Therapists in Calabasas, CA

Photo of Julie Sitomer, LCSW, Clinical Social Work/Therapist
Julie Sitomer
Clinical Social Work/Therapist, LCSW
Verified Verified
Calabasas, CA 91302
In today's world being a woman can be joyful, beautiful and also incredibly overwhelming! Life transitions, career decisions, moving, infertility, pregnancy, parenting, changing body and personal identity, juggling work and family responsibilities may lead us to feeling anxious, overwhelmed, lonely, lost or stuck. The changes and challenges are non-stop and can be too much at times. Finding a therapist that can provide a caring and safe space to open up is essential to growth and healing.
In today's world being a woman can be joyful, beautiful and also incredibly overwhelming! Life transitions, career decisions, moving, infertility, pregnancy, parenting, changing body and personal identity, juggling work and family responsibilities may lead us to feeling anxious, overwhelmed, lonely, lost or stuck. The changes and challenges are non-stop and can be too much at times. Finding a therapist that can provide a caring and safe space to open up is essential to growth and healing.
(310) 947-8165 View (310) 947-8165
Photo of Allyn Miller, MA, LMFT, Marriage & Family Therapist
Allyn Miller
Marriage & Family Therapist, MA, LMFT
Verified Verified
Calabasas, CA 91302
We are drawn to what is familiar. Most of us learned as children that we had to behave and think in certain ways to survive in our given environments. This knowledge became our childhood coping skills. We utilize these coping skills, which may no longer be effective in our adult relationships and may need to be reevaluated. In addition, we may find that we are depressed, anxious or repeatedly choosing the "wrong" partner, because the familiarity feels safe. I have an empathic understanding of these issues and will help you to explore and move forward so that you can enjoy more happiness in life, with loving, healthy relationships.
We are drawn to what is familiar. Most of us learned as children that we had to behave and think in certain ways to survive in our given environments. This knowledge became our childhood coping skills. We utilize these coping skills, which may no longer be effective in our adult relationships and may need to be reevaluated. In addition, we may find that we are depressed, anxious or repeatedly choosing the "wrong" partner, because the familiarity feels safe. I have an empathic understanding of these issues and will help you to explore and move forward so that you can enjoy more happiness in life, with loving, healthy relationships.
(213) 260-4241 View (213) 260-4241
Photo of Elaine Hyland, MA, LMFT, Marriage & Family Therapist
Elaine Hyland
Marriage & Family Therapist, MA, LMFT
Verified Verified
Calabasas, CA 91302
Sometimes life's problems and dilemmas need to be addressed in psychotherapy or they could possibly interfere with the opportunity to experience a happier, more fulfilling life. I invite you to join me in a therapeutic relationship that facilitates understanding your thoughts and feelings. By using this developing knowledge, we can explore and resolve the conflicts in your life rather than staying stuck.
Sometimes life's problems and dilemmas need to be addressed in psychotherapy or they could possibly interfere with the opportunity to experience a happier, more fulfilling life. I invite you to join me in a therapeutic relationship that facilitates understanding your thoughts and feelings. By using this developing knowledge, we can explore and resolve the conflicts in your life rather than staying stuck.
(818) 623-6463 View (818) 623-6463
Photo of Michele Ryan, LMFT, Marriage & Family Therapist
Michele Ryan
Marriage & Family Therapist, LMFT
Verified Verified
Calabasas, CA 91302  (Online Only)
Hello, my name is Michele Ryan. I am a Licensed Marriage and Family Therapist who loves working with individuals, families and couples who have been affected by mental illness or just the everyday stressors and strains of life. Sometimes it can be very difficult to get relief from emotional problems on our own. Too often, when we feel discouraged, angry, stressed out and overwhelmed and we can turn to unhealthy coping skills. I have worked with clients struggling with chemical and behavioral addictions, depression, multiple anxiety disorders, PTSD and ongoing difficulties due to past traumatic experiences and life stressors.
Hello, my name is Michele Ryan. I am a Licensed Marriage and Family Therapist who loves working with individuals, families and couples who have been affected by mental illness or just the everyday stressors and strains of life. Sometimes it can be very difficult to get relief from emotional problems on our own. Too often, when we feel discouraged, angry, stressed out and overwhelmed and we can turn to unhealthy coping skills. I have worked with clients struggling with chemical and behavioral addictions, depression, multiple anxiety disorders, PTSD and ongoing difficulties due to past traumatic experiences and life stressors.
(747) 294-3646 View (747) 294-3646
Photo of Lisa Strawn, MA
Lisa Strawn
Associate Marriage & Family Therapist, MA
Verified Verified
Calabasas, CA 91302  (Online Only)
Are you constantly walking on eggshells in your relationship? Have you tried to communicate your concerns but it seems to end in an argument? It can feel exhausting to repeat a negative communication cycle where the problem isn't resolved and you feel emotional connection and intimacy are blocked. There is hope, I work with individuals and couples to explore their relationship patterns and transform their connection to each other. In relationships we often find a mirror for our personal growth and development. Adolescent struggles, family conflict and children who experience learning challenges are other areas of focus in my work.
Are you constantly walking on eggshells in your relationship? Have you tried to communicate your concerns but it seems to end in an argument? It can feel exhausting to repeat a negative communication cycle where the problem isn't resolved and you feel emotional connection and intimacy are blocked. There is hope, I work with individuals and couples to explore their relationship patterns and transform their connection to each other. In relationships we often find a mirror for our personal growth and development. Adolescent struggles, family conflict and children who experience learning challenges are other areas of focus in my work.
(714) 868-7252 View (714) 868-7252
Photo of Maura Amaral, LMFT, Marriage & Family Therapist
Maura Amaral
Marriage & Family Therapist, LMFT
Verified Verified
Calabasas, CA 91302  (Online Only)
I have over 20 years of experience empowering clients, teaching them coping skills, identifying distorted thinking, and triggers, and equipping them with tools and techniques that can be useful when they need to rescue themselves, helping them connect with their inner strength and see the diamond that they are. My approach is calm, empathetic, compassionate, client-led, trauma-informed, and Strengths-Based. I like prescribing movements such as yoga, movie therapy, and bibliotherapy as adjunct to therapy.
I have over 20 years of experience empowering clients, teaching them coping skills, identifying distorted thinking, and triggers, and equipping them with tools and techniques that can be useful when they need to rescue themselves, helping them connect with their inner strength and see the diamond that they are. My approach is calm, empathetic, compassionate, client-led, trauma-informed, and Strengths-Based. I like prescribing movements such as yoga, movie therapy, and bibliotherapy as adjunct to therapy.
(424) 404-9205 View (424) 404-9205
Photo of Allie Levy-Akoka, MS, LMFT, Marriage & Family Therapist
Allie Levy-Akoka
Marriage & Family Therapist, MS, LMFT
Verified Verified
Calabasas, CA 91302
While talking about your feelings with friends and family may be comforting, that may not completely tackle your emotional needs and complications. Seeing a professional therapist can help to alleviate your emotional distress from difficult situations. My mission is to provide support and space for healing while counseling you and your family in a non-judgmental and safe environment.
While talking about your feelings with friends and family may be comforting, that may not completely tackle your emotional needs and complications. Seeing a professional therapist can help to alleviate your emotional distress from difficult situations. My mission is to provide support and space for healing while counseling you and your family in a non-judgmental and safe environment.
(747) 322-4398 View (747) 322-4398
Photo of Debi Frankle - Calabasas Counseling and Grief Recovery Center, MS, LMFT, Marriage & Family Therapist
Calabasas Counseling and Grief Recovery Center
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
Calabasas, CA 91302
You know how people tell you to move on...but they don't tell you how? We teach you how to move beyond the agony of grief to peace of mind and heart. We have been working with grievers for over 30 years. The world can look and feel so surreal after a significant loss. And the people around you don't always know what to say, so they give you advice or offer support in ways that can feel more distancing and isolating.
You know how people tell you to move on...but they don't tell you how? We teach you how to move beyond the agony of grief to peace of mind and heart. We have been working with grievers for over 30 years. The world can look and feel so surreal after a significant loss. And the people around you don't always know what to say, so they give you advice or offer support in ways that can feel more distancing and isolating.
(818) 649-5470 View (818) 649-5470
Photo of Erica Ives - Mindfulpath, Inc.- Erica Ives, MFT, CEDS, MA, MFT, CEDS, Marriage & Family Therapist
Mindfulpath, Inc.- Erica Ives, MFT, CEDS
Marriage & Family Therapist, MA, MFT, CEDS
Verified Verified
1 Endorsed
Calabasas, CA 91302
As a therapist, I demonstrate a passionate devotion to fostering growth in a safe, nurturing environment. My treatment approach is tailored to your strengths and uniqueness. I teach and guide you how to actively pay attention to the messages of your body, thoughts, feelings, and your actions. Learn new coping skills that compliment your uniqueness. Visit my websites at www.mindfulpath.com and www.ericaives.com I believe recovery is much more than eliminating self-destructive behaviors; it's about cultivating and living life everyday on a mindful path filled with self-awareness, fulfilling relationships, meaning, and vitality.
As a therapist, I demonstrate a passionate devotion to fostering growth in a safe, nurturing environment. My treatment approach is tailored to your strengths and uniqueness. I teach and guide you how to actively pay attention to the messages of your body, thoughts, feelings, and your actions. Learn new coping skills that compliment your uniqueness. Visit my websites at www.mindfulpath.com and www.ericaives.com I believe recovery is much more than eliminating self-destructive behaviors; it's about cultivating and living life everyday on a mindful path filled with self-awareness, fulfilling relationships, meaning, and vitality.
(818) 639-4273 View (818) 639-4273
Photo of Dr. Matthew Meyers, LPCC, NBCC
Dr. Matthew Meyers
Licensed Professional Clinical Counselor, LPCC, NBCC
Verified Verified
3 Endorsed
Calabasas, CA 91302  (Online Only)
Feeling overwhelmed and burnt out at work? Is your job satisfaction at an all-time low due to stress, conflict, or a lack of growth opportunities? Perhaps you're experiencing anxiety related to work demands. If work-related challenges impact your well-being, it might be time to connect with a therapist specializing in these issues. We can develop a personalized plan to navigate these challenges and help you build resilience. Let's explore strategies for managing stress, improving communication with colleagues or supervisors, and setting healthy boundaries. Let's Invest in your work-life balance
Feeling overwhelmed and burnt out at work? Is your job satisfaction at an all-time low due to stress, conflict, or a lack of growth opportunities? Perhaps you're experiencing anxiety related to work demands. If work-related challenges impact your well-being, it might be time to connect with a therapist specializing in these issues. We can develop a personalized plan to navigate these challenges and help you build resilience. Let's explore strategies for managing stress, improving communication with colleagues or supervisors, and setting healthy boundaries. Let's Invest in your work-life balance
(310) 893-0013 View (310) 893-0013
Photo of Dr. Moreen Rubin - California Virtual Eating Disorder Experts VIOP, LMFT, PsyD
California Virtual Eating Disorder Experts VIOP
LMFT, PsyD
Verified Verified
Calabasas, CA 91302  (Online Only)
Are you feeling overwhelmed by your relationship with food, trapped in a cycle of anorexia, bulimia, or binge eating? Do anxiety, depression, or trauma amplify your struggle? It would help if you had accessible, personalized treatment that addresses both your mental and nutritional needs. If you want to heal your relationship with food and body image, build emotional strength, and recover on your terms, we can help. Our program offers the guidance of highly experienced ED and trauma therapists, the benefits of EMDR therapy, in-home ED coaching, flexible virtual care, and a compassionate, supportive community of recovered staff.
Are you feeling overwhelmed by your relationship with food, trapped in a cycle of anorexia, bulimia, or binge eating? Do anxiety, depression, or trauma amplify your struggle? It would help if you had accessible, personalized treatment that addresses both your mental and nutritional needs. If you want to heal your relationship with food and body image, build emotional strength, and recover on your terms, we can help. Our program offers the guidance of highly experienced ED and trauma therapists, the benefits of EMDR therapy, in-home ED coaching, flexible virtual care, and a compassionate, supportive community of recovered staff.
(747) 349-2215 View (747) 349-2215
Photo of Carlos Guerrero, LCSW, Clinical Social Work/Therapist
Carlos Guerrero
Clinical Social Work/Therapist, LCSW
Verified Verified
Calabasas, CA 91302  (Online Only)
My clients do most of the talking and my role is to be an active and nonjudgmental listener. I often jump in and challenge my clients when appropriate. I actively teach new skills and tools to my clients.
My clients do most of the talking and my role is to be an active and nonjudgmental listener. I often jump in and challenge my clients when appropriate. I actively teach new skills and tools to my clients.
(408) 404-5716 View (408) 404-5716
Photo of Corina Rains, LMFT, Marriage & Family Therapist
Corina Rains
Marriage & Family Therapist, LMFT
Verified Verified
Calabasas, CA 91302  (Online Only)
My approach is person-centered. I seek to build rapport and make the client comfortable with me. I work to gain the trust of the client to allow them to open up in a trusting way so they can begin to resolve their issues. I have been doing therapy since 2011 and have seen all types of presentations. I have diagnosed the most mild to the most severe disorders and have had success working with very diverse populations.
My approach is person-centered. I seek to build rapport and make the client comfortable with me. I work to gain the trust of the client to allow them to open up in a trusting way so they can begin to resolve their issues. I have been doing therapy since 2011 and have seen all types of presentations. I have diagnosed the most mild to the most severe disorders and have had success working with very diverse populations.
(818) 962-1048 View (818) 962-1048
Photo of Alisa Blatt, MA, MFT, Marriage & Family Therapist
Alisa Blatt
Marriage & Family Therapist, MA, MFT
Verified Verified
Calabasas, CA 91302  (Online Only)
Gaining the knowledge and skills that foster loving relationships is vital to your happiness. My goal is to help you create, build and nurture all of your relationships including and especially the one with yourself. Through one-on-one counseling, education, coaching and even art therapy, we can create a clear path to your greater well-being. Whether you want relationship relief, relationship repair or even relationship release, I provide a safe and supportive environment, and over 30 years of professional experience to help you resolve the things that matter most in your life.
Gaining the knowledge and skills that foster loving relationships is vital to your happiness. My goal is to help you create, build and nurture all of your relationships including and especially the one with yourself. Through one-on-one counseling, education, coaching and even art therapy, we can create a clear path to your greater well-being. Whether you want relationship relief, relationship repair or even relationship release, I provide a safe and supportive environment, and over 30 years of professional experience to help you resolve the things that matter most in your life.
(818) 293-5966 View (818) 293-5966
Photo of Shelley L Segal, PsyD, Psychologist
Shelley L Segal
Psychologist, PsyD
Verified Verified
1 Endorsed
Calabasas, CA 91302
As a clinical psychologist working with adolescents, adults and couples, my goal is to help people struggling with life's challenges and difficulties. I will help you gain insight into short and long-term issues and provide you with valuable tools and techniques to provide relief from symptoms and/or situations that are negatively impacting your life. This results in a better sense of self and well-being and more fulfilling relationships. I treat a wide array of psychological problems such as anxiety and depression and specialize in treating those suffering with chronic pain.
As a clinical psychologist working with adolescents, adults and couples, my goal is to help people struggling with life's challenges and difficulties. I will help you gain insight into short and long-term issues and provide you with valuable tools and techniques to provide relief from symptoms and/or situations that are negatively impacting your life. This results in a better sense of self and well-being and more fulfilling relationships. I treat a wide array of psychological problems such as anxiety and depression and specialize in treating those suffering with chronic pain.
(818) 495-8889 View (818) 495-8889
Photo of Kayleigh Swetland, LCSW, Clinical Social Work/Therapist
Kayleigh Swetland
Clinical Social Work/Therapist, LCSW
Verified Verified
Calabasas, CA 91302  (Online Only)
I come from a trauma-informed theoretical orientation. I believe that attachment is often the root of many challenges. I work from a cognitive-behavioral lens with a narrative approach. I am informed by psychodynamic and social-emotional developmental models (Piaget, Erickson, Freud, Maslow). I also use techniques and interventions integrating art, worksheets, media, and psychoeducational books or articles. I have training in motivational interviewing, adoption competency certification, ASIST suicide training, cognitive behavioral therapy, solution-focused therapy, psychodynamic, art, and narrative therapies.
I come from a trauma-informed theoretical orientation. I believe that attachment is often the root of many challenges. I work from a cognitive-behavioral lens with a narrative approach. I am informed by psychodynamic and social-emotional developmental models (Piaget, Erickson, Freud, Maslow). I also use techniques and interventions integrating art, worksheets, media, and psychoeducational books or articles. I have training in motivational interviewing, adoption competency certification, ASIST suicide training, cognitive behavioral therapy, solution-focused therapy, psychodynamic, art, and narrative therapies.
(510) 619-2685 View (510) 619-2685
Photo of Sarah Limcaco, MA, LMFT, Marriage & Family Therapist
Sarah Limcaco
Marriage & Family Therapist, MA, LMFT
Verified Verified
Calabasas, CA 91302  (Online Only)
Beginning therapy can be one of the most difficult things we do. It can also be the most rewarding. It is stepping into the unknown and taking an unfamiliar path to a destination that may seem completely out of reach. Therapy is a journey and I will be your travel companion. It is my firm belief that as humans, we just want to be seen and heard. In my practice, I strive to create an environment that is safe, nurturing and most importantly, free of judgement so that I can both see and hear you.
Beginning therapy can be one of the most difficult things we do. It can also be the most rewarding. It is stepping into the unknown and taking an unfamiliar path to a destination that may seem completely out of reach. Therapy is a journey and I will be your travel companion. It is my firm belief that as humans, we just want to be seen and heard. In my practice, I strive to create an environment that is safe, nurturing and most importantly, free of judgement so that I can both see and hear you.
(747) 229-0824 View (747) 229-0824
Photo of Sari Fine Shepphird, PhD, Psychologist
Sari Fine Shepphird
Psychologist, PhD
Verified Verified
Calabasas, CA 91302
As a sports psychologist, performance psychologist, and mental coach, Dr. Shepphird works with athletes, performing artists, musicians, business leaders, and high-stakes professionals. In addition, she provides supportive psychotherapy on a range of issues.. Find help optimizing performance & overcoming barriers in a supportive atmosphere. Any life transition, whether positive or negative can come with its share of stress & adjustment. Dr. Shepphird brings a balance of a caring approach coupled with knowledge & top expertise. She is recognized as one of the most experienced and sought after sports psychologists in Los Angeles.
As a sports psychologist, performance psychologist, and mental coach, Dr. Shepphird works with athletes, performing artists, musicians, business leaders, and high-stakes professionals. In addition, she provides supportive psychotherapy on a range of issues.. Find help optimizing performance & overcoming barriers in a supportive atmosphere. Any life transition, whether positive or negative can come with its share of stress & adjustment. Dr. Shepphird brings a balance of a caring approach coupled with knowledge & top expertise. She is recognized as one of the most experienced and sought after sports psychologists in Los Angeles.
(310) 826-4300 View (310) 826-4300
Photo of Chloe Dobbert, LMFT, Marriage & Family Therapist
Chloe Dobbert
Marriage & Family Therapist, LMFT
Verified Verified
Calabasas, CA 91302
I take a humanistic, client-centered approach that provides you with a safe space to feel, confront, and persevere through life's challenges
I take a humanistic, client-centered approach that provides you with a safe space to feel, confront, and persevere through life's challenges
(818) 651-7281 View (818) 651-7281
Photo of Erica Ives - Mindfulpath Inc, MA, LMFT, Marriage & Family Therapist
Mindfulpath Inc
Marriage & Family Therapist, MA, LMFT
Verified Verified
Calabasas, CA 91302
Mindfulpath Inc is a healing space encompassed by a variety of treatment professionals, providing a wide array of services, and working as one connected team to provide quality mental health care. Our community of practitioners make available a wide array of services from individual and group therapy to nutrition and yoga all in one location.  Mindfulpath understands there is no one healing modality that works for all. We take the time to get to know YOU based on YOUR uniqueness and together we create a customized plan to best suit your needs as you walk on YOUR mindfulpath. 
Mindfulpath Inc is a healing space encompassed by a variety of treatment professionals, providing a wide array of services, and working as one connected team to provide quality mental health care. Our community of practitioners make available a wide array of services from individual and group therapy to nutrition and yoga all in one location.  Mindfulpath understands there is no one healing modality that works for all. We take the time to get to know YOU based on YOUR uniqueness and together we create a customized plan to best suit your needs as you walk on YOUR mindfulpath. 
(310) 909-8164 View (310) 909-8164
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How does your Therapist compare?

Number of Therapists in Calabasas, CA

500+

Average cost per session

$200

Therapists in Calabasas, CA who prioritize treating:

94% Anxiety
89% Depression
78% Relationship Issues
68% Self Esteem
66% Stress
65% Trauma and PTSD
64% Grief

Average years in practice

14 Years

Top 3 insurances accepted

73% Aetna
57% Cigna and Evernorth
40% Elevance

How Therapists in Calabasas, CA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Calabasas?

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.