Therapists in Dana Point, CA

Photo of Marla Faith Maciel, Clinical Social Work/Therapist in Dana Point, CA
Marla Faith Maciel
Clinical Social Work/Therapist, LCSW
Verified Verified
Dana Point, CA 92629  (Online Only)
I am an LCSW with experience working with individuals, couples, and families from various cultural and socioeconomic groups. I have experience working with individuals with grief, loss, trauma, substance abuse, previous incarceration, chronic medical issues, and family relational issues. I also have knowledge and experience working with individuals to manage chronic mental health issues, including depression and anxiety. With empathy, compassion and 30 years of experience I am available to help guide you through this journey of healing and managing your current situation.
I am an LCSW with experience working with individuals, couples, and families from various cultural and socioeconomic groups. I have experience working with individuals with grief, loss, trauma, substance abuse, previous incarceration, chronic medical issues, and family relational issues. I also have knowledge and experience working with individuals to manage chronic mental health issues, including depression and anxiety. With empathy, compassion and 30 years of experience I am available to help guide you through this journey of healing and managing your current situation.
(714) 294-2327 View (714) 294-2327
Photo of The Center for the Obsessive Mind, Marriage & Family Therapist in Dana Point, CA
The Center for the Obsessive Mind
Marriage & Family Therapist, MA, LMFT
Verified Verified
Dana Point, CA 92629
If you struggle with unwanted, upsetting thoughts and feelings, you’re not alone and you’re in the right place. The Center for the Obsessive Mind offers specialized care for those struggling with OCD, Anxiety, Eating Disorders and other mental health issues. When people come to see us, they are desperate to change their thoughts and feelings. While the fact that we have thoughts and feelings is a non-negotiable part of having a mind, we can help you to navigate your obsessive mind, live life on your own terms and reprioritize the things that matter most to you.
If you struggle with unwanted, upsetting thoughts and feelings, you’re not alone and you’re in the right place. The Center for the Obsessive Mind offers specialized care for those struggling with OCD, Anxiety, Eating Disorders and other mental health issues. When people come to see us, they are desperate to change their thoughts and feelings. While the fact that we have thoughts and feelings is a non-negotiable part of having a mind, we can help you to navigate your obsessive mind, live life on your own terms and reprioritize the things that matter most to you.
(949) 575-8837 x1 View (949) 575-8837 x1
Photo of Grant Waggoner, Marriage & Family Therapist in Dana Point, CA
Grant Waggoner
Marriage & Family Therapist, LMFT
Verified Verified
Dana Point, CA 92629
If you have a child, teenager, or emerging adult who is struggling with hurt, grief, anxiety, or any other burden that appears heavy on their heart, I am here to help. It is my desire to create a space for clients to feel safe and heard within the counseling room. I believe that deep healing and change occur through a genuine and honest relationship with a caring counselor. You are warmly welcomed here.
If you have a child, teenager, or emerging adult who is struggling with hurt, grief, anxiety, or any other burden that appears heavy on their heart, I am here to help. It is my desire to create a space for clients to feel safe and heard within the counseling room. I believe that deep healing and change occur through a genuine and honest relationship with a caring counselor. You are warmly welcomed here.
(714) 276-8957 View (714) 276-8957
Photo of Dr. Catherin Snyder, Psychologist in Dana Point, CA
Dr. Catherin Snyder
Psychologist, PsyD
Verified Verified
Dana Point, CA 92629
I am currently accepting new clients and clinical patients. I offer a Solution Focused Psychoanalytically Oriented Depth Clinical approach for people struggling with anxiety, depression, bipolar, mild to moderate substance issues, partner and or family relational problems, work related stress, and other life issues. I meet with people virtually as well as offer in-person walking psychotherapy sessions along the Monarch Beach Club as a way of maintaining physical fitness while doing psychotherapy!
I am currently accepting new clients and clinical patients. I offer a Solution Focused Psychoanalytically Oriented Depth Clinical approach for people struggling with anxiety, depression, bipolar, mild to moderate substance issues, partner and or family relational problems, work related stress, and other life issues. I meet with people virtually as well as offer in-person walking psychotherapy sessions along the Monarch Beach Club as a way of maintaining physical fitness while doing psychotherapy!
(844) 722-0252 View (844) 722-0252
Photo of Jessica Moya, Clinical Social Work/Therapist in Dana Point, CA
Jessica Moya
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Dana Point, CA 92629  (Online Only)
Hello beautiful human, many of us walk through life with self-doubt, fear, and uncertainty that lead to depression and anxiety. I believe we all have the right to heal and each have the resources, tools, and strength within ourselves to do so. I find it valuable to explore thought work and consider how thoughts are impacting our functioning. This helps to then gain tools and skills on how we can intervene and support ourselves for long-lasting growth. I take on a Feminist approach to recognize how power and oppression impacts our lives and we can gain tools to disrupt and endeavor for change.
Hello beautiful human, many of us walk through life with self-doubt, fear, and uncertainty that lead to depression and anxiety. I believe we all have the right to heal and each have the resources, tools, and strength within ourselves to do so. I find it valuable to explore thought work and consider how thoughts are impacting our functioning. This helps to then gain tools and skills on how we can intervene and support ourselves for long-lasting growth. I take on a Feminist approach to recognize how power and oppression impacts our lives and we can gain tools to disrupt and endeavor for change.
(714) 627-4072 View (714) 627-4072
Photo of Cindy Reis, Marriage & Family Therapist in Dana Point, CA
Cindy Reis
Marriage & Family Therapist, MA, LMFT, RPT-S
Verified Verified
Dana Point, CA 92629
Not accepting new clients
It has been my privilege to specialize in working with children and their family for over 30 years to address Anxiety, grief, OCD, Depression, emotional regulation, giftedness, trauma, adoption, and special needs. Inclusive of the child's immediate family, and any other supportive or integral partners, such as their teacher or doctor, when requested by the parent. I was trained as a Family System's Therapist and have extensive post graduate training in Play Therapy (Registered Play Therapist-Supervisor), EMDR-Certified, CBT, Theraplay and Gestalt. I specialize in working with children ages 11 years and younger.
It has been my privilege to specialize in working with children and their family for over 30 years to address Anxiety, grief, OCD, Depression, emotional regulation, giftedness, trauma, adoption, and special needs. Inclusive of the child's immediate family, and any other supportive or integral partners, such as their teacher or doctor, when requested by the parent. I was trained as a Family System's Therapist and have extensive post graduate training in Play Therapy (Registered Play Therapist-Supervisor), EMDR-Certified, CBT, Theraplay and Gestalt. I specialize in working with children ages 11 years and younger.
(949) 298-3778 View (949) 298-3778
Photo of Niloufar Nekou - Alter Behavioral Health, Marriage & Family Therapist in Dana Point, CA
Niloufar Nekou - Alter Behavioral Health
Marriage & Family Therapist, LMFT
Verified Verified
Dana Point, CA 92629
I'm the Chief Clinical Officer for Alter Behavioral Health located across Southern California. We have facilities in Irvine, Dana Point, San Diego, Mission Viejo, Laguna Beach, and San Juan Capistrano. I am a Licensed Marriage and Family Therapist, specializing in a range of psychotherapy areas, including trauma, substance and alcohol abuse, and embracing cultural diversity.
I'm the Chief Clinical Officer for Alter Behavioral Health located across Southern California. We have facilities in Irvine, Dana Point, San Diego, Mission Viejo, Laguna Beach, and San Juan Capistrano. I am a Licensed Marriage and Family Therapist, specializing in a range of psychotherapy areas, including trauma, substance and alcohol abuse, and embracing cultural diversity.
(949) 787-0851 View (949) 787-0851
Photo of Melissa Lapides, Marriage & Family Therapist in Dana Point, CA
Melissa Lapides
Marriage & Family Therapist, MA, LMFT
Verified Verified
Dana Point, CA 92629  (Online Only)
You may be someone who knows you want to have healthier relationships and be able to draw better boundaries but you just don't know exactly how to do it. You likely grew up in a chaotic household, with a parent who wasn't always emotionally available, unstable, or perhaps has a personality disorder. I get how hard it could be to navigate and how confusing it makes all your relationships, including the one you have with yourself. Perhaps you are a couple who keeps circling the same unhealthy relational patterns, stuck in frustration and wondering if the relationship can ever be healthy. Let me help you out of the confusion for good.
You may be someone who knows you want to have healthier relationships and be able to draw better boundaries but you just don't know exactly how to do it. You likely grew up in a chaotic household, with a parent who wasn't always emotionally available, unstable, or perhaps has a personality disorder. I get how hard it could be to navigate and how confusing it makes all your relationships, including the one you have with yourself. Perhaps you are a couple who keeps circling the same unhealthy relational patterns, stuck in frustration and wondering if the relationship can ever be healthy. Let me help you out of the confusion for good.
(714) 874-3773 View (714) 874-3773
Photo of Dr. Kramer, Psychologist in Dana Point, CA
Dr. Kramer
Psychologist, PsyD, MBA
Verified Verified
Dana Point, CA 92624  (Online Only)
...Not just another therapist, but a Clinical Psychologist that is also a Certified Addiction Specialist. 'Substance abuse treatment..." the subject of my doctoral dissertation, is the mantra of my personal journey and commitment to help others find the path to a better life. I integrate state of the art brain science with psychotherapy, refining and building upon that which I have personally mastered. I am committed to compassionate client care, and to meet you exactly where you are... whenever you are ready, because, the truth of the matter is, that most people cannot recover on their own.
...Not just another therapist, but a Clinical Psychologist that is also a Certified Addiction Specialist. 'Substance abuse treatment..." the subject of my doctoral dissertation, is the mantra of my personal journey and commitment to help others find the path to a better life. I integrate state of the art brain science with psychotherapy, refining and building upon that which I have personally mastered. I am committed to compassionate client care, and to meet you exactly where you are... whenever you are ready, because, the truth of the matter is, that most people cannot recover on their own.
(949) 899-5790 View (949) 899-5790
Photo of Nikki DuBose in Dana Point, CA
Nikki DuBose
CEDRC, AC
Verified Verified
Dana Point, CA 92624  (Online Only)
Not accepting new clients
Nikki DuBose is a model and doctoral student in clinical psychology. She founded Live ED Free, which specializes in helping women in the entertainment business find peace with their bodies and food. All sessions are completed online through Zoom.
Nikki DuBose is a model and doctoral student in clinical psychology. She founded Live ED Free, which specializes in helping women in the entertainment business find peace with their bodies and food. All sessions are completed online through Zoom.
(818) 873-2607 View (818) 873-2607
Photo of Selena Rose Emond in Dana Point, CA
Selena Rose Emond
PhD, BCBA-D
Verified Verified
Dana Point, CA 92629
If you are having parenting challenges, behavior issues, a child with Autism or other developmental delays please contact me. I can help. We provide one on one services to children, parent training, school shadows, teacher in service talks. Our goal is to help your family go from good to great!
If you are having parenting challenges, behavior issues, a child with Autism or other developmental delays please contact me. I can help. We provide one on one services to children, parent training, school shadows, teacher in service talks. Our goal is to help your family go from good to great!
(714) 975-5821 View (714) 975-5821
Photo of Cynthia Zolner, Clinical Social Work/Therapist in Dana Point, CA
Cynthia Zolner
Clinical Social Work/Therapist, LCSW
Verified Verified
Dana Point, CA 92624  (Online Only)
NEW Clients Accepted. 30 years of experience as a psychotherapist. Specializations: Couples/Marital counseling, Codependency, Stress Management, Depression, Anxiety, Obsessive Compulsive Disorder (OCD). Utilizing Solution-Focused therapy.
NEW Clients Accepted. 30 years of experience as a psychotherapist. Specializations: Couples/Marital counseling, Codependency, Stress Management, Depression, Anxiety, Obsessive Compulsive Disorder (OCD). Utilizing Solution-Focused therapy.
(760) 428-1397 View (760) 428-1397
Photo of Arlene K Unger, Psychologist in Dana Point, CA
Arlene K Unger
Psychologist, PhD
Verified Verified
Dana Point, CA 92629
Change is an inevitable part of life. The lack of change or too much change can overwhelm us and derail our growth. No one escapes hardship and stress. During these times we need the trust, respect, and empathy of an impartial professional especially when family and friends are just too close to the matter. With more than 20 years of clinical practice, I've found that the healthier person reaches out for help beyond their immediate sphere. I see myself as a guide facilitating my patients' healthy risk taking and helping them manifest their visions for a better future.
Change is an inevitable part of life. The lack of change or too much change can overwhelm us and derail our growth. No one escapes hardship and stress. During these times we need the trust, respect, and empathy of an impartial professional especially when family and friends are just too close to the matter. With more than 20 years of clinical practice, I've found that the healthier person reaches out for help beyond their immediate sphere. I see myself as a guide facilitating my patients' healthy risk taking and helping them manifest their visions for a better future.
(949) 342-5931 View (949) 342-5931
Photo of Rhonda Otway, Marriage & Family Therapist in Dana Point, CA
Rhonda Otway
Marriage & Family Therapist, MA, LMFT, LPCC, BC-TMH
Verified Verified
Dana Point, CA 92629  (Online Only)
Feeling overwhelmed by challenges at work? In your private life? I offer professional counseling for career and life transitions. I provide individual therapy to increase your ability to cope with life's stressors including adulting, job changes (workplace bullying, termination, promotion, new career), trauma and complex PTSD, grief due to a death or other loss, including loss of a pet, chronic health issues, relationships (current, extramarital, separation/divorce), and other life changes (empty nest, aging, retirement, menopause, midlife crisis) so you can successfully transition to the next stage.
Feeling overwhelmed by challenges at work? In your private life? I offer professional counseling for career and life transitions. I provide individual therapy to increase your ability to cope with life's stressors including adulting, job changes (workplace bullying, termination, promotion, new career), trauma and complex PTSD, grief due to a death or other loss, including loss of a pet, chronic health issues, relationships (current, extramarital, separation/divorce), and other life changes (empty nest, aging, retirement, menopause, midlife crisis) so you can successfully transition to the next stage.
(925) 890-3989 View (925) 890-3989
Photo of Candice Elloway, Marriage & Family Therapist Associate in Dana Point, CA
Candice Elloway
Marriage & Family Therapist Associate, AMFT, BS
Verified Verified
1 Endorsed
Dana Point, CA 92629  (Online Only)
If you long for a safe space where your emotions are acknowledged and accepted, you are looking in the right place. I want to help you prioritize your mental health, and restore your inner peace. You may desire to uncover the unconscious patterns that prevent you from forming, or maintaining healthy relationships. Or maybe you just feel depleted and need help managing your stress. I approach therapy with humility and curiosity, and see you as the true expert in your own life. As we delve into whatever is interfering with your happiness, you will discover that therapy can open your mind and offer much more than a label or diagnosis
If you long for a safe space where your emotions are acknowledged and accepted, you are looking in the right place. I want to help you prioritize your mental health, and restore your inner peace. You may desire to uncover the unconscious patterns that prevent you from forming, or maintaining healthy relationships. Or maybe you just feel depleted and need help managing your stress. I approach therapy with humility and curiosity, and see you as the true expert in your own life. As we delve into whatever is interfering with your happiness, you will discover that therapy can open your mind and offer much more than a label or diagnosis
(949) 998-3948 View (949) 998-3948
Photo of Sylvia Palda, Marriage & Family Therapist in Dana Point, CA
Sylvia Palda
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Dana Point, CA 92629  (Online Only)
It's all about Healthy Relationships. Forgive yourself and others and learn to accept that where you are is where you need to be. I can help you identify and meet your deepest needs while transforming your relationship with yourself and others. My goal is to have my clients become successfully independent with life-long tools for success. Through therapy, you can learn to discover your core SELF, find peace and balance and be ready to work and commit to action.
It's all about Healthy Relationships. Forgive yourself and others and learn to accept that where you are is where you need to be. I can help you identify and meet your deepest needs while transforming your relationship with yourself and others. My goal is to have my clients become successfully independent with life-long tools for success. Through therapy, you can learn to discover your core SELF, find peace and balance and be ready to work and commit to action.
(949) 829-2979 View (949) 829-2979
Photo of Leonard Szymczak, Clinical Social Work/Therapist in Dana Point, CA
Leonard Szymczak
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Dana Point, CA 92629
For the past 40 years, I worked in Australia & America as a therapist and educator. I was Director of the Family Therapy Program in Sydney and later worked with the Family Institute at Northwestern University. Since I am also a writer, I see you as the main character in your personal story called to face & transform adversity into personal happiness. I help individuals overcome anxiety & depression & help couples improve communication, resolve conflict, and increase love & intimacy. I am the co-author of "Power Tools for Men: A Blueprint for Healthy Masculinity" & co-author of "Fighting for Love: Turn Conflict into Intimacy."
For the past 40 years, I worked in Australia & America as a therapist and educator. I was Director of the Family Therapy Program in Sydney and later worked with the Family Institute at Northwestern University. Since I am also a writer, I see you as the main character in your personal story called to face & transform adversity into personal happiness. I help individuals overcome anxiety & depression & help couples improve communication, resolve conflict, and increase love & intimacy. I am the co-author of "Power Tools for Men: A Blueprint for Healthy Masculinity" & co-author of "Fighting for Love: Turn Conflict into Intimacy."
(949) 625-6704 View (949) 625-6704
Photo of Sharon Reeder, Marriage & Family Therapist in Dana Point, CA
Sharon Reeder
Marriage & Family Therapist
Verified Verified
Dana Point, CA 92629
My client's goals are to better understand his/her behaviors, thoughts, and emotions so that he/she is empowered to action, rather than reaction, in the face of life's challenges. He/she is eager to know him or herself better, to embrace the journey of self-awareness, thus leading to more freedom and grace, versus control, in interpersonal relationships. Most of all, my client wants to be truer to his or her genuine self: a better version of his/her genuine self, not a changed version. This will involve more acceptance and love of self and others.
My client's goals are to better understand his/her behaviors, thoughts, and emotions so that he/she is empowered to action, rather than reaction, in the face of life's challenges. He/she is eager to know him or herself better, to embrace the journey of self-awareness, thus leading to more freedom and grace, versus control, in interpersonal relationships. Most of all, my client wants to be truer to his or her genuine self: a better version of his/her genuine self, not a changed version. This will involve more acceptance and love of self and others.
(949) 613-5548 View (949) 613-5548
Photo of Raquel A Keck, Marriage & Family Therapist Associate in Dana Point, CA
Raquel A Keck
Marriage & Family Therapist Associate, AMFT
Verified Verified
Dana Point, CA 92629  (Online Only)
Are you a young adult venturing into the professional world, struggling with imposter syndrome? Perhaps you find yourself in the midst of transitioning from school to a new career, feeling uncertain about your identity in this new phase of life. Are you yearning for genuine connections, struggling to find people who truly understand you? I'm a dedicated therapist who specializes in supporting individuals like you who are navigating the complexities of young adulthood. I understand the unique challenges you face during this transformative time, and I'm here to guide you through them with empathy and care.
Are you a young adult venturing into the professional world, struggling with imposter syndrome? Perhaps you find yourself in the midst of transitioning from school to a new career, feeling uncertain about your identity in this new phase of life. Are you yearning for genuine connections, struggling to find people who truly understand you? I'm a dedicated therapist who specializes in supporting individuals like you who are navigating the complexities of young adulthood. I understand the unique challenges you face during this transformative time, and I'm here to guide you through them with empathy and care.
(530) 454-8979 View (530) 454-8979
Photo of Elizabeth M Domingos-Shepard, Marriage & Family Therapist in Dana Point, CA
Elizabeth M Domingos-Shepard
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Dana Point, CA 92629  (Online Only)
Welcome! Therapy can be a safe place to explore your fears and worries, and also a place where you can learn new coping strategies, while finding hope and healing. Many of us have wounds from the past and often, new traumas can trigger those wounds to re-emerge. However, living the life you deserve is possible. I believe in the power of the human spirit and that it moves us towards healing. In therapy, you can find your way back to our path or create a new one. I see clients only via teletherapy.
Welcome! Therapy can be a safe place to explore your fears and worries, and also a place where you can learn new coping strategies, while finding hope and healing. Many of us have wounds from the past and often, new traumas can trigger those wounds to re-emerge. However, living the life you deserve is possible. I believe in the power of the human spirit and that it moves us towards healing. In therapy, you can find your way back to our path or create a new one. I see clients only via teletherapy.
(714) 710-1821 View (714) 710-1821

How does your Therapist compare?

Number of Therapists in Dana Point, CA

100+

Average cost per session

$165

Therapists in Dana Point, CA who prioritize treating:

95% Anxiety
85% Depression
82% Relationship Issues
77% Self Esteem
76% Grief
74% Coping Skills
69% Stress

Average years in practice

17 Years

Top 3 insurances accepted

56% UnitedHealthcare UHC | UBH
55% Aetna
53% Cigna and Evernorth

How Therapists in Dana Point, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

86% Female
14% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Dana Point?

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.