Therapists in Pinecrest, FL

Photo of Dr. Barry Ladis, Clinical Social Work/Therapist, PhD, LCSW , MCAP, CPA
Dr. Barry Ladis
Clinical Social Work/Therapist, PhD, LCSW , MCAP, CPA
Pinecrest, FL 33156
My name is Dr. Barry Ladis and I am an Existential Psychotherapist and a Master Level Addiction Professional who has been practicing in the Miami area for over 13 years. My specialties include the assessment and treatment of adolescents, adults, couples, and families. As an existential therapist, I'll create a safe space for you to explore life's fundamental questions. Together, we'll tackle issues of meaning, freedom, and responsibility, aiming to increase your self-awareness and authenticity. I'll support you in finding purpose and making meaningful choices in your life.
My name is Dr. Barry Ladis and I am an Existential Psychotherapist and a Master Level Addiction Professional who has been practicing in the Miami area for over 13 years. My specialties include the assessment and treatment of adolescents, adults, couples, and families. As an existential therapist, I'll create a safe space for you to explore life's fundamental questions. Together, we'll tackle issues of meaning, freedom, and responsibility, aiming to increase your self-awareness and authenticity. I'll support you in finding purpose and making meaningful choices in your life.
(786) 254-0283 View (786) 254-0283
Photo of Dr. Osuni Roque, Psychologist, PsyD
Dr. Osuni Roque
Psychologist, PsyD
Pinecrest, FL 33156
Do you struggle with anxiety, relationship conflict, or a major life transition that’s making it hard to feel grounded, confident, or at peace? Maybe you're overwhelmed by the pressure to keep everything together—even when it feels like you're falling apart inside. You may feel stuck in patterns that no longer serve you, unsure how to move forward, or disconnected from the people you care about most. Many adults and couples today are feeling anxious, uncertain, and emotionally distant—from themselves or their partners. It shouldn’t be so hard to feel close to the people you love or to feel like yourself again.
Do you struggle with anxiety, relationship conflict, or a major life transition that’s making it hard to feel grounded, confident, or at peace? Maybe you're overwhelmed by the pressure to keep everything together—even when it feels like you're falling apart inside. You may feel stuck in patterns that no longer serve you, unsure how to move forward, or disconnected from the people you care about most. Many adults and couples today are feeling anxious, uncertain, and emotionally distant—from themselves or their partners. It shouldn’t be so hard to feel close to the people you love or to feel like yourself again.
(786) 713-1659 View (786) 713-1659
Photo of Melody Caton, Counselor, MA, LMHC, LPC
Melody Caton
Counselor, MA, LMHC, LPC
Pinecrest, FL 33156
Welcome to Connecting Families, offering services for children and families to navigate challenging times. Whether your child is struggling with anxiety, depression, school difficulties or you need that little extra help in parenting a difficult stage I am here to help. I provide therapeutic services that look at the whole child and work to integrate all the pieces of emotional, mental, social, cognitive and spiritual areas to find healing and growth.
Welcome to Connecting Families, offering services for children and families to navigate challenging times. Whether your child is struggling with anxiety, depression, school difficulties or you need that little extra help in parenting a difficult stage I am here to help. I provide therapeutic services that look at the whole child and work to integrate all the pieces of emotional, mental, social, cognitive and spiritual areas to find healing and growth.
(786) 460-2865 View (786) 460-2865
Photo of Andrea Lippman Loeb, Psychologist, PsyD, PA
Andrea Lippman Loeb
Psychologist, PsyD, PA
3 Endorsed
Pinecrest, FL 33156
My name is Dr. Andrea Loeb, and I am a Licensed Clinical Psychologist and have been practicing in the Miami area for over 30 years! My practice consists of individual therapy with children, adolescents, and adults. My specialty areas include Anxiety, Depression, and adjustment to life changes (divorce, death, relocation, trauma, etc.). I am specially trained in all types of trauma across the lifespan, with a specialty in the area of treating child sexual abuse. I am also certified and love working with those struggling with OCD symptoms.
My name is Dr. Andrea Loeb, and I am a Licensed Clinical Psychologist and have been practicing in the Miami area for over 30 years! My practice consists of individual therapy with children, adolescents, and adults. My specialty areas include Anxiety, Depression, and adjustment to life changes (divorce, death, relocation, trauma, etc.). I am specially trained in all types of trauma across the lifespan, with a specialty in the area of treating child sexual abuse. I am also certified and love working with those struggling with OCD symptoms.
(305) 834-4280 View (305) 834-4280
Photo of Chineze J Martinez, Licensed Professional Counselor, LMHC, CAP
Chineze J Martinez
Licensed Professional Counselor, LMHC, CAP
Pinecrest, FL 33156
Just Keep Moving Clinical Services, LLC is a private practice that emphasizes the power of addressing challenging areas in life and being able to adequately move forward with life. Our goal is to contribute to the wholeness of your life--spiritually, psychologically, physically--generating empowerment and self-actualization. At Just Keep Moving Clinical Services, LLC your first step in seeking consultation is viewed as strength. Every step after that will create the foundation of your new beginning. Remember to just keep moving.
Just Keep Moving Clinical Services, LLC is a private practice that emphasizes the power of addressing challenging areas in life and being able to adequately move forward with life. Our goal is to contribute to the wholeness of your life--spiritually, psychologically, physically--generating empowerment and self-actualization. At Just Keep Moving Clinical Services, LLC your first step in seeking consultation is viewed as strength. Every step after that will create the foundation of your new beginning. Remember to just keep moving.
(305) 614-9463 View (305) 614-9463
Photo of Luz Maria Berrio, Psychologist, PsyD
Luz Maria Berrio
Psychologist, PsyD
Pinecrest, FL 33156
As a psychologist licensed in Florida and New York, my goal is to establish a safe, nurturing, and secure environment for clients seeking to live to their fullest potential. I believe that a trusting relationship is necessary in order for individuals to grow and succeed. Therefore, I seek to work in collaboration with my clients to achieve their goals and establish a healthy lifestyle. In my work with children and adolescents I work closely with the parents and schools in order to provide a multidisciplinary treatment approach. I conduct home and school visits which are vital in working with children.
As a psychologist licensed in Florida and New York, my goal is to establish a safe, nurturing, and secure environment for clients seeking to live to their fullest potential. I believe that a trusting relationship is necessary in order for individuals to grow and succeed. Therefore, I seek to work in collaboration with my clients to achieve their goals and establish a healthy lifestyle. In my work with children and adolescents I work closely with the parents and schools in order to provide a multidisciplinary treatment approach. I conduct home and school visits which are vital in working with children.
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Photo of Kristen Farrell-Turner, Licensed Professional Counselor, LP
Kristen Farrell-Turner
Licensed Professional Counselor, LP
Online Only
Want to lose weight or otherwise improve your metabolic health? Feeling stuck, unmotivated, and/or stressed? I have very specialized experience helping people with lifestyle change. Change can be hard. I will help motivate and prepare you to make changes in your life toward improved overall well-being. For nearly 20 years, I've been practicing, researching, and teaching behavioral medicine, always with a focus on the relationship between mental health and physical health. Together, we will explore various ways you can improve your overall well-being, but the road you choose is ultimately up to you.
Want to lose weight or otherwise improve your metabolic health? Feeling stuck, unmotivated, and/or stressed? I have very specialized experience helping people with lifestyle change. Change can be hard. I will help motivate and prepare you to make changes in your life toward improved overall well-being. For nearly 20 years, I've been practicing, researching, and teaching behavioral medicine, always with a focus on the relationship between mental health and physical health. Together, we will explore various ways you can improve your overall well-being, but the road you choose is ultimately up to you.
(786) 650-1784 View (786) 650-1784
Photo of Rosa Maria Sanchez, Counselor, MS, LMHC
Rosa Maria Sanchez
Counselor, MS, LMHC
Online Only
In 1979, I graduated from FIU’s Master’s in Mental Health Counseling. Once completed, I was hired at FIU’s Counseling Department where I worked as a clinician for 10 years. This unique experience gave me a deeper understanding of students’ multiple academic struggles as well as an understanding of the pathology that tends to emerge in early adulthood. For the next 22 years, I transitioned into M-DCPS where I worked with ESE students diagnosed with behavioral/psychiatric disorders. Now, semi-retired and in private practice, with 46 years of clinical experience; I’m focused on families, couples and individual therapy.
In 1979, I graduated from FIU’s Master’s in Mental Health Counseling. Once completed, I was hired at FIU’s Counseling Department where I worked as a clinician for 10 years. This unique experience gave me a deeper understanding of students’ multiple academic struggles as well as an understanding of the pathology that tends to emerge in early adulthood. For the next 22 years, I transitioned into M-DCPS where I worked with ESE students diagnosed with behavioral/psychiatric disorders. Now, semi-retired and in private practice, with 46 years of clinical experience; I’m focused on families, couples and individual therapy.
(786) 288-5973 View (786) 288-5973
Photo of Katie Fennell, Counselor, MS, LMHC
Katie Fennell
Counselor, MS, LMHC
2 Endorsed
Pinecrest, FL 33156
Hi! My name is Katie Fennell, I am a licensed mental health counselor at Buxani Counseling Care. Our mission is to empower our clients to resolve their issues and lead fulfilling lives through a mindful and tailored therapeutic approach to mental health.
Hi! My name is Katie Fennell, I am a licensed mental health counselor at Buxani Counseling Care. Our mission is to empower our clients to resolve their issues and lead fulfilling lives through a mindful and tailored therapeutic approach to mental health.
(786) 808-4673 View (786) 808-4673
Photo of Shana Friedman, Counselor, LMHC, CAP
Shana Friedman
Counselor, LMHC, CAP
Pinecrest, FL 33156
Many people I have worked with struggle with depression, anxiety, relationship difficulties, and poor coping. I am here to help you come to a greater self understanding so that you experience more positive feelings, stronger relationships, and more goal completion. I also wish to be of support to folks who are questioning their sexuality, gender identity, and coping with strong negative feelings towards their body or self. I want to help you feel heard and validated so that you come to a stronger sense of self acceptance. I strongly believe that self acceptance helps us ultimately make life changes.
Many people I have worked with struggle with depression, anxiety, relationship difficulties, and poor coping. I am here to help you come to a greater self understanding so that you experience more positive feelings, stronger relationships, and more goal completion. I also wish to be of support to folks who are questioning their sexuality, gender identity, and coping with strong negative feelings towards their body or self. I want to help you feel heard and validated so that you come to a stronger sense of self acceptance. I strongly believe that self acceptance helps us ultimately make life changes.
(786) 418-6936 View (786) 418-6936
Photo of Karina Maria Luaces, Psychologist, PsyD
Karina Maria Luaces
Psychologist, PsyD
1 Endorsed
Pinecrest, FL 33156
You may be feeling overwhelmed by anxiety, weighed down by depression, or facing a life transition that feels heavier than you expected. Perhaps your child is struggling with intense emotions, self-harm, or low self-esteem. Maybe you’re navigating divorce, fertility challenges, or the pressures of young adulthood and feeling stuck, exhausted, or unsure of your next step. You want relief, clarity, and healthier ways to cope - not just short-term fixes, but lasting tools to feel more grounded, confident, and emotionally steady.
You may be feeling overwhelmed by anxiety, weighed down by depression, or facing a life transition that feels heavier than you expected. Perhaps your child is struggling with intense emotions, self-harm, or low self-esteem. Maybe you’re navigating divorce, fertility challenges, or the pressures of young adulthood and feeling stuck, exhausted, or unsure of your next step. You want relief, clarity, and healthier ways to cope - not just short-term fixes, but lasting tools to feel more grounded, confident, and emotionally steady.
(786) 526-0479 View (786) 526-0479
Photo of Maria-Pilar Gonzalez, CMHt, Life, Coach, SMgtCs
Maria-Pilar Gonzalez
Verified Verified
Pinecrest, FL 33156
It is all about realizing your own potential and the endless possibilities you can create. With over 21 years of experience in Hypnosis, Life Coaching, and Biomagnetic Therapy, I help many people overcome unwanted habits, releasing stress and controlling anxieties and panic attacks. I guide my clients to build confidence and concentration and to reach their goals of success and happiness. I also do Past Life Regression and Spiritual Hypnosis. Call us, there is so much we can help with... We are here to guide you.
It is all about realizing your own potential and the endless possibilities you can create. With over 21 years of experience in Hypnosis, Life Coaching, and Biomagnetic Therapy, I help many people overcome unwanted habits, releasing stress and controlling anxieties and panic attacks. I guide my clients to build confidence and concentration and to reach their goals of success and happiness. I also do Past Life Regression and Spiritual Hypnosis. Call us, there is so much we can help with... We are here to guide you.
(305) 595-1699 View (305) 595-1699
Photo of Jovanie Roman-Dupuy, Counselor, LMHC
Jovanie Roman-Dupuy
Counselor, LMHC
1 Endorsed
Pinecrest, FL 33156
Hi! My name is Jovanie Roman-Dupuy, I am a licensed mental health counselor at Buxani Counseling Care. Our mission is to empower our clients to resolve their issues and lead fulfilling lives through a mindful and tailored therapeutic approach to mental health.
Hi! My name is Jovanie Roman-Dupuy, I am a licensed mental health counselor at Buxani Counseling Care. Our mission is to empower our clients to resolve their issues and lead fulfilling lives through a mindful and tailored therapeutic approach to mental health.
(786) 841-1922 View (786) 841-1922
Photo of Dr. Chelle Epstein, Clinical Social Work/Therapist, DSW, LCSW
Dr. Chelle Epstein
Clinical Social Work/Therapist, DSW, LCSW
Pinecrest, FL 33156
Maybe you or someone in your family needs someone to really hear you or see your point of view or just feel what you mean. If that's the case, I'm someone you might want to know. The best part of therapy is being safe to talk and express how you feel, but that can be the hardest part too. That's why we might draw, sculpt, sing, move, write, or share stories, movies, and song lyrics.
Maybe you or someone in your family needs someone to really hear you or see your point of view or just feel what you mean. If that's the case, I'm someone you might want to know. The best part of therapy is being safe to talk and express how you feel, but that can be the hardest part too. That's why we might draw, sculpt, sing, move, write, or share stories, movies, and song lyrics.
(305) 783-2681 View (305) 783-2681
Photo of Alicia Foss, Counselor, LMHC
Alicia Foss
Counselor, LMHC
Pinecrest, FL 33156
As a Licensed Mental Health Counselor (LMHC), my primary goal is to create a space where you feel heard, valued, and truly cared for. I believe that every person has their own unique journey, and I’m here to walk alongside you in navigating challenges, fostering personal growth, and building resilience. My approach is rooted in compassion, understanding, and a deep commitment to your well-being. I take the time to listen to your story and truly understand your perspective—without judgment or assumptions. You are the expert of your life, and my role is to provide a supportive environment where you feel safe to express your thoughts,
As a Licensed Mental Health Counselor (LMHC), my primary goal is to create a space where you feel heard, valued, and truly cared for. I believe that every person has their own unique journey, and I’m here to walk alongside you in navigating challenges, fostering personal growth, and building resilience. My approach is rooted in compassion, understanding, and a deep commitment to your well-being. I take the time to listen to your story and truly understand your perspective—without judgment or assumptions. You are the expert of your life, and my role is to provide a supportive environment where you feel safe to express your thoughts,
(855) 512-2427 View (855) 512-2427
Photo of Annie Gonzalez, Marriage & Family Therapist Intern, RMFTI
Annie Gonzalez
Marriage & Family Therapist Intern, RMFTI
1 Endorsed
Pinecrest, FL 33156
I am a compassionate therapist dedicated to working with individuals across all age groups, including children, adolescents, adults, couples, and families. I place great emphasis on building a genuine therapeutic connection, creating a safe space for clients to openly share their thoughts and feelings.
I am a compassionate therapist dedicated to working with individuals across all age groups, including children, adolescents, adults, couples, and families. I place great emphasis on building a genuine therapeutic connection, creating a safe space for clients to openly share their thoughts and feelings.
(786) 829-3169 View (786) 829-3169
Photo of Niurka Sotolongo Eberhardt, Counselor, MS, LMHC, PhD
Niurka Sotolongo Eberhardt
Counselor, MS, LMHC, PhD
Pinecrest, FL 33156
Embark on a transformative journey of self-discovery and personal growth with Niurka Sotolongo Eberhardt. Access to a safe and nurturing space for exploration, where her warm and empathetic support helps you navigate challenges, gain insight, and cultivate resilience. Together, you'll delve into your thoughts, emotions, and experiences, fostering a deeper understanding of yourself and your path forward. This collaborative process empowers you to set goals, confront obstacles, and make positive changes, leading to a more fulfilling and balanced life. Where Couples renew intimacy & enhance communication. Deepening their connection.
Embark on a transformative journey of self-discovery and personal growth with Niurka Sotolongo Eberhardt. Access to a safe and nurturing space for exploration, where her warm and empathetic support helps you navigate challenges, gain insight, and cultivate resilience. Together, you'll delve into your thoughts, emotions, and experiences, fostering a deeper understanding of yourself and your path forward. This collaborative process empowers you to set goals, confront obstacles, and make positive changes, leading to a more fulfilling and balanced life. Where Couples renew intimacy & enhance communication. Deepening their connection.
(954) 624-6016 View (954) 624-6016
Photo of Roselyn Smith - Roselyn Smith, PhD, LLC-NPI # 1073649232, Psychologist, PhD
Ready to reclaim your life from stress, illness, pain, indecision, grief, depression, anxiety, trauma? Then contact me now. In addition to providing keynote addresses on critical incident response/Psychological First Aid and corporate communications, stress management, mindfulness, and productivity, I specialize in critical incident response/trauma treatment, CBT, hypnotherapy & meditation training. Most of my patients are capable & accomplished, ready to work hard and get results. After a thorough intake evaluation, I recommend an individualized therapy "road map" based upon intake results, goals, & personality structure, an approach that works well for motivated individuals. Congratulations on taking this step. I look forward to hearing from you.
Ready to reclaim your life from stress, illness, pain, indecision, grief, depression, anxiety, trauma? Then contact me now. In addition to providing keynote addresses on critical incident response/Psychological First Aid and corporate communications, stress management, mindfulness, and productivity, I specialize in critical incident response/trauma treatment, CBT, hypnotherapy & meditation training. Most of my patients are capable & accomplished, ready to work hard and get results. After a thorough intake evaluation, I recommend an individualized therapy "road map" based upon intake results, goals, & personality structure, an approach that works well for motivated individuals. Congratulations on taking this step. I look forward to hearing from you.
(305) 834-4866 View (305) 834-4866
Photo of Xotchilt Blanco, Licensed Mental Health Counselor, MS, LMHC
Xotchilt Blanco
Licensed Mental Health Counselor, MS, LMHC
Pinecrest, FL 33156
You are the most important part of your treatment, and it begins with a foundation of trust. Depression, anxiety, relationship stress, challenges with academic or professional growth... there are endless reasons to seek therapy. In sessions, I prioritize the development of a connection that feels comfortable and safe for you. Each person is unique, together we will find a way to customize the various evidence-based treatment tools so that they work in a way that affirms who you are.
You are the most important part of your treatment, and it begins with a foundation of trust. Depression, anxiety, relationship stress, challenges with academic or professional growth... there are endless reasons to seek therapy. In sessions, I prioritize the development of a connection that feels comfortable and safe for you. Each person is unique, together we will find a way to customize the various evidence-based treatment tools so that they work in a way that affirms who you are.
(786) 648-8934 View (786) 648-8934
Photo of Kristen Farrell-Turner, Psychologist, PhD
Kristen Farrell-Turner
Psychologist, PhD
Pinecrest, FL 33156
Want to lose weight or otherwise improve your metabolic health? Feeling stuck, unmotivated, and/or stressed? I have very specialized experience helping people with lifestyle change. Change can be hard. I will help motivate and prepare you to make changes in your life toward improved overall well-being. For nearly 20 years, I've been practicing, researching, and teaching behavioral medicine, always with a focus on the relationship between mental health and physical health. Together, we will explore various ways you can improve your overall well-being, but the road you choose is ultimately up to you.
Want to lose weight or otherwise improve your metabolic health? Feeling stuck, unmotivated, and/or stressed? I have very specialized experience helping people with lifestyle change. Change can be hard. I will help motivate and prepare you to make changes in your life toward improved overall well-being. For nearly 20 years, I've been practicing, researching, and teaching behavioral medicine, always with a focus on the relationship between mental health and physical health. Together, we will explore various ways you can improve your overall well-being, but the road you choose is ultimately up to you.
(786) 998-5108 View (786) 998-5108

See more therapy options for Pinecrest

How does your Therapist compare?

Number of Therapists in Pinecrest, FL

100+

Average cost per session

$175

Therapists in Pinecrest, FL who prioritize treating:

94% Anxiety
86% Depression
80% Self Esteem
75% Relationship Issues
63% Stress
61% Family Conflict
59% Parenting

Average years in practice

17 Years

Top 3 insurances accepted

83% Cigna and Evernorth
75% Aetna
75% UnitedHealthcare UHC | UBH

How Therapists in Pinecrest, FL see their clients

71% In Person and Online
29% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pinecrest?

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.