Therapists in San Francisco, CA

View neighborhoods in San Francisco
Photo of Amy Robbins, Clinical Social Work/Therapist in San Francisco, CA
Amy Robbins
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94102
Amy Robbins is a Licensed Clinical Social Worker in California who has been practicing since 2004. She earned a Bachelor's in Social Welfare at California State University, Long Beach and a Master's in Social Work at University of California, Los Angeles. Amy believes that people who seek therapy are wanting to live their best lives. She bases the establishment of therapeutic alliance, all history and narrative from clients, and all therapeutic techniques she employs to assist clients toward this want. In her spare time, Amy enjoys studying Japanese, cooking vegan cuisine, and reading books of many kinds.
Amy Robbins is a Licensed Clinical Social Worker in California who has been practicing since 2004. She earned a Bachelor's in Social Welfare at California State University, Long Beach and a Master's in Social Work at University of California, Los Angeles. Amy believes that people who seek therapy are wanting to live their best lives. She bases the establishment of therapeutic alliance, all history and narrative from clients, and all therapeutic techniques she employs to assist clients toward this want. In her spare time, Amy enjoys studying Japanese, cooking vegan cuisine, and reading books of many kinds.
(628) 266-4995 View (628) 266-4995
Photo of Ka Ming Lam, Marriage & Family Therapist in San Francisco, CA
Ka Ming Lam
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
I believe that there is always hope in any situation. With hope, we all may achieve our maximum potential if we can take away the roadblocks in our lives. Therapy is a controlled environment to gradually break down our obstacles into manageable chunks so that we can process and conquer them.
I believe that there is always hope in any situation. With hope, we all may achieve our maximum potential if we can take away the roadblocks in our lives. Therapy is a controlled environment to gradually break down our obstacles into manageable chunks so that we can process and conquer them.
(415) 360-3758 View (415) 360-3758
Photo of Abby Per Lee, Marriage & Family Therapist in San Francisco, CA
Abby Per Lee
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94121  (Online Only)
I provide a non-judgmental, warm, and supportive space for you to openly explore the discrepancy between the life you are currently leading and the one you want for yourself. Whether your goal is abstinence or moderation I will work with you to gain insight and develop skills that allow you to feel more in control of your life. And ultimately to create the life you want for yourself.
I provide a non-judgmental, warm, and supportive space for you to openly explore the discrepancy between the life you are currently leading and the one you want for yourself. Whether your goal is abstinence or moderation I will work with you to gain insight and develop skills that allow you to feel more in control of your life. And ultimately to create the life you want for yourself.
(628) 345-4618 View (628) 345-4618
Photo of Elaine Shelub, Clinical Social Work/Therapist in San Francisco, CA
Elaine Shelub
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
San Francisco, CA 94127
Having a safe and supportive space where one can talk openly, is so very important. Feeling understood and listened to promotes growth and change. I am warm and understanding as well as insightful and objective, bringing experience and honesty to my work. Together we will talk about what’s going on now, past events and relationships, and how they might be affecting you. I will work to develop a trusting, supportive relationship to more clearly understand what is troubling you. My clients have enjoyed success in overcoming anxiety and depression, connecting with others, defining and attaining goals, and increasing self-esteem.
Having a safe and supportive space where one can talk openly, is so very important. Feeling understood and listened to promotes growth and change. I am warm and understanding as well as insightful and objective, bringing experience and honesty to my work. Together we will talk about what’s going on now, past events and relationships, and how they might be affecting you. I will work to develop a trusting, supportive relationship to more clearly understand what is troubling you. My clients have enjoyed success in overcoming anxiety and depression, connecting with others, defining and attaining goals, and increasing self-esteem.
(415) 682-6708 View (415) 682-6708
Photo of Lisa Abdilova Andresen, Clinical Social Work/Therapist in San Francisco, CA
Lisa Abdilova Andresen
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Francisco, CA 94107
Even the most successful people could benefit from support sometimes. Are you getting sick of what's bothering you? Feeling unlike yourself, beating yourself up, disappointed in your relationships, or frustrated with your family? Learn how to redirect unproductive thoughts. What if therapy could help you unwind and have fun — even when you're stressed? It's okay to set boundaries, prioritize your values, and make space to clarify what you want and need to be happy. Together, we can problem-solve what doesn't seem right in your job, life, or business, and develop personalized tools and strategies to help you reach your goals.
Even the most successful people could benefit from support sometimes. Are you getting sick of what's bothering you? Feeling unlike yourself, beating yourself up, disappointed in your relationships, or frustrated with your family? Learn how to redirect unproductive thoughts. What if therapy could help you unwind and have fun — even when you're stressed? It's okay to set boundaries, prioritize your values, and make space to clarify what you want and need to be happy. Together, we can problem-solve what doesn't seem right in your job, life, or business, and develop personalized tools and strategies to help you reach your goals.
(628) 200-3816 View (628) 200-3816
Photo of Manuel A Manotas, Psychologist in San Francisco, CA
Manuel A Manotas
Psychologist, PsyD, SEP
Verified Verified
5 Endorsed
San Francisco, CA 94123  (Online Only)
Imagine living free from the shackles of chronic anxiety, the heavy weight on your chest, and past traumas that keep echoing. If you yearn to quiet racing thoughts and self-criticism, my integrative somatic therapy can be transformative. Together, we'll uncover your inner strength and foster self-love, leading you towards a life of peace and resilience. Your journey towards true self-understanding and healing begins here."
Imagine living free from the shackles of chronic anxiety, the heavy weight on your chest, and past traumas that keep echoing. If you yearn to quiet racing thoughts and self-criticism, my integrative somatic therapy can be transformative. Together, we'll uncover your inner strength and foster self-love, leading you towards a life of peace and resilience. Your journey towards true self-understanding and healing begins here."
(415) 873-8670 View (415) 873-8670
Amanda L Cotten
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
San Francisco, CA 94133
I use a combination of Cognitive Behavioral Therapy and psychoanalysis in order to help you get from where you are to where you want to be. CBT can be a concrete road map for daily activities and psychoanalysis will help you gain the insight into yourself and find the deep strength that will give you resiliency for everything that comes your way."
I use a combination of Cognitive Behavioral Therapy and psychoanalysis in order to help you get from where you are to where you want to be. CBT can be a concrete road map for daily activities and psychoanalysis will help you gain the insight into yourself and find the deep strength that will give you resiliency for everything that comes your way."
(628) 277-4577 View (628) 277-4577
Photo of David Guarnieri, Psychologist in San Francisco, CA
David Guarnieri
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94114
Whether you're seeking therapy to address a specific concern or simply to engage in a personal exploration, the therapeutic process can help increase insight, decrease anxiety and painful emotions, identify healthier coping strategies, and deepen relationships. Since finding the right therapist can be a challenging process, I encourage you to check out my website for additional information to help determine how I may be a good fit for your needs. Together, we will work to identify and nurture your personal strengths, equipping you with coping resources that empower you to navigate the challenges of daily life and relationships.
Whether you're seeking therapy to address a specific concern or simply to engage in a personal exploration, the therapeutic process can help increase insight, decrease anxiety and painful emotions, identify healthier coping strategies, and deepen relationships. Since finding the right therapist can be a challenging process, I encourage you to check out my website for additional information to help determine how I may be a good fit for your needs. Together, we will work to identify and nurture your personal strengths, equipping you with coping resources that empower you to navigate the challenges of daily life and relationships.
(628) 266-2115 View (628) 266-2115
Photo of Jaime Cardenas, Marriage & Family Therapist in San Francisco, CA
Jaime Cardenas
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94124
It's wonderful that you took the first step to feeling better. Are you finding yourself overwhelmed by feelings of sadness? Maybe you often experience a general sense of discontent. Are you struggling with a major transition? Or perhaps you can't stop thinking about all the things that could go wrong. If you can relate to any of these scenarios, you're not alone. Many with similar concerns seek therapy to feel better. Therapy is a powerful medium that can provide many tools and strategies to help you navigate life’s challenges. I'd like to invite you to reach out to me to see if therapy could help you too.
It's wonderful that you took the first step to feeling better. Are you finding yourself overwhelmed by feelings of sadness? Maybe you often experience a general sense of discontent. Are you struggling with a major transition? Or perhaps you can't stop thinking about all the things that could go wrong. If you can relate to any of these scenarios, you're not alone. Many with similar concerns seek therapy to feel better. Therapy is a powerful medium that can provide many tools and strategies to help you navigate life’s challenges. I'd like to invite you to reach out to me to see if therapy could help you too.
(510) 907-6698 View (510) 907-6698
Photo of Braulio García, Clinical Social Work/Therapist in San Francisco, CA
Braulio García
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94110  (Online Only)
Whether you are coping with depression, sexuality issues, struggling with chronic illness or addiction issues, or having problems in your relationships with others, I believe that therapy can help you find the solutions to move forward in your life. I believe that all individuals have the capacity to live their best life and can become 'unstuck' with the help of therapy. I work with adults, both younger and older, cis women and trans & non-binary clients, as well as with couples navigating problems in their relationships.
Whether you are coping with depression, sexuality issues, struggling with chronic illness or addiction issues, or having problems in your relationships with others, I believe that therapy can help you find the solutions to move forward in your life. I believe that all individuals have the capacity to live their best life and can become 'unstuck' with the help of therapy. I work with adults, both younger and older, cis women and trans & non-binary clients, as well as with couples navigating problems in their relationships.
(415) 702-3696 View (415) 702-3696
Photo of Danielle Ghilotti, Marriage & Family Therapist in San Francisco, CA
Danielle Ghilotti
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94118  (Online Only)
I am a psychotherapist specialized in working with adults, couples and families. I offer support for a wide range of issues and challenges. My approach is grounded, warm, engaged and collaborative. I work from a relational psychodynamic perspective. Our past experiences and traumas can have a significant impact on the way we relate to ourselves and others. With the exploration of this old patterning we can be empowered to make different choices. In doing so, our lives have the chance to be made anew.
I am a psychotherapist specialized in working with adults, couples and families. I offer support for a wide range of issues and challenges. My approach is grounded, warm, engaged and collaborative. I work from a relational psychodynamic perspective. Our past experiences and traumas can have a significant impact on the way we relate to ourselves and others. With the exploration of this old patterning we can be empowered to make different choices. In doing so, our lives have the chance to be made anew.
(415) 534-6021 View (415) 534-6021
Photo of Silver Lake Psychology--San Francisco location, Psychologist in San Francisco, CA
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 268-8735 View (415) 268-8735
Photo of Nick Zwerdling, Marriage & Family Therapist in San Francisco, CA
Nick Zwerdling
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94102  (Online Only)
Your life has meaning. There are moments in life when this doesn't feel so obvious. We can find ourselves feeling stuck, like there is no way out. Repeating old patterns can lead to feeling unfulfilled and discouraged. Change is possible. Therapy offers the opportunity to redefine your past, create a better present and ensure a meaningful future. I meet my clients where they are at, offering a safe and judgement-free space to share what is going on. Together, we can remove the roadblocks in your way and get back on track.
Your life has meaning. There are moments in life when this doesn't feel so obvious. We can find ourselves feeling stuck, like there is no way out. Repeating old patterns can lead to feeling unfulfilled and discouraged. Change is possible. Therapy offers the opportunity to redefine your past, create a better present and ensure a meaningful future. I meet my clients where they are at, offering a safe and judgement-free space to share what is going on. Together, we can remove the roadblocks in your way and get back on track.
(415) 886-0272 View (415) 886-0272
Photo of Zoi Dorit Eliou, Psychologist in San Francisco, CA
Zoi Dorit Eliou
Psychologist, PhD
Verified Verified
San Francisco, CA 94131  (Online Only)
Not accepting new clients
My practice is currently closed to new patients. If you are a patient I have previously seen and in need of a consultation please contact me so I can assist you on how to proceed. Presently I am focused on peer consultation and public service. I mainly worked on providing services to adult patients with moderate to severe psychopathology, primarily Depressive disorders, Bipolar spectrum disorders, Anxiety disorders, OCD, PTSD and Personality disorders. In addition, I treated people with complex medical problems, managing autoimmune disorders, cancer, diabetes and high risk pregnancies co-morbid with mood disorders.
My practice is currently closed to new patients. If you are a patient I have previously seen and in need of a consultation please contact me so I can assist you on how to proceed. Presently I am focused on peer consultation and public service. I mainly worked on providing services to adult patients with moderate to severe psychopathology, primarily Depressive disorders, Bipolar spectrum disorders, Anxiety disorders, OCD, PTSD and Personality disorders. In addition, I treated people with complex medical problems, managing autoimmune disorders, cancer, diabetes and high risk pregnancies co-morbid with mood disorders.
(650) 918-4545 View (650) 918-4545
Photo of Jordan Davis, Marriage & Family Therapist in San Francisco, CA
Jordan Davis
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94110  (Online Only)
Hello! I am currently only offering sessions via Telehealth (online video) across the state of California. For clients who live in northern CA, I only accept/take Kaiser Nor-Cal. I welcome motivated individuals who are ready to go on a journey of healing, self-discovery, & personal growth. I have a strong passion working with college students, adults, & the older adult/elderly community. Whether you're dealing with anxiety, depression, stress or working on your self-esteem, anger management, or communication skills, I am here to create a safe, comfortable, & non-judgmental environment for you to open up & be vulnerable.
Hello! I am currently only offering sessions via Telehealth (online video) across the state of California. For clients who live in northern CA, I only accept/take Kaiser Nor-Cal. I welcome motivated individuals who are ready to go on a journey of healing, self-discovery, & personal growth. I have a strong passion working with college students, adults, & the older adult/elderly community. Whether you're dealing with anxiety, depression, stress or working on your self-esteem, anger management, or communication skills, I am here to create a safe, comfortable, & non-judgmental environment for you to open up & be vulnerable.
(805) 232-7626 View (805) 232-7626
Photo of Tracy Chu-Harris, Clinical Social Work/Therapist in San Francisco, CA
Tracy Chu-Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94132  (Online Only)
During our lifetime we may come across struggles that require us to reach out for support outside of our regular networks. These struggles increase stress, depression, anxiety, and negative emotions that make daily life difficult. We have roles in our professions, school, social circles, parenting (just to name a few!) that are impacted by our inability to manage our emotions. But what feels like the impossible, is not. With therapeutic support, we can overcome our situations and discover new hope for ourselves.
During our lifetime we may come across struggles that require us to reach out for support outside of our regular networks. These struggles increase stress, depression, anxiety, and negative emotions that make daily life difficult. We have roles in our professions, school, social circles, parenting (just to name a few!) that are impacted by our inability to manage our emotions. But what feels like the impossible, is not. With therapeutic support, we can overcome our situations and discover new hope for ourselves.
(415) 360-8277 View (415) 360-8277
Photo of Susan Eva Porter, Clinical Social Work/Therapist in San Francisco, CA
Susan Eva Porter
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
San Francisco, CA 94129
Not accepting new clients
Being a teenager is hard work, and most teens benefit from talking to an adult who isn't their parent. I have worked with teens and pre-teens, mostly in schools, throughout my career, and as we come out of Covid, I am more committed than ever to helping teens make sense of their world.
Being a teenager is hard work, and most teens benefit from talking to an adult who isn't their parent. I have worked with teens and pre-teens, mostly in schools, throughout my career, and as we come out of Covid, I am more committed than ever to helping teens make sense of their world.
(415) 965-5351 View (415) 965-5351
Photo of Ulash Thakore Dunlap, Marriage & Family Therapist in San Francisco, CA
Ulash Thakore Dunlap
Marriage & Family Therapist, MS, LMFT, PPSc
Verified Verified
1 Endorsed
San Francisco, CA 94104
Balancing relationships, work or school, family, and social life presents many moments of happiness and struggles. My goal is to help clients navigate through their life challenges. I am a Licensed Marriage, Family Therapist (MFT no. 49716). I provide individual, group and family therapy, and consultation services in San Francisco. I look forward to meeting you.
Balancing relationships, work or school, family, and social life presents many moments of happiness and struggles. My goal is to help clients navigate through their life challenges. I am a Licensed Marriage, Family Therapist (MFT no. 49716). I provide individual, group and family therapy, and consultation services in San Francisco. I look forward to meeting you.
(415) 347-8704 View (415) 347-8704
Photo of Lara Morales Daitter @ The Connective, Marriage & Family Therapist Associate in San Francisco, CA
Lara Morales Daitter @ The Connective
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94102
As a therapist, my work revolves around helping individuals and families understand and navigate their relational dynamics. My clients are often curious about exploring the complexities of their personality and how it manifests in their relationships. I believe that a willingness to be open-minded and introspective is key to making progress in therapy. In addition to working with individuals, I also have experience working with families who are struggling to build healthier relationships with one another. Whether it's communication issues or other challenges, I'm dedicated to helping families find solutions that work for them.
As a therapist, my work revolves around helping individuals and families understand and navigate their relational dynamics. My clients are often curious about exploring the complexities of their personality and how it manifests in their relationships. I believe that a willingness to be open-minded and introspective is key to making progress in therapy. In addition to working with individuals, I also have experience working with families who are struggling to build healthier relationships with one another. Whether it's communication issues or other challenges, I'm dedicated to helping families find solutions that work for them.
(628) 313-4275 x712 View (628) 313-4275 x712
Photo of Mary Zimmerle, Psychologist in San Francisco, CA
Mary Zimmerle
Psychologist, PsyD
Verified Verified
San Francisco, CA 94114
Licensed in CA (in person/virtual) and VA (virtual). Transitions bring us face to face with the joys, anxieties, grief, and triumphs of change, and offer an opportunity for us to see where we might be stuck, lost, confused, or needing clarity or compassion. The way transitions manifest in your life can be informed by trauma, attachment styles, and the unique way your brain and temperament process the world around you. These can appear as depression, anxiety, obsessive thinking, dissociation, or other symptoms. But you’re more than a list of symptoms and diagnoses, and I can help you find relief and make meaning from your experience.
Licensed in CA (in person/virtual) and VA (virtual). Transitions bring us face to face with the joys, anxieties, grief, and triumphs of change, and offer an opportunity for us to see where we might be stuck, lost, confused, or needing clarity or compassion. The way transitions manifest in your life can be informed by trauma, attachment styles, and the unique way your brain and temperament process the world around you. These can appear as depression, anxiety, obsessive thinking, dissociation, or other symptoms. But you’re more than a list of symptoms and diagnoses, and I can help you find relief and make meaning from your experience.
(415) 448-7162 View (415) 448-7162

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

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.