Therapists in Dover, NH

Photo of Trent Call, Marriage & Family Therapist in Dover, NH
Trent Call
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Dover, NH 03820
I am continuously inspired by those that navigate life's most difficult circumstances and still take steps to find healing. Engaging in therapy with someone you feel comfortable with is essential for therapeutic progress. I strive to provide a safe and non-judgmental environment for individuals, couples and families where each person can engage in the therapeutic process. Combined with a customized treatment plan you'll gain an increased feeling of safety, confidence, and connection as you learn the tools you need to improve connection, communication, and heal from trauma.
I am continuously inspired by those that navigate life's most difficult circumstances and still take steps to find healing. Engaging in therapy with someone you feel comfortable with is essential for therapeutic progress. I strive to provide a safe and non-judgmental environment for individuals, couples and families where each person can engage in the therapeutic process. Combined with a customized treatment plan you'll gain an increased feeling of safety, confidence, and connection as you learn the tools you need to improve connection, communication, and heal from trauma.
(603) 945-1639 View (603) 945-1639
Photo of Alex Barbehenn, Clinical Social Work/Therapist in Dover, NH
Alex Barbehenn
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Dover, NH 03820
Not accepting new clients
I enjoy working with people who want to learn about themselves and their relationships and develop insight into their behavior. It isn't easy to ask for help. Sometimes, when we aren't able to solve things on our own, therapy can be a great resource. Clients tell me that I help them make the changes they want. I believe in providing you a safe and supportive place to explore your life. I have twenty-five years of experience and am committed to assisting you understand yourself and grow. People I've worked with have described me as warm and easy to talk to.
I enjoy working with people who want to learn about themselves and their relationships and develop insight into their behavior. It isn't easy to ask for help. Sometimes, when we aren't able to solve things on our own, therapy can be a great resource. Clients tell me that I help them make the changes they want. I believe in providing you a safe and supportive place to explore your life. I have twenty-five years of experience and am committed to assisting you understand yourself and grow. People I've worked with have described me as warm and easy to talk to.
(603) 556-4800 View (603) 556-4800
Photo of Elisa Monahan, Counselor in Dover, NH
Elisa Monahan
Counselor, MS, LCMHC
Verified Verified
Dover, NH 03820
At times, we find ourselves in seasons of life where we may feel disoriented and easily overwhelmed. We can begin questioning ourselves and wondering if we’ve chartered off course or lost our way. During challenging times, it can be easy to feel overburdened by heavy emotions, intrusive thoughts, and the simple tasks of everyday life. Navigating relationships, careers, finances, and other responsibilities can pile up and take their toll on our well-being.
At times, we find ourselves in seasons of life where we may feel disoriented and easily overwhelmed. We can begin questioning ourselves and wondering if we’ve chartered off course or lost our way. During challenging times, it can be easy to feel overburdened by heavy emotions, intrusive thoughts, and the simple tasks of everyday life. Navigating relationships, careers, finances, and other responsibilities can pile up and take their toll on our well-being.
(855) 329-4276 View (855) 329-4276
Photo of Joan Breault Counseling Services, LLC, Counselor in Dover, NH
Joan Breault Counseling Services, LLC
Counselor, EdD, LCMHC
Verified Verified
1 Endorsed
Dover, NH 03820
Waitlist for new clients
Offering in person sessions late afternoon, evening and some Saturdays. I specialize in working with youth and young adults who struggle with anxiety, OCD, depression, behavior, social relationships and trauma related issues. I have many years of experience working with youth and their families providing individual, group and family services within educational, justice, residential and home settings.
Offering in person sessions late afternoon, evening and some Saturdays. I specialize in working with youth and young adults who struggle with anxiety, OCD, depression, behavior, social relationships and trauma related issues. I have many years of experience working with youth and their families providing individual, group and family services within educational, justice, residential and home settings.
(862) 305-9022 View (862) 305-9022
Photo of Molly Vaillincourt Certified Ifs Therapist, Clinical Social Work/Therapist in Dover, NH
Molly Vaillincourt Certified Ifs Therapist
Clinical Social Work/Therapist, LICSW, MLADC
Verified Verified
Dover, NH 03820
Not accepting new clients
I struggled with depression, anxiety, and ADHD, suicide ideation. I’ve had a long journey of healing. As a counselor, I now use tools I’ve learned to help others. I will help you to stop distracting and avoiding yourself, as you strive to gain a deeper understanding of the “why’s” of your feelings and behaviors. As we work together, you’ll learn to work with yourself instead of against.
I struggled with depression, anxiety, and ADHD, suicide ideation. I’ve had a long journey of healing. As a counselor, I now use tools I’ve learned to help others. I will help you to stop distracting and avoiding yourself, as you strive to gain a deeper understanding of the “why’s” of your feelings and behaviors. As we work together, you’ll learn to work with yourself instead of against.
(603) 945-8390 View (603) 945-8390
Photo of Karmyn Vaughn, Clinical Social Work/Therapist in Dover, NH
Karmyn Vaughn
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Dover, NH 03820  (Online Only)
I offer Online Therapy. I have worked in community mental health centers, school counseling and private practice in California, Massachusetts and New Hampshire. I provide a safe space to treat various issues for adults 18 and over via videoconference. I utilize cognitive-behavioral therapy, yet incorporate other approaches depending on my clients needs. I view therapy as a collaborative experience with my clients whom I walk beside and support during our process together. I assist my clients to focus on their personal therapy goals and provide the tools and encouragement to facilitate positive change and personal empowerment.
I offer Online Therapy. I have worked in community mental health centers, school counseling and private practice in California, Massachusetts and New Hampshire. I provide a safe space to treat various issues for adults 18 and over via videoconference. I utilize cognitive-behavioral therapy, yet incorporate other approaches depending on my clients needs. I view therapy as a collaborative experience with my clients whom I walk beside and support during our process together. I assist my clients to focus on their personal therapy goals and provide the tools and encouragement to facilitate positive change and personal empowerment.
(603) 565-0400 View (603) 565-0400
Photo of Mary Sanker, Counselor in Dover, NH
Mary Sanker
Counselor, LCMHC
Verified Verified
1 Endorsed
Dover, NH 03820  (Online Only)
Motherhood, marriage, and building a career have you feeling pulled in too many directions. You want to appear successful, and as if you have it all together but deep down are struggling to feel confident in who you are because someone always needs you and no one -especially yourself is getting the best of you. One thing is for sure: you’re ready for some relief. You’re ready to enjoy life without your anxiety getting in the way. You’re ready to find joy in the day-to-day again, free of the need to please others. You’re ready for a new “normal,” and I can help you.
Motherhood, marriage, and building a career have you feeling pulled in too many directions. You want to appear successful, and as if you have it all together but deep down are struggling to feel confident in who you are because someone always needs you and no one -especially yourself is getting the best of you. One thing is for sure: you’re ready for some relief. You’re ready to enjoy life without your anxiety getting in the way. You’re ready to find joy in the day-to-day again, free of the need to please others. You’re ready for a new “normal,” and I can help you.
(855) 619-7192 View (855) 619-7192
Photo of Jennifer Schirmer, Counselor in Dover, NH
Jennifer Schirmer
Counselor, LCMHC, NCC, CCTP
Verified Verified
Dover, NH 03820
Perhaps you’re down or anxious. Maybe you’re unsure about the future of a relationship or you feel as though you aren’t living the life you were meant to lead. Perhaps you’re thinking that something is getting in the way of your ability to function at work or other environments that are important to you. Life can be challenging – whether the challenges are sudden and unexpected or build up over the course of years. In sessions I promote behavioral transformation through collaborative efforts and solution-focused interventions to help you get back on track, identify and achieve your goals, and reach your greatest potential.
Perhaps you’re down or anxious. Maybe you’re unsure about the future of a relationship or you feel as though you aren’t living the life you were meant to lead. Perhaps you’re thinking that something is getting in the way of your ability to function at work or other environments that are important to you. Life can be challenging – whether the challenges are sudden and unexpected or build up over the course of years. In sessions I promote behavioral transformation through collaborative efforts and solution-focused interventions to help you get back on track, identify and achieve your goals, and reach your greatest potential.
(603) 605-8885 View (603) 605-8885
Photo of Jeanette G. Dustin, LMFT, LLC, Marriage & Family Therapist in Dover, NH
Jeanette G. Dustin, LMFT, LLC
Marriage & Family Therapist, LMFT, LLC
Verified Verified
5 Endorsed
Dover, NH 03820
Are you or someone you know struggling with managing emotions-anxiety or depression, are there sexual concerns for yourself or in your relationship, or are you struggling with adjustments in your life, maybe starting a family or parenting children who struggle with behaviors? If so I would love to hear from you in order to see if I am a good fit to help. I love working with all types of family systems, currently with couples or adult individuals. I believe that part of moving forward towards change is supporting my clients in finding the solutions within themselves.
Are you or someone you know struggling with managing emotions-anxiety or depression, are there sexual concerns for yourself or in your relationship, or are you struggling with adjustments in your life, maybe starting a family or parenting children who struggle with behaviors? If so I would love to hear from you in order to see if I am a good fit to help. I love working with all types of family systems, currently with couples or adult individuals. I believe that part of moving forward towards change is supporting my clients in finding the solutions within themselves.
(603) 716-9366 View (603) 716-9366
Photo of Jade Gibbons, Clinical Social Work/Therapist in Dover, NH
Jade Gibbons
Clinical Social Work/Therapist, LICSW
Verified Verified
Dover, NH 03820
Jade Gibbons is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2016. She has a Bachelor of Science in Elementary Education and Sociology from Keene State College and a Master of Social Work from the University of New Hampshire. Jade believes in an approach to therapy that develops a safe, supportive, and non-judgmental collaboration with clients and families as they work towards overcoming hardships and living more fulfilled lives.
Jade Gibbons is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2016. She has a Bachelor of Science in Elementary Education and Sociology from Keene State College and a Master of Social Work from the University of New Hampshire. Jade believes in an approach to therapy that develops a safe, supportive, and non-judgmental collaboration with clients and families as they work towards overcoming hardships and living more fulfilled lives.
(603) 803-6680 View (603) 803-6680
Photo of Pilar Van Patten, Marriage & Family Therapist in Dover, NH
Pilar Van Patten
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Dover, NH 03820
Finding the right therapist is fundamental to the therapy process. I've been working with individuals and families for over 15 years and I love deeply connecting with clients and supporting them through their journey to wellness and clarity. I believe forming a strong bond with a client using compassion, empathy, and humor, will help them feel more comfortable to open up and explore their emotional barriers to living their most fulfilled life. I use a strengths based and holistic approach to wellness.
Finding the right therapist is fundamental to the therapy process. I've been working with individuals and families for over 15 years and I love deeply connecting with clients and supporting them through their journey to wellness and clarity. I believe forming a strong bond with a client using compassion, empathy, and humor, will help them feel more comfortable to open up and explore their emotional barriers to living their most fulfilled life. I use a strengths based and holistic approach to wellness.
(866) 954-5482 View (866) 954-5482
Photo of Marissa Romanovitch, Clinical Social Work/Therapist in Dover, NH
Marissa Romanovitch
Clinical Social Work/Therapist, LISCW
Verified Verified
1 Endorsed
Dover, NH 03820  (Online Only)
Waitlist for new clients
Living with anxiety is painful. Whether it is feeling overwhelmed by the stressors of daily life, navigating illness or survivorship, grappling with sexuality or identity, or struggling with past trauma, anxiety shows up in many ways and robs individuals of their joy. My ideal client is looking for a space of connection and peace, so they can feel safe to do healing work.
Living with anxiety is painful. Whether it is feeling overwhelmed by the stressors of daily life, navigating illness or survivorship, grappling with sexuality or identity, or struggling with past trauma, anxiety shows up in many ways and robs individuals of their joy. My ideal client is looking for a space of connection and peace, so they can feel safe to do healing work.
(413) 324-5029 View (413) 324-5029
Photo of Maria LaPierre, Marriage & Family Therapist in Dover, NH
Maria LaPierre
Marriage & Family Therapist, LMFT
Verified Verified
Dover, NH 03820
Not accepting new clients
Often, navigating relationships, life stressors and transitions can be challenging and feel overwhelming. I believe that by helping you experience new ways of communicating and expressing emotions, you will have a new sense of hope that your situation can change and you will be able to maintain those changes moving forward. My goal is to create a safe and comfortable environment where we can work collaboratively to help you reach your goals.
Often, navigating relationships, life stressors and transitions can be challenging and feel overwhelming. I believe that by helping you experience new ways of communicating and expressing emotions, you will have a new sense of hope that your situation can change and you will be able to maintain those changes moving forward. My goal is to create a safe and comfortable environment where we can work collaboratively to help you reach your goals.
(844) 779-2356 View (844) 779-2356
Photo of Shelby deBruyn, Clinical Social Work/Therapist in Dover, NH
Shelby deBruyn
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Dover, NH 03820
Not accepting new clients
Life is filled with peaks and valleys and sometimes we can lose sight of ourselves in the midst of change. Wouldn’t it be nice to have some space and time set aside just for you, to breathe and reconnect with yourself? In these moments of pause it is possible to find balance and alignment between your mind, body and soul and begin to show love and acceptance for all the different versions of yourself. I strive to create a therapeutic environment where you can build confidence in yourself and feel safe and supported in order to heal and grow.
Life is filled with peaks and valleys and sometimes we can lose sight of ourselves in the midst of change. Wouldn’t it be nice to have some space and time set aside just for you, to breathe and reconnect with yourself? In these moments of pause it is possible to find balance and alignment between your mind, body and soul and begin to show love and acceptance for all the different versions of yourself. I strive to create a therapeutic environment where you can build confidence in yourself and feel safe and supported in order to heal and grow.
(888) 387-5776 View (888) 387-5776
Photo of Jennifer Michaud, Counselor in Dover, NH
Jennifer Michaud
Counselor, LCMHC, LMHC, LCPC, LADC
Verified Verified
Dover, NH 03820  (Online Only)
My practice focus, is working with individuals recovering from substance use disorder, codependency and adult children of alcoholics. I work with adults doing individual therapy via tele-health. Substance use disorder affects everyone in the family, not just the person using substances. I help clients understand their thoughts, behavior and actions that keep them stuck. Often times, individuals are unaware of what drives their behaviors. I strive to help clients better understand themselves, in order to live healthier more fulfilling lives. I use evidence based treatment approaches, to help clients reach their treatment goals.
My practice focus, is working with individuals recovering from substance use disorder, codependency and adult children of alcoholics. I work with adults doing individual therapy via tele-health. Substance use disorder affects everyone in the family, not just the person using substances. I help clients understand their thoughts, behavior and actions that keep them stuck. Often times, individuals are unaware of what drives their behaviors. I strive to help clients better understand themselves, in order to live healthier more fulfilling lives. I use evidence based treatment approaches, to help clients reach their treatment goals.
(603) 935-5028 View (603) 935-5028
Photo of Resilience & Hope in Dover, NH
Resilience & Hope
Verified Verified
Dover, NH 03821
Do you have a high stress life or a high demand/high responsibility career? Are you under preforming? Not motivated? Are you exhausted? Have relentless anxious or depressive thoughts that are wearing you down? Worried that life or work demands will get in the way of attending sessions? Dread the thought of running into someone you know? We get it and offer extremely flexible scheduling, maintain a limited number of patients, and have strict confidentiality & privacy procedures in place. Appointments available to fit YOUR schedule (online or in-person), Tues-Fri 10am-8pm & Saturdays 9am-2pm.
Do you have a high stress life or a high demand/high responsibility career? Are you under preforming? Not motivated? Are you exhausted? Have relentless anxious or depressive thoughts that are wearing you down? Worried that life or work demands will get in the way of attending sessions? Dread the thought of running into someone you know? We get it and offer extremely flexible scheduling, maintain a limited number of patients, and have strict confidentiality & privacy procedures in place. Appointments available to fit YOUR schedule (online or in-person), Tues-Fri 10am-8pm & Saturdays 9am-2pm.
(603) 239-2451 View (603) 239-2451
Photo of Marjorie W Briand, Clinical Social Work/Therapist in Dover, NH
Marjorie W Briand
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Dover, NH 03820
Not accepting new clients
A good life begins on the inside. I believe effective psychotherapy provides a collaborative relationship involving caring support, humor, and spontaneity. It enhances self-awareness and self-esteem, aids in improved interpersonal relationships, increases coping skills, and provides understanding of emotional patterns. The challenges that draw you to therapy are an invitation to heal and are the beginning of new possibilities for your life and your relationships. My goal as your therapist is to provide you with tools and perspectives, empowering you to transform your life so that you can emerge a stronger, healthier person.
A good life begins on the inside. I believe effective psychotherapy provides a collaborative relationship involving caring support, humor, and spontaneity. It enhances self-awareness and self-esteem, aids in improved interpersonal relationships, increases coping skills, and provides understanding of emotional patterns. The challenges that draw you to therapy are an invitation to heal and are the beginning of new possibilities for your life and your relationships. My goal as your therapist is to provide you with tools and perspectives, empowering you to transform your life so that you can emerge a stronger, healthier person.
(603) 742-0950 View (603) 742-0950
Photo of Ozgur Akbas, Marriage & Family Therapist in Dover, NH
Ozgur Akbas
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Dover, NH 03820
Wellness is more than an absence of problems; it is an experience of living life to the fullest. Recognizing that the resources for healing and negotiating interpersonal conflicts already exist within us, I rely on a sensitive understanding of each individual and the unique abilities they can further develop to achieve their goals.
Wellness is more than an absence of problems; it is an experience of living life to the fullest. Recognizing that the resources for healing and negotiating interpersonal conflicts already exist within us, I rely on a sensitive understanding of each individual and the unique abilities they can further develop to achieve their goals.
(603) 446-6317 View (603) 446-6317
Photo of Coleen Barry, Counselor in Dover, NH
Coleen Barry
Counselor, PhD, LCMHC
Verified Verified
3 Endorsed
Dover, NH 03820  (Online Only)
Not accepting new clients
*Please email all new patient inquiries.* Are you going through a time in your life when you emotions feel overwhelming? Are you lacking clarity about your true self? Do you tell yourself that you are doing the best you can, but wonder why you don't feel as good as you'd like to? Do you want to feel more like yourself, feel more connected to others and function better? Often times we have unmet emotional needs we are not even aware of, that pile up and negatively impact many areas of our lives: self-esteem, relationships, communication, academic/work performance, sports performance, parenting, etc.
*Please email all new patient inquiries.* Are you going through a time in your life when you emotions feel overwhelming? Are you lacking clarity about your true self? Do you tell yourself that you are doing the best you can, but wonder why you don't feel as good as you'd like to? Do you want to feel more like yourself, feel more connected to others and function better? Often times we have unmet emotional needs we are not even aware of, that pile up and negatively impact many areas of our lives: self-esteem, relationships, communication, academic/work performance, sports performance, parenting, etc.
(603) 945-8334 View (603) 945-8334
Photo of Chris Campernel LICSW, Clinical Social Work/Therapist in Dover, NH
Chris Campernel LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Dover, NH 03820
Not accepting new clients
I am a licensed clinical social worker who has been practicing since 2004. I completed my undergraduate education at the University of Michigan with a Bachelor's Degree in Psychology and hold a Master's Degree in Social Work from Boston College with a clinical concentration in Children, Youth and Families. I have extensive experience working with adolescents and families, working in both office based and home based settings. My specialization is adolescent behavior problems, depression and anxiety in adolescents and adults, and family therapy.
I am a licensed clinical social worker who has been practicing since 2004. I completed my undergraduate education at the University of Michigan with a Bachelor's Degree in Psychology and hold a Master's Degree in Social Work from Boston College with a clinical concentration in Children, Youth and Families. I have extensive experience working with adolescents and families, working in both office based and home based settings. My specialization is adolescent behavior problems, depression and anxiety in adolescents and adults, and family therapy.
(603) 716-9962 View (603) 716-9962

See more therapy options for Dover

How does your Therapist compare?

Number of Therapists in Dover, NH

100+

Average cost per session

$150

Therapists in Dover, NH who prioritize treating:

94% Anxiety
86% Depression
76% Relationship Issues
74% Self Esteem
70% Coping Skills
63% Trauma and PTSD
60% Stress

Average years in practice

13 Years

Top 3 insurances accepted

76% Cigna and Evernorth
62% UnitedHealthcare UHC | UBH
62% Anthem | Elevance

How Therapists in Dover, NH see their clients

74% In Person and Online
26% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Dover?

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.