Therapists in Deer Park, NY

Photo of Cynthia Lynn Metzig, Licensed Professional Counselor in Deer Park, NY
Cynthia Lynn Metzig
Licensed Professional Counselor, NCC, PhD
Verified Verified
Deer Park, NY 11729
A Doctoral LeveI licensed and Certified Mental Health Counselor with over 35 years of experience providing mental health services in a variety of settings. Working with individuals and couples. Specializing in rape crisis counseling, depression, anxiety, trauma, relationship issues, ADHD, divorce mediation, and those suffering from major mental illness. My therapeutic style is a direct and collaborative approach. In our journey I will match the mode of therapy to meet your specific needs.
A Doctoral LeveI licensed and Certified Mental Health Counselor with over 35 years of experience providing mental health services in a variety of settings. Working with individuals and couples. Specializing in rape crisis counseling, depression, anxiety, trauma, relationship issues, ADHD, divorce mediation, and those suffering from major mental illness. My therapeutic style is a direct and collaborative approach. In our journey I will match the mode of therapy to meet your specific needs.
(631) 840-6151 View (631) 840-6151
Photo of Leah DiGianni, Clinical Social Work/Therapist in Deer Park, NY
Leah DiGianni
Clinical Social Work/Therapist, LCSW
Verified Verified
Deer Park, NY 11729  (Online Only)
My practice is a virtual psychotherapy practice that provides short-term (3-9 months), quality, and evidence-based mental health care to effectively and efficiently treat an array of mental health diagnoses and symptoms in adults (ages 18-65+). My goal is to help you become your own therapist by the end of treatment so you can confidently maintain the gains you made in therapy on your own as you move forward in your life.
My practice is a virtual psychotherapy practice that provides short-term (3-9 months), quality, and evidence-based mental health care to effectively and efficiently treat an array of mental health diagnoses and symptoms in adults (ages 18-65+). My goal is to help you become your own therapist by the end of treatment so you can confidently maintain the gains you made in therapy on your own as you move forward in your life.
(631) 919-7892 View (631) 919-7892
Photo of Denise Osorto, Clinical Social Work/Therapist in Deer Park, NY
Denise Osorto
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Deer Park, NY 11729  (Online Only)
Not accepting new clients
You are someone that is seeking guidance and change. You need support and are unsure where to begin. You want someone who is down to earth and empathetic but will remind you of your patterns both maladaptive and healthy. You want someone who is socially conscious and has a strengths based approach. You may suffer from anxiety, depression, feelings of low self worth, frustration and need someone who can understand you and help you pull yourself out of this episode.
You are someone that is seeking guidance and change. You need support and are unsure where to begin. You want someone who is down to earth and empathetic but will remind you of your patterns both maladaptive and healthy. You want someone who is socially conscious and has a strengths based approach. You may suffer from anxiety, depression, feelings of low self worth, frustration and need someone who can understand you and help you pull yourself out of this episode.
(631) 518-3856 View (631) 518-3856
Jillian Anderson
Clinical Social Work/Therapist, LMSW
Verified Verified
Deer Park, NY 11729  (Online Only)
I am able to work with all populations and clients. I have a great amount of experience serving children (ages 5-18) as well as adults. My goal is to ensure that all of my clients feel safe and are able to build a connection with me. I have a lot of experience working with individuals who are experiencing: anxiety, depression, OCD behaviors, behavioral issues, parenting issues, parenting assistance, school related issues, martial issues, LGBT, self-harm, self-esteem, over eating, under eating, body image (to name a few). I am currently working via the tele-therapy/remote platform.
I am able to work with all populations and clients. I have a great amount of experience serving children (ages 5-18) as well as adults. My goal is to ensure that all of my clients feel safe and are able to build a connection with me. I have a lot of experience working with individuals who are experiencing: anxiety, depression, OCD behaviors, behavioral issues, parenting issues, parenting assistance, school related issues, martial issues, LGBT, self-harm, self-esteem, over eating, under eating, body image (to name a few). I am currently working via the tele-therapy/remote platform.
(631) 430-4761 View (631) 430-4761
Photo of Sara B Paredes Lcsw-R, Clinical Social Work/Therapist in Deer Park, NY
Sara B Paredes Lcsw-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Deer Park, NY 11729
I am an experienced, caring compassionate Social Worker. I provide in-person and virtual psychotherapy to children 10+, adolescents, and adults who struggle with depression, anxiety, Spectrum Disorder, ADHD.
I am an experienced, caring compassionate Social Worker. I provide in-person and virtual psychotherapy to children 10+, adolescents, and adults who struggle with depression, anxiety, Spectrum Disorder, ADHD.
(631) 625-6783 View (631) 625-6783
Photo of Shay A Mitchell, Clinical Social Work/Therapist in Deer Park, NY
Shay A Mitchell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Deer Park, NY 11729  (Online Only)
If you find yourself yearning for guidance and transformation and unsure of where to start, I am here to provide support. I offer a down-to-earth and empathetic approach, helping you navigate both maladaptive and healthy patterns. Grounded in social consciousness and a strengths based perspective, I specialize in assisting individuals grappling with anxiety, depression, low self-worth and frustration. I am dedicated to guiding you through your unique path of self-discovery by providing a safe and empathetic space for you to grow and thrive. Let's work together to navigate and transcend these challenges.
If you find yourself yearning for guidance and transformation and unsure of where to start, I am here to provide support. I offer a down-to-earth and empathetic approach, helping you navigate both maladaptive and healthy patterns. Grounded in social consciousness and a strengths based perspective, I specialize in assisting individuals grappling with anxiety, depression, low self-worth and frustration. I am dedicated to guiding you through your unique path of self-discovery by providing a safe and empathetic space for you to grow and thrive. Let's work together to navigate and transcend these challenges.
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Photo of M Teresa Silva, Psychologist in Deer Park, NY
M Teresa Silva
Psychologist, PsyD
Verified Verified
3 Endorsed
Deer Park, NY 11729
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well being. If you're looking for extra support and guidance through a challenging situation, I look forward to working with you to achieve your goals.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well being. If you're looking for extra support and guidance through a challenging situation, I look forward to working with you to achieve your goals.
(631) 336-2739 View (631) 336-2739
Photo of Babylon Psychological Services, PC, Psychologist in Deer Park, NY
Babylon Psychological Services, PC
Psychologist
Verified Verified
Deer Park, NY 11729
Babylon Psychological Services provides comprehensive psychological and educational evaluations (bilingual), counseling, family therapy, social skills groups, treatment for anxiety, depression, substance abuse, eating and sleep disorders, ADHD, autism, school and learning problems, behavior difficulties, and educational advocacy. Dr. Clauss specializes in treating adults with depression and anxiety using cognitive-behavior therapy (CBT). He has expertise in behavior modification of children with ADHD and behavioral problems. Dr. Zaino is an expert in CBT, and evaluation and treatment of individuals with mood and anxiety problems.
Babylon Psychological Services provides comprehensive psychological and educational evaluations (bilingual), counseling, family therapy, social skills groups, treatment for anxiety, depression, substance abuse, eating and sleep disorders, ADHD, autism, school and learning problems, behavior difficulties, and educational advocacy. Dr. Clauss specializes in treating adults with depression and anxiety using cognitive-behavior therapy (CBT). He has expertise in behavior modification of children with ADHD and behavioral problems. Dr. Zaino is an expert in CBT, and evaluation and treatment of individuals with mood and anxiety problems.
(631) 317-2276 View (631) 317-2276
Photo of Irem (Remi) Franco, Clinical Social Work/Therapist in Deer Park, NY
Irem (Remi) Franco
Clinical Social Work/Therapist, LCSW
Verified Verified
Deer Park, NY 11729
As a LatinX and BIPOC therapist, I am very committed to fostering a safe and nonjudgmental space where individuals can explore their inner worlds and cultivate personal growth. My approach is rooted in the principles of unconditional positive regard, client-centered therapy, humanistic psychology, and I specialize in cultural sensitivity. I believe in honoring each person's unique journey and experiences, providing empathetic support, and empowering clients to tap into their strengths and wisdom.
As a LatinX and BIPOC therapist, I am very committed to fostering a safe and nonjudgmental space where individuals can explore their inner worlds and cultivate personal growth. My approach is rooted in the principles of unconditional positive regard, client-centered therapy, humanistic psychology, and I specialize in cultural sensitivity. I believe in honoring each person's unique journey and experiences, providing empathetic support, and empowering clients to tap into their strengths and wisdom.
(631) 641-7262 View (631) 641-7262
Photo of Saadia Z. Yunus, Marriage & Family Therapist in Deer Park, NY
Saadia Z. Yunus
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Deer Park, NY 11729
Hi! Thanks for being here. I will give it my all to help you move from struggling to thriving and beyond the doubt and fear that holds you back in life. I ensure you are comfortable and motivated to believe in your ability to solve your own problems and heal from the past so it no longer controls your present. I work with individuals, couples, families, & groups and focus on strengths, resources, and resilience. As an EMDR certified therapist, I don't waste any time in working together towards FAST results.
Hi! Thanks for being here. I will give it my all to help you move from struggling to thriving and beyond the doubt and fear that holds you back in life. I ensure you are comfortable and motivated to believe in your ability to solve your own problems and heal from the past so it no longer controls your present. I work with individuals, couples, families, & groups and focus on strengths, resources, and resilience. As an EMDR certified therapist, I don't waste any time in working together towards FAST results.
(631) 214-2783 View (631) 214-2783
Photo of Raymond Perlman, Clinical Social Work/Therapist in Deer Park, NY
Raymond Perlman
Clinical Social Work/Therapist, LCSW
Verified Verified
Deer Park, NY 11729
I enjoy working with individuals, families and couples. My practice is with children, adolescents and adults. Anxiety,depression, stress, and anger are among the problems I treat. I see children with ADHD, kids trying to cope with divorce, school, oppositional behavior, parenting and other issues. I work with couples to help them close the gap of their differences and enhance what works in their marriage. I have also been helping people who have a variety of problems in their lives as a result of their alcohol or drug abuse.
I enjoy working with individuals, families and couples. My practice is with children, adolescents and adults. Anxiety,depression, stress, and anger are among the problems I treat. I see children with ADHD, kids trying to cope with divorce, school, oppositional behavior, parenting and other issues. I work with couples to help them close the gap of their differences and enhance what works in their marriage. I have also been helping people who have a variety of problems in their lives as a result of their alcohol or drug abuse.
(516) 584-3353 View (516) 584-3353
Photo of Erica Zisman, Clinical Social Work/Therapist in Deer Park, NY
Erica Zisman
Clinical Social Work/Therapist, LCSW
Verified Verified
Deer Park, NY 11729  (Online Only)
Life can be tough, and you do not have to figure it out all on your own! If you are noticing that you or your child are struggling with a big life change, worry, emotional regulation or overwhelm, let’s figure it out together. As a therapist, I work to empower my clients to decrease anxiety, increase self-esteem, and ultimately help you to find more clarity and fulfillment. Whether you are looking for therapy for yourself or for your child, we can get to the root of the issue. Together we can learn and practice coping skills to begin to feel more regulated, uncover and replace old patterns, and learn to process big emotions.
Life can be tough, and you do not have to figure it out all on your own! If you are noticing that you or your child are struggling with a big life change, worry, emotional regulation or overwhelm, let’s figure it out together. As a therapist, I work to empower my clients to decrease anxiety, increase self-esteem, and ultimately help you to find more clarity and fulfillment. Whether you are looking for therapy for yourself or for your child, we can get to the root of the issue. Together we can learn and practice coping skills to begin to feel more regulated, uncover and replace old patterns, and learn to process big emotions.
(631) 212-9603 View (631) 212-9603
Photo of Courtney Duhning, Psychologist in Deer Park, NY
Courtney Duhning
Psychologist, PsyD
Verified Verified
1 Endorsed
Deer Park, NY 11729
Dr. Courtney Duhning, Psy.D. is a licensed doctoral psychologist and a nationally certified school psychologist who works with children, adolescents, and adults with a special interest in individuals ages 13-35. Dr. Duhning specializes in the treatment of anxiety, OCD, depression, panic attacks, social challenges, skin-picking, trichotillomania, phobias (i.e., emetophobia), life transitions (i.e., graduating school, new job, getting married, etc.) and those with “perfectionistic” or “overachiever” traits that interfere with one achieving their full potential.
Dr. Courtney Duhning, Psy.D. is a licensed doctoral psychologist and a nationally certified school psychologist who works with children, adolescents, and adults with a special interest in individuals ages 13-35. Dr. Duhning specializes in the treatment of anxiety, OCD, depression, panic attacks, social challenges, skin-picking, trichotillomania, phobias (i.e., emetophobia), life transitions (i.e., graduating school, new job, getting married, etc.) and those with “perfectionistic” or “overachiever” traits that interfere with one achieving their full potential.
(516) 219-8712 View (516) 219-8712
Monica Pattillo
Marriage & Family Therapist, LMFT
Verified Verified
Deer Park, NY 11729
While she enjoys working with all clients, Dr. Monica is most passionate about the work she does with couples. Her training has equipped her to help couples develop and maintain healthy boundaries, facilitate cohesion and communication, promote problem-solving skills, build empathy, and reduce conflict. Dr. Monica is committed to forming strong therapeutic relationships that empower families to maximize their strengths and develop healthy coping skills which can serve as resources during challenging times.
While she enjoys working with all clients, Dr. Monica is most passionate about the work she does with couples. Her training has equipped her to help couples develop and maintain healthy boundaries, facilitate cohesion and communication, promote problem-solving skills, build empathy, and reduce conflict. Dr. Monica is committed to forming strong therapeutic relationships that empower families to maximize their strengths and develop healthy coping skills which can serve as resources during challenging times.
(631) 203-1675 View (631) 203-1675
Photo of Michael T Fitzgerald, Psychologist in Deer Park, NY
Michael T Fitzgerald
Psychologist, PhD
Verified Verified
Deer Park, NY 11729
Recovery from psychological problems and improving overall health is best achieved when patient and clinician work together in a collaborative manner. My practice offers child adolescent and adult psychodynamic psychotherapy. Additionally motivational enhancement counseling for improved physical health and effective management of chronic health conditions is offered. All therapeutic interventions are individualized with the goal of recovery from depression anxiety and most other mental health diagnosis and disorders.
Recovery from psychological problems and improving overall health is best achieved when patient and clinician work together in a collaborative manner. My practice offers child adolescent and adult psychodynamic psychotherapy. Additionally motivational enhancement counseling for improved physical health and effective management of chronic health conditions is offered. All therapeutic interventions are individualized with the goal of recovery from depression anxiety and most other mental health diagnosis and disorders.
(516) 253-2342 View (516) 253-2342
Photo of Dennis Boyle, Clinical Social Work/Therapist in Deer Park, NY
Dennis Boyle
Clinical Social Work/Therapist, LCSW
Verified Verified
Deer Park, NY 11729
Psychotherapy can help end depression, anxiety, and bothersome thoughts and behaviors, it can alleviate pain and help you to enjoy life more. I specialize in helping clients discover and resolve the root cause(s) of their symptoms and also help them to understand how maladaptive thoughts, attitudes, and behaviors keep them from achieving their goals and attaining happiness; they learn to free up energy for making positive changes in their lives. Your session is time for you, it Is your time to be heard.
Psychotherapy can help end depression, anxiety, and bothersome thoughts and behaviors, it can alleviate pain and help you to enjoy life more. I specialize in helping clients discover and resolve the root cause(s) of their symptoms and also help them to understand how maladaptive thoughts, attitudes, and behaviors keep them from achieving their goals and attaining happiness; they learn to free up energy for making positive changes in their lives. Your session is time for you, it Is your time to be heard.
(347) 572-7617 View (347) 572-7617
Photo of Cherie Amanda Gonzalez, Clinical Social Work/Therapist in Deer Park, NY
Cherie Amanda Gonzalez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Deer Park, NY 11729  (Online Only)
My approach is to be warm, genuine, open and honest. My therapeutic approach comes from a family systems perspective as well as interpersonal framework. We'll explore different aspects of one self and enhance your ability to identify and analyze problems, explore solutions, and deepen your interpersonal connections. In recognizing your own strengths, my goal is to empower and understand you. I’m going to meet you right as you are, right now.
My approach is to be warm, genuine, open and honest. My therapeutic approach comes from a family systems perspective as well as interpersonal framework. We'll explore different aspects of one self and enhance your ability to identify and analyze problems, explore solutions, and deepen your interpersonal connections. In recognizing your own strengths, my goal is to empower and understand you. I’m going to meet you right as you are, right now.
(631) 250-2870 View (631) 250-2870
Photo of Tracy Wenzel, Licensed Mental Health Counselor in Deer Park, NY
Tracy Wenzel
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
Deer Park, NY 11729  (Online Only)
Are you looking for a supportive and confidential place to explore difficult emotions, develop problem solving strategies and coping skills to manage the stressors in your life? You’ll be able to speak with an experienced counselor who can listen with empathy and provide an objective point of view. I am interactive and engaging, believing you are the expert of your life with your own unique strengths, values, and resources to effectively cope and grow. My style is warm and compassionate, offering non-judgmental feedback which fosters insight.
Are you looking for a supportive and confidential place to explore difficult emotions, develop problem solving strategies and coping skills to manage the stressors in your life? You’ll be able to speak with an experienced counselor who can listen with empathy and provide an objective point of view. I am interactive and engaging, believing you are the expert of your life with your own unique strengths, values, and resources to effectively cope and grow. My style is warm and compassionate, offering non-judgmental feedback which fosters insight.
(631) 419-7237 View (631) 419-7237
Photo of FC Marrriage and Family Therapy, PLLC, Marriage & Family Therapist in Deer Park, NY
FC Marrriage and Family Therapy, PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Deer Park, NY 11729
Not accepting new clients
My name is Francis and I welcome you on this ride we call life. My professional background is heavily invested in youth services and community outreach programs. My passion for helping and providing support is deeply rooted in my personality and personal lived experiences. After years in social services, I was driven by curiosity and longing to better understand relationships, so I became a Marriage and Family Therapist. My hope is to hone on my lived experiences coupled with clinical insight to further support individuals, couples, families, and communities to build healthier attachment bonds.
My name is Francis and I welcome you on this ride we call life. My professional background is heavily invested in youth services and community outreach programs. My passion for helping and providing support is deeply rooted in my personality and personal lived experiences. After years in social services, I was driven by curiosity and longing to better understand relationships, so I became a Marriage and Family Therapist. My hope is to hone on my lived experiences coupled with clinical insight to further support individuals, couples, families, and communities to build healthier attachment bonds.
(631) 825-8104 View (631) 825-8104
Photo of Carmen R Ceballos At Live Well Psychotherapy, Clinical Social Work/Therapist in Deer Park, NY
Carmen R Ceballos At Live Well Psychotherapy
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Deer Park, NY 11729  (Online Only)
Feeling overwhelmed, hopeless, unmotivated? Finding it hard to go to work, interact with others and just feel at ease? Are you feeling determined to start feeling better today? Are you looking for a place where you can express yourself freely and focus on your self care? If you haven’t been feeling like yourself for a while, overwhelmed, frustrated, tired, sad, nervous, not sleeping or eating well, then you're in the right place. If you're looking for a space where you are heard and understood, where you can start to understand why you're feeling this way and start to work on solutions, then you found it.
Feeling overwhelmed, hopeless, unmotivated? Finding it hard to go to work, interact with others and just feel at ease? Are you feeling determined to start feeling better today? Are you looking for a place where you can express yourself freely and focus on your self care? If you haven’t been feeling like yourself for a while, overwhelmed, frustrated, tired, sad, nervous, not sleeping or eating well, then you're in the right place. If you're looking for a space where you are heard and understood, where you can start to understand why you're feeling this way and start to work on solutions, then you found it.
(516) 531-6386 View (516) 531-6386

See more therapy options for Deer Park

How does your Therapist compare?

Number of Therapists in Deer Park, NY

50+

Average cost per session

$125

Therapists in Deer Park, NY who prioritize treating:

93% Anxiety
88% Depression
88% Self Esteem
83% Coping Skills
79% Relationship Issues
76% Stress
66% Trauma and PTSD

Average years in practice

17 Years

Top 3 insurances accepted

85% Cigna and Evernorth
81% Aetna
77% UnitedHealthcare UHC | UBH

How Therapists in Deer Park, NY see their clients

64% In Person and Online
36% Online Only

Gender breakdown

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

How can I find a therapist in Deer Park?

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.