Photo of Hale Akamine, Psychologist in 96814, HI
Hale Akamine
Psychologist, PhD
Verified Verified
1 Endorsed
Honolulu, HI 96814
Hi, I'm Dr. Hale Akamine, for almost 30 years, individuals, couples and families have sought my counsel seeking to discover (or re-discover) the joy they've lost. We, the counselors here at the Family Ministries Center, are not just trained at the highest professional level but more importantly, are empowered by a caring God who desires for all of us to have a hope and a plan for an awesome future! If you'd like to hope again, visit us CounselingHawaii.org or call/text us 808.592.2500.
Hi, I'm Dr. Hale Akamine, for almost 30 years, individuals, couples and families have sought my counsel seeking to discover (or re-discover) the joy they've lost. We, the counselors here at the Family Ministries Center, are not just trained at the highest professional level but more importantly, are empowered by a caring God who desires for all of us to have a hope and a plan for an awesome future! If you'd like to hope again, visit us CounselingHawaii.org or call/text us 808.592.2500.
(808) 425-9733 View (808) 425-9733
May Day Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Honolulu, HI 96814  (Online Only)
Someone who seeks out talk therapy help, in order to help themselves, is an ideal client. Each of us has the capacity within ourselves to heal the pain from present or past experiences. Talk therapy allows a client the freedom to be heard, non-judgmentally, positively, encouragingly, as they work at their own speed, in ways that suit them, to bring about the best healing processes, activities, and goals for themselves.
Someone who seeks out talk therapy help, in order to help themselves, is an ideal client. Each of us has the capacity within ourselves to heal the pain from present or past experiences. Talk therapy allows a client the freedom to be heard, non-judgmentally, positively, encouragingly, as they work at their own speed, in ways that suit them, to bring about the best healing processes, activities, and goals for themselves.
(808) 666-2029 View (808) 666-2029
Photo of Julia Sanderson, Marriage & Family Therapist in 96814, HI
Julia Sanderson
Marriage & Family Therapist, MSCP, NCC, LMHC, LMFT
Verified Verified
Honolulu, HI 96814
I am a Licensed Marriage Family Therapist and Mental Health Counselor with over 18 years of experience working in the mental health field in Honolulu, Hawaii. I strive to help individuals, couples and families to make positive changes by improving their quality of life, creating and achieving their personal goals, ultimately achieving their fulfillments in life.
I am a Licensed Marriage Family Therapist and Mental Health Counselor with over 18 years of experience working in the mental health field in Honolulu, Hawaii. I strive to help individuals, couples and families to make positive changes by improving their quality of life, creating and achieving their personal goals, ultimately achieving their fulfillments in life.
(808) 427-0491 View (808) 427-0491
Photo of Leena Mohapatra, Psychologist in 96814, HI
Leena Mohapatra
Psychologist, PhD
Verified Verified
Honolulu, HI 96814
Not accepting new clients
My ideal clients seek science-based and culturally appropriate assessments to understand their cognitive, emotional, and behavioral challenges. As a clinical neuropsychologist, I assess thinking skills in those diagnosed with a medical condition and/or those who have learning, attention, and behavioral challenges. I conduct comprehensive assessments that are specific to my client's challenges and provide tailored recommendations for schools/colleges, medical teams, and third-party sources. I believe in understanding each client's story and tailoring my assessment and recommendations to meet a client's specific needs.
My ideal clients seek science-based and culturally appropriate assessments to understand their cognitive, emotional, and behavioral challenges. As a clinical neuropsychologist, I assess thinking skills in those diagnosed with a medical condition and/or those who have learning, attention, and behavioral challenges. I conduct comprehensive assessments that are specific to my client's challenges and provide tailored recommendations for schools/colleges, medical teams, and third-party sources. I believe in understanding each client's story and tailoring my assessment and recommendations to meet a client's specific needs.
(808) 746-3269 View (808) 746-3269
Photo of Carlyn A Tamura, Psy D, Psychologist in 96814, HI
Carlyn A Tamura, Psy D
Psychologist, Psy, D
Verified Verified
Honolulu, HI 96814  (Online Only)
I am a clinical psychologist who specializes in working with teens and their families in both "teen individual: and family therapy. I help to alleviate the trials of school problems and disruptive behaviors. I help the teen and the parents to explore different options to address the unique process of becoming a young adult I also aid couples who are struggling infertility issues to help navigate the emotional rollercoaster of the infertility experience.
I am a clinical psychologist who specializes in working with teens and their families in both "teen individual: and family therapy. I help to alleviate the trials of school problems and disruptive behaviors. I help the teen and the parents to explore different options to address the unique process of becoming a young adult I also aid couples who are struggling infertility issues to help navigate the emotional rollercoaster of the infertility experience.
(808) 202-2655 View (808) 202-2655
Photo of Ari-Anne Fuchtman, Marriage & Family Therapist in 96814, HI
Ari-Anne Fuchtman
Marriage & Family Therapist, MFT
Verified Verified
Honolulu, HI 96814
We all have the desire to experience connection and contribution to the community beyond ourselves. Often on this journey, we experience significant challenges and stuck periods. I believe each individual has the capability to overcome these obstacles given a nurturing and supportive environment. When working with clients, I attempt to provide this environment in order for my clients to enact meaningful change in their lives.
We all have the desire to experience connection and contribution to the community beyond ourselves. Often on this journey, we experience significant challenges and stuck periods. I believe each individual has the capability to overcome these obstacles given a nurturing and supportive environment. When working with clients, I attempt to provide this environment in order for my clients to enact meaningful change in their lives.
(808) 563-4837 View (808) 563-4837
Photo of Ashley Wiberg, Clinical Social Work/Therapist in 96814, HI
Ashley Wiberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Honolulu, HI 96814
Change takes effort. Cognitive Behavioral Therapy (CBT) can help you make that change. For problems like panic disorder, post-traumatic stress disorder, social phobia, chronic worry, and depression, CBT is among the world's most proven treatments, and we often combine CBT with exposure therapy, as well, to help people move past these problems. CBT teaches you how to change your thinking, with an initial focus on improving the here-and-now with smaller focus on the past. Practice is essential and CBT involves work, but that work often yields results.
Change takes effort. Cognitive Behavioral Therapy (CBT) can help you make that change. For problems like panic disorder, post-traumatic stress disorder, social phobia, chronic worry, and depression, CBT is among the world's most proven treatments, and we often combine CBT with exposure therapy, as well, to help people move past these problems. CBT teaches you how to change your thinking, with an initial focus on improving the here-and-now with smaller focus on the past. Practice is essential and CBT involves work, but that work often yields results.
(808) 650-5224 View (808) 650-5224
Photo of Marisa Kamada, Marriage & Family Therapist in 96814, HI
Marisa Kamada
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Honolulu, HI 96814
Have you ever found yourself overwhelmed and not sure how to deal with the unexpected situations life has thrown your way? Life can surprise us with situations that we may at times least expect. This may lead to us experiencing a variety of emotions that may leave us feeling stuck and often times hurt. I offer a safe, honest, non-judgmental, and culturally sensitive environment, which I believe is essential to the therapeutic healing journey and to building a trusting therapeutic relationship.
Have you ever found yourself overwhelmed and not sure how to deal with the unexpected situations life has thrown your way? Life can surprise us with situations that we may at times least expect. This may lead to us experiencing a variety of emotions that may leave us feeling stuck and often times hurt. I offer a safe, honest, non-judgmental, and culturally sensitive environment, which I believe is essential to the therapeutic healing journey and to building a trusting therapeutic relationship.
(808) 518-2339 View (808) 518-2339
Photo of Kali Ikemoto, Marriage & Family Therapist in 96814, HI
Kali Ikemoto
Marriage & Family Therapist, LMFT
Verified Verified
Honolulu, HI 96814
Aloha! Life likes to throw curve balls at us, throwing different challenges when we least expect them. Working through these challenges is not always easy when you are alone. Let me help you and your 'ohana grow together and be more vital than ever. As a Licensed Marriage and Family Therapist, I have more than 15 years of experience working within the home, school, clinic-based, and community-based settings, ranging from individual, family, and couples counseling.
Aloha! Life likes to throw curve balls at us, throwing different challenges when we least expect them. Working through these challenges is not always easy when you are alone. Let me help you and your 'ohana grow together and be more vital than ever. As a Licensed Marriage and Family Therapist, I have more than 15 years of experience working within the home, school, clinic-based, and community-based settings, ranging from individual, family, and couples counseling.
(808) 201-2651 View (808) 201-2651
Photo of Kendra K Epstein, Clinical Social Work/Therapist in 96814, HI
Kendra K Epstein
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Honolulu, HI 96814
Kendra has been practicing as a Licensed Social Worker in Hawaii for 24 years in both an acute care hospital setting and in Hospice. During this time she has also provided counseling and therapy through telehealth services to numerous clients. Throughout her career she has worked with individuals and families with grief and loss, life transitions, anxiety, depression, relationship issues, self-esteem challenges, medical and health concerns, and crisis and trauma management. Kendra is able to support her clients’ needs by blending a variety of therapeutic techniques including Solution Focused Therapy (SFBT),
Kendra has been practicing as a Licensed Social Worker in Hawaii for 24 years in both an acute care hospital setting and in Hospice. During this time she has also provided counseling and therapy through telehealth services to numerous clients. Throughout her career she has worked with individuals and families with grief and loss, life transitions, anxiety, depression, relationship issues, self-esteem challenges, medical and health concerns, and crisis and trauma management. Kendra is able to support her clients’ needs by blending a variety of therapeutic techniques including Solution Focused Therapy (SFBT),
(808) 435-5564 View (808) 435-5564
Photo of Audrey Chiya, Counselor in 96814, HI
Audrey Chiya
Counselor, MA, LMHC
Verified Verified
Honolulu, HI 96814
Do you feel like you're struggling with daily life and you can't seem enjoy your life? Growing up, living as an adult, and working in various parts of Oahu, I familiar with the diverse array of cultures Hawaii has to offer. I also am aware of the unique challenges that are present on the islands. In the daily hustle, our emotional needs and mental wellbeing are often forgotten. My passion is assisting people recognize the importance of their emotional needs and rediscovering their unique differences and qualities to gain the confidence to be authentically themselves in all realms of life.
Do you feel like you're struggling with daily life and you can't seem enjoy your life? Growing up, living as an adult, and working in various parts of Oahu, I familiar with the diverse array of cultures Hawaii has to offer. I also am aware of the unique challenges that are present on the islands. In the daily hustle, our emotional needs and mental wellbeing are often forgotten. My passion is assisting people recognize the importance of their emotional needs and rediscovering their unique differences and qualities to gain the confidence to be authentically themselves in all realms of life.
(808) 720-2477 View (808) 720-2477
Photo of Jeffrey H Nathan, Psychologist in 96814, HI
Jeffrey H Nathan
Psychologist, PhD
Verified Verified
Honolulu, HI 96814
Like our fingerprints, each individual is unique. I have come to understand that each individual also has a unique way of growing and changing. Let me help you find your way of feeling better. I specialize in psychotherapy for adults, couples, and adolescents. People with trouble with stress, depression, anxiety, confusion, and relationship issues seek my help. I adjust my approach to each client. Located very near Ala Moana Shopping Center. Aloha.
Like our fingerprints, each individual is unique. I have come to understand that each individual also has a unique way of growing and changing. Let me help you find your way of feeling better. I specialize in psychotherapy for adults, couples, and adolescents. People with trouble with stress, depression, anxiety, confusion, and relationship issues seek my help. I adjust my approach to each client. Located very near Ala Moana Shopping Center. Aloha.
(808) 427-1508 View (808) 427-1508
Photo of Matthias Darricarrere, Psychologist in 96814, HI
Matthias Darricarrere
Psychologist, PsyD
Verified Verified
Honolulu, HI 96814
My approach to therapy hinges on finding what works for you as an individual. This takes a lot of honesty and courage about the things with which you struggle. My commitment to my clients is to help them see these dynamics more clearly from a place of clarity, dignity, & respect and empower them towards a life that feels more meaningful and fulfilling. I have a strong focus on relationships. This includes the connections we have with meaningful people in our lives as well as the relationship we have with ourselves. Naturally, topics such as belonging, accountability, and shared experience tend to be important conversations for us.
My approach to therapy hinges on finding what works for you as an individual. This takes a lot of honesty and courage about the things with which you struggle. My commitment to my clients is to help them see these dynamics more clearly from a place of clarity, dignity, & respect and empower them towards a life that feels more meaningful and fulfilling. I have a strong focus on relationships. This includes the connections we have with meaningful people in our lives as well as the relationship we have with ourselves. Naturally, topics such as belonging, accountability, and shared experience tend to be important conversations for us.
(808) 646-2225 View (808) 646-2225
Photo of Cara Lucey, Psychologist in 96814, HI
Cara Lucey
Psychologist, Psy, D
Verified Verified
Honolulu, HI 96814
Not accepting new clients
I have provided therapy for individuals and families since 1996. I began my work with the Sex Abuse Treatment Center Hawaii and started private practice in 2008. My clinical practice includes Depression, Anxiety, Sexual abuse, Substance abuse and Recovery and trauma. I am a certified EMDR practitioner with EMDRIA and currently work through EMDRconsulting and EMDRHawaii conducting trainings for the treatment of trauma. I believe that every individual has the potential for wholeness and I utilize a cultural approach familiar to those with Hawaiian / Kanaka Maoli back ground. I am honored to be a part of your journey.
I have provided therapy for individuals and families since 1996. I began my work with the Sex Abuse Treatment Center Hawaii and started private practice in 2008. My clinical practice includes Depression, Anxiety, Sexual abuse, Substance abuse and Recovery and trauma. I am a certified EMDR practitioner with EMDRIA and currently work through EMDRconsulting and EMDRHawaii conducting trainings for the treatment of trauma. I believe that every individual has the potential for wholeness and I utilize a cultural approach familiar to those with Hawaiian / Kanaka Maoli back ground. I am honored to be a part of your journey.
(855) 339-3338 View (855) 339-3338
Photo of Pacific Shores Psychology, LLC, Psychologist in 96814, HI
Pacific Shores Psychology, LLC
Psychologist, PsyD
Verified Verified
2 Endorsed
Honolulu, HI 96814
Aloha, I am a clinical Psychologist specializing in culturally responsive, evidence-based care for those struggling with obsessive-compulsive disorder (OCD) , anxiety, phobia, trauma, and depression. I have extensive training and experience in evidenced-based therapies, such as Cognitive Processing Therapy (CPT), Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention Therapy (ERP), and Mindfulness-Based Cognitive Therapy(MCBT). I was trained in ERP at the UCLA (OCD) Adult Intensive Treatment Program and focus my work on helping adults and young adults struggling with OCD and related anxiety spectrum disorders.
Aloha, I am a clinical Psychologist specializing in culturally responsive, evidence-based care for those struggling with obsessive-compulsive disorder (OCD) , anxiety, phobia, trauma, and depression. I have extensive training and experience in evidenced-based therapies, such as Cognitive Processing Therapy (CPT), Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention Therapy (ERP), and Mindfulness-Based Cognitive Therapy(MCBT). I was trained in ERP at the UCLA (OCD) Adult Intensive Treatment Program and focus my work on helping adults and young adults struggling with OCD and related anxiety spectrum disorders.
(808) 556-7124 View (808) 556-7124
Photo of Megan Denes, Clinical Social Work/Therapist in 96814, HI
Megan Denes
Clinical Social Work/Therapist, LCSW
Verified Verified
Honolulu, HI 96814
I have worked in behavioral and mental health settings for the past seven years and I am licensed in the state of Hawaii and Florida. Much of my experience has been working with children and adolescents, with some additional experience working with adults. During this time, I have helped individuals navigate issues such as anxiety, depression, complex trauma, and self-esteem.
I have worked in behavioral and mental health settings for the past seven years and I am licensed in the state of Hawaii and Florida. Much of my experience has been working with children and adolescents, with some additional experience working with adults. During this time, I have helped individuals navigate issues such as anxiety, depression, complex trauma, and self-esteem.
(808) 736-5981 View (808) 736-5981
Photo of Alyssa Schoenfeld, Clinical Social Work/Therapist in 96814, HI
Alyssa Schoenfeld
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Honolulu, HI 96814  (Online Only)
Now accepting new clients! (I have space to take 3 new clients in May 2024) Whether you're facing anxiety, depression, trauma, compassion fatigue/burnout, or seeking personal growth, my integrative approach is designed to address your specific concerns and empower you to live a more meaningful life.
Now accepting new clients! (I have space to take 3 new clients in May 2024) Whether you're facing anxiety, depression, trauma, compassion fatigue/burnout, or seeking personal growth, my integrative approach is designed to address your specific concerns and empower you to live a more meaningful life.
(808) 201-2963 View (808) 201-2963
Photo of Nicole Osborne, Licensed Clinical Mental Health Counselor in 96814, HI
Nicole Osborne
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified Verified
1 Endorsed
Honolulu, HI 96814
Waitlist for new clients
Hi, I’m glad you're here. Right now you may be at a point where you’re tired of being "strong” all the time, people-pleasing, and struggling with low self-esteem. You're the type of person that doesn't ask for help and you're probably pretty good at “having it all together.” I can imagine how exhausted you must feel. I would love to help ease your burdens. With my empathetic and easy-going nature, I'll help you let your guard down, regain control over your life, heal from your past, and learn to love yourself. Whether you’re a teen or young adult (13-35), I would love to help you experience the joy and freedom you deserve.
Hi, I’m glad you're here. Right now you may be at a point where you’re tired of being "strong” all the time, people-pleasing, and struggling with low self-esteem. You're the type of person that doesn't ask for help and you're probably pretty good at “having it all together.” I can imagine how exhausted you must feel. I would love to help ease your burdens. With my empathetic and easy-going nature, I'll help you let your guard down, regain control over your life, heal from your past, and learn to love yourself. Whether you’re a teen or young adult (13-35), I would love to help you experience the joy and freedom you deserve.
(808) 650-7010 View (808) 650-7010
Photo of Jina Uyeda, Marriage & Family Therapist in 96814, HI
Jina Uyeda
Marriage & Family Therapist, MA, LMFT, CSAC
Verified Verified
1 Endorsed
Honolulu, HI 96814  (Online Only)
Waitlist for new clients
I am wholistic, systems based, Licensed Marriage and Family therapist and Certified Substance Abuse Counselor. I am fluent in Korean. I provide Substance Abuse Assessments and early intervention education. I work with families, couples, individuals and children. I have experience working with trauma, depression, dual diagnosis, children with autism, ADHD, and ADD.I have training in play therapy, EMDR, Gottman methods and mindfulness based treatment modalities. I have also worked as a domestic violence advocate for the Navy and worked with military families.
I am wholistic, systems based, Licensed Marriage and Family therapist and Certified Substance Abuse Counselor. I am fluent in Korean. I provide Substance Abuse Assessments and early intervention education. I work with families, couples, individuals and children. I have experience working with trauma, depression, dual diagnosis, children with autism, ADHD, and ADD.I have training in play therapy, EMDR, Gottman methods and mindfulness based treatment modalities. I have also worked as a domestic violence advocate for the Navy and worked with military families.
(808) 425-9811 View (808) 425-9811
Photo of Henry Beck, Psychologist in 96814, HI
Henry Beck
Psychologist, PsyD
Verified Verified
2 Endorsed
Honolulu, HI 96814
I am a licensed psychologist who specializes in psychotherapy for mood disorders, trauma, and relationship difficulties. Along with these specializations I have specific training and experience in forensic issues. My practice uses cutting-edge and empirically based psychotherapies, delivered with warmth and care. In addition to psychotherapy I perform psychological assessments for ADHD, assessments of cognitive abilities, as well as assessment of emotion and personality characteristics.
I am a licensed psychologist who specializes in psychotherapy for mood disorders, trauma, and relationship difficulties. Along with these specializations I have specific training and experience in forensic issues. My practice uses cutting-edge and empirically based psychotherapies, delivered with warmth and care. In addition to psychotherapy I perform psychological assessments for ADHD, assessments of cognitive abilities, as well as assessment of emotion and personality characteristics.
(808) 419-7299 View (808) 419-7299

See more therapy options for 96814

How does your Therapist compare?

Number of Therapists in 96814

100+

Average cost per session

$150

Therapists in 96814 who prioritize treating:

93% Anxiety
91% Depression
82% Coping Skills
80% Self Esteem
77% Relationship Issues
69% Trauma and PTSD
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

76% Hawaii Medical Services Association
67% University Health Alliance
64% Hawaii Medical Assurance Association

How Therapists in 96814 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 96814?

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.