Photo of Mileika Sitorus, MSEd, Pre-Licensed Professional
Mileika Sitorus
Pre-Licensed Professional, MSEd
Verified Verified
Staten Island, NY 10310
The therapeutic space is a place for personal growth and meaningful change, it is in this space that I meet my clients with compassion, warmth and authenticity. It is my intention to create a safe space in therapy, where listening with a non judgmental heart allows clients to feel open enough to explore their inner thoughts and experiences. I work with clients to help them gain insight into their lives, process past traumatic experiences, understand difficult emotions, and work to achieve their individual therapeutic goals. Together, we will identify goals centered around what you hope to accomplish in therapy.
The therapeutic space is a place for personal growth and meaningful change, it is in this space that I meet my clients with compassion, warmth and authenticity. It is my intention to create a safe space in therapy, where listening with a non judgmental heart allows clients to feel open enough to explore their inner thoughts and experiences. I work with clients to help them gain insight into their lives, process past traumatic experiences, understand difficult emotions, and work to achieve their individual therapeutic goals. Together, we will identify goals centered around what you hope to accomplish in therapy.
(718) 473-9982 View (718) 473-9982
Photo of David Harris, Pre-Licensed Professional
David Harris
Pre-Licensed Professional
Verified Verified
Staten Island, NY 10310
Every counselor's professional journey begins with a why, and that why turns into a mission. My why will always be a reminder of the trials and tribulations it took to get here, but the mission is now the focus. Our mental health needs change as we reflect, and develop new understandings of our experiences and ourselves.
Every counselor's professional journey begins with a why, and that why turns into a mission. My why will always be a reminder of the trials and tribulations it took to get here, but the mission is now the focus. Our mental health needs change as we reflect, and develop new understandings of our experiences and ourselves.
(347) 768-7726 View (347) 768-7726
Photo of Joseph J. Williams, LMHC, A-CBT, Counselor
Joseph J. Williams
Counselor, LMHC, A-CBT
Verified Verified
Staten Island, NY 10310  (Online Only)
My goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. 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.
My goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. 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.
(347) 472-0157 View (347) 472-0157
Photo of Jeffrey Kishner, LCMHC
Jeffrey Kishner
Mental Health Counselor, LCMHC
Verified Verified
Staten Island, NY 10310  (Online Only)
Hi, I'm Jeffrey Kishner, a Licensed Mental Health Counselor, specializing in addressing challenges related to sex, relationships, diverse identities, and sexual/relational practices such as LGBTQ, kink, and polyamory. Through a collaborative approach, I empower clients to navigate feelings, confront self-limiting beliefs, and align their lives with their values without dictating solutions. In my therapeutic approach, I mainly utilize client-centered methods, elements of Cognitive Behavioral Therapy (CBT), relational psychodynamics, and mindfulness techniques.
Hi, I'm Jeffrey Kishner, a Licensed Mental Health Counselor, specializing in addressing challenges related to sex, relationships, diverse identities, and sexual/relational practices such as LGBTQ, kink, and polyamory. Through a collaborative approach, I empower clients to navigate feelings, confront self-limiting beliefs, and align their lives with their values without dictating solutions. In my therapeutic approach, I mainly utilize client-centered methods, elements of Cognitive Behavioral Therapy (CBT), relational psychodynamics, and mindfulness techniques.
(347) 625-8436 View (347) 625-8436
Patricia Dunphy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Staten Island, NY 10310
My name is Pat Dunphy and I'm a clinical therapist whom has been in the field for 25+ years. I graduated with a BA in Psychology and Juvenile Justice from West Virginia Wesleyan College in 1988. I went on to obtain my Master's in Social Work degree from New York University in 1992. I have experience working with children and adults in Mental Health outpatient settings and with children in school settings. I joined the Blue Skies Psychological Services in 2021 and provide services through the group practice.
My name is Pat Dunphy and I'm a clinical therapist whom has been in the field for 25+ years. I graduated with a BA in Psychology and Juvenile Justice from West Virginia Wesleyan College in 1988. I went on to obtain my Master's in Social Work degree from New York University in 1992. I have experience working with children and adults in Mental Health outpatient settings and with children in school settings. I joined the Blue Skies Psychological Services in 2021 and provide services through the group practice.
(718) 550-2625 View (718) 550-2625
Photo of Christina Kulesa, MA, LMHC, NCC, Counselor
Christina Kulesa
Counselor, MA, LMHC, NCC
Verified Verified
Staten Island, NY 10310  (Online Only)
Things have been pretty rough lately for most of us. Isolation from lockdowns & social distancing may have you feeling off/ down or like you forgot how to interact with others to some degree. As the world starts trying to get back on its feet it may bring up a lot of anxiety. Maybe none of that is the issue for you but something just doesn't feel right and you're tired. Whatever you're experiencing you're not alone.
Things have been pretty rough lately for most of us. Isolation from lockdowns & social distancing may have you feeling off/ down or like you forgot how to interact with others to some degree. As the world starts trying to get back on its feet it may bring up a lot of anxiety. Maybe none of that is the issue for you but something just doesn't feel right and you're tired. Whatever you're experiencing you're not alone.
(347) 997-9527 x712 View (347) 997-9527 x712
Photo of Stephanie Chigas, MA, MHC -LP, Pre-Licensed Professional
Stephanie Chigas
Pre-Licensed Professional, MA, MHC -LP
Verified Verified
Staten Island, NY 10310  (Online Only)
Navigating life’s difficulties is challenging, especially having lived through a time of physical and emotional isolation. I honor all as unique individuals and value each life experience. I am empathetic, warm, creative, and person-centered. I relate to the many challenges individuals face on a deeper level and I draw from my education as well as my clinical and personal experiences to best support and guide my clients. I value the importance of cultivating a strong therapeutic relationship and am inspired by the collaborative process to find the tools from within to move towards positive change and growth.
Navigating life’s difficulties is challenging, especially having lived through a time of physical and emotional isolation. I honor all as unique individuals and value each life experience. I am empathetic, warm, creative, and person-centered. I relate to the many challenges individuals face on a deeper level and I draw from my education as well as my clinical and personal experiences to best support and guide my clients. I value the importance of cultivating a strong therapeutic relationship and am inspired by the collaborative process to find the tools from within to move towards positive change and growth.
(718) 557-9899 View (718) 557-9899
Photo of Jennifer Lerner, LMHC
Jennifer Lerner
Mental Health Counselor, LMHC
Verified Verified
Staten Island, NY 10310  (Online Only)
I am thrilled to be a member of Blue Skies Psychological Services, P.C. I have always wanted to be a therapist, as my own experiences with therapy have helped me so much. Being diagnosed with a learning disability at an early age gave me compassion for what all family members must cope with when confronting LD and other special needs. I work with teens, adults, couples and families, in various settings, such as schools, colleges, vocational training programs. I am a Licensed Mental Health Counselor. I customize my approach to suit each unique individual, utilizing a client-centered approach. Empathy and active listening are key.
I am thrilled to be a member of Blue Skies Psychological Services, P.C. I have always wanted to be a therapist, as my own experiences with therapy have helped me so much. Being diagnosed with a learning disability at an early age gave me compassion for what all family members must cope with when confronting LD and other special needs. I work with teens, adults, couples and families, in various settings, such as schools, colleges, vocational training programs. I am a Licensed Mental Health Counselor. I customize my approach to suit each unique individual, utilizing a client-centered approach. Empathy and active listening are key.
(347) 464-5550 View (347) 464-5550
Photo of Karen L Goldman - Karen L Goldman LMHC, BCPC, LMHC, BCPC, Counselor
Karen L Goldman LMHC, BCPC
Counselor, LMHC, BCPC
Verified Verified
Staten Island, NY 10310
Feeling alone in your grief? Many of us enter therapy hoping to get some quick relief from the distress that we are experiencing, especially when we are in pain. I welcome all of your feelings, and your questions. I will companion with you through your grief, your obstacles and aid you in your healing process. I believe that just like any relationship, the more you are an active participant in our work together, the faster you will feel the relief you yearn for. The healthier you will become, gaining more clarity, inner strength and restoring your sense of purpose and direction that will sustain you.
Feeling alone in your grief? Many of us enter therapy hoping to get some quick relief from the distress that we are experiencing, especially when we are in pain. I welcome all of your feelings, and your questions. I will companion with you through your grief, your obstacles and aid you in your healing process. I believe that just like any relationship, the more you are an active participant in our work together, the faster you will feel the relief you yearn for. The healthier you will become, gaining more clarity, inner strength and restoring your sense of purpose and direction that will sustain you.
(718) 550-6997 View (718) 550-6997
Photo of Steven Johnsen, LCSW, CASAC, Clinical Social Work/Therapist
Steven Johnsen
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
1 Endorsed
Staten Island, NY 10310  (Online Only)
I am a Licensed Clinical Social Worker who has been working in both the Mental Health & Substance Abuse field for 10 years. I became a Credentialed Substance Abuse Counselor to enhance my skills when supporting those with addictions. I am effective working with adults with a variety of mental health concerns such as anxiety, depression, adjusting to life changes and substance abuse. I utilize Supportive Therapy, Cognitive Behavioral Therapy, Solution Based Therapy and Motivational Interviewing. I offer a safe comfortable space without judgement where you can feel free to discuss and explore your emotions. We can explore and work on
I am a Licensed Clinical Social Worker who has been working in both the Mental Health & Substance Abuse field for 10 years. I became a Credentialed Substance Abuse Counselor to enhance my skills when supporting those with addictions. I am effective working with adults with a variety of mental health concerns such as anxiety, depression, adjusting to life changes and substance abuse. I utilize Supportive Therapy, Cognitive Behavioral Therapy, Solution Based Therapy and Motivational Interviewing. I offer a safe comfortable space without judgement where you can feel free to discuss and explore your emotions. We can explore and work on
(347) 464-5550 View (347) 464-5550
Photo of Judy F Scher, PsyD, Psychologist
Judy F Scher
Psychologist, PsyD
Verified Verified
Staten Island, NY 10310
I believe that treatment works best when it is tailored to the personality and individual needs of each client. Rather than relying on one theoretical perspective, I use a multi-modal approach, utilizing interpersonal, behavioral, and solution-focused techniques. I have extensive experience dealing with a variety of psychological problems, including depression, anxiety, as well as work-related, phase of life, marital, and family issues. In addition, I specialize in focusing on parenting concerns, divorce issues, infertility issues, and dealing with special needs children. I provide individual, couple, family, and group counseling for adults
I believe that treatment works best when it is tailored to the personality and individual needs of each client. Rather than relying on one theoretical perspective, I use a multi-modal approach, utilizing interpersonal, behavioral, and solution-focused techniques. I have extensive experience dealing with a variety of psychological problems, including depression, anxiety, as well as work-related, phase of life, marital, and family issues. In addition, I specialize in focusing on parenting concerns, divorce issues, infertility issues, and dealing with special needs children. I provide individual, couple, family, and group counseling for adults
(718) 673-9703 View (718) 673-9703
Photo of Melissa Leaver, MA, LMHC, Counselor
Melissa Leaver
Counselor, MA, LMHC
Verified Verified
Staten Island, NY 10310
Not accepting new clients
Whether you are encountering sadness, stress, loss, or navigating a life transition, my goal is to provide guidance in identifying the origin of the disruption and empower you to explore potential solutions toward overcoming them! For some of us, reaching out for help is difficult. Perhaps those you have tried to confide in misunderstand you or underestimate the courage it takes to be vulnerable. In our therapeutic relationship, I strive to promote a safe, comfortable environment that is free of judgement and criticism.
Whether you are encountering sadness, stress, loss, or navigating a life transition, my goal is to provide guidance in identifying the origin of the disruption and empower you to explore potential solutions toward overcoming them! For some of us, reaching out for help is difficult. Perhaps those you have tried to confide in misunderstand you or underestimate the courage it takes to be vulnerable. In our therapeutic relationship, I strive to promote a safe, comfortable environment that is free of judgement and criticism.
(718) 550-1228 View (718) 550-1228
Photo of Robert Morrison, PsyD, Psychologist
Robert Morrison
Psychologist, PsyD
Verified Verified
1 Endorsed
Staten Island, NY 10310
Greetings! My name is Rob Morrison and I am a clinical psychologist with over 20 years of professional experience and training. I graduated with a BA in Psychology from the University of Delaware in 1984, and from the Ferkauf Graduate School of Psychology in 1996 with a Doctorate in Clinical Psychology. I am also the director of services for Blue Skies Psychological Services, P.C.; a group practice offering counseling, psychiatric services, medication assisted therapy, and psychological assessments.
Greetings! My name is Rob Morrison and I am a clinical psychologist with over 20 years of professional experience and training. I graduated with a BA in Psychology from the University of Delaware in 1984, and from the Ferkauf Graduate School of Psychology in 1996 with a Doctorate in Clinical Psychology. I am also the director of services for Blue Skies Psychological Services, P.C.; a group practice offering counseling, psychiatric services, medication assisted therapy, and psychological assessments.
(347) 464-5550 View (347) 464-5550
Photo of Folusho O Otuyelu, PhD, LCSW, Clinical Social Work/Therapist
Folusho O Otuyelu
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Staten Island, NY 10310  (Online Only)
I have been a clinician/therapist for over 26 years working with adults, children and families. Are you looking for a place to heal, grow and transform? Then, I am the therapist you are looking for. Join me in this collaborative journey; and together, let's SOAR.
I have been a clinician/therapist for over 26 years working with adults, children and families. Are you looking for a place to heal, grow and transform? Then, I am the therapist you are looking for. Join me in this collaborative journey; and together, let's SOAR.
(347) 632-9835 View (347) 632-9835
Photo of Katie Nuzzo, LCMHC, NBCC
Katie Nuzzo
Mental Health Counselor, LCMHC, NBCC
Verified Verified
1 Endorsed
Staten Island, NY 10310
My belief is that the therapeutic process is a collaborative effort between the client and the therapist, and that clients are experts of their own lives. I am simply here to facilitate the process of overcoming challenges, helping clients reach their life goals in a safe, non judgmental, relaxed environment. Together we will work on building strong interpersonal relationships, increasing self esteem to reach your highest potential, and coping skills to manage anxiety, depression, anger, and other difficulties that may challenge you. My goal as a therapist is to empower my clients to live a happy, fulfilled, and meaningful life that uncovers their "ideal self."
My belief is that the therapeutic process is a collaborative effort between the client and the therapist, and that clients are experts of their own lives. I am simply here to facilitate the process of overcoming challenges, helping clients reach their life goals in a safe, non judgmental, relaxed environment. Together we will work on building strong interpersonal relationships, increasing self esteem to reach your highest potential, and coping skills to manage anxiety, depression, anger, and other difficulties that may challenge you. My goal as a therapist is to empower my clients to live a happy, fulfilled, and meaningful life that uncovers their "ideal self."
(347) 768-7726 View (347) 768-7726
Photo of Phyllis A Brown, PsyD, Psychologist
Phyllis A Brown
Psychologist, PsyD
Verified Verified
Staten Island, NY 10310
I have an interpersonal style, and believe in treating the whole family unit. It is most important to create an atmosphere of trust and comfort, along with the clear boundaries of practice. However, the most important aspect of treatment is all parties working together to achieve the goal. No therapist, without cooperation of all parties, will be able to achieve goals.
I have an interpersonal style, and believe in treating the whole family unit. It is most important to create an atmosphere of trust and comfort, along with the clear boundaries of practice. However, the most important aspect of treatment is all parties working together to achieve the goal. No therapist, without cooperation of all parties, will be able to achieve goals.
(917) 750-7522 View (917) 750-7522
Photo of Lori Faicco, LMHC, Counselor
Lori Faicco
Counselor, LMHC
Verified Verified
1 Endorsed
Staten Island, NY 10310
Decisions like this can be so difficult. You may feel overwhelmed. You may feel anxious and stressed. It’s what led you here to this very page. Together, we can walk a path to find peace. We can help find direction and purpose. If you are struggling with managing your emotions, increased anxiety, depression, anger, relationship concerns, feelings of loss and hopelessness, loneliness, or trauma, I can provide a safe space for you to express yourself. We can create an evidence based treatment plan that fits you or your child’s needs.
Decisions like this can be so difficult. You may feel overwhelmed. You may feel anxious and stressed. It’s what led you here to this very page. Together, we can walk a path to find peace. We can help find direction and purpose. If you are struggling with managing your emotions, increased anxiety, depression, anger, relationship concerns, feelings of loss and hopelessness, loneliness, or trauma, I can provide a safe space for you to express yourself. We can create an evidence based treatment plan that fits you or your child’s needs.
(917) 540-5533 View (917) 540-5533
Photo of Jason L Cunningham, LMHC, NCC, Counselor
Jason L Cunningham
Counselor, LMHC, NCC
Verified Verified
Staten Island, NY 10310  (Online Only)
Esoterics Counseling was founded by a Black male therapist to provide quality mental health care by credentialed practitioners who recognize the unique challenges, transitions, and actualities of navigating life as a marginalized individual. We provide mental health support through a decidedly anti-racist and queer -friendly perspective while embedding cultural humility, awareness, and responsiveness into our practice. We strive to build a therapeutic alliance based less on diagnosis and more on uncovering effective strategies to assist with clarity, agency, and purpose. Insurance accepted through Alma or Headway only.
Esoterics Counseling was founded by a Black male therapist to provide quality mental health care by credentialed practitioners who recognize the unique challenges, transitions, and actualities of navigating life as a marginalized individual. We provide mental health support through a decidedly anti-racist and queer -friendly perspective while embedding cultural humility, awareness, and responsiveness into our practice. We strive to build a therapeutic alliance based less on diagnosis and more on uncovering effective strategies to assist with clarity, agency, and purpose. Insurance accepted through Alma or Headway only.
(347) 527-4937 View (347) 527-4937
Anna Lorusso-Moramarco
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
Staten Island, NY 10310
I firmly believe clinicians can provide good treatment if they approach the therapeutic work with compassion, patience, empathy, skills & commitment to growth. In treatment, there can not be effective emotional connectedness without understanding. I attempt to enter my clients inner worlds not solely from an impassive theoretical arena but to actually walk, see & feel their pains and traumas. Hold my hand, TOGETHER we can successfully walk through this journey. My practice delves into client stressors such as depression, anxiety, family issues & social problems as well as specializing in traumatic issues such as incest, rape, panic disorders, PTSD, grief & loss.
I firmly believe clinicians can provide good treatment if they approach the therapeutic work with compassion, patience, empathy, skills & commitment to growth. In treatment, there can not be effective emotional connectedness without understanding. I attempt to enter my clients inner worlds not solely from an impassive theoretical arena but to actually walk, see & feel their pains and traumas. Hold my hand, TOGETHER we can successfully walk through this journey. My practice delves into client stressors such as depression, anxiety, family issues & social problems as well as specializing in traumatic issues such as incest, rape, panic disorders, PTSD, grief & loss.
(718) 838-9377 View (718) 838-9377
Photo of Siobhan Mejia, Pre-Licensed Professional
Siobhan Mejia
Pre-Licensed Professional
Verified Verified
Staten Island, NY 10310
Life can be challenging at times. Not only does it affect your physical well-being but also mental health. As a counselor I am here to help you work through stressors you can face throughout life. My focus is to help you navigate through the ups and downs life throws, by being supportive and providing guidance to help you cope better. With proper treatment, intervention, and education I can help you improve your lifestyle and well-being. Together we can work to overcome and work through life decisions and problems. I am warm, compassionate, empathetic, and a great listener.
Life can be challenging at times. Not only does it affect your physical well-being but also mental health. As a counselor I am here to help you work through stressors you can face throughout life. My focus is to help you navigate through the ups and downs life throws, by being supportive and providing guidance to help you cope better. With proper treatment, intervention, and education I can help you improve your lifestyle and well-being. Together we can work to overcome and work through life decisions and problems. I am warm, compassionate, empathetic, and a great listener.
(718) 957-8051 View (718) 957-8051
1

See more therapy options for 10310

How does your Therapist compare?

Number of Therapists in 10310

40+

Average cost per session

$122

Therapists in 10310 who prioritize treating:

89% Depression
86% Anxiety
77% Relationship Issues
68% Coping Skills
68% Self Esteem
59% Grief
57% Parenting

Average years in practice

22 Years

Top 3 insurances accepted

90% Aetna
78% Cigna and Evernorth
68% Oxford

How Therapists in 10310 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

66% Female
34% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10310?

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.