Photo of Ja'ire Hattley, MA, LMFT, Marriage & Family Therapist
Ja'ire Hattley
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Los Angeles, CA 90064  (Online Only)
Are you overwhelmed by anxiety, navigating ADHD complexities, or stuck in life transitions? Perhaps you're dealing with depression, feeling disconnected in relationships, or questioning your identity. Or maybe you're grappling with betrayal trauma, sex therapy needs, or recovering from sex/porn addiction. My ideal clients seek understanding, clarity, and meaningful connections. If you’re burdened by past trauma, craving growth, or wanting to heal, you deserve a space where your experiences are validated and your unique journey is celebrated.
Are you overwhelmed by anxiety, navigating ADHD complexities, or stuck in life transitions? Perhaps you're dealing with depression, feeling disconnected in relationships, or questioning your identity. Or maybe you're grappling with betrayal trauma, sex therapy needs, or recovering from sex/porn addiction. My ideal clients seek understanding, clarity, and meaningful connections. If you’re burdened by past trauma, craving growth, or wanting to heal, you deserve a space where your experiences are validated and your unique journey is celebrated.
(323) 784-9972 View (323) 784-9972
Photo of Victoria Goldfarb, LMFT, Esq, Marriage & Family Therapist
Victoria Goldfarb
Marriage & Family Therapist, LMFT, Esq
Verified Verified
2 Endorsed
Los Angeles, CA 90064
I help people who want help feel better about themselves, their lives and their relationships. Some seek my help because they engage in behaviors that interfere with their ability to enjoy their lives. Some seek my help because they feel "stuck in a rut," worthless, guilty or confused about their purpose. Some seek my help to improve or change their relationships or to grieve a break-up or death. Some just want a space where they can turn off their "devices" and turn inward or towards their loved-ones, in the presence of a trained professional who intends to heal.
I help people who want help feel better about themselves, their lives and their relationships. Some seek my help because they engage in behaviors that interfere with their ability to enjoy their lives. Some seek my help because they feel "stuck in a rut," worthless, guilty or confused about their purpose. Some seek my help to improve or change their relationships or to grieve a break-up or death. Some just want a space where they can turn off their "devices" and turn inward or towards their loved-ones, in the presence of a trained professional who intends to heal.
(424) 488-0369 View (424) 488-0369
Photo of Marcos Andrade, AMFT, Marriage & Family Therapist Associate
Marcos Andrade
Marriage & Family Therapist Associate, AMFT
Verified Verified
Los Angeles, CA 90064
What's holding you back from starting your journey towards a brighter, more fulfilling life? I'm all about embracing authenticity and diving into your experiences and future aspirations. My approach is sincere and down-to-earth, bringing warmth, genuineness, and inclusivity into our therapy sessions together. I believe that therapy is a team effort where your needs and goals are what matter most. Clients like you can feel comfortable knowing I'm here to help you with compassion, creating a space where you can truly be yourself. I work with children, teens, adults, couples, and families. ¡Hablo español!
What's holding you back from starting your journey towards a brighter, more fulfilling life? I'm all about embracing authenticity and diving into your experiences and future aspirations. My approach is sincere and down-to-earth, bringing warmth, genuineness, and inclusivity into our therapy sessions together. I believe that therapy is a team effort where your needs and goals are what matter most. Clients like you can feel comfortable knowing I'm here to help you with compassion, creating a space where you can truly be yourself. I work with children, teens, adults, couples, and families. ¡Hablo español!
(310) 907-9456 View (310) 907-9456
Photo of Bobbie (Roberta) Feinberg, LCSW, Clinical Social Work/Therapist
Bobbie (Roberta) Feinberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90064
I have been working with adolescents, adults and couples for over 25 years in the WLA area specializing in anxiety, depression and relationship issues. The focus of our work can either be short term- working to resolve a particular issue or long term- a) developing insight and awareness into how the past and your experiences impact who you are today and b) developing and practicing new emotional skills. Together we will make the decision to enable you to have a more productive and fulfilling life.
I have been working with adolescents, adults and couples for over 25 years in the WLA area specializing in anxiety, depression and relationship issues. The focus of our work can either be short term- working to resolve a particular issue or long term- a) developing insight and awareness into how the past and your experiences impact who you are today and b) developing and practicing new emotional skills. Together we will make the decision to enable you to have a more productive and fulfilling life.
View
Photo of Alexandra Erin Gross, LMFT, LPCC, MA, Marriage & Family Therapist
Alexandra Erin Gross
Marriage & Family Therapist, LMFT, LPCC, MA
Verified Verified
Los Angeles, CA 90064  (Online Only)
I offer a uniquely integrative therapy that can benefit many different clients. I am a Licensed Marriage & Family Therapist, Professional Clinical Counselor, and Coach, and have a holistic mind, body, spirit approach. I support clients to explore their potential in a safe space and provide unbiased feedback and perspective to help you gain the insight, tools, and confidence to move forward and overcome challenges.
I offer a uniquely integrative therapy that can benefit many different clients. I am a Licensed Marriage & Family Therapist, Professional Clinical Counselor, and Coach, and have a holistic mind, body, spirit approach. I support clients to explore their potential in a safe space and provide unbiased feedback and perspective to help you gain the insight, tools, and confidence to move forward and overcome challenges.
(619) 480-2515 View (619) 480-2515
Photo of Dr. Bianca Cohan, PsyD, Psychologist
Dr. Bianca Cohan
Psychologist, PsyD
Verified Verified
4 Endorsed
Los Angeles, CA 90064
Navigating the complexities of childhood, adolescence, and young adulthood can be both exciting and challenging. I believe in creating a safe, nurturing, and empowering environment for children, teens, and young adults to explore their emotions and experiences. My goal is to help them develop effective coping strategies, build resilience, and ultimately lead more fulfilling lives. I specialize in working with young individuals who are grappling with the challenges of OCD, Anxiety, ADHD, and autism spectrum disorder (ASD).
Navigating the complexities of childhood, adolescence, and young adulthood can be both exciting and challenging. I believe in creating a safe, nurturing, and empowering environment for children, teens, and young adults to explore their emotions and experiences. My goal is to help them develop effective coping strategies, build resilience, and ultimately lead more fulfilling lives. I specialize in working with young individuals who are grappling with the challenges of OCD, Anxiety, ADHD, and autism spectrum disorder (ASD).
(323) 746-4427 View (323) 746-4427
Photo of Allison Brown, LCSW, Clinical Social Work/Therapist
Allison Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90064  (Online Only)
With 15 years of professional experience providing psychotherapy I have had the honor of working with people from all walks of life from Community Mental Health to providing therapy to sexual assault survivors at UCLA. Now, as the owner of my own practice, I feel passionate about working with people to identify what is holding you back, process your thoughts and feelings and empower you with new skills and tools to help you feel more connected to yourself and find a path forward.
With 15 years of professional experience providing psychotherapy I have had the honor of working with people from all walks of life from Community Mental Health to providing therapy to sexual assault survivors at UCLA. Now, as the owner of my own practice, I feel passionate about working with people to identify what is holding you back, process your thoughts and feelings and empower you with new skills and tools to help you feel more connected to yourself and find a path forward.
(818) 824-8667 View (818) 824-8667
Photo of Brandon Gescheidle, LMFT, MA, Marriage & Family Therapist
Brandon Gescheidle
Marriage & Family Therapist, LMFT, MA
Verified Verified
Los Angeles, CA 90064  (Online Only)
I do this work because I genuinely love it. I am very honest and direct with clients and encourage openness from each of us. Therapy is an opportunity to slow down, get reacquainted with ourselves, and engage in vulnerability and playfulness that is too often not accessed. I offer a supportive, completely non-judgmental space where everything and anything is on the table (believe me, as therapists, we have heard it all). Trust and comfortability take time, and I respect clients’ pace and readiness to travel in difficult directions. I also promise to (compassionately) hold you accountable to promote growth and healing.
I do this work because I genuinely love it. I am very honest and direct with clients and encourage openness from each of us. Therapy is an opportunity to slow down, get reacquainted with ourselves, and engage in vulnerability and playfulness that is too often not accessed. I offer a supportive, completely non-judgmental space where everything and anything is on the table (believe me, as therapists, we have heard it all). Trust and comfortability take time, and I respect clients’ pace and readiness to travel in difficult directions. I also promise to (compassionately) hold you accountable to promote growth and healing.
(424) 842-8532 View (424) 842-8532
Photo of Sandra Sarnoff, PhD, Psychologist
Sandra Sarnoff
Psychologist, PhD
Verified Verified
1 Endorsed
Los Angeles, CA 90064  (Online Only)
I offer a safe, collaborative, empathic environment where an individual can gradually deal with life's challenges including issues of depression, anxiety, grief/loss, health, trauma and abuse, and life transitions. I listen in a respectful way to help you formulate and work toward your desired goals. In therapy, I partner with you to build on what has worked in your life and to help you understand and transform those thing that have not.
I offer a safe, collaborative, empathic environment where an individual can gradually deal with life's challenges including issues of depression, anxiety, grief/loss, health, trauma and abuse, and life transitions. I listen in a respectful way to help you formulate and work toward your desired goals. In therapy, I partner with you to build on what has worked in your life and to help you understand and transform those thing that have not.
(310) 736-2811 View (310) 736-2811
Photo of Sydney Shaevel, LMFT, Marriage & Family Therapist
Sydney Shaevel
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90064
The therapeutic relationship is one that I hold close to my heart, as it is a piece of the puzzle that allowed me to flourish into my true self. I know firsthand what it is like to struggle and feel as though the obstacles ahead appear to be near impossible, whether big or small. While in the moment they may seem insurmountable, truly these experiences become the seeds of transformation and the foundation for stepping into our greatest possibilities in life.
The therapeutic relationship is one that I hold close to my heart, as it is a piece of the puzzle that allowed me to flourish into my true self. I know firsthand what it is like to struggle and feel as though the obstacles ahead appear to be near impossible, whether big or small. While in the moment they may seem insurmountable, truly these experiences become the seeds of transformation and the foundation for stepping into our greatest possibilities in life.
(424) 484-0113 View (424) 484-0113
Photo of Seva Burmaka, AMFT, APCC, MA, Marriage & Family Therapist Associate
Seva Burmaka
Marriage & Family Therapist Associate, AMFT, APCC, MA
Verified Verified
3 Endorsed
Los Angeles, CA 90064
Psychotherapy and counseling help people gain fresh insights into themselves, cultivate fulfilling relationships, authentically express themselves, and lead happier, more fulfilling lives. Some are looking for help in navigating depression, anxiety, life changes, relationship difficulties, or improving emotional regulation.
Psychotherapy and counseling help people gain fresh insights into themselves, cultivate fulfilling relationships, authentically express themselves, and lead happier, more fulfilling lives. Some are looking for help in navigating depression, anxiety, life changes, relationship difficulties, or improving emotional regulation.
(310) 362-9516 View (310) 362-9516
Photo of Shana Bacal Lutsky, LCSW, Clinical Social Work/Therapist
Shana Bacal Lutsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90064
I have worked as a therapist in Los Angeles for over 26 years with various populations. For the past 15 years I have worked in the educational school system. Through my professional experience and training, I have a lot of expertise working with older adolescents and adults. My current focus is young adults, as this is a period in one's life that can be especially challenging given all the social, emotional and physical changes that transpire. I work to help my clients navigate these transitions to better be able to cope.
I have worked as a therapist in Los Angeles for over 26 years with various populations. For the past 15 years I have worked in the educational school system. Through my professional experience and training, I have a lot of expertise working with older adolescents and adults. My current focus is young adults, as this is a period in one's life that can be especially challenging given all the social, emotional and physical changes that transpire. I work to help my clients navigate these transitions to better be able to cope.
(424) 290-8263 View (424) 290-8263
Dr. Amir Niazmand
Psychologist, PsyD
Verified Verified
Los Angeles, CA 90064
Waitlist for new clients
Dr. Amir is a licensed psychologist who specializes in psychological evaluation and assessments of adults.
Dr. Amir is a licensed psychologist who specializes in psychological evaluation and assessments of adults.
(310) 853-6780 View (310) 853-6780
Photo of Adella Jaeger, MSW, LCSW, Clinical Social Work/Therapist
Adella Jaeger
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Los Angeles, CA 90064
Are you feeling "stuck," overwhelmed, or find yourself worrying about things beyond your control? You are looking for the right therapist, someone who will not only "get you," but will actually help you. I am not a stereotypical "so how does that make you feel" therapist. Yes, I am very empathetic, down to earth, caring, and intuitive.. And I am also practical. As a therapist with over a decade of experience, I am actively involved, goal oriented, and realistic. I am skilled at providing both traditional and cutting-edge therapies, using invaluable tools that can open the doors for the insight and clarity that you are searching for.
Are you feeling "stuck," overwhelmed, or find yourself worrying about things beyond your control? You are looking for the right therapist, someone who will not only "get you," but will actually help you. I am not a stereotypical "so how does that make you feel" therapist. Yes, I am very empathetic, down to earth, caring, and intuitive.. And I am also practical. As a therapist with over a decade of experience, I am actively involved, goal oriented, and realistic. I am skilled at providing both traditional and cutting-edge therapies, using invaluable tools that can open the doors for the insight and clarity that you are searching for.
(702) 710-0826 View (702) 710-0826
Photo of Emily Rebecca Ward, AMFT, Marriage & Family Therapist Associate
Emily Rebecca Ward
Marriage & Family Therapist Associate, AMFT
Verified Verified
9 Endorsed
Los Angeles, CA 90064  (Online Only)
Are you ready to stop feeling anxious and/or depressed? Do you want to learn skills to calm your racing mind? Do you remember a time when anxiety, depression, & personal issues weren’t a part of your daily life? I can give you the tools and coping skills to change this. I help children/teenagers, couples, and individuals just like you: ones that have it within them to learn how to cope with their anxiety or depression and go back to living life the way that they remember it. I can support you on your journey towards feeling more self-confident, happy, fulfilled. I can help to guide you to a better understanding of yourself & others.
Are you ready to stop feeling anxious and/or depressed? Do you want to learn skills to calm your racing mind? Do you remember a time when anxiety, depression, & personal issues weren’t a part of your daily life? I can give you the tools and coping skills to change this. I help children/teenagers, couples, and individuals just like you: ones that have it within them to learn how to cope with their anxiety or depression and go back to living life the way that they remember it. I can support you on your journey towards feeling more self-confident, happy, fulfilled. I can help to guide you to a better understanding of yourself & others.
(310) 564-0604 View (310) 564-0604
Photo of Jamie Pimentel, AMFT, Marriage & Family Therapist Associate
Jamie Pimentel
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Los Angeles, CA 90064  (Online Only)
I earned my MA in Counseling Psychology with a specialization in Marriage and Family Therapy from National University. I work from from a person-centered approach that incorporates influences from attachment and psychoanalytic perspectives. I collaborate with clients to identify and enlist their internal strengths and resources to approach life’s challenges. I have a background in healing various traumas through trauma informed somatic therapy, inner child trauma work, OCD, eating disorders, mood disorders, and addictions. I have extensive training in trauma, OCD, ADHD, and somatic therapy, and yoga.
I earned my MA in Counseling Psychology with a specialization in Marriage and Family Therapy from National University. I work from from a person-centered approach that incorporates influences from attachment and psychoanalytic perspectives. I collaborate with clients to identify and enlist their internal strengths and resources to approach life’s challenges. I have a background in healing various traumas through trauma informed somatic therapy, inner child trauma work, OCD, eating disorders, mood disorders, and addictions. I have extensive training in trauma, OCD, ADHD, and somatic therapy, and yoga.
(310) 740-9828 View (310) 740-9828
Photo of Hira Khalid, AMFT, Marriage & Family Therapist Associate
Hira Khalid
Marriage & Family Therapist Associate, AMFT
Verified Verified
Los Angeles, CA 90064
Growing up, I have realized that there is a lack of communication, representation, and awareness of the importance of mental health in many Middle-Eastern, Latinx, and Asian households. This leads to many individuals in those cultures becoming oppressed throughout their whole life and experiencing many untreated phases of depression and anxiety without having the opportunity to be heard.
Growing up, I have realized that there is a lack of communication, representation, and awareness of the importance of mental health in many Middle-Eastern, Latinx, and Asian households. This leads to many individuals in those cultures becoming oppressed throughout their whole life and experiencing many untreated phases of depression and anxiety without having the opportunity to be heard.
(424) 265-9758 View (424) 265-9758
Photo of Kristina Catuiza, LMFT, Marriage & Family Therapist
Kristina Catuiza
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Los Angeles, CA 90064  (Online Only)
I am privileged to join you on your journey in therapy. Many of us struggle daily with issues like anxiety, stress, depression, anger or just feeling misunderstood. We may feel stuck and ashamed at our inability to just will ourselves into being "better.” My aim is to make a space for you to feel empowered to process and create the change you hope to see in your life. I have experience working with adolescents and adults with depression, anxiety, relationship concerns, trauma, substance use, and other personal challenges. I have a warm and caring approach with my clients, and I value personal preferences in the therapy experience.
I am privileged to join you on your journey in therapy. Many of us struggle daily with issues like anxiety, stress, depression, anger or just feeling misunderstood. We may feel stuck and ashamed at our inability to just will ourselves into being "better.” My aim is to make a space for you to feel empowered to process and create the change you hope to see in your life. I have experience working with adolescents and adults with depression, anxiety, relationship concerns, trauma, substance use, and other personal challenges. I have a warm and caring approach with my clients, and I value personal preferences in the therapy experience.
(818) 975-3148 View (818) 975-3148
Photo of Cierra McNeill, MA, AMFT, Marriage & Family Therapist Associate
Cierra McNeill
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
Los Angeles, CA 90064  (Online Only)
Have you been feeling down or overwhelmed by the struggles of life, or feeling like no one understands you? Perhaps it feels like you’re “spiraling,” exhausted by overthinking and negative thoughts. Therapy can help. I have dedicated my career to working with clients experiencing depression, anxiety, trauma, relational discord, difficulty with life transitions, addiction, ADHD, postpartum challenges, marital concerns and parenting struggles. My clients often end treatment feeling more connected to themselves and others, increasing effective communication, learning boundaries, and experiencing joy and balance in their lives.
Have you been feeling down or overwhelmed by the struggles of life, or feeling like no one understands you? Perhaps it feels like you’re “spiraling,” exhausted by overthinking and negative thoughts. Therapy can help. I have dedicated my career to working with clients experiencing depression, anxiety, trauma, relational discord, difficulty with life transitions, addiction, ADHD, postpartum challenges, marital concerns and parenting struggles. My clients often end treatment feeling more connected to themselves and others, increasing effective communication, learning boundaries, and experiencing joy and balance in their lives.
(818) 949-2047 View (818) 949-2047
Photo of Parry Samadi, LMFT, Marriage & Family Therapist
Parry Samadi
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90064  (Online Only)
Waitlist for new clients
Do you sometimes feel overwhelmed? Maybe you feel that no one can understand what you're going through? Do people consistently want to give you their two cents or give you unsolicited advice? Coming to therapy won't be a quick fix to everything, but it can be a place where you will get the time to discuss anything you want. I believe it is important for women and those identifying as women to have a space to feel comfortable and have the freedom to express yourself. I approach my work with kindness, humor, and a dedication to helping each of my clients create lasting positive effects for their lives.
Do you sometimes feel overwhelmed? Maybe you feel that no one can understand what you're going through? Do people consistently want to give you their two cents or give you unsolicited advice? Coming to therapy won't be a quick fix to everything, but it can be a place where you will get the time to discuss anything you want. I believe it is important for women and those identifying as women to have a space to feel comfortable and have the freedom to express yourself. I approach my work with kindness, humor, and a dedication to helping each of my clients create lasting positive effects for their lives.
(424) 425-3644 View (424) 425-3644
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How does your Therapist compare?

Number of Therapists in 90064

400+

Average cost per session

$200

Therapists in 90064 who prioritize treating:

92% Anxiety
91% Depression
83% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
64% Stress
62% Grief

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
64% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in 90064 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 90064?

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.