the first time, or looking for a new counselor that better suits your needs, you’ve come to the right place.
(929) 298-9838 View (929) 298-9838
Photo of Sanctuary Mental Health Counseling, Mental Health Counselor in 10306, NY
Sanctuary Mental Health Counseling
Mental Health Counselor, MA, LMHC
Verified Verified
Staten Island, NY 10306
We are accepting new clients in-person and telehealth for 2024! Going through any challenging experience can make you feel disconnected and alone. It is our goal to provide you with a safe, caring and healing therapeutic space where you can develop a deeper understanding of your troubles and feel empowered with the guidance offered to make lasting positive changes to your life. We have 3 caring, compassionate and dedicated clinicians in our practice, working with clients ranging from age 13 to senior years.
We are accepting new clients in-person and telehealth for 2024! Going through any challenging experience can make you feel disconnected and alone. It is our goal to provide you with a safe, caring and healing therapeutic space where you can develop a deeper understanding of your troubles and feel empowered with the guidance offered to make lasting positive changes to your life. We have 3 caring, compassionate and dedicated clinicians in our practice, working with clients ranging from age 13 to senior years.
(917) 909-2092 View (917) 909-2092
Photo of Richard A Scala, Counselor in 10306, NY
Richard A Scala
Counselor, LMHC
Verified Verified
1 Endorsed
Staten Island, NY 10306
At times, life is hard. The life we always envisioned is not matching up to our reality. Life has thrown us a curve ball and we don't know what to do. Sometimes, we wake up with feelings of sadness, fear or anger, which could stick with us throughout the day. These feelings can sometimes affect us from completing our everyday tasks or even our relationships with others. The things we are trying are not working. We want things to change; but don’t know how or where to start. Therapy might be that the place to begin.
At times, life is hard. The life we always envisioned is not matching up to our reality. Life has thrown us a curve ball and we don't know what to do. Sometimes, we wake up with feelings of sadness, fear or anger, which could stick with us throughout the day. These feelings can sometimes affect us from completing our everyday tasks or even our relationships with others. The things we are trying are not working. We want things to change; but don’t know how or where to start. Therapy might be that the place to begin.
(929) 305-1633 View (929) 305-1633
Photo of Marwa Shueib in 10306, NY
Marwa Shueib
MHC-LP, MA
Verified Verified
1 Endorsed
Staten Island, NY 10306  (Online Only)
My ideal client is someone who is motivated to make positive changes in their life. They may be struggling with issues such as anxiety, depression, trauma, or relationship difficulties. They seek a safe and nonjudgmental space to explore their thoughts and feelings, gain insight into their behavior, and develop coping strategies. My ideal client values empathy, understanding, and guidance. They want to feel heard and validated, to deepen their self-understanding, and to learn practical skills to improve their mental health and well-being. Their goals are to reduce symptoms, improve relationships, and enhance their quality of life.
My ideal client is someone who is motivated to make positive changes in their life. They may be struggling with issues such as anxiety, depression, trauma, or relationship difficulties. They seek a safe and nonjudgmental space to explore their thoughts and feelings, gain insight into their behavior, and develop coping strategies. My ideal client values empathy, understanding, and guidance. They want to feel heard and validated, to deepen their self-understanding, and to learn practical skills to improve their mental health and well-being. Their goals are to reduce symptoms, improve relationships, and enhance their quality of life.
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Photo of Estelle Lewis LCSW Enterprises PLLC, Clinical Social Work/Therapist in 10306, NY
Estelle Lewis LCSW Enterprises PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Staten Island, NY 10306  (Online Only)
Hello and welcome to my profile. If you find yourself experiencing anxiety, work-related stress, familial conflict, depression or an overall feeling of emotional malaise, please know that I am here to support your travels out of the dark tunnel. Many people suffered social isolation during Covid. Some people continue to lack confidence of "getting back to living" because they aren't sure how to live without fear and uncertainty provoked by Covid. Please know that finding out who you are and what you are capable of will give you the strength to stand tall and feel confident and, most importantly, enjoy your life. Let's talk!
Hello and welcome to my profile. If you find yourself experiencing anxiety, work-related stress, familial conflict, depression or an overall feeling of emotional malaise, please know that I am here to support your travels out of the dark tunnel. Many people suffered social isolation during Covid. Some people continue to lack confidence of "getting back to living" because they aren't sure how to live without fear and uncertainty provoked by Covid. Please know that finding out who you are and what you are capable of will give you the strength to stand tall and feel confident and, most importantly, enjoy your life. Let's talk!
(917) 746-1037 View (917) 746-1037
Michael De Simone, Ph.D., LCSW
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Staten Island, NY 10306
Over the past 37 years I have had much success in helping adults, teens and children deal with a wide range of emotional, psychological and behavioral problems. These include depression, anxiety, anger, and sexual difficulties. I have been especially helpful in treating people experiencing relationship problems, as well as helping people break through the barriers that hold them back in life. I believe with time, patience, perseverance and motivation psychotherapy can be an effective treatment for symptom reduction and personal growth.
Over the past 37 years I have had much success in helping adults, teens and children deal with a wide range of emotional, psychological and behavioral problems. These include depression, anxiety, anger, and sexual difficulties. I have been especially helpful in treating people experiencing relationship problems, as well as helping people break through the barriers that hold them back in life. I believe with time, patience, perseverance and motivation psychotherapy can be an effective treatment for symptom reduction and personal growth.
(646) 600-8207 View (646) 600-8207
Photo of William C Devery Lcsw - Teletherapy, Clinical Social Work/Therapist in 10306, NY
William C Devery Lcsw - Teletherapy
Clinical Social Work/Therapist, LCSW, PLLC
Verified Verified
Staten Island, NY 10306  (Online Only)
Greetings! I have been in practice with Staten Island patients for over 40 years and have expanded my practice into Middlesex Co., NJ. I am only doing tele-therapy sessions. The problem areas that I have worked most with are marital, anxiety based and depression cases. I work with individuals and couples. I have catered to a middle class, mostly civil service clientele. I work closely with Police, Fire Fighters, Teachers, etc. It is my priority and responsibility to see that you are comfortable in the therapy session. That is my job! I utilize most insurances.
Greetings! I have been in practice with Staten Island patients for over 40 years and have expanded my practice into Middlesex Co., NJ. I am only doing tele-therapy sessions. The problem areas that I have worked most with are marital, anxiety based and depression cases. I work with individuals and couples. I have catered to a middle class, mostly civil service clientele. I work closely with Police, Fire Fighters, Teachers, etc. It is my priority and responsibility to see that you are comfortable in the therapy session. That is my job! I utilize most insurances.
(718) 351-0555 View (718) 351-0555
Photo of Gail Wodkiewicz, Mental Health Counselor in 10306, NY
Gail Wodkiewicz
Mental Health Counselor, MA, LMHC, NCC
Verified Verified
Staten Island, NY 10306  (Online Only)
Limited Openings - You're searching for someone who gets you, not your grandma’s therapist. Perhaps you’re feeling tired of your struggles, overwhelmed, frustrated, stuck or thinking will I ever be comfortable in my life? The voice in your head might be saying that you’re not good enough or you compare yourself to others, getting more anxious or depressed. Maybe you've grown up in a dysfunctional environment. You’re not sure where to turn or what to do, but you know it’s time to make a change. You CAN break the cycle. Working with the right therapist brings feelings of safety, support & empowerment & is key to your healing journey.
Limited Openings - You're searching for someone who gets you, not your grandma’s therapist. Perhaps you’re feeling tired of your struggles, overwhelmed, frustrated, stuck or thinking will I ever be comfortable in my life? The voice in your head might be saying that you’re not good enough or you compare yourself to others, getting more anxious or depressed. Maybe you've grown up in a dysfunctional environment. You’re not sure where to turn or what to do, but you know it’s time to make a change. You CAN break the cycle. Working with the right therapist brings feelings of safety, support & empowerment & is key to your healing journey.
(718) 795-2675 View (718) 795-2675

How does your Therapist compare?

Number of Therapists in 10306

60+

Average cost per session

$125

Therapists in 10306 who prioritize treating:

99% Anxiety
93% Depression
90% Self Esteem
85% Relationship Issues
84% Coping Skills
75% Grief
72% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

80% Aetna
75% Cigna and Evernorth
72% Oxford

How Therapists in 10306 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10306?

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.