Therapists in 85253
![Photo of Jamye Shelton, PsyD, Psychologist](https://photos.psychologytoday.com/64dbe2f1-f4be-431f-b878-b1c1b20bf022/2/320x400.jpeg)
Dr. Shelton is an adult private practice sport and performance psychologist located in Scottsdale, AZ. She offers services through a variety of platforms including in-office visits, telephone, and virtual telepsychology appointments. Her practice utilizes Cognitive Behavioral Therapy combined with performance psychology strategies to focus on examining the interaction between thoughts, feelings, and behaviors to best achieve goals, improve functioning, and increase performance.
Dr. Shelton is an adult private practice sport and performance psychologist located in Scottsdale, AZ. She offers services through a variety of platforms including in-office visits, telephone, and virtual telepsychology appointments. Her practice utilizes Cognitive Behavioral Therapy combined with performance psychology strategies to focus on examining the interaction between thoughts, feelings, and behaviors to best achieve goals, improve functioning, and increase performance.
![Photo of Isabelle McKay, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6ff5ce4d-3849-433a-beca-3b0712a453a8/1/320x400.jpeg)
Isabelle McKay is a Licensed Professional Counselor in Arizona who has been practicing since 2019. She has two Bachelor's Degrees from North Dakota State in Psychology and Human Development (Conception - Late Adolescence). She then proceeded to the University of Arizona for her Master's Degree in Mental Health and Rehabilitation Counseling. Isabelle is passionate about providing a safe and non-judgmental environment to assist individuals through life's seasons.
Isabelle McKay is a Licensed Professional Counselor in Arizona who has been practicing since 2019. She has two Bachelor's Degrees from North Dakota State in Psychology and Human Development (Conception - Late Adolescence). She then proceeded to the University of Arizona for her Master's Degree in Mental Health and Rehabilitation Counseling. Isabelle is passionate about providing a safe and non-judgmental environment to assist individuals through life's seasons.
![Photo of Shawna Kuhl, LCSW, LMSW, CCTS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c3e6c7ed-f9b7-4954-a71d-3dd92c5ef6d5/2/320x400.png)
My ideal client might struggle with depression, trauma, or anxiety. They will be goal-oriented and driven, willing to be vulnerable. Their goals would be to decrease feelings of depression or anxiety. I work with clients to identify past unresolved trauma, often an underlying issue contributing to one's current negative or dysfunctional behaviors and feelings. My goal is to help individuals work through their past trauma and learn new, effective ways to cope with their feelings, behaviors, and problematic thoughts in a compassionate environment.
My ideal client might struggle with depression, trauma, or anxiety. They will be goal-oriented and driven, willing to be vulnerable. Their goals would be to decrease feelings of depression or anxiety. I work with clients to identify past unresolved trauma, often an underlying issue contributing to one's current negative or dysfunctional behaviors and feelings. My goal is to help individuals work through their past trauma and learn new, effective ways to cope with their feelings, behaviors, and problematic thoughts in a compassionate environment.
![Photo of Brian Rice, PhD, PMP, Psychologist](https://photos.psychologytoday.com/0ef39a14-644e-4ca8-ad3d-4666cfbd22e4/1/320x400.jpeg)
Dr. Brian Rice is a Psychologist in Arizona who has been practicing since 1995. He graduated from the University of Missouri at Kansas City. He also has a Project Management Professional (PMP) certification from the Project Management Institute. Dr. Rice received his Bachelor of Science in Psychology from Emporia State University in Kansas, his Master of Science in Physical Education with a Specialization in Sport Psychology from the University of Idaho, and his Doctor of Philosophy in Counseling Psychology from the University of Missouri at Kansas City.
Dr. Brian Rice is a Psychologist in Arizona who has been practicing since 1995. He graduated from the University of Missouri at Kansas City. He also has a Project Management Professional (PMP) certification from the Project Management Institute. Dr. Rice received his Bachelor of Science in Psychology from Emporia State University in Kansas, his Master of Science in Physical Education with a Specialization in Sport Psychology from the University of Idaho, and his Doctor of Philosophy in Counseling Psychology from the University of Missouri at Kansas City.
![Photo of Alexis Tully, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d18ea1f2-4e2a-4cec-b626-c28bc46dcbda/1/320x400.jpeg)
Alexis Tully is a Licensed Clinical Social Worker in Arizona who has been practicing since 2020. She graduated with her BSW and MSW from Arizona State University with a specialization in Child Welfare. Alexis takes a holistic approach to therapy, addressing not only the symptoms but also the underlying factors contributing to her clients' difficulties. Her goal is to empower clients and families to take an active role in their healing journey by fostering a collaborative and supportive environment to help them reach their goals.
Alexis Tully is a Licensed Clinical Social Worker in Arizona who has been practicing since 2020. She graduated with her BSW and MSW from Arizona State University with a specialization in Child Welfare. Alexis takes a holistic approach to therapy, addressing not only the symptoms but also the underlying factors contributing to her clients' difficulties. Her goal is to empower clients and families to take an active role in their healing journey by fostering a collaborative and supportive environment to help them reach their goals.
![Photo of Julie Ann Doherty, MA, LCPC, ACHt, Coach, Counselor](https://photos.psychologytoday.com/ab67588d-14b8-4d5f-8f07-65bfe4205a7c/1/320x400.jpeg)
Julie Ann Doherty
Counselor, MA, LCPC, ACHt, Coach
Verified Verified
Scottsdale, AZ 85253 (Online Only)
Are you feeling overwhelmed? Do you have trouble staying focused, concentrating, functioning normally? Most people that seek out my expertise do because they're either in crisis or struggling, and within a few sessions, they are feeling more in control, more peaceful, and more aware of their capabilities to manage their lives and relationships better.
Are you feeling overwhelmed? Do you have trouble staying focused, concentrating, functioning normally? Most people that seek out my expertise do because they're either in crisis or struggling, and within a few sessions, they are feeling more in control, more peaceful, and more aware of their capabilities to manage their lives and relationships better.
![Photo of Sophie Hans, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0e0f7692-daee-4a69-9d2d-948e4234066e/2/320x400.png)
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
![Photo of Jessica Kronen, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/2eb6cd8d-f4d4-41ad-a451-2e29c8e72874/3/320x400.png)
My ideal intake and assessment client is one who may be nervous to try therapy for the first time and has racked up the bravery and courage to reach out for this first appointment. I honor this and will put these clients at ease and make them feel as a welcome guest in our home.
My ideal intake and assessment client is one who may be nervous to try therapy for the first time and has racked up the bravery and courage to reach out for this first appointment. I honor this and will put these clients at ease and make them feel as a welcome guest in our home.
![Photo of Catherine Martyniuk, PsyD, Psychologist](https://photos.psychologytoday.com/f734f070-f060-4b23-8a47-35e8577cdf30/1/320x400.jpeg)
Release yourself from the burdens of anxiety, shame and guilt, and replace those with the liberation of solutions, forgiveness and peace. If you are ready for a change, I am eager to start this journey with you. If you are tired of being anxious and fearful, I can help you find peace and strength. If you are tired of being tired and depressed, I can help you find hope and wellness again. If you are struggling with goal achievement, I can help you find success! Two heads are better than one. We will work as a team to get you to your goals!
Release yourself from the burdens of anxiety, shame and guilt, and replace those with the liberation of solutions, forgiveness and peace. If you are ready for a change, I am eager to start this journey with you. If you are tired of being anxious and fearful, I can help you find peace and strength. If you are tired of being tired and depressed, I can help you find hope and wellness again. If you are struggling with goal achievement, I can help you find success! Two heads are better than one. We will work as a team to get you to your goals!
![Photo of Heather Hillenbrand, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/c198988b-fc0b-41bf-8dab-a4b0e36c23a7/2/320x400.jpeg)
Heather Hillenbrand
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Scottsdale, AZ 85253
As a Sex and Relationship Therapist, I believe it is each person's birthright to have the knowledge, understanding, and support to achieve freedom of sexual expression. By offering a safe, collaborative, welcoming space, I provide support to individuals, couples, and relationships of all types for challenges within the area of sexuality. I provide a sex-positive therapy room affirming all sexual orientations and relationship types.
As a Sex and Relationship Therapist, I believe it is each person's birthright to have the knowledge, understanding, and support to achieve freedom of sexual expression. By offering a safe, collaborative, welcoming space, I provide support to individuals, couples, and relationships of all types for challenges within the area of sexuality. I provide a sex-positive therapy room affirming all sexual orientations and relationship types.
![Photo of Stephanie Wogomon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/429d4069-90e4-4ced-b61d-9187ff3a40f4/2/320x400.png)
I specialize in trauma, grief, and loss. I have worked with many who experience depression and anxiety. I help individuals who are dysregulated find coping and relaxation skills to help them live more fulfilling lives!
I specialize in trauma, grief, and loss. I have worked with many who experience depression and anxiety. I help individuals who are dysregulated find coping and relaxation skills to help them live more fulfilling lives!
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![Photo of Koyun (Alice) Chi, PhD, Psychologist](https://photos.psychologytoday.com/952371d7-7c04-4907-9397-1c3c10f8976d/3/320x400.jpeg)
What does thriving mean to you? Each of us are on a journey toward thriving. Sometimes we get interrupted along the way by anxiety, fear, rejection, anger, sadness, and resentment. When we feel uncertain or stuck we might experience disconnection, lack of purpose, and loss of meaning. In such times, therapy offers a safe place to be heard, a trusted person to unpack our stories with, and a method for traveling through the layers of life’s ups and downs. I believe strongly that this present moment is an avenue for creating growth and change, that’s why I deeply value the transformative potential of therapy.
What does thriving mean to you? Each of us are on a journey toward thriving. Sometimes we get interrupted along the way by anxiety, fear, rejection, anger, sadness, and resentment. When we feel uncertain or stuck we might experience disconnection, lack of purpose, and loss of meaning. In such times, therapy offers a safe place to be heard, a trusted person to unpack our stories with, and a method for traveling through the layers of life’s ups and downs. I believe strongly that this present moment is an avenue for creating growth and change, that’s why I deeply value the transformative potential of therapy.
![Photo of Michelle Cermak, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/af2d55c2-b7f3-4cec-bca6-43ac0a8e4eff/1/320x400.jpeg)
Michelle Cermak
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Scottsdale, AZ 85253
Michelle Cermak, our Licensed Professional Counselor, is passionate about helping you discover and understand the complex impact of trauma on one’s ability to self-regulate, as well as the associations between childhood adversity and health. . She provides a safe and supportive space to those that are struggling with mental health; battling emotional, behavioral and substance abuse barriers keeping them from leading a fulfilling life.
Michelle Cermak, our Licensed Professional Counselor, is passionate about helping you discover and understand the complex impact of trauma on one’s ability to self-regulate, as well as the associations between childhood adversity and health. . She provides a safe and supportive space to those that are struggling with mental health; battling emotional, behavioral and substance abuse barriers keeping them from leading a fulfilling life.
![Photo of Louise Gottlob, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d1f824e4-0c08-4793-80ce-b131a8b6d293/1/320x400.png)
Louise Gottlob LISW-S, LCSW Licensed Independent Social Worker with a supervisor designation, Licensed Clinical Social Worker with almost 30 years of experience providing outpatient therapy services. Louise Gottlob has extensive training in areas of victimization, sexual abuse, and post-traumatic stress disorder. She has had specialized training in solution focused psychotherapy, Cognitive Behavioral Therapy, DBT, and Critical Stress Debriefing. Louise Gottlob also enjoys using techniques of mindfulness, and self compassion.
Louise Gottlob LISW-S, LCSW Licensed Independent Social Worker with a supervisor designation, Licensed Clinical Social Worker with almost 30 years of experience providing outpatient therapy services. Louise Gottlob has extensive training in areas of victimization, sexual abuse, and post-traumatic stress disorder. She has had specialized training in solution focused psychotherapy, Cognitive Behavioral Therapy, DBT, and Critical Stress Debriefing. Louise Gottlob also enjoys using techniques of mindfulness, and self compassion.
![Photo of Kayla Miro, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/2b6714de-ec7c-43e8-8c88-818af7a4d592/2/320x400.png)
My ideal client is someone who feels emotionally dysregulated, has lost their sense of identity, and no longer finds joy in activities they once enjoyed. They may feel lost or be experiencing a significant life transition. These individuals are seeking to reconnect with themselves, discover their purpose, and live a meaningful life. They are eager to experience healthy emotions and foster positive connections and relationships. They are open to new possibilities and are willing to explore what a different, fulfilling life could look like. These clients are committed to healing from their trauma and continuing on a growth journey.
My ideal client is someone who feels emotionally dysregulated, has lost their sense of identity, and no longer finds joy in activities they once enjoyed. They may feel lost or be experiencing a significant life transition. These individuals are seeking to reconnect with themselves, discover their purpose, and live a meaningful life. They are eager to experience healthy emotions and foster positive connections and relationships. They are open to new possibilities and are willing to explore what a different, fulfilling life could look like. These clients are committed to healing from their trauma and continuing on a growth journey.
![Photo of Joy Potter, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/0fceac74-46ed-43a9-a9e8-c8c4348439c6/2/320x400.png)
Anxiety, depression, emotional regulation, trauma—it's all hard, and each challenge is different, so an ideal client is someone who is ready to work on their goals. I enjoy helping clients work through whatever concern or crisis they have. Being able to watch as someone makes the connections or meets a goal is always rewarding and the best part of the job.
Anxiety, depression, emotional regulation, trauma—it's all hard, and each challenge is different, so an ideal client is someone who is ready to work on their goals. I enjoy helping clients work through whatever concern or crisis they have. Being able to watch as someone makes the connections or meets a goal is always rewarding and the best part of the job.
![Photo of Taylor Williams, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/831f2bec-3e58-4060-86d3-393e26f6e256/1/320x400.jpeg)
Taylor Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Paradise Valley, AZ 85253 (Online Only)
You are not broken or damaged. You may, however, be acting based on events from your past that remain encoded in your nervous system. Let's work together to treat the source of your symptoms and achieve lasting change..
You are not broken or damaged. You may, however, be acting based on events from your past that remain encoded in your nervous system. Let's work together to treat the source of your symptoms and achieve lasting change..
![Photo of Rebecca Austin, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c7e28be-1024-411d-8b20-279835cd2e0b/1/320x400.png)
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
![Photo of Dr. Angela Stillman, PhD, LMFT, LPC, Marriage & Family Therapist](https://photos.psychologytoday.com/a5104a93-bd11-442b-b5d0-730f3e6bafcc/1/320x400.png)
Dr. Angela Stillman
Marriage & Family Therapist, PhD, LMFT, LPC
Verified Verified
Scottsdale, AZ 85253 (Online Only)
Struggling with stress, unhappiness, anxiety, or even chronic illness affecting your day-to-day life, relationships, and school or work? Are limiting beliefs and unhelpful subconscious programming keeping you from your goals and aspirations? Do you wonder if life could be better and feel more fulfilling? Your struggles are real and deserve attention! In addition to traditional 50 min therapy sessions, I offer 2-3 day virtual Intensive Therapeutic Programs (6-9 hrs) to help you kickstart your healing journey. This is a perfect fit for those who cannot necessarily commit to weekly therapy and desire expedited benefits from therapy.
Struggling with stress, unhappiness, anxiety, or even chronic illness affecting your day-to-day life, relationships, and school or work? Are limiting beliefs and unhelpful subconscious programming keeping you from your goals and aspirations? Do you wonder if life could be better and feel more fulfilling? Your struggles are real and deserve attention! In addition to traditional 50 min therapy sessions, I offer 2-3 day virtual Intensive Therapeutic Programs (6-9 hrs) to help you kickstart your healing journey. This is a perfect fit for those who cannot necessarily commit to weekly therapy and desire expedited benefits from therapy.
![Photo of Susan E. Schwartz, PhD, Psychologist](https://photos.psychologytoday.com/3bd6bf5f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Finding yourself is a complex and ultimately rewarding journey affecting mind, body and soul. It requires listening to the sadness and confusion when life has become meaningless, depressing, anxiety ridden and overwhelming. Our potential lies in the unconscious with its knowledge. This can be revealed through the Jungian analytical approach aimed at the present distress as it opens to future development. There we discover unknown personality aspects, the limiting attitudes, complexes and patterns working no longer. Their transformation moves us into our more authentic self. From this comes joy, creativity and hope.
Finding yourself is a complex and ultimately rewarding journey affecting mind, body and soul. It requires listening to the sadness and confusion when life has become meaningless, depressing, anxiety ridden and overwhelming. Our potential lies in the unconscious with its knowledge. This can be revealed through the Jungian analytical approach aimed at the present distress as it opens to future development. There we discover unknown personality aspects, the limiting attitudes, complexes and patterns working no longer. Their transformation moves us into our more authentic self. From this comes joy, creativity and hope.
See more therapy options for 85253
How does your Therapist compare?
Number of Therapists in 85253
300+
Average cost per session
$165
Therapists in 85253 who prioritize treating:
92% | Anxiety |
86% | Depression |
78% | Relationship Issues |
76% | Self Esteem |
74% | Trauma and PTSD |
66% | Stress |
65% | Coping Skills |
Average years in practice
12 Years
Top 3 insurances accepted
79% | Aetna |
67% | BlueCross and BlueShield |
55% | UnitedHealthcare UHC | UBH |
How Therapists in 85253 see their clients
79% | In Person and Online | |
21% | Online Only |
Gender breakdown
79% | Female | |
20% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 85253?
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.