Therapists in San Francisco, CA

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Photo of Farah Pezeshki, Psychologist in San Francisco, CA
Farah Pezeshki
Psychologist, LCP
Verified Verified
San Francisco, CA 94122
My name is Farah Pezeshki, and I am a Ph.D. (license PSY14875) in clinical psychology with over 20 years of experience. I am based in California, having worked with young adults and older adults across all areas of Los Angeles. My cross-cultural experience and clinical-based approach allow me to apply my expertise and training to fit any individual's unique needs, helping them manage a wide variety of issues such as anxiety, depression, trauma, grief, etc.
My name is Farah Pezeshki, and I am a Ph.D. (license PSY14875) in clinical psychology with over 20 years of experience. I am based in California, having worked with young adults and older adults across all areas of Los Angeles. My cross-cultural experience and clinical-based approach allow me to apply my expertise and training to fit any individual's unique needs, helping them manage a wide variety of issues such as anxiety, depression, trauma, grief, etc.
(415) 965-5072 View (415) 965-5072
Photo of Sophie Lew, Psychologist in San Francisco, CA
Sophie Lew
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
I am a licensed clinical psychologist specialized in providing psychotherapy to teens, adults, and couples. I work with clients who are experiencing emotional, behavioral, and/or interpersonal challenges to optimize mental health and wellness. My approach is compassionate and collaborative, largely based on psychodynamic, mindfulness, cognitive-behavioral, and interpersonal modalities. My hope is to help decrease emotional suffering, enhance your relationships, and work towards meaningful change.
I am a licensed clinical psychologist specialized in providing psychotherapy to teens, adults, and couples. I work with clients who are experiencing emotional, behavioral, and/or interpersonal challenges to optimize mental health and wellness. My approach is compassionate and collaborative, largely based on psychodynamic, mindfulness, cognitive-behavioral, and interpersonal modalities. My hope is to help decrease emotional suffering, enhance your relationships, and work towards meaningful change.
(617) 807-0884 View (617) 807-0884
Photo of Nina Atanassova, Marriage & Family Therapist in San Francisco, CA
Nina Atanassova
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94112  (Online Only)
In my practice, I believe that the process of change requires an approach that is tailored to each individual's unique style and needs. I strive to create a collaborative, caring, and supportive atmosphere that will assist you in identifying and changing the thoughts, the behaviors, and the interpersonal styles that are no longer effective for you. I offer confidential, supportive and caring environment free of judgment that will facilitate your journey through difficulties and challenges.
In my practice, I believe that the process of change requires an approach that is tailored to each individual's unique style and needs. I strive to create a collaborative, caring, and supportive atmosphere that will assist you in identifying and changing the thoughts, the behaviors, and the interpersonal styles that are no longer effective for you. I offer confidential, supportive and caring environment free of judgment that will facilitate your journey through difficulties and challenges.
(628) 244-9011 View (628) 244-9011
Photo of Haley Kong, Associate Clinical Social Worker in San Francisco, CA
Haley Kong
Associate Clinical Social Worker, ASW
Verified Verified
1 Endorsed
San Francisco, CA 94115  (Online Only)
Your story can have a haunting past, an invisible force hindering the creation of healthy relationships and memories. Trauma, in all its forms, casts shadows on our present, displaying its effects into present symptoms like anxiety, depression and unhealthy coping mechanisms. But what if your story doesn't have to end here?
Your story can have a haunting past, an invisible force hindering the creation of healthy relationships and memories. Trauma, in all its forms, casts shadows on our present, displaying its effects into present symptoms like anxiety, depression and unhealthy coping mechanisms. But what if your story doesn't have to end here?
(415) 691-8875 View (415) 691-8875
Photo of Paul L Bowman, Psychologist in San Francisco, CA
Paul L Bowman
Psychologist, PhD
Verified Verified
San Francisco, CA 94114
We all struggle at times to learn from life and to become our best selves. As a young man I pursued a variety of strategies, healthy and unhealthy, to cope with my own struggles. I think we all do that. When I entered into psychotherapy for the first time I found the help that I needed to learn and to grow and to overcome the struggles that had been so overwhelming for me. I became a psychologist to pass on what had been so helpful for me.
We all struggle at times to learn from life and to become our best selves. As a young man I pursued a variety of strategies, healthy and unhealthy, to cope with my own struggles. I think we all do that. When I entered into psychotherapy for the first time I found the help that I needed to learn and to grow and to overcome the struggles that had been so overwhelming for me. I became a psychologist to pass on what had been so helpful for me.
(415) 858-6481 View (415) 858-6481
Photo of Carolyn Day, Marriage & Family Therapist in San Francisco, CA
Carolyn Day
Marriage & Family Therapist, MA
Verified Verified
1 Endorsed
San Francisco, CA 94123
Sometimes it can be difficult to sort out all our feelings, especially when things are messy, confusing, and overwhelming. It is my belief that everyone can benefit from counseling to process the feelings that come with human experience. At the foundation of my practice is forming a strong therapeutic relationship with you. I believe the quality of our relationship is the basis of what can lead to healing. Gaining greater insight into yourself can help you carry out how you want to be in the world.
Sometimes it can be difficult to sort out all our feelings, especially when things are messy, confusing, and overwhelming. It is my belief that everyone can benefit from counseling to process the feelings that come with human experience. At the foundation of my practice is forming a strong therapeutic relationship with you. I believe the quality of our relationship is the basis of what can lead to healing. Gaining greater insight into yourself can help you carry out how you want to be in the world.
(415) 594-4696 View (415) 594-4696
Photo of Jordana del Feld, Associate Marriage & Family Therapist in San Francisco, CA
Jordana del Feld
Associate Marriage & Family Therapist, MA, MFA, AMFT, APCC, CMT
Verified Verified
San Francisco, CA 94118
Do you want to celebrate your truth...and often feel all alone? Are you a creator, a pirate, a free-thinker, a tinkerer, an explorer, a craftsman, a heretic, maybe even a legend...and often feel too much or not enough? Did you come here to live out loud...and often feel misunderstood? Do you walk through fire for your values...and often feel unvalued? Do you know that this world needs you...and often wonder if the world knows this too? You are just right, just as you are, right now...and would you also appreciate some support moving forward?
Do you want to celebrate your truth...and often feel all alone? Are you a creator, a pirate, a free-thinker, a tinkerer, an explorer, a craftsman, a heretic, maybe even a legend...and often feel too much or not enough? Did you come here to live out loud...and often feel misunderstood? Do you walk through fire for your values...and often feel unvalued? Do you know that this world needs you...and often wonder if the world knows this too? You are just right, just as you are, right now...and would you also appreciate some support moving forward?
(415) 763-1527 View (415) 763-1527
Photo of Janice Keenberg, Clinical Social Work/Therapist in San Francisco, CA
Janice Keenberg
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94115
Hello, my name is Janice Keenberg and I am a Licensed Clinical Social Worker (LCSW) practicing in a small mountain town in Southern California. I have worked for more than two decades providing mental health counseling, liaison services, advocacy, and support services for community agencies and medical facilities in the Los Angeles and Bakersfield area. I enjoy working with adults of all ages and my focus is on helping clients cope with strong emotions brought about by depression, anxiety, stress, grief, chronic illness, and addiction.
Hello, my name is Janice Keenberg and I am a Licensed Clinical Social Worker (LCSW) practicing in a small mountain town in Southern California. I have worked for more than two decades providing mental health counseling, liaison services, advocacy, and support services for community agencies and medical facilities in the Los Angeles and Bakersfield area. I enjoy working with adults of all ages and my focus is on helping clients cope with strong emotions brought about by depression, anxiety, stress, grief, chronic illness, and addiction.
(415) 592-6513 View (415) 592-6513
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 Lucy Colvin, Marriage & Family Therapist in San Francisco, CA
Lucy Colvin
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94109
Not accepting new clients
Are you feeling stuck? I use a holistic mind/body approach to therapy to help you loosen those stuck places, and to feel confident and more fully at ease with yourself and others. Sometimes anxiety and worries can become obstacles to achieving your goals, limiting your experience and potential. You can develop tools to use to get these stuck places moving again and to live with less anxiety. We will work together to help you identify triggers and fears and to understand and disentangle from familial patterns to enable you to experience successful meaningful relationships and joy in your life.
Are you feeling stuck? I use a holistic mind/body approach to therapy to help you loosen those stuck places, and to feel confident and more fully at ease with yourself and others. Sometimes anxiety and worries can become obstacles to achieving your goals, limiting your experience and potential. You can develop tools to use to get these stuck places moving again and to live with less anxiety. We will work together to help you identify triggers and fears and to understand and disentangle from familial patterns to enable you to experience successful meaningful relationships and joy in your life.
(650) 918-5910 View (650) 918-5910
Photo of Maureen Mccracken, Marriage & Family Therapist in San Francisco, CA
Maureen Mccracken
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
Are you feeling stuck? Perhaps you're in the middle of one of life's "necessary changes," or struggling with starting on your path in the world, regarding purpose,meaning, and making a living. Perhaps you're trying to "reboot" after a loss, illness, or other life-changing experience, or trying to adjust and move forward in the midst of mid-life transition. As your therapist, I will meet you where you are at, and team up with you to create a life in which you find meaning, joy, and fulfillment.
Are you feeling stuck? Perhaps you're in the middle of one of life's "necessary changes," or struggling with starting on your path in the world, regarding purpose,meaning, and making a living. Perhaps you're trying to "reboot" after a loss, illness, or other life-changing experience, or trying to adjust and move forward in the midst of mid-life transition. As your therapist, I will meet you where you are at, and team up with you to create a life in which you find meaning, joy, and fulfillment.
(415) 683-3077 View (415) 683-3077
Photo of Mia Maturen, Marriage & Family Therapist in San Francisco, CA
Mia Maturen
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94102
My style is warm, collaborative, playful, direct, and flexible. Psychotherapy is one of the few places where individuals are free to explore and express themselves in a deeply personal way. People come to therapy for different reasons and with different goals in mind. I am committed to offering a space that is innovative and values uniqueness, developing a way of working with you that accounts for your complexity and individual preferences. I encourage open dialogue and feedback regarding what you find helpful.
My style is warm, collaborative, playful, direct, and flexible. Psychotherapy is one of the few places where individuals are free to explore and express themselves in a deeply personal way. People come to therapy for different reasons and with different goals in mind. I am committed to offering a space that is innovative and values uniqueness, developing a way of working with you that accounts for your complexity and individual preferences. I encourage open dialogue and feedback regarding what you find helpful.
(415) 494-8250 View (415) 494-8250
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 Sophia Shu Wang in San Francisco, CA
Sophia Shu Wang
MA, MT-BC, ADHD-CC, CCTP-I, CCBT
Verified Verified
San Francisco, CA 94110
Through my 10 years of experience working with people of all ages and cultural backgrounds from NYC to SF, I developed a very collaborative approach, which includes but not limited to humanistic, psychodynamic, mindfulness, and cognitive behavioral. I integrate creative modality with practical CBT, ACT, Trauma Informed Therapy, and Coaching to reach the best outcome for each individual. I help my clients connect with purpose, passion, and community to go from managing difficult times to thriving and living life fully.
Through my 10 years of experience working with people of all ages and cultural backgrounds from NYC to SF, I developed a very collaborative approach, which includes but not limited to humanistic, psychodynamic, mindfulness, and cognitive behavioral. I integrate creative modality with practical CBT, ACT, Trauma Informed Therapy, and Coaching to reach the best outcome for each individual. I help my clients connect with purpose, passion, and community to go from managing difficult times to thriving and living life fully.
(341) 766-0668 View (341) 766-0668
Photo of Lisa Herman, Marriage & Family Therapist in San Francisco, CA
Lisa Herman
Marriage & Family Therapist, MFT, PhD, REAT
Verified Verified
2 Endorsed
San Francisco, CA 94110
In our turbulent times, life sometimes is overwhelming. When we run out of solutions, therapy can help create possibilities. I specialize in helping those who feel stuck. With over 40 years experience in the field, I provide a safe, supportive environment to explore your potential for change. Working primarily with relationships - including your relationship with yourself - I challenge restrictive behaviors and beliefs while supporting openness to new experience. I enjoy working with adults, couple and individual sessions.
In our turbulent times, life sometimes is overwhelming. When we run out of solutions, therapy can help create possibilities. I specialize in helping those who feel stuck. With over 40 years experience in the field, I provide a safe, supportive environment to explore your potential for change. Working primarily with relationships - including your relationship with yourself - I challenge restrictive behaviors and beliefs while supporting openness to new experience. I enjoy working with adults, couple and individual sessions.
(831) 531-7861 View (831) 531-7861
Photo of Stephanie L. Denton, Marriage & Family Therapist in San Francisco, CA
Stephanie L. Denton
Marriage & Family Therapist, MA, LMFT, #122562
Verified Verified
4 Endorsed
San Francisco, CA 94114
You are the sky, everything else is the weather - Pema Chodron Through attuned listening, warmth, and at times humor, I welcome your intuition, imagination, spirituality, and creativity into the healing process. I believe there is innate medicine and wisdom within you, which when cultivated, will help you on your life’s journey.
You are the sky, everything else is the weather - Pema Chodron Through attuned listening, warmth, and at times humor, I welcome your intuition, imagination, spirituality, and creativity into the healing process. I believe there is innate medicine and wisdom within you, which when cultivated, will help you on your life’s journey.
(415) 843-2375 View (415) 843-2375
Photo of Dae'Jah Foster, Marriage & Family Therapist Associate in San Francisco, CA
Dae'Jah Foster
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94114  (Online Only)
Are you tired of working hard and still feeling anxious, overwhelmed, or depressed? Do you give everything you have only to feel like you continually come up short? Are you constantly repeating the same mistakes over and over in your relationships and friendships? You don't have to struggle alone. I'm here to support you and help you find self-acceptance, discover your worth, and embrace your whole self. Together we will work to identify your innate talents, optimize your coping skills so you can better deal with life's stressors, and remove the barriers that hold you back from happiness and fulfillment.
Are you tired of working hard and still feeling anxious, overwhelmed, or depressed? Do you give everything you have only to feel like you continually come up short? Are you constantly repeating the same mistakes over and over in your relationships and friendships? You don't have to struggle alone. I'm here to support you and help you find self-acceptance, discover your worth, and embrace your whole self. Together we will work to identify your innate talents, optimize your coping skills so you can better deal with life's stressors, and remove the barriers that hold you back from happiness and fulfillment.
(415) 991-4552 View (415) 991-4552
Photo of Mark Hirschfield, Marriage & Family Therapist in San Francisco, CA
Mark Hirschfield
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94123
Hello! I work with individuals who wish to create lasting, positive changes in their lives and relationships. I offer safe, compassionate and supportive counseling in an atmosphere that deepens understanding, promotes healing, and releases potential. Unresolved emotional issues can stifle creativity, confidence, ambition, and our ability for good relationships. Trauma and loss can cause sadness, depression and pain that inhibit and block. My personal style is interactive, empathic, non-judgmental and respectful of individual values and choices.
Hello! I work with individuals who wish to create lasting, positive changes in their lives and relationships. I offer safe, compassionate and supportive counseling in an atmosphere that deepens understanding, promotes healing, and releases potential. Unresolved emotional issues can stifle creativity, confidence, ambition, and our ability for good relationships. Trauma and loss can cause sadness, depression and pain that inhibit and block. My personal style is interactive, empathic, non-judgmental and respectful of individual values and choices.
(415) 326-1276 View (415) 326-1276
Photo of Meredith Holmes, Psychological Associate in San Francisco, CA
Meredith Holmes
Psychological Associate, MSW, MSCP
Verified Verified
San Francisco, CA 94118  (Online Only)
I am a dedicated and compassionate mental health professional with over 6 years of experience as a psychotherapist and over 16 years of experience as a social worker. I support and empower clients who have a range of concerns including adjusting to life transitions, relationship challenges, exploring various aspects of identity (i.e., race, sexuality, gender), trauma, grief and loss, navigating the world as a neurodivergent person, and more. When appropriate, I utilize humor in the therapy room, and I also welcome exploring creative ways of healing through avenues such as art, music, and play.
I am a dedicated and compassionate mental health professional with over 6 years of experience as a psychotherapist and over 16 years of experience as a social worker. I support and empower clients who have a range of concerns including adjusting to life transitions, relationship challenges, exploring various aspects of identity (i.e., race, sexuality, gender), trauma, grief and loss, navigating the world as a neurodivergent person, and more. When appropriate, I utilize humor in the therapy room, and I also welcome exploring creative ways of healing through avenues such as art, music, and play.
(415) 874-0759 View (415) 874-0759
Photo of Deva Segal, Marriage & Family Therapist in San Francisco, CA
Deva Segal
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
2 Endorsed
San Francisco, CA 94104
Waitlist for new clients
Sex has become an problem, and it's causing issues in your life or partnership. You're either dealing with libido problems (too low or high), sexual discomfort, or difficulties with intimacy. Maybe you're pulled to explore more of your sexual identity or desires. Maybe there’s a history of sex trauma that impacts how safe you feel. At the same time, you keep thinking sex shouldn't be this complicated! You've probably tried some solutions - or even tried some therapy - but it hasn't gotten any better and you're out of ideas. You need an experienced, compassionate therapist who really gets it and can help you enjoy a better sex life.
Sex has become an problem, and it's causing issues in your life or partnership. You're either dealing with libido problems (too low or high), sexual discomfort, or difficulties with intimacy. Maybe you're pulled to explore more of your sexual identity or desires. Maybe there’s a history of sex trauma that impacts how safe you feel. At the same time, you keep thinking sex shouldn't be this complicated! You've probably tried some solutions - or even tried some therapy - but it hasn't gotten any better and you're out of ideas. You need an experienced, compassionate therapist who really gets it and can help you enjoy a better sex life.
(415) 300-4278 View (415) 300-4278

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.