Therapists in Harrisburg, PA

Photo of Rafat Omar, Psychologist in Harrisburg, PA
Rafat Omar
Psychologist, PsyD
Verified Verified
Harrisburg, PA 17111  (Online Only)
Hello, I'm Dr. Rafat Omar. I'm a licensed clinical psychologist in Pennsylvania. I work with clients of all ages, couples, and families.
Hello, I'm Dr. Rafat Omar. I'm a licensed clinical psychologist in Pennsylvania. I work with clients of all ages, couples, and families.
(717) 923-5183 View (717) 923-5183
Photo of CityCouples Online Therapy, Marriage & Family Therapist in Harrisburg, PA
CityCouples Online Therapy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Harrisburg, PA 17109  (Online Only)
You're going through a relationship crisis, feeling confused about how to get on the same page, or frustrated with the state of your connection. You remember when things were different, and you're ready to make changes that will get you on the path to the future you hope to have, together. We know how to help! We offer expert online therapy for couples in New York, Pennsylvania, Florida, and Worldwide. Take a look at our available therapists at citycouples.net/meet-our-team. Our specialities include communication, betrayal recovery, ENM, LGBTQIA+ relationships, and more.
You're going through a relationship crisis, feeling confused about how to get on the same page, or frustrated with the state of your connection. You remember when things were different, and you're ready to make changes that will get you on the path to the future you hope to have, together. We know how to help! We offer expert online therapy for couples in New York, Pennsylvania, Florida, and Worldwide. Take a look at our available therapists at citycouples.net/meet-our-team. Our specialities include communication, betrayal recovery, ENM, LGBTQIA+ relationships, and more.
(833) 204-3561 View (833) 204-3561
Photo of Rachael Ananian, Marriage & Family Therapist in Harrisburg, PA
Rachael Ananian
Marriage & Family Therapist, LMFT
Verified Verified
Harrisburg, PA 17101  (Online Only)
I am a HAES-oriented clinician who is passionate about helping others get better at feeling, not just feeling better. Our emotions can feel overwhelming, and as result we might avoid them altogether, using unhelpful behaviors to cope which can then make you feel more overwhelmed, anxious, or depressed. My goal is to help you identify, accept, and understand the difficult internal experiences so that you may take meaningful action in your life.
I am a HAES-oriented clinician who is passionate about helping others get better at feeling, not just feeling better. Our emotions can feel overwhelming, and as result we might avoid them altogether, using unhelpful behaviors to cope which can then make you feel more overwhelmed, anxious, or depressed. My goal is to help you identify, accept, and understand the difficult internal experiences so that you may take meaningful action in your life.
(484) 878-5691 View (484) 878-5691
Photo of Andrew Charney, Clinical Social Work/Therapist in Harrisburg, PA
Andrew Charney
Clinical Social Work/Therapist, LPC
Verified Verified
Harrisburg, PA 17112
Hello! My name is Andrew Charney and I am a Licensed Professional Counselor (LPC) in the state of Pennsylvania, a National Certified Counselor (NCC), am certified in Family Therapy, Level 1 Rational Living Therapy (Reality), and Gambling Addiction. I incorporate cognitive behavioral interventions, mindfulness with DBT, and motivational interviewing. I have 7 years of experience working with children, adolescents, and adults providing individual, couples, and family therapy, in addition to addiction counseling and group counseling.
Hello! My name is Andrew Charney and I am a Licensed Professional Counselor (LPC) in the state of Pennsylvania, a National Certified Counselor (NCC), am certified in Family Therapy, Level 1 Rational Living Therapy (Reality), and Gambling Addiction. I incorporate cognitive behavioral interventions, mindfulness with DBT, and motivational interviewing. I have 7 years of experience working with children, adolescents, and adults providing individual, couples, and family therapy, in addition to addiction counseling and group counseling.
(717) 647-5599 View (717) 647-5599
Photo of Chris Schwab, Clinical Social Work/Therapist in Harrisburg, PA
Chris Schwab
Clinical Social Work/Therapist, LCSW
Verified Verified
Harrisburg, PA 17112
Chris Schwab is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2013. He has a Masters in Divinity and a Masters in Social Work. Chris offers a strengths-based perspective in counselling. He is open to working with people of all faiths. In his free time, Chris enjoys swimming and reading.
Chris Schwab is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2013. He has a Masters in Divinity and a Masters in Social Work. Chris offers a strengths-based perspective in counselling. He is open to working with people of all faiths. In his free time, Chris enjoys swimming and reading.
(717) 820-7850 View (717) 820-7850
Photo of Dr. Christopher T. Watts Sr, Licensed Professional Counselor in Harrisburg, PA
Dr. Christopher T. Watts Sr
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Harrisburg, PA 17102
Dr. Christopher T. Watts, Sr is a Licensed Professional Counselor, National Board Certified Counselor, and National Certified Custody Evaluator who has worked with children, adolescence, adults, couples, families, and groups since 2005. He is the founder and owner of C.T. Watts & Associates, PC located in Harrisburg, PA.
Dr. Christopher T. Watts, Sr is a Licensed Professional Counselor, National Board Certified Counselor, and National Certified Custody Evaluator who has worked with children, adolescence, adults, couples, families, and groups since 2005. He is the founder and owner of C.T. Watts & Associates, PC located in Harrisburg, PA.
(717) 963-2269 View (717) 963-2269
Photo of Caralyne Schoffstall, Marriage & Family Therapist in Harrisburg, PA
Caralyne Schoffstall
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Harrisburg, PA 17112
Not accepting new clients
There is no shame in being a "work in progress." Each of us is one - myself included. I am a human being just like you, and I am here to say that it's okay to be where you are. It's okay to ask for help. Therapy is a sacred place in which there is no judgment, only room to explore the origins and outcomes of your struggles. Whether those struggles are in areas of identity, self-worth, depression, anxiety, relationships, trust, parenting, illness, loss, or spirituality, I'm here to help you make meaning of whatever troubles you.
There is no shame in being a "work in progress." Each of us is one - myself included. I am a human being just like you, and I am here to say that it's okay to be where you are. It's okay to ask for help. Therapy is a sacred place in which there is no judgment, only room to explore the origins and outcomes of your struggles. Whether those struggles are in areas of identity, self-worth, depression, anxiety, relationships, trust, parenting, illness, loss, or spirituality, I'm here to help you make meaning of whatever troubles you.
(223) 217-2509 View (223) 217-2509
Photo of Jessica Hendrix, Clinical Social Work/Therapist in Harrisburg, PA
Jessica Hendrix
Clinical Social Work/Therapist, LPC
Verified Verified
Harrisburg, PA 17112
Jessica is a Licensed Professional Counselor who earned her Master of Science degree in Community Counseling from Columbus State University in Georgia. Jessica works with adults who are experiencing problems with anxiety, depression, trauma, relationship concerns, and adjustment problems. She uses an eclectic style that includes Cognitive Behavioral Therapy (CBT). Her therapy focus is to aid her clients in recognizing and addressing unhelpful thinking styles so that they may find more effective means for working through problems.
Jessica is a Licensed Professional Counselor who earned her Master of Science degree in Community Counseling from Columbus State University in Georgia. Jessica works with adults who are experiencing problems with anxiety, depression, trauma, relationship concerns, and adjustment problems. She uses an eclectic style that includes Cognitive Behavioral Therapy (CBT). Her therapy focus is to aid her clients in recognizing and addressing unhelpful thinking styles so that they may find more effective means for working through problems.
(717) 922-4988 View (717) 922-4988
Photo of Jessica Martin in Harrisburg, PA
Jessica Martin
MSW, LSW
Verified Verified
2 Endorsed
Harrisburg, PA 17102  (Online Only)
Are you feeling stressed, anxious, overwhelmed, or just feeling lost? Life can sometimes be very challenging, but you don't have to go through it alone. I provide a confidential, safe, and trusting environment allowing children, adults, and families to engage in supportive and transformational change. My therapeutic approach is designed to help address the issues related to the challenges faced during life's journey. I am passionate and excited to help you unlock the life you have always wanted to live. Let me help you along in your journey to living your best life!
Are you feeling stressed, anxious, overwhelmed, or just feeling lost? Life can sometimes be very challenging, but you don't have to go through it alone. I provide a confidential, safe, and trusting environment allowing children, adults, and families to engage in supportive and transformational change. My therapeutic approach is designed to help address the issues related to the challenges faced during life's journey. I am passionate and excited to help you unlock the life you have always wanted to live. Let me help you along in your journey to living your best life!
(717) 892-5804 View (717) 892-5804
Photo of Becky Budzina, Licensed Professional Counselor in Harrisburg, PA
Becky Budzina
Licensed Professional Counselor, LPC, NCC, LBS
Verified Verified
Harrisburg, PA 17112  (Online Only)
Welcome to my page! I am glad that you are here. This means you want something better for your life, and that is an AMAZING first step to take! Maybe you struggle with fears or regrets that are weighing you down, keeping you from living the life you want live? Maybe you feel alone in this world and are struggling to find your tribe of people who get you? Maybe you are just struggling with understanding yourself or others, and this keeps you awake at night... No matter what it is, let me walk this path with you so you are not alone, and together we can create the life that you want to live! Let's get you started today!
Welcome to my page! I am glad that you are here. This means you want something better for your life, and that is an AMAZING first step to take! Maybe you struggle with fears or regrets that are weighing you down, keeping you from living the life you want live? Maybe you feel alone in this world and are struggling to find your tribe of people who get you? Maybe you are just struggling with understanding yourself or others, and this keeps you awake at night... No matter what it is, let me walk this path with you so you are not alone, and together we can create the life that you want to live! Let's get you started today!
(717) 923-5819 View (717) 923-5819
Photo of Multicultural Counseling and Consulting LLC, Clinical Social Work/Therapist in Harrisburg, PA
Multicultural Counseling and Consulting LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Harrisburg, PA 17110
Hi this is Dhan! When you need a therapist, you need someone who can listen to you wholly. I believe in meeting a person-in-place approach and building a rapport from there. I help to manage your stress, anxiety, depression, trauma and others. Sometimes, you may be looking for someone to offer you choices, clarify issues or provide guidance to lead you on your way. I’m here to provide you with a safe space and listen to you non-judgmentally. I have extensive experience working with clients of different backgrounds.
Hi this is Dhan! When you need a therapist, you need someone who can listen to you wholly. I believe in meeting a person-in-place approach and building a rapport from there. I help to manage your stress, anxiety, depression, trauma and others. Sometimes, you may be looking for someone to offer you choices, clarify issues or provide guidance to lead you on your way. I’m here to provide you with a safe space and listen to you non-judgmentally. I have extensive experience working with clients of different backgrounds.
(717) 864-6689 View (717) 864-6689
Photo of Talayna Bowersox, Clinical Social Work/Therapist in Harrisburg, PA
Talayna Bowersox
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Harrisburg, PA 17112
Waitlist for new clients
The first step is recognizing your desire to change and having a therapist who can validate and empower you is very important. My primary goal is to create a safe, non-judgmental, and supportive environment where you can feel comfortable expressing yourself. I utilize cognitive behavioral therapy, person-centered therapy, and strength-based approaches to allow you to become more self-aware and grow in a positive direction. My focus is meeting you where you are at, helping you learn new approaches, viewing things in a different light, and achieving your goals.
The first step is recognizing your desire to change and having a therapist who can validate and empower you is very important. My primary goal is to create a safe, non-judgmental, and supportive environment where you can feel comfortable expressing yourself. I utilize cognitive behavioral therapy, person-centered therapy, and strength-based approaches to allow you to become more self-aware and grow in a positive direction. My focus is meeting you where you are at, helping you learn new approaches, viewing things in a different light, and achieving your goals.
(717) 949-7391 View (717) 949-7391
Photo of Sharon Presta, Licensed Professional Counselor in Harrisburg, PA
Sharon Presta
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Harrisburg, PA 17109
You are not alone. There is care and support waiting just for you. You are showing true strength by seeking assistance in your journey. I am a Licensed Professional Counselor in the state of Pennsylvania and my goal is to create a safe space for you to grow, learn, and understand yourself and your emotions better. We learn through our relationships. That is why I foster and prioritize a strong therapeutic relationship. By building a trusting and open rapport, clients can gain a deeper understanding of their beliefs, thoughts and actions. Ask yourself - when was the last time you dedicated time for someone to focus solely on you?
You are not alone. There is care and support waiting just for you. You are showing true strength by seeking assistance in your journey. I am a Licensed Professional Counselor in the state of Pennsylvania and my goal is to create a safe space for you to grow, learn, and understand yourself and your emotions better. We learn through our relationships. That is why I foster and prioritize a strong therapeutic relationship. By building a trusting and open rapport, clients can gain a deeper understanding of their beliefs, thoughts and actions. Ask yourself - when was the last time you dedicated time for someone to focus solely on you?
(717) 905-4053 View (717) 905-4053
Photo of Transgender Dysphoria Diagnosis - WPATH Letters, Clinical Social Work/Therapist in Harrisburg, PA
Transgender Dysphoria Diagnosis - WPATH Letters
Clinical Social Work/Therapist, LCSW
Verified Verified
Harrisburg, PA 17101  (Online Only)
Your transition ally is waiting at Queer Talk Therapy. Specializing in gender identity, they offer thorough assessments and readiness letters, rooted in an informed consent model, simplifying your path to medical transition. Your $175 investment goes beyond an assessment—it's a comprehensive, WPATH-compliant roadmap, inclusive of letter updates and ongoing support. More than an assessment, it’s an invaluable bridge to your next chapter. Simply visit our WEBSITE to schedule and get started today.
Your transition ally is waiting at Queer Talk Therapy. Specializing in gender identity, they offer thorough assessments and readiness letters, rooted in an informed consent model, simplifying your path to medical transition. Your $175 investment goes beyond an assessment—it's a comprehensive, WPATH-compliant roadmap, inclusive of letter updates and ongoing support. More than an assessment, it’s an invaluable bridge to your next chapter. Simply visit our WEBSITE to schedule and get started today.
Photo of Alicia Foster, Psychologist in Harrisburg, PA
Alicia Foster
Psychologist, PsyD
Verified Verified
Harrisburg, PA 17112
Alicia Foster is a psychotherapist with over 10 years' experience specializing in anxiety, depression, and ADHD. Alicia treats patients between the ages of 3 to 65+ years old utilizing Cognitive Behavioral Therapy, Psychodynamic, Person Centered, and Motivational Interviewing when working with clients. Alicia has significant experience providing therapy to children, adolescents, adults, families, and couples. In her clinical work, Alicia utilizes an eclectic approach using traditional therapeutic techniques as well as creative modalities such as play therapy, role playing, and mindfulness.
Alicia Foster is a psychotherapist with over 10 years' experience specializing in anxiety, depression, and ADHD. Alicia treats patients between the ages of 3 to 65+ years old utilizing Cognitive Behavioral Therapy, Psychodynamic, Person Centered, and Motivational Interviewing when working with clients. Alicia has significant experience providing therapy to children, adolescents, adults, families, and couples. In her clinical work, Alicia utilizes an eclectic approach using traditional therapeutic techniques as well as creative modalities such as play therapy, role playing, and mindfulness.
(717) 876-6788 View (717) 876-6788
Photo of Katie Novak Counseling, Licensed Professional Counselor in Harrisburg, PA
Katie Novak Counseling
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Harrisburg, PA 17110
Every person has the ability to tap into their potential and recognize that they are a unique gift to the world. Many of my clients have not been aware that they can learn self-control, problem solving, courage, spiritual serenity, and find joy in life. They may be held back by internalized negative beliefs about themselves and others. We all need to be heard, validated, challenged, and supported as we take the next step. I love to help people find balance in their lives, and build healthy relationships. Depending on the needs of the client, I may use worksheets, visual aids, bibliotherapy, therapy games, play therapy techniques.
Every person has the ability to tap into their potential and recognize that they are a unique gift to the world. Many of my clients have not been aware that they can learn self-control, problem solving, courage, spiritual serenity, and find joy in life. They may be held back by internalized negative beliefs about themselves and others. We all need to be heard, validated, challenged, and supported as we take the next step. I love to help people find balance in their lives, and build healthy relationships. Depending on the needs of the client, I may use worksheets, visual aids, bibliotherapy, therapy games, play therapy techniques.
(717) 429-0493 View (717) 429-0493
Photo of Tony Reigle, Licensed Professional Counselor in Harrisburg, PA
Tony Reigle
Licensed Professional Counselor, PhD, CCTP-II, NLP
Verified Verified
1 Endorsed
Harrisburg, PA 17109
Reigle Therapeutics Group uses virtual and office based services to meet your every day needs! We provide psychotherapeutic support to Adults, Adolescents, and Children in individual, couples, or family settings as well as specialize in psychotherapeutic support to First Responders, Veterans/Military and Healthcare Workers trying to manage the personal and professional impacts of the work they do.
Reigle Therapeutics Group uses virtual and office based services to meet your every day needs! We provide psychotherapeutic support to Adults, Adolescents, and Children in individual, couples, or family settings as well as specialize in psychotherapeutic support to First Responders, Veterans/Military and Healthcare Workers trying to manage the personal and professional impacts of the work they do.
(717) 952-9508 View (717) 952-9508
Photo of Collaborative Mental Wellness, Clinical Social Work/Therapist in Harrisburg, PA
Collaborative Mental Wellness
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Harrisburg, PA 17110
My name is Duronn Stern and I am the owner of Collaborative Mental Wellness. I know dealing with life can be difficult. Creating a pathway towards change to improve your life sometimes requires help without the fear of being judged. Allow me to collaborate with you a trustworthy, confidential, and therapeutic alliance. Together we can navigate issues and/or concerns that prevent you from fully thriving. Whether it be an obstacle you are currently facing, or past trauma, together we can do the work to help reposition you to reach your full potential. I know how important it is to be heard, understood, and accepted.
My name is Duronn Stern and I am the owner of Collaborative Mental Wellness. I know dealing with life can be difficult. Creating a pathway towards change to improve your life sometimes requires help without the fear of being judged. Allow me to collaborate with you a trustworthy, confidential, and therapeutic alliance. Together we can navigate issues and/or concerns that prevent you from fully thriving. Whether it be an obstacle you are currently facing, or past trauma, together we can do the work to help reposition you to reach your full potential. I know how important it is to be heard, understood, and accepted.
(717) 219-5349 View (717) 219-5349
Photo of Maureen McCarthy, Clinical Social Work/Therapist in Harrisburg, PA
Maureen McCarthy
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
Harrisburg, PA 17111  (Online Only)
Hi! I am Maureen McCarthy, a Licensed Social Worker based in Central Pennsylvania. I have extensive experience working with gender expansive and sexually diverse individuals, including but not limited to the LGBTQIIA+, Polyam/CNM and BDSM/kink communities. In addition, to folks facing life transitions, stress, self-esteem issues, anxiety, depression, and trauma.
Hi! I am Maureen McCarthy, a Licensed Social Worker based in Central Pennsylvania. I have extensive experience working with gender expansive and sexually diverse individuals, including but not limited to the LGBTQIIA+, Polyam/CNM and BDSM/kink communities. In addition, to folks facing life transitions, stress, self-esteem issues, anxiety, depression, and trauma.
(484) 800-1652 View (484) 800-1652
Photo of Julianne Ortiz, Licensed Professional Counselor in Harrisburg, PA
Julianne Ortiz
Licensed Professional Counselor, MS, NCC, LPC, CTMH
Verified Verified
Harrisburg, PA 17109  (Online Only)
Not accepting new clients
Looking for a counselor can be overwhelming, so many profiles, so many titles! Whether you are feeling stuck, need some outside input or are trying to find your true self; I would be honored to help you during this time in your life.
Looking for a counselor can be overwhelming, so many profiles, so many titles! Whether you are feeling stuck, need some outside input or are trying to find your true self; I would be honored to help you during this time in your life.
(717) 297-6469 View (717) 297-6469

How does your Therapist compare?

Number of Therapists in Harrisburg, PA

300+

Average cost per session

$125

Therapists in Harrisburg, PA who prioritize treating:

94% Anxiety
89% Depression
73% Trauma and PTSD
71% Self Esteem
69% Coping Skills
68% Relationship Issues
63% Stress

Average years in practice

11 Years

Top 3 insurances accepted

80% Highmark
74% Optum
71% Aetna

How Therapists in Harrisburg, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Harrisburg?

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.