Therapists in 44256
![Photo of Evan Vanderpohl, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/05ac790b-78cb-46e6-9275-b0a2ade71df0/1/320x400.jpeg)
Evan Vanderpohl
Clinical Social Work/Therapist, LISW
Verified Verified
Medina, OH 44256 (Online Only)
I provide telehealth therapeutic services to individuals who are struggling with mood disorders, such as depression and anxiety, relationship issues, life transitions, codependency and boundaries, and much more. I really enjoy working with young adults (18-24yo) who may be struggling with stressors like going to college, starting a job, moving out, identity exploration, school troubles, etc. I also have personal and professional experience that gives me a unique perspective to support individuals who are caregivers of parents/grandparents/relatives with dementia.
I provide telehealth therapeutic services to individuals who are struggling with mood disorders, such as depression and anxiety, relationship issues, life transitions, codependency and boundaries, and much more. I really enjoy working with young adults (18-24yo) who may be struggling with stressors like going to college, starting a job, moving out, identity exploration, school troubles, etc. I also have personal and professional experience that gives me a unique perspective to support individuals who are caregivers of parents/grandparents/relatives with dementia.
![Photo of Kristy Jones, MA, LPCC](https://photos.psychologytoday.com/d5f7b41d-dcf1-4334-8724-040c73b08453/1/320x400.jpeg)
Kristy Jones
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
7 Endorsed
Medina, OH 44256
Waitlist for new clients
Do you feel lost? Has your life been shattered? Is your hurt and pain a secret? You are not alone. It's essential that you have a place where your heart is cared for and protected. You don't have to do it alone anymore. There is help. I would be honored to walk with you on your journey, and help you find your strength again. Everyone has a voice and wants to be heard. Come and find your voice, build confidence and come to someone who will listen.
Do you feel lost? Has your life been shattered? Is your hurt and pain a secret? You are not alone. It's essential that you have a place where your heart is cared for and protected. You don't have to do it alone anymore. There is help. I would be honored to walk with you on your journey, and help you find your strength again. Everyone has a voice and wants to be heard. Come and find your voice, build confidence and come to someone who will listen.
![Photo of D. Scott Duncan, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/d94cc131-f927-4e6a-b9d4-8fb99c50bc7f/1/320x400.png)
D. Scott Duncan
Licensed Professional Counselor, MA, LPC
Verified Verified
Medina, OH 44256
Not accepting new clients
Forrest Gump said, “Life is like a box of chocolates, you never know what you’re going to get.” Sure, Forrest, but it’s still ALL chocolate, which is almost always at least a little bit good. However, we know that sometimes life throws things at us that do not resemble chocolates in the least, aside from color. They’re not sweet, they’re bitter…simply not palatable. I get it, sometimes life is flat out difficult, and we find ourselves trying to navigate its waters shrouded in a proverbial “fog.” It's my desire to travel alongside of others on their journey while helping them find peace in the present and hope for the future.
Forrest Gump said, “Life is like a box of chocolates, you never know what you’re going to get.” Sure, Forrest, but it’s still ALL chocolate, which is almost always at least a little bit good. However, we know that sometimes life throws things at us that do not resemble chocolates in the least, aside from color. They’re not sweet, they’re bitter…simply not palatable. I get it, sometimes life is flat out difficult, and we find ourselves trying to navigate its waters shrouded in a proverbial “fog.” It's my desire to travel alongside of others on their journey while helping them find peace in the present and hope for the future.
![Photo of Ashley Darling, LPN, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/610211a6-789c-4cbd-970e-15a6ceb5b9be/1/320x400.jpeg)
Ashley Darling
Licensed Professional Counselor, LPN, LPC
Verified Verified
2 Endorsed
Medina, OH 44256
Life throws us curveballs, and navigating through them can be tough. Whether you're wrestling with a particular challenge or simply need a listening ear, I'm here to support you. Together, we'll work towards finding paths to growth and healing that fit your unique journey.
Life throws us curveballs, and navigating through them can be tough. Whether you're wrestling with a particular challenge or simply need a listening ear, I'm here to support you. Together, we'll work towards finding paths to growth and healing that fit your unique journey.
![Photo of Julia Copley, LSC, LPCC-S, RPT-S™](https://photos.psychologytoday.com/4b7c0840-79b3-430c-9d1e-762fab17002b/2/320x400.jpeg)
Julia Copley
Licensed Professional Clinical Counselor, LSC, LPCC-S, RPT-S™
Verified Verified
2 Endorsed
Medina, OH 44256
Waitlist for new clients
I am dedicated to making the most of each session with my clients and value your choice to be in this journey. I strive to develop a respectful and trusting relationship creating a strong base for my client's journey, no matter what their age, working with young preschool-age children through adults. Making the decision to open your child, yourself or your family up to counseling takes courage! You will get a genuine and professional experience with each session as I view our work as collaborative toward change. I have additional training in trauma therapy, DBT, CBT, and I am a Registered Play Therapist-Supervisor.
I am dedicated to making the most of each session with my clients and value your choice to be in this journey. I strive to develop a respectful and trusting relationship creating a strong base for my client's journey, no matter what their age, working with young preschool-age children through adults. Making the decision to open your child, yourself or your family up to counseling takes courage! You will get a genuine and professional experience with each session as I view our work as collaborative toward change. I have additional training in trauma therapy, DBT, CBT, and I am a Registered Play Therapist-Supervisor.
![Photo of Danielle Santiago, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/1d59e6a7-dc13-4945-a3ac-b575a5b28a53/1/320x400.jpeg)
Life can seem overwhelming and intense, at times it may feel like the chaos and confusion are too much to bear on your own. Conflicts within ourselves, our spouses, family, friends and children arise, uncertainty of when it will end begins to consume us and starts to feel normal. Sometimes life has felt like this since childhood, carrying a weight that is too heavy, creating patterns and a lifestyle that just aren’t working. Children can experience intense and uncertain feelings, not knowing how to regulate their emotions, or seek out validation can lead to confusion that transpires into adulthood.
Life can seem overwhelming and intense, at times it may feel like the chaos and confusion are too much to bear on your own. Conflicts within ourselves, our spouses, family, friends and children arise, uncertainty of when it will end begins to consume us and starts to feel normal. Sometimes life has felt like this since childhood, carrying a weight that is too heavy, creating patterns and a lifestyle that just aren’t working. Children can experience intense and uncertain feelings, not knowing how to regulate their emotions, or seek out validation can lead to confusion that transpires into adulthood.
![Photo of Dereka Feiler, MSSA, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ea751025-e9bb-4eea-967e-0f32e4f38dda/1/320x400.jpeg)
Dereka Feiler
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
2 Endorsed
Medina, OH 44256
Hi! I'm Dereka. I enjoy working with individuals, families and couples of all ages focusing on a wide array of areas such as depression, anxiety, grief, perinatal, trauma, family conflict, relationships, stress management, work stressors, financial concerns, social anxiety, self-esteem and navigating medical diagnosis. I enjoy helping my clients find their inner voice, create healthy boundaries, overcome debilitating fears and build confidence and communication skills. I want to help you goal plan to elicit positive changes and focus on interpersonal work.
Hi! I'm Dereka. I enjoy working with individuals, families and couples of all ages focusing on a wide array of areas such as depression, anxiety, grief, perinatal, trauma, family conflict, relationships, stress management, work stressors, financial concerns, social anxiety, self-esteem and navigating medical diagnosis. I enjoy helping my clients find their inner voice, create healthy boundaries, overcome debilitating fears and build confidence and communication skills. I want to help you goal plan to elicit positive changes and focus on interpersonal work.
![Photo of Susan M Russell, LISW-S, LICDCCS, ACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/45a14767-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Susan M Russell
Clinical Social Work/Therapist, LISW-S, LICDCCS, ACSW
Verified Verified
Medina, OH 44256 (Online Only)
I am a gender-affirming therapist and have completed certification requirements with WPATH, The World Professional Association for Transgender Health. I completed EMDR training with the Institute for Creative Mindfulness. I completed certification for treating ADHD. I am beginning the journey to becoming certified with AASECT the American Association of Sexuality Educators, Counselors, and Therapists. I love assisting clients in feeling more confident in their lives, handling emotional and mental stressors with greater ease, and developing a repertoire of coping skills to find their center under pressure.
I am a gender-affirming therapist and have completed certification requirements with WPATH, The World Professional Association for Transgender Health. I completed EMDR training with the Institute for Creative Mindfulness. I completed certification for treating ADHD. I am beginning the journey to becoming certified with AASECT the American Association of Sexuality Educators, Counselors, and Therapists. I love assisting clients in feeling more confident in their lives, handling emotional and mental stressors with greater ease, and developing a repertoire of coping skills to find their center under pressure.
![Photo of Victoria Leggott, LPC, ATR-p, Counselor](https://photos.psychologytoday.com/996ae9ff-481f-42fc-b50e-003ac8cf8c75/1/320x400.jpeg)
Hi I’m Victoria! I graduated from Ursuline College with a Master of Arts degree in Counseling and Art Therapy. I’m an art therapist and a licensed professional counselor and am available for in-person as well as virtual sessions.
Hi I’m Victoria! I graduated from Ursuline College with a Master of Arts degree in Counseling and Art Therapy. I’m an art therapist and a licensed professional counselor and am available for in-person as well as virtual sessions.
![Photo of Brandi Yackee, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/94359a89-0066-4a8c-983c-e14c73196f79/1/320x400.jpeg)
Counseling can be a great tool for people seeking help in navigating relationships and life struggles. Grief, anxiety, depression, body image issues are common struggles yet depending on the individual require unique methods or tools in order for them to see progress in their journey. Counseling can be intimidating for those who have never done it before but I am here to gently guide you and be someone who can listen to your needs and help you develop a plan of action, unique to you. Choosing to walk a path of healing can be hard but it's worth every step of the way.
Counseling can be a great tool for people seeking help in navigating relationships and life struggles. Grief, anxiety, depression, body image issues are common struggles yet depending on the individual require unique methods or tools in order for them to see progress in their journey. Counseling can be intimidating for those who have never done it before but I am here to gently guide you and be someone who can listen to your needs and help you develop a plan of action, unique to you. Choosing to walk a path of healing can be hard but it's worth every step of the way.
![Photo of Beverly Major, MA Ed, LPCC-S, Counselor](https://photos.psychologytoday.com/7558a7b7-4a98-44ab-b63f-998c01a0b10a/3/320x400.jpeg)
Are you feeling depressed and/or anxious? Do you have stress in your life, difficulties in your relationship, low self-esteem? Have you suffered a loss in your life, such as the death of a loved one, a relationship, your job, home or health? Grief is a natural response to many types of loss. Choose a counselor who is passionate about helping people address the problems they face and empowering them to recognize their personal strengths. One who believes in collaborating with you to work toward your personal goals and to develop the skills to manage the difficulties in your life.
Are you feeling depressed and/or anxious? Do you have stress in your life, difficulties in your relationship, low self-esteem? Have you suffered a loss in your life, such as the death of a loved one, a relationship, your job, home or health? Grief is a natural response to many types of loss. Choose a counselor who is passionate about helping people address the problems they face and empowering them to recognize their personal strengths. One who believes in collaborating with you to work toward your personal goals and to develop the skills to manage the difficulties in your life.
15 Second Videos
Kristy Jones
Danielle Santiago
Susan M Russell
Brandi Yackee
Catholic Charities Medina County
Helen J Knapper
Melissa Smith
Alicia Moran
Rebecca Austin
Rebekah Watkins
Andie Loiseau
Infinity Counseling, LLC and Telehealth
Melissa Coan
Julia A King
Niki Parker
Victoria Byler
![Photo of Jessi Farley - Evolution Counseling and Yoga, MA, LPCC-S, ERYT, Counselor](https://photos.psychologytoday.com/49c0cace-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Evolution Counseling and Yoga
Counselor, MA, LPCC-S, ERYT
Verified Verified
2 Endorsed
Medina, OH 44256
We are here to support you addressing issues, stresses, and hurts. Whether you are ready to heal hurt and trauma, looking to improve coping skills and symptoms, or create more self-compassion, we can help you unpack your issues, deal with them in a helpful way, and reach your goals. Our specialties include the diagnosis & treatment of trauma related disorders, anxiety disorders, depressive disorders, personality disorders, adjustment disorders & grief. We offer diagnostic assessments and empirically based treatment. We can help you to engage in or re-engage fully in life, honoring your personal goals in your life and in counseling.
We are here to support you addressing issues, stresses, and hurts. Whether you are ready to heal hurt and trauma, looking to improve coping skills and symptoms, or create more self-compassion, we can help you unpack your issues, deal with them in a helpful way, and reach your goals. Our specialties include the diagnosis & treatment of trauma related disorders, anxiety disorders, depressive disorders, personality disorders, adjustment disorders & grief. We offer diagnostic assessments and empirically based treatment. We can help you to engage in or re-engage fully in life, honoring your personal goals in your life and in counseling.
![Photo of Tabitha Selerowski, MSSA, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1e44b273-1b81-4fbf-903c-edc3edb288e3/2/320x400.jpeg)
In my sessions I prioritize creating a safe and supportive environment where clients feel empowered to explore their emotions and experiences. My approach is empathetic and client-centered, focusing on guiding clients towards their goals while also providing the necessary encouragement and push when avoidance hinders progress. I love working with couples, adults, and older teens, using a variety of therapeutic modalities tailored to each individual's needs.
In my sessions I prioritize creating a safe and supportive environment where clients feel empowered to explore their emotions and experiences. My approach is empathetic and client-centered, focusing on guiding clients towards their goals while also providing the necessary encouragement and push when avoidance hinders progress. I love working with couples, adults, and older teens, using a variety of therapeutic modalities tailored to each individual's needs.
![Photo of Susan Havens, LCPC, Counselor](https://photos.psychologytoday.com/01dfacad-d9bf-4cba-9889-bf38b4b3294a/1/320x400.jpeg)
Hello, I am Susan Havens LPCC-S. I have over 20 years of counseling experience. I enjoy working with trauma, PTSD my goal is to strengthen my clients to be more productive in life. Just want to help the hurting that may have been too afraid to ask for help or people that was told nothing was wrong with them.
Hello, I am Susan Havens LPCC-S. I have over 20 years of counseling experience. I enjoy working with trauma, PTSD my goal is to strengthen my clients to be more productive in life. Just want to help the hurting that may have been too afraid to ask for help or people that was told nothing was wrong with them.
![Photo of Grace Zimmerman, MA, LPC, Counselor](https://photos.psychologytoday.com/d4c17767-384c-4494-b228-ca384c2797aa/2/320x400.jpeg)
As a counselor, I strive to create a safe place where my clients can feel fully seen, heard, and valued. Coming to seek help can be scary, and it takes immense bravery to do so! You deserve a place to share your feelings where you are fully respected and cared for. Whether you are going through grief, anxiety, depression, or need help navigating through life's challenges I will come alongside you to help you discover your own resilience as well as find support and healing.
As a counselor, I strive to create a safe place where my clients can feel fully seen, heard, and valued. Coming to seek help can be scary, and it takes immense bravery to do so! You deserve a place to share your feelings where you are fully respected and cared for. Whether you are going through grief, anxiety, depression, or need help navigating through life's challenges I will come alongside you to help you discover your own resilience as well as find support and healing.
![Photo of Amy J Smith, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f0a17cea-7fd2-4dc7-a509-2f72a652a7cb/1/320x400.png)
Amy J Smith
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Medina, OH 44256 (Online Only)
I have been a counselor for 20 years and have had the privilege to work in community mental health, prison and jails, higher education, K-12, private practice, drug and alcohol rehabilitation, and a hospital system.
I have been a counselor for 20 years and have had the privilege to work in community mental health, prison and jails, higher education, K-12, private practice, drug and alcohol rehabilitation, and a hospital system.
![Photo of Rachel Phillips, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7e7f0999-111b-40f4-8ec8-04720eba653a/2/320x400.jpeg)
Rachel Phillips
Clinical Social Work/Therapist, LMSW
Verified Verified
Medina, OH 44256 (Online Only)
I am a mother of four, within a special needs household, and a retired Marine spouse of 20+ years, I have experienced and overcome a distinct set of challenges throughout my personal and professional life that makes me a therapist who can relate to my clients. I have extensive experience working with adolescents and adults with complex mental health issues. Whatever the challenge you are facing, I will be by your side!
I am a mother of four, within a special needs household, and a retired Marine spouse of 20+ years, I have experienced and overcome a distinct set of challenges throughout my personal and professional life that makes me a therapist who can relate to my clients. I have extensive experience working with adolescents and adults with complex mental health issues. Whatever the challenge you are facing, I will be by your side!
![Photo of Medina Office - Lamplight Counseling Services LLC, LISW, LPCC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/889fe2dd-380c-4de1-a182-e8f1d2387012/2/320x400.jpeg)
Lamplight Counseling Services LLC
Clinical Social Work/Therapist, LISW, LPCC
Verified Verified
4 Endorsed
Medina, OH 44256
Change is possible. Anxiety, depression, work stressors, trauma, grief, and substance abuse difficulties are some of the challenges we help with every day. At Lamplight Counseling Services, our clients are treated with kindness and compassion by licensed clinicians who have a wealth of experience in each of their specific treatment areas. We desire to see each person achieve their goals in a way that will help them reach their highest potential.
Change is possible. Anxiety, depression, work stressors, trauma, grief, and substance abuse difficulties are some of the challenges we help with every day. At Lamplight Counseling Services, our clients are treated with kindness and compassion by licensed clinicians who have a wealth of experience in each of their specific treatment areas. We desire to see each person achieve their goals in a way that will help them reach their highest potential.
![Photo of Jennifer Sunday - Catholic Charities Medina County, Clinical Social Work/Therapist](https://photos.psychologytoday.com/24e36bbe-e9e4-4dc4-a3be-310298946ac9/2/320x400.jpeg)
Catholic Charities Medina County serves families, couples, and individuals of all ages with mental health, relationship, and substance use issues. We take a holistic and person center approach to meet each person and family’s needs and collaborate extensively with other community agencies, hospitals, and residential programs.
Catholic Charities Medina County serves families, couples, and individuals of all ages with mental health, relationship, and substance use issues. We take a holistic and person center approach to meet each person and family’s needs and collaborate extensively with other community agencies, hospitals, and residential programs.
![Photo of Helen J Knapper, LPPC, Counselor](https://photos.psychologytoday.com/68cba3cd-8252-4e4a-950e-3ffded5426b1/1/320x400.jpeg)
My compassion is to provide counsel and guidance to children and adults, and couples who are dealing with road blocks that seem to be causing stress in their life and stopping them from reach their full potential. I enjoy helping clients develop goals and take action to reach those goals.
My compassion is to provide counsel and guidance to children and adults, and couples who are dealing with road blocks that seem to be causing stress in their life and stopping them from reach their full potential. I enjoy helping clients develop goals and take action to reach those goals.
See more therapy options for 44256
How does your Therapist compare?
Number of Therapists in 44256
100+
Average cost per session
$125
Therapists in 44256 who prioritize treating:
94% | Anxiety |
90% | Depression |
80% | Self Esteem |
79% | Trauma and PTSD |
76% | Relationship Issues |
74% | Coping Skills |
73% | Stress |
Average years in practice
8 Years
Top 3 insurances accepted
84% | Aetna |
83% | Cigna and Evernorth |
83% | Elevance |
How Therapists in 44256 see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
88% | Female | |
12% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 44256?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.