Therapists in 12186

Photo of Jessica Doerr, Clinical Social Work/Therapist, LCSW-R
Jessica Doerr
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Voorheesville, NY 12186
I am honored to help clients of all ages heal from trauma, and develop habits of self-care. I also have experience helping people work through grief and loss, depression and anxiety. I see therapy as a sacred space to express and process feelings, and develop new, adaptive skills. I love watching clients build the lives they want from the inside out.
I am honored to help clients of all ages heal from trauma, and develop habits of self-care. I also have experience helping people work through grief and loss, depression and anxiety. I see therapy as a sacred space to express and process feelings, and develop new, adaptive skills. I love watching clients build the lives they want from the inside out.
(518) 707-1448 View (518) 707-1448
Photo of Tina A Pantuso, Clinical Social Work/Therapist, LCSW
Tina A Pantuso
Clinical Social Work/Therapist, LCSW
Online Only
Your struggles are real, complicated, messy and everything in between. Whether you are struggling with anxiety, depression, substance abuse, grief, self-esteem or interpersonal relationships, we can work together to unravel the past and move forward.
Your struggles are real, complicated, messy and everything in between. Whether you are struggling with anxiety, depression, substance abuse, grief, self-esteem or interpersonal relationships, we can work together to unravel the past and move forward.
(518) 351-7623 View (518) 351-7623
Photo of Meaghan Grabowski, Counselor, LMHC
Meaghan Grabowski
Counselor, LMHC
Voorheesville, NY 12186
Not accepting new clients
I'm a licensed mental health counselor and certified clinical trauma professional. When seeking therapy, I recognize that you are not a collection of symptoms, but a whole person with various factors affecting your wellbeing. I work to address these areas in a holistic way through a relational and somatic approach. I strive to help you break free of rules and find a way to get "unstuck." I will support you on that journey.
I'm a licensed mental health counselor and certified clinical trauma professional. When seeking therapy, I recognize that you are not a collection of symptoms, but a whole person with various factors affecting your wellbeing. I work to address these areas in a holistic way through a relational and somatic approach. I strive to help you break free of rules and find a way to get "unstuck." I will support you on that journey.
(631) 919-7690 View (631) 919-7690
Photo of Kristen Ajamian, Clinical Social Work/Therapist, LCSW-R, MSW, MACJ
Kristen Ajamian
Clinical Social Work/Therapist, LCSW-R, MSW, MACJ
2 Endorsed
Online Only
Many of the clients I work with are dealing with anxiety, depression, or relationship issues. They may need help with learning to communicate effectively, manage their emotions better and learn healthy ways to cope with stress. We also set goals related to better time management, improving self-respect and setting healthy boundaries. Some clients have a history of trauma or other adverse childhood experiences which are impacting their present day functioning. For these individuals, having a safe place to be vulnerable, and heal from these past experiences is essential. I love being a therapist & helping people live their best life!
Many of the clients I work with are dealing with anxiety, depression, or relationship issues. They may need help with learning to communicate effectively, manage their emotions better and learn healthy ways to cope with stress. We also set goals related to better time management, improving self-respect and setting healthy boundaries. Some clients have a history of trauma or other adverse childhood experiences which are impacting their present day functioning. For these individuals, having a safe place to be vulnerable, and heal from these past experiences is essential. I love being a therapist & helping people live their best life!
(315) 758-2935 View (315) 758-2935
Photo of Victoria Marie Oshea, Counselor, LMHC, LPC, CASAC
Victoria Marie Oshea
Counselor, LMHC, LPC, CASAC
2 Endorsed
Online Only
Choosing to attend therapy is the biggest step you can take in order to make positive changes in your life. People begin therapy for a variety of reasons and I am here to work with you by providing the space for you to open yourself up and make our sessions about you and your wants and needs.
Choosing to attend therapy is the biggest step you can take in order to make positive changes in your life. People begin therapy for a variety of reasons and I am here to work with you by providing the space for you to open yourself up and make our sessions about you and your wants and needs.
(516) 418-8908 View (516) 418-8908
Photo of Alicia Mahler - Freedom First Psychological Services, PLLC, Psychologist, PhD
Freedom First Psychological Services, PLLC
Psychologist, PhD
2 Endorsed
Serves Area
Freedom First Psychological Services, PLLC specializes in Evaluation Services, Therapy Services, and Autism Services in a caring and supportive environment to the Capital Region of NY. These services are designed to help you take important steps towards achieving your goals. Therapy Services include individual, family, couples, and group counseling, as well as ADHD Coaching. Our clinicians have an array of clinical expertise and provide individualized, supportive and solution-focused services across many areas. Teletherapy is available. We are currently accepting therapy clients, with more open availability for daytime sessions.
Freedom First Psychological Services, PLLC specializes in Evaluation Services, Therapy Services, and Autism Services in a caring and supportive environment to the Capital Region of NY. These services are designed to help you take important steps towards achieving your goals. Therapy Services include individual, family, couples, and group counseling, as well as ADHD Coaching. Our clinicians have an array of clinical expertise and provide individualized, supportive and solution-focused services across many areas. Teletherapy is available. We are currently accepting therapy clients, with more open availability for daytime sessions.
(518) 692-6650 View (518) 692-6650
Photo of Beth Ehrichs, Clinical Social Work/Therapist, LCSW
Beth Ehrichs
Clinical Social Work/Therapist, LCSW
Serves Area
Not accepting new clients
Fun-loving, sincere, and therapy dogs! Want to have better, more fulfilling sex with your partner? Struggling with painful sex or no orgasms? Are you considering divorce? If you need help remembering how to enjoy life without toxicity, would like to learn to take life less seriously while healing through your struggles, give me a call. If you're a middle- to upper-level executive who feels stuck but knows you're capable of more and wants to bust out of your current plateau, I coach executives and senior executives to reach peak potential while "lifting the veil" of toxicity to bring healthier patterns to your whole life.
Fun-loving, sincere, and therapy dogs! Want to have better, more fulfilling sex with your partner? Struggling with painful sex or no orgasms? Are you considering divorce? If you need help remembering how to enjoy life without toxicity, would like to learn to take life less seriously while healing through your struggles, give me a call. If you're a middle- to upper-level executive who feels stuck but knows you're capable of more and wants to bust out of your current plateau, I coach executives and senior executives to reach peak potential while "lifting the veil" of toxicity to bring healthier patterns to your whole life.
(518) 267-7277 View (518) 267-7277

More Therapists Nearby

Photo of Briana Schmidt, Pre-Licensed Professional, MHC-LP, IFS-Inf, MA
Briana Schmidt
Pre-Licensed Professional, MHC-LP, IFS-Inf, MA
7 Endorsed
Online Only
Most folks I collaborate with are navigating the aftermath of trauma or adverse experiences, seeking pathways to healing. They confront challenges such as C-PTSD, eating concerns/body image issues, and codependency, with the aim of identifying triggers and managing unwanted behaviors more effectively. Their journey is towards processing past traumas, fostering resilience, and reclaiming their lives. They aspire to convert their pain into strength, nurturing healthier relationships with both themselves and the surrounding world.
Most folks I collaborate with are navigating the aftermath of trauma or adverse experiences, seeking pathways to healing. They confront challenges such as C-PTSD, eating concerns/body image issues, and codependency, with the aim of identifying triggers and managing unwanted behaviors more effectively. Their journey is towards processing past traumas, fostering resilience, and reclaiming their lives. They aspire to convert their pain into strength, nurturing healthier relationships with both themselves and the surrounding world.
(646) 355-1771 View (646) 355-1771
Photo of Yanira Colon, Clinical Social Work/Therapist, LCSW
Yanira Colon
Clinical Social Work/Therapist, LCSW
Online Only
You might be feeling overwhelmed, stuck, or simply not like yourself—and you’re ready for change, even if you’re not sure what that looks like yet. Maybe you're navigating challenges such as anxiety, depression, low self-esteem, or relationship stress. What you want most is relief, clarity, and a sense of control over your life. If you’re looking for a space where you can be honest, reflect, and grow without fear of judgment, that’s exactly what I offer.
You might be feeling overwhelmed, stuck, or simply not like yourself—and you’re ready for change, even if you’re not sure what that looks like yet. Maybe you're navigating challenges such as anxiety, depression, low self-esteem, or relationship stress. What you want most is relief, clarity, and a sense of control over your life. If you’re looking for a space where you can be honest, reflect, and grow without fear of judgment, that’s exactly what I offer.
View
Photo of Gail Newman, Licensed Mental Health Counselor, LMHC
Gail Newman
Licensed Mental Health Counselor, LMHC
Albany, NY 12204
Hello there! My name is Gail. I'm a Licensed Mental Health Counselor with a heartfelt commitment to helping individuals like you find your way through anxiety, depression, trauma, and the many twists and turns that life presents. My years of experience have equipped me with the tools and insights to accompany you on this transformative journey. Therapy's collaborative, a journey to radiance requiring commitment. Delve into depths, illuminating shadows, uncovering growth seeds. Empathy's key—I'll support and hold you accountable.
Hello there! My name is Gail. I'm a Licensed Mental Health Counselor with a heartfelt commitment to helping individuals like you find your way through anxiety, depression, trauma, and the many twists and turns that life presents. My years of experience have equipped me with the tools and insights to accompany you on this transformative journey. Therapy's collaborative, a journey to radiance requiring commitment. Delve into depths, illuminating shadows, uncovering growth seeds. Empathy's key—I'll support and hold you accountable.
(518) 348-5807 View (518) 348-5807
Photo of Aimee O’Keefe, Clinical Social Work/Therapist, LCSW-R, BCD
Aimee O’Keefe
Clinical Social Work/Therapist, LCSW-R, BCD
Albany, NY 12205
Aimee is a Licensed Clinical Social Worker, Board Certified Diplomate, Certified School Social Worker and she has advanced training in Perinatal Mood and Anxiety Disorders. As a clinician, Aimee has met the highest standards in clinical education, training and experience. Aimee has over 25 years of experience in the social work field and she has been in private practice since 2014. Aimee’s clinical focus is working with women who are facing life challenges such as: anxiety, depression, perinatal and postpartum adjustments, PTSD, interpersonal, life transitions and relationship issues.
Aimee is a Licensed Clinical Social Worker, Board Certified Diplomate, Certified School Social Worker and she has advanced training in Perinatal Mood and Anxiety Disorders. As a clinician, Aimee has met the highest standards in clinical education, training and experience. Aimee has over 25 years of experience in the social work field and she has been in private practice since 2014. Aimee’s clinical focus is working with women who are facing life challenges such as: anxiety, depression, perinatal and postpartum adjustments, PTSD, interpersonal, life transitions and relationship issues.
(518) 413-1298 View (518) 413-1298
Photo of Rachel Watson, Clinical Social Work/Therapist, LCSW
Rachel Watson
Clinical Social Work/Therapist, LCSW
6 Endorsed
Online Only
Beginning therapy can be a challenge, and finding a therapist who is the right fit for you may be an additional challenge. As a Psychotherapist, I specialize in management of Trauma/PTSD, Depression, Anxiety, Life Transitions and Relationship Issues. I believe that a variety of treatment approaches are needed to best serve each client. I take an eclectic approach, and practice psychotherapy informed primarily by concepts of Cognitive Behavioral Therapy and Psychoanalysis. My role is to be both a "coach" and supporter.
Beginning therapy can be a challenge, and finding a therapist who is the right fit for you may be an additional challenge. As a Psychotherapist, I specialize in management of Trauma/PTSD, Depression, Anxiety, Life Transitions and Relationship Issues. I believe that a variety of treatment approaches are needed to best serve each client. I take an eclectic approach, and practice psychotherapy informed primarily by concepts of Cognitive Behavioral Therapy and Psychoanalysis. My role is to be both a "coach" and supporter.
(518) 760-6539 View (518) 760-6539
Photo of Dr. Edward Tick, Counselor, PhD, LMHC
Dr. Edward Tick
Counselor, PhD, LMHC
1 Endorsed
Serves Area
Waitlist for new clients
As a therapeutic mentor, I combine depth psychotherapy, spiritual guidance, and creative and humanistic practices and support to nurture and heal our connection to our deepest Self. I especially work with military and veterans, spiritual seekers, creatives in all genres, mid-life crises, men's issues, trauma and abuse survivors. I welcome clients seeking transformational growth and change, a discovery or restoration of their gifts and creativity, and a deep healing relationship "out of the box." I do not practice conventional therapy but nurture the unique soul and spirit in each person toward achieving meaning and creativity.
As a therapeutic mentor, I combine depth psychotherapy, spiritual guidance, and creative and humanistic practices and support to nurture and heal our connection to our deepest Self. I especially work with military and veterans, spiritual seekers, creatives in all genres, mid-life crises, men's issues, trauma and abuse survivors. I welcome clients seeking transformational growth and change, a discovery or restoration of their gifts and creativity, and a deep healing relationship "out of the box." I do not practice conventional therapy but nurture the unique soul and spirit in each person toward achieving meaning and creativity.
(413) 252-6709 View (413) 252-6709
Photo of Alexandra Riccio, PhD, FNP-C, RN
Alexandra Riccio
Verified Verified
Clifton Park, NY 12065
I am an integrative Family Nurse Practitioner and believe that building a trusting and strong provider-patient relationship in conjunction with medical guidance, education, and holistic support is pivotal to learning how to confront life’s challenges and heal from mental health issues and live a happier and healthier life. I address mental health diagnoses including Anxiety, Depression, Bipolar disorder, ADHD, PTSD, OCD, and Insomnia. I employ a variety of integrative and holistic medical modalities, including med management, supportive therapy, nutrition/lifestyle counseling, Classical homeopathy, PEMF, and mindfulness.
I am an integrative Family Nurse Practitioner and believe that building a trusting and strong provider-patient relationship in conjunction with medical guidance, education, and holistic support is pivotal to learning how to confront life’s challenges and heal from mental health issues and live a happier and healthier life. I address mental health diagnoses including Anxiety, Depression, Bipolar disorder, ADHD, PTSD, OCD, and Insomnia. I employ a variety of integrative and holistic medical modalities, including med management, supportive therapy, nutrition/lifestyle counseling, Classical homeopathy, PEMF, and mindfulness.
(518) 667-5895 View (518) 667-5895
Photo of Richard E Madden, Clinical Social Work/Therapist, PhD, LCSW
Richard E Madden
Clinical Social Work/Therapist, PhD, LCSW
Online Only
PERSONAL THERAPY...most any therapist will do if you only want to talk things out and have someone listen without judging. But if you are looking for more, my post-graduate training and advanced credentials in Rational-Emotive-Behavior Therapy (REBT) and Cognitive-Behavioral Therapy (CBT) enable me to teach you how to effectively manage your stress, sleep, unhealthy emotions and self-defeating behaviors--something I've successfully done for myself and thousands of clients for more than 40 years. Please visit website: www.theSTRESSdoc.com BEFORE calling me, anytime, to discuss your needs.
PERSONAL THERAPY...most any therapist will do if you only want to talk things out and have someone listen without judging. But if you are looking for more, my post-graduate training and advanced credentials in Rational-Emotive-Behavior Therapy (REBT) and Cognitive-Behavioral Therapy (CBT) enable me to teach you how to effectively manage your stress, sleep, unhealthy emotions and self-defeating behaviors--something I've successfully done for myself and thousands of clients for more than 40 years. Please visit website: www.theSTRESSdoc.com BEFORE calling me, anytime, to discuss your needs.
(518) 225-7707 View (518) 225-7707
Photo of Ellen Brandon, Clinical Social Work/Therapist, LCSW
Ellen Brandon
Clinical Social Work/Therapist, LCSW
Albany, NY 12203
Waitlist for new clients
Are you feeling discouraged? Maybe old patterns are repeating. You might be thinking: “I thought I took care of this before" or "why aren’t I feeling more confident and secure by now?” You might even know what you need to do but feel overwhelmed and don’t know where to start. If any of this sounds familiar, one thing you know for sure is that something has to change. If you're ready to create that change, call me. I'll meet you where you're at and together we'll create a plan to help you achieve the peace and confidence you desire.
Are you feeling discouraged? Maybe old patterns are repeating. You might be thinking: “I thought I took care of this before" or "why aren’t I feeling more confident and secure by now?” You might even know what you need to do but feel overwhelmed and don’t know where to start. If any of this sounds familiar, one thing you know for sure is that something has to change. If you're ready to create that change, call me. I'll meet you where you're at and together we'll create a plan to help you achieve the peace and confidence you desire.
(518) 278-7223 View (518) 278-7223
Photo of Keri Rusich, Clinical Social Work/Therapist, LCSW
Keri Rusich
Clinical Social Work/Therapist, LCSW
5 Endorsed
Online Only
Please reach out to inquire about availability. Finding the right person to help you navigate through life’s challenges can feel overwhelming. Congratulations on making a major first step! Whether you are new to therapy or have worked with other providers in the past, you are the expert on your own life. I offer a safe, collaborative space to help you reach your goals. My approach incorporates years of practicing and studying methods of psychotherapy, including cognitive behavioral therapy, dialectical behavioral therapy, post-traumatic growth, and behavior modification.
Please reach out to inquire about availability. Finding the right person to help you navigate through life’s challenges can feel overwhelming. Congratulations on making a major first step! Whether you are new to therapy or have worked with other providers in the past, you are the expert on your own life. I offer a safe, collaborative space to help you reach your goals. My approach incorporates years of practicing and studying methods of psychotherapy, including cognitive behavioral therapy, dialectical behavioral therapy, post-traumatic growth, and behavior modification.
(929) 357-2108 View (929) 357-2108
Photo of Dana Panetta, Counselor, LMHC
Dana Panetta
Counselor, LMHC
Serves Area
I enjoy working with individuals of all ages and am experienced in addressing difficulties including: anxiety, depression, trauma/PTSD, child and adolescent behavioral and developmental concerns, adjustment and life transitions, challenges faced by military families, stress management, family dynamics, and addiction. I have developed an expertise in utilizing a trauma-informed and motivational approach with my clients. I am also skilled at offering play therapy and animal-assisted therapy when it is appropriate for my clients. I am passionate about providing a solution-focused framework and delivering individualized and holistic treatment to each of my clients.
I enjoy working with individuals of all ages and am experienced in addressing difficulties including: anxiety, depression, trauma/PTSD, child and adolescent behavioral and developmental concerns, adjustment and life transitions, challenges faced by military families, stress management, family dynamics, and addiction. I have developed an expertise in utilizing a trauma-informed and motivational approach with my clients. I am also skilled at offering play therapy and animal-assisted therapy when it is appropriate for my clients. I am passionate about providing a solution-focused framework and delivering individualized and holistic treatment to each of my clients.
(518) 580-0520 View (518) 580-0520
Photo of Ali Catalfamo, Counselor, LMHC
Ali Catalfamo
Counselor, LMHC
Online Only
Hello! My name is Ali and I am a Licensed Mental Health Counselor. I specialize in a wide range of trauma work including things like childhood victimizations, sexual assault, domestic violence, and grief. I utilize trauma focused CBT, solution-focused therapy, motivational interviewing, and use a person-centered approach to tailor to my clients specific needs. I believe that everyone has the right to heal in a safe, compassionate, and empowering environment.
Hello! My name is Ali and I am a Licensed Mental Health Counselor. I specialize in a wide range of trauma work including things like childhood victimizations, sexual assault, domestic violence, and grief. I utilize trauma focused CBT, solution-focused therapy, motivational interviewing, and use a person-centered approach to tailor to my clients specific needs. I believe that everyone has the right to heal in a safe, compassionate, and empowering environment.
(518) 671-8401 View (518) 671-8401
Photo of Suzanne Livolsi, Clinical Social Work/Therapist, LCSW-R
Suzanne Livolsi
Clinical Social Work/Therapist, LCSW-R
Online Only
I am a licensed psychotherapist with over 24 years of experience supporting children, teenagers, and adults through life’s most challenging moments. I specialize in helping clients manage and overcome anxiety, depression, stress, and grief. Whether you're facing the pain of a loss, navigating the complexities of divorce, dealing with illness, or working through parenting challenges, I offer a safe and compassionate space to explore your experiences and begin moving forward. My approach is collaborative and client-centered, designed to meet you where you are and help you build the tools and resilience needed for healing and growth.
I am a licensed psychotherapist with over 24 years of experience supporting children, teenagers, and adults through life’s most challenging moments. I specialize in helping clients manage and overcome anxiety, depression, stress, and grief. Whether you're facing the pain of a loss, navigating the complexities of divorce, dealing with illness, or working through parenting challenges, I offer a safe and compassionate space to explore your experiences and begin moving forward. My approach is collaborative and client-centered, designed to meet you where you are and help you build the tools and resilience needed for healing and growth.
(718) 550-1317 View (718) 550-1317

How does your Therapist compare?

Number of Therapists in 12186

< 10

Therapists in 12186 who prioritize treating:

86% Relationship Issues
86% Anxiety
71% Parenting
71% Trauma and PTSD
71% Self Esteem
71% Life Transitions
57% Anger Management

Average years in practice

26 Years

Top 3 insurances accepted

67% CDPHP
50% Aetna
33% Cigna and Evernorth

How Therapists in 12186 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 12186?

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.