Therapists in Philadelphia, PA

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Photo of The Nava Center, Psychologist in Philadelphia, PA
The Nava Center
Psychologist, PsyD
Verified Verified
Philadelphia, PA 19107
The Nava Center is a nonprofit organization providing psychotherapy and training to the community and organizations to decrease the impact of trauma and increase engagement in anti-racism. We strive to help you flourish through empowerment focused psychotherapy, essential education, and creating sustainable change. We meet our clients where they are and help get them where they want to go. The Nava Center completes a full trauma evaluation to help determine the best treatment modality and intervention. We also offer supervision for clinical providers who want to use a trauma and antiracist lens.
The Nava Center is a nonprofit organization providing psychotherapy and training to the community and organizations to decrease the impact of trauma and increase engagement in anti-racism. We strive to help you flourish through empowerment focused psychotherapy, essential education, and creating sustainable change. We meet our clients where they are and help get them where they want to go. The Nava Center completes a full trauma evaluation to help determine the best treatment modality and intervention. We also offer supervision for clinical providers who want to use a trauma and antiracist lens.
(215) 267-6523 View (215) 267-6523
Photo of Ashley Lunt, Licensed Professional Counselor in Philadelphia, PA
Ashley Lunt
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103
My ideal client is someone who is committed to wanting better for themselves. I provide an open and honest space so my clients feel safe especial clients who suffer from trauma, depression and anxiety.
My ideal client is someone who is committed to wanting better for themselves. I provide an open and honest space so my clients feel safe especial clients who suffer from trauma, depression and anxiety.
(267) 692-4833 View (267) 692-4833
Photo of Gayle Logan, Licensed Professional Counselor in Philadelphia, PA
Gayle Logan
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103  (Online Only)
Gayle V. Logan is a Licensed Professional Counselor (LPC) and Licensed Social Worker (LMSW) in the state of Pennsylvania with over 35 years of experience. She works with clients from ages 5 to 90+ who are experiencing anxiety, depression, relationship issues, trauma, PTSD, personality disorders, and other mental health symptoms. Gayle earned a Doctorate in Clinical Psychology from California Southern University after her doctoral studies at Philadelphia’s College of Osteopath Medicine. She earned a master’s degree in clinical psychology at Norfolk State University and another in social work from Rutgers.
Gayle V. Logan is a Licensed Professional Counselor (LPC) and Licensed Social Worker (LMSW) in the state of Pennsylvania with over 35 years of experience. She works with clients from ages 5 to 90+ who are experiencing anxiety, depression, relationship issues, trauma, PTSD, personality disorders, and other mental health symptoms. Gayle earned a Doctorate in Clinical Psychology from California Southern University after her doctoral studies at Philadelphia’s College of Osteopath Medicine. She earned a master’s degree in clinical psychology at Norfolk State University and another in social work from Rutgers.
(484) 969-9521 View (484) 969-9521
Photo of Juli Stensland, Clinical Social Work/Therapist in Philadelphia, PA
Juli Stensland
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19103  (Online Only)
Not accepting new clients
Whether there is unhappiness in your life, troubles in your relationships with others, distressing symptoms or perhaps you have encountered a painful experience, are coping with feeling overwhelmed by stress, or going through a difficult transition - it helps to not work through it alone. There is very little that happens to us in life from which we cannot recover and rebuild. Therapy is one way to do so.
Whether there is unhappiness in your life, troubles in your relationships with others, distressing symptoms or perhaps you have encountered a painful experience, are coping with feeling overwhelmed by stress, or going through a difficult transition - it helps to not work through it alone. There is very little that happens to us in life from which we cannot recover and rebuild. Therapy is one way to do so.
(215) 608-5433 View (215) 608-5433
Photo of Leah Spyker, Licensed Professional Counselor in Philadelphia, PA
Leah Spyker
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103
I specialize in Substance Use, Anxiety, & Grief. Life can feel overwhelming at times, and it's okay to seek support. Whether you're navigating through difficult emotions, facing challenges in relationships, or simply need someone to listen, know that you're not alone. My ideal client is someone who wants to begin their treatment journey. They might be nervous or scared to begin, but they have made their first step to at least try.
I specialize in Substance Use, Anxiety, & Grief. Life can feel overwhelming at times, and it's okay to seek support. Whether you're navigating through difficult emotions, facing challenges in relationships, or simply need someone to listen, know that you're not alone. My ideal client is someone who wants to begin their treatment journey. They might be nervous or scared to begin, but they have made their first step to at least try.
(267) 849-1369 View (267) 849-1369
Photo of Michael Zwizanski, Marriage & Family Therapist in Philadelphia, PA
Michael Zwizanski
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Philadelphia, PA 19104  (Online Only)
In my work, I seek to make a connection that will cultivate a safe, judgement-free space to work through challenging issues & promote self-discovery. My stance in life and in my practice is anti-racist, sex positive, LGBTQ+ competent and gender affirming. I recognize my privilege as a cis-gender, white, male professional and strive to position myself as an equal collaborator in the processes of growth and change within my clients. Coming from an entertainment industry background, I have worked extensively with artists, musicians, actors and entrepreneurs and understand the creative process,
In my work, I seek to make a connection that will cultivate a safe, judgement-free space to work through challenging issues & promote self-discovery. My stance in life and in my practice is anti-racist, sex positive, LGBTQ+ competent and gender affirming. I recognize my privilege as a cis-gender, white, male professional and strive to position myself as an equal collaborator in the processes of growth and change within my clients. Coming from an entertainment industry background, I have worked extensively with artists, musicians, actors and entrepreneurs and understand the creative process,
(215) 789-4513 View (215) 789-4513
Photo of Colin Halko, Licensed Professional Counselor in Philadelphia, PA
Colin Halko
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19148  (Online Only)
Have you been feeling stuck? Maybe the days have begun to merge together and six months later you find yourself in the same spot. Making lasting changes is hard and it can feel like an uphill battle, especially when you feel like life has lost its purpose. I believe therapy can help organize that chaos. All those thoughts and feelings that get tumbled around while living that feel difficult to grasp on to and understand. Through our sessions, we will work together to make some sense of it all.
Have you been feeling stuck? Maybe the days have begun to merge together and six months later you find yourself in the same spot. Making lasting changes is hard and it can feel like an uphill battle, especially when you feel like life has lost its purpose. I believe therapy can help organize that chaos. All those thoughts and feelings that get tumbled around while living that feel difficult to grasp on to and understand. Through our sessions, we will work together to make some sense of it all.
(267) 668-1714 View (267) 668-1714
Photo of Sarah Rosenberg, Licensed Professional Counselor in Philadelphia, PA
Sarah Rosenberg
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19106  (Online Only)
Accepting new clients! My approach to therapy creates individualized plans, tailored to meet each of my unique clients’ needs. There are many different paths for growth, we will work together to find the one that is right for you. We will explore thoughts, emotions and behaviors in a new way. We discover ways to remove barriers that keep you stuck. Together, we will learn how to respond instead of react. We will rediscover your calm, confident, compassionate, curious self. We will challenge your resistant self that has been keeping you from growing. You will get to know your greatest asset - YOU.
Accepting new clients! My approach to therapy creates individualized plans, tailored to meet each of my unique clients’ needs. There are many different paths for growth, we will work together to find the one that is right for you. We will explore thoughts, emotions and behaviors in a new way. We discover ways to remove barriers that keep you stuck. Together, we will learn how to respond instead of react. We will rediscover your calm, confident, compassionate, curious self. We will challenge your resistant self that has been keeping you from growing. You will get to know your greatest asset - YOU.
(610) 708-1567 View (610) 708-1567
Photo of Dese'Rae L. Stage, Licensed Social Worker in Philadelphia, PA
Dese'Rae L. Stage
Licensed Social Worker, LSW, MSW, BS
Verified Verified
1 Endorsed
Philadelphia, PA 19125  (Online Only)
Hi, I'm Des! I'm a social worker and suicidologist, and a queer, white, cisgender single parent. My practice is trauma-informed, anti-oppressive, and person-centered. Using an eclectic approach, mainly rooted in relational and attachment-based work, alongside some CBT techniques and DBT skills training, I work with teens and adults experiencing suicidal ideation and self-injury, grief/traumatic loss, ADHD, depression, anxiety, mood and personality disorders, fertility challenges (especially for those who are visibly queer), queer family-building, and pregnancy loss—many of which I have personal experience with.
Hi, I'm Des! I'm a social worker and suicidologist, and a queer, white, cisgender single parent. My practice is trauma-informed, anti-oppressive, and person-centered. Using an eclectic approach, mainly rooted in relational and attachment-based work, alongside some CBT techniques and DBT skills training, I work with teens and adults experiencing suicidal ideation and self-injury, grief/traumatic loss, ADHD, depression, anxiety, mood and personality disorders, fertility challenges (especially for those who are visibly queer), queer family-building, and pregnancy loss—many of which I have personal experience with.
(215) 631-8350 View (215) 631-8350
Photo of Nourish Center for Therapy & Wellness, Licensed Professional Counselor in Philadelphia, PA
Nourish Center for Therapy & Wellness
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19107
In need of change and encouragement? A supportive, accepting and accountable relationship with your therapist is key to see positive change. It is time for you to be free of what has kept you stuck and hurting. Our team are down to earth, relatable therapists ready to help you heal. Our practice offers a wide range of services for children, adolescents and adults such as traditional talk therapy, EMDR, somatic body work & dance movement therapy. Nourish also offers EMDR intensives. Reach out today to connect!
In need of change and encouragement? A supportive, accepting and accountable relationship with your therapist is key to see positive change. It is time for you to be free of what has kept you stuck and hurting. Our team are down to earth, relatable therapists ready to help you heal. Our practice offers a wide range of services for children, adolescents and adults such as traditional talk therapy, EMDR, somatic body work & dance movement therapy. Nourish also offers EMDR intensives. Reach out today to connect!
(215) 709-2160 View (215) 709-2160
Photo of Wise Mind Therapy, Licensed Professional Counselor in Philadelphia, PA
Wise Mind Therapy
Licensed Professional Counselor, MS, LPC, NCC, RYT
Verified Verified
1 Endorsed
Philadelphia, PA 19109  (Online Only)
Does it feel impossible to think your way out of an emotional reaction? Maybe stressful situations feel overwhelming and unmanageable. When you’re feeling stuck like this, it can be tough to find ways to cope alone. I understand how that feels and I am here to offer compassionate, non-judgmental, and confidential support to help you manage life challenges. With a background in K-12 school counseling, I also understand the unique challenges children and educators experience in schools.
Does it feel impossible to think your way out of an emotional reaction? Maybe stressful situations feel overwhelming and unmanageable. When you’re feeling stuck like this, it can be tough to find ways to cope alone. I understand how that feels and I am here to offer compassionate, non-judgmental, and confidential support to help you manage life challenges. With a background in K-12 school counseling, I also understand the unique challenges children and educators experience in schools.
(267) 758-0830 View (267) 758-0830
Photo of Ruby Alice Revel, Pre-Licensed Professional in Philadelphia, PA
Ruby Alice Revel
Pre-Licensed Professional, MFT
Verified Verified
Philadelphia, PA 19128  (Online Only)
Are you looking for a radical therapist with a sense of humor to support you and someone you care about in navigating an interpersonal issue? Would you like to develop a more loving and understanding relationship with all of your parts? I offer an integrated, holistic approach rooted in an anti-supremacy perspective. I don't believe anything works for every client but I find myself using the Internal Family Systems (IFS) model of therapy the most often. Most importantly, I strive to create a therapeutic environment that feels accepting and nonjudgmental without compromising opportunities for growth and expanded possibilities.
Are you looking for a radical therapist with a sense of humor to support you and someone you care about in navigating an interpersonal issue? Would you like to develop a more loving and understanding relationship with all of your parts? I offer an integrated, holistic approach rooted in an anti-supremacy perspective. I don't believe anything works for every client but I find myself using the Internal Family Systems (IFS) model of therapy the most often. Most importantly, I strive to create a therapeutic environment that feels accepting and nonjudgmental without compromising opportunities for growth and expanded possibilities.
View
Photo of Alicia Chatterjee, Clinical Social Work/Therapist in Philadelphia, PA
Alicia Chatterjee
Clinical Social Work/Therapist, MSEd, MSW, LSW
Verified Verified
2 Endorsed
Philadelphia, PA 19119  (Online Only)
It is brave to seek out help on your path to healing. Many of us get the message that healing is an individual journey but trauma and healing are rooted in the context in which we live. Healing is a process that is made possible by building loving connection with ourselves and others.
It is brave to seek out help on your path to healing. Many of us get the message that healing is an individual journey but trauma and healing are rooted in the context in which we live. Healing is a process that is made possible by building loving connection with ourselves and others.
(267) 209-6903 x706 View (267) 209-6903 x706
Photo of Kirsten Lynne Walker, Clinical Social Work/Therapist in Philadelphia, PA
Kirsten Lynne Walker
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19119  (Online Only)
My approach to therapy is to build a trusting relationship where you can start to explore your questions, current pain points, and life story without fear of judgment. My specialty is working with individuals navigating significant changes in their life - loss, identity formation, exploring sexuality, navigating divorce, or becoming a new parent. My approach draws from anti-racist, trauma informed, psychodynamic, systems-focused frameworks.
My approach to therapy is to build a trusting relationship where you can start to explore your questions, current pain points, and life story without fear of judgment. My specialty is working with individuals navigating significant changes in their life - loss, identity formation, exploring sexuality, navigating divorce, or becoming a new parent. My approach draws from anti-racist, trauma informed, psychodynamic, systems-focused frameworks.
(267) 459-9046 View (267) 459-9046
Photo of Laura Gayle Turner, Pre-Licensed Professional in Philadelphia, PA
Laura Gayle Turner
Pre-Licensed Professional
Verified Verified
1 Endorsed
Philadelphia, PA 19102  (Online Only)
My clients are people navigating life transitions, learning to love their bodies, or questioning their gender identity and/or sexual orientation. Our time together might look like healing trauma, reconnecting with family, or using mindfulness exercises to create more bodily awareness. Through this process, I spend time with clients to discover the values and pieces of their identity making them who they are. A big part of my role is empowering these individual pieces so clients can feel whole.
My clients are people navigating life transitions, learning to love their bodies, or questioning their gender identity and/or sexual orientation. Our time together might look like healing trauma, reconnecting with family, or using mindfulness exercises to create more bodily awareness. Through this process, I spend time with clients to discover the values and pieces of their identity making them who they are. A big part of my role is empowering these individual pieces so clients can feel whole.
(332) 241-6686 View (332) 241-6686
Photo of Maya Cox, Clinical Social Work/Therapist in Philadelphia, PA
Maya Cox
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19104
Mayá Cox is a Licensed Clinical Social Worker with over 10 years of experience in mental health. Throughout her career, Mayá Cox has addressed a wide range of issues, including anxiety, depression, interpersonal issues, relationship issues, and other life challenges. Mayá prioritizes a client-centered approach, recognizing the unique needs and strengths of each individual. She offers a relaxed, non-traditional therapeutic environment where she fosters a safe and collaborative space. In her practice, clients feel empowered to explore their emotions, develop coping strategies, and work towards positive and lasting change.
Mayá Cox is a Licensed Clinical Social Worker with over 10 years of experience in mental health. Throughout her career, Mayá Cox has addressed a wide range of issues, including anxiety, depression, interpersonal issues, relationship issues, and other life challenges. Mayá prioritizes a client-centered approach, recognizing the unique needs and strengths of each individual. She offers a relaxed, non-traditional therapeutic environment where she fosters a safe and collaborative space. In her practice, clients feel empowered to explore their emotions, develop coping strategies, and work towards positive and lasting change.
(267) 609-2352 View (267) 609-2352
Photo of Associates in Corporate Psychology, Licensed Professional Counselor in Philadelphia, PA
Associates in Corporate Psychology
Licensed Professional Counselor, EdD, LPC
Verified Verified
Philadelphia, PA 19106  (Online Only)
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
(877) 759-0919 View (877) 759-0919
Photo of Stacy Sebro Counseling Services, Licensed Professional Counselor in Philadelphia, PA
Stacy Sebro Counseling Services
Licensed Professional Counselor, MS, LPC
Verified Verified
Philadelphia, PA 19151
With the many challenges in our society, people often feel overwhelmed and misunderstood in their individual and family lives. Stacy Sebro Counseling Services is a private practice that focuses on helping people to work through their problems in a safe, non-judgmental environment. Family life, work, school and the community may present difficulties that can discourage people from achieving their potential. My mission is to help people find solutions to their problems, thereby empowering them to find fulfillment in their lives and become productive members of society.
With the many challenges in our society, people often feel overwhelmed and misunderstood in their individual and family lives. Stacy Sebro Counseling Services is a private practice that focuses on helping people to work through their problems in a safe, non-judgmental environment. Family life, work, school and the community may present difficulties that can discourage people from achieving their potential. My mission is to help people find solutions to their problems, thereby empowering them to find fulfillment in their lives and become productive members of society.
(610) 550-8103 View (610) 550-8103
Photo of Joshua Weiss, Licensed Professional Counselor in Philadelphia, PA
Joshua Weiss
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19103  (Online Only)
I am a licensed professional counselor with a Gestalt and Holistic Wellness approach towards therapy. Gestalt and Wellness approaches allow me to be creative and intentional with my therapeutic practices. I value human connectedness and learning about each person I work with. Therapy is unique to everyone, and my goal is to guide the therapeutic experience with the intention of promoting personal growth. Life has it’s hardships, my passion is helping people lean into their discomforts to develop the skills needed to overcome them.
I am a licensed professional counselor with a Gestalt and Holistic Wellness approach towards therapy. Gestalt and Wellness approaches allow me to be creative and intentional with my therapeutic practices. I value human connectedness and learning about each person I work with. Therapy is unique to everyone, and my goal is to guide the therapeutic experience with the intention of promoting personal growth. Life has it’s hardships, my passion is helping people lean into their discomforts to develop the skills needed to overcome them.
(484) 646-2762 View (484) 646-2762
Photo of Noha Eltoukhy, Pre-Licensed Professional in Philadelphia, PA
Noha Eltoukhy
Pre-Licensed Professional
Verified Verified
1 Endorsed
Philadelphia, PA 19147  (Online Only)
Mental health struggles hinder a person’s every task, which is why taking care of your mental health is the best decision you can make for yourself. If you struggle with changing your mindsets and controlling your emotions, I aim to psychoeducate you on skills and techniques that are primarily solution-focused and goal-driven. By getting to know yourself on a deeper level, you can change how you conceptualize yourself, your interactions and your life experiences.
Mental health struggles hinder a person’s every task, which is why taking care of your mental health is the best decision you can make for yourself. If you struggle with changing your mindsets and controlling your emotions, I aim to psychoeducate you on skills and techniques that are primarily solution-focused and goal-driven. By getting to know yourself on a deeper level, you can change how you conceptualize yourself, your interactions and your life experiences.
(267) 762-2403 View (267) 762-2403

See more therapy options for Philadelphia

How does your Therapist compare?

Number of Therapists in Philadelphia, PA

3,000+

Average cost per session

$143

Therapists in Philadelphia, PA who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
64% Coping Skills
60% Stress

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
67% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in Philadelphia, PA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Philadelphia?

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.