Therapists in Hawaii

View cities and counties in Hawaii
Photo of Carmenne Anne Chiasson, Psychologist in Hawaii
Carmenne Anne Chiasson
Psychologist, PhD
Verified Verified
Honolulu, HI 96813
I believe that all people are equal and deserve respect regardless of your history or your circumstances. I will collaborate with you towards positive change. I treat most diagnoses including anxiety, depression, PTSD, ADHD, and Autism. I treat clients of all ages and offer individual, couple, family and play therapy and Neurofeedback. I completed my APA approved internship at Kapiolani Counseling Center for women and children and I have previously worked as the child and adolescent psychologist at Kahi Mohala. I was the lead psychologist at my last position, providing consultation for child, adolescent and adult therapists.
I believe that all people are equal and deserve respect regardless of your history or your circumstances. I will collaborate with you towards positive change. I treat most diagnoses including anxiety, depression, PTSD, ADHD, and Autism. I treat clients of all ages and offer individual, couple, family and play therapy and Neurofeedback. I completed my APA approved internship at Kapiolani Counseling Center for women and children and I have previously worked as the child and adolescent psychologist at Kahi Mohala. I was the lead psychologist at my last position, providing consultation for child, adolescent and adult therapists.
(808) 419-3414 View (808) 419-3414
Photo of Tyler Ralston, Psychologist in Hawaii
Tyler Ralston
Psychologist, PsyD, ABPP
Verified Verified
Honolulu, HI 96816  (Online Only)
Dr. Ralston provides treatment for adult women who, as children or as adults, have experienced domestic violence, physical or sexual assault (abuse, rape, molestation), sexual harassment, motor vehicle accidents, or other serious and threatening events. Experiencing these events sometimes leads to trauma-related problems such as increased fear, avoidance, irritability, guilt, shame, low self-esteem, and changes in how one views herself, others and the world. Dr. Ralston regularly treats all of these symptoms.
Dr. Ralston provides treatment for adult women who, as children or as adults, have experienced domestic violence, physical or sexual assault (abuse, rape, molestation), sexual harassment, motor vehicle accidents, or other serious and threatening events. Experiencing these events sometimes leads to trauma-related problems such as increased fear, avoidance, irritability, guilt, shame, low self-esteem, and changes in how one views herself, others and the world. Dr. Ralston regularly treats all of these symptoms.
(808) 358-2982 View (808) 358-2982
Family and Addiction Counseling LLC
Drug & Alcohol Counselor, MA, MFT, LCASA
Verified Verified
1 Endorsed
Honolulu, HI 96815
Do you feel stuck? Are you frustrated with life challenges? Do you find it hard to express yourself or ask for help? It is time to break your silence. It is time to get unstuck. If you are seeking a compassionate and optimistic therapist you have come to the right place. My role as a therapist is to support individuals, couples, and families navigate through life changes and challenges. I utilize a client-centered and strengths-based approach that focuses on building a strong therapeutic relationship based on trust, respect, and collaboration.
Do you feel stuck? Are you frustrated with life challenges? Do you find it hard to express yourself or ask for help? It is time to break your silence. It is time to get unstuck. If you are seeking a compassionate and optimistic therapist you have come to the right place. My role as a therapist is to support individuals, couples, and families navigate through life changes and challenges. I utilize a client-centered and strengths-based approach that focuses on building a strong therapeutic relationship based on trust, respect, and collaboration.
(808) 400-9258 View (808) 400-9258
Photo of Damon L Ackerman, Counselor in Hawaii
Damon L Ackerman
Counselor, LMHC
Verified Verified
Honolulu, HI 96814
If you have a child with behavioral difficulties and need to decrease outbursts, if you cannot get your adolescent to listen, or don’t know what to do to support your teenager who is struggling with mood swings, I can help. Whether you are an individual or a parent who wants to improve your quality of life, a couple or a family that wants better cohesiveness, I have worked as an individual and family therapist on many of the Hawaiian islands with local families and families new to the islands on a plethora of issues.
If you have a child with behavioral difficulties and need to decrease outbursts, if you cannot get your adolescent to listen, or don’t know what to do to support your teenager who is struggling with mood swings, I can help. Whether you are an individual or a parent who wants to improve your quality of life, a couple or a family that wants better cohesiveness, I have worked as an individual and family therapist on many of the Hawaiian islands with local families and families new to the islands on a plethora of issues.
(808) 999-0677 View (808) 999-0677
Photo of Kevin K. Tomita, Psychologist in Hawaii
Kevin K. Tomita
Psychologist, PhD
Verified Verified
3 Endorsed
Honolulu, HI 96825  (Online Only)
I am licensed in Hawai'i and in California and am currently accepting new clients. Do you have difficulties navigating your relationships? Are you looking to address frustrating patterns that seem to turn up time and time again? Have you struggled with difficulties related to gender or sexuality? If you're looking for a psychologist with experience in working with these issues and more, I may be able to assist you.
I am licensed in Hawai'i and in California and am currently accepting new clients. Do you have difficulties navigating your relationships? Are you looking to address frustrating patterns that seem to turn up time and time again? Have you struggled with difficulties related to gender or sexuality? If you're looking for a psychologist with experience in working with these issues and more, I may be able to assist you.
(808) 731-1712 View (808) 731-1712
Photo of Ki Eun Jeon, Pre-Licensed Professional in Hawaii
Ki Eun Jeon
Pre-Licensed Professional, MA, MHC, LPCC
Verified Verified
Kailua Kona, HI 96740
한국어를 아주 잘함  (Fluent in Korean). One of my greatest strengths as a counselor is my ability to always hold hope for my clients as I walk alongside them in the process of their healing. I use a humanistic approach to create a safe environment built upon warmth, acceptance, and respect, free of judgment. My clients find that they are able to trust in our therapeutic relationship and appreciate my ability to be present, reflect genuine care, and truly listen.
한국어를 아주 잘함  (Fluent in Korean). One of my greatest strengths as a counselor is my ability to always hold hope for my clients as I walk alongside them in the process of their healing. I use a humanistic approach to create a safe environment built upon warmth, acceptance, and respect, free of judgment. My clients find that they are able to trust in our therapeutic relationship and appreciate my ability to be present, reflect genuine care, and truly listen.
(808) 862-6726 View (808) 862-6726
Photo of Tyra Gardner, Pre-Licensed Professional in Hawaii
Tyra Gardner
Pre-Licensed Professional, MS, MEd
Verified Verified
Hilo, HI 96720
Tyra S. Gardner is a Psychotherapist and CEO of At A Moments Notice, LLC. Tyra is a passionate scholar-practitioner in the field of mental health, who divides her time between clinical practice, training and business consulting. In her clinical practice, she delivers cognitive behavioral therapy and other evidence-based treatments to adults and adolescent clients with a range of emotional behavioral and adjustment problems including anger management, anxiety, stress, depression and relationship issues.
Tyra S. Gardner is a Psychotherapist and CEO of At A Moments Notice, LLC. Tyra is a passionate scholar-practitioner in the field of mental health, who divides her time between clinical practice, training and business consulting. In her clinical practice, she delivers cognitive behavioral therapy and other evidence-based treatments to adults and adolescent clients with a range of emotional behavioral and adjustment problems including anger management, anxiety, stress, depression and relationship issues.
(808) 400-7049 View (808) 400-7049
Photo of Bethany Andrews, Counselor in Hawaii
Bethany Andrews
Counselor, LCMHC
Verified Verified
Waipahu, HI 96797
I am Bethany Andrews, Licensed Mental Health Counselor in both Hawaii and Washington. My background is in Wilderness Therapy with 15 years of private practice mixed in. My style tends to be direct and encouraging. My primary modality is Relational Therapy. That said, I have several other theoretical approaches that I use depending on what is needed, such as Gestalt, Parts Work, Trauma Relief, CBT, DBT, mindfulness, Brain spotting, Art, and more. I typically work with people struggling to thrive. I see people with a range of issues and believe one of the most important pieces for healing is that we are a good match.
I am Bethany Andrews, Licensed Mental Health Counselor in both Hawaii and Washington. My background is in Wilderness Therapy with 15 years of private practice mixed in. My style tends to be direct and encouraging. My primary modality is Relational Therapy. That said, I have several other theoretical approaches that I use depending on what is needed, such as Gestalt, Parts Work, Trauma Relief, CBT, DBT, mindfulness, Brain spotting, Art, and more. I typically work with people struggling to thrive. I see people with a range of issues and believe one of the most important pieces for healing is that we are a good match.
(808) 774-3270 View (808) 774-3270
Photo of Kristine Altwies, Marriage & Family Therapist in Hawaii
Kristine Altwies
Marriage & Family Therapist, MA, LMFT
Verified Verified
Honolulu, HI 96826
Whether you are feeling a little bit off your game or deeply stuck, by seeking help you're on the right path. I work to provide a safe, supportive, and calming space. For 30 years I worked in adoption and family coaching. I am experienced in trauma, parenting, infertility, gender/ sexuality/racial identity and relationship building. I use a variety of interventions, and work with clients to set goals to plan for successful outcomes. I am eager to learn about my clients, and to figure out how best to help. Thank you for taking this step!
Whether you are feeling a little bit off your game or deeply stuck, by seeking help you're on the right path. I work to provide a safe, supportive, and calming space. For 30 years I worked in adoption and family coaching. I am experienced in trauma, parenting, infertility, gender/ sexuality/racial identity and relationship building. I use a variety of interventions, and work with clients to set goals to plan for successful outcomes. I am eager to learn about my clients, and to figure out how best to help. Thank you for taking this step!
(808) 204-4582 View (808) 204-4582
Photo of Keala Zane, Marriage & Family Therapist in Hawaii
Keala Zane
Marriage & Family Therapist, LMFT
Verified Verified
Honolulu, HI 96813  (Online Only)
Hi everyone and welcome! My name is Keala Zane and I want to congratulate you for getting to this important step in your mental health journey. It takes a lot of courage to want to take care of yourself and if you deem us a good fit, I would genuinely be honored to come along that journey with you. Do you find yourself feeling stressed, anxious or depressed? Are you feeling tired, unmotivated, irritable or overwhelmed?
Hi everyone and welcome! My name is Keala Zane and I want to congratulate you for getting to this important step in your mental health journey. It takes a lot of courage to want to take care of yourself and if you deem us a good fit, I would genuinely be honored to come along that journey with you. Do you find yourself feeling stressed, anxious or depressed? Are you feeling tired, unmotivated, irritable or overwhelmed?
(808) 201-2356 View (808) 201-2356
Photo of Jomarie Tyrrell, Marriage & Family Therapist in Hawaii
Jomarie Tyrrell
Marriage & Family Therapist, LMFT, CSAC
Verified Verified
1 Endorsed
Haiku, HI 96708
Are you currently at a place where life is giving you signals that you might need extra assistance? Are you caught in some emotional web that has you feeling stuck? Are you longing to feel a deeper connection with yourself and others? My clients not only gain a better understanding of themselves but also a more compassionate relationship with themselves and those around them. My clients leave with knowledge, tools and coping skills to address their daily lives.
Are you currently at a place where life is giving you signals that you might need extra assistance? Are you caught in some emotional web that has you feeling stuck? Are you longing to feel a deeper connection with yourself and others? My clients not only gain a better understanding of themselves but also a more compassionate relationship with themselves and those around them. My clients leave with knowledge, tools and coping skills to address their daily lives.
(808) 784-7286 View (808) 784-7286
Photo of Simone Phillips, Clinical Social Work/Therapist in Hawaii
Simone Phillips
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua, HI 96734
Greetings, I am a Licensed Clinical Social Work Therapist , Registered Masters Addiction Specialist, and Certified Life Coach. I believe every person can rise above the ashes of trauma in their life. As your Therapist, I partner with you in identifying your strengths and empower you to discover victory after trials. I understand that making the choice to seek counseling can be difficult, so I use a compassionate, direct, and non-judgmental approach to help create a safe space in which you feel supported in your counseling journey.
Greetings, I am a Licensed Clinical Social Work Therapist , Registered Masters Addiction Specialist, and Certified Life Coach. I believe every person can rise above the ashes of trauma in their life. As your Therapist, I partner with you in identifying your strengths and empower you to discover victory after trials. I understand that making the choice to seek counseling can be difficult, so I use a compassionate, direct, and non-judgmental approach to help create a safe space in which you feel supported in your counseling journey.
(808) 818-8091 View (808) 818-8091
Photo of Micah Kobayashi, Marriage & Family Therapist in Hawaii
Micah Kobayashi
Marriage & Family Therapist, MSCP, LMFT
Verified Verified
3 Endorsed
Honolulu, HI 96826
Mental health is just as crucial to your overall health and well being as is physical health, but often times you may not know how to “exercise” your mind in the same way that you do your body. Sometimes you may keep negative experiences, feelings, or thoughts to yourself because you worry you may burden a close friend or family member with your problems. Or perhaps, you don’t feel comfortable sharing these things with someone close to you. This may impact you in ways that you may not be consciously aware of in your daily life, or even later on in life.
Mental health is just as crucial to your overall health and well being as is physical health, but often times you may not know how to “exercise” your mind in the same way that you do your body. Sometimes you may keep negative experiences, feelings, or thoughts to yourself because you worry you may burden a close friend or family member with your problems. Or perhaps, you don’t feel comfortable sharing these things with someone close to you. This may impact you in ways that you may not be consciously aware of in your daily life, or even later on in life.
(808) 207-7824 View (808) 207-7824
Photo of Julie H. Nishihira, Psychologist in Hawaii
Julie H. Nishihira
Psychologist, PsyD, MA
Verified Verified
Honolulu, HI 96813  (Online Only)
“Be the best version of yourself.” Sometimes, this is easier said than done. Although we may strive towards a more satisfying and fulfilling self, life often presents challenging situations that can make it difficult for us to function at a level that we would like to. Perhaps you’ve been struggling with your own life challenges, and maybe you’ve been feeling overwhelmed by troubling issues such as stress, anxiety, and frustration. You might be feeling isolated, helpless, and “stuck,” and wondering how you will ever be able to move forward. Taking on such issues can seem like a daunting task, but you don’t have to face them alone.
“Be the best version of yourself.” Sometimes, this is easier said than done. Although we may strive towards a more satisfying and fulfilling self, life often presents challenging situations that can make it difficult for us to function at a level that we would like to. Perhaps you’ve been struggling with your own life challenges, and maybe you’ve been feeling overwhelmed by troubling issues such as stress, anxiety, and frustration. You might be feeling isolated, helpless, and “stuck,” and wondering how you will ever be able to move forward. Taking on such issues can seem like a daunting task, but you don’t have to face them alone.
(808) 207-9489 View (808) 207-9489
Photo of Step By Step Counseling Hawaii- Jess Logan, Clinical Social Work/Therapist in Hawaii
Step By Step Counseling Hawaii- Jess Logan
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Honolulu, HI 96826
I am a certified perinatal mental health specialist and support women through the challenges of pregnancy and postpartum. When becoming a parent, relationships change, identities change, and sometimes the stress is overwhelming. Feelings of guilt and exhaustion are common, and past traumas often resurface during this challenging time. You are not alone, and things can get better. I'll help you gain confidence, improve relationships and feel like yourself again!
I am a certified perinatal mental health specialist and support women through the challenges of pregnancy and postpartum. When becoming a parent, relationships change, identities change, and sometimes the stress is overwhelming. Feelings of guilt and exhaustion are common, and past traumas often resurface during this challenging time. You are not alone, and things can get better. I'll help you gain confidence, improve relationships and feel like yourself again!
(808) 204-4821 View (808) 204-4821
Photo of Glen Carner, Counselor in Hawaii
Glen Carner
Counselor, MA, LMHC
Verified Verified
Honolulu, HI 96815
Aloha, I'm Glen Carner, a family and addiction therapist with over 25 years of experience in providing therapeutic services to adults, teens, and family members from diverse cultures in Hawaii. As the owner and director Family & Addiction Counseling LLC, my passion lies in helping families overcome addictions, behavioral challenges, and other issues that affect their well-being. I specialize in implementing programs that have been scientifically demonstrated to improve my client's health in all areas of their lives. As a therapist, my ultimate goal is to help families build healthier relationships and achieve their full potential.
Aloha, I'm Glen Carner, a family and addiction therapist with over 25 years of experience in providing therapeutic services to adults, teens, and family members from diverse cultures in Hawaii. As the owner and director Family & Addiction Counseling LLC, my passion lies in helping families overcome addictions, behavioral challenges, and other issues that affect their well-being. I specialize in implementing programs that have been scientifically demonstrated to improve my client's health in all areas of their lives. As a therapist, my ultimate goal is to help families build healthier relationships and achieve their full potential.
(808) 494-6066 View (808) 494-6066
Photo of Ben Griffin, Mental Health Counselor in Hawaii
Ben Griffin
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Kihei, HI 96753  (Online Only)
Life doesn’t always go as planned, and let’s face it, it can be hard. My goal is to provide a safe and non-judgmental place for you to explore ways to cope, adapt to change, challenge yourself, and work through emotional, career, and personal difficulties. My hope is for each client to gain a sense of empowerment, learn their abilities and work together to create a unique, individual plan for their personal success.
Life doesn’t always go as planned, and let’s face it, it can be hard. My goal is to provide a safe and non-judgmental place for you to explore ways to cope, adapt to change, challenge yourself, and work through emotional, career, and personal difficulties. My hope is for each client to gain a sense of empowerment, learn their abilities and work together to create a unique, individual plan for their personal success.
(808) 353-4553 View (808) 353-4553
Photo of Ikaika Belding LLC, Licensed Professional Counselor in Hawaii
Ikaika Belding LLC
Licensed Professional Counselor, LMHC
Verified Verified
Ewa Beach, HI 96706  (Online Only)
Having been born and raised in Hawaii, I know that the beauty of our islands and people are unlike anywhere in the world. I also know that living in paradise doesn’t exclude us from the challenges of life. Individuals and families face hardships like never before. Some of you may be dealing with issues such as anxiety, depression, and anger. Others of you may have a teenager who’s having difficulties in school or whose wrestling with mental and emotional distress. Or maybe you’re having challenges as a couple and want to work things out.
Having been born and raised in Hawaii, I know that the beauty of our islands and people are unlike anywhere in the world. I also know that living in paradise doesn’t exclude us from the challenges of life. Individuals and families face hardships like never before. Some of you may be dealing with issues such as anxiety, depression, and anger. Others of you may have a teenager who’s having difficulties in school or whose wrestling with mental and emotional distress. Or maybe you’re having challenges as a couple and want to work things out.
(808) 746-3681 View (808) 746-3681
Photo of Anja Lemieux, Counselor in Hawaii
Anja Lemieux
Counselor, LMHC
Verified Verified
1 Endorsed
Hilo, HI 96720
I am motivated to help people gain insight, find resolution, and discover a way to move forward by the end of session. It you choose to participate in long term therapy we can work at a deeper level by having a closer look at your difficult experiences, reprocess and integrate, and discover new ways to relate to the world and find ease and stability, In our sessions we will emphasize building self knowledge at a pace that is right for you, and discovering and updating your ways of coping. For some this process is concentrated in a small area of change, and for some achieving well being means looking at and adjusting multiple areas.
I am motivated to help people gain insight, find resolution, and discover a way to move forward by the end of session. It you choose to participate in long term therapy we can work at a deeper level by having a closer look at your difficult experiences, reprocess and integrate, and discover new ways to relate to the world and find ease and stability, In our sessions we will emphasize building self knowledge at a pace that is right for you, and discovering and updating your ways of coping. For some this process is concentrated in a small area of change, and for some achieving well being means looking at and adjusting multiple areas.
(808) 378-7765 View (808) 378-7765
Photo of Marisa Fialho, Marriage & Family Therapist in Hawaii
Marisa Fialho
Marriage & Family Therapist, MS, LMFT, CSAC, LLC
Verified Verified
Honolulu, HI 96816  (Online Only)
Looking for a therapist is no easy task yet here you are, taking an incredibly courageous step towards self-improvement. Whether you are thinking about therapy because you or your relationship feels stuck, hopeless, or you feel that an outsider's unbiased perspective could help, finding the right therapist is crucial. I would be honored in starting this very rewarding and life changing journey with you.
Looking for a therapist is no easy task yet here you are, taking an incredibly courageous step towards self-improvement. Whether you are thinking about therapy because you or your relationship feels stuck, hopeless, or you feel that an outsider's unbiased perspective could help, finding the right therapist is crucial. I would be honored in starting this very rewarding and life changing journey with you.
(808) 201-3079 View (808) 201-3079

How does your Therapist compare?

Average cost per session

$150

Therapists in Hawaii who prioritize treating:

90% Anxiety
85% Depression
76% Relationship Issues
75% Self Esteem
72% Coping Skills
69% Trauma and PTSD
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

72% Hawaii Medical Services Association
55% University Health Alliance
53% Hawaii Medical Assurance Association

How Therapists in Hawaii see their clients

64% In Person and Online
36% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hawaii?

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.