Therapists in Andes, NY

Photo of Dana A Scuderi - Dana Scuderi, LCSW, PLLC, Clinical Social Work/Therapist, LCSW
Dana Scuderi, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I believe that trust is the foundation of any meaningful therapeutic relationship. My approach is rooted in compassion, authenticity and respect – meeting you exactly where you are. Drawing from humanistic, person-centered, and cognitive-behavioral therapies, I offer an integrated, supportive space where you feel truly seen and heard. Together, we’ll create a collaborative path forward, at your pace, honoring your strengths and empowering your growth. My goal is to walk beside you with empathy and encouragement, helping you reconnect with your inner resilience and build lasting change.
I believe that trust is the foundation of any meaningful therapeutic relationship. My approach is rooted in compassion, authenticity and respect – meeting you exactly where you are. Drawing from humanistic, person-centered, and cognitive-behavioral therapies, I offer an integrated, supportive space where you feel truly seen and heard. Together, we’ll create a collaborative path forward, at your pace, honoring your strengths and empowering your growth. My goal is to walk beside you with empathy and encouragement, helping you reconnect with your inner resilience and build lasting change.
(845) 209-1439 View (845) 209-1439
Photo of Rosie Lanziero, LMHC-DP, DMT, CHWC
Rosie Lanziero
Verified Verified
3 Endorsed
Andes, NY 13731
With over 25 years of experience as an expressive arts educator, and training in Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT) Trauma Informed Somatic Psychotherapy and Myofascial Release, my work is evidence-based, integrative, creative and holistic—so you receive care that is tailored to your whole self - body, mind and soul.
With over 25 years of experience as an expressive arts educator, and training in Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT) Trauma Informed Somatic Psychotherapy and Myofascial Release, my work is evidence-based, integrative, creative and holistic—so you receive care that is tailored to your whole self - body, mind and soul.
(347) 905-5978 View (347) 905-5978
Photo of Dr. Meghan DellaCrosse, Psychologist, PsyD
Dr. Meghan DellaCrosse
Psychologist, PsyD
2 Endorsed
Online Only
Therapy is an invitation, not to erase what hurts or challenges us, but to sit with it differently and discover what it may be pointing you toward. Often that means slowing down, making space for feelings long held at a distance, and noticing the ways old patterns continue to shape your present experiences. I’ll meet you with steadiness, curiosity, and care: honoring what is hard and, at times, gently challenging what keeps you stuck so new perspectives and change can unfold.
Therapy is an invitation, not to erase what hurts or challenges us, but to sit with it differently and discover what it may be pointing you toward. Often that means slowing down, making space for feelings long held at a distance, and noticing the ways old patterns continue to shape your present experiences. I’ll meet you with steadiness, curiosity, and care: honoring what is hard and, at times, gently challenging what keeps you stuck so new perspectives and change can unfold.
(646) 780-7760 View (646) 780-7760
Photo of Tracy Marie Stoop, Clinical Social Work/Therapist, LCSW, MSW
Tracy Marie Stoop
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Serves Area
Struggling with a life change? Motherhood, menopause and peri-menopause, gender-based discrimination or marginalization, or being a woman of a “certain age” in today’s society? If you are dealing with any of these issues, I am happy to partner with you on your journey toward the life you want to curate for yourself. I am experienced helping women with life cycle issues, constant/chronic worrying, overthinking, feeling like you are not good enough in any area of your life, trauma, parenting and co-parenting struggles, prenatal and postpartum challenges, and relationship issues. I specialize in individual counseling for women.
Struggling with a life change? Motherhood, menopause and peri-menopause, gender-based discrimination or marginalization, or being a woman of a “certain age” in today’s society? If you are dealing with any of these issues, I am happy to partner with you on your journey toward the life you want to curate for yourself. I am experienced helping women with life cycle issues, constant/chronic worrying, overthinking, feeling like you are not good enough in any area of your life, trauma, parenting and co-parenting struggles, prenatal and postpartum challenges, and relationship issues. I specialize in individual counseling for women.
(607) 968-9019 View (607) 968-9019

More Therapists Nearby

Photo of Hilary Pope, Clinical Social Work/Therapist, LCSWR
Hilary Pope
Clinical Social Work/Therapist, LCSWR
1 Endorsed
Oneonta, NY 13820
With over 20 years of experience, I offer mental health services for individual, couples, family across the lifespan. I have an expertise in working with children, adolescents and young adults, as well as family an couples.
With over 20 years of experience, I offer mental health services for individual, couples, family across the lifespan. I have an expertise in working with children, adolescents and young adults, as well as family an couples.
(607) 208-7660 View (607) 208-7660
Photo of Nicole Picarello, Clinical Social Work/Therapist, LCSW
Nicole Picarello
Clinical Social Work/Therapist, LCSW
Online Only
Are you looking for support in working through past or present struggles that continue to affect your mental health? You deserve a space where you can feel heard, understood, and supported. Through an integrative counseling approach, you receive care that is tailored to your unique needs, helping you make sense of your experiences and move toward greater emotional well-being. Modalities include talk therapy, CBT, meditation, stress management, and more.
Are you looking for support in working through past or present struggles that continue to affect your mental health? You deserve a space where you can feel heard, understood, and supported. Through an integrative counseling approach, you receive care that is tailored to your unique needs, helping you make sense of your experiences and move toward greater emotional well-being. Modalities include talk therapy, CBT, meditation, stress management, and more.
(845) 606-4075 View (845) 606-4075
Photo of Nancy Pierdipino, Marriage & Family Therapist, MA, LMFT
Nancy Pierdipino
Marriage & Family Therapist, MA, LMFT
Online Only
Let's work together and bring about a positive change. I am a NYS licensed Marriage and Family Therapist. I work with couples, families and individuals. I believe that by working together in a friendly, compassionate, safe environment, with mutual understanding all things can be accomplished. I believe you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support and empower you in that journey.
Let's work together and bring about a positive change. I am a NYS licensed Marriage and Family Therapist. I work with couples, families and individuals. I believe that by working together in a friendly, compassionate, safe environment, with mutual understanding all things can be accomplished. I believe you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support and empower you in that journey.
(845) 552-2738 View (845) 552-2738
Photo of Thomas B Bolton - Mind Matters Regional Neurofeedback Centers, MS, BCN, QEEG D
Mind Matters Regional Neurofeedback Centers
Verified Verified
1 Endorsed
Oneonta, NY 13820
Whether you’re just beginning to explore mental health options or you’ve been searching for effective solutions for a while, neurofeedback could be the breakthrough you need. Our innovative, non-invasive, and safe for all ages approach begins with a brain scan, ensuring our program is customized to meet your unique symptom and/or diagnostic needs. Supported by extensive research across a broad range of diagnostic areas, our neurofeedback program provides a unique opportunity to directly engage with your brain's activity, promoting natural and sustainable changes without the use of medication.
Whether you’re just beginning to explore mental health options or you’ve been searching for effective solutions for a while, neurofeedback could be the breakthrough you need. Our innovative, non-invasive, and safe for all ages approach begins with a brain scan, ensuring our program is customized to meet your unique symptom and/or diagnostic needs. Supported by extensive research across a broad range of diagnostic areas, our neurofeedback program provides a unique opportunity to directly engage with your brain's activity, promoting natural and sustainable changes without the use of medication.
(315) 915-5937 View (315) 915-5937
Photo of Monique Gallimore, Pre-Licensed Professional, MFTI, BS
Monique Gallimore
Pre-Licensed Professional, MFTI, BS
Serves Area
Are you living with cancer, a medical diagnosis, or mental health challenges? Struggling with anxiety, trauma, PNES, or neurological symptoms? Maybe you're exhausted from long days. Facing relationship conflicts, family tensions, or spiritual struggles? Or maybe it's something else entirely weighing on your heart. Whatever you're going through, I'm here to help. No one is ever turned away - your story matters, and you deserve support. There are many caring therapists , all here to help you create lasting, meaningful changes. You don't have to face this alone. Reach out when you're ready. Healing is possible, and you're worth it.
Are you living with cancer, a medical diagnosis, or mental health challenges? Struggling with anxiety, trauma, PNES, or neurological symptoms? Maybe you're exhausted from long days. Facing relationship conflicts, family tensions, or spiritual struggles? Or maybe it's something else entirely weighing on your heart. Whatever you're going through, I'm here to help. No one is ever turned away - your story matters, and you deserve support. There are many caring therapists , all here to help you create lasting, meaningful changes. You don't have to face this alone. Reach out when you're ready. Healing is possible, and you're worth it.
(914) 483-5580 View (914) 483-5580
Photo of Cynthia Lynne Bogdan-Cumpston, Clinical Social Work/Therapist, LMSW
Cynthia Lynne Bogdan-Cumpston
Clinical Social Work/Therapist, LMSW
Treadwell, NY 13846
As we all know too well, life can and usually does throw us curve balls from time to time. How we receive and manage those curve balls can be critical to our mental, and physical wellbeing. Whether you are stuck in negative thinking patterns, unresolved issues/traumas from your past, or behaviors that you are not content with, these can all lead to anxiety, depression, anger, and shame that can make life difficult to navigate through. If you want to take charge of your life to learn the skills needed to manage and control these issues, now is the time to work towards lasting change, growth, and empowerment.
As we all know too well, life can and usually does throw us curve balls from time to time. How we receive and manage those curve balls can be critical to our mental, and physical wellbeing. Whether you are stuck in negative thinking patterns, unresolved issues/traumas from your past, or behaviors that you are not content with, these can all lead to anxiety, depression, anger, and shame that can make life difficult to navigate through. If you want to take charge of your life to learn the skills needed to manage and control these issues, now is the time to work towards lasting change, growth, and empowerment.
(607) 325-7582 View (607) 325-7582
Photo of Mandi Mader, Clinical Social Work/Therapist, LCSW-C
Mandi Mader
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Oneonta, NY 13820
I have over 25 years of valuable experience as a general psychotherapist. I'm available to help you with a wide range of mood and relationship issues. I'd love to speak with you about whatever's bothering you, whatever goal you wish to attain, or relationship that you would like to improve. Although I do work with people long term, I feel that people should see some benefit within a few sessions. I work holistically - ecouraging and helping people to eat well, sleep well, and to exercise (Small steps are the way to get started with these issues) I received advanced training in Cognitive Behavioral Therapy for Insomnia at UPenn.
I have over 25 years of valuable experience as a general psychotherapist. I'm available to help you with a wide range of mood and relationship issues. I'd love to speak with you about whatever's bothering you, whatever goal you wish to attain, or relationship that you would like to improve. Although I do work with people long term, I feel that people should see some benefit within a few sessions. I work holistically - ecouraging and helping people to eat well, sleep well, and to exercise (Small steps are the way to get started with these issues) I received advanced training in Cognitive Behavioral Therapy for Insomnia at UPenn.
(607) 558-3868 View (607) 558-3868
Photo of Dr. Kim Tassinari, Counselor, PhD, LMHC, LPC, LCPC, NCC
Dr. Kim Tassinari
Counselor, PhD, LMHC, LPC, LCPC, NCC
1 Endorsed
New Kingston, NY 12459
Life doesn't always unfold the way we expect. Whether you're grieving a loss, navigating a significant change, feeling the weight of anxiety, or working through a complicated relationship — these experiences can be hard to carry alone. I work with adults facing exactly these kinds of moments. I hold a doctorate in Counselor Education from Montclair State University, and my background spans clinical practice, teaching and mentoring graduate counseling students, and presenting nationally on grief, ethics, and mental health.
Life doesn't always unfold the way we expect. Whether you're grieving a loss, navigating a significant change, feeling the weight of anxiety, or working through a complicated relationship — these experiences can be hard to carry alone. I work with adults facing exactly these kinds of moments. I hold a doctorate in Counselor Education from Montclair State University, and my background spans clinical practice, teaching and mentoring graduate counseling students, and presenting nationally on grief, ethics, and mental health.
(518) 628-2208 View (518) 628-2208
Photo of Dr. Edward Nichols - Expert ADHD Evaluation Center, Clinical Social Work/Therapist, PhD, MSW, LCSW-R
Expert ADHD Evaluation Center
Clinical Social Work/Therapist, PhD, MSW, LCSW-R
Serves Area
Are you seeking clear, objective answers about ADHD and navigating concerns regarding treatment planning, educational supports or accommodations? At the Expert ADHD Evaluation Center, we provide comprehensive, evidence-based ADHD evaluations for children, adolescents, and adults. Our assessments are designed to assist parents, health care providers, schools, and employers by delivering clear diagnostic conclusions and practical recommendations. Each evaluation includes standardized testing, clinical interpretation, and a detailed written report to support informed decisions regarding treatment, academic services, and accommodations.
Are you seeking clear, objective answers about ADHD and navigating concerns regarding treatment planning, educational supports or accommodations? At the Expert ADHD Evaluation Center, we provide comprehensive, evidence-based ADHD evaluations for children, adolescents, and adults. Our assessments are designed to assist parents, health care providers, schools, and employers by delivering clear diagnostic conclusions and practical recommendations. Each evaluation includes standardized testing, clinical interpretation, and a detailed written report to support informed decisions regarding treatment, academic services, and accommodations.
(607) 821-2731 View (607) 821-2731
Photo of Glenn Pichardo, MHC-LP, PhD(Ed)
Glenn Pichardo
Verified Verified
1 Endorsed
Online Only
I specialize in working with adults of all ages and college students with ADHD, Anxiety, Depression, PTSD as well as issues such as self-esteem, career challenges and childhood trauma. I am a trauma-informed therapist that utilizes mindfulness, CBT, Person-Centered Therapy, ACT and somatic approaches to help clients learn more about themselves and heal.
I specialize in working with adults of all ages and college students with ADHD, Anxiety, Depression, PTSD as well as issues such as self-esteem, career challenges and childhood trauma. I am a trauma-informed therapist that utilizes mindfulness, CBT, Person-Centered Therapy, ACT and somatic approaches to help clients learn more about themselves and heal.
(607) 300-6067 View (607) 300-6067
Photo of Kim S Spicciatie - Kim S Spicciatie, LCSW P.C., Clinical Social Work/Therapist, LCSW
Kim S Spicciatie, LCSW P.C.
Clinical Social Work/Therapist, LCSW
Serves Area
Sometimes we all need a little help. We all have distressing situations at work and home, and difficult experiences from our past, that we should probably talk about, resolve, or let go of. Relationship problems, anger, anxiety, feeling 'stuck', depression - all of these can add to daily stress. The good news is, you can find ways to change what isn't working in your life and relationships, identify new goals, and create a life that brings you peace and personal growth. I've been helping clients live their best lives and improve well-being for more than 17 yrs. Let's talk and see if I am a good fit for you!
Sometimes we all need a little help. We all have distressing situations at work and home, and difficult experiences from our past, that we should probably talk about, resolve, or let go of. Relationship problems, anger, anxiety, feeling 'stuck', depression - all of these can add to daily stress. The good news is, you can find ways to change what isn't working in your life and relationships, identify new goals, and create a life that brings you peace and personal growth. I've been helping clients live their best lives and improve well-being for more than 17 yrs. Let's talk and see if I am a good fit for you!
(516) 864-4161 View (516) 864-4161
Photo of Zahira Salinas, Counselor, LMHC
Zahira Salinas
Counselor, LMHC
Online Only
As a Licensed Mental Health Counselor (LMHC) and a bilingual school psychologist, I am dedicated to helping preteens, teens, and adults navigate life’s challenges, build self-awareness, and develop healthy coping strategies. Being Spanish-speaking, I connect with Hispanic/Latinx youth and families, providing culturally responsive support. I specialize in anxiety, self-esteem, mood disorders, behavioral issues, family conflict, and depression. My approach is tailored to each individual’s needs, fostering growth and resilience.
As a Licensed Mental Health Counselor (LMHC) and a bilingual school psychologist, I am dedicated to helping preteens, teens, and adults navigate life’s challenges, build self-awareness, and develop healthy coping strategies. Being Spanish-speaking, I connect with Hispanic/Latinx youth and families, providing culturally responsive support. I specialize in anxiety, self-esteem, mood disorders, behavioral issues, family conflict, and depression. My approach is tailored to each individual’s needs, fostering growth and resilience.
(631) 380-1702 View (631) 380-1702
Photo of Laura Maneates, LMHC, MFT, CASAC-T, ABD
Laura Maneates
Verified Verified
1 Endorsed
Oneonta, NY 13820
Everyone is faced with challenges throughout life. Whether it be a challenging relationship, life transition, trauma, loss of: dream, loved one or unnamed void, loneliness, fear, negative thought pattens... The key to overcoming them is change. The first step to change is to realize everyone needs help with life's challenges. Asking for help will be the most important step you take in your healing journey of revisioning your life. I would be happy to work with you to help you uncover your true potential, to live the life you want to celebrate ! And to witness your discovery of your happier self, your genuine self, your Best Self!
Everyone is faced with challenges throughout life. Whether it be a challenging relationship, life transition, trauma, loss of: dream, loved one or unnamed void, loneliness, fear, negative thought pattens... The key to overcoming them is change. The first step to change is to realize everyone needs help with life's challenges. Asking for help will be the most important step you take in your healing journey of revisioning your life. I would be happy to work with you to help you uncover your true potential, to live the life you want to celebrate ! And to witness your discovery of your happier self, your genuine self, your Best Self!
(607) 388-4844 View (607) 388-4844
Photo of Katavia DeLong, Counselor, LMHC
Katavia DeLong
Counselor, LMHC
Serves Area
How many times have you sat to research therapists in your area? Perhaps extensively pouring through biographies and specialties only for the next day to decide “I can manage” or “things are a little better today”? Does this seem to be the point in your therapy journey you’ve found yourself in? Maybe several times? Let’s meet where you’re at.
How many times have you sat to research therapists in your area? Perhaps extensively pouring through biographies and specialties only for the next day to decide “I can manage” or “things are a little better today”? Does this seem to be the point in your therapy journey you’ve found yourself in? Maybe several times? Let’s meet where you’re at.
(607) 208-7734 View (607) 208-7734
Photo of Catherine McCarthy, Clinical Social Work/Therapist, LCSW
Catherine McCarthy
Clinical Social Work/Therapist, LCSW
4 Endorsed
Delhi, NY 13753
I take a strengths-based narrative approach to therapy, affirming your natural ability to reflect on your past experiences so you can move forward with new insight and agency. I often work with individuals around issues of self-worth, anxiety and depression, gender and sexual identity, intimacy, relationship issues, and self-expression. When working with couples, I seek to identify negative relational cycles that are getting in the way of connection, and help find new ways of relating to each other that address each partner's fundamental needs. I also offer clinical supervision to therapists-in-training.
I take a strengths-based narrative approach to therapy, affirming your natural ability to reflect on your past experiences so you can move forward with new insight and agency. I often work with individuals around issues of self-worth, anxiety and depression, gender and sexual identity, intimacy, relationship issues, and self-expression. When working with couples, I seek to identify negative relational cycles that are getting in the way of connection, and help find new ways of relating to each other that address each partner's fundamental needs. I also offer clinical supervision to therapists-in-training.
View
Photo of Charlene Cross - Cross Connects, Clinical Social Work/Therapist, LCSW
Cross Connects
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
When the "Norms" of mental health are not meeting your needs- CALL. Cross Connects is a group of providers providing a unique and person- centered approach. Founded in the Catskills, our team of providers are working from across NYS. Each clinician works towards providing a safe place for clients to feel free to be themselves in the environment they feel most comfortable- in ways we learn (through the process) are beneficial for our clients. Reach out to us on our website in our "contact us" page- No commitment is made by reaching out.
When the "Norms" of mental health are not meeting your needs- CALL. Cross Connects is a group of providers providing a unique and person- centered approach. Founded in the Catskills, our team of providers are working from across NYS. Each clinician works towards providing a safe place for clients to feel free to be themselves in the environment they feel most comfortable- in ways we learn (through the process) are beneficial for our clients. Reach out to us on our website in our "contact us" page- No commitment is made by reaching out.
(607) 246-3657 View (607) 246-3657

How does your Therapist compare?

Number of Therapists in Andes, NY

< 10

Therapists in Andes, NY who prioritize treating:

100% Anxiety
100% Stress
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
75% Relationship Issues
75% Depression

Average years in practice

10 Years

Top 3 insurances accepted

100% Aetna
67% Oxford
67% UnitedHealthcare UHC | UBH

How Therapists in Andes, NY see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Andes?

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.