Therapists in Pico Rivera, CA

Photo of Claudia Ontiveros, Clinical Social Work/Therapist, LCSW
Claudia Ontiveros
Clinical Social Work/Therapist, LCSW
Online Only
Hi there! My name is Claudia and I am a bilingual and bicultural Licensed Clinical Social Worker (LCSW) from Los Angeles, CA. I am here to provide an open ear and walk with you through life's challenges.
Hi there! My name is Claudia and I am a bilingual and bicultural Licensed Clinical Social Worker (LCSW) from Los Angeles, CA. I am here to provide an open ear and walk with you through life's challenges.
(562) 573-1095 View (562) 573-1095
Photo of Iris King - Iris Therapy & Counseling , Clinical Social Work/Therapist, LCSW, 87811
Iris Therapy & Counseling
Clinical Social Work/Therapist, LCSW, 87811
Pico Rivera, CA 90660
Whether you’ve been living with symptoms of anxiety and depression for some time, or you’ve recently experienced a life event that has deeply affected you, my intention is to provide a space where you feel truly heard and understood. In our sessions, my hope is that you will begin to embrace change with compassion for yourself, and find support as you navigate life’s transitions.
Whether you’ve been living with symptoms of anxiety and depression for some time, or you’ve recently experienced a life event that has deeply affected you, my intention is to provide a space where you feel truly heard and understood. In our sessions, my hope is that you will begin to embrace change with compassion for yourself, and find support as you navigate life’s transitions.
(562) 620-3697 View (562) 620-3697
Photo of Silvia Escobar, Clinical Social Work/Therapist, LCSW
Silvia Escobar
Clinical Social Work/Therapist, LCSW
Online Only
My name is Silvia Escobar and I am a Licensed Clinical Social Worker (LCSW) based in Southern California. I work with adolescents and adults specializing in depression, anxiety, life transitions, and stress using Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy to help my clients make progress and start feeling better. I decided to become a therapist because I have always wanted to help others feel better about themselves and their circumstances. Throughout my career, individuals have naturally been drawn to share their struggles and difficult life situations with me.
My name is Silvia Escobar and I am a Licensed Clinical Social Worker (LCSW) based in Southern California. I work with adolescents and adults specializing in depression, anxiety, life transitions, and stress using Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy to help my clients make progress and start feeling better. I decided to become a therapist because I have always wanted to help others feel better about themselves and their circumstances. Throughout my career, individuals have naturally been drawn to share their struggles and difficult life situations with me.
(562) 444-1390 View (562) 444-1390
Photo of Alejandro Toruno, Clinical Social Work/Therapist, LCSW
Alejandro Toruno
Clinical Social Work/Therapist, LCSW
Online Only
As a member of the LGBT community and a first-generation Latino, Alex understands firsthand the complexities of gender identity, societal expectations, managing relationship dynamics, and mental health challenges. Let's connect. Generally, I would like to do a general check-in. We will follow up on our last session and discuss your week. If time permits, I would like to engage you in a more formal exercise that will promote further discussion and continue to make progress toward your goals.
As a member of the LGBT community and a first-generation Latino, Alex understands firsthand the complexities of gender identity, societal expectations, managing relationship dynamics, and mental health challenges. Let's connect. Generally, I would like to do a general check-in. We will follow up on our last session and discuss your week. If time permits, I would like to engage you in a more formal exercise that will promote further discussion and continue to make progress toward your goals.
(818) 900-2492 View (818) 900-2492
Photo of Silvia Escobar, Clinical Social Work/Therapist, LCSW
Silvia Escobar
Clinical Social Work/Therapist, LCSW
Online Only
My name is Silvia Escobar and I am a Licensed Clinical Social Worker (LCSW) based in Southern California. I work with adolescents and adults specializing in depression, anxiety, life transitions, and stress using Cognitive Behavioral Therapy and Solution Focused Therapy, and Dialectical Behavioral Therapy to help my clients make progress and start feeling better. I find that my style and approach is a good fit for teenagers and adults who may be dealing with the challenges of life transitions, relationship issues, social pressures, grief and loss. This often takes the form of anxiety, depression, and stress.
My name is Silvia Escobar and I am a Licensed Clinical Social Worker (LCSW) based in Southern California. I work with adolescents and adults specializing in depression, anxiety, life transitions, and stress using Cognitive Behavioral Therapy and Solution Focused Therapy, and Dialectical Behavioral Therapy to help my clients make progress and start feeling better. I find that my style and approach is a good fit for teenagers and adults who may be dealing with the challenges of life transitions, relationship issues, social pressures, grief and loss. This often takes the form of anxiety, depression, and stress.
(415) 878-6144 View (415) 878-6144
Photo of Veronica Munguia-Guizar, Marriage & Family Therapist, LMFT
Veronica Munguia-Guizar
Marriage & Family Therapist, LMFT
Online Only
Hello, I am Veronica Munguía, I am a Licensed Marriage and Family therapist in CA. My practice is grounded in social justice and intersectionality. Therefore I begin therapy focused on building a relationship with each client in which we explore and honor their lived experiences. I have over 5 years of experience in community-based mental health and providing trauma-informed care.
Hello, I am Veronica Munguía, I am a Licensed Marriage and Family therapist in CA. My practice is grounded in social justice and intersectionality. Therefore I begin therapy focused on building a relationship with each client in which we explore and honor their lived experiences. I have over 5 years of experience in community-based mental health and providing trauma-informed care.
(213) 786-2853 View (213) 786-2853
Photo of Xochitl Vicente Lopez, Marriage & Family Therapist, LMFT
Xochitl Vicente Lopez
Marriage & Family Therapist, LMFT
Online Only
If you’ve found your way here, I want to start by saying—welcome. Looking for a therapist is a brave and meaningful first step, and I’m glad you’re taking it. Whether we end up working together or you find someone else who feels like the right fit, I truly wish you the best on your journey toward healing. You deserve support that feels right for you. I work with individuals who are moving through life changes, facing anxiety or depression, or processing past trauma. My approach is client-centered and collaborative—every session is shaped around what matters most to you, at your pace.
If you’ve found your way here, I want to start by saying—welcome. Looking for a therapist is a brave and meaningful first step, and I’m glad you’re taking it. Whether we end up working together or you find someone else who feels like the right fit, I truly wish you the best on your journey toward healing. You deserve support that feels right for you. I work with individuals who are moving through life changes, facing anxiety or depression, or processing past trauma. My approach is client-centered and collaborative—every session is shaped around what matters most to you, at your pace.
(424) 305-3672 View (424) 305-3672
Photo of Erika Banuelos, Clinical Social Work/Therapist, LCSW
Erika Banuelos
Clinical Social Work/Therapist, LCSW
Online Only
Hello, I'm Erika Banuelos, a licensed clinical therapist with a Master of Social Work degree from California State University of Dominguez Hills. As a bilingual therapist fluent in both Spanish and English, I specialize in helping individuals from diverse backgrounds overcome emotional and psychological challenges. My focus areas of practice include anxiety, depression, adjusting to change/life transition, grief, crisis intervention, and working with autistic children.
Hello, I'm Erika Banuelos, a licensed clinical therapist with a Master of Social Work degree from California State University of Dominguez Hills. As a bilingual therapist fluent in both Spanish and English, I specialize in helping individuals from diverse backgrounds overcome emotional and psychological challenges. My focus areas of practice include anxiety, depression, adjusting to change/life transition, grief, crisis intervention, and working with autistic children.
(909) 588-1365 View (909) 588-1365
Photo of Miranda DAgostino-Chavez, Clinical Social Work/Therapist, LCSW, PPSC
Miranda DAgostino-Chavez
Clinical Social Work/Therapist, LCSW, PPSC
Online Only
Therapy that sees the whole you - mind, heart & soul. If you’re feeling stuck in patterns that no longer serve you - whether in relationships, setting boundaries, or struggling with self-worth - you’re not alone. You’ve taken a big step in the right direction just by seeking support. If you’re ready to do the inner work to create a healthier, more fulfilling life, I’m here to support you! Many people (including myself) value their faith & appreciate a space where both clinical insight & spiritual understanding are honored. I also honor those whom are not spiritually focused but are seeking a supportive, nonjudgmental space to grow.
Therapy that sees the whole you - mind, heart & soul. If you’re feeling stuck in patterns that no longer serve you - whether in relationships, setting boundaries, or struggling with self-worth - you’re not alone. You’ve taken a big step in the right direction just by seeking support. If you’re ready to do the inner work to create a healthier, more fulfilling life, I’m here to support you! Many people (including myself) value their faith & appreciate a space where both clinical insight & spiritual understanding are honored. I also honor those whom are not spiritually focused but are seeking a supportive, nonjudgmental space to grow.
(562) 521-8374 View (562) 521-8374
Photo of Veronica Munguia-Guizar, Marriage & Family Therapist, LMFT
Veronica Munguia-Guizar
Marriage & Family Therapist, LMFT
Online Only
Welcome and Bienvenidos! Finding the right therapist can feel overwhelming. For some, it is one of the most vulnerable experiences they might ever engage in. Therefore, my priority as a therapist is to create an inclusive therapeutic space where you feel safe and comfortable being yourself. My practice is rooted in social justice and intersectionality; consequently, I approach the lived experiences and innate wisdom of my clients with curiosity and compassion. As a client-centered therapist, I seek to affirm the dignity and worth of all my clients.
Welcome and Bienvenidos! Finding the right therapist can feel overwhelming. For some, it is one of the most vulnerable experiences they might ever engage in. Therefore, my priority as a therapist is to create an inclusive therapeutic space where you feel safe and comfortable being yourself. My practice is rooted in social justice and intersectionality; consequently, I approach the lived experiences and innate wisdom of my clients with curiosity and compassion. As a client-centered therapist, I seek to affirm the dignity and worth of all my clients.
(562) 553-8266 View (562) 553-8266
Photo of Jenny Rodriguez, Clinical Social Work/Therapist, LCSW
Jenny Rodriguez
Clinical Social Work/Therapist, LCSW
Online Only
I am a bilingual LCSW providing individual therapy for adults and elderly clients, specializing in anxiety, and depression, adjusting to cancer diagnosis and other illnesses, caregiver support, and grief/loss. I also offer end-of-life services, focusing on compassionate care and tailored support. I have experience working with hospice and medical social work. I work with clients in processing loss, death, grief/loss, and medical issues (short-term or long-term) that impact them or their families. I am oncology social work certified (OSW-C).
I am a bilingual LCSW providing individual therapy for adults and elderly clients, specializing in anxiety, and depression, adjusting to cancer diagnosis and other illnesses, caregiver support, and grief/loss. I also offer end-of-life services, focusing on compassionate care and tailored support. I have experience working with hospice and medical social work. I work with clients in processing loss, death, grief/loss, and medical issues (short-term or long-term) that impact them or their families. I am oncology social work certified (OSW-C).
(747) 281-3032 View (747) 281-3032
Photo of Claudia Williams, Clinical Social Work/Therapist, LCSW
Claudia Williams
Clinical Social Work/Therapist, LCSW
Online Only
To the outside world it seems as though you have it all together and for some of those things maybe you do, but there is still something missing? There is still a void that you keep trying to fill? You search for love and it just does not turn out how you thought? Maybe you have experienced trauma in your childhood and wonder if that has anything to do with why things are going the way they are now? As you continue through life, you still think about all the losses you have had, the loss of your childhood, the loss of a career, the loss of a loved one and are thinking "Seriously God?!" You just want to feel better & begin healing.
To the outside world it seems as though you have it all together and for some of those things maybe you do, but there is still something missing? There is still a void that you keep trying to fill? You search for love and it just does not turn out how you thought? Maybe you have experienced trauma in your childhood and wonder if that has anything to do with why things are going the way they are now? As you continue through life, you still think about all the losses you have had, the loss of your childhood, the loss of a career, the loss of a loved one and are thinking "Seriously God?!" You just want to feel better & begin healing.
(562) 265-3194 View (562) 265-3194
Photo of Nancy Fader, Marriage & Family Therapist, LMFT
Nancy Fader
Marriage & Family Therapist, LMFT
Online Only
I am Nancy Fader MFT. I became a therapist because I felt called to help others resolve their emotional pain and suffering and to regain their mental health and well-being. I strive to provide empathy, active listening, validation, and connection with my clients while helping them to uncover and cultivate their strengths. I have been drawn to vulnerable populations and passionate about my work, I take pride in providing culturally competent therapy. I became a therapist because I felt called to help others resolve their emotional pain and suffering and regain their mental health and well-being.
I am Nancy Fader MFT. I became a therapist because I felt called to help others resolve their emotional pain and suffering and to regain their mental health and well-being. I strive to provide empathy, active listening, validation, and connection with my clients while helping them to uncover and cultivate their strengths. I have been drawn to vulnerable populations and passionate about my work, I take pride in providing culturally competent therapy. I became a therapist because I felt called to help others resolve their emotional pain and suffering and regain their mental health and well-being.
(747) 588-7187 View (747) 588-7187
Photo of Nancy Fader - Nancy Fader, Marriage & Family Therapist, MA, LMFT
Nancy Fader
Marriage & Family Therapist, MA, LMFT
Online Only
I became a therapist because I felt called to help others resolve their emotional pain and suffering, and to regain their mental health and well-being. I strive to provide empathy, active listening, validation, and connection with my clients, while helping them to uncover and cultivate their strengths. I have been drawn to vulnerable populations and passionate about my work, I take pride in providing culturally competent therapy to southern California diverse communities.
I became a therapist because I felt called to help others resolve their emotional pain and suffering, and to regain their mental health and well-being. I strive to provide empathy, active listening, validation, and connection with my clients, while helping them to uncover and cultivate their strengths. I have been drawn to vulnerable populations and passionate about my work, I take pride in providing culturally competent therapy to southern California diverse communities.
(619) 383-1609 View (619) 383-1609
Photo of Andrea Vargas, Marriage & Family Therapist, MA, LMFT
Andrea Vargas
Marriage & Family Therapist, MA, LMFT
Pico Rivera, CA 90660
"Our mental health is just as important as our physical health." Life is busy and it gets in the way of taking care of our emotions: anxieties, stresses, worries, and/or traumatic events that we may not view as such. With that being said, I am excited to work with you on maintaining a healthy brain and emotions to function better physically and to live a healthier lifestyle all around.
"Our mental health is just as important as our physical health." Life is busy and it gets in the way of taking care of our emotions: anxieties, stresses, worries, and/or traumatic events that we may not view as such. With that being said, I am excited to work with you on maintaining a healthy brain and emotions to function better physically and to live a healthier lifestyle all around.
(323) 553-5137 View (323) 553-5137
Photo of Yeniss A Paez, Clinical Social Work/Therapist, LCSW
Yeniss A Paez
Clinical Social Work/Therapist, LCSW
Online Only
The Caracol is a global symbol of life and resistance within indigenous communities. Used to summon community, I think of the caracol conch as a symbol to meet, connect, process and resist through all that life brings. I hope to facilitate that work with a commitment to honor personal healing, emotional safety, cultural roots, and social justice. I bring these values to help those seeking to identify and practice new patterns of thinking in child, adolescence and adulthood. I particularly work with clients identifying as BIPOC .
The Caracol is a global symbol of life and resistance within indigenous communities. Used to summon community, I think of the caracol conch as a symbol to meet, connect, process and resist through all that life brings. I hope to facilitate that work with a commitment to honor personal healing, emotional safety, cultural roots, and social justice. I bring these values to help those seeking to identify and practice new patterns of thinking in child, adolescence and adulthood. I particularly work with clients identifying as BIPOC .
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Photo of Denice Campos, Clinical Social Work/Therapist, LCSW
Denice Campos
Clinical Social Work/Therapist, LCSW
Online Only
Hi, my name is Denice Campos & I am a Licensed Clinical Social Worker dedicated to helping you cultivate self-compassion and resilience on your journey toward healing and personal growth. My focus is on working with individuals facing anxiety, depression, relationship issues, low self-esteem, and life transitions. In my practice, I prioritize creating a warm and supportive environment that emphasizes self-compassion as a foundation for healing. I utilize a blend of cognitive-behavioral therapy, mindfulness-based techniques, humanistic approaches, and narrative therapy to tailor my work to each client's unique needs.
Hi, my name is Denice Campos & I am a Licensed Clinical Social Worker dedicated to helping you cultivate self-compassion and resilience on your journey toward healing and personal growth. My focus is on working with individuals facing anxiety, depression, relationship issues, low self-esteem, and life transitions. In my practice, I prioritize creating a warm and supportive environment that emphasizes self-compassion as a foundation for healing. I utilize a blend of cognitive-behavioral therapy, mindfulness-based techniques, humanistic approaches, and narrative therapy to tailor my work to each client's unique needs.
(747) 277-3261 View (747) 277-3261
Photo of Ofelia Neri, Marriage & Family Therapist, MA, MS, LMFT
Ofelia Neri
Marriage & Family Therapist, MA, MS, LMFT
Pico Rivera, CA 90660
Sometimes personal or interpersonal issues are too difficult to resolve on our own without faith and professional assistance. I earned a Master of Science in Counseling Psychology and a Master of Arts in Pastoral Theology to help people to resolve their issues and heal. Utilizing Faith-Based Cognitive Behavioral Therapy and EMDR I help couples reconcile and heal from infidelity, and individuals heal from trauma, anxiety, or self-esteem issues. If you’re looking for a therapist who PRAYS WITH YOU as she walks with you in your JOURNEY of HEALING, CHANGE and GROWTH, then give me a call. Our services are on a sliding fee scale.
Sometimes personal or interpersonal issues are too difficult to resolve on our own without faith and professional assistance. I earned a Master of Science in Counseling Psychology and a Master of Arts in Pastoral Theology to help people to resolve their issues and heal. Utilizing Faith-Based Cognitive Behavioral Therapy and EMDR I help couples reconcile and heal from infidelity, and individuals heal from trauma, anxiety, or self-esteem issues. If you’re looking for a therapist who PRAYS WITH YOU as she walks with you in your JOURNEY of HEALING, CHANGE and GROWTH, then give me a call. Our services are on a sliding fee scale.
(323) 416-2530 View (323) 416-2530
Richard Dennis Brotman
Marriage & Family Therapist, MFC
Pico Rivera, CA 90660
This practice is devoted to providing "no nonsense," brief, goal oriented psychotherapy to individuals, young adults, seniors, couples, families, adolescents and children. The focus of treatment is to assist the client in designing and attaining a realistic psychotherapeutic goal and in making meaningful long-term change. The practice includes an experienced, MFT registered intern who sees clients on a reasonable sliding scale basis. All clinical staff have special expertise in brief psychotherapy, parenting issues, behavioral problems in children and adolescents, disabilities, marriage and family issues and gay and lesbian issues.
This practice is devoted to providing "no nonsense," brief, goal oriented psychotherapy to individuals, young adults, seniors, couples, families, adolescents and children. The focus of treatment is to assist the client in designing and attaining a realistic psychotherapeutic goal and in making meaningful long-term change. The practice includes an experienced, MFT registered intern who sees clients on a reasonable sliding scale basis. All clinical staff have special expertise in brief psychotherapy, parenting issues, behavioral problems in children and adolescents, disabilities, marriage and family issues and gay and lesbian issues.
(323) 906-7862 View (323) 906-7862
Photo of R. Inez Salcido-Kasteiner, Marriage & Family Therapist, MS, LMFT, CMDP, CMC-1
R. Inez Salcido-Kasteiner
Marriage & Family Therapist, MS, LMFT, CMDP, CMC-1
Online Only
One of the most important things that therapy can help you to achieve is awareness. Awareness allows for change. This is a phrase I have coined that you will hear from me often. When we achieve awareness within ourselves, awareness of our environment, and awareness of our patterns of thoughts and behaviors - that's when positive changes can start to happen. As your therapist, I will be an additional resource for you as you endeavor to explore the areas of your life that need your energy and attention. You and I will develop a therapeutic relationship wherein we get to know one another and we work together toward your treatment goals
One of the most important things that therapy can help you to achieve is awareness. Awareness allows for change. This is a phrase I have coined that you will hear from me often. When we achieve awareness within ourselves, awareness of our environment, and awareness of our patterns of thoughts and behaviors - that's when positive changes can start to happen. As your therapist, I will be an additional resource for you as you endeavor to explore the areas of your life that need your energy and attention. You and I will develop a therapeutic relationship wherein we get to know one another and we work together toward your treatment goals
(562) 655-8523 View (562) 655-8523

See more therapy options for Pico Rivera

How does your Therapist compare?

Number of Therapists in Pico Rivera, CA

50+

Average cost per session

$150

Therapists in Pico Rivera, CA who prioritize treating:

89% Anxiety
86% Depression
68% Coping Skills
68% Self Esteem
61% Grief
61% Trauma and PTSD
58% Stress

Average years in practice

12 Years

Top 3 insurances accepted

86% Aetna
84% Cigna and Evernorth
76% Optum

How Therapists in Pico Rivera, CA see their clients

67% Online Only
33% In Person and Online

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pico Rivera?

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.