Photo of Desirae Harden, MSW, LCSW, Clinical Social Work/Therapist
Desirae Harden
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Paramus, NJ 07653  (Online Only)
Healing begins right where you are...HOME.Sometimes life feels hard. Perhaps you're feeling lonely, depressed, stuck, anxious, stressed or just "not yourself". Maybe you're struggling with relationships, infidelity, childhood trauma, loss and events in life that feel overwhelming. It's difficult to take the first step, but therapy can help you to feel less alone with these feelings and help you to move forward and find long change!
Healing begins right where you are...HOME.Sometimes life feels hard. Perhaps you're feeling lonely, depressed, stuck, anxious, stressed or just "not yourself". Maybe you're struggling with relationships, infidelity, childhood trauma, loss and events in life that feel overwhelming. It's difficult to take the first step, but therapy can help you to feel less alone with these feelings and help you to move forward and find long change!
(551) 248-9852 View (551) 248-9852
Photo of Prof. Robert E. Douglas II, MACLP, LAMFT, LAPC, CLC, Marriage & Family Therapist Associate
Prof. Robert E. Douglas II
Marriage & Family Therapist Associate, MACLP, LAMFT, LAPC, CLC
Verified Verified
Paramus, NJ 07653
Robert takes the approach that all individuals and family systems are unique and should create a “space” that encompasses all of the salient components in their lives. Life has peaks and valleys and there is no one size fits all approach to therapy. Creating a safe, respectful therapeutic environment is his goal. He takes and eclectic approach and individualizes the interventions and treatment plans for the clients and families needs. He works with clients regarding family satisfaction, couples’ satisfaction, depression, anxiety, stress, grief and other psychological impairing issues.
Robert takes the approach that all individuals and family systems are unique and should create a “space” that encompasses all of the salient components in their lives. Life has peaks and valleys and there is no one size fits all approach to therapy. Creating a safe, respectful therapeutic environment is his goal. He takes and eclectic approach and individualizes the interventions and treatment plans for the clients and families needs. He works with clients regarding family satisfaction, couples’ satisfaction, depression, anxiety, stress, grief and other psychological impairing issues.
(201) 383-6174 View (201) 383-6174
Photo of Mounika Ethanasioss, LCSW, Clinical Social Work/Therapist
Mounika Ethanasioss
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07653  (Online Only)
“It’s during our darkest moments that we must focus to see the light”- Aristotle Are you struggling with feelings of depression, anxiety, guilt or shame? Now is the time to seek help. Taking care of your mental health is as equally important as your physical health. I will support you to feel whole again and provide you with a safe environment to share and be heard. I have worked with many clients on different issues such as depression, anxiety, PTSD, OCD, relationship issues and much more. I believe that we are all capable of changing our lives to the better.
“It’s during our darkest moments that we must focus to see the light”- Aristotle Are you struggling with feelings of depression, anxiety, guilt or shame? Now is the time to seek help. Taking care of your mental health is as equally important as your physical health. I will support you to feel whole again and provide you with a safe environment to share and be heard. I have worked with many clients on different issues such as depression, anxiety, PTSD, OCD, relationship issues and much more. I believe that we are all capable of changing our lives to the better.
(201) 975-6628 View (201) 975-6628
Photo of Allyson Good, Licensed Professional Counselor
Allyson Good
Licensed Professional Counselor
Verified Verified
Paramus, NJ 07653  (Online Only)
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you're here. We carry on our day-to-day lives, hope for change, work hard and at times still feel like nothing is working; we feel like these challenges make it impossible to move past or live the life we intend to live. It is my privilege to work alongside you to provide you the space to experience, examine and process your story, while collaboratively finding ways to not only “just deal”, but eventually, build compassion and thrive.
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you're here. We carry on our day-to-day lives, hope for change, work hard and at times still feel like nothing is working; we feel like these challenges make it impossible to move past or live the life we intend to live. It is my privilege to work alongside you to provide you the space to experience, examine and process your story, while collaboratively finding ways to not only “just deal”, but eventually, build compassion and thrive.
(201) 584-5028 View (201) 584-5028
Photo of Ashley Tanzosh, MS, LPC, NCC, Counselor
Ashley Tanzosh
Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Paramus, NJ 07653
I specialize in working with introspective and motivated adults who are find themselves overwhelmed with life's challenges, everyday pressures, or difficult life events. You may be feel like your drowning, stretched thin, or emotionally drained. You might be confused, questioning yourself, and wondering if there's something inherently wrong with you. Or you might feel isolated and alone in your struggles, uncertain where to turn. You want support to help you navigate and sift through these feelings, understand what is causing your difficulties, and develop skills to achieve long term change.
I specialize in working with introspective and motivated adults who are find themselves overwhelmed with life's challenges, everyday pressures, or difficult life events. You may be feel like your drowning, stretched thin, or emotionally drained. You might be confused, questioning yourself, and wondering if there's something inherently wrong with you. Or you might feel isolated and alone in your struggles, uncertain where to turn. You want support to help you navigate and sift through these feelings, understand what is causing your difficulties, and develop skills to achieve long term change.
(678) 783-8992 View (678) 783-8992
Photo of Sherene S. Henry - Love Light Mental Health Counseling Services, PLLC, LMHC, LPC, NCC, Counselor
Love Light Mental Health Counseling Services, PLLC
Counselor, LMHC, LPC, NCC
Verified Verified
4 Endorsed
Paramus, NJ 07653  (Online Only)
Love Light Mental Health Counseling Services is a fully remote, dynamic, psychotherapy practice based in Westchester, NY. Our mission is to provide compassionate, empathetic, and effective mental health services to our community, with a particular focus on serving BIPOC individuals. We are a team of dedicated BIPOC clinicians committed to creating an inclusive and supportive environment for both our clients and staff.
Love Light Mental Health Counseling Services is a fully remote, dynamic, psychotherapy practice based in Westchester, NY. Our mission is to provide compassionate, empathetic, and effective mental health services to our community, with a particular focus on serving BIPOC individuals. We are a team of dedicated BIPOC clinicians committed to creating an inclusive and supportive environment for both our clients and staff.
(914) 687-0196 View (914) 687-0196
Photo of Cynthia Rowberg, MEd, LPC, SAC, NCC, MM, Counselor
Cynthia Rowberg
Counselor, MEd, LPC, SAC, NCC, MM
Verified Verified
Paramus, NJ 07653
Life is challenging. Are you feel overwhelmed, depressed, lethargic, or anxious? I am here for you and ready to help you move forward in a healthy, happy, and productive life. I work closely with adults, adolescents, children, and families who wish to change something that is not working for them. I provide effective treatment for anxiety, depression, mood management, behavioral issues, grief/loss, and career coaching.
Life is challenging. Are you feel overwhelmed, depressed, lethargic, or anxious? I am here for you and ready to help you move forward in a healthy, happy, and productive life. I work closely with adults, adolescents, children, and families who wish to change something that is not working for them. I provide effective treatment for anxiety, depression, mood management, behavioral issues, grief/loss, and career coaching.
(201) 778-6503 View (201) 778-6503
Photo of Rochelle Glatter, LCSW, MSW, MA, MPA, Clinical Social Work/Therapist
Rochelle Glatter
Clinical Social Work/Therapist, LCSW, MSW, MA, MPA
Verified Verified
Paramus, NJ 07653
There are times when we all struggle and need some support managing feelings or relationships. As a clinician, I work in a relatable, non-judgmental manner to ease suffering and increase fulfillment. My approach is straightforward and honest, and I believe an empathic and genuine therapeutic bond is healing and restorative. Through exploration of both current and past issues, I aim to assist you in understanding formative and current patterns and roles and how they affect your daily life. Further, capitalizing on your strengths and abilities, I can guide you towards new ways of looking at challenges that empower you to overcome difficulties.
There are times when we all struggle and need some support managing feelings or relationships. As a clinician, I work in a relatable, non-judgmental manner to ease suffering and increase fulfillment. My approach is straightforward and honest, and I believe an empathic and genuine therapeutic bond is healing and restorative. Through exploration of both current and past issues, I aim to assist you in understanding formative and current patterns and roles and how they affect your daily life. Further, capitalizing on your strengths and abilities, I can guide you towards new ways of looking at challenges that empower you to overcome difficulties.
(201) 897-2757 View (201) 897-2757
Photo of Emily Austein, LCSW, Clinical Social Work/Therapist
Emily Austein
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Paramus, NJ 07653
I am a licensed clinical social worker and truly love what I do. I work with all age groups, from children to geriatric clients. I work with clients experiencing issues such as: anxiety, depression, substance abuse, family and relational issues, eating disorders, mood disorders, trauma, sexual abuse, and many others.
I am a licensed clinical social worker and truly love what I do. I work with all age groups, from children to geriatric clients. I work with clients experiencing issues such as: anxiety, depression, substance abuse, family and relational issues, eating disorders, mood disorders, trauma, sexual abuse, and many others.
(201) 468-6507 View (201) 468-6507
Photo of Roseanne C. Trapani, MA, LMFT, Marriage & Family Therapist
Roseanne C. Trapani
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Paramus, NJ 07653
I am a Licensed Marriage and Family Therapist in Bergen County, working with individuals, couples, and families with a variety of treatment needs. Areas of treatment include: Relationship counseling, divorce adjustment, relational discernment counseling, loss and grief, stress management, anxiety, depression, high functioning Autism, and mood disorders. In addition, I specialize in working with adolescents who are dealing with anxiety, peer pressure, academic stress, and bullying, in order to help them to develop psychological awareness and insight. My approach is integrative. Building upon your strengths and resilience, we will find solutions and healing together. Please contact me for a complimentary 15 minute phone consultation.
I am a Licensed Marriage and Family Therapist in Bergen County, working with individuals, couples, and families with a variety of treatment needs. Areas of treatment include: Relationship counseling, divorce adjustment, relational discernment counseling, loss and grief, stress management, anxiety, depression, high functioning Autism, and mood disorders. In addition, I specialize in working with adolescents who are dealing with anxiety, peer pressure, academic stress, and bullying, in order to help them to develop psychological awareness and insight. My approach is integrative. Building upon your strengths and resilience, we will find solutions and healing together. Please contact me for a complimentary 15 minute phone consultation.
(201) 331-6551 View (201) 331-6551
Photo of Caroline Wright, PsyD, Psychologist
Caroline Wright
Psychologist, PsyD
Verified Verified
Paramus, NJ 07653
As a therapist, my goal is to help you uncover thoughts and beliefs that are keeping you in a negative cycle(s), whether it is interpersonally or your self-esteem. While we can't change the difficult situations of your past, we can work together to better understand and resolve challenges in your life both in the present and the future. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns and negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a therapist, my goal is to help you uncover thoughts and beliefs that are keeping you in a negative cycle(s), whether it is interpersonally or your self-esteem. While we can't change the difficult situations of your past, we can work together to better understand and resolve challenges in your life both in the present and the future. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns and negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(201) 383-6450 View (201) 383-6450
Photo of Teran Chartier - Redefining Counseling, LPC, ACS, CCMHC, Licensed Professional Counselor
Redefining Counseling
Licensed Professional Counselor, LPC, ACS, CCMHC
Verified Verified
1 Endorsed
Paramus, NJ 07653
Therapy is weird. I get it. You are sharing your secrets with a stranger. The relationship between the therapist and the client is the most important aspect of therapy. I have worked with single mothers, couples, families, children/teenagers, and the LGBT community. Working since 2007, there is not much I have not seen. I treat my clients like I would want my family members to be treated, with respect, compassion, sincerity and honesty. I also believe therapy can be fun as well as constructive and valuable.
Therapy is weird. I get it. You are sharing your secrets with a stranger. The relationship between the therapist and the client is the most important aspect of therapy. I have worked with single mothers, couples, families, children/teenagers, and the LGBT community. Working since 2007, there is not much I have not seen. I treat my clients like I would want my family members to be treated, with respect, compassion, sincerity and honesty. I also believe therapy can be fun as well as constructive and valuable.
(201) 293-0115 View (201) 293-0115
Photo of Richard Drobnick - Mars & Venus Counseling Center, LCSW, DCSW, CPC, Clinical Social Work/Therapist
Mars & Venus Counseling Center
Clinical Social Work/Therapist, LCSW, DCSW, CPC
Verified Verified
Paramus, NJ 07653
Tele-counseling available - TEANECK, Ramsey, ORADELL, Ridgewood, DENVILLE, Manhattan: Adult counseling - Couples counseling - Relationship counseling - Premarital counseling - Marriage counseling - Family counseling - Child counseling - Teen counseling - ADHD - Addiction counseling - Grief & bereavement - Pet loss therapy - Stress and anxiety - Depression - Low self-esteem - Perfectionism - Worry - Indecision - Procrastination - Phobias - Assertiveness issues - Panic - Life Coaching / Weekends available / Spanish-speaking / Most insurances welcomed / Professional and compassionate full-service counseling for over 35 years.
Tele-counseling available - TEANECK, Ramsey, ORADELL, Ridgewood, DENVILLE, Manhattan: Adult counseling - Couples counseling - Relationship counseling - Premarital counseling - Marriage counseling - Family counseling - Child counseling - Teen counseling - ADHD - Addiction counseling - Grief & bereavement - Pet loss therapy - Stress and anxiety - Depression - Low self-esteem - Perfectionism - Worry - Indecision - Procrastination - Phobias - Assertiveness issues - Panic - Life Coaching / Weekends available / Spanish-speaking / Most insurances welcomed / Professional and compassionate full-service counseling for over 35 years.
(201) 283-8187 View (201) 283-8187
Photo of Pauline Carides, LCSW, Clinical Social Work/Therapist
Pauline Carides
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07653  (Online Only)
I enjoy my work as a therapist. The cornerstone of my success is my ability to provide a safe environment, listen intently, and genuinely engage with the individuals and families that I meet. Perhaps you are on the precipice of change, and you just can't take the first step. Maybe you are taking inventory of your life, and you need guidance on how to sum up your past and learn how to make new decisions in this moment with your eyes wide open. Together, we can sort out the transition and help you move toward positive transformation.
I enjoy my work as a therapist. The cornerstone of my success is my ability to provide a safe environment, listen intently, and genuinely engage with the individuals and families that I meet. Perhaps you are on the precipice of change, and you just can't take the first step. Maybe you are taking inventory of your life, and you need guidance on how to sum up your past and learn how to make new decisions in this moment with your eyes wide open. Together, we can sort out the transition and help you move toward positive transformation.
(201) 632-3925 View (201) 632-3925
Photo of Kenneth Langlieb, PhD, Psychologist
Kenneth Langlieb
Psychologist, PhD
Verified Verified
Paramus, NJ 07653
My approach Integrates the best of Modern Cognitive-Behavioral Therapy and Traditional Holistic approaches. I specialize in treating anxiety, fears, phobias, OCD and panic disorders. Relief may be immediate. I also work with depression, negative thoughts and personal issues. Free initial phone consultation..
My approach Integrates the best of Modern Cognitive-Behavioral Therapy and Traditional Holistic approaches. I specialize in treating anxiety, fears, phobias, OCD and panic disorders. Relief may be immediate. I also work with depression, negative thoughts and personal issues. Free initial phone consultation..
(551) 210-2552 View (551) 210-2552
Photo of William M Marotta, LCSW, Clinical Social Work/Therapist
William M Marotta
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07653
I am an experienced senior clinician with over 20 years of experience.
I am an experienced senior clinician with over 20 years of experience.
(551) 214-2831 View (551) 214-2831
Photo of Ailene Espiritu, MA, MEd, LPC, Counselor
Ailene Espiritu
Counselor, MA, MEd, LPC
Verified Verified
Paramus, NJ 07653  (Online Only)
Hi, my name is Ailene Espiritu, LAC, therapist at Mackie & Pammie, LLC. Life is full of daily stressors and challenges that can bring us feelings of anxiety and worry, which can be overwhelming. This can make it difficult for us to manage our emotions and cope with the day to day stresses. In times like these we need a helping hand.
Hi, my name is Ailene Espiritu, LAC, therapist at Mackie & Pammie, LLC. Life is full of daily stressors and challenges that can bring us feelings of anxiety and worry, which can be overwhelming. This can make it difficult for us to manage our emotions and cope with the day to day stresses. In times like these we need a helping hand.
(551) 209-3298 View (551) 209-3298
Photo of Mary J Jose, LPC, MA, EMDR, CCTP, ADHD, Licensed Professional Counselor
Mary J Jose
Licensed Professional Counselor, LPC, MA, EMDR, CCTP, ADHD
Verified Verified
Paramus, NJ 07653
Do you ever feel like I used to, thinking that overcoming some elusive, unidentified obstacle would lead to stepping into my best life? Perhaps you recognize its name. Maybe intrusive thoughts persist, accompanied by uncontrollable anger or flashbacks, leaving you uncertain about improvement. Whether you've tried therapy without success or are considering it for the first time, if this resonates with you, you're in the right place!
Do you ever feel like I used to, thinking that overcoming some elusive, unidentified obstacle would lead to stepping into my best life? Perhaps you recognize its name. Maybe intrusive thoughts persist, accompanied by uncontrollable anger or flashbacks, leaving you uncertain about improvement. Whether you've tried therapy without success or are considering it for the first time, if this resonates with you, you're in the right place!
(201) 383-8441 View (201) 383-8441
Photo of Jeffrey Selman, PsyD, BCBA-D, Psychologist
Jeffrey Selman
Psychologist, PsyD, BCBA-D
Verified Verified
Paramus, NJ 07653
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based telepsychology services to individuals across the lifespan and their families. These services include autism screening and assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive behavior therapy and behavior therapy. My sessions tend to be active, goal-oriented, and engaging. I love the work and welcomes complex and challenging cases.
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based telepsychology services to individuals across the lifespan and their families. These services include autism screening and assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive behavior therapy and behavior therapy. My sessions tend to be active, goal-oriented, and engaging. I love the work and welcomes complex and challenging cases.
(561) 423-1654 View (561) 423-1654
Photo of Frank Klump, LPC, NCC, MA, EdS, SAC, Licensed Professional Counselor
Frank Klump
Licensed Professional Counselor, LPC, NCC, MA, EdS, SAC
Verified Verified
2 Endorsed
Paramus, NJ 07653
Accepting Clients in NJ & FL! I am a licensed professional counselor with 10+ years of clinical experience in private practice & school settings. My school experience allows me to deeply understand and support the youth in their academic setting & struggles that may arise. My specialties include the treatment of anxiety, depression, ASD, ADHD, stress, trauma, sports-related struggles, school/work issues, and more. Additionally, I have extensive experience in supporting the LGBTQ+ population and am a trans-affirming therapist. I specialize in working with individuals ages 8-30; however, I am also able to work with older individuals.
Accepting Clients in NJ & FL! I am a licensed professional counselor with 10+ years of clinical experience in private practice & school settings. My school experience allows me to deeply understand and support the youth in their academic setting & struggles that may arise. My specialties include the treatment of anxiety, depression, ASD, ADHD, stress, trauma, sports-related struggles, school/work issues, and more. Additionally, I have extensive experience in supporting the LGBTQ+ population and am a trans-affirming therapist. I specialize in working with individuals ages 8-30; however, I am also able to work with older individuals.
(973) 668-9326 View (973) 668-9326

See more therapy options for 07653

How does your Therapist compare?

Number of Therapists in 07653

30+

Average cost per session

$175

Therapists in 07653 who prioritize treating:

94% Anxiety
89% Self Esteem
83% Depression
80% Relationship Issues
77% Coping Skills
74% Trauma and PTSD
74% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

80% Aetna
75% UnitedHealthcare UHC | UBH
75% Optum

How Therapists in 07653 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 07653?

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.