Therapists in Jacksonville, FL

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Photo of Goulnissa Outechova, Counselor in Jacksonville, FL
Goulnissa Outechova
Counselor, LMHC
Verified Verified
Jacksonville, FL 32257
Goulnissa Outechova is a Licensed Mental Health Counselor (LHMC) with over 17 years of experience in the field. Goulnissa works with clients of different ages and her main focus is helping families and children cope with their challenges, including anxiety, depression, ADHD, trauma, stress, interpersonal relationships, communication skills, and parenting.
Goulnissa Outechova is a Licensed Mental Health Counselor (LHMC) with over 17 years of experience in the field. Goulnissa works with clients of different ages and her main focus is helping families and children cope with their challenges, including anxiety, depression, ADHD, trauma, stress, interpersonal relationships, communication skills, and parenting.
(904) 664-6732 View (904) 664-6732
Photo of Vason Jabbok Manonmani, Clinical Social Work/Therapist in Jacksonville, FL
Vason Jabbok Manonmani
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32211  (Online Only)
Hi there, I am Vason Manonmani. Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work, and health? Is it hard to be kind to yourself? Are you still haunted by your traumatic past?
Hi there, I am Vason Manonmani. Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work, and health? Is it hard to be kind to yourself? Are you still haunted by your traumatic past?
(904) 780-6787 View (904) 780-6787
Photo of Maria A Adigweme, Counselor in Jacksonville, FL
Maria A Adigweme
Counselor, MS, LMHC, CAP
Verified Verified
Jacksonville, FL 32257  (Online Only)
Are you Stressed, Anxious, Depressed, facing Transitions, Stage-of-Life Issues, Relationship Distress & Other Life's Challenges? My goal is to assist individuals toward the path of improvement by providing a conducive, non-judgmental atmosphere where personal circumstances are explored and worked on for overall well-being. Extensive experience enables me to tailor the treatment approach to meet individuals' unique needs. It's my belief that exploring past challenges enables insight to those problems. Equipped with good insight, an individual will most effectively develop steps and path necessary for improved and healthier life.
Are you Stressed, Anxious, Depressed, facing Transitions, Stage-of-Life Issues, Relationship Distress & Other Life's Challenges? My goal is to assist individuals toward the path of improvement by providing a conducive, non-judgmental atmosphere where personal circumstances are explored and worked on for overall well-being. Extensive experience enables me to tailor the treatment approach to meet individuals' unique needs. It's my belief that exploring past challenges enables insight to those problems. Equipped with good insight, an individual will most effectively develop steps and path necessary for improved and healthier life.
(904) 329-7460 View (904) 329-7460
Photo of Pamela Raspberry, Clinical Social Work/Therapist in Jacksonville, FL
Pamela Raspberry
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Jacksonville, FL 32218  (Online Only)
Let my 20-year experience as a Clinical Social Worker and 16-year experience as a Licensed Clinical Social Worker be your ticket to a better life! Working with couples, families, and individuals is a joy! Difficulties that we can face together include Anger Management, Trauma, Anxiety, Depression, Self Care, and others. Using a myriad of approaches opens the path to creating a unique plan that can set you on a path to success! I look forward to working together with you on your path to healing.
Let my 20-year experience as a Clinical Social Worker and 16-year experience as a Licensed Clinical Social Worker be your ticket to a better life! Working with couples, families, and individuals is a joy! Difficulties that we can face together include Anger Management, Trauma, Anxiety, Depression, Self Care, and others. Using a myriad of approaches opens the path to creating a unique plan that can set you on a path to success! I look forward to working together with you on your path to healing.
(904) 867-8395 View (904) 867-8395
Photo of Connie E Clark, Counselor in Jacksonville, FL
Connie E Clark
Counselor, PhD, LMHC, CST, CSAT, CPTT
Verified Verified
5 Endorsed
Jacksonville, FL 32211
Life can sometimes feel overwhelming and very difficult. Relationships can be the source of much joy, but also much pain. Combine that with depression, loss, or grief and you have one toxic mix which contributes to issues of one's health and wellness.Talking about your problems with a non-judgmental, understanding, and caring professional can help with life's questions, pain, and problems. One's identity is the most important thing to carry through life; and when it is buried underneath mounds of culture, gender, sexuality, family, job, religion, expectations, and responsibilities; you don't know where your identity begins
Life can sometimes feel overwhelming and very difficult. Relationships can be the source of much joy, but also much pain. Combine that with depression, loss, or grief and you have one toxic mix which contributes to issues of one's health and wellness.Talking about your problems with a non-judgmental, understanding, and caring professional can help with life's questions, pain, and problems. One's identity is the most important thing to carry through life; and when it is buried underneath mounds of culture, gender, sexuality, family, job, religion, expectations, and responsibilities; you don't know where your identity begins
(904) 513-2452 View (904) 513-2452
Photo of Sophia Venditti, Clinical Social Work/Therapist in Jacksonville, FL
Sophia Venditti
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Jacksonville, FL 32216
Waitlist for new clients
Happy to announce I am now seeing couples online and virtually! We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone. Maybe you are feeling overwhelmed or just stuck. You feel like you have tried everything and you are looking for a new way to improve your situation. Perhaps your child has experienced an upsetting event and you don't want this to define them. It hurts to see the people we love upset or struggling. I can offer the tools, skills, and support for your journey.
Happy to announce I am now seeing couples online and virtually! We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone. Maybe you are feeling overwhelmed or just stuck. You feel like you have tried everything and you are looking for a new way to improve your situation. Perhaps your child has experienced an upsetting event and you don't want this to define them. It hurts to see the people we love upset or struggling. I can offer the tools, skills, and support for your journey.
(904) 593-4207 View (904) 593-4207
Photo of Tara Louise McNamara, Counselor in Jacksonville, FL
Tara Louise McNamara
Counselor, LMHC
Verified Verified
Jacksonville, FL 32224
Hope. I hear that so much in therapy. Is there hope? Will things get better? My answer is there will always be hope. Hope brought you to this website. Hope motivates us and with the help of a therapeutic alliance provides insight and a course foward. My goal is to teach you tools and provide a environment in which you feel secure in sharing your experiences.
Hope. I hear that so much in therapy. Is there hope? Will things get better? My answer is there will always be hope. Hope brought you to this website. Hope motivates us and with the help of a therapeutic alliance provides insight and a course foward. My goal is to teach you tools and provide a environment in which you feel secure in sharing your experiences.
(904) 875-5346 View (904) 875-5346
Photo of Serenity Wellness, Clinical Social Work/Therapist in Jacksonville, FL
Serenity Wellness
Clinical Social Work/Therapist, LCSW, CCATP
Verified Verified
Jacksonville, FL 32210
Waitlist for new clients
I am aware that choosing to seek support from a mental health practitioner for our emotional/ mental health and life problems can be a scary process. However, therapy does not have to be a scary process if your are paired with a therapist who understands the value of starting where the client is and working to develop a strong therapeutic alliance. My primary goal is to offer a safe therapeutic environment where my clients are free to share their stories without judgement or fear, and be empowered to remove obstacles that interfere with personal freedom, growth, and personal satisfaction.
I am aware that choosing to seek support from a mental health practitioner for our emotional/ mental health and life problems can be a scary process. However, therapy does not have to be a scary process if your are paired with a therapist who understands the value of starting where the client is and working to develop a strong therapeutic alliance. My primary goal is to offer a safe therapeutic environment where my clients are free to share their stories without judgement or fear, and be empowered to remove obstacles that interfere with personal freedom, growth, and personal satisfaction.
(904) 351-0652 View (904) 351-0652
Photo of Alan M Lipzin, Counselor in Jacksonville, FL
Alan M Lipzin
Counselor, MS, LMHC
Verified Verified
Jacksonville, FL 32256
Are you having problems reaching some of the most important and challenging goals in your life? As your personal life coach or therapist, I can provide professional specialized services designed to assist you in overcoming obstacles and reach your goals. While change is often stressful, it can also represent an opportunity for personal growth and transformation. My focus is to help you define, prioritize and create an action plan of change to reach your goals. By having a specific personalized plan, you will find it much easier to move forward and reap the rewards of healthy positive change.
Are you having problems reaching some of the most important and challenging goals in your life? As your personal life coach or therapist, I can provide professional specialized services designed to assist you in overcoming obstacles and reach your goals. While change is often stressful, it can also represent an opportunity for personal growth and transformation. My focus is to help you define, prioritize and create an action plan of change to reach your goals. By having a specific personalized plan, you will find it much easier to move forward and reap the rewards of healthy positive change.
(904) 379-8094 View (904) 379-8094
Photo of Katherine W. Yates, Mental Health Counselor in Jacksonville, FL
Katherine W. Yates
Mental Health Counselor, MA, LMHC, RPT
Verified Verified
Jacksonville, FL 32223  (Online Only)
It is a privilege to be considered to take part in your journey. Mental health counseling is the best investment you can make for yourself. Although the decision to seek counseling may have been difficult, it is a courageous one. Therapy is an effective way to face your distress in a safe and supportive way and it is a pathway to personal transformation. I am a mental health counselor who works with children, adolescents and adults with anxiety, depression, trauma, grief, life transitions, relationship issues, managing stressors and behavioral issues.
It is a privilege to be considered to take part in your journey. Mental health counseling is the best investment you can make for yourself. Although the decision to seek counseling may have been difficult, it is a courageous one. Therapy is an effective way to face your distress in a safe and supportive way and it is a pathway to personal transformation. I am a mental health counselor who works with children, adolescents and adults with anxiety, depression, trauma, grief, life transitions, relationship issues, managing stressors and behavioral issues.
(904) 494-6249 View (904) 494-6249
Photo of Juliet Robinson, Licensed Mental Health Counselor in Jacksonville, FL
Juliet Robinson
Licensed Mental Health Counselor, MS, LMHC, LPC, CTP, NCC
Verified Verified
1 Endorsed
Jacksonville, FL 32223
Accepting clients in Florida and Georgia (Telehealth only) In this ever changing complex world, life brings challenges and distractions. Make yourself a priority and allow me to listen and support you as you are walking your "becoming" journey. If you are feeling overwhelmed, anxious, depressed, having relationship difficulties or parenting skills challenges I am here to heal, recover and grow with you. I know that no single approach is the right one for every individual and so, my aim is to use evidence-based, person-centered and trauma focused approach as techniques in a safe and empathetic space. So let's begin!
Accepting clients in Florida and Georgia (Telehealth only) In this ever changing complex world, life brings challenges and distractions. Make yourself a priority and allow me to listen and support you as you are walking your "becoming" journey. If you are feeling overwhelmed, anxious, depressed, having relationship difficulties or parenting skills challenges I am here to heal, recover and grow with you. I know that no single approach is the right one for every individual and so, my aim is to use evidence-based, person-centered and trauma focused approach as techniques in a safe and empathetic space. So let's begin!
(904) 204-1838 View (904) 204-1838
Photo of Carmella Gardner, Counselor in Jacksonville, FL
Carmella Gardner
Counselor, LMHC
Verified Verified
Jacksonville, FL 32257
I offer 25 years of experience in providing client-centered, interactive and supportive counseling to individuals, couples and families.I believe in utilizing guided observations and questions to empower my clients, giving them more choices in their therapeutic care and providing practical education and goals. I am a Licensed Mental Health Counselor (LMHC) and cognitive behavioral specialist. I also have counseling experience in mental health treatment facilities and government agencies, serving a wide variety of clients.
I offer 25 years of experience in providing client-centered, interactive and supportive counseling to individuals, couples and families.I believe in utilizing guided observations and questions to empower my clients, giving them more choices in their therapeutic care and providing practical education and goals. I am a Licensed Mental Health Counselor (LMHC) and cognitive behavioral specialist. I also have counseling experience in mental health treatment facilities and government agencies, serving a wide variety of clients.
(904) 875-2079 View (904) 875-2079
Photo of Ashley Baughman in Jacksonville, FL
Ashley Baughman
LMHC
Verified Verified
1 Endorsed
Jacksonville, FL 32256  (Online Only)
Have you been living under the weight of heavy labels like ‘anxiety’ and ‘depression’. You aren’t meant to. Experiencing moments of anxiety and sadness is a part of the human experience. But it is not your identity and it is not a way of life. Life is rarely easy but that doesn’t mean it can't be full of joy.
Have you been living under the weight of heavy labels like ‘anxiety’ and ‘depression’. You aren’t meant to. Experiencing moments of anxiety and sadness is a part of the human experience. But it is not your identity and it is not a way of life. Life is rarely easy but that doesn’t mean it can't be full of joy.
(904) 299-4713 View (904) 299-4713
Photo of Lindsey K. Bennett, Clinical Social Work/Therapist in Jacksonville, FL
Lindsey K. Bennett
Clinical Social Work/Therapist, LCSW, MCAP
Verified Verified
1 Endorsed
Jacksonville, FL 32202
Not accepting new clients
You’ve reached your limit. You know that something has got to change, and you're beyond ready for some relief, but deciding where to start feels like a moving target. You’ve read about attachment styles and emotional dysregulation and most of it makes sense in theory, but things aren’t actually changing. You find that you still react to stress and conflict in ways that you don’t fully understand, which often results in being misunderstood and second guessing yourself. Half the time you don't even know what your actual feelings and needs are so... um, how are you supposed to effectively communicate these things to another human?
You’ve reached your limit. You know that something has got to change, and you're beyond ready for some relief, but deciding where to start feels like a moving target. You’ve read about attachment styles and emotional dysregulation and most of it makes sense in theory, but things aren’t actually changing. You find that you still react to stress and conflict in ways that you don’t fully understand, which often results in being misunderstood and second guessing yourself. Half the time you don't even know what your actual feelings and needs are so... um, how are you supposed to effectively communicate these things to another human?
(904) 204-1679 View (904) 204-1679
Photo of Dishaun Davis Disu, Counselor in Jacksonville, FL
Dishaun Davis Disu
Counselor, LMHC, NCC, MS
Verified Verified
Jacksonville, FL 32258  (Online Only)
I believe that in order for individuals to experience an extraordinary life (a life filled with peace, love, joy, and purpose) they must learn how to heal, protect, and strengthen all three parts of themselves - the soul (mind, will, & emotions), the body, and the spirit. I incorporate cognitive behavioral therapy with Christian, biblical principles to address a complexity of issues within an individual, family, couple, or group that may be preventing them from experiencing physical, mental, and spiritual wholeness. Also, my husband, Adewale Disu, a Certified Life Coach, provides life coaching services to men.
I believe that in order for individuals to experience an extraordinary life (a life filled with peace, love, joy, and purpose) they must learn how to heal, protect, and strengthen all three parts of themselves - the soul (mind, will, & emotions), the body, and the spirit. I incorporate cognitive behavioral therapy with Christian, biblical principles to address a complexity of issues within an individual, family, couple, or group that may be preventing them from experiencing physical, mental, and spiritual wholeness. Also, my husband, Adewale Disu, a Certified Life Coach, provides life coaching services to men.
(904) 414-3891 View (904) 414-3891
Photo of Amy Schaet, Counselor in Jacksonville, FL
Amy Schaet
Counselor, LMHC, LPC
Verified Verified
Jacksonville, FL 32277  (Online Only)
The best way to reach out to me to see if we are a good fit is to schedule a free consultation directly through my website! No need for the endless email and phone tag. Do you feel like you have lost your spark and vibrancy? Do you struggle with the expectations of who you should be, never feeling like you are enough? Do you numb your feelings and ignore your hearts desires for comfort, stability, acceptance, and normalcy? I want to help you overcome the things that are weighing you down and keeping you from living your most authentic life.
The best way to reach out to me to see if we are a good fit is to schedule a free consultation directly through my website! No need for the endless email and phone tag. Do you feel like you have lost your spark and vibrancy? Do you struggle with the expectations of who you should be, never feeling like you are enough? Do you numb your feelings and ignore your hearts desires for comfort, stability, acceptance, and normalcy? I want to help you overcome the things that are weighing you down and keeping you from living your most authentic life.
(904) 320-0673 View (904) 320-0673
Photo of Monique Murray, Registered Clinical Social Worker Intern in Jacksonville, FL
Monique Murray
Registered Clinical Social Worker Intern, MSW
Verified Verified
1 Endorsed
Jacksonville, FL 32218
I have always had a strong desire to help others. This strong desire lead me to the mental health field. My goal as a therapist is to provide a safe and nonjudgmental space for you to explore the challenges or fears you are facing. Through my social work background, I take into consideration how various aspect of your life intersect with each other. Through a deep understanding of diverse perspectives and backgrounds, I tailor my therapeutic techniques to meet you where you are. My goal is to collaboratively support you in gaining insight, developing coping strategies, and fostering a sense of empowerment.
I have always had a strong desire to help others. This strong desire lead me to the mental health field. My goal as a therapist is to provide a safe and nonjudgmental space for you to explore the challenges or fears you are facing. Through my social work background, I take into consideration how various aspect of your life intersect with each other. Through a deep understanding of diverse perspectives and backgrounds, I tailor my therapeutic techniques to meet you where you are. My goal is to collaboratively support you in gaining insight, developing coping strategies, and fostering a sense of empowerment.
(904) 780-6310 View (904) 780-6310
Photo of Michelle McGriff, Counselor in Jacksonville, FL
Michelle McGriff
Counselor, LMHC
Verified Verified
Jacksonville, FL 32223
Life can be challenging at times and there will be days when things seem completely out of our control. As a person-centered counselor, I wholeheartedly believe that we can come back from anything and regain a sense of control. I oftentimes utilize this approach with my clients to remind them that they can create the life that they wish to have and the change they wish to see. I am currently accepting new clients via in office or statewide Telehealth.
Life can be challenging at times and there will be days when things seem completely out of our control. As a person-centered counselor, I wholeheartedly believe that we can come back from anything and regain a sense of control. I oftentimes utilize this approach with my clients to remind them that they can create the life that they wish to have and the change they wish to see. I am currently accepting new clients via in office or statewide Telehealth.
(904) 822-3976 View (904) 822-3976
Photo of Dr. Ne'shaun J Borden, Counselor in Jacksonville, FL
Dr. Ne'shaun J Borden
Counselor, PhD, LMHC, QS
Verified Verified
Jacksonville, FL 32218  (Online Only)
Does it feel like it has been a while since someone listened and understood you? If your answer is yes to these questions, then counseling might be for you. There is a misconception that counseling is only for wealthy individuals or severe mental illness, but this could not be further from the truth. Counseling is preventative, supportive and for everyone. If you are struggling with family issues, anxiety, depression, trauma and in need of support, then as a counselor I would like to work with you.
Does it feel like it has been a while since someone listened and understood you? If your answer is yes to these questions, then counseling might be for you. There is a misconception that counseling is only for wealthy individuals or severe mental illness, but this could not be further from the truth. Counseling is preventative, supportive and for everyone. If you are struggling with family issues, anxiety, depression, trauma and in need of support, then as a counselor I would like to work with you.
(904) 906-4656 View (904) 906-4656
Photo of Dina Rachelle Milum in Jacksonville, FL
Dina Rachelle Milum
LMHC, PhD
Verified Verified
Jacksonville, FL 32244  (Online Only)
Taking the first step is usually the most difficult part. The decision to try therapy takes courage; but can result in the promise of hope for change, insight, a new direction and then finally solutions. Dina's work has been described as insight-oriented, cognitive behavioral, relational and free from blame or guilt. With over 25 years experience she has worked with a wide variety of clients and client issues including depression, anxiety, trauma, relationship issues, family relationship difficulties, social anxiety, phase of life problems as well many other issues.
Taking the first step is usually the most difficult part. The decision to try therapy takes courage; but can result in the promise of hope for change, insight, a new direction and then finally solutions. Dina's work has been described as insight-oriented, cognitive behavioral, relational and free from blame or guilt. With over 25 years experience she has worked with a wide variety of clients and client issues including depression, anxiety, trauma, relationship issues, family relationship difficulties, social anxiety, phase of life problems as well many other issues.
(904) 760-0278 View (904) 760-0278

See more therapy options for Jacksonville

How does your Therapist compare?

Number of Therapists in Jacksonville, FL

1,000+

Average cost per session

$125

Therapists in Jacksonville, FL who prioritize treating:

92% Anxiety
87% Depression
75% Coping Skills
75% Self Esteem
68% Trauma and PTSD
67% Relationship Issues
66% Stress

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
83% UnitedHealthcare UHC | UBH
80% Cigna and Evernorth

How Therapists in Jacksonville, FL see their clients

57% In Person and Online
43% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Jacksonville?

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.