Therapists in Pleasant Hill, CA

Photo of The Lucas Rubino Counseling Center, Marriage & Family Therapist in Pleasant Hill, CA
The Lucas Rubino Counseling Center
Marriage & Family Therapist, MFT
Verified Verified
Pleasant Hill, CA 94523
We know when you call us that you, your family or child/teen are experiencing difficult emotional times. We at The Lucas Rubino Center are here to help you & support you through these times. We want to make sure you receive the therapy you need in a caring environment & at an affordable price. Dr Rubino started the Rubino Center, 18 yrs ago, so people could be treated as people not as a number. We are all dedicated therapists & we look forward to helping you & working with you. We also encourage your comments & any questions you may have about your therapy.
We know when you call us that you, your family or child/teen are experiencing difficult emotional times. We at The Lucas Rubino Center are here to help you & support you through these times. We want to make sure you receive the therapy you need in a caring environment & at an affordable price. Dr Rubino started the Rubino Center, 18 yrs ago, so people could be treated as people not as a number. We are all dedicated therapists & we look forward to helping you & working with you. We also encourage your comments & any questions you may have about your therapy.
(925) 526-4724 View (925) 526-4724
Photo of Vicky A. Tejada, Clinical Social Work/Therapist in Pleasant Hill, CA
Vicky A. Tejada
Clinical Social Work/Therapist, LCSW
Verified Verified
Pleasant Hill, CA 94523
Thank you for reaching out and taking the first step to ask for help. I know it can be difficult, but I am confident you will not regret the decision. It's not easy navigating through the trials, challenges and stressors of life. We are often put in situations, whether balancing work or family responsibilities, being a caretaker or a student dealing with school and social pressures. You may be feeling overwhelmed, anxious, depressed, guilty or at a loss with yourself or your relationships. Perhaps, as a parent, you are feeling concerned about the changes in your child's mood, behavior or academic performance and need some support.
Thank you for reaching out and taking the first step to ask for help. I know it can be difficult, but I am confident you will not regret the decision. It's not easy navigating through the trials, challenges and stressors of life. We are often put in situations, whether balancing work or family responsibilities, being a caretaker or a student dealing with school and social pressures. You may be feeling overwhelmed, anxious, depressed, guilty or at a loss with yourself or your relationships. Perhaps, as a parent, you are feeling concerned about the changes in your child's mood, behavior or academic performance and need some support.
(925) 477-2767 View (925) 477-2767
Photo of Jean Kasha, Marriage & Family Therapist in Pleasant Hill, CA
Jean Kasha
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523
I bring the best of both worlds-- over 25 years experience as a psychotherapist, expert in the areas of treating depression, addiction and trauma and a Success and Performance Coach skilled in the latest strategies and techniques for motivation and change. I am able to take what appears to be an obstacle and turn it into a means of building emotional muscle. Obstacles will happen but it is the meaning we give to events that makes all the difference. I have a background in performance art and currently utilize mindfulness as a tool to assist clients in their lives.
I bring the best of both worlds-- over 25 years experience as a psychotherapist, expert in the areas of treating depression, addiction and trauma and a Success and Performance Coach skilled in the latest strategies and techniques for motivation and change. I am able to take what appears to be an obstacle and turn it into a means of building emotional muscle. Obstacles will happen but it is the meaning we give to events that makes all the difference. I have a background in performance art and currently utilize mindfulness as a tool to assist clients in their lives.
(925) 308-5895 View (925) 308-5895
Photo of Neuropsychology (Pleasant Hill and Moraga, CA), Psychologist in Pleasant Hill, CA
Neuropsychology (Pleasant Hill and Moraga, CA)
Psychologist, PsyD, QME
Verified Verified
Pleasant Hill, CA 94523
Dr. Nicolle Ionascu offers comprehensive neuropsychological assessments to a wide demographic age range focusing on in-depth treatment and therapeutic recommendations.
Dr. Nicolle Ionascu offers comprehensive neuropsychological assessments to a wide demographic age range focusing on in-depth treatment and therapeutic recommendations.
(925) 291-9611 View (925) 291-9611
Photo of Robin Farrell, Psychologist in Pleasant Hill, CA
Robin Farrell
Psychologist, PsyD
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523
Looking for clients who are interested in understanding themselves, developing further insight, and willing to challenge themselves. They enjoy my directive style and enjoy the therapeutic process.
Looking for clients who are interested in understanding themselves, developing further insight, and willing to challenge themselves. They enjoy my directive style and enjoy the therapeutic process.
(925) 281-2461 View (925) 281-2461
Photo of Nicole Loggins Desamparo, Marriage & Family Therapist in Pleasant Hill, CA
Nicole Loggins Desamparo
Marriage & Family Therapist, LMFT
Verified Verified
Pleasant Hill, CA 94523
Are you feeling stuck or overwhelmed? Feeling like talking with someone to get some relief and support? You have taken an important first step in finding a therapist that's right for you. I work with children, adolescents, parents, and adults who are experiencing issues related to anxiety, depression, self-esteem, grief and relationship struggles. I am here to help you face these challenges in a comfortable and nurturing way.
Are you feeling stuck or overwhelmed? Feeling like talking with someone to get some relief and support? You have taken an important first step in finding a therapist that's right for you. I work with children, adolescents, parents, and adults who are experiencing issues related to anxiety, depression, self-esteem, grief and relationship struggles. I am here to help you face these challenges in a comfortable and nurturing way.
(925) 961-3852 View (925) 961-3852
Photo of Genevieve Ann Green, Marriage & Family Therapist in Pleasant Hill, CA
Genevieve Ann Green
Marriage & Family Therapist, LMFT
Verified Verified
Pleasant Hill, CA 94523
My work includes working with individuals coping with depression, anxiety, addiction, trauma, and chronic and severe mental illness. I have experience working with all age ranges and ethnicities. I welcome clients of all gender identities and sexual orientations. I have fifteen years plus experience of working within the field of psychology in a variety of settings including drug and alcohol therapy, psychiatric crisis stabilization, forensics, and individual and group therapies. I am certified through Harvard University for Trauma.
My work includes working with individuals coping with depression, anxiety, addiction, trauma, and chronic and severe mental illness. I have experience working with all age ranges and ethnicities. I welcome clients of all gender identities and sexual orientations. I have fifteen years plus experience of working within the field of psychology in a variety of settings including drug and alcohol therapy, psychiatric crisis stabilization, forensics, and individual and group therapies. I am certified through Harvard University for Trauma.
(925) 293-7542 View (925) 293-7542
Photo of Michelle Wendel, Marriage & Family Therapist in Pleasant Hill, CA
Michelle Wendel
Marriage & Family Therapist, LMFT
Verified Verified
Pleasant Hill, CA 94523
Accepting Female adult clients in need of support to process anxiety, women's issues, self esteem, empty-nesting, divorce recovery, phase of life issues, relational issues, retirement, via tele-health appointments. Patients can have no history of SI, HI, no self harm, no hospitalizations.
Accepting Female adult clients in need of support to process anxiety, women's issues, self esteem, empty-nesting, divorce recovery, phase of life issues, relational issues, retirement, via tele-health appointments. Patients can have no history of SI, HI, no self harm, no hospitalizations.
(925) 306-1073 View (925) 306-1073
Photo of Rosario A. Carbajal, Marriage & Family Therapist in Pleasant Hill, CA
Rosario A. Carbajal
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pleasant Hill, CA 94523
Relationships can be frustrating and challenging among couples, family members, and friends. Disappointments can lead to anger, resentment, and stressful disconnections. I can help you resolve these issues through the use of treatment modalities, feedback, communications, and coping skills. Working with me, you can learn to communicate effectively, identify roles and behaviors, and understand one another.
Relationships can be frustrating and challenging among couples, family members, and friends. Disappointments can lead to anger, resentment, and stressful disconnections. I can help you resolve these issues through the use of treatment modalities, feedback, communications, and coping skills. Working with me, you can learn to communicate effectively, identify roles and behaviors, and understand one another.
(925) 393-0493 View (925) 393-0493
Photo of Marilee King, Marriage & Family Therapist in Pleasant Hill, CA
Marilee King
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pleasant Hill, CA 94523
One of my specialties is working with individuals and families that have been affected by addiction(s) in the family. Without judgement and with an atmosphere of safety we begin to explore the process of addiction and family dysfunction that can tear a person, family and community apart. Learning to use recovery tools to help the person and family cope with the stresses of daily life allows the healing process more room to breathe as clients refocus their energies on stability, balance and reconnecting relationships. cash only. no insurance.
One of my specialties is working with individuals and families that have been affected by addiction(s) in the family. Without judgement and with an atmosphere of safety we begin to explore the process of addiction and family dysfunction that can tear a person, family and community apart. Learning to use recovery tools to help the person and family cope with the stresses of daily life allows the healing process more room to breathe as clients refocus their energies on stability, balance and reconnecting relationships. cash only. no insurance.
(925) 320-3253 View (925) 320-3253
Photo of Emma C Melo, Marriage & Family Therapist in Pleasant Hill, CA
Emma C Melo
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523  (Online Only)
I'm passionate about working with queer, neurodivergent folks who have experienced trauma. I also enjoy working with folks who identify as part of the “still COVIDing” community. I offer support around exploring gender identity, gender expression, sexual orientation, and coming out. I also enjoy supporting folks in developing secure attachment and healing past attachment wounds. A lot of the folks I work with are experiencing anxiety, depression, burnout, and stress. They are seeking a better understanding of themselves and some relief. I support them in bettering their relationships with themselves and others.
I'm passionate about working with queer, neurodivergent folks who have experienced trauma. I also enjoy working with folks who identify as part of the “still COVIDing” community. I offer support around exploring gender identity, gender expression, sexual orientation, and coming out. I also enjoy supporting folks in developing secure attachment and healing past attachment wounds. A lot of the folks I work with are experiencing anxiety, depression, burnout, and stress. They are seeking a better understanding of themselves and some relief. I support them in bettering their relationships with themselves and others.
(657) 214-4630 View (657) 214-4630
Photo of Leila Mohajerany, Marriage & Family Therapist Associate in Pleasant Hill, CA
Leila Mohajerany
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Pleasant Hill, CA 94523
Whether it's the weight of external pressures or the depth of internal emotions, reaching out for support requires immense bravery in the face of hardship. I extend my hand to offer you a safe haven, free from judgment, where you can explore your thoughts, emotions, and fears. Together, we'll uncover fresh avenues to conquer these challenges. I am a compassionate, and thoughtful listener, and my ultimate objective is to empower you. We will use your strengths to initiate a transformative journey to understand and break through the barriers holding you back.
Whether it's the weight of external pressures or the depth of internal emotions, reaching out for support requires immense bravery in the face of hardship. I extend my hand to offer you a safe haven, free from judgment, where you can explore your thoughts, emotions, and fears. Together, we'll uncover fresh avenues to conquer these challenges. I am a compassionate, and thoughtful listener, and my ultimate objective is to empower you. We will use your strengths to initiate a transformative journey to understand and break through the barriers holding you back.
(408) 320-5740 View (408) 320-5740
Photo of Katherine Jewett, Marriage & Family Therapist in Pleasant Hill, CA
Katherine Jewett
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523
What if?. . . . What if you didn’t have to feel as though you had to hold all of those balls in the air by yourself? . . . .What if those stomach dropping, throat clenching, heart racing thoughts didn’t have to keep you up at night?. . . . What if you could figure out how to manage those difficult emotions rather than feel overwhelmed by them? What if your history didn’t have to equal your future story? I’ve got you covered! I'll help you to understand how your past got you to this place and how to use that information to connect the dots, figure things out, and design a new and better story going forward.
What if?. . . . What if you didn’t have to feel as though you had to hold all of those balls in the air by yourself? . . . .What if those stomach dropping, throat clenching, heart racing thoughts didn’t have to keep you up at night?. . . . What if you could figure out how to manage those difficult emotions rather than feel overwhelmed by them? What if your history didn’t have to equal your future story? I’ve got you covered! I'll help you to understand how your past got you to this place and how to use that information to connect the dots, figure things out, and design a new and better story going forward.
(925) 322-1681 View (925) 322-1681
Photo of Jane Kwok-Yee Leung, Marriage & Family Therapist in Pleasant Hill, CA
Jane Kwok-Yee Leung
Marriage & Family Therapist, LMFT, SEP
Verified Verified
Pleasant Hill, CA 94523  (Online Only)
Helping clients live a more full life by understanding themselves is at the core of my practice. Trauma is the cause of a significant amount of mental health issues. Sometimes it can be a shock trauma like a car accident. Sometimes it can be a developmental trauma from difficult relationships from childhood. I have spent my professional career helping people with trauma understand how trauma affects their lives and develop tools and skills to manage that trauma. My passion is bringing healing to people who have been through a traumatic/stressful experience.
Helping clients live a more full life by understanding themselves is at the core of my practice. Trauma is the cause of a significant amount of mental health issues. Sometimes it can be a shock trauma like a car accident. Sometimes it can be a developmental trauma from difficult relationships from childhood. I have spent my professional career helping people with trauma understand how trauma affects their lives and develop tools and skills to manage that trauma. My passion is bringing healing to people who have been through a traumatic/stressful experience.
(925) 267-6304 View (925) 267-6304
Photo of Francesca Miller, Marriage & Family Therapist in Pleasant Hill, CA
Francesca Miller
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Pleasant Hill, CA 94523
My purpose as a therapist is to help clients feel less alone in their experiences and learn tools to live a life with more ease, insight, and awareness. I support children, teens, adolescents, and young adults in having a space to feel seen, gain deeper self-awareness, implement coping strategies and reach attainable goals to live life more fully. As a client myself, I aim to normalize the process of therapy and reduce the stigma around receiving mental health support. I acknowledge the bravery and courage it takes to start therapy and hold deep respect for those investing in this process.
My purpose as a therapist is to help clients feel less alone in their experiences and learn tools to live a life with more ease, insight, and awareness. I support children, teens, adolescents, and young adults in having a space to feel seen, gain deeper self-awareness, implement coping strategies and reach attainable goals to live life more fully. As a client myself, I aim to normalize the process of therapy and reduce the stigma around receiving mental health support. I acknowledge the bravery and courage it takes to start therapy and hold deep respect for those investing in this process.
(925) 940-6779 View (925) 940-6779
Photo of Rubino Counseling Services, Marriage & Family Therapist in Pleasant Hill, CA
Rubino Counseling Services
Marriage & Family Therapist, PhD, MFT
Verified Verified
Pleasant Hill, CA 94523
We understand many people feel ashamed having to seek therapy for their child, family or themselves. However, no one is perfect and we all need help from time to time. We have created a relaxing atmosphere where you will not feel judged. We are here to assist you through a difficult time and to make the changes you need to make. Teens need help to. It is very common for teens to need therapy to deal with an issue in their life.
We understand many people feel ashamed having to seek therapy for their child, family or themselves. However, no one is perfect and we all need help from time to time. We have created a relaxing atmosphere where you will not feel judged. We are here to assist you through a difficult time and to make the changes you need to make. Teens need help to. It is very common for teens to need therapy to deal with an issue in their life.
(925) 705-4833 View (925) 705-4833
Photo of Beth Hawley, Marriage & Family Therapist in Pleasant Hill, CA
Beth Hawley
Marriage & Family Therapist, LMFT, PPSC
Verified Verified
Pleasant Hill, CA 94523
My approach to therapy is holistic and addresses mind, body, and spirit as essential, interwoven aspects of who we are. Through my years of practice, I've learned to integrate various somatic and mindfulness modalities into sessions because they go beyond strictly talk therapy in helping calm the nervous system, reduce the effects of trauma and overwhelm, foster new perspectives, and create a healthier relationship with the body. The result is greater resilience, self-compassion, fulfillment, empowerment, and joy. EFT Tapping and Embodied Mindfulness are two modalities that I use & teach so that clients have tools to use at home.
My approach to therapy is holistic and addresses mind, body, and spirit as essential, interwoven aspects of who we are. Through my years of practice, I've learned to integrate various somatic and mindfulness modalities into sessions because they go beyond strictly talk therapy in helping calm the nervous system, reduce the effects of trauma and overwhelm, foster new perspectives, and create a healthier relationship with the body. The result is greater resilience, self-compassion, fulfillment, empowerment, and joy. EFT Tapping and Embodied Mindfulness are two modalities that I use & teach so that clients have tools to use at home.
(925) 433-7957 View (925) 433-7957
Photo of Angela Hernandez LMFT, Marriage & Family Therapist in Pleasant Hill, CA
Angela Hernandez LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pleasant Hill, CA 94523
I specialize in children, adolescents, and young adults, using evidence-based practices such as Cognitive Behavior Therapy and Mindfulness, as well as other treatment modalities to address needs and facilitate growth. Setting goals and planning treatment is a collaborative process with the client (and parents) and I aim to cultivate an open and non-judgmental relationship during the therapy process. My years of experience include supporting clients through a myriad of concerns, including trauma, depression, anxiety, grief and/or loss, relational issues, self-esteem and adjustments to changes.
I specialize in children, adolescents, and young adults, using evidence-based practices such as Cognitive Behavior Therapy and Mindfulness, as well as other treatment modalities to address needs and facilitate growth. Setting goals and planning treatment is a collaborative process with the client (and parents) and I aim to cultivate an open and non-judgmental relationship during the therapy process. My years of experience include supporting clients through a myriad of concerns, including trauma, depression, anxiety, grief and/or loss, relational issues, self-esteem and adjustments to changes.
(925) 722-5510 View (925) 722-5510
Photo of Dina Castrillo, Marriage & Family Therapist in Pleasant Hill, CA
Dina Castrillo
Marriage & Family Therapist, LMFT
Verified Verified
Pleasant Hill, CA 94523
We are constantly growing and changing. Throughout stages in our lives, transitions in our states, or shifts in our relationships we can be overtaken with different emotions. Sometimes these emotions can be hard to make sense of, hard to sift through, or hard to sit with. My intention is to be your support as your work through problematic areas in your life to live a more meaningful and abundant life. Through my humanistic perspective, I offer a relaxed and warm approach to therapy; thusly, I commit to remain present with my clients and customize the therapy that meets your unique needs.
We are constantly growing and changing. Throughout stages in our lives, transitions in our states, or shifts in our relationships we can be overtaken with different emotions. Sometimes these emotions can be hard to make sense of, hard to sift through, or hard to sit with. My intention is to be your support as your work through problematic areas in your life to live a more meaningful and abundant life. Through my humanistic perspective, I offer a relaxed and warm approach to therapy; thusly, I commit to remain present with my clients and customize the therapy that meets your unique needs.
(925) 303-4495 View (925) 303-4495
Photo of Janelle K Brady, Marriage & Family Therapist in Pleasant Hill, CA
Janelle K Brady
Marriage & Family Therapist, MS, LMFT
Verified Verified
Pleasant Hill, CA 94523
Waitlist for new clients
We can all use an un-biased, confidential person to talk with. Throughout life, everyone experiences periods of stress, grief & sadness, go through breakups, endure family & parental stress, or struggle with pressures at work. Sometimes we may need extra support navigating through, and adjusting to life changes. In therapy, we will work as a team to facilitate your treatment goals with a solution focused approach. We will nurture your emotional & social well-being, increasing personal growth and self-acceptance, while gaining a stronger sense of personal self-worth, life satisfaction, and increasing the ability in maintaining healthy relationships.
We can all use an un-biased, confidential person to talk with. Throughout life, everyone experiences periods of stress, grief & sadness, go through breakups, endure family & parental stress, or struggle with pressures at work. Sometimes we may need extra support navigating through, and adjusting to life changes. In therapy, we will work as a team to facilitate your treatment goals with a solution focused approach. We will nurture your emotional & social well-being, increasing personal growth and self-acceptance, while gaining a stronger sense of personal self-worth, life satisfaction, and increasing the ability in maintaining healthy relationships.
(925) 297-1843 View (925) 297-1843

See more therapy options for Pleasant Hill

How does your Therapist compare?

Number of Therapists in Pleasant Hill, CA

100+

Average cost per session

$165

Therapists in Pleasant Hill, CA who prioritize treating:

94% Anxiety
88% Depression
75% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
66% Grief
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

52% Cigna and Evernorth
51% Aetna
46% UnitedHealthcare UHC | UBH

How Therapists in Pleasant Hill, CA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pleasant Hill?

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.