Therapists in Miami, FL

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Photo of Elizabeth Erban, Marriage & Family Therapist in Miami, FL
Elizabeth Erban
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Miami, FL 33155  (Online Only)
Are you experiencing family issues, relationship difficulties, parenting struggles, or professional stress? Are you struggling to identify who you are and what you like? Are you interested in becoming healthier and happier? I've been working with individual clients, couples and parents to provide support in their journeys' for two decades and have been providing telehealth since 2015. I am collaborative in my approach and believe that the relationship between therapist and client is key to therapy being effective.
Are you experiencing family issues, relationship difficulties, parenting struggles, or professional stress? Are you struggling to identify who you are and what you like? Are you interested in becoming healthier and happier? I've been working with individual clients, couples and parents to provide support in their journeys' for two decades and have been providing telehealth since 2015. I am collaborative in my approach and believe that the relationship between therapist and client is key to therapy being effective.
(786) 933-7379 View (786) 933-7379
Photo of Leonardo Aguilar, Counselor in Miami, FL
Leonardo Aguilar
Counselor, LMHC
Verified Verified
1 Endorsed
Miami, FL 33131
Do you feel like it's difficult to cope with anxiety, or hard to focus and relax? You may be fed up with having family/friends worry about you, or you may feel stressed and worried. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to have tools to help you manage anxiety. You’re ready to have more focus and live life in the now . Most of all, you’re ready to regain control of your life.
Do you feel like it's difficult to cope with anxiety, or hard to focus and relax? You may be fed up with having family/friends worry about you, or you may feel stressed and worried. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to have tools to help you manage anxiety. You’re ready to have more focus and live life in the now . Most of all, you’re ready to regain control of your life.
(786) 730-8606 View (786) 730-8606
Photo of Fertility Pregnancy Birth Trauma Therapy And Hypnotherapy Patty Castellanos, Counselor in Miami, FL
Fertility Pregnancy Birth Trauma Therapy And Hypnotherapy Patty Castellanos
Counselor, LMHC, CHT, HBCE
Verified Verified
4 Endorsed
Miami, FL 33183  (Online Only)
Maybe you’ve been thinking about it, wondering about what’s going on. Wondering if the thoughts and feelings you have been having about conception, pregnancy, delivery, or being a mother make sense. Perhaps you’ve been trying to convince yourself that things aren't so bad or what you’re feeling is normal. Now, if you sit back and take a moment to yourself, if you take a moment to visualize what you would like your journey into motherhood to look like, if you’re really honest with yourself... You’re over it! If this is resonating, let's talk about your goals and that change you're ready to create to become a confident mom!
Maybe you’ve been thinking about it, wondering about what’s going on. Wondering if the thoughts and feelings you have been having about conception, pregnancy, delivery, or being a mother make sense. Perhaps you’ve been trying to convince yourself that things aren't so bad or what you’re feeling is normal. Now, if you sit back and take a moment to yourself, if you take a moment to visualize what you would like your journey into motherhood to look like, if you’re really honest with yourself... You’re over it! If this is resonating, let's talk about your goals and that change you're ready to create to become a confident mom!
(305) 767-7689 View (305) 767-7689
Photo of Jacqueline Gener Purrinos, Psychologist in Miami, FL
Jacqueline Gener Purrinos
Psychologist, PsyD
Verified Verified
Miami, FL 33156
You deserve to live a happy and fulfilling life, and most importantly to feel better. Reaching out for help is a sign of strength. No matter what you are going through in life, your struggles are temporary. I want you to hold onto hope that you can heal and grow. You know yourself and your story the best. I will serve as a mirror to reflect things about yourself that you may not have realized if we had not looked together, and will do so in a way that is free of any judgment. It may be difficult at times, but I am here to support you as you blossom into the best version of yourself.
You deserve to live a happy and fulfilling life, and most importantly to feel better. Reaching out for help is a sign of strength. No matter what you are going through in life, your struggles are temporary. I want you to hold onto hope that you can heal and grow. You know yourself and your story the best. I will serve as a mirror to reflect things about yourself that you may not have realized if we had not looked together, and will do so in a way that is free of any judgment. It may be difficult at times, but I am here to support you as you blossom into the best version of yourself.
(786) 833-6881 View (786) 833-6881
Photo of Monica Arredondo, Registered Mental Health Counselor Intern in Miami, FL
Monica Arredondo
Registered Mental Health Counselor Intern, MA, MHCI
Verified Verified
Miami, FL 33155
I provide an Emotional Support Animal (ESA) and or Air travel Psychiatric Service Dog (PSD) recommendation letters in accordance with the ADA, Fair Housing Act (FHA) and Air Carrier Access Act (49 U.S. 41705 and 14 C.F.R.382) for the owners of dogs and cats. We can discuss the psychological and emotional needs for your ESA and PSD documentation for the HOA, landlords, schools or Airlines. We are HIPAA compliance. No longer worry about the pet deposits or large pet rental fees. You have the right to keep your animal with you when the landlord wants to prevent you from keeping your family together. Save hundreds of dollars. Same day
I provide an Emotional Support Animal (ESA) and or Air travel Psychiatric Service Dog (PSD) recommendation letters in accordance with the ADA, Fair Housing Act (FHA) and Air Carrier Access Act (49 U.S. 41705 and 14 C.F.R.382) for the owners of dogs and cats. We can discuss the psychological and emotional needs for your ESA and PSD documentation for the HOA, landlords, schools or Airlines. We are HIPAA compliance. No longer worry about the pet deposits or large pet rental fees. You have the right to keep your animal with you when the landlord wants to prevent you from keeping your family together. Save hundreds of dollars. Same day
(305) 707-6540 View (305) 707-6540
Photo of Daniel Griffin, Counselor in Miami, FL
Daniel Griffin
Counselor, MA, LCMHCA, LCASA
Verified Verified
Miami, FL 33130  (Online Only)
Do you find yourself being weighed down by past events or seemingly uncontrollable emotions? I treat all sorts of issues that people struggle with. I specialize in helping people overcome traumatic experiences, helping people with depression, anxiety, obsessive thinking, anger management, and worry. I firmly believe in therapy as two or more people working towards a common goal. I like to help people accomplish their goals, whatever those goals may be, in the most successful way possible. I do my best to be approachable and I have a laid back style. I want you to be comfortable as we work on overcoming life's challenges.
Do you find yourself being weighed down by past events or seemingly uncontrollable emotions? I treat all sorts of issues that people struggle with. I specialize in helping people overcome traumatic experiences, helping people with depression, anxiety, obsessive thinking, anger management, and worry. I firmly believe in therapy as two or more people working towards a common goal. I like to help people accomplish their goals, whatever those goals may be, in the most successful way possible. I do my best to be approachable and I have a laid back style. I want you to be comfortable as we work on overcoming life's challenges.
(786) 250-0855 View (786) 250-0855
Photo of Jennifer Sotolongo, Counselor in Miami, FL
Jennifer Sotolongo
Counselor, MS, LMHC, PMH-C
Verified Verified
1 Endorsed
Miami, FL 33185
Motherhood is hard. You do it all with love and selflessness, but it's too much to handle on your own at this point. You need to slow down but motherhood never stops-always something to be done. You are ready to delegate some tasks but don’t know how to ask for help. Oh and the mental load! You are ready to take a break but don’t have the support you need. Others expect you to take care of it all and your inner voice expects nothing less than perfect– leaving you depleted and anxious, feeling isolated. And then there is the pain of motherhood not being what you envisioned. and it’s bringing all these feelings to the surface!
Motherhood is hard. You do it all with love and selflessness, but it's too much to handle on your own at this point. You need to slow down but motherhood never stops-always something to be done. You are ready to delegate some tasks but don’t know how to ask for help. Oh and the mental load! You are ready to take a break but don’t have the support you need. Others expect you to take care of it all and your inner voice expects nothing less than perfect– leaving you depleted and anxious, feeling isolated. And then there is the pain of motherhood not being what you envisioned. and it’s bringing all these feelings to the surface!
(786) 933-6301 View (786) 933-6301
Photo of Dr. Yolle Pierre, Marriage & Family Therapist in Miami, FL
Dr. Yolle Pierre
Marriage & Family Therapist, LMFT
Verified Verified
Miami, FL 33130  (Online Only)
I am Dr. Yolle Pierre, a Licensed Marriage and Family Therapist in the State of Florida. Congratulations on making such a significant decision regarding your wellbeing. I am honored to join you on your journey towards awareness, growth, and healing. Embarking on this journey can feel overwhelming, yet promising. Your decision to seek psychotherapy takes strength. Whether you are facing personal matters, relational issues, or dealing with overall life’s challenges, you are not alone.
I am Dr. Yolle Pierre, a Licensed Marriage and Family Therapist in the State of Florida. Congratulations on making such a significant decision regarding your wellbeing. I am honored to join you on your journey towards awareness, growth, and healing. Embarking on this journey can feel overwhelming, yet promising. Your decision to seek psychotherapy takes strength. Whether you are facing personal matters, relational issues, or dealing with overall life’s challenges, you are not alone.
(305) 928-2205 View (305) 928-2205
Photo of Anita Jrade, Counselor in Miami, FL
Anita Jrade
Counselor, LMHC
Verified Verified
Miami, FL 33179  (Online Only)
Hello! I am Anita and I am a licensed Mental Health Counselor in Florida with 23 years of professional work experience. My focus and objective is in helping clients with relationship issues, motivation, self esteem, and confidence, career difficulties, & depression, among any other issue that you may be experiencing.
Hello! I am Anita and I am a licensed Mental Health Counselor in Florida with 23 years of professional work experience. My focus and objective is in helping clients with relationship issues, motivation, self esteem, and confidence, career difficulties, & depression, among any other issue that you may be experiencing.
(305) 912-9389 View (305) 912-9389
Photo of Jacqueline L. Blue, Psychologist in Miami, FL
Jacqueline L. Blue
Psychologist, PhD
Verified Verified
Miami, FL 33156
Are you looking for someone who you can feel comfortable opening up to and can help you navigate through a difficult time? I know it is not easy to look through hundreds of random faces to try and decide which one of us can help you best. Please check out my website to help determine if I may be a good fit for you (www.PsychologyBlue.com).
Are you looking for someone who you can feel comfortable opening up to and can help you navigate through a difficult time? I know it is not easy to look through hundreds of random faces to try and decide which one of us can help you best. Please check out my website to help determine if I may be a good fit for you (www.PsychologyBlue.com).
(786) 565-4630 View (786) 565-4630
Photo of Your Counseling Services dba Therapy Corner, Licensed Professional Counselor in Miami, FL
Your Counseling Services dba Therapy Corner
Licensed Professional Counselor, MA, LPC
Verified Verified
Miami, FL 33130  (Online Only)
Do you sometimes feel swallowed up by life's problems? Well, you're not alone. I will make it my priority to address your needs as a child, teen or adult. Through talk therapy, I will help you find or learn coping skills that will enable you to start on the path of healing and feeling food again. You will be empowered to utilize strategies that will assist you in making better choices. You will determine the best avenue for yourself while dealing with challenging situations. In addition to the services provided, prompt appointments are scheduled and clients are seen within 24 hrs.
Do you sometimes feel swallowed up by life's problems? Well, you're not alone. I will make it my priority to address your needs as a child, teen or adult. Through talk therapy, I will help you find or learn coping skills that will enable you to start on the path of healing and feeling food again. You will be empowered to utilize strategies that will assist you in making better choices. You will determine the best avenue for yourself while dealing with challenging situations. In addition to the services provided, prompt appointments are scheduled and clients are seen within 24 hrs.
(786) 284-6451 View (786) 284-6451
Photo of Beatriz Aguilar in Miami, FL
Beatriz Aguilar
MA, BA
Verified Verified
Miami, FL 33135  (Online Only)
I am specialized in break-ups, self-esteem, codependency, emotional management, communication in relationships, self talk strategies and decision making skills training. Life is too short to constantly be at war with yourself. I have a Bachelor’s and a Master’s degree in Psychology and I have worked in Mental Health for 10 years. Through my career, I have helped more than 300 clients to change the direction of their lives in problems such as: - Break up/Divorce - Low Self-esteem - Communication in their Relationships - Codependency - Self Talk Strategies. I work only online, in English or Spanish.
I am specialized in break-ups, self-esteem, codependency, emotional management, communication in relationships, self talk strategies and decision making skills training. Life is too short to constantly be at war with yourself. I have a Bachelor’s and a Master’s degree in Psychology and I have worked in Mental Health for 10 years. Through my career, I have helped more than 300 clients to change the direction of their lives in problems such as: - Break up/Divorce - Low Self-esteem - Communication in their Relationships - Codependency - Self Talk Strategies. I work only online, in English or Spanish.
(786) 788-8701 View (786) 788-8701
Photo of Jackeline Sanchez, Psychologist in Miami, FL
Jackeline Sanchez
Psychologist, PhD
Verified Verified
Miami, FL 33134  (Online Only)
Who doesn't need a space to reflect and recharge in a post-pandemic world? Are you struggling with low mood or excessive worrying? Do you find yourself trying to navigate stress, relationship issues, or general transitions in your life? If you're viewing this page you're probably willing to give therapy a chance to help with these issues. Therapy is a unique opportunity to build insight into our personal struggles and build the skills and motivation needed to better cope with stress and live a healthier life.
Who doesn't need a space to reflect and recharge in a post-pandemic world? Are you struggling with low mood or excessive worrying? Do you find yourself trying to navigate stress, relationship issues, or general transitions in your life? If you're viewing this page you're probably willing to give therapy a chance to help with these issues. Therapy is a unique opportunity to build insight into our personal struggles and build the skills and motivation needed to better cope with stress and live a healthier life.
(786) 652-2074 View (786) 652-2074
Photo of Odalis Romero, Licensed Mental Health Counselor in Miami, FL
Odalis Romero
Licensed Mental Health Counselor, LMHC, CCMHC, NCC
Verified Verified
Miami, FL 33145
I am a bilingual therapist (Spanish/English). (Hablo Español!). I enjoy helping individuals of all ages, especially kids and teens, understand their emoitons and learn how to express them. I also work with adults helping them manage and cope with their moods (anger, depression, anxiety, etc.). I also enjoy helping individuals work or heal, from life changes, grief and even trauma. I am trained in EMDR to help individuals overcome their trauma. Looking forward to helping you heal.
I am a bilingual therapist (Spanish/English). (Hablo Español!). I enjoy helping individuals of all ages, especially kids and teens, understand their emoitons and learn how to express them. I also work with adults helping them manage and cope with their moods (anger, depression, anxiety, etc.). I also enjoy helping individuals work or heal, from life changes, grief and even trauma. I am trained in EMDR to help individuals overcome their trauma. Looking forward to helping you heal.
(786) 876-8367 View (786) 876-8367
Photo of Jessica Valencia in Miami, FL
Jessica Valencia
LMHC, MS
Verified Verified
1 Endorsed
Miami, FL 33173  (Online Only)
Are you a high-functioning person but still feeling held back by anxiety or depression? Are you able to maintain daily responsibilities and tasks despite experiencing symptoms of anxiety and depression? Do you put a facade of normalcy, but inside you may be struggling with fear, worry, sadness, and other difficult emotions? It's not uncommon to keep it together on the outside while struggling on the inside. I specialize in working with teens, young adults and adults who are ready to take control of their mental health and live the life they deserve.
Are you a high-functioning person but still feeling held back by anxiety or depression? Are you able to maintain daily responsibilities and tasks despite experiencing symptoms of anxiety and depression? Do you put a facade of normalcy, but inside you may be struggling with fear, worry, sadness, and other difficult emotions? It's not uncommon to keep it together on the outside while struggling on the inside. I specialize in working with teens, young adults and adults who are ready to take control of their mental health and live the life they deserve.
(786) 705-8994 View (786) 705-8994
Photo of Taylor South, Marriage & Family Therapist in Miami, FL
Taylor South
Marriage & Family Therapist, LMFT
Verified Verified
Miami, FL 33130  (Online Only)
I am a licensed marriage and family therapist based in central Florida. I completed my undergraduate and masters degree at Southeastern University in central Florida, and have been licensed for over 3 years.
I am a licensed marriage and family therapist based in central Florida. I completed my undergraduate and masters degree at Southeastern University in central Florida, and have been licensed for over 3 years.
(786) 891-2461 View (786) 891-2461
Photo of Bruce D Korray, Clinical Social Work/Therapist in Miami, FL
Bruce D Korray
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
1 Endorsed
Miami, FL 33138
Sometimes we have difficulties that are unique to men. At times, life can even become overwhelming. If you are having trouble maintaining your true course or achieving your goals, have lost touch with your purpose, or simply need support along your journey, I am here to help you. ​
Sometimes we have difficulties that are unique to men. At times, life can even become overwhelming. If you are having trouble maintaining your true course or achieving your goals, have lost touch with your purpose, or simply need support along your journey, I am here to help you. ​
(305) 547-9553 View (305) 547-9553
Photo of Michele Bradford, Marriage & Family Therapist in Miami, FL
Michele Bradford
Marriage & Family Therapist, MFT
Verified Verified
Miami, FL 33131  (Online Only)
Michele is a certified Spiritual Counselor & Companion, a Licensed Marriage & Family Therapist, and an Educator. In addition, Michele has over 20 years of experience working with individuals and families. Michele takes a holistic approach, working with individuals to understand that healing is mind, body, and spirt connection. She will often provide tools to clients that allow for inner safety and spaciousness in being able to process those difficult emotions by building inner self-trust.
Michele is a certified Spiritual Counselor & Companion, a Licensed Marriage & Family Therapist, and an Educator. In addition, Michele has over 20 years of experience working with individuals and families. Michele takes a holistic approach, working with individuals to understand that healing is mind, body, and spirt connection. She will often provide tools to clients that allow for inner safety and spaciousness in being able to process those difficult emotions by building inner self-trust.
(786) 998-6035 View (786) 998-6035
Photo of Leonel Garciga, Counselor in Miami, FL
Leonel Garciga
Counselor, LMHC, MS
Verified Verified
1 Endorsed
Miami, FL 33145
I'm Leonel Garcia, an LMHC providing both in-person and telehealth services in the Miami area. Over the past two decades, I've dedicated myself to working with individuals facing challenging situations in the juvenile department, helping them discover a new path and create a promising future. My passion lies in assisting clients who are adapting to new life circumstances, enhancing relationships, and fostering healthier environments. Specializing in addressing challenges related to issues such as Men's concerns, Anxiety, Depression, Impulsivity, Addiction, Young Adults, Parenting, Relationship issues, and Grief.
I'm Leonel Garcia, an LMHC providing both in-person and telehealth services in the Miami area. Over the past two decades, I've dedicated myself to working with individuals facing challenging situations in the juvenile department, helping them discover a new path and create a promising future. My passion lies in assisting clients who are adapting to new life circumstances, enhancing relationships, and fostering healthier environments. Specializing in addressing challenges related to issues such as Men's concerns, Anxiety, Depression, Impulsivity, Addiction, Young Adults, Parenting, Relationship issues, and Grief.
(786) 882-6253 View (786) 882-6253
Photo of Sarah Shine, Clinical Social Work/Therapist in Miami, FL
Sarah Shine
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33130  (Online Only)
Hello! I'm a Licensed Clinical Social Worker in Florida (LCSW) and Licensed Independent Social Work Clinical Practice in South Carolina (LISW-CP) with five years of experience in the field. I received my Masters in Social Work from Samford University and my Bachelors in Psychology at Auburn University (War Eagle!). I help adults who may find themselves "haunted" by past experiences find freedom from those experiences in order to move forward with the life they deeply desire but have struggled to accept or make for themselves. You will find that I am personable, jovial, humorous, and straight forward.
Hello! I'm a Licensed Clinical Social Worker in Florida (LCSW) and Licensed Independent Social Work Clinical Practice in South Carolina (LISW-CP) with five years of experience in the field. I received my Masters in Social Work from Samford University and my Bachelors in Psychology at Auburn University (War Eagle!). I help adults who may find themselves "haunted" by past experiences find freedom from those experiences in order to move forward with the life they deeply desire but have struggled to accept or make for themselves. You will find that I am personable, jovial, humorous, and straight forward.
(786) 981-9890 View (786) 981-9890

How does your Therapist compare?

Number of Therapists in Miami, FL

3,000+

Average cost per session

$140

Therapists in Miami, FL who prioritize treating:

92% Anxiety
85% Depression
76% Self Esteem
69% Coping Skills
62% Relationship Issues
62% Trauma and PTSD
60% Stress

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
84% UnitedHealthcare UHC | UBH
81% Cigna and Evernorth

How Therapists in Miami, FL see their clients

57% Online Only
43% In Person and Online

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Miami?

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.