Therapists in Buxton, ME

Photo of Winter Robinson, MEd, Licensed Professional Counselor
Winter Robinson
Licensed Professional Counselor, MEd
Verified Verified
Buxton, ME 04093
My ideal client is a seeker, someone who is working on themselves to become more self-aware, or perhaps trying to understand the craziness of the world. They may be experiencing "spiritual emergencies," NDE's, having out of body experiences or psychic episodes. Most of their issues go beyond day to day problems. They may also have the desire to find the "root" cause of their health problems, and/or attempting to heal/bring their body into balance.
My ideal client is a seeker, someone who is working on themselves to become more self-aware, or perhaps trying to understand the craziness of the world. They may be experiencing "spiritual emergencies," NDE's, having out of body experiences or psychic episodes. Most of their issues go beyond day to day problems. They may also have the desire to find the "root" cause of their health problems, and/or attempting to heal/bring their body into balance.
(207) 222-7479 View (207) 222-7479
Photo of Jacqueline Klock, LCSW, Clinical Social Work/Therapist
Jacqueline Klock
Clinical Social Work/Therapist, LCSW
Verified Verified
Buxton, ME 04093  (Online Only)
After working in the social work field for close to 10 years now, I have experience working with individuals of various diagnosis and mental health issues. I enjoy working with individuals who are already motivated to grow and learn but I also enjoy helping inspire clients to grow and learn and become the best version of themselves. I have a lot of experience working with individuals with anxiety and depression symptoms as well as trauma-related issues. I truly want everyone to learn how to live their most fulfilled life and I enjoy helping others figure out how to get there, because it is possible for all of us.
After working in the social work field for close to 10 years now, I have experience working with individuals of various diagnosis and mental health issues. I enjoy working with individuals who are already motivated to grow and learn but I also enjoy helping inspire clients to grow and learn and become the best version of themselves. I have a lot of experience working with individuals with anxiety and depression symptoms as well as trauma-related issues. I truly want everyone to learn how to live their most fulfilled life and I enjoy helping others figure out how to get there, because it is possible for all of us.
(207) 900-1706 View (207) 900-1706
Photo of Maegan A Lapierre (Lambert-Irish), MS, LCPC, LADC, NCC, CCTP, Counselor
Maegan A Lapierre (Lambert-Irish)
Counselor, MS, LCPC, LADC, NCC, CCTP
Verified Verified
Buxton, ME 04093  (Online Only)
Currently Accepting New Self-Pay Clients. Telehealth Only. Are you having a problem with alcohol? Cannot stop using drugs? Struggling with a negative attitude? Have racing thoughts? Worry about everything? Just plain feeling down in the dumps, hopeless even? Maybe it is time to make a change. Maybe it is time to stop bottling up and stuffing those negative emotions. Maybe it is time to stop avoiding all your problems and letting them build up. It is time to take control of your life.
Currently Accepting New Self-Pay Clients. Telehealth Only. Are you having a problem with alcohol? Cannot stop using drugs? Struggling with a negative attitude? Have racing thoughts? Worry about everything? Just plain feeling down in the dumps, hopeless even? Maybe it is time to make a change. Maybe it is time to stop bottling up and stuffing those negative emotions. Maybe it is time to stop avoiding all your problems and letting them build up. It is time to take control of your life.
(207) 613-2045 View (207) 613-2045
Photo of Cali Crowley, LCSW, Clinical Social Work/Therapist
Cali Crowley
Clinical Social Work/Therapist, LCSW
Verified Verified
Buxton, ME 04093
Life is not for the faint of Heart. Life challenges and events can sometimes throw us for a loop. Finding a safe person with a compassionate heart, who will listen and understand us, is half the battle. You deserve all the support that you need, and congratulations on taking that first step. Whatever Life issues have led you to become a seeker of your own truth; relief is but a phone call away. I am here to listen and help, when you are ready.
Life is not for the faint of Heart. Life challenges and events can sometimes throw us for a loop. Finding a safe person with a compassionate heart, who will listen and understand us, is half the battle. You deserve all the support that you need, and congratulations on taking that first step. Whatever Life issues have led you to become a seeker of your own truth; relief is but a phone call away. I am here to listen and help, when you are ready.
(207) 250-4345 View (207) 250-4345

More Therapists Nearby

Photo of Matthew Roller, LADC, Drug & Alcohol Counselor
Matthew Roller
Drug & Alcohol Counselor, LADC
Verified Verified
East Waterboro, ME 04030  (Online Only)
Imagine someone deeply gripped by addiction, feeling overwhelmed and desperate for a way out. Physically, they suffer from symptoms like insomnia, fatigue, and malnutrition due to substance abuse. Emotionally, they're trapped in shame, guilt, and despair, straining relationships and damaging their self-worth. Mentally, cravings dominate their thoughts, leaving little room for anything else. Spiritually, they feel disconnected and purposeless, sinking deeper into isolation and despair. If this scenario is playing out in your life, it may be the right time to call. I will offer you a safe non-judgemental space to discuss these issues.
Imagine someone deeply gripped by addiction, feeling overwhelmed and desperate for a way out. Physically, they suffer from symptoms like insomnia, fatigue, and malnutrition due to substance abuse. Emotionally, they're trapped in shame, guilt, and despair, straining relationships and damaging their self-worth. Mentally, cravings dominate their thoughts, leaving little room for anything else. Spiritually, they feel disconnected and purposeless, sinking deeper into isolation and despair. If this scenario is playing out in your life, it may be the right time to call. I will offer you a safe non-judgemental space to discuss these issues.
(207) 223-3662 View (207) 223-3662
Photo of Kristen Bennett, LCSW, Clinical Social Work/Therapist
Kristen Bennett
Clinical Social Work/Therapist, LCSW
Verified Verified
Waterboro, ME 04087
Welcome! I'm glad you are considering therapy; it is a really big step. Thinking about counseling can be scary, but it reflects your strength. My experiences include providing therapy for individuals and families for the past 13 years.
Welcome! I'm glad you are considering therapy; it is a really big step. Thinking about counseling can be scary, but it reflects your strength. My experiences include providing therapy for individuals and families for the past 13 years.
View
Photo of Dr. Echo Dixon, DSW, LCSW, Clinical Social Work/Therapist
Dr. Echo Dixon
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Gorham, ME 04038  (Online Only)
Not accepting new clients
The world is currently facing unprecedented challenges that can cause an immense amount of mental health stress. I specialize in coercive control, narcissistic abuse, and covert abuse. I have training in CBT and DBT, specializing in understanding behavioral reactions and urges. Please get in touch with me to discuss the treatment that matches your emotional, mental, and financial needs.
The world is currently facing unprecedented challenges that can cause an immense amount of mental health stress. I specialize in coercive control, narcissistic abuse, and covert abuse. I have training in CBT and DBT, specializing in understanding behavioral reactions and urges. Please get in touch with me to discuss the treatment that matches your emotional, mental, and financial needs.
(207) 245-1476 View (207) 245-1476
Photo of Troi Boulanger, LCSW, Clinical Social Work/Therapist
Troi Boulanger
Clinical Social Work/Therapist, LCSW
Verified Verified
Gorham, ME 04038
Welcome. Life can present challenges that we need help navigating and this can be especially true when we experience trauma, depression, anxiety, grief, disconnection from ourselves, our purpose, our loved ones or a general stuckness. My work is to help you identify what needs attention and healing so you can change unhelpful patterns of thinking, feeling, and behaving that hold you back. I believe this process can lead you to clearer, more loving understanding of yourself that allows you to shift in profound, sometime surprising ways. I'd be honored to guide you in this, so if it feels right please reach out and let's connect.
Welcome. Life can present challenges that we need help navigating and this can be especially true when we experience trauma, depression, anxiety, grief, disconnection from ourselves, our purpose, our loved ones or a general stuckness. My work is to help you identify what needs attention and healing so you can change unhelpful patterns of thinking, feeling, and behaving that hold you back. I believe this process can lead you to clearer, more loving understanding of yourself that allows you to shift in profound, sometime surprising ways. I'd be honored to guide you in this, so if it feels right please reach out and let's connect.
(207) 672-1123 View (207) 672-1123
Photo of Paul W Milller, MA, LCPC, Counselor
Paul W Milller
Counselor, MA, LCPC
Verified Verified
2 Endorsed
Gorham, ME 04038
Couseling is a journey that starts with accepting where you are and finding a way to the other side of the challenge. Using a strength based approach we start with the resources you do have on board. Then through a variety of tools we discover what is geeting in the way of finding the peace and hope you are looking for. As a therapist I am aware that we are complex people that often need a safe place to sort things out and make meaning of life. . I am able to accept most forms of insurance including Mainecare.
Couseling is a journey that starts with accepting where you are and finding a way to the other side of the challenge. Using a strength based approach we start with the resources you do have on board. Then through a variety of tools we discover what is geeting in the way of finding the peace and hope you are looking for. As a therapist I am aware that we are complex people that often need a safe place to sort things out and make meaning of life. . I am able to accept most forms of insurance including Mainecare.
(207) 358-6248 View (207) 358-6248
Photo of Jennifer L Moss, LCSW, PMH-C, Clinical Social Work/Therapist
Jennifer L Moss
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Hollis Center, ME 04042  (Online Only)
Are you struggling to manage anxiety related to pregnancy, depression connected to your changing life roles, past or recent trauma, or relationship changes due to any of these concerns? Hope & Harmony is here to help. I provide professional knowledge in these areas along with others to include: parenting, relationship challenges, substance use & addiction, codependency, and self-care and compassion. Life's daily struggles can sometimes feel overwhelming and unmanageable. During these times, it can feel reassuring to connect with a certified and licensed professional who can help you put things into perspective.
Are you struggling to manage anxiety related to pregnancy, depression connected to your changing life roles, past or recent trauma, or relationship changes due to any of these concerns? Hope & Harmony is here to help. I provide professional knowledge in these areas along with others to include: parenting, relationship challenges, substance use & addiction, codependency, and self-care and compassion. Life's daily struggles can sometimes feel overwhelming and unmanageable. During these times, it can feel reassuring to connect with a certified and licensed professional who can help you put things into perspective.
(207) 517-2889 View (207) 517-2889
Photo of Veronica E Hartman, LCSW, Clinical Social Work/Therapist
Veronica E Hartman
Clinical Social Work/Therapist, LCSW
Verified Verified
Hollis Center, ME 04042  (Online Only)
Seeing what is true relieves anxiety and opens one up; it is freeing. Life brings profound events to us, often without our permission. Our culture and society can challenge our sense of safety and our willingness to reach out for what we need. We take it personally because it is all around us. It can be confusing to try to figure out what exactly we have the ability to change. How do we identify and then begin our own heart’s work? If you are looking for a therapist, it is most likely because you need support and new information to get unstuck, to connect, to heal, or to just get your groove back on.
Seeing what is true relieves anxiety and opens one up; it is freeing. Life brings profound events to us, often without our permission. Our culture and society can challenge our sense of safety and our willingness to reach out for what we need. We take it personally because it is all around us. It can be confusing to try to figure out what exactly we have the ability to change. How do we identify and then begin our own heart’s work? If you are looking for a therapist, it is most likely because you need support and new information to get unstuck, to connect, to heal, or to just get your groove back on.
(207) 407-9408 View (207) 407-9408
Photo of Dylan Pierrotti, LCPC, CADC, NCC, Counselor
Dylan Pierrotti
Counselor, LCPC, CADC, NCC
Verified Verified
1 Endorsed
Standish, ME 04084
Not accepting new clients
As a licensed clinical mental health counselor I am trained and have experience working with children, adults, couples and families struggling with many of life's challenges. I use an existential humanistic framework with evidence based, trauma informed, neurodiversity affirming, and culturally sensitive treatments. This allows for meaningful exploration of ourselves and our relationships, while addressing immediate concerns of how we function in our daily lives, resulting in a more authentic way of being with ourselves and with one another.
As a licensed clinical mental health counselor I am trained and have experience working with children, adults, couples and families struggling with many of life's challenges. I use an existential humanistic framework with evidence based, trauma informed, neurodiversity affirming, and culturally sensitive treatments. This allows for meaningful exploration of ourselves and our relationships, while addressing immediate concerns of how we function in our daily lives, resulting in a more authentic way of being with ourselves and with one another.
(207) 517-2275 View (207) 517-2275
Photo of Lacey Marie Graffam, LCPC, Counselor
Lacey Marie Graffam
Counselor, LCPC
Verified Verified
1 Endorsed
Limerick, ME 04048  (Online Only)
Have you experienced difficulty in your past that you feel impacts you presently? Would you benefit from having someone in your corner while you navigate this stage of your life? I would love to explore whether I might be a good fit to help you move forward towards positive change. The therapeutic space I provide for my clients is non-judgmental, confidential, and built upon empathic understanding. We collaborate as a team to understand your struggles, process potential roots, and apply appropriate coping strategies suited for you individually.
Have you experienced difficulty in your past that you feel impacts you presently? Would you benefit from having someone in your corner while you navigate this stage of your life? I would love to explore whether I might be a good fit to help you move forward towards positive change. The therapeutic space I provide for my clients is non-judgmental, confidential, and built upon empathic understanding. We collaborate as a team to understand your struggles, process potential roots, and apply appropriate coping strategies suited for you individually.
(207) 218-0509 View (207) 218-0509
Photo of S. P. Alexandra Bouvrette, LCSW, Clinical Social Work/Therapist
S. P. Alexandra Bouvrette
Clinical Social Work/Therapist, LCSW
Verified Verified
Dayton, ME 04005  (Online Only)
Compassionate Curiosity is the Cure. This is the simple and straightforward explanation of my philosophy and approach to psychotherapy. My primary model for treatment is Psychodynamic Psychotherapy, a classic model of treatment that focuses on reshaping core beliefs about self and others that often have deep and complex roots. I am a serious person by nature and take my work very seriously. Patients can expect challenging questions, thoughtfulness, and strong focus on getting to the bottom of unproductive thought patterns and habits (Curiosity), but with humor and caring (Compassion).
Compassionate Curiosity is the Cure. This is the simple and straightforward explanation of my philosophy and approach to psychotherapy. My primary model for treatment is Psychodynamic Psychotherapy, a classic model of treatment that focuses on reshaping core beliefs about self and others that often have deep and complex roots. I am a serious person by nature and take my work very seriously. Patients can expect challenging questions, thoughtfulness, and strong focus on getting to the bottom of unproductive thought patterns and habits (Curiosity), but with humor and caring (Compassion).
(207) 420-2186 View (207) 420-2186
Photo of Justin Brown, LCSW, LADC, CCS, Clinical Social Work/Therapist
Justin Brown
Clinical Social Work/Therapist, LCSW, LADC, CCS
Verified Verified
2 Endorsed
Gorham, ME 04038
Please note that I am currently at capacity and unable to accept new patients at this time. There is wisdom in the ways we adapt to our environments, but they do not always serve us in the present moment. My aim is to help people identify their adaptive patterns and view them with compassion, while also learning what to hold and what to let go. As a neurobiological informed therapist, I aim to help people move from judgement, shame and isolation to curiosity, acceptance and connection.
Please note that I am currently at capacity and unable to accept new patients at this time. There is wisdom in the ways we adapt to our environments, but they do not always serve us in the present moment. My aim is to help people identify their adaptive patterns and view them with compassion, while also learning what to hold and what to let go. As a neurobiological informed therapist, I aim to help people move from judgement, shame and isolation to curiosity, acceptance and connection.
(207) 218-0296 View (207) 218-0296
Photo of Melanie Sosinski Brown, LCSW, LADC, CCS, Clinical Social Work/Therapist
Melanie Sosinski Brown
Clinical Social Work/Therapist, LCSW, LADC, CCS
Verified Verified
1 Endorsed
Gorham, ME 04038
Not accepting new clients
I am not accepting new clients at this time. There is a way through. You don’t have to keep running from the present, sitting in the past or fixating on the future. You can be here now. Our work together can help orient the change process so that it is aligned with your values. I have been working with women, couples and families for the past decade. I bring authenticity, integrity and passion to the therapeutic relationship. It is possible to move from trauma, attachment wounds, addiction, disordered eating and anxiety towards resiliency, compassion, connection, hope and healing.
I am not accepting new clients at this time. There is a way through. You don’t have to keep running from the present, sitting in the past or fixating on the future. You can be here now. Our work together can help orient the change process so that it is aligned with your values. I have been working with women, couples and families for the past decade. I bring authenticity, integrity and passion to the therapeutic relationship. It is possible to move from trauma, attachment wounds, addiction, disordered eating and anxiety towards resiliency, compassion, connection, hope and healing.
(207) 825-7557 View (207) 825-7557
Photo of Jessica Welch, LCSW, Clinical Social Work/Therapist
Jessica Welch
Clinical Social Work/Therapist, LCSW
Verified Verified
Gorham, ME 04038
Not accepting new clients
I enjoy working with people who find themselves at a fork in the road; at that place in life where they are ready to act or think differently or find themselves struggling to function when life becomes different. I have a passion for supporting cancer survivors and their families throughout the many stages of treatment including diagnosis, treatment, recovery, survivorship and grief. I also have spent a great deal of my career working with neurodivergent folks navigating the unique challenges of functioning in a neurotypical world. If any of this resonates with you, we may be a good fit.
I enjoy working with people who find themselves at a fork in the road; at that place in life where they are ready to act or think differently or find themselves struggling to function when life becomes different. I have a passion for supporting cancer survivors and their families throughout the many stages of treatment including diagnosis, treatment, recovery, survivorship and grief. I also have spent a great deal of my career working with neurodivergent folks navigating the unique challenges of functioning in a neurotypical world. If any of this resonates with you, we may be a good fit.
(207) 386-4597 View (207) 386-4597
Photo of Donna LaNigra, MFA, LCSW, Clinical Social Work/Therapist
Donna LaNigra
Clinical Social Work/Therapist, MFA, LCSW
Verified Verified
Gorham, ME 04038
I specialize in working with adult women, using warmth and humor to build authentic connection. If anxiety and sadness are interfering with your life and relationships, you're battling an intrusive inner critic, or having a hard time finding your voice or direction, I can help. A supportive, non-biased therapeutic relationship is a major key in achieving positive change.
I specialize in working with adult women, using warmth and humor to build authentic connection. If anxiety and sadness are interfering with your life and relationships, you're battling an intrusive inner critic, or having a hard time finding your voice or direction, I can help. A supportive, non-biased therapeutic relationship is a major key in achieving positive change.
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Photo of Emma Young, LCPC , LMHC, Counselor
Emma Young
Counselor, LCPC , LMHC
Verified Verified
Standish, ME 04084  (Online Only)
Currently taking new clients. It is important that my client and I create a safe space to grow, heal, and learn how to manage life struggles. I have 14 years of experience working in the world of mental health, disabilities, and behavioral interventions. I use my behavioral intervention experience to help my clients identify unwanted behaviors, discover the root of the behavior, and move toward behavioral change. I use a variety of therapeutic techniques including mindfulness, cognitive behavioral therapy, psychotherapy, and client-centered counseling.
Currently taking new clients. It is important that my client and I create a safe space to grow, heal, and learn how to manage life struggles. I have 14 years of experience working in the world of mental health, disabilities, and behavioral interventions. I use my behavioral intervention experience to help my clients identify unwanted behaviors, discover the root of the behavior, and move toward behavioral change. I use a variety of therapeutic techniques including mindfulness, cognitive behavioral therapy, psychotherapy, and client-centered counseling.
(207) 515-8601 View (207) 515-8601
Photo of Rebecca Hanson, LADC, CCS, Drug & Alcohol Counselor
Rebecca Hanson
Drug & Alcohol Counselor, LADC, CCS
Verified Verified
1 Endorsed
Sebago Lake, ME 04075
Life presents us with countless challenges resulting in pain, regret, anxiety, relationship difficulties, legal issues and more! In our search for relief, we may turn to drugs or alcohol, inadvertently falling into the grips of addiction. I am very passionate about recovery and understand that change can be daunting. I strive to guide you through your difficulties and make progress towards the life you desire. During our sessions, you can expect my undivided attention, this is YOUR time.
Life presents us with countless challenges resulting in pain, regret, anxiety, relationship difficulties, legal issues and more! In our search for relief, we may turn to drugs or alcohol, inadvertently falling into the grips of addiction. I am very passionate about recovery and understand that change can be daunting. I strive to guide you through your difficulties and make progress towards the life you desire. During our sessions, you can expect my undivided attention, this is YOUR time.
(207) 548-5672 View (207) 548-5672

See more therapy options for Buxton

How does your Therapist compare?

Number of Therapists in Buxton, ME

< 10

Therapists in Buxton, ME who prioritize treating:

100% Depression
100% Anxiety
100% Behavioral Issues
75% Relationship Issues
75% Life Coaching
75% Trauma and PTSD
75% Divorce

Average years in practice

28 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Harvard Pilgrim

How Therapists in Buxton, ME see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Buxton?

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.