Therapists in Cuba, NY

Photo of Gabrielle L Brainard, Clinical Social Work/Therapist in Cuba, NY
Gabrielle L Brainard
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Cuba, NY 14727  (Online Only)
Hello, I am an experienced Trauma Therapist trained in EMDR and Progressive Counting (PC). Eye Movement Desensitization and Reprocessing (EMDR) therapy is a unique mind-body based intervention most known for treating PTSD, generalized anxiety, depression, and performance anxiety. PC is a psychotherapy procedure for resolving trauma or loss memories via memory reconsolidation. I offer 100% virtual sessions. EMDR is a treatment approach to help people recover from traumatic memories or difficult life events. PC is aimed at resolving traumatic memories. Both are effective, efficient treatments; treatment lasts on average 3-6 months.
Hello, I am an experienced Trauma Therapist trained in EMDR and Progressive Counting (PC). Eye Movement Desensitization and Reprocessing (EMDR) therapy is a unique mind-body based intervention most known for treating PTSD, generalized anxiety, depression, and performance anxiety. PC is a psychotherapy procedure for resolving trauma or loss memories via memory reconsolidation. I offer 100% virtual sessions. EMDR is a treatment approach to help people recover from traumatic memories or difficult life events. PC is aimed at resolving traumatic memories. Both are effective, efficient treatments; treatment lasts on average 3-6 months.
(585) 440-9171 View (585) 440-9171
Photo of Jeanine Rose, Counselor in Cuba, NY
Jeanine Rose
Counselor, BSW, MSEd, LMHC
Verified Verified
Cuba, NY 14727
I approach each session with an open mind and without judgment. Creating a supportive space is very important to my work with clients and allows each session to count . I have worked with people from all walks of life and all levels of emotional and mental wellness. Over the last 14 years, most of my sessions included Solution Focused and Cognitive Behavior approaches, however I select the most appropriate clinical approach for each of my clients.
I approach each session with an open mind and without judgment. Creating a supportive space is very important to my work with clients and allows each session to count . I have worked with people from all walks of life and all levels of emotional and mental wellness. Over the last 14 years, most of my sessions included Solution Focused and Cognitive Behavior approaches, however I select the most appropriate clinical approach for each of my clients.
(585) 534-3580 View (585) 534-3580
Photo of Clark Counseling Services, Clinical Social Work/Therapist in Cuba, NY
Clark Counseling Services
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Cuba, NY 14727  (Online Only)
I have been working in the field for over 25 years. I have enjoyed helping people from all walks of life and age groups. I am a good listener and have lots of helpful information to assist people with reaching their goals and making self-improvements. It is important to build comfort and trust with your therapist. I would like to touch base with you and make sure we are a good fit. Some people need to explore issues and some need to skill build. Wherever you are at is where we will start.
I have been working in the field for over 25 years. I have enjoyed helping people from all walks of life and age groups. I am a good listener and have lots of helpful information to assist people with reaching their goals and making self-improvements. It is important to build comfort and trust with your therapist. I would like to touch base with you and make sure we are a good fit. Some people need to explore issues and some need to skill build. Wherever you are at is where we will start.
(585) 536-1632 View (585) 536-1632
Photo of Dawn Kelley-Cowher, Counselor in Cuba, NY
Dawn Kelley-Cowher
Counselor, LMHC
Verified Verified
Cuba, NY 14727
I strive to provide a safe, non-judgmental space for empathetic communication. I encourage respectful, but compassionate boundaries to build trust, while also being comforted with therapeutic listening skills and the confidence to best support my clients. I have experience with assessment and utilize evidence-based treatment practices and person-centered approach to care. I assist individuals with relationship issues, anxiety, grief, crisis intervention including suicide prevention, disaster and trauma counseling, and I strive to facilitate the maximum use of treatment to allow the highest level of independence possible.
I strive to provide a safe, non-judgmental space for empathetic communication. I encourage respectful, but compassionate boundaries to build trust, while also being comforted with therapeutic listening skills and the confidence to best support my clients. I have experience with assessment and utilize evidence-based treatment practices and person-centered approach to care. I assist individuals with relationship issues, anxiety, grief, crisis intervention including suicide prevention, disaster and trauma counseling, and I strive to facilitate the maximum use of treatment to allow the highest level of independence possible.
(585) 536-1967 View (585) 536-1967
Photo of Stacey Farris, Counselor in Cuba, NY
Stacey Farris
Counselor, MSEd, LMHC
Verified Verified
1 Endorsed
Cuba, NY 14727
Is life kicking the crap out of you? Are you walking around constantly anticipating the worst-case scenario? Do you feel like you’re just scraping by or living in “survival mode”? Are your relationships suffering because of your mood? Does it feel like a struggle to work, eat, sleep or even function? If any of that resonates with you, counseling can be a proactive step towards resolution. None of us want to simply "get by." I'm here as a well-seasoned guide to help you sort through what is holding you back, break through any pesky old patterns and to get back to living a life that feels a bit more sparkly! Woohoo!
Is life kicking the crap out of you? Are you walking around constantly anticipating the worst-case scenario? Do you feel like you’re just scraping by or living in “survival mode”? Are your relationships suffering because of your mood? Does it feel like a struggle to work, eat, sleep or even function? If any of that resonates with you, counseling can be a proactive step towards resolution. None of us want to simply "get by." I'm here as a well-seasoned guide to help you sort through what is holding you back, break through any pesky old patterns and to get back to living a life that feels a bit more sparkly! Woohoo!
(585) 382-1712 View (585) 382-1712
Photo of James Hunter in Cuba, NY
James Hunter
LMHC
Verified Verified
1 Endorsed
Cuba, NY 14727
I'm an old guy. I have the skills and ability to work with a wide range of people and a wide range of problems.
I'm an old guy. I have the skills and ability to work with a wide range of people and a wide range of problems.
(716) 261-3911 View (716) 261-3911
Photo of Sarah Michelle VanSkiver, Counselor in Cuba, NY
Sarah Michelle VanSkiver
Counselor, LMHC, CAS, MSEd
Verified Verified
2 Endorsed
Cuba, NY 14727
Hi there, and congratulations on taking the first step on your journey to wellness! Whether you are experiencing an anxiety you just cannot seem to shake, confusion about what direction to go in life, difficulty managing anger, having relationship/intimacy issues, trying to let go of an unhealthy habit, or maybe you just need an open-minded individual in your corner; I would be honored to be on your side and assist you along the way. Together, we can work to promote growth and reach your goals.
Hi there, and congratulations on taking the first step on your journey to wellness! Whether you are experiencing an anxiety you just cannot seem to shake, confusion about what direction to go in life, difficulty managing anger, having relationship/intimacy issues, trying to let go of an unhealthy habit, or maybe you just need an open-minded individual in your corner; I would be honored to be on your side and assist you along the way. Together, we can work to promote growth and reach your goals.
(585) 566-1911 View (585) 566-1911
Photo of Kristen L Shaffer, Counselor in Cuba, NY
Kristen L Shaffer
Counselor, LMHC, MSEd
Verified Verified
3 Endorsed
Cuba, NY 14727
Greetings! Thank you for taking the time to view my profile and congratulations to you on making this crucial step towards your wellness. I am a locally based therapist with approximately 12 years of experience. I have had the pleasure of working with patients from all walks of life and it's been an invaluable experience. I have specialized training in trauma treatment (EMDR and PC) and suicide prevention. I am highly adept at working with those struggling with anxiety, trauma and mood disorders. I utilize a wide range of modalities in my practice, but tend to lean towards psychoeducational, mindfulness based and trauma therapies.
Greetings! Thank you for taking the time to view my profile and congratulations to you on making this crucial step towards your wellness. I am a locally based therapist with approximately 12 years of experience. I have had the pleasure of working with patients from all walks of life and it's been an invaluable experience. I have specialized training in trauma treatment (EMDR and PC) and suicide prevention. I am highly adept at working with those struggling with anxiety, trauma and mood disorders. I utilize a wide range of modalities in my practice, but tend to lean towards psychoeducational, mindfulness based and trauma therapies.
(585) 378-4648 View (585) 378-4648

More Therapists Nearby

Photo of Amy Mann Counseling, Counselor in Cuba, NY
Amy Mann Counseling
Counselor, LMHC, MSEd
Verified Verified
Bolivar, NY 14715  (Online Only)
Our thoughts and experiences affect the way we view ourselves and the world. From the first session with a therapist, individuals should feel listened to and have increased hope for recovery. Addressing mental health issues can be overwhelming and scary, so I work with individuals to create a calming, safe, and trusting environment in the journey toward healing. One of the best decisions you can make is reaching out for help when you feel lost. I will be the guide to help you navigate your way and to help you find your strength. You are not alone.
Our thoughts and experiences affect the way we view ourselves and the world. From the first session with a therapist, individuals should feel listened to and have increased hope for recovery. Addressing mental health issues can be overwhelming and scary, so I work with individuals to create a calming, safe, and trusting environment in the journey toward healing. One of the best decisions you can make is reaching out for help when you feel lost. I will be the guide to help you navigate your way and to help you find your strength. You are not alone.
(585) 479-3064 View (585) 479-3064
Photo of Chris Sanchirico, Counselor in Cuba, NY
Chris Sanchirico
Counselor, LMHC, MSEd
Verified Verified
Olean, NY 14760  (Online Only)
Life is tough. Pain, both physical and mental, can overwhelm us, and we can lose all hope. But, there is always hope, always strength, always acceptance. If you feel overwhelmed and in pain, then its time to get to work. Together we can navigate through the suffering, heal wounds, experience growth, and find wisdom and meaning everywhere.
Life is tough. Pain, both physical and mental, can overwhelm us, and we can lose all hope. But, there is always hope, always strength, always acceptance. If you feel overwhelmed and in pain, then its time to get to work. Together we can navigate through the suffering, heal wounds, experience growth, and find wisdom and meaning everywhere.
(646) 825-6503 View (646) 825-6503

Online Therapists

Photo of Dr. Jess Germano-Fokin, Counselor in Cuba, NY
Dr. Jess Germano-Fokin
Counselor, CIMHP, LMHC, LPC, CCTP, ACS
Verified Verified
Rochester, NY 14612  (Online Only)
Hello! I am currently accepting patients for Telehealth Services in both New York & South Carolina. Thank you for visiting and taking the first steps to work on discovering and enhancing your WHOLE Self, brain + body. My approach is using an integrative model that focuses on four key areas: Mental Health & Wellbeing, Personal Health & Wellbeing, Sexual Health & Wellbeing, and Intimate Wellness & Relationships. Please visit www.doctorjg.com to learn more about Dr. J and services offered.
Hello! I am currently accepting patients for Telehealth Services in both New York & South Carolina. Thank you for visiting and taking the first steps to work on discovering and enhancing your WHOLE Self, brain + body. My approach is using an integrative model that focuses on four key areas: Mental Health & Wellbeing, Personal Health & Wellbeing, Sexual Health & Wellbeing, and Intimate Wellness & Relationships. Please visit www.doctorjg.com to learn more about Dr. J and services offered.
(585) 678-5720 View (585) 678-5720
Photo of Sue O'Gara, Clinical Social Work/Therapist in Cuba, NY
Sue O'Gara
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rochester, NY 14618
I am here to provide the support and guidance needed to improve relationships, work towards a healthier and happier you, and ultimately help you live your best life. If you are looking for a therapist that is easy to talk to, supportive, and will work with you in an interactive style, reach out and give me a call or an email. Currently offering convenient weekend & evening appointments. My experience includes working with children, families and adults, as a therapist, School Social Worker and in the psychiatric emergency department. I have a specialized interest in working with sexual abuse survivors and addressing past trauma.
I am here to provide the support and guidance needed to improve relationships, work towards a healthier and happier you, and ultimately help you live your best life. If you are looking for a therapist that is easy to talk to, supportive, and will work with you in an interactive style, reach out and give me a call or an email. Currently offering convenient weekend & evening appointments. My experience includes working with children, families and adults, as a therapist, School Social Worker and in the psychiatric emergency department. I have a specialized interest in working with sexual abuse survivors and addressing past trauma.
(585) 302-2618 View (585) 302-2618
Photo of Jessica L Pruitt, Counselor in Cuba, NY
Jessica L Pruitt
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Rochester, NY 14618
On the outside it looks like you have it all together but on the inside it feels like your drowning. You find your mind is constantly racing with worry about how others will see you, fear they won't like you and everything you feel like you have to do. People often call you a perfectionist but that's just your way of controlling what they can see. You constantly feel shame or guilt when your life doesn't look like others. Only now you've done so much to try and keep up the perfect mask that you've forgotten who you really are. You've decided that you deserve to know and live life as your real self.
On the outside it looks like you have it all together but on the inside it feels like your drowning. You find your mind is constantly racing with worry about how others will see you, fear they won't like you and everything you feel like you have to do. People often call you a perfectionist but that's just your way of controlling what they can see. You constantly feel shame or guilt when your life doesn't look like others. Only now you've done so much to try and keep up the perfect mask that you've forgotten who you really are. You've decided that you deserve to know and live life as your real self.
(585) 299-5758 View (585) 299-5758
Photo of Kate Lynch, Art Therapist in Cuba, NY
Kate Lynch
Art Therapist, MS, LCAT, MT-BC
Verified Verified
2 Endorsed
Irondequoit, NY 14617  (Online Only)
In our fast-paced world, it is easy to become anxious, depressed, angry, and/or overwhelmed. If it feels unmanageable at times, that makes sense. Our brains weren’t designed to be flooded with so much information globally and in our personal lives with minimal support. Add in additional stressors such as trauma, challenging family dynamics, or parenting, and it can feel like a pressure cooker ready to explode. However, you are not alone. Therapy is a wonderful tool to help release pressure and learn ways to manage challenging emotions so that you can be your best self.
In our fast-paced world, it is easy to become anxious, depressed, angry, and/or overwhelmed. If it feels unmanageable at times, that makes sense. Our brains weren’t designed to be flooded with so much information globally and in our personal lives with minimal support. Add in additional stressors such as trauma, challenging family dynamics, or parenting, and it can feel like a pressure cooker ready to explode. However, you are not alone. Therapy is a wonderful tool to help release pressure and learn ways to manage challenging emotions so that you can be your best self.
(585) 517-2642 View (585) 517-2642
Photo of Stacey Wade-Maser, Clinical Social Work/Therapist in Cuba, NY
Stacey Wade-Maser
Clinical Social Work/Therapist, LCSW
Verified Verified
Corning, NY 14830
I am happy to announce I am accepting new clients as of January 1, 2024! I truly believe we all have an inner light in us that longs to shine. My approach to therapy is very solution focused and I am known for meeting my clients where they are, not where I want them to be. If you are considering therapy for the first or the tenth time, I invite you to reach out for a consult and we will get it figured out together.
I am happy to announce I am accepting new clients as of January 1, 2024! I truly believe we all have an inner light in us that longs to shine. My approach to therapy is very solution focused and I am known for meeting my clients where they are, not where I want them to be. If you are considering therapy for the first or the tenth time, I invite you to reach out for a consult and we will get it figured out together.
(607) 389-9341 View (607) 389-9341
Photo of Brittany Schwarz, Marriage & Family Therapist in Cuba, NY
Brittany Schwarz
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Pittsford, NY 14534
Hi there! What a gift to yourself to seek support! Whether you are struggling with relationships, trauma, stress, parenting, postpartum, and more, I welcome you on this journey to feeling more grounded, connected to self, freer, and fulfilled. We are all part of a larger system in which we influence and are influenced by internal and external worlds. As humans, it is our life's work to find a balance between being a separate self and maintaining connection with others. I will work with you to process through your struggles within the context of your larger system and to implement lasting changes to prevent struggles from repeating.
Hi there! What a gift to yourself to seek support! Whether you are struggling with relationships, trauma, stress, parenting, postpartum, and more, I welcome you on this journey to feeling more grounded, connected to self, freer, and fulfilled. We are all part of a larger system in which we influence and are influenced by internal and external worlds. As humans, it is our life's work to find a balance between being a separate self and maintaining connection with others. I will work with you to process through your struggles within the context of your larger system and to implement lasting changes to prevent struggles from repeating.
(806) 429-0995 View (806) 429-0995
Photo of Calm Connections Counseling, Counselor in Cuba, NY
Calm Connections Counseling
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Perry, NY 14530
GRIEF: A natural response after a loved one dies, family separates, job loss/change, a newly blended family, retirement, caregiving for someone you love, dealing with a difficult diagnosis, an unexpected change or losing a beloved pet. I help clients to learn about the waves of grief and develop a path towards healing.
GRIEF: A natural response after a loved one dies, family separates, job loss/change, a newly blended family, retirement, caregiving for someone you love, dealing with a difficult diagnosis, an unexpected change or losing a beloved pet. I help clients to learn about the waves of grief and develop a path towards healing.
(585) 302-2732 View (585) 302-2732
Photo of Clearwater Counseling Associates , Clinical Social Work/Therapist in Cuba, NY
Clearwater Counseling Associates
Clinical Social Work/Therapist, LMSW
Verified Verified
Ithaca, NY 14850  (Online Only)
Therapy can be a wonderful space to put yourself first! It’s a space where you can finally process some difficult things you may be going through or have gone through in life. A chance to become vulnerable with yourself to lead a fuller, happier life. I’m a compassionate, trauma-informed, culturally humble therapist here to empower and provide a safe space for you as you begin your therapeutic journey. As you allow yourself to be vulnerable, I want to provide support by helping you see your own resilience, strength, and courage. I’m here to listen as you process those difficult things.
Therapy can be a wonderful space to put yourself first! It’s a space where you can finally process some difficult things you may be going through or have gone through in life. A chance to become vulnerable with yourself to lead a fuller, happier life. I’m a compassionate, trauma-informed, culturally humble therapist here to empower and provide a safe space for you as you begin your therapeutic journey. As you allow yourself to be vulnerable, I want to provide support by helping you see your own resilience, strength, and courage. I’m here to listen as you process those difficult things.
(518) 504-3849 x145 View (518) 504-3849 x145
Photo of Bonnie J White, Counselor in Cuba, NY
Bonnie J White
Counselor, MS, Psy, LMHC, EAS-C
Verified Verified
Rochester, NY 14607  (Online Only)
Bonnie J. White LMHC has 37 yrs experience/training providing assessment and evaluation of issues related to traumatic loss which includes the death of a loved one including suicide or accidental death, workplace bullying/employment loss, life threatening illness, impending loss of life issues, pet loss, anxiety issues and phobias. Experience in psychological therapies including client centered, brief solution focused, cognitive, somatic stress relief, and energy therapies including Emotional Freedom Techniques. Please note COMPLEX PTSD IS NOT included in my specialities, training or experience.
Bonnie J. White LMHC has 37 yrs experience/training providing assessment and evaluation of issues related to traumatic loss which includes the death of a loved one including suicide or accidental death, workplace bullying/employment loss, life threatening illness, impending loss of life issues, pet loss, anxiety issues and phobias. Experience in psychological therapies including client centered, brief solution focused, cognitive, somatic stress relief, and energy therapies including Emotional Freedom Techniques. Please note COMPLEX PTSD IS NOT included in my specialities, training or experience.
(585) 735-4785 View (585) 735-4785
Photo of Alyssa Dewes, Counselor in Cuba, NY
Alyssa Dewes
Counselor, LCMHC
Verified Verified
Buffalo, NY 14202
I am a Licensed Mental Health Counselor with a passion to assist you in a wide range of challenges you may be facing in your life right now. I am here to support you through healing and growth. I do have an extra-large furry dog who likes to pop into session once in a while :) My experience primary is with adolescents, adults, and 65+; I have experience working with clients who struggle with anxiety, depression, personality disorders, conduct disorder, intermittent explosive disorders, child-age difficulties, school/work stressors, adjustment issues, and those involved in the legal system or hx of legal involvement.
I am a Licensed Mental Health Counselor with a passion to assist you in a wide range of challenges you may be facing in your life right now. I am here to support you through healing and growth. I do have an extra-large furry dog who likes to pop into session once in a while :) My experience primary is with adolescents, adults, and 65+; I have experience working with clients who struggle with anxiety, depression, personality disorders, conduct disorder, intermittent explosive disorders, child-age difficulties, school/work stressors, adjustment issues, and those involved in the legal system or hx of legal involvement.
(646) 736-4876 View (646) 736-4876

See more therapy options for Cuba

How does your Therapist compare?

Number of Therapists in Cuba, NY

< 10

Therapists in Cuba, NY who prioritize treating:

75% Relationship Issues
75% Depression
75% Anxiety
75% Coping Skills
63% Trauma and PTSD
63% Anger Management
63% Family Conflict

Average years in practice

17 Years

Top 3 insurances accepted

71% Aetna
71% Oxford
57% Cigna and Evernorth

How Therapists in Cuba, NY see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cuba?

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.