Therapists in San Francisco, CA

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Photo of Krishan Abeyatunge, Marriage & Family Therapist in San Francisco, CA
Krishan Abeyatunge
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94118
I'm a psychotherapist in private practice in San Francisco, CA and I'm adjunct faculty at California Institute of Integral Studies' graduate degree program for Integral Counseling Psychology. For more information: www.therapywithkrishan.com
I'm a psychotherapist in private practice in San Francisco, CA and I'm adjunct faculty at California Institute of Integral Studies' graduate degree program for Integral Counseling Psychology. For more information: www.therapywithkrishan.com
(415) 472-9651 View (415) 472-9651
Photo of James Rosenheim, Marriage & Family Therapist in San Francisco, CA
James Rosenheim
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
I describe myself as passionate, open, caring and engaged. I have worked for many years with teens, parents, families, and individuals experiencing anxiety and depressive disorders, including Major Depressive Disorder, OCD, and Generalized Anxiety Disorder. I am committed to helping each client meet their goals, including working with all other care providers involved. I use Acceptance and Commitment Therapy and have an extensive background in mindfulness. I meet each client where they are at, and collaborate with the client to show up for life in a way that is consistent with their values.
I describe myself as passionate, open, caring and engaged. I have worked for many years with teens, parents, families, and individuals experiencing anxiety and depressive disorders, including Major Depressive Disorder, OCD, and Generalized Anxiety Disorder. I am committed to helping each client meet their goals, including working with all other care providers involved. I use Acceptance and Commitment Therapy and have an extensive background in mindfulness. I meet each client where they are at, and collaborate with the client to show up for life in a way that is consistent with their values.
(415) 936-1364 View (415) 936-1364
Photo of Ismael de Guzman, Marriage & Family Therapist in San Francisco, CA
Ismael de Guzman
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94103  (Online Only)
I recognize seeking support can be daunting, but you don't have to face your life challenges alone. I am committed to helping individuals from marginalized communities who are seeking therapy to get help with anxiety, depression, identity exploration, or trauma-related experiences. I provide a safe and non-judgmental space to explore what might be coming up for you in these areas. Together we will work to develop resilience, a stronger self-esteem, healthier relationships, personal agency, insight, and strong coping skills.
I recognize seeking support can be daunting, but you don't have to face your life challenges alone. I am committed to helping individuals from marginalized communities who are seeking therapy to get help with anxiety, depression, identity exploration, or trauma-related experiences. I provide a safe and non-judgmental space to explore what might be coming up for you in these areas. Together we will work to develop resilience, a stronger self-esteem, healthier relationships, personal agency, insight, and strong coping skills.
(415) 942-5447 View (415) 942-5447
Photo of Nick Krieger, Marriage & Family Therapist in San Francisco, CA
Nick Krieger
Marriage & Family Therapist, MA, LMFT, MFA
Verified Verified
1 Endorsed
San Francisco, CA 94114
I love working within my communities, supporting other queer and trans folks, whether you are coming in to explore your identity, or you simply want a therapist you don’t need to educate. I help clients with relationship challenges, familial difficulties, anxiety, depression, grief, and the impacts of trauma. I welcome people of all identities and work particularly well with people who feel different from others.
I love working within my communities, supporting other queer and trans folks, whether you are coming in to explore your identity, or you simply want a therapist you don’t need to educate. I help clients with relationship challenges, familial difficulties, anxiety, depression, grief, and the impacts of trauma. I welcome people of all identities and work particularly well with people who feel different from others.
(415) 903-4465 View (415) 903-4465
Photo of Cynthia D'Anna, Marriage & Family Therapist in San Francisco, CA
Cynthia D'Anna
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94115
I am a Licensed Marriage and Family Therapist and a Nationally Certified Employee Assistance Professional. I specialize in coaching and providing therapy to individuals who have interpersonal, workplace or relationship challenges due to mental health concerns such as depression, anxiety, grief , burn out, stress and trauma
I am a Licensed Marriage and Family Therapist and a Nationally Certified Employee Assistance Professional. I specialize in coaching and providing therapy to individuals who have interpersonal, workplace or relationship challenges due to mental health concerns such as depression, anxiety, grief , burn out, stress and trauma
(415) 360-3995 View (415) 360-3995
Photo of Ashley Witt, Psychologist in San Francisco, CA
Ashley Witt
Psychologist, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94102
I am a licensed psychologist specializing in the treatment of anxiety, depression, obsessive compulsive disorder, sleep difficulties, and body-focused repetitive behaviors such as hair-pulling and skin-picking. I provide treatment approaches that have been supported by research, while tailoring treatment to the unique needs of each client. I believe that therapy works best when it is a collaborative partnership between the client and the therapist, and I work with my clients to clarify their goals and develop an individualized treatment plan.
I am a licensed psychologist specializing in the treatment of anxiety, depression, obsessive compulsive disorder, sleep difficulties, and body-focused repetitive behaviors such as hair-pulling and skin-picking. I provide treatment approaches that have been supported by research, while tailoring treatment to the unique needs of each client. I believe that therapy works best when it is a collaborative partnership between the client and the therapist, and I work with my clients to clarify their goals and develop an individualized treatment plan.
(415) 741-2231 View (415) 741-2231
Photo of Heidi Landgraf Breakthrough Neurotherapy, Counselor in San Francisco, CA
Heidi Landgraf Breakthrough Neurotherapy
Counselor, LPCC, RSMT, RYT
Verified Verified
San Francisco, CA 94104
I work in tandem with psychotherapy and neurofeedback to recover your true resilience. I can work in either modality alone, however the two together have a synergistic effect, producing quicker results. Neurofeedback assists in restoring optimal brain health, while psychotherapy can help you become aware of your thinking patterns, and assist you in creating better emotional balance. You can feel awake and deeply connected to the world and others around you again. Whether you are struggling with depression, anxiety, ADD, PTSD or other traumas, I can help free you from old blockages and restore your original, true nature.
I work in tandem with psychotherapy and neurofeedback to recover your true resilience. I can work in either modality alone, however the two together have a synergistic effect, producing quicker results. Neurofeedback assists in restoring optimal brain health, while psychotherapy can help you become aware of your thinking patterns, and assist you in creating better emotional balance. You can feel awake and deeply connected to the world and others around you again. Whether you are struggling with depression, anxiety, ADD, PTSD or other traumas, I can help free you from old blockages and restore your original, true nature.
(415) 534-4205 View (415) 534-4205
Photo of Zena Tucker, Marriage & Family Therapist in San Francisco, CA
Zena Tucker
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94109
I invite you to walk through a door ready to change, because all you know and all you have tried may not be working for you. I have the training, the confidence, the sensitivity and the sense of humor, when needed, to be the person to help you to find your way. My style is down-to-earth and interactive focusing on change in the present through engagement and connection. Sometimes it's difficult to trust that anyone can truly help you. I encourage you to try. WEBSITE: zenatucker.com
I invite you to walk through a door ready to change, because all you know and all you have tried may not be working for you. I have the training, the confidence, the sensitivity and the sense of humor, when needed, to be the person to help you to find your way. My style is down-to-earth and interactive focusing on change in the present through engagement and connection. Sometimes it's difficult to trust that anyone can truly help you. I encourage you to try. WEBSITE: zenatucker.com
(415) 226-6705 View (415) 226-6705
Photo of Paula Pulizzi, Marriage & Family Therapist in San Francisco, CA
Paula Pulizzi
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94117  (Online Only)
Waitlist for new clients
Do you desire change but feel ambivalent and/or stuck?  I believe this is a perfect place to explore because underneath is a great seed for transformation. Whether you are experiencing major or minor life transitions, loss, betrayal or need some guidance, I’m here to support you and offer insight without judgment. If you’re ready for more inner peace, flexibility, or perhaps problem solving, I’m here to support you.  By being courageous and doing this deeper work, you will feel more clarity, ease, and purpose.
Do you desire change but feel ambivalent and/or stuck?  I believe this is a perfect place to explore because underneath is a great seed for transformation. Whether you are experiencing major or minor life transitions, loss, betrayal or need some guidance, I’m here to support you and offer insight without judgment. If you’re ready for more inner peace, flexibility, or perhaps problem solving, I’m here to support you.  By being courageous and doing this deeper work, you will feel more clarity, ease, and purpose.
(415) 942-6036 View (415) 942-6036
Photo of Thomas Faupl, Marriage & Family Therapist in San Francisco, CA
Thomas Faupl
Marriage & Family Therapist, MA, LMFT, SEP
Verified Verified
4 Endorsed
San Francisco, CA 94114
I am a San Francisco Marriage and Family Therapist, Somatic Experiencing Practitioner and Certified EMDR Therapist offering video sessions to help you to navigate your life in turbulent times. I'm experienced in working with a diverse population of clients from varying socio-economic backgrounds, ethnicities and sexual orientations. I'm honored to help you heal from stress, anxiety and overwhelm, and I have found Somatic Experiencing (SE), Internal Family Systems (IFS) and EMDR very powerful in facilitating your unfolding toward vibrancy, healing and well being.
I am a San Francisco Marriage and Family Therapist, Somatic Experiencing Practitioner and Certified EMDR Therapist offering video sessions to help you to navigate your life in turbulent times. I'm experienced in working with a diverse population of clients from varying socio-economic backgrounds, ethnicities and sexual orientations. I'm honored to help you heal from stress, anxiety and overwhelm, and I have found Somatic Experiencing (SE), Internal Family Systems (IFS) and EMDR very powerful in facilitating your unfolding toward vibrancy, healing and well being.
(415) 991-6632 View (415) 991-6632
Photo of Vince Lee, Pre-Licensed Professional in San Francisco, CA
Vince Lee
Pre-Licensed Professional
Verified Verified
San Francisco, CA 94127
I help clients to know their strengths, how their cultures and families affect them, their needs and their purpose - their very selves. They may lack good ways to get their needs met. Or, they may not be asking the right questions. They may be looking for more calm, more joy and more control over their thoughts, feelings and behaviors.
I help clients to know their strengths, how their cultures and families affect them, their needs and their purpose - their very selves. They may lack good ways to get their needs met. Or, they may not be asking the right questions. They may be looking for more calm, more joy and more control over their thoughts, feelings and behaviors.
(415) 549-1447 x156 View (415) 549-1447 x156
Photo of Janice Nolan, Clinical Social Work/Therapist in San Francisco, CA
Janice Nolan
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94117
I use a Strength-Based approach to help clients work towards mutually set goals. I use elements of Cognitive Behavioral Therapy to help individuals understand how thoughts impact feelings and behaviors. I work toward the empowerment of each individual and value each person's set of needs in order to help them find their own truths and answers.
I use a Strength-Based approach to help clients work towards mutually set goals. I use elements of Cognitive Behavioral Therapy to help individuals understand how thoughts impact feelings and behaviors. I work toward the empowerment of each individual and value each person's set of needs in order to help them find their own truths and answers.
(415) 430-9504 View (415) 430-9504
Photo of Lisa Sporri, Psychologist in San Francisco, CA
Lisa Sporri
Psychologist, PhD, MEd
Verified Verified
San Francisco, CA 94118
Are you concerned about your child's development? Is your child experiencing learning difficulties? I conduct pediatric neuropsychological evaluations to help understand how your child learns best and then provide recommendations based on that learning profile. My goal is to bridge the gap between neuropsychological assessment and educational/treatment programming. I am not only a pediatric neuropsychologist, but have a master's degree in special education. This enables me to better integrate the neuropsychological assessment and educational programming. Integral to my approach is translating the neurocognitive profile to parents, educators and physicians in a meaningful, practical and collaborative manner.
Are you concerned about your child's development? Is your child experiencing learning difficulties? I conduct pediatric neuropsychological evaluations to help understand how your child learns best and then provide recommendations based on that learning profile. My goal is to bridge the gap between neuropsychological assessment and educational/treatment programming. I am not only a pediatric neuropsychologist, but have a master's degree in special education. This enables me to better integrate the neuropsychological assessment and educational programming. Integral to my approach is translating the neurocognitive profile to parents, educators and physicians in a meaningful, practical and collaborative manner.
(415) 534-6127 View (415) 534-6127
Photo of Dr. Jeffrey Lawton, Marriage & Family Therapist Associate in San Francisco, CA
Dr. Jeffrey Lawton
Marriage & Family Therapist Associate, PsyD, MA, AMFT
Verified Verified
San Francisco, CA 94102
I have a therapeutic style that is honest, empathetic, compassionate, and straightforward. Using clinically proven treatment methods via Teletherapy, I work holistically, leveraging a combination of treatments to address mental health concerns such as complex trauma, re-parenting, grief, addiction, PTSD, confidence, work/life balance, abuse, and sexual issues. I am also clinically interested in the study and offering of psychotherapy to those living with dementia, Alzheimer’s, and Parkinson’s. My expertise as a Nutritional Psychologist allows me to look at your needs holistically. www.drjeffreylawton.com
I have a therapeutic style that is honest, empathetic, compassionate, and straightforward. Using clinically proven treatment methods via Teletherapy, I work holistically, leveraging a combination of treatments to address mental health concerns such as complex trauma, re-parenting, grief, addiction, PTSD, confidence, work/life balance, abuse, and sexual issues. I am also clinically interested in the study and offering of psychotherapy to those living with dementia, Alzheimer’s, and Parkinson’s. My expertise as a Nutritional Psychologist allows me to look at your needs holistically. www.drjeffreylawton.com
(424) 377-0191 View (424) 377-0191
Photo of Chaney Statler, Marriage & Family Therapist in San Francisco, CA
Chaney Statler
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94114  (Online Only)
When I encounter clients who are seeking love or career satisfaction, we start exploring their values and life dreams to identify what they want. Together we will cast a vision for their life with short and long term goals. Many have already seen several chapters of their life, and now look to develop a deeper more comprehensive picture of what has already happened.
When I encounter clients who are seeking love or career satisfaction, we start exploring their values and life dreams to identify what they want. Together we will cast a vision for their life with short and long term goals. Many have already seen several chapters of their life, and now look to develop a deeper more comprehensive picture of what has already happened.
(415) 858-0947 View (415) 858-0947
Photo of Jennifer Warburg, Marriage & Family Therapist Associate in San Francisco, CA
Jennifer Warburg
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Francisco, CA 94123
Are you or your teen child feeling overwhelmed by negative feelings, struggling in your day-to-day, or just nagged by a sense that things shouldn't be this hard, and something needs to change? I can help. In my San Francisco practice, I guide young people through anxiety, stress, grief, challenging peer or family dynamics, big transitions and identity questions. My approach integrates depth psychotherapy with solutions-oriented counseling to help clients gain insight, find relief from immediate distress, and build life-skills for emotional health.
Are you or your teen child feeling overwhelmed by negative feelings, struggling in your day-to-day, or just nagged by a sense that things shouldn't be this hard, and something needs to change? I can help. In my San Francisco practice, I guide young people through anxiety, stress, grief, challenging peer or family dynamics, big transitions and identity questions. My approach integrates depth psychotherapy with solutions-oriented counseling to help clients gain insight, find relief from immediate distress, and build life-skills for emotional health.
(415) 936-0258 View (415) 936-0258
Photo of Pink Moon Therapy, Marriage & Family Therapist in San Francisco, CA
Pink Moon Therapy
Marriage & Family Therapist, MA
Verified Verified
San Francisco, CA 94115  (Online Only)
Do you tend to be hard on yourself and feel you're never good enough? Maybe you date the wrong people, stuck in old relational patterns? Or maybe you just feel unfulfilled in your life, lost on your path. Surely you’d love to feel in alignment with your life direction, owning your worth, loved by healthy humans, all while being your own best friend. As a licensed Astrotherapist, I support you in finding that life. Together we’ll explore present challenges in your life, while diving into your birth chart and identifying your unique energies in this lifetime.
Do you tend to be hard on yourself and feel you're never good enough? Maybe you date the wrong people, stuck in old relational patterns? Or maybe you just feel unfulfilled in your life, lost on your path. Surely you’d love to feel in alignment with your life direction, owning your worth, loved by healthy humans, all while being your own best friend. As a licensed Astrotherapist, I support you in finding that life. Together we’ll explore present challenges in your life, while diving into your birth chart and identifying your unique energies in this lifetime.
(415) 729-2871 View (415) 729-2871
Photo of Peter Geiger, Marriage & Family Therapist in San Francisco, CA
Peter Geiger
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94146  (Online Only)
You're feeling generally dissatisfied, like you drew the short straw. You make it look not too bad on the outside, yet feel unfulfilled in relationships with lover, family, friends, coworkers. You have concerns about overdoing something (drinking, working, internet), or a generalized anxiety, perfectionism, or people-pleasing. I am a highly interactive therapist. I know when to bring in humor--and when to go to the dark places with you. Together we will look at how you got here. Through identifying your beliefs, attitudes and needs around relationships and intimacy, we will find the key to unlocking your wellbeing.
You're feeling generally dissatisfied, like you drew the short straw. You make it look not too bad on the outside, yet feel unfulfilled in relationships with lover, family, friends, coworkers. You have concerns about overdoing something (drinking, working, internet), or a generalized anxiety, perfectionism, or people-pleasing. I am a highly interactive therapist. I know when to bring in humor--and when to go to the dark places with you. Together we will look at how you got here. Through identifying your beliefs, attitudes and needs around relationships and intimacy, we will find the key to unlocking your wellbeing.
(415) 786-6680 View (415) 786-6680
Photo of Nicole Abeleda, Clinical Social Work/Therapist in San Francisco, CA
Nicole Abeleda
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94108  (Online Only)
Hello there! I'm Nicole "Nikki" Abeleda, and I'm thrilled to connect with you. I proudly identify as a First-Generation Queer Filipinx, embracing she/they/siya pronouns. If you’re navigating the intricate intersection of mental health and identity as an LGBTQIA+, BIPOC individual, remember you’re not alone. My ideal client is someone prepared to embark on a journey of self-discovery and healing. I collaborate with those recognizing the significance of their unique narrative, eager to (re)imagine their space in the world.
Hello there! I'm Nicole "Nikki" Abeleda, and I'm thrilled to connect with you. I proudly identify as a First-Generation Queer Filipinx, embracing she/they/siya pronouns. If you’re navigating the intricate intersection of mental health and identity as an LGBTQIA+, BIPOC individual, remember you’re not alone. My ideal client is someone prepared to embark on a journey of self-discovery and healing. I collaborate with those recognizing the significance of their unique narrative, eager to (re)imagine their space in the world.
(925) 678-6511 View (925) 678-6511
Photo of Jeanette Hu, Marriage & Family Therapist Associate in San Francisco, CA
Jeanette Hu
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Francisco, CA 94109
You’re tired of having the same argument over and over again. You started to feel more like roommates than lovers. You find yourself stuck in the same negative cycle. You reach out; they pull away. You ask for a chat; they meet you with silence. Sometimes you both explode; other times, you both retreat into your shells. Both of you end up feeling alone and disconnected. You miss each other desperately but can’t figure out how to break the wall between you. Neither of you can stand the tension any longer - something must change.
You’re tired of having the same argument over and over again. You started to feel more like roommates than lovers. You find yourself stuck in the same negative cycle. You reach out; they pull away. You ask for a chat; they meet you with silence. Sometimes you both explode; other times, you both retreat into your shells. Both of you end up feeling alone and disconnected. You miss each other desperately but can’t figure out how to break the wall between you. Neither of you can stand the tension any longer - something must change.
(415) 909-5732 View (415) 909-5732

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

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.