Therapists in Congers, NY

Photo of Dariela Vasquez, Clinical Social Work/Therapist in Congers, NY
Dariela Vasquez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Congers, NY 10920
My name is Dariela Vasquez, Soy Dariela Vasquez. I am a Somatic Psychotherapist, Advocate, Educator and Storyteller. My passion is to hold space, teach and walk along side those who have also have felt or feel disenfranchised from the self, from their body and from their heart. My intention is to provide sacred spaces that honors all parts of you as we welcome your parts back home.
My name is Dariela Vasquez, Soy Dariela Vasquez. I am a Somatic Psychotherapist, Advocate, Educator and Storyteller. My passion is to hold space, teach and walk along side those who have also have felt or feel disenfranchised from the self, from their body and from their heart. My intention is to provide sacred spaces that honors all parts of you as we welcome your parts back home.
(845) 209-1585 View (845) 209-1585
Photo of Yeraz Markarian, Psychologist in Congers, NY
Yeraz Markarian
Psychologist, PhD
Verified Verified
4 Endorsed
Congers, NY 10920
The decision to start therapy can be a difficult one. Therapy offers the chance to learn new ways to cope with emotional distress or challenges in life. It can help you identify and modify unhelpful patterns in thinking and behavior, and supply you with effective coping skills. The goal is to work towards developing a more balanced and fulfilling life. I specialize in delivery of evidence-based psychotherapy, specifically CBT, DBT, and mindfulness meditation techniques. I provide individual therapy, family counseling, parenting skills, and weekly DBT skills group therapy.
The decision to start therapy can be a difficult one. Therapy offers the chance to learn new ways to cope with emotional distress or challenges in life. It can help you identify and modify unhelpful patterns in thinking and behavior, and supply you with effective coping skills. The goal is to work towards developing a more balanced and fulfilling life. I specialize in delivery of evidence-based psychotherapy, specifically CBT, DBT, and mindfulness meditation techniques. I provide individual therapy, family counseling, parenting skills, and weekly DBT skills group therapy.
(929) 296-8374 View (929) 296-8374
Photo of Kathryn Mason, Counselor in Congers, NY
Kathryn Mason
Counselor, MA, LPCC, LMHC
Verified Verified
Congers, NY 10920
NOTE: Currently accepting In-Home and Remote Child Therapy referrals. Welcome! I offer a welcoming place for your child to explore a wide range of issues, learn to process and explore emotions and build upon skills. I engage in children's natural play language to unpack and examine a child’s strong feelings with the goal of helping all children build on their strengths and develop resiliency . I also use other modalities such as art, story telling, and mindfulness to teach coping tools, and help children understand their internal world. Together we will co-create a creative and productive therapeutic experience.
NOTE: Currently accepting In-Home and Remote Child Therapy referrals. Welcome! I offer a welcoming place for your child to explore a wide range of issues, learn to process and explore emotions and build upon skills. I engage in children's natural play language to unpack and examine a child’s strong feelings with the goal of helping all children build on their strengths and develop resiliency . I also use other modalities such as art, story telling, and mindfulness to teach coping tools, and help children understand their internal world. Together we will co-create a creative and productive therapeutic experience.
(845) 506-8065 View (845) 506-8065
Photo of Joe Soll, Clinical Social Work/Therapist in Congers, NY
Joe Soll
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Congers, NY 10920
As an adopted person, my 30 plus years' experience using inner child work, researching, and supporting fellow adopted persons and mothers of adoption loss has given me a unique insight into the struggles of adoption, the primal wound, reunion preparation, reunion difficulties, and the impact of early childhood trauma. I am the author of five adoption related books, three of which have been translated into Chinese, German and Korean.
As an adopted person, my 30 plus years' experience using inner child work, researching, and supporting fellow adopted persons and mothers of adoption loss has given me a unique insight into the struggles of adoption, the primal wound, reunion preparation, reunion difficulties, and the impact of early childhood trauma. I am the author of five adoption related books, three of which have been translated into Chinese, German and Korean.
(845) 539-1344 View (845) 539-1344
Photo of Kristin O'Rourke, Clinical Social Work/Therapist in Congers, NY
Kristin O'Rourke
Clinical Social Work/Therapist, LCSW
Verified Verified
Congers, NY 10920
I have been working with children and their families for over 15 years in settings such as hospitals, schools, mental health clinics and client's homes. I have extensive experience treating children with anxiety and depression, behavioral and anger management issues, ADHD, and oppositional defiance disorder. I have supported families through various stages of the divorce process and loss of a family member. I believe that a child is successful in therapy when the whole family is supportive and involved and I therefore have strong communication with a child's parents. I follow a Cognitive Behavioral and strengths based approach.
I have been working with children and their families for over 15 years in settings such as hospitals, schools, mental health clinics and client's homes. I have extensive experience treating children with anxiety and depression, behavioral and anger management issues, ADHD, and oppositional defiance disorder. I have supported families through various stages of the divorce process and loss of a family member. I believe that a child is successful in therapy when the whole family is supportive and involved and I therefore have strong communication with a child's parents. I follow a Cognitive Behavioral and strengths based approach.
(917) 746-3297 View (917) 746-3297
Lisa Scheiner
Psychologist, PsyD
Verified Verified
Congers, NY 10920
My practice focuses on using Cognitive Behavior Therapy to address a variety of psychological difficulties. My patients are interested in change and are committed to working on achieving success through the use of therapeutic homework, active problem solving and self exploration. I have experience in treating anxiety disorders, depression, emotional dysregulation, ADHD, social skill deficits, school related problems and issues that result form marital discord and divorce. I treat children, adolescents and adults.
My practice focuses on using Cognitive Behavior Therapy to address a variety of psychological difficulties. My patients are interested in change and are committed to working on achieving success through the use of therapeutic homework, active problem solving and self exploration. I have experience in treating anxiety disorders, depression, emotional dysregulation, ADHD, social skill deficits, school related problems and issues that result form marital discord and divorce. I treat children, adolescents and adults.
(845) 262-2565 View (845) 262-2565
Photo of Anthony A Thomas, Counselor in Congers, NY
Anthony A Thomas
Counselor, MA, LMHC
Verified Verified
Congers, NY 10920
I'm a skilled, compassionate, empathetic and solutions-oriented mental health practitioner dedicated to providing exceptional care and implementing effective treatment for adolescents and adults experiencing emotional problems or exposed to drug and alcohol abuse. I have demonstrated a track record of success working with diverse client populations in one-on-one, couples and group settings. I'm an effective motivator, communicator, and advocate with an inherent ability to manage all types of personalities, diffuse stressful situations, resolve issues and help you achieve challenging objectives. Lastly, I have an innate ability to establish a rapport, build trust, and relate too individuals on all levels.
I'm a skilled, compassionate, empathetic and solutions-oriented mental health practitioner dedicated to providing exceptional care and implementing effective treatment for adolescents and adults experiencing emotional problems or exposed to drug and alcohol abuse. I have demonstrated a track record of success working with diverse client populations in one-on-one, couples and group settings. I'm an effective motivator, communicator, and advocate with an inherent ability to manage all types of personalities, diffuse stressful situations, resolve issues and help you achieve challenging objectives. Lastly, I have an innate ability to establish a rapport, build trust, and relate too individuals on all levels.
(845) 397-1229 View (845) 397-1229
Photo of Dr. Neal Martin Blackstein, Counselor in Congers, NY
Dr. Neal Martin Blackstein
Counselor, LMHC, MS, PD, DCH
Verified Verified
Congers, NY 10920
My therapeutic philosophy is dedicated to helping individuals achieve maximum emotional and physical well-being through personal mastery. My focus is both preventative and remedial. I teach body self-regulation to reduce stress, control autonomic functions, eliminate self-defeating thoughts, behaviors, and habits, and enhance communication and coping skills. I use three main modalities - Biofeedback, Hypnosis, and Psychotherapy. These may be used independently or in conjunction with each other, according to individual needs. I work with children, teenagers and adults.
My therapeutic philosophy is dedicated to helping individuals achieve maximum emotional and physical well-being through personal mastery. My focus is both preventative and remedial. I teach body self-regulation to reduce stress, control autonomic functions, eliminate self-defeating thoughts, behaviors, and habits, and enhance communication and coping skills. I use three main modalities - Biofeedback, Hypnosis, and Psychotherapy. These may be used independently or in conjunction with each other, according to individual needs. I work with children, teenagers and adults.
(845) 535-4202 View (845) 535-4202
Photo of Brenda Delmonte, Counselor in Congers, NY
Brenda Delmonte
Counselor, LMHC
Verified Verified
Congers, NY 10920
I provide anxiety therapy for young adults and adults with a special focus on women’s issues and wellness. My practice offers support for social anxiety, general anxieties about life, perfectionism and people pleasing tendencies, as well as stress management. By working together, I can help you to identify, understand, and address anxiety as well as learn ways to cope and begin a new path forward.
I provide anxiety therapy for young adults and adults with a special focus on women’s issues and wellness. My practice offers support for social anxiety, general anxieties about life, perfectionism and people pleasing tendencies, as well as stress management. By working together, I can help you to identify, understand, and address anxiety as well as learn ways to cope and begin a new path forward.
(845) 203-6070 View (845) 203-6070
Photo of Jason Mitchell Fox, Clinical Social Work/Therapist in Congers, NY
Jason Mitchell Fox
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Congers, NY 10920  (Online Only)
Welcome! Life is hard and asking for help can be harder. Therapy can provide the support you need to successfully navigate the stress of your daily experience. Effective therapy begins with the client-therapist relationship and my goal is to facilitate growth through a non-judgmental approach to the work. My therapeutic style is informed by my experience working with individuals and families struggling with a variety of issues including anxiety, depression, trauma, self-esteem issues, substance use, relationship conflict, legal difficulties and more.
Welcome! Life is hard and asking for help can be harder. Therapy can provide the support you need to successfully navigate the stress of your daily experience. Effective therapy begins with the client-therapist relationship and my goal is to facilitate growth through a non-judgmental approach to the work. My therapeutic style is informed by my experience working with individuals and families struggling with a variety of issues including anxiety, depression, trauma, self-esteem issues, substance use, relationship conflict, legal difficulties and more.
(845) 393-2871 View (845) 393-2871
Photo of Jaclyn Taylor, Counselor in Congers, NY
Jaclyn Taylor
Counselor, LMHC
Verified Verified
Congers, NY 10920
Are you struggling to find clarity, peace of mind, connection and/or belonging? Does life seem unnecessarily difficult or are you are unable thrive? Do you find yourself engaging in unhelpful behaviors, thoughts or feelings? I am here to help. Using a multi-modal approach to therapy, I will work with you to process your emotions, thoughts, physical symptoms, and behaviors so that you may overcome what is impacting your life and find lasting relief. By maintaining a safe and comfortable space for you to grow, I use specialized techniques to create a personalized experience and guide you within the framework of your life.
Are you struggling to find clarity, peace of mind, connection and/or belonging? Does life seem unnecessarily difficult or are you are unable thrive? Do you find yourself engaging in unhelpful behaviors, thoughts or feelings? I am here to help. Using a multi-modal approach to therapy, I will work with you to process your emotions, thoughts, physical symptoms, and behaviors so that you may overcome what is impacting your life and find lasting relief. By maintaining a safe and comfortable space for you to grow, I use specialized techniques to create a personalized experience and guide you within the framework of your life.
(917) 982-2416 View (917) 982-2416
Photo of Samantha Marks, Clinical Social Work/Therapist in Congers, NY
Samantha Marks
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Congers, NY 10920
Has traditional therapy not worked for you? While sitting in an office might work for some people, it's not for everyone. My sessions all take place walking in a scenic location rather than sitting in a therapy office. This is a mindfulness-based therapy that can make it easier for clients to relax, release physical tension, and connect the mind and body towards reaching their individual goals, all while enjoying the beauty of nature.
Has traditional therapy not worked for you? While sitting in an office might work for some people, it's not for everyone. My sessions all take place walking in a scenic location rather than sitting in a therapy office. This is a mindfulness-based therapy that can make it easier for clients to relax, release physical tension, and connect the mind and body towards reaching their individual goals, all while enjoying the beauty of nature.
(845) 498-0337 View (845) 498-0337
Photo of Tory Jones, Pre-Licensed Professional in Congers, NY
Tory Jones
Pre-Licensed Professional
Verified Verified
1 Endorsed
Congers, NY 10920
Helping others meet their wellness goals is a passion of mine, and I believe everyone deserves to be heard and valued. Having worked in service fields for most of my adult life, the transition to counseling was a natural progression for me. ‍ I am excited to work with individuals in one-on-one counseling as well as in a group setting. Over the course of my adult life I have worked extensively with individuals battling obesity, binge eating disorder and food addiction and something that I have learned is that guilt and shame are roadblocks that prevent us from moving forward.
Helping others meet their wellness goals is a passion of mine, and I believe everyone deserves to be heard and valued. Having worked in service fields for most of my adult life, the transition to counseling was a natural progression for me. ‍ I am excited to work with individuals in one-on-one counseling as well as in a group setting. Over the course of my adult life I have worked extensively with individuals battling obesity, binge eating disorder and food addiction and something that I have learned is that guilt and shame are roadblocks that prevent us from moving forward.
(845) 875-8558 View (845) 875-8558
Photo of Vanessa Reiser Narcissism Expert, Clinical Social Work/Therapist in Congers, NY
Vanessa Reiser Narcissism Expert
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Congers, NY 10920
Vanessa is a solution-focused psychotherapist licensed in NY, NJ, MA and FL specializing in Narcissistic Abuse and Cult Abuse, whose mission is to help individuals uncover their true potential and move forward toward all of their goals. Her team specializes in working with individuals and couples focusing on the treatment of trauma, anxiety, depression, PTSD, grief/loss, eating disorders, marriage or interpersonal relationship problems, alcohol or drug abuse, low self-esteem, or anyone in need of developing new ways to cope with life’s every day challenges. Go to tellatherapist.net or Insta: vanessareiserlcsw TikTok:vanessareiser
Vanessa is a solution-focused psychotherapist licensed in NY, NJ, MA and FL specializing in Narcissistic Abuse and Cult Abuse, whose mission is to help individuals uncover their true potential and move forward toward all of their goals. Her team specializes in working with individuals and couples focusing on the treatment of trauma, anxiety, depression, PTSD, grief/loss, eating disorders, marriage or interpersonal relationship problems, alcohol or drug abuse, low self-esteem, or anyone in need of developing new ways to cope with life’s every day challenges. Go to tellatherapist.net or Insta: vanessareiserlcsw TikTok:vanessareiser
(732) 307-9559 View (732) 307-9559
Richard R Brand
Psychologist, PhD
Verified Verified
Congers, NY 10920
(845) 493-2026 View (845) 493-2026

More Therapists Nearby

Photo of Sarah Hatkoff, Clinical Social Work/Therapist in Congers, NY
Sarah Hatkoff
Clinical Social Work/Therapist, LMSW
Verified Verified
New City, NY 10956  (Online Only)
Specializing in helping adults and young adults grow through life challenges and changes. Emotions can be overwhelming and difficult to navigate by one's self, though are a high form of intelligence. I offer a calm environment, a gentle listening ear, empathy, and professional support. Discussing what is on your mind can unpack and release burdens to find helpful ways to move through life more easily. I will help you uncover your strengths and positive self-beliefs, to help you move in the direction of your goals. You deserve the benefits of professional support no matter what size you find your challenges to be.
Specializing in helping adults and young adults grow through life challenges and changes. Emotions can be overwhelming and difficult to navigate by one's self, though are a high form of intelligence. I offer a calm environment, a gentle listening ear, empathy, and professional support. Discussing what is on your mind can unpack and release burdens to find helpful ways to move through life more easily. I will help you uncover your strengths and positive self-beliefs, to help you move in the direction of your goals. You deserve the benefits of professional support no matter what size you find your challenges to be.
(845) 237-5158 View (845) 237-5158
Photo of Christine Knorr, Clinical Social Work/Therapist in Congers, NY
Christine Knorr
Clinical Social Work/Therapist, LCSW, CEDS
Not Verified Not Verified
5 Endorsed
New City, NY 10956
Having an eating disorder can make you feel trapped in a world where thoughts about food and your body become your whole life. You don’t have to stay trapped. You don’t have to keep canceling plans, making excuses, or hiding your behaviors. You can start to feel comfortable in your own skin, eat the way others do, and be more present in your life. I have over 10 years of experience providing specialized therapy to people with eating disorders and understand the complex nuances of what you are facing. I know how to move you towards recovery so that you don’t have to continue to suffer.
Having an eating disorder can make you feel trapped in a world where thoughts about food and your body become your whole life. You don’t have to stay trapped. You don’t have to keep canceling plans, making excuses, or hiding your behaviors. You can start to feel comfortable in your own skin, eat the way others do, and be more present in your life. I have over 10 years of experience providing specialized therapy to people with eating disorders and understand the complex nuances of what you are facing. I know how to move you towards recovery so that you don’t have to continue to suffer.
(845) 505-1119 View (845) 505-1119
Photo of John B Shaffer, Psychologist in Congers, NY
John B Shaffer
Psychologist
Not Verified Not Verified
New City, NY 10956
I received my Ph.D from Harvard University, was a professor of psychology at Queens College for 28 years, and published two books in my field - one on group psychotherapy and the other on Humanistic Psychology. I also hold a Diplomate in Clinical Psychology awarded by the American Board of Professional Psychology. My approach to psychotherapy is eclectic, using a variety of clinical perspectives; including psychodynamic, humanistic, cognitive behavioral, and client-centered.
I received my Ph.D from Harvard University, was a professor of psychology at Queens College for 28 years, and published two books in my field - one on group psychotherapy and the other on Humanistic Psychology. I also hold a Diplomate in Clinical Psychology awarded by the American Board of Professional Psychology. My approach to psychotherapy is eclectic, using a variety of clinical perspectives; including psychodynamic, humanistic, cognitive behavioral, and client-centered.
(914) 295-0799 View (914) 295-0799
Photo of Luisa Spadafino, Marriage & Family Therapist in Congers, NY
Luisa Spadafino
Marriage & Family Therapist, LMFT
Verified Verified
Valley Cottage, NY 10989
Luisa Spadafino has been a practicing Licensed Marriage and Family Therapist since 2016. She received two Masters Degrees from Rutgers University and Mercy College, and has a particular focus of addressing various forms of trauma. This includes domestic violence, sexual assault/childhood sexual abuse, human trafficking, hate crimes, and other forms of trauma. Luisa is a systemic therapist with training in EMDR to address symptomology as well as DBT and CBT interventions.
Luisa Spadafino has been a practicing Licensed Marriage and Family Therapist since 2016. She received two Masters Degrees from Rutgers University and Mercy College, and has a particular focus of addressing various forms of trauma. This includes domestic violence, sexual assault/childhood sexual abuse, human trafficking, hate crimes, and other forms of trauma. Luisa is a systemic therapist with training in EMDR to address symptomology as well as DBT and CBT interventions.
(914) 612-5848 View (914) 612-5848
Photo of Leading Edge Therapy & Coaching, Clinical Social Work/Therapist in Congers, NY
Leading Edge Therapy & Coaching
Clinical Social Work/Therapist, LCSW, JD
Verified Verified
1 Endorsed
New City, NY 10956
I integrate the most effective approaches to mental health, marital/family, and addiction challenges. I blend traditional with cutting edge and provide concrete tools, practical advice, and spiritual guidance while effecting lasting change and healing. For 24+ years, I have helped countless people struggling with depression, anxiety, ADD, trauma, low self-esteem, anger and management, and with marital, sexuality, family, and parenting challenges. In testimonials I have been described as "having vast knowledge"; "a very down to earth guy who puts you at ease almost instantly; as having "laser-sharp" perceptions; & "an old soul ."
I integrate the most effective approaches to mental health, marital/family, and addiction challenges. I blend traditional with cutting edge and provide concrete tools, practical advice, and spiritual guidance while effecting lasting change and healing. For 24+ years, I have helped countless people struggling with depression, anxiety, ADD, trauma, low self-esteem, anger and management, and with marital, sexuality, family, and parenting challenges. In testimonials I have been described as "having vast knowledge"; "a very down to earth guy who puts you at ease almost instantly; as having "laser-sharp" perceptions; & "an old soul ."
(845) 262-2179 View (845) 262-2179

See more therapy options for Congers

How does your Therapist compare?

Number of Therapists in Congers, NY

10+

Average cost per session

$162

Therapists in Congers, NY who prioritize treating:

87% Anxiety
80% Depression
73% Coping Skills
73% Self Esteem
60% Relationship Issues
60% Trauma and PTSD
53% Behavioral Issues

Average years in practice

13 Years

Top 3 insurances accepted

80% Cigna and Evernorth
60% Aetna
60% UnitedHealthcare UHC | UBH

How Therapists in Congers, NY see their clients

94% In Person and Online
6% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Congers?

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.