Therapists in Bryn Mawr, PA

Photo of Stephanie Newberg, Clinical Social Work/Therapist in Bryn Mawr, PA
Stephanie Newberg
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
Bryn Mawr, PA 19010
I am dedicated to providing each individual, couple, and family with quality, individualized care. I strive to help my clients feel heard, and to learn new coping strategies and relationship skills so that they can lead more meaningful, healthy, and intimate lives. I work with clients who are dedicated to their own personal growth and self-awareness and who want to work on decreasing stress, depression, anxiety, and family conflict in their lives. I value helping my clients to have quality relationships in which they can feel accepted and understood.
I am dedicated to providing each individual, couple, and family with quality, individualized care. I strive to help my clients feel heard, and to learn new coping strategies and relationship skills so that they can lead more meaningful, healthy, and intimate lives. I work with clients who are dedicated to their own personal growth and self-awareness and who want to work on decreasing stress, depression, anxiety, and family conflict in their lives. I value helping my clients to have quality relationships in which they can feel accepted and understood.
(610) 628-4527 View (610) 628-4527
Photo of The Postpartum Stress Center, LLC in Bryn Mawr, PA
The Postpartum Stress Center, LLC
Verified Verified
Bryn Mawr, PA 19010  (Online Only)
We are a virtual practice dedicated to maternal wellness, serving the needs of pregnant and postpartum women and their families for almost 40 years. Our team is comprised of highly skilled therapists who are social workers, psychologists and psychiatrists and have received advanced training in the treatment of prenatal and postpartum depression and anxiety. Our practice is not limited to this area of specialty as we provide general counseling for adolescents, adults and couples.
We are a virtual practice dedicated to maternal wellness, serving the needs of pregnant and postpartum women and their families for almost 40 years. Our team is comprised of highly skilled therapists who are social workers, psychologists and psychiatrists and have received advanced training in the treatment of prenatal and postpartum depression and anxiety. Our practice is not limited to this area of specialty as we provide general counseling for adolescents, adults and couples.
(610) 822-2577 View (610) 822-2577
Photo of Melea Sayward, Licensed Professional Counselor in Bryn Mawr, PA
Melea Sayward
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
Bryn Mawr, PA 19010  (Online Only)
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
(484) 603-3961 View (484) 603-3961
Photo of Caroline Haimm, Psychologist in Bryn Mawr, PA
Caroline Haimm
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical psychologist, and I work with children, adolescents, and adults. I specialize in providing evidence-based treatments for the full spectrum of anxiety disorders, including OCD, generalized anxiety, social anxiety, panic disorder, and specific phobias. I also provide treatment for depression and offer parent coaching to address child anxiety and OCD. I enjoy utilizing my background in cognitive behavioral therapy and interpersonal psychotherapy to tailor treatment to each client's unique situation, developmental level, and treatment goals.
I am a licensed clinical psychologist, and I work with children, adolescents, and adults. I specialize in providing evidence-based treatments for the full spectrum of anxiety disorders, including OCD, generalized anxiety, social anxiety, panic disorder, and specific phobias. I also provide treatment for depression and offer parent coaching to address child anxiety and OCD. I enjoy utilizing my background in cognitive behavioral therapy and interpersonal psychotherapy to tailor treatment to each client's unique situation, developmental level, and treatment goals.
(484) 897-6584 View (484) 897-6584
Photo of Mary Beth Ertel, Psychologist in Bryn Mawr, PA
Mary Beth Ertel
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
Your desire to change your life and find better ways of coping is a strength you may not yet realize you possess. As a clinical developmental psychologist, I can help you understand your current struggles in context, as part of your developmental journey and the systems of family and relationships surrounding you. In an emotionally safe and confidential environment, I will work with you to uncover the source of your challenges and find alternate coping strategies. I believe it is important to help you identify and use the many strengths you already possess as you work through your current difficulties.
Your desire to change your life and find better ways of coping is a strength you may not yet realize you possess. As a clinical developmental psychologist, I can help you understand your current struggles in context, as part of your developmental journey and the systems of family and relationships surrounding you. In an emotionally safe and confidential environment, I will work with you to uncover the source of your challenges and find alternate coping strategies. I believe it is important to help you identify and use the many strengths you already possess as you work through your current difficulties.
(610) 525-2100 x7 View (610) 525-2100 x7
Photo of Dawn Amey, Clinical Social Work/Therapist in Bryn Mawr, PA
Dawn Amey
Clinical Social Work/Therapist, MSW, LCSW, BCBA
Verified Verified
Bryn Mawr, PA 19010
My practice focuses on helping preteens, teens, and young adults and/or their families feel better via individual and group treatment. Seeking help and accepting guidance can be the first steps toward creating the life you want and deserve.
My practice focuses on helping preteens, teens, and young adults and/or their families feel better via individual and group treatment. Seeking help and accepting guidance can be the first steps toward creating the life you want and deserve.
(302) 360-8086 View (302) 360-8086
Photo of Teresa Thompson, Licensed Professional Counselor in Bryn Mawr, PA
Teresa Thompson
Licensed Professional Counselor, LPC, ATR-BC, CBIS
Verified Verified
Bryn Mawr, PA 19010
Are you feeling stuck? I help clients feel seen, understood and empowered to create change in their lives and relationships. I see my role in the therapeutic relationship as a catalyst to help increase awareness and trust to support freedom of expression, insight, and healing. In therapy sessions, I work in collaboration with individuals and couples to identify areas that are inhibiting quality of life and focus on building existing strengths and new skills. I believe that each individual is an expert in their own lives and has the strengths and potential to actualize the change they want to see.
Are you feeling stuck? I help clients feel seen, understood and empowered to create change in their lives and relationships. I see my role in the therapeutic relationship as a catalyst to help increase awareness and trust to support freedom of expression, insight, and healing. In therapy sessions, I work in collaboration with individuals and couples to identify areas that are inhibiting quality of life and focus on building existing strengths and new skills. I believe that each individual is an expert in their own lives and has the strengths and potential to actualize the change they want to see.
(484) 443-2257 x1 View (484) 443-2257 x1
Photo of Thomas K Hurster, Clinical Social Work/Therapist in Bryn Mawr, PA
Thomas K Hurster
Clinical Social Work/Therapist, MSS, LCSW, CGP, AGPA-F
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical social worker who has been providing counseling and therapy services to youth and their families for over 40 years. While I do see adults in psychotherapy as part of my private practice, I primarily work with older children, adolescents, and young adults, and their families. I have extensive experience with the range of problems and issues that youth encounter, including anxiety, depression, impulsivity, excessive anger, self-esteem erosion, and relational difficulties, and have a particular expertise in working with youth who present with neuro-diversity and learning struggles.
I am a licensed clinical social worker who has been providing counseling and therapy services to youth and their families for over 40 years. While I do see adults in psychotherapy as part of my private practice, I primarily work with older children, adolescents, and young adults, and their families. I have extensive experience with the range of problems and issues that youth encounter, including anxiety, depression, impulsivity, excessive anger, self-esteem erosion, and relational difficulties, and have a particular expertise in working with youth who present with neuro-diversity and learning struggles.
(484) 696-1433 View (484) 696-1433
Photo of Ariel Peleg-Globig, Clinical Social Work/Therapist in Bryn Mawr, PA
Ariel Peleg-Globig
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010
Our changing world brings with it joys and opportunities, but also challenges and anxieties. We try our best as parents, and caregivers to protect our children from the most challenging aspects of life, and provide them with skills to deal with the rest. Most of the time we are up to the task, but there are times when we all could use a helping hand. Whether your child is struggling with anxiety, or depression, avoiding following adult directions, involved in fights at school or at home, or something happened in their lives that is beyond their current ability to cope with - I am here to help.
Our changing world brings with it joys and opportunities, but also challenges and anxieties. We try our best as parents, and caregivers to protect our children from the most challenging aspects of life, and provide them with skills to deal with the rest. Most of the time we are up to the task, but there are times when we all could use a helping hand. Whether your child is struggling with anxiety, or depression, avoiding following adult directions, involved in fights at school or at home, or something happened in their lives that is beyond their current ability to cope with - I am here to help.
(610) 569-9663 View (610) 569-9663
Photo of Dawn Altman, Licensed Professional Counselor in Bryn Mawr, PA
Dawn Altman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Are you looking to find greater meaning and purpose in life? As a Jungian psychotherapist, I specialize in working with individuals experiencing life transitions, be it divorce, new parenthood, or midlife changes or loss. Anxiety, depression, loss of vitality, disordered eating, and addictions are symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
Are you looking to find greater meaning and purpose in life? As a Jungian psychotherapist, I specialize in working with individuals experiencing life transitions, be it divorce, new parenthood, or midlife changes or loss. Anxiety, depression, loss of vitality, disordered eating, and addictions are symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
(610) 991-7737 View (610) 991-7737
Photo of Kaitlin M Joyce, Clinical Social Work/Therapist in Bryn Mawr, PA
Kaitlin M Joyce
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Bryn Mawr, PA 19010  (Online Only)
With all clients, my goal is to help facilitate a dialogue that will assist individuals in building confidence to engage in meaningful relationships, increase problem solving skills and overall self-worth. Working with the client to achieve these goals, I provide an empathic, holistic, and safe space where clients become empowered to work towards a better understanding of themselves, building on the strengths they already possess.
With all clients, my goal is to help facilitate a dialogue that will assist individuals in building confidence to engage in meaningful relationships, increase problem solving skills and overall self-worth. Working with the client to achieve these goals, I provide an empathic, holistic, and safe space where clients become empowered to work towards a better understanding of themselves, building on the strengths they already possess.
(484) 483-2270 View (484) 483-2270
Photo of Amanda Viner, Psychologist in Bryn Mawr, PA
Amanda Viner
Psychologist, PsyD
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010  (Online Only)
Do you want to live a more meaningful and fulfilling life? Are you struggling with depression, anxiety, emotion regulation, or relationship issues and are not sure where to turn? Whether you have suffered long-term with mental health issues or are looking for support to help you through a particularly difficult time, I am here to help. I work with adults across the lifespan. My specialities include anxiety/OCD, mood disorders, chronic illness, relationship issues, borderline personality disorder, and healing from narcissistic abuse. Given my training experience, I also have a niche area of working with medical professionals.
Do you want to live a more meaningful and fulfilling life? Are you struggling with depression, anxiety, emotion regulation, or relationship issues and are not sure where to turn? Whether you have suffered long-term with mental health issues or are looking for support to help you through a particularly difficult time, I am here to help. I work with adults across the lifespan. My specialities include anxiety/OCD, mood disorders, chronic illness, relationship issues, borderline personality disorder, and healing from narcissistic abuse. Given my training experience, I also have a niche area of working with medical professionals.
(610) 600-6825 View (610) 600-6825
Photo of Idit Trope, Psychologist in Bryn Mawr, PA
Idit Trope
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I conduct neuropsychological and psycho-educational evaluations with children and adults. I assess for psychological/psychiatric and brain-related issues, including traumatic brain injury and concussion, toxic exposure, such as lead poisoning, ADHD, learning disabilities, dementia, stroke, anoxia, epilepsy, etc. I also assess patients who are involved in litigation and I serve as an expert witness in court.
I conduct neuropsychological and psycho-educational evaluations with children and adults. I assess for psychological/psychiatric and brain-related issues, including traumatic brain injury and concussion, toxic exposure, such as lead poisoning, ADHD, learning disabilities, dementia, stroke, anoxia, epilepsy, etc. I also assess patients who are involved in litigation and I serve as an expert witness in court.
(610) 991-7147 View (610) 991-7147
Photo of Katharine Starrantino, Clinical Social Work/Therapist in Bryn Mawr, PA
Katharine Starrantino
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010  (Online Only)
I am a licensed clinical social worker with a masters degree in clinical social work and an additional masters in sex and relationship therapy. I have worked in different settings including private practice, medical settings, and community based mental health. I have seen individuals and couples who are struggling with anxiety, familial conflict, communication, intimacy issues, body image, grief and loss, caregiver stress, and challenging life transitions or adjustments.
I am a licensed clinical social worker with a masters degree in clinical social work and an additional masters in sex and relationship therapy. I have worked in different settings including private practice, medical settings, and community based mental health. I have seen individuals and couples who are struggling with anxiety, familial conflict, communication, intimacy issues, body image, grief and loss, caregiver stress, and challenging life transitions or adjustments.
(484) 282-7385 View (484) 282-7385
Photo of Ren (Lauren) Gibson, Psychologist in Bryn Mawr, PA
Ren (Lauren) Gibson
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical psychologist who specializes in treating trauma-related conditions, emotion dysregulation, and the broad spectrum of anxiety disorders, with extensive training in various approaches, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, exposure therapies, and Acceptance and Commitment Therapy. I incorporate principles from many evidence-based treatments given the complexity of individuals and the world generally. My interventions can target issues that fall under diagnostic categories (e.g., PTSD, OCD, GAD), but also other underlying relationship, personality, and emotion concerns.
I am a licensed clinical psychologist who specializes in treating trauma-related conditions, emotion dysregulation, and the broad spectrum of anxiety disorders, with extensive training in various approaches, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, exposure therapies, and Acceptance and Commitment Therapy. I incorporate principles from many evidence-based treatments given the complexity of individuals and the world generally. My interventions can target issues that fall under diagnostic categories (e.g., PTSD, OCD, GAD), but also other underlying relationship, personality, and emotion concerns.
(484) 406-3437 x517 View (484) 406-3437 x517
Photo of Jeannine C Alvare', Clinical Social Work/Therapist in Bryn Mawr, PA
Jeannine C Alvare'
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Bryn Mawr, PA 19010
I believe that mental health reflects a balance between an individual's emotional functioning and his/her family, friends and community. I support patients in their personal awareness and integration of the mind, body and spirit. I have extensive clinical experience with individuals and families addressing concerns such as: Anxiety, Autistic Spectrum, Attention Deficit Disorders, Bi-Polar Disorder, Depression, Eating Disorders, Learning Differences, Oppositional/Defiant Behaviors, Personality Disorders, Postpartum Depression and Psychological responses to life changes. I offer additional expertise in bi-cultural/racial issues, chronic illness, co-parenting, LGBT community, interfaith marriage and sibling rivalry.
I believe that mental health reflects a balance between an individual's emotional functioning and his/her family, friends and community. I support patients in their personal awareness and integration of the mind, body and spirit. I have extensive clinical experience with individuals and families addressing concerns such as: Anxiety, Autistic Spectrum, Attention Deficit Disorders, Bi-Polar Disorder, Depression, Eating Disorders, Learning Differences, Oppositional/Defiant Behaviors, Personality Disorders, Postpartum Depression and Psychological responses to life changes. I offer additional expertise in bi-cultural/racial issues, chronic illness, co-parenting, LGBT community, interfaith marriage and sibling rivalry.
(484) 494-2899 View (484) 494-2899
Photo of Dr. Thomas Le, Pre-Licensed Professional in Bryn Mawr, PA
Dr. Thomas Le
Pre-Licensed Professional, PhD
Verified Verified
Bryn Mawr, PA 19010
As a person-centered, trauma-informed, and multicultural therapist, I strive to meet my clients where they are while also offering tangible strategies for growth, healing, and change. I specialize in the treatment of clinical concerns such as trauma and PTSD, grief and loss, relationship difficulties (e.g., romantic relationships and friendships, family dynamics), identity exploration, emotion regulation/dysregulation, substance use, disordered eating/body image concerns, and depression and anxiety. Clients have described me as warm, engaged, and nonjudgmental.
As a person-centered, trauma-informed, and multicultural therapist, I strive to meet my clients where they are while also offering tangible strategies for growth, healing, and change. I specialize in the treatment of clinical concerns such as trauma and PTSD, grief and loss, relationship difficulties (e.g., romantic relationships and friendships, family dynamics), identity exploration, emotion regulation/dysregulation, substance use, disordered eating/body image concerns, and depression and anxiety. Clients have described me as warm, engaged, and nonjudgmental.
(484) 263-8853 x711 View (484) 263-8853 x711
Photo of Leon Gellert, Psychologist in Bryn Mawr, PA
Leon Gellert
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
Discussing our concerns in therapy can be daunting, so my goal is to create a space where clients can be comfortable enough to engage with uncomfortable thoughts, emotions, and experiences. In my career I have worked at University Counseling Centers including NYU, Drexel, and SJU, and also with Veterans at the Brooklyn VA. Through these experiences I have worked with individuals from varied backgrounds who have come to work on a range of issues ranging from managing the difficulties of growing independence to the significant impacts of past traumatic experiences.
Discussing our concerns in therapy can be daunting, so my goal is to create a space where clients can be comfortable enough to engage with uncomfortable thoughts, emotions, and experiences. In my career I have worked at University Counseling Centers including NYU, Drexel, and SJU, and also with Veterans at the Brooklyn VA. Through these experiences I have worked with individuals from varied backgrounds who have come to work on a range of issues ranging from managing the difficulties of growing independence to the significant impacts of past traumatic experiences.
(484) 559-7545 View (484) 559-7545
Photo of Patricia M Constantinian, Psychologist in Bryn Mawr, PA
Patricia M Constantinian
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
Teens, young adults, and families face challenges and hardships that may feel insurmountable. A time of great potential for personal growth for a young person and for each family member is often hindered by rigid patterns of relating and communicating. It can be difficult to start talking about what is not working and what needs to change.
Teens, young adults, and families face challenges and hardships that may feel insurmountable. A time of great potential for personal growth for a young person and for each family member is often hindered by rigid patterns of relating and communicating. It can be difficult to start talking about what is not working and what needs to change.
(267) 633-3098 View (267) 633-3098
Photo of Chris J Malanga, Licensed Professional Counselor in Bryn Mawr, PA
Chris J Malanga
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Bryn Mawr, PA 19010
Are you feeling like the happiness, peace of mind, and professional success which you desire is consistently out of your grasp? My typical client knows that something in their life is not working, and they are ready to seek out meaningful change. Making the first step to reach out and pursue support is often the most difficult step. The good news is that psychotherapy and professional coaching are powerful tools for creating lasting change; for those ready to make the leap.
Are you feeling like the happiness, peace of mind, and professional success which you desire is consistently out of your grasp? My typical client knows that something in their life is not working, and they are ready to seek out meaningful change. Making the first step to reach out and pursue support is often the most difficult step. The good news is that psychotherapy and professional coaching are powerful tools for creating lasting change; for those ready to make the leap.
(484) 573-6395 View (484) 573-6395

How does your Therapist compare?

Number of Therapists in Bryn Mawr, PA

300+

Average cost per session

$160

Therapists in Bryn Mawr, PA who prioritize treating:

95% Anxiety
89% Depression
82% Relationship Issues
74% Self Esteem
68% Trauma and PTSD
65% Stress
63% Grief

Average years in practice

15 Years

Top 3 insurances accepted

70% Aetna
59% Highmark
50% UnitedHealthcare UHC | UBH

How Therapists in Bryn Mawr, PA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bryn Mawr?

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.