Therapists in Syracuse, NY

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Photo of Jennifer Figueroa in Syracuse, NY
Jennifer Figueroa
MFT-LP
Verified Verified
1 Endorsed
Syracuse, NY 13206  (Online Only)
I provide specialized expertise in working with young to middle-aged couples who have been dealing with a range of issues: anxiety, depression, relationships, mood disorders, natural transitions (e.g. marriage, career changes) & trauma that is having a negative impact on their relationships. I have worked with clients of diverse backgrounds. My therapeutic work is eclectic with individualized, interactive therapy. I graduated from Long Island University with a Master's in Marriage and Family Therapy and a Bachelor's in Psychology.
I provide specialized expertise in working with young to middle-aged couples who have been dealing with a range of issues: anxiety, depression, relationships, mood disorders, natural transitions (e.g. marriage, career changes) & trauma that is having a negative impact on their relationships. I have worked with clients of diverse backgrounds. My therapeutic work is eclectic with individualized, interactive therapy. I graduated from Long Island University with a Master's in Marriage and Family Therapy and a Bachelor's in Psychology.
(680) 201-5520 View (680) 201-5520
Photo of Mary Carlisle, Clinical Social Work/Therapist in Syracuse, NY
Mary Carlisle
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13219  (Online Only)
The decision to begin therapy can be a difficult one, but with the right therapist and hard work the benefits can be endless. Therapy can help you identify patterns in your life that may be causing you struggle. It can help you identify the link between your thoughts, feelings, and behaviors and implement changes you want to make in life. The goal is always to learn new ways to think and act, as well as to integrate new healthy coping skills into your life.
The decision to begin therapy can be a difficult one, but with the right therapist and hard work the benefits can be endless. Therapy can help you identify patterns in your life that may be causing you struggle. It can help you identify the link between your thoughts, feelings, and behaviors and implement changes you want to make in life. The goal is always to learn new ways to think and act, as well as to integrate new healthy coping skills into your life.
(315) 743-5441 View (315) 743-5441
Photo of Danielle Petrella, Marriage & Family Therapist in Syracuse, NY
Danielle Petrella
Marriage & Family Therapist, LMFT, MA
Verified Verified
Syracuse, NY 13214
I bring extensive experience working with diverse populations, including the LGBTQ+ community, individuals navigating family dysfunction, attachment wounds, relationship challenges, codependency issues, as well as those struggling with depression and anxiety. Overall, my approach is centered around fostering self-awareness, promoting personal growth, and empowering you to create meaningful and satisfying connections with yourself and others.
I bring extensive experience working with diverse populations, including the LGBTQ+ community, individuals navigating family dysfunction, attachment wounds, relationship challenges, codependency issues, as well as those struggling with depression and anxiety. Overall, my approach is centered around fostering self-awareness, promoting personal growth, and empowering you to create meaningful and satisfying connections with yourself and others.
(315) 996-3465 View (315) 996-3465
Linda Terrazas
Clinical Social Work/Therapist, LCSW , CASAC
Verified Verified
Syracuse, NY 13219
I’m Linda and professionally I am both a clinical social worker as well as a credentialed alcohol substance abuse counselor (CASAC). I enjoy working with adults as they move through various life stages, managing difficult emotions, struggling with relationships, decision making or substance use/abuse. I also assist clients in completing assessments for Emotional Support Animals. My goal is to assist people in leading their best lives while managing their feelings effectively. Clients will be provided skills to feel more confident and better able to manage their range of issues.
I’m Linda and professionally I am both a clinical social worker as well as a credentialed alcohol substance abuse counselor (CASAC). I enjoy working with adults as they move through various life stages, managing difficult emotions, struggling with relationships, decision making or substance use/abuse. I also assist clients in completing assessments for Emotional Support Animals. My goal is to assist people in leading their best lives while managing their feelings effectively. Clients will be provided skills to feel more confident and better able to manage their range of issues.
(315) 320-6080 View (315) 320-6080
Photo of Laura Brennan, Counselor in Syracuse, NY
Laura Brennan
Counselor, LMHC
Verified Verified
1 Endorsed
Syracuse, NY 13215
Therapy is a wonderful opportunity to gain a deeper sense of fulfillment in your life. Whether you’re new to therapy or have tried many different types of treatment, I’m here to help you. I am a New York State Licensed Mental Health Counselor, specializing in addiction, anxiety, depression, stress management, life transitions and other behavioral health concerns. My therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges.
Therapy is a wonderful opportunity to gain a deeper sense of fulfillment in your life. Whether you’re new to therapy or have tried many different types of treatment, I’m here to help you. I am a New York State Licensed Mental Health Counselor, specializing in addiction, anxiety, depression, stress management, life transitions and other behavioral health concerns. My therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges.
(315) 302-1398 View (315) 302-1398
Photo of Mandevilla Mental Health Counseling, PLLC, Counselor in Syracuse, NY
Mandevilla Mental Health Counseling, PLLC
Counselor, MS, NCC, LMHC, LPCMHSP
Verified Verified
Syracuse, NY 13204  (Online Only)
We are currently accepting new patients and have immediate openings for telehealth. Our practice is comprised of ethically sound professionals ready to assist you on your journey toward emotional wellness. We understand that it can be an overwhelming and difficult process to begin mental health services. We provide a safe environment to foster healing and growth in all of the individuals that we work with. Our clinicians are currently able to provide telehealth services for New York and Tennessee. We have experience with trauma, anxiety, depression, and addiction. We are here to support those adjusting to various transitions.
We are currently accepting new patients and have immediate openings for telehealth. Our practice is comprised of ethically sound professionals ready to assist you on your journey toward emotional wellness. We understand that it can be an overwhelming and difficult process to begin mental health services. We provide a safe environment to foster healing and growth in all of the individuals that we work with. Our clinicians are currently able to provide telehealth services for New York and Tennessee. We have experience with trauma, anxiety, depression, and addiction. We are here to support those adjusting to various transitions.
(315) 517-8695 View (315) 517-8695
Photo of Emily Lavin, Marriage & Family Therapist in Syracuse, NY
Emily Lavin
Marriage & Family Therapist, LMFT
Verified Verified
Syracuse, NY 13214
Are you encountering life's challenges and seeking compassionate support to navigate them? I specialize in aiding individuals, couples, and families, with a focus on adolescents and adults. Whether you're contending with transitions, anxiety, depression, self-esteem hurdles, relationship issues, trauma, stress, women’s concerns, or other difficulties, I am here to provide attentive listening and help you uncover your strengths and barriers to growth.
Are you encountering life's challenges and seeking compassionate support to navigate them? I specialize in aiding individuals, couples, and families, with a focus on adolescents and adults. Whether you're contending with transitions, anxiety, depression, self-esteem hurdles, relationship issues, trauma, stress, women’s concerns, or other difficulties, I am here to provide attentive listening and help you uncover your strengths and barriers to growth.
(315) 998-3565 View (315) 998-3565
Photo of Alyssa Gaspe, Clinical Social Work/Therapist in Syracuse, NY
Alyssa Gaspe
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13206
Life is hard. Time flies by and you often feel you no longer can keep up with daily life. You feel like you aren’t being your authentic self and have no time left for you by the end of the day. Everyone else’s needs come first and you have difficulty saying no or setting limits that feel good. Your relationships struggle. Your emotions often feel out of control and unmanageable. Loved ones make comments that you’re too “sensitive” or “dramatic”. Your daily life is suffering and you no longer know how to reach your goals, you may no longer even know what your goals are. You just know you’re unhappy and something needs to change.
Life is hard. Time flies by and you often feel you no longer can keep up with daily life. You feel like you aren’t being your authentic self and have no time left for you by the end of the day. Everyone else’s needs come first and you have difficulty saying no or setting limits that feel good. Your relationships struggle. Your emotions often feel out of control and unmanageable. Loved ones make comments that you’re too “sensitive” or “dramatic”. Your daily life is suffering and you no longer know how to reach your goals, you may no longer even know what your goals are. You just know you’re unhappy and something needs to change.
(315) 812-3252 View (315) 812-3252
Blair Counseling Services
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
Syracuse, NY 13224
Many people with severe anxiety, depression and PTSD have benefitted from therapy with us over the decades. No one size fits all therapy is employed by me or our practice group. Individual needs are responded to with individual treatment, designed by the person and the therapists, who have been trained in multiple forms of treatment shown to be helpful to people.
Many people with severe anxiety, depression and PTSD have benefitted from therapy with us over the decades. No one size fits all therapy is employed by me or our practice group. Individual needs are responded to with individual treatment, designed by the person and the therapists, who have been trained in multiple forms of treatment shown to be helpful to people.
(315) 564-4272 x102 View (315) 564-4272 x102
Photo of Therapy One, Counselor in Syracuse, NY
Therapy One
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Syracuse, NY 13214  (Online Only)
One of the best decisions you can make in your life is to reach out and ask for help. I am that hand you can grasp for compassionate care and direction as you navigate a better understanding of yourself. Anxiety and depression can make you feel alone and helpless. They are not easy mental health disorders to navigate without help. You are strong! You are mighty! You are not alone! I am here with you along your journey as you become better aware of how you can take control and overcome the struggles you may have with panic attacks, sadness, and mood disorders. I am ready to listen and help you regain control of your life.
One of the best decisions you can make in your life is to reach out and ask for help. I am that hand you can grasp for compassionate care and direction as you navigate a better understanding of yourself. Anxiety and depression can make you feel alone and helpless. They are not easy mental health disorders to navigate without help. You are strong! You are mighty! You are not alone! I am here with you along your journey as you become better aware of how you can take control and overcome the struggles you may have with panic attacks, sadness, and mood disorders. I am ready to listen and help you regain control of your life.
(315) 322-9346 View (315) 322-9346
Photo of Shawne Ellen Steiger, Clinical Social Work/Therapist in Syracuse, NY
Shawne Ellen Steiger
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Syracuse, NY 13210  (Online Only)
I have 31 years of experience helping people who are hurting change their lives. Often, we develop skills to survive difficult situations -childhood abuse, bullying in school, a bad car accident, sexual assault, an abusive marriage or boss - and it's hard to stop using those old skills, even when we no longer need them. We react in a new relationship as if we have to protect ourselves from things in the past. This often leads to more pain and unwanted outcomes. I can help you recognize those maladaptive coping skills. Change is difficult and often scary, but so worth it. I will be there cheerleading you as you practice new skills.
I have 31 years of experience helping people who are hurting change their lives. Often, we develop skills to survive difficult situations -childhood abuse, bullying in school, a bad car accident, sexual assault, an abusive marriage or boss - and it's hard to stop using those old skills, even when we no longer need them. We react in a new relationship as if we have to protect ourselves from things in the past. This often leads to more pain and unwanted outcomes. I can help you recognize those maladaptive coping skills. Change is difficult and often scary, but so worth it. I will be there cheerleading you as you practice new skills.
(680) 206-2402 View (680) 206-2402
Photo of Patricia Demyan, Clinical Social Work/Therapist in Syracuse, NY
Patricia Demyan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Syracuse, NY 13210
Welcome and Congratulations. By deciding to seek therapy, you have taken the most difficult and courageous step towards achieving greater happiness and satisfaction in your personal, family and work life. The next step is to find a therapist who has experience working with the issues you are facing. For 35+ years, I have worked with individuals and couples who are dealing with a variety of issues including, but not limited to, anxiety, depression, low self-esteem, relationship issues, life transitions, and grief..
Welcome and Congratulations. By deciding to seek therapy, you have taken the most difficult and courageous step towards achieving greater happiness and satisfaction in your personal, family and work life. The next step is to find a therapist who has experience working with the issues you are facing. For 35+ years, I have worked with individuals and couples who are dealing with a variety of issues including, but not limited to, anxiety, depression, low self-esteem, relationship issues, life transitions, and grief..
(315) 475-6337 View (315) 475-6337
Photo of Susan Allington, Clinical Social Work/Therapist in Syracuse, NY
Susan Allington
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Syracuse, NY 13206
Are you experiencing feelings of frustration and being overwhelmed by issues in your life? Are you feeling stuck and not sure what can be done? Perhaps there is some fear that things will never change. Situations that can fall under this are parenting, relationships, depression, and anxiety to name just a few.
Are you experiencing feelings of frustration and being overwhelmed by issues in your life? Are you feeling stuck and not sure what can be done? Perhaps there is some fear that things will never change. Situations that can fall under this are parenting, relationships, depression, and anxiety to name just a few.
(315) 314-8707 View (315) 314-8707
Photo of Serenity Psychotherapy PLLC, Clinical Social Work/Therapist in Syracuse, NY
Serenity Psychotherapy PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13206  (Online Only)
Getting to the root of your pain, learning to deal with it, building upon your strengths then learning to act versus react to people and events is the goal of our approach. We have a long history of working with diverse populations, who have developed varied problems: Mental Health, Substance Abuse, Marital, Parenting, Occupational, grief and more Our approach is to work with your strengths; help you to develop new views and skills and then organize them into a plan that works in obtaining your goals. As a psychotherapy group practice, we can see just about anyone no matter what you're dealing with.
Getting to the root of your pain, learning to deal with it, building upon your strengths then learning to act versus react to people and events is the goal of our approach. We have a long history of working with diverse populations, who have developed varied problems: Mental Health, Substance Abuse, Marital, Parenting, Occupational, grief and more Our approach is to work with your strengths; help you to develop new views and skills and then organize them into a plan that works in obtaining your goals. As a psychotherapy group practice, we can see just about anyone no matter what you're dealing with.
(315) 306-3724 View (315) 306-3724
Photo of Joseph Masterleo, Clinical Social Work/Therapist in Syracuse, NY
Joseph Masterleo
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13203  (Online Only)
Welcome to my Central NY and East Central Florida private practice profile and directory. I am a New York State Licensed Clinical Social Worker providing counseling and psychotherapy services to adult individuals, couples and families. I have over 40 years of clinical experience in private practice addressing a broad range of personal and relationship difficulties. I also provide Christian Counseling for those seeking a professionally trained therapist who shares a spiritually informed worldview, able to frame client's life circumstances and personal difficulties in a way that harmonizes sound clinical principles with spirituality.
Welcome to my Central NY and East Central Florida private practice profile and directory. I am a New York State Licensed Clinical Social Worker providing counseling and psychotherapy services to adult individuals, couples and families. I have over 40 years of clinical experience in private practice addressing a broad range of personal and relationship difficulties. I also provide Christian Counseling for those seeking a professionally trained therapist who shares a spiritually informed worldview, able to frame client's life circumstances and personal difficulties in a way that harmonizes sound clinical principles with spirituality.
(315) 294-0923 View (315) 294-0923
Photo of Diane M Malikow in Syracuse, NY
Diane M Malikow
AAS, AA, ASAC
Verified Verified
Syracuse, NY 13203
Is it hard for you to believe that you can be happy? I define happiness as overall life contentment. I believe that your happiness is attainable and this is why I am a life coach. The ability to be happy is a skill. Good coaches have studied the game and learned skills and strategies that can be shared to help the team win and individual players self-actualize. In other words, there is help. There are skills and strategies that can be learned and used to find, protect, and experience your own happiness.
Is it hard for you to believe that you can be happy? I define happiness as overall life contentment. I believe that your happiness is attainable and this is why I am a life coach. The ability to be happy is a skill. Good coaches have studied the game and learned skills and strategies that can be shared to help the team win and individual players self-actualize. In other words, there is help. There are skills and strategies that can be learned and used to find, protect, and experience your own happiness.
(315) 847-4821 View (315) 847-4821
Photo of Leanne Nagle, Pre-Licensed Professional in Syracuse, NY
Leanne Nagle
Pre-Licensed Professional, MA, LPMFT
Verified Verified
1 Endorsed
Syracuse, NY 13214
I believe that every therapeutic relationship should be a collaborative experience. I work to provide a comfortable atmosphere to explore the challenges you may experience in your life journey. My experience as a couple and family therapist allows me to navigate the systems that are most important to you, whether it is through couple, family, or individual sessions.
I believe that every therapeutic relationship should be a collaborative experience. I work to provide a comfortable atmosphere to explore the challenges you may experience in your life journey. My experience as a couple and family therapist allows me to navigate the systems that are most important to you, whether it is through couple, family, or individual sessions.
(315) 219-4159 View (315) 219-4159
Photo of Dr. Gina D. Alago Colón, Psychologist in Syracuse, NY
Dr. Gina D. Alago Colón
Psychologist, PsyD
Verified Verified
Syracuse, NY 13202
This is the MOMENT; this is YOUR space to HEAL. I'm a Latinx therapist who strongly believes that we all need/want someone to empower, validate and actively listen to us in an empathic/genuine way. I recognize that opening up about our emotional concerns/pain, and being vulnerable to someone else is not an easy thing to commit to. My main goal is to provide a space, where you feel safe to share your life experiences, thoughts, and emotions. My work is driven by a non-judgmental, compassionate, and integrative approach that will be tailored and focused on your needs and goals as a unique individual for your healing journey.
This is the MOMENT; this is YOUR space to HEAL. I'm a Latinx therapist who strongly believes that we all need/want someone to empower, validate and actively listen to us in an empathic/genuine way. I recognize that opening up about our emotional concerns/pain, and being vulnerable to someone else is not an easy thing to commit to. My main goal is to provide a space, where you feel safe to share your life experiences, thoughts, and emotions. My work is driven by a non-judgmental, compassionate, and integrative approach that will be tailored and focused on your needs and goals as a unique individual for your healing journey.
(315) 325-3907 View (315) 325-3907
Photo of Susan Hart Presley, Clinical Social Work/Therapist in Syracuse, NY
Susan Hart Presley
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13206  (Online Only)
I treat anxiety, depression, narcissism, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, and in investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
I treat anxiety, depression, narcissism, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, and in investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
(315) 302-1750 View (315) 302-1750
Photo of Amanda Fuleihan, Clinical Social Work/Therapist in Syracuse, NY
Amanda Fuleihan
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13203
As a licensed clinical therapist with experience working with individuals, families and children, I am very aware of the many challenges we face at different stages throughout our lives. Are you currently feeling stuck, isolated and overwhelmed about how to begin facing and overcoming these challenges? You no longer have to feel alone in this process. In therapy, I will work to facilitate personal growth by creating a safe space and providing empathy, support, and feedback to empower you to feel confident in reaching and achieving your goals.
As a licensed clinical therapist with experience working with individuals, families and children, I am very aware of the many challenges we face at different stages throughout our lives. Are you currently feeling stuck, isolated and overwhelmed about how to begin facing and overcoming these challenges? You no longer have to feel alone in this process. In therapy, I will work to facilitate personal growth by creating a safe space and providing empathy, support, and feedback to empower you to feel confident in reaching and achieving your goals.
(347) 418-0763 View (347) 418-0763

How does your Therapist compare?

Number of Therapists in Syracuse, NY

400+

Average cost per session

$130

Therapists in Syracuse, NY who prioritize treating:

94% Anxiety
87% Depression
81% Relationship Issues
77% Self Esteem
75% Coping Skills
75% Stress
73% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

74% Aetna
63% UnitedHealthcare UHC | UBH
57% Cigna and Evernorth

How Therapists in Syracuse, NY see their clients

52% In Person and Online
48% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Syracuse?

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.