Therapists in Arbor Hill, Albany, NY

Photo of David Comisar - Comisar Psychotherapy Group, LCSW-R, PLLC, Clinical Social Work/Therapist
Comisar Psychotherapy Group
Clinical Social Work/Therapist, LCSW-R, PLLC
Verified Verified
1 Endorsed
Arbor Hill, Albany, NY 12207  (Online Only)
Have you been feeling overwhelmed, anxious, or depressed? At times, we all feel unseen, unheard, and alone in our suffering. We are a group of licensed therapists providing psychotherapy via telehealth (only) to clients throughout New York State. We offer a client-centered, goal-oriented, and culturally competent approach to mental health treatment. Our multicultural approach to psychotherapy helps create an open and safe space for members of all communities. At Comisar Psychotherapy Group, our clinicians have demonstrated their competency and ability to have a meaningful impact on the lives of the people they treat.
Have you been feeling overwhelmed, anxious, or depressed? At times, we all feel unseen, unheard, and alone in our suffering. We are a group of licensed therapists providing psychotherapy via telehealth (only) to clients throughout New York State. We offer a client-centered, goal-oriented, and culturally competent approach to mental health treatment. Our multicultural approach to psychotherapy helps create an open and safe space for members of all communities. At Comisar Psychotherapy Group, our clinicians have demonstrated their competency and ability to have a meaningful impact on the lives of the people they treat.
(585) 285-4272 View (585) 285-4272
Photo of Diane DeGiovine, LCSW-R, Clinical Social Work/Therapist
Diane DeGiovine
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Arbor Hill, Albany, NY 12207
My goal is as a therapist is to assist clients in becoming their own best advocate as they negotiate personal life challenges. I have a special interest in mind body awareness and have incorporated meditative and relaxation strategies and biofeedback in my therapeutic work with clients from childhood through late adulthood. Additionally, I have trained ten years in Neurofeedback, a very specialized type of biofeedback, that engages the brain in changing itself. this is particularly helpful with chronic mental health issues including, but not limited to, ADD, Anxiety, Depression, Chronic Pain Syndromes, and PTSD. Neurofeedback is also beneficial for Peak Performance Training.
My goal is as a therapist is to assist clients in becoming their own best advocate as they negotiate personal life challenges. I have a special interest in mind body awareness and have incorporated meditative and relaxation strategies and biofeedback in my therapeutic work with clients from childhood through late adulthood. Additionally, I have trained ten years in Neurofeedback, a very specialized type of biofeedback, that engages the brain in changing itself. this is particularly helpful with chronic mental health issues including, but not limited to, ADD, Anxiety, Depression, Chronic Pain Syndromes, and PTSD. Neurofeedback is also beneficial for Peak Performance Training.
(518) 868-7943 View (518) 868-7943
Photo of Sarah Nolan, PhD, Psychologist
Sarah Nolan
Psychologist, PhD
Verified Verified
3 Endorsed
Arbor Hill, Albany, NY 12207
As a therapist, I believe that a strong therapeutic relationship is the most critical part of making change and working through issues that are preventing you from living the life that you want. I work with my clients to help them better understand themselves and the context in which they live, so that they can be empowered to make the changes that are possible to improve their lives.
As a therapist, I believe that a strong therapeutic relationship is the most critical part of making change and working through issues that are preventing you from living the life that you want. I work with my clients to help them better understand themselves and the context in which they live, so that they can be empowered to make the changes that are possible to improve their lives.
(608) 708-7227 View (608) 708-7227
Photo of Steven D Brown, PsyaD, LCSW, Licensed Psychoanalyst
Steven D Brown
Licensed Psychoanalyst, PsyaD, LCSW
Verified Verified
1 Endorsed
Arbor Hill, Albany, NY 12207
Dr. Brown is a licensed Psychoanalyst practicing near Hudson, NY and New York City. Professional activities include training school guidance counselors to develop and run adolescent resiliency groups. For 13 years, Dr. Brown was on staff at Kaiser Permanente HMO and Northeast Permanente Medical Group. Utilizing a solution-focused model of psychotherapy, he provided psychotherapy to Kaiser Permanente's membership. Dr. Brown developed and provided EAP services to medical and administrative staff at Kaiser and NPMG. He developed, conducted, and supervised various workshops and groups including community and corporate workshops on stress management, support groups for children of divorced families, "Fair Fighting" workshops & support groups.
Dr. Brown is a licensed Psychoanalyst practicing near Hudson, NY and New York City. Professional activities include training school guidance counselors to develop and run adolescent resiliency groups. For 13 years, Dr. Brown was on staff at Kaiser Permanente HMO and Northeast Permanente Medical Group. Utilizing a solution-focused model of psychotherapy, he provided psychotherapy to Kaiser Permanente's membership. Dr. Brown developed and provided EAP services to medical and administrative staff at Kaiser and NPMG. He developed, conducted, and supervised various workshops and groups including community and corporate workshops on stress management, support groups for children of divorced families, "Fair Fighting" workshops & support groups.
(518) 312-4554 View (518) 312-4554
Photo of Elaine Theodore, EdM, C-IAYT, E-RYT
Elaine Theodore
EdM, C-IAYT, E-RYT
Verified Verified
Arbor Hill, Albany, NY 12207  (Online Only)
I am a certified Yoga Therapist and mental health/trauma clinician with over 25 years experience treating adults, adolescents and their families. I believe in the mind/body connection as well as 'talk therapy,' to address the whole person, offering simple tools to increase coping skills so you can regulate emotions and become aware of triggers. I specialize in helping you with trauma recovery, anxiety, chronic stress and depression. In my practice, you will be able to talk about your challenges to gain insight and perspective as well as learn yoga therapy tools specifically designed for you.
I am a certified Yoga Therapist and mental health/trauma clinician with over 25 years experience treating adults, adolescents and their families. I believe in the mind/body connection as well as 'talk therapy,' to address the whole person, offering simple tools to increase coping skills so you can regulate emotions and become aware of triggers. I specialize in helping you with trauma recovery, anxiety, chronic stress and depression. In my practice, you will be able to talk about your challenges to gain insight and perspective as well as learn yoga therapy tools specifically designed for you.
(781) 790-4767 View (781) 790-4767
Photo of Stephen Oby, PhD, LCSW-R, Clinical Social Work/Therapist
Stephen Oby
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Arbor Hill, Albany, NY 12207  (Online Only)
We all reach points in our lives where we experience increased stress and vulnerability. Regardless of our age, circumstances, or experience, we can feel hopeless and disconnected from the world. This can lead to a number of issues including substance abuse, depression, anxiety, impulsivity and poor decision making, unsafe behaviors, and even suicidal thinking and behavior. We all deserve to feel good about ourselves, be connected to the people who care about us, have healthy relationships, and be pursuing meaningful life goals. With the proper support we're all capable of doing so.
We all reach points in our lives where we experience increased stress and vulnerability. Regardless of our age, circumstances, or experience, we can feel hopeless and disconnected from the world. This can lead to a number of issues including substance abuse, depression, anxiety, impulsivity and poor decision making, unsafe behaviors, and even suicidal thinking and behavior. We all deserve to feel good about ourselves, be connected to the people who care about us, have healthy relationships, and be pursuing meaningful life goals. With the proper support we're all capable of doing so.
(518) 323-0362 View (518) 323-0362
Comfort Mental Health Counseling PLLC
Counselor, LMHC, OCD Spc
Verified Verified
Arbor Hill, Albany, NY 12207  (Online Only)
I am an OCD specialist, I use ERP to treat OCD, Hoarding Disorder and other anxiety-related disorders. I utilize HRT to treat Tics and other Body-Focused Repetitive Behaviors (nail/cheek/lip biting, Trichotillomania and Excoriation). I treat PTSD using PE. Treat Depression using TRAP/TRAC method.
I am an OCD specialist, I use ERP to treat OCD, Hoarding Disorder and other anxiety-related disorders. I utilize HRT to treat Tics and other Body-Focused Repetitive Behaviors (nail/cheek/lip biting, Trichotillomania and Excoriation). I treat PTSD using PE. Treat Depression using TRAP/TRAC method.
(518) 851-1984 View (518) 851-1984
Photo of Damien George Tilliman, PsyD, Psychologist
Damien George Tilliman
Psychologist, PsyD
Verified Verified
Arbor Hill, Albany, NY 12207
Any therapy begins with a surface challenge causing life discomfort, where clients seek to "fix," "change," "get rid of," or "not feel/experience" issues like anger, relationship intimacy, anxiety, or decision-making difficulties. As trust builds in the therapeutic relationship, we delve deeper into untangling complex situations, considering cultural background and unique perspectives. Therapy facilitates changes on the level of values, life perspectives, self-reliance, and self-worth. Change takes time; just as it took years to form old habits, adopting new approaches is a gradual process.
Any therapy begins with a surface challenge causing life discomfort, where clients seek to "fix," "change," "get rid of," or "not feel/experience" issues like anger, relationship intimacy, anxiety, or decision-making difficulties. As trust builds in the therapeutic relationship, we delve deeper into untangling complex situations, considering cultural background and unique perspectives. Therapy facilitates changes on the level of values, life perspectives, self-reliance, and self-worth. Change takes time; just as it took years to form old habits, adopting new approaches is a gradual process.
(929) 416-6003 View (929) 416-6003
Photo of Latanya Buckham, MA, LMHC, Counselor
Latanya Buckham
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Arbor Hill, Albany, NY 12207  (Online Only)
Are you feeling stuck? Unsure of what is next for you? Feeling weighed down by the daily stressors in your life? Looking for a new way to manage the relationships in your life? Is it possible that you are stuck in a cycle of trauma? If you answered “Yes!” to any of the questions above, I strongly believe we can make a great therapeutic team. Did any of the listed questions spark new questions? Let us explore those new questions!
Are you feeling stuck? Unsure of what is next for you? Feeling weighed down by the daily stressors in your life? Looking for a new way to manage the relationships in your life? Is it possible that you are stuck in a cycle of trauma? If you answered “Yes!” to any of the questions above, I strongly believe we can make a great therapeutic team. Did any of the listed questions spark new questions? Let us explore those new questions!
(347) 493-2402 View (347) 493-2402
Photo of Margorie Russell - Grove Counseling, M, H, N, P
Grove Counseling
M, H, N, P
Verified Verified
Arbor Hill, Albany, NY 12207  (Online Only)
Grove mental health counselors are credentialed to provide a full range of mental health counseling services to include treating anxiety, depression, ADHD, OCD, panic disorders, mood disorders, and many other mental health issues that prevent a person from leading a happy and healthy life. Therapy and pharmacological recommendations are based on the best evidence to date, as well as individual needs.
Grove mental health counselors are credentialed to provide a full range of mental health counseling services to include treating anxiety, depression, ADHD, OCD, panic disorders, mood disorders, and many other mental health issues that prevent a person from leading a happy and healthy life. Therapy and pharmacological recommendations are based on the best evidence to date, as well as individual needs.
(518) 839-1554 View (518) 839-1554
Photo of Keona Wright, LMFT, Marriage & Family Therapist
Keona Wright
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Arbor Hill, Albany, NY 12207  (Online Only)
As your therapist, I am present, listen actively and reflectively, with compassion and empathy. My approach is patient and allows clients, like yourself, to set the pace that feels right for them. Through individual, couple and family therapy, I assist clients in improving communication, managing emotions, navigating relationship issues, working through life transitions, and overcoming obstacles like anxiety, depression, grief, addiction, and trauma. My goal is to empower you to gain self-awareness, build resilience and reconnect with your sense of purpose and fulfillment.
As your therapist, I am present, listen actively and reflectively, with compassion and empathy. My approach is patient and allows clients, like yourself, to set the pace that feels right for them. Through individual, couple and family therapy, I assist clients in improving communication, managing emotions, navigating relationship issues, working through life transitions, and overcoming obstacles like anxiety, depression, grief, addiction, and trauma. My goal is to empower you to gain self-awareness, build resilience and reconnect with your sense of purpose and fulfillment.
(929) 447-2136 View (929) 447-2136
Photo of A Sydney Madden - A Sydney Madden, LCSW-R, LCSW-R, Clinical Social Work/Therapist
A Sydney Madden, LCSW-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Arbor Hill, Albany, NY 12207
(518) 767-1505 View (518) 767-1505

Online Therapists

Photo of Justin Giambruno, LCSW, Clinical Social Work/Therapist
Justin Giambruno
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12205
"I am not what happend to me, I am what I choose to become." I work with my client, establishing goals that are congruent and authentic to themselves and who they want to become. I work with an empithatic and non-judgemental approach.
"I am not what happend to me, I am what I choose to become." I work with my client, establishing goals that are congruent and authentic to themselves and who they want to become. I work with an empithatic and non-judgemental approach.
(518) 401-0914 View (518) 401-0914
Photo of Brian Freidenberg, PhD, Psychologist
Brian Freidenberg
Psychologist, PhD
Verified Verified
Albany, NY 12205  (Online Only)
Hello! I'm Dr. Brian Freidenberg. In therapy, I place the therapeutic relationship above all else. The relationship is the vehicle for change. I believe that a good therapist listens well; is empathic; and provides a safe, empowering, and judgement-free environment. The client and I form a partnership to help the client navigate this great adventure called life. My primary areas of expertise are ADDICTIONS (e.g., substances, sex, video games, phone, social media), ANXIETY, CHILDHOOD and ADOLESCENCE, COLLEGE students, VETERANS, RELATIONSHIPS, TRAUMA, GROUPS, PSYCHOLOGICAL EVALUATIONS, and COGNITIVE BEHAVIORAL THERAPY.
Hello! I'm Dr. Brian Freidenberg. In therapy, I place the therapeutic relationship above all else. The relationship is the vehicle for change. I believe that a good therapist listens well; is empathic; and provides a safe, empowering, and judgement-free environment. The client and I form a partnership to help the client navigate this great adventure called life. My primary areas of expertise are ADDICTIONS (e.g., substances, sex, video games, phone, social media), ANXIETY, CHILDHOOD and ADOLESCENCE, COLLEGE students, VETERANS, RELATIONSHIPS, TRAUMA, GROUPS, PSYCHOLOGICAL EVALUATIONS, and COGNITIVE BEHAVIORAL THERAPY.
(646) 846-7521 View (646) 846-7521
Photo of Danielle Matias, LMHC, Licensed Professional Counselor
Danielle Matias
Licensed Professional Counselor, LMHC
Verified Verified
Albany, NY 12206
The goal of my practice is to improve the quality of life of my clients and assist them reach their full potential and personal goals. Specializing in family and couple therapy. I also specialize in depression and anxiety. The ideal client will be dedicated to their own treatment and have a strong desire to feel better. Together with my client we work as a team to achieve the therapeutic goals and make life worth living and enjoying. I have been working in mental health for over a decade and it is my greatest passion in life.
The goal of my practice is to improve the quality of life of my clients and assist them reach their full potential and personal goals. Specializing in family and couple therapy. I also specialize in depression and anxiety. The ideal client will be dedicated to their own treatment and have a strong desire to feel better. Together with my client we work as a team to achieve the therapeutic goals and make life worth living and enjoying. I have been working in mental health for over a decade and it is my greatest passion in life.
(646) 204-2295 View (646) 204-2295
Photo of Mindy R Bresky, LCSW, Clinical Social Work/Therapist
Mindy R Bresky
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12222
With over two decades of experience as a licensed clinical social worker, specializing in anxiety, grief, depression, and addiction, I prioritize creating a safe and nurturing therapeutic environment for my clients. Drawing from my extensive training in The Gestalt Institute, I understand the profound impact of the therapeutic relationship on the healing process. In my practice, I place a strong emphasis on fostering a personal connection with each client. I believe that this relationship is not only important but fundamental to facilitating meaningful change Wherever you are in your journey, I am dedicated to supporting you.
With over two decades of experience as a licensed clinical social worker, specializing in anxiety, grief, depression, and addiction, I prioritize creating a safe and nurturing therapeutic environment for my clients. Drawing from my extensive training in The Gestalt Institute, I understand the profound impact of the therapeutic relationship on the healing process. In my practice, I place a strong emphasis on fostering a personal connection with each client. I believe that this relationship is not only important but fundamental to facilitating meaningful change Wherever you are in your journey, I am dedicated to supporting you.
(516) 517-0694 View (516) 517-0694
Photo of Cassandra Wells, LCSW, Clinical Social Work/Therapist
Cassandra Wells
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12204  (Online Only)
You did it, you made the difficult step of starting your search for a therapist. Finding a good match for a therapist can depend on many things from atmosphere, form of treatment used, training, and above all the therapeutic relationship.
You did it, you made the difficult step of starting your search for a therapist. Finding a good match for a therapist can depend on many things from atmosphere, form of treatment used, training, and above all the therapeutic relationship.
(518) 407-5188 View (518) 407-5188
Photo of Rebecca Santiago - Clearwater Counseling Associates, Clinical Social Work/Therapist
Clearwater Counseling Associates
Clinical Social Work/Therapist
Verified Verified
Albany, NY 12207
Your journey of personal growth and healing. Life is a journey; sometimes you can travel alone, but there are times when you could use someone to walk with you along that journey and help you reach your goals. As your multicultural competent therapist, I am here to support, empower, and guide you towards that more positive + joyful life experience. I work with clients who are looking to take a deeper look at emotional and behavioral patterns, better understand their emotional needs, and build emotional resilience to create a meaningful life.
Your journey of personal growth and healing. Life is a journey; sometimes you can travel alone, but there are times when you could use someone to walk with you along that journey and help you reach your goals. As your multicultural competent therapist, I am here to support, empower, and guide you towards that more positive + joyful life experience. I work with clients who are looking to take a deeper look at emotional and behavioral patterns, better understand their emotional needs, and build emotional resilience to create a meaningful life.
(347) 650-2616 x145 View (347) 650-2616 x145
Photo of Barbara L Freedman, MSW, LCSW, Clinical Social Work/Therapist
Barbara L Freedman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Albany, NY 12205
People arrive at a therapist's office, having tried their best way of getting along in the world, regardless of age, ethnicity, religion, sexual orientation and so forth. A universal reason for seeking help is distress in a primary relationship. In therapy, I help individuals understand how past relationships with parents, siblings and significant others impacts relationship troubles in the here and now. A trusting therapeutic relationship offers an opportunity for exploration of one's own mind at the deepest level - healing, new pathways of relating, greater authenticity, vitality & living a life that's true to one's self.
People arrive at a therapist's office, having tried their best way of getting along in the world, regardless of age, ethnicity, religion, sexual orientation and so forth. A universal reason for seeking help is distress in a primary relationship. In therapy, I help individuals understand how past relationships with parents, siblings and significant others impacts relationship troubles in the here and now. A trusting therapeutic relationship offers an opportunity for exploration of one's own mind at the deepest level - healing, new pathways of relating, greater authenticity, vitality & living a life that's true to one's self.
(518) 631-3782 View (518) 631-3782
Photo of Katie Leinung Glickman, PsyD, Psychologist
Katie Leinung Glickman
Psychologist, PsyD
Verified Verified
1 Endorsed
Albany, NY 12203  (Online Only)
I utilize an empathetic and supportive approach to guide individuals towards emotional well-being. I believe that everyone deserves to be heard, validated, and understood, and am dedicated to fostering a strong therapeutic alliance based on trust and mutual respect. Drawing from a range of evidence-based techniques, each session is tailored to meet the unique needs and goals of every client. Whether you are struggling with anxiety, depression, trauma, or relationship difficulties, I will work collaboratively with you to develop personalized strategies for healing and resilience.
I utilize an empathetic and supportive approach to guide individuals towards emotional well-being. I believe that everyone deserves to be heard, validated, and understood, and am dedicated to fostering a strong therapeutic alliance based on trust and mutual respect. Drawing from a range of evidence-based techniques, each session is tailored to meet the unique needs and goals of every client. Whether you are struggling with anxiety, depression, trauma, or relationship difficulties, I will work collaboratively with you to develop personalized strategies for healing and resilience.
(518) 975-3450 View (518) 975-3450

How does your Therapist compare?

Number of Therapists in Arbor Hill, Albany, NY

10+

Average cost per session

$125

Therapists in Arbor Hill, Albany, NY who prioritize treating:

92% Depression
92% Anxiety
83% Trauma and PTSD
67% Stress
58% Relationship Issues
58% Grief
58% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

44% BlueCross and BlueShield
44% MVP Health Care
44% Fidelis

How Therapists in Arbor Hill, Albany, NY see their clients

58% Online Only
42% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Arbor Hill, Albany?

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.