Therapists in 33626

Photo of Dr. Marina Unrod, Psychologist, PhD
Dr. Marina Unrod
Psychologist, PhD
Tampa, FL 33626
Finding a therapist that is right for you is the key to making meaningful changes and reducing emotional suffering. If you often feel anxious, overwhelmed, exhausted, or stuck, then you are taking an important step toward self-understanding and self awareness that lead to improved quality of life. I work with individuals experiencing anxiety, depression, grief, chronic illness, addiction, high levels of stress, and adjustment to life transitions. I am licensed in the states of New York and Florida and I offer in-person and telehealth sessions to clients in the Tampa Bay area as well as telehealth sessions to clients in New York.
Finding a therapist that is right for you is the key to making meaningful changes and reducing emotional suffering. If you often feel anxious, overwhelmed, exhausted, or stuck, then you are taking an important step toward self-understanding and self awareness that lead to improved quality of life. I work with individuals experiencing anxiety, depression, grief, chronic illness, addiction, high levels of stress, and adjustment to life transitions. I am licensed in the states of New York and Florida and I offer in-person and telehealth sessions to clients in the Tampa Bay area as well as telehealth sessions to clients in New York.
(813) 492-2509 View (813) 492-2509
Photo of Mario S. Rodriguez, Psychologist, PhD, MSCP
Mario S. Rodriguez
Psychologist, PhD, MSCP
Tampa, FL 33626
As a clinical psychologist with over 25 years of experience, I help individuals deal with a wide range of mental and physical health issues, including stress, anxiety, depression, acute and chronic illness, psychiatric disorders, chronic pain, eating & weight-related problems, grief/loss, trauma, etc. With a warm, caring, and non-judgmental approach, I provide the emotional support, guidance, and evidence-based treatments you may need to overcome your challenges and recover from your debilitating symptoms. Working together, we can return you to an optimal level of functioning the happy and healthy life you
As a clinical psychologist with over 25 years of experience, I help individuals deal with a wide range of mental and physical health issues, including stress, anxiety, depression, acute and chronic illness, psychiatric disorders, chronic pain, eating & weight-related problems, grief/loss, trauma, etc. With a warm, caring, and non-judgmental approach, I provide the emotional support, guidance, and evidence-based treatments you may need to overcome your challenges and recover from your debilitating symptoms. Working together, we can return you to an optimal level of functioning the happy and healthy life you
(813) 659-5834 View (813) 659-5834
Photo of Ana Aluisy - Come Get Help, LLC, Counselor, PhD, LMHC, LMFT
Come Get Help, LLC
Counselor, PhD, LMHC, LMFT
8 Endorsed
Tampa, FL 33626
WE ARE ACCEPTING NEW CLIENTS. We have immediate openings for tele-therapy (video or phone sessions) and would be honored to support you during this time of uncertainty. We're living a difficult time in history, where our stress levels can affect all areas of our lives. If you feel hopeless about a better future and have done everything in your power to make things better, maybe we can help. You don't have to go through this alone. Looking for professional help is the first step towards a better future.
WE ARE ACCEPTING NEW CLIENTS. We have immediate openings for tele-therapy (video or phone sessions) and would be honored to support you during this time of uncertainty. We're living a difficult time in history, where our stress levels can affect all areas of our lives. If you feel hopeless about a better future and have done everything in your power to make things better, maybe we can help. You don't have to go through this alone. Looking for professional help is the first step towards a better future.
(813) 364-0741 View (813) 364-0741
Photo of Andrea N Eschrich, Psychologist, PsyD
Andrea N Eschrich
Psychologist, PsyD
Online Only
I have over 12 years of experience working in multiple settings. After extensive training and practice, I have narrowed my private practice to especially focus on my greatest passions of empowerment, assertiveness, relationships, health & wellness, perinatal challenges, and "mompreneurship." So many of us struggle with self-esteem issues, assertiveness/boundary issues and the need for greater balance with work, family and self-care. I help people find their voice, their self-worth, improve their relationships and time management so that they can live a great lifestyle that fosters happiness and wellness.
I have over 12 years of experience working in multiple settings. After extensive training and practice, I have narrowed my private practice to especially focus on my greatest passions of empowerment, assertiveness, relationships, health & wellness, perinatal challenges, and "mompreneurship." So many of us struggle with self-esteem issues, assertiveness/boundary issues and the need for greater balance with work, family and self-care. I help people find their voice, their self-worth, improve their relationships and time management so that they can live a great lifestyle that fosters happiness and wellness.
(727) 677-0981 View (727) 677-0981
Photo of Dawn Head, Clinical Social Work/Therapist, MSW, LCSW
Dawn Head
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Online Only
Are you overwhelmed with life stressors, anxiety, depression, trauma, or chronic pain? If so, please email me to discuss working together. My focus is helping adults deal with these challenges in order to function their best and have a more fulfilling, peaceful, and joyful life.
Are you overwhelmed with life stressors, anxiety, depression, trauma, or chronic pain? If so, please email me to discuss working together. My focus is helping adults deal with these challenges in order to function their best and have a more fulfilling, peaceful, and joyful life.
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Photo of Dr. Suchithra Hirode, Psychologist, PhD
Dr. Suchithra Hirode
Psychologist, PhD
Online Only
If Anxiety, Depression, Anger, Stress, Trauma or Relationship Problems are some issues that you are frequently dealing with, I will help you resolve them. With over 20 years of experience, the main focus of my treatment is to help resolve difficult issues effectively and rapidly using a holistic approach. I treat teens, young adults and adults. My main therapy orientation is CBT (Cognitive Behavioral Therapy). I incorporate relaxation techniques, such as 'Breathing', 'Progressive Muscle Relaxation' and 'Mindfulness' in my sessions as part of the holistic approach to treatment. I am also trained in DBT techniques.
If Anxiety, Depression, Anger, Stress, Trauma or Relationship Problems are some issues that you are frequently dealing with, I will help you resolve them. With over 20 years of experience, the main focus of my treatment is to help resolve difficult issues effectively and rapidly using a holistic approach. I treat teens, young adults and adults. My main therapy orientation is CBT (Cognitive Behavioral Therapy). I incorporate relaxation techniques, such as 'Breathing', 'Progressive Muscle Relaxation' and 'Mindfulness' in my sessions as part of the holistic approach to treatment. I am also trained in DBT techniques.
(813) 400-2734 View (813) 400-2734
Photo of Aarti Mathur, Psychologist, PsyD
Aarti Mathur
Psychologist, PsyD
Tampa, FL 33626
I started my professional training in psychology in 1988, earning three masters and a doctorate degree. My training has focused extensively on working with adults and children in out-patient, in-patient and residential settings. I have served as an adjunct faculty at Argosy University and conducted workshops to facilitate awareness of mental health issues . I am contracted with QTC Medical group - a group through the Department of Veterans Affairs, to provide psychological services to our veterans.
I started my professional training in psychology in 1988, earning three masters and a doctorate degree. My training has focused extensively on working with adults and children in out-patient, in-patient and residential settings. I have served as an adjunct faculty at Argosy University and conducted workshops to facilitate awareness of mental health issues . I am contracted with QTC Medical group - a group through the Department of Veterans Affairs, to provide psychological services to our veterans.
(813) 701-2570 View (813) 701-2570
Photo of Rana Attalla, Registered Mental Health Counselor Intern, RMHCI
Rana Attalla
Registered Mental Health Counselor Intern, RMHCI
2 Endorsed
Tampa, FL 33626
Are you feeling anxious, overwhelmed or depressed from life challenges or relationships? Perhaps you feel stuck in the same patterns that you can’t get out of, no matter how hard you try? Maybe you feel inadequate among friends or family? You’re not alone. Hello my name is Rana and my goal is to create a safe space where you can feel seen, heard and understood. I truly enjoy working with children, teens and adults of all ages and stages in life. My speciality areas include anxiety, depression, trauma, ADHD, adjustment, and relationship issues.
Are you feeling anxious, overwhelmed or depressed from life challenges or relationships? Perhaps you feel stuck in the same patterns that you can’t get out of, no matter how hard you try? Maybe you feel inadequate among friends or family? You’re not alone. Hello my name is Rana and my goal is to create a safe space where you can feel seen, heard and understood. I truly enjoy working with children, teens and adults of all ages and stages in life. My speciality areas include anxiety, depression, trauma, ADHD, adjustment, and relationship issues.
(727) 493-9391 View (727) 493-9391
Photo of Ha Alberti, Clinical Social Work/Therapist, LCSW
Ha Alberti
Clinical Social Work/Therapist, LCSW
1 Endorsed
Tampa, FL 33626
Are you feeling stuck or overwhelmed by life's challenges? You don't have to struggle alone anymore. Allow me to walk beside you and offer support. As your therapist, my mission is to provide a safe haven where you can feel understood and validated. I will help you to identify the root cause of your pain, provide you with skills to deal with life's challenges, and maximize your potential for personal growth and fulfillment.
Are you feeling stuck or overwhelmed by life's challenges? You don't have to struggle alone anymore. Allow me to walk beside you and offer support. As your therapist, my mission is to provide a safe haven where you can feel understood and validated. I will help you to identify the root cause of your pain, provide you with skills to deal with life's challenges, and maximize your potential for personal growth and fulfillment.
(813) 906-1492 View (813) 906-1492
Photo of Joseph Rowe, Licensed Mental Health Counselor, LMHC
Joseph Rowe
Licensed Mental Health Counselor, LMHC
Westchase, FL 33626
My ideal client is someone who enters into therapy curious about themselves and seeking self-improvement on a daily basis. This client wants help with everyday struggles such as: relationship issues, anxiety, feelings of sadness, or stress related to life circumstances. My ideal client knows what they want and has the tools to improve themselves but needs help in finding these answers within themselves. I view therapy as a collaborative effort in which the client and I work together to find relief.
My ideal client is someone who enters into therapy curious about themselves and seeking self-improvement on a daily basis. This client wants help with everyday struggles such as: relationship issues, anxiety, feelings of sadness, or stress related to life circumstances. My ideal client knows what they want and has the tools to improve themselves but needs help in finding these answers within themselves. I view therapy as a collaborative effort in which the client and I work together to find relief.
(727) 228-6423 View (727) 228-6423
Photo of Erica Knoblock, Licensed Mental Health Counselor, LMHC
Erica Knoblock
Licensed Mental Health Counselor, LMHC
Online Only
Congratulations on taking the first steps toward your goal of change. As a guide on the path of your transformation, we will work collaboratively. This is your life. I am here to facilitate as much change and growth as feels comfortable to you.
Congratulations on taking the first steps toward your goal of change. As a guide on the path of your transformation, we will work collaboratively. This is your life. I am here to facilitate as much change and growth as feels comfortable to you.
(813) 531-9917 View (813) 531-9917
Photo of Jetlexis Carlos, Marriage & Family Therapist, PhD, LMFT
Jetlexis Carlos
Marriage & Family Therapist, PhD, LMFT
2 Endorsed
Online Only
Not accepting new clients
I am best reached by email. As a relational therapist, I want to provide a safe space to explore the different aspects of yourself and the relationships around you. Relationships are complex, the ones we have with others, but especially the relationship with ourselves. We may find ourselves stuck in problematic thoughts and patterns, which can be challenging to change alone. Maybe you feel unmotivated, uninspired, unsure of your future, frustrated with your relationships, or uncertain about how to address your concerns constructively without the discussion turning into a fight.
I am best reached by email. As a relational therapist, I want to provide a safe space to explore the different aspects of yourself and the relationships around you. Relationships are complex, the ones we have with others, but especially the relationship with ourselves. We may find ourselves stuck in problematic thoughts and patterns, which can be challenging to change alone. Maybe you feel unmotivated, uninspired, unsure of your future, frustrated with your relationships, or uncertain about how to address your concerns constructively without the discussion turning into a fight.
(813) 212-9269 View (813) 212-9269
Photo of Victoria Pieper, Clinical Social Work/Therapist, MSW, LCSW, CCTP
Victoria Pieper
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Online Only
For the past 8 years, I’ve worked with clients dealing with generational trauma, depression or anxiety. Many of them are also struggling with domestic violence, substance abuse, chronic health conditions or issues arising from growing up in the foster care system. One thing they all have in common is a desire to develop a self care plan to manage their emotions and thoughts. The goal is to become more comfortable and confident. We discuss tools for detaching from dysfunctional behavior and learn interventions to use in social situations, such as: incorporating a fitness routine, meditation and mindfulness.
For the past 8 years, I’ve worked with clients dealing with generational trauma, depression or anxiety. Many of them are also struggling with domestic violence, substance abuse, chronic health conditions or issues arising from growing up in the foster care system. One thing they all have in common is a desire to develop a self care plan to manage their emotions and thoughts. The goal is to become more comfortable and confident. We discuss tools for detaching from dysfunctional behavior and learn interventions to use in social situations, such as: incorporating a fitness routine, meditation and mindfulness.
(813) 730-4933 View (813) 730-4933
Photo of Mary Michelle Rubin, Counselor, LMHC
Mary Michelle Rubin
Counselor, LMHC
1 Endorsed
Tampa, FL 33626
As a Licensed Mental Health Counselor (LMHC), I provide a safe, non judgmental and compassionate environment to navigate present and past challenges. I work with children, adolescents, and adults. I use several different modalities in therapy to meet an individual's needs. I am specifically trained in Trauma Focused Cognitive Behavioral Therapy, EMDR, Adoption Competency. Supporting and empowering each person individually to move to a more fulfilling and satisfying feeling is my goal as a therapist.
As a Licensed Mental Health Counselor (LMHC), I provide a safe, non judgmental and compassionate environment to navigate present and past challenges. I work with children, adolescents, and adults. I use several different modalities in therapy to meet an individual's needs. I am specifically trained in Trauma Focused Cognitive Behavioral Therapy, EMDR, Adoption Competency. Supporting and empowering each person individually to move to a more fulfilling and satisfying feeling is my goal as a therapist.
(813) 532-3580 View (813) 532-3580
Photo of Christina Carpenter, Registered Mental Health Counselor Intern, LMHC
Christina Carpenter
Registered Mental Health Counselor Intern, LMHC
Tampa, FL 33626
Are you feeling overwhelmed, misunderstood, or stuck in old patterns? I’m here to help you take the next step toward change. I offer individual therapy for adult men and women navigating challenges such as substance use, anger and aggression, anxiety, depression, and gender dysphoria. Whether you’re exploring your identity, processing difficult emotions, or trying to gain control over your behaviors, you don’t have to do it alone.
Are you feeling overwhelmed, misunderstood, or stuck in old patterns? I’m here to help you take the next step toward change. I offer individual therapy for adult men and women navigating challenges such as substance use, anger and aggression, anxiety, depression, and gender dysphoria. Whether you’re exploring your identity, processing difficult emotions, or trying to gain control over your behaviors, you don’t have to do it alone.
(813) 308-9167 View (813) 308-9167
Photo of Andrea Taylor, Clinical Social Work/Therapist, LCSW, CCAPT
Andrea Taylor
Clinical Social Work/Therapist, LCSW, CCAPT
Tampa, FL 33626
My name is Andrea Taylor, LCSW. I am a Licensed Clinical Social Worker, Certified Clinical Anxiety Treatment Professional (CCATP) and ADHD-Certified Clinical Service Provider (ADHD-CCSP) based in the Tampa, Florida area. My experience has taught me that the most important aspect of counseling by far is the connection and comfort you feel with the person you choose to share your personal struggles.
My name is Andrea Taylor, LCSW. I am a Licensed Clinical Social Worker, Certified Clinical Anxiety Treatment Professional (CCATP) and ADHD-Certified Clinical Service Provider (ADHD-CCSP) based in the Tampa, Florida area. My experience has taught me that the most important aspect of counseling by far is the connection and comfort you feel with the person you choose to share your personal struggles.
(813) 592-7709 View (813) 592-7709
Photo of Dr. Sarah Edelman, Psychologist, PsyD
Dr. Sarah Edelman
Psychologist, PsyD
Online Only
Hello and welcome! I’m Dr. Sarah Edelman, a licensed psychologist with over 5 years of experience helping individuals navigate the complexities of life. I believe that every person has a unique story, and I am committed to providing a safe, supportive, and non-judgmental environment for you to explore your thoughts, feelings, and experiences. I understand that reaching out for help can be a difficult decision, but it is also an important step toward growth and healing. My goal is to work with you to help you develop a deeper understanding of yourself and cultivate greater resilience in the face of life’s challenges.
Hello and welcome! I’m Dr. Sarah Edelman, a licensed psychologist with over 5 years of experience helping individuals navigate the complexities of life. I believe that every person has a unique story, and I am committed to providing a safe, supportive, and non-judgmental environment for you to explore your thoughts, feelings, and experiences. I understand that reaching out for help can be a difficult decision, but it is also an important step toward growth and healing. My goal is to work with you to help you develop a deeper understanding of yourself and cultivate greater resilience in the face of life’s challenges.
(813) 851-2575 View (813) 851-2575
Photo of Dr. Elizabeth Bendick, Psychologist, PsyD
Dr. Elizabeth Bendick
Psychologist, PsyD
Online Only
When was the last time someone asked, “How are you?”—and you gave an honest answer? I mean the real version, the one that sits in your chest and makes everything a little heavier. That’s where we start. I've seen what happens when therapy gets too rigid or robotic, when the humanity of it gets lost. That’s not what you’ll get with me. I’ll use evidence-based methods and also meet you with honesty, care, and a good sense of when to push and when to pause. I believe therapy works best when we can both be our true selves. That means awkward moments, vulnerability, unexpected laughter, and everything in between.
When was the last time someone asked, “How are you?”—and you gave an honest answer? I mean the real version, the one that sits in your chest and makes everything a little heavier. That’s where we start. I've seen what happens when therapy gets too rigid or robotic, when the humanity of it gets lost. That’s not what you’ll get with me. I’ll use evidence-based methods and also meet you with honesty, care, and a good sense of when to push and when to pause. I believe therapy works best when we can both be our true selves. That means awkward moments, vulnerability, unexpected laughter, and everything in between.
(813) 686-6498 View (813) 686-6498
Photo of Erin Saintil, Clinical Social Work/Therapist, LCSW, BCBA
Erin Saintil
Clinical Social Work/Therapist, LCSW, BCBA
3 Endorsed
Tampa, FL 33626
I specialize in supporting first responders and individuals / couples affected by trauma, stressful childhoods, divorce, infidelity, and that darn anxiety or depression that just lingers. My approach focuses on understanding how behaviors that are now seen as problematic once served a purpose. This insight transforms into wisdom, the antidote which helps dissolve self-judgment and shame, allowing space for meaningful change. Over the course of decades of gaining credentials and certifications, I’ve gathered a diverse set of tools to help expand your skills to navigate whatever challenges life throws at you next.
I specialize in supporting first responders and individuals / couples affected by trauma, stressful childhoods, divorce, infidelity, and that darn anxiety or depression that just lingers. My approach focuses on understanding how behaviors that are now seen as problematic once served a purpose. This insight transforms into wisdom, the antidote which helps dissolve self-judgment and shame, allowing space for meaningful change. Over the course of decades of gaining credentials and certifications, I’ve gathered a diverse set of tools to help expand your skills to navigate whatever challenges life throws at you next.
(813) 701-2189 View (813) 701-2189
Photo of Dr. Gina Midyett - Life Focus Group, Counselor, PhD, LMHC, CHT
Life Focus Group
Counselor, PhD, LMHC, CHT
Tampa, FL 33626
I am a Licensed Mental Health Counselor and Master Hypnotherapist. I provide a safe, non judgmental and down to earth environment for my clients to express themselves. I offer individual, couple and family therapy. I assist my clients in developing new coping skills to deal with their presenting issues. I believe that developing new, healthy ways of thinking and living can lead to a healthy mind and body. I incorporate nutrition and exercise consultation as related to mental health.I specialize but not limited to depression, anxiety,relationship issues, grief, child/adolescent issues,and eating disorders. I am fluent in Spanish.
I am a Licensed Mental Health Counselor and Master Hypnotherapist. I provide a safe, non judgmental and down to earth environment for my clients to express themselves. I offer individual, couple and family therapy. I assist my clients in developing new coping skills to deal with their presenting issues. I believe that developing new, healthy ways of thinking and living can lead to a healthy mind and body. I incorporate nutrition and exercise consultation as related to mental health.I specialize but not limited to depression, anxiety,relationship issues, grief, child/adolescent issues,and eating disorders. I am fluent in Spanish.
(813) 452-4986 View (813) 452-4986

See more therapy options for 33626

How does your Therapist compare?

Number of Therapists in 33626

100+

Average cost per session

$145

Therapists in 33626 who prioritize treating:

92% Anxiety
86% Depression
74% Relationship Issues
73% Self Esteem
72% Coping Skills
71% Trauma and PTSD
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
80% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in 33626 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 33626?

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.