Therapists in Riverview, FL

Photo of Nikkia Evans, LCSW, Clinical Social Work/Therapist
Nikkia Evans
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverview, FL 33578  (Online Only)
I am a licensed in Florida with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & coping with grief and loss.
I am a licensed in Florida with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & coping with grief and loss.
(813) 590-5985 View (813) 590-5985
Photo of Nicole J Pankey, LMHC , CCTP, NCC, Counselor
Nicole J Pankey
Counselor, LMHC , CCTP, NCC
Verified Verified
2 Endorsed
Riverview, FL 33578
I believe that every person deserves space where they can speak openly and honestly, exploring challenges, core beliefs and vulnerabilities that keep them stuck or in a place of emotional discomfort. I place emphasis on developing a therapeutic relationship, establishing trust to help you reach your individualized goals. My training and success includes working with mental health issues that may be long standing, those struggles that persist unresolved, e.g. anxieties, unrelieved depression, fears that overshadow you, a sense of meaninglessness, persistent conflicts in relationships, and painful results of trauma and loss.
I believe that every person deserves space where they can speak openly and honestly, exploring challenges, core beliefs and vulnerabilities that keep them stuck or in a place of emotional discomfort. I place emphasis on developing a therapeutic relationship, establishing trust to help you reach your individualized goals. My training and success includes working with mental health issues that may be long standing, those struggles that persist unresolved, e.g. anxieties, unrelieved depression, fears that overshadow you, a sense of meaninglessness, persistent conflicts in relationships, and painful results of trauma and loss.
(813) 210-9568 View (813) 210-9568
Photo of Fayola Caines - Life Balance and Beauty, MS, LMHC, Counselor
Life Balance and Beauty
Counselor, MS, LMHC
Verified Verified
Riverview, FL 33578
Let's go from Weighted to Weightless! Are you struggling in your current relationship emotionally? Are you trying to find balance, better communication, a stronger foundation built on values and principles that are important to you? Are you having a hard time with finances in your relationship? Infidelity? Overwhelmed? Premarital Counseling? Anxiety? Depression? Are you just wanting more from life than just day to day? Are you feeling stuck personally and/or professionally. Is he for you? Is she for you? Finding your purpose in life? I am here for all of you! Let's drop the mental weight in order to drop the physical weight!
Let's go from Weighted to Weightless! Are you struggling in your current relationship emotionally? Are you trying to find balance, better communication, a stronger foundation built on values and principles that are important to you? Are you having a hard time with finances in your relationship? Infidelity? Overwhelmed? Premarital Counseling? Anxiety? Depression? Are you just wanting more from life than just day to day? Are you feeling stuck personally and/or professionally. Is he for you? Is she for you? Finding your purpose in life? I am here for all of you! Let's drop the mental weight in order to drop the physical weight!
(813) 737-7987 View (813) 737-7987
Photo of Damon Dye - Triangle Resolutions, EdD, LMHC, BACC, NCGC, II, Counselor
Triangle Resolutions
Counselor, EdD, LMHC, BACC, NCGC, II
Verified Verified
Riverview, FL 33578
Contact me if you desire education, tools, and emotional healing. I am certified in Clinical Brainspotting for trauma work and specialize in Emotional Focused Therapy (EFT) for couples and families. I also oversee a group practice where you will have access to highly specialized resources for women's issues, relationship dissatisfaction, communication problems, blended family conflicts, and youth behavioral/relationship challenges.
Contact me if you desire education, tools, and emotional healing. I am certified in Clinical Brainspotting for trauma work and specialize in Emotional Focused Therapy (EFT) for couples and families. I also oversee a group practice where you will have access to highly specialized resources for women's issues, relationship dissatisfaction, communication problems, blended family conflicts, and youth behavioral/relationship challenges.
(813) 699-0996 View (813) 699-0996
Photo of Zachary Besecker, PsyD, Psychologist
Zachary Besecker
Psychologist, PsyD
Verified Verified
1 Endorsed
Riverview, FL 33578  (Online Only)
I am passionate about working with individuals committed to growth. Personal growth and progress within therapy are topics we will discuss early and often as we begin to build a picture for what role therapy can take to best serve your treatment needs. The work we will do within therapy will center around maximizing your potential through understanding your values. This work is meant to be collaborative and will be based on what is most important to you. During sessions, I will teach dynamic skills to better understand ways of achieving the types of growth desired.
I am passionate about working with individuals committed to growth. Personal growth and progress within therapy are topics we will discuss early and often as we begin to build a picture for what role therapy can take to best serve your treatment needs. The work we will do within therapy will center around maximizing your potential through understanding your values. This work is meant to be collaborative and will be based on what is most important to you. During sessions, I will teach dynamic skills to better understand ways of achieving the types of growth desired.
(813) 437-1683 View (813) 437-1683
Photo of Malika S. Moretti, MSW, JM, LCSW, BCS, Clinical Social Work/Therapist
Malika S. Moretti
Clinical Social Work/Therapist, MSW, JM, LCSW, BCS
Verified Verified
Riverview, FL 33578
As a veteran of the United States Armed Forces, I bring a wealth of experience as Clinician, Qualified Supervisor, and seasoned Deputy Officer with a focus on addressing Complex Trauma, Post-Traumatic Stress Disorder, Sexual Trauma, Substance Abuse, Domestic Violence, Family Conflict, Bereavement, Anxiety, and Major Depressive Disorders. My professional expertise is underpinned by a robust military and clinical foundation, further enhanced by a JM with a concentration in Medical Law. My therapeutic approach encompasses variety of modalities including EMDR, CBT, PE, as well as offering Consultation, Clinical Supervision and MEB eval.
As a veteran of the United States Armed Forces, I bring a wealth of experience as Clinician, Qualified Supervisor, and seasoned Deputy Officer with a focus on addressing Complex Trauma, Post-Traumatic Stress Disorder, Sexual Trauma, Substance Abuse, Domestic Violence, Family Conflict, Bereavement, Anxiety, and Major Depressive Disorders. My professional expertise is underpinned by a robust military and clinical foundation, further enhanced by a JM with a concentration in Medical Law. My therapeutic approach encompasses variety of modalities including EMDR, CBT, PE, as well as offering Consultation, Clinical Supervision and MEB eval.
(954) 637-0169 View (954) 637-0169
Photo of Melissa Sevigny, LCSW, Clinical Social Work/Therapist
Melissa Sevigny
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Riverview, FL 33579  (Online Only)
Some people see me to explore childhood trauma. Some people come to me because their job or home life are really stressful. Some come because they’re worried about stuff all the time that they know they shouldn’t be worried about but they are anyway. Some come because their parents are getting older, and they are having to be more involved in their care and the transition to parenting your parent is challenging. Some people are not happy in their relationships, some aren’t happy with themselves and some just need someone to talk to. What all this means is, there is no wrong reason to see a therapist.. I'm here for you!
Some people see me to explore childhood trauma. Some people come to me because their job or home life are really stressful. Some come because they’re worried about stuff all the time that they know they shouldn’t be worried about but they are anyway. Some come because their parents are getting older, and they are having to be more involved in their care and the transition to parenting your parent is challenging. Some people are not happy in their relationships, some aren’t happy with themselves and some just need someone to talk to. What all this means is, there is no wrong reason to see a therapist.. I'm here for you!
(813) 773-3144 View (813) 773-3144
Photo of Stephanie Bardales, LMFT, Marriage & Family Therapist
Stephanie Bardales
Marriage & Family Therapist, LMFT
Verified Verified
Riverview, FL 33578
Do you need help with mental health challenges, like depression, anxiety, OCD, bipolar disorder, or ADHD? Are you having difficulty with your relationship and need help to work through problems like infidelity, communication, or frequent fighting? Has life become difficult and you are having a hard time coping or keeping up? If so, I am here to help!
Do you need help with mental health challenges, like depression, anxiety, OCD, bipolar disorder, or ADHD? Are you having difficulty with your relationship and need help to work through problems like infidelity, communication, or frequent fighting? Has life become difficult and you are having a hard time coping or keeping up? If so, I am here to help!
(813) 544-6649 View (813) 544-6649
Photo of Thomia Thompson, LMHC, Counselor
Thomia Thompson
Counselor, LMHC
Verified Verified
Riverview, FL 33579
As a licensed mental health counselor, marriage and family specialist, and EMDR Trained provider, I am committed to helping individuals and families navigate their paths to healing. Additionally, I hold certifications in SYMBIS and Level 2 Gottman Couples training, specializing in supporting couples as they restore and enrich their relationships. I work with families, couples, adults, teens, and children navigating a wide range of challenges and life transitions.
As a licensed mental health counselor, marriage and family specialist, and EMDR Trained provider, I am committed to helping individuals and families navigate their paths to healing. Additionally, I hold certifications in SYMBIS and Level 2 Gottman Couples training, specializing in supporting couples as they restore and enrich their relationships. I work with families, couples, adults, teens, and children navigating a wide range of challenges and life transitions.
(689) 220-6804 View (689) 220-6804
Photo of Tocara Jackson, MSW, RCSWI, Clinical Social Work/Therapist
Tocara Jackson
Clinical Social Work/Therapist, MSW, RCSWI
Verified Verified
1 Endorsed
Riverview, FL 33578  (Online Only)
Do you feel as though you are struggling with anger, anxiety, hypersensitivity, and shame? Do you feel like you are very emotionally and physically reactive? Are you experiencing issues with your relationships? With your self- esteem? Or perhaps you may be trying to cope with current or past trauma? Have you developed coping skills and defense mechanisms that no longer help you? If you can answer “Yes” to any of the above questions, then therapy may be a healthy choice to address these concerns.
Do you feel as though you are struggling with anger, anxiety, hypersensitivity, and shame? Do you feel like you are very emotionally and physically reactive? Are you experiencing issues with your relationships? With your self- esteem? Or perhaps you may be trying to cope with current or past trauma? Have you developed coping skills and defense mechanisms that no longer help you? If you can answer “Yes” to any of the above questions, then therapy may be a healthy choice to address these concerns.
(813) 946-6077 View (813) 946-6077
Photo of Jamila Tippit, MA, Marriage & Family Therapist Intern
Jamila Tippit
Marriage & Family Therapist Intern, MA
Verified Verified
Riverview, FL 33569
Accepting NEW clients! Sometimes the un expectancy of life can be defeating, but we do not have to face it alone. Supporting and guiding clients through difficult traumas and life's challenges in a safe and nonjudgmental environment is what I strive for. My goal is to assist children, adolescents, and adults to reach their highest potential and to help couples and families live more harmonious and joyful lives together.
Accepting NEW clients! Sometimes the un expectancy of life can be defeating, but we do not have to face it alone. Supporting and guiding clients through difficult traumas and life's challenges in a safe and nonjudgmental environment is what I strive for. My goal is to assist children, adolescents, and adults to reach their highest potential and to help couples and families live more harmonious and joyful lives together.
(813) 592-5844 View (813) 592-5844
Photo of Jaitesha J Hanson, LMHC
Jaitesha J Hanson
Licensed Mental Health Counselor, LMHC
Verified Verified
3 Endorsed
Riverview, FL 33578
Welcome! I'm Teesh, a neurodivergent affirming therapist dedicated to helping you navigate life's challenges and discover your authentic self. With a background in working with individuals of all ages—from children to seniors—I bring a diverse and holistic approach to therapy. Whether you're a teen grappling with identity, a young adult facing life transitions, or an adult seeking balance, I am here to support you.
Welcome! I'm Teesh, a neurodivergent affirming therapist dedicated to helping you navigate life's challenges and discover your authentic self. With a background in working with individuals of all ages—from children to seniors—I bring a diverse and holistic approach to therapy. Whether you're a teen grappling with identity, a young adult facing life transitions, or an adult seeking balance, I am here to support you.
(813) 565-2430 View (813) 565-2430
Photo of Amanda Altu, LMHC, Counselor
Amanda Altu
Counselor, LMHC
Verified Verified
1 Endorsed
Riverview, FL 33578  (Online Only)
Hello! Congratulations on taking this leap of faith and making the decision to explore therapy as a means to reach your goals. I am so proud of you! As a clinician, I am committed to creating a non-judgmental, collaborative and safe space where each client feels heard, seen and supported. It is an honor and a privilege to work with clients in this capacity and a responsibility I take very seriously. I love working with both children and their families, young adults and fellow helping professionals on maintaining healthy work/life balance.
Hello! Congratulations on taking this leap of faith and making the decision to explore therapy as a means to reach your goals. I am so proud of you! As a clinician, I am committed to creating a non-judgmental, collaborative and safe space where each client feels heard, seen and supported. It is an honor and a privilege to work with clients in this capacity and a responsibility I take very seriously. I love working with both children and their families, young adults and fellow helping professionals on maintaining healthy work/life balance.
(813) 652-0072 View (813) 652-0072
Photo of Femina Patel, MS, LMHC, Counselor
Femina Patel
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Riverview, FL 33579  (Online Only)
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life. Let us be proactive in teaching you how to manage stress, anxiety, overwhelm, sadness, and more.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life. Let us be proactive in teaching you how to manage stress, anxiety, overwhelm, sadness, and more.
(813) 669-5473 View (813) 669-5473
Photo of Crystal Clark, LMHC, Counselor
Crystal Clark
Counselor, LMHC
Verified Verified
Riverview, FL 33579  (Online Only)
Let me help you GROW through life changes. Growing Through Changes Therapy, PLLC is here for people of all backgrounds. I understand how hard the process of finding the right person to confide in may be. My goal is to make you feel comfortable with where you are at in life and working together to achieve personal goals. Therapy works best in an environment of openness and trust. Therefore, finding the right therapist to confide is important and I welcome any questions that will make this process comfortable.
Let me help you GROW through life changes. Growing Through Changes Therapy, PLLC is here for people of all backgrounds. I understand how hard the process of finding the right person to confide in may be. My goal is to make you feel comfortable with where you are at in life and working together to achieve personal goals. Therapy works best in an environment of openness and trust. Therefore, finding the right therapist to confide is important and I welcome any questions that will make this process comfortable.
(813) 294-9128 View (813) 294-9128
Photo of Amneris Wells, LMHC, Counselor
Amneris Wells
Counselor, LMHC
Verified Verified
1 Endorsed
Riverview, FL 33569  (Online Only)
Immediate Online Availability 5pm and 6pm on Tues and Wed! I like to think of the client-therapist relationship as a team where we will uncover your true potential to lead a healthy and fruitful life. With treatment and teamwork, we will understand why and how making self-care a priority is important when balancing life’s challenges. Whether you are struggling with a particular issue or if you are looking to enhance your life in general, I can help you find ways to achieve this goal. If you are ready to change in your life due to feeling stuck, we can help you work through this together!
Immediate Online Availability 5pm and 6pm on Tues and Wed! I like to think of the client-therapist relationship as a team where we will uncover your true potential to lead a healthy and fruitful life. With treatment and teamwork, we will understand why and how making self-care a priority is important when balancing life’s challenges. Whether you are struggling with a particular issue or if you are looking to enhance your life in general, I can help you find ways to achieve this goal. If you are ready to change in your life due to feeling stuck, we can help you work through this together!
(305) 930-6198 View (305) 930-6198
Photo of Rafael Anrrich, LCSW, Clinical Social Work/Therapist
Rafael Anrrich
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Riverview, FL 33578  (Online Only)
Greetings! I'm hoping to be able to work with you on empowering you and helping you heal from the many mental, emotional, spiritual, and social issues you may be encountering. Many of these above issues can often paralyze, obstruct, interfere, and even plague one from being able to advance and live a healthy, robust life. My objective is to help you overcome the challenges brought about by these issues. I have 30+ years experience working in the field. I work with children, adolescents, adults, elderly, couples, families. I am fluent in English and Spanish.
Greetings! I'm hoping to be able to work with you on empowering you and helping you heal from the many mental, emotional, spiritual, and social issues you may be encountering. Many of these above issues can often paralyze, obstruct, interfere, and even plague one from being able to advance and live a healthy, robust life. My objective is to help you overcome the challenges brought about by these issues. I have 30+ years experience working in the field. I work with children, adolescents, adults, elderly, couples, families. I am fluent in English and Spanish.
(813) 688-0053 View (813) 688-0053
Photo of Laura Richardson, MS, LMHC, Counselor
Laura Richardson
Counselor, MS, LMHC
Verified Verified
Riverview, FL 33579  (Online Only)
Life can challenge us in many different ways, whether because of day to day stress, or long term childhood struggles. My name is Laura, and I strive to create an open and safe environment to promote self-discovery and change, regardless of their current stage of life. I aim to help individuals to reach their full potential and grow into their best and most authentic version of themselves so they are able to navigate life’s challenges in a healthier way.
Life can challenge us in many different ways, whether because of day to day stress, or long term childhood struggles. My name is Laura, and I strive to create an open and safe environment to promote self-discovery and change, regardless of their current stage of life. I aim to help individuals to reach their full potential and grow into their best and most authentic version of themselves so they are able to navigate life’s challenges in a healthier way.
(813) 669-0970 View (813) 669-0970
Photo of Jessica Dupree, MA
Jessica Dupree
Registered Mental Health Counselor Intern, MA
Verified Verified
Riverview, FL 33569
Life is not alwa stresses of life can become overwhelming and burdensome at times. We are all faced with difficult times, situations, and circumstances that we need help with. Those difficulties can sometimes leave us feeling depressed, overwhelmed, filled with worry and anxiety, or even suicidal. We all need a safe place to explore those emotions we are feeling, the hurts and pains that have happened, or the grief that seems to be lingering. My goal in your therapy journey is to provide you a safe place to explore those difficulties, working towards a healthier and happier life.
Life is not alwa stresses of life can become overwhelming and burdensome at times. We are all faced with difficult times, situations, and circumstances that we need help with. Those difficulties can sometimes leave us feeling depressed, overwhelmed, filled with worry and anxiety, or even suicidal. We all need a safe place to explore those emotions we are feeling, the hurts and pains that have happened, or the grief that seems to be lingering. My goal in your therapy journey is to provide you a safe place to explore those difficulties, working towards a healthier and happier life.
(813) 491-7055 View (813) 491-7055
Photo of Marco Watson - Inspire Beyond Counseling Services, LCSW, Clinical Social Work/Therapist
Inspire Beyond Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverview, FL 33579  (Online Only)
For me, helping others is less about what I do but more about who I am. So thus, Inspire Beyond Counseling Services, is my contribution to you and society as a whole. I’m a Licensed Clinical Social Worker and have been practicing for 8 years. There’s more than one way to get to a destination,so I use a holistic approach to plot your desired course. Moments can either matter or shatter self-perception, cover us in anger, or drown us in an ocean of sadness. As you seek your own resolve to make sensibility of your unique challenges consider what you would like in a therapist. The important thing is being able to connect with someone.
For me, helping others is less about what I do but more about who I am. So thus, Inspire Beyond Counseling Services, is my contribution to you and society as a whole. I’m a Licensed Clinical Social Worker and have been practicing for 8 years. There’s more than one way to get to a destination,so I use a holistic approach to plot your desired course. Moments can either matter or shatter self-perception, cover us in anger, or drown us in an ocean of sadness. As you seek your own resolve to make sensibility of your unique challenges consider what you would like in a therapist. The important thing is being able to connect with someone.
(813) 590-0819 View (813) 590-0819
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How does your Therapist compare?

Number of Therapists in Riverview, FL

100+

Average cost per session

$125

Therapists in Riverview, FL who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
73% Trauma and PTSD
73% Coping Skills
70% Stress
69% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

92% Aetna
86% Cigna and Evernorth
83% UnitedHealthcare UHC | UBH

How Therapists in Riverview, FL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Riverview?

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.