Therapists in 13214

Photo of Mia Paley-Williams, Marriage & Family Therapist, MA, LMFT
Mia Paley-Williams
Marriage & Family Therapist, MA, LMFT
Syracuse, NY 13214
If you’re struggling with intrusive thoughts, anxiety, feeling stuck in unhelpful patterns, or are a parent looking for support, you don’t have to figure this out alone. I specialize in evidence-based therapy for OCD, anxiety, panic, tics, skin picking/hair pulling, ADHD, and depression. Using approaches such as Exposure and Response Prevention (ERP), Cognitive Behavioral Therapy (CBT), Inference-Based CBT (I-CBT), and Acceptance and Commitment Therapy (ACT), we’ll work together to clarify what matters most to you, face fears one step at a time, practice new skills, and respond differently to difficult thoughts and feelings.
If you’re struggling with intrusive thoughts, anxiety, feeling stuck in unhelpful patterns, or are a parent looking for support, you don’t have to figure this out alone. I specialize in evidence-based therapy for OCD, anxiety, panic, tics, skin picking/hair pulling, ADHD, and depression. Using approaches such as Exposure and Response Prevention (ERP), Cognitive Behavioral Therapy (CBT), Inference-Based CBT (I-CBT), and Acceptance and Commitment Therapy (ACT), we’ll work together to clarify what matters most to you, face fears one step at a time, practice new skills, and respond differently to difficult thoughts and feelings.
(315) 756-2318 View (315) 756-2318
Photo of Hannah Pietra, Creative Arts Therapist, MS, LCAT, MT-BC, CLC
Hannah Pietra
Creative Arts Therapist, MS, LCAT, MT-BC, CLC
Syracuse, NY 13214
“Every story matters…We are all worthy of telling our stories and having them heard.” Using compassion and curiosity, I support individuals in their journey towards personal growth and discovery. Do you find yourself feeling stuck, overwhelmed, or unfulfilled in life? I help people find balance, gain relief, and better connect with their bodies and minds to achieve enhanced wellness.
“Every story matters…We are all worthy of telling our stories and having them heard.” Using compassion and curiosity, I support individuals in their journey towards personal growth and discovery. Do you find yourself feeling stuck, overwhelmed, or unfulfilled in life? I help people find balance, gain relief, and better connect with their bodies and minds to achieve enhanced wellness.
(315) 810-6212 View (315) 810-6212
Photo of Donna Dallal-Ferne, Marriage & Family Therapist, LMFT
Donna Dallal-Ferne
Marriage & Family Therapist, LMFT
1 Endorsed
Syracuse, NY 13214
People seek therapy because of the challenges that come to them through times of transition. If you want to focus on healing without having to worry about a third party monitoring your personal struggles and demanding a diagnosis, I am happy to partner with you directly, creating terms that we negotiate together. Healing is likely the most important task that you'll tend to in your adult life. I will guide you in that process without pathologizing or labeling you. Becoming the fullest expression of yourself is a worthwhile and deeply personal task, not to be compromised by political systems.
People seek therapy because of the challenges that come to them through times of transition. If you want to focus on healing without having to worry about a third party monitoring your personal struggles and demanding a diagnosis, I am happy to partner with you directly, creating terms that we negotiate together. Healing is likely the most important task that you'll tend to in your adult life. I will guide you in that process without pathologizing or labeling you. Becoming the fullest expression of yourself is a worthwhile and deeply personal task, not to be compromised by political systems.
(315) 538-3160 View (315) 538-3160
Photo of Dave Dunn, Pre-Licensed Professional, LMHC, MBA
Dave Dunn
Pre-Licensed Professional, LMHC, MBA
6 Endorsed
Syracuse, NY 13214
I have a passion for helping individuals, couples, and families navigate their mental health journeys. My primary strength as a counselor is connecting with my clients and helping them understand the feelings and thoughts behind their beliefs and actions, and then helping them learn to love themselves. If we work together, I will strive to help you connect with your core, centered self such that you can make decisions and take actions from a healthy, curious, calm and confident place rather than from a frustrated, angry, anxious or depressed place. I work with clients struggling with depression, anxiety and other common life issues.
I have a passion for helping individuals, couples, and families navigate their mental health journeys. My primary strength as a counselor is connecting with my clients and helping them understand the feelings and thoughts behind their beliefs and actions, and then helping them learn to love themselves. If we work together, I will strive to help you connect with your core, centered self such that you can make decisions and take actions from a healthy, curious, calm and confident place rather than from a frustrated, angry, anxious or depressed place. I work with clients struggling with depression, anxiety and other common life issues.
(315) 667-1886 View (315) 667-1886
Photo of Dr. Susan L McInvale - Therapy One, Counselor, PhD, LMHC-D, NCC
Therapy One
Counselor, PhD, LMHC-D, NCC
1 Endorsed
Syracuse, NY 13214
One of the best decisions you can make is to reach out and ask for help. I am that hand you can grasp for compassionate care and direction as you gain a better understanding of yourself. Anxiety and depression can make you feel alone and helpless. They are not easy mental health disorders to navigate without help. You are not alone. I am here with you along your journey as you become better aware of how you can take control and overcome the struggles you may have with panic attacks, sadness, and mood disorders. I am ready to listen and help you regain control of your life.
One of the best decisions you can make is to reach out and ask for help. I am that hand you can grasp for compassionate care and direction as you gain a better understanding of yourself. Anxiety and depression can make you feel alone and helpless. They are not easy mental health disorders to navigate without help. You are not alone. I am here with you along your journey as you become better aware of how you can take control and overcome the struggles you may have with panic attacks, sadness, and mood disorders. I am ready to listen and help you regain control of your life.
(315) 322-9346 View (315) 322-9346
Photo of Gary P Weinstein, Clinical Social Work/Therapist, LCSW
Gary P Weinstein
Clinical Social Work/Therapist, LCSW
3 Endorsed
Syracuse, NY 13214
You may hurt right now, or you may have been suffering a long time; You may be in trouble, fed up with feeling the way you do, with self defeating, self sabotaging behaviors; with patterns of suffering you repeat. We'll confront them, & help you heal them. If there is trauma that derails you, that hijacks your life, we'll take a fearless look together, with compassion. Just feeling lost, in search of meaning, clinging to the past and dreading the future? Come to therapy. "These days we each must be heroic, just to get by..." someone once said. Therapy is the right thing to do.
You may hurt right now, or you may have been suffering a long time; You may be in trouble, fed up with feeling the way you do, with self defeating, self sabotaging behaviors; with patterns of suffering you repeat. We'll confront them, & help you heal them. If there is trauma that derails you, that hijacks your life, we'll take a fearless look together, with compassion. Just feeling lost, in search of meaning, clinging to the past and dreading the future? Come to therapy. "These days we each must be heroic, just to get by..." someone once said. Therapy is the right thing to do.
(315) 623-1238 View (315) 623-1238
Photo of Joy Strickland, Counselor, LMHC
Joy Strickland
Counselor, LMHC
1 Endorsed
Syracuse, NY 13214
Surrounded by people and still completely alone. Maybe you grew up keeping the peace, managing everyone else's emotions, or shrinking yourself to avoid conflict, and now those patterns are running your life. You overthink, people-please, and second-guess yourself constantly. You're self-aware enough to know something isn't working, but awareness alone hasn't changed it. These patterns make sense. Family wounds, early trauma, relationships that taught you it wasn't safe to be yourself. If you're a young adult ready to actually shift these patterns, not just understand them, you're in the right place.
Surrounded by people and still completely alone. Maybe you grew up keeping the peace, managing everyone else's emotions, or shrinking yourself to avoid conflict, and now those patterns are running your life. You overthink, people-please, and second-guess yourself constantly. You're self-aware enough to know something isn't working, but awareness alone hasn't changed it. These patterns make sense. Family wounds, early trauma, relationships that taught you it wasn't safe to be yourself. If you're a young adult ready to actually shift these patterns, not just understand them, you're in the right place.
(680) 208-3559 View (680) 208-3559
Photo of Tonja S Rector, Marriage & Family Therapist, MA, LMFT
Tonja S Rector
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Serves Area
Offering in person and Telehealth appointments. Are there relationship issues in your life? Perhaps there's problems with your child, spouse, partner, family member or friend. My practice offers individual, family and couple therapy. I tailor treatment to meet the specific needs of each client. I believe in working with clients to establish a treatment focus most important in their lives. I work collaboratively with schools, physicians and other professionals as needed to address different areas of a client's life.
Offering in person and Telehealth appointments. Are there relationship issues in your life? Perhaps there's problems with your child, spouse, partner, family member or friend. My practice offers individual, family and couple therapy. I tailor treatment to meet the specific needs of each client. I believe in working with clients to establish a treatment focus most important in their lives. I work collaboratively with schools, physicians and other professionals as needed to address different areas of a client's life.
(315) 538-3298 View (315) 538-3298
Photo of Katie McBeth, Clinical Social Work/Therapist, LCSW-R, CASAC
Katie McBeth
Clinical Social Work/Therapist, LCSW-R, CASAC
2 Endorsed
Serves Area
I understand how difficult it can be for some to ask for help. Whether you're considering entering therapy for the first time, or have prior experience, the first priority is on developing a sense of safety in the therapy session. Once a trusting connection is developed, I allow the client to identify their own goals. I believe therapy is about change, but the type of change we work toward and the pace with which we work, is determined by the client. I provide support and guidance in this process.
I understand how difficult it can be for some to ask for help. Whether you're considering entering therapy for the first time, or have prior experience, the first priority is on developing a sense of safety in the therapy session. Once a trusting connection is developed, I allow the client to identify their own goals. I believe therapy is about change, but the type of change we work toward and the pace with which we work, is determined by the client. I provide support and guidance in this process.
(680) 201-5612 View (680) 201-5612
Photo of Rebecca Socia, Counselor, LMHC
Rebecca Socia
Counselor, LMHC
2 Endorsed
Serves Area
Your story is unlike anyone else’s and I truly can’t wait to hear it. I listen with curiosity and I challenge with compassion in order to help you facilitate the changes that you are seeking to make. I create safety within the therapeutic space so that you can find your own safety from within, no matter where you are. I hold a certificate of advanced study in trauma informed care and approach every aspect of the counseling process through a trauma sensitive lens. You already have everything you need and together we can explore what might be blocking your access. I have experience with clients of all ages, from 5 to 85.
Your story is unlike anyone else’s and I truly can’t wait to hear it. I listen with curiosity and I challenge with compassion in order to help you facilitate the changes that you are seeking to make. I create safety within the therapeutic space so that you can find your own safety from within, no matter where you are. I hold a certificate of advanced study in trauma informed care and approach every aspect of the counseling process through a trauma sensitive lens. You already have everything you need and together we can explore what might be blocking your access. I have experience with clients of all ages, from 5 to 85.
(315) 217-1035 View (315) 217-1035
Photo of Tracy Torelli, Clinical Social Work/Therapist, LCSW-R, CASAC
Tracy Torelli
Clinical Social Work/Therapist, LCSW-R, CASAC
9 Endorsed
Serves Area
Each of us have faced painful personal experiences. Pain can be due to events, interactions with others or troubled relationships. Or they can be caused by negative behavior or thought patterns that won’t stop. Sometimes we can address such troubles on their own. However, if you have been unable to resolve difficult issues alone, you may realize how they reduce the quality of your life – by establishing a pattern of emotional problems, an inability to interact productively with others, impacting your career, negatively affect relationships, or create problematic habits. But they can be addressed with help. My hours are M-F 8-4
Each of us have faced painful personal experiences. Pain can be due to events, interactions with others or troubled relationships. Or they can be caused by negative behavior or thought patterns that won’t stop. Sometimes we can address such troubles on their own. However, if you have been unable to resolve difficult issues alone, you may realize how they reduce the quality of your life – by establishing a pattern of emotional problems, an inability to interact productively with others, impacting your career, negatively affect relationships, or create problematic habits. But they can be addressed with help. My hours are M-F 8-4
(315) 888-4986 View (315) 888-4986
Photo of Breyanna Locke, Marriage & Family Therapist, MS, MA, LMFT
Breyanna Locke
Marriage & Family Therapist, MS, MA, LMFT
Serves Area
My name is Breyanna Locke and I am the owner of Midstate Marriage and Family Therapy in Manlius, NY. I believe that each step we take towards self-reflection and relational understanding helps break down powerful patterns that make us feel stuck and hopeless. Giving your emotions a voice can be a freeing and validating experience. It is my role to help this process happen in a way that is safe and meaningful to bring hope and awareness into your life whether you are looking for individual therapy or relational therapy.
My name is Breyanna Locke and I am the owner of Midstate Marriage and Family Therapy in Manlius, NY. I believe that each step we take towards self-reflection and relational understanding helps break down powerful patterns that make us feel stuck and hopeless. Giving your emotions a voice can be a freeing and validating experience. It is my role to help this process happen in a way that is safe and meaningful to bring hope and awareness into your life whether you are looking for individual therapy or relational therapy.
(607) 391-2589 View (607) 391-2589
Photo of Christine Tyrrell Baker, Psychologist, PhD
Christine Tyrrell Baker
Psychologist, PhD
3 Endorsed
Serves Area
Hello, I am Christine Tyrrell Baker, PhD and I am the founder of WellBeing CNY. We specialize in working with people who feel stuck and want to try a new approach. People benefit from our services who are feeling fearful, overwhelmed, on edge, helpless, hopeless, or tired. They may be struggling with anxiety, depression, or symptoms of PTSD.
Hello, I am Christine Tyrrell Baker, PhD and I am the founder of WellBeing CNY. We specialize in working with people who feel stuck and want to try a new approach. People benefit from our services who are feeling fearful, overwhelmed, on edge, helpless, hopeless, or tired. They may be struggling with anxiety, depression, or symptoms of PTSD.
(315) 231-6032 View (315) 231-6032
Photo of Riansimone Harris, LPMFT
Riansimone Harris
Verified Verified
3 Endorsed
Serves Area
Life transitions, relational challenges, and unresolved trauma can leave you feeling stuck, anxious, or disconnected. Many of my clients come to therapy seeking relief from these struggles, hoping to feel more balanced, connected, and aligned with their authentic selves.
Life transitions, relational challenges, and unresolved trauma can leave you feeling stuck, anxious, or disconnected. Many of my clients come to therapy seeking relief from these struggles, hoping to feel more balanced, connected, and aligned with their authentic selves.
(315) 860-0220 View (315) 860-0220
Photo of Barry Tavel, Clinical Social Work/Therapist
Barry Tavel
Clinical Social Work/Therapist
Serves Area
Helping you feel heard, supported, and empowered- Finding the right therapist can feel overwhelming, but at the heart of every successful therapeutic relationship is trust, empathy, and feeling truly heard. I work with clients of all ages who are navigating depression, anxiety, life transitions, medical concerns or challenges in the workplace
Helping you feel heard, supported, and empowered- Finding the right therapist can feel overwhelming, but at the heart of every successful therapeutic relationship is trust, empathy, and feeling truly heard. I work with clients of all ages who are navigating depression, anxiety, life transitions, medical concerns or challenges in the workplace
(845) 328-3933 View (845) 328-3933
Photo of Jeanette S Angeloro, Clinical Social Work/Therapist, LCSW
Jeanette S Angeloro
Clinical Social Work/Therapist, LCSW
Serves Area
Accepting New Clients. Authentic, respectful, accepting: I offer a therapeutic relationship and evidence-based treatment to help you live your best life. I believe that unresolved issues and problems have the power to control the direction of our lives and cause real pain. This pain can take the form of depression, anxiety, trouble regulating emotion, sleep problems and poor self esteem. Problems in relationships as well as coming to terms with loss can often be the hardest ones. Difficulties at work and questioning career choice are other important areas of our life that can be negatively effected.
Accepting New Clients. Authentic, respectful, accepting: I offer a therapeutic relationship and evidence-based treatment to help you live your best life. I believe that unresolved issues and problems have the power to control the direction of our lives and cause real pain. This pain can take the form of depression, anxiety, trouble regulating emotion, sleep problems and poor self esteem. Problems in relationships as well as coming to terms with loss can often be the hardest ones. Difficulties at work and questioning career choice are other important areas of our life that can be negatively effected.
(315) 279-3069 View (315) 279-3069
Photo of Katie McQuaide - Alliance Counseling, LCSW, PLLC, Clinical Social Work/Therapist, LCSW-R
Alliance Counseling, LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
5 Endorsed
Serves Area
At Alliance Counseling, I aim to help children thrive at their highest potential. I approach each child with the understanding that they are doing their best and come with their own inherent strengths and abilities. Difficulties with self-regulation may create barriers for some children to use these skills and abilities most effectively. My services aim to reduce those barriers. I value and respect the expertise that each parent or caregiver has of their child. Treatment takes a collaborative approach, combining the knowledge and experience of families with my clinical expertise as an ADHD Certified Clinical Service Provider.
At Alliance Counseling, I aim to help children thrive at their highest potential. I approach each child with the understanding that they are doing their best and come with their own inherent strengths and abilities. Difficulties with self-regulation may create barriers for some children to use these skills and abilities most effectively. My services aim to reduce those barriers. I value and respect the expertise that each parent or caregiver has of their child. Treatment takes a collaborative approach, combining the knowledge and experience of families with my clinical expertise as an ADHD Certified Clinical Service Provider.
(315) 667-1630 View (315) 667-1630
Photo of Erica Brier-Kennedy, Marriage & Family Therapist, LMFT-D, CASAC, CCTP, CIMHP
Erica Brier-Kennedy
Marriage & Family Therapist, LMFT-D, CASAC, CCTP, CIMHP
4 Endorsed
Serves Area
Life’s challenges can feel overwhelming, and having a safe, confidential space to explore emotions and relationships can make all the difference. I work with individuals, couples, and families who are navigating a wide range of concerns—from young adults struggling with self-esteem, to partners seeking deeper connection, to families impacted by addiction, and new mothers adjusting to postpartum anxiety or depression. With more than 18 years of clinical experience, I provide both short-term and long-term therapy for adolescents and adults.
Life’s challenges can feel overwhelming, and having a safe, confidential space to explore emotions and relationships can make all the difference. I work with individuals, couples, and families who are navigating a wide range of concerns—from young adults struggling with self-esteem, to partners seeking deeper connection, to families impacted by addiction, and new mothers adjusting to postpartum anxiety or depression. With more than 18 years of clinical experience, I provide both short-term and long-term therapy for adolescents and adults.
(518) 405-6928 View (518) 405-6928
Photo of Meghan Kresge - Eastside Counseling Services, Clinical Social Work/Therapist, LCSW
Eastside Counseling Services
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
All people face challenges at certain times in their lives. We are a group practice with therapists who possess are variety of skills and expertise to focus on helping children and adults with a wide range of challenges including anxiety, depression, ADHD, ASD, LGTBQ+ issues, grief, life transitions and more. We will work with you to identify your needs and goals and provide you with the tools and skills you need to reach them in a supportive and confidential environment.
All people face challenges at certain times in their lives. We are a group practice with therapists who possess are variety of skills and expertise to focus on helping children and adults with a wide range of challenges including anxiety, depression, ADHD, ASD, LGTBQ+ issues, grief, life transitions and more. We will work with you to identify your needs and goals and provide you with the tools and skills you need to reach them in a supportive and confidential environment.
(315) 505-8104 View (315) 505-8104
Photo of Bonnie Dekin, Marriage & Family Therapist, MS, LMFT
Bonnie Dekin
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Serves Area
Now accepting new clients! Welcome! Let's collaborate and discover new potential and new strategies for life. Whether you are having feelings of anxiety, sadness, fears and worries, couple or family relationship issues I am here to help. I have advanced training to help you and your partner heal and reconnect. In addition, I offer clinical Emotionally Focused Therapy and Solution Focused Therapy. I work from an integrative/systemic perspective while considering Attachment Theory as it relates to all aspects of being human. I consider your unique perspectives and culture as we work together to help you heal.
Now accepting new clients! Welcome! Let's collaborate and discover new potential and new strategies for life. Whether you are having feelings of anxiety, sadness, fears and worries, couple or family relationship issues I am here to help. I have advanced training to help you and your partner heal and reconnect. In addition, I offer clinical Emotionally Focused Therapy and Solution Focused Therapy. I work from an integrative/systemic perspective while considering Attachment Theory as it relates to all aspects of being human. I consider your unique perspectives and culture as we work together to help you heal.
(315) 757-3580 View (315) 757-3580

See more therapy options for 13214

How does your Therapist compare?

Number of Therapists in 13214

40+

Average cost per session

$150

Therapists in 13214 who prioritize treating:

98% Anxiety
98% Social Anxiety
98% Health Anxiety
98% Driving Anxiety
77% Relationship Issues
77% Depression
77% Relationship Anxiety

Average years in practice

12 Years

Top 3 insurances accepted

74% Aetna
53% Cigna and Evernorth
50% UnitedHealthcare UHC | UBH

How Therapists in 13214 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 13214?

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.