Therapists in Newport Beach, CA

Photo of Ross Phillips, Marriage & Family Therapist in Newport Beach, CA
Ross Phillips
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Newport Beach, CA 92660
Authentic communication and connection nourishes our essence. Being in tune with our deeper self helps us stay centered, feeling sure and confident of who we are. At times our head may spin from anxiety-provoking events or situations. We can learn to cope and self-regulate by getting in touch with our self in different ways. Nourishing our essence gives us a solid sense of self-worth, helping us feel safe and secure in the universe allowing us to take ownership of our journey through life, whether dealing with addiction, depression, anxiety, or relationships we can learn to live in the solution.
Authentic communication and connection nourishes our essence. Being in tune with our deeper self helps us stay centered, feeling sure and confident of who we are. At times our head may spin from anxiety-provoking events or situations. We can learn to cope and self-regulate by getting in touch with our self in different ways. Nourishing our essence gives us a solid sense of self-worth, helping us feel safe and secure in the universe allowing us to take ownership of our journey through life, whether dealing with addiction, depression, anxiety, or relationships we can learn to live in the solution.
(805) 214-6831 View (805) 214-6831
Photo of Carrie Kimpton Heald, Psychologist in Newport Beach, CA
Carrie Kimpton Heald
Psychologist, PhD
Verified Verified
Newport Beach, CA 92660
My education and training provided me with a high degree of specialization in conducting psychological, psychoeducational, and neuropsychological evaluations for children, adolescents, and adults. Currently, I work with individuals with various presenting concerns, including learning and attention disorders, developmental disorders, depression, and anxiety. I have experience working in schools, hospitals, community mental health, and private practice settings.
My education and training provided me with a high degree of specialization in conducting psychological, psychoeducational, and neuropsychological evaluations for children, adolescents, and adults. Currently, I work with individuals with various presenting concerns, including learning and attention disorders, developmental disorders, depression, and anxiety. I have experience working in schools, hospitals, community mental health, and private practice settings.
(949) 704-6554 View (949) 704-6554
Photo of Jordanne Stacy, Marriage & Family Therapist in Newport Beach, CA
Jordanne Stacy
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Newport Beach, CA 92660  (Online Only)
Experiencing anxiety, depression, PTSD or difficulty controlling your thoughts & emotions? Are relationship challenges interfering with your ability to experience a fulfilling & satisfying life? If you've worked with other therapists in the past, or are considering starting for the first time, I have been where you are and know that solutions can sometimes feel unattainable. You don't want to just pay someone to listen, you want to attain improvements in all facets of your life. You deserve to experience contentment, peace & happiness, and the people closest in your life deserve to have that version of you. Real change is possible!
Experiencing anxiety, depression, PTSD or difficulty controlling your thoughts & emotions? Are relationship challenges interfering with your ability to experience a fulfilling & satisfying life? If you've worked with other therapists in the past, or are considering starting for the first time, I have been where you are and know that solutions can sometimes feel unattainable. You don't want to just pay someone to listen, you want to attain improvements in all facets of your life. You deserve to experience contentment, peace & happiness, and the people closest in your life deserve to have that version of you. Real change is possible!
(714) 274-7606 View (714) 274-7606
Photo of PCIT Institute of Southern California, Psychologist in Newport Beach, CA
PCIT Institute of Southern California
Psychologist
Verified Verified
Newport Beach, CA 92660
Is your child controlling your household with their demands, tantrums and power struggles? Are you feeling exhausted, out of control and defeated? Are you embarrassed in public and afraid that people see your child's behavior as your failure? Are you tired of fighting, struggling, and trying so hard, but getting nowhere?
Is your child controlling your household with their demands, tantrums and power struggles? Are you feeling exhausted, out of control and defeated? Are you embarrassed in public and afraid that people see your child's behavior as your failure? Are you tired of fighting, struggling, and trying so hard, but getting nowhere?
(949) 482-4367 x1 View (949) 482-4367 x1
Photo of Cynthia Baker, Psychologist in Newport Beach, CA
Cynthia Baker
Psychologist, PhD
Verified Verified
Newport Beach, CA 92660
Are you struggling with relationship difficulties or depression? Are you challenged with parenting or do you have a child who is struggling with behavioral, academic or emotional issues? Did you recently lose someone you love? Many of us struggle with isolation, anxiety, depression and feeling "stuck". If you are feeling overwhelmed and confused, therapy can help you cope, adapt, heal and move forward. I can provide you with specific tools to help you understand your challenges, facilitate your coping skills and self-esteem, and help you develop new ways to adapt and change in response to your difficult life situation.
Are you struggling with relationship difficulties or depression? Are you challenged with parenting or do you have a child who is struggling with behavioral, academic or emotional issues? Did you recently lose someone you love? Many of us struggle with isolation, anxiety, depression and feeling "stuck". If you are feeling overwhelmed and confused, therapy can help you cope, adapt, heal and move forward. I can provide you with specific tools to help you understand your challenges, facilitate your coping skills and self-esteem, and help you develop new ways to adapt and change in response to your difficult life situation.
(714) 702-5968 View (714) 702-5968
Photo of Heather Mather, Marriage & Family Therapist in Newport Beach, CA
Heather Mather
Marriage & Family Therapist, MA, LMFT
Verified Verified
Newport Beach, CA 92660
I love working with young adults. Right now your lives are filled with choices and decisions, and you may be trying to develop deep, long-lasting relationships. You've got so many life transitions going on all at once, and it can be very confusing! If you also have emotional pain happening in your life at the same time, you may feel "stuck" in moving forward. There's so much to look forward to in your life and you don't want to miss out.
I love working with young adults. Right now your lives are filled with choices and decisions, and you may be trying to develop deep, long-lasting relationships. You've got so many life transitions going on all at once, and it can be very confusing! If you also have emotional pain happening in your life at the same time, you may feel "stuck" in moving forward. There's so much to look forward to in your life and you don't want to miss out.
(720) 897-5277 View (720) 897-5277
Photo of Maddison Herrick, Marriage & Family Therapist in Newport Beach, CA
Maddison Herrick
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
Newport Beach, CA 92660
Our lives are filled with so much unknown and mixed emotions. My goal is to help guide clients through this journey and get out of the feeling of being "stuck". I see all ages and have a passion for working with teens, young adults, and individuals struggling with anxiety, trauma, chronic illnesses, self-esteem, perfectionism, people pleasing, and/or relationship conflicts. I enjoy taking a collaborative and empathetic approach with my clients to best provide a safe and open space to explore whether it be their first time in therapy or visiting again.
Our lives are filled with so much unknown and mixed emotions. My goal is to help guide clients through this journey and get out of the feeling of being "stuck". I see all ages and have a passion for working with teens, young adults, and individuals struggling with anxiety, trauma, chronic illnesses, self-esteem, perfectionism, people pleasing, and/or relationship conflicts. I enjoy taking a collaborative and empathetic approach with my clients to best provide a safe and open space to explore whether it be their first time in therapy or visiting again.
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Photo of Teri Pokrajac, Psychologist in Newport Beach, CA
Teri Pokrajac
Psychologist, PsyD, MA
Verified Verified
Newport Beach, CA 92660
A compassionate, exceptionally skilled and caring psychologist with over 20 years of experience. I am focused on helping you deal with life's challenges. I work with clients seeking to improve their lives and assist them in healing from current and past trauma and stress, finding better tools to address problems, and improve your overall life satisfaction. An expert in the field of trauma and dissociative disorders including sexual trauma & abuse, traumatic accident or injury, difficult or abusive relationships, divorce and parent-child issues. I am an engaging therapist who listens, provides useful input, and meets you where you are.
A compassionate, exceptionally skilled and caring psychologist with over 20 years of experience. I am focused on helping you deal with life's challenges. I work with clients seeking to improve their lives and assist them in healing from current and past trauma and stress, finding better tools to address problems, and improve your overall life satisfaction. An expert in the field of trauma and dissociative disorders including sexual trauma & abuse, traumatic accident or injury, difficult or abusive relationships, divorce and parent-child issues. I am an engaging therapist who listens, provides useful input, and meets you where you are.
(949) 287-8074 x2 View (949) 287-8074 x2
Photo of Dr. Kellie M. Nasont, Psychologist in Newport Beach, CA
Dr. Kellie M. Nasont
Psychologist, PsyD
Verified Verified
Newport Beach, CA 92660
I am passionate about developmental stages throughout the lifetime. Every stage brings new challenges and gifts, and the opportunity to shape our identities through values-based living. My therapeutic approach is full of warmth, openness, and curiosity, and I enjoy walking alongside patients on their journey.
I am passionate about developmental stages throughout the lifetime. Every stage brings new challenges and gifts, and the opportunity to shape our identities through values-based living. My therapeutic approach is full of warmth, openness, and curiosity, and I enjoy walking alongside patients on their journey.
(626) 240-5724 View (626) 240-5724
Photo of Morag S Webb, Marriage & Family Therapist in Newport Beach, CA
Morag S Webb
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Newport Beach, CA 92660
Are you struggling in a relationship, with a breakup or with a big decision? Are you feeling overwhelmed with parenting or with caregiving? Are you feeling stuck in relationship patterns that leave you feeling helpless, guilty, or angry? Talking issues over with a caring and competent professional can make a difference. I'd count it a privilege to be your thought partner in the most important areas of your life. A deeper understanding of yourself and your important relationships can provide clarity and a way forward.
Are you struggling in a relationship, with a breakup or with a big decision? Are you feeling overwhelmed with parenting or with caregiving? Are you feeling stuck in relationship patterns that leave you feeling helpless, guilty, or angry? Talking issues over with a caring and competent professional can make a difference. I'd count it a privilege to be your thought partner in the most important areas of your life. A deeper understanding of yourself and your important relationships can provide clarity and a way forward.
(949) 837-1500 View (949) 837-1500
Photo of Dr. Sandy Gonzalez, Marriage & Family Therapist in Newport Beach, CA
Dr. Sandy Gonzalez
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Newport Beach, CA 92660
Ever wonder why you are feeling the way you do? Have you ever questioned parts of yourself and/or lived experiences? Or maybe you feel out of place in different areas of your life, like in relationships, work, or even within today’s world, leaving you to feel overwhelmed, worried, misunderstood, hurt, frustrated, and/or confused. Well, therapy can be a space to give to yourself or relationship to explore what is most important to you. It is knowing that you do not have to do it alone. You deserve a space to feel supported, accepted, seen, and heard. It would be a privilege in joining you in this journey.
Ever wonder why you are feeling the way you do? Have you ever questioned parts of yourself and/or lived experiences? Or maybe you feel out of place in different areas of your life, like in relationships, work, or even within today’s world, leaving you to feel overwhelmed, worried, misunderstood, hurt, frustrated, and/or confused. Well, therapy can be a space to give to yourself or relationship to explore what is most important to you. It is knowing that you do not have to do it alone. You deserve a space to feel supported, accepted, seen, and heard. It would be a privilege in joining you in this journey.
(949) 993-1519 View (949) 993-1519
Photo of Erica Hanson, Clinical Social Work/Therapist in Newport Beach, CA
Erica Hanson
Clinical Social Work/Therapist, LCSW
Verified Verified
Newport Beach, CA 92660
I love to provide support and insight to help clients create lasting and effective change in their lives. Before coming to Seaside Solutions as a therapist, I worked as a therapist for a local non-profit agency and worked in several local psychiatric facilities. If you are looking for a supportive environment to make positive changes in your life, please contact me!
I love to provide support and insight to help clients create lasting and effective change in their lives. Before coming to Seaside Solutions as a therapist, I worked as a therapist for a local non-profit agency and worked in several local psychiatric facilities. If you are looking for a supportive environment to make positive changes in your life, please contact me!
(949) 537-2237 View (949) 537-2237
Photo of Lauren Sherwin, Clinical Social Work/Therapist in Newport Beach, CA
Lauren Sherwin
Clinical Social Work/Therapist, LCSW
Verified Verified
Newport Beach, CA 92660  (Online Only)
Hello and welcome! My name is Lauren Sherwin, and I'm a Licensed Clinical Social Worker (LCSW). I'm glad you're here. We all have challenges in life and need a helping hand at times. My goal is to help you achieve your goals. Together, we will identify your wants and needs, while implementing tools and strategies to help you heal. I have experience working directly with children, adolescents, and adults in a wide array of settings. I'm currently offering teletherapy and 15 minute consultations so we can learn a bit about each other prior to starting therapy.
Hello and welcome! My name is Lauren Sherwin, and I'm a Licensed Clinical Social Worker (LCSW). I'm glad you're here. We all have challenges in life and need a helping hand at times. My goal is to help you achieve your goals. Together, we will identify your wants and needs, while implementing tools and strategies to help you heal. I have experience working directly with children, adolescents, and adults in a wide array of settings. I'm currently offering teletherapy and 15 minute consultations so we can learn a bit about each other prior to starting therapy.
(949) 284-2761 View (949) 284-2761
Photo of Jennifer De Francisco, Clinical Social Work/Therapist in Newport Beach, CA
Jennifer De Francisco
Clinical Social Work/Therapist, MPA, MSW, LCSW
Verified Verified
Newport Beach, CA 92660
Is fighting destroying your relationship, and you do not know how to stop it? Do you sometimes feel you cannot trust your partner? Maybe your partner has pulled away from you, and your scared and alone. If so, I can help. With support and empathy, we can work together, leading a more fulfilling and meaningful life and relationship. I specialize in helping individuals and couples whose personal relationships have hit a crisis point, whether due to poor communication, constant fighting, lack of intimacy, or infidelity. I actively work toward helping you create a relationship built on respect, excellent communication, and trust.
Is fighting destroying your relationship, and you do not know how to stop it? Do you sometimes feel you cannot trust your partner? Maybe your partner has pulled away from you, and your scared and alone. If so, I can help. With support and empathy, we can work together, leading a more fulfilling and meaningful life and relationship. I specialize in helping individuals and couples whose personal relationships have hit a crisis point, whether due to poor communication, constant fighting, lack of intimacy, or infidelity. I actively work toward helping you create a relationship built on respect, excellent communication, and trust.
(949) 298-2968 View (949) 298-2968
Photo of Maryam Ashraf, Clinical Social Work/Therapist in Newport Beach, CA
Maryam Ashraf
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
1 Endorsed
Newport Beach, CA 92660
Do you find yourself struggling with anxiety, depression, stress, grief or difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, family therapy, relational therapy, psychoeducation, CBT and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
Do you find yourself struggling with anxiety, depression, stress, grief or difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, family therapy, relational therapy, psychoeducation, CBT and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
(714) 886-3044 View (714) 886-3044
Photo of Erick Santos, Clinical Social Work/Therapist in Newport Beach, CA
Erick Santos
Clinical Social Work/Therapist, LCSW, EMDR, MA
Verified Verified
2 Endorsed
Newport Beach, CA 92660
Has trauma, anxiety, or depression interfered with the potential to become the best version of yourself? We often feel defined by traumatic or emotionally difficult experiences that leave us feeling stuck in place rather than moving forward towards our goals. I’m here to provide a safe, affirming space for you to develop an understanding of yourself to overcome experiences or fears that define you. Our work together will be met with unconditional acceptance, creative approaches, and the utmost compassion.
Has trauma, anxiety, or depression interfered with the potential to become the best version of yourself? We often feel defined by traumatic or emotionally difficult experiences that leave us feeling stuck in place rather than moving forward towards our goals. I’m here to provide a safe, affirming space for you to develop an understanding of yourself to overcome experiences or fears that define you. Our work together will be met with unconditional acceptance, creative approaches, and the utmost compassion.
(714) 735-0357 View (714) 735-0357
Photo of Gloria Ashby Dahlquist, Marriage & Family Therapist in Newport Beach, CA
Gloria Ashby Dahlquist
Marriage & Family Therapist, LMFT
Verified Verified
Newport Beach, CA 92660
I welcome and support the Highly Sensitive Person. Take just a moment. Allow yourself to recall what it feels like to be calm, confident, enthusiastic, loved and loving. Hold on to those warm thoughts for a bit. You deserve them. Don't slide back into the swamp of negativity. Stay on the healthy path. Feeling good is not only possible, it's the mark of the responsible person who holds themselves and others in loving regard.
I welcome and support the Highly Sensitive Person. Take just a moment. Allow yourself to recall what it feels like to be calm, confident, enthusiastic, loved and loving. Hold on to those warm thoughts for a bit. You deserve them. Don't slide back into the swamp of negativity. Stay on the healthy path. Feeling good is not only possible, it's the mark of the responsible person who holds themselves and others in loving regard.
(949) 829-4487 View (949) 829-4487
Photo of Christine A. Hensley, Marriage & Family Therapist in Newport Beach, CA
Christine A. Hensley
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
Newport Beach, CA 92660  (Online Only)
Work, health issues or relationships stressing you out? We all need emotional support at times. I believe in customized and creative solutions for people. Everyone has a different personality and a unique set of problems, so everyone’s path to healing should be designed differently. I use scientifically proven methods of treatment in a non-judgmental, warm, empathetic way, sometimes sprinkled with a lil humor. I also teach fun psychological tools that can reduce anxiety, trauma and stress reactions
Work, health issues or relationships stressing you out? We all need emotional support at times. I believe in customized and creative solutions for people. Everyone has a different personality and a unique set of problems, so everyone’s path to healing should be designed differently. I use scientifically proven methods of treatment in a non-judgmental, warm, empathetic way, sometimes sprinkled with a lil humor. I also teach fun psychological tools that can reduce anxiety, trauma and stress reactions
(949) 636-8933 View (949) 636-8933
Photo of Barbi Pecenco, Marriage & Family Therapist in Newport Beach, CA
Barbi Pecenco
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Newport Beach, CA 92660
My clients come to see me because there is a gap between what they have in their life and what they are hoping for. This gap leads to a feeling of being stuck, and life can feel too hard. Perhaps they don't have the life, relationships or career that they are desiring, or those things just do not feel fulfilling. Some are struggling with an accident or event that they need help transforming from a trauma into a normal memory so they can move forward. Some just have the sense that they are not the best version of themselves and want help creating a meaningful and authentic life that they love.
My clients come to see me because there is a gap between what they have in their life and what they are hoping for. This gap leads to a feeling of being stuck, and life can feel too hard. Perhaps they don't have the life, relationships or career that they are desiring, or those things just do not feel fulfilling. Some are struggling with an accident or event that they need help transforming from a trauma into a normal memory so they can move forward. Some just have the sense that they are not the best version of themselves and want help creating a meaningful and authentic life that they love.
(949) 694-7728 View (949) 694-7728
Photo of Michelle J Cox, Marriage & Family Therapist in Newport Beach, CA
Michelle J Cox
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Newport Beach, CA 92660  (Online Only)
Like the seasons, our feelings and perspectives transition. Perhaps you find yourself in a transitional season and are dissatisfied with life, relationships, or feeling disconnected from the things you find most meaningful. Left unaddressed, unhealthy habits may ensue along with harrowing stress that interferes with your daily life.
Like the seasons, our feelings and perspectives transition. Perhaps you find yourself in a transitional season and are dissatisfied with life, relationships, or feeling disconnected from the things you find most meaningful. Left unaddressed, unhealthy habits may ensue along with harrowing stress that interferes with your daily life.
(949) 881-5574 View (949) 881-5574

See more therapy options for Newport Beach

How does your Therapist compare?

Number of Therapists in Newport Beach, CA

1,000+

Average cost per session

$175

Therapists in Newport Beach, CA who prioritize treating:

93% Anxiety
90% Depression
84% Relationship Issues
77% Self Esteem
71% Trauma and PTSD
68% Coping Skills
68% Stress

Average years in practice

13 Years

Top 3 insurances accepted

55% Aetna
55% Cigna and Evernorth
42% UnitedHealthcare UHC | UBH

How Therapists in Newport Beach, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Newport Beach?

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.