Therapists in 12414

Photo of Nancy Clark, Clinical Social Work/Therapist, LCSW
Nancy Clark
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Feeling stuck, overwhelmed, emotional or unmotivated? I look forward to hearing from you. It takes courage to ask for help. I hope our sessions can be a safe haven to unpack your challenges and move toward wellness. I am a licensed clinical social worker and have been counseling for 19 years in NY. We will use humor, respect and compassion to honor your struggles while empowering your strengths to heal. I believe that each person’s experience is unique. I value your story and your culture as they can guide us to find the growth and change your life deserves.
Feeling stuck, overwhelmed, emotional or unmotivated? I look forward to hearing from you. It takes courage to ask for help. I hope our sessions can be a safe haven to unpack your challenges and move toward wellness. I am a licensed clinical social worker and have been counseling for 19 years in NY. We will use humor, respect and compassion to honor your struggles while empowering your strengths to heal. I believe that each person’s experience is unique. I value your story and your culture as they can guide us to find the growth and change your life deserves.
(518) 808-2543 View (518) 808-2543
Photo of Zar Getz, Clinical Social Work/Therapist, MSS, LCSW, LICSW
Zar Getz
Clinical Social Work/Therapist, MSS, LCSW, LICSW
3 Endorsed
Online Only
I cannot move mountains for you, but I can help you climb. Facing fears, healing from loss, finding meaning and joy - these are the inevitable tasks of life. Therapy may be your first step or your last resort. Often people avoid it all together because they believe their pain is too great, worry they will be judged or that their situation is too complicated. Some people believe they should solve problems on their own or only with family and friends. However, while family and friends may want the best for us, they often come with opinions or past hurts. Sometimes it helps to have a safe space outside your daily experience.
I cannot move mountains for you, but I can help you climb. Facing fears, healing from loss, finding meaning and joy - these are the inevitable tasks of life. Therapy may be your first step or your last resort. Often people avoid it all together because they believe their pain is too great, worry they will be judged or that their situation is too complicated. Some people believe they should solve problems on their own or only with family and friends. However, while family and friends may want the best for us, they often come with opinions or past hurts. Sometimes it helps to have a safe space outside your daily experience.
(628) 237-0876 View (628) 237-0876
Photo of Adina Saperstein, Counselor, MHC-LP
Adina Saperstein
Counselor, MHC-LP
1 Endorsed
Catskill, NY 12414
I work with individuals, couples and families, with special focus on middle age and older adults; entrepreneurship; retirement; intergenerational healing; grief and loss; postpartum & fertility issues; and addiction recovery. My approach is integrative, anchored in strengths-based and somatic approaches, building on the inner resources that support each client to strive towards both short and long term life goals. Also holding a yoga therapy certification and training as an end-of-life and birth doula, I provide holistic support to clients throughout the life cycle, focusing on life's most challenging moments and transitions.
I work with individuals, couples and families, with special focus on middle age and older adults; entrepreneurship; retirement; intergenerational healing; grief and loss; postpartum & fertility issues; and addiction recovery. My approach is integrative, anchored in strengths-based and somatic approaches, building on the inner resources that support each client to strive towards both short and long term life goals. Also holding a yoga therapy certification and training as an end-of-life and birth doula, I provide holistic support to clients throughout the life cycle, focusing on life's most challenging moments and transitions.
(838) 250-1249 View (838) 250-1249
Photo of Janice Masse - Families Together Counseling Services, Clinical Social Work/Therapist, LCSW
Families Together Counseling Services
Clinical Social Work/Therapist, LCSW
Catskill, NY 12414
Families Together is a private group of highly trained, experienced Therapists. We specialize in assisting individuals of all ages & families to help reduce conflict in their relationships, change distressing circumstances, identify challenges, enhance insight & develop new tools to help manage their lives while guiding towards self-actualization & the restoration of dreams. Our welcoming atmosphere encourages feelings of peacefulness & well-being. Upon arrival to our office, individuals are greeted daily with fresh baked cookies, calming music, gentle lighting & home style décor evoking feelings of safety & security.
Families Together is a private group of highly trained, experienced Therapists. We specialize in assisting individuals of all ages & families to help reduce conflict in their relationships, change distressing circumstances, identify challenges, enhance insight & develop new tools to help manage their lives while guiding towards self-actualization & the restoration of dreams. Our welcoming atmosphere encourages feelings of peacefulness & well-being. Upon arrival to our office, individuals are greeted daily with fresh baked cookies, calming music, gentle lighting & home style décor evoking feelings of safety & security.
(518) 868-6037 View (518) 868-6037
Photo of Forde Kay, Marriage & Family Therapist, MA, LMFT, CTIP
Forde Kay
Marriage & Family Therapist, MA, LMFT, CTIP
5 Endorsed
Catskill, NY 12414
I work well with individuals and couples+ who want therapy to be more than just venting- they’re looking for real conversation, reflection, and change. My clients are curious, a little offbeat, and ready to grow, even if they’re not sure what that looks like yet. Many come in knowing their usual tools aren’t cutting it and want new ways to connect and feel grounded. I primarily work with queer and LGBTQ+ community, but my practice is open to anyone seeking insight, honesty, and a more meaningful way forward.
I work well with individuals and couples+ who want therapy to be more than just venting- they’re looking for real conversation, reflection, and change. My clients are curious, a little offbeat, and ready to grow, even if they’re not sure what that looks like yet. Many come in knowing their usual tools aren’t cutting it and want new ways to connect and feel grounded. I primarily work with queer and LGBTQ+ community, but my practice is open to anyone seeking insight, honesty, and a more meaningful way forward.
(347) 851-1838 View (347) 851-1838
Photo of Lindsay Hollander, Clinical Social Work/Therapist, LMSW
Lindsay Hollander
Clinical Social Work/Therapist, LMSW
2 Endorsed
Catskill, NY 12414
It is my belief that therapy can aid and support individuals to overcome the hurdles that life puts in their path. Additionally, I believe that people can reach their maximum potential and work towards change that is meaningful in their lives. I work closely with clients collaboratively to create individualized treatment plans to support them in meeting their goals. I have experience working with varied types of presenting concerns, such as anxiety, depression, trauma, interpersonal skills, and life transitions.
It is my belief that therapy can aid and support individuals to overcome the hurdles that life puts in their path. Additionally, I believe that people can reach their maximum potential and work towards change that is meaningful in their lives. I work closely with clients collaboratively to create individualized treatment plans to support them in meeting their goals. I have experience working with varied types of presenting concerns, such as anxiety, depression, trauma, interpersonal skills, and life transitions.
(332) 242-3122 View (332) 242-3122
Photo of Cheryl Kasper, Clinical Social Work/Therapist, MSW, LCSW
Cheryl Kasper
Clinical Social Work/Therapist, MSW, LCSW
Catskill, NY 12414
Are you experiencing anxiety? Overwhelm? Navigating life's transitions? I can help! I have 25+ years working with adults, children & teens in a safe & supportive environment. I specialize in Anxiety Disorders, Trauma, Autism Spectrum Disorders, ADHD, OCD, & more. I'm certified in Neurofeedback, EMDR, Hypnotherapy, and SandPlay Therapy. I use a holistic multi-modality approach to treatment so you can make positive, sustainable changes in your life, with a strong focus on the mind-body connection. I can weave energy psychology and sound healing into our sessions to address even deeper layers of the mind and body. NJ & NY Licensed
Are you experiencing anxiety? Overwhelm? Navigating life's transitions? I can help! I have 25+ years working with adults, children & teens in a safe & supportive environment. I specialize in Anxiety Disorders, Trauma, Autism Spectrum Disorders, ADHD, OCD, & more. I'm certified in Neurofeedback, EMDR, Hypnotherapy, and SandPlay Therapy. I use a holistic multi-modality approach to treatment so you can make positive, sustainable changes in your life, with a strong focus on the mind-body connection. I can weave energy psychology and sound healing into our sessions to address even deeper layers of the mind and body. NJ & NY Licensed
(732) 564-5323 View (732) 564-5323
Photo of Renee Rodriguez, Clinical Social Work/Therapist, LCSW, BCD
Renee Rodriguez
Clinical Social Work/Therapist, LCSW, BCD
Online Only
I believe there is a natural tendency toward growth, a desire to be more of ourselves and to enjoy the things we do. For many, that curiosity and vitality has been restricted or shut down. This may lead to feeling depressed, like nothing will change for you. Or anxious it will only get worse. Or perhaps you sense things could be different and are frustrated, not knowing how to access that new way of being. Psychotherapy is a process through which you can understand how these feelings have come about and how to access your natural tendency toward wellness.
I believe there is a natural tendency toward growth, a desire to be more of ourselves and to enjoy the things we do. For many, that curiosity and vitality has been restricted or shut down. This may lead to feeling depressed, like nothing will change for you. Or anxious it will only get worse. Or perhaps you sense things could be different and are frustrated, not knowing how to access that new way of being. Psychotherapy is a process through which you can understand how these feelings have come about and how to access your natural tendency toward wellness.
(917) 746-5657 View (917) 746-5657
Photo of Michelle Capuano, Clinical Social Work/Therapist, LCSW
Michelle Capuano
Clinical Social Work/Therapist, LCSW
Serves Area
Waitlist for new clients
As a licensed clinical social worker, I take an integrative approach to the mind-body-spirit through advanced energetic modalities such as EMDR, EFT, IFS and guided imagery. Prior to becoming a social worker, I spent several years learning about alternative healing techniques based on Eastern philosophies and medicine. My curiosity around human development emerged around the time my children were born and provided insight into childhood development and psychology.
As a licensed clinical social worker, I take an integrative approach to the mind-body-spirit through advanced energetic modalities such as EMDR, EFT, IFS and guided imagery. Prior to becoming a social worker, I spent several years learning about alternative healing techniques based on Eastern philosophies and medicine. My curiosity around human development emerged around the time my children were born and provided insight into childhood development and psychology.
(845) 442-6275 View (845) 442-6275
Photo of Erica Gettenberg - Rappore
Rappore
Verified Verified
1 Endorsed
Online Only
Our team of therapists & psychiatrists are leading minds in mental health. We understand your unique needs and are dedicated to helping you find solutions to life’s challenges. We use the most up to date, scientifically proven treatments. When patients have the courage to place faith in us, we have a responsibility to justify their confidence.
Our team of therapists & psychiatrists are leading minds in mental health. We understand your unique needs and are dedicated to helping you find solutions to life’s challenges. We use the most up to date, scientifically proven treatments. When patients have the courage to place faith in us, we have a responsibility to justify their confidence.
(914) 350-4460 View (914) 350-4460
Photo of Siobhan Fahy, Mental Health Counselor, LMHC
Siobhan Fahy
Mental Health Counselor, LMHC
1 Endorsed
Online Only
The initial objective in therapy is to create a sense of safety where you feel deeply heard and understood. It would be an honor to guide you through your personal journey of self discovery and healing. I’m interested in working with adults of all ages, however I have a special appreciation for young adults. I love helping clients to find more meaning, purpose and balance in their lives and I believe that our mental, emotional and physical wellness are deeply intertwined.
The initial objective in therapy is to create a sense of safety where you feel deeply heard and understood. It would be an honor to guide you through your personal journey of self discovery and healing. I’m interested in working with adults of all ages, however I have a special appreciation for young adults. I love helping clients to find more meaning, purpose and balance in their lives and I believe that our mental, emotional and physical wellness are deeply intertwined.
(914) 266-9862 View (914) 266-9862
Photo of Marisa Fountain, Pre-Licensed Professional, MFT
Marisa Fountain
Pre-Licensed Professional, MFT
Serves Area
Marriage and Family Therapist Intern Passionate about helping individuals, couples, and families navigate life's challenges. Empathy, growth, and healing are at the heart of my practice Committed to creating a safe and supportive space for all.
Marriage and Family Therapist Intern Passionate about helping individuals, couples, and families navigate life's challenges. Empathy, growth, and healing are at the heart of my practice Committed to creating a safe and supportive space for all.
(518) 660-7957 View (518) 660-7957
Photo of Roxanne Partridge, PhD, CHT
Roxanne Partridge
Verified Verified
1 Endorsed
Serves Area
Are you longing for a life that feels more whole, more honest, more yours? You may have done the therapy, read the books, tried to make it all work—and still feel the quiet ache of disconnection. If you're tired of contorting yourself to match a version of success that doesn’t nourish you, I offer a path home to your embodied truth. As a depth psychologist and soulwork mentor, I work with women and female-bodied visionaries moving through thresholds of identity, grief, sensual awakening, and creative rebirth—ready to reclaim their aliveness, power, and deepest sense of what is real.
Are you longing for a life that feels more whole, more honest, more yours? You may have done the therapy, read the books, tried to make it all work—and still feel the quiet ache of disconnection. If you're tired of contorting yourself to match a version of success that doesn’t nourish you, I offer a path home to your embodied truth. As a depth psychologist and soulwork mentor, I work with women and female-bodied visionaries moving through thresholds of identity, grief, sensual awakening, and creative rebirth—ready to reclaim their aliveness, power, and deepest sense of what is real.
(518) 667-9843 View (518) 667-9843
Photo of Stacie Speed, Clinical Social Work/Therapist, LCSW-R
Stacie Speed
Clinical Social Work/Therapist, LCSW-R
Serves Area
Clients that want to make changes in their lives but are unsure or frightened of how to do so. I can help you set and reach goals for the future with encouragement, guidance and support. Part of this is understanding why and how you find yourself here. People who struggle with self esteem issues, learning to make healthy choices in their lives. It’s thrilling to watch a person find their voice, and feel good about themselves. People who struggle with addiction and alcoholism and understanding where those issues began, with sobriety. There is no shame in addiction or alcoholism in my practice.
Clients that want to make changes in their lives but are unsure or frightened of how to do so. I can help you set and reach goals for the future with encouragement, guidance and support. Part of this is understanding why and how you find yourself here. People who struggle with self esteem issues, learning to make healthy choices in their lives. It’s thrilling to watch a person find their voice, and feel good about themselves. People who struggle with addiction and alcoholism and understanding where those issues began, with sobriety. There is no shame in addiction or alcoholism in my practice.
(518) 300-4925 View (518) 300-4925
Photo of Michelle Williams, Licensed Master Social Worker, LMSW
Michelle Williams
Licensed Master Social Worker, LMSW
4 Endorsed
Serves Area
Are you struggling with Family Issues, Anxiety, Depression or you just need a safe space to talk? I aspire to help individuals and families that are strained by various behavioral concerns and relationship conflicts. My goal is to enable individuals and families to identify and understand the problem. All problems, issues or worries can have achievable outcomes as you are willing to do the work. As your therapist I believe in you, your strength and willingness to overcome and accomplish the goals you desire.
Are you struggling with Family Issues, Anxiety, Depression or you just need a safe space to talk? I aspire to help individuals and families that are strained by various behavioral concerns and relationship conflicts. My goal is to enable individuals and families to identify and understand the problem. All problems, issues or worries can have achievable outcomes as you are willing to do the work. As your therapist I believe in you, your strength and willingness to overcome and accomplish the goals you desire.
(518) 519-3761 View (518) 519-3761
Photo of Hannah Litchfield, Clinical Social Work/Therapist, LMSW
Hannah Litchfield
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Not accepting new clients
Therapy offers an opportunity to connect with the deepest parts of ourselves and break free from the challenges that hold us back from living the life we aspire to. Choosing a therapist you trust and connect with is an essential part of the process. My approach honors your individual journey and is grounded in warmth, empathy and openness. If you're ready to explore your inner world, even when it feels challenging, I’m here to support you.
Therapy offers an opportunity to connect with the deepest parts of ourselves and break free from the challenges that hold us back from living the life we aspire to. Choosing a therapist you trust and connect with is an essential part of the process. My approach honors your individual journey and is grounded in warmth, empathy and openness. If you're ready to explore your inner world, even when it feels challenging, I’m here to support you.
(518) 660-7845 View (518) 660-7845
Photo of Ruth A Larson, Counselor, MA, LMHC
Ruth A Larson
Counselor, MA, LMHC
Online Only
Do you struggle feeling authentic? Sometimes it feels like we are wearing a mask in hopes of being accepted by the people in our lives. How much of your time do you spend masking? Do you worry that even a therapist may not understand you and your concerns? I want you to know that I am open, welcoming, affirming, Body Positive, Sex Positive, Polyamorous/Ethical Non-Monogamy Positive, and Kink/BDSM Positive! I believe in radical acceptance. I am a Queer Therapist and would like to help you take off your mask, embrace your true identity, and live life to the fullest! Life can be so much better!
Do you struggle feeling authentic? Sometimes it feels like we are wearing a mask in hopes of being accepted by the people in our lives. How much of your time do you spend masking? Do you worry that even a therapist may not understand you and your concerns? I want you to know that I am open, welcoming, affirming, Body Positive, Sex Positive, Polyamorous/Ethical Non-Monogamy Positive, and Kink/BDSM Positive! I believe in radical acceptance. I am a Queer Therapist and would like to help you take off your mask, embrace your true identity, and live life to the fullest! Life can be so much better!
(315) 859-6749 View (315) 859-6749
Photo of Elizabeth Beagle, Counselor, LMHC
Elizabeth Beagle
Counselor, LMHC
Online Only
Active Waitlist... Are you currently struggling and seeking help gaining perspective, support gaining skills to maintain a balanced mental health? I am a dedicated and compassionate therapist who is committed to helping individuals find healing, hope, and renewed purpose in their lives. With 8 years of experience in counseling, I have had the privilege of working with diverse individuals, couples, and families facing a wide range of challenges. From anxiety and depression to relationship conflicts and self-esteem issues, and wives healing from marital betrayal due to affairs or other sexual addictions.
Active Waitlist... Are you currently struggling and seeking help gaining perspective, support gaining skills to maintain a balanced mental health? I am a dedicated and compassionate therapist who is committed to helping individuals find healing, hope, and renewed purpose in their lives. With 8 years of experience in counseling, I have had the privilege of working with diverse individuals, couples, and families facing a wide range of challenges. From anxiety and depression to relationship conflicts and self-esteem issues, and wives healing from marital betrayal due to affairs or other sexual addictions.
(518) 760-0842 View (518) 760-0842
Photo of Gail N Saderholm, Clinical Social Work/Therapist, LCSW
Gail N Saderholm
Clinical Social Work/Therapist, LCSW
Online Only
Are you feeling overwhelmed and alone navigating life’s challenges? Does your inner critic or past trauma keep you stuck in the same patterns? Life can feel like a tangled web, but you don’t have to navigate it alone. I specialize in supporting adults on their journey to empowerment, healing emotional wounds, rediscovering purpose, and reconnecting with their inner strengths. Through a compassionate, eclectic approach that combines mind-body techniques, EMDR, expressive arts, evidence-based therapies, and trauma-informed care, I help clients create new narratives, break free from old patterns, and foster transformative change.
Are you feeling overwhelmed and alone navigating life’s challenges? Does your inner critic or past trauma keep you stuck in the same patterns? Life can feel like a tangled web, but you don’t have to navigate it alone. I specialize in supporting adults on their journey to empowerment, healing emotional wounds, rediscovering purpose, and reconnecting with their inner strengths. Through a compassionate, eclectic approach that combines mind-body techniques, EMDR, expressive arts, evidence-based therapies, and trauma-informed care, I help clients create new narratives, break free from old patterns, and foster transformative change.
(845) 684-9491 View (845) 684-9491
Photo of Carole Sayle, Clinical Social Work/Therapist, LCSW-R
Carole Sayle
Clinical Social Work/Therapist, LCSW-R
Serves Area
I am a caring,skilled, and empathetic psychotherapist/counselor who can help you learn to effectively use your personal strengths, abilities and problem-solving skills to cope with difficulties in your life. For over 20 years, I have helped people from many different backgrounds deal with stress, anxiety, depression, relationship/family issues, work issues, and recovery from alcohol and substance abuse. My services include short and long-term individual and group therapy. I accept most insurance plans, and I have a sliding scale fee for those without insurance. Call, text or email me now for more information: 518 943-5354, csaylecsw@aol.com.
I am a caring,skilled, and empathetic psychotherapist/counselor who can help you learn to effectively use your personal strengths, abilities and problem-solving skills to cope with difficulties in your life. For over 20 years, I have helped people from many different backgrounds deal with stress, anxiety, depression, relationship/family issues, work issues, and recovery from alcohol and substance abuse. My services include short and long-term individual and group therapy. I accept most insurance plans, and I have a sliding scale fee for those without insurance. Call, text or email me now for more information: 518 943-5354, csaylecsw@aol.com.
(518) 943-5354 View (518) 943-5354

See more therapy options for 12414

How does your Therapist compare?

Number of Therapists in 12414

20+

Average cost per session

$150

Therapists in 12414 who prioritize treating:

93% Depression
93% Self Esteem
89% Relationship Issues
85% Anxiety
81% Grief
74% Trauma and PTSD
70% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

61% BlueCross and BlueShield
56% Aetna
56% CDPHP

How Therapists in 12414 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 12414?

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.