Therapists in Ortley Beach, NJ

Photo of Eliezer (Elie) De Franca - Eliezer Defranca LCSW, LCADC, LLC, LCSW, LCADC, NCRC-1, Clinical Social Work/Therapist
Eliezer Defranca LCSW, LCADC, LLC
Clinical Social Work/Therapist, LCSW, LCADC, NCRC-1
Verified Verified
3 Endorsed
Ortley Beach, NJ 08751  (Online Only)
I have worked in the field of addictions for over 20 years. People suffering from addictions and their families may have other underlying mental health issues such as trauma, depression and anxiety. Throughout my career, I have worked tirelessly with adults, adolescents, and as well as their families to address these issues and find a path to healing. My philosophy is simple: to treat the person in the surrounding environment, to see a person in the context of family, school, job, and community (and to evaluate the impact of these relationships), and to focus on the person's strengths as well as embrace their difficulties.
I have worked in the field of addictions for over 20 years. People suffering from addictions and their families may have other underlying mental health issues such as trauma, depression and anxiety. Throughout my career, I have worked tirelessly with adults, adolescents, and as well as their families to address these issues and find a path to healing. My philosophy is simple: to treat the person in the surrounding environment, to see a person in the context of family, school, job, and community (and to evaluate the impact of these relationships), and to focus on the person's strengths as well as embrace their difficulties.
(848) 251-0827 View (848) 251-0827
Matt Talbot Institute
Drug & Alcohol Counselor, PhD, LCADC, CCS
Verified Verified
Ortley Beach, NJ 08751
MTI is an outpatient addiction counseling center which uses evidence based treatment as well as "time tested recovery programs" to assist our patients to find and maintain their approach to recovery. Rev. Dr. Ed Reading, is in the addiction field since 1969, & uses spiritually (not religious) orientated in approaches to counseling. Our patients are referred to medical care if needed, & more intensive levels of care, if outpatient is not successful. We DO NOT accept insurance, so your treatment is kept COMPLETELY confidential. Your records will not be shared without your permission--including placing your records "in the cloud"
MTI is an outpatient addiction counseling center which uses evidence based treatment as well as "time tested recovery programs" to assist our patients to find and maintain their approach to recovery. Rev. Dr. Ed Reading, is in the addiction field since 1969, & uses spiritually (not religious) orientated in approaches to counseling. Our patients are referred to medical care if needed, & more intensive levels of care, if outpatient is not successful. We DO NOT accept insurance, so your treatment is kept COMPLETELY confidential. Your records will not be shared without your permission--including placing your records "in the cloud"
(848) 251-0914 View (848) 251-0914

More Therapists Nearby

Photo of Dr. Julee Wickliffe, DSW, LCSW, Clinical Social Work/Therapist
Dr. Julee Wickliffe
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Toms River, NJ 08753
Julee Wickliffe, DSW, LCSW, brings 25 years of experience in the social work field as a Licensed Clinical Social Worker and psychotherapist. Her professional journey includes roles at Rutgers University Correctional Healthcare, where she served in the NJ State Prison System and NJ State Parole System. Alongside, she has maintained a private practice, contributed to a child/adolescent psychiatric unit in a hospital, and worked in a juvenile correctional facility. Dr. Wickliffe's therapeutic approach is grounded in strengths, aiming to empower her clients.
Julee Wickliffe, DSW, LCSW, brings 25 years of experience in the social work field as a Licensed Clinical Social Worker and psychotherapist. Her professional journey includes roles at Rutgers University Correctional Healthcare, where she served in the NJ State Prison System and NJ State Parole System. Alongside, she has maintained a private practice, contributed to a child/adolescent psychiatric unit in a hospital, and worked in a juvenile correctional facility. Dr. Wickliffe's therapeutic approach is grounded in strengths, aiming to empower her clients.
(848) 256-0980 View (848) 256-0980
Photo of Kristen Veith, LSW, Clinical Social Work/Therapist
Kristen Veith
Clinical Social Work/Therapist, LSW
Verified Verified
Brick, NJ 08723
Being positive does not mean you have to be happy all the time and ignore reality, it means trusting that even on the hard days, you know that better ones are coming. Having hope is such an important part of getting through the hard times. I offer a safe space for you to come and take some time to take care of yourself. I think we can all benefit from a neutral support and perspective, so we can continue to grow into who we desire to be, no matter how old we are.
Being positive does not mean you have to be happy all the time and ignore reality, it means trusting that even on the hard days, you know that better ones are coming. Having hope is such an important part of getting through the hard times. I offer a safe space for you to come and take some time to take care of yourself. I think we can all benefit from a neutral support and perspective, so we can continue to grow into who we desire to be, no matter how old we are.
(732) 838-9438 View (732) 838-9438
Photo of Dennis Sharkey, LCSW, Clinical Social Work/Therapist
Dennis Sharkey
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08757  (Online Only)
I look forward to working with individuals who wish to overcome an obstacle to realizing joy or a personal goal in life.
I look forward to working with individuals who wish to overcome an obstacle to realizing joy or a personal goal in life.
(848) 253-3927 View (848) 253-3927
Photo of Sharon Baranowski, LCSW, Clinical Social Work/Therapist
Sharon Baranowski
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753
I believe that any moment is ripe for meaningful transformation in life. While "therapy" might evoke fear in some, at its essence, it's simply a dialogue between two individuals sharing the common aim of progress and reaching personal aspirations. I approach this role without judgment, dedicated solely to finding the optimal route forward for those I assist. With years of experience in this field, I find immense fulfillment in guiding others along their journeys. Wherever you may be in your life, together, we can chart a course towards realizing your fullest potential.
I believe that any moment is ripe for meaningful transformation in life. While "therapy" might evoke fear in some, at its essence, it's simply a dialogue between two individuals sharing the common aim of progress and reaching personal aspirations. I approach this role without judgment, dedicated solely to finding the optimal route forward for those I assist. With years of experience in this field, I find immense fulfillment in guiding others along their journeys. Wherever you may be in your life, together, we can chart a course towards realizing your fullest potential.
(848) 279-5928 View (848) 279-5928
Photo of Krys Fitzgerald - Calming Waves Counseling, LLC, LCSW, Clinical Social Work/Therapist
Calming Waves Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Toms River, NJ 08753
Not accepting new clients
Just as a wave in the ocean comes in different shapes, sizes, and intensities, so do different mental health struggles. Here at Calming Waves, I strive to meet you where you are and to help uplift you to your new potential.
Just as a wave in the ocean comes in different shapes, sizes, and intensities, so do different mental health struggles. Here at Calming Waves, I strive to meet you where you are and to help uplift you to your new potential.
(609) 564-5456 View (609) 564-5456
Photo of Nicole Garamella, LMFT, Marriage & Family Therapist
Nicole Garamella
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Toms River, NJ 08753  (Online Only)
My predominant focus is with couples and families, with a focus in neurodivergence, difficult life transitions, infidelity recovery, intimacy issues, blended family matters, family planning, and trauma. With individuals, I work with trauma, anxiety, ASD and ADHD, depression, LGBTQIA issues, and self esteem building. My main goal is to meet clients where they are in the moment. The focus of treatment is to create a safe space in which people can explore and understand their internal parts and systems, and disrupt old relational patterns that leave them feeling stuck and unsatisfied.
My predominant focus is with couples and families, with a focus in neurodivergence, difficult life transitions, infidelity recovery, intimacy issues, blended family matters, family planning, and trauma. With individuals, I work with trauma, anxiety, ASD and ADHD, depression, LGBTQIA issues, and self esteem building. My main goal is to meet clients where they are in the moment. The focus of treatment is to create a safe space in which people can explore and understand their internal parts and systems, and disrupt old relational patterns that leave them feeling stuck and unsatisfied.
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Photo of Tara Ely, LPC, Licensed Professional Counselor
Tara Ely
Licensed Professional Counselor, LPC
Verified Verified
Brick, NJ 08723
Tara believes that empathy, support, trust, and compassion are all parts that are vital for productive therapy. With active listening I am able to help my clients gain awareness of what their struggles might be. My goal is to assist in the development of coping skills in order for healing and transformation to take place. Taking the first step could be the best step. Allow yourself the opportunity to be the authentic person you were born to be. Therapy can be one of the best gifts you can give to yourself.
Tara believes that empathy, support, trust, and compassion are all parts that are vital for productive therapy. With active listening I am able to help my clients gain awareness of what their struggles might be. My goal is to assist in the development of coping skills in order for healing and transformation to take place. Taking the first step could be the best step. Allow yourself the opportunity to be the authentic person you were born to be. Therapy can be one of the best gifts you can give to yourself.
(908) 916-3142 View (908) 916-3142
Photo of Bianca Acri, MSW,  LCSW, Clinical Social Work/Therapist
Bianca Acri
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Brick, NJ 08723
Bianca M. Acri is a Licensed Clinical Social Worker in New Jersey who has been practicing since 2020. She earned her Master’s degree in Social Work from Monmouth University School of Social Work. By using a person-centered approach, Bianca works with individuals and families to help identify their strengths, explore their potential goals, and work collaboratively with them to create meaningful change. She uses a strengths-based approach to foster each individual’s needs and a create a strong therapeutic relationship. Bianca works diligently to empower and enhance the lives of those she interacts with on a daily basis.
Bianca M. Acri is a Licensed Clinical Social Worker in New Jersey who has been practicing since 2020. She earned her Master’s degree in Social Work from Monmouth University School of Social Work. By using a person-centered approach, Bianca works with individuals and families to help identify their strengths, explore their potential goals, and work collaboratively with them to create meaningful change. She uses a strengths-based approach to foster each individual’s needs and a create a strong therapeutic relationship. Bianca works diligently to empower and enhance the lives of those she interacts with on a daily basis.
(908) 639-3585 View (908) 639-3585
Photo of Marisol Charernsook, LCSW, Clinical Social Work/Therapist
Marisol Charernsook
Clinical Social Work/Therapist, LCSW
Verified Verified
Brick, NJ 08724
Hey, I'm Marisol Charernsook! With 20 years under my belt, I've been all over— from mental health programs to community settings. Whether it's tough relationship stuff or battling anxiety and depression, I've got your back. I know taking the leap into therapy can be daunting, but trust me, you're making the right move. Welcome aboard!
Hey, I'm Marisol Charernsook! With 20 years under my belt, I've been all over— from mental health programs to community settings. Whether it's tough relationship stuff or battling anxiety and depression, I've got your back. I know taking the leap into therapy can be daunting, but trust me, you're making the right move. Welcome aboard!
(856) 644-7684 View (856) 644-7684
Photo of Sara I Gibson, MSW, LCSW, MEd, RYT-500, Clinical Social Work/Therapist
Sara I Gibson
Clinical Social Work/Therapist, MSW, LCSW, MEd, RYT-500
Verified Verified
1 Endorsed
Brick, NJ 08723
Hello! My name is Sara Gibson, LCSW, M.Ed, RYT-500. I am a Licensed Clinical Social Worker, Yoga and Meditation Instructor, Art Educator, and Embodiment Coach. I am a Trauma-Informed, Holistic Therapist. I believe in a holistic & somatic approach to healing. I know the importance of mind, body, heart, and spirit connection and balance to heal and grow on life's path. We are not these separate pieces of ourselves. We must heal as a whole. I will help you learn how to regulate your nervous system and feel empowered! I also offer Ketamine Assisted Psychotherapy in collaboration with Journey Clinical.
Hello! My name is Sara Gibson, LCSW, M.Ed, RYT-500. I am a Licensed Clinical Social Worker, Yoga and Meditation Instructor, Art Educator, and Embodiment Coach. I am a Trauma-Informed, Holistic Therapist. I believe in a holistic & somatic approach to healing. I know the importance of mind, body, heart, and spirit connection and balance to heal and grow on life's path. We are not these separate pieces of ourselves. We must heal as a whole. I will help you learn how to regulate your nervous system and feel empowered! I also offer Ketamine Assisted Psychotherapy in collaboration with Journey Clinical.
(732) 784-4134 View (732) 784-4134
Photo of Julia Ann Gollas, MSW, LCSW, Clinical Social Work/Therapist
Julia Ann Gollas
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Brick, NJ 08724
Once stated by Erik Erickson, "Children love and want to be loved and they very much prefer the joy of accomplishment". My passion comes from working with children, adolescents, and families as they learn and grow together while celebrating the joys of their own accomplishments. Providing support while managing a variety of life stressors including but not limited to school difficulties, ADHD, anxiety, and defiance are my specialty. I have gained this specialty through my work while providing therapy in Partial Hospitalization, Intensive Outpatient, and School Based Programs. Having the privilege to provide you with empathy, warmth, and empowerment on this journey is my hope.
Once stated by Erik Erickson, "Children love and want to be loved and they very much prefer the joy of accomplishment". My passion comes from working with children, adolescents, and families as they learn and grow together while celebrating the joys of their own accomplishments. Providing support while managing a variety of life stressors including but not limited to school difficulties, ADHD, anxiety, and defiance are my specialty. I have gained this specialty through my work while providing therapy in Partial Hospitalization, Intensive Outpatient, and School Based Programs. Having the privilege to provide you with empathy, warmth, and empowerment on this journey is my hope.
(848) 404-5057 View (848) 404-5057
Photo of Taja L Conover, MA, NCC, Licensed Professional Counselor
Taja L Conover
Licensed Professional Counselor, MA, NCC
Verified Verified
Toms River, NJ 08757
I am a Licensed Professional Counselor with extensive experience providing clinical services for children, adolescents, adults, and families in a variety of settings including private practice, outpatient treatment, and in-home/community. I have clinical experience in the areas of trauma, anxiety, substance use, self-esteem, stress management, family, and child/adolescent behavioral challenges.
I am a Licensed Professional Counselor with extensive experience providing clinical services for children, adolescents, adults, and families in a variety of settings including private practice, outpatient treatment, and in-home/community. I have clinical experience in the areas of trauma, anxiety, substance use, self-esteem, stress management, family, and child/adolescent behavioral challenges.
(848) 257-5223 View (848) 257-5223
Steven Galvan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Toms River, NJ 08753
I am a licensed therapist with extensive experience treating a broad range of mental health issues. Some of which include anxiety, panic attacks, posttraumatic stress, social anxiety and phobias, depression, anger problems, and relationship difficulties. Your experience will begin with a formal evaluation to define your situation and will result in a treatment plan carefully tailored to identify your therapeutic goals and objectives. This is provided in a safe and non-judgemental environment.
I am a licensed therapist with extensive experience treating a broad range of mental health issues. Some of which include anxiety, panic attacks, posttraumatic stress, social anxiety and phobias, depression, anger problems, and relationship difficulties. Your experience will begin with a formal evaluation to define your situation and will result in a treatment plan carefully tailored to identify your therapeutic goals and objectives. This is provided in a safe and non-judgemental environment.
(732) 372-0971 View (732) 372-0971
Photo of Van Venokur, LPC, Licensed Professional Counselor
Van Venokur
Licensed Professional Counselor, LPC
Verified Verified
Brick, NJ 08723
Van Venokur is a Licensed Professional Counselor in New Jersey who has been practicing since 2018. Life has recently shown Van that curveballs are bound to happen with no warning whatsoever. COVID-19 was a clear example of that. These past years have shown Van just how quickly life can be derailed and how pivotal it is for mental health professionals like him to exist. Van has spent the last year working with individuals struggling with anxiety, depression, biomedical issues, their various relationships, traumas from the past and present, family matters, asexuality, sex addiction, and substance use.
Van Venokur is a Licensed Professional Counselor in New Jersey who has been practicing since 2018. Life has recently shown Van that curveballs are bound to happen with no warning whatsoever. COVID-19 was a clear example of that. These past years have shown Van just how quickly life can be derailed and how pivotal it is for mental health professionals like him to exist. Van has spent the last year working with individuals struggling with anxiety, depression, biomedical issues, their various relationships, traumas from the past and present, family matters, asexuality, sex addiction, and substance use.
(732) 242-3400 View (732) 242-3400
Photo of Melissa Meisenbacher - New Day Counseling LLC, LCSW, SSW, SAC, Clinical Social Work/Therapist
New Day Counseling LLC
Clinical Social Work/Therapist, LCSW, SSW, SAC
Verified Verified
Point Pleasant, NJ 08742  (Online Only)
Not accepting new clients
Our goal is to support your journey in revealing your true potential. Together we work through challenges in your life by setting specific and achievable goals that address your concerns. During these challenging times, having someone to support your needs with such concerns as loss of a loved one, depression, anxiety or stress, just to name a few. We are here for you.
Our goal is to support your journey in revealing your true potential. Together we work through challenges in your life by setting specific and achievable goals that address your concerns. During these challenging times, having someone to support your needs with such concerns as loss of a loved one, depression, anxiety or stress, just to name a few. We are here for you.
(848) 253-3783 View (848) 253-3783
Photo of Andrea Olitzky - Andrea Olitzky: Adults, LCSW, Clinical Social Work/Therapist
Andrea Olitzky: Adults
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Toms River, NJ 08753
I help adult clients work through seasons of anxiety, depression, trauma, relationship issues, parenting concerns, and life transitions with a focus on insight, self-care, and building supportive relationships. I believe in your inherent resilience and capacity for growth and I will join you where you are and we will walk together on your journey. I draw on mindfulness, cognitive-behavioral techniques, and a practical approach to healing. See if I'm accepting new clients and book online at www.resolutioncc.com/team
I help adult clients work through seasons of anxiety, depression, trauma, relationship issues, parenting concerns, and life transitions with a focus on insight, self-care, and building supportive relationships. I believe in your inherent resilience and capacity for growth and I will join you where you are and we will walk together on your journey. I draw on mindfulness, cognitive-behavioral techniques, and a practical approach to healing. See if I'm accepting new clients and book online at www.resolutioncc.com/team
(862) 366-4735 View (862) 366-4735
Photo of Laura Urciuoli, LCSW, LCADC, Clinical Social Work/Therapist
Laura Urciuoli
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Brick, NJ 08723  (Online Only)
At Barefoot Counseling Services the primary focus is to provide a safe and supportive space for clients to reach their goals and improve their lives. I have over a decade of experience working with individuals who struggle with various manifestations of anxiety, depression, trauma, ADHD, substance misuse, relationship challenges and chronic illness. I utilize an integrative, client-centered approach in my sessions. Each session is individualized to meet each clients unique situation. I am licensed in NJ and FL and am currently seeing clients virtually only.
At Barefoot Counseling Services the primary focus is to provide a safe and supportive space for clients to reach their goals and improve their lives. I have over a decade of experience working with individuals who struggle with various manifestations of anxiety, depression, trauma, ADHD, substance misuse, relationship challenges and chronic illness. I utilize an integrative, client-centered approach in my sessions. Each session is individualized to meet each clients unique situation. I am licensed in NJ and FL and am currently seeing clients virtually only.
(609) 473-6109 View (609) 473-6109
Photo of Courtney Sarro, LCSW, Clinical Social Work/Therapist
Courtney Sarro
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753
Courtney Sarro is a Licensed Clinical Social Worker (LCSW) with over 8 years of experience in the mental health field. She is passionate about working with children and adults to learn appropriate coping skills to difficult feelings and adjusting to lifes daily changes and stressors. Courtney specializes in adjustment disorder, anxiety, depression, aggression, and trauma. Courtney completed her Master's degree in Social Work (MSW) at Stockton University.
Courtney Sarro is a Licensed Clinical Social Worker (LCSW) with over 8 years of experience in the mental health field. She is passionate about working with children and adults to learn appropriate coping skills to difficult feelings and adjusting to lifes daily changes and stressors. Courtney specializes in adjustment disorder, anxiety, depression, aggression, and trauma. Courtney completed her Master's degree in Social Work (MSW) at Stockton University.
(848) 229-9094 View (848) 229-9094

How does your Therapist compare?

Number of Therapists in Ortley Beach, NJ

< 10

Therapists in Ortley Beach, NJ who prioritize treating:

100% Addiction
100% Other
100% Anger Management
100% Drug Abuse
100% Codependency
100% Veterans
50% Relationship Issues

Average years in practice

55 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Ortley Beach, NJ see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Ortley 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.