Therapists in 19105

Photo of Sara M Evans, Psychologist, PsyD
Sara M Evans
Psychologist, PsyD
Serves Area
I am a clinical psychologist and certified school psychologist who specializes in private school admissions testing, psychoeducational testing to determine the presence of learning disabilities or ADHD, parent counseling, and therapy with children, adolescents, college students, and adults.
I am a clinical psychologist and certified school psychologist who specializes in private school admissions testing, psychoeducational testing to determine the presence of learning disabilities or ADHD, parent counseling, and therapy with children, adolescents, college students, and adults.
(215) 970-2367 View (215) 970-2367
Photo of Kenneth L Johnson III, Clinical Social Work/Therapist, MLA, MSW, LSW
Kenneth L Johnson III
Clinical Social Work/Therapist, MLA, MSW, LSW
Serves Area
Are you looking for the "right" therapist? Let me help you! I've worked with thousands of clients over the years providing exceptional counseling services. I enjoy the process of working with clients who are working to make meaning of their lives. I assist my clients to address their anxiety, depression, stress, anger, life transition(s), decision making, academic/work performance, and other personal challenges. As such, I will provide you with a supportive and safe space to assist you in gaining insight into your life. My aim is to help you optimize your well being and create the life that you want to live. Therapy transforms!
Are you looking for the "right" therapist? Let me help you! I've worked with thousands of clients over the years providing exceptional counseling services. I enjoy the process of working with clients who are working to make meaning of their lives. I assist my clients to address their anxiety, depression, stress, anger, life transition(s), decision making, academic/work performance, and other personal challenges. As such, I will provide you with a supportive and safe space to assist you in gaining insight into your life. My aim is to help you optimize your well being and create the life that you want to live. Therapy transforms!
(215) 273-3977 View (215) 273-3977
Photo of Venessa Williams, Licensed Professional Counselor, LPC
Venessa Williams
Licensed Professional Counselor, LPC
Online Only
I aim to help clients improve overall functioning and increase their ability to better navigate and manage thoughts, feelings and needs in an effective way. As a person of color, I have been afforded unique opportunities growing up in Central Pennsylvania. While consistently celebrating my own cultural identity, I have also been exposed to a variety of other cultures and enriching experiences. I hope to utilize my own experiences and therapeutic approaches to assist others in feeling emotionally and mentally stable and secure as they progress through the therapeutic process.
I aim to help clients improve overall functioning and increase their ability to better navigate and manage thoughts, feelings and needs in an effective way. As a person of color, I have been afforded unique opportunities growing up in Central Pennsylvania. While consistently celebrating my own cultural identity, I have also been exposed to a variety of other cultures and enriching experiences. I hope to utilize my own experiences and therapeutic approaches to assist others in feeling emotionally and mentally stable and secure as they progress through the therapeutic process.
(570) 865-7920 View (570) 865-7920
Photo of Sarah Waxman, Clinical Social Work/Therapist, MSS, LCSW
Sarah Waxman
Clinical Social Work/Therapist, MSS, LCSW
1 Endorsed
Serves Area
Identifying a need for support and reaching out for help can feel vulnerable. In my practice, I foster a safe and nurturing environment to support your journey of self-exploration and healing. I see myself as a partner in your process. My style is warm and compassionate and I employ an integrative, collaborative and creative approach to therapy. I carefully attend to how our social location in the world and intersecting identities influence individual experience. We will begin by building an authentic relationship and co-creating a direction that fits your individual, therapeutic needs.
Identifying a need for support and reaching out for help can feel vulnerable. In my practice, I foster a safe and nurturing environment to support your journey of self-exploration and healing. I see myself as a partner in your process. My style is warm and compassionate and I employ an integrative, collaborative and creative approach to therapy. I carefully attend to how our social location in the world and intersecting identities influence individual experience. We will begin by building an authentic relationship and co-creating a direction that fits your individual, therapeutic needs.
(267) 214-8913 View (267) 214-8913
Photo of Beth Elise Jellinek - Beth Jellinek Counseling Services, LLC, Licensed Professional Counselor, MPhil, MS, MEd, LPC
Beth Jellinek Counseling Services, LLC
Licensed Professional Counselor, MPhil, MS, MEd, LPC
6 Endorsed
Online Only
My approach to therapy is holistic, with an awareness of cultural and systemic impacts on mental health. I bring deep empathy, openness, creativity, humor, warmth, and an intersectional lens to the therapeutic relationship. I believe that the therapy relationship and process can impact my clients ability to grow, heal, and reach their full potential. Areas of expertise include grief and loss, depression, anxiety, self-esteem, and interpersonal relationships. I am also a certified healing-centered coach and help folks (nationally) to navigate choices with intention and values-alignement.
My approach to therapy is holistic, with an awareness of cultural and systemic impacts on mental health. I bring deep empathy, openness, creativity, humor, warmth, and an intersectional lens to the therapeutic relationship. I believe that the therapy relationship and process can impact my clients ability to grow, heal, and reach their full potential. Areas of expertise include grief and loss, depression, anxiety, self-esteem, and interpersonal relationships. I am also a certified healing-centered coach and help folks (nationally) to navigate choices with intention and values-alignement.
(215) 960-9531 View (215) 960-9531
Photo of Valerie Rosen, Psychologist, PhD
Valerie Rosen
Psychologist, PhD
Serves Area
Waitlist for new clients
My goal as your therapist is to help you understand yourself better, take better care of yourself, and make healthier choices to enhance your relationships and meet your life goals. I try to understand your problems in the context of your personal life history, your family background, and your cultural identity.
My goal as your therapist is to help you understand yourself better, take better care of yourself, and make healthier choices to enhance your relationships and meet your life goals. I try to understand your problems in the context of your personal life history, your family background, and your cultural identity.
(267) 362-9982 View (267) 362-9982
Photo of Keneley Bautista, MS, NCC
Keneley Bautista
Verified Verified
8 Endorsed
Serves Area
Do you ever feel like your past is holding you back, or that your mind is always racing with no pause? Whether you're struggling with trauma, ADHD, executive functioning, or navigating relationships, you don’t have to figure it out alone. I provide a warm, supportive space where we work together to uncover patterns, develop new coping skills, and help you build the life you want. "I feel stuck"... "I keep repeating the same patterns"... "I want more control." There is no shame. You deserve to feel seen, safe and heard.
Do you ever feel like your past is holding you back, or that your mind is always racing with no pause? Whether you're struggling with trauma, ADHD, executive functioning, or navigating relationships, you don’t have to figure it out alone. I provide a warm, supportive space where we work together to uncover patterns, develop new coping skills, and help you build the life you want. "I feel stuck"... "I keep repeating the same patterns"... "I want more control." There is no shame. You deserve to feel seen, safe and heard.
(610) 840-6735 View (610) 840-6735
Photo of Kaitlin DiGiacinto-Turick, Marriage & Family Therapist, MA, LMFT, CST
Kaitlin DiGiacinto-Turick
Marriage & Family Therapist, MA, LMFT, CST
2 Endorsed
Online Only
Welcome! Congratulations on taking the first step on this adventure. I know finding the right therapist can be hard and a grueling process. For many clients this is the first time they have asked for help. I am passionate about creating a space for clients that is safe, freeing & nonjudgmental. I hope to do this through my multicultural background, interest in the client's perspective and the therapeutic relationship built. I operate from a systems & contextual framework where I believe clients are stuck, not sick. I work with clients to create goals and plans that are collaborative and empowering.
Welcome! Congratulations on taking the first step on this adventure. I know finding the right therapist can be hard and a grueling process. For many clients this is the first time they have asked for help. I am passionate about creating a space for clients that is safe, freeing & nonjudgmental. I hope to do this through my multicultural background, interest in the client's perspective and the therapeutic relationship built. I operate from a systems & contextual framework where I believe clients are stuck, not sick. I work with clients to create goals and plans that are collaborative and empowering.
View
Photo of Michael Quirk, Licensed Professional Counselor, LPC, MT-BC
Michael Quirk
Licensed Professional Counselor, LPC, MT-BC
1 Endorsed
Serves Area
I believe everyone is on a journey towards healing. Do you struggle with emotional pain, stuck patterns, or distressing memories that just won’t go away? I specialize in helping individuals—adults and children—heal and thrive through transformative approaches such as Eye Movement Desensitization and Reprocessing (EMDR) and Internal Family Systems (IFS) therapy.
I believe everyone is on a journey towards healing. Do you struggle with emotional pain, stuck patterns, or distressing memories that just won’t go away? I specialize in helping individuals—adults and children—heal and thrive through transformative approaches such as Eye Movement Desensitization and Reprocessing (EMDR) and Internal Family Systems (IFS) therapy.
(412) 895-2066 View (412) 895-2066
Photo of Jessica Avart, Psychologist, PsyD
Jessica Avart
Psychologist, PsyD
1 Endorsed
Serves Area
I have expertise in the evaluation, diagnosis, and treatment of a wide range of mental health disorders and/or developmental disabilities. I provide cognitive-behavioral therapy to adolescents, adults and families. Regarding my approach to therapy, first and foremost I strive to built a positive and supportive relationship with my clients. I focus on each persons individual needs, meeting the client where they are in the present moment. My goal is to provide positive support and a safe space for an individual to share their thoughts, feelings and experiences.
I have expertise in the evaluation, diagnosis, and treatment of a wide range of mental health disorders and/or developmental disabilities. I provide cognitive-behavioral therapy to adolescents, adults and families. Regarding my approach to therapy, first and foremost I strive to built a positive and supportive relationship with my clients. I focus on each persons individual needs, meeting the client where they are in the present moment. My goal is to provide positive support and a safe space for an individual to share their thoughts, feelings and experiences.
(215) 874-0440 View (215) 874-0440
Photo of Helson J Meirino, Clinical Social Work/Therapist, MSS, LCSW
Helson J Meirino
Clinical Social Work/Therapist, MSS, LCSW
2 Endorsed
Online Only
We are constantly transitioning and struggling with life experiences and relationships. Whether it is frustrations due to family or work interactions, or the grief and sadness that follows the death of a loved one, day to day life can be difficult to manage. When we learn how to manage our emotions, discuss what is making us uncomfortable, and work through a major life change, we can make the day to day more manageable. You are not alone in your struggles, and I hope to assist in your journey to making your life less stressful and more fulfilling. Please visit my website, linked above, for more information and scheduling.
We are constantly transitioning and struggling with life experiences and relationships. Whether it is frustrations due to family or work interactions, or the grief and sadness that follows the death of a loved one, day to day life can be difficult to manage. When we learn how to manage our emotions, discuss what is making us uncomfortable, and work through a major life change, we can make the day to day more manageable. You are not alone in your struggles, and I hope to assist in your journey to making your life less stressful and more fulfilling. Please visit my website, linked above, for more information and scheduling.
(215) 709-7490 View (215) 709-7490
Photo of Melissa Sziga Dessereau, Marriage & Family Therapist, LMFT, MA, CST
Melissa Sziga Dessereau
Marriage & Family Therapist, LMFT, MA, CST
2 Endorsed
Serves Area
Sziga is a perceptive and nuanced therapist with a refreshingly frank style. For over 25 years, they have been working with individuals, couples, and families to foster personal growth and satisfying relationships. They have a way of making clients feel comfortable, understood, and at ease — like no matter what you say they get it and don’t judge you. And they're funny.
Sziga is a perceptive and nuanced therapist with a refreshingly frank style. For over 25 years, they have been working with individuals, couples, and families to foster personal growth and satisfying relationships. They have a way of making clients feel comfortable, understood, and at ease — like no matter what you say they get it and don’t judge you. And they're funny.
(267) 705-6288 View (267) 705-6288
Photo of Hadley Roberts-Donnelly, Pre-Licensed Professional, LAPC, MPhilEd, MSEd
Hadley Roberts-Donnelly
Pre-Licensed Professional, LAPC, MPhilEd, MSEd
3 Endorsed
Serves Area
I work with individuals and couples who want to explore the origins of their distress and then work toward meaningful change. My specialties include navigating relational issues, the effects of trauma, sexuality/identity exploration, and anxiety & mood difficulties. I also work with children and adolescents, incorporating interventions from play and art therapy. Humans are built for connection, and when that connection is safe and supportive, we can begin to attend to the most vulnerable parts of our stories. I believe that - together - we have the ability to move through and forward from what has hurt us.
I work with individuals and couples who want to explore the origins of their distress and then work toward meaningful change. My specialties include navigating relational issues, the effects of trauma, sexuality/identity exploration, and anxiety & mood difficulties. I also work with children and adolescents, incorporating interventions from play and art therapy. Humans are built for connection, and when that connection is safe and supportive, we can begin to attend to the most vulnerable parts of our stories. I believe that - together - we have the ability to move through and forward from what has hurt us.
(484) 759-9245 View (484) 759-9245
Photo of Dr. Lori Kasmen - Anxiety & Agoraphobia Treatment Ctr (kids &adults), Psychologist, PsyD
Anxiety & Agoraphobia Treatment Ctr (kids &adults)
Psychologist, PsyD
1 Endorsed
Serves Area
AATC has a longstanding reputation as a leader in the field of anxiety treatment. We specialize in treating the full range of anxiety disorders, OCD, depression, general life stressors and related conditions, from mild to severe, for children, teens and adults. Our highly-trained, compassionate and caring team of psychologists are all experts, providing the most current, effective, evidence-based treatment so our clients get RESULTS. Cognitive- Behavioral Therapy (CBT), Exposure/Response Prevention (E/RP), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), psychodynamic therapy and mindfulness may all be utilized. These treatments are often short term and effective for the majority of people. Each client is unique, so your psychologist will collaborate with you so treatment meets your specific goals and needs. Both telehealth and in person options are available
AATC has a longstanding reputation as a leader in the field of anxiety treatment. We specialize in treating the full range of anxiety disorders, OCD, depression, general life stressors and related conditions, from mild to severe, for children, teens and adults. Our highly-trained, compassionate and caring team of psychologists are all experts, providing the most current, effective, evidence-based treatment so our clients get RESULTS. Cognitive- Behavioral Therapy (CBT), Exposure/Response Prevention (E/RP), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), psychodynamic therapy and mindfulness may all be utilized. These treatments are often short term and effective for the majority of people. Each client is unique, so your psychologist will collaborate with you so treatment meets your specific goals and needs. Both telehealth and in person options are available
(484) 436-4349 View (484) 436-4349
Photo of Ellen Singer Coleman, Clinical Social Work/Therapist, LCSW, CGP
Ellen Singer Coleman
Clinical Social Work/Therapist, LCSW, CGP
Serves Area
I am a licensed clinical social worker, psychotherapist and certified relational psychoanalyst with 35+ years of advanced training and clinical experience with adults. My extensive clinical experience working with both women and men has prepared me to understand and address a wide range of emotional issues and concerns that may trigger such feelings as stress, anxiety, depression or low self-esteem. Some areas of special interest include: women's issues; young adulthood; pregnancy and postpartum adjustment; parenthood concerns; separation and divorce; family, peer and work relationships. My approach in all my therapeutic relationships is supportive, human and compassionate.
I am a licensed clinical social worker, psychotherapist and certified relational psychoanalyst with 35+ years of advanced training and clinical experience with adults. My extensive clinical experience working with both women and men has prepared me to understand and address a wide range of emotional issues and concerns that may trigger such feelings as stress, anxiety, depression or low self-esteem. Some areas of special interest include: women's issues; young adulthood; pregnancy and postpartum adjustment; parenthood concerns; separation and divorce; family, peer and work relationships. My approach in all my therapeutic relationships is supportive, human and compassionate.
(215) 703-8833 View (215) 703-8833
Photo of Dr. Alishia Kalos, Psychologist, PsyD, CST
Dr. Alishia Kalos
Psychologist, PsyD, CST
2 Endorsed
Online Only
Therapy is an invaluable opportunity for individuals and couples to learn about themselves and the relationships that they want to cultivate. Whether you are thinking about working through a particular issue, hoping to gain clarity and focus in future decisions, or considering a short-term "check-up", I will work with you in a safe, non-judgmental space that cultivates compassion, healing, and growth. I believe in the power of building on each person/couple's strengths and discovering, through a collaborative approach, new ways to adapt and grow.
Therapy is an invaluable opportunity for individuals and couples to learn about themselves and the relationships that they want to cultivate. Whether you are thinking about working through a particular issue, hoping to gain clarity and focus in future decisions, or considering a short-term "check-up", I will work with you in a safe, non-judgmental space that cultivates compassion, healing, and growth. I believe in the power of building on each person/couple's strengths and discovering, through a collaborative approach, new ways to adapt and grow.
(267) 399-4002 View (267) 399-4002
Photo of Bill Coffey, Clinical Social Work/Therapist, LCSW
Bill Coffey
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
I have 40 years of experience in the addiction field including 12 years on a drug and alcohol unit in a psychiatric hospital. My work also includes clients dealing with depression and other mood issues. I have expertise working with couples and specialize in couples with addiction as a presenting issue.
I have 40 years of experience in the addiction field including 12 years on a drug and alcohol unit in a psychiatric hospital. My work also includes clients dealing with depression and other mood issues. I have expertise working with couples and specialize in couples with addiction as a presenting issue.
(215) 987-4047 View (215) 987-4047
Photo of Jessica Volzone, Clinical Social Work/Therapist, LSW
Jessica Volzone
Clinical Social Work/Therapist, LSW
6 Endorsed
Online Only
Life can feel overwhelming and confusing at times. Daily stressors can be further complicated by worry, frustration, or trauma from our past; even contributing to feelings of hopelessness or depression. When life gets difficult, it’s okay to ask for help. By showing up in this space you have taken the first step in your therapy journey, and I’m so glad you’re here. Let’s work together to get you where you want to be, starting right where you are today. I would love to show you some great tools that can help you take your life back. My approach to therapy is conversational, down to earth, and empathetic.
Life can feel overwhelming and confusing at times. Daily stressors can be further complicated by worry, frustration, or trauma from our past; even contributing to feelings of hopelessness or depression. When life gets difficult, it’s okay to ask for help. By showing up in this space you have taken the first step in your therapy journey, and I’m so glad you’re here. Let’s work together to get you where you want to be, starting right where you are today. I would love to show you some great tools that can help you take your life back. My approach to therapy is conversational, down to earth, and empathetic.
(272) 444-3813 View (272) 444-3813
Photo of Paromita Kar Haye, Marriage & Family Therapist, LMFT
Paromita Kar Haye
Marriage & Family Therapist, LMFT
Online Only
Despite your best intentions and efforts, do you feel stuck in your personal life, intimate relationships, family relationships or workplace? You may be faced with challenges that are deeply rooted in your early life experiences, your primary attachments, in how you view the world, or due to misunderstanding between you and significant others. Challenges can arise during stressful life transitions, such as divorce or death of loved ones. But they can also arise from positive life experiences, such as marriage or the birth of a child. Left untreated, these challenges can grow into chronic problems that can corrode your sense of self and your relationships.
Despite your best intentions and efforts, do you feel stuck in your personal life, intimate relationships, family relationships or workplace? You may be faced with challenges that are deeply rooted in your early life experiences, your primary attachments, in how you view the world, or due to misunderstanding between you and significant others. Challenges can arise during stressful life transitions, such as divorce or death of loved ones. But they can also arise from positive life experiences, such as marriage or the birth of a child. Left untreated, these challenges can grow into chronic problems that can corrode your sense of self and your relationships.
(267) 519-1318 View (267) 519-1318
Photo of Christina Lecker, Psychologist, PhD
Christina Lecker
Psychologist, PhD
Serves Area
Therapy is a unique and personal experience. Whether this is your first time considering therapy, or you are moving into a new phase of your therapeutic journey, therapy is a safe space for self-exploration, growth, and discovery. I work psychodynamically and relationally, within a multicultural framework. I have worked extensively with young adults, adults, and couples in a wide range of settings. My areas of specialty are anxiety, depression, and other mood concerns; grief, loss, and bereavement; life transitions; relationships and family issues; and disordered eating and body image concerns.
Therapy is a unique and personal experience. Whether this is your first time considering therapy, or you are moving into a new phase of your therapeutic journey, therapy is a safe space for self-exploration, growth, and discovery. I work psychodynamically and relationally, within a multicultural framework. I have worked extensively with young adults, adults, and couples in a wide range of settings. My areas of specialty are anxiety, depression, and other mood concerns; grief, loss, and bereavement; life transitions; relationships and family issues; and disordered eating and body image concerns.
(267) 983-6053 View (267) 983-6053

See more therapy options for 19105

How does your Therapist compare?

Number of Therapists in 19105

20+

Average cost per session

$150

Therapists in 19105 who prioritize treating:

92% Relationship Issues
92% Depression
92% Anxiety
85% Self Esteem
77% Family Conflict
77% Coping Skills
58% Grief

Average years in practice

12 Years

Top 3 insurances accepted

73% BlueCross and BlueShield
73% Highmark
55% Aetna

How Therapists in 19105 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

80% Female
16% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 19105?

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.