Therapists in Dumont, NJ

Photo of Monica Rodriguez, LPC, Licensed Professional Counselor
Monica Rodriguez
Licensed Professional Counselor, LPC
Verified Verified
Dumont, NJ 07628
I am a Licensed Professional Counselor in the state of New Jersey, passionate about helping people find strength and peace as they navigate life’s transitions and challenges. I have experience supporting others in processing feelings of anxiety, depression, anger, and grief to achieve a sense of balance and purpose. I enjoy working with children, adolescents, adults, and couples. I completed my Bachelor of Arts in Psychology at James Madison University and earned my Master of Arts in Clinical Counseling from Columbia International University.
I am a Licensed Professional Counselor in the state of New Jersey, passionate about helping people find strength and peace as they navigate life’s transitions and challenges. I have experience supporting others in processing feelings of anxiety, depression, anger, and grief to achieve a sense of balance and purpose. I enjoy working with children, adolescents, adults, and couples. I completed my Bachelor of Arts in Psychology at James Madison University and earned my Master of Arts in Clinical Counseling from Columbia International University.
(551) 210-4865 View (551) 210-4865
Photo of Lindsey Mattsson, LPC, Licensed Professional Counselor
Lindsey Mattsson
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Lindsey Mattsson is a Licensed Professional Counselor with over 10 years of experience working in both private practice and in the community with children, adolescents, and adults. She specializes in depression, personality disorders, social anxiety, women's issues, behavioral and intellectual/developmental disabilities in children and adolescents, disordered eating, trauma, and online addictions. Lindsey earned her bachelor’s degree in Psychology from Indiana University Bloomington and her master’s degree in Professional Counseling from Monmouth University.
Lindsey Mattsson is a Licensed Professional Counselor with over 10 years of experience working in both private practice and in the community with children, adolescents, and adults. She specializes in depression, personality disorders, social anxiety, women's issues, behavioral and intellectual/developmental disabilities in children and adolescents, disordered eating, trauma, and online addictions. Lindsey earned her bachelor’s degree in Psychology from Indiana University Bloomington and her master’s degree in Professional Counseling from Monmouth University.
(201) 977-6794 View (201) 977-6794
Photo of Joseph Skunca, MSW, LCSW, Clinical Social Work/Therapist
Joseph Skunca
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Dumont, NJ 07628
Not accepting new clients
Most people find it quite difficult to begin seeing a therapist regardless of the reason. It does not seem natural to expose one's innermost struggles to a complete stranger. After working in the field for 27 years I have found that the initial discomfort felt by many dissipates rather quickly when they encounter a warm, supportive person who offers genuine hope.
Most people find it quite difficult to begin seeing a therapist regardless of the reason. It does not seem natural to expose one's innermost struggles to a complete stranger. After working in the field for 27 years I have found that the initial discomfort felt by many dissipates rather quickly when they encounter a warm, supportive person who offers genuine hope.
(201) 771-8857 View (201) 771-8857
Photo of Mejrem Murtis, LAC, NCC, Counselor
Mejrem Murtis
Counselor, LAC, NCC
Verified Verified
1 Endorsed
Online Only
I'm passionate about helping clients of any age or gender learn how to break unhealthy habits, reduce their anxiety and depression, and also learn about themselves in the process of therapy.
I'm passionate about helping clients of any age or gender learn how to break unhealthy habits, reduce their anxiety and depression, and also learn about themselves in the process of therapy.
(201) 977-6427 View (201) 977-6427
Photo of Lynda McGowan, LCSW, MSW, Clinical Social Work/Therapist
Lynda McGowan
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Dumont, NJ 07628
Waitlist for new clients
As a School Social Worker I have direct experience working with teachers, students and parents. I am offering short-term treatment at this time to provide you with a safe space to express your concerns and help you to develop a mindful plan for optimum mental health. My private practice has provided support to many adolescents and their families, for those who are in need of on-going therapy to address social- emotional and relationship issues that have become magnified during Covid-19.
As a School Social Worker I have direct experience working with teachers, students and parents. I am offering short-term treatment at this time to provide you with a safe space to express your concerns and help you to develop a mindful plan for optimum mental health. My private practice has provided support to many adolescents and their families, for those who are in need of on-going therapy to address social- emotional and relationship issues that have become magnified during Covid-19.
(551) 231-1624 View (551) 231-1624
Photo of Tia Davis - Thriveworks Counseling & Psychiatry Dumont, Clinical Social Work/Therapist
Thriveworks Counseling & Psychiatry Dumont
Clinical Social Work/Therapist
Verified Verified
Dumont, NJ 07628
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(551) 243-7583 View (551) 243-7583
Photo of Natasha Go, LPC, Licensed Professional Counselor
Natasha Go
Licensed Professional Counselor, LPC
Verified Verified
Dumont, NJ 07628
I’m Natasha Go, a Licensed Professional Counselor (LPC) with over three years of experience working with teens, adults, and couples. My practice focuses on helping individuals navigate challenges such as depression, anxiety, ADHD, grief, life transitions, and LGBTQ+ or other sexuality-related concerns. I hold both a Bachelor of Arts in Psychology and Sociology, and a Master of Education in Professional Counseling from William Paterson University. My work is deeply informed by my diverse experiences and training, and I bring a culturally sensitive, empathetic approach to each session.
I’m Natasha Go, a Licensed Professional Counselor (LPC) with over three years of experience working with teens, adults, and couples. My practice focuses on helping individuals navigate challenges such as depression, anxiety, ADHD, grief, life transitions, and LGBTQ+ or other sexuality-related concerns. I hold both a Bachelor of Arts in Psychology and Sociology, and a Master of Education in Professional Counseling from William Paterson University. My work is deeply informed by my diverse experiences and training, and I bring a culturally sensitive, empathetic approach to each session.
(201) 890-6929 View (201) 890-6929
Photo of Alicia DeFilippis, Pre-Licensed Professional
Alicia DeFilippis
Pre-Licensed Professional
Verified Verified
Dumont, NJ 07628
Alicia DeFilippis is a Licensed Associate Counselor (LAC) in the state of New Jersey, offering therapeutic care to children, adolescents, and adults from diverse and multicultural backgrounds. With a broad range of experience working with individuals facing psychological and behavioral challenges, Alicia has helped clients struggling with issues such as depression, anxiety, ADHD, disruptive behavior disorders, body dysmorphia, low self-esteem, trauma, and chronic stress. Alicia earned her Master’s Degree in Mental Health Counseling from Fordham University.
Alicia DeFilippis is a Licensed Associate Counselor (LAC) in the state of New Jersey, offering therapeutic care to children, adolescents, and adults from diverse and multicultural backgrounds. With a broad range of experience working with individuals facing psychological and behavioral challenges, Alicia has helped clients struggling with issues such as depression, anxiety, ADHD, disruptive behavior disorders, body dysmorphia, low self-esteem, trauma, and chronic stress. Alicia earned her Master’s Degree in Mental Health Counseling from Fordham University.
(201) 636-1895 View (201) 636-1895
Photo of Joe Armentano, LCSW, Clinical Social Work/Therapist
Joe Armentano
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Dumont, NJ 07628
Choosing a psychotherapist is a very personal decision that I view with respect and humility. Whether dealing with depression, anxiety, marital or relationship issues, family problems, grief, adjustment issues, or any of the social emotional reasons that you are seeking help for, I am committed to approaching our work together with a personal and collaborative approach to problem-solving. My belief is you are the expert of your life, but that when problems occur, a non-judgmental and objective perspective can help to clear the barriers away that are blocking you in a safe and trusting space.
Choosing a psychotherapist is a very personal decision that I view with respect and humility. Whether dealing with depression, anxiety, marital or relationship issues, family problems, grief, adjustment issues, or any of the social emotional reasons that you are seeking help for, I am committed to approaching our work together with a personal and collaborative approach to problem-solving. My belief is you are the expert of your life, but that when problems occur, a non-judgmental and objective perspective can help to clear the barriers away that are blocking you in a safe and trusting space.
(201) 676-8920 View (201) 676-8920
Photo of Debra Marek, LSW
Debra Marek
Licensed Social Worker , LSW
Verified Verified
Online Only
Hello my name is Debra Marek and I have been working as a clinician for over 24 years. My goal is to provide empathetic and evidenced based care to persons struggling with depression, anxiety and stress management. I believe that people can overcome obstacles they may face if given nurture and support. It would be my pleasure to join you on your wellness journey.
Hello my name is Debra Marek and I have been working as a clinician for over 24 years. My goal is to provide empathetic and evidenced based care to persons struggling with depression, anxiety and stress management. I believe that people can overcome obstacles they may face if given nurture and support. It would be my pleasure to join you on your wellness journey.
(551) 296-7934 View (551) 296-7934
Photo of Tia Davis, LCSW, Clinical Social Work/Therapist
Tia Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Dumont, NJ 07628
I’m Tia S. Davis, a Licensed Clinical Social Worker with 15 years of experience helping children, teens, adults, couples, and families navigate life’s challenges. I specialize in supporting clients through everyday stressors, relationship difficulties, and managing symptoms related to anxiety, depression, ADD/ADHD, and low self-esteem. I am passionate about providing clients with the tools they need to create positive, lasting change in their lives. I earned my Master of Social Work (MSW) at Long Island University, Brooklyn campus. I truly believe in the power of connection and am dedicated to meeting my clients where they are.
I’m Tia S. Davis, a Licensed Clinical Social Worker with 15 years of experience helping children, teens, adults, couples, and families navigate life’s challenges. I specialize in supporting clients through everyday stressors, relationship difficulties, and managing symptoms related to anxiety, depression, ADD/ADHD, and low self-esteem. I am passionate about providing clients with the tools they need to create positive, lasting change in their lives. I earned my Master of Social Work (MSW) at Long Island University, Brooklyn campus. I truly believe in the power of connection and am dedicated to meeting my clients where they are.
(201) 345-6403 View (201) 345-6403
Photo of Leonel Levi Matos, LCSW, LCADC, Clinical Social Work/Therapist
Leonel Levi Matos
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Dumont, NJ 07628
If you are feeling confused, unmotivated, distracted, or have difficulty staying on task, this can be a sign that you are experiencing a disruption and conflict within yourself that is preventing you from achieving desired goals or enjoying your current life. While we travel this path we call life, sometimes we encounter obstacles that seem like we just can’t overcome. We all have goals in life and we desire the best things for ourselves but sometimes we don't always take the right course of action for ourselves. Our thoughts, feelings, and behaviors reflect a hidden belief system within ourselves which decides our path in life.
If you are feeling confused, unmotivated, distracted, or have difficulty staying on task, this can be a sign that you are experiencing a disruption and conflict within yourself that is preventing you from achieving desired goals or enjoying your current life. While we travel this path we call life, sometimes we encounter obstacles that seem like we just can’t overcome. We all have goals in life and we desire the best things for ourselves but sometimes we don't always take the right course of action for ourselves. Our thoughts, feelings, and behaviors reflect a hidden belief system within ourselves which decides our path in life.
(201) 374-0471 View (201) 374-0471
Photo of Margaret Ginter, LPC, Licensed Professional Counselor
Margaret Ginter
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I am a Licensed Professional Counselor with over 20 years of experience practicing as an outpatient therapist. My approach is warm, welcoming, client-centered, empathetic, and non-judgmental, aiming to help individuals heal, develop tools for self-acceptance, and discover the power to navigate adversities while tapping into their inner resilience. I utilize an eclectic mix of approaches, including Cognitive Behavioral Therapy (CBT), motivational interviewing, solution-focused techniques, and recovery/12-step ideology to best support my clients.
I am a Licensed Professional Counselor with over 20 years of experience practicing as an outpatient therapist. My approach is warm, welcoming, client-centered, empathetic, and non-judgmental, aiming to help individuals heal, develop tools for self-acceptance, and discover the power to navigate adversities while tapping into their inner resilience. I utilize an eclectic mix of approaches, including Cognitive Behavioral Therapy (CBT), motivational interviewing, solution-focused techniques, and recovery/12-step ideology to best support my clients.
(856) 530-9887 View (856) 530-9887
Photo of Naleah Johnson, LCSW, Clinical Social Work/Therapist
Naleah Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Dumont, NJ 07628
I am Naleah Johnson, a Licensed Clinical Social Worker (LCSW) with 4 years of experience in the mental health field. I work with children, adolescents, and adults who are dealing with a variety of challenges, including anxiety, depression, trauma, abuse (verbal and physical), grief, self-esteem, stress management, and more. I earned my Master of Social Work (MSW) from Rutgers University. I believe that we all have greatness within us, no matter what we are feeling or experiencing at the moment. You deserve hope, resolution, and happiness, and I am here to help you navigate through those challenges.
I am Naleah Johnson, a Licensed Clinical Social Worker (LCSW) with 4 years of experience in the mental health field. I work with children, adolescents, and adults who are dealing with a variety of challenges, including anxiety, depression, trauma, abuse (verbal and physical), grief, self-esteem, stress management, and more. I earned my Master of Social Work (MSW) from Rutgers University. I believe that we all have greatness within us, no matter what we are feeling or experiencing at the moment. You deserve hope, resolution, and happiness, and I am here to help you navigate through those challenges.
(856) 637-5037 View (856) 637-5037
Photo of Daniel Sosa, LCSW, Clinical Social Work/Therapist
Daniel Sosa
Clinical Social Work/Therapist, LCSW
Verified Verified
Dumont, NJ 07628
I am Daniel Sosa, a Licensed Clinical Social Worker with 13 years of experience in the mental health field. I am passionate about helping adults at various stages of life and recovery, as well as guiding couples through the obstacles that challenge their relationships. I specialize in depression, anxiety, addiction management, trauma, relationship issues, and major life transitions. I earned my Master of Social Work (MSW) from Fordham University in New York City and have a history of working with adults struggling with addiction and unmanageable mental health challenges. My goal is to support you in overcoming these obstacles.
I am Daniel Sosa, a Licensed Clinical Social Worker with 13 years of experience in the mental health field. I am passionate about helping adults at various stages of life and recovery, as well as guiding couples through the obstacles that challenge their relationships. I specialize in depression, anxiety, addiction management, trauma, relationship issues, and major life transitions. I earned my Master of Social Work (MSW) from Fordham University in New York City and have a history of working with adults struggling with addiction and unmanageable mental health challenges. My goal is to support you in overcoming these obstacles.
(551) 310-2896 View (551) 310-2896
Photo of John Inauen, LPC, Licensed Professional Counselor
John Inauen
Licensed Professional Counselor, LPC
Verified Verified
Dumont, NJ 07628
I am John Inauen, a Licensed Professional Counselor (LPC) with 14 years of experience in the mental health field. Over the years, I’ve had the privilege of working with a diverse range of clients facing challenges such as depression, anxiety, panic attacks, anger management, and impulse control issues. I completed both my Bachelor of Arts (BA) in Psychology and my Master of Arts (MA) in Psychological Counseling at Monmouth University.
I am John Inauen, a Licensed Professional Counselor (LPC) with 14 years of experience in the mental health field. Over the years, I’ve had the privilege of working with a diverse range of clients facing challenges such as depression, anxiety, panic attacks, anger management, and impulse control issues. I completed both my Bachelor of Arts (BA) in Psychology and my Master of Arts (MA) in Psychological Counseling at Monmouth University.
(732) 290-4198 View (732) 290-4198
Photo of Alexander Arici, LPC, Licensed Professional Counselor
Alexander Arici
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I am Alexander "Alex" Arici, a Licensed Professional Counselor (LPC) with over 4 years of experience specializing in treating individuals experiencing anxiety, panic attacks, PTSD, depression, personality disorders, and more. I am particularly passionate about supporting youth, young adults, and individuals navigating life transitions, including those in middle and late adulthood. I completed my Master’s degree in Clinical Mental Health Counseling at Montclair State University.
I am Alexander "Alex" Arici, a Licensed Professional Counselor (LPC) with over 4 years of experience specializing in treating individuals experiencing anxiety, panic attacks, PTSD, depression, personality disorders, and more. I am particularly passionate about supporting youth, young adults, and individuals navigating life transitions, including those in middle and late adulthood. I completed my Master’s degree in Clinical Mental Health Counseling at Montclair State University.
(908) 867-9635 View (908) 867-9635
Photo of Tykeyia Byrd, LCSW, Clinical Social Work/Therapist
Tykeyia Byrd
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am Tykeyia “Ty” Evans, a Licensed Clinical Social Worker (LCSW) with 14 years of experience as a psychotherapist. I have had the privilege of working with children, families, adults, couples, and individuals facing severe mental illness and addictions. My background also includes crisis intervention and working with a wide range of concerns such as psychosis, anxiety, depression, suicidal and homicidal ideation, domestic violence, self-esteem issues, homelessness, family conflict, relationship challenges, grief and loss, identity issues, and aging, among others.
I am Tykeyia “Ty” Evans, a Licensed Clinical Social Worker (LCSW) with 14 years of experience as a psychotherapist. I have had the privilege of working with children, families, adults, couples, and individuals facing severe mental illness and addictions. My background also includes crisis intervention and working with a wide range of concerns such as psychosis, anxiety, depression, suicidal and homicidal ideation, domestic violence, self-esteem issues, homelessness, family conflict, relationship challenges, grief and loss, identity issues, and aging, among others.
(732) 913-8566 View (732) 913-8566
Photo of Shua Waxman, LSW, Clinical Social Work/Therapist
Shua Waxman
Clinical Social Work/Therapist, LSW
Verified Verified
Dumont, NJ 07628
I’m Shua Waxman, a Licensed Social Worker with 3 years of experience in the mental health field. I believe in the transformative power of connection and self-discovery as key components of thriving. I’m passionate about guiding individuals on their journey toward well-being and fulfillment. With a warm and empathetic approach, I work collaboratively with clients to explore their unique struggles and aspirations, helping them gain insight into the barriers they face and the pathways toward mental wellness.
I’m Shua Waxman, a Licensed Social Worker with 3 years of experience in the mental health field. I believe in the transformative power of connection and self-discovery as key components of thriving. I’m passionate about guiding individuals on their journey toward well-being and fulfillment. With a warm and empathetic approach, I work collaboratively with clients to explore their unique struggles and aspirations, helping them gain insight into the barriers they face and the pathways toward mental wellness.
(848) 305-2126 View (848) 305-2126
Photo of Chedva Berger, LSW, Pre-Licensed Professional
Chedva Berger
Pre-Licensed Professional, LSW
Verified Verified
Dumont, NJ 07628
I’m Chedva Berger, a Supervisee in Social Work with a passion for working with adults facing a variety of challenges. My focus is on trauma, anxiety, familial and relational conflicts, as well as life transitions. I work with individuals from diverse backgrounds and tailor my approach to meet each person’s unique needs.
I’m Chedva Berger, a Supervisee in Social Work with a passion for working with adults facing a variety of challenges. My focus is on trauma, anxiety, familial and relational conflicts, as well as life transitions. I work with individuals from diverse backgrounds and tailor my approach to meet each person’s unique needs.
(848) 217-4708 View (848) 217-4708
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See more therapy options for Dumont

How does your Therapist compare?

Number of Therapists in Dumont, NJ

100+

Average cost per session

$155

Therapists in Dumont, NJ who prioritize treating:

100% Depression
98% Anxiety
96% Coping Skills
94% Life Transitions
93% Stress
92% Grief
59% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

93% Aetna
91% Cigna and Evernorth
91% Horizon Blue Cross and Blue Shield

How Therapists in Dumont, NJ see their clients

60% In Person and Online
40% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Dumont?

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.