Therapists in Haddon Heights, NJ

Photo of Lauren Elizabeth Emma-Burmylo - Courage & Wellness Therapy, Clinical Social Work/Therapist, LCSW
Courage & Wellness Therapy
Clinical Social Work/Therapist, LCSW
Online Only
Courage & Wellness Therapy was created with a vision to help individuals find inner strength to be more authentic and vulnerable in their lives. As owners of the practice, Lauren Emma-Burmylo and Andrea Valente will work with you to complete an initial assessment at your first appointment before entering the therapeutic relationship to individualize treatment for you. Our approach is based on many different frameworks such as CBT, DBT, The Daring Way and IFS.
Courage & Wellness Therapy was created with a vision to help individuals find inner strength to be more authentic and vulnerable in their lives. As owners of the practice, Lauren Emma-Burmylo and Andrea Valente will work with you to complete an initial assessment at your first appointment before entering the therapeutic relationship to individualize treatment for you. Our approach is based on many different frameworks such as CBT, DBT, The Daring Way and IFS.
(856) 242-8785 View (856) 242-8785
Photo of Gary Dock, Drug & Alcohol Counselor, MA, LCADC
Gary Dock
Drug & Alcohol Counselor, MA, LCADC
Haddon Heights, NJ 08035
I have over 30 years of experience managing and providing various mental health and addiction services. I have been responsible for the coordination of reentry services for individuals returning to the community from correctional settings and State/County psychiatric hospitals. These services include the supervision of individuals diagnosed with anxiety, depression, substance abuse disorders, Megan’s Law, domestic violence and other criminal offenses. In private practice I utilize evidenced-based approaches to provide services. These interventions include EMDR, Cognitive Behavioral Therapy (CBT), and Brief Solution-Focused Therapy.
I have over 30 years of experience managing and providing various mental health and addiction services. I have been responsible for the coordination of reentry services for individuals returning to the community from correctional settings and State/County psychiatric hospitals. These services include the supervision of individuals diagnosed with anxiety, depression, substance abuse disorders, Megan’s Law, domestic violence and other criminal offenses. In private practice I utilize evidenced-based approaches to provide services. These interventions include EMDR, Cognitive Behavioral Therapy (CBT), and Brief Solution-Focused Therapy.
(856) 522-4845 View (856) 522-4845
Photo of Mary Ann Anderson, Clinical Social Work/Therapist, LCSW
Mary Ann Anderson
Clinical Social Work/Therapist, LCSW
Online Only
My ideal clients are children, teens, adults, and families coping with anxiety, depression, ADHD, self-esteem struggles, school or behavioral issues. They seek a safe, supportive space to be heard, understand their emotions, and learn effective coping strategies. Their goals include building confidence, improving relationships, and creating healthier patterns. They come to therapy because they want relief from distress, practical tools for daily life, and lasting change that helps them feel more capable, connected, and at peace.
My ideal clients are children, teens, adults, and families coping with anxiety, depression, ADHD, self-esteem struggles, school or behavioral issues. They seek a safe, supportive space to be heard, understand their emotions, and learn effective coping strategies. Their goals include building confidence, improving relationships, and creating healthier patterns. They come to therapy because they want relief from distress, practical tools for daily life, and lasting change that helps them feel more capable, connected, and at peace.
(856) 702-5514 View (856) 702-5514
Photo of Tracy Carpenter, Licensed Professional Counselor, MA, NJSSW, LPC
Tracy Carpenter
Licensed Professional Counselor, MA, NJSSW, LPC
Online Only
I love working with people who are motivated, dedicated, curious about improving their mental health and maintaining their mental health. They also often want to understand the patterns they have learned and developed over the years, how that happened, and how we can try to make things better. Whether you are 18 or 81, my goal is to support you, listen, and figure out what you need and how to make it happen.
I love working with people who are motivated, dedicated, curious about improving their mental health and maintaining their mental health. They also often want to understand the patterns they have learned and developed over the years, how that happened, and how we can try to make things better. Whether you are 18 or 81, my goal is to support you, listen, and figure out what you need and how to make it happen.
(856) 388-5101 View (856) 388-5101
Photo of Jeff Jones, Clinical Social Work/Therapist, LCSW
Jeff Jones
Clinical Social Work/Therapist, LCSW
Haddon Heights, NJ 08035
Talking about our experiences in life can help us better understand the challenges we face, such as anxiety, depression, relationship struggles, and overall life satisfaction. Taking the time to tune in and understand what holds us back can lead to a more fulfilling life. Together, we will focus on what matters most to you. I am a Licensed Clinical Social Worker in New Jersey, and I work from a psychodynamic approach. I support adolescents, teens, and adults, specializing in ADHD, behavioral disorders, anxiety, and depression. Reach out today and take the first step toward growth and clarity.
Talking about our experiences in life can help us better understand the challenges we face, such as anxiety, depression, relationship struggles, and overall life satisfaction. Taking the time to tune in and understand what holds us back can lead to a more fulfilling life. Together, we will focus on what matters most to you. I am a Licensed Clinical Social Worker in New Jersey, and I work from a psychodynamic approach. I support adolescents, teens, and adults, specializing in ADHD, behavioral disorders, anxiety, and depression. Reach out today and take the first step toward growth and clarity.
(856) 481-6977 View (856) 481-6977
Photo of Alexandra Esposito, Associate Counselor, MEd, LAC
Alexandra Esposito
Associate Counselor, MEd, LAC
5 Endorsed
Haddon Heights, NJ 08035
I’m Alex, a licensed therapist, passionate about helping people overcome challenges with a person-centered, non-judgmental approach. My goal is to help clients develop the tools to create the life they want, using compassionate, evidence-based, and creative means tailored to each person’s unique needs. My experience includes working from a trauma-informed framework, supporting clients with anxiety, depression, PTSD, substance dependency, and behavioral health matters, including ADHD, oppositional defiance, and conduct disorder.
I’m Alex, a licensed therapist, passionate about helping people overcome challenges with a person-centered, non-judgmental approach. My goal is to help clients develop the tools to create the life they want, using compassionate, evidence-based, and creative means tailored to each person’s unique needs. My experience includes working from a trauma-informed framework, supporting clients with anxiety, depression, PTSD, substance dependency, and behavioral health matters, including ADHD, oppositional defiance, and conduct disorder.
(609) 375-1720 View (609) 375-1720
Photo of Nancy F DiFrancesco, Licensed Professional Counselor, MEd, LPC, CSC
Nancy F DiFrancesco
Licensed Professional Counselor, MEd, LPC, CSC
Haddon Heights, NJ 08035
I have been in the field for over 17 years. I have worked with adolescents and their families as well as adults. In addition, I specialize in working with mental health issues such as depression, anxiety, and anger management. Also, I specialize in couples counseling and sex therapy.
I have been in the field for over 17 years. I have worked with adolescents and their families as well as adults. In addition, I specialize in working with mental health issues such as depression, anxiety, and anger management. Also, I specialize in couples counseling and sex therapy.
(856) 617-5433 View (856) 617-5433
Photo of Rebecca Zuspan, Clinical Social Work/Therapist, LCSW
Rebecca Zuspan
Clinical Social Work/Therapist, LCSW
2 Endorsed
Haddon Heights, NJ 08035
Not accepting new clients
I specialize in working with adult couples and individuals who experience relationship challenges (managing conflict, communication, negative patterns, codependency, infidelity, separation/divorce, intimacy) and the impact of trauma - specifically, attachment and developmental trauma. My approach is warm, empathic, professional, and direct - providing a safe, supportive space to heal and grow. I help my clients discover how their wounds from past relationships or childhood experiences contribute to their present-day issues, how they got stuck, and how to get unstuck.
I specialize in working with adult couples and individuals who experience relationship challenges (managing conflict, communication, negative patterns, codependency, infidelity, separation/divorce, intimacy) and the impact of trauma - specifically, attachment and developmental trauma. My approach is warm, empathic, professional, and direct - providing a safe, supportive space to heal and grow. I help my clients discover how their wounds from past relationships or childhood experiences contribute to their present-day issues, how they got stuck, and how to get unstuck.
(609) 451-3738 View (609) 451-3738
Photo of Michael ' Scot ' Ailes, Clinical Social Work/Therapist, MSW, LCSW
Michael ' Scot ' Ailes
Clinical Social Work/Therapist, MSW, LCSW
Haddon Heights, NJ 08035
I have worked for over 20 years as a therapist and clinical supervisor helping adults, couples, teenagers, and children. I believe there is a reason for whatever you are struggling with in your life, with a child, or in your relationships. I have a respectful and focused approach that helps you make sense of your thoughts and feelings, and if needed to heal from experiences from the past that may be holding you back. I listen carefully to what is not working and help you or your child to develop strategies and approaches that better meet everyone's needs.
I have worked for over 20 years as a therapist and clinical supervisor helping adults, couples, teenagers, and children. I believe there is a reason for whatever you are struggling with in your life, with a child, or in your relationships. I have a respectful and focused approach that helps you make sense of your thoughts and feelings, and if needed to heal from experiences from the past that may be holding you back. I listen carefully to what is not working and help you or your child to develop strategies and approaches that better meet everyone's needs.
(856) 432-1071 x3 View (856) 432-1071 x3
Photo of Yong Whan Lee, Licensed Professional Counselor, MA, LPC
Yong Whan Lee
Licensed Professional Counselor, MA, LPC
Haddon Heights, NJ 08035
My practice is dedicated to helping child, adolescents, adults, and families achieve the lives and relationships they desire and deserve. It's often where the demands of our lives derail us from our intended paths, creating conflict and distress. I make it my duty to provide unconditional support and respect for your experiences to help you grow and achieve the desired changes you want in your life. Together, we will identify the source of your emotional distress and understand how it affects your life, which in turn, will help you assert control and obtain your desired outcome.
My practice is dedicated to helping child, adolescents, adults, and families achieve the lives and relationships they desire and deserve. It's often where the demands of our lives derail us from our intended paths, creating conflict and distress. I make it my duty to provide unconditional support and respect for your experiences to help you grow and achieve the desired changes you want in your life. Together, we will identify the source of your emotional distress and understand how it affects your life, which in turn, will help you assert control and obtain your desired outcome.
(609) 619-0198 View (609) 619-0198
Photo of Michelle Richardson - Mindful Soul Center for Wellbeing, Clinical Social Work/Therapist
Mindful Soul Center for Wellbeing
Clinical Social Work/Therapist
1 Endorsed
Haddon Heights, NJ 08035
Mindful Soul Center for Wellbeing is a counseling center where you can navigate difficult life transitions, heal from painful events and trauma, create healthier relationships, and develop a truer and more compassionate relationship with yourself! We are recognized particularly for our work with female-identifying adults, tweens, and teens on the path towards balance and well-being and for being a trauma-informed practice with a large number of our team experienced in EMDR Therapy as well as IFS Therapy.
Mindful Soul Center for Wellbeing is a counseling center where you can navigate difficult life transitions, heal from painful events and trauma, create healthier relationships, and develop a truer and more compassionate relationship with yourself! We are recognized particularly for our work with female-identifying adults, tweens, and teens on the path towards balance and well-being and for being a trauma-informed practice with a large number of our team experienced in EMDR Therapy as well as IFS Therapy.
(856) 282-1811 View (856) 282-1811
Photo of Julie Anne West, Licensed Professional Counselor, MS, LPC, RYT
Julie Anne West
Licensed Professional Counselor, MS, LPC, RYT
1 Endorsed
Online Only
My clients are adults and adolescents who are seeking ways to manage difficult emotions, cope with stressors and improve their relationships. Do you struggle to regulate your emotions? Are you struggling to cope with major life changes? Do you need support with managing stress? Are you interested in a mindfulness/meditation practice, or interested in getting to know yourself better? Are you struggling to make social connections and in need of strategies and support? If you answered yes to any of these questions, I would love to work with you and support your needs.
My clients are adults and adolescents who are seeking ways to manage difficult emotions, cope with stressors and improve their relationships. Do you struggle to regulate your emotions? Are you struggling to cope with major life changes? Do you need support with managing stress? Are you interested in a mindfulness/meditation practice, or interested in getting to know yourself better? Are you struggling to make social connections and in need of strategies and support? If you answered yes to any of these questions, I would love to work with you and support your needs.
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Photo of Mandi C Houser-Puschel, Licensed Professional Counselor, MEd, LPC, ACS, ERYT
Mandi C Houser-Puschel
Licensed Professional Counselor, MEd, LPC, ACS, ERYT
Haddon Heights, NJ 08035
Now licensed in PA and NJ. I have experience working with people who struggle with anxiety, panic, depression and Complex PTSD. I worked in community mental health for many years and was the coordinator of a family counseling program prior to transitioning to private practice. I have experience working with older teens as well as adults in helping them through life transitions. I enjoy working with clients who are open to using mindfulness and yoga as therapeutic interventions. I was trained in Trauma Center Trauma Sensitive Yoga which is an evidenced based treatment for Developmental Trauma and Complex PTSD.
Now licensed in PA and NJ. I have experience working with people who struggle with anxiety, panic, depression and Complex PTSD. I worked in community mental health for many years and was the coordinator of a family counseling program prior to transitioning to private practice. I have experience working with older teens as well as adults in helping them through life transitions. I enjoy working with clients who are open to using mindfulness and yoga as therapeutic interventions. I was trained in Trauma Center Trauma Sensitive Yoga which is an evidenced based treatment for Developmental Trauma and Complex PTSD.
(609) 757-9413 View (609) 757-9413
Photo of Ykesha D Lindsey, Clinical Social Work/Therapist, LSW
Ykesha D Lindsey
Clinical Social Work/Therapist, LSW
Haddon Heights, NJ 08035
My practice is well-suited for those who feels emotionally stuck or overwhelmed and are looking for a safe space to process their experiences. They may be struggling with depression, anxiety, trauma, identity questions, or navigating life transitions. Some are exploring who they are perhaps for the first time with a deep desire to feel seen, heard, and understood. They may carry emotional pain from past experiences, difficult relationships, or feel out of place. Though unsure where to begin, they are ready for change seeking clarity, confidence, and connection. Therapy offers a path to healing and self-acceptance.
My practice is well-suited for those who feels emotionally stuck or overwhelmed and are looking for a safe space to process their experiences. They may be struggling with depression, anxiety, trauma, identity questions, or navigating life transitions. Some are exploring who they are perhaps for the first time with a deep desire to feel seen, heard, and understood. They may carry emotional pain from past experiences, difficult relationships, or feel out of place. Though unsure where to begin, they are ready for change seeking clarity, confidence, and connection. Therapy offers a path to healing and self-acceptance.
(856) 215-5665 View (856) 215-5665
Photo of Roseann Mancini, Licensed Professional Counselor, MA, LPC
Roseann Mancini
Licensed Professional Counselor, MA, LPC
1 Endorsed
Haddon Heights, NJ 08035
I have been practicing in the field for 15 years. I have a person centered approach to therapy, mixed with cognitive behavioral therapy, motivational interviewing and Gestalt therapy when it is called for. I do mental health counseling, addiction counseling, couples counseling, individual counseling, and marriage and family counseling. I see clients of all ages from children to senior citizens. As we have to continue to change and adapt to a new way of counseling, I am including tele therapy in my practice.
I have been practicing in the field for 15 years. I have a person centered approach to therapy, mixed with cognitive behavioral therapy, motivational interviewing and Gestalt therapy when it is called for. I do mental health counseling, addiction counseling, couples counseling, individual counseling, and marriage and family counseling. I see clients of all ages from children to senior citizens. As we have to continue to change and adapt to a new way of counseling, I am including tele therapy in my practice.
(856) 617-5196 View (856) 617-5196
Photo of Sarah Sawyer, Marriage & Family Therapist, LMFT
Sarah Sawyer
Marriage & Family Therapist, LMFT
2 Endorsed
Haddon Heights, NJ 08035
Now accepting new in person and telehealth appointments! Email is best to set up appointments. Making the decision to start therapy can be very difficult and it's important to have an open relationship with someone who can help guide you to your ideal YOU. I utilize a systemic approach in therapy to ensure all avenues that might affect one's well-being are touched upon. I believe that exploring your family of origin can help you find patterns, heal, and join more cohesively with loved ones in relationships. I feel that sometimes all someone needs are a quiet place to process and heal to find their path to wellness.
Now accepting new in person and telehealth appointments! Email is best to set up appointments. Making the decision to start therapy can be very difficult and it's important to have an open relationship with someone who can help guide you to your ideal YOU. I utilize a systemic approach in therapy to ensure all avenues that might affect one's well-being are touched upon. I believe that exploring your family of origin can help you find patterns, heal, and join more cohesively with loved ones in relationships. I feel that sometimes all someone needs are a quiet place to process and heal to find their path to wellness.
(856) 887-1242 View (856) 887-1242
Photo of Arlene K Licata, Marriage & Family Therapist, MA, LPC, MFT
Arlene K Licata
Marriage & Family Therapist, MA, LPC, MFT
Haddon Heights, NJ 08035
Welcome to my practice! There are many reasons that you might seek professional help. At the root of them all is the desire to improve yourself, your life, or your relationship(s). For me, being a therapist means sharing my humanity with others, while maintaining an objective perspective that facilitates learning and change. My office is a nurturing space where you can take some time for yourself in the presence of a supportive counselor. My purpose is to provide comfort and safety as well as the guidance and focus that will help you reach the best resolutions to your challenges.
Welcome to my practice! There are many reasons that you might seek professional help. At the root of them all is the desire to improve yourself, your life, or your relationship(s). For me, being a therapist means sharing my humanity with others, while maintaining an objective perspective that facilitates learning and change. My office is a nurturing space where you can take some time for yourself in the presence of a supportive counselor. My purpose is to provide comfort and safety as well as the guidance and focus that will help you reach the best resolutions to your challenges.
(609) 359-0632 View (609) 359-0632
Photo of Felicia Mainiero, Clinical Social Work/Therapist, LCSW
Felicia Mainiero
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
The ideal client is anyone who is ready to talk. Just by starting the search for a therapist is setting off on the right foot. My goal is to work with you, build a healthy working relationship, establish your goals and work towards them together. You are not in this alone!
The ideal client is anyone who is ready to talk. Just by starting the search for a therapist is setting off on the right foot. My goal is to work with you, build a healthy working relationship, establish your goals and work towards them together. You are not in this alone!
(856) 754-5302 View (856) 754-5302
Photo of Willow Draper - Willow Wellness Center, Licensed Professional Counselor, NCC, LPC, ACS
Willow Wellness Center
Licensed Professional Counselor, NCC, LPC, ACS
Haddon Heights, NJ 08035
At Willow Wellness, we believe healing happens in a safe and supportive space. Our compassionate team of therapists provide trauma informed, evidence-based care tailored to your unique challenges. We see individuals across the life span. Whether seeking support for yourself, your child, relationship or family, we are here to help you reconnect, grow and thrive. Wherever you are on your journey, we are here to help.
At Willow Wellness, we believe healing happens in a safe and supportive space. Our compassionate team of therapists provide trauma informed, evidence-based care tailored to your unique challenges. We see individuals across the life span. Whether seeking support for yourself, your child, relationship or family, we are here to help you reconnect, grow and thrive. Wherever you are on your journey, we are here to help.
(856) 830-6619 View (856) 830-6619
Photo of Dr. Gina Marchando - Philly Love Doc, Marriage & Family Therapist, DMFT, LMFT, NPT-C
Philly Love Doc
Marriage & Family Therapist, DMFT, LMFT, NPT-C
1 Endorsed
Haddon Heights, NJ 08035
My ideal clients are individuals & couples who are ready to explore relational patterns, including attachment, intimacy & betrayal. If you are facing challenges in love, relationships, intimacy, sex or all of the above, let's dig in. If you feel like you are never satisfied in your relationships or finding yourself in the same toxic patterns over & over again, let's connect. I am not afraid of a tough case, I'm a direct, active therapist and open-minded realist, let's have the difficult conversations. I love working with clients who have "failed" at therapy previously, who really want to address their underlying issues & change.
My ideal clients are individuals & couples who are ready to explore relational patterns, including attachment, intimacy & betrayal. If you are facing challenges in love, relationships, intimacy, sex or all of the above, let's dig in. If you feel like you are never satisfied in your relationships or finding yourself in the same toxic patterns over & over again, let's connect. I am not afraid of a tough case, I'm a direct, active therapist and open-minded realist, let's have the difficult conversations. I love working with clients who have "failed" at therapy previously, who really want to address their underlying issues & change.
(484) 759-8249 View (484) 759-8249

See more therapy options for Haddon Heights

How does your Therapist compare?

Number of Therapists in Haddon Heights, NJ

30+

Average cost per session

$150

Therapists in Haddon Heights, NJ who prioritize treating:

91% Anxiety
88% Depression
75% Relationship Issues
75% Coping Skills
72% Stress
69% Self Esteem
69% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

95% Aetna
68% BlueCross and BlueShield
68% Cigna and Evernorth

How Therapists in Haddon Heights, NJ see their clients

81% In Person and Online
19% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Haddon Heights?

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.