Therapists in Newport Beach, CA
Vyvy Roxanne Phan
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Newport Beach, CA 92660 (Online Only)
There may be a time in your life where you may feel like you are constantly hitting a wall and the struggle within yourself or in your relationships may feel so overwhelming that it is taking the joy and hope out of your life. You may pretend that it’s just a phase and it will pass; however, as time goes on, it doesn’t go away, if anything, the emotions and thoughts continue to build and build. You are doing the best that you can and there is room for change and growth still. Together, we can hopefully find the balance between the parts of life where we have to accept and the areas where we can change to feel less stuck.
There may be a time in your life where you may feel like you are constantly hitting a wall and the struggle within yourself or in your relationships may feel so overwhelming that it is taking the joy and hope out of your life. You may pretend that it’s just a phase and it will pass; however, as time goes on, it doesn’t go away, if anything, the emotions and thoughts continue to build and build. You are doing the best that you can and there is room for change and growth still. Together, we can hopefully find the balance between the parts of life where we have to accept and the areas where we can change to feel less stuck.
Leslie Nickens
Marriage & Family Therapist, LMFT
Verified Verified
Newport Beach, CA 92663 (Online Only)
Building momentum towards change and turning it into action can be difficult. It can even feel impossible. We all have moments of doubt, self-criticism, and feelings of emotional unrest. Whether it is rooted in infancy, adulthood, or anywhere in between, emotional pain from the past can very easily reverberate into our present and future. Therapy is a means towards forging a new relationship with self and the larger system we operate in. Whether you are struggling with post-traumatic stress, addiction, building intimacy in relationships, responding to emotions, or the stress of being human, it is important to know you are relatable.
Building momentum towards change and turning it into action can be difficult. It can even feel impossible. We all have moments of doubt, self-criticism, and feelings of emotional unrest. Whether it is rooted in infancy, adulthood, or anywhere in between, emotional pain from the past can very easily reverberate into our present and future. Therapy is a means towards forging a new relationship with self and the larger system we operate in. Whether you are struggling with post-traumatic stress, addiction, building intimacy in relationships, responding to emotions, or the stress of being human, it is important to know you are relatable.
Many blessings to you! I am a Harvard-trained healer, counselor and professor who helps transform deep unresolved issues from their core so your unique, brilliant light can radiate brightly like the magnificent star that it is once again! My work is tailored to be a catalyst for you to transform problem areas so you can access your Divine potential. It is an honor to be on this journey of transformation with you.
Many blessings to you! I am a Harvard-trained healer, counselor and professor who helps transform deep unresolved issues from their core so your unique, brilliant light can radiate brightly like the magnificent star that it is once again! My work is tailored to be a catalyst for you to transform problem areas so you can access your Divine potential. It is an honor to be on this journey of transformation with you.
Eye Movement Desensitization and Reprocessing (EMDR) therapy is an interactive psychotherapy technique used to relieve psychological stress.During EMDR therapy sessions, you relive traumatic or triggering experiences in brief doses while I direct your eyes in rapid movement. I believe in collaborative work, my focus is creating solutions to your current issues, using EMDR. I believe that the key to your success is creating a space that makes you feel comfortable and accepted, in order to foster this environment my office is a serene space. As a trained EMDR therapist my work is primarily working with PTSD, Anxiety and Depression.
Eye Movement Desensitization and Reprocessing (EMDR) therapy is an interactive psychotherapy technique used to relieve psychological stress.During EMDR therapy sessions, you relive traumatic or triggering experiences in brief doses while I direct your eyes in rapid movement. I believe in collaborative work, my focus is creating solutions to your current issues, using EMDR. I believe that the key to your success is creating a space that makes you feel comfortable and accepted, in order to foster this environment my office is a serene space. As a trained EMDR therapist my work is primarily working with PTSD, Anxiety and Depression.
Kim Simmons
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Newport Beach, CA 92660 (Online Only)
I am passionate about recovery and being of service. I believe effectiveness is the measure of truth and if you can conceive it you can achieve it. I utilize a comprehensive approach to dealing with life on life's terms. I specialize in treating addiction as a disease in mind, body, and spirit. Happiness is something we find along the way, not something we get at the end of the rainbow. When the pain of staying the same outweighs the fear of change then change will occur. Sometimes we feel powerless and our lives become unmanageable so it's important to find support and guidance to help create a life you don't need to escape from.
I am passionate about recovery and being of service. I believe effectiveness is the measure of truth and if you can conceive it you can achieve it. I utilize a comprehensive approach to dealing with life on life's terms. I specialize in treating addiction as a disease in mind, body, and spirit. Happiness is something we find along the way, not something we get at the end of the rainbow. When the pain of staying the same outweighs the fear of change then change will occur. Sometimes we feel powerless and our lives become unmanageable so it's important to find support and guidance to help create a life you don't need to escape from.
Samantha Grimes
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Newport Beach, CA 92660
Most people I know are doing the best they can with what they know, yet keep finding themselves stuck repeating old patterns. Some people want to heal old wounds but don't know how, and they often feel unsatisfied with their relationships, their job or feel alone. We might be a good fit to explore together if you want to feel more connected to yourself, your truth,and your emotions. My joy comes from helping others discover self compassion, peace with the past, self awareness, support, and connection. I help people craft lives and relationships they’re excited to show up for.
Most people I know are doing the best they can with what they know, yet keep finding themselves stuck repeating old patterns. Some people want to heal old wounds but don't know how, and they often feel unsatisfied with their relationships, their job or feel alone. We might be a good fit to explore together if you want to feel more connected to yourself, your truth,and your emotions. My joy comes from helping others discover self compassion, peace with the past, self awareness, support, and connection. I help people craft lives and relationships they’re excited to show up for.
Danealia Maretka
Marriage & Family Therapist, LMFT
Verified Verified
Newport Beach, CA 92660 (Online Only)
I meet you where you are in the present moment in your journey in life. I will be your guide to assist you in where you are wanting to go. I will assist you in achieving the skills and tools you need to reach your goals. Living your life to the fullest will not be a dream but a reality.
I meet you where you are in the present moment in your journey in life. I will be your guide to assist you in where you are wanting to go. I will assist you in achieving the skills and tools you need to reach your goals. Living your life to the fullest will not be a dream but a reality.
Elise Marie Collier
Marriage & Family Therapist, MS, LMFT, CEMDR, CAS, CPAP
Verified Verified
Newport Beach, CA 92660
Elise Collier is a seasoned therapist specializing in adverse childhood experiences, CPTSD, depression, anxiety, dissociation, and addiction. Since 2009, she has honed her expertise in residential treatment facilities, intensive outpatient programs, and private practice. Elise's extensive training includes Dialectical Behavior Therapy (DBT), Psychodrama, Mindfulness, Internal Family Systems (IFS), and attachment-based Somatic Experiencing. She holds certifications in EMDR, Structural Dissociation Integration Therapy, and Psychedelic-Assisted Therapy. Elise also helps clients weave their spiritual practices in their healing journey.
Elise Collier is a seasoned therapist specializing in adverse childhood experiences, CPTSD, depression, anxiety, dissociation, and addiction. Since 2009, she has honed her expertise in residential treatment facilities, intensive outpatient programs, and private practice. Elise's extensive training includes Dialectical Behavior Therapy (DBT), Psychodrama, Mindfulness, Internal Family Systems (IFS), and attachment-based Somatic Experiencing. She holds certifications in EMDR, Structural Dissociation Integration Therapy, and Psychedelic-Assisted Therapy. Elise also helps clients weave their spiritual practices in their healing journey.
Madeline Sober
Marriage & Family Therapist, MS, LMFT, LPCC
Verified Verified
Newport Beach, CA 92660
Maddy Sober provides individual psychotherapy for children, adolescents, and young adults. Maddy also serves as a Clinical Supervisor and the Director of Operations for the Mind Health Institute, Orange County. Maddy is a diplomate of the Academy of Cognitive and Behavioral Therapies and a Certified CBT Therapist who is currently a doctoral student working toward a Ph.D. in Counseling. Maddy works with a broad range of mental health issues and is committed to providing the highest level of care. Maddy is recognized for her creativity and commitment in tailoring her approach to the individualized needs of her clients.
Maddy Sober provides individual psychotherapy for children, adolescents, and young adults. Maddy also serves as a Clinical Supervisor and the Director of Operations for the Mind Health Institute, Orange County. Maddy is a diplomate of the Academy of Cognitive and Behavioral Therapies and a Certified CBT Therapist who is currently a doctoral student working toward a Ph.D. in Counseling. Maddy works with a broad range of mental health issues and is committed to providing the highest level of care. Maddy is recognized for her creativity and commitment in tailoring her approach to the individualized needs of her clients.
Katerina Sorrell
Licensed Professional Clinical Counselor, MA, PPSC, LPCC, NCC
Verified Verified
3 Endorsed
Newport Beach, CA 92660
Believe YOU CAN & you're half way there. My PASSION as your psychotherapist is helping you embrace HEALING & HOPE, through TENDER UNDERSTANDING & COMPASSION with current researched based methods in counseling. I connect deeply with my clients in a trust relationship that creates an experience of complete support. My focus is on the wellness of your entire person, not just the issue you walk in with. I have a big heart and give wise counsel, with solid credentials underneath.
Believe YOU CAN & you're half way there. My PASSION as your psychotherapist is helping you embrace HEALING & HOPE, through TENDER UNDERSTANDING & COMPASSION with current researched based methods in counseling. I connect deeply with my clients in a trust relationship that creates an experience of complete support. My focus is on the wellness of your entire person, not just the issue you walk in with. I have a big heart and give wise counsel, with solid credentials underneath.
Shannon Forbes
Marriage & Family Therapist, LMFT, EMDR
Verified Verified
1 Endorsed
Newport Beach, CA 92660
Everyone has an inner critic that is demanding, judgmental, and critical of the self. Some have harsher inner critics than others; however, my goal is for my clients to experience less criticism and more curiosity and self-compassion. Self-criticism is debilitating. It can lead to depression, anxiety, suicidal thoughts, eating disorders, cutting, substance abuse, infidelity and the list goes on. As I work with my clients to develop more self-awareness and self-understanding, they begin to develop more self-compassion and their symptoms begin to dissipate.
Everyone has an inner critic that is demanding, judgmental, and critical of the self. Some have harsher inner critics than others; however, my goal is for my clients to experience less criticism and more curiosity and self-compassion. Self-criticism is debilitating. It can lead to depression, anxiety, suicidal thoughts, eating disorders, cutting, substance abuse, infidelity and the list goes on. As I work with my clients to develop more self-awareness and self-understanding, they begin to develop more self-compassion and their symptoms begin to dissipate.
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I love helping teenagers and young adults with Autism/Asperger's navigate the social world around them by teaching skills to make and keep friends. I am also good at helping them deal with anxiety, depression and controlling their behaviors. I understand traditional talk therapy is not very effective for those on the spectrum so I modify the treatment by using different methods to increase understanding and learning. I believe in working with family members that care for the individual on the spectrum so I welcome you to join us in learning how to be the best form of support.
I love helping teenagers and young adults with Autism/Asperger's navigate the social world around them by teaching skills to make and keep friends. I am also good at helping them deal with anxiety, depression and controlling their behaviors. I understand traditional talk therapy is not very effective for those on the spectrum so I modify the treatment by using different methods to increase understanding and learning. I believe in working with family members that care for the individual on the spectrum so I welcome you to join us in learning how to be the best form of support.
Hello, I am a Licensed Marriage and Family Therapist with a variety of clinical experience and training. During my graduate work at Pepperdine University, I was educated on interventions designed to move clients towards self awareness and increased hope for the future. I strive to challenge my clients on their negative self talk and intervene on maladaptive coping mechanisms. My training focused on cognitive behavioral therapy and solution focused therapy however DBT is also a utilized therapeutic modality in my practice. Please allow me to meet with you and/to your loved ones to discuss current mental health or other life concerns.
Hello, I am a Licensed Marriage and Family Therapist with a variety of clinical experience and training. During my graduate work at Pepperdine University, I was educated on interventions designed to move clients towards self awareness and increased hope for the future. I strive to challenge my clients on their negative self talk and intervene on maladaptive coping mechanisms. My training focused on cognitive behavioral therapy and solution focused therapy however DBT is also a utilized therapeutic modality in my practice. Please allow me to meet with you and/to your loved ones to discuss current mental health or other life concerns.
Roxanne Polk
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Newport Beach, CA 92660 (Online Only)
Connection, trust, and vulnerability are foundational to a therapeutic relationship. Therefore, as your therapist I seek to establish a warm, confidential, and compassionate atmosphere where you feel seen and heard for who you are and where you are on your path to healing and personal growth. My approach is to encourage and support you as we work collaboratively toward your goals. I am 12-Step friendly and for those who are interested in incorporating spirituality, I offer faith-based counseling as well.
Connection, trust, and vulnerability are foundational to a therapeutic relationship. Therefore, as your therapist I seek to establish a warm, confidential, and compassionate atmosphere where you feel seen and heard for who you are and where you are on your path to healing and personal growth. My approach is to encourage and support you as we work collaboratively toward your goals. I am 12-Step friendly and for those who are interested in incorporating spirituality, I offer faith-based counseling as well.
Marcia A Hoffmann
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Newport Beach, CA 92660
Hello, I am glad that you are looking for support! Suddenly life has become incrementally more challenging as we are struggling with feeling out of control and overwhelmed. Depression, Anxiety, Substance Abuse and increasing challenges in our relationships are part of life for most people at this time. Old traumas are being triggered, often unbeknownst to us. I have provided support to my clients through these and other issues for 22 years. With a specialization in EMDR Trauma Therapy in addition to cognitive behavioral/attachment orientations I can help my clients move "past their past" ( Shapiro, 2012) and remain in the present.
Hello, I am glad that you are looking for support! Suddenly life has become incrementally more challenging as we are struggling with feeling out of control and overwhelmed. Depression, Anxiety, Substance Abuse and increasing challenges in our relationships are part of life for most people at this time. Old traumas are being triggered, often unbeknownst to us. I have provided support to my clients through these and other issues for 22 years. With a specialization in EMDR Trauma Therapy in addition to cognitive behavioral/attachment orientations I can help my clients move "past their past" ( Shapiro, 2012) and remain in the present.
Darissa Brooks
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Newport Beach, CA 92660
Not accepting new clients
Hello! You may be looking for someone who will listen to your hurt and pain, help you sort out what choices you have and make decisions that will help you successfully cope with the struggles, dilemmas and heartache you have experienced. Life is full of challenges, sometimes those challenges have been in our lives for a long time, and the wounds feel deep. I am a Licensed Marriage and Family Therapist with a heart to help teens, adults, couples, and families identify and heal those wounds. As a Christian, I use a Biblical worldview as the source of healing and truth.
Hello! You may be looking for someone who will listen to your hurt and pain, help you sort out what choices you have and make decisions that will help you successfully cope with the struggles, dilemmas and heartache you have experienced. Life is full of challenges, sometimes those challenges have been in our lives for a long time, and the wounds feel deep. I am a Licensed Marriage and Family Therapist with a heart to help teens, adults, couples, and families identify and heal those wounds. As a Christian, I use a Biblical worldview as the source of healing and truth.
Kathleen Murphy
Marriage & Family Therapist, LMFT
Verified Verified
Newport Beach, CA 92660 (Online Only)
My years of specialized training and experience have equipped me with skills in various therapeutic approaches. I have a background in treating co-occurring disorders (substance abuse treatment and mental health). I customize my approach to meet the needs and presenting problems of my clients and direct their treatment to establish a therapeutic alliance in order to facilitate the bridge to health.
My years of specialized training and experience have equipped me with skills in various therapeutic approaches. I have a background in treating co-occurring disorders (substance abuse treatment and mental health). I customize my approach to meet the needs and presenting problems of my clients and direct their treatment to establish a therapeutic alliance in order to facilitate the bridge to health.
Life's demands can often leave us feeling overwhelmed, unbalanced and not sure how to proceed. Whether you are a business executive navigating high stakes decisions, a veteran adjusting to civilian life or a teen growing up in a fast paced world, your journey is unique and deserves dedicated support. I am committed to providing a compassionate, confidential space where you can explore your thoughts and feelings without judgment. Together, we will work towards understanding your challenges, building resilience, and achieving personal growth. My approach is tailored to your individual needs, to ensure our sessions are effective.
Life's demands can often leave us feeling overwhelmed, unbalanced and not sure how to proceed. Whether you are a business executive navigating high stakes decisions, a veteran adjusting to civilian life or a teen growing up in a fast paced world, your journey is unique and deserves dedicated support. I am committed to providing a compassionate, confidential space where you can explore your thoughts and feelings without judgment. Together, we will work towards understanding your challenges, building resilience, and achieving personal growth. My approach is tailored to your individual needs, to ensure our sessions are effective.
It's tough being a parent today. Do you have a kid or teen who is struggling? Does your family need answers about your child's state of mind or are looking for actual tools to help heal your family dynamic? Our mission is simple: The Weichman Clinic provides comprehensive mental health services, evaluations, diagnosis and collaborative treatment. And we do it all in one place with a special focus on the unique physiological and psychological needs of children and adolescents.The Weichman Clinic at Hoag Hospital's Neurosciences Institute provides unparalleled access to doctors and therapists who exclusively specialize in children and adolescents. Its multi-disciplinary team of professionals treats a variety of issues such as childhood or teenage developmental issues and complex mental health concerns. Each team member bring in-depth understanding of the unique needs of young people as well as a commitment to helping them gain insight into themselves so they can grow and thrive as adults.
It's tough being a parent today. Do you have a kid or teen who is struggling? Does your family need answers about your child's state of mind or are looking for actual tools to help heal your family dynamic? Our mission is simple: The Weichman Clinic provides comprehensive mental health services, evaluations, diagnosis and collaborative treatment. And we do it all in one place with a special focus on the unique physiological and psychological needs of children and adolescents.The Weichman Clinic at Hoag Hospital's Neurosciences Institute provides unparalleled access to doctors and therapists who exclusively specialize in children and adolescents. Its multi-disciplinary team of professionals treats a variety of issues such as childhood or teenage developmental issues and complex mental health concerns. Each team member bring in-depth understanding of the unique needs of young people as well as a commitment to helping them gain insight into themselves so they can grow and thrive as adults.
DBT Center of Orange County
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Newport Beach, CA 92660
At the DBT Center of Orange County, our goal is to provide a warm, supportive and non-judgmental environment to help you resolve thoughts and behaviors that hamper you from Building Your Best Possible Life! Through the fastest-growing and evidence-based model of DBT (Dialectical Behavior Therapy) that includes CBT (Cognitive Behavioral Therapy) techniques, the development of healthy behaviors and establishment of new coping skills are taught and practiced. The main modules of DBT are Mindfulness, Emotion Regulation, Interpersonal Effectiveness, and Distress Tolerance.
At the DBT Center of Orange County, our goal is to provide a warm, supportive and non-judgmental environment to help you resolve thoughts and behaviors that hamper you from Building Your Best Possible Life! Through the fastest-growing and evidence-based model of DBT (Dialectical Behavior Therapy) that includes CBT (Cognitive Behavioral Therapy) techniques, the development of healthy behaviors and establishment of new coping skills are taught and practiced. The main modules of DBT are Mindfulness, Emotion Regulation, Interpersonal Effectiveness, and Distress Tolerance.
See more therapy options for Newport Beach
How does your Therapist compare?
Number of Therapists in Newport Beach, CA
1,000+
Average cost per session
$180
Therapists in Newport Beach, CA who prioritize treating:
93% | Anxiety |
89% | Depression |
84% | Relationship Issues |
76% | Self Esteem |
71% | Trauma and PTSD |
68% | Coping Skills |
67% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
62% | Aetna |
55% | Cigna and Evernorth |
44% | UnitedHealthcare UHC | UBH |
How Therapists in Newport Beach, CA see their clients
74% | In Person and Online | |
26% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Newport Beach?
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.