Therapists in San Rafael, CA

Photo of Albert Wong, Psychologist in San Rafael, CA
Albert Wong
Psychologist, PhD
Verified Verified
2 Endorsed
San Rafael, CA 94901  (Online Only)
To others, it seems like you have it all. But underneath lives a different story. Despite your outward success, you feel haunted sometimes by feelings of failure, conflict, self-doubt. At certain moments, a gnawing sense overcomes you, telling you: Something is not right. You've made changes but somehow still end up in the same unsatisfying patterns, repeating the same unhelpful behaviors -- feeling more and more alone. You want to understand your patterns and your past so you can create a different future. You want to learn to feel differently about yourself and how you relate with others. You want to find a different way.
To others, it seems like you have it all. But underneath lives a different story. Despite your outward success, you feel haunted sometimes by feelings of failure, conflict, self-doubt. At certain moments, a gnawing sense overcomes you, telling you: Something is not right. You've made changes but somehow still end up in the same unsatisfying patterns, repeating the same unhelpful behaviors -- feeling more and more alone. You want to understand your patterns and your past so you can create a different future. You want to learn to feel differently about yourself and how you relate with others. You want to find a different way.
(415) 991-0289 View (415) 991-0289
Photo of Premsiri Linda Joy Lewin, Marriage & Family Therapist in San Rafael, CA
Premsiri Linda Joy Lewin
Marriage & Family Therapist, MFT, SEP
Verified Verified
San Rafael, CA 94901  (Online Only)
Are you feeling alone, struggling with limiting core beliefs, wounding or trauma? I can help! As a seasoned, skilled and caring practitioner I help unpack psychological issues, emotional needs, spiritual unfolding, early childhood neglect and issues of death and dying? In an atmosphere of safety and compassion we can address your life transition, relationship pain and suffering, compromised health, grieving, loss of purpose or spiritual confusion? I'm here to listen, navigate, transform and rewire the agony, hurt and aloneness that's running your life. It's possible to open your heart, trust and find your inner voice & purpose now!
Are you feeling alone, struggling with limiting core beliefs, wounding or trauma? I can help! As a seasoned, skilled and caring practitioner I help unpack psychological issues, emotional needs, spiritual unfolding, early childhood neglect and issues of death and dying? In an atmosphere of safety and compassion we can address your life transition, relationship pain and suffering, compromised health, grieving, loss of purpose or spiritual confusion? I'm here to listen, navigate, transform and rewire the agony, hurt and aloneness that's running your life. It's possible to open your heart, trust and find your inner voice & purpose now!
(415) 967-5204 View (415) 967-5204
Photo of Michelle Gomez-Salazar, Clinical Social Work/Therapist in San Rafael, CA
Michelle Gomez-Salazar
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Rafael, CA 94903  (Online Only)
One of the things that I believe to be a key component to successful therapy is trust in the client-therapist relationship. I do my best to create a warm and inviting space for you where we could talk about the difficult things. It’s important that you feel honored in this process, so if something isn’t quite working out, let’s talk about it. Our work is a collaboration. Therapy can be hard, but things don’t always have to be heavy in the therapy room. If you appreciate humor, I definitely use it (when appropriate) and you might laugh in sessions.
One of the things that I believe to be a key component to successful therapy is trust in the client-therapist relationship. I do my best to create a warm and inviting space for you where we could talk about the difficult things. It’s important that you feel honored in this process, so if something isn’t quite working out, let’s talk about it. Our work is a collaboration. Therapy can be hard, but things don’t always have to be heavy in the therapy room. If you appreciate humor, I definitely use it (when appropriate) and you might laugh in sessions.
(415) 360-8252 View (415) 360-8252
Photo of Victoria Whisman, Marriage & Family Therapist in San Rafael, CA
Victoria Whisman
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
San Rafael, CA 94903
I work with people struggling with anxiety and relationships. You may not know what is getting in the way of feeling good in your life, but you know it's supposed to be better. You may be going through a rough patch and just need support or you may have a history that hurts, either way therapy can help.
I work with people struggling with anxiety and relationships. You may not know what is getting in the way of feeling good in your life, but you know it's supposed to be better. You may be going through a rough patch and just need support or you may have a history that hurts, either way therapy can help.
(415) 408-5013 View (415) 408-5013
Photo of Myron Walters, Marriage & Family Therapist in San Rafael, CA
Myron Walters
Marriage & Family Therapist, MA, LMFT, SEP, CMP
Verified Verified
1 Endorsed
San Rafael, CA 94901
Not accepting new clients
I help adults who have experienced severe childhood trauma (complex PTSD) begin to reclaim the life they were meant to live. I work well with dissociative clients (dissociative identity disorder). My focus is on helping clients get back to a stable, fully-functional state where the fear and anxiety is greatly reduced, and the ability to be in relationship is significantly improved. I believe we all have multiple ego states, and accordingly do "parts-friendly" psychotherapy.
I help adults who have experienced severe childhood trauma (complex PTSD) begin to reclaim the life they were meant to live. I work well with dissociative clients (dissociative identity disorder). My focus is on helping clients get back to a stable, fully-functional state where the fear and anxiety is greatly reduced, and the ability to be in relationship is significantly improved. I believe we all have multiple ego states, and accordingly do "parts-friendly" psychotherapy.
(415) 686-3445 View (415) 686-3445
Photo of Matthew Baron, Marriage & Family Therapist Associate in San Rafael, CA
Matthew Baron
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Rafael, CA 94901
I believe change is possible for anyone who has the desire to participate in their own growth. I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, learn new skills, enrich relationships, and work through situations to lead a more authentic life.
I believe change is possible for anyone who has the desire to participate in their own growth. I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, learn new skills, enrich relationships, and work through situations to lead a more authentic life.
(415) 475-0902 View (415) 475-0902
Photo of Victoria Bloom, Psychologist in San Rafael, CA
Victoria Bloom
Psychologist, PsyD
Verified Verified
San Rafael, CA 94903  (Online Only)
Suffering and distress have probably brought you to this page seeking relief and greater well-being. I bring my knowledge, understanding, experience, and compassionate presence to the table in my role as your guide toward healing and greater well-being. Through deep listening with the aim of truly seeing you, we will forge a path together designed to work in the best way for you to heal, grow, and move forward. The aim is to develop insight, forge new skills, attitudes, and actions to create a life of greater well-being and satifaction.
Suffering and distress have probably brought you to this page seeking relief and greater well-being. I bring my knowledge, understanding, experience, and compassionate presence to the table in my role as your guide toward healing and greater well-being. Through deep listening with the aim of truly seeing you, we will forge a path together designed to work in the best way for you to heal, grow, and move forward. The aim is to develop insight, forge new skills, attitudes, and actions to create a life of greater well-being and satifaction.
(628) 345-4617 View (628) 345-4617
Photo of Gregory R Tompkins, Marriage & Family Therapist in San Rafael, CA
Gregory R Tompkins
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94903
I have over ten years experience working with clients in their teens or twenties who have: attachment issues; ADHD, Anxiety, and Depression. They suffer relational trauma for a variety of reasons, such as: emotional abuse and neglect; physical or sexual abuse; and sexual assault. I help my clients resolve past trauma; heal attachment wounds; replace unhealthy habits with healthy ones; and to progress towards their life goals. This results in them having healthier and more satisfying relationships; a greater sense of connection and belonging; and higher functioning in every day life.
I have over ten years experience working with clients in their teens or twenties who have: attachment issues; ADHD, Anxiety, and Depression. They suffer relational trauma for a variety of reasons, such as: emotional abuse and neglect; physical or sexual abuse; and sexual assault. I help my clients resolve past trauma; heal attachment wounds; replace unhealthy habits with healthy ones; and to progress towards their life goals. This results in them having healthier and more satisfying relationships; a greater sense of connection and belonging; and higher functioning in every day life.
(415) 818-9493 View (415) 818-9493
Photo of Leticia Delling, Marriage & Family Therapist in San Rafael, CA
Leticia Delling
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
I am a client-centered therapist who most often utilizes Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) to treat anxiety, depression, and trauma. I have been practicing since 2010 and have been working predominantly with adults with various mental health disorders and varying levels of functioning ranging from mild to severe. You can expect to be an active participant in therapy with me as I believe it takes teamwork between the therapist and the client in order to successfully meet the goals for treatment.
I am a client-centered therapist who most often utilizes Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) to treat anxiety, depression, and trauma. I have been practicing since 2010 and have been working predominantly with adults with various mental health disorders and varying levels of functioning ranging from mild to severe. You can expect to be an active participant in therapy with me as I believe it takes teamwork between the therapist and the client in order to successfully meet the goals for treatment.
(415) 843-6757 View (415) 843-6757
Photo of Susan Quigley, MFT, Marriage & Family Therapist in San Rafael, CA
Susan Quigley, MFT
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94901
Ready for change and a more satisfying and balanced life? I offer compassionate listening, practical guidance and an action oriented approach to assist you in making the changes you want in your life.
Ready for change and a more satisfying and balanced life? I offer compassionate listening, practical guidance and an action oriented approach to assist you in making the changes you want in your life.
(415) 481-4921 View (415) 481-4921
Photo of Maysie Tift, Marriage & Family Therapist in San Rafael, CA
Maysie Tift
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
San Rafael, CA 94901
Are you Super Loyal? An excellent listener, who perhaps doesn’t share much about yourself? The one everyone leans on for support, advice, money, or favors? Are you the glue in your family, and the one who puts out fires? Many of my clients who identify with these kinds of qualities struggle in characteristic ways. Many are uncomfortable acknowledging their own feelings & desires. They make too many sacrifices to avoid being "selfish". They fear confrontation and the possibility of upsetting or disappointing others. They often get drawn into imbalanced relationships... or worse, toxic ones with selfish or narcissistic people.
Are you Super Loyal? An excellent listener, who perhaps doesn’t share much about yourself? The one everyone leans on for support, advice, money, or favors? Are you the glue in your family, and the one who puts out fires? Many of my clients who identify with these kinds of qualities struggle in characteristic ways. Many are uncomfortable acknowledging their own feelings & desires. They make too many sacrifices to avoid being "selfish". They fear confrontation and the possibility of upsetting or disappointing others. They often get drawn into imbalanced relationships... or worse, toxic ones with selfish or narcissistic people.
(415) 799-9000 View (415) 799-9000
Photo of Debbie Vuong, MFT, Marriage & Family Therapist in San Rafael, CA
Debbie Vuong, MFT
Marriage & Family Therapist, MFT
Verified Verified
San Rafael, CA 94903
I have been in practice for nearly 20 years. I treat children, teens and adults who have difficulty with social skills, suffer from social anxiety, or difficulty with emotional regulation. I offer individual and group therapy for those struggling with communication, understanding their emotions, and understanding themselves in the context of their relationships with others. I help adults, teens, and children improve their self-esteem, learn better communication skills, and enjoy more satisfying relationships with friends and family.
I have been in practice for nearly 20 years. I treat children, teens and adults who have difficulty with social skills, suffer from social anxiety, or difficulty with emotional regulation. I offer individual and group therapy for those struggling with communication, understanding their emotions, and understanding themselves in the context of their relationships with others. I help adults, teens, and children improve their self-esteem, learn better communication skills, and enjoy more satisfying relationships with friends and family.
(628) 600-2959 View (628) 600-2959
Photo of Lourdes Vargas-Bogardus, Marriage & Family Therapist in San Rafael, CA
Lourdes Vargas-Bogardus
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94901  (Online Only)
Perhaps you are going through a life transition and need support sorting things out. Maybe you are feeling anxious or depressed and this is bogging you down. Are you having difficulty visualizing a better life for yourself? Is your sense of self worth suffering? Maybe you are experiencing strained relationships with family or friends; or you may have a nagging feeling that major changes are needed. Let's talk; you don't have to go through this alone.
Perhaps you are going through a life transition and need support sorting things out. Maybe you are feeling anxious or depressed and this is bogging you down. Are you having difficulty visualizing a better life for yourself? Is your sense of self worth suffering? Maybe you are experiencing strained relationships with family or friends; or you may have a nagging feeling that major changes are needed. Let's talk; you don't have to go through this alone.
(415) 306-8608 View (415) 306-8608
Photo of Mary Teegarden, Clinical Social Work/Therapist in San Rafael, CA
Mary Teegarden
Clinical Social Work/Therapist, LCSW
Verified Verified
San Rafael, CA 94901
Have your achievements brought you fulfillment, or are you even more unhappy, more anxious, more depressed after achieving so many things in the outer world? Is your happiness dependent on your connection to yourself and the natural world or is it dependent on the story you've created about your achievements and what that says about you? If the uncertainty in the world has left you more anxious, more stressed, more worried, then it is the perfect time to make that inner shift, that inner reset.
Have your achievements brought you fulfillment, or are you even more unhappy, more anxious, more depressed after achieving so many things in the outer world? Is your happiness dependent on your connection to yourself and the natural world or is it dependent on the story you've created about your achievements and what that says about you? If the uncertainty in the world has left you more anxious, more stressed, more worried, then it is the perfect time to make that inner shift, that inner reset.
(628) 209-5929 View (628) 209-5929
Photo of Dr. Annette Holloway, Psychologist in San Rafael, CA
Dr. Annette Holloway
Psychologist
Verified Verified
2 Endorsed
San Rafael, CA 94901
My approach is warm, collaborative and thoughtful. I aim to help you make the changes you want in your life: better relationships, improved mood, new tools for stress management, increased coping skills, more ability to process past hurts, feeling less stuck, and reduced substance use. The foundation of therapeutic work is your sense of feeling safe, listened to, and cared about during sessions. I genuinely want to understand your experiences, and provide insights into how you interact with yourself, others and the world at large. I work with people of all colors, ethnicities, religions, gender and sexual orientations.
My approach is warm, collaborative and thoughtful. I aim to help you make the changes you want in your life: better relationships, improved mood, new tools for stress management, increased coping skills, more ability to process past hurts, feeling less stuck, and reduced substance use. The foundation of therapeutic work is your sense of feeling safe, listened to, and cared about during sessions. I genuinely want to understand your experiences, and provide insights into how you interact with yourself, others and the world at large. I work with people of all colors, ethnicities, religions, gender and sexual orientations.
(415) 996-1651 View (415) 996-1651
Photo of Claire Karp, Marriage & Family Therapist in San Rafael, CA
Claire Karp
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
I believe that life is 10% what happens and 90% how you perceive it. I use Cognitive Behavioral techniques to identify thought distortion and utilize fact-checking to dispel thoughts not based on fact. Thoughts trigger feelings which trigger behaviors. So let's start at the root. ID unproductive thoughts and replace them with fact-based thoughts. My goal is to give you skills that go beyond your time with me. Life may not get easier but we can work together to make you stronger.
I believe that life is 10% what happens and 90% how you perceive it. I use Cognitive Behavioral techniques to identify thought distortion and utilize fact-checking to dispel thoughts not based on fact. Thoughts trigger feelings which trigger behaviors. So let's start at the root. ID unproductive thoughts and replace them with fact-based thoughts. My goal is to give you skills that go beyond your time with me. Life may not get easier but we can work together to make you stronger.
(415) 854-9138 View (415) 854-9138
Photo of Heather Chamberlain, Psychologist in San Rafael, CA
Heather Chamberlain
Psychologist, PsyD
Verified Verified
2 Endorsed
San Rafael, CA 94903
When your child or teen is having a tough time, all you want is for them to feel better. You want them to feel happier, calmer, and able to manage whatever life throws at them. You need a therapist who understands your unique child as well as the challenges you face as a parent, who can teach important skills with humor, patience, and compassion to help your child cope with big emotions now and in the future. If you are concerned that your child has a learning disability or autism, I offer assessment that focuses on their strengths and how to support them in all environments.
When your child or teen is having a tough time, all you want is for them to feel better. You want them to feel happier, calmer, and able to manage whatever life throws at them. You need a therapist who understands your unique child as well as the challenges you face as a parent, who can teach important skills with humor, patience, and compassion to help your child cope with big emotions now and in the future. If you are concerned that your child has a learning disability or autism, I offer assessment that focuses on their strengths and how to support them in all environments.
(415) 462-4272 View (415) 462-4272
Photo of Jennifer Myers, Psychologist in San Rafael, CA
Jennifer Myers
Psychologist, PsyD
Verified Verified
San Rafael, CA 94901  (Online Only)
Hello, I am a licensed clinical psychologist who provides individual and group therapy to adolescents and adults. I also work with athletes to improve performance skills by helping with their "mental game". Are you or a family member experiencing anxiety, depression, or other mental health challenges that are negatively affecting you? Are you trying to find a better balance that can lead to increased happiness and more success in your relationships, at work, and/or at school? Making the decision to start therapy can be tough but I am here to support you in your journey to a more fulfilled life.
Hello, I am a licensed clinical psychologist who provides individual and group therapy to adolescents and adults. I also work with athletes to improve performance skills by helping with their "mental game". Are you or a family member experiencing anxiety, depression, or other mental health challenges that are negatively affecting you? Are you trying to find a better balance that can lead to increased happiness and more success in your relationships, at work, and/or at school? Making the decision to start therapy can be tough but I am here to support you in your journey to a more fulfilled life.
(415) 941-3064 View (415) 941-3064
Photo of Rachel L Barr, Marriage & Family Therapist in San Rafael, CA
Rachel L Barr
Marriage & Family Therapist, MA, MFT
Verified Verified
4 Endorsed
San Rafael, CA 94901
*COUPLES COUNSELING* Are you and your partner in a stuck place? Are you having difficulty navigating around the same conversation or disagreement? Are you working toward recovery from an infidelity? I work with couples and individuals in Modern Love, a place that asks a lot of relationship. I'm an active and collaborative therapist who works to move clients past the comforts of what is known and into the possibilities of the unknown. I work with couples across the fluid spectrum, and in monogamist and consensual non-monogamy relationships.
*COUPLES COUNSELING* Are you and your partner in a stuck place? Are you having difficulty navigating around the same conversation or disagreement? Are you working toward recovery from an infidelity? I work with couples and individuals in Modern Love, a place that asks a lot of relationship. I'm an active and collaborative therapist who works to move clients past the comforts of what is known and into the possibilities of the unknown. I work with couples across the fluid spectrum, and in monogamist and consensual non-monogamy relationships.
(323) 393-3678 View (323) 393-3678
Photo of Nicholas Coleman Plastiras, Marriage & Family Therapist in San Rafael, CA
Nicholas Coleman Plastiras
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
San Rafael, CA 94903
Navigating life can be difficult. Perhaps you find yourself stuck in problematic relational patterns, struggling to find a different way. Maybe you criticize and put limitations on yourself. Perhaps you have endless empathy for everyone but yourself. Maybe you’ve turned to alcohol or substances to avoid the pain. Maybe you don’t feel much of anything at all. Perhaps you are simply in a rut and you don’t know how to get yourself out of it. The good news is, by simply looking for help you are on your way to regaining confidence, agency, and a fuller, more authentic sense of self. A self that CAN navigate the difficulties of life.
Navigating life can be difficult. Perhaps you find yourself stuck in problematic relational patterns, struggling to find a different way. Maybe you criticize and put limitations on yourself. Perhaps you have endless empathy for everyone but yourself. Maybe you’ve turned to alcohol or substances to avoid the pain. Maybe you don’t feel much of anything at all. Perhaps you are simply in a rut and you don’t know how to get yourself out of it. The good news is, by simply looking for help you are on your way to regaining confidence, agency, and a fuller, more authentic sense of self. A self that CAN navigate the difficulties of life.
(415) 634-3407 View (415) 634-3407

How does your Therapist compare?

Number of Therapists in San Rafael, CA

600+

Average cost per session

$195

Therapists in San Rafael, CA who prioritize treating:

91% Anxiety
84% Depression
82% Relationship Issues
70% Self Esteem
66% Grief
66% Trauma and PTSD
63% Stress

Average years in practice

16 Years

Top 3 insurances accepted

55% Aetna
45% Cigna and Evernorth
44% Anthem | Elevance

How Therapists in San Rafael, CA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Rafael?

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.