Therapists in Orient, NY

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Photo of Mica Diamond - Mica Diamond LifeCoach, MA, CPC
Mica Diamond LifeCoach
MA, CPC
Verified Verified
Sag Harbor, NY 11963
SUCCESS COMES WHEN YOU TURN WISHING INTO DOING. As your Life Coach, I will partner with you to take the dreams you have in your head, those visions about what you want to do next in your life, and do the work to make those dreams a reality. I can work with you on Career Transition, Relationships, Parenting, Health&Wellness and Work/Life Balance. Take a minute right now to imagine what your ideal life would look like. If those images are different from the life you are living today, Life Coaching may be right for you.
SUCCESS COMES WHEN YOU TURN WISHING INTO DOING. As your Life Coach, I will partner with you to take the dreams you have in your head, those visions about what you want to do next in your life, and do the work to make those dreams a reality. I can work with you on Career Transition, Relationships, Parenting, Health&Wellness and Work/Life Balance. Take a minute right now to imagine what your ideal life would look like. If those images are different from the life you are living today, Life Coaching may be right for you.
(203) 409-1948 View (203) 409-1948
Photo of Paul Chaisson, LCSW, CAS, Clinical Social Work/Therapist
Paul Chaisson
Clinical Social Work/Therapist, LCSW, CAS
Verified Verified
Southold, NY 11971
I work with adults and seniors, who find themselves "stuck" in dysfunctional patterns, and who need help finding new approaches which are more effective, satisfying and sustainable.
I work with adults and seniors, who find themselves "stuck" in dysfunctional patterns, and who need help finding new approaches which are more effective, satisfying and sustainable.
(516) 360-2932 View (516) 360-2932
Photo of Kathleen Lynch, LMHC, Counselor
Kathleen Lynch
Counselor, LMHC
Verified Verified
Shelter Island, NY 11964
We all need a little help from time to time. Maybe you’re struggling with managing your stress and it’s led to anxiety. Maybe you’ve been feeling depressed for longer than just a couple of days. Maybe you’re ending a relationship or trying to fine-tune your current one. Whatever it is, it’s brought you here and just looking to improve the way you’ve been feeling is a brave first step. Whether you need some coaching on a life transition like divorce, retirement, getting ready for college or starting a family, or if you need support through depression, anxiety, substance use, PTSD or any other challenges, Therapy is here for you.
We all need a little help from time to time. Maybe you’re struggling with managing your stress and it’s led to anxiety. Maybe you’ve been feeling depressed for longer than just a couple of days. Maybe you’re ending a relationship or trying to fine-tune your current one. Whatever it is, it’s brought you here and just looking to improve the way you’ve been feeling is a brave first step. Whether you need some coaching on a life transition like divorce, retirement, getting ready for college or starting a family, or if you need support through depression, anxiety, substance use, PTSD or any other challenges, Therapy is here for you.
(631) 212-9583 View (631) 212-9583
Photo of Tom Cronin, LCSW, Clinical Social Work/Therapist
Tom Cronin
Clinical Social Work/Therapist, LCSW
Verified Verified
Shelter Island, NY 11964
People look for a therapist when they are experiencing anxiety,difficulties in relationships, confusion around issues related to sexuality and/or identity. Others feel depressed,struggle with addiction, or have a sense that something is not right in their lives. Often people are trying to cope with old hurts or injuries, and find that their old ways of coping with them are no longer successful,or that these strategies are the very thing that brings them pain or frustration.Often these symptoms and problems are connected with early painful experiences,or from ideas and beliefs which have been formed in rigid, or dysfunctional family systems.
People look for a therapist when they are experiencing anxiety,difficulties in relationships, confusion around issues related to sexuality and/or identity. Others feel depressed,struggle with addiction, or have a sense that something is not right in their lives. Often people are trying to cope with old hurts or injuries, and find that their old ways of coping with them are no longer successful,or that these strategies are the very thing that brings them pain or frustration.Often these symptoms and problems are connected with early painful experiences,or from ideas and beliefs which have been formed in rigid, or dysfunctional family systems.
(917) 832-1953 View (917) 832-1953
Photo of Jayme Hersh, LCSW, Clinical Social Work/Therapist
Jayme Hersh
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Greenport, NY 11944
As a Licensed Clinical Social Worker my passion lies with helping children and families effectively navigate their daily lives. Over the years I have worked with children and families, collaborated with different professionals and advocated on children’s behalf within a variety of systems. I provide a warm and supportive environment where I help children and families address issues such as: managing overwhelming emotions, developing social skills, creating a positive sense of self, building strong communication skills and more. My philosophy is for children and adolescents to feel seen, feel heard and feel understood.
As a Licensed Clinical Social Worker my passion lies with helping children and families effectively navigate their daily lives. Over the years I have worked with children and families, collaborated with different professionals and advocated on children’s behalf within a variety of systems. I provide a warm and supportive environment where I help children and families address issues such as: managing overwhelming emotions, developing social skills, creating a positive sense of self, building strong communication skills and more. My philosophy is for children and adolescents to feel seen, feel heard and feel understood.
(516) 604-5316 View (516) 604-5316
Photo of Beth White, LCSW, Clinical Social Work/Therapist
Beth White
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenport, NY 11944
I believe the key to a successful therapeutic experience is the relationship between the therapist and the client. With this in mind, I understand the importance of showing non-judgemental compassion and respect for every person who asks for my help. My work with individuals is focused on finding change and building a foundation on which they can confidently manage life’s challenges and live a healthier life. My work with couples and families helps them find strategies to diffuse conflict and learn to communicate more effectively.
I believe the key to a successful therapeutic experience is the relationship between the therapist and the client. With this in mind, I understand the importance of showing non-judgemental compassion and respect for every person who asks for my help. My work with individuals is focused on finding change and building a foundation on which they can confidently manage life’s challenges and live a healthier life. My work with couples and families helps them find strategies to diffuse conflict and learn to communicate more effectively.
(631) 771-0181 View (631) 771-0181
Photo of Sally Collins - S.J. Collins, LMFT, LMFT, ATR, Marriage & Family Therapist
S.J. Collins, LMFT
Marriage & Family Therapist, LMFT, ATR
Verified Verified
Sag Harbor, NY 11963  (Online Only)
If you feel lost, confused or hopeless about your life or your relationships, you can turn things around. You can get clear about these problems, and find solutions. You can have a life that more authentically fits who you really are. You can manage your relationships so they begin to feel warm and fun again. When you're suffering and feeling awful, it may be hard to believe that there are things you can do to feel good again. It may also be hard to believe that you can find the power to shift and revive painful relationships.
If you feel lost, confused or hopeless about your life or your relationships, you can turn things around. You can get clear about these problems, and find solutions. You can have a life that more authentically fits who you really are. You can manage your relationships so they begin to feel warm and fun again. When you're suffering and feeling awful, it may be hard to believe that there are things you can do to feel good again. It may also be hard to believe that you can find the power to shift and revive painful relationships.
(646) 681-1708 View (646) 681-1708
Photo of Rebecca Coleman Curtis, PhD, CP, Psychologist
Rebecca Coleman Curtis
Psychologist, PhD, CP
Verified Verified
Sag Harbor, NY 11963
I help people with relationships and work, depression, anxiety, sexual issues, coping with fame. Integrating interventions from all orientations, I taught a course on therapy techniques to PhD candidates at Adelphi where I also supervised psychologists in training in doing therapy. I also trained as a psychoanalyst at the White Institute where I supervise and served as Society President. See my book "Desire,Self, Mind & the Psychotherapies" partly on Google Books and my profile on Wikipedia for more information about professional organizations to which I belong and photo. You can find on SKYPE as well for video therapy.
I help people with relationships and work, depression, anxiety, sexual issues, coping with fame. Integrating interventions from all orientations, I taught a course on therapy techniques to PhD candidates at Adelphi where I also supervised psychologists in training in doing therapy. I also trained as a psychoanalyst at the White Institute where I supervise and served as Society President. See my book "Desire,Self, Mind & the Psychotherapies" partly on Google Books and my profile on Wikipedia for more information about professional organizations to which I belong and photo. You can find on SKYPE as well for video therapy.
(631) 725-3736 View (631) 725-3736
Photo of Dr. Sharyn Lawall, PsyD, ABSNP, Psychologist
Dr. Sharyn Lawall
Psychologist, PsyD, ABSNP
Verified Verified
Greenport, NY 11944
It's when we start working together that the real healing takes place (Hume). As a Licensed Psychologist, I offer therapy for adults, adolescents, and children using techniques including Cognitive Behavior Therapy, psychodynamic therapy, mindfulness, and play therapy. I am also a Certified School Psychologist who specializes in Psychoeducational and School Neuropsychoeducational evaluations to help students with learning challenges find the best ways to achieve success. In addition, I provide bereavement counseling and have many years' experince working with East End Hospice.
It's when we start working together that the real healing takes place (Hume). As a Licensed Psychologist, I offer therapy for adults, adolescents, and children using techniques including Cognitive Behavior Therapy, psychodynamic therapy, mindfulness, and play therapy. I am also a Certified School Psychologist who specializes in Psychoeducational and School Neuropsychoeducational evaluations to help students with learning challenges find the best ways to achieve success. In addition, I provide bereavement counseling and have many years' experince working with East End Hospice.
(516) 714-5048 View (516) 714-5048
Photo of Laurie Marsden, LCSW, MSSW, Clinical Social Work/Therapist
Laurie Marsden
Clinical Social Work/Therapist, LCSW, MSSW
Not Verified Not Verified
Shelter Island, NY 11964  (Online Only)
In my 24 years as a mental health provider, I have taken great pride in helping people through a variety of challenges and life events. To me, therapy is about become whole again, healing current issues and past traumas, (even the ones we don’t remember, but our bodies and psyche does). Most often clients present with one issue and the connections we make during our work together show many layers and exactly why these situations arise. I help my clients not only understand where they are and why they are there, but also what they must do to change their lives, heal, and move forward a happier and healthier person.
In my 24 years as a mental health provider, I have taken great pride in helping people through a variety of challenges and life events. To me, therapy is about become whole again, healing current issues and past traumas, (even the ones we don’t remember, but our bodies and psyche does). Most often clients present with one issue and the connections we make during our work together show many layers and exactly why these situations arise. I help my clients not only understand where they are and why they are there, but also what they must do to change their lives, heal, and move forward a happier and healthier person.
(631) 881-4011 View (631) 881-4011
Photo of Kieran Gillespie, LMHC
Kieran Gillespie
Mental Health Counselor, LMHC
Verified Verified
Southold, NY 11971  (Online Only)
Life can be a constant struggle filled with challenges and difficult times. Therapy can help in navigating through the peaks and valleys of life. I strive to work with my clients to create a plan to live a happier and healthier life. Through processing emotions, focusing on the positive while exploring the negative, and utilizing positive coping techniques, a healthier, stronger mind can be formed.
Life can be a constant struggle filled with challenges and difficult times. Therapy can help in navigating through the peaks and valleys of life. I strive to work with my clients to create a plan to live a happier and healthier life. Through processing emotions, focusing on the positive while exploring the negative, and utilizing positive coping techniques, a healthier, stronger mind can be formed.
(516) 212-0536 View (516) 212-0536
Photo of Emily M Feinberg, LMSW
Emily M Feinberg
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Sag Harbor, NY 11963  (Online Only)
I fundamentally believe in the connection between the mind and body, and work from a client-centered, somatic approach. Through therapy, we'll explore your history, nervous system, and relationship to your body. With intentional work, we'll get a better understanding of your unique experience, patterns that your nervous system engages in, and how to learn and unlearn new ways of knowing.
I fundamentally believe in the connection between the mind and body, and work from a client-centered, somatic approach. Through therapy, we'll explore your history, nervous system, and relationship to your body. With intentional work, we'll get a better understanding of your unique experience, patterns that your nervous system engages in, and how to learn and unlearn new ways of knowing.
(516) 928-6024 View (516) 928-6024
Photo of Emily Feinberg, LMSW, Clinical Social Work/Therapist
Emily Feinberg
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Sag Harbor, NY 11963  (Online Only)
Are you a high-achieving, feminist woman who also struggles with perfectionism, worry, and negative body image? Do you beat yourself up and never feel 'good enough'? Do you feel exhausted from trying to 'do' everything but then feel like you have no time for yourself? I get it - As women, we often carry so much and we worry about pleasing others at the expense of ourselves. Nothing is wrong with you. However, I also know what it's like on the other side. I am here to help you tend to your emotions, set boundaries, and live a more joy-filled life. You are worthy of feeling free, empowered, confident, and connected to yourself.
Are you a high-achieving, feminist woman who also struggles with perfectionism, worry, and negative body image? Do you beat yourself up and never feel 'good enough'? Do you feel exhausted from trying to 'do' everything but then feel like you have no time for yourself? I get it - As women, we often carry so much and we worry about pleasing others at the expense of ourselves. Nothing is wrong with you. However, I also know what it's like on the other side. I am here to help you tend to your emotions, set boundaries, and live a more joy-filled life. You are worthy of feeling free, empowered, confident, and connected to yourself.
(332) 877-9557 View (332) 877-9557
Photo of Julie Lichtstein, LCSW, NCPsyA, Clinical Social Work/Therapist
Julie Lichtstein
Clinical Social Work/Therapist, LCSW, NCPsyA
Verified Verified
1 Endorsed
East Hampton, NY 11937
Psychotherapy . . . a dynamic, interactive journey. I offer a safe, caring, professional environment in which we co-create a relationship essential for your healing and growth to occur naturally. With you, I undertake the opportunity to cultivate a supportive and trusting relationship. In my 30+ years as a therapist, I have come to know that it is the genuine connection between us that paves the way to successful, fulfilling therapy. I will help you to learn more about yourself, to understand why you do what you do and to uncover, strengthen and integrate the many aspects that make you authentically you.
Psychotherapy . . . a dynamic, interactive journey. I offer a safe, caring, professional environment in which we co-create a relationship essential for your healing and growth to occur naturally. With you, I undertake the opportunity to cultivate a supportive and trusting relationship. In my 30+ years as a therapist, I have come to know that it is the genuine connection between us that paves the way to successful, fulfilling therapy. I will help you to learn more about yourself, to understand why you do what you do and to uncover, strengthen and integrate the many aspects that make you authentically you.
(646) 490-0575 View (646) 490-0575
Photo of Maria Pentcheva Burns - Hamptons Mindful Youth Psych Wellness Services, PsyD, Psychologist
Hamptons Mindful Youth Psych Wellness Services
Psychologist, PsyD
Verified Verified
Sag Harbor, NY 11963
Dr. Pentcheva is dedicated to providing evidence-based psychological interventions geared towards promoting individual and family wellness. She offers a wide range of services to help meet the needs of children and families from all over the Hamptons and beyond. Dr. Pentcheva specializes in working with children, young adults and their parents and takes a preventative, strengths based approach to treatment. By creating engaging, child-centered exercises for children and adolescents, she helps them to acquire new skills and incorporate them into their everyday lives.
Dr. Pentcheva is dedicated to providing evidence-based psychological interventions geared towards promoting individual and family wellness. She offers a wide range of services to help meet the needs of children and families from all over the Hamptons and beyond. Dr. Pentcheva specializes in working with children, young adults and their parents and takes a preventative, strengths based approach to treatment. By creating engaging, child-centered exercises for children and adolescents, she helps them to acquire new skills and incorporate them into their everyday lives.
(631) 919-4043 View (631) 919-4043
Photo of Tracy Gangi, MS, PsyD, Psychologist
Tracy Gangi
Psychologist, MS, PsyD
Verified Verified
2 Endorsed
Sag Harbor, NY 11963
​Please note: I am currently closed (as of 12/28/23 & 2024) to all prospective clients inquiries except inquiries into ketamine-assisted psychotherapy services, a concierge at-home or remote-assisted treatment I offer in tandem with Journey Clinical. As always, I make it a priority to help my clients feel at ease with me and with the work we do together. If you were my client, you can expect me to be warm, welcoming and supportive. My specialty areas include: ADHD, anxiety, depression, bipolar, OCD, relationship issues, and self-esteem building, and I have personal comfort with many other presenting concerns (please see side bar).
​Please note: I am currently closed (as of 12/28/23 & 2024) to all prospective clients inquiries except inquiries into ketamine-assisted psychotherapy services, a concierge at-home or remote-assisted treatment I offer in tandem with Journey Clinical. As always, I make it a priority to help my clients feel at ease with me and with the work we do together. If you were my client, you can expect me to be warm, welcoming and supportive. My specialty areas include: ADHD, anxiety, depression, bipolar, OCD, relationship issues, and self-esteem building, and I have personal comfort with many other presenting concerns (please see side bar).
(516) 806-6067 View (516) 806-6067
Photo of Maya Jourieh, MHC-LP
Maya Jourieh
MHC-LP
Verified Verified
1 Endorsed
Greenport, NY 11944
Maya Jourieh is a Mental Health Counselor who works to ensure each individual is provided with a safe space, using an empathetic and nonjudgmental approach. She possesses a passion in helping individuals develop long lasting positive change, healthy habits, and coping strategies. Maya encourages curiosity and exploration in self-growth through a compassionate collaborative framework.
Maya Jourieh is a Mental Health Counselor who works to ensure each individual is provided with a safe space, using an empathetic and nonjudgmental approach. She possesses a passion in helping individuals develop long lasting positive change, healthy habits, and coping strategies. Maya encourages curiosity and exploration in self-growth through a compassionate collaborative framework.
(646) 212-4173 View (646) 212-4173
Photo of Louise Reiner, Licensed Psychoanalyst
Louise Reiner
Licensed Psychoanalyst
Verified Verified
Sag Harbor, NY 11963
I treat individuals experiencing anxiety, depression, grief or a general sense of being stuck. I add to my over 25 years of experience various healing approaches including cognitive behavioral therapy, talk therapy, dream analysis, journaling and other modalities in our work to find re-newed meaning and purpose in life. As a team we explore methods for bringing symptom relief and understanding of the root causes of your problems. I also counsel couples who find their connection damaged. I provide a neutral space for exploring causes of the problems and offer tools for effective communication and healing in the relationship.
I treat individuals experiencing anxiety, depression, grief or a general sense of being stuck. I add to my over 25 years of experience various healing approaches including cognitive behavioral therapy, talk therapy, dream analysis, journaling and other modalities in our work to find re-newed meaning and purpose in life. As a team we explore methods for bringing symptom relief and understanding of the root causes of your problems. I also counsel couples who find their connection damaged. I provide a neutral space for exploring causes of the problems and offer tools for effective communication and healing in the relationship.
(631) 725-1715 View (631) 725-1715
Photo of Aniik Libby, LCSW, CASAC, NBCCH, EFT, Marriag, Clinical Social Work/Therapist
Aniik Libby
Clinical Social Work/Therapist, LCSW, CASAC, NBCCH, EFT, Marriag
Verified Verified
Sag Harbor, NY 11963
Wouldn’t you like better communication tools and improved connection in your primary relationship? Have you lost “That Loving Feeling” ? Or perhaps you are recently single or post-divorce and ready to begin dating again but don’t know where to begin? Have you been trying to find the right partner and continue to meet the wrong people or fall into the same old type of relationship that just doesn’t work? Are you ready to let me help? If you answered yes to any of the above, get in touch, I would love to get you started on the path to feeling good again! Aniik
Wouldn’t you like better communication tools and improved connection in your primary relationship? Have you lost “That Loving Feeling” ? Or perhaps you are recently single or post-divorce and ready to begin dating again but don’t know where to begin? Have you been trying to find the right partner and continue to meet the wrong people or fall into the same old type of relationship that just doesn’t work? Are you ready to let me help? If you answered yes to any of the above, get in touch, I would love to get you started on the path to feeling good again! Aniik
(917) 746-6437 View (917) 746-6437
Photo of Julie Lilien, LMSW, MS
Julie Lilien
LMSW, MS
Verified Verified
East Hampton, NY 11937
My ideal client is a male/female in their late 20's, 30's, 40's or 50's who has a specific life issue they want to resolve. Whether that's an issue with dating, getting into a relationship and maintaining it, wanting to start a family, or challenges in your marriage, I am extremely good at dissecting the life issues and mapping out a plan for moving forward. i am an expert at helping solve parenting issues with divorced or separated couples. I understand relationships at every age and stage.
My ideal client is a male/female in their late 20's, 30's, 40's or 50's who has a specific life issue they want to resolve. Whether that's an issue with dating, getting into a relationship and maintaining it, wanting to start a family, or challenges in your marriage, I am extremely good at dissecting the life issues and mapping out a plan for moving forward. i am an expert at helping solve parenting issues with divorced or separated couples. I understand relationships at every age and stage.
(917) 708-8816 View (917) 708-8816

How does your Therapist compare?

Number of Therapists in Orient, NY

< 10

Therapists in Orient, NY who prioritize treating:

How Therapists in Orient, NY see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Orient?

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.