Photo of David J Miranda, LCSW, PLLC, Clinical Social Work/Therapist in 10940, NY
David J Miranda, LCSW, PLLC
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
1 Endorsed
Middletown, NY 10940
Waitlist for new clients
I am a licensed clinical social worker and experienced psychotherapist trained in the use of cognitive behavioral therapy. My ultimate and foremost goal as a therapist is to create a compassionate, non-judgmental and caring space where people can be safe to work through emotional distress and challenges that can seem overwhelming. Together we can work on helping you to overcome obstacles to living a life that is fulfilling and satisfying, even when the stresses of life can lead you to believe otherwise.
I am a licensed clinical social worker and experienced psychotherapist trained in the use of cognitive behavioral therapy. My ultimate and foremost goal as a therapist is to create a compassionate, non-judgmental and caring space where people can be safe to work through emotional distress and challenges that can seem overwhelming. Together we can work on helping you to overcome obstacles to living a life that is fulfilling and satisfying, even when the stresses of life can lead you to believe otherwise.
(845) 237-3137 View (845) 237-3137
Photo of Christen Parks, Licensed Master Social Worker in 10940, NY
Christen Parks
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Middletown, NY 10940  (Online Only)
Finding a therapist who can listen and offer solutions can be a challenging task. As a psychotherapist with 15+ years of counseling experience, my goal is to help my clients find solutions for difficult situations they might be going through.
Finding a therapist who can listen and offer solutions can be a challenging task. As a psychotherapist with 15+ years of counseling experience, my goal is to help my clients find solutions for difficult situations they might be going through.
(718) 736-2213 View (718) 736-2213
Photo of Solace Mental Health Counseling Services, P.C., Counselor in 10940, NY
Solace Mental Health Counseling Services, P.C.
Counselor, MSEd, LMHC, CCTP
Verified Verified
4 Endorsed
Middletown, NY 10940  (Online Only)
Clients who come to see me are looking for help and support—sometimes the issues are clear, and other times exploration and discovery are as much of the healing process as is “figuring it out.” Therapy is an interactive process and clients can expect me to be active during sessions. My clients know that my priority is creating a space where they feel heard and can find a sense of safety—
Clients who come to see me are looking for help and support—sometimes the issues are clear, and other times exploration and discovery are as much of the healing process as is “figuring it out.” Therapy is an interactive process and clients can expect me to be active during sessions. My clients know that my priority is creating a space where they feel heard and can find a sense of safety—
(347) 507-2309 View (347) 507-2309
Photo of Patrice Toussaint-Corielus - Streams Of Wellness™, Clinical Social Work/Therapist in 10940, NY
Patrice Toussaint-Corielus - Streams Of Wellness™
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middletown, NY 10940  (Online Only)
You are at the right place, at the right time. No matter what is driving you forward to seek help, it takes tremendous courage to start therapy. However, it is one decision you will not regret. Therapy is not a bad word and seeking help is okay. It is okay not to be okay. Life is made of twists and turns, mountains and valleys for which, I believe we learn, grow and journey into our purpose and deepen self-discovery. If you find yourself struggling through depression, anxiety, trauma, loss, infertility/post partum, your Christian faith or are in a difficult life transition, I would love to help you navigate through this time.
You are at the right place, at the right time. No matter what is driving you forward to seek help, it takes tremendous courage to start therapy. However, it is one decision you will not regret. Therapy is not a bad word and seeking help is okay. It is okay not to be okay. Life is made of twists and turns, mountains and valleys for which, I believe we learn, grow and journey into our purpose and deepen self-discovery. If you find yourself struggling through depression, anxiety, trauma, loss, infertility/post partum, your Christian faith or are in a difficult life transition, I would love to help you navigate through this time.
(845) 447-0236 View (845) 447-0236
Photo of Mary LeRouge, Clinical Social Work/Therapist in 10940, NY
Mary LeRouge
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, NY 10940
I am currently accepting appointments for DWI assessments recommended/required through NYS. Please reach out via email for additional information regarding this.
I am currently accepting appointments for DWI assessments recommended/required through NYS. Please reach out via email for additional information regarding this.
(848) 225-8295 View (848) 225-8295
Photo of Heather Gordon, Counselor in 10940, NY
Heather Gordon
Counselor, LMHC, CGT
Verified Verified
Middletown, NY 10940  (Online Only)
We are all on an adventure. An adventure that can take us to anxious, dark, and scary places. It may make it difficult to engage in everyday tasks. It can be isolating and feel like we can never find our way back. Our adventure becomes hopeless. But what if hope is not lost? Imagine if you woke up tomorrow and, as if by magic, everything was better. What would have changed? Would you have become present instead of time-traveling to past defeats or future concerns and perhaps more grounded instead of becoming lost in space on an unknown dark world? It may not be magic but let us use therapy to dispel those fears together.
We are all on an adventure. An adventure that can take us to anxious, dark, and scary places. It may make it difficult to engage in everyday tasks. It can be isolating and feel like we can never find our way back. Our adventure becomes hopeless. But what if hope is not lost? Imagine if you woke up tomorrow and, as if by magic, everything was better. What would have changed? Would you have become present instead of time-traveling to past defeats or future concerns and perhaps more grounded instead of becoming lost in space on an unknown dark world? It may not be magic but let us use therapy to dispel those fears together.
(845) 203-3847 View (845) 203-3847
Photo of Michael A Soto, Counselor in 10940, NY
Michael A Soto
Counselor, MA, LMHC, NCC, CCTP
Verified Verified
2 Endorsed
Middletown, NY 10940
My areas of focus include but are not limited to helping individuals with issues of mood such as Depression, Anxiety, PTSD, Fear, and Bi-Polar. For couples, I share principles that make relationships work. I can help couples work through issues of infidelity, or help rebuild their fondness and admiration. I help families work through life transitions like, having a baby, parenting teens, or retirement. I work with Survivors of abuse, Addiction, and Trauma. I also conduct Critical Incident Stress Debriefings for First Responders (EMS, Fire, & Police).
My areas of focus include but are not limited to helping individuals with issues of mood such as Depression, Anxiety, PTSD, Fear, and Bi-Polar. For couples, I share principles that make relationships work. I can help couples work through issues of infidelity, or help rebuild their fondness and admiration. I help families work through life transitions like, having a baby, parenting teens, or retirement. I work with Survivors of abuse, Addiction, and Trauma. I also conduct Critical Incident Stress Debriefings for First Responders (EMS, Fire, & Police).
(845) 764-9983 View (845) 764-9983
Photo of Danielle Rubin, Clinical Social Work/Therapist in 10940, NY
Danielle Rubin
Clinical Social Work/Therapist, BSW, MSW
Verified Verified
Middletown, NY 10940
Building relationships where individuals feel seen, heard, and accepted as who they are may be a struggle at times. Through executive decision making, and the ability to connect their inner mindset with their outer mindset, the individual themself is able to fulfill a promising, successful, and more positive lifestyle. Individuals may find themselves feeling stuck in the same frustrating relationship patterns, and the questions and deep inner thoughts of how this continues to happen can effect others and make them feel badly about themselves. The lack of empowerment in one’s life may take many forms, both great and small.
Building relationships where individuals feel seen, heard, and accepted as who they are may be a struggle at times. Through executive decision making, and the ability to connect their inner mindset with their outer mindset, the individual themself is able to fulfill a promising, successful, and more positive lifestyle. Individuals may find themselves feeling stuck in the same frustrating relationship patterns, and the questions and deep inner thoughts of how this continues to happen can effect others and make them feel badly about themselves. The lack of empowerment in one’s life may take many forms, both great and small.
(347) 252-9820 View (347) 252-9820
Photo of Diana Roche, Licensed Master Social Worker in 10940, NY
Diana Roche
Licensed Master Social Worker, LMSW
Verified Verified
Middletown, NY 10940
Waitlist for new clients
I am compassionate about helping people understand what they are feeling and helping them to heal. I offer a safe, open, and non-judgment space where I can explore the healing journey together. I am experienced in working with diverse populations of all ages and cultures. I am committed to partnering with all my patients to help them cope with loss and move through their grief. In addition, I am passionate about building a spirit of resilience for my patients and providing coping skills and grounding techniques to help them cope with life's daily stressors.
I am compassionate about helping people understand what they are feeling and helping them to heal. I offer a safe, open, and non-judgment space where I can explore the healing journey together. I am experienced in working with diverse populations of all ages and cultures. I am committed to partnering with all my patients to help them cope with loss and move through their grief. In addition, I am passionate about building a spirit of resilience for my patients and providing coping skills and grounding techniques to help them cope with life's daily stressors.
(845) 769-8369 View (845) 769-8369
Photo of Amy-Jo Hilts, Clinical Social Work/Therapist in 10940, NY
Amy-Jo Hilts
Clinical Social Work/Therapist, LCSW, LICSW, CAMS-II
Verified Verified
3 Endorsed
Middletown, NY 10940  (Online Only)
In a supportive non judgmental down-to-earth atmosphere I believe in complete transparency to fully engage each client to ensure a person centered approach to treatment and goal setting. I work with individuals and families through a HIPPA secure online portal directly through my easily accessible website. I specialize in women's issues, parenting issues, depression, anxiety, emotional distress, trauma, coping and problem solving skills, anger management, and people struggling with their day-to-day emotions and stressful situations that impact well being and decision making. Religious and Spirituality Diverse, LGBTQIA+ ally
In a supportive non judgmental down-to-earth atmosphere I believe in complete transparency to fully engage each client to ensure a person centered approach to treatment and goal setting. I work with individuals and families through a HIPPA secure online portal directly through my easily accessible website. I specialize in women's issues, parenting issues, depression, anxiety, emotional distress, trauma, coping and problem solving skills, anger management, and people struggling with their day-to-day emotions and stressful situations that impact well being and decision making. Religious and Spirituality Diverse, LGBTQIA+ ally
(646) 683-9335 View (646) 683-9335
Photo of Amanda Parish, Counselor in 10940, NY
Amanda Parish
Counselor, LMHC, NCC, CASAC
Verified Verified
2 Endorsed
Middletown, NY 10940  (Online Only)
Change is hard. I am so PROUD of you for taking the first step to seek help because let's face it, admitting you need help and asking for it, is really hard. My goal is to provide a safe, non-judgmental space for you to sort through the pieces and find your power again. I find it important to build an authentic relationship where there can be validation and some gentle challenging to help you grow into the version of yourself that you want to be.
Change is hard. I am so PROUD of you for taking the first step to seek help because let's face it, admitting you need help and asking for it, is really hard. My goal is to provide a safe, non-judgmental space for you to sort through the pieces and find your power again. I find it important to build an authentic relationship where there can be validation and some gentle challenging to help you grow into the version of yourself that you want to be.
(845) 286-9991 View (845) 286-9991
Photo of Alicia McLean, Clinical Social Work/Therapist in 10940, NY
Alicia McLean
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, NY 10940  (Online Only)
Most women worry about making sure everything is okay for everyone else but who takes care of you? Who do you speak to about the trauma you've experienced, the things that’ve hurt you, or your experience as a new mother? There are some things that you may experience that only another woman can understand. You may appear to be happy outwardly, however behind the smile is a persistent feeling of sadness, depression, anxiety, fatigue, and fear. Don’t allow Trauma, Depression, or Anxiety to continue to rule your life. It’s time for you to be kind to yourself and begin to resolve anything that’s holding you back.
Most women worry about making sure everything is okay for everyone else but who takes care of you? Who do you speak to about the trauma you've experienced, the things that’ve hurt you, or your experience as a new mother? There are some things that you may experience that only another woman can understand. You may appear to be happy outwardly, however behind the smile is a persistent feeling of sadness, depression, anxiety, fatigue, and fear. Don’t allow Trauma, Depression, or Anxiety to continue to rule your life. It’s time for you to be kind to yourself and begin to resolve anything that’s holding you back.
(845) 599-0271 View (845) 599-0271
Photo of Patricia Smith, Clinical Social Work/Therapist in 10940, NY
Patricia Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, NY 10940
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” (Anais Nin). I celebrate your efforts to take stock of your life, to take a deep breath, and to take the risk to reach out. Emotional, mental, physical, and spiritual pain gives us an opportunity for healing, learning, and growth. Often what feels like something overwhelming and upsetting is about to give you Clarity. I provide a safe environment for openness, self-exploration, and movement forward. I am happy to partner with you in this work.
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” (Anais Nin). I celebrate your efforts to take stock of your life, to take a deep breath, and to take the risk to reach out. Emotional, mental, physical, and spiritual pain gives us an opportunity for healing, learning, and growth. Often what feels like something overwhelming and upsetting is about to give you Clarity. I provide a safe environment for openness, self-exploration, and movement forward. I am happy to partner with you in this work.
(845) 640-5560 View (845) 640-5560
Photo of Janet Martinez, Clinical Social Work/Therapist in 10940, NY
Janet Martinez
Clinical Social Work/Therapist, LMSW
Verified Verified
Middletown, NY 10940
Creating Connections is a culturally sensitive practice and our therapists are passionate about helping to foster the healing process of those in need Janet is a Licensed Master Level Social Worker licensed in New York State. She is a graduate, of Hunter College School of Social Work where she received her MSW. She has over 20 years of experience in the area of mental health. Her diverse experience includes therapy with individuals, couples, adolescents, and families. She also provides services to court mandate individuals with severe mental illnesses. Janet is enthusiastic about this field of work, and is ready to meet with you.
Creating Connections is a culturally sensitive practice and our therapists are passionate about helping to foster the healing process of those in need Janet is a Licensed Master Level Social Worker licensed in New York State. She is a graduate, of Hunter College School of Social Work where she received her MSW. She has over 20 years of experience in the area of mental health. Her diverse experience includes therapy with individuals, couples, adolescents, and families. She also provides services to court mandate individuals with severe mental illnesses. Janet is enthusiastic about this field of work, and is ready to meet with you.
(845) 209-1833 View (845) 209-1833
Photo of Dr. Izetta Briggs-Bolling Addiction Cycle Breakers, Clinical Social Work/Therapist in 10940, NY
Dr. Izetta Briggs-Bolling Addiction Cycle Breakers
Clinical Social Work/Therapist, DSW, LCSW, LMHC, CASAC-G
Verified Verified
1 Endorsed
Middletown, NY 10940
I am a Doctor of Social Work and a dually licensed social worker and mental health counselor with over 30 years of experience providing services to individuals, families and communities experiencing mental health, substance use and physical health concerns from a strength -based harm reduction perspective. I am a culturally competent clinician working from a framework of Diversity, Equity and Inclusivity of all backgrounds and lifestyles. This provider is an effective group facilitator, providing services for adolescents, young adults, couples and families. I provide DWI assessment for NYS DMV and OASAS. Youth empowerment counselor.
I am a Doctor of Social Work and a dually licensed social worker and mental health counselor with over 30 years of experience providing services to individuals, families and communities experiencing mental health, substance use and physical health concerns from a strength -based harm reduction perspective. I am a culturally competent clinician working from a framework of Diversity, Equity and Inclusivity of all backgrounds and lifestyles. This provider is an effective group facilitator, providing services for adolescents, young adults, couples and families. I provide DWI assessment for NYS DMV and OASAS. Youth empowerment counselor.
(845) 478-8284 View (845) 478-8284
Photo of Jasmine N Ortiz, Clinical Social Work/Therapist in 10940, NY
Jasmine N Ortiz
Clinical Social Work/Therapist, LMSW
Verified Verified
Middletown, NY 10940
Do you need someone to talk to? I am accepting new patients both in-person and via Telehealth. I have over 15 years of experience as a social worker and have worked in Behavioral Health Centers, Department of Corrections, Board of Education, and Forensic settings for over ten years. I work with children, adolescents, adults, couples, and families. My experience includes working with children and adults diagnosed with ADHD, ODD, Intermittent Explosive Disorder, Conduct Disorder, PTSD, Depression, Anxiety, Obsessive-Compulsive Disorders, Suicidal/Homicidal Ideation, and Personality Disorders.
Do you need someone to talk to? I am accepting new patients both in-person and via Telehealth. I have over 15 years of experience as a social worker and have worked in Behavioral Health Centers, Department of Corrections, Board of Education, and Forensic settings for over ten years. I work with children, adolescents, adults, couples, and families. My experience includes working with children and adults diagnosed with ADHD, ODD, Intermittent Explosive Disorder, Conduct Disorder, PTSD, Depression, Anxiety, Obsessive-Compulsive Disorders, Suicidal/Homicidal Ideation, and Personality Disorders.
(845) 579-7916 View (845) 579-7916
Photo of Jessenia Ogunade, Clinical Social Work/Therapist in 10940, NY
Jessenia Ogunade
Clinical Social Work/Therapist, LMSW, CCTP, CGP
Verified Verified
1 Endorsed
Middletown, NY 10940
I've been waiting for you. You've read countless profiles & visited numerous sites but still haven't found the "right fit". Let me show you how my diverse & rich experience over the past 27 years in the field of mental health & law enforcement has shaped my perspective. I believe that my education, training & lived experience complement my unique insight in listening to your concerns & addressing those needs. Therapy isn't just about a talk session but the integration of the mind, body & spirit.
I've been waiting for you. You've read countless profiles & visited numerous sites but still haven't found the "right fit". Let me show you how my diverse & rich experience over the past 27 years in the field of mental health & law enforcement has shaped my perspective. I believe that my education, training & lived experience complement my unique insight in listening to your concerns & addressing those needs. Therapy isn't just about a talk session but the integration of the mind, body & spirit.
(845) 723-9400 View (845) 723-9400
Photo of Dr. Tenise M. Wall, Clinical Social Work/Therapist in 10940, NY
Dr. Tenise M. Wall
Clinical Social Work/Therapist, PhD, LCSW, ACSW, CASAC-M
Verified Verified
8 Endorsed
Middletown, NY 10940  (Online Only)
New Clients Welcome! I have learned early on that when you actually care about what you are doing that it shines through with every client contact & everything that you do. Superheros have a superpower; mine is my heart. The heart of what I do is identifying the needs in my clients and seeing how best I can meet them through compassion, non-judgment, experienced, & skilled clinical care. I have spent more than 2 decades working with children & adolescents with a focus on ADHD, behavioral problems, depression and anxiety issues. I also work with adults on these same issues & more. Check out my website for more in-depth info.
New Clients Welcome! I have learned early on that when you actually care about what you are doing that it shines through with every client contact & everything that you do. Superheros have a superpower; mine is my heart. The heart of what I do is identifying the needs in my clients and seeing how best I can meet them through compassion, non-judgment, experienced, & skilled clinical care. I have spent more than 2 decades working with children & adolescents with a focus on ADHD, behavioral problems, depression and anxiety issues. I also work with adults on these same issues & more. Check out my website for more in-depth info.
(845) 763-4360 View (845) 763-4360
Photo of Felipe Sepulveda, LCSW, PLLC, Clinical Social Work/Therapist in 10940, NY
Felipe Sepulveda, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, NY 10940  (Online Only)
I am a psychotherapist with more than 15 years of experience in human services. I work with adults struggling with anxiety, depression, or having difficulty adjusting to life transitions. My specialty is in Men's Issues. I work with Men struggling with with fatherhood, intimate relationships, loss of control, and poor self-esteem.
I am a psychotherapist with more than 15 years of experience in human services. I work with adults struggling with anxiety, depression, or having difficulty adjusting to life transitions. My specialty is in Men's Issues. I work with Men struggling with with fatherhood, intimate relationships, loss of control, and poor self-esteem.
(646) 943-2703 View (646) 943-2703
Scott David Gibson
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, NY 10940
I have worked in the field of Psychiatric Social Work for 40 years. During this time my exposure to a large number of clients in many different settings has resulted in a solid background and effective treatment skill set. We can work together to help you feel better!
I have worked in the field of Psychiatric Social Work for 40 years. During this time my exposure to a large number of clients in many different settings has resulted in a solid background and effective treatment skill set. We can work together to help you feel better!
(845) 379-2021 View (845) 379-2021

See more therapy options for 10940

How does your Therapist compare?

Number of Therapists in 10940

100+

Average cost per session

$125

Therapists in 10940 who prioritize treating:

92% Anxiety
84% Depression
79% Relationship Issues
78% Coping Skills
76% Self Esteem
72% Trauma and PTSD
69% Stress

Average years in practice

15 Years

Top 3 insurances accepted

85% Aetna
76% Cigna and Evernorth
70% UnitedHealthcare UHC | UBH

How Therapists in 10940 see their clients

54% In Person and Online
46% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10940?

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.