Therapists in Los Angeles, CA
Esther Jacob
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90025
I am an experienced Licensed Clinical Social Worker and Divorce Coach practicing virtually and in-person in Westwood and Encino. I treat individuals with Anxiety, Panic Disorder, Agoraphobia, OCD, Relationship conflicts, Adjustment to life stressors, Depression, Divorce, Parenting, and Co-parenting issues.
I am an experienced Licensed Clinical Social Worker and Divorce Coach practicing virtually and in-person in Westwood and Encino. I treat individuals with Anxiety, Panic Disorder, Agoraphobia, OCD, Relationship conflicts, Adjustment to life stressors, Depression, Divorce, Parenting, and Co-parenting issues.
Diamond Lee
Associate Clinical Social Worker, ACSW
Verified Verified
1 Endorsed
Los Angeles, CA 90016 (Online Only)
My name is Diamond and I am an associate therapist who specializes in helping Black women navigate issues related to relationships, perinatal mental health, self-esteem, career, race-based stress, depression, and anxiety. I am on a mission to guide my clients from repression to liberation and authenticity. Drawing inspiration from my own transformative journey, my goal is to create a comfortable, non-judgmental, empathetic environment where I collaborate with my clients to create the space for change through problem-solving, growth, and introspection.
My name is Diamond and I am an associate therapist who specializes in helping Black women navigate issues related to relationships, perinatal mental health, self-esteem, career, race-based stress, depression, and anxiety. I am on a mission to guide my clients from repression to liberation and authenticity. Drawing inspiration from my own transformative journey, my goal is to create a comfortable, non-judgmental, empathetic environment where I collaborate with my clients to create the space for change through problem-solving, growth, and introspection.
Suzan Howe - Expansive Therapy
Counselor, LMFT
Verified Verified
Los Angeles, CA 90004 (Online Only)
I tailor my approach to the unique needs and goals of each client. For instance, I integrate cognitive-behavioral strategies to address specific challenges, foster humanistic principles to promote self-discovery, and employ client-centered techniques to enhance the therapeutic alliance.
I tailor my approach to the unique needs and goals of each client. For instance, I integrate cognitive-behavioral strategies to address specific challenges, foster humanistic principles to promote self-discovery, and employ client-centered techniques to enhance the therapeutic alliance.
Dina Daleo
Psychologist, PsyD
Verified Verified
4 Endorsed
Los Angeles, CA 90027
Psychotherapy is an opportunity to feel better and to grow as a person. Therapy can alleviate symptoms like anxiety or depression, provide insight into what makes you happy, and help you develop your most genuine and creative self. Symptom relief and self development are achieved by providing you with a safe and empathetic environment, by exploring the role of unconscious forces in your decision making, and by linking your present relationships to past ones, particularly those of your family of origin. I do this while respecting your autonomy and your right to make your own decisions.
Psychotherapy is an opportunity to feel better and to grow as a person. Therapy can alleviate symptoms like anxiety or depression, provide insight into what makes you happy, and help you develop your most genuine and creative self. Symptom relief and self development are achieved by providing you with a safe and empathetic environment, by exploring the role of unconscious forces in your decision making, and by linking your present relationships to past ones, particularly those of your family of origin. I do this while respecting your autonomy and your right to make your own decisions.
Julie Felios
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Los Angeles, CA 90025 (Online Only)
Do you feel so overwhelmed by your emotions that you no longer can tell if you control them or if they control you? Or do you feel unhappy, lonely or tired of getting into arguments with your spouse. Are you feeling frustrated when you aren’t feeling like yourself- worried, sad, or unmotivated? Depression, stress, and anxiety can affect everything from work to relationships, not meeting goals, or even trouble completing daily tasks. Sometimes it can be challenging to understand ‘why’ or what is causing the anxious feelings. Other times our relationship takes a toll and it can be challenging to communicate with our partner.
Do you feel so overwhelmed by your emotions that you no longer can tell if you control them or if they control you? Or do you feel unhappy, lonely or tired of getting into arguments with your spouse. Are you feeling frustrated when you aren’t feeling like yourself- worried, sad, or unmotivated? Depression, stress, and anxiety can affect everything from work to relationships, not meeting goals, or even trouble completing daily tasks. Sometimes it can be challenging to understand ‘why’ or what is causing the anxious feelings. Other times our relationship takes a toll and it can be challenging to communicate with our partner.
Kevin Graves
Marriage & Family Therapist, MS, LMFT
Verified Verified
Los Angeles, CA 90025
“Bridging is the work of opening the gate to the stranger, within and without.” – Gloria E. Anzaldúa. You’re at an inflection point. The ground has shifted; you find yourself on rocky terrain. The trail’s end is hazy, but you catch a glimpse: the outline of a hopeful future, somehow. Let us nurture those neglected pieces of yourself too oft ignored. With sincerity, compassion, and levity, I offer steady company on your voyage. You’ll discover bridges to yourself, your loved ones, and the goals that matter to you. The discourse shall be rich; the reflection, deep; the change, meaningful. You needn’t travel alone.
“Bridging is the work of opening the gate to the stranger, within and without.” – Gloria E. Anzaldúa. You’re at an inflection point. The ground has shifted; you find yourself on rocky terrain. The trail’s end is hazy, but you catch a glimpse: the outline of a hopeful future, somehow. Let us nurture those neglected pieces of yourself too oft ignored. With sincerity, compassion, and levity, I offer steady company on your voyage. You’ll discover bridges to yourself, your loved ones, and the goals that matter to you. The discourse shall be rich; the reflection, deep; the change, meaningful. You needn’t travel alone.
Kevin M Yoshida
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Los Angeles, CA 90064 (Online Only)
When you get to a point in life where you feel stuck whether it is a relationship, work, or overwhelm in multiple domains of life, therapy can make a crucial difference in helping you move forward. When avoidance, white-knuckling, deep introspection on your own or other strategies you have tried do not provide the result you want, try therapy. If you are seeking some relief from painful feelings, or looking for help to change unhelpful or unwanted patterns in your life, or want a greater sense of meaningfulness and fulfillment, I commend you for taking the step of seeking support. Contact me for a free 15-minute call.
When you get to a point in life where you feel stuck whether it is a relationship, work, or overwhelm in multiple domains of life, therapy can make a crucial difference in helping you move forward. When avoidance, white-knuckling, deep introspection on your own or other strategies you have tried do not provide the result you want, try therapy. If you are seeking some relief from painful feelings, or looking for help to change unhelpful or unwanted patterns in your life, or want a greater sense of meaningfulness and fulfillment, I commend you for taking the step of seeking support. Contact me for a free 15-minute call.
Donna Trujillo
Marriage & Family Therapist, MA, MFT
Verified Verified
Los Angeles, CA 90038
I am delighted to be in private practice in West Hollywood. In addition to this work, I am a primary therapist in agencies where I treat clients with co-occurring substance abuse, food and sex addictions. My training includes work at Being Alive, an HIV/AIDS service organization, helping clients heal from chemical dependence, trauma, and co-occurring health challenges using LGBT Affirmative Therapy. During my time as an intern, I worked at Promises Malibu, Breathe Life Healing Centers, Refuge Recovery Centers and the Narrative Counseling Center. I have a Masters in Psychology with an LGBT Specialization from Antioch University.
I am delighted to be in private practice in West Hollywood. In addition to this work, I am a primary therapist in agencies where I treat clients with co-occurring substance abuse, food and sex addictions. My training includes work at Being Alive, an HIV/AIDS service organization, helping clients heal from chemical dependence, trauma, and co-occurring health challenges using LGBT Affirmative Therapy. During my time as an intern, I worked at Promises Malibu, Breathe Life Healing Centers, Refuge Recovery Centers and the Narrative Counseling Center. I have a Masters in Psychology with an LGBT Specialization from Antioch University.
Sarah Thompson
Psychologist, PhD
Verified Verified
Los Angeles, CA 90025
Are you feeling stuck? Do you want to make changes in your life, but aren't sure how to move forward? I specialize in providing individual and couple therapy for adults with diagnoses like anxiety, depression, and PTSD as well as common concerns such as relationship difficulties, stress, sleep problems, chronic pain, body image concerns, and perfectionism. Whether you have a sense of what's important to you or have no idea what you want your life to look like, I would love to help you understand more about what's getting in your way and begin moving through your life with joy, purpose, and a sense of peace.
Are you feeling stuck? Do you want to make changes in your life, but aren't sure how to move forward? I specialize in providing individual and couple therapy for adults with diagnoses like anxiety, depression, and PTSD as well as common concerns such as relationship difficulties, stress, sleep problems, chronic pain, body image concerns, and perfectionism. Whether you have a sense of what's important to you or have no idea what you want your life to look like, I would love to help you understand more about what's getting in your way and begin moving through your life with joy, purpose, and a sense of peace.
Erika Bischoff
Clinical Social Work/Therapist, LCSW, CPC
Verified Verified
3 Endorsed
Los Angeles, CA 90049
Change is possible and I believe that all individuals deserve the opportunity to create positive changes that will impact them throughout their lives. My role in the therapeutic process is to help clients explore patterns of thoughts and behaviors that are negatively impacting their lives and provide them skills to gain more control and build healthy and meaningful relationships. I strive to provide a creative and collaborative environment by which clients can reach their goals in a relatively short time.
Change is possible and I believe that all individuals deserve the opportunity to create positive changes that will impact them throughout their lives. My role in the therapeutic process is to help clients explore patterns of thoughts and behaviors that are negatively impacting their lives and provide them skills to gain more control and build healthy and meaningful relationships. I strive to provide a creative and collaborative environment by which clients can reach their goals in a relatively short time.
Elizabeth Collier
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Los Angeles, CA 90036
Do you yearn for change and deeper connections? Are you prepared to embrace your pain and accept the invitation to unveil a more whole, liberated, and empowered self? I'm here as your guide on the transformative journey back to yourself. In our collaborative work, we'll delve into your inner life, unravel limiting patterns and beliefs, and foster a mind-body connection. From this more present, embodied space, life's challenges evolve into opportunities for growth and transformation. Together, we'll plant the seeds for a new vision of your life.
Do you yearn for change and deeper connections? Are you prepared to embrace your pain and accept the invitation to unveil a more whole, liberated, and empowered self? I'm here as your guide on the transformative journey back to yourself. In our collaborative work, we'll delve into your inner life, unravel limiting patterns and beliefs, and foster a mind-body connection. From this more present, embodied space, life's challenges evolve into opportunities for growth and transformation. Together, we'll plant the seeds for a new vision of your life.
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Aracely Rodriguez
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Los Angeles, CA 90023 (Online Only)
Hi! I’m Aracely, I first want to commend you in taking the first step in creating positive change for yourself. Let me first start by telling you about my clinical style. It is very hands on, I will push you, encourage you, keep you accountable, strengthen you all while assisting you in accomplishing the goals you have set for yourself. During our work together, I will also provide you with a safe, non-judgmental environment so you can feel free to share what has been ruminating in your mind. If you are sick and tired about feeling unhappy about situations, experiences and or people, I am thrilled to help support you in this.
Hi! I’m Aracely, I first want to commend you in taking the first step in creating positive change for yourself. Let me first start by telling you about my clinical style. It is very hands on, I will push you, encourage you, keep you accountable, strengthen you all while assisting you in accomplishing the goals you have set for yourself. During our work together, I will also provide you with a safe, non-judgmental environment so you can feel free to share what has been ruminating in your mind. If you are sick and tired about feeling unhappy about situations, experiences and or people, I am thrilled to help support you in this.
Brian Stefan
Associate Clinical Social Worker, ASW
Verified Verified
Los Angeles, CA 90048 (Online Only)
You are tired of grieving alone, and there's so much you want to express but it’s hard to talk with many friends, family, or others. You go back and forth between fear and anger, and often feel stuck in your grief. Sometimes you prefer to feel numb to it and other times you wish you could burrow into your grief. You know the answer is not to "move on" but you struggle with how to "move forward" in a way that is right for you. It makes you wonder if you are doing all this “correctly.” It seems like you are finally ready to reach out.
You are tired of grieving alone, and there's so much you want to express but it’s hard to talk with many friends, family, or others. You go back and forth between fear and anger, and often feel stuck in your grief. Sometimes you prefer to feel numb to it and other times you wish you could burrow into your grief. You know the answer is not to "move on" but you struggle with how to "move forward" in a way that is right for you. It makes you wonder if you are doing all this “correctly.” It seems like you are finally ready to reach out.
Renee Feiger
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Los Angeles, CA 90064
Is this a critical time or are you feeling stuck? At various times in our lives we reach a crossroad. Changes in your relationships, your work, your finances or about planning your future can cause anxiety and stress. I have successfully worked with people during these transitions. In treatment, I follow a holistic approach using various modalities such as psychodynamic psychotherapy, cognitive behavioral techniques, and coaching. We will identify your road blocks by exploring your worries and your fears, providing you with coping skills to achieve the life you want.
Is this a critical time or are you feeling stuck? At various times in our lives we reach a crossroad. Changes in your relationships, your work, your finances or about planning your future can cause anxiety and stress. I have successfully worked with people during these transitions. In treatment, I follow a holistic approach using various modalities such as psychodynamic psychotherapy, cognitive behavioral techniques, and coaching. We will identify your road blocks by exploring your worries and your fears, providing you with coping skills to achieve the life you want.
Kristin Kolster
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90045 (Online Only)
I find meaning and fulfillment in working with those who have experienced trauma, anxiety, depression, grief and loss, attachment wounds, and relationship issues. I am an Eye Movement Desensitization (EMDR) and Reprocessing trained therapist and I use EMDR to treat trauma. Trauma comes in multiple forms; single episode, multiple, or cumulative relational trauma. I strongly believe that our psyche is wired for healing and growth, and it is an honor to be part of my client’s transformative journey.
I find meaning and fulfillment in working with those who have experienced trauma, anxiety, depression, grief and loss, attachment wounds, and relationship issues. I am an Eye Movement Desensitization (EMDR) and Reprocessing trained therapist and I use EMDR to treat trauma. Trauma comes in multiple forms; single episode, multiple, or cumulative relational trauma. I strongly believe that our psyche is wired for healing and growth, and it is an honor to be part of my client’s transformative journey.
Antonia Cardona
Marriage & Family Therapist, MS, LMFT
Verified Verified
Los Angeles, CA 90024
Are you feeling lost or stuck in a rut? Have you noticed that you often feel angry, guilty, or bitter and it's affecting your relationship with others? Or perhaps you feel ill equipped at managing your emotions and/or conflicts that arise with others. There are so many messages and beliefs being thrown at us on a constant basis, whether it's from others or ourselves, that can make us feel overwhelmed, stressed, depressed, or disingenuous. These feelings can often be debilitating and can sabotage our life and our relationships with others. Perhaps you're ready to feel more confident and want to start taking charge of your life.
Are you feeling lost or stuck in a rut? Have you noticed that you often feel angry, guilty, or bitter and it's affecting your relationship with others? Or perhaps you feel ill equipped at managing your emotions and/or conflicts that arise with others. There are so many messages and beliefs being thrown at us on a constant basis, whether it's from others or ourselves, that can make us feel overwhelmed, stressed, depressed, or disingenuous. These feelings can often be debilitating and can sabotage our life and our relationships with others. Perhaps you're ready to feel more confident and want to start taking charge of your life.
Lisa M Pedersen
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90064 (Online Only)
You can know that for 25 years I've made sure that my clients feel seen, heard, and respected. I bring a wealth of knowledge to help you navigate life's challenges, espcially with trauma as it shows up even for those with anxiety & depression. My approach is deeply rooted in empathy, collaboration, and evidence-based techniques tailored to people struggling with anxiety, depression, trauma, or relationship issues. Know that I'm hanging on every word you say. I'll "pull from my back pocket" strategies to help you get unstuck from patterns that are not allowing you to function optimally.
You can know that for 25 years I've made sure that my clients feel seen, heard, and respected. I bring a wealth of knowledge to help you navigate life's challenges, espcially with trauma as it shows up even for those with anxiety & depression. My approach is deeply rooted in empathy, collaboration, and evidence-based techniques tailored to people struggling with anxiety, depression, trauma, or relationship issues. Know that I'm hanging on every word you say. I'll "pull from my back pocket" strategies to help you get unstuck from patterns that are not allowing you to function optimally.
Malea Woods
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Los Angeles, CA 90026 (Online Only)
Hi! Are you looking for a queer, feminist therapist who can support you with body image and eating disorder issues? Would you like a place to feel supported throughout the week and actually look forward to therapy? If so, we could be a good fit! I believe that therapy should be a place where you can feel safe to unpack how you're truly feeling and feel like you have skills to help you move through difficult times. Seeking treatment for your eating disorder/body image issues is hard enough, so I strive to create a safe space to start the journey. My approach is LGBTQ+ affirming and rooted in Health at Every Size.
Hi! Are you looking for a queer, feminist therapist who can support you with body image and eating disorder issues? Would you like a place to feel supported throughout the week and actually look forward to therapy? If so, we could be a good fit! I believe that therapy should be a place where you can feel safe to unpack how you're truly feeling and feel like you have skills to help you move through difficult times. Seeking treatment for your eating disorder/body image issues is hard enough, so I strive to create a safe space to start the journey. My approach is LGBTQ+ affirming and rooted in Health at Every Size.
Jeremiah Buenrostro
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90066
Hello, I want to commend you for taking the courageous step of joining therapy, as it shows your commitment to self-discovery and growth. My name is Jeremiah Buenrostro, and I am a CA Licensed Clinical Social Worker (LCSW). My approach to therapy integrates client-centered and holistic principles to address the mind, body, and spirit helping you develop a deeper understanding of yourself and promote your overall well-being. Through our work together you can expect me to focus on your individual needs and tailor treatment specific to you helping you achieve long-term healing.
Hello, I want to commend you for taking the courageous step of joining therapy, as it shows your commitment to self-discovery and growth. My name is Jeremiah Buenrostro, and I am a CA Licensed Clinical Social Worker (LCSW). My approach to therapy integrates client-centered and holistic principles to address the mind, body, and spirit helping you develop a deeper understanding of yourself and promote your overall well-being. Through our work together you can expect me to focus on your individual needs and tailor treatment specific to you helping you achieve long-term healing.
Autumn Joy Jimerson
Marriage & Family Therapist, MS, LMFT
Verified Verified
Los Angeles, CA 90048
Waitlist for new clients
As a Licensed Family Therapist and Mental Health Advocate with a versatile work history in multiple clinical settings [USC Student Counseling Center, LLU Behavioral Health Institute, Adolescent/Adult/Geriatric Psych Units and Substance Abuse Treatment Centers], I am able to provide psychoeducation on a wide range of mental health topics, diagnoses, therapy modalities, and populations.
As a Licensed Family Therapist and Mental Health Advocate with a versatile work history in multiple clinical settings [USC Student Counseling Center, LLU Behavioral Health Institute, Adolescent/Adult/Geriatric Psych Units and Substance Abuse Treatment Centers], I am able to provide psychoeducation on a wide range of mental health topics, diagnoses, therapy modalities, and populations.
See more therapy options for Los Angeles
How does your Therapist compare?
Number of Therapists in Los Angeles, CA
3,000+
Average cost per session
$175
Therapists in Los Angeles, CA who prioritize treating:
93% | Anxiety |
88% | Depression |
74% | Self Esteem |
72% | Relationship Issues |
68% | Trauma and PTSD |
65% | Coping Skills |
63% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
76% | Aetna |
69% | Cigna and Evernorth |
68% | UnitedHealthcare UHC | UBH |
How Therapists in Los Angeles, CA see their clients
56% | In Person and Online | |
44% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Los Angeles?
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
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.
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.
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.