Therapists in Garden City, NY

Photo of Heather Rizzo, MHC-LP
Heather Rizzo
MHC-LP
Verified Verified
4 Endorsed
Garden City, NY 11530
Welcome to Great South Bay Therapy! I am one of the dedicated therapists specializing in working with children and families. My passion lies in creating a safe and nurturing space where individuals can explore, understand, and navigate the complexities of their lives.
Welcome to Great South Bay Therapy! I am one of the dedicated therapists specializing in working with children and families. My passion lies in creating a safe and nurturing space where individuals can explore, understand, and navigate the complexities of their lives.
(516) 715-3287 View (516) 715-3287
Photo of Renee Maggiore, LMHC, Counselor
Renee Maggiore
Counselor, LMHC
Verified Verified
1 Endorsed
Garden City, NY 11530
I became a Licensed Mental Health Counselor with the purpose of helping people as they navigate through life’s many ups and downs. I am passionate about helping clients increase their self-awareness and recognize their inner strengths. I aim to provide a non-judgmental, safe space for clients to feel supported and validated. I utilize a client-centered approach to therapy, tailored to suit the needs of my client. I use an eclectic therapeutic approach including EMDR, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Strength-Based Therapy.
I became a Licensed Mental Health Counselor with the purpose of helping people as they navigate through life’s many ups and downs. I am passionate about helping clients increase their self-awareness and recognize their inner strengths. I aim to provide a non-judgmental, safe space for clients to feel supported and validated. I utilize a client-centered approach to therapy, tailored to suit the needs of my client. I use an eclectic therapeutic approach including EMDR, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Strength-Based Therapy.
(516) 260-4839 View (516) 260-4839
Photo of Gina Della Penna, LMHC, LPC
Gina Della Penna
Licensed Mental Health Counselor, LMHC, LPC
Verified Verified
20 Endorsed
Garden City, NY 11530  (Online Only)
Do worries keep you up at night? Are you very self-critical and find that you compare yourself to others? Or maybe you're struggling with a significant loss or other life change? I help adults of all ages suffering with anxiety, stress, low self esteem & difficult life transitions. I have a specialty working with young adults and the challenges they face on the path towards independence and fulfillment. This can include issues like self-discovery, college/grad school, work, relationships & family dynamics. If any of this sounds familiar to you, I'd love to support you in finding relief & building the life you want to live.
Do worries keep you up at night? Are you very self-critical and find that you compare yourself to others? Or maybe you're struggling with a significant loss or other life change? I help adults of all ages suffering with anxiety, stress, low self esteem & difficult life transitions. I have a specialty working with young adults and the challenges they face on the path towards independence and fulfillment. This can include issues like self-discovery, college/grad school, work, relationships & family dynamics. If any of this sounds familiar to you, I'd love to support you in finding relief & building the life you want to live.
(516) 770-7485 View (516) 770-7485
Photo of Briana Tartaglione, EdM, Pre-Licensed Professional
Briana Tartaglione
Pre-Licensed Professional, EdM
Verified Verified
3 Endorsed
Garden City, NY 11530
Therapy is a place where we learn to cope with our feelings. As humans, we find hope in healing. Healing welcomes an ongoing balance between strength and struggle. My integrative approach to creating a safe space encourages clients to explore, gather, design, untangle, and make-meaning of the beliefs and conditions that detail our existence.
Therapy is a place where we learn to cope with our feelings. As humans, we find hope in healing. Healing welcomes an ongoing balance between strength and struggle. My integrative approach to creating a safe space encourages clients to explore, gather, design, untangle, and make-meaning of the beliefs and conditions that detail our existence.
(516) 882-3310 View (516) 882-3310
Photo of Alison Bulman, LCSW, Clinical Social Work/Therapist
Alison Bulman
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Garden City, NY 11530
NOW accepting new clients: If you’re a couple struggling with defensiveness, emotional distance, not feeling seen or heard, you’re in the right place! I offer powerful tools to create a gentler, kinder conversation style that maintains the safety needed for more honesty. You’ll feel mutual compassion grow as you become a more empathetic person in ALL your relationships. Over 10 yrs, communication is the no. 1 problem I see couples face. It’s why I’ve developed a unique approach called “Mindful Communication.” In our first few sessions, we review top 10 blocks to intimacy and 10 Ground Rules to get you unstuck and happier together.
NOW accepting new clients: If you’re a couple struggling with defensiveness, emotional distance, not feeling seen or heard, you’re in the right place! I offer powerful tools to create a gentler, kinder conversation style that maintains the safety needed for more honesty. You’ll feel mutual compassion grow as you become a more empathetic person in ALL your relationships. Over 10 yrs, communication is the no. 1 problem I see couples face. It’s why I’ve developed a unique approach called “Mindful Communication.” In our first few sessions, we review top 10 blocks to intimacy and 10 Ground Rules to get you unstuck and happier together.
(917) 809-6962 View (917) 809-6962
Photo of R Phillip Colon, PhD, Psychologist
R Phillip Colon
Psychologist, PhD
Verified Verified
Garden City, NY 11530
Dr. Colon, best known as Phillip by clients, patients, and colleagues alike, is a soft- spoken, down to earth clinician who is passionate about his work. His honest, direct, no-nonsense style of relating is comforting to those in his presence. An active, engaging participant in the treatment, Dr. Colon works collaboratively with those under his care. Special care and consideration is given to creating a comfortable, safe environment where any sensitive subject can be discussed with the privacy it deserves. Dr. Colon has dedicated his career to developing, preserving, and maintaining couples, marital, and family relationships.
Dr. Colon, best known as Phillip by clients, patients, and colleagues alike, is a soft- spoken, down to earth clinician who is passionate about his work. His honest, direct, no-nonsense style of relating is comforting to those in his presence. An active, engaging participant in the treatment, Dr. Colon works collaboratively with those under his care. Special care and consideration is given to creating a comfortable, safe environment where any sensitive subject can be discussed with the privacy it deserves. Dr. Colon has dedicated his career to developing, preserving, and maintaining couples, marital, and family relationships.
(516) 535-0570 View (516) 535-0570
Photo of Rebecca M Brown, LMFT, Marriage & Family Therapist
Rebecca M Brown
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Garden City, NY 11530  (Online Only)
I work with clients to help identify, process and heal relational issues whether it be familial, romantic, professional, or platonic. I also work with clients suffering from and feeling held back by the scars of trauma, emotional wounds, and maladaptive behavior patterns. I help clients to acknowledge their pain and/or the role they play in their dissatisfaction, slowly process it, accept it, and implement new paths forward so they can take back control of their lives and enjoy closer relationships.
I work with clients to help identify, process and heal relational issues whether it be familial, romantic, professional, or platonic. I also work with clients suffering from and feeling held back by the scars of trauma, emotional wounds, and maladaptive behavior patterns. I help clients to acknowledge their pain and/or the role they play in their dissatisfaction, slowly process it, accept it, and implement new paths forward so they can take back control of their lives and enjoy closer relationships.
(646) 916-5333 View (646) 916-5333
Photo of Erica James, MS, LMFT, Marriage & Family Therapist
Erica James
Marriage & Family Therapist, MS, LMFT
Verified Verified
Garden City, NY 11530
Has your relationship lost that “spark” that it once had? Do you and your partner find yourselves in the same cycle of fighting over seemingly meaningless things? Do you find yourself constantly on edge over things your partner says or does? Does it feel like there isn’t any romance, intimacy, or sex anymore? Do you feel stuck and hopeless? It can feel like you’re with a different person or someone that you don’t even know anymore. The arguments seem to happen more frequently and feel more intense. This leads to resentment and anger, which only continues the argumentative cycle. Being in this place can feel hopeless and hurtful.
Has your relationship lost that “spark” that it once had? Do you and your partner find yourselves in the same cycle of fighting over seemingly meaningless things? Do you find yourself constantly on edge over things your partner says or does? Does it feel like there isn’t any romance, intimacy, or sex anymore? Do you feel stuck and hopeless? It can feel like you’re with a different person or someone that you don’t even know anymore. The arguments seem to happen more frequently and feel more intense. This leads to resentment and anger, which only continues the argumentative cycle. Being in this place can feel hopeless and hurtful.
(516) 347-2512 View (516) 347-2512
Photo of Catherine A Bottari, LCSW, Clinical Social Work/Therapist
Catherine A Bottari
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Garden City, NY 11530  (Online Only)
The decision to enter therapy is not always easy. Choosing a therapist can also be difficult. I believe that the relationship between patient and therapist is one of the most important components in a person's treatment. I often refer to the therapy process as a playground because a playground is a safe place to explore and learn; so is therapy. Together we will explore and better prepare you to handle the emotions and difficulties that brought you to therapy. I specialize in working with childhood difficulties and bereavement, although my training is diverse.
The decision to enter therapy is not always easy. Choosing a therapist can also be difficult. I believe that the relationship between patient and therapist is one of the most important components in a person's treatment. I often refer to the therapy process as a playground because a playground is a safe place to explore and learn; so is therapy. Together we will explore and better prepare you to handle the emotions and difficulties that brought you to therapy. I specialize in working with childhood difficulties and bereavement, although my training is diverse.
(516) 513-8329 View (516) 513-8329
Photo of Cecily Portillo, PhD, Psychologist
Cecily Portillo
Psychologist, PhD
Verified Verified
6 Endorsed
Garden City, NY 11530
Are your emotions getting the best of you, influencing behaviors that impact your relationships, career, or sense of self? Are worry thoughts or your mood becoming increasingly challenging? Building the life you desire can be tough when strong emotions interfere, but it's possible to rein them in. In our sessions, collaboration is key, and I'll prioritize understanding and empathizing with your needs. Together, we'll work diligently to help you reach your treatment goals, and when you've achieved them, we'll celebrate your graduation from treatment.
Are your emotions getting the best of you, influencing behaviors that impact your relationships, career, or sense of self? Are worry thoughts or your mood becoming increasingly challenging? Building the life you desire can be tough when strong emotions interfere, but it's possible to rein them in. In our sessions, collaboration is key, and I'll prioritize understanding and empathizing with your needs. Together, we'll work diligently to help you reach your treatment goals, and when you've achieved them, we'll celebrate your graduation from treatment.
(347) 252-9744 View (347) 252-9744
Cindy Leinwand
Clinical Social Work/Therapist, LCSW
Verified Verified
Garden City, NY 11530
There are times when seeking the support of a therapist is necessary to navigate life's challenges. Finding a therapist who can best meet your needs can also be challenging. My extensive experience can ease that task.
There are times when seeking the support of a therapist is necessary to navigate life's challenges. Finding a therapist who can best meet your needs can also be challenging. My extensive experience can ease that task.
(516) 570-9656 View (516) 570-9656
Photo of Lisa Cohen, LCSW, Clinical Social Work/Therapist
Lisa Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Garden City, NY 11530
Are you currently going through challenging situations in your life, and need additional support and guidance to help you manage? I have over 20 years of experience treating adults, children, and teenagers. I provide caring, warm, and supportive treatment in a confidential setting. I help individuals, couples, families, children, and teens to figure out ways to overcome life's challenges. By improving self growth, and reaching their goals, my clients often find enhanced happiness and fulfillment in many areas of their lives. I can offer much needed help for parenting, anxiety, depression, trauma, and relationship issues.
Are you currently going through challenging situations in your life, and need additional support and guidance to help you manage? I have over 20 years of experience treating adults, children, and teenagers. I provide caring, warm, and supportive treatment in a confidential setting. I help individuals, couples, families, children, and teens to figure out ways to overcome life's challenges. By improving self growth, and reaching their goals, my clients often find enhanced happiness and fulfillment in many areas of their lives. I can offer much needed help for parenting, anxiety, depression, trauma, and relationship issues.
(516) 726-1032 View (516) 726-1032
Photo of Dr. Richard Lopez, PhD, Psychologist
Dr. Richard Lopez
Psychologist, PhD
Verified Verified
Garden City, NY 11530
The decision to begin therapy is an important step on your healing journey. By building partnerships that are founded on warmth, dignity, and non-judgment, I help clients grow in a way that is most aligned with their values. Together, we focus on promoting wellness by acknowledging the past, respecting the present, identifying goals for the future, and developing the skills needed to joyfully move in that direction. I use behavioral, exposure, cognitive, and acceptance-based approaches that are evidence-based.
The decision to begin therapy is an important step on your healing journey. By building partnerships that are founded on warmth, dignity, and non-judgment, I help clients grow in a way that is most aligned with their values. Together, we focus on promoting wellness by acknowledging the past, respecting the present, identifying goals for the future, and developing the skills needed to joyfully move in that direction. I use behavioral, exposure, cognitive, and acceptance-based approaches that are evidence-based.
(516) 908-7692 View (516) 908-7692
Photo of Jessica Corea, LMHC, CASAC-T, Counselor
Jessica Corea
Counselor, LMHC, CASAC-T
Verified Verified
5 Endorsed
Garden City, NY 11530
You deserve to live a happier and healthier life. Together, we can begin to understand your situation, and then create a plan that will address the issues that are causing you stress. Do you feel overwhelmed with issues that are unmanageable to deal with? Are you unsure about how to achieve your goals? Therapy is a powerful tool utilized to help resolve the problems you are experiencing. It strengthens our coping tools and our sense of self. I specialize in treating anxiety, depression, compulsions/addictions, relationship issues, self-esteem, and developing action plans to address goal setting.
You deserve to live a happier and healthier life. Together, we can begin to understand your situation, and then create a plan that will address the issues that are causing you stress. Do you feel overwhelmed with issues that are unmanageable to deal with? Are you unsure about how to achieve your goals? Therapy is a powerful tool utilized to help resolve the problems you are experiencing. It strengthens our coping tools and our sense of self. I specialize in treating anxiety, depression, compulsions/addictions, relationship issues, self-esteem, and developing action plans to address goal setting.
(516) 280-7285 View (516) 280-7285
Photo of Rachel Lessard, LMSW, LCSR, Clinical Social Work/Therapist
Rachel Lessard
Clinical Social Work/Therapist, LMSW, LCSR
Verified Verified
8 Endorsed
Garden City, NY 11530
Have you ever experienced an event that completely changed your view of the world? Do you feel afraid, alone and unsure of where to turn? Are you experiencing intrusive thoughts, when you least expect it or even nightmares? Trauma has lasting physical and emotional effects that can leave you tired, jumpy, anxious, feeling ashamed, exposed, insecure and wondering who you can trust. Do you find yourself wondering why you haven't found the love you want in your relationships? Do you believe no matter what you say or do for your significant other, it's never the "right thing" or "good enough"?
Have you ever experienced an event that completely changed your view of the world? Do you feel afraid, alone and unsure of where to turn? Are you experiencing intrusive thoughts, when you least expect it or even nightmares? Trauma has lasting physical and emotional effects that can leave you tired, jumpy, anxious, feeling ashamed, exposed, insecure and wondering who you can trust. Do you find yourself wondering why you haven't found the love you want in your relationships? Do you believe no matter what you say or do for your significant other, it's never the "right thing" or "good enough"?
(516) 864-4092 View (516) 864-4092
Photo of Robyn L. Stern, LCSW, MS, Clinical Social Work/Therapist
Robyn L. Stern
Clinical Social Work/Therapist, LCSW, MS
Verified Verified
1 Endorsed
Garden City, NY 11530  (Online Only)
I am a licensed clinical social worker (LCSW) and therapist in Connecticut, New York, New Jersey, Florida, Alabama, and California, who has been practicing since 2012. I received my Masters in Social Work from California State University, Northridge and a Masters in Counseling Education from Hunter College. I provide remote psychotherapy in Florida, California, New Jersey and New York. I am currently in network with Headway in Southern Florida. I am out of network in all other states.
I am a licensed clinical social worker (LCSW) and therapist in Connecticut, New York, New Jersey, Florida, Alabama, and California, who has been practicing since 2012. I received my Masters in Social Work from California State University, Northridge and a Masters in Counseling Education from Hunter College. I provide remote psychotherapy in Florida, California, New Jersey and New York. I am currently in network with Headway in Southern Florida. I am out of network in all other states.
(516) 874-2229 View (516) 874-2229
Photo of Victoria Goldenberg, MA, LCSW, PMH-C, Clinical Social Work/Therapist
Victoria Goldenberg
Clinical Social Work/Therapist, MA, LCSW, PMH-C
Verified Verified
6 Endorsed
Garden City, NY 11530
Feeling stuck in a rut? Struggling with the weight of anxiety, depression, or PTSD? If this sounds like your story, I’m here to help you. Together, we will address your here-and-now problems while unraveling the underlying patterns and unconscious influences shaping your emotions and behaviors. This dual approach will guide you on a transformative journey, bringing clarity, peace, and resolution from the past, fostering lasting change for your present and future.
Feeling stuck in a rut? Struggling with the weight of anxiety, depression, or PTSD? If this sounds like your story, I’m here to help you. Together, we will address your here-and-now problems while unraveling the underlying patterns and unconscious influences shaping your emotions and behaviors. This dual approach will guide you on a transformative journey, bringing clarity, peace, and resolution from the past, fostering lasting change for your present and future.
(347) 514-6790 View (347) 514-6790
Photo of Patrick M Grehan, PhD, Psychologist
Patrick M Grehan
Psychologist, PhD
Verified Verified
1 Endorsed
Garden City, NY 11530
I’m a Clinical Psychologist committed to helping individuals and couples learn how to navigate stress in relationships while managing their own conflicting emotional reactions. My work focuses on helping clients experience their negative emotions less intensely and feel more grounded in their lives. I’m passionate about helping clients whether they need to work through childhood traumas, overcome significant life challenges, or are looking for deeper insight into why they act, think, or feel the way they do.
I’m a Clinical Psychologist committed to helping individuals and couples learn how to navigate stress in relationships while managing their own conflicting emotional reactions. My work focuses on helping clients experience their negative emotions less intensely and feel more grounded in their lives. I’m passionate about helping clients whether they need to work through childhood traumas, overcome significant life challenges, or are looking for deeper insight into why they act, think, or feel the way they do.
(516) 256-9250 View (516) 256-9250
Photo of Christine Weiss, LCSW, Clinical Social Work/Therapist
Christine Weiss
Clinical Social Work/Therapist, LCSW
Verified Verified
Garden City, NY 11530
Chris is an experienced therapist who has treated adults with both mental health and substance abuse issues. Chris believes in creating a trusting relationship through active listening and empathy to provide a nonjudgmental atmosphere. She works with each person to help identify achievable goals to bring about meaningful, visible change. Chris specializes in the treatment of Mood Disorders, specifically Anxiety, Depression and Bipolar Disorders. She has had extensive training and experience with Substance Abuse including Co-Occurring Disorders.
Chris is an experienced therapist who has treated adults with both mental health and substance abuse issues. Chris believes in creating a trusting relationship through active listening and empathy to provide a nonjudgmental atmosphere. She works with each person to help identify achievable goals to bring about meaningful, visible change. Chris specializes in the treatment of Mood Disorders, specifically Anxiety, Depression and Bipolar Disorders. She has had extensive training and experience with Substance Abuse including Co-Occurring Disorders.
(516) 774-2640 View (516) 774-2640
Photo of Rosemary Flanagan, PhD, ABPP, Psychologist
Rosemary Flanagan
Psychologist, PhD, ABPP
Verified Verified
Garden City, NY 11530
I work best with persistent persons wanting a better quality of life. Because it can be difficult to seek help, I provide psychoeducation about therapy to clients and am forthright and supportive. So if you are feeling anxious or sad, have worries, or are worried about a family skills and functioning, I am able to help. Those who are motivated to do better and want relief from work, care giving, social and family stresses can benefit from my approach to therapy. It is important to remember that each person is an individual who has his or her individual concerns.
I work best with persistent persons wanting a better quality of life. Because it can be difficult to seek help, I provide psychoeducation about therapy to clients and am forthright and supportive. So if you are feeling anxious or sad, have worries, or are worried about a family skills and functioning, I am able to help. Those who are motivated to do better and want relief from work, care giving, social and family stresses can benefit from my approach to therapy. It is important to remember that each person is an individual who has his or her individual concerns.
(516) 272-4551 View (516) 272-4551
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How does your Therapist compare?

Number of Therapists in Garden City, NY

300+

Average cost per session

$175

Therapists in Garden City, NY who prioritize treating:

94% Anxiety
90% Depression
79% Relationship Issues
78% Self Esteem
73% Coping Skills
65% Stress
64% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

79% Aetna
68% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in Garden City, NY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Garden City?

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.