Therapists in Fairmount-Spring Garden, Philadelphia, PA
Brandi J Stewart
Psychologist, PsyD
Verified Verified
1 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130
I have ample experience working with Children and adolescents with multiple psychological and behavioral issues; including ADHD, ODD, OCD, conduct problems, Autistic spectrum disorders, depression, and sexual abuse (victimization and perpetration). Alongside, I work extensively with couples and families encountering numerous life difficulties. Furthermore, my experience reaches to adults dealing with life transition, depression, anxiety, and personality difficulties that inhibit life happiness and fullfillment. I am dedicated to my clientele and above all their functionality and happiness. My day-to-day moto is: "laugh love and live" and I strive to help my clients do just this!
I have ample experience working with Children and adolescents with multiple psychological and behavioral issues; including ADHD, ODD, OCD, conduct problems, Autistic spectrum disorders, depression, and sexual abuse (victimization and perpetration). Alongside, I work extensively with couples and families encountering numerous life difficulties. Furthermore, my experience reaches to adults dealing with life transition, depression, anxiety, and personality difficulties that inhibit life happiness and fullfillment. I am dedicated to my clientele and above all their functionality and happiness. My day-to-day moto is: "laugh love and live" and I strive to help my clients do just this!
John Moletress
Licensed Professional Counselor, LPC, MA, MFA
Verified Verified
3 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130
Are you experiencing anxiety, depression or stress? Feeling unfulfilled in key areas of your life? Perhaps you and your partner are at a communication impasse? If you’re ready to explore these parts of yourself and interrupt patterns that no longer serve, I can help with that. Therapy is a collaborative process which allows us to look at areas in your life that cause distress, and identify ways to adjust your thoughts and behaviors to create positive change. I provide therapy in a safe, nonjudgmental environment where you may feel comfortable expressing yourself openly and authentically. I work with individuals and couples/partners.
Are you experiencing anxiety, depression or stress? Feeling unfulfilled in key areas of your life? Perhaps you and your partner are at a communication impasse? If you’re ready to explore these parts of yourself and interrupt patterns that no longer serve, I can help with that. Therapy is a collaborative process which allows us to look at areas in your life that cause distress, and identify ways to adjust your thoughts and behaviors to create positive change. I provide therapy in a safe, nonjudgmental environment where you may feel comfortable expressing yourself openly and authentically. I work with individuals and couples/partners.
Dan Cohn
Psychologist, PsyD, MS, MA
Verified Verified
1 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
It’s commendable to consider starting therapy. Life presents challenges that are difficult to navigate, but the willingness to confront them offers opportunity for insight, increased purpose, and improved wellbeing. I specialize in working with high-achieving individuals who are eager to explore and understand the underlying reasons behind their struggles—I assist with managing stress/anxiety, perfectionism, relationship challenges, and improving overall mental health. If you're ready to reflect on how to better your current situation and develop a greater understanding of yourself, I’d be honored to support you in that journey.
It’s commendable to consider starting therapy. Life presents challenges that are difficult to navigate, but the willingness to confront them offers opportunity for insight, increased purpose, and improved wellbeing. I specialize in working with high-achieving individuals who are eager to explore and understand the underlying reasons behind their struggles—I assist with managing stress/anxiety, perfectionism, relationship challenges, and improving overall mental health. If you're ready to reflect on how to better your current situation and develop a greater understanding of yourself, I’d be honored to support you in that journey.
Jocelyn Jennings, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Good therapist "fit" is key. I am best suited to those who need an authentic and compassionate therapist who understands interpersonal relationships. Whether your loved one is exhibiting challenging behavior or whether you are struggling to feel a sense of joy and freedom in life, I have been helping people heal and achieve the relationships they desire with themselves, their partners, and/or their children for 20+ years. I see the root of all challenges as relational--whether it is how we relate to ourselves, others, to our distractions of choice, or to the stories we tell ourselves.
Good therapist "fit" is key. I am best suited to those who need an authentic and compassionate therapist who understands interpersonal relationships. Whether your loved one is exhibiting challenging behavior or whether you are struggling to feel a sense of joy and freedom in life, I have been helping people heal and achieve the relationships they desire with themselves, their partners, and/or their children for 20+ years. I see the root of all challenges as relational--whether it is how we relate to ourselves, others, to our distractions of choice, or to the stories we tell ourselves.
Joe Charette
Counselor, PhD, LPC, NCC
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130
Waitlist for new clients
What is your story? What do you want to change in that story? In my years as a counselor I've learned that you have everything you need to grow, and I am here to support you in finding and using those skills. Whether you're wanting to process through trauma, looking for insight or new meaning, or you just need someone to listen I will be with you along the way. My approach is highly collaborative and rooted in the person-centered tradition. We will work to develop your preferred story by using your lived experience to draw on new meaning, insight, and self-awareness.
What is your story? What do you want to change in that story? In my years as a counselor I've learned that you have everything you need to grow, and I am here to support you in finding and using those skills. Whether you're wanting to process through trauma, looking for insight or new meaning, or you just need someone to listen I will be with you along the way. My approach is highly collaborative and rooted in the person-centered tradition. We will work to develop your preferred story by using your lived experience to draw on new meaning, insight, and self-awareness.
Nancy Bell
Licensed Professional Counselor, MS, LPC
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130
I am trained in object relations theory, but my experience as a high school counselor, family therapist and lawyer informs my flexible and practical approach. While offering a deep therapy experience that leads to enduring change and growth, I am mindful that patients need strategies to manage immediate concerns and feel relief during the change process. I approach patients with a belief that their early experiences and attachments have shaped the way they see themselves, how they approach relationships and what they expect from life. I seek to help patients develop new ways of relating that lead to healthier connections to others and increased autonomy.
I am trained in object relations theory, but my experience as a high school counselor, family therapist and lawyer informs my flexible and practical approach. While offering a deep therapy experience that leads to enduring change and growth, I am mindful that patients need strategies to manage immediate concerns and feel relief during the change process. I approach patients with a belief that their early experiences and attachments have shaped the way they see themselves, how they approach relationships and what they expect from life. I seek to help patients develop new ways of relating that lead to healthier connections to others and increased autonomy.
Beth Rosenwasser
Licensed Professional Counselor, PhD, LPC, BCBA-D
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130
Reaching out is the 1st step toward feeling relief and achieving personal, family or professional goals. Therapy offers private time with support to take a fresh look at your situation and evaluate options. I bring to the room more than 20 years of experience in clinical practice, as well as designing and directing treatment programs, training therapists, and publishing in the field. People I work with tell me I am easy to talk to, warm and non-judgmental. They appreciate my ability to 'keep it real,' helping develop practical solutions in 3 - 12 sessions, or in longer-term therapy.
Reaching out is the 1st step toward feeling relief and achieving personal, family or professional goals. Therapy offers private time with support to take a fresh look at your situation and evaluate options. I bring to the room more than 20 years of experience in clinical practice, as well as designing and directing treatment programs, training therapists, and publishing in the field. People I work with tell me I am easy to talk to, warm and non-judgmental. They appreciate my ability to 'keep it real,' helping develop practical solutions in 3 - 12 sessions, or in longer-term therapy.
Kate M. Sobon
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Let's Talk Therapy! Do you feel stuck in a spiral of negative thinking and self doubt that seems to be never-ending? Do you want to get out of your head and into your life? Our thoughts have a direct impact on our emotions and behaviors; which can seem like a vicious cycle. I am here to help YOU! I am assertive, interactive and collaborative. I provide tangible action items to implement in your life. I will honor your personal experiences and perspectives, and appropriately provide feedback and insight based upon professional expertise, observations and assessment.
Let's Talk Therapy! Do you feel stuck in a spiral of negative thinking and self doubt that seems to be never-ending? Do you want to get out of your head and into your life? Our thoughts have a direct impact on our emotions and behaviors; which can seem like a vicious cycle. I am here to help YOU! I am assertive, interactive and collaborative. I provide tangible action items to implement in your life. I will honor your personal experiences and perspectives, and appropriately provide feedback and insight based upon professional expertise, observations and assessment.
John Applegate, MD & Associates, LLC
MD
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130
With years of experience and having earned the trust and respect of the Philadelphia Christian community, we are prepared to help you navigate the storms of life in good hands. With competent Christian psychiatrists, Christian psychologists, Biblical counselors and health coaching, we are well trained to address the complex interplay of body and soul.
With years of experience and having earned the trust and respect of the Philadelphia Christian community, we are prepared to help you navigate the storms of life in good hands. With competent Christian psychiatrists, Christian psychologists, Biblical counselors and health coaching, we are well trained to address the complex interplay of body and soul.
Eve Havivi
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Clients seek therapy for a variety of reasons and I look forward to helping you determine what purpose therapy will serve for you and what therapy will help you accomplish. I can support your strengths, help you understand yourself better, build new skills, make connections between your past and present, and heal trauma. I view clients as important collaborators in therapeutic treatment and I value your contributions and honor your personal identity and experience in the therapeutic process.
Clients seek therapy for a variety of reasons and I look forward to helping you determine what purpose therapy will serve for you and what therapy will help you accomplish. I can support your strengths, help you understand yourself better, build new skills, make connections between your past and present, and heal trauma. I view clients as important collaborators in therapeutic treatment and I value your contributions and honor your personal identity and experience in the therapeutic process.
Kim Woynowskie
Psychologist, PsyD
Verified Verified
1 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130
Welcome. I am a licensed therapist with 8 years of professional experience. Therapy is a journey tailored to your needs and goals. My pragmatic, evidence-based approach combines compassion and candor to facilitate meaningful progress. Together, we will explore old patterns, discover new perspectives, and engage in exercises to enhance your well-being.
Welcome. I am a licensed therapist with 8 years of professional experience. Therapy is a journey tailored to your needs and goals. My pragmatic, evidence-based approach combines compassion and candor to facilitate meaningful progress. Together, we will explore old patterns, discover new perspectives, and engage in exercises to enhance your well-being.
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Kara Bacchia
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Waitlist for new clients
Hello! My name is Kara and I specialize in working with individuals who have anxiety disorders. Anxiety comes in many forms. Whether it's panic attacks, social anxiety, intrusive thoughts, phobias or just generally being in a constant state of worry, it's all overwhelming. Anxiety keeps us stuck. It prevents us from going after the things we want and doing the things we love. However, when using the right tools, you can find relief and start living your life according to you – not your anxiety.
Hello! My name is Kara and I specialize in working with individuals who have anxiety disorders. Anxiety comes in many forms. Whether it's panic attacks, social anxiety, intrusive thoughts, phobias or just generally being in a constant state of worry, it's all overwhelming. Anxiety keeps us stuck. It prevents us from going after the things we want and doing the things we love. However, when using the right tools, you can find relief and start living your life according to you – not your anxiety.
Catalyst Geraci
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130
Not accepting new clients
I believe in individualized healing: that no two people are the same & we learn from each other's presence. We will decide together what works best for you to improve your quality of life and health & wellness. I believe self-image, self-worth, and personal well-being come from the stories we tell ourselves and the identities we exist in the world with. Addressing issues such as depression, anxiety & grief in a holistic way can bring about change and healing. I engage healing through increasing relationship fulfillment, improving body & self-image, nutrition assessment, life transition support, and recovery from trauma and loss.
I believe in individualized healing: that no two people are the same & we learn from each other's presence. We will decide together what works best for you to improve your quality of life and health & wellness. I believe self-image, self-worth, and personal well-being come from the stories we tell ourselves and the identities we exist in the world with. Addressing issues such as depression, anxiety & grief in a holistic way can bring about change and healing. I engage healing through increasing relationship fulfillment, improving body & self-image, nutrition assessment, life transition support, and recovery from trauma and loss.
Elizabeth Bell
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Waitlist for new clients
I am a clinical social worker licensed in New York, Connecticut and Pennsylvania. I have over 15 years of experience helping children, adolescents, and adults with anxiety, depression, trauma, relationships, and life transition challenges. I have certifications in both child & adolescent psychotherapy and the treatment of eating disorders, and training in CBT through the Beck Institute. My perspective is psychodynamic and integrates attachment and trauma theories.
I am a clinical social worker licensed in New York, Connecticut and Pennsylvania. I have over 15 years of experience helping children, adolescents, and adults with anxiety, depression, trauma, relationships, and life transition challenges. I have certifications in both child & adolescent psychotherapy and the treatment of eating disorders, and training in CBT through the Beck Institute. My perspective is psychodynamic and integrates attachment and trauma theories.
Love-Life Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
The mission of Love-Life Therapy is to help you recover from unfulfilling interpersonal and romantic patterns, and transform the health of your relationships. Some results of working with me could be: the intrinsic belief that you are deserving of safe, secure relationships; the confidence to love and be loved by someone else; the power to change old relational patterns; the skills to maintain relationships by expanding awareness of yourself and others; and the transformation from insecure attachment to secure attachment. You deserve to heal, live vibrantly, and feel secure in your relationships.
The mission of Love-Life Therapy is to help you recover from unfulfilling interpersonal and romantic patterns, and transform the health of your relationships. Some results of working with me could be: the intrinsic belief that you are deserving of safe, secure relationships; the confidence to love and be loved by someone else; the power to change old relational patterns; the skills to maintain relationships by expanding awareness of yourself and others; and the transformation from insecure attachment to secure attachment. You deserve to heal, live vibrantly, and feel secure in your relationships.
Emma Compton
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Life is a messy, complicated, and beautiful place. If you find yourself struggling to feel your emotions without being overwhelmed by them, or avoiding growth and change due to the weight of past hurts/harms/fears, I hope to be able to support you in regaining connection, safety, and security with and in your mind, body, and heart. As a therapist, I specialize in working with clients who have experienced trauma, abuse and attachment injuries, and who may be struggling with anxiety, depression, self-esteem, and relational challenges as a result.
Life is a messy, complicated, and beautiful place. If you find yourself struggling to feel your emotions without being overwhelmed by them, or avoiding growth and change due to the weight of past hurts/harms/fears, I hope to be able to support you in regaining connection, safety, and security with and in your mind, body, and heart. As a therapist, I specialize in working with clients who have experienced trauma, abuse and attachment injuries, and who may be struggling with anxiety, depression, self-esteem, and relational challenges as a result.
Brandee Silverman
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Are you struggling with your relationship with your children, partner or family member? Maybe your in an unhealthy pattern of communicating, and it just seems impossible to get out of, as though you are having the same argument over and over and things are not changing. Perhaps you are a single mom who feels like no matter what you do, patterns in your life are just not changing? People get stuck in unhealthy patterns of interactions that lead to unwanted symptoms, such as anxiety, behavior problems, OCD, and much more.
Are you struggling with your relationship with your children, partner or family member? Maybe your in an unhealthy pattern of communicating, and it just seems impossible to get out of, as though you are having the same argument over and over and things are not changing. Perhaps you are a single mom who feels like no matter what you do, patterns in your life are just not changing? People get stuck in unhealthy patterns of interactions that lead to unwanted symptoms, such as anxiety, behavior problems, OCD, and much more.
In Tune With Your Life, PLLC
Psychologist, PsyD, ACT
Verified Verified
6 Endorsed
Fairmount-Spring Garden, Philadelphia, PA 19130
I will work with you to capitalize on your strengths and help you identify and move beyond unhelpful mental and behavioral patterns lurking in your blind spots.
Rather than talk endlessly about your problems, we will instead use various empirically supported techniques to step back from your problems and explore new behavioral and belief options that better correspond to your key goals and values. Then you'll practice these new perspectives and strategies at home in your real life until they feel more natural.
**Please phone me first as I do not always have daily email access.
I will work with you to capitalize on your strengths and help you identify and move beyond unhelpful mental and behavioral patterns lurking in your blind spots.
Rather than talk endlessly about your problems, we will instead use various empirically supported techniques to step back from your problems and explore new behavioral and belief options that better correspond to your key goals and values. Then you'll practice these new perspectives and strategies at home in your real life until they feel more natural.
**Please phone me first as I do not always have daily email access.
Fredric Richmond
Psychologist, MEd, PhD
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
I'm Dr. Fredric Richmond, a Licensed Psychologist with 37 years of experience helping people learn to manage symptoms of anxiety, depression, and trauma using evidence based therapies. You and I will determine what your specific needs are, where to start and how to reach your stated goals. Those goals change as life does, sometimes often sometimes not, in the end you will feel empowered in your knowledge to manage the "what may come" in your life.
I'm Dr. Fredric Richmond, a Licensed Psychologist with 37 years of experience helping people learn to manage symptoms of anxiety, depression, and trauma using evidence based therapies. You and I will determine what your specific needs are, where to start and how to reach your stated goals. Those goals change as life does, sometimes often sometimes not, in the end you will feel empowered in your knowledge to manage the "what may come" in your life.
Luke Colbourn
Licensed Professional Counselor, LPC
Verified Verified
Fairmount-Spring Garden, Philadelphia, PA 19130 (Online Only)
Do you find yourself trying hard to overcome difficulties in your life, but end up feeling stuck, wondering “Why can’t I change this”? You might feel like your old patterns have control over you. It’s frustrating to commit to change and yet seem to make little progress. It might be time to try something different.
Do you find yourself trying hard to overcome difficulties in your life, but end up feeling stuck, wondering “Why can’t I change this”? You might feel like your old patterns have control over you. It’s frustrating to commit to change and yet seem to make little progress. It might be time to try something different.
See more therapy options for Fairmount-Spring Garden, Philadelphia
Nearby Searches for Fairmount-Spring Garden, Philadelphia
- Brewerytown
- Cabot
- City Center East
- City Center West
- Fairmount
- Logan Square
- Midtown Village
- North Central
- Northern Liberties
- Poplar
- Poplar-Ludlow-Yorktowne
- Rittenhouse Square
How does your Therapist compare?
Number of Therapists in Fairmount-Spring Garden, Philadelphia, PA
200+
Average cost per session
$150
Therapists in Fairmount-Spring Garden, Philadelphia, PA who prioritize treating:
96% | Anxiety |
90% | Depression |
74% | Trauma and PTSD |
73% | Relationship Issues |
64% | Life Transitions |
63% | Grief |
63% | Self Esteem |
Average years in practice
8 Years
Top 3 insurances accepted
91% | Aetna |
80% | UnitedHealthcare UHC | UBH |
75% | Cigna and Evernorth |
How Therapists in Fairmount-Spring Garden, Philadelphia, PA see their clients
77% | In Person and Online | |
23% | Online Only |
Gender breakdown
77% | Female | |
22% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Fairmount-Spring Garden, Philadelphia?
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
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.
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.
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.