Therapists in Media, PA

Photo of Edith Hutchins-Stieglitz, Clinical Social Work/Therapist in Media, PA
Edith Hutchins-Stieglitz
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063  (Online Only)
Edith Hutchins-Stieglitz is a Licensed Clinical Social Worker (LCSW) who has been practicing for 8 years and has experience with individual, family, and group therapy with adults, seniors, and children. Edith also has experience with residential treatment and intensive outpatient and partial hospitalization group therapy. She seeks to support clients to increase insight and awareness into themselves and their lives and empower them to create desired change. Edith completed her bachelor's degree in Sociology at UMass Boston and her Master of Social Work (MSW) at Wheelock College.
Edith Hutchins-Stieglitz is a Licensed Clinical Social Worker (LCSW) who has been practicing for 8 years and has experience with individual, family, and group therapy with adults, seniors, and children. Edith also has experience with residential treatment and intensive outpatient and partial hospitalization group therapy. She seeks to support clients to increase insight and awareness into themselves and their lives and empower them to create desired change. Edith completed her bachelor's degree in Sociology at UMass Boston and her Master of Social Work (MSW) at Wheelock College.
(610) 379-1809 View (610) 379-1809
Photo of Gregory Lyncha, Licensed Professional Counselor in Media, PA
Gregory Lyncha
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063  (Online Only)
Greg Lyncha is a Nationally Certified Counselor (NCC) with license pending who specializes in providing clinical assessments and therapeutic care to adults seeking help with depression, anxiety, trauma, and substance use issues. Greg utilizes collaborative, cognitive-behavioral, and mindfulness-based approaches that integrate a range of clinical theories and techniques best suited to meet the client's needs and promote the therapeutic progress.
Greg Lyncha is a Nationally Certified Counselor (NCC) with license pending who specializes in providing clinical assessments and therapeutic care to adults seeking help with depression, anxiety, trauma, and substance use issues. Greg utilizes collaborative, cognitive-behavioral, and mindfulness-based approaches that integrate a range of clinical theories and techniques best suited to meet the client's needs and promote the therapeutic progress.
(610) 624-8976 View (610) 624-8976
Photo of Rachel A. Longer, Clinical Social Work/Therapist in Media, PA
Rachel A. Longer
Clinical Social Work/Therapist, MSS, LCSW, CET II
Verified Verified
Media, PA 19063  (Online Only)
Have you been told you are “too sensitive”? Do you feel overwhelmed by anxiety? Do you experience intrusive thoughts and wonder, “Why did I just think that?” Perhaps you are on the path of healing from sexual trauma and wish to feel more empowered. Maybe you’re going through a challenging transition and need a safe place to process your thoughts and emotions.
Have you been told you are “too sensitive”? Do you feel overwhelmed by anxiety? Do you experience intrusive thoughts and wonder, “Why did I just think that?” Perhaps you are on the path of healing from sexual trauma and wish to feel more empowered. Maybe you’re going through a challenging transition and need a safe place to process your thoughts and emotions.
(484) 303-0215 View (484) 303-0215
Photo of Brian Gallagher, Clinical Social Work/Therapist in Media, PA
Brian Gallagher
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Media, PA 19063
I believe that everyone should be in therapy. Yes, Everyone. We all have issues we're working through to become our fullest selves. There's nothing "wrong" with you - you, like the rest of us, just need some focused, loving attention to untangle old, emotional knots that are getting in the way of your clearest thinking and best self.
I believe that everyone should be in therapy. Yes, Everyone. We all have issues we're working through to become our fullest selves. There's nothing "wrong" with you - you, like the rest of us, just need some focused, loving attention to untangle old, emotional knots that are getting in the way of your clearest thinking and best self.
(484) 376-5144 View (484) 376-5144
Photo of Jim Houck, Licensed Professional Counselor in Media, PA
Jim Houck
Licensed Professional Counselor, PhD, LPC, CCTP
Verified Verified
Media, PA 19063  (Online Only)
Dr. Jim is a licensed professional counselor and a Certified Clinical Trauma Professional and EMDR clinician. Dr. Jim’s clinical and research interests include working with adolescents and adults around issues of depression, anxiety, loss, grief and bereavement, trauma recovery, intergenerational trauma, near-death experiences, LGBTQAI, substance abuse recovery, clinical supervision, HIV/AIDS, personality and human development. Dr. Jim believes in the potential of everyone to not only make sense of their mental health issues, but also be empowered to succeed in life by discovering their resiliency, strengths and personal gifts.
Dr. Jim is a licensed professional counselor and a Certified Clinical Trauma Professional and EMDR clinician. Dr. Jim’s clinical and research interests include working with adolescents and adults around issues of depression, anxiety, loss, grief and bereavement, trauma recovery, intergenerational trauma, near-death experiences, LGBTQAI, substance abuse recovery, clinical supervision, HIV/AIDS, personality and human development. Dr. Jim believes in the potential of everyone to not only make sense of their mental health issues, but also be empowered to succeed in life by discovering their resiliency, strengths and personal gifts.
(833) 915-1208 View (833) 915-1208
Photo of Erika Kawamura, Psychologist in Media, PA
Erika Kawamura
Psychologist, PsyD
Verified Verified
Media, PA 19063
Erika Kawamura is a licensed psychologist and a part of the second cohort to become a Board Certified Lifestyle Medicine Professional (Diplomate of ACLM). She obtained her dual degrees in Doctor of Psychology and Master of Science in Human Resource & Organizational Leadership from Widener University in 2007. Her professional interests & areas of specialty include adjustment/life transition issues, health/wellness concerns, career counseling & workplace issues, stress management, ADHD symptom management strategies, anxiety, and depression.
Erika Kawamura is a licensed psychologist and a part of the second cohort to become a Board Certified Lifestyle Medicine Professional (Diplomate of ACLM). She obtained her dual degrees in Doctor of Psychology and Master of Science in Human Resource & Organizational Leadership from Widener University in 2007. Her professional interests & areas of specialty include adjustment/life transition issues, health/wellness concerns, career counseling & workplace issues, stress management, ADHD symptom management strategies, anxiety, and depression.
(484) 482-5341 View (484) 482-5341
Photo of Edward Friel, Licensed Professional Counselor in Media, PA
Edward Friel
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Ted received his Masters in Professional Counseling from Lasalle University and is a Licensed Professional Counselor with over 15 years of experience with in-patient and out-patient services for a wide range of diagnoses, including Autism Spectrum Disorder, developmental delays, conduct disorders, addictions, mood disorders, anxiety, ADHD, and depression. He specializes in working with children, adolescents, and their families to help manage life while navigating their unique circumstances in a safe, caring environment. He also works with adult individuals and couples dealing with anxiety, depression, mood disorders, and addictions.
Ted received his Masters in Professional Counseling from Lasalle University and is a Licensed Professional Counselor with over 15 years of experience with in-patient and out-patient services for a wide range of diagnoses, including Autism Spectrum Disorder, developmental delays, conduct disorders, addictions, mood disorders, anxiety, ADHD, and depression. He specializes in working with children, adolescents, and their families to help manage life while navigating their unique circumstances in a safe, caring environment. He also works with adult individuals and couples dealing with anxiety, depression, mood disorders, and addictions.
(484) 989-9835 View (484) 989-9835
Photo of Marguerite Mesure, Licensed Professional Counselor in Media, PA
Marguerite Mesure
Licensed Professional Counselor
Verified Verified
Media, PA 19063
Marguerite "Molly" Mesure holds a Master's degree in Professional Counseling. She is passionate about working with adolescents, young adults, and adults who may struggle with depression, anxiety, relationship difficulties, self-esteem challenges, school issues, peer issues, substance abuse, women's issues, and grief and loss.
Marguerite "Molly" Mesure holds a Master's degree in Professional Counseling. She is passionate about working with adolescents, young adults, and adults who may struggle with depression, anxiety, relationship difficulties, self-esteem challenges, school issues, peer issues, substance abuse, women's issues, and grief and loss.
(610) 601-2381 View (610) 601-2381
Photo of Cynthia R Young, Clinical Social Work/Therapist in Media, PA
Cynthia R Young
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Media, PA 19063
Are you struggling with feelings of uncertainty, worry, loneliness or distress? You are not alone. I am here to help you navigate through relationship conflict, social isolation, parenting stress, and feelings of disconnection. My particular interest and passion lies in helping people develop deep and meaningful relationships, and believe that strong attachments are the bedrock of a healthy life. I treat families, couples and individuals, who struggle with anxiety and depression, isolating and self-injurious behaviors, couple or family conflict, divorce and co-parenting, and life transitions.
Are you struggling with feelings of uncertainty, worry, loneliness or distress? You are not alone. I am here to help you navigate through relationship conflict, social isolation, parenting stress, and feelings of disconnection. My particular interest and passion lies in helping people develop deep and meaningful relationships, and believe that strong attachments are the bedrock of a healthy life. I treat families, couples and individuals, who struggle with anxiety and depression, isolating and self-injurious behaviors, couple or family conflict, divorce and co-parenting, and life transitions.
(267) 478-3079 View (267) 478-3079
Photo of Jill Mena, Pre-Licensed Professional in Media, PA
Jill Mena
Pre-Licensed Professional
Verified Verified
Media, PA 19063
Jill Mena is a Master’s Level Social Worker with experience in providing clinical assessments and therapeutic care for adults and adolescents struggling with self-esteem, relationship dysfunction, trauma, grief, anxiety, or depression. She helps her clients establish a safe, therapeutic relationship while building confidence, self-esteem, and the ability to take action. Jill customizes your therapy approach based on your personal needs. She has experience in Cognitive Behavioral Therapy (CBT), Psychoeducation, Motivational Interviews, Positive Psychology, Acceptance and Commitment Therapy (ACT), (DBT), and (SFBT).
Jill Mena is a Master’s Level Social Worker with experience in providing clinical assessments and therapeutic care for adults and adolescents struggling with self-esteem, relationship dysfunction, trauma, grief, anxiety, or depression. She helps her clients establish a safe, therapeutic relationship while building confidence, self-esteem, and the ability to take action. Jill customizes your therapy approach based on your personal needs. She has experience in Cognitive Behavioral Therapy (CBT), Psychoeducation, Motivational Interviews, Positive Psychology, Acceptance and Commitment Therapy (ACT), (DBT), and (SFBT).
(610) 557-3628 View (610) 557-3628
Photo of Bernadine Xiaoting Bi, Licensed Professional Counselor in Media, PA
Bernadine Xiaoting Bi
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063  (Online Only)
Everyone can experience some hardships and barriers in life. You may feel helpless, powerless, confused, stuck, lost and lonely. You may experience some conflicts with others or within yourself, or go through the lows of life. You may be looking for someone to feel your pain, listen to you empathetically and nonjudgmentally, and help you identify your paths and move forward in life. You may be searching for a safe place that allows you to share your stories, be your authentic self and feel reconnected with others and life.
Everyone can experience some hardships and barriers in life. You may feel helpless, powerless, confused, stuck, lost and lonely. You may experience some conflicts with others or within yourself, or go through the lows of life. You may be looking for someone to feel your pain, listen to you empathetically and nonjudgmentally, and help you identify your paths and move forward in life. You may be searching for a safe place that allows you to share your stories, be your authentic self and feel reconnected with others and life.
(484) 290-5471 View (484) 290-5471
Photo of Ashley Matz, Psychologist in Media, PA
Ashley Matz
Psychologist, PsyD, MEd
Verified Verified
Media, PA 19063  (Online Only)
I provide individual, couples, and family therapy for clients experiencing psychological distress. I approach clients from an empathetic yet straightforward manner. I believe emotional exploration, identity development, and processing past events and trauma can allow clients to live a more fulfilling, less stressful life.
I provide individual, couples, and family therapy for clients experiencing psychological distress. I approach clients from an empathetic yet straightforward manner. I believe emotional exploration, identity development, and processing past events and trauma can allow clients to live a more fulfilling, less stressful life.
(215) 278-4899 View (215) 278-4899
Photo of Dr. Emily Johansen, Psychologist in Media, PA
Dr. Emily Johansen
Psychologist, PsyD
Verified Verified
Media, PA 19063
Not accepting new clients
Life can feel very hard at times. Trauma can take different forms in life and have painful effects. I specialize in treating adults who struggle with complex trauma/PTSD (e.g., emotional, sexual, & religious abuse, family conflict, societal discrimination), dissociation, anxiety, depression, identity confusion (e.g., gender, racial), disordered eating/body dysmorphia, emotional instability, relationship problems, BPD, and grief/loss. My biggest passion is empowering clients who have felt misunderstood, unseen, or mistreated in their lives, and helping them learn everyday skills to handle overwhelming emotions and experiences.
Life can feel very hard at times. Trauma can take different forms in life and have painful effects. I specialize in treating adults who struggle with complex trauma/PTSD (e.g., emotional, sexual, & religious abuse, family conflict, societal discrimination), dissociation, anxiety, depression, identity confusion (e.g., gender, racial), disordered eating/body dysmorphia, emotional instability, relationship problems, BPD, and grief/loss. My biggest passion is empowering clients who have felt misunderstood, unseen, or mistreated in their lives, and helping them learn everyday skills to handle overwhelming emotions and experiences.
(267) 209-6643 View (267) 209-6643
Photo of Lauren Morris, Licensed Professional Counselor in Media, PA
Lauren Morris
Licensed Professional Counselor, LCSW
Verified Verified
Media, PA 19063  (Online Only)
Lauren Morris is a Licensed Clinical Social Worker (LCSW) who has over 15 years of experience in the mental health field. The breadth of Lauren's experience has been providing client-centered, strength-based individual therapy to adults with severe and persistent mental illnesses, mood disorders, grief and loss, and trauma. Lauren completed her bachelor’s degree in Psychology at the University of Pittsburgh and her Master of Social Work (MSW) at West Chester University. Her relatability and compassion provides a safe and nonjudgmental space where vulnerabilities and experiences can be shared.
Lauren Morris is a Licensed Clinical Social Worker (LCSW) who has over 15 years of experience in the mental health field. The breadth of Lauren's experience has been providing client-centered, strength-based individual therapy to adults with severe and persistent mental illnesses, mood disorders, grief and loss, and trauma. Lauren completed her bachelor’s degree in Psychology at the University of Pittsburgh and her Master of Social Work (MSW) at West Chester University. Her relatability and compassion provides a safe and nonjudgmental space where vulnerabilities and experiences can be shared.
(610) 320-2577 View (610) 320-2577
Photo of Center For Child Assessment Therapy, Psychologist in Media, PA
Center For Child Assessment Therapy
Psychologist
Verified Verified
Media, PA 19063  (Online Only)
We are a psychological practice dedicated to promoting the social, emotional, and educational competence and well-being of our clients. We take a warm and personalized approach to each of the children, adolescents, young adults and families with whom we work. Please explore our site to find out more about our services.
We are a psychological practice dedicated to promoting the social, emotional, and educational competence and well-being of our clients. We take a warm and personalized approach to each of the children, adolescents, young adults and families with whom we work. Please explore our site to find out more about our services.
(484) 441-0511 View (484) 441-0511
Photo of Paige Taylor, Clinical Social Work/Therapist in Media, PA
Paige Taylor
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Media, PA 19063  (Online Only)
Understanding the parts of yourself that take over when you are overwhelmed with emotion is an important step to creating the life you want. If you are ready to dive deeper into working with your trauma, I am here to guide you. I have worked with many clients who are learning how to claim their life as their own after a complex history of trauma. The time in your life when you separate yourself from unhealthy people or situations can be filled with uncertainty and is an important time to get closer with your true self.
Understanding the parts of yourself that take over when you are overwhelmed with emotion is an important step to creating the life you want. If you are ready to dive deeper into working with your trauma, I am here to guide you. I have worked with many clients who are learning how to claim their life as their own after a complex history of trauma. The time in your life when you separate yourself from unhealthy people or situations can be filled with uncertainty and is an important time to get closer with your true self.
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Photo of Christina Mitrofanis, Psychologist in Media, PA
Christina Mitrofanis
Psychologist, PsyD, MEd
Verified Verified
2 Endorsed
Media, PA 19063  (Online Only)
Having ADHD can often feel like a daily battle with yourself to accomplish tasks, maintain relationships, and attend to your own needs, but it doesn’t have to be that way. Learning how to work with rather than against your ADHD can be a transformative experience, and I would be honored to work with you through this journey. Together in therapy, we can work to tackle the challenges of ADHD while also bolstering your natural strengths and coming into and honoring your most authentic self. I work to create a therapeutic space that is constructive, creative, and above all compassionate. I can’t wait to welcome you in.
Having ADHD can often feel like a daily battle with yourself to accomplish tasks, maintain relationships, and attend to your own needs, but it doesn’t have to be that way. Learning how to work with rather than against your ADHD can be a transformative experience, and I would be honored to work with you through this journey. Together in therapy, we can work to tackle the challenges of ADHD while also bolstering your natural strengths and coming into and honoring your most authentic self. I work to create a therapeutic space that is constructive, creative, and above all compassionate. I can’t wait to welcome you in.
(610) 719-3145 View (610) 719-3145
Photo of Joanna Frederick, Clinical Social Work/Therapist in Media, PA
Joanna Frederick
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063
The primary focus of my work for the past 18 years has been with adults to help them move beyond their struggles and find healthier, freer and more fulfilling lives. You are more than just a list of symptoms. When we work together you will have my full attention. Most hurt and trauma happens in our relationships with others and building a trusting relationship with your therapist can help heal those wounds. We'll make connections between what's happening now and what happened in your past. We'll also work on feeling less shame and more safety in the now. You'll get to know yourself better and ideally feel less suffering.
The primary focus of my work for the past 18 years has been with adults to help them move beyond their struggles and find healthier, freer and more fulfilling lives. You are more than just a list of symptoms. When we work together you will have my full attention. Most hurt and trauma happens in our relationships with others and building a trusting relationship with your therapist can help heal those wounds. We'll make connections between what's happening now and what happened in your past. We'll also work on feeling less shame and more safety in the now. You'll get to know yourself better and ideally feel less suffering.
(484) 729-8763 View (484) 729-8763
Photo of Kevin Burns, Clinical Social Work/Therapist in Media, PA
Kevin Burns
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063  (Online Only)
Hello, my name is Kevin. You have taken an important step by reaching out for help. Well done! I encourage you to take the time needed to find a therapist that will meet your needs. This is your journey and you deserve a therapist that is the right fit. I am a Licensed Clinical Social Worker with over 40 years of experience. I believe in a relationship-focused approach to therapy. I work with clients to build a safe space and to develop a supportive therapeutic relationship.
Hello, my name is Kevin. You have taken an important step by reaching out for help. Well done! I encourage you to take the time needed to find a therapist that will meet your needs. This is your journey and you deserve a therapist that is the right fit. I am a Licensed Clinical Social Worker with over 40 years of experience. I believe in a relationship-focused approach to therapy. I work with clients to build a safe space and to develop a supportive therapeutic relationship.
(484) 513-2027 View (484) 513-2027
Photo of Linden Milne, Marriage & Family Therapist in Media, PA
Linden Milne
Marriage & Family Therapist, LMFT
Verified Verified
Media, PA 19063
Hello, and welcome! Everyone needs help from time to time, and in this day and age we need it more than ever. I am here to offer that support in the midst of whatever life has thrown at you. If you struggle with feelings of anxiety, sadness, worry, or helplessness; if your relationships just never seem to go right; if you find yourself banging against the same walls in your life and can never seem to break through, I am honored to join along side you as we work together to untangle the knots and get to the deep root of the issue.
Hello, and welcome! Everyone needs help from time to time, and in this day and age we need it more than ever. I am here to offer that support in the midst of whatever life has thrown at you. If you struggle with feelings of anxiety, sadness, worry, or helplessness; if your relationships just never seem to go right; if you find yourself banging against the same walls in your life and can never seem to break through, I am honored to join along side you as we work together to untangle the knots and get to the deep root of the issue.
(610) 634-8782 View (610) 634-8782

How does your Therapist compare?

Number of Therapists in Media, PA

300+

Average cost per session

$148

Therapists in Media, PA who prioritize treating:

91% Anxiety
87% Depression
70% Relationship Issues
68% Trauma and PTSD
68% Self Esteem
60% Stress
58% Grief

Average years in practice

13 Years

Top 3 insurances accepted

82% Aetna
66% Highmark
57% UnitedHealthcare UHC | UBH

How Therapists in Media, PA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Media?

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.