Therapists in Hill, New Haven, CT
Millianys Garcia
Clinical Social Work/Therapist, LMSW
Verified Verified
Hill, New Haven, CT 06510 (Online Only)
Hello, my name is Millianys Garcia, LMSW. I'm a therapist working under Be Mindful Clinic LLC with 7 years of experience. I provide counseling services focusing on mental health and well-being. My services include individual therapy, group therapy, family therapy, and couples therapy. I specialize in areas such as anxiety, depression, trauma, relationship issues, or substance abuse. As an LMSW therapist I use evidenced-based techniques to help clients address their concerns, develop coping strategies, and improve their overall quality of life.
Hello, my name is Millianys Garcia, LMSW. I'm a therapist working under Be Mindful Clinic LLC with 7 years of experience. I provide counseling services focusing on mental health and well-being. My services include individual therapy, group therapy, family therapy, and couples therapy. I specialize in areas such as anxiety, depression, trauma, relationship issues, or substance abuse. As an LMSW therapist I use evidenced-based techniques to help clients address their concerns, develop coping strategies, and improve their overall quality of life.
Dr. Zeleyka Fowler- Licensed in NY, CT & FL
Psychologist, PsyD
Verified Verified
2 Endorsed
Hill, New Haven, CT 06511 (Online Only)
Making the decision to begin therapy can elicit a variety of emotions. I strive to inspire empowerment and creativity in a therapeutic space that is warm, supportive, and tailored to your unique needs. I have a plethora of experience working with people ranging from ages 3 to over 100. In my career, I have worked with people within communities including high achieving professionals, veterans, university students, couples, parents, and families. Together, we have navigated a wide array of life transitions, grief and loss, trauma, depression, anxiety, sexual wellness, chronic health concerns, identity development and legacy work.
Making the decision to begin therapy can elicit a variety of emotions. I strive to inspire empowerment and creativity in a therapeutic space that is warm, supportive, and tailored to your unique needs. I have a plethora of experience working with people ranging from ages 3 to over 100. In my career, I have worked with people within communities including high achieving professionals, veterans, university students, couples, parents, and families. Together, we have navigated a wide array of life transitions, grief and loss, trauma, depression, anxiety, sexual wellness, chronic health concerns, identity development and legacy work.
Expressive Arts Now
Licensed Professional Counselor, LPC
Verified Verified
Hill, New Haven, CT 06519
Hello! I am so happy we have found one another for such a time as this. I truly believe the right clients are drawn to me and I cherish the work that I get to do and time spent with you. Please drop me a line and let me know what you’re looking for. You’re the expert on you so fill me in. Hopefully we can align and I can be a support for you during this time. For now take care. Talk soon!
Hello! I am so happy we have found one another for such a time as this. I truly believe the right clients are drawn to me and I cherish the work that I get to do and time spent with you. Please drop me a line and let me know what you’re looking for. You’re the expert on you so fill me in. Hopefully we can align and I can be a support for you during this time. For now take care. Talk soon!
Have you ever been in ongoing emotional battles within yourself that seems like it’s never going to end? Regardless of how hard you try, when things seem like it’s getting better, do you find yourself back where you started feeling like a win is unimaginable? You may often find yourself enduring these struggles with no Strategy in place to overcome these barriers. But ask yourself: When am I going to do something about what I’m going through? The time to begin the new journey of emotional wellness and self-healing begins currently in this present moment.
Have you ever been in ongoing emotional battles within yourself that seems like it’s never going to end? Regardless of how hard you try, when things seem like it’s getting better, do you find yourself back where you started feeling like a win is unimaginable? You may often find yourself enduring these struggles with no Strategy in place to overcome these barriers. But ask yourself: When am I going to do something about what I’m going through? The time to begin the new journey of emotional wellness and self-healing begins currently in this present moment.
Nicolas Meade
Psychologist, PsyD
Verified Verified
Hill, New Haven, CT 06519 (Online Only)
Waitlist for new clients
Finding a therapist can be a daunting task! If you are seeking a compassion-focused space in which you are seen as a whole person, I may be a good fit. I have a particular passion for supporting and uplifting LGBTQ+ individuals and those who have experienced trauma of all kinds. I have extensive expertise in treating PTSD, C-PTSD, and dissociative disorders. As a trans therapist, I practice from an affirmative care model that centers gender joy, as I strongly believe that our joy is resistance! My goal is to provide a warm, empathic space for you to move out of survival mode and into a life that brings you fulfillment and meaning.
Finding a therapist can be a daunting task! If you are seeking a compassion-focused space in which you are seen as a whole person, I may be a good fit. I have a particular passion for supporting and uplifting LGBTQ+ individuals and those who have experienced trauma of all kinds. I have extensive expertise in treating PTSD, C-PTSD, and dissociative disorders. As a trans therapist, I practice from an affirmative care model that centers gender joy, as I strongly believe that our joy is resistance! My goal is to provide a warm, empathic space for you to move out of survival mode and into a life that brings you fulfillment and meaning.
Brittany Henderson
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Hill, New Haven, CT 06519 (Online Only)
With over a decade of experience as a mental health therapist, I have had the privilege of working with individuals, couples, and families in a variety of settings. I understand that people come to therapy for many reasons—relationship problems, depression, anxiety, trauma, life transitions, self-improvement, weight management—the list can be complex and unique to each person. I enjoy collaborating with those seeking to better understand themselves and improve emotional resilience so they can navigate life's challenges with greater ease and live the satisfying and productive lives they desire.
With over a decade of experience as a mental health therapist, I have had the privilege of working with individuals, couples, and families in a variety of settings. I understand that people come to therapy for many reasons—relationship problems, depression, anxiety, trauma, life transitions, self-improvement, weight management—the list can be complex and unique to each person. I enjoy collaborating with those seeking to better understand themselves and improve emotional resilience so they can navigate life's challenges with greater ease and live the satisfying and productive lives they desire.
Erika Cuffy
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Hill, New Haven, CT 06510 (Online Only)
Is your adjustment to motherhood more difficult than you thought it would be? Do frightening new thoughts have you questioning whether you are a “good” mom because you may feel sad, angry and overwhelmed sometimes? Do you feel overstimulated and guilty and want to feel happiness and joy, as a new mother or a "seasoned" parent? It is hard and you want to feel like yourself again! Perinatal and postpartum depression, anxiety and overwhelm are very real and nothing to be ashamed of. Reaching out is the first step in your healing journey and I would be honored to be on that journey with you.
Is your adjustment to motherhood more difficult than you thought it would be? Do frightening new thoughts have you questioning whether you are a “good” mom because you may feel sad, angry and overwhelmed sometimes? Do you feel overstimulated and guilty and want to feel happiness and joy, as a new mother or a "seasoned" parent? It is hard and you want to feel like yourself again! Perinatal and postpartum depression, anxiety and overwhelm are very real and nothing to be ashamed of. Reaching out is the first step in your healing journey and I would be honored to be on that journey with you.
We often know where we are stuck and what is causing distress — but not how to go about fixing it. My job is to help you get where you are trying to go, to help you figure out what's getting in the way and to help you connect the dots and see the bigger context. People work in therapy in different ways so there is no one formula for everyone. In general, I am interactive, thoughtful, solution focused and believe in people who are working on themselves.
We often know where we are stuck and what is causing distress — but not how to go about fixing it. My job is to help you get where you are trying to go, to help you figure out what's getting in the way and to help you connect the dots and see the bigger context. People work in therapy in different ways so there is no one formula for everyone. In general, I am interactive, thoughtful, solution focused and believe in people who are working on themselves.
Kristin Rice
Licensed Professional Counselor, DBH, LPC
Verified Verified
2 Endorsed
Hill, New Haven, CT 06519
Welcome! I am a Licensed Professional Counselor (LPC) and hold a Doctorate Degree in Behavioral Health from Arizona State University as well as a master’s degree in clinical Mental Health Counseling from Bellevue University. I have training in issues related to anxiety, depression, relationship issues, life transitions, school issues, self-esteem, substance use, and more. With my clients, I take a non-judgmental approach; using openness, transparency, and direct communication. I use a cognitive behavioral approach with my clients as well as utilize motivational interviewing techniques, mindfulness and am client centered.
Welcome! I am a Licensed Professional Counselor (LPC) and hold a Doctorate Degree in Behavioral Health from Arizona State University as well as a master’s degree in clinical Mental Health Counseling from Bellevue University. I have training in issues related to anxiety, depression, relationship issues, life transitions, school issues, self-esteem, substance use, and more. With my clients, I take a non-judgmental approach; using openness, transparency, and direct communication. I use a cognitive behavioral approach with my clients as well as utilize motivational interviewing techniques, mindfulness and am client centered.
Linnea Michaels
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Hill, New Haven, CT 06510 (Online Only)
I am a licensed psychotherapist (NY, CT, & FL) working with adults facing challenges with everyday life. This treatment encourages acceptance of our vulnerabilities and commitment to behaviors based on values. Together, we focus on addressing internalizing symptoms (anxiety, depression) and externalizing symptoms (substance abuse, acting out/behavior problems) surrounding relationship issues, work/academic performance, divorce/separation, family conflicts, trauma, self-esteem issues, social skill deficits, and stress.
I am a licensed psychotherapist (NY, CT, & FL) working with adults facing challenges with everyday life. This treatment encourages acceptance of our vulnerabilities and commitment to behaviors based on values. Together, we focus on addressing internalizing symptoms (anxiety, depression) and externalizing symptoms (substance abuse, acting out/behavior problems) surrounding relationship issues, work/academic performance, divorce/separation, family conflicts, trauma, self-esteem issues, social skill deficits, and stress.
Natashia Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hill, New Haven, CT 06519
I am a Licensed Clinical Social Worker with a MSW from Quinnipiac University. I practice a trauma-informed, person-centered, holistic approach to therapy. I believe in developing a safe, nurturing relationship based on mutual respect with each of my clients so they feel both empowered and supported.
I am a Licensed Clinical Social Worker with a MSW from Quinnipiac University. I practice a trauma-informed, person-centered, holistic approach to therapy. I believe in developing a safe, nurturing relationship based on mutual respect with each of my clients so they feel both empowered and supported.
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Lisa Ho
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Hill, New Haven, CT 06519 (Online Only)
The parts of ourselves that we struggle with are sometimes our greatest assets. Therapy can be a place to better realize our strengths and identify where long-term patterns of narratives and behaviors are no longer serving us. I am passionate about working with LGBTQ and POC on topics such as: gender/sexual identity, anxiety, depression, OCD, acculturation, multiracial identity, social skills, and relationships. Oftentimes religion and spirituality come up in my work. My therapeutic approach incorporates both systemic and relational pieces. We do not exist in a vacuum. All of our experiences shape the person we are today.
The parts of ourselves that we struggle with are sometimes our greatest assets. Therapy can be a place to better realize our strengths and identify where long-term patterns of narratives and behaviors are no longer serving us. I am passionate about working with LGBTQ and POC on topics such as: gender/sexual identity, anxiety, depression, OCD, acculturation, multiracial identity, social skills, and relationships. Oftentimes religion and spirituality come up in my work. My therapeutic approach incorporates both systemic and relational pieces. We do not exist in a vacuum. All of our experiences shape the person we are today.
Fae Cushing
Counselor, MA, LAC, CPRP, OCDCC
Verified Verified
1 Endorsed
Hill, New Haven, CT 06510 (Online Only)
Do daily tasks seem overwhelming? Do you have difficulty getting out of bed? Do you get triggered by things you see or hear? Issues like these can make your life seem nearly impossible to handle, let alone enjoy. But the most important question is this: Do you believe that you can overcome these things? I do. Graduated with a Master's degree in Mental Health Counseling from New York University, I am current a Mental Health Clinician at Joy Mental Fitness and also a Adjunct Instructor at Rutgers University in School of Health Professions.
Do daily tasks seem overwhelming? Do you have difficulty getting out of bed? Do you get triggered by things you see or hear? Issues like these can make your life seem nearly impossible to handle, let alone enjoy. But the most important question is this: Do you believe that you can overcome these things? I do. Graduated with a Master's degree in Mental Health Counseling from New York University, I am current a Mental Health Clinician at Joy Mental Fitness and also a Adjunct Instructor at Rutgers University in School of Health Professions.
Jessica Pena Pardo
Clinical Social Work/Therapist, LCSW, EMDR, ADHD
Verified Verified
Hill, New Haven, CT 06519 (Online Only)
Waitlist for new clients
I am currently NOT accepting new clients. I have a WAITlist for clients who are interested in EMDR therapy. Life is too short to live with pain that can be healed! You don’t have to let trauma, anxiety, and depression keep you from becoming the best version of yourself. If you are reading this, you are willing to do what it takes to live a better life and that takes courage! I welcome you to try EMDR therapy with me. EMDR therapy has been proven to have the best clinical outcomes for treating trauma and adverse life events, and has also been proven as an effective treatment for a variety of conditions.
I am currently NOT accepting new clients. I have a WAITlist for clients who are interested in EMDR therapy. Life is too short to live with pain that can be healed! You don’t have to let trauma, anxiety, and depression keep you from becoming the best version of yourself. If you are reading this, you are willing to do what it takes to live a better life and that takes courage! I welcome you to try EMDR therapy with me. EMDR therapy has been proven to have the best clinical outcomes for treating trauma and adverse life events, and has also been proven as an effective treatment for a variety of conditions.
Embrace Your Path, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hill, New Haven, CT 06504
Did you know that unhealthy thought patterns can get in the way of healthy relationships? Did you know that trauma can impact not only your mind and emotions; they can create physical ailments and symptoms? I am a licensed clinical social worker with over 17 years' experience. I work with adolescents and adults who have experienced depression, anxiety, drug and/or alcohol addiction, family concerns, self-esteem issues, behavioral issues, personal growth, intellectual or learning disabilities, prenatal and postpartum mood, and anxiety disorders. We can also incorporate a faith-based perspective into our sessions.
Did you know that unhealthy thought patterns can get in the way of healthy relationships? Did you know that trauma can impact not only your mind and emotions; they can create physical ailments and symptoms? I am a licensed clinical social worker with over 17 years' experience. I work with adolescents and adults who have experienced depression, anxiety, drug and/or alcohol addiction, family concerns, self-esteem issues, behavioral issues, personal growth, intellectual or learning disabilities, prenatal and postpartum mood, and anxiety disorders. We can also incorporate a faith-based perspective into our sessions.
Ashley Horn
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Hill, New Haven, CT 06504
I hope to create a safe and comfortable space where you can understand your self, your choices, and your needs. Our relationships and interactions can teach us about the areas where we struggle. I believe that exploring our childhood experiences can provide us with the tools to better understand patterns we have come to rely on. I can help you learn to set boundaries, develop coping skills and strategies that will allow you to achieve your goals. My approach is client centered and I work to help you see your strengths, and use the skills you have to empower yourself.
I hope to create a safe and comfortable space where you can understand your self, your choices, and your needs. Our relationships and interactions can teach us about the areas where we struggle. I believe that exploring our childhood experiences can provide us with the tools to better understand patterns we have come to rely on. I can help you learn to set boundaries, develop coping skills and strategies that will allow you to achieve your goals. My approach is client centered and I work to help you see your strengths, and use the skills you have to empower yourself.
Chananya Abraham
Licensed Professional Counselor, MS, MA, LPC
Verified Verified
Hill, New Haven, CT 06504
As a psychotherapist, I enjoy working with clients looking to optimize life experiences & seeking assistance in achieving this goal. I primarily enjoy working with teenagers, young adults, adolescents, & parents who aspire to be the best version of themselves and need guidance in communicating within the parent/guardian & child/adolescent relationship. Life is about finding a healthy balance of communication with others & most importantly: yourself! remember: finding a therapist that is best for you is like finding a house, a spouse, or a pair of shoes: sometimes, you have to try on a few to find what works for you!
As a psychotherapist, I enjoy working with clients looking to optimize life experiences & seeking assistance in achieving this goal. I primarily enjoy working with teenagers, young adults, adolescents, & parents who aspire to be the best version of themselves and need guidance in communicating within the parent/guardian & child/adolescent relationship. Life is about finding a healthy balance of communication with others & most importantly: yourself! remember: finding a therapist that is best for you is like finding a house, a spouse, or a pair of shoes: sometimes, you have to try on a few to find what works for you!
I genuinely believe we are each magical beings that have something incredible to offer the world. Sometimes we struggle with our own authenticity when we struggle with issues like: substance use, body image, self-esteem, gender identity, disorder eating, past trauma and levels of systemic oppression people in our lives may not understand. I believe becoming your most authentic self is possible. I also believe each person, especially queer people deserve to have healthy, safe, loving relationships free from judgment and we are here to help you a long the way.
I genuinely believe we are each magical beings that have something incredible to offer the world. Sometimes we struggle with our own authenticity when we struggle with issues like: substance use, body image, self-esteem, gender identity, disorder eating, past trauma and levels of systemic oppression people in our lives may not understand. I believe becoming your most authentic self is possible. I also believe each person, especially queer people deserve to have healthy, safe, loving relationships free from judgment and we are here to help you a long the way.
Luz Cardona
Marriage & Family Therapist Intern
Verified Verified
4 Endorsed
Hill, New Haven, CT 06519
Waitlist for new clients
Embracing the journey to reclaim mastery over your life, I am dedicated to empowering you with positive ways to navigate through challenges and transform ineffective coping methods. With my assistance, you can embark on a path towards relieving mental health symptoms by embracing healthy lifestyle choices, adopting effective coping strategies, and uplifting your self-image. Together, we can foster meaningful connections and build supportive relationships as you progress on your healing journey. I provide Telehealth therapy services for individuals, couples, and families in search of therapeutic support.
Embracing the journey to reclaim mastery over your life, I am dedicated to empowering you with positive ways to navigate through challenges and transform ineffective coping methods. With my assistance, you can embark on a path towards relieving mental health symptoms by embracing healthy lifestyle choices, adopting effective coping strategies, and uplifting your self-image. Together, we can foster meaningful connections and build supportive relationships as you progress on your healing journey. I provide Telehealth therapy services for individuals, couples, and families in search of therapeutic support.
Do you feel you're working hard at life and not seeing the outcomes you would like? Maybe you feel life's circumstances are leaving you with tons of unhappiness, insecurities, self doubt, and discomfort. Allow me the courtesy of taking you on a life journey of working toward healthy physical, emotional, and mental health. I am a blossoming therapist, looking to help you identify the strength and balance you already posses. Life has a way of providing thorns in addition to our roses, my hope for you is to continue receiving your roses and gain skills necessary to deal with the thorns.
Do you feel you're working hard at life and not seeing the outcomes you would like? Maybe you feel life's circumstances are leaving you with tons of unhappiness, insecurities, self doubt, and discomfort. Allow me the courtesy of taking you on a life journey of working toward healthy physical, emotional, and mental health. I am a blossoming therapist, looking to help you identify the strength and balance you already posses. Life has a way of providing thorns in addition to our roses, my hope for you is to continue receiving your roses and gain skills necessary to deal with the thorns.
See more therapy options for Hill, New Haven
Nearby Searches for Hill, New Haven
- Beaver Hills
- Dixwell
- Downtown
- Dwight
- East Rock
- East Shore
- Long Wharf
- Mill River
- Prospect Hill
- West River
- Westville
- Wooster Square
How does your Therapist compare?
Number of Therapists in Hill, New Haven, CT
40+
Average cost per session
$150
Therapists in Hill, New Haven, CT who prioritize treating:
90% | Anxiety |
83% | Depression |
79% | Relationship Issues |
74% | Trauma and PTSD |
71% | Stress |
67% | Coping Skills |
67% | Self Esteem |
Average years in practice
9 Years
Top 3 insurances accepted
81% | UnitedHealthcare UHC | UBH |
78% | Aetna |
78% | Cigna and Evernorth |
How Therapists in Hill, New Haven, CT see their clients
54% | Online Only | |
46% | In Person and Online |
Gender breakdown
78% | Female | |
17% | Male | |
5% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Hill, New Haven?
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
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.
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.
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.