Therapists in Westfield, NY
![Photo of Karan Ann Turnquist, LCSW, RPT-S, LMHC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/80ea179d-5dd7-4c5f-b8fc-ba4d2832594a/1/320x400.jpeg)
Karan Ann Turnquist
Clinical Social Work/Therapist, LCSW, RPT-S, LMHC
Verified Verified
Westfield, NY 14787
I am a dedicated social worker in the mental health field. I have over 16 years of experience in mental health. I believe that each person has the ability to heal. Healing happens in the context of a good relationship. I come from a biopsychosocial and person centered model using a solution focus and motivational interviewing approach in addition to other practice skills I have outlined below. I come from a trauma/developmental theoretical orientation. I believe that what happens to us in the past affects how we are now socio-emotionally and behaviorally including internally. I am here to help a path of healing and recovery.
I am a dedicated social worker in the mental health field. I have over 16 years of experience in mental health. I believe that each person has the ability to heal. Healing happens in the context of a good relationship. I come from a biopsychosocial and person centered model using a solution focus and motivational interviewing approach in addition to other practice skills I have outlined below. I come from a trauma/developmental theoretical orientation. I believe that what happens to us in the past affects how we are now socio-emotionally and behaviorally including internally. I am here to help a path of healing and recovery.
![Photo of Suzette Elizabeth Carnahan, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3fe6d91b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Suzette Elizabeth Carnahan
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Westfield, NY 14787
I believe clients need to feel safe for treatment to be successful. I provide a safe environment for clients to be able to work on developing an individualized treatment plan that best meets their unique needs. Treatment provided addresses thoughts, behaviors, the environment and the body's reactions to these things. I am experienced at working with many issues; including PTSD, anxiety, depression, bi-polar disorder, OCD, substance abuse, separation issues, adoption and issues related to abuse and neglect. I work with adults, children, and teens.
I believe clients need to feel safe for treatment to be successful. I provide a safe environment for clients to be able to work on developing an individualized treatment plan that best meets their unique needs. Treatment provided addresses thoughts, behaviors, the environment and the body's reactions to these things. I am experienced at working with many issues; including PTSD, anxiety, depression, bi-polar disorder, OCD, substance abuse, separation issues, adoption and issues related to abuse and neglect. I work with adults, children, and teens.
![Photo of Watershed Counseling Services - Watershed Counseling Services, Licensed Professional Counselor](https://photos.psychologytoday.com/3bed16a0-5678-4d2d-be62-aeafaddd5515/4/320x400.jpeg)
Watershed Counseling Services
Licensed Professional Counselor
Verified Verified
1 Endorsed
Westfield, NY 14787
Do you want more from your life? Are you struggling with unhealthy thoughts and want to learn how to replace them with healthy thoughts? Are you having problems in your interpersonal relationships that you would like to address? Perhaps you are dealing with the loss of a loved one, experiencing debilitating anxiety or depression, or don’t know how to regulate your emotions. Or maybe you are just not sure, but you recognize you want change in your life. Allow us to help you have your ‘Watershed Moment’ - your turning point, the exact moment things in your life change direction.
Do you want more from your life? Are you struggling with unhealthy thoughts and want to learn how to replace them with healthy thoughts? Are you having problems in your interpersonal relationships that you would like to address? Perhaps you are dealing with the loss of a loved one, experiencing debilitating anxiety or depression, or don’t know how to regulate your emotions. Or maybe you are just not sure, but you recognize you want change in your life. Allow us to help you have your ‘Watershed Moment’ - your turning point, the exact moment things in your life change direction.
More Therapists Nearby
![Photo of Brianna Kirwan, MAMFT, MA](https://photos.psychologytoday.com/b9c5c2e3-c96f-4cfd-834b-1bd0a4d49729/1/320x400.jpeg)
Hi! I am Brianna and I am a Marriage and Relationship Coach. It's my goal to help couples create healthier and more fulfilling relationships through effective communication and understanding.
Hi! I am Brianna and I am a Marriage and Relationship Coach. It's my goal to help couples create healthier and more fulfilling relationships through effective communication and understanding.
![Photo of Leanna Luka, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c787ee53-55fa-4f89-be94-e7ceb0fc6bd2/1/320x400.jpeg)
I’m here to assist you on your personal journey and I commend you on taking the first step toward prioritizing your health and wellness. Together we will collaborate to get you to the place you strive to be!
I’m here to assist you on your personal journey and I commend you on taking the first step toward prioritizing your health and wellness. Together we will collaborate to get you to the place you strive to be!
![Photo of Manuel V Colon, LCSW-R, CASAC, Master, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0492df24-e835-4ba6-a3a7-4a8f1e0e90ce/1/320x400.jpeg)
Manuel V Colon
Clinical Social Work/Therapist, LCSW-R, CASAC, Master
Verified Verified
1 Endorsed
Chautauqua, NY 14722
I can help people overcome the challenges they face in everyday life - challenges relating to work, school, mood, stress, substance use, relationships, trauma and abuse. If you're not finding satisfaction or joy in life, if you have dreams of something better but you don't know how to get there, if you're stuck, or you keep running into mental, emotional or behavioral blocks, I can help. If you feel like life is off balance, I can help. Together, we can work to restore that balance.
I can help people overcome the challenges they face in everyday life - challenges relating to work, school, mood, stress, substance use, relationships, trauma and abuse. If you're not finding satisfaction or joy in life, if you have dreams of something better but you don't know how to get there, if you're stuck, or you keep running into mental, emotional or behavioral blocks, I can help. If you feel like life is off balance, I can help. Together, we can work to restore that balance.
![Photo of Jason Tonon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/23acff8b-c07f-4288-af6c-e2b7e941d14f/2/320x400.jpeg)
I specialize in helping people navigate change. Are you struggling with an unexpected change in your life? Or, do you see a need for change but aren't sure how to make it happen?
I specialize in helping people navigate change. Are you struggling with an unexpected change in your life? Or, do you see a need for change but aren't sure how to make it happen?
Online Therapists
![Photo of Dr. Mason Weber - Mason Weber, Ph.D., MSW, PhD](https://photos.psychologytoday.com/6f2e9df8-f23e-4173-ac18-ba7eb7f1b895/1/320x400.png)
Mason Weber, Ph.D.
MSW, PhD
Verified Verified
Buffalo, NY 14203 (Online Only)
Waitlist for new clients
I believe that our life and cultural experiences, especially our earliest ones, are fundamental in shaping the way we view ourselves and others. It is essential to understand my client's cultural identity (i.e., race, gender, gender identity, sexuality, class) and how it has shaped their development. Often negative life experiences can create problematic ways of coping and a skewed perception of who we are in the world. This can lead to a variety of issues related to anxiety, depression, shame, rejection, stress, relationship issues, identity development, grief/loss, and sexual intimacy.
I believe that our life and cultural experiences, especially our earliest ones, are fundamental in shaping the way we view ourselves and others. It is essential to understand my client's cultural identity (i.e., race, gender, gender identity, sexuality, class) and how it has shaped their development. Often negative life experiences can create problematic ways of coping and a skewed perception of who we are in the world. This can lead to a variety of issues related to anxiety, depression, shame, rejection, stress, relationship issues, identity development, grief/loss, and sexual intimacy.
![Photo of Nina Fitzmaurice, LMHC, Counselor](https://photos.psychologytoday.com/26af56cb-ff3e-4812-8cb3-769cd786604a/1/320x400.jpeg)
Do you feel overwhelmed? Are you burned out? Do you feel that you're giving everything you have to everyone else? I believe we all need more balance in our lives and therapy can be helpful in restoring that balance. We will identify the current stressors and work together on developing additional healthy coping skills. We can find what may be missing in your current lifestyle. I believe in an integrative and holistic approach because “one size does-not fit all.”
Do you feel overwhelmed? Are you burned out? Do you feel that you're giving everything you have to everyone else? I believe we all need more balance in our lives and therapy can be helpful in restoring that balance. We will identify the current stressors and work together on developing additional healthy coping skills. We can find what may be missing in your current lifestyle. I believe in an integrative and holistic approach because “one size does-not fit all.”
Jola Dzierżyńska
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Buffalo, NY 14226
I graduated from SUNY University at Buffalo School of Social Work and since then, I have worked with clients with various mental health afflictions in long-term and short-term therapy. I have experience working with clients in group & individual settings. Besides common approaches such as Cognitive & Dialectical Behavioral Therapies, I use Existential & Jungian perspectives to serve my clients. In trauma work, I use the Moral Injury Model, Schema Therapy approach as well as Post-Traumatic Growth Model. I see humor, laughter, poetry…and silence as quite effective therapeutic modalities, too!
I graduated from SUNY University at Buffalo School of Social Work and since then, I have worked with clients with various mental health afflictions in long-term and short-term therapy. I have experience working with clients in group & individual settings. Besides common approaches such as Cognitive & Dialectical Behavioral Therapies, I use Existential & Jungian perspectives to serve my clients. In trauma work, I use the Moral Injury Model, Schema Therapy approach as well as Post-Traumatic Growth Model. I see humor, laughter, poetry…and silence as quite effective therapeutic modalities, too!
![Photo of Russ H Blackstone, LMHC, Counselor](https://photos.psychologytoday.com/127bb92e-31c0-4d25-bcad-caddd7cb908b/2/320x400.jpeg)
I am effective working with all temperaments and personalities because I will remain non-judgemental, always respecting and appreciating you as a unique and precious individual. I work with adults (anxiety, depression, anger), teens (meaning, purpose, confidence, virtue) and married couples (communication, respect, love) to help all flourish and love life. We will discuss everything important to YOU and, if desired, integrate Christian ideals and teaching to assist in the healing process. We will set clear goals and I will help you have FUN while we work together to achieve them! Book with me now by clicking on my website.
I am effective working with all temperaments and personalities because I will remain non-judgemental, always respecting and appreciating you as a unique and precious individual. I work with adults (anxiety, depression, anger), teens (meaning, purpose, confidence, virtue) and married couples (communication, respect, love) to help all flourish and love life. We will discuss everything important to YOU and, if desired, integrate Christian ideals and teaching to assist in the healing process. We will set clear goals and I will help you have FUN while we work together to achieve them! Book with me now by clicking on my website.
![Photo of Nicole Cornell, MS, LMHC, Counselor](https://photos.psychologytoday.com/f5ac7808-c4b4-458f-aa01-83497133b99d/2/320x400.jpeg)
Life can have its challenges that impact your mental health. Your anxiety may be holding you back or causing increased anger and frustrations. Or maybe its difficult to get motivated and do your normal daily activities. If you're struggling with being a parent or spouse or your teenager/college aged child is struggling with the transitions of balancing everything - this is a great place to start. If you want to take the first step and become a happier and healthier version of yourself, I am here for you!
Life can have its challenges that impact your mental health. Your anxiety may be holding you back or causing increased anger and frustrations. Or maybe its difficult to get motivated and do your normal daily activities. If you're struggling with being a parent or spouse or your teenager/college aged child is struggling with the transitions of balancing everything - this is a great place to start. If you want to take the first step and become a happier and healthier version of yourself, I am here for you!
![Photo of Michelle Volpe, LCAT, ATR-BC, Art Therapist](https://photos.psychologytoday.com/c4d5a1a2-7d75-4b60-abdf-e894e6042b90/1/320x400.jpeg)
Hi! My name is Michelle and I am a Creative Arts Therapist. I utilize all different modalities such as CBT, mindfulness, motivational interviewing, person centered therapy and DBT skills in my counseling sessions but specialize in art therapy. I have been working in the field of mental health for 10 years now. I specialize in working with children, teens and adults with anxiety, depression, ODD, ADHD, bipolar and much more.
Hi! My name is Michelle and I am a Creative Arts Therapist. I utilize all different modalities such as CBT, mindfulness, motivational interviewing, person centered therapy and DBT skills in my counseling sessions but specialize in art therapy. I have been working in the field of mental health for 10 years now. I specialize in working with children, teens and adults with anxiety, depression, ODD, ADHD, bipolar and much more.
![Photo of Kelly M Hint, LMHC, NCC, CCMHC, CCATP, Counselor](https://photos.psychologytoday.com/4eb4312e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kelly M Hint
Counselor, LMHC, NCC, CCMHC, CCATP
Verified Verified
2 Endorsed
Piffard, NY 14533 (Online Only)
Life is a journey filled with moments of beauty but also with trials and tribulations that we must navigate. At times, walking through the challenges alone can leave us with fear, sadness, doubt, and insurmountable anxiety that others cannot seem to understand. I would be honored to walk beside you on your journey and offer assistance in dealing with the obstacles in your path. My compassion and empathy drive me to work hard for you while at the same time challenging you to consider new ideas and ways to approach issues in your life. It is my pleasure to help others find freedom and peace within the daily chaos of everyday life.
Life is a journey filled with moments of beauty but also with trials and tribulations that we must navigate. At times, walking through the challenges alone can leave us with fear, sadness, doubt, and insurmountable anxiety that others cannot seem to understand. I would be honored to walk beside you on your journey and offer assistance in dealing with the obstacles in your path. My compassion and empathy drive me to work hard for you while at the same time challenging you to consider new ideas and ways to approach issues in your life. It is my pleasure to help others find freedom and peace within the daily chaos of everyday life.
![Photo of Anna Sharpe, Clinical Social Work/Therapist](https://photos.psychologytoday.com/33727fc2-b792-4537-b0d7-140c809448eb/3/320x400.jpeg)
Anna Sharpe
Clinical Social Work/Therapist
Verified Verified
Buffalo, NY 14225
Waitlist for new clients
Childhood and adolescence can be an exciting time of life, but also comes with unique challenges. As parents we want to do what is best for our children, but knowing what that is can be hard at times. I would be honored to help you and your family through some of the difficult parts of your journey. Young children do not communicate the same way adults do, which can be frustrating as we have spent many years honing our communication skills. When children struggle to verbally express themselves, we sometimes see unwanted behavior.
Childhood and adolescence can be an exciting time of life, but also comes with unique challenges. As parents we want to do what is best for our children, but knowing what that is can be hard at times. I would be honored to help you and your family through some of the difficult parts of your journey. Young children do not communicate the same way adults do, which can be frustrating as we have spent many years honing our communication skills. When children struggle to verbally express themselves, we sometimes see unwanted behavior.
![Photo of Jacob D Cole, MS, LMHC, Counselor](https://photos.psychologytoday.com/17cff712-8bdd-45b7-9968-681b41996761/1/320x400.png)
Thank you for taking the time to visit my page on Psychology today and possible interest in supportive counseling services. I am a Licensed Mental Health Counselor in Buffalo, NY. I have 8 years of clinical experience with evidence based approaches shared with empathy, connection and respect. Working with adults (18 years old and up), I provide individual, couple and family psychotherapy within an integrated model of care. I received my Master's degree in clinical mental health counseling from St. Bonaventure University and licensed to practice mental health treatment in the state of New York.
Thank you for taking the time to visit my page on Psychology today and possible interest in supportive counseling services. I am a Licensed Mental Health Counselor in Buffalo, NY. I have 8 years of clinical experience with evidence based approaches shared with empathy, connection and respect. Working with adults (18 years old and up), I provide individual, couple and family psychotherapy within an integrated model of care. I received my Master's degree in clinical mental health counseling from St. Bonaventure University and licensed to practice mental health treatment in the state of New York.
![Photo of Glenda Baker, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/dd6e5c59-6019-402b-8aa5-8afcb2661de9/1/320x400.jpeg)
I have 25+ years of clinical experience. I truly enjoy helping people, especially young adults, overcome personal stressors and barriers. I have a diverse approach to psychotherapy that is empathic, compassionate and client centered. Therapeutic approach is solution focused, Cognitive Behavior Therapy, strength based and relational.
I have 25+ years of clinical experience. I truly enjoy helping people, especially young adults, overcome personal stressors and barriers. I have a diverse approach to psychotherapy that is empathic, compassionate and client centered. Therapeutic approach is solution focused, Cognitive Behavior Therapy, strength based and relational.
![Photo of Belinda A Emerson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6e2db113-d4df-4027-8470-48a466ce688a/1/320x400.jpeg)
Belinda A Emerson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wellsville, NY 14895
Taking new clients for telehealth and in office. With a focus on mental health and disabilities, I have supported individuals with autism, traumatic brain injury, anger issues, trauma background, borderline personality disorder, anxiety/depression and self-esteem issues. My approach is individual to each person, depending on what you want/need from your sessions. Clients can expect a confidential, non-judgmental and safe environment to work through challenges.
Taking new clients for telehealth and in office. With a focus on mental health and disabilities, I have supported individuals with autism, traumatic brain injury, anger issues, trauma background, borderline personality disorder, anxiety/depression and self-esteem issues. My approach is individual to each person, depending on what you want/need from your sessions. Clients can expect a confidential, non-judgmental and safe environment to work through challenges.
![Photo of Kevin Darcy, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/44b206cd-7a1c-45f2-ac07-7b5e3db3ce90/2/320x400.jpeg)
I offer a highly personalized approach in a comfortable and supportive atmosphere. Each treatment plan is tailored to my client's individual needs to help attain the personal growth they strive for. I help clients achieve self-empowerment by utilizing an eclectic approach and by incorporating components of Cognitive Behavioral and Solution Focused Therapy. I also offer practical feedback to address current life challenges and longstanding issues. By providing sensitivity and compassion in a confidential setting, I help clients find a resolution to a wide range of personal concerns and psychological challenges.
I offer a highly personalized approach in a comfortable and supportive atmosphere. Each treatment plan is tailored to my client's individual needs to help attain the personal growth they strive for. I help clients achieve self-empowerment by utilizing an eclectic approach and by incorporating components of Cognitive Behavioral and Solution Focused Therapy. I also offer practical feedback to address current life challenges and longstanding issues. By providing sensitivity and compassion in a confidential setting, I help clients find a resolution to a wide range of personal concerns and psychological challenges.
![Photo of Megan E. Carey - Evolving Roots Therapy, LCSW, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1fa32bfb-6a78-4e5b-a627-4187d3ed44ff/1/320x400.jpeg)
Evolving Roots Therapy
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Grand Island, NY 14072
Hey there! I'm Megan, and I'm thrilled you're here. Are you ready to embark on a journey of self-discovery and healing? If so, you've come to the right place. As a seasoned therapist with a passion for helping individuals like you navigate life's complexities, I'm here to offer support, guidance, and a safe space for exploration. I work with individuals who are open to seeking help and are committed to their personal growth journey. If you're ready to take the next step toward a happier, more fulfilling life, I'm here to support you.
Hey there! I'm Megan, and I'm thrilled you're here. Are you ready to embark on a journey of self-discovery and healing? If so, you've come to the right place. As a seasoned therapist with a passion for helping individuals like you navigate life's complexities, I'm here to offer support, guidance, and a safe space for exploration. I work with individuals who are open to seeking help and are committed to their personal growth journey. If you're ready to take the next step toward a happier, more fulfilling life, I'm here to support you.
See more therapy options for Westfield
Nearby Searches for Westfield
See More TherapistsHow does your Therapist compare?
Number of Therapists in Westfield, NY
< 10
Therapists in Westfield, NY who prioritize treating:
100% | Depression |
100% | Anxiety |
100% | Child |
100% | ADHD |
100% | Parenting |
100% | Behavioral Issues |
100% | Self Esteem |
Average years in practice
24 Years
Top 3 insurances accepted
67% | Aetna |
67% | BlueCross and BlueShield |
67% | Cigna and Evernorth |
How Therapists in Westfield, NY see their clients
100% | In Person and Online |
Gender breakdown
100% | Female |
FAQs - About Therapy and Counseling
How can I find a therapist in Westfield?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.