Therapists in North Scottsdale, Scottsdale, AZ
Discovery & Wellness Counseling
Counselor, MA, LPC
Verified Verified
3 Endorsed
North Scottsdale, Scottsdale, AZ 85258
Live in your fullest potential! Discovery & Wellness Counseling specializes in assisting individuals to rebuild a connection with themselves. Stress injuries, trauma, codependency, compulsive tendencies, anxiety and depression create disconnection. Utilizing Trauma Informed Care, Discovery & Wellness helps unlock your potential and assists you in moving forward by addressing and healing the core issues that create the disconnection. Getting to the root of the matter facilitates quicker change, reconnection and the opportunity to move forward again.
Live in your fullest potential! Discovery & Wellness Counseling specializes in assisting individuals to rebuild a connection with themselves. Stress injuries, trauma, codependency, compulsive tendencies, anxiety and depression create disconnection. Utilizing Trauma Informed Care, Discovery & Wellness helps unlock your potential and assists you in moving forward by addressing and healing the core issues that create the disconnection. Getting to the root of the matter facilitates quicker change, reconnection and the opportunity to move forward again.
Minon Maier
Marriage & Family Therapist, LMFT
Verified Verified
7 Endorsed
North Scottsdale, Scottsdale, AZ 85260
I am a Licensed Marriage and Family Therapist. I provide a safe space from the initial contact so you feel comfortable to work on your goals. I want to make this process as comfortable as possible so clients can reach their goals quickly. My approach is collaborative with all clients and all presenting concerns. I believe that each client has their own unique story and I want to validate this story and healing. I work with clients ages 13 years old and up, focusing on individual and relationship issues. My email is minongmaier@gmail.com.
I am a Licensed Marriage and Family Therapist. I provide a safe space from the initial contact so you feel comfortable to work on your goals. I want to make this process as comfortable as possible so clients can reach their goals quickly. My approach is collaborative with all clients and all presenting concerns. I believe that each client has their own unique story and I want to validate this story and healing. I work with clients ages 13 years old and up, focusing on individual and relationship issues. My email is minongmaier@gmail.com.
Ebonie Brown
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
North Scottsdale, Scottsdale, AZ 85254
Ebonie Brown is a psychotherapist with a profound commitment to facilitating healing and growth in individuals, couples, and families. With a Bachelor’s of Arts from Tuskegee University and a Master of Social Work from the University of Alabama, Ebonie brings a solid academic foundation to her practice, further enriched by specialized training in Eye Movement Desensitization and Reprocessing (EMDR) from the (Emdria Emdr) Institute in Arizona.
Ebonie Brown is a psychotherapist with a profound commitment to facilitating healing and growth in individuals, couples, and families. With a Bachelor’s of Arts from Tuskegee University and a Master of Social Work from the University of Alabama, Ebonie brings a solid academic foundation to her practice, further enriched by specialized training in Eye Movement Desensitization and Reprocessing (EMDR) from the (Emdria Emdr) Institute in Arizona.
Courtney James-Atkins
Pre-Licensed Professional
Verified Verified
1 Endorsed
North Scottsdale, Scottsdale, AZ 85255
I am accepting new clients. Courtney James-Atkins is a dedicated graduate student at Midwestern University. My ideal client is someone facing significant life challenges, such as trauma, family conflict, or identity issues. They might struggle with emotional regulation, forming healthy attachments, or navigating complex social environments. These individuals often come from diverse backgrounds and may have experienced systemic disadvantages or personal adversities that have impacted their sense of self and their relationships.
I am accepting new clients. Courtney James-Atkins is a dedicated graduate student at Midwestern University. My ideal client is someone facing significant life challenges, such as trauma, family conflict, or identity issues. They might struggle with emotional regulation, forming healthy attachments, or navigating complex social environments. These individuals often come from diverse backgrounds and may have experienced systemic disadvantages or personal adversities that have impacted their sense of self and their relationships.
Jodie Howe
Counselor, MS, LPC
Verified Verified
North Scottsdale, Scottsdale, AZ 85260
Waitlist for new clients
Have you or your child experienced significant trauma? After early trauma, children can struggle to attach to caregivers which can impact their ability to form healthy future relationships. Adults sometimes struggle when approaching difficult topics surrounding early childhood trauma, which can contribute to added barriers within the parent child relationship. While many adults are willing and motivated to help their children overcome adverse experiences, they may have their own unresolved trauma that continues to interfere.
Have you or your child experienced significant trauma? After early trauma, children can struggle to attach to caregivers which can impact their ability to form healthy future relationships. Adults sometimes struggle when approaching difficult topics surrounding early childhood trauma, which can contribute to added barriers within the parent child relationship. While many adults are willing and motivated to help their children overcome adverse experiences, they may have their own unresolved trauma that continues to interfere.
Scottsdale Wellness and Integrated Care
Clinical Social Work/Therapist, PhD
Verified Verified
1 Endorsed
North Scottsdale, Scottsdale, AZ 85258
Everyone experiences difficulties at some point in their life. There are times when some help coping and overcoming these challenges is just what is needed. Whether it is difficult relationships, feeling depressed or anxious, a health issue, assistance with a specific mental health issue that is negatively affecting your life or just adjusting to the many challenges everyone faces, we are here to help. We utilize evidenced-based and best practices to get the most desirable results possible. We maintain the utmost privacy and confidentiality.
Everyone experiences difficulties at some point in their life. There are times when some help coping and overcoming these challenges is just what is needed. Whether it is difficult relationships, feeling depressed or anxious, a health issue, assistance with a specific mental health issue that is negatively affecting your life or just adjusting to the many challenges everyone faces, we are here to help. We utilize evidenced-based and best practices to get the most desirable results possible. We maintain the utmost privacy and confidentiality.
Dr. Christine Sparacino
Psychologist, PsyD
Verified Verified
1 Endorsed
North Scottsdale, Scottsdale, AZ 85255
Do you find yourself experiencing a life transition that has you feeling overwhelmed and anxious? You may be fed up with feeling this way. You might not even remember a time when things didn’t feel this way. You’re ready for some relief. You’re ready to feel confident. You’re ready to find peace.
Do you find yourself experiencing a life transition that has you feeling overwhelmed and anxious? You may be fed up with feeling this way. You might not even remember a time when things didn’t feel this way. You’re ready for some relief. You’re ready to feel confident. You’re ready to find peace.
Sarah Anderson Neuroaffirming Sensory Processing And Executive Functioning
Occupational Therapist, OTD, OTR/L
Verified Verified
North Scottsdale, Scottsdale, AZ 85260
I specialize in supporting neurodivergent millennials, Gen Z teens, and young adults navigating anxiety, ADHD, OCD, chronic stress, life transitions, and substance use recovery. If you often feel overwhelmed by everyday demands, struggle with perfectionism or procrastination, or find it hard to focus and stay organized, I’m here to help. My neuroaffirming approach is compassionate and tailored to your unique needs. Together, we’ll create routines that truly work for you, improve your daily functioning, and build self-confidence, empowering you to thrive in a way that honors who you are and how you experience the world.
I specialize in supporting neurodivergent millennials, Gen Z teens, and young adults navigating anxiety, ADHD, OCD, chronic stress, life transitions, and substance use recovery. If you often feel overwhelmed by everyday demands, struggle with perfectionism or procrastination, or find it hard to focus and stay organized, I’m here to help. My neuroaffirming approach is compassionate and tailored to your unique needs. Together, we’ll create routines that truly work for you, improve your daily functioning, and build self-confidence, empowering you to thrive in a way that honors who you are and how you experience the world.
Paige Severance
Pre-Licensed Professional, LAC
Verified Verified
1 Endorsed
North Scottsdale, Scottsdale, AZ 85260
Living with addiction and trauma can feel isolating and like a never ending cycle, but you don’t have to face it alone—together, we can navigate the challenges and start building the life you deserve. I'm Paige, a Licensed Associate Therapist specializing in guiding individuals through the pain of addiction and the lingering effects of trauma. My approach is rooted in empathy, safety, and creating a non-judgmental space where we can work together to explore the underlying causes of these issues. You don't have to navigate this alone; recovery is possible, and I'm here to support you.
Living with addiction and trauma can feel isolating and like a never ending cycle, but you don’t have to face it alone—together, we can navigate the challenges and start building the life you deserve. I'm Paige, a Licensed Associate Therapist specializing in guiding individuals through the pain of addiction and the lingering effects of trauma. My approach is rooted in empathy, safety, and creating a non-judgmental space where we can work together to explore the underlying causes of these issues. You don't have to navigate this alone; recovery is possible, and I'm here to support you.
Shauna Osten-The Counseling Consultants
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
North Scottsdale, Scottsdale, AZ 85258
Are you feeling stressed, anxious or overwhelmed? Clients have shared that I create a safe space ensuring that you are able to engage and connect. Whatever life stage you are in, navigating life's challenges can be overwhelming. I have experience in supporting children and youth with various diagnoses, complex mental health, neuro-divergent and behavioral challenges. Additionally, I offer support to individuals and families struggling in many areas such as substance-use, parenting skills, and trauma recovery. As an LGBT2QIA+ affirming therapist, I welcome clients from all backgrounds holding empathy and understanding.
Are you feeling stressed, anxious or overwhelmed? Clients have shared that I create a safe space ensuring that you are able to engage and connect. Whatever life stage you are in, navigating life's challenges can be overwhelming. I have experience in supporting children and youth with various diagnoses, complex mental health, neuro-divergent and behavioral challenges. Additionally, I offer support to individuals and families struggling in many areas such as substance-use, parenting skills, and trauma recovery. As an LGBT2QIA+ affirming therapist, I welcome clients from all backgrounds holding empathy and understanding.
Janet Patterson
Clinical Social Work/Therapist, LCSW, MFT, MSW
Verified Verified
2 Endorsed
North Scottsdale, Scottsdale, AZ 85258 (Online Only)
Waitlist for new clients
I have extensive experience helping people make positive change in their lives utilizing a comprehensive approach. Treatment modalities include solution focused therapy, cognitive behavioral therapy, hypnotherapy, and EMDR. My ideal client is anyone who wishes to live a happier, healthier life.
I have extensive experience helping people make positive change in their lives utilizing a comprehensive approach. Treatment modalities include solution focused therapy, cognitive behavioral therapy, hypnotherapy, and EMDR. My ideal client is anyone who wishes to live a happier, healthier life.
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Lauren Jack
Licensed Professional Counselor, LPC, MC
Verified Verified
North Scottsdale, Scottsdale, AZ 85260
Have you ever noticed that the same themes keep coming up, preventing you from living the life you want to live. Perhaps you feel stuck and need guidance to break free from your limiting cycle. As a therapist, my greatest reward is helping my clients make connections and insights that cultivate lasting change and foster strong relationships. I offer my clients a professional atmosphere that includes compassion and insight guiding my clients to make meaningful connections. As one client stated "Lauren possesses a unique quality to be able to guided our therapy so that every session was important and productive."
Have you ever noticed that the same themes keep coming up, preventing you from living the life you want to live. Perhaps you feel stuck and need guidance to break free from your limiting cycle. As a therapist, my greatest reward is helping my clients make connections and insights that cultivate lasting change and foster strong relationships. I offer my clients a professional atmosphere that includes compassion and insight guiding my clients to make meaningful connections. As one client stated "Lauren possesses a unique quality to be able to guided our therapy so that every session was important and productive."
Jessica Ann Elder
Clinical Social Work/Therapist, LCSW
Verified Verified
North Scottsdale, Scottsdale, AZ 85260
I support individuals of all ages through life challenges and transitions. Some challenges I help with include stress, depression, anxiety, trauma, illness, and grief. I also help clients with parenting challenges and personal goal setting. I use play therapy to help children. I believe that it can be helpful to look back and process the influences of our strengths, internal challenges, thoughts, emotions, and triggers. Therapy provides an opportunity for improved mental and physical health. It can empower others to use their natural strengths and build upon their skills as they navigate challenges.
I support individuals of all ages through life challenges and transitions. Some challenges I help with include stress, depression, anxiety, trauma, illness, and grief. I also help clients with parenting challenges and personal goal setting. I use play therapy to help children. I believe that it can be helpful to look back and process the influences of our strengths, internal challenges, thoughts, emotions, and triggers. Therapy provides an opportunity for improved mental and physical health. It can empower others to use their natural strengths and build upon their skills as they navigate challenges.
Dr. Sherry W Harrison
Psychologist, PhD
Not Verified Not Verified
North Scottsdale, Scottsdale, AZ 85255
My office is my home away from home so I have created a safe and comfortable space for us to work together. You'll be greeted with soft music, chilled beverages and a relaxing atmosphere. Our first contact will be by phone and we'll discuss your needs to determine if I am able to help you with the specialties I offer. When we meet, we'll identify the circumstances or symptoms that currently prevent you from living as fully as you would like. I see us working as a team and I welcome your feedback throughout our time together.
My office is my home away from home so I have created a safe and comfortable space for us to work together. You'll be greeted with soft music, chilled beverages and a relaxing atmosphere. Our first contact will be by phone and we'll discuss your needs to determine if I am able to help you with the specialties I offer. When we meet, we'll identify the circumstances or symptoms that currently prevent you from living as fully as you would like. I see us working as a team and I welcome your feedback throughout our time together.
Susan Tully
Marriage & Family Therapist Associate, MS, LAMFT, OTR/L
Verified Verified
5 Endorsed
North Scottsdale, Scottsdale, AZ 85258
Life can be so challenging. Stress builds up and we get stuck in dysfunctional behavioral patterns and negative thought loops. Relationships are sometimes hard work, and we find ourselves going round & round with our partner, child or parent—feeling unheard, misunderstood, frustrated and disconnected. Often our reactions to present day stressors stem from early life experiences or unresolved trauma. Healing happens in the presence of someone who sees us and accepts us just as we are; and can help us process emotions like anxiety, despair, anger, shame, grief, and longing. This leads to greater self-understanding and self-compassion.
Life can be so challenging. Stress builds up and we get stuck in dysfunctional behavioral patterns and negative thought loops. Relationships are sometimes hard work, and we find ourselves going round & round with our partner, child or parent—feeling unheard, misunderstood, frustrated and disconnected. Often our reactions to present day stressors stem from early life experiences or unresolved trauma. Healing happens in the presence of someone who sees us and accepts us just as we are; and can help us process emotions like anxiety, despair, anger, shame, grief, and longing. This leads to greater self-understanding and self-compassion.
Clare Graff
Marriage & Family Therapist, LMFT, MS MFT
Verified Verified
3 Endorsed
North Scottsdale, Scottsdale, AZ 85258
I believe that life is made to be lived to the fullest and am passionate to work with those who are facing obstacles that make it feel impossible to do so! My passion lies in guiding couples and individuals in working through the "stuck" points in their lives to unlock, more meaningful connections and fulfillment. Whether you're grappling with life transitions, relationship dynamics, trauma, grief, self esteem, or struggles with anxiety and depression, I am dedicated to helping you cultivate a strong sense of self and leveraging it to enrich your life and relationships!
I believe that life is made to be lived to the fullest and am passionate to work with those who are facing obstacles that make it feel impossible to do so! My passion lies in guiding couples and individuals in working through the "stuck" points in their lives to unlock, more meaningful connections and fulfillment. Whether you're grappling with life transitions, relationship dynamics, trauma, grief, self esteem, or struggles with anxiety and depression, I am dedicated to helping you cultivate a strong sense of self and leveraging it to enrich your life and relationships!
I will help you heal, create change and gain awareness on multiple levels, including body, mind, & spirit. One specialty arises from my formerly being a family lawyer. From the intersection of law & psychology, we assess the legal, emotional, spiritual, & financial aspects of conflict during/after marriage to chart a path toward the good life you deserve whether by strengthening marriage, proceeding to divorce, or post-divorce, I will be by your side. I am also a certified transpersonal clinical hypnotherapist. My client centered approach supports bridging body, mind, and spirit to achieve life changing and enhancing results.
I will help you heal, create change and gain awareness on multiple levels, including body, mind, & spirit. One specialty arises from my formerly being a family lawyer. From the intersection of law & psychology, we assess the legal, emotional, spiritual, & financial aspects of conflict during/after marriage to chart a path toward the good life you deserve whether by strengthening marriage, proceeding to divorce, or post-divorce, I will be by your side. I am also a certified transpersonal clinical hypnotherapist. My client centered approach supports bridging body, mind, and spirit to achieve life changing and enhancing results.
Kendra Anderson
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
North Scottsdale, Scottsdale, AZ 85258
Reaching out for help is never easy. This may have been something on your mind for awhile or you may have recently experienced a life changing event. In any case, it is a privilege to have you here. My goal is for you to achieve a more fulfilling life - maybe that means one with less anxiety and depression. Perhaps it’s a deeper connection with friends and family. Other times it’s breaking free from past trauma, toxic relationships and dysfunctional patterns that prevent you from moving forward. Together, we will determine how to best reach those goals using your own personal strengths, comfortable level and at your own pace.
Reaching out for help is never easy. This may have been something on your mind for awhile or you may have recently experienced a life changing event. In any case, it is a privilege to have you here. My goal is for you to achieve a more fulfilling life - maybe that means one with less anxiety and depression. Perhaps it’s a deeper connection with friends and family. Other times it’s breaking free from past trauma, toxic relationships and dysfunctional patterns that prevent you from moving forward. Together, we will determine how to best reach those goals using your own personal strengths, comfortable level and at your own pace.
Julienne Roa
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
North Scottsdale, Scottsdale, AZ 85255 (Online Only)
Everyone thinks you’ve got it together, but the loud, incessant voice of your inner critic is telling you that you’re never going to be enough. You are a perfectionist and take pride in the things you do. When you hear the words, “imposter syndrome”, you can completely relate. You hope nobody knows that you truly don’t have it together at all. You struggle in relationships, and part of you knows that it may have something to do with your dysfunctional childhood and never feeling seen. You have big emotions, you don’t want to be seen as “too much”, and you most definitely don’t want to feel rejected.
Everyone thinks you’ve got it together, but the loud, incessant voice of your inner critic is telling you that you’re never going to be enough. You are a perfectionist and take pride in the things you do. When you hear the words, “imposter syndrome”, you can completely relate. You hope nobody knows that you truly don’t have it together at all. You struggle in relationships, and part of you knows that it may have something to do with your dysfunctional childhood and never feeling seen. You have big emotions, you don’t want to be seen as “too much”, and you most definitely don’t want to feel rejected.
Georgia Bichekas
Licensed Professional Counselor, PhD, DD, LPC
Verified Verified
North Scottsdale, Scottsdale, AZ 85258
Want to feel like a NEW YOU? The pain and frustration of Anxiety and Depression are not all in your head. So, I combine Functional and Nutritional assistance along with psychotherapy. Whatever goes on in your body influences what goes on in your mind, as well! We can work together, electronically or in-person, to identify and treat the causes of your emotional distress. If you are looking for someone who can help you live life with a sense of mental, emotional, & physical well being, let me help you leave anxiety, depression trauma, and emotional struggles behind.
Want to feel like a NEW YOU? The pain and frustration of Anxiety and Depression are not all in your head. So, I combine Functional and Nutritional assistance along with psychotherapy. Whatever goes on in your body influences what goes on in your mind, as well! We can work together, electronically or in-person, to identify and treat the causes of your emotional distress. If you are looking for someone who can help you live life with a sense of mental, emotional, & physical well being, let me help you leave anxiety, depression trauma, and emotional struggles behind.
See more therapy options for North Scottsdale, Scottsdale
How does your Therapist compare?
Number of Therapists in North Scottsdale, Scottsdale, AZ
600+
Average cost per session
$160
Therapists in North Scottsdale, Scottsdale, AZ who prioritize treating:
91% | Anxiety |
85% | Depression |
76% | Relationship Issues |
74% | Self Esteem |
71% | Trauma and PTSD |
67% | Stress |
65% | Coping Skills |
Average years in practice
12 Years
Top 3 insurances accepted
84% | Aetna |
68% | BlueCross and BlueShield |
58% | UnitedHealthcare UHC | UBH |
How Therapists in North Scottsdale, Scottsdale, AZ see their clients
76% | In Person and Online | |
24% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in North Scottsdale, Scottsdale?
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.