Photo of Edward J Dicesare, PhD, Psychologist
Edward J Dicesare
Psychologist, PhD
Verified Verified
Rosemont, PA 19010
I practice a multi-modal approach which includes relational therapy, cognitive behavioral therapy and hypnotherapy, when indicated, in a family systems context. My approach is direct, problem solving oriented and skills building. Often my therapy attempts to increase a sense of well-being while increasing competence and mastery in engaging in the challenges of life.
I practice a multi-modal approach which includes relational therapy, cognitive behavioral therapy and hypnotherapy, when indicated, in a family systems context. My approach is direct, problem solving oriented and skills building. Often my therapy attempts to increase a sense of well-being while increasing competence and mastery in engaging in the challenges of life.
(610) 915-8237 View (610) 915-8237
Photo of Brian James Flatley, MS, BS, Pre-Licensed Professional
Brian James Flatley
Pre-Licensed Professional, MS, BS
Verified Verified
Bryn Mawr, PA 19010
I am a firm believer in the power of the therapeutic relationship. My goal is to utilize your expert knowledge of your own life in combination with my clinical background to create a better quality of life for you. We will achieve this by identifying stressors, processing unconscious troubles, and utilizing your strengths! I really enjoy witnessing the positive change in people's life that counseling makes.
I am a firm believer in the power of the therapeutic relationship. My goal is to utilize your expert knowledge of your own life in combination with my clinical background to create a better quality of life for you. We will achieve this by identifying stressors, processing unconscious troubles, and utilizing your strengths! I really enjoy witnessing the positive change in people's life that counseling makes.
(484) 749-0900 View (484) 749-0900
Photo of Dawn Altman, MS, LPC, Licensed Professional Counselor
Dawn Altman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Are you looking to find greater meaning and purpose in life? As a Jungian psychotherapist, I specialize in working with individuals experiencing life transitions, be it divorce, new parenthood, or midlife changes or loss. Anxiety, depression, loss of vitality, disordered eating, and addictions are symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
Are you looking to find greater meaning and purpose in life? As a Jungian psychotherapist, I specialize in working with individuals experiencing life transitions, be it divorce, new parenthood, or midlife changes or loss. Anxiety, depression, loss of vitality, disordered eating, and addictions are symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
(610) 991-7737 View (610) 991-7737
Photo of Natalie Petyk, PsyD, Psychologist
Natalie Petyk
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
Anyone seeking psychotherapy needs to sense a therapist's ability to deeply connect, to foster real vulnerability, without feeling judged. Some people desire help during personal crises or from a wish to grow. Others recognize a need for therapy after feeling stuck. Therapy can address symptoms that are more chronic in nature, which interfere with relationships or life satisfaction. Some people look for short-term therapy, to focus quickly on solution-oriented work, while others may feel more confusion about where to begin, needing time and support to clarify complicated thoughts and feelings. Together, we will develop your goals.
Anyone seeking psychotherapy needs to sense a therapist's ability to deeply connect, to foster real vulnerability, without feeling judged. Some people desire help during personal crises or from a wish to grow. Others recognize a need for therapy after feeling stuck. Therapy can address symptoms that are more chronic in nature, which interfere with relationships or life satisfaction. Some people look for short-term therapy, to focus quickly on solution-oriented work, while others may feel more confusion about where to begin, needing time and support to clarify complicated thoughts and feelings. Together, we will develop your goals.
(484) 601-3995 View (484) 601-3995
Photo of Krista Mancarella, PsyD, Psychologist
Krista Mancarella
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010  (Online Only)
Concerns related to sex and intimacy are some of the most sensitive and personal. Experiencing sexual concerns, such as low sexual desire, erectile dysfunction, pelvic pain, or difficulty with orgasm no longer has to be secretive or embarrassing. Finding a therapist who is open, supportive, and has effective tools is imperative on the journey to satisfaction and pleasure. Using a Cognitive Behavioral & collaborative approach, I work with individuals or couples to help them further understand the concerns that effect them, their relationships, & their sexual functioning.
Concerns related to sex and intimacy are some of the most sensitive and personal. Experiencing sexual concerns, such as low sexual desire, erectile dysfunction, pelvic pain, or difficulty with orgasm no longer has to be secretive or embarrassing. Finding a therapist who is open, supportive, and has effective tools is imperative on the journey to satisfaction and pleasure. Using a Cognitive Behavioral & collaborative approach, I work with individuals or couples to help them further understand the concerns that effect them, their relationships, & their sexual functioning.
(215) 461-3711 View (215) 461-3711
Photo of David Yusko, PsyD, Psychologist
David Yusko
Psychologist, PsyD
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
I am a licensed clinical psychologist and Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing compassionate evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat substance use disorders and work with athletes seeking to enhance performance through the mental aspect of competition. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of mindfulness and psychodynamic theory. I seek to help clients return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
I am a licensed clinical psychologist and Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing compassionate evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat substance use disorders and work with athletes seeking to enhance performance through the mental aspect of competition. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of mindfulness and psychodynamic theory. I seek to help clients return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
(610) 850-0319 View (610) 850-0319
Photo of Sara Ralph, MA, LPC, NCC, Licensed Professional Counselor
Sara Ralph
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
7 Endorsed
Bryn Mawr, PA 19010
Anxious. Overwhelmed. Stressed. Going away to college. Graduating college. Going through a break-up. Starting a new job. Moving. Newly married. Trying to figure out who you are in this season. Sound familiar? Let's chat! My clients are women in their 20s (some in college, some post-college trying to adjust to "real life") & 30s. Many are high achievers with great insight and are trying to gain clarity into their life's calling and/or relationships, while others have high-functioning anxiety, and still others are experiencing a stressful season of life and need help getting "unstuck."
Anxious. Overwhelmed. Stressed. Going away to college. Graduating college. Going through a break-up. Starting a new job. Moving. Newly married. Trying to figure out who you are in this season. Sound familiar? Let's chat! My clients are women in their 20s (some in college, some post-college trying to adjust to "real life") & 30s. Many are high achievers with great insight and are trying to gain clarity into their life's calling and/or relationships, while others have high-functioning anxiety, and still others are experiencing a stressful season of life and need help getting "unstuck."
(484) 514-1547 View (484) 514-1547
Photo of Peter Lewis, LCSW, Clinical Social Work/Therapist
Peter Lewis
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010
Life is complicated and it can get heavy and messy. It feels like things have been turned upside down. Some situations feel like a funhouse mirror and you want out of the funhouse but you don’t know how to find the exit. Life's tasks fall to the side. Your social life feels confusing. Hobbies feel meaningless. Self-care can be difficult. Friends and family offer their support, but their well-intentioned help doesn't always land the way you need it to. No one seems to understand what you’re going through. It's like a two-ton boulder is blocking your path. All you want to do is hide, but you know that's not who you are at your core.
Life is complicated and it can get heavy and messy. It feels like things have been turned upside down. Some situations feel like a funhouse mirror and you want out of the funhouse but you don’t know how to find the exit. Life's tasks fall to the side. Your social life feels confusing. Hobbies feel meaningless. Self-care can be difficult. Friends and family offer their support, but their well-intentioned help doesn't always land the way you need it to. No one seems to understand what you’re going through. It's like a two-ton boulder is blocking your path. All you want to do is hide, but you know that's not who you are at your core.
(610) 998-3238 View (610) 998-3238
Photo of Dawn Amey, MSW, LCSW, BCBA, Clinical Social Work/Therapist
Dawn Amey
Clinical Social Work/Therapist, MSW, LCSW, BCBA
Verified Verified
Bryn Mawr, PA 19010
My practice focuses on helping preteens, teens, and young adults and/or their families feel better via individual and group treatment. Seeking help and accepting guidance can be the first steps toward creating the life you want and deserve.
My practice focuses on helping preteens, teens, and young adults and/or their families feel better via individual and group treatment. Seeking help and accepting guidance can be the first steps toward creating the life you want and deserve.
(302) 360-8086 View (302) 360-8086
Photo of Dr. Thomas Smith, PsyD, Psychologist
Dr. Thomas Smith
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
If you or your family are struggling to understand and support one another, I'm here to help. I primarily work with families and individuals dealing with conflicts, communication issues, and struggling through mental health crises. By aiming to strengthen bonds and promote compassionate yet direct communication. We’ll work together to create a nurturing environment and promote personal growth. Reach out so we can start challenging you to face stress and conflict head on.
If you or your family are struggling to understand and support one another, I'm here to help. I primarily work with families and individuals dealing with conflicts, communication issues, and struggling through mental health crises. By aiming to strengthen bonds and promote compassionate yet direct communication. We’ll work together to create a nurturing environment and promote personal growth. Reach out so we can start challenging you to face stress and conflict head on.
(484) 969-9350 View (484) 969-9350
Photo of Karen Kleiman - The Postpartum Stress Center, LLC
The Postpartum Stress Center, LLC
Verified Verified
Bryn Mawr, PA 19010  (Online Only)
We are a virtual practice dedicated to maternal wellness, serving the needs of pregnant and postpartum women and their families for almost 40 years. Our team is comprised of highly skilled therapists who are social workers, psychologists and psychiatrists and have received advanced training in the treatment of prenatal and postpartum depression and anxiety. Our practice is not limited to this area of specialty as we provide general counseling for adolescents, adults and couples.
We are a virtual practice dedicated to maternal wellness, serving the needs of pregnant and postpartum women and their families for almost 40 years. Our team is comprised of highly skilled therapists who are social workers, psychologists and psychiatrists and have received advanced training in the treatment of prenatal and postpartum depression and anxiety. Our practice is not limited to this area of specialty as we provide general counseling for adolescents, adults and couples.
(610) 822-2577 View (610) 822-2577
Photo of Rachael Ariel Scott, MA, LPC, RPT, Licensed Professional Counselor
Rachael Ariel Scott
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Bryn Mawr, PA 19010
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
(484) 699-0930 View (484) 699-0930
Photo of Catherine Schuler, PsyD, Psychologist
Catherine Schuler
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
I specialize in providing evidence-based treatment for the full spectrum of anxiety disorders - including OCD, generalized anxiety disorder, panic disorder, and specific phobias including emetophobia - for individuals 18+. If you find yourself stuck in patterns of avoidance, reliance on safety behaviors, need for reassurance from loved ones, or self-doubt, you may be living with one of these disorders. If you are ready to break free of these patterns and engage more fully with your life, I encourage you to reach out to see if therapy with me is a good fit.
I specialize in providing evidence-based treatment for the full spectrum of anxiety disorders - including OCD, generalized anxiety disorder, panic disorder, and specific phobias including emetophobia - for individuals 18+. If you find yourself stuck in patterns of avoidance, reliance on safety behaviors, need for reassurance from loved ones, or self-doubt, you may be living with one of these disorders. If you are ready to break free of these patterns and engage more fully with your life, I encourage you to reach out to see if therapy with me is a good fit.
(484) 946-4363 x516 View (484) 946-4363 x516
Photo of Melea Sayward, MS, LPC, LMHC, Licensed Professional Counselor
Melea Sayward
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
Bryn Mawr, PA 19010  (Online Only)
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
(484) 603-3961 View (484) 603-3961
Photo of Deborah DiLazzero, PsyD, Psychologist
Deborah DiLazzero
Psychologist, PsyD
Verified Verified
Rosemont, PA 19010  (Online Only)
As a psychologist, I help people explore their thoughts, feelings and relationships in a supportive environment. I enjoy collaborating with people to identify their strengths, while working to change behaviors and attitudes that are no longer effective. Often people come to therapy because they are not able to follow through with goals, even though they really want to change. It is my goal to help them understand the emotional obstacles that are keeping them "stuck," and options for making the changes they desire. I encourage clients to become more intentional in their choices and to take steps towards change.
As a psychologist, I help people explore their thoughts, feelings and relationships in a supportive environment. I enjoy collaborating with people to identify their strengths, while working to change behaviors and attitudes that are no longer effective. Often people come to therapy because they are not able to follow through with goals, even though they really want to change. It is my goal to help them understand the emotional obstacles that are keeping them "stuck," and options for making the changes they desire. I encourage clients to become more intentional in their choices and to take steps towards change.
(484) 986-0314 View (484) 986-0314
Photo of Christina DiChiara, PsyD, MS, Psychologist
Christina DiChiara
Psychologist, PsyD, MS
Verified Verified
Bryn Mawr, PA 19010
I specialize in helping people recover from serious trauma, obsessive-compulsive disorder, and anxiety disorders. I have focused my entire career on developing expertise in helping people with theses specific issues - it's depth, not breadth! There is nothing more rewarding to me than helping someone else use effective tools to break out of suffering and live the life they want to be living!
I specialize in helping people recover from serious trauma, obsessive-compulsive disorder, and anxiety disorders. I have focused my entire career on developing expertise in helping people with theses specific issues - it's depth, not breadth! There is nothing more rewarding to me than helping someone else use effective tools to break out of suffering and live the life they want to be living!
(484) 749-8912 View (484) 749-8912
Photo of Jeannine C Alvare', MSSW, LCSW, Clinical Social Work/Therapist
Jeannine C Alvare'
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Bryn Mawr, PA 19010
I believe that mental health reflects a balance between an individual's emotional functioning and his/her family, friends and community. I support patients in their personal awareness and integration of the mind, body and spirit. I have extensive clinical experience with individuals and families addressing concerns such as: Anxiety, Autistic Spectrum, Attention Deficit Disorders, Bi-Polar Disorder, Depression, Eating Disorders, Learning Differences, Oppositional/Defiant Behaviors, Personality Disorders, Postpartum Depression and Psychological responses to life changes. I offer additional expertise in bi-cultural/racial issues, chronic illness, co-parenting, LGBT community, interfaith marriage and sibling rivalry.
I believe that mental health reflects a balance between an individual's emotional functioning and his/her family, friends and community. I support patients in their personal awareness and integration of the mind, body and spirit. I have extensive clinical experience with individuals and families addressing concerns such as: Anxiety, Autistic Spectrum, Attention Deficit Disorders, Bi-Polar Disorder, Depression, Eating Disorders, Learning Differences, Oppositional/Defiant Behaviors, Personality Disorders, Postpartum Depression and Psychological responses to life changes. I offer additional expertise in bi-cultural/racial issues, chronic illness, co-parenting, LGBT community, interfaith marriage and sibling rivalry.
(484) 494-2899 View (484) 494-2899
Photo of Karolina Lazarov, LPC, LBC, PMH-C, MS, MA, Licensed Professional Counselor
Karolina Lazarov
Licensed Professional Counselor, LPC, LBC, PMH-C, MS, MA
Verified Verified
Bryn Mawr, PA 19010
I believe that life can be challenging at times. Sometimes we feel unhappy, overwhelmed, stressed out, tired or simply “stuck.” In those moments, we want to have this one person who could truly hear us, listen to our deep thoughts and allow us to be authentic. Whether you are juggling motherhood, postpartum difficulties, life transitioning, career, familial responsibilities, anxiety, depression, or low self-confidence, I believe that I can be there for you. Together we will identify your strengths, build on your resilience, develop practical coping strategies to help you overcome your challenges and live more balanced life .
I believe that life can be challenging at times. Sometimes we feel unhappy, overwhelmed, stressed out, tired or simply “stuck.” In those moments, we want to have this one person who could truly hear us, listen to our deep thoughts and allow us to be authentic. Whether you are juggling motherhood, postpartum difficulties, life transitioning, career, familial responsibilities, anxiety, depression, or low self-confidence, I believe that I can be there for you. Together we will identify your strengths, build on your resilience, develop practical coping strategies to help you overcome your challenges and live more balanced life .
(267) 915-6026 View (267) 915-6026
Photo of Michele Marianne Rice, MS, LPC, Licensed Professional Counselor
Michele Marianne Rice
Licensed Professional Counselor, MS, LPC
Verified Verified
Bryn Mawr, PA 19010
I use cognitive behavioral therapy to help my clients with marriage and relationship problems, depression, anxiety, substance abuse, and other issues. I take a proactive, holistic approach to effect changes not only in thinking but in behaviors, in order to promote increased well-being, contentment, and self esteem. I enjoy working with adolescents and adults, and maintain flexible working hours to accomodate work and school schedules. My practice is in network with several managed care companies, or I can assist you in filing a claim with your insurance company.
I use cognitive behavioral therapy to help my clients with marriage and relationship problems, depression, anxiety, substance abuse, and other issues. I take a proactive, holistic approach to effect changes not only in thinking but in behaviors, in order to promote increased well-being, contentment, and self esteem. I enjoy working with adolescents and adults, and maintain flexible working hours to accomodate work and school schedules. My practice is in network with several managed care companies, or I can assist you in filing a claim with your insurance company.
(484) 263-0572 View (484) 263-0572
Photo of Patricia Woods, LPC, BCC, Licensed Professional Counselor
Patricia Woods
Licensed Professional Counselor, LPC, BCC
Verified Verified
Bryn Mawr, PA 19010
Welcome. The choice to take action towards creating positive change in your life is a big step. I bring twenty-five years of holistic experience to our work, skills that combine traditional therapies, coaching strategies, and the integration of mindfulness/meditation from my yoga background. We often work to reduce emotional reactivity, utilize breathing and relaxation skills to help you to be more present in your life, as well as helping you to slow things down in stressful situations. You develop greater awareness of thoughts/feelings, as well as greater self-understanding related to old patterns that may have kept you stuck.
Welcome. The choice to take action towards creating positive change in your life is a big step. I bring twenty-five years of holistic experience to our work, skills that combine traditional therapies, coaching strategies, and the integration of mindfulness/meditation from my yoga background. We often work to reduce emotional reactivity, utilize breathing and relaxation skills to help you to be more present in your life, as well as helping you to slow things down in stressful situations. You develop greater awareness of thoughts/feelings, as well as greater self-understanding related to old patterns that may have kept you stuck.
(215) 316-9153 View (215) 316-9153

How does your Therapist compare?

Number of Therapists in 19010

300+

Average cost per session

$161

Therapists in 19010 who prioritize treating:

95% Anxiety
89% Depression
80% Relationship Issues
73% Self Esteem
66% Trauma and PTSD
63% Coping Skills
63% Stress

Average years in practice

14 Years

Top 3 insurances accepted

70% Aetna
55% Highmark
52% UnitedHealthcare UHC | UBH

How Therapists in 19010 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 19010?

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.