Photo of Dr. Eno Osaghae, Psychologist
Dr. Eno Osaghae
Psychologist
Verified Verified
San Francisco, CA 94133
Dr. Eno Osaghae is a Licensed Clinical Psychologist (PSY34976) based in California with specialized training in psychological evaluations, advocacy, crisis management, Schizophrenia Spectrum Disoder, PTSD/Trauma, anxiety, depression, substance abuse, addictive disorders, and working with individuals diagnosed with autism spectrum and neurodevelopmental disoders.
Dr. Eno Osaghae is a Licensed Clinical Psychologist (PSY34976) based in California with specialized training in psychological evaluations, advocacy, crisis management, Schizophrenia Spectrum Disoder, PTSD/Trauma, anxiety, depression, substance abuse, addictive disorders, and working with individuals diagnosed with autism spectrum and neurodevelopmental disoders.
(628) 200-3920 View (628) 200-3920
Photo of Kira Hoffman, Psychologist, PsyD
Kira Hoffman
Psychologist, PsyD
Verified Verified
1 Endorsed
Online Only
Clients often describe me as authentic, energetic, and engaged. My warmth, acceptance, and genuine care and interest in you is evident- I'm not a detached clinical robot that expects you to figure it all out on your own while I sit in silence. I take my work very seriously, but it's not uncommon in session for my clients and I to laugh together and find humor in life's challenges. There is value in making space for the wide range of your emotional experience- fear, sadness, and rage... but also freedom, peace, and joy.
Clients often describe me as authentic, energetic, and engaged. My warmth, acceptance, and genuine care and interest in you is evident- I'm not a detached clinical robot that expects you to figure it all out on your own while I sit in silence. I take my work very seriously, but it's not uncommon in session for my clients and I to laugh together and find humor in life's challenges. There is value in making space for the wide range of your emotional experience- fear, sadness, and rage... but also freedom, peace, and joy.
(415) 991-6092 View (415) 991-6092
Photo of Laura C Whyte, Clinical Social Work/Therapist, LCSW
Laura C Whyte
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94133
My name is Laura Whyte and I am Licensed Clinical Social Worker in private practice. I have over 12 years of experience working with clients and professionals in a variety of inpatient and outpatient settings. I employ a collaborative therapeutic approach that encourages informed decisions about action and change. Sessions will focus on exploring your personal values and goals allowing you to move towards the life you want with confidence and optimism. My goal in practice is to help you recognize your strengths and build upon them. I look forward to working with you!
My name is Laura Whyte and I am Licensed Clinical Social Worker in private practice. I have over 12 years of experience working with clients and professionals in a variety of inpatient and outpatient settings. I employ a collaborative therapeutic approach that encourages informed decisions about action and change. Sessions will focus on exploring your personal values and goals allowing you to move towards the life you want with confidence and optimism. My goal in practice is to help you recognize your strengths and build upon them. I look forward to working with you!
(628) 265-8382 View (628) 265-8382
Photo of Manali Deolalkar, Licensed Professional Counselor, LPCC
Manali Deolalkar
Licensed Professional Counselor, LPCC
Verified Verified
6 Endorsed
Online Only
Are you someone who is looking to get a deeper understanding into your thoughts, emotions and overall mental health well-being? I have a few years of experience working with adults dealing with anxiety, depression, trauma, self harm, relationship/dating issues, life transitions and sex-related issues. I work with BIPOC adults, South Asian immigrants, couples, college students, immigrants, tech workers, LGBTQ+ folks, other therapists, and first timers in therapy. I take into account your life experiences, cultural background and your goals, to be able to tailor therapy that meets your need.
Are you someone who is looking to get a deeper understanding into your thoughts, emotions and overall mental health well-being? I have a few years of experience working with adults dealing with anxiety, depression, trauma, self harm, relationship/dating issues, life transitions and sex-related issues. I work with BIPOC adults, South Asian immigrants, couples, college students, immigrants, tech workers, LGBTQ+ folks, other therapists, and first timers in therapy. I take into account your life experiences, cultural background and your goals, to be able to tailor therapy that meets your need.
(628) 216-7639 View (628) 216-7639
Photo of Nathan Brandon, Psychologist, PsyD
Nathan Brandon
Psychologist, PsyD
Verified Verified
Online Only
Is your mind filled with worry, constantly imagining worst-case scenarios? Are you unable to enjoy life because you always feel anxious? Your goal may be to regain control over your thoughts, find calm, and lead a balanced life without a constant sense of dread. You can make lasting changes while building resilience, taking back control, and achieving well-being. As a therapist specializing in anxiety, I offer help to those experiencing persistent worry and stress.
Is your mind filled with worry, constantly imagining worst-case scenarios? Are you unable to enjoy life because you always feel anxious? Your goal may be to regain control over your thoughts, find calm, and lead a balanced life without a constant sense of dread. You can make lasting changes while building resilience, taking back control, and achieving well-being. As a therapist specializing in anxiety, I offer help to those experiencing persistent worry and stress.
(415) 993-2226 View (415) 993-2226
Photo of Nicole Hanhan, Clinical Social Work/Therapist, LCSW
Nicole Hanhan
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Online Only
Accepting new clients via Telehealth only. I’m here to help you make a change and I’m honored to walk this journey with you. My passion is to help you connect to the parts of you that need healing. Feeling “stuck” can look different for everyone – through low self-esteem, depression, anxiety, feeling unsafe, negative view of yourself, lack of confidence and irritability. I am here to guide you to help you transform pain into a life worth celebrating.
Accepting new clients via Telehealth only. I’m here to help you make a change and I’m honored to walk this journey with you. My passion is to help you connect to the parts of you that need healing. Feeling “stuck” can look different for everyone – through low self-esteem, depression, anxiety, feeling unsafe, negative view of yourself, lack of confidence and irritability. I am here to guide you to help you transform pain into a life worth celebrating.
(415) 843-2483 View (415) 843-2483
Photo of Amanda L Cotten, Marriage & Family Therapist Associate, AMFT, APCC
Amanda L Cotten
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
San Francisco, CA 94133
Get out of your own way! I work with individuals, couples, teens, and tweens using a nonjudgmental and straightforward style. I use a combination of Dialectical Behavior Therapy and psychoanalysis in order to help you get from where you are to where you want to be. DBT can be a concrete road map for daily activities and psychoanalysis will help you gain the insight into yourself and find the deep strength that will give you resiliency for everything that comes your way. I have Saturday appointment spots available.
Get out of your own way! I work with individuals, couples, teens, and tweens using a nonjudgmental and straightforward style. I use a combination of Dialectical Behavior Therapy and psychoanalysis in order to help you get from where you are to where you want to be. DBT can be a concrete road map for daily activities and psychoanalysis will help you gain the insight into yourself and find the deep strength that will give you resiliency for everything that comes your way. I have Saturday appointment spots available.
(628) 277-4577 View (628) 277-4577
Photo of Jonathan Shedler PhD, Psychologist, PhD
Jonathan Shedler PhD
Psychologist, PhD
Verified Verified
San Francisco, CA 94133
Not accepting new clients
I take pride in helping people who have not found the help they need from other professionals. I believe psychotherapy should identify core issues and begin to make a difference from the get-go. I have 30+ years experience practicing psychotherapy and teaching and supervising psychologists, psychiatrists, and psychoanalysts. I am a Clinical Professor in the UCSF Department of Psychiatry and formerly Director of Psychology at the University of Colorado Hospital Outpatient Psychiatry Department. Please visit my website for more information.
I take pride in helping people who have not found the help they need from other professionals. I believe psychotherapy should identify core issues and begin to make a difference from the get-go. I have 30+ years experience practicing psychotherapy and teaching and supervising psychologists, psychiatrists, and psychoanalysts. I am a Clinical Professor in the UCSF Department of Psychiatry and formerly Director of Psychology at the University of Colorado Hospital Outpatient Psychiatry Department. Please visit my website for more information.
(415) 650-1910 View (415) 650-1910
Photo of Gwen Pelfini (Offering Ketamine-Assisted Psychotherapy), Counselor, LMHC, LPCC, NCC, PATP
Gwen Pelfini (Offering Ketamine-Assisted Psychotherapy)
Counselor, LMHC, LPCC, NCC, PATP
Verified Verified
2 Endorsed
Online Only
Do you find yourself feeling alone or unfulfilled? Are you stuck in familiar self-talk or relationship patterns that are no longer serving you? Have you experienced loss or trauma, and feel groundless in navigating through? Perhaps the stress from work, family, or friendships is becoming overwhelming, and you’re finding yourself caught in a cycle of unhealthy behaviors, unable to untangle? Life transitions can cause discomfort, confusion, and disconnection, which prohibits our ability to live optimally. Working with a professional to help guide and support your path towards satisfaction can be a major step.
Do you find yourself feeling alone or unfulfilled? Are you stuck in familiar self-talk or relationship patterns that are no longer serving you? Have you experienced loss or trauma, and feel groundless in navigating through? Perhaps the stress from work, family, or friendships is becoming overwhelming, and you’re finding yourself caught in a cycle of unhealthy behaviors, unable to untangle? Life transitions can cause discomfort, confusion, and disconnection, which prohibits our ability to live optimally. Working with a professional to help guide and support your path towards satisfaction can be a major step.
(415) 360-8473 View (415) 360-8473
Photo of Caterina Sanfilippo Lee, Clinical Social Work/Therapist, LCSW
Caterina Sanfilippo Lee
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Adulting and parenting; the struggle is REAL. You feel like you should have it all together but feel that you are overwhelmed, falling behind and not enough. Family, friendship and intimate partner relationships can be challenging. Career burnout and perfectionism can make it difficult to find a sustained sense of accomplishment, acceptance and joy. Parenting/caregiving is a rollercoaster of emotions, the ultimate balancing act and not showing up the way you want. Transitions are hard and navigating your 20s-30s is more stressful and rocky than you expected. You are surviving, not thriving. Change is possible.
Adulting and parenting; the struggle is REAL. You feel like you should have it all together but feel that you are overwhelmed, falling behind and not enough. Family, friendship and intimate partner relationships can be challenging. Career burnout and perfectionism can make it difficult to find a sustained sense of accomplishment, acceptance and joy. Parenting/caregiving is a rollercoaster of emotions, the ultimate balancing act and not showing up the way you want. Transitions are hard and navigating your 20s-30s is more stressful and rocky than you expected. You are surviving, not thriving. Change is possible.
(628) 239-7021 View (628) 239-7021
Photo of Andrew G Meyer, Clinical Social Work/Therapist, LCSW
Andrew G Meyer
Clinical Social Work/Therapist, LCSW
Not Verified Not Verified
San Francisco, CA 94133
I provide compassionate, conscientious and meaningful psychotherapeutic treatment to individuals seeking to overcome difficult life circumstances, understand/manage emotions, or to those simply seeking self-growth or personal/career development. With twenty plus years as a practicing psychotherapist, having worked with diverse ethnicities, races, ages and sexual orientations, I have vast skills/resources and experience to offer/impart. My approaches/technique includes an eclectic mix of Psychodynamic, Cognitive Behavioral, Jungian, Gestaltian, and some Buddhist philosophy.
I provide compassionate, conscientious and meaningful psychotherapeutic treatment to individuals seeking to overcome difficult life circumstances, understand/manage emotions, or to those simply seeking self-growth or personal/career development. With twenty plus years as a practicing psychotherapist, having worked with diverse ethnicities, races, ages and sexual orientations, I have vast skills/resources and experience to offer/impart. My approaches/technique includes an eclectic mix of Psychodynamic, Cognitive Behavioral, Jungian, Gestaltian, and some Buddhist philosophy.
(628) 227-6193 View (628) 227-6193
Photo of Troy Mickle, Marriage & Family Therapist, LMFT
Troy Mickle
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94133
Welcome. I’m so glad you’re here. In my practice, I offer a warm, supportive space where you can show up exactly as you are, no pressure, no judgment. Many of my clients struggle with anxiety, trauma, ADHD, or relationship stress. They often feel overwhelmed, misunderstood, or stuck. What they need is clarity, emotional balance, and stronger connections, with themselves and others. They want to feel seen, empowered, and capable of real change. I honor the courage it takes to open up, and I build trust through empathy, honesty, and a genuine therapeutic connection that supports lasting healing and growth.
Welcome. I’m so glad you’re here. In my practice, I offer a warm, supportive space where you can show up exactly as you are, no pressure, no judgment. Many of my clients struggle with anxiety, trauma, ADHD, or relationship stress. They often feel overwhelmed, misunderstood, or stuck. What they need is clarity, emotional balance, and stronger connections, with themselves and others. They want to feel seen, empowered, and capable of real change. I honor the courage it takes to open up, and I build trust through empathy, honesty, and a genuine therapeutic connection that supports lasting healing and growth.
(916) 237-8393 View (916) 237-8393
Photo of Diana Watts, Clinical Social Work/Therapist, LCSW
Diana Watts
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
As an integrative therapist, I tailor my approach to help you understand the causes of your distress and find personalized coping strategies to achieve your goals. With compassion, validation, and flexibility, I support your healing journey. Together, we will work toward a healthier, more balanced life.
As an integrative therapist, I tailor my approach to help you understand the causes of your distress and find personalized coping strategies to achieve your goals. With compassion, validation, and flexibility, I support your healing journey. Together, we will work toward a healthier, more balanced life.
(559) 551-2564 View (559) 551-2564
Photo of Daniah Hamouda, Marriage & Family Therapist Associate, AMFT
Daniah Hamouda
Marriage & Family Therapist Associate, AMFT
Verified Verified
Online Only
If you’re struggling with anxiety, depression, trauma, or relationship challenges. I work with individuals—both adults and teens—and specialize in helping couples navigate their struggles. I understand the complexities of intersectionality the blending of cultural, gender, and societal expectations and how it impacts relationships and personal growth. Whether you’re dealing with emotional distress, communication issues, or past trauma, I offer a safe, compassionate space to explore your emotions, uncover the root causes of your struggles, and break free from old patterns. Together, we’ll develop practical strategies.
If you’re struggling with anxiety, depression, trauma, or relationship challenges. I work with individuals—both adults and teens—and specialize in helping couples navigate their struggles. I understand the complexities of intersectionality the blending of cultural, gender, and societal expectations and how it impacts relationships and personal growth. Whether you’re dealing with emotional distress, communication issues, or past trauma, I offer a safe, compassionate space to explore your emotions, uncover the root causes of your struggles, and break free from old patterns. Together, we’ll develop practical strategies.
(949) 506-3236 View (949) 506-3236
Photo of David Khalatyan, Licensed Professional Clinical Counselor, LPCC
David Khalatyan
Licensed Professional Clinical Counselor, LPCC
Verified Verified
1 Endorsed
Online Only
Hey everyone! I specialize in transitional ages and men's issues. I work with any client in any part of California, in any zip code, that is interested in teletherapy!
Hey everyone! I specialize in transitional ages and men's issues. I work with any client in any part of California, in any zip code, that is interested in teletherapy!
(213) 415-3979 View (213) 415-3979
Photo of Mike A Nalepa - Affordable California Therapy, Marriage & Family Therapist, LMFT, ExecDir, BFA
Affordable California Therapy
Marriage & Family Therapist, LMFT, ExecDir, BFA
Verified Verified
1 Endorsed
San Francisco, CA 94133
Sessions $39-$99 for qualifying individuals! Now serving all of California! -> We're on a mission to make psychotherapy affordable to ALL individuals, couples, children & families. Our diverse staff affirms a wide array of clientele - affirming in each individual's race, ethnicity, gender, sexuality, abilities, religion & status. All of our counselors are licensed & associate psychotherapists with an advanced clinical psychology degrees. With 26 psychotherapists on staff, we are guaranteed to have someone who understands your specific needs.
Sessions $39-$99 for qualifying individuals! Now serving all of California! -> We're on a mission to make psychotherapy affordable to ALL individuals, couples, children & families. Our diverse staff affirms a wide array of clientele - affirming in each individual's race, ethnicity, gender, sexuality, abilities, religion & status. All of our counselors are licensed & associate psychotherapists with an advanced clinical psychology degrees. With 26 psychotherapists on staff, we are guaranteed to have someone who understands your specific needs.
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Photo of Lauren Lee, Marriage & Family Therapist Associate, AMFT
Lauren Lee
Marriage & Family Therapist Associate, AMFT
Verified Verified
Online Only
I believe that folks have the potential to be their best selves when they feel psychologically safe and comfortable. I partner with my clients to create this space in the therapy session. My therapeutic approach is deeply rooted in the belief that each individual’s journey is unique and deserving of respect. I attempt to offer a comprehensive perspective that values your personal narrative. I view therapy as a collaborative process, where we work together to explore your identity, navigate life’s challenges, and foster meaningful change.
I believe that folks have the potential to be their best selves when they feel psychologically safe and comfortable. I partner with my clients to create this space in the therapy session. My therapeutic approach is deeply rooted in the belief that each individual’s journey is unique and deserving of respect. I attempt to offer a comprehensive perspective that values your personal narrative. I view therapy as a collaborative process, where we work together to explore your identity, navigate life’s challenges, and foster meaningful change.
(323) 918-5672 View (323) 918-5672
Photo of Dr. Luzia Daley - Daley Wellness Group | Dr. Luzia Daley, Psychologist, PsyD
Daley Wellness Group | Dr. Luzia Daley
Psychologist, PsyD
Verified Verified
Online Only
We practice from an integrated approach to wellness. We combine psychology with hypnotherapy, dreamwork and spirituality. The goal is to tap into the wisdom and healing powers that reside just below conscious awareness. The emergence of self-compassion, self-love and forgiveness builds the foundation that supports transformational healing. We trust each person is the expert in their own life and each person holds the answer they are seeking. Our role is to help those with whom we work to uncover the wisdom and resources they possess.
We practice from an integrated approach to wellness. We combine psychology with hypnotherapy, dreamwork and spirituality. The goal is to tap into the wisdom and healing powers that reside just below conscious awareness. The emergence of self-compassion, self-love and forgiveness builds the foundation that supports transformational healing. We trust each person is the expert in their own life and each person holds the answer they are seeking. Our role is to help those with whom we work to uncover the wisdom and resources they possess.
(209) 370-2663 View (209) 370-2663
Photo of Ariana Dulberg Soule, Marriage & Family Therapist, MA, LMFT, PPS
Ariana Dulberg Soule
Marriage & Family Therapist, MA, LMFT, PPS
Verified Verified
5 Endorsed
San Francisco, CA 94133
I specialize in couples counseling for people who may be experiencing challenges with communication, intimacy, or need help increasing their overall relationship satisfaction. I also provide therapy for teenagers and young adults who are navigating challenges like low self-esteem, anxiety, and depression. Whether you're dealing with personal struggles or seeking to strengthen your relationship, I’m here to provide support.
I specialize in couples counseling for people who may be experiencing challenges with communication, intimacy, or need help increasing their overall relationship satisfaction. I also provide therapy for teenagers and young adults who are navigating challenges like low self-esteem, anxiety, and depression. Whether you're dealing with personal struggles or seeking to strengthen your relationship, I’m here to provide support.
(925) 515-2744 View (925) 515-2744
Photo of Colleen Lewis, Marriage & Family Therapist, LMFT
Colleen Lewis
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Is your world feeling out of control or frightening? Have you stopped taking care of yourself the way you used to? Has your mood been affected by current personal or global crises? Are you wanting to change unhealthy patterns or addictions? You are not alone, and I can help you through this. Together we will explore your reasons for seeking treatment as well as relevant emotional, social, cultural, vocational, and environmental history. Collaboratively we will identify your strengths and needs to create a goal-oriented plan to increase life satisfaction and overall wellness.
Is your world feeling out of control or frightening? Have you stopped taking care of yourself the way you used to? Has your mood been affected by current personal or global crises? Are you wanting to change unhealthy patterns or addictions? You are not alone, and I can help you through this. Together we will explore your reasons for seeking treatment as well as relevant emotional, social, cultural, vocational, and environmental history. Collaboratively we will identify your strengths and needs to create a goal-oriented plan to increase life satisfaction and overall wellness.
(323) 205-7088 View (323) 205-7088
1

See more therapy options for 94133

How does your Therapist compare?

Number of Therapists in 94133

60+

Average cost per session

$195

Therapists in 94133 who prioritize treating:

93% Anxiety
87% Depression
84% Self Esteem
82% Relationship Issues
77% Trauma and PTSD
72% Stress
72% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

66% Aetna
52% UnitedHealthcare UHC | UBH
48% Optum

How Therapists in 94133 see their clients

54% Online Only
46% In Person and Online

Gender breakdown

74% Female
23% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94133?

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.