Photo of Dave Payne, LPCC, Counselor
Dave Payne
Counselor, LPCC
Verified Verified
Cincinnati, OH 45201  (Online Only)
Hi, I’m Dave! I love helping adults with ADHD, anxiety, & depression learn to lead more fulfilling lives. I know first-hand how it feels to live with these conditions, which means I can help you learn realistic and attainable skills to improve your quality of life. I offer sincere empathy for your situation while also helping you challenge yourself to make improvements in your day-to-day living. While simply talking about your problems can help decrease the intensity of your anxiety and depression, what’s even more helpful is to learn about how your mind works and how to handle tough issues when they come up.
Hi, I’m Dave! I love helping adults with ADHD, anxiety, & depression learn to lead more fulfilling lives. I know first-hand how it feels to live with these conditions, which means I can help you learn realistic and attainable skills to improve your quality of life. I offer sincere empathy for your situation while also helping you challenge yourself to make improvements in your day-to-day living. While simply talking about your problems can help decrease the intensity of your anxiety and depression, what’s even more helpful is to learn about how your mind works and how to handle tough issues when they come up.
(513) 647-9799 View (513) 647-9799
Photo of Jina Varanasi-Lee, MSW, LSW, Clinical Social Work/Therapist
Jina Varanasi-Lee
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
3 Endorsed
Cincinnati, OH 45201  (Online Only)
Immediate Availability! You carry the weight of the world on your shoulders and there is so much on your mind. It feels like there's never time to stop and unpack all you've been through, and who would you talk to about it anyway? It feels like there’s never an opportunity to be heard without fear of judgment, shame or worrying your loved ones. In my sessions you will find a safe space to tell your story and lessen the load that you carry. You will receive unconditional positive regard, no matter what you are dealing with.
Immediate Availability! You carry the weight of the world on your shoulders and there is so much on your mind. It feels like there's never time to stop and unpack all you've been through, and who would you talk to about it anyway? It feels like there’s never an opportunity to be heard without fear of judgment, shame or worrying your loved ones. In my sessions you will find a safe space to tell your story and lessen the load that you carry. You will receive unconditional positive regard, no matter what you are dealing with.
(614) 820-1545 View (614) 820-1545
Photo of Joanna Nichols, MS, IMFT-S, LCDCIII, Marriage & Family Therapist
Joanna Nichols
Marriage & Family Therapist, MS, IMFT-S, LCDCIII
Verified Verified
1 Endorsed
Cincinnati, OH 45201  (Online Only)
I have worked in a variety of settings, and I have experience treating mental health conditions, substance abuse disorders, and relationship problems. I love to help individuals meet their goals, families learn to relate to each other, and couples find their way to each other again. I believe that you are the expert on your life - I just want to help you feel safe and find joy within it.
I have worked in a variety of settings, and I have experience treating mental health conditions, substance abuse disorders, and relationship problems. I love to help individuals meet their goals, families learn to relate to each other, and couples find their way to each other again. I believe that you are the expert on your life - I just want to help you feel safe and find joy within it.
(513) 712-8646 View (513) 712-8646
Photo of Marina Sud, PsyD, Psychologist
Marina Sud
Psychologist, PsyD
Verified Verified
Cincinnati, OH 45201  (Online Only)
My practice is virtual only at this time. I have +20 years of experience in working with clients who are struggling with loss, experiencing depression, attentional difficulties, stress and anxiety, trauma, and problematic relationships. My approach is best described as spiritually integrated psychotherapy within a secure and supportive environment. We will work together to help you not just survive but thrive amidst life's numerous challenges and to help you to remember your true nature: a spiritual being having a human experience. Ho’oponopono.
My practice is virtual only at this time. I have +20 years of experience in working with clients who are struggling with loss, experiencing depression, attentional difficulties, stress and anxiety, trauma, and problematic relationships. My approach is best described as spiritually integrated psychotherapy within a secure and supportive environment. We will work together to help you not just survive but thrive amidst life's numerous challenges and to help you to remember your true nature: a spiritual being having a human experience. Ho’oponopono.
(812) 706-2679 View (812) 706-2679
Photo of Dr. Eric J. Kirwan, DSW, LCSW, Clinical Social Work/Therapist
Dr. Eric J. Kirwan
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Cincinnati, OH 45201  (Online Only)
I work with individuals who have been struggling with trauma, anxiety, depression, and relationship issues, often without finding relief from traditional treatments. Many of my clients feel disconnected, stuck in the same dynamics, and unable to make progress, often finding themselves self-sabotaging when things seem to be going well. If you’re curious, open, and ready to explore holistic and conscious ways of healing, I am here to support you on your journey toward a more balanced and authentic life.
I work with individuals who have been struggling with trauma, anxiety, depression, and relationship issues, often without finding relief from traditional treatments. Many of my clients feel disconnected, stuck in the same dynamics, and unable to make progress, often finding themselves self-sabotaging when things seem to be going well. If you’re curious, open, and ready to explore holistic and conscious ways of healing, I am here to support you on your journey toward a more balanced and authentic life.
(720) 807-1360 View (720) 807-1360
Photo of Michal Marchette, LCSW, LISW, Clinical Social Work/Therapist
Michal Marchette
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
2 Endorsed
Cincinnati, OH 45201
Are you experiencing pain and loneliness? Are you ready to do the inner work of healing? I am passionate about working with women and teenagers. If you are struggling with trauma, anxiety, depression, relationships, self expression and/or an eating disorder then you have come to the right place! I welcome my clients into a safe, supportive and empathetic space in which we journey together. I offer a listening ear and a compassionate heart. We work together to find the techniques in my toolbox that work best to empower you.
Are you experiencing pain and loneliness? Are you ready to do the inner work of healing? I am passionate about working with women and teenagers. If you are struggling with trauma, anxiety, depression, relationships, self expression and/or an eating disorder then you have come to the right place! I welcome my clients into a safe, supportive and empathetic space in which we journey together. I offer a listening ear and a compassionate heart. We work together to find the techniques in my toolbox that work best to empower you.
(732) 592-3342 View (732) 592-3342
Photo of Karen Johnson-Cromwell, MS, LPC, LPCC-S, Licensed Professional Counselor
Karen Johnson-Cromwell
Licensed Professional Counselor, MS, LPC, LPCC-S
Verified Verified
1 Endorsed
Cincinnati, OH 45201
I look forward to any client looking forward to explore a path to emotional well being, parents who take an active role in their child's therapy and any client that can take their first step through my office door. Tele-therapy only to clients living in OH. In person and tele-therapy offered to clients living in the state of NJ.
I look forward to any client looking forward to explore a path to emotional well being, parents who take an active role in their child's therapy and any client that can take their first step through my office door. Tele-therapy only to clients living in OH. In person and tele-therapy offered to clients living in the state of NJ.
(856) 672-3721 View (856) 672-3721
Photo of Amia Taylor, LCSW, Clinical Social Work/Therapist
Amia Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
Cincinnati, OH 45201  (Online Only)
Welcome to my page! I am Amia Taylor, a seasoned clinician licensed in Ohio, Virginia, and Texas with extensive experience building therapeutic partnerships and collaborative alliances. I would be honored to work with you as you start this transformative journey. In our therapeutic alliance, I specialize in supporting individuals dealing with life transitions, anxiety, depression, grief, and trauma. My approach focuses on holding space for understanding and empowerment where your innermost self is heard and celebrated.
Welcome to my page! I am Amia Taylor, a seasoned clinician licensed in Ohio, Virginia, and Texas with extensive experience building therapeutic partnerships and collaborative alliances. I would be honored to work with you as you start this transformative journey. In our therapeutic alliance, I specialize in supporting individuals dealing with life transitions, anxiety, depression, grief, and trauma. My approach focuses on holding space for understanding and empowerment where your innermost self is heard and celebrated.
(210) 934-7180 View (210) 934-7180
Photo of Debra Kay Goran, PhD, Psychologist
Debra Kay Goran
Psychologist, PhD
Verified Verified
Cincinnati, OH 45201
Hello, and congratulations and deciding to do something good for yourself! I am very seasoned psychologist with 4 decades of working in this field with all sorts of clients. I believe that every problem has multiple solutions and support you in finding the one that feels the most right for you. I have a great deal of experience in working with all sorts of trauma, childhood abuse, sexual trauma, military and combat trauma, car accidents, etc. I am also well versed in anxiety and depression, panic attacks, couples and relationship issues, and habit disorders.
Hello, and congratulations and deciding to do something good for yourself! I am very seasoned psychologist with 4 decades of working in this field with all sorts of clients. I believe that every problem has multiple solutions and support you in finding the one that feels the most right for you. I have a great deal of experience in working with all sorts of trauma, childhood abuse, sexual trauma, military and combat trauma, car accidents, etc. I am also well versed in anxiety and depression, panic attacks, couples and relationship issues, and habit disorders.
(859) 605-3327 View (859) 605-3327
Photo of Joy A Wilson - New Journey Counseling LLC, LPCC-S, Counselor
New Journey Counseling LLC
Counselor, LPCC-S
Verified Verified
5 Endorsed
Cincinnati, OH 45201
Weekend appointments are available NOW in our office, by phone and through TeleHealth. Following insurances accepted: CareSource, Paramount, Molina, Aetna, Anthem, Cigna, Humana, Medical Mutual, Optum, etc. PLAY THERAPY for children via Telehealth and in person available. Also therapy for ADOLESCENTS, AND ADULTS is available for many concerns at our office or via telehealth or phone. We can help with ANXIETY, BEHAVIORAL PROBLEMS, CO-DEPENDENCY, DEPRESSION, GRIEF, ADDICTIONS, DIVORCE SUPPORT, SELF-ESTEEM, and other life stress.
Weekend appointments are available NOW in our office, by phone and through TeleHealth. Following insurances accepted: CareSource, Paramount, Molina, Aetna, Anthem, Cigna, Humana, Medical Mutual, Optum, etc. PLAY THERAPY for children via Telehealth and in person available. Also therapy for ADOLESCENTS, AND ADULTS is available for many concerns at our office or via telehealth or phone. We can help with ANXIETY, BEHAVIORAL PROBLEMS, CO-DEPENDENCY, DEPRESSION, GRIEF, ADDICTIONS, DIVORCE SUPPORT, SELF-ESTEEM, and other life stress.
(513) 457-5602 View (513) 457-5602
Photo of Lorna Douglas, MA, LPCC, CWC, Counselor
Lorna Douglas
Counselor, MA, LPCC, CWC
Verified Verified
Cincinnati, OH 45201
Not accepting new clients until August 2023. I am a Licensed Professional Clinical Counselor and Certified Wellness Counselor treating anxiety, depression, stress, adjustment, and issues related to gender identity and transition in the Cincinnati area. Wellness Counseling is a holistic approach to therapy that looks at ways to bring increased balance to all areas of an individual's functioning. Wellness Counseling is particularly well suited to treating anxiety, adjustment, and stress. As part of The Waybridge Center for Gender Actualization, I am excited to incorporate my wellness approach into my treatment of trans individuals.
Not accepting new clients until August 2023. I am a Licensed Professional Clinical Counselor and Certified Wellness Counselor treating anxiety, depression, stress, adjustment, and issues related to gender identity and transition in the Cincinnati area. Wellness Counseling is a holistic approach to therapy that looks at ways to bring increased balance to all areas of an individual's functioning. Wellness Counseling is particularly well suited to treating anxiety, adjustment, and stress. As part of The Waybridge Center for Gender Actualization, I am excited to incorporate my wellness approach into my treatment of trans individuals.
(513) 428-8364 View (513) 428-8364
Photo of Heather Everett, MSW, LISW-S, LCSW, Clinical Social Work/Therapist
Heather Everett
Clinical Social Work/Therapist, MSW, LISW-S, LCSW
Verified Verified
Cincinnati, OH 45201  (Online Only)
Change is difficult and often scary, but it only takes one small step to get started on a path that can change your life. I provide a safe environment to start working on difficult issues that have held you back from living life to it's full potential. I have almost twenty years of experience working with a broad spectrum of clients, including children, adolescents, and adults. Some of the therapy modalities I use include Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT) and Trauma Informed Care.
Change is difficult and often scary, but it only takes one small step to get started on a path that can change your life. I provide a safe environment to start working on difficult issues that have held you back from living life to it's full potential. I have almost twenty years of experience working with a broad spectrum of clients, including children, adolescents, and adults. Some of the therapy modalities I use include Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT) and Trauma Informed Care.
(513) 434-3768 View (513) 434-3768
Photo of Noreen Palmer, MA, MSW, Clinical Social Work/Therapist
Noreen Palmer
Clinical Social Work/Therapist, MA, MSW
Verified Verified
Cincinnati, OH 45201  (Online Only)
I am Noreen Palmer, MSW, LISW-S.. My area of expertise is ketamine therapy, crisis management, and anger management . I am a nationally published author and speaker on the subject. I also practice ketamine therapy. In addition to over 15 years of experience as a therapist, I formerly served as an Adjunct Instructor, Ohio State University and Park University. Click on "VISIT MY HOME PAGE" to schedule appointment online today!
I am Noreen Palmer, MSW, LISW-S.. My area of expertise is ketamine therapy, crisis management, and anger management . I am a nationally published author and speaker on the subject. I also practice ketamine therapy. In addition to over 15 years of experience as a therapist, I formerly served as an Adjunct Instructor, Ohio State University and Park University. Click on "VISIT MY HOME PAGE" to schedule appointment online today!
(614) 664-6817 View (614) 664-6817
Photo of Emily Schubert, LCSW-S, LISW-S, MBA, Clinical Social Work/Therapist
Emily Schubert
Clinical Social Work/Therapist, LCSW-S, LISW-S, MBA
Verified Verified
Cincinnati, OH 45201  (Online Only)
We provide holistic counseling services that aim to meet the emotional needs of individuals throughout the community. Areas of specialization include managing moods, working through interpersonal conflict, and improving emotional management/coping associated with anxiety, depression, and other mental health issues. Through the application of diagnostic assessments and services geared towards individuals, we strive to meet the holistic, psychosocial, and ever-changing needs of our clients.
We provide holistic counseling services that aim to meet the emotional needs of individuals throughout the community. Areas of specialization include managing moods, working through interpersonal conflict, and improving emotional management/coping associated with anxiety, depression, and other mental health issues. Through the application of diagnostic assessments and services geared towards individuals, we strive to meet the holistic, psychosocial, and ever-changing needs of our clients.
(859) 780-5817 View (859) 780-5817
Photo of Janelle McNeal, PhD, Psychologist
Janelle McNeal
Psychologist, PhD
Verified Verified
4 Endorsed
Cincinnati, OH 45201
Hi! I’m Janelle. I’m a licensed psychologist, and I specialize in working with entrepreneurial women. I understand the pressure and stress that come along with owning a business. It’s easy to be consumed by your work and to struggle with balancing work with all the other areas of your life. You often feel spread too thin and like you’re not doing a good enough job in any of the areas in your life. You feel you’re not a “good enough” business owner, partner, mother, daughter, colleague, etc. even though you're trying so hard!
Hi! I’m Janelle. I’m a licensed psychologist, and I specialize in working with entrepreneurial women. I understand the pressure and stress that come along with owning a business. It’s easy to be consumed by your work and to struggle with balancing work with all the other areas of your life. You often feel spread too thin and like you’re not doing a good enough job in any of the areas in your life. You feel you’re not a “good enough” business owner, partner, mother, daughter, colleague, etc. even though you're trying so hard!
(859) 740-7374 View (859) 740-7374
Photo of Shirley R Johnson - Solutions & Possibilities LLC, LPCC-S, LICDCCS, NCC
Solutions & Possibilities LLC
Licensed Professional Clinical Counselor , LPCC-S, LICDCCS, NCC
Verified Verified
Cincinnati, OH 45201  (Online Only)
Partnering with you to Identify Realistic Solutions with Exciting Possibilities
Partnering with you to Identify Realistic Solutions with Exciting Possibilities
(380) 205-3938 View (380) 205-3938
Photo of Jason Waller, MA, LPC, NCC, Counselor
Jason Waller
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Cincinnati, OH 45201
I understand the exhaustion and hopelessness. The gut-punching anxiety that hits out of the blue. I know what it is like to feel lost and trapped at the same time. I decided to become a therapist after a successful academic career as a philosophy professor. I made the career change after facing and overcoming my own mental health challenges with the help of a therapist. The experience was so liberating that I wanted to share it with others.
I understand the exhaustion and hopelessness. The gut-punching anxiety that hits out of the blue. I know what it is like to feel lost and trapped at the same time. I decided to become a therapist after a successful academic career as a philosophy professor. I made the career change after facing and overcoming my own mental health challenges with the help of a therapist. The experience was so liberating that I wanted to share it with others.
(614) 665-1135 View (614) 665-1135
Photo of Bridgette Inukiha'angana, MA, LPC, NCC, Licensed Professional Counselor
Bridgette Inukiha'angana
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Cincinnati, OH 45201  (Online Only)
Many types of experiences can impact your life causing stress, anxiety, depression, relational issues and other negative patterns. Investigating these present and past patterns can empower positive changes! I believe childhood and adulthood interweave into a persons current reality and the therapy space is a place to untangle the childhood events that continue to impact your current life. My belief that people are constantly changing to better suit their needs drives my enthusiasm to walk with client’s to become the version of themselves they desire to be, while also loving and respecting the current version of who they are.
Many types of experiences can impact your life causing stress, anxiety, depression, relational issues and other negative patterns. Investigating these present and past patterns can empower positive changes! I believe childhood and adulthood interweave into a persons current reality and the therapy space is a place to untangle the childhood events that continue to impact your current life. My belief that people are constantly changing to better suit their needs drives my enthusiasm to walk with client’s to become the version of themselves they desire to be, while also loving and respecting the current version of who they are.
(234) 239-9184 View (234) 239-9184
Photo of Caroline Myers Clinical Supervisor, LCSW, LISW-S, Clinical Social Work/Therapist
Caroline Myers Clinical Supervisor
Clinical Social Work/Therapist, LCSW, LISW-S
Verified Verified
Cincinnati, OH 45201  (Online Only)
Not accepting new clients
Hi, I am Caroline Myers - an LCSW in CO, IL, OH and NC. My specialization is transitional life events - military service related, divorce, grief, pregnancy, parenthood and more. Working together, I hope to assist you in identifying and achieving your goals in a sustainable way for your future. I customize each session to you as an individual, how you learn, engage, and process the world around you. We will focus on mindfulness-based therapy, while referencing past experiences and planning for the future. Looking forward to connecting and seeing if I can be the support you need!
Hi, I am Caroline Myers - an LCSW in CO, IL, OH and NC. My specialization is transitional life events - military service related, divorce, grief, pregnancy, parenthood and more. Working together, I hope to assist you in identifying and achieving your goals in a sustainable way for your future. I customize each session to you as an individual, how you learn, engage, and process the world around you. We will focus on mindfulness-based therapy, while referencing past experiences and planning for the future. Looking forward to connecting and seeing if I can be the support you need!
(910) 335-9301 View (910) 335-9301
Photo of Alexis Reed - Alexis M Reed Counseling, LLC, LPCC, MA, Licensed Professional Counselor
Alexis M Reed Counseling, LLC
Licensed Professional Counselor, LPCC, MA
Verified Verified
1 Endorsed
Cincinnati, OH 45201
Alexis earned her master’s degree in clinical mental health counseling from Northwestern University and is currently working towards expanding her work in counseling within the Dayton community. Alexis has a background in nutrition and a variety of movement forms (dance, yoga, and Pilates) and is passionate about facilitating wellness with her clients. Alexis enjoys supporting teens and young adults who are exploring life transitions, adults and older adults from a variety of backgrounds with differing needs, as well as couples and families.
Alexis earned her master’s degree in clinical mental health counseling from Northwestern University and is currently working towards expanding her work in counseling within the Dayton community. Alexis has a background in nutrition and a variety of movement forms (dance, yoga, and Pilates) and is passionate about facilitating wellness with her clients. Alexis enjoys supporting teens and young adults who are exploring life transitions, adults and older adults from a variety of backgrounds with differing needs, as well as couples and families.
(937) 806-5338 View (937) 806-5338
1

See more therapy options for 45201

How does your Therapist compare?

Number of Therapists in 45201

100+

Average cost per session

$125

Therapists in 45201 who prioritize treating:

94% Anxiety
88% Depression
73% Self Esteem
71% Trauma and PTSD
70% Relationship Issues
70% Stress
67% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

86% Aetna
75% UnitedHealthcare UHC | UBH
73% Cigna and Evernorth

How Therapists in 45201 see their clients

53% Online Only
47% In Person and Online

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 45201?

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.