Therapists in Westbrook, ME

Photo of Kate Manahan, LCSW, Clinical Social Work/Therapist
Kate Manahan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Westbrook, ME 04092
Not accepting new clients
Living with a serious neurodegenerative illness, like Parkinson’s Disease, MS, and strokes often comes with a progressive cascade of losses, which then demand attention and call for solutions. Ever-changing symptoms can become exhausting, overwhelming, and isolating for both the person with the diagnosis and their care partners. I understand the physical realities of your diagnosis and the emotional experiences that can come with such serious diagnoses. When we bring our whole-selves to the equation, we can often untangle the knotted bits and make sense of how to use what we have, constructively and beautifully.
Living with a serious neurodegenerative illness, like Parkinson’s Disease, MS, and strokes often comes with a progressive cascade of losses, which then demand attention and call for solutions. Ever-changing symptoms can become exhausting, overwhelming, and isolating for both the person with the diagnosis and their care partners. I understand the physical realities of your diagnosis and the emotional experiences that can come with such serious diagnoses. When we bring our whole-selves to the equation, we can often untangle the knotted bits and make sense of how to use what we have, constructively and beautifully.
(207) 902-8511 View (207) 902-8511
Photo of Richard James Russell, LCPC-c, Pre-Licensed Professional
Richard James Russell
Pre-Licensed Professional, LCPC-c
Verified Verified
1 Endorsed
Westbrook, ME 04092
Richard specializes in a person-centered approach that focuses on building on existing strengths to help clients solve problems in the moment. They utilize cognitive behavioral models with a focus on empathy and care to help individuals plan for future success, empowering them to make lasting change and find meaning.
Richard specializes in a person-centered approach that focuses on building on existing strengths to help clients solve problems in the moment. They utilize cognitive behavioral models with a focus on empathy and care to help individuals plan for future success, empowering them to make lasting change and find meaning.
(207) 383-1689 View (207) 383-1689
Photo of Danielle Rideout, LCPC-c, LADC, CCS, Counselor
Danielle Rideout
Counselor, LCPC-c, LADC, CCS
Verified Verified
Westbrook, ME 04092
Not accepting new clients
I offer a non-judgmental, empathetic space to give you room to process areas of your life that may be causing distress. My hope is that when you leave my office, you'll feel heard and empowered. I find it to be a privilege to walk alongside people as they explore their thoughts, emotions and experiences. I'll support you by using evidence base practices, such as Client Centered and Motivational Interviewing. My experience as a therapist has given me the opportunity to work with people who have experienced trauma, as well as people living with substance use disorder, anxiety, depression, grief and major mental health concerns.
I offer a non-judgmental, empathetic space to give you room to process areas of your life that may be causing distress. My hope is that when you leave my office, you'll feel heard and empowered. I find it to be a privilege to walk alongside people as they explore their thoughts, emotions and experiences. I'll support you by using evidence base practices, such as Client Centered and Motivational Interviewing. My experience as a therapist has given me the opportunity to work with people who have experienced trauma, as well as people living with substance use disorder, anxiety, depression, grief and major mental health concerns.
(207) 835-3408 View (207) 835-3408
Photo of Elizabeth Goodie-Selwood, MSW, LCSW, Clinical Social Work/Therapist
Elizabeth Goodie-Selwood
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Westbrook, ME 04092  (Online Only)
Thank you for considering my practice. I support and treat adult clients with anxiety, depression, stress management and adjustment issues. I offer a safe space to process issues, identifying best strategies to improve emotional wellbeing. We begin by my learning about my client's history of their concern and together we develop manageable goals to improve coping by identifying potential behaviors, beliefs impeding overall wellness. Treatment techniques include; Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Mindfulness strategies.
Thank you for considering my practice. I support and treat adult clients with anxiety, depression, stress management and adjustment issues. I offer a safe space to process issues, identifying best strategies to improve emotional wellbeing. We begin by my learning about my client's history of their concern and together we develop manageable goals to improve coping by identifying potential behaviors, beliefs impeding overall wellness. Treatment techniques include; Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Mindfulness strategies.
(207) 618-8037 View (207) 618-8037
Photo of Donna LaNigra, MFA, LCSW, Clinical Social Work/Therapist
Donna LaNigra
Clinical Social Work/Therapist, MFA, LCSW
Verified Verified
Westbrook, ME 04092
Not accepting new clients
Please note that my practice is at capacity at this time. I specialize in working with high school age teens and 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.
Please note that my practice is at capacity at this time. I specialize in working with high school age teens and 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 Ben J Nappi, PhD, Psychologist
Ben J Nappi
Psychologist, PhD
Verified Verified
1 Endorsed
Westbrook, ME 04092
I am a seasoned clinican with over thirty years expericence in the field. I seek to create a comfortable, professional, and safe environment. My style is personal, informal, and direct. I endeavor to use humor, when appropriate, to put clients at ease, and provide perspective in order to move our work forward. My orientation is psychodynamic though I rely heavily on cognitive behavioral approaches because they have been shown to be effective and because the concepts can be readily understood.
I am a seasoned clinican with over thirty years expericence in the field. I seek to create a comfortable, professional, and safe environment. My style is personal, informal, and direct. I endeavor to use humor, when appropriate, to put clients at ease, and provide perspective in order to move our work forward. My orientation is psychodynamic though I rely heavily on cognitive behavioral approaches because they have been shown to be effective and because the concepts can be readily understood.
(207) 358-6152 View (207) 358-6152
Photo of Kelly Quinn - Kelly Quinn LLC, MA, IFS
Kelly Quinn LLC
MA, IFS
Verified Verified
Westbrook, ME 04092  (Online Only)
I bring curiosity, calm and compassion to a session. It is my goal to help you toward your goals, creating understanding, spaciousness and self acceptance along the way. I find we resist (and feel stuck) for a reason, and that if we can hear that reason and make space for it, pressures ease and we can move forward again with greater ease and internal connection.
I bring curiosity, calm and compassion to a session. It is my goal to help you toward your goals, creating understanding, spaciousness and self acceptance along the way. I find we resist (and feel stuck) for a reason, and that if we can hear that reason and make space for it, pressures ease and we can move forward again with greater ease and internal connection.
(207) 705-9171 View (207) 705-9171
Photo of Julie Ann Holden - Julie Holden, MSW, LCSW, MSW, LCSW, Clinical Social Work/Therapist
Julie Holden, MSW, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Westbrook, ME 04092
Welcome to my practice. With over 25 years of experience, I have assisted children, adolescents and adults with challenging life transitions, self-improvement, substance use, aging, grief and losses, coaching and consultation services, addictions/recovery, anxiety and depression. I have worked in settings including middle and high school, community outpatient mental health, private practice, The Department of Defense and Veterans Administration. I genuinely care about developing a partnership with you to help you gain momentum, oftentimes including humor along the way.
Welcome to my practice. With over 25 years of experience, I have assisted children, adolescents and adults with challenging life transitions, self-improvement, substance use, aging, grief and losses, coaching and consultation services, addictions/recovery, anxiety and depression. I have worked in settings including middle and high school, community outpatient mental health, private practice, The Department of Defense and Veterans Administration. I genuinely care about developing a partnership with you to help you gain momentum, oftentimes including humor along the way.
(207) 560-0657 View (207) 560-0657
Photo of Diane Harris, LCSW, CADC, Clinical Social Work/Therapist
Diane Harris
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
1 Endorsed
Westbrook, ME 04092
Waitlist for new clients
During a therapy session, I am very interactive, attentive, compassionate, and holistic based. I'm down to earth, feel that it is a privilege and an honor to work with people where ever they are on this journey called life. I believe having a sense of humor is important. I would be delighted to work with you individually or as a couple, on a short or long term basis. Please call for a free phone consultation.
During a therapy session, I am very interactive, attentive, compassionate, and holistic based. I'm down to earth, feel that it is a privilege and an honor to work with people where ever they are on this journey called life. I believe having a sense of humor is important. I would be delighted to work with you individually or as a couple, on a short or long term basis. Please call for a free phone consultation.
(207) 653-7885 View (207) 653-7885
Photo of Natalya Sorlien, LMFT, PhD(c), Marriage & Family Therapist
Natalya Sorlien
Marriage & Family Therapist, LMFT, PhD(c)
Verified Verified
2 Endorsed
Westbrook, ME 04092
Have you ever wondered which experiences in your life most affect how you feel, relate, and react? If the word "relationships" comes to mind, then we should talk. My specializations and work have centered around relationships- your partners, your children, family, and perhaps neighbors. I use humor, evidence-based practices and solution-focused approaches to tailor our time together to unravel relational mysteries. Whether through individual, couples, or family counseling, I can help you adapt to life changes, identify the role of relational wounds and increase understanding of the relationships in our lives.
Have you ever wondered which experiences in your life most affect how you feel, relate, and react? If the word "relationships" comes to mind, then we should talk. My specializations and work have centered around relationships- your partners, your children, family, and perhaps neighbors. I use humor, evidence-based practices and solution-focused approaches to tailor our time together to unravel relational mysteries. Whether through individual, couples, or family counseling, I can help you adapt to life changes, identify the role of relational wounds and increase understanding of the relationships in our lives.
(207) 945-8315 View (207) 945-8315
Photo of Morgan Wallingford, LCPC, Counselor
Morgan Wallingford
Counselor, LCPC
Verified Verified
3 Endorsed
Westbrook, ME 04092
Waitlist for new clients
I provide treatment for individuals with mental health and disabilities. My intention is to help each one of my clients discover what they want out of life and to become the best version of themselves. Opening up to a stranger can be a challenge, I strive to promote equality in sessions and help individuals to advocate for themselves. I have an eclectic treatment approach in utilizing EMDR, MI, CBT, Strengths-based, SBFT, Mind/Body, Person-Centered, and Psychoeducation.
I provide treatment for individuals with mental health and disabilities. My intention is to help each one of my clients discover what they want out of life and to become the best version of themselves. Opening up to a stranger can be a challenge, I strive to promote equality in sessions and help individuals to advocate for themselves. I have an eclectic treatment approach in utilizing EMDR, MI, CBT, Strengths-based, SBFT, Mind/Body, Person-Centered, and Psychoeducation.
(207) 386-9324 View (207) 386-9324
Photo of Hal Earle, LCPC, Counselor
Hal Earle
Counselor, LCPC
Verified Verified
2 Endorsed
Westbrook, ME 04092  (Online Only)
Not accepting new clients
Do you struggle with overwhelming and unpredictable waves of emotion? Find yourself doing well in certain areas of your life, like work, but feel frustrated or out of control at home or in relationships? Perhaps you’re questioning your gender identity or trying to plan transition steps. My practice specialties including helping people understand and heal from complex trauma, and working with queer and transgender folks. I can also help with a wide range of difficulties such as anxiety, depression, and single incident traumas. Additionally, I provide free assessment and letters for gender affirming surgery.
Do you struggle with overwhelming and unpredictable waves of emotion? Find yourself doing well in certain areas of your life, like work, but feel frustrated or out of control at home or in relationships? Perhaps you’re questioning your gender identity or trying to plan transition steps. My practice specialties including helping people understand and heal from complex trauma, and working with queer and transgender folks. I can also help with a wide range of difficulties such as anxiety, depression, and single incident traumas. Additionally, I provide free assessment and letters for gender affirming surgery.
(207) 407-7530 View (207) 407-7530
Photo of Keara DuPont Anctil, LCSW, Clinical Social Work/Therapist
Keara DuPont Anctil
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Westbrook, ME 04092
Not accepting new clients
We are in the midst of a new normal that is a difficult, scary time. I am offering virtual sessions that will offer you the ability to access therapy, from the safety of where you are. Let’s talk. Individuals and couples that come work with me experience compassion and understanding. I use an eclectic and collaborative approach to make changes and create a more fulfilling life, mostly young adults, women, adults, and couples, experiencing symptoms from diagnoses such as anxiety and depression, as well as difficulties in relationships, life changes, and diet culture.
We are in the midst of a new normal that is a difficult, scary time. I am offering virtual sessions that will offer you the ability to access therapy, from the safety of where you are. Let’s talk. Individuals and couples that come work with me experience compassion and understanding. I use an eclectic and collaborative approach to make changes and create a more fulfilling life, mostly young adults, women, adults, and couples, experiencing symptoms from diagnoses such as anxiety and depression, as well as difficulties in relationships, life changes, and diet culture.
(207) 994-8100 View (207) 994-8100
Photo of Shelby Briggs, LADC, CCS, Drug & Alcohol Counselor
Shelby Briggs
Drug & Alcohol Counselor, LADC, CCS
Verified Verified
Westbrook, ME 04092  (Online Only)
If you've made it this far and you're reading this, you must be a Warrior. Really. Having Substance Use Disorder (SUD), or loving someone who has SUD, is not for the weak at heart. I liken it's reach to a tornado, an EF5 tornado actually. But here's the thing; You and I working together - we are to SUD what FEMA is to a tornado. Together, we can pick up the wreckage, organize it, decide what parts you want to keep, which ones you want to fix, and where to start fresh. You are not alone. In fact, 1 in 3 American families are struggling with SUD in the home. 22 Million Americans are in long-term recovery. All of them needed help too.
If you've made it this far and you're reading this, you must be a Warrior. Really. Having Substance Use Disorder (SUD), or loving someone who has SUD, is not for the weak at heart. I liken it's reach to a tornado, an EF5 tornado actually. But here's the thing; You and I working together - we are to SUD what FEMA is to a tornado. Together, we can pick up the wreckage, organize it, decide what parts you want to keep, which ones you want to fix, and where to start fresh. You are not alone. In fact, 1 in 3 American families are struggling with SUD in the home. 22 Million Americans are in long-term recovery. All of them needed help too.
(207) 230-6957 View (207) 230-6957
Photo of Elizabeth Siviski, LCSW, Clinical Social Work/Therapist
Elizabeth Siviski
Clinical Social Work/Therapist, LCSW
Verified Verified
Westbrook, ME 04092
Waitlist for new clients
Hi! I'm Elizabeth. Thanks for visiting my page. It takes tremendous courage to begin a journey to improve your mental health. I would describe myself as very compassionate and empathic, down to earth, and well rounded both professionally and personally. I am a strengths-based, trauma-informed, balanced provider who utilizes a wide variety of modalities in my practice.
Hi! I'm Elizabeth. Thanks for visiting my page. It takes tremendous courage to begin a journey to improve your mental health. I would describe myself as very compassionate and empathic, down to earth, and well rounded both professionally and personally. I am a strengths-based, trauma-informed, balanced provider who utilizes a wide variety of modalities in my practice.
(207) 306-2572 View (207) 306-2572
Photo of Katie Dolinsky, MA, LMFT, Marriage & Family Therapist
Katie Dolinsky
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Westbrook, ME 04092
Waitlist for new clients
Friends. Partners. Parents. Children. Relationships are one of the most important and enjoyable parts of being human. My practice is focused on connecting people and guiding them toward feeling more satisfied in their relationships. Therapy is highly focused on communication, healing relational wounds, gaining awareness of relationship patterns and understanding needs so that you can feel more understood and fulfilled in all relationships in your life. We specialize in working with couples, those with attachment issues or childhood trauma and anyone wanting more authentic and healthy relationships in their lives.
Friends. Partners. Parents. Children. Relationships are one of the most important and enjoyable parts of being human. My practice is focused on connecting people and guiding them toward feeling more satisfied in their relationships. Therapy is highly focused on communication, healing relational wounds, gaining awareness of relationship patterns and understanding needs so that you can feel more understood and fulfilled in all relationships in your life. We specialize in working with couples, those with attachment issues or childhood trauma and anyone wanting more authentic and healthy relationships in their lives.
(207) 489-2624 View (207) 489-2624
Photo of Victoria Savage, LCSW, Clinical Social Work/Therapist
Victoria Savage
Clinical Social Work/Therapist, LCSW
Verified Verified
Westbrook, ME 04092
Life can be so difficult at times. With so much going on in the world around and often within us it’s all too easy to lose your balance, feel lost and isolated. You may be experiencing increased feelings of anxiety, depression, fear or anger and resentment. Relationship conflicts may intensify or reinforce past traumas. As a professional with over 20 years of practice treating trauma and other mental health conditions, I can provide the guidance and support to help you make the changes you need to move beyond this challenging period of your life, toward something that feels more authentic and true for you.
Life can be so difficult at times. With so much going on in the world around and often within us it’s all too easy to lose your balance, feel lost and isolated. You may be experiencing increased feelings of anxiety, depression, fear or anger and resentment. Relationship conflicts may intensify or reinforce past traumas. As a professional with over 20 years of practice treating trauma and other mental health conditions, I can provide the guidance and support to help you make the changes you need to move beyond this challenging period of your life, toward something that feels more authentic and true for you.
(207) 383-3122 View (207) 383-3122
Photo of Jeana M Coggins, LADC, Drug & Alcohol Counselor
Jeana M Coggins
Drug & Alcohol Counselor, LADC
Verified Verified
1 Endorsed
Westbrook, ME 04092
Recovery from active addiction is possible. I’m not promising it will be easy or happen overnight, but I can promise it’s worth it. Life is for living, and this isn’t a dress rehearsal.
Recovery from active addiction is possible. I’m not promising it will be easy or happen overnight, but I can promise it’s worth it. Life is for living, and this isn’t a dress rehearsal.
(207) 705-0977 View (207) 705-0977
Photo of Erica (Nappi) Green, LCSW, Clinical Social Work/Therapist
Erica (Nappi) Green
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Westbrook, ME 04092
Not accepting new clients
Profile is up to date as of 6/27/24. I believe that people's emotional health is based upon a variety of factors including their biological make-up, the environment, relationships, and events from their upbringing. People develop beliefs to make their way in the world, and apply these beliefs as they function in their present day to day lives. Problems may result when beliefs that were once useful no longer make sense. Through therapy, it is my job to help people bring these beliefs into consciousness, so that they may then be modified to better fit the present.
Profile is up to date as of 6/27/24. I believe that people's emotional health is based upon a variety of factors including their biological make-up, the environment, relationships, and events from their upbringing. People develop beliefs to make their way in the world, and apply these beliefs as they function in their present day to day lives. Problems may result when beliefs that were once useful no longer make sense. Through therapy, it is my job to help people bring these beliefs into consciousness, so that they may then be modified to better fit the present.
(207) 618-8731 View (207) 618-8731
Photo of Lisa King, LCSW, Clinical Social Work/Therapist
Lisa King
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Westbrook, ME 04092
I wholly believe we all have capacity for growth, regardless of where we begin. Life is fluid and people are not diagnostic labels, contrary to what social media would tell you. People are much more complex than a handful of symptoms on a Tik Tok video. Because of this, I utilize an integrative model in my work, incorporating different therapeutic styles depending on the client and the circumstances. My basic approach is psychodynamic in nature - helping you to understand what has happened in your life so you can better see the patterns that are no longer serving you, and identifying actions with you to change them.
I wholly believe we all have capacity for growth, regardless of where we begin. Life is fluid and people are not diagnostic labels, contrary to what social media would tell you. People are much more complex than a handful of symptoms on a Tik Tok video. Because of this, I utilize an integrative model in my work, incorporating different therapeutic styles depending on the client and the circumstances. My basic approach is psychodynamic in nature - helping you to understand what has happened in your life so you can better see the patterns that are no longer serving you, and identifying actions with you to change them.
(207) 222-7852 View (207) 222-7852

How does your Therapist compare?

Number of Therapists in Westbrook, ME

70+

Average cost per session

$125

Therapists in Westbrook, ME who prioritize treating:

87% Depression
86% Anxiety
81% Relationship Issues
78% Self Esteem
75% Coping Skills
65% Trauma and PTSD
63% Grief

Average years in practice

15 Years

Top 3 insurances accepted

75% Anthem | Elevance
63% BlueCross and BlueShield
63% Harvard Pilgrim

How Therapists in Westbrook, ME see their clients

75% In Person and Online
25% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Westbrook?

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.