Photo of Nicole M Serini, LMHC, PLLC, Counselor
Nicole M Serini
Counselor, LMHC, PLLC
Verified Verified
Marlboro, NY 12542
Let me provide a safe space for you to sort out some of life's challenges, and find inner peace.
Let me provide a safe space for you to sort out some of life's challenges, and find inner peace.
(845) 261-1227 View (845) 261-1227
Photo of Katherine Ann Smith, LCSWR, Clinical Social Work/Therapist
Katherine Ann Smith
Clinical Social Work/Therapist, LCSWR
Verified Verified
Marlboro, NY 12542
I became a therapist because I know how important it is to have someone to talk with when things get difficult. I try to make sessions feel open and comfortable. Many people come in not knowing what to expect and can be nervious regarding opening up about themselves. We will go at the pace you are comfortable with, respecting your wants, needs and boundaries. You can go to the Headway.com site and enter ktherine Smith. There you wil be able to book an appointment or you can email or call. Take care of yourself!
I became a therapist because I know how important it is to have someone to talk with when things get difficult. I try to make sessions feel open and comfortable. Many people come in not knowing what to expect and can be nervious regarding opening up about themselves. We will go at the pace you are comfortable with, respecting your wants, needs and boundaries. You can go to the Headway.com site and enter ktherine Smith. There you wil be able to book an appointment or you can email or call. Take care of yourself!
(845) 385-2195 View (845) 385-2195
Photo of Nicole Marie Serini - Roots & Resilience Wellness, LMHC
Roots & Resilience Wellness
Mental Health Counselor, LMHC
Verified Verified
Marlboro, NY 12542
Let's work together to sort out some of life's challenges. We help teens, and young adults struggling with things like depression, anxiety, trauma, Bipolar Disorder, LGBTQ+ issues and life transitions. R&R offers a safe, therapeutic environment to help individuals find new ways of coping, find their inner resilience, and begin their journey towards peace and healing.
Let's work together to sort out some of life's challenges. We help teens, and young adults struggling with things like depression, anxiety, trauma, Bipolar Disorder, LGBTQ+ issues and life transitions. R&R offers a safe, therapeutic environment to help individuals find new ways of coping, find their inner resilience, and begin their journey towards peace and healing.
(845) 378-4468 View (845) 378-4468
Photo of Dana M Greco, LCSW-R, CDM, Clinical Social Work/Therapist
Dana M Greco
Clinical Social Work/Therapist, LCSW-R, CDM
Verified Verified
Marlboro, NY 12542
Deciding on counseling for your relationship takes courage. Yet, living in conflict and pain only causes more pain and anguish and confusion as to what to do. In my session I provide an emotionally safe space, to share and explore the dynamic, the wants, needs and all the variables that both of you need to communicate. I'm very neutral and non-bias, I commit myself to supporting you both. As a mediator in addition to my counseling, it is my skill to remain fair and impartial. Let's see how I can help you get the clarity and fulfillment in your relationship. In my own experience, when relationships are not working, nothing else is.
Deciding on counseling for your relationship takes courage. Yet, living in conflict and pain only causes more pain and anguish and confusion as to what to do. In my session I provide an emotionally safe space, to share and explore the dynamic, the wants, needs and all the variables that both of you need to communicate. I'm very neutral and non-bias, I commit myself to supporting you both. As a mediator in addition to my counseling, it is my skill to remain fair and impartial. Let's see how I can help you get the clarity and fulfillment in your relationship. In my own experience, when relationships are not working, nothing else is.
(646) 480-6854 View (646) 480-6854
Photo of Katie Down, LCAT, MT-BC, MMT, MM
Katie Down
LCAT, MT-BC, MMT, MM
Verified Verified
6 Endorsed
Serves Area
I work with clients who are facing challenges due to anxiety, feelings of self-doubt, trauma, identity, and career transitions. Our work together provides a safe space where you can explore emotions, let go of unhelpful patterns, and find relief of symptoms through somatic and creative approaches including EMDR, MBSR and creative arts. I work with adults who are in different stages of life, whether it is mid-life, just starting out professionally after college, or later stages of life post retirement. No matter where we are in our life, there are ways we can pivot and open to change for optimal wellbeing.
I work with clients who are facing challenges due to anxiety, feelings of self-doubt, trauma, identity, and career transitions. Our work together provides a safe space where you can explore emotions, let go of unhelpful patterns, and find relief of symptoms through somatic and creative approaches including EMDR, MBSR and creative arts. I work with adults who are in different stages of life, whether it is mid-life, just starting out professionally after college, or later stages of life post retirement. No matter where we are in our life, there are ways we can pivot and open to change for optimal wellbeing.
(718) 550-7912 View (718) 550-7912
Photo of Chelsea Lopez, LCSW, Clinical Social Work/Therapist
Chelsea Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Hello and welcome! If you are looking to address stress, anxiety, depression, life transitions, and trauma, I can help. Life can get bumpy, but you don't have to go through it alone. I am passionate about supporting others, especially new mothers as well as teens and young adults, particularly within Latinx and BIPOC communities. First-time therapy clients are especially welcomed.
Hello and welcome! If you are looking to address stress, anxiety, depression, life transitions, and trauma, I can help. Life can get bumpy, but you don't have to go through it alone. I am passionate about supporting others, especially new mothers as well as teens and young adults, particularly within Latinx and BIPOC communities. First-time therapy clients are especially welcomed.
(845) 599-0195 View (845) 599-0195
Photo of Samantha DeSantis, LMHC, Counselor
Samantha DeSantis
Counselor, LMHC
Verified Verified
Serves Area
Hudson Valley raised NYS Licensed Mental Health Counselor with a working background in counseling adolescents and adults of all backgrounds. Eight years experience working in community mental health settings and private practice. I aim to guide and challenge my clients through a person centered approach. All struggles are not created equally, I aim to create an therapeutic experience specifically tailored to my client's needs. Anxiety, depression, trauma, whatever may be challenging you, we will work together to better arm you with skills to manage and cope effectively.
Hudson Valley raised NYS Licensed Mental Health Counselor with a working background in counseling adolescents and adults of all backgrounds. Eight years experience working in community mental health settings and private practice. I aim to guide and challenge my clients through a person centered approach. All struggles are not created equally, I aim to create an therapeutic experience specifically tailored to my client's needs. Anxiety, depression, trauma, whatever may be challenging you, we will work together to better arm you with skills to manage and cope effectively.
(845) 250-5758 View (845) 250-5758
Photo of Eileen Sunshine, LCSW, Clinical Social Work/Therapist
Eileen Sunshine
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Eileen Sunshine, I am a Licensed Clinical Social Worker and a Credentialed Alcoholism and Substance Abuse Counselor with a specialization in gambling and substance use concerns. I also specialize in working with clients with anxiety, stress, depression and helping someone make life-changing decisions through the use of Motivational Interviewing, Cognitive Behavioral Therapy, and Wellness Self-Management so my clients' can start feeling better.
My name is Eileen Sunshine, I am a Licensed Clinical Social Worker and a Credentialed Alcoholism and Substance Abuse Counselor with a specialization in gambling and substance use concerns. I also specialize in working with clients with anxiety, stress, depression and helping someone make life-changing decisions through the use of Motivational Interviewing, Cognitive Behavioral Therapy, and Wellness Self-Management so my clients' can start feeling better.
(646) 551-0132 View (646) 551-0132
Photo of Tuesday M Taylor, LCAT-LP
Tuesday M Taylor
LCAT-LP
Verified Verified
3 Endorsed
Serves Area
Tuesday Taylor recognizes the importance of support and opportunities of building /reconstructing resiliency. With a Master's degree in Drama Therapy from NYU, she specializes in healing techniques for intergenerational and collective trauma, Tuesday brings over 16 years of experience working with families and at-risk youth in various settings. She skillfully bonds traditional talk therapy with creative arts modalities to empower individuals and families on their healing journeys. Tuesday is a masterful clinician in family dynamics, dedicated to helping parents heal from their own traumas, fostering stronger, healthier unions.
Tuesday Taylor recognizes the importance of support and opportunities of building /reconstructing resiliency. With a Master's degree in Drama Therapy from NYU, she specializes in healing techniques for intergenerational and collective trauma, Tuesday brings over 16 years of experience working with families and at-risk youth in various settings. She skillfully bonds traditional talk therapy with creative arts modalities to empower individuals and families on their healing journeys. Tuesday is a masterful clinician in family dynamics, dedicated to helping parents heal from their own traumas, fostering stronger, healthier unions.
View
Photo of Alicia Resnikoff, LCSW, ACHP-SW, Clinical Social Work/Therapist
Alicia Resnikoff
Clinical Social Work/Therapist, LCSW, ACHP-SW
Verified Verified
1 Endorsed
Online Only
Hi there. Welcome to the first step of taking care of yourself. Do you feel overwhelmed by life? Are you having trouble coping with the stress of it all? Do you feel lost and alone? Therapy is a useful tool to help guide a person through life’s transitions such as depression, anxiety, grief, addressing the challenges of chronic/terminal illness, healing marital issues, divorce, death of a loved one, or job loss. You don't have to do it alone. We can do it together.
Hi there. Welcome to the first step of taking care of yourself. Do you feel overwhelmed by life? Are you having trouble coping with the stress of it all? Do you feel lost and alone? Therapy is a useful tool to help guide a person through life’s transitions such as depression, anxiety, grief, addressing the challenges of chronic/terminal illness, healing marital issues, divorce, death of a loved one, or job loss. You don't have to do it alone. We can do it together.
(845) 712-4618 View (845) 712-4618
Photo of Athena Vlamis, LMSW
Athena Vlamis
LMSW
Verified Verified
1 Endorsed
Serves Area
Waitlist for new clients
Hi! My name is Athena and I'm a Licensed Master Social Worker (LMSW) working at Thompson Counseling Services. My goals for working with clients include providing a safe and non-judgmental environment while making sure they feel heard and respected. The therapeutic process can be lengthy so I want to make sure everyone I work with is comfortable with both my methods and myself. I encourage open communication with my clients. I want to know what is and is not working so that I can do my best to help YOU. This ensures that you are getting the most out of each session we have together.
Hi! My name is Athena and I'm a Licensed Master Social Worker (LMSW) working at Thompson Counseling Services. My goals for working with clients include providing a safe and non-judgmental environment while making sure they feel heard and respected. The therapeutic process can be lengthy so I want to make sure everyone I work with is comfortable with both my methods and myself. I encourage open communication with my clients. I want to know what is and is not working so that I can do my best to help YOU. This ensures that you are getting the most out of each session we have together.
(845) 244-5013 View (845) 244-5013

More Therapists Nearby

Photo of Judy M Scarpelli, PhD, LCSW, Psychologist
Judy M Scarpelli
Psychologist, PhD, LCSW
Verified Verified
Serves Area
We all face common struggles of loneliness, depression, sadness, anxiety, conflict in relationships and stress related to work and finances, among others. After years of treating children, adults, couples and families as a Psychologist, Licensed Clinical Social Worker, and Marriage and Family Therapist, I know that by embracing and exploring our struggles we can use the power of our wisdom to find solutions, enhance our growth, access our potential, and experience contentment and joy in our lives. I provide individual therapy and couple's therapy to those wanting to discover solutions to specific problems, but also, those seeking greater satisfaction and contentment in their lives.
We all face common struggles of loneliness, depression, sadness, anxiety, conflict in relationships and stress related to work and finances, among others. After years of treating children, adults, couples and families as a Psychologist, Licensed Clinical Social Worker, and Marriage and Family Therapist, I know that by embracing and exploring our struggles we can use the power of our wisdom to find solutions, enhance our growth, access our potential, and experience contentment and joy in our lives. I provide individual therapy and couple's therapy to those wanting to discover solutions to specific problems, but also, those seeking greater satisfaction and contentment in their lives.
(845) 253-4950 View (845) 253-4950
Photo of Sarah Perl, LCSW-R, CDWF, Clinical Social Work/Therapist
Sarah Perl
Clinical Social Work/Therapist, LCSW-R, CDWF
Verified Verified
10 Endorsed
Kingston, NY 12401
Beginning or resuming psychotherapy is a deeply personal choice that is often met with complicated and sometimes even conflicting emotions. I believe that in order for people to make the best use of psychotherapy, they need to feel respected, safe, and supported within the therapeutic relationship. This lays the foundation upon which one can better understand themselves and in turn grow. My practice aims to assist people with improving the quality of their interpersonal relationships, deepening their understanding of the familial/relational context in which they were raised, and living a more fulfilling life.
Beginning or resuming psychotherapy is a deeply personal choice that is often met with complicated and sometimes even conflicting emotions. I believe that in order for people to make the best use of psychotherapy, they need to feel respected, safe, and supported within the therapeutic relationship. This lays the foundation upon which one can better understand themselves and in turn grow. My practice aims to assist people with improving the quality of their interpersonal relationships, deepening their understanding of the familial/relational context in which they were raised, and living a more fulfilling life.
(518) 309-6054 View (518) 309-6054
Photo of Tatiana Taylor, LCSW, LICSW, Clinical Social Work/Therapist
Tatiana Taylor
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Online Only
Help! What can I do when my thoughts leave me feeling overwhelmed and trapped in my head? Enhancing your coping skills is a great start! I can support you unpack your negative thoughts, and empower you to create positive, affirming ones. Together, we’ll explore your emotions and work toward achieving clarity and peace. I specialize in supporting individuals of all ages dealing with Anxiety, PTSD, Depression, Mood disorders, Bipolar disorder, and ADHD. As an LGBTQIA+ affirming therapist and someone aligned with BIPOC communities, I offer a safe, inclusive space where you can be your authentic self without fear of judgment.
Help! What can I do when my thoughts leave me feeling overwhelmed and trapped in my head? Enhancing your coping skills is a great start! I can support you unpack your negative thoughts, and empower you to create positive, affirming ones. Together, we’ll explore your emotions and work toward achieving clarity and peace. I specialize in supporting individuals of all ages dealing with Anxiety, PTSD, Depression, Mood disorders, Bipolar disorder, and ADHD. As an LGBTQIA+ affirming therapist and someone aligned with BIPOC communities, I offer a safe, inclusive space where you can be your authentic self without fear of judgment.
(845) 439-2062 View (845) 439-2062
Photo of Renisher Patterson, LPC, LMHC, NCC, Counselor
Renisher Patterson
Counselor, LPC, LMHC, NCC
Verified Verified
5 Endorsed
Online Only
My name is Renisher Patterson, and I am a licensed therapist in the states of New York and New Jersey. I specialize in helping adults who are dealing with anxiety, depression, and relationship issues. My approach is to equip clients with the necessary tools to alleviate their symptoms and regain control over their lives, using a holistic and personalized method. In our initial sessions, expect a comprehensive assessment as we get to know each other and establish a therapeutic alliance. My practice offers a unique environment where you'll find a safe and non-judgmental space to be yourself and discuss what's most important to you.
My name is Renisher Patterson, and I am a licensed therapist in the states of New York and New Jersey. I specialize in helping adults who are dealing with anxiety, depression, and relationship issues. My approach is to equip clients with the necessary tools to alleviate their symptoms and regain control over their lives, using a holistic and personalized method. In our initial sessions, expect a comprehensive assessment as we get to know each other and establish a therapeutic alliance. My practice offers a unique environment where you'll find a safe and non-judgmental space to be yourself and discuss what's most important to you.
(646) 846-7013 View (646) 846-7013
Photo of Nancy Elizabeth McINERNEY, LCSW, RN, Clinical Social Work/Therapist
Nancy Elizabeth McINERNEY
Clinical Social Work/Therapist, LCSW, RN
Verified Verified
Online Only
I am so happy that you have chosen to make this first step towards health and empowerment. I have been a social worker for over 30 years as well as a nurse. I look forward to working with you to make a plan to address your concerns and issues. The world is complex and with that, we must find our way throughout our journey as intact as possible. Thank you again for making this first step, it takes great courage to begin to tackle what ails us.
I am so happy that you have chosen to make this first step towards health and empowerment. I have been a social worker for over 30 years as well as a nurse. I look forward to working with you to make a plan to address your concerns and issues. The world is complex and with that, we must find our way throughout our journey as intact as possible. Thank you again for making this first step, it takes great courage to begin to tackle what ails us.
(845) 415-1419 View (845) 415-1419
Photo of Anne Whitton, LCSW, Clinical Social Work/Therapist
Anne Whitton
Clinical Social Work/Therapist, LCSW
Verified Verified
Salt Point, NY 12578
Anne Whitton is a Licensed Clinical Social Worker in New York who has been practicing since 1991. She has an Undergraduate degree in Human Services from University of Bridgeport, and a Master's degree in Social Work from SUNY Stonybrook. Anne promotes the connection with body, mind, and spirit. In her practice, she addresses issues of vulnerability, trust and healing, positive self-esteem, as well spirituality, and self-worthiness. Outside of work, Anne enjoys outdoor activities as well as time with family.
Anne Whitton is a Licensed Clinical Social Worker in New York who has been practicing since 1991. She has an Undergraduate degree in Human Services from University of Bridgeport, and a Master's degree in Social Work from SUNY Stonybrook. Anne promotes the connection with body, mind, and spirit. In her practice, she addresses issues of vulnerability, trust and healing, positive self-esteem, as well spirituality, and self-worthiness. Outside of work, Anne enjoys outdoor activities as well as time with family.
(845) 713-8540 View (845) 713-8540
Photo of Heather Abreu, LCMHC, Counselor
Heather Abreu
Counselor, LCMHC
Verified Verified
Online Only
I am Heather Abreu. I am a Licensed Mental Health Counselor with 20 years of experience from NYC working statewide via Telehealth. I work with both adults and adolescents specializing in anxiety, addiction treatment, family dynamics, and major life transitions. I work with individuals presenting with a wide range of concerns. I have extensive experience working with individuals with addiction and with their loved ones, with individuals who have experienced trauma, and with families in conflict. I work with individuals struggling with life transitions such as personal identity, divorce, and career change.
I am Heather Abreu. I am a Licensed Mental Health Counselor with 20 years of experience from NYC working statewide via Telehealth. I work with both adults and adolescents specializing in anxiety, addiction treatment, family dynamics, and major life transitions. I work with individuals presenting with a wide range of concerns. I have extensive experience working with individuals with addiction and with their loved ones, with individuals who have experienced trauma, and with families in conflict. I work with individuals struggling with life transitions such as personal identity, divorce, and career change.
(347) 632-9840 View (347) 632-9840
Photo of Kristen Horan-Lindstrom, PsyD, Psychologist
Kristen Horan-Lindstrom
Psychologist, PsyD
Verified Verified
Online Only
The therapeutic relationship is one of the most important aspects in treatment. Throughout my career, I have learned the most important way in which to foster a good working alliance is to meet clients where they are with respect to their treatment goals and aspirations. I will pay close attention to your needs and ensure that you feel comfortable with the process of treatment. I greatly encourage you to let me know if something is not working well for you so that we can develop a more effective plan to meet your treatment goals.
The therapeutic relationship is one of the most important aspects in treatment. Throughout my career, I have learned the most important way in which to foster a good working alliance is to meet clients where they are with respect to their treatment goals and aspirations. I will pay close attention to your needs and ensure that you feel comfortable with the process of treatment. I greatly encourage you to let me know if something is not working well for you so that we can develop a more effective plan to meet your treatment goals.
(845) 668-6617 View (845) 668-6617
Photo of Judith Sorokin, PhD, Psychologist
Judith Sorokin
Psychologist, PhD
Verified Verified
Katonah, NY 10536
Not accepting new clients
I am a clinical psychologist with over 30 years of experience in private practice. I collaborate with each patient to create a safe and trusting therapeutic relationship within which an individual can explore and clarify difficulties, come to a deeper understanding, and make changes that lead to a more fulfilling life. I am a psychoanalyst and I engage in both psychotherapy and intensive psychoanalysis, with an emphasis on uncovering and working with root causes of difficulties. At times I integrate CBT and mindfulness approaches to tailor the work to the individual needs of my patients.
I am a clinical psychologist with over 30 years of experience in private practice. I collaborate with each patient to create a safe and trusting therapeutic relationship within which an individual can explore and clarify difficulties, come to a deeper understanding, and make changes that lead to a more fulfilling life. I am a psychoanalyst and I engage in both psychotherapy and intensive psychoanalysis, with an emphasis on uncovering and working with root causes of difficulties. At times I integrate CBT and mindfulness approaches to tailor the work to the individual needs of my patients.
(914) 930-2953 View (914) 930-2953

See more therapy options for 12542

How does your Therapist compare?

Number of Therapists in 12542

10+

Average cost per session

$145

Therapists in 12542 who prioritize treating:

91% Self Esteem
91% Stress
82% Anxiety
82% Trauma and PTSD
82% Family Conflict
73% Depression
73% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

89% Aetna
67% Oxford
67% UnitedHealthcare UHC | UBH

How Therapists in 12542 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 12542?

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.