Therapists in New York, NY

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Photo of Nicholas Piombino, Clinical Social Work/Therapist in New York, NY
Nicholas Piombino
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10025
Careful listening and energetic, purposeful interaction are central in my method of treatment. Reducing anxiety, depression and difficulties in relationships and careers are crucial and worthwhile goals in my work as a psychotherapist. In the course of over 40 years of experience it has become my philosophy of psychotherapy that it is in the nature of relationships and careers to come to a crisis over time. Although the crisis invaribly leads to conflicts and is therefore anxiety producing, it is also an opportunity to work through issues to achieve insight and personal transformation.
Careful listening and energetic, purposeful interaction are central in my method of treatment. Reducing anxiety, depression and difficulties in relationships and careers are crucial and worthwhile goals in my work as a psychotherapist. In the course of over 40 years of experience it has become my philosophy of psychotherapy that it is in the nature of relationships and careers to come to a crisis over time. Although the crisis invaribly leads to conflicts and is therefore anxiety producing, it is also an opportunity to work through issues to achieve insight and personal transformation.
(646) 797-5697 View (646) 797-5697
Photo of Joan M Yager, Psychologist in New York, NY
Joan M Yager
Psychologist, PhD
Verified Verified
New York, NY 10023
Do you need help dealing with your relationships, work, family, and self-esteem? As a psychologist with many years of experience, I combine empathy, psychological insight, and feedback to help you gain greater self-awareness and empower you to make positive changes in your life. I do both individual and couple's therapy and am able to blend my psychoanalytic training with other modalities such as anxiety reduction techniques. I have over 15 years of experience in college/grad school counseling from my work at Columbia University and have also helped adults through other important life stages and challenges.
Do you need help dealing with your relationships, work, family, and self-esteem? As a psychologist with many years of experience, I combine empathy, psychological insight, and feedback to help you gain greater self-awareness and empower you to make positive changes in your life. I do both individual and couple's therapy and am able to blend my psychoanalytic training with other modalities such as anxiety reduction techniques. I have over 15 years of experience in college/grad school counseling from my work at Columbia University and have also helped adults through other important life stages and challenges.
(646) 392-8203 View (646) 392-8203
Photo of Yahaira Tejeda in New York, NY
Yahaira Tejeda
MSEd, MHC-LP
Verified Verified
1 Endorsed
New York, NY 10170
Sometimes life can be extremely difficult to navigate but if you have found your way to this website you have already made the first step towards wellness! My hope is to be part of your journey. I believe that the client is the expert of their own life and I view myself as a tool to help teach and guide. I focus on allowing my clients feel seen, heard, and understood without fear of judgment or criticism. Together, we will work on processing past experiences, understand patterns of reactions, behaviors, and gain insight to help you create a more empowered and authentic self.
Sometimes life can be extremely difficult to navigate but if you have found your way to this website you have already made the first step towards wellness! My hope is to be part of your journey. I believe that the client is the expert of their own life and I view myself as a tool to help teach and guide. I focus on allowing my clients feel seen, heard, and understood without fear of judgment or criticism. Together, we will work on processing past experiences, understand patterns of reactions, behaviors, and gain insight to help you create a more empowered and authentic self.
(929) 447-2177 View (929) 447-2177
Photo of Sarah Frey, Counselor in New York, NY
Sarah Frey
Counselor, LMHC, NCC
Verified Verified
3 Endorsed
New York, NY 10010  (Online Only)
Thank you for taking the time to check out my profile! Are you struggling with adoption or attachment related issues, relationship conflicts, grief, anxiety, work struggles or just general life things? I strive to create a warm, compassionate space where client's feel comfortable exploring and challenging their feelings and behavior patterns while facilitating growth and healing . We all need a space and a person to help us work through our concerns. Let me be that person.
Thank you for taking the time to check out my profile! Are you struggling with adoption or attachment related issues, relationship conflicts, grief, anxiety, work struggles or just general life things? I strive to create a warm, compassionate space where client's feel comfortable exploring and challenging their feelings and behavior patterns while facilitating growth and healing . We all need a space and a person to help us work through our concerns. Let me be that person.
(332) 239-2202 View (332) 239-2202
Photo of Alan Lehman, Clinical Social Work/Therapist in New York, NY
Alan Lehman
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
New York, NY 10019
I'm a results-oriented, solution-focused psychologist who, over 25 years in practice, have honed my own active, directive therapeutic approach to deliver results in a time-efficient, step-wise manner. After an initial chronological overview, in which we track the origins and development of your presenting symptoms/challenges, we establish clear, achievable goals and map out steps for reaching these goals. Utilizing goal-focused, cognitive-behavioral techniques, I’ll guide and assist you in identifying and overcoming past hindrances to meeting your desired goals, and provide you with skills for maintaining your achieved goals.
I'm a results-oriented, solution-focused psychologist who, over 25 years in practice, have honed my own active, directive therapeutic approach to deliver results in a time-efficient, step-wise manner. After an initial chronological overview, in which we track the origins and development of your presenting symptoms/challenges, we establish clear, achievable goals and map out steps for reaching these goals. Utilizing goal-focused, cognitive-behavioral techniques, I’ll guide and assist you in identifying and overcoming past hindrances to meeting your desired goals, and provide you with skills for maintaining your achieved goals.
(646) 291-6985 View (646) 291-6985
Photo of Harriet Klein, Clinical Social Work/Therapist in New York, NY
Harriet Klein
Clinical Social Work/Therapist
Verified Verified
New York, NY 10075
I treat a broad array of diagnostic categories that is centered on treating the whole person. Areas of expertise include individual and couples therapy, parent/child, challenges from physical illness, coworker relationships and conflict resolution. Treatment areas include anxiety, depression, adjustment and relationship issues. I focus on behaviors, thoughts, feelings and ways of interacting that individuals repeat in spite of a wish to behave differently. My practice is devoted to developing, in a confidential setting, the tools needed to lead a rewarding life. I have over 25 years' experience treating individuals and couples. I offer both traditional psychotherapy and executive coaching for Fortune 500 companies.
I treat a broad array of diagnostic categories that is centered on treating the whole person. Areas of expertise include individual and couples therapy, parent/child, challenges from physical illness, coworker relationships and conflict resolution. Treatment areas include anxiety, depression, adjustment and relationship issues. I focus on behaviors, thoughts, feelings and ways of interacting that individuals repeat in spite of a wish to behave differently. My practice is devoted to developing, in a confidential setting, the tools needed to lead a rewarding life. I have over 25 years' experience treating individuals and couples. I offer both traditional psychotherapy and executive coaching for Fortune 500 companies.
(646) 693-3923 View (646) 693-3923
Photo of Laura Landau, LCSW-R,CASAC, Clinical Social Work/Therapist in New York, NY
Laura Landau, LCSW-R,CASAC
Clinical Social Work/Therapist, LCSW-R, CASAC
Verified Verified
1 Endorsed
New York, NY 10019
Therapy begins within a trusted, emotional connection where your unique story can truly be heard. I'm dedicated to helping you sort out your feelings and circumstances, to examine difficult relationships. I will teach you effective coping skills, strategies to better handle stress and distress. We will utilize new tools to address problem behavior patterns, unhealthy relationships and to problem solve. I utilize a nuanced, crafted combination of evidenced-based therapies: Mindfulness, Supportive, Relational, Psychodynamic, Motivational, Cognitive Behavioral, Dialectical Behavioral Therapy, Modern Analytic and Family Treatments.
Therapy begins within a trusted, emotional connection where your unique story can truly be heard. I'm dedicated to helping you sort out your feelings and circumstances, to examine difficult relationships. I will teach you effective coping skills, strategies to better handle stress and distress. We will utilize new tools to address problem behavior patterns, unhealthy relationships and to problem solve. I utilize a nuanced, crafted combination of evidenced-based therapies: Mindfulness, Supportive, Relational, Psychodynamic, Motivational, Cognitive Behavioral, Dialectical Behavioral Therapy, Modern Analytic and Family Treatments.
(347) 410-8782 View (347) 410-8782
Photo of Lindsay A. Hart, Clinical Social Work/Therapist in New York, NY
Lindsay A. Hart
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10001
Not accepting new clients
It is a big step to acknowledge that something is missing, something is wrong... that you are, in some way, hurting. And it is incredibly brave for you to be reading this right now. You are looking to try something new and change is difficult and scary. You are thinking that you do not have to feel the way that you do and you have the courage to to be here, considering about how things can be better. I am here for you to help you create different options in your life, to stop the pain that is on repeat.
It is a big step to acknowledge that something is missing, something is wrong... that you are, in some way, hurting. And it is incredibly brave for you to be reading this right now. You are looking to try something new and change is difficult and scary. You are thinking that you do not have to feel the way that you do and you have the courage to to be here, considering about how things can be better. I am here for you to help you create different options in your life, to stop the pain that is on repeat.
(818) 869-2709 View (818) 869-2709
Photo of Melissa Rivera in New York, NY
Melissa Rivera
MHC-LP
Verified Verified
New York, NY 10123
My primary goal as your therapist is to help you navigate challenges through a non-judgmental, collaborative and client-centered relationship. As an Afro-Latina female clinician, one of my passions is to serve people in my community and to help them find meaning in their lives. I employ an integrative approach to therapy to meet individual needs. This means that I integrate various techniques from several modalities to meet you where you are and help you achieve deep healing. The approaches that I use most often are Psychodynamic, Narrative therapy, and Cognitive Behavioral therapy.
My primary goal as your therapist is to help you navigate challenges through a non-judgmental, collaborative and client-centered relationship. As an Afro-Latina female clinician, one of my passions is to serve people in my community and to help them find meaning in their lives. I employ an integrative approach to therapy to meet individual needs. This means that I integrate various techniques from several modalities to meet you where you are and help you achieve deep healing. The approaches that I use most often are Psychodynamic, Narrative therapy, and Cognitive Behavioral therapy.
(929) 538-3225 View (929) 538-3225
Photo of Gabrielle Jensen, Clinical Social Work/Therapist in New York, NY
Gabrielle Jensen
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10023
Today, life often presents us with an unsettling tension between overwhelming uncertainty or loss, and a relentless demand to be productive, happy, and to have a strong sense of identity or purpose. Whether one is exploring psychotherapy due to crisis, impasse, troubling symptoms, or relational concerns, all people can benefit from a space where they can make meaning of their experiences and thoughts in a collaborative way. Though psychodynamic treatment requires vulnerability and curiosity, it is an opportunity for transformative self-exploration and healing that will be contained in a space of attentive listening and care.
Today, life often presents us with an unsettling tension between overwhelming uncertainty or loss, and a relentless demand to be productive, happy, and to have a strong sense of identity or purpose. Whether one is exploring psychotherapy due to crisis, impasse, troubling symptoms, or relational concerns, all people can benefit from a space where they can make meaning of their experiences and thoughts in a collaborative way. Though psychodynamic treatment requires vulnerability and curiosity, it is an opportunity for transformative self-exploration and healing that will be contained in a space of attentive listening and care.
(347) 579-0776 View (347) 579-0776
Photo of Erika Updegrove, Psychologist in New York, NY
Erika Updegrove
Psychologist, PsyD, MEd, BCBA
Verified Verified
New York, NY 10011  (Online Only)
You can feel confident that whatever your issue is, we can talk about it and together we can figure out an approach to alleviate your suffering. Sometimes we need guidance while at other times we need someone to listen and hold space for us. It is possible that you are looking for a fresh take on your circumstances or have tried "everything" out there and are ready to give up. Do not be discouraged. We can figure out a way for you to heal.
You can feel confident that whatever your issue is, we can talk about it and together we can figure out an approach to alleviate your suffering. Sometimes we need guidance while at other times we need someone to listen and hold space for us. It is possible that you are looking for a fresh take on your circumstances or have tried "everything" out there and are ready to give up. Do not be discouraged. We can figure out a way for you to heal.
(917) 905-6596 View (917) 905-6596
Photo of Olivia Orley, Clinical Social Work/Therapist in New York, NY
Olivia Orley
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10001
Olivia Orley is a psychotherapist working with adults and couples. She has a Masters in Social Work from NYU, and has done additional training in substance abuse and all things family planning and fertility. She is focused on working with those who are going through major changes, seeking to improve their coping skills, and changing behaviors that no longer serve them.
Olivia Orley is a psychotherapist working with adults and couples. She has a Masters in Social Work from NYU, and has done additional training in substance abuse and all things family planning and fertility. She is focused on working with those who are going through major changes, seeking to improve their coping skills, and changing behaviors that no longer serve them.
(332) 877-9361 View (332) 877-9361
Photo of Michaela Champagne in New York, NY
Michaela Champagne
BS, MA, MHC-LP
Verified Verified
1 Endorsed
New York, NY 10016
Life is full of unexpected stressors and demands, all of which can be challenging to manage and navigate independently. Luckily, you don't have to do it alone. Feeling directionless, stressed, anxious, depressed, struggling with work demands or interpersonal issues are all experiences that make us human. If any of these experiences are feeling overwhelming for you, you might be a candidate for therapy. Through therapy, we can process these experiences and explore how our perceptions inform our thought patterns, emotions & behavior and work towards living a more satisfying life.
Life is full of unexpected stressors and demands, all of which can be challenging to manage and navigate independently. Luckily, you don't have to do it alone. Feeling directionless, stressed, anxious, depressed, struggling with work demands or interpersonal issues are all experiences that make us human. If any of these experiences are feeling overwhelming for you, you might be a candidate for therapy. Through therapy, we can process these experiences and explore how our perceptions inform our thought patterns, emotions & behavior and work towards living a more satisfying life.
(646) 491-8801 x1 View (646) 491-8801 x1
Photo of Robin Halpern, Clinical Social Work/Therapist in New York, NY
Robin Halpern
Clinical Social Work/Therapist, LCSW-R, DCSW
Verified Verified
New York, NY 10023
"I'd like to introduce you to someone you may not know very well, YOURSELF." I've been practicing psychotherapy since 1982 integrating both psychoanalytic and cognitive behavioral perspectives. The psychotherapy journey can ultimately lead to the enhancement of conflict-free thinking and behavior which in turn can contribute to a more satisfying life.
"I'd like to introduce you to someone you may not know very well, YOURSELF." I've been practicing psychotherapy since 1982 integrating both psychoanalytic and cognitive behavioral perspectives. The psychotherapy journey can ultimately lead to the enhancement of conflict-free thinking and behavior which in turn can contribute to a more satisfying life.
(646) 392-8059 View (646) 392-8059
Photo of Alyssa M Beni-Shore, Clinical Social Work/Therapist in New York, NY
Alyssa M Beni-Shore
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10001
Not accepting new clients
"There is a crack in everything, that's how the light gets in" (Leonard Cohen). We all strive to be our “best" selves, but often we can get in our own way by constantly comparing and judging, or belittling our accomplishments while magnifying our mistakes. Together we can learn how to manage our own thoughts and behaviors in order to illicit positive change in ourselves and our relationships. I provide individual therapy for clients dealing with mood and anxiety issues, relationship difficulties, loss, self-esteem issues, work-related stressors, life transitions and more.
"There is a crack in everything, that's how the light gets in" (Leonard Cohen). We all strive to be our “best" selves, but often we can get in our own way by constantly comparing and judging, or belittling our accomplishments while magnifying our mistakes. Together we can learn how to manage our own thoughts and behaviors in order to illicit positive change in ourselves and our relationships. I provide individual therapy for clients dealing with mood and anxiety issues, relationship difficulties, loss, self-esteem issues, work-related stressors, life transitions and more.
(844) 984-0198 View (844) 984-0198
Photo of Alice Lloyd Rahn in New York, NY
Alice Lloyd Rahn
MA, MHC-LP
Verified Verified
1 Endorsed
New York, NY 10011
I have nearly a decade of experience working in education, journalism, and addiction counseling. In many ways, my own path to becoming a therapist informs my therapeutic approach. My goal is to accompany clients with empathy, authenticity, and hope as they work to achieve a sense of wholeness in their lives with the courage to explore patterns and to ask “what’s missing.”
I have nearly a decade of experience working in education, journalism, and addiction counseling. In many ways, my own path to becoming a therapist informs my therapeutic approach. My goal is to accompany clients with empathy, authenticity, and hope as they work to achieve a sense of wholeness in their lives with the courage to explore patterns and to ask “what’s missing.”
(347) 836-5392 View (347) 836-5392
Photo of Paula Konnor-Jorn, Psychologist in New York, NY
Paula Konnor-Jorn
Psychologist, PsyD
Verified Verified
New York, NY 10017
In practice I use a pragmatic, results-oriented approach and am not tethered to one particular psychoanalytic modality. Rather, recognizing each patient has unique needs, I draw from many therapeutic approaches that best fit each patient. In my practice, I can quickly assess which techniques will work best to meet each client's individual needs to show patients that they can have the right tools to reach their optimal comfort level in their careers, families, and relationships. The goal is bridging the gap and finding the most productive pathway between where clients are and where they want to be.
In practice I use a pragmatic, results-oriented approach and am not tethered to one particular psychoanalytic modality. Rather, recognizing each patient has unique needs, I draw from many therapeutic approaches that best fit each patient. In my practice, I can quickly assess which techniques will work best to meet each client's individual needs to show patients that they can have the right tools to reach their optimal comfort level in their careers, families, and relationships. The goal is bridging the gap and finding the most productive pathway between where clients are and where they want to be.
(646) 494-0988 View (646) 494-0988
Photo of Delilah Coles, Counselor in New York, NY
Delilah Coles
Counselor, LMHC
Verified Verified
New York, NY 10016  (Online Only)
Welcome, my name is Delilah Coles and I am a Licensed Mental Health Counselor in New York City. I have 10 years of experience working with diverse populations including young adults, LGBTQ+, and working professionals. I work with people struggling to navigate life transitions as well as a variety of challenges related to anxiety, depression, family conflicts, self-esteem, and lack of motivation. My style of therapy includes utilizing evidence-based interventions and genuine care.
Welcome, my name is Delilah Coles and I am a Licensed Mental Health Counselor in New York City. I have 10 years of experience working with diverse populations including young adults, LGBTQ+, and working professionals. I work with people struggling to navigate life transitions as well as a variety of challenges related to anxiety, depression, family conflicts, self-esteem, and lack of motivation. My style of therapy includes utilizing evidence-based interventions and genuine care.
(929) 463-9449 View (929) 463-9449
Photo of Sharon Chung, Art Therapist in New York, NY
Sharon Chung
Art Therapist, MA, ATR-BC, LCAT
Verified Verified
1 Endorsed
New York, NY 10016
My client-centered approach is rooted in Art Therapy and Evidence-Based modalities. I specialize in helping children, teens, and young adults, ages 4-40, feel more confident and connected. My work is centered around the belief that people are fully deserving of respect, dignity, and a space where they can deeply feel heard. I facilitate a safe environment where feelings and experiences can be validated, and people can establish a sense of security and self-worth. I partner with children (and parents) to help them navigate their identity and sense of belonging in this world!
My client-centered approach is rooted in Art Therapy and Evidence-Based modalities. I specialize in helping children, teens, and young adults, ages 4-40, feel more confident and connected. My work is centered around the belief that people are fully deserving of respect, dignity, and a space where they can deeply feel heard. I facilitate a safe environment where feelings and experiences can be validated, and people can establish a sense of security and self-worth. I partner with children (and parents) to help them navigate their identity and sense of belonging in this world!
(929) 325-1291 View (929) 325-1291
Photo of Tracey Holmes, Clinical Social Work/Therapist in New York, NY
Tracey Holmes
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10174  (Online Only)
Hi! I'm a Licensed Clinical Social Worker based in New York City. I received my Masters in Social Work from Adelphi University in Garden City and have been practicing for over 10 years. I have experience working with adults , adolescents, children, families and couples. I have a deep passion with improving their outlook on life obstacles.
Hi! I'm a Licensed Clinical Social Worker based in New York City. I received my Masters in Social Work from Adelphi University in Garden City and have been practicing for over 10 years. I have experience working with adults , adolescents, children, families and couples. I have a deep passion with improving their outlook on life obstacles.
(929) 577-3653 View (929) 577-3653

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.