Therapists in 93955

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Photo of Renie Rondon Jackson, Clinical Social Work/Therapist in 93955, CA
Renie Rondon Jackson
Clinical Social Work/Therapist, PhD, LCSW
Verified
Seaside, CA 93955
Are you feeling unmotivated, grappling with past traumas, having difficulties managing stress, and increasingly depressed or anxious? Are you and your partner feeling as though your relationship is strained, with increased communication breakdowns, unresolved conflicts, and lack of connection? Whether you are seeking individual or couples therapy, consider contacting me so that together, we can explore the roots of your struggles and develop personalized strategies to foster healing, resilience, and connection.
Are you feeling unmotivated, grappling with past traumas, having difficulties managing stress, and increasingly depressed or anxious? Are you and your partner feeling as though your relationship is strained, with increased communication breakdowns, unresolved conflicts, and lack of connection? Whether you are seeking individual or couples therapy, consider contacting me so that together, we can explore the roots of your struggles and develop personalized strategies to foster healing, resilience, and connection.
(831) 508-1309 View (831) 508-1309
Photo of Ena Rosa Practicing Clinical Counselor, Marriage & Family Therapist in 93955, CA
Ena Rosa Practicing Clinical Counselor
Marriage & Family Therapist, MA, LMFT, LPCC
Verified
Seaside, CA 93955  (Online Only)
Not accepting new clients
Have you ever heard of the term Tabula Rasa? The term Tabula Rasa explains that we as individuals are born as a “blank slate” and the people, relationships, and experiences around us paint the experiences that shape who we become. The beauty of this theory is that negative and traumatic experiences can be painted over with new insights, personal growth, and emotional development. I have a deep passion of providing psycho education, insights, and learning about your personal story in therapy. Due to the type of therapy I provide, I work with adults only.
Have you ever heard of the term Tabula Rasa? The term Tabula Rasa explains that we as individuals are born as a “blank slate” and the people, relationships, and experiences around us paint the experiences that shape who we become. The beauty of this theory is that negative and traumatic experiences can be painted over with new insights, personal growth, and emotional development. I have a deep passion of providing psycho education, insights, and learning about your personal story in therapy. Due to the type of therapy I provide, I work with adults only.
(831) 346-0308 View (831) 346-0308
Photo of Cloda Jones, Clinical Social Work/Therapist in 93955, CA
Cloda Jones
Clinical Social Work/Therapist, LCSW
Verified
Seaside, CA 93955
Greetings and welcome to Path Mental Health. My name is Dr. Jones. I am a clinical and school psychologist and counselor. I have over 25 years of experience working with children and families. I am licensed as a social worker and professional counselor in the state of California. I have worked with clients on relationships, individual issues, and career counseling. I specialize in relationship issues, past trauma, grieving, anxiety, and depression. Life can be stressful, and at times, we all need someone to talk with and help sort things out. My approach is to utilize a toolbox of interventions warmly and compassionately.
Greetings and welcome to Path Mental Health. My name is Dr. Jones. I am a clinical and school psychologist and counselor. I have over 25 years of experience working with children and families. I am licensed as a social worker and professional counselor in the state of California. I have worked with clients on relationships, individual issues, and career counseling. I specialize in relationship issues, past trauma, grieving, anxiety, and depression. Life can be stressful, and at times, we all need someone to talk with and help sort things out. My approach is to utilize a toolbox of interventions warmly and compassionately.
(831) 400-5714 View (831) 400-5714
Photo of Sharon Beal Armendariz, Clinical Social Work/Therapist in 93955, CA
Sharon Beal Armendariz
Clinical Social Work/Therapist, LCSW
Verified
Seaside, CA 93955
I am an attachment and trauma focused therapist committed to helping clients to reveal to themselves the underlying causes, origins, and nature of the issues they have come to experience. My work focuses on reducing fear and building confidence around the "normal" ways that the brain reacts to the stressful events that color our lives. I believe in taking a client focused, strengths based, and mindful approach to helping clients discover their adaptive capacity for resilience.
I am an attachment and trauma focused therapist committed to helping clients to reveal to themselves the underlying causes, origins, and nature of the issues they have come to experience. My work focuses on reducing fear and building confidence around the "normal" ways that the brain reacts to the stressful events that color our lives. I believe in taking a client focused, strengths based, and mindful approach to helping clients discover their adaptive capacity for resilience.
(831) 387-4914 View (831) 387-4914
Photo of Pamela James, Clinical Social Work/Therapist in 93955, CA
Pamela James
Clinical Social Work/Therapist, LCSW
Verified
Seaside, CA 93955
Greetings, my name is Pamela "Nsoroma" James, and I am a Licensed Clinical Social Worker. I am client centered and approach therapy with the therapeutic modality I assess will fit your needs. I partner with my client to discover and come to a place of enlightenment and empowerment while jointly coming up with solutions, providing tools and developing skills. In addition, to working with the general population I am dedicated to working with individuals, couples, and families of diverse cultures that have faced generational trauma and stress.
Greetings, my name is Pamela "Nsoroma" James, and I am a Licensed Clinical Social Worker. I am client centered and approach therapy with the therapeutic modality I assess will fit your needs. I partner with my client to discover and come to a place of enlightenment and empowerment while jointly coming up with solutions, providing tools and developing skills. In addition, to working with the general population I am dedicated to working with individuals, couples, and families of diverse cultures that have faced generational trauma and stress.
(831) 432-3545 View (831) 432-3545
Photo of Miriam Ribeiro, Clinical Social Work/Therapist in 93955, CA
Miriam Ribeiro
Clinical Social Work/Therapist, LCSW
Verified
Seaside, CA 93955
Hello, my name is Miriam, but I go by Mim. I am a Licensed Clinical Social Worker who was trained and received my master's in science of social work at Columbia University in New York City in 2006. I believe therapy can offer clients with a mental illness or who face struggles common to the human experience a chance to live a more meaningful and fulfilling life. I feel honored to be with my clients on their journey of healing and self-discovery. Clients can expect the first few sessions to involve an evaluation of their needs. A discussion will occur regarding the risks and benefits of therapy, confidentiality, and treatment goals.
Hello, my name is Miriam, but I go by Mim. I am a Licensed Clinical Social Worker who was trained and received my master's in science of social work at Columbia University in New York City in 2006. I believe therapy can offer clients with a mental illness or who face struggles common to the human experience a chance to live a more meaningful and fulfilling life. I feel honored to be with my clients on their journey of healing and self-discovery. Clients can expect the first few sessions to involve an evaluation of their needs. A discussion will occur regarding the risks and benefits of therapy, confidentiality, and treatment goals.
(831) 387-7205 View (831) 387-7205
Photo of Cesar Brijandez, Marriage & Family Therapist in 93955, CA
Cesar Brijandez Brijandez
Marriage & Family Therapist, LMFT
Verified
Seaside, CA 93955  (Online Only)
I have a passion for helping people from all "walks of life." If you are facing challenges in your day-to-day life, I am here to help. I have helped individuals and couples with anxiety, depression, anger management, and marital issues. I work with children from 6 yrs and older, teenagers, and adults, both males, and females. I like to present psychotherapy in the simplest form. My top modalities include Cognitive Behavioral Therapy, Solution Focused, and Trauma-Focused CBT for children and teens. Growing up in a city along the US-Mexico border I have the privilege of being bilingual and bicultural.
I have a passion for helping people from all "walks of life." If you are facing challenges in your day-to-day life, I am here to help. I have helped individuals and couples with anxiety, depression, anger management, and marital issues. I work with children from 6 yrs and older, teenagers, and adults, both males, and females. I like to present psychotherapy in the simplest form. My top modalities include Cognitive Behavioral Therapy, Solution Focused, and Trauma-Focused CBT for children and teens. Growing up in a city along the US-Mexico border I have the privilege of being bilingual and bicultural.
(805) 800-8607 View (805) 800-8607
Photo of Sharon A Briar-Garner, Marriage & Family Therapist in 93955, CA
Sharon A Briar-Garner
Marriage & Family Therapist, LMFT
Verified
Seaside, CA 93955  (Online Only)
Waitlist for new clients
I'm a Licensed Marriage and Family Therapist in CA specializing in individual (youth & adult), couples & family therapy. I offer Catholic/Christian based perspectives if desired. I maintain a private home-based practice in Oakdale, CA (Primary) and Seaside, CA (secondary). I integrate my pets as part of therapy if desired. I am optimistic but grounded in seeking goal-oriented solutions. I've been licensed for over 22 years enjoy helping people heal, move forward & grow to their highest potential. My staff (Lindsey) & I look forward to working with you.
I'm a Licensed Marriage and Family Therapist in CA specializing in individual (youth & adult), couples & family therapy. I offer Catholic/Christian based perspectives if desired. I maintain a private home-based practice in Oakdale, CA (Primary) and Seaside, CA (secondary). I integrate my pets as part of therapy if desired. I am optimistic but grounded in seeking goal-oriented solutions. I've been licensed for over 22 years enjoy helping people heal, move forward & grow to their highest potential. My staff (Lindsey) & I look forward to working with you.
(209) 395-1448 View (209) 395-1448
Photo of Melanie Gensaw, Clinical Social Work/Therapist in 93955, CA
Melanie Gensaw
Clinical Social Work/Therapist, LCSW
Verified
Seaside, CA 93955
Greetings my name is Melanie Gensaw and I am a Licensed Clinical Social Worker. I am Native American with Yurok, Maidu, and Pit River ancestry. I like to have a person-centered, solution-focused, and integrative approach based on the needs presented by the individual(s). My background has prepared me to work with individuals and couples navigating life transitions. My hope in using solution-focused therapy as a starting place is to help build coping skills related to anxiety, depression, and decreased stress based on the goals identified by you.
Greetings my name is Melanie Gensaw and I am a Licensed Clinical Social Worker. I am Native American with Yurok, Maidu, and Pit River ancestry. I like to have a person-centered, solution-focused, and integrative approach based on the needs presented by the individual(s). My background has prepared me to work with individuals and couples navigating life transitions. My hope in using solution-focused therapy as a starting place is to help build coping skills related to anxiety, depression, and decreased stress based on the goals identified by you.
(951) 396-3145 View (951) 396-3145
Photo of Gloria Rojas, Clinical Social Work/Therapist in 93955, CA
Gloria Rojas
Clinical Social Work/Therapist, LCSW
Verified
Seaside, CA 93955
Hello! My name is Gloria Rojas and I am a bilingual Licensed Clinical Social Worker with 20 years of experience in the mental health field. My goal is to provide a safe space to process, heal and rebuild. My services can be provided in English and Spanish and include interventions to identify the problem, find solutions, coping techniques, relaxation/stress management skills, goal setting, task management, insight, and skill building. I utilize Cognitive Behavioral Therapy, Motivational Interviewing, Interpersonal Psychotherapy, Problem-Solving Treatment, Solution-Focused Brief Therapy
Hello! My name is Gloria Rojas and I am a bilingual Licensed Clinical Social Worker with 20 years of experience in the mental health field. My goal is to provide a safe space to process, heal and rebuild. My services can be provided in English and Spanish and include interventions to identify the problem, find solutions, coping techniques, relaxation/stress management skills, goal setting, task management, insight, and skill building. I utilize Cognitive Behavioral Therapy, Motivational Interviewing, Interpersonal Psychotherapy, Problem-Solving Treatment, Solution-Focused Brief Therapy
(323) 676-7884 View (323) 676-7884
Photo of Connections Family and Behavioral Services, Marriage & Family Therapist in 93955, CA
Connections Family and Behavioral Services
Marriage & Family Therapist, MA, MFT
Verified
1 Endorsed
Seaside, CA 93955
Does the world seem chaotic and to not make sense? Does it seem like you should be able to do more, but just can’t? Does it seem like there are rules to life everyone else knows? Does it seem like when things go wrong, it’s your fault, but you don’t know why? Are you exhausted from ‘playing the role' of yourself in your life, trying to ‘do it right'? All families want peace, all individuals want greater ease and understanding in their lives. With over 25 years of providing services to exceptional individuals, I know the importance of having the right support for the need at hand.
Does the world seem chaotic and to not make sense? Does it seem like you should be able to do more, but just can’t? Does it seem like there are rules to life everyone else knows? Does it seem like when things go wrong, it’s your fault, but you don’t know why? Are you exhausted from ‘playing the role' of yourself in your life, trying to ‘do it right'? All families want peace, all individuals want greater ease and understanding in their lives. With over 25 years of providing services to exceptional individuals, I know the importance of having the right support for the need at hand.
(831) 453-0442 View (831) 453-0442
Photo of Stephanie Chastain, Marriage & Family Therapist in 93955, CA
Stephanie Chastain
Marriage & Family Therapist, MA, MFT
Seaside, CA 93955
Not accepting new clients
If you are experiencing life’s bumps in the road, or feeling like you’re stuck, I can help. I am available to provide you and your family with compassionate, non-judgmental guidance. With 25 years experience, I specialize in relationships, couples, marital issues, divorce recovery, blended families, step parenting, women’s issues and transitions, mid-life changes, step parenting, blended families and military families.
If you are experiencing life’s bumps in the road, or feeling like you’re stuck, I can help. I am available to provide you and your family with compassionate, non-judgmental guidance. With 25 years experience, I specialize in relationships, couples, marital issues, divorce recovery, blended families, step parenting, women’s issues and transitions, mid-life changes, step parenting, blended families and military families.
(831) 216-5385 View (831) 216-5385
Photo of Mary Sue Abernethy, Marriage & Family Therapist in 93955, CA
Mary Sue Abernethy
Marriage & Family Therapist, BS, MA, RD, MFT, NNTS
Verified
Seaside, CA 93955  (Online Only)
Welcome and congratulations for seeking help! I love working with people who want to rise up to their highest potential yet know they have some blocks to clear out of the way. Often patterns show up in our lives and we can't figure out how to change so that we are manifesting what we want in life. Don't wait any longer, get the support you deserve!
Welcome and congratulations for seeking help! I love working with people who want to rise up to their highest potential yet know they have some blocks to clear out of the way. Often patterns show up in our lives and we can't figure out how to change so that we are manifesting what we want in life. Don't wait any longer, get the support you deserve!
(831) 661-9231 View (831) 661-9231
Photo of Carrie L Forrest, Psychologist in 93955, CA
Carrie L Forrest
Psychologist, PhD, QME
Verified
Seaside, CA 93955
I utilize my training and experience in Psychotherapy, Medical Hypnosis and Biofeedback to help you accomplish your desired goals. From my extensive background I utilize what will work best for you as an individual. A result of our work together is for you to become congruent within all aspects of your life; your actions, thoughts and feelings, while living to the fullest each and every day. I will help you overcome obstacles and develop healthy coping skills. I specialize in recovery from traumas (PTSD), grief and loss, integrating and assimilating chronic pain, addictive behaviors and other conditions.
I utilize my training and experience in Psychotherapy, Medical Hypnosis and Biofeedback to help you accomplish your desired goals. From my extensive background I utilize what will work best for you as an individual. A result of our work together is for you to become congruent within all aspects of your life; your actions, thoughts and feelings, while living to the fullest each and every day. I will help you overcome obstacles and develop healthy coping skills. I specialize in recovery from traumas (PTSD), grief and loss, integrating and assimilating chronic pain, addictive behaviors and other conditions.
(831) 337-4414 View (831) 337-4414
Photo of Paula Donnelly, Clinical Social Work/Therapist in 93955, CA
Paula Donnelly
Clinical Social Work/Therapist, LCSW
Verified
Seaside, CA 93955
" Welcome. You, like many of us at some point in our lives, may be dealing with an issue that you need help with at this time. Life is complicated and often stressful, and over time stress can impact our ability to cope as well as we would like. Perhaps you are struggling with changes in your mood, energy or self-esteem. Or experiencing problems in your relationships; perhaps having trouble functioning at work or in social situations. I have over 30 years experience working with individuals on these and other concerns.
" Welcome. You, like many of us at some point in our lives, may be dealing with an issue that you need help with at this time. Life is complicated and often stressful, and over time stress can impact our ability to cope as well as we would like. Perhaps you are struggling with changes in your mood, energy or self-esteem. Or experiencing problems in your relationships; perhaps having trouble functioning at work or in social situations. I have over 30 years experience working with individuals on these and other concerns.
(831) 531-2204 View (831) 531-2204
Photo of Stacey K. Wood, Marriage & Family Therapist in 93955, CA
Stacey K. Wood
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
Seaside, CA 93955
Sometimes we feel stuck; we may struggle with feelings or behaviors that make us feel isolated, upset, confused, or lost. From trying to figure out who we are, to perfectionism, anxiety, self-criticism, loneliness, shame, depression/despair, healing from trauma, or improving our relationship with ourselves or others, there really are genuine ways to heal. We all need to feel safe, be seen and heard: to be validated, understood and reassured for change to happen. So together, you and I will create a safe space for you to explore and understand what’s been keeping you where you are, so you can finally get to where you want to be.
Sometimes we feel stuck; we may struggle with feelings or behaviors that make us feel isolated, upset, confused, or lost. From trying to figure out who we are, to perfectionism, anxiety, self-criticism, loneliness, shame, depression/despair, healing from trauma, or improving our relationship with ourselves or others, there really are genuine ways to heal. We all need to feel safe, be seen and heard: to be validated, understood and reassured for change to happen. So together, you and I will create a safe space for you to explore and understand what’s been keeping you where you are, so you can finally get to where you want to be.
(831) 250-1310 View (831) 250-1310
Photo of Ronda Copeland, Marriage & Family Therapist in 93955, CA
Ronda Copeland
Marriage & Family Therapist, MA, LMFT
Verified
Seaside, CA 93955
People come to therapy for various reasons. You may be in crisis or you may want to work on long-standing behaviors that are no longer working for you. Maybe negative self-talk is getting in your way, or repeating the same behavior expecting different results and aren't sure how to make the necessary changes. Therapy is a process, finding the right therapist is important.
People come to therapy for various reasons. You may be in crisis or you may want to work on long-standing behaviors that are no longer working for you. Maybe negative self-talk is getting in your way, or repeating the same behavior expecting different results and aren't sure how to make the necessary changes. Therapy is a process, finding the right therapist is important.
(831) 646-8917 View (831) 646-8917
Photo of Barbara Jeanne Gicquel, Marriage & Family Therapist in 93955, CA
Barbara Jeanne Gicquel
Marriage & Family Therapist, MFT
Verified
Seaside, CA 93955
I see individuals and couples in my Practice. I see individuals, men and women, who want to work through internal blockages that are preventing them from finding peace within themselves or the ability to fill their needs more productively. I also work with couples with relationship issues, either to work through those issues or to work toward amicable separation. . I use Cognitive Restructuring, am fairly active during sessions, and aim at helping people become proactive so they can reach their potential in life.
I see individuals and couples in my Practice. I see individuals, men and women, who want to work through internal blockages that are preventing them from finding peace within themselves or the ability to fill their needs more productively. I also work with couples with relationship issues, either to work through those issues or to work toward amicable separation. . I use Cognitive Restructuring, am fairly active during sessions, and aim at helping people become proactive so they can reach their potential in life.
(831) 272-4941 View (831) 272-4941
Photo of Emily C. Julian, Psychologist in 93955, CA
Emily C. Julian
Psychologist, PhD
Verified
5 Endorsed
Seaside, CA 93955
Not accepting new clients
I am a licensed psychologist experienced in working with adolescents and adults. I create an empathic, collaborative, encouraging environment that allows people to explore their identity and relationships to live a more fulfilling life. I build a therapeutic relationship on mutual respect and support people in using their strengths to overcome challenges. I believe that discovering and developing a sense of purpose is an important part of the healing process.
I am a licensed psychologist experienced in working with adolescents and adults. I create an empathic, collaborative, encouraging environment that allows people to explore their identity and relationships to live a more fulfilling life. I build a therapeutic relationship on mutual respect and support people in using their strengths to overcome challenges. I believe that discovering and developing a sense of purpose is an important part of the healing process.
(415) 237-6283 View (415) 237-6283
Photo of Christine Derr, Marriage & Family Therapist in 93955, CA
Christine Derr
Marriage & Family Therapist, MFT
Verified
Seaside, CA 93955
My focus as a therapist is solution oriented, accessing inherent strengths to face the struggles we all encounter in life with new skills and insights. I enjoy working with clients who seek greater self understanding and changes in how they relate to themselves and others.
My focus as a therapist is solution oriented, accessing inherent strengths to face the struggles we all encounter in life with new skills and insights. I enjoy working with clients who seek greater self understanding and changes in how they relate to themselves and others.
(831) 607-8619 View (831) 607-8619

See more therapy options for 93955

How does your Therapist compare?

Number of Therapists in 93955

40+

Average cost per session

$160

Therapists in 93955 who prioritize treating:

98% Anxiety
93% Depression
79% Coping Skills
74% Relationship Issues
74% Self Esteem
72% Grief
65% Stress

Average years in practice

20 Years

Top 3 insurances accepted

71% Anthem | Elevance
68% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in 93955 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

93% Female
7% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 93955?

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.