Therapists in Miami Lakes, FL

Photo of Melanie Velasquez, MHC, MS
Melanie Velasquez
MHC, MS
Verified Verified
Miami Lakes, FL 33014
In my years of experience working with the adolescent population, I’ve came to the realization that this generation is navigating a world far different than the one I once knew at their age. They challenge our systems and pre-conceived notions of how things “should” be. Adolescents often feel alone, misunderstood, and confused during this period of immense growth.
In my years of experience working with the adolescent population, I’ve came to the realization that this generation is navigating a world far different than the one I once knew at their age. They challenge our systems and pre-conceived notions of how things “should” be. Adolescents often feel alone, misunderstood, and confused during this period of immense growth.
(305) 912-9087 View (305) 912-9087
Photo of Dr. Nadine Greene, PhD, LCSW, MA, Clinical Social Work/Therapist
Dr. Nadine Greene
Clinical Social Work/Therapist, PhD, LCSW, MA
Verified Verified
Miami Lakes, FL 33014
My ideal mental health client is someone who recognizes the importance of prioritizing their emotional well-being and is committed to their own growth and healing. They may be experiencing a range of mental health issues, such as anxiety, depression, trauma, or stress-related disorders. These challenges may be impacting various aspects of their life, including relationships, work, and overall quality of life. Their needs are centered around support, understanding, and validation. They seek a safe and nonjudgmental space where they can explore their thoughts and feelings openly.
My ideal mental health client is someone who recognizes the importance of prioritizing their emotional well-being and is committed to their own growth and healing. They may be experiencing a range of mental health issues, such as anxiety, depression, trauma, or stress-related disorders. These challenges may be impacting various aspects of their life, including relationships, work, and overall quality of life. Their needs are centered around support, understanding, and validation. They seek a safe and nonjudgmental space where they can explore their thoughts and feelings openly.
(786) 981-8061 View (786) 981-8061
Photo of Xenia Cabrera, LCSW, Clinical Social Work/Therapist
Xenia Cabrera
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami Lakes, FL 33016
We all experience trauma, uncertainty and severe stressors in our lives. I believe that positive change is possible at any age or stage of life. I will work with you to identify triggers to struggles and develop a plan to help you reach your goals so that you can find fulfillment, stability and peace. My approach to counseling is practical, short-term and solution focused. I work with individuals, couples, and adolescents as well families having difficulties adjusting to life changes and transitions such as relationship issues, divorce, work/life balance, behavioral problems and/or academic concerns.
We all experience trauma, uncertainty and severe stressors in our lives. I believe that positive change is possible at any age or stage of life. I will work with you to identify triggers to struggles and develop a plan to help you reach your goals so that you can find fulfillment, stability and peace. My approach to counseling is practical, short-term and solution focused. I work with individuals, couples, and adolescents as well families having difficulties adjusting to life changes and transitions such as relationship issues, divorce, work/life balance, behavioral problems and/or academic concerns.
(305) 882-9519 View (305) 882-9519
Photo of Alejandra Arguello, MSW, LCSW
Alejandra Arguello
MSW, LCSW
Verified Verified
Miami Lakes, FL 33014  (Online Only)
Mental health is essential for everyone. The way we think and feel can profoundly impact our lives, behaviors, and ability to cope with challenges. Your mental well-being influences how you engage with your family, friends, work, and community. I'm here to support you in reclaiming your mental health to lead a fulfilling life. As a Licensed Clinical Social Worker (LCSW), I specialize in working with children, adolescents, young adults, and neurodivergent individuals from diverse cultural backgrounds.
Mental health is essential for everyone. The way we think and feel can profoundly impact our lives, behaviors, and ability to cope with challenges. Your mental well-being influences how you engage with your family, friends, work, and community. I'm here to support you in reclaiming your mental health to lead a fulfilling life. As a Licensed Clinical Social Worker (LCSW), I specialize in working with children, adolescents, young adults, and neurodivergent individuals from diverse cultural backgrounds.
(786) 574-3872 View (786) 574-3872
Photo of Stefanie Kalski
Stefanie Kalski
Registered Mental Health Counselor Intern
Verified Verified
2 Endorsed
Miami Lakes, FL 33016
Life is not always perfect, it can be challenging. If you are struggling, it may be necessary to reach out to a compassionate counselor to help you regain your balance. I hope I am that counselor. Let me help you experience extraordinary transformations. By providing a non-judgmental environment and using a holistic approach, our work together will create meaningful changes.
Life is not always perfect, it can be challenging. If you are struggling, it may be necessary to reach out to a compassionate counselor to help you regain your balance. I hope I am that counselor. Let me help you experience extraordinary transformations. By providing a non-judgmental environment and using a holistic approach, our work together will create meaningful changes.
(786) 244-2289 View (786) 244-2289
Photo of Susana Blanco - Thrive Psychological Associates, PhD, Psychologist
Thrive Psychological Associates
Psychologist, PhD
Verified Verified
Miami Lakes, FL 33014
We provide in person and telehealth, culturally sensitive psychological, educational, and social support services to individuals, couples, families and groups in order to assist them in growing, flourishing and successfully realizing their academic, occupational, personal, relational, and/or social goals. We are committed to meeting the needs of all those we serve. As members of this community and because we care, it is our mission to be of significant value to the people of South Florida and beyond by offering services that are sensitive, timely and ethically sound.
We provide in person and telehealth, culturally sensitive psychological, educational, and social support services to individuals, couples, families and groups in order to assist them in growing, flourishing and successfully realizing their academic, occupational, personal, relational, and/or social goals. We are committed to meeting the needs of all those we serve. As members of this community and because we care, it is our mission to be of significant value to the people of South Florida and beyond by offering services that are sensitive, timely and ethically sound.
(305) 676-8631 View (305) 676-8631
Photo of Dr. Luis D Permuy, PhD, LMHC, Counselor
Dr. Luis D Permuy
Counselor, PhD, LMHC
Verified Verified
Miami Lakes, FL 33018
I am the Founder of Permuy Diversity Intervention LLC. I have had professional results for over twenty years in different countries and counties of Florida as a Lead Analyst and in many roles in the Mental Health field. I value diversity, integrity, and inclusivity. I always customize my approach to meet the needs of the individual. I invite you to visit any reference to Permuy Diversity Intervention LLC to learn more about my private practice. I can provide a trusting and nonjudgmental space. Let us embark on any challenge together, shaping your life path with care and support. It is never too early or too late for personal growth.
I am the Founder of Permuy Diversity Intervention LLC. I have had professional results for over twenty years in different countries and counties of Florida as a Lead Analyst and in many roles in the Mental Health field. I value diversity, integrity, and inclusivity. I always customize my approach to meet the needs of the individual. I invite you to visit any reference to Permuy Diversity Intervention LLC to learn more about my private practice. I can provide a trusting and nonjudgmental space. Let us embark on any challenge together, shaping your life path with care and support. It is never too early or too late for personal growth.
(305) 520-7369 View (305) 520-7369
Photo of Eden Costa, LMHC, Counselor
Eden Costa
Counselor, LMHC
Verified Verified
Miami Lakes, FL 33014  (Online Only)
My name is Eden, and I am a licensed mental health counselor. I have practiced in the mental health field for over 3 years. I have worked with clients both in crisis and in an outpatient setting. I have experience in individual, group and family therapy. I have worked with children, adolescents and adults. I have experience with clients coping with depression, anxiety, trauma, grief/loss and bipolar disorder.
My name is Eden, and I am a licensed mental health counselor. I have practiced in the mental health field for over 3 years. I have worked with clients both in crisis and in an outpatient setting. I have experience in individual, group and family therapy. I have worked with children, adolescents and adults. I have experience with clients coping with depression, anxiety, trauma, grief/loss and bipolar disorder.
(305) 518-1246 View (305) 518-1246
Photo of Julia Sophie Salas - Miami Lakes Counseling, MS, LMHC, Counselor
Miami Lakes Counseling
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Miami Lakes, FL 33016
I am a licensed clinical psychotherapist and qualified state supervisor, and I treat children, adolescents, adults and older adults. I see people with anxiety/panics/fears and depression/sadness/hopelessness, in individual and in couples therapy. I help my clients surpass life's difficult challenges by providing support and help navigate life's transitions. For many, past painful experiences get in the way of living the life you want- the low self esteem, negative self talk, depression/anxiety, nervousness. In therapy, we would address the difficulties in different phases of life, the hardships in your professional career, challenges in your relationships, poor choices, the negative patterns of your thoughts.
I am a licensed clinical psychotherapist and qualified state supervisor, and I treat children, adolescents, adults and older adults. I see people with anxiety/panics/fears and depression/sadness/hopelessness, in individual and in couples therapy. I help my clients surpass life's difficult challenges by providing support and help navigate life's transitions. For many, past painful experiences get in the way of living the life you want- the low self esteem, negative self talk, depression/anxiety, nervousness. In therapy, we would address the difficulties in different phases of life, the hardships in your professional career, challenges in your relationships, poor choices, the negative patterns of your thoughts.
(786) 650-1826 View (786) 650-1826
Photo of Kathleen J. Kurtz, LCSW, Clinical Social Work/Therapist
Kathleen J. Kurtz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Miami Lakes, FL 33014
My goal as a therapist is to help all of my clients improve their relationships with others and increase the quality of their lives. I work with men and women, individually or together as a couple to heal their pasts and resolve unfinished issues in order to be able to love fully. I've been a Licensed Clinical Social Worker for over 30 years and am a Certified Imago Relationship Therapist specializing in couples work. My B.A. is in Psychology from UF and my MSW is from FSU.
My goal as a therapist is to help all of my clients improve their relationships with others and increase the quality of their lives. I work with men and women, individually or together as a couple to heal their pasts and resolve unfinished issues in order to be able to love fully. I've been a Licensed Clinical Social Worker for over 30 years and am a Certified Imago Relationship Therapist specializing in couples work. My B.A. is in Psychology from UF and my MSW is from FSU.
(305) 981-6991 View (305) 981-6991
Photo of Marie Boursiquot White, MS
Marie Boursiquot White
Registered Mental Health Counselor Intern, MS
Verified Verified
Miami Lakes, FL 33016  (Online Only)
Teens, parents, couples, and YOU…we know manuals were not included on how to navigate our relationships or how to survive life’s difficulties. We learn every day about one another and ourselves. As challenges arise, it seems more difficult to manage the everyday ups and downs. Demands of raising children, maintaining relationships, meeting parent expectations, teachers, supervisors, or just trying to be you can feel like you are being pulled in all directions. Is major trauma in your life? Feeling stressed or overwhelmed? Is no one listening? Have you tried everything you can think of and you just don’t know where else to turn?
Teens, parents, couples, and YOU…we know manuals were not included on how to navigate our relationships or how to survive life’s difficulties. We learn every day about one another and ourselves. As challenges arise, it seems more difficult to manage the everyday ups and downs. Demands of raising children, maintaining relationships, meeting parent expectations, teachers, supervisors, or just trying to be you can feel like you are being pulled in all directions. Is major trauma in your life? Feeling stressed or overwhelmed? Is no one listening? Have you tried everything you can think of and you just don’t know where else to turn?
(305) 614-4768 View (305) 614-4768
Photo of Orlando J Garcia, MS, LMFT, Marriage & Family Therapist
Orlando J Garcia
Marriage & Family Therapist, MS, LMFT
Verified Verified
Miami Lakes, FL 33014
ARE YOU OVERWHELMED BY LIFE'S STRESSES? Are you struggling with depressed feelings and thoughts? Are you worn out by anxiety, obsessions and compulsions, or maybe having panic attacks? Are you battling alcohol abuse, drugs, or other addictions and compulsive behaviors? Perhaps you have an eating disorder? Maybe you are suffering due to relationship, marital, family, or work issues. The GOOD NEWS IS that YOU DO NOT HAVE TO SUFFER ANY MORE! HELP IS AVAILABLE TODAY!
ARE YOU OVERWHELMED BY LIFE'S STRESSES? Are you struggling with depressed feelings and thoughts? Are you worn out by anxiety, obsessions and compulsions, or maybe having panic attacks? Are you battling alcohol abuse, drugs, or other addictions and compulsive behaviors? Perhaps you have an eating disorder? Maybe you are suffering due to relationship, marital, family, or work issues. The GOOD NEWS IS that YOU DO NOT HAVE TO SUFFER ANY MORE! HELP IS AVAILABLE TODAY!
(786) 704-8976 View (786) 704-8976
Photo of Monea Marsh, LCMHC, Counselor
Monea Marsh
Counselor, LCMHC
Verified Verified
Miami Lakes, FL 33014
My Name is Monea Marsh and I am a License Mental Health Counselor (LMHC) based in Jacksonville, FL, working with clients statewide via Telehealth. I work with adolescents and adults to develop coping skills to manage anger, stress, depressive symptoms, anxiety, and trauma. My style and approach typically work best with adolescents, teens, and young adults as I help them navigate through life transitions, and social pressures and help obtain emotional stability. I work to help my clients navigate these transition periods and to build skills to allow them to feel better about themselves and develop a more positive outlook on life.
My Name is Monea Marsh and I am a License Mental Health Counselor (LMHC) based in Jacksonville, FL, working with clients statewide via Telehealth. I work with adolescents and adults to develop coping skills to manage anger, stress, depressive symptoms, anxiety, and trauma. My style and approach typically work best with adolescents, teens, and young adults as I help them navigate through life transitions, and social pressures and help obtain emotional stability. I work to help my clients navigate these transition periods and to build skills to allow them to feel better about themselves and develop a more positive outlook on life.
(813) 592-4137 View (813) 592-4137
Photo of Nicole Salvador, MS, LMHC, Counselor
Nicole Salvador
Counselor, MS, LMHC
Verified Verified
Miami Lakes, FL 33014  (Online Only)
Have you been experiencing ongoing feelings of overwhelm, anxiety or as if something is just off? Does self doubt as well as pleasing others and not being assertive interfere with your ability to move forward with your life and goals? Is it a matter of adjusting to changes or certain transitions in your life? Considering a new therapist or going to therapy for the first time can often be scary, I can help. As your therapist, I will be committed to helping you reach your goals and help you become that better version of yourself while at the same time developing safety and trust together while we work collaboratively.
Have you been experiencing ongoing feelings of overwhelm, anxiety or as if something is just off? Does self doubt as well as pleasing others and not being assertive interfere with your ability to move forward with your life and goals? Is it a matter of adjusting to changes or certain transitions in your life? Considering a new therapist or going to therapy for the first time can often be scary, I can help. As your therapist, I will be committed to helping you reach your goals and help you become that better version of yourself while at the same time developing safety and trust together while we work collaboratively.
(786) 982-7946 View (786) 982-7946
Photo of Christian Vazquez - Meraki Wellness & Healing, Inc, LMHC, QS, Counselor
Meraki Wellness & Healing, Inc
Counselor, LMHC, QS
Verified Verified
1 Endorsed
Miami Lakes, FL 33014
Meraki Wellness & Healing, Inc. strives for maximum level of care. We believe that each client entering our facility will be treated with respect and dignity. Our main goal is to elevate level of care for our clients, providing them with services needed, and implement continuum of care. We believe in team work and providing a cohesive treatment model for our clients to get individualized care. We are here for you, our clients come first. Se habla Espanol.
Meraki Wellness & Healing, Inc. strives for maximum level of care. We believe that each client entering our facility will be treated with respect and dignity. Our main goal is to elevate level of care for our clients, providing them with services needed, and implement continuum of care. We believe in team work and providing a cohesive treatment model for our clients to get individualized care. We are here for you, our clients come first. Se habla Espanol.
(305) 677-8199 View (305) 677-8199
Photo of Ana Der-Kutil, MSW, LCSW, Clinical Social Work/Therapist
Ana Der-Kutil
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Miami Lakes, FL 33016  (Online Only)
Maintaining a fulfilling and healthy relationship can be one of our most demanding and difficult of tasks. Daily stressors such as work, finances, children and society's demands can have a negative impact on today's couples. Are you and your partner experiencing issues that are straining your relationship and perhaps even threatening its foundation? If so, I can provide you with the guidance you need to regain stability and balance in your present situation. In Couples Counseling, we can explore many tools and skills that will help restore your relationship and improve your overall happiness.
Maintaining a fulfilling and healthy relationship can be one of our most demanding and difficult of tasks. Daily stressors such as work, finances, children and society's demands can have a negative impact on today's couples. Are you and your partner experiencing issues that are straining your relationship and perhaps even threatening its foundation? If so, I can provide you with the guidance you need to regain stability and balance in your present situation. In Couples Counseling, we can explore many tools and skills that will help restore your relationship and improve your overall happiness.
(954) 401-2003 View (954) 401-2003
Photo of Rebecca Dominguez, LMHC, Counselor
Rebecca Dominguez
Counselor, LMHC
Verified Verified
Miami Lakes, FL 33014
Rebecca Dominguez is a Licensed Mental Health Counselor in Florida who has been practicing since 2020. She has a Master’s in Psychology for Clinical Mental Health Counseling from Nova Southeastern University. Rebecca is a certified clinical trauma specialist with extensive experience in treating anxiety, depression, PTSD, OCD, behavioral issues, and LGBTQ+ concerns. Her positive attitude, warmth, and easygoing nature enable her to establish strong connections with adolescents, teenagers, and adults alike.
Rebecca Dominguez is a Licensed Mental Health Counselor in Florida who has been practicing since 2020. She has a Master’s in Psychology for Clinical Mental Health Counseling from Nova Southeastern University. Rebecca is a certified clinical trauma specialist with extensive experience in treating anxiety, depression, PTSD, OCD, behavioral issues, and LGBTQ+ concerns. Her positive attitude, warmth, and easygoing nature enable her to establish strong connections with adolescents, teenagers, and adults alike.
(786) 418-0561 View (786) 418-0561
Photo of Katherine L Aparicio - Be Kind To Your Mind Therapy LLC, LMHC, Counselor
Be Kind To Your Mind Therapy LLC
Counselor, LMHC
Verified Verified
Miami Lakes, FL 33014  (Online Only)
I am a bilingual and bicultural therapist who is passionate about serving as a support for those who are struggling with their mental health. I enjoy working closely and collaboratively with individuals to develop skills that will help them feel better equipped to face life’s challenges.
I am a bilingual and bicultural therapist who is passionate about serving as a support for those who are struggling with their mental health. I enjoy working closely and collaboratively with individuals to develop skills that will help them feel better equipped to face life’s challenges.
(305) 563-2069 View (305) 563-2069
Photo of Rebecca Dominguez, MS, LMHC
Rebecca Dominguez
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
Miami Lakes, FL 33014  (Online Only)
Have you been feeling overwhelmed, stressed or lost without direction? Maybe you’ve been feeling lonely, anxious or depressed. Regardless of the issue, I’m here to help you. Therapy can be an intimidating step due to the vulnerability in opening up, but I pride myself on providing a safe, supportive and judgement free space for you to be your true self. My focus in life is to empower those whose voices have not been heard, and give hope to those who have lost it. Change can be scary, but we can do it together.
Have you been feeling overwhelmed, stressed or lost without direction? Maybe you’ve been feeling lonely, anxious or depressed. Regardless of the issue, I’m here to help you. Therapy can be an intimidating step due to the vulnerability in opening up, but I pride myself on providing a safe, supportive and judgement free space for you to be your true self. My focus in life is to empower those whose voices have not been heard, and give hope to those who have lost it. Change can be scary, but we can do it together.
(305) 930-8274 View (305) 930-8274
Photo of Tammy Morath, LMHC, Counselor
Tammy Morath
Counselor, LMHC
Verified Verified
Miami Lakes, FL 33014
I am a mental health counselor licensed in Florida with over 10 years of experience working as a psychopathologist, clinical sexologist, and transgender care specialist. I have worked with clients with a wide range of concerns, including depression, anxiety, relationship issues, and parenting challenges. I am a gender-affirming therapist with extensive knowledge working with LGBTQI+ clients. I also have experience helping clients who have been sexually traumatized.
I am a mental health counselor licensed in Florida with over 10 years of experience working as a psychopathologist, clinical sexologist, and transgender care specialist. I have worked with clients with a wide range of concerns, including depression, anxiety, relationship issues, and parenting challenges. I am a gender-affirming therapist with extensive knowledge working with LGBTQI+ clients. I also have experience helping clients who have been sexually traumatized.
(386) 766-7859 View (386) 766-7859
1

How does your Therapist compare?

Number of Therapists in Miami Lakes, FL

70+

Average cost per session

$125

Therapists in Miami Lakes, FL who prioritize treating:

99% Anxiety
95% Depression
77% Self Esteem
74% Relationship Issues
68% Trauma and PTSD
67% Grief
67% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
84% Cigna and Evernorth
71% UnitedHealthcare UHC | UBH

How Therapists in Miami Lakes, FL see their clients

72% In Person and Online
28% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Miami Lakes?

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.