Therapists in Miami, FL

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Photo of Cristina Pomo-Sansac, Clinical Social Work/Therapist in Miami, FL
Cristina Pomo-Sansac
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Miami, FL 33176
Cristina Pomo-Sansac is a licensed psychotherapist born in Argentina trained extensively in Psychodynamic and Multi Systemic Approaches. Specialized in areas of relationships, family, couples and adolescents of multicultural descents and various orientations. Cristina Pomo-Sansac, LCSW therapist in Miami utilizes a psychodynamic, systemic and cognitive-behavioral approach in an environment that is nurturing, contained and safe. "Psychotherapy refers to a therapeutic treatment or interaction between a qualified trained professional and a client, patient, family, couple or group. Psychotherapy aims to increase the individual sense of his or her own sense of well being and improve mental health."
Cristina Pomo-Sansac is a licensed psychotherapist born in Argentina trained extensively in Psychodynamic and Multi Systemic Approaches. Specialized in areas of relationships, family, couples and adolescents of multicultural descents and various orientations. Cristina Pomo-Sansac, LCSW therapist in Miami utilizes a psychodynamic, systemic and cognitive-behavioral approach in an environment that is nurturing, contained and safe. "Psychotherapy refers to a therapeutic treatment or interaction between a qualified trained professional and a client, patient, family, couple or group. Psychotherapy aims to increase the individual sense of his or her own sense of well being and improve mental health."
(786) 273-7986 View (786) 273-7986
Photo of Susan Webster, Psychologist in Miami, FL
Susan Webster
Psychologist, PhD, MBA, MEd
Verified Verified
Miami, FL 33130  (Online Only)
Hello, I’m Dr. Susan Webster, a licensed clinical psychologist for over 20 years. I provide solution-focused therapy approaches. These include psychodynamic, family-systems, cognitive-behavioral therapy, and mindfulness-based therapies. My goal is to provide a safe and supportive environment where clients can explore their thoughts and feelings, gain insight into their behaviors, and develop skills and strategies to help overcome challenges. I have graduate degrees from the University of Virginia, and the University of Oxford.
Hello, I’m Dr. Susan Webster, a licensed clinical psychologist for over 20 years. I provide solution-focused therapy approaches. These include psychodynamic, family-systems, cognitive-behavioral therapy, and mindfulness-based therapies. My goal is to provide a safe and supportive environment where clients can explore their thoughts and feelings, gain insight into their behaviors, and develop skills and strategies to help overcome challenges. I have graduate degrees from the University of Virginia, and the University of Oxford.
(786) 767-5410 View (786) 767-5410
Photo of Lic. Diego Tzoymaher y Equipo in Miami, FL
Lic. Diego Tzoymaher y Equipo
Lic , Psic
Verified Verified
Miami, FL 33195  (Online Only)
WhatsApp +54 9 11 4969-2189 - Primera Entrevista Gratuita - Terapia Online para Hispanohablantes - Trabajo desde el marco de la terapia cognitivo conductual ya que creo que la ciencia es el mejor método de aproximación al conocimiento en general y a la psicoterapia en particular. Me interesan los procesos de cambio conductual por los que una persona pueda alcanzar sus objetivos, transitando, aceptando y modificando sus patrones cognitivos y emocionales. Abordo patologías específicas como trastornos de ansiedad y del ánimo, y también crisis vitales y procesos de crecimiento personal.
WhatsApp +54 9 11 4969-2189 - Primera Entrevista Gratuita - Terapia Online para Hispanohablantes - Trabajo desde el marco de la terapia cognitivo conductual ya que creo que la ciencia es el mejor método de aproximación al conocimiento en general y a la psicoterapia en particular. Me interesan los procesos de cambio conductual por los que una persona pueda alcanzar sus objetivos, transitando, aceptando y modificando sus patrones cognitivos y emocionales. Abordo patologías específicas como trastornos de ansiedad y del ánimo, y también crisis vitales y procesos de crecimiento personal.
(833) 967-2206 View (833) 967-2206
Photo of Elsa Hines, Marriage & Family Therapist in Miami, FL
Elsa Hines
Marriage & Family Therapist
Verified Verified
1 Endorsed
Miami, FL 33137
What if you could listen and understand differently? I always say "Insight gives perspective and perspective ignites change". My therapeutic setting aims to notice and analyze patterns that can help you gain a new perspective. I offer counseling services to individuals, couples, and families looking to improve their relationships, adapt to life’s changing circumstances, or alter undesired behavioral patterns.
What if you could listen and understand differently? I always say "Insight gives perspective and perspective ignites change". My therapeutic setting aims to notice and analyze patterns that can help you gain a new perspective. I offer counseling services to individuals, couples, and families looking to improve their relationships, adapt to life’s changing circumstances, or alter undesired behavioral patterns.
(786) 876-6792 View (786) 876-6792
Photo of Christina Algeciras, Counselor in Miami, FL
Christina Algeciras
Counselor, LMHC, NCC, RYT
Verified Verified
5 Endorsed
Miami, FL 33133  (Online Only)
Calling all people pleasers, workaholics, and overachievers! Have you ever felt like saying no or setting boundaries is akin to embarking on a journey up Mount Everest? The very idea of disappointing someone can halt you in your tracks. Your focus is like a laser beam, aimed at fulfilling the needs of others, leaving no room for your own desires. Yet, deep within, you're aware that this relentless pursuit isn't fulfilling. It's as if you're navigating through a dense fog, where the expectations of others obscure your own path. There's an undeniable yearning within you, a whisper of your own aspirations amidst the chaos.
Calling all people pleasers, workaholics, and overachievers! Have you ever felt like saying no or setting boundaries is akin to embarking on a journey up Mount Everest? The very idea of disappointing someone can halt you in your tracks. Your focus is like a laser beam, aimed at fulfilling the needs of others, leaving no room for your own desires. Yet, deep within, you're aware that this relentless pursuit isn't fulfilling. It's as if you're navigating through a dense fog, where the expectations of others obscure your own path. There's an undeniable yearning within you, a whisper of your own aspirations amidst the chaos.
(754) 240-8172 View (754) 240-8172
Photo of Felipe Regueira, Licensed Mental Health Counselor in Miami, FL
Felipe Regueira
Licensed Mental Health Counselor
Verified Verified
Miami, FL 33133
Life is both amazing and testing. My goal as a therapist is to provide a supportive space where you can feel safe to explore and understand your strengths as well as your personal challenges.  It’s OK to not have it all figured out right now, and with time you’ll be able to connect the dots in your life.  You already have what it takes to get there.  It takes courage to get there, and sometimes the support of a therapist.
Life is both amazing and testing. My goal as a therapist is to provide a supportive space where you can feel safe to explore and understand your strengths as well as your personal challenges.  It’s OK to not have it all figured out right now, and with time you’ll be able to connect the dots in your life.  You already have what it takes to get there.  It takes courage to get there, and sometimes the support of a therapist.
(786) 882-9677 View (786) 882-9677
Photo of Veronica Gutierrez, LPC Intern in Miami, FL
Veronica Gutierrez
LPC Intern, RMHCI
Verified Verified
Miami, FL 33145
I am a bilingual mental health professional who specializes in working with adolescents, adults, and the elderly. My passion is to help others navigate through obstacles they might be experiencing and provide a supportive environment to empower clients to create positive changes in their lives. My goal as a mental health counselor is to provide my clients with a safe space to process thoughts and feelings in a compassionate and non-judgmental manner while supporting their journey of healing and personal growth.
I am a bilingual mental health professional who specializes in working with adolescents, adults, and the elderly. My passion is to help others navigate through obstacles they might be experiencing and provide a supportive environment to empower clients to create positive changes in their lives. My goal as a mental health counselor is to provide my clients with a safe space to process thoughts and feelings in a compassionate and non-judgmental manner while supporting their journey of healing and personal growth.
(786) 982-8104 View (786) 982-8104
Photo of Cristina Oliver, Marriage & Family Therapist in Miami, FL
Cristina Oliver
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Miami, FL 33129
Are you struggling with your relationships? Are you finding it difficult to function in every day activities? Do you feel like you're driven more by emotions than values or goals? As a Licensed Marriage and Family Therapist, I compassionately help individuals build greater insight and provide them with tools to better navigate thoughts, emotions and urges that keep them stuck. These maladaptive reactions can interfere with who we want to be and the life we want to live. I can guide you in accepting and tolerating realities that are difficult to accept while also learning how to communicate, cope, and problem solve more effectively.
Are you struggling with your relationships? Are you finding it difficult to function in every day activities? Do you feel like you're driven more by emotions than values or goals? As a Licensed Marriage and Family Therapist, I compassionately help individuals build greater insight and provide them with tools to better navigate thoughts, emotions and urges that keep them stuck. These maladaptive reactions can interfere with who we want to be and the life we want to live. I can guide you in accepting and tolerating realities that are difficult to accept while also learning how to communicate, cope, and problem solve more effectively.
(786) 581-8591 View (786) 581-8591
Photo of Erik Skow, Counselor in Miami, FL
Erik Skow
Counselor, LCMHC
Verified Verified
Miami, FL 33176
My name is Erik Skow, and I am a Licensed Mental Health Counselor (LMHC) with 6 years of experience as a clinician. I have a passion to help clients find peace in their lives by working through symptoms related to anxiety, depression, traumatic experiences, impulsivity, life changes, and interpersonal conflicts. My clinical experience involves working with children of all ages work through life transitions, trauma, and social pressures. I have experience working with adults who have a history of substance use concerns, anxiety, depression, and difficulty developing and maintaining relationships in their lives.
My name is Erik Skow, and I am a Licensed Mental Health Counselor (LMHC) with 6 years of experience as a clinician. I have a passion to help clients find peace in their lives by working through symptoms related to anxiety, depression, traumatic experiences, impulsivity, life changes, and interpersonal conflicts. My clinical experience involves working with children of all ages work through life transitions, trauma, and social pressures. I have experience working with adults who have a history of substance use concerns, anxiety, depression, and difficulty developing and maintaining relationships in their lives.
(954) 420-7192 View (954) 420-7192
Photo of Associates in Corporate Psychology, Licensed Mental Health Counselor in Miami, FL
Associates in Corporate Psychology
Licensed Mental Health Counselor, PhD
Verified Verified
1 Endorsed
Miami, FL 33160  (Online Only)
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
(877) 759-0919 View (877) 759-0919
Photo of Jose A Sandoval, Psychologist in Miami, FL
Jose A Sandoval
Psychologist, PhD
Verified Verified
Miami, FL 33165
If you’re feeling “stuck” and believe that anxiety or depression is ruining your life, I understand your suffering. I’ll help you to eliminate your stress, worry and overwhelm so that you can live a meaningful and fulfilling life. Imagine instead, waking up each day feeling grateful and excited to begin your day. You can learn to break free from your mind’s judgments, harsh criticisms and stories about who you are and what you are incapable of doing.
If you’re feeling “stuck” and believe that anxiety or depression is ruining your life, I understand your suffering. I’ll help you to eliminate your stress, worry and overwhelm so that you can live a meaningful and fulfilling life. Imagine instead, waking up each day feeling grateful and excited to begin your day. You can learn to break free from your mind’s judgments, harsh criticisms and stories about who you are and what you are incapable of doing.
(305) 834-4194 View (305) 834-4194
Photo of Eli Bravo, Marriage & Family Therapist Intern in Miami, FL
Eli Bravo
Marriage & Family Therapist Intern, RMFTI, CMT-P
Verified Verified
1 Endorsed
Miami, FL 33137
Do you feel that anxiety, sadness, problems with your relationships or any other life issue is taking away happiness and peace from you? You don´t have to go through this moment alone. Let me be your companion in a process to help you to fully live in the present, enjoying a better relationship with yourself and others. Session can be in-person or online. We will create a safe and respectful environment to explore what´s happening here and now, as well as events in the past, to cultivate a better future. Let me join you in a process where creativity, reflection, and authenticity.
Do you feel that anxiety, sadness, problems with your relationships or any other life issue is taking away happiness and peace from you? You don´t have to go through this moment alone. Let me be your companion in a process to help you to fully live in the present, enjoying a better relationship with yourself and others. Session can be in-person or online. We will create a safe and respectful environment to explore what´s happening here and now, as well as events in the past, to cultivate a better future. Let me join you in a process where creativity, reflection, and authenticity.
(786) 321-3106 View (786) 321-3106
Photo of Carol L Clark, Counselor in Miami, FL
Carol L Clark
Counselor, PhD, LMHC, CAP, CST
Verified Verified
5 Endorsed
Miami, FL 33161
Are you feeling disconnected? Does your life feel out of control? Do you have concerns about sex? Relationships? I am a Board Certified Sex Therapist with more than 20 years experience helping individuals and couples who are struggling with loss of intimacy, compulsive behaviors, or a history of abuse. My book, Addict America: The Lost Connection, is an invaluable resource for everyone who wants to live a more grounded, authentic, and Connected life.
Are you feeling disconnected? Does your life feel out of control? Do you have concerns about sex? Relationships? I am a Board Certified Sex Therapist with more than 20 years experience helping individuals and couples who are struggling with loss of intimacy, compulsive behaviors, or a history of abuse. My book, Addict America: The Lost Connection, is an invaluable resource for everyone who wants to live a more grounded, authentic, and Connected life.
(305) 741-5969 View (305) 741-5969
Photo of Ania Jarmulowicz, Clinical Social Work/Therapist in Miami, FL
Ania Jarmulowicz
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33131  (Online Only)
Therapy is like talking to your best friend, only better! Talking to a friend may be free, but a therapist is a professionally-trained listener who can help you get to the root of your problems, overcome emotional challenges, let go of painful past and make positive changes in your life. I have more than fifteen years of experience working with individuals, couples and families using a whole-person approach tailored to the unique needs of each client. My clients come from diverse cultural, ethnic, socio-economic and religious backgrounds.
Therapy is like talking to your best friend, only better! Talking to a friend may be free, but a therapist is a professionally-trained listener who can help you get to the root of your problems, overcome emotional challenges, let go of painful past and make positive changes in your life. I have more than fifteen years of experience working with individuals, couples and families using a whole-person approach tailored to the unique needs of each client. My clients come from diverse cultural, ethnic, socio-economic and religious backgrounds.
(305) 842-3230 View (305) 842-3230
Photo of Dr. Peren Sabuncu in Miami, FL
Dr. Peren Sabuncu
PhD
Verified Verified
Miami, FL 33180
Hi! I'm excited to connect you with my field of expertise, the emerging world of conflict analysis and resolution: an alternative to traditional psychology. Maybe, you don't know whether traditional therapy is for you and you're experiencing conflict yet unable to find a resolution. It may seem like all of your relationships are being impacted, including the one you have with yourself. Sometimes, it feels like no one has taken the time to truly understand you. You need someone to step in and organize the mind clutter and guide you through action oriented tasks. You need solid empowerment.
Hi! I'm excited to connect you with my field of expertise, the emerging world of conflict analysis and resolution: an alternative to traditional psychology. Maybe, you don't know whether traditional therapy is for you and you're experiencing conflict yet unable to find a resolution. It may seem like all of your relationships are being impacted, including the one you have with yourself. Sometimes, it feels like no one has taken the time to truly understand you. You need someone to step in and organize the mind clutter and guide you through action oriented tasks. You need solid empowerment.
(786) 244-2489 View (786) 244-2489
Photo of Marcel Flores, Psychologist in Miami, FL
Marcel Flores
Psychologist, PsyD
Verified Verified
Miami, FL 33130  (Online Only)
I have 7 years of experience as a licensed psychologist working in hospitals, skilled nursing facilities, medical clinics, and private practice settings.
I have 7 years of experience as a licensed psychologist working in hospitals, skilled nursing facilities, medical clinics, and private practice settings.
(305) 680-5214 View (305) 680-5214
Photo of Nicole Blank Koles, Psychologist in Miami, FL
Nicole Blank Koles
Psychologist, PsyD
Verified Verified
Miami, FL 33129
I am a licensed clinical psychologist, and I specialize in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). CBT and DBT are forms of therapy that have been validated by extensive research and are proven to work. I am committed to helping people solve problems, achieve personal growth and make desired changes to enhance their lives. I provide these services in a private and peaceful environment, where I collaborate with my clients to tailor treatment to their specific needs. I am here to help you enhance daily living through therapy that is grounded in compassion, understanding and empathy.
I am a licensed clinical psychologist, and I specialize in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). CBT and DBT are forms of therapy that have been validated by extensive research and are proven to work. I am committed to helping people solve problems, achieve personal growth and make desired changes to enhance their lives. I provide these services in a private and peaceful environment, where I collaborate with my clients to tailor treatment to their specific needs. I am here to help you enhance daily living through therapy that is grounded in compassion, understanding and empathy.
(786) 207-1820 View (786) 207-1820
Photo of Danielle Friedman, Counselor in Miami, FL
Danielle Friedman
Counselor, LMHC
Verified Verified
2 Endorsed
Miami, FL 33137  (Online Only)
Are you exhausted trying to keep up with everything? Do you often feel worried about letting others down and find yourself overthinking about doing everything right? I work with women searching for relief from this seemingly never-ending cycle.
Are you exhausted trying to keep up with everything? Do you often feel worried about letting others down and find yourself overthinking about doing everything right? I work with women searching for relief from this seemingly never-ending cycle.
(754) 799-2955 View (754) 799-2955
Photo of Bettina Gensollen-Munoz, LMHC, PHR, Counselor in Miami, FL
Bettina Gensollen-Munoz, LMHC, PHR
Counselor, LMHC, PHR
Verified Verified
1 Endorsed
Miami, FL 33133
Sometimes we want to change our careers, improve our relationships, self-esteem, health and physical appearance. Balancing our professional careers, personal relationships, and finances can be stressful. We may feel frustrated, scared, discouraged, or confused. In psychotherapy I help my clients overcome issues related to their present circumstances and past experiences so they transform into successful, empowered, and healthy individuals. I have more than 10 years of experience in professional counseling. My experience includes: career counseling, domestic violence, self-esteem, assertiveness, trauma, and anxiety. I also offer online coaching services via Skype for clients outside the Miami area.
Sometimes we want to change our careers, improve our relationships, self-esteem, health and physical appearance. Balancing our professional careers, personal relationships, and finances can be stressful. We may feel frustrated, scared, discouraged, or confused. In psychotherapy I help my clients overcome issues related to their present circumstances and past experiences so they transform into successful, empowered, and healthy individuals. I have more than 10 years of experience in professional counseling. My experience includes: career counseling, domestic violence, self-esteem, assertiveness, trauma, and anxiety. I also offer online coaching services via Skype for clients outside the Miami area.
(786) 800-5187 View (786) 800-5187
Photo of Natalie Reeder, Clinical Social Work/Therapist in Miami, FL
Natalie Reeder
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33130  (Online Only)
I have experience working with a variety of topics including grief and loss, mood disorders, LGBTQ+ anxiety, adolescent issues, bariatric evaluations, divorce, end of life issues, social problems/bullying, and adjustment/life changes. I have experience working with various multidisciplinary teams in a host of settings and working with individuals from diverse backgrounds. I work with all populations.
I have experience working with a variety of topics including grief and loss, mood disorders, LGBTQ+ anxiety, adolescent issues, bariatric evaluations, divorce, end of life issues, social problems/bullying, and adjustment/life changes. I have experience working with various multidisciplinary teams in a host of settings and working with individuals from diverse backgrounds. I work with all populations.
(786) 833-7370 View (786) 833-7370

How does your Therapist compare?

Number of Therapists in Miami, FL

3,000+

Average cost per session

$140

Therapists in Miami, FL who prioritize treating:

92% Anxiety
85% Depression
76% Self Esteem
69% Coping Skills
62% Relationship Issues
62% Trauma and PTSD
60% Stress

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
84% UnitedHealthcare UHC | UBH
81% Cigna and Evernorth

How Therapists in Miami, FL see their clients

57% Online Only
43% In Person and Online

Gender breakdown

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

How can I find a therapist in Miami?

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.