Therapists in 12563

Photo of Peter Demetri, Clinical Social Work/Therapist, LCSW
Peter Demetri
Clinical Social Work/Therapist, LCSW
Patterson, NY 12563
Since you're here shuffling through all these names and faces it's probably safe to assume that something is not right. Curiosity about therapy often takes hold when a loss, a reversal or even a milestone has brought up emotions that can feel overwhelming, foreign, frightening or even shameful.
Since you're here shuffling through all these names and faces it's probably safe to assume that something is not right. Curiosity about therapy often takes hold when a loss, a reversal or even a milestone has brought up emotions that can feel overwhelming, foreign, frightening or even shameful.
(845) 809-7102 View (845) 809-7102
Photo of Christina Von Dietsch, Clinical Social Work/Therapist, LCSW, CASAC-
Christina Von Dietsch
Clinical Social Work/Therapist, LCSW, CASAC-
1 Endorsed
Patterson, NY 12563
I am Christina Von Dietsch, I am a Licensed Clinical Social Worker (LCSW) licensed in New York Connecticut, Maryland, and Tennessee providing Telehealth services. With over ten years of experience in counseling, utilizing a strength-based approach that focuses on the positive characteristics of my clients rather than the negatives. I provide counseling services for couples, families, and individuals. Specialize in OCD, substance abuse, and Prolonged Exposure therapy.
I am Christina Von Dietsch, I am a Licensed Clinical Social Worker (LCSW) licensed in New York Connecticut, Maryland, and Tennessee providing Telehealth services. With over ten years of experience in counseling, utilizing a strength-based approach that focuses on the positive characteristics of my clients rather than the negatives. I provide counseling services for couples, families, and individuals. Specialize in OCD, substance abuse, and Prolonged Exposure therapy.
(845) 690-3202 View (845) 690-3202
Photo of Joyce L Herling, Clinical Social Work/Therapist, LCSW
Joyce L Herling
Clinical Social Work/Therapist, LCSW
1 Endorsed
Patterson, NY 12563
My practice style is very eclectic..but I mostly use Cognitive Behaivoral Therapy. I have a lot of experience with over 26yrs of Out Pt. Therapy. I see a lot of different age groups. My motto is 15-80! I truly love doing what I do and my goal is to help you get to yours! .
My practice style is very eclectic..but I mostly use Cognitive Behaivoral Therapy. I have a lot of experience with over 26yrs of Out Pt. Therapy. I see a lot of different age groups. My motto is 15-80! I truly love doing what I do and my goal is to help you get to yours! .
(845) 878-4277 View (845) 878-4277
Photo of Coleen Snow, Clinical Social Work/Therapist, LCSW-R
Coleen Snow
Clinical Social Work/Therapist, LCSW-R
Serves Area
I am a Licensed Clinical Social Worker with 20 years of clinical experience working with children, adolescents and adults. I have worked in a variety of settings including hospitals(general and psychiatric), partial hospital programs as well as outpatient treatment.Having worked as an emergency room crisis consultant, I am able to evaluate and assess students and families in crisis and recommend clinical interventions. In a comfortable and supportive atmosphere , I offer a highly personalized approach tailored to the individual needs of my clients.The areas of treatment that I specialize in include: Individual Counseling, Marital Counseling and Christian Counseling.
I am a Licensed Clinical Social Worker with 20 years of clinical experience working with children, adolescents and adults. I have worked in a variety of settings including hospitals(general and psychiatric), partial hospital programs as well as outpatient treatment.Having worked as an emergency room crisis consultant, I am able to evaluate and assess students and families in crisis and recommend clinical interventions. In a comfortable and supportive atmosphere , I offer a highly personalized approach tailored to the individual needs of my clients.The areas of treatment that I specialize in include: Individual Counseling, Marital Counseling and Christian Counseling.
(845) 803-5574 View (845) 803-5574
Photo of Jennifer Culley, Clinical Social Work/Therapist, LCSW
Jennifer Culley
Clinical Social Work/Therapist, LCSW
Serves Area
Whether you're navigating family conflict, relationship challenges, anxiety, or just a sense that life could feel better—you're not alone. I provide a safe, supportive, and nonjudgmental space where we can work together to better understand what's going on. At my practice, every individual and family is met with compassion, respect, and clinical expertise. I provide a safe, structured space for healing and growth with a client-centered approach. With over 3 decades of clinical and supervisory experience, I specialize in helping children and families work through emotionally challenging life transitions.
Whether you're navigating family conflict, relationship challenges, anxiety, or just a sense that life could feel better—you're not alone. I provide a safe, supportive, and nonjudgmental space where we can work together to better understand what's going on. At my practice, every individual and family is met with compassion, respect, and clinical expertise. I provide a safe, structured space for healing and growth with a client-centered approach. With over 3 decades of clinical and supervisory experience, I specialize in helping children and families work through emotionally challenging life transitions.
(845) 456-9605 View (845) 456-9605
Photo of Maria Antell - Maria Antell, Trauma, Grief, & Body Image, Clinical Social Work/Therapist, LCSW
Maria Antell, Trauma, Grief, & Body Image
Clinical Social Work/Therapist, LCSW
6 Endorsed
Serves Area
Your inner critic is the loudest voice in the room and you need a new narrative. Are you struggling with your body, your relationship with food or movement, grief/loss, or trauma? You might feel insecure, sad, frustrated, anxious, and/or alone. Let's work together to understand your feelings/body sensations better, find your strengths, build your self-esteem, and tackle life the way you envision it. I utilize a Health At Every Size approach for those looking for weight-neutral therapy. Life is full of transitions and you don't have to do it alone.
Your inner critic is the loudest voice in the room and you need a new narrative. Are you struggling with your body, your relationship with food or movement, grief/loss, or trauma? You might feel insecure, sad, frustrated, anxious, and/or alone. Let's work together to understand your feelings/body sensations better, find your strengths, build your self-esteem, and tackle life the way you envision it. I utilize a Health At Every Size approach for those looking for weight-neutral therapy. Life is full of transitions and you don't have to do it alone.
(845) 286-9446 View (845) 286-9446
Photo of Emma Rosenbloom, Counselor, LMHC
Emma Rosenbloom
Counselor, LMHC
4 Endorsed
Online Only
I believe that meaningful change begins in a space where you feel truly seen, heard, and understood. Seeking therapy can feel vulnerable, and my goal is to create a supportive, nonjudgmental environment where you feel safe showing up exactly as you are. I am a Licensed Mental Health Therapist with nearly 10 years of experience working with adults (18+) who are navigating a range of different challenges. I hold a Master’s degree in mental health counseling and have my own practice, where I am honored to walk alongside individuals during some of their most challenging—and transformative—moments.
I believe that meaningful change begins in a space where you feel truly seen, heard, and understood. Seeking therapy can feel vulnerable, and my goal is to create a supportive, nonjudgmental environment where you feel safe showing up exactly as you are. I am a Licensed Mental Health Therapist with nearly 10 years of experience working with adults (18+) who are navigating a range of different challenges. I hold a Master’s degree in mental health counseling and have my own practice, where I am honored to walk alongside individuals during some of their most challenging—and transformative—moments.
(845) 210-9786 View (845) 210-9786
Photo of Ashley Viaud, Counselor, LMHC
Ashley Viaud
Counselor, LMHC
Online Only
Hi, I’m Ashley, a Licensed Mental Health Counselor who works with adolescents, adults, and couples navigating anxiety, stress, relationship challenges, life transitions, and self-esteem concerns. I provide a warm, supportive, and judgment-free space where clients can feel heard while also gaining practical tools for change. My goal is to help clients build insight, confidence, healthier coping skills, and stronger relationships so they can feel more balanced and empowered in their daily lives.
Hi, I’m Ashley, a Licensed Mental Health Counselor who works with adolescents, adults, and couples navigating anxiety, stress, relationship challenges, life transitions, and self-esteem concerns. I provide a warm, supportive, and judgment-free space where clients can feel heard while also gaining practical tools for change. My goal is to help clients build insight, confidence, healthier coping skills, and stronger relationships so they can feel more balanced and empowered in their daily lives.
(845) 599-7557 View (845) 599-7557
Photo of Angelina Battaglia, Counselor, LMHC
Angelina Battaglia
Counselor, LMHC
Online Only
Licensed Mental Health Counselor in New York with 10 years of clinical experience. Many clients come to therapy feeling overwhelmed, stretched thin, or weighed down by life’s demands. I support adults experiencing stress and anxiety, including those navigating caregiving responsibilities, major life transitions, and ongoing emotional strain. My practice includes supporting parents of children with developmental disabilities as they navigate school systems, medical care, and community resources, as well as caregivers experiencing isolation or burnout.
Licensed Mental Health Counselor in New York with 10 years of clinical experience. Many clients come to therapy feeling overwhelmed, stretched thin, or weighed down by life’s demands. I support adults experiencing stress and anxiety, including those navigating caregiving responsibilities, major life transitions, and ongoing emotional strain. My practice includes supporting parents of children with developmental disabilities as they navigate school systems, medical care, and community resources, as well as caregivers experiencing isolation or burnout.
(845) 407-8766 View (845) 407-8766

More Therapists Nearby

Photo of Eleanor G Hoenig, Clinical Social Work/Therapist, LCSW
Eleanor G Hoenig
Clinical Social Work/Therapist, LCSW
Serves Area
Currently accepting new clients. The world is challenging isn't it it? My office is a safe place to address the depression and anxieties which impact relationships, work place events and hopes for the future. I also utilize Telehealth to help people find a more satisfying quality of life. In my years of practice a variety of methods: analysis, mindfulness relaxation, and cognitive approaches achieve resilience and happiness for people. I am a provider on many insurance plans particularly NY MEDICARE , NY and NJ UNITED HEALTHCARE, OXFORD, and participate out of network for NJ STATE Insurance. as well as many others.
Currently accepting new clients. The world is challenging isn't it it? My office is a safe place to address the depression and anxieties which impact relationships, work place events and hopes for the future. I also utilize Telehealth to help people find a more satisfying quality of life. In my years of practice a variety of methods: analysis, mindfulness relaxation, and cognitive approaches achieve resilience and happiness for people. I am a provider on many insurance plans particularly NY MEDICARE , NY and NJ UNITED HEALTHCARE, OXFORD, and participate out of network for NJ STATE Insurance. as well as many others.
(718) 569-7774 View (718) 569-7774
Photo of Jodi Weisberger, Clinical Social Work/Therapist, MSW, LCSW
Jodi Weisberger
Clinical Social Work/Therapist, MSW, LCSW
Yorktown Heights, NY 10598
My name is Jodi Weisberger and I am a NY State Licensed Clinical Social Worker. I work with adolescents and adults who struggle with anxiety, depression, substance abuse/co-occurring disorders, relationship conflict, parenting skills, women’s issues, stress management and life transitions. Various treatment techniques I use are CBT, DBT, Solution Focused Therapy, Acceptance and Commitment Therapy and Motivational Interviewing. Therapy is not “one size fits all” and I often tell my clients this is your journey and I am here for you.My name is Jodi Weisberger and I am a NY State Licensed Clinical Social Worker. I work with adolescents
My name is Jodi Weisberger and I am a NY State Licensed Clinical Social Worker. I work with adolescents and adults who struggle with anxiety, depression, substance abuse/co-occurring disorders, relationship conflict, parenting skills, women’s issues, stress management and life transitions. Various treatment techniques I use are CBT, DBT, Solution Focused Therapy, Acceptance and Commitment Therapy and Motivational Interviewing. Therapy is not “one size fits all” and I often tell my clients this is your journey and I am here for you.My name is Jodi Weisberger and I am a NY State Licensed Clinical Social Worker. I work with adolescents
(914) 491-3768 View (914) 491-3768
Photo of Samantha Fantauzzi, Marriage & Family Therapist, LMFT
Samantha Fantauzzi
Marriage & Family Therapist, LMFT
Newburgh, NY 12550
Hi, I’m Samantha, a therapist who is passionate about helping individuals, couples, and families move through life’s most challenging seasons with greater clarity, connection, and self-understanding. I specialize in working with individuals struggling with anxiety, depression, grief, trauma, and relationship challenges. I also work closely with couples who feel stuck in patterns of miscommunication or disconnection and want to rebuild intimacy and trust. Whether you’re feeling overwhelmed, weighed down, or unsure of how to move forward, therapy can be a place to pause and reset.
Hi, I’m Samantha, a therapist who is passionate about helping individuals, couples, and families move through life’s most challenging seasons with greater clarity, connection, and self-understanding. I specialize in working with individuals struggling with anxiety, depression, grief, trauma, and relationship challenges. I also work closely with couples who feel stuck in patterns of miscommunication or disconnection and want to rebuild intimacy and trust. Whether you’re feeling overwhelmed, weighed down, or unsure of how to move forward, therapy can be a place to pause and reset.
(845) 407-9771 View (845) 407-9771
Photo of Dair Melendez-Drier, Counselor, LMHC, CASAC, CRPA
Dair Melendez-Drier
Counselor, LMHC, CASAC, CRPA
3 Endorsed
Newburgh, NY 12550
Life can throw us serious challenges, and pain, anger, depression or addiction are often our reaction. But all these strong reactions are not who you are, and change is always possible. I can help you to face your issues and challenges, in a compassionate, supportive environment, to make NEW choices, and create a more loving, fulfilling life.
Life can throw us serious challenges, and pain, anger, depression or addiction are often our reaction. But all these strong reactions are not who you are, and change is always possible. I can help you to face your issues and challenges, in a compassionate, supportive environment, to make NEW choices, and create a more loving, fulfilling life.
(845) 439-2054 View (845) 439-2054
Photo of Keith Jordan, Clinical Social Work/Therapist, LCSW
Keith Jordan
Clinical Social Work/Therapist, LCSW
Poughkeepsie, NY 12603
If you and your partner want to improve your relationship and are willing to make changes, you have found the right therapist. If you just want to complain about your partner without working on the relationship yourself, then please look elsewhere because I want my clients to succeed at making changes that will result in improved communication, handling conflict respectfully, and enhanced intimacy. I have 40 years experience as a mental health professional and since 2017 I have specialized in couples therapy, so I know how to help you if you are willing to do the work both in session and at home.
If you and your partner want to improve your relationship and are willing to make changes, you have found the right therapist. If you just want to complain about your partner without working on the relationship yourself, then please look elsewhere because I want my clients to succeed at making changes that will result in improved communication, handling conflict respectfully, and enhanced intimacy. I have 40 years experience as a mental health professional and since 2017 I have specialized in couples therapy, so I know how to help you if you are willing to do the work both in session and at home.
(845) 547-7185 View (845) 547-7185
Photo of Kimberly Wildey, Counselor, MS, LMHC-D
Kimberly Wildey
Counselor, MS, LMHC-D
Pleasantville, NY 10570
Seeking support can feel overwhelming, especially during times of transition or stress. Therapy offers a confidential supportive space outside of family and friends where you can slow down, gain clarity, and feel heard. I work with clients to identify obstacles, explore thoughts and emotions, and build a greater sense of hope, empowerment and grounding.
Seeking support can feel overwhelming, especially during times of transition or stress. Therapy offers a confidential supportive space outside of family and friends where you can slow down, gain clarity, and feel heard. I work with clients to identify obstacles, explore thoughts and emotions, and build a greater sense of hope, empowerment and grounding.
(914) 449-4198 View (914) 449-4198
Photo of Sarah Retchin, Clinical Social Work/Therapist, LCSW
Sarah Retchin
Clinical Social Work/Therapist, LCSW
Cortlandt Manor, NY 10567
Sarah is a compassionate and engaged therapist with specialized experience treating teens and adults. She helps clients make sense of the patterns keeping them stuck and turn insight into concrete, meaningful change. Sarah has experience treating eating disorders, anxiety disorders, trauma, perfectionism, depression, self-esteem concerns, negative body image and body dysmorphia, burnout, sleep difficulties, and life transitions. Trained in CBT and ACT, with particular expertise in CBT-E for eating disorders, her approach is structured, collaborative, grounded in science, and always tailored to each client's unique needs and goals.
Sarah is a compassionate and engaged therapist with specialized experience treating teens and adults. She helps clients make sense of the patterns keeping them stuck and turn insight into concrete, meaningful change. Sarah has experience treating eating disorders, anxiety disorders, trauma, perfectionism, depression, self-esteem concerns, negative body image and body dysmorphia, burnout, sleep difficulties, and life transitions. Trained in CBT and ACT, with particular expertise in CBT-E for eating disorders, her approach is structured, collaborative, grounded in science, and always tailored to each client's unique needs and goals.
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Photo of Lisi Robinson, Clinical Social Work/Therapist, LCSW
Lisi Robinson
Clinical Social Work/Therapist, LCSW
Bedford, NY 10506
Real change asks something difficult of us: the willingness to sit with discomfort long enough to choose something different. None of us changes while we're comfortable. For over 20 years, I've worked with adolescent and adult women who come to therapy ready to examine their lives honestly: women navigating anxiety, depression, trauma, addiction, relationship struggles, and major life transitions like divorce, breakups, or college transitions. Acknowledging that something has to shift is the first step; what's harder to know is how. The courage it takes to walk through the door is something I never take lightly.
Real change asks something difficult of us: the willingness to sit with discomfort long enough to choose something different. None of us changes while we're comfortable. For over 20 years, I've worked with adolescent and adult women who come to therapy ready to examine their lives honestly: women navigating anxiety, depression, trauma, addiction, relationship struggles, and major life transitions like divorce, breakups, or college transitions. Acknowledging that something has to shift is the first step; what's harder to know is how. The courage it takes to walk through the door is something I never take lightly.
(914) 313-8677 View (914) 313-8677
Mary Killean Zayani
Clinical Social Work/Therapist, MSW, LCSW-R
Carmel, NY 10512
Ms. Zayani is a NYS licensed social worker with over 25 years experience specializing in the treatment of children, adolescents, adults, couples and families. Ms. Zayani is a certified clinical trauma professional and has certifications in a variety of evidenced based treatments including play therapy, DBT, and CBT. She employs a broad range of interventions, based upon clinical presentation, and works in our Carmel and Millbrook locations.
Ms. Zayani is a NYS licensed social worker with over 25 years experience specializing in the treatment of children, adolescents, adults, couples and families. Ms. Zayani is a certified clinical trauma professional and has certifications in a variety of evidenced based treatments including play therapy, DBT, and CBT. She employs a broad range of interventions, based upon clinical presentation, and works in our Carmel and Millbrook locations.
(845) 668-4994 View (845) 668-4994
Photo of Lisa Urrico, Pre-Licensed Professional, MHC-LP
Lisa Urrico
Pre-Licensed Professional, MHC-LP
4 Endorsed
Serves Area
I believe meaningful change begins with feeling seen, heard, and understood. Together, we'll explore the patterns and experiences that no longer serve you and discover new ways of relating to yourself and others. My background as a musician and teaching artist shapes the way I connect with others, grounding my work in warmth, creativity, and collaboration. Because healing can happen in many ways, I also offer Walk and Talk therapy for clients who prefer to reflect and process while moving outdoors.
I believe meaningful change begins with feeling seen, heard, and understood. Together, we'll explore the patterns and experiences that no longer serve you and discover new ways of relating to yourself and others. My background as a musician and teaching artist shapes the way I connect with others, grounding my work in warmth, creativity, and collaboration. Because healing can happen in many ways, I also offer Walk and Talk therapy for clients who prefer to reflect and process while moving outdoors.
(845) 472-4407 View (845) 472-4407
Photo of Meghan Jackson Miller - Dr. Meghan Jackson Miller Psychological Services, Psychologist, PhD
Dr. Meghan Jackson Miller Psychological Services
Psychologist, PhD
2 Endorsed
Serves Area
I'm Dr. Meghan Jackson Miller, and after 20+ years in practice, I've learned that the best therapy happens when someone genuinely gets it. Not from a textbook, but from lived experience. My clients tell me that when we're together, they feel like my only patient - fully seen and fully heard with no judgment. I specialize in the struggles that don't always have neat solutions: chronic pain that doctors dismiss, grief that doesn't follow timelines, anxiety that makes sense given what you've been through and depression that's lasted so long you’ve forgotten what normal feels like.
I'm Dr. Meghan Jackson Miller, and after 20+ years in practice, I've learned that the best therapy happens when someone genuinely gets it. Not from a textbook, but from lived experience. My clients tell me that when we're together, they feel like my only patient - fully seen and fully heard with no judgment. I specialize in the struggles that don't always have neat solutions: chronic pain that doctors dismiss, grief that doesn't follow timelines, anxiety that makes sense given what you've been through and depression that's lasted so long you’ve forgotten what normal feels like.
(917) 720-4349 View (917) 720-4349

See more therapy options for 12563

How does your Therapist compare?

Number of Therapists in 12563

< 10

Therapists in 12563 who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
89% Depression
78% Self Esteem
67% Grief

Average years in practice

14 Years

Top 3 insurances accepted

88% Aetna
88% BlueCross and BlueShield
75% Anthem

How Therapists in 12563 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 12563?

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.