Therapists in Westlake, OH

Photo of Anne Elizabeth Raleigh, MSSA, LISW-S, Clinical Social Work/Therapist
Anne Elizabeth Raleigh
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
5 Endorsed
Westlake, OH 44145  (Online Only)
I am a licensed independent social worker in Ohio with certification in Dialectical Behavior Therapy. I received my MSSA from Case Western Reserve University. I have experience working with at-risk adults who are living with severe mental illness in both agency and community settings. My areas of expertise include: moderate to severe mood and behavioral disorders, trauma-related disorders, personality disorders and issues related to grief and loss.
I am a licensed independent social worker in Ohio with certification in Dialectical Behavior Therapy. I received my MSSA from Case Western Reserve University. I have experience working with at-risk adults who are living with severe mental illness in both agency and community settings. My areas of expertise include: moderate to severe mood and behavioral disorders, trauma-related disorders, personality disorders and issues related to grief and loss.
(440) 482-8238 View (440) 482-8238
Photo of Chaska Scealf, CT, Counselor
Chaska Scealf
Counselor, CT
Verified Verified
1 Endorsed
Westlake, OH 44145
I am passionate about collaborating with others who feel misunderstood, and those who have had to contend with adverse life experiences. It is an honor and a privilege to work alongside you in your journey.
I am passionate about collaborating with others who feel misunderstood, and those who have had to contend with adverse life experiences. It is an honor and a privilege to work alongside you in your journey.
(440) 901-1033 View (440) 901-1033
Photo of Becky Speicher, CT, Counselor
Becky Speicher
Counselor, CT
Verified Verified
1 Endorsed
Westlake, OH 44145
I understand that seeking counseling can be a difficult decision and it can be even more challenging to find the right fit for you and/or your child. My goal is that together, we will create a space where you feel safe and comfortable to explore your struggles and successes without the influence of outside pressures. Your time with me is meant for you to pause and take time for yourself.
I understand that seeking counseling can be a difficult decision and it can be even more challenging to find the right fit for you and/or your child. My goal is that together, we will create a space where you feel safe and comfortable to explore your struggles and successes without the influence of outside pressures. Your time with me is meant for you to pause and take time for yourself.
(440) 970-0550 View (440) 970-0550
Photo of Shannon Francis, MSW, LISW, Clinical Social Work/Therapist
Shannon Francis
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Westlake, OH 44145  (Online Only)
The fundamentals of my practice consist of creating a safe place where I am privileged to listen to my clients’ narratives. I believe each of my clients have their own strengths. I take pride in empowering clients to identify and grow their strengths to guide them through the challenges of life. During my client encounters I utilize strength-based and person centered approaches. Along with a combination of more traditional modalities including cognitive behavioral therapy, motivational interviewing, etc.
The fundamentals of my practice consist of creating a safe place where I am privileged to listen to my clients’ narratives. I believe each of my clients have their own strengths. I take pride in empowering clients to identify and grow their strengths to guide them through the challenges of life. During my client encounters I utilize strength-based and person centered approaches. Along with a combination of more traditional modalities including cognitive behavioral therapy, motivational interviewing, etc.
(440) 271-8416 View (440) 271-8416
Photo of Koren Bierfeldt, LPCC, AHCH, MEd, Counselor
Koren Bierfeldt
Counselor, LPCC, AHCH, MEd
Verified Verified
1 Endorsed
Westlake, OH 44145
I'm a holistic, heart-centered counselor who can help you connect to your most authentic self by releasing anything that blocks your ability to live in joy, prosperity and radiant health. By accessing and clearing negative, unconscious conclusions drawn from early-life experiences, it is possible to change lifelong, self-limiting behaviors. My integrated approach to mind-body wellness provides you with a gateway to healing from the past and living more fully in the present.
I'm a holistic, heart-centered counselor who can help you connect to your most authentic self by releasing anything that blocks your ability to live in joy, prosperity and radiant health. By accessing and clearing negative, unconscious conclusions drawn from early-life experiences, it is possible to change lifelong, self-limiting behaviors. My integrated approach to mind-body wellness provides you with a gateway to healing from the past and living more fully in the present.
(440) 809-8059 View (440) 809-8059
Photo of Anna Baldwin, LPCC-S, LICDC, Counselor
Anna Baldwin
Counselor, LPCC-S, LICDC
Verified Verified
2 Endorsed
Westlake, OH 44145
Not accepting new clients
Sometimes peace of mind feels so far out of reach and as much as we try, it can feel unattainable on our own. As a licensed counselor I am here to facilitate change and growth through genuine connection and provide each client a safe, accepting environment to process obstacles present, past, or future. My mission is to empower each person to understand all aspects of their life and recognize the impact of their experiences, relationships, and understandings on their current perspective.
Sometimes peace of mind feels so far out of reach and as much as we try, it can feel unattainable on our own. As a licensed counselor I am here to facilitate change and growth through genuine connection and provide each client a safe, accepting environment to process obstacles present, past, or future. My mission is to empower each person to understand all aspects of their life and recognize the impact of their experiences, relationships, and understandings on their current perspective.
(216) 755-7588 View (216) 755-7588
Photo of Caitlyn Adamonis, MA, LPC, Licensed Professional Counselor
Caitlyn Adamonis
Licensed Professional Counselor, MA, LPC
Verified Verified
Westlake, OH 44145
Hi I'm Caitlyn! I work at Ellie Mental health in Westlake, and specialize in working with children and adolescents. I have experience working with ADHD, anxiety, depression, adjustment disorders, and emotion regulation to name a few. I utilize play and art therapy interventions, cognitive behavioral therapy, and mindfulness when working with clients. I believe each client is unique and therefore work to incorporate their interests into our work together. In my free time I enjoy being outdoors, spending time with family and friends, and following Cleveland sports. I look forward to meeting you soon!
Hi I'm Caitlyn! I work at Ellie Mental health in Westlake, and specialize in working with children and adolescents. I have experience working with ADHD, anxiety, depression, adjustment disorders, and emotion regulation to name a few. I utilize play and art therapy interventions, cognitive behavioral therapy, and mindfulness when working with clients. I believe each client is unique and therefore work to incorporate their interests into our work together. In my free time I enjoy being outdoors, spending time with family and friends, and following Cleveland sports. I look forward to meeting you soon!
(440) 750-2412 View (440) 750-2412
Photo of Hannah Belden, CT, LPC Intern
Hannah Belden
LPC Intern, CT
Verified Verified
1 Endorsed
Westlake, OH 44145  (Online Only)
Life can throw some pretty wild curveballs, right? Whether it's dealing with relationships, going through big changes, or just feeling totally overwhelmed by emotions, it can all get a bit much sometimes. But guess what? You're not alone, and you've come to the right spot! I'm here to help you in tackling whatever life throws your way, whether you need a hand getting over some hurdles, figuring out how to deal with those big feelings, or just someone to listen without judgment.
Life can throw some pretty wild curveballs, right? Whether it's dealing with relationships, going through big changes, or just feeling totally overwhelmed by emotions, it can all get a bit much sometimes. But guess what? You're not alone, and you've come to the right spot! I'm here to help you in tackling whatever life throws your way, whether you need a hand getting over some hurdles, figuring out how to deal with those big feelings, or just someone to listen without judgment.
(440) 664-2615 View (440) 664-2615
Photo of Susan Adams, LPCC, AT, MA, MEd, Licensed Professional Counselor
Susan Adams
Licensed Professional Counselor, LPCC, AT, MA, MEd
Verified Verified
Westlake, OH 44145  (Online Only)
Hope for the Journey is my professional motto. My goal is to partner with you on your life's journey as we find healing, peace, hope and authenticity. I am a Licensed Professional Clinical Counselor. I specialize in working with woman facing a variety of challenges including feeling overwhelmed, stressed, depressed, having relationship issues, grief, anger, chronic illness, anxiety, difficulty sleeping and more. Treatment is uniquely tailored to meet your needs. I am ready to help!
Hope for the Journey is my professional motto. My goal is to partner with you on your life's journey as we find healing, peace, hope and authenticity. I am a Licensed Professional Clinical Counselor. I specialize in working with woman facing a variety of challenges including feeling overwhelmed, stressed, depressed, having relationship issues, grief, anger, chronic illness, anxiety, difficulty sleeping and more. Treatment is uniquely tailored to meet your needs. I am ready to help!
(440) 310-6361 View (440) 310-6361
Photo of Janet Dutton, MSSA, LISW-S, Clinical Social Work/Therapist
Janet Dutton
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
Westlake, OH 44145
My clients' past trauma gets in the way of the life they want in so many ways. They aren’t the kind of person they want to be. They feel like they’re failing as a partner, friend, sister, daughter. And their confidence at work is tanking. Before they came to see me, they felt guilty for not being happy and wanting more intimate relationships. They worried about blaming their past and others for the current issues with intimate relationships. And they were pretty certain it would be too overwhelming to share with a stranger what happened to them and what has been going on.
My clients' past trauma gets in the way of the life they want in so many ways. They aren’t the kind of person they want to be. They feel like they’re failing as a partner, friend, sister, daughter. And their confidence at work is tanking. Before they came to see me, they felt guilty for not being happy and wanting more intimate relationships. They worried about blaming their past and others for the current issues with intimate relationships. And they were pretty certain it would be too overwhelming to share with a stranger what happened to them and what has been going on.
(440) 271-8114 View (440) 271-8114
Photo of Torrie Giovinazzi, MEd, LPCC, NCC, Counselor
Torrie Giovinazzi
Counselor, MEd, LPCC, NCC
Verified Verified
Westlake, OH 44145
I graduated from Kent State with a Master's degree in Community Counseling. I am an independently Licensed Professional Clinical Counselor in Ohio and am endorsed by the National Board for Certified Counselors. I have provided therapy for variety of mental health issues in outpatient and community settings. My specialties include early childhood, trauma, sexual behavior problems, adjustment issues, anxiety, depression, and behavioral concerns. I utilize an array of therapeutic techniques and interventions to individually tailor to each clients' needs. I enjoy working with people of all ages, and make sure my clients understand the therapy process through psychoeducation and a collaborative treatment approach.
I graduated from Kent State with a Master's degree in Community Counseling. I am an independently Licensed Professional Clinical Counselor in Ohio and am endorsed by the National Board for Certified Counselors. I have provided therapy for variety of mental health issues in outpatient and community settings. My specialties include early childhood, trauma, sexual behavior problems, adjustment issues, anxiety, depression, and behavioral concerns. I utilize an array of therapeutic techniques and interventions to individually tailor to each clients' needs. I enjoy working with people of all ages, and make sure my clients understand the therapy process through psychoeducation and a collaborative treatment approach.
(440) 703-6454 View (440) 703-6454
Photo of Mackenzie Keriazes, PsyD, Psychologist
Mackenzie Keriazes
Psychologist, PsyD
Verified Verified
1 Endorsed
Westlake, OH 44145
Thank you for taking the time to read a little about me - I have a deep appreciation for the journey you may find yourself on in searching for a therapist. I have experience and training in working with a variety of issues for individuals across the lifespan, including: depression, anxiety, mood disorders (including perinatal mood disorders), adjustment to life transitions, bereavement, disordered eating, weight related concerns, stress management, workplace burnout, trauma, disease management, functioning pertaining to LGQBT+ identities, and more. I also conduct Adult ADHD assessments.
Thank you for taking the time to read a little about me - I have a deep appreciation for the journey you may find yourself on in searching for a therapist. I have experience and training in working with a variety of issues for individuals across the lifespan, including: depression, anxiety, mood disorders (including perinatal mood disorders), adjustment to life transitions, bereavement, disordered eating, weight related concerns, stress management, workplace burnout, trauma, disease management, functioning pertaining to LGQBT+ identities, and more. I also conduct Adult ADHD assessments.
(440) 745-7576 View (440) 745-7576
Photo of Danielle Kloeppel, M Ed, LPCC-S, Counselor
Danielle Kloeppel
Counselor, M Ed, LPCC-S
Verified Verified
9 Endorsed
Westlake, OH 44145
Do you feel ready to make a change but don’t know how to start? Have you found yourself setting personal goals but struggling to meet them? Therapy is a place to explore your goals, identify barriers and learn skills to better manage life’s hurdles. I offer a safe, non-judgmental space where we can explore your personal challenges and work collaboratively to help you achieve your goals. Together, we can identify patterns of thoughts and behaviors that have become difficult to manage on your own.
Do you feel ready to make a change but don’t know how to start? Have you found yourself setting personal goals but struggling to meet them? Therapy is a place to explore your goals, identify barriers and learn skills to better manage life’s hurdles. I offer a safe, non-judgmental space where we can explore your personal challenges and work collaboratively to help you achieve your goals. Together, we can identify patterns of thoughts and behaviors that have become difficult to manage on your own.
(216) 446-7494 View (216) 446-7494
Photo of Rita Abdallah, LISW, Clinical Social Work/Therapist
Rita Abdallah
Clinical Social Work/Therapist, LISW
Verified Verified
Westlake, OH 44145
Hi! I'm a Licensed Independent Social Worker-Supervisor (LISW-S) based in Ohio. I received my Masters from the University of Connecticut and have been practicing for 30+ years. It is a joy to work with people of different backgrounds and to help them deal with a variety of life experiences such as chronic illness, relationships career stressors, spiritual exploration, resilience and more.
Hi! I'm a Licensed Independent Social Worker-Supervisor (LISW-S) based in Ohio. I received my Masters from the University of Connecticut and have been practicing for 30+ years. It is a joy to work with people of different backgrounds and to help them deal with a variety of life experiences such as chronic illness, relationships career stressors, spiritual exploration, resilience and more.
(440) 664-2265 View (440) 664-2265
Photo of Jennifer Kaye Blatnik, LSW
Jennifer Kaye Blatnik
Licensed Social Worker, LSW
Verified Verified
1 Endorsed
Westlake, OH 44145
Life can be challenging! Whether you are an adult, teen, parent, or a couple seeking counseling I can offer a safe space to process and develop short and long-term goals. Using Cognitive Behavioral Therapy, Mindfulness, Solution Focused therapy, and breathing techniques I would be honored for the opportunity to team up with you in your life and circumstances. I am a retired US Navy Hospital Corpsman. During my twenty years of active-duty service, I received training not only in the medical field but also in mental health. Since retiring I have completed training with Star Behavioral Health for military focused care.
Life can be challenging! Whether you are an adult, teen, parent, or a couple seeking counseling I can offer a safe space to process and develop short and long-term goals. Using Cognitive Behavioral Therapy, Mindfulness, Solution Focused therapy, and breathing techniques I would be honored for the opportunity to team up with you in your life and circumstances. I am a retired US Navy Hospital Corpsman. During my twenty years of active-duty service, I received training not only in the medical field but also in mental health. Since retiring I have completed training with Star Behavioral Health for military focused care.
(440) 294-6905 View (440) 294-6905
Photo of Deidre Maloney Tree Of Life Counseling And Training Center - Tree of Life Counseling & Training Center, LICDC, Drug & Alcohol Counselor
Tree of Life Counseling & Training Center
Drug & Alcohol Counselor, LICDC
Verified Verified
Westlake, OH 44145  (Online Only)
My desire is to work with individuals to assist with overcoming barriers in their lives that may be causing problems in their personal and professional lives. I take a client-centered approach so that individuals feel secure and open in the counseling sessions to share and heal. I’m a Licensed Independent Chemical Dependency Counselor and Counselor in Training. My background includes 17 years as Residential Specialist Team Lead in mental health, 7 years in the field of substance abuse, 4 years as an Adjunct Instructor and that allows me to relate with people from all walks of life.
My desire is to work with individuals to assist with overcoming barriers in their lives that may be causing problems in their personal and professional lives. I take a client-centered approach so that individuals feel secure and open in the counseling sessions to share and heal. I’m a Licensed Independent Chemical Dependency Counselor and Counselor in Training. My background includes 17 years as Residential Specialist Team Lead in mental health, 7 years in the field of substance abuse, 4 years as an Adjunct Instructor and that allows me to relate with people from all walks of life.
(440) 732-3916 View (440) 732-3916
Photo of Marjorie Hoelker, PsyD, Psychologist
Marjorie Hoelker
Psychologist, PsyD
Verified Verified
1 Endorsed
Westlake, OH 44145
I use a collaborative approach in understanding and appreciating each client's story, goals, and desire for change. While meeting with clients, I hope to support, educate and motivate so that health, wellness and a mindful approach can be utilized by clients as they move forward and live fully. My treatment philosophy includes providing a safe, open and confidential environment in which clients can discuss, learn and try out new ways of communicating and being in relationships, managing and living with a variety of mental/physical health issues, and fully realizing their goals and potential.
I use a collaborative approach in understanding and appreciating each client's story, goals, and desire for change. While meeting with clients, I hope to support, educate and motivate so that health, wellness and a mindful approach can be utilized by clients as they move forward and live fully. My treatment philosophy includes providing a safe, open and confidential environment in which clients can discuss, learn and try out new ways of communicating and being in relationships, managing and living with a variety of mental/physical health issues, and fully realizing their goals and potential.
(440) 220-6209 x21 View (440) 220-6209 x21
Photo of Michelle M Paul, MEd, LPCC-S, Counselor
Michelle M Paul
Counselor, MEd, LPCC-S
Verified Verified
5 Endorsed
Westlake, OH 44145
I am a licensed professional clinical counselor supervisor in the state of Ohio. My specialties include the treatment of anxiety disorders, depressive disorders, personality disorders, and trauma-related disorders. I offer diagnostic assessment and empirically based treatment for children, adolescents, and adults. I am certified in Dialectical Behavior Therapy (DBT), but use a combination of therapy techniques based on your individual needs including cognitive-behavioral therapy (CBT) and Mindfulness techniques with an emphasis on social skills training.
I am a licensed professional clinical counselor supervisor in the state of Ohio. My specialties include the treatment of anxiety disorders, depressive disorders, personality disorders, and trauma-related disorders. I offer diagnostic assessment and empirically based treatment for children, adolescents, and adults. I am certified in Dialectical Behavior Therapy (DBT), but use a combination of therapy techniques based on your individual needs including cognitive-behavioral therapy (CBT) and Mindfulness techniques with an emphasis on social skills training.
(440) 455-1511 View (440) 455-1511
Photo of Christine Seedhouse, LISW, LICDC, Clinical Social Work/Therapist
Christine Seedhouse
Clinical Social Work/Therapist, LISW, LICDC
Verified Verified
1 Endorsed
Westlake, OH 44145
I received my Master’s Degree in Social Work from the University of Akron and am a Licensed Independent Social Worker as well as a Licensed Independent Chemical Dependency Counselor in the State of Ohio. I have experience providing counseling services to individuals over the age of eighteen. I have worked in community treatment centers, both inpatient and outpatient for Substance Use Disorders as well as private practice with a focus on mental health. I specialize in depression, anxiety, trauma, PTSD, stress management, and alcohol and other substance use disorders.
I received my Master’s Degree in Social Work from the University of Akron and am a Licensed Independent Social Worker as well as a Licensed Independent Chemical Dependency Counselor in the State of Ohio. I have experience providing counseling services to individuals over the age of eighteen. I have worked in community treatment centers, both inpatient and outpatient for Substance Use Disorders as well as private practice with a focus on mental health. I specialize in depression, anxiety, trauma, PTSD, stress management, and alcohol and other substance use disorders.
(440) 703-6771 View (440) 703-6771
Photo of Morgan Murray, MSEd, LPCC-S
Morgan Murray
Licensed Professional Clinical Counselor, MSEd, LPCC-S
Verified Verified
7 Endorsed
Westlake, OH 44145
I believe in meeting each client where they are at currently & taking time to understand each person’s unique story. You may come to a spot where you feel stuck in your story and unable to move forward. You may find yourself feeling overwhelmed, weighed down, or having difficulty connecting with others. I aim to create a safe and non-judgmental space for client's to participate in healing conversations. This space starts with a therapeutic relationship built on trust and acceptance, no matter who you are or what you are going through.
I believe in meeting each client where they are at currently & taking time to understand each person’s unique story. You may come to a spot where you feel stuck in your story and unable to move forward. You may find yourself feeling overwhelmed, weighed down, or having difficulty connecting with others. I aim to create a safe and non-judgmental space for client's to participate in healing conversations. This space starts with a therapeutic relationship built on trust and acceptance, no matter who you are or what you are going through.
(440) 683-6723 View (440) 683-6723
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How does your Therapist compare?

Number of Therapists in Westlake, OH

200+

Average cost per session

$125

Therapists in Westlake, OH who prioritize treating:

96% Anxiety
94% Depression
80% Self Esteem
79% Coping Skills
76% Relationship Issues
74% Stress
69% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

92% Medical Mutual
85% Aetna
80% UnitedHealthcare UHC | UBH

How Therapists in Westlake, OH see their clients

81% In Person and Online
19% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Westlake?

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.

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