Photo of Claire Rysavy, LMSW, Clinical Social Work/Therapist
Claire Rysavy
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Philadelphia, PA 19121  (Online Only)
I will work with you to validate your experiences and emotions and create true, positive change. I specialize in adults with ADHD, anxiety, and depression, life transitions, as well as people who are postpartum and/or parents of young children.
I will work with you to validate your experiences and emotions and create true, positive change. I specialize in adults with ADHD, anxiety, and depression, life transitions, as well as people who are postpartum and/or parents of young children.
(215) 608-2941 View (215) 608-2941
Photo of Emily Myer, LICSW , Clinical Social Work/Therapist
Emily Myer
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Philadelphia, PA 19121  (Online Only)
Accepting new clients! I specialize in working with young adults, members of the LGBTQI community, folks going through major life transitions, and workers in "helping" professions. I deeply value the therapeutic relationship and often return to the core touch-stones: feel your feelings, strive for a more integrated sense of self, and boundaries.
Accepting new clients! I specialize in working with young adults, members of the LGBTQI community, folks going through major life transitions, and workers in "helping" professions. I deeply value the therapeutic relationship and often return to the core touch-stones: feel your feelings, strive for a more integrated sense of self, and boundaries.
(215) 544-2496 View (215) 544-2496
Photo of Bridgett Bollin - Psychoanalytic Center of Philadelphia, Clinical Social Work/Therapist
Psychoanalytic Center of Philadelphia
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Philadelphia, PA 19121
Have you tried brief symptom focused therapy, only to have your problems return? Are you feeling stuck with longstanding patterns in your life? Psychodynamic therapy may be the change you are looking for. Since 1939, the Psychoanalytic Center of Philadelphia has promoted psychoanalytic training and practice. Through our Consultation & Referral Service, our members offer high quality therapy and psychoanalysis to the community. Through PCOP, you can be confident that your therapist has the training to provide you the kind of insightful therapeutic experience you're looking for.
Have you tried brief symptom focused therapy, only to have your problems return? Are you feeling stuck with longstanding patterns in your life? Psychodynamic therapy may be the change you are looking for. Since 1939, the Psychoanalytic Center of Philadelphia has promoted psychoanalytic training and practice. Through our Consultation & Referral Service, our members offer high quality therapy and psychoanalysis to the community. Through PCOP, you can be confident that your therapist has the training to provide you the kind of insightful therapeutic experience you're looking for.
(267) 619-7281 View (267) 619-7281
Photo of Akia Imani Izzard, LCSW, Clinical Social Work/Therapist
Akia Imani Izzard
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19121  (Online Only)
Hello! I am Akia, a Licensed Clinical Social Worker. I am dedicated to empowering adolescents and adults to improve their well-being in their private and professional lives. I assist clients in increasing their insight and awareness of their feelings, thoughts, and behaviors. I believe the client-therapist relationship is very important in building a strong foundation for therapeutic success. In addition to being a therapist, I am also a wife, and mother of 3, with a special needs child. I also love to read and drink copious amounts of tea.
Hello! I am Akia, a Licensed Clinical Social Worker. I am dedicated to empowering adolescents and adults to improve their well-being in their private and professional lives. I assist clients in increasing their insight and awareness of their feelings, thoughts, and behaviors. I believe the client-therapist relationship is very important in building a strong foundation for therapeutic success. In addition to being a therapist, I am also a wife, and mother of 3, with a special needs child. I also love to read and drink copious amounts of tea.
(215) 650-8140 View (215) 650-8140
Photo of Michael K Tyler - Eclectic Counseling Therapeutics, LPC, Licensed Professional Counselor
Eclectic Counseling Therapeutics
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19121
What’s up Family! Due to the increased need for clients to have a more affordable option I'm offering 5 spots at $100. These will fill fast so contact me soon. I understand how confusing this ever changing world can get. So I empower those affected by everyday adversities along with treating complex mental health concerns. Using personalized counseling with a concentration on CBT and Trauma-focused care, I am dedicated to making a positive impact. Being a representation of and advocating for mental health resources in my community drives my work. Creating inclusive spaces and diversity are values close to my heart.
What’s up Family! Due to the increased need for clients to have a more affordable option I'm offering 5 spots at $100. These will fill fast so contact me soon. I understand how confusing this ever changing world can get. So I empower those affected by everyday adversities along with treating complex mental health concerns. Using personalized counseling with a concentration on CBT and Trauma-focused care, I am dedicated to making a positive impact. Being a representation of and advocating for mental health resources in my community drives my work. Creating inclusive spaces and diversity are values close to my heart.
(267) 481-8522 View (267) 481-8522
Photo of Kresence M Campbell, MA, LPC, NCC, Licensed Professional Counselor
Kresence M Campbell
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Philadelphia, PA 19121  (Online Only)
If you are someone that struggles with self-esteem, self-love, depression, anxiety, and guilt, let Holly Street Counseling Wellness Services help revive your spirit and walk with you down the path of healing. While working together you will discover ways to address your concerns, while increasing your loving for yourself and become the best you, you can be. In addition to providing therapy, we provide: behavioral assessments,virtual guided meditation, virtual fitness and virtual yoga classes. In order to progress in life, you must manage symptoms from a holistic view point.
If you are someone that struggles with self-esteem, self-love, depression, anxiety, and guilt, let Holly Street Counseling Wellness Services help revive your spirit and walk with you down the path of healing. While working together you will discover ways to address your concerns, while increasing your loving for yourself and become the best you, you can be. In addition to providing therapy, we provide: behavioral assessments,virtual guided meditation, virtual fitness and virtual yoga classes. In order to progress in life, you must manage symptoms from a holistic view point.
(717) 621-3145 View (717) 621-3145
Photo of Robert Fauber - Psychological Services Center Temple University, PhD, Psychologist
Psychological Services Center Temple University
Psychologist, PhD
Verified Verified
Philadelphia, PA 19121
The Psychological Services Center (PSC) is a nonprofit community mental health center established in the early 1970s. Our center provides counseling and psychological services for mental health and relationship issues, as well as comprehensive psychological assessments. We serve children, adolescents, adults, couples, and families from Temple University and the surrounding communities. We welcome families and individuals from all backgrounds and lifestyles.
The Psychological Services Center (PSC) is a nonprofit community mental health center established in the early 1970s. Our center provides counseling and psychological services for mental health and relationship issues, as well as comprehensive psychological assessments. We serve children, adolescents, adults, couples, and families from Temple University and the surrounding communities. We welcome families and individuals from all backgrounds and lifestyles.
(215) 278-4763 View (215) 278-4763
Photo of Jotie Mondair, MA, LPC, ATR-BC, CCTP, Licensed Professional Counselor
Jotie Mondair
Licensed Professional Counselor, MA, LPC, ATR-BC, CCTP
Verified Verified
1 Endorsed
Philadelphia, PA 19121  (Online Only)
Waitlist for new clients
Right now, I am not accepting new clients or waitlist clients. Please note: if this is a medical or psychiatrist emergency, call 9-1-1 for support. Jotie is a licensed professional counselor located in Philadelphia, Pennsylvania with many years of experience working with depression, anxiety, eating disorders, and trauma-related disorders. Jotie uses an attachment-based model to identify and address distorted thought patterns and improve relationships (between people, with themselves, or with food).
Right now, I am not accepting new clients or waitlist clients. Please note: if this is a medical or psychiatrist emergency, call 9-1-1 for support. Jotie is a licensed professional counselor located in Philadelphia, Pennsylvania with many years of experience working with depression, anxiety, eating disorders, and trauma-related disorders. Jotie uses an attachment-based model to identify and address distorted thought patterns and improve relationships (between people, with themselves, or with food).
(215) 974-0190 View (215) 974-0190
Photo of Shanna M Williams, LCSW, MEd, Clinical Social Work/Therapist
Shanna M Williams
Clinical Social Work/Therapist, LCSW, MEd
Verified Verified
2 Endorsed
Philadelphia, PA 19121  (Online Only)
You are pregnant again, but the excitement isn’t there. You feel anxiety before your OB appointments and try to make sure you are prepped enough to ask all the questions you need to. More stress keeps coming up. The thought of announcing your pregnancy and each new pregnancy symptom brings anxiety. You can’t help but wonder what will happen if you lose this baby too. No one seems to understand. It hurts to hear your family and friends encouraging you to forget about your loss and move on. You are wondering if you will ever get to experience the joy of pregnancy and bringing home your baby.
You are pregnant again, but the excitement isn’t there. You feel anxiety before your OB appointments and try to make sure you are prepped enough to ask all the questions you need to. More stress keeps coming up. The thought of announcing your pregnancy and each new pregnancy symptom brings anxiety. You can’t help but wonder what will happen if you lose this baby too. No one seems to understand. It hurts to hear your family and friends encouraging you to forget about your loss and move on. You are wondering if you will ever get to experience the joy of pregnancy and bringing home your baby.
(484) 286-5507 View (484) 286-5507
Photo of Elizabeth Cohane, MSW, LCSW, Clinical Social Work/Therapist
Elizabeth Cohane
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Philadelphia, PA 19121  (Online Only)
Sometimes it can feel like life is just passing us by, and we can't seem to find a rhythm; where we feel settled and satisfied. My goal is to empower you, and help you break down the barriers that stand in the way of you living a happy and fulfilled life. I specialize in working with adolescents, and adults struggling with (but not limited to) trauma, life transitions, self-esteem issues, anxiety, depression, and those experiencing relationship issues.
Sometimes it can feel like life is just passing us by, and we can't seem to find a rhythm; where we feel settled and satisfied. My goal is to empower you, and help you break down the barriers that stand in the way of you living a happy and fulfilled life. I specialize in working with adolescents, and adults struggling with (but not limited to) trauma, life transitions, self-esteem issues, anxiety, depression, and those experiencing relationship issues.
(267) 452-2881 View (267) 452-2881
Photo of Dante Duval Barfield, MA, NCC, LPC, Licensed Professional Counselor
Dante Duval Barfield
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19121
Hey there. If you're reading this you may be wondering "is this guy the right therapist for me?" That is a question I hold dearly. Browsing this website can bring a flurry of emotions when seeking a therapist. It can be tough to find the right fit, and also can be a challenge just to get started. I hope, as you read my profile, there is a chance you may think I can play a role in your mental health journey. The people who tend to seek me for help tend to be people of color, those seeking trauma work, and also people who are "stuck".
Hey there. If you're reading this you may be wondering "is this guy the right therapist for me?" That is a question I hold dearly. Browsing this website can bring a flurry of emotions when seeking a therapist. It can be tough to find the right fit, and also can be a challenge just to get started. I hope, as you read my profile, there is a chance you may think I can play a role in your mental health journey. The people who tend to seek me for help tend to be people of color, those seeking trauma work, and also people who are "stuck".
(267) 214-9610 View (267) 214-9610
Photo of Sam Coyl - Echo Harbor Mental Health, Pre-Licensed Professional
Echo Harbor Mental Health
Pre-Licensed Professional
Verified Verified
Philadelphia, PA 19121  (Online Only)
I focus on treating anxiety, depression, self-esteem and trauma. Life should be more than just learning how to tolerate symptoms. I believe that using empathy, open-minded discussions, and therapeutic strategies is the key to healing. As a father, Marine Corps veteran, and business owner, I have a unique perspective when dealing with trauma and related mental health issues. I specialize in working with trauma survivors, veterans and first responders to help with building better communication techniques, coping skills, and healing from trauma.
I focus on treating anxiety, depression, self-esteem and trauma. Life should be more than just learning how to tolerate symptoms. I believe that using empathy, open-minded discussions, and therapeutic strategies is the key to healing. As a father, Marine Corps veteran, and business owner, I have a unique perspective when dealing with trauma and related mental health issues. I specialize in working with trauma survivors, veterans and first responders to help with building better communication techniques, coping skills, and healing from trauma.
(717) 714-3891 View (717) 714-3891
Photo of Fabienne A Clark, LPC, Licensed Professional Counselor
Fabienne A Clark
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19121  (Online Only)
Hello! I am a Licensed Professional Counsellor (LPC) based in Philadelphia. I received my Masters fom LaSalle University in Philadelphia and have been practicing for 5 years. I have at present worked soley in Community Mental Health, where I feel I have learned the fundamentals of counseling. Working within the broad spectrum of community mental health has given me the impetus to expand my horizons with the challenges of counseling a more diverse population.
Hello! I am a Licensed Professional Counsellor (LPC) based in Philadelphia. I received my Masters fom LaSalle University in Philadelphia and have been practicing for 5 years. I have at present worked soley in Community Mental Health, where I feel I have learned the fundamentals of counseling. Working within the broad spectrum of community mental health has given me the impetus to expand my horizons with the challenges of counseling a more diverse population.
(267) 848-8760 View (267) 848-8760
Photo of Ashley C. Whiteside, LMSW, Clinical Social Work/Therapist
Ashley C. Whiteside
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Philadelphia, PA 19121
My name is Ashley and I am a healer, therapist, doula, and educator. I am fueled by my charge: to walk alongside Black and Brown femmes as they continue on the ever-evolving process of self-discovery, making adjustments to live in alignment with their desires and express themselves the most authentically. I believe that choosing to heal is a radical act of self-love. I am a Licensed Social Worker and in my practice, I center and prioritize the experiences and healing of Black and Brown Femmes (women, girls). I serve as a guide as clients navigate back to a space of remembering the inherent truths of who they are and desire to be.
My name is Ashley and I am a healer, therapist, doula, and educator. I am fueled by my charge: to walk alongside Black and Brown femmes as they continue on the ever-evolving process of self-discovery, making adjustments to live in alignment with their desires and express themselves the most authentically. I believe that choosing to heal is a radical act of self-love. I am a Licensed Social Worker and in my practice, I center and prioritize the experiences and healing of Black and Brown Femmes (women, girls). I serve as a guide as clients navigate back to a space of remembering the inherent truths of who they are and desire to be.
(518) 625-8425 View (518) 625-8425
Photo of Kaitlyn Farrell, MA, LPC, Licensed Professional Counselor
Kaitlyn Farrell
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Philadelphia, PA 19121
Therapy is a journey you and I take together. In times of pain and discomfort, we have the potential to grow into a stronger version of ourselves. My goal as your therapist will be to create a safe space where we can explore ways to decrease distress, so that you can live life feeling lighter and unburdened.
Therapy is a journey you and I take together. In times of pain and discomfort, we have the potential to grow into a stronger version of ourselves. My goal as your therapist will be to create a safe space where we can explore ways to decrease distress, so that you can live life feeling lighter and unburdened.
(215) 709-7957 View (215) 709-7957
Photo of Cherise Small, LCSW, Clinical Social Work/Therapist
Cherise Small
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19121  (Online Only)
Waitlist for new clients
Are you feeling high levels of anxiety, worry or stress. Do you need someone to help you better understand your feelings and emotions? Some times life can be overwhelming and additional support is needed. Cherise is here to support you. Cherise’s treatment areas include life transitions, anxiety, depression, trauma and stress. Cherise possess the unique skills of relatability, compassion, understanding coupled with clinical knowledge and expertise that will support you and provide you with the tools to cope with everyday life.
Are you feeling high levels of anxiety, worry or stress. Do you need someone to help you better understand your feelings and emotions? Some times life can be overwhelming and additional support is needed. Cherise is here to support you. Cherise’s treatment areas include life transitions, anxiety, depression, trauma and stress. Cherise possess the unique skills of relatability, compassion, understanding coupled with clinical knowledge and expertise that will support you and provide you with the tools to cope with everyday life.
(213) 816-7408 View (213) 816-7408
Photo of Kristin Wood, LCSW, MSSA, Clinical Social Work/Therapist
Kristin Wood
Clinical Social Work/Therapist, LCSW, MSSA
Verified Verified
1 Endorsed
Philadelphia, PA 19121
Looking for an empathetic, supportive, solution-focused therapist? The clients I serve appreciate the connection we share and the candid, compassionate style that structures each therapy session. You don't have to continue feeling stuck in a relationship. Anxious or depressive symptoms don't have to continue to make each day a struggle. Loving yourself is possible. Change is difficult, but if you are ready for it, and you have the right tools, you can be successful. "You can change what's going on around you when you start changing what's going on within you."
Looking for an empathetic, supportive, solution-focused therapist? The clients I serve appreciate the connection we share and the candid, compassionate style that structures each therapy session. You don't have to continue feeling stuck in a relationship. Anxious or depressive symptoms don't have to continue to make each day a struggle. Loving yourself is possible. Change is difficult, but if you are ready for it, and you have the right tools, you can be successful. "You can change what's going on around you when you start changing what's going on within you."
(215) 608-1724 View (215) 608-1724
Photo of Janieth Celeste Burton, EdD, Psychologist
Janieth Celeste Burton
Psychologist, EdD
Verified Verified
Philadelphia, PA 19121
I have more than twenty five years of experience in psychological and educational assessment for children and adults. The focus of the practice includes children who need behavioral and school evaluations for Special Education, private school admission evaluations. Services are also available for adults who need therapy for mental health and adjustment issues, depression, anxiety, evaluations for college students needing accommodations, work or personal issues. Therapy and evaluations for adults 55 and older are also available. Cigna, Optum, United Health Care Insurances are accepted, as well as affordable fee for service payments.
I have more than twenty five years of experience in psychological and educational assessment for children and adults. The focus of the practice includes children who need behavioral and school evaluations for Special Education, private school admission evaluations. Services are also available for adults who need therapy for mental health and adjustment issues, depression, anxiety, evaluations for college students needing accommodations, work or personal issues. Therapy and evaluations for adults 55 and older are also available. Cigna, Optum, United Health Care Insurances are accepted, as well as affordable fee for service payments.
(267) 551-6411 View (267) 551-6411
Photo of Angelle E. Richardson, PhD, LPC, Licensed Professional Counselor
Angelle E. Richardson
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19121  (Online Only)
I am an experienced and empathetic Family Therapist, specializing in adoption, foster care, trauma and grief. My goal is to hold space for people to share their stories and work toward healing. I have over 18 years of experience working with people from diverse family constellations. I enjoy helping them find a way to move toward a better future.
I am an experienced and empathetic Family Therapist, specializing in adoption, foster care, trauma and grief. My goal is to hold space for people to share their stories and work toward healing. I have over 18 years of experience working with people from diverse family constellations. I enjoy helping them find a way to move toward a better future.
(267) 477-7302 View (267) 477-7302
Photo of Emily Nussdorfer, MA, BC-DMT, LPC, Licensed Professional Counselor
Emily Nussdorfer
Licensed Professional Counselor, MA, BC-DMT, LPC
Verified Verified
Philadelphia, PA 19121
Are you seeking to find relief from past pain and the courage and positive energy needed to recharge your life? Trauma experiences can have a crippling effect on the mind and body, causing depression, anxiety, rage reactions, grief, addiction, and other distressing symptoms. I offer a warm and safe space for you to unpack your burdens, and experience genuine and lasting relief. With over 20 years of combined experience in trauma therapy, expressive movement therapy, and mindfulness, I will guide you in developing practical tools to transform the immobilizing effects of trauma, PTSD and chronic stress so that you can move forward.
Are you seeking to find relief from past pain and the courage and positive energy needed to recharge your life? Trauma experiences can have a crippling effect on the mind and body, causing depression, anxiety, rage reactions, grief, addiction, and other distressing symptoms. I offer a warm and safe space for you to unpack your burdens, and experience genuine and lasting relief. With over 20 years of combined experience in trauma therapy, expressive movement therapy, and mindfulness, I will guide you in developing practical tools to transform the immobilizing effects of trauma, PTSD and chronic stress so that you can move forward.
(215) 608-1934 View (215) 608-1934
1

How does your Therapist compare?

Number of Therapists in 19121

40+

Average cost per session

$130

Therapists in 19121 who prioritize treating:

95% Anxiety
89% Depression
82% Self Esteem
80% Trauma and PTSD
77% Relationship Issues
73% Grief
70% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

83% Aetna
57% Cigna and Evernorth
48% UnitedHealthcare UHC | UBH

How Therapists in 19121 see their clients

52% Online Only
48% In Person and Online

Gender breakdown

83% Female
13% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 19121?

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.