Therapists in Brooklyn, NY
Corinne Cappelletti
Mental Health Counselor, LMHC, MFA, R-SMT
Verified Verified
Brooklyn, NY 11242 (Online Only)
Accepting new couples & individual therapy clients. All sessions are virtual. Are you looking for a more embodied, connected, and fulfilling life? Maybe you tried traditional talk therapy before but found it wasn’t enough. If you are seeking lasting, holistic personal growth and are open to working on it, consider my integrated body-mind-soul approach. I can help you develop your inner resources to navigate stressful periods; balance your nervous system; communicate clearly and effectively; tend to unprocessed grief; understand your inner dynamics, mood changes, unexpressed creativity, soul longings; and more.
Accepting new couples & individual therapy clients. All sessions are virtual. Are you looking for a more embodied, connected, and fulfilling life? Maybe you tried traditional talk therapy before but found it wasn’t enough. If you are seeking lasting, holistic personal growth and are open to working on it, consider my integrated body-mind-soul approach. I can help you develop your inner resources to navigate stressful periods; balance your nervous system; communicate clearly and effectively; tend to unprocessed grief; understand your inner dynamics, mood changes, unexpressed creativity, soul longings; and more.
Alex Lambert
Counselor, LMHC
Verified Verified
2 Endorsed
Brooklyn, NY 11217 (Online Only)
I believe that supporting an individual’s emotional well-being is the primary force for positive growth. In therapy clients can safely explore thoughts and feelings in a way that creates space to see our patterns more clearly. I value the relationship and believe it is the foundation for the working through process to happiness and uncovering a sense of purpose and meaning in life. My understanding of therapy primarily draws from psychoanalytic perspectives but I also incorporate mindfulness and contemporary views on trauma in my work. Individuals might need different approaches and I do my best to meet you where you are at.
I believe that supporting an individual’s emotional well-being is the primary force for positive growth. In therapy clients can safely explore thoughts and feelings in a way that creates space to see our patterns more clearly. I value the relationship and believe it is the foundation for the working through process to happiness and uncovering a sense of purpose and meaning in life. My understanding of therapy primarily draws from psychoanalytic perspectives but I also incorporate mindfulness and contemporary views on trauma in my work. Individuals might need different approaches and I do my best to meet you where you are at.
Christina Soto
Pre-Licensed Professional, MHC-LP
Verified Verified
Brooklyn, NY 11225 (Online Only)
As humans, we are built for connection. We try to have meaningful relationships, but sometimes we can be our own worst enemy. Sometimes we feel the intense pressure to live our life a certain way that comes from friends, families or societal expectations and it can make us feel like we are getting it all wrong. Together we can work on navigating the struggles you face outside of the therapeutic setting. I'm here to support you, whether it is finding your sense of self or the inner voice that has been dormant; or finding a rewarding relationship with yourself and others.
As humans, we are built for connection. We try to have meaningful relationships, but sometimes we can be our own worst enemy. Sometimes we feel the intense pressure to live our life a certain way that comes from friends, families or societal expectations and it can make us feel like we are getting it all wrong. Together we can work on navigating the struggles you face outside of the therapeutic setting. I'm here to support you, whether it is finding your sense of self or the inner voice that has been dormant; or finding a rewarding relationship with yourself and others.
Liane Brust
Pre-Licensed Professional, MA, MHC-LP
Verified Verified
1 Endorsed
Brooklyn, NY 11242
Are you tired of hearing how smart and self-aware you are, but still feeling stuck in certain aspects of your life? I get it. Sometimes, all the intellect and awareness in the world can't seem to bridge the gap between where we are and where we want to be. If you're craving genuine change and growth, if you're ready to roll up your sleeves and collaborate on a journey of self-discovery, I'm here to walk alongside you. Let's create a space where you can trust yourself and your instincts, where we can explore new paths together. My goal is to provide a safe and compassionate environment where you can emerge feeling empowered & whole.
Are you tired of hearing how smart and self-aware you are, but still feeling stuck in certain aspects of your life? I get it. Sometimes, all the intellect and awareness in the world can't seem to bridge the gap between where we are and where we want to be. If you're craving genuine change and growth, if you're ready to roll up your sleeves and collaborate on a journey of self-discovery, I'm here to walk alongside you. Let's create a space where you can trust yourself and your instincts, where we can explore new paths together. My goal is to provide a safe and compassionate environment where you can emerge feeling empowered & whole.
Arleth Perez
Counselor, LMHC, MA
Verified Verified
1 Endorsed
Brooklyn, NY 11204 (Online Only)
I am a Licensed Mental Health Counselor, female, POC, passionate about helping you through life’s challenges. As an immigrant, I have a keen understanding of how culture affects and creates an added layer of complexity to relationships and decisions. I work with individuals & couples struggling with life transitions, loss, cultural issues, grief & relationship issues. These struggles can make you feel anxious, depressed, and out of control. I aspire to empower you and help you regain control of your life.
I am a Licensed Mental Health Counselor, female, POC, passionate about helping you through life’s challenges. As an immigrant, I have a keen understanding of how culture affects and creates an added layer of complexity to relationships and decisions. I work with individuals & couples struggling with life transitions, loss, cultural issues, grief & relationship issues. These struggles can make you feel anxious, depressed, and out of control. I aspire to empower you and help you regain control of your life.
Emily Hughes
Art Therapist, LCAT, ATR-BC
Verified Verified
Brooklyn, NY 11211 (Online Only)
Is anxiety hindering your ability to fully embrace life? Feeling trapped and uncertain can leave you questioning your true identity and interfere with your most valued relationships and goals. Within you, there are aspirations and untapped potential awaiting discovery. You yearn for clarity, empowerment, and the confidence to make decisions without constant self-doubt. You're searching for a therapist you connect with to help better understand your anxiety, uncover its underlying causes, and equip you with practical tools and techniques to manage its impact on your life and develop the best version of yourself.
Is anxiety hindering your ability to fully embrace life? Feeling trapped and uncertain can leave you questioning your true identity and interfere with your most valued relationships and goals. Within you, there are aspirations and untapped potential awaiting discovery. You yearn for clarity, empowerment, and the confidence to make decisions without constant self-doubt. You're searching for a therapist you connect with to help better understand your anxiety, uncover its underlying causes, and equip you with practical tools and techniques to manage its impact on your life and develop the best version of yourself.
Kaylee Rutchik
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
4 Endorsed
Brooklyn, NY 11242
You deserve to live your best life, and I am here to help! I am a holistic Psychotherapist and Yoga Teacher in Brooklyn combining traditional talk therapy with mind-body techniques to help you create meaningful change in your life. While I can assist with many issues, I specialize in the treatment of stress, anxiety, depression, relationship issues and life transitions. Expect a thorough, compassionate experience with an eclectic, personalized approach specifically tailored to your needs. Together, we'll work to help you feel better. I work in private practice with Dr. Beata Lewis, MD at Mind Body Seven.
You deserve to live your best life, and I am here to help! I am a holistic Psychotherapist and Yoga Teacher in Brooklyn combining traditional talk therapy with mind-body techniques to help you create meaningful change in your life. While I can assist with many issues, I specialize in the treatment of stress, anxiety, depression, relationship issues and life transitions. Expect a thorough, compassionate experience with an eclectic, personalized approach specifically tailored to your needs. Together, we'll work to help you feel better. I work in private practice with Dr. Beata Lewis, MD at Mind Body Seven.
Asya Graf
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brooklyn, NY 11201
I'm accepting adult, teen, and couple clients. Therapy gives us a safe relationship where we can explore our inner world and consider taking new risks in our outer one. To my mind, therapy is the process of talking things over with someone and, together, giving meaning, hope, and clarity to pain, confusion, or stuckness. I endeavor to bring respect and curiosity to our work together. I believe that we each have the wisdom to solve our problems, but our strengths get blocked when we experience trauma, or linger in negative cycles with loved ones. In our work together, I aim to help you reconnect with your innate ability to thrive.
I'm accepting adult, teen, and couple clients. Therapy gives us a safe relationship where we can explore our inner world and consider taking new risks in our outer one. To my mind, therapy is the process of talking things over with someone and, together, giving meaning, hope, and clarity to pain, confusion, or stuckness. I endeavor to bring respect and curiosity to our work together. I believe that we each have the wisdom to solve our problems, but our strengths get blocked when we experience trauma, or linger in negative cycles with loved ones. In our work together, I aim to help you reconnect with your innate ability to thrive.
Micaela Wire
Psychologist, PhD, MSEd
Verified Verified
3 Endorsed
Brooklyn, NY 11201
Hello! I am a New York State licensed psychologist and certified school psychologist specializing in the assessment, diagnosis, and treatment of various academic, developmental, and psychological difficulties. I have extensive experience working with children and their parents experiencing difficulties with behavior management, along with family stress and anxiety. I also specialize in educational planning and consultation, and am happy to counsel families through the DOE special-education process (ex. obtaining an IEP, securing services, applications to state-approved or private programs).
Hello! I am a New York State licensed psychologist and certified school psychologist specializing in the assessment, diagnosis, and treatment of various academic, developmental, and psychological difficulties. I have extensive experience working with children and their parents experiencing difficulties with behavior management, along with family stress and anxiety. I also specialize in educational planning and consultation, and am happy to counsel families through the DOE special-education process (ex. obtaining an IEP, securing services, applications to state-approved or private programs).
Kirsten M Dagrosa
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11238 (Online Only)
Are you struggling at your job or in your relationships? Are you feeling insecure and unsure of yourself and your wants? Is it difficult realizing your goals no matter what you try? Are you trying to live out your convictions as a Christian while managing all of those things? I would like to help you tackle any of those issues and more. If you would like to get therapy while also standing by the values of your Christian faith, I can help!
Are you struggling at your job or in your relationships? Are you feeling insecure and unsure of yourself and your wants? Is it difficult realizing your goals no matter what you try? Are you trying to live out your convictions as a Christian while managing all of those things? I would like to help you tackle any of those issues and more. If you would like to get therapy while also standing by the values of your Christian faith, I can help!
Jenna Ada Rollino
Pre-Licensed Professional, MHC-LP
Verified Verified
1 Endorsed
Brooklyn, NY 11222
Not accepting new clients
Making the step to connect with a therapist is one of the strongest moves an individual can make in their life - and this is something I highly honor. As a dedicated therapist, I want to explore with clients their own internal human capacity for resilience, courage, resistance, and ingenuity. I offer unconditional positive regard, empathic understanding, and also value openness in the therapeutic relationship. I believe these elements create a container for progressing toward living life genuinely and authentically.
Making the step to connect with a therapist is one of the strongest moves an individual can make in their life - and this is something I highly honor. As a dedicated therapist, I want to explore with clients their own internal human capacity for resilience, courage, resistance, and ingenuity. I offer unconditional positive regard, empathic understanding, and also value openness in the therapeutic relationship. I believe these elements create a container for progressing toward living life genuinely and authentically.
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PhD, APPA-PP
Verified Verified
1 Endorsed
Brooklyn, NY 11235 (Online Only)
Do you have a pressing practical conflict, moral dilemma, or torn decision, not sure which way to go? Are you at a cross-roads, re-evaluating yourself, your life, career, relationship, your religion, or your spiritual path? Are you struggling with meaninglessness, loss of purpose, loss of faith, existential indigestion, philosophical confusion? Do you struggle with the bigger questions: Is life meaningful? Who am I? Why am I here? What should I believe? What is reality? Is this it? Is there anything else? How can I know? How should I live? What is my path? What is my highest good? Do I have a calling? Can I change? What should I do?
Do you have a pressing practical conflict, moral dilemma, or torn decision, not sure which way to go? Are you at a cross-roads, re-evaluating yourself, your life, career, relationship, your religion, or your spiritual path? Are you struggling with meaninglessness, loss of purpose, loss of faith, existential indigestion, philosophical confusion? Do you struggle with the bigger questions: Is life meaningful? Who am I? Why am I here? What should I believe? What is reality? Is this it? Is there anything else? How can I know? How should I live? What is my path? What is my highest good? Do I have a calling? Can I change? What should I do?
Stacy Blumenreich
Licensed Master Social Worker, LMSW
Verified Verified
5 Endorsed
Brooklyn, NY 11217
I help individuals who are feeling anxious, disconnected, lost, unstable, or alone. These feelings may be new to you or familiar and longstanding. My areas of focus include anxiety related disorders, depression, trauma, identity exploration, and relationship challenges. My approach is warm, supportive, and relaxed. Together, we will better understand why you engage in unhelpful patterns, work through the underlying issues, and develop more effective strategies so that you can reach your goals and fully enjoy your life.
I help individuals who are feeling anxious, disconnected, lost, unstable, or alone. These feelings may be new to you or familiar and longstanding. My areas of focus include anxiety related disorders, depression, trauma, identity exploration, and relationship challenges. My approach is warm, supportive, and relaxed. Together, we will better understand why you engage in unhelpful patterns, work through the underlying issues, and develop more effective strategies so that you can reach your goals and fully enjoy your life.
Ruby Garcia
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brooklyn, NY 11249 (Online Only)
Are you someone who has experienced significant trauma or chronic stress in their life and is seeking healing and restoration on a holistic level? Do you have a history of complex trauma, such as childhood abuse, neglect, or attachment wounds, or have experienced a traumatic event that has left a lasting impact on your mental, emotional, and physical well-being? If you experience symptoms of anxiety, dissociation, disconnection from the body, numbness, depression, PTSD, somatic complaints or difficulties in relationships and intimacy, know you are not alone and help is here.
Are you someone who has experienced significant trauma or chronic stress in their life and is seeking healing and restoration on a holistic level? Do you have a history of complex trauma, such as childhood abuse, neglect, or attachment wounds, or have experienced a traumatic event that has left a lasting impact on your mental, emotional, and physical well-being? If you experience symptoms of anxiety, dissociation, disconnection from the body, numbness, depression, PTSD, somatic complaints or difficulties in relationships and intimacy, know you are not alone and help is here.
Caroline Van Zandt
Clinical Social Work/Therapist, LCSW-R, LP
Verified Verified
Brooklyn, NY 11242
Each of us is unique. In all the billions of years on this earth, there will never be another living person exactly like you. How are you handling the opportunities, challenges, crises and paradoxes of your one and only human life? How do you feel loved and valued? Connected to others? Secure? What provides you with a sense of creativity, meaning and purpose? As a therapist, I view my role as a catalyst to help reduce the inner obstacles to psychic growth and development. I want to reduce feelings of inadequacy, fear, sadness, shame and depression. I want to help you feel kinder towards both yourself and others.
Each of us is unique. In all the billions of years on this earth, there will never be another living person exactly like you. How are you handling the opportunities, challenges, crises and paradoxes of your one and only human life? How do you feel loved and valued? Connected to others? Secure? What provides you with a sense of creativity, meaning and purpose? As a therapist, I view my role as a catalyst to help reduce the inner obstacles to psychic growth and development. I want to reduce feelings of inadequacy, fear, sadness, shame and depression. I want to help you feel kinder towards both yourself and others.
Ari Amir
Licensed Psychoanalyst, LP, MA
Verified Verified
Brooklyn, NY 11221
This is a charged moment. Seeking a place to work on yourself, someone who can help you do so... it can feel wild and uncomfortable. I hope you will feel that you can trust me enough to welcome you into this work. To get to know you and work alongside you to find the things that seem to repeat themselves in your life. To understand why - but just as importantly, how - they happen. To create a space in which you will feel seen, heard, and understood. In the way I work, I will address the current situations you bring to therapy and also try and understand them in the context of the life you've lived until now.
This is a charged moment. Seeking a place to work on yourself, someone who can help you do so... it can feel wild and uncomfortable. I hope you will feel that you can trust me enough to welcome you into this work. To get to know you and work alongside you to find the things that seem to repeat themselves in your life. To understand why - but just as importantly, how - they happen. To create a space in which you will feel seen, heard, and understood. In the way I work, I will address the current situations you bring to therapy and also try and understand them in the context of the life you've lived until now.
Lydia Fleck
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Brooklyn, NY 11211
Not accepting new clients
Many people begin therapeutic work with me because they are ready to make a change but do not know how or where to begin. Sometimes work stress, life changes, relationships and family problems can become stressful or hard to manage. This can lead to depression, anxiety, or unhealthy ways of coping. I will help you develop your own insight and understanding as we establish new skills and strategies for sustaining change. I will listen attentively and respond fully. My style in therapy is active, calm, and non-judgmental; I work to create a confidential space to explore the issues and challenges that are most important to you.
Many people begin therapeutic work with me because they are ready to make a change but do not know how or where to begin. Sometimes work stress, life changes, relationships and family problems can become stressful or hard to manage. This can lead to depression, anxiety, or unhealthy ways of coping. I will help you develop your own insight and understanding as we establish new skills and strategies for sustaining change. I will listen attentively and respond fully. My style in therapy is active, calm, and non-judgmental; I work to create a confidential space to explore the issues and challenges that are most important to you.
Fort Greene Therapy
Psychologist, MA, PsyD
Verified Verified
3 Endorsed
Brooklyn, NY 11216 (Online Only)
Waitlist for new clients
I know that making the decision to seek a therapist is often a difficult one so I make sure that you have a safe, comforting, and professional place to discuss intimate details of your life with a trained therapist. I don't believe in a one-size-fits-all approach to therapy, rather I see it as collaborative; you and I will work together to help you achieve more peace and happiness in your life.
I know that making the decision to seek a therapist is often a difficult one so I make sure that you have a safe, comforting, and professional place to discuss intimate details of your life with a trained therapist. I don't believe in a one-size-fits-all approach to therapy, rather I see it as collaborative; you and I will work together to help you achieve more peace and happiness in your life.
Transformation Concepts LLC
Marriage & Family Therapist, MA, DD, LMFT
Verified Verified
Brooklyn, NY 11233
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being.
My goal is to help you uncover your true potential and lead a life that is worth celebrating. We can work together to better understand and resolve challenges in your life. We will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
I look forward to working with you to achieve your goals.
www.helpmetransformmylife.com
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being.
My goal is to help you uncover your true potential and lead a life that is worth celebrating. We can work together to better understand and resolve challenges in your life. We will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
I look forward to working with you to achieve your goals.
www.helpmetransformmylife.com
Kerry Higgins
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11211
Do you feel overwhelmed, very self aware, and stuck at the same time? It seems like no matter what you do, you feel disconnected and defeated. It’s hard to get your emotional needs met even though you’re ready to break cycles and live a really amazing life. Whether you experienced childhood trauma, relationship issues, low self esteem,or are just going through a challenging time right now - I want you to know that long lasting change is possible. It’s common to fall into the trap of minimizing your needs and experiences.
Do you feel overwhelmed, very self aware, and stuck at the same time? It seems like no matter what you do, you feel disconnected and defeated. It’s hard to get your emotional needs met even though you’re ready to break cycles and live a really amazing life. Whether you experienced childhood trauma, relationship issues, low self esteem,or are just going through a challenging time right now - I want you to know that long lasting change is possible. It’s common to fall into the trap of minimizing your needs and experiences.
See more therapy options for Brooklyn
How does your Therapist compare?
Number of Therapists in Brooklyn, NY
3,000+
Average cost per session
$175
Therapists in Brooklyn, NY who prioritize treating:
94% | Anxiety |
89% | Depression |
82% | Relationship Issues |
77% | Self Esteem |
71% | Trauma and PTSD |
69% | Stress |
67% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
83% | Aetna |
66% | Cigna and Evernorth |
65% | UnitedHealthcare UHC | UBH |
How Therapists in Brooklyn, NY see their clients
50% | In Person and Online | |
50% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Brooklyn?
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.