Therapists in Madison, CT

Photo of Mary Beth Golja, LMFT, MA, Marriage & Family Therapist
Mary Beth Golja
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
Madison, CT 06443
Looking for a safe place to regain your footing and let go of old patterns that hold you back? I have been practicing psychotherapy for 40 years. My practice is relationship based and heart centered.After working in various residential settings with adolescents, I grew to believe in the resilience and strength of the human spirit.Working with both traditional and nontraditional techniques, I can assist you in discovering your true potential. With a background in family systems, I believe that by letting go of patterns learned in childhood and rewriting old messages, therapy can free you to live your life more productively.
Looking for a safe place to regain your footing and let go of old patterns that hold you back? I have been practicing psychotherapy for 40 years. My practice is relationship based and heart centered.After working in various residential settings with adolescents, I grew to believe in the resilience and strength of the human spirit.Working with both traditional and nontraditional techniques, I can assist you in discovering your true potential. With a background in family systems, I believe that by letting go of patterns learned in childhood and rewriting old messages, therapy can free you to live your life more productively.
(203) 680-3575 View (203) 680-3575
Photo of Jennifer Mitchell, LPC, NCSP, Licensed Professional Counselor
Jennifer Mitchell
Licensed Professional Counselor, LPC, NCSP
Verified Verified
Madison, CT 06443  (Online Only)
I specialize in working with perinatal women and families. The period of matrescence, when a woman transitions into motherhood, can be a pivotal time in one's life. Motherhood and family life come filled with both incredible joys and tremendous difficulties. Navigating these times of transition with hope, trust, confidence, grace and a regulated nervous system can be a life changing pursuit, and one that all women, mothers and families deserve. Parenting is not without its challenges at any age, but it is possible to foster more peaceful, effective, and joyful family dynamics with the proper support.
I specialize in working with perinatal women and families. The period of matrescence, when a woman transitions into motherhood, can be a pivotal time in one's life. Motherhood and family life come filled with both incredible joys and tremendous difficulties. Navigating these times of transition with hope, trust, confidence, grace and a regulated nervous system can be a life changing pursuit, and one that all women, mothers and families deserve. Parenting is not without its challenges at any age, but it is possible to foster more peaceful, effective, and joyful family dynamics with the proper support.
(475) 284-5925 View (475) 284-5925
Photo of Janel Lynch Bacon, LMFT, Marriage & Family Therapist
Janel Lynch Bacon
Marriage & Family Therapist, LMFT
Verified Verified
Madison, CT 06443
I am a Licensed Marriage and Family Therapist, and my specialty is figuring out what needs to be done to affect change. I use a variety of techniques to help my clients identify the patterns that are disrupting the quality of their lives. I will work with you to form a therapeutic relationship and will "meet you where you are" emotionally and psychologically. I will help you learn to shift behaviors that are not serving you well, and assist you in achieving your full personal potential.
I am a Licensed Marriage and Family Therapist, and my specialty is figuring out what needs to be done to affect change. I use a variety of techniques to help my clients identify the patterns that are disrupting the quality of their lives. I will work with you to form a therapeutic relationship and will "meet you where you are" emotionally and psychologically. I will help you learn to shift behaviors that are not serving you well, and assist you in achieving your full personal potential.
(860) 254-6099 View (860) 254-6099
Photo of Alexander S Klein - Shoreline Therapy Center, Clinical Social Work/Therapist
Shoreline Therapy Center
Clinical Social Work/Therapist
Verified Verified
Madison, CT 06443
At the Shoreline Therapy Center we care for clients of all ages and stages including young children, adolescents and adults as they learn to cope with their psychological issues. We provide individual, couples, family and group psychotherapy.
At the Shoreline Therapy Center we care for clients of all ages and stages including young children, adolescents and adults as they learn to cope with their psychological issues. We provide individual, couples, family and group psychotherapy.
(203) 453-2999 View (203) 453-2999
Photo of Kiersten D'Auria, MA, LMFT, Marriage & Family Therapist
Kiersten D'Auria
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Madison, CT 06443
Now accepting clients in person and via telehealth. I specialize in identifying the cause of discomforts related to anxiety, depression, trauma, life transitions and work with you to get quick and lasting relief. I pride myself in my approachability and work to create a comfortable working relationship. Feel free to contact me here or through my website. I look forward to connecting.
Now accepting clients in person and via telehealth. I specialize in identifying the cause of discomforts related to anxiety, depression, trauma, life transitions and work with you to get quick and lasting relief. I pride myself in my approachability and work to create a comfortable working relationship. Feel free to contact me here or through my website. I look forward to connecting.
(475) 255-7100 View (475) 255-7100
Photo of Barbara Black, MEd, LPC, Licensed Professional Counselor
Barbara Black
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Madison, CT 06443  (Online Only)
The world can create a lot of anxiety these days, and that can bring up many questions along with feeling out of control and ultimately cause strain on our lives and relationships. As a trained Emotionally Focused Therapy (EFT) therapist, I am passionate about working with couples to establish ways to deepen their bond and strengthen the connection they long for. As an Eye Movement Desensitization and Reprocessing-trained therapist, I use EMDR to help clients who have experienced trauma to find long-lasting healing through restructuring negative beliefs into healthy, positive emotional freedom.
The world can create a lot of anxiety these days, and that can bring up many questions along with feeling out of control and ultimately cause strain on our lives and relationships. As a trained Emotionally Focused Therapy (EFT) therapist, I am passionate about working with couples to establish ways to deepen their bond and strengthen the connection they long for. As an Eye Movement Desensitization and Reprocessing-trained therapist, I use EMDR to help clients who have experienced trauma to find long-lasting healing through restructuring negative beliefs into healthy, positive emotional freedom.
(203) 774-4235 View (203) 774-4235
Photo of Abby Lipschutz - Shoreline Psychological, Psychologist
Shoreline Psychological
Psychologist
Verified Verified
Madison, CT 06443
We are multi-disciplinary practice focused on helping individuals create meaningful lives. We use a compassionate, evidence-based approach for a range of psychological challenges across the life-span, including anxiety, depression, OCD and relational issues. We believe that by combining compassion and commitment, together we can help individuals, couples, and familiies overcome the obstacles to living their lives to their full potential. Our work focuses on helping people understand themselves, relate better to others, while they learn new skills to cope with emotion, and think and behave more effectively.
We are multi-disciplinary practice focused on helping individuals create meaningful lives. We use a compassionate, evidence-based approach for a range of psychological challenges across the life-span, including anxiety, depression, OCD and relational issues. We believe that by combining compassion and commitment, together we can help individuals, couples, and familiies overcome the obstacles to living their lives to their full potential. Our work focuses on helping people understand themselves, relate better to others, while they learn new skills to cope with emotion, and think and behave more effectively.
(475) 264-6094 View (475) 264-6094
Photo of Theresa Millet, LMFTA, Marriage & Family Therapist Associate
Theresa Millet
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Madison, CT 06443
Whether you are facing shame, anxiety, depression, a challenging transition, or difficulties in your relationship, I would be honored to come alongside you as a coach, cheerleader, and source of support to help you to heal from past wounds, experience joy and fullness of life in the present, and walk confidently into your future. I am convinced that no matter how bad things seem, there is always hope. I am committed to helping you to find hope and joy in your situation.
Whether you are facing shame, anxiety, depression, a challenging transition, or difficulties in your relationship, I would be honored to come alongside you as a coach, cheerleader, and source of support to help you to heal from past wounds, experience joy and fullness of life in the present, and walk confidently into your future. I am convinced that no matter how bad things seem, there is always hope. I am committed to helping you to find hope and joy in your situation.
(860) 787-0750 View (860) 787-0750
Photo of Christine Silva, LMFT, Marriage & Family Therapist
Christine Silva
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Madison, CT 06443  (Online Only)
Waitlist for new clients
Are you struggling to make progress on your own? Do you desire to live in more peace, less worry and more stability? I'd love to help you reach your personal and relational goals! My approach to therapy is to provide clients a collaborative, therapeutic space. I seek to give clients the opportunity and support they need to pursue the changes and healing they are hoping for in their relationship with themselves and others. My main areas of expertise are supporting clients in life transitions such as: prenatal & postpartum support, parenting, marriage and adjusting to life after loss. As well as eating disorder recovery.
Are you struggling to make progress on your own? Do you desire to live in more peace, less worry and more stability? I'd love to help you reach your personal and relational goals! My approach to therapy is to provide clients a collaborative, therapeutic space. I seek to give clients the opportunity and support they need to pursue the changes and healing they are hoping for in their relationship with themselves and others. My main areas of expertise are supporting clients in life transitions such as: prenatal & postpartum support, parenting, marriage and adjusting to life after loss. As well as eating disorder recovery.
(203) 516-4219 View (203) 516-4219
Photo of Jessica Bessette, LCSW, Clinical Social Work/Therapist
Jessica Bessette
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, CT 06443
Jessica is a licensed clinical social worker who completed her education at Southern Connecticut State University in 2016. She has worked with the entire lifespan from children to older adults. Her experiences with both outpatient and inpatient settings have given her a broad perspective of the challenges that people deal with and what can help people to live more productive lives. She uses a strengths-based and humanistic approach in her work with others. She has grown to work in both individual and group settings and has a love for building relationships with clients and utilizing the relationship to guide the work.
Jessica is a licensed clinical social worker who completed her education at Southern Connecticut State University in 2016. She has worked with the entire lifespan from children to older adults. Her experiences with both outpatient and inpatient settings have given her a broad perspective of the challenges that people deal with and what can help people to live more productive lives. She uses a strengths-based and humanistic approach in her work with others. She has grown to work in both individual and group settings and has a love for building relationships with clients and utilizing the relationship to guide the work.
(203) 453-2999 View (203) 453-2999
Photo of Vincent Samuolis - Vincent Samuolis, LCSW, LCSW, LADC, Clinical Social Work/Therapist
Vincent Samuolis, LCSW
Clinical Social Work/Therapist, LCSW, LADC
Verified Verified
1 Endorsed
Madison, CT 06443
Are you ready to to take the first step on your journey toward self improvement and achieving your personal goals? Twenty-four years as a school social worker has given me comprehensive experience with children, adolescents, parents, and families challenged by as difficult behavior, emotional disturbance, ADHD, and ineffective parenting. Two years experience as a clinician for a psychiatric hospital provided me intensive knowledge and compassion for adults with mental illness and dually diagnoses. Five years experience as a substance abuse counselor for a state agency provided a thorough understanding of addiction and recovery.
Are you ready to to take the first step on your journey toward self improvement and achieving your personal goals? Twenty-four years as a school social worker has given me comprehensive experience with children, adolescents, parents, and families challenged by as difficult behavior, emotional disturbance, ADHD, and ineffective parenting. Two years experience as a clinician for a psychiatric hospital provided me intensive knowledge and compassion for adults with mental illness and dually diagnoses. Five years experience as a substance abuse counselor for a state agency provided a thorough understanding of addiction and recovery.
(203) 654-3602 View (203) 654-3602
Photo of Samantha Parsons, LCSW, RSMT, CLMA, Clinical Social Work/Therapist
Samantha Parsons
Clinical Social Work/Therapist, LCSW, RSMT, CLMA
Verified Verified
1 Endorsed
Madison, CT 06443
Hi, I’m Samantha Parsons, a Licensed Master Social Worker. I empower individuals to navigate their life’s challenges, heal trauma, and achieve emotional wellness. I provide compassionate, culturally informed, and integrative care through Somatic Movement and Mental Health Therapy, which aid in the treatment of trauma, anxiety, grief, relationship issues, chronic illness, and physical issues.
Hi, I’m Samantha Parsons, a Licensed Master Social Worker. I empower individuals to navigate their life’s challenges, heal trauma, and achieve emotional wellness. I provide compassionate, culturally informed, and integrative care through Somatic Movement and Mental Health Therapy, which aid in the treatment of trauma, anxiety, grief, relationship issues, chronic illness, and physical issues.
(203) 204-9914 View (203) 204-9914
Photo of Jocelyn Ness, LCSW, Clinical Social Work/Therapist
Jocelyn Ness
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, CT 06443  (Online Only)
Waitlist for new clients
I work with adolescents in preventing diagnosing and treating mental and behavioral health disorders . I work directly with adolescents to help them with various struggles of life and learn how to develop better coping skills to understand and resolve problems, modify behavior, and make positive long term changes in their lives. I use multiple modalities approaches to address and target presenting issues.
I work with adolescents in preventing diagnosing and treating mental and behavioral health disorders . I work directly with adolescents to help them with various struggles of life and learn how to develop better coping skills to understand and resolve problems, modify behavior, and make positive long term changes in their lives. I use multiple modalities approaches to address and target presenting issues.
(475) 253-5054 View (475) 253-5054
Danielle Johnson
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Madison, CT 06443
I am a licensed clinical social worker who has worked with children and families for almost 25 years. My counseling approach combines empathy and an understanding of challenges that children and families encounter, while using evidenced based approaches to promote client growth.
I am a licensed clinical social worker who has worked with children and families for almost 25 years. My counseling approach combines empathy and an understanding of challenges that children and families encounter, while using evidenced based approaches to promote client growth.
(203) 208-8996 View (203) 208-8996
Photo of Macdara MacColl, LMFT, Marriage & Family Therapist
Macdara MacColl
Marriage & Family Therapist, LMFT
Verified Verified
Madison, CT 06443
I specialize in helping couples reclaim loving connection using a proven, evidence-based therapeutic approach called Emotionally-Focused Therapy (EFT). If you and your partner are stuck in a pattern of conflict, withdrawal, and disconnection, be reassured: There is hope. Even if you have experienced betrayal, therapy can guide you back to joyful connection. I am also a certified Sex Therapist, and help couples discover the joys of erotic pleasure. I am kink- and CNM-friendly. For individuals, my attachment, trauma-informed approach addresses relational traumas and sexual shame to help you journey toward health and wholeness.
I specialize in helping couples reclaim loving connection using a proven, evidence-based therapeutic approach called Emotionally-Focused Therapy (EFT). If you and your partner are stuck in a pattern of conflict, withdrawal, and disconnection, be reassured: There is hope. Even if you have experienced betrayal, therapy can guide you back to joyful connection. I am also a certified Sex Therapist, and help couples discover the joys of erotic pleasure. I am kink- and CNM-friendly. For individuals, my attachment, trauma-informed approach addresses relational traumas and sexual shame to help you journey toward health and wholeness.
(203) 896-0030 View (203) 896-0030
Photo of Kelly A. Leach, BA, MSW, LCSW, Clinical Social Work/Therapist
Kelly A. Leach
Clinical Social Work/Therapist, BA, MSW, LCSW
Verified Verified
Madison, CT 06443
Do you constantly feel the weight of self-doubt? Do you feel stuck, sad or anxious? As a dedicated therapist specializing in empowering teens (16+) and adults, I recognize that these struggles can have a significant impact on your overall well-being. They can affect your relationships, work and school performance, and even your ability to enjoy life's simple pleasures. I will work closely with you to treat what’s troubling you most - your anxiety, depression, lack of self-esteem and/or tendency towards perfectionism. I can help you gain valuable insights into the root of your struggles.
Do you constantly feel the weight of self-doubt? Do you feel stuck, sad or anxious? As a dedicated therapist specializing in empowering teens (16+) and adults, I recognize that these struggles can have a significant impact on your overall well-being. They can affect your relationships, work and school performance, and even your ability to enjoy life's simple pleasures. I will work closely with you to treat what’s troubling you most - your anxiety, depression, lack of self-esteem and/or tendency towards perfectionism. I can help you gain valuable insights into the root of your struggles.
(860) 333-5605 View (860) 333-5605
Photo of Michelle M Reynolds, PhD, Psychologist
Michelle M Reynolds
Psychologist, PhD
Verified Verified
Madison, CT 06443
At some point in our lives, we all feel overwhelmed, overburdened, and sometimes even stuck. It can seem like stress is preventing us from living the life we want, and our thoughts, feelings, or habits are holding us back. Whether you are struggling with stress, anxiety, depression, parenting difficulties, relationship conflicts, work-home balance, or health issues, I can help you find your way through a difficult period. You can live more fully by gaining new perspective, clarifying your values, effectively managing stress, and taking action toward your goals. I help people build better and richer lives.
At some point in our lives, we all feel overwhelmed, overburdened, and sometimes even stuck. It can seem like stress is preventing us from living the life we want, and our thoughts, feelings, or habits are holding us back. Whether you are struggling with stress, anxiety, depression, parenting difficulties, relationship conflicts, work-home balance, or health issues, I can help you find your way through a difficult period. You can live more fully by gaining new perspective, clarifying your values, effectively managing stress, and taking action toward your goals. I help people build better and richer lives.
(475) 252-8490 View (475) 252-8490
Photo of Martin Grebel, PhD, Psychologist
Martin Grebel
Psychologist, PhD
Verified Verified
Madison, CT 06443
I am a licensed clinical psychologist with over 40 years of private practice experience. I treat individuals eighteen years old and over and couples. My goals with all clients are to correctly identify, understand and overcome self defeating aspects of their functioning. I adapt my treatment approach to the needs of each client and never forget to treat my clients with respect. When appropriate, I often use humor to address my clients issues. My office is in New London, but I see clients from all over Southeastern Connecticut, including employees from Pfizer, EB , L&M & ,of course, all others desiring psychological help.
I am a licensed clinical psychologist with over 40 years of private practice experience. I treat individuals eighteen years old and over and couples. My goals with all clients are to correctly identify, understand and overcome self defeating aspects of their functioning. I adapt my treatment approach to the needs of each client and never forget to treat my clients with respect. When appropriate, I often use humor to address my clients issues. My office is in New London, but I see clients from all over Southeastern Connecticut, including employees from Pfizer, EB , L&M & ,of course, all others desiring psychological help.
(860) 717-3374 View (860) 717-3374
Photo of Sarah Welch Schwanfelder, LCSW, Clinical Social Work/Therapist
Sarah Welch Schwanfelder
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, CT 06443
"Relax as it is."-Pema Chodron. It's a beautifully simple phrase yet it requires two powerful features: letting go and acceptance. Our life shapes the stories we tell ourselves and so often these stories foster feelings of anxiety, sadness, frustration, anger and blame (of ourselves and of those close to us). The changes that life always bestow on us are often unwelcome triggers causing us to notice how these ways of thinking can negatively impact our overall well-being. By taking the opportunity to look at ourselves in an honest and gentle way we create new pathways to accept and let go.
"Relax as it is."-Pema Chodron. It's a beautifully simple phrase yet it requires two powerful features: letting go and acceptance. Our life shapes the stories we tell ourselves and so often these stories foster feelings of anxiety, sadness, frustration, anger and blame (of ourselves and of those close to us). The changes that life always bestow on us are often unwelcome triggers causing us to notice how these ways of thinking can negatively impact our overall well-being. By taking the opportunity to look at ourselves in an honest and gentle way we create new pathways to accept and let go.
(475) 221-2129 View (475) 221-2129
Photo of Erin Pfeifer-Andrin, LCSW, MSSW, Clinical Social Work/Therapist
Erin Pfeifer-Andrin
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
Madison, CT 06443
I'm eager to help you set goals and make the changes you would like to make in your life. I am an LCSW/psychotherapist with 20 yrs experience treating adult clients. My goal is to help you heal from or manage mood disorders, relationship or life circumstances, & evolve to your highest potential. I will guide you in learning skills to manage stress, anxiety & improve your life & relationships so you can be the best version of yourself. There's always hope. When you can't control what is happening, CBT can help you learn to control the way you think about and respond to what is happening.
I'm eager to help you set goals and make the changes you would like to make in your life. I am an LCSW/psychotherapist with 20 yrs experience treating adult clients. My goal is to help you heal from or manage mood disorders, relationship or life circumstances, & evolve to your highest potential. I will guide you in learning skills to manage stress, anxiety & improve your life & relationships so you can be the best version of yourself. There's always hope. When you can't control what is happening, CBT can help you learn to control the way you think about and respond to what is happening.
(475) 889-7365 View (475) 889-7365

How does your Therapist compare?

Number of Therapists in Madison, CT

100+

Average cost per session

$150

Therapists in Madison, CT who prioritize treating:

96% Anxiety
90% Depression
83% Relationship Issues
83% Self Esteem
76% Coping Skills
70% Life Transitions
69% Stress

Average years in practice

15 Years

Top 3 insurances accepted

59% Aetna
59% HUSKY Health
58% Anthem

How Therapists in Madison, CT see their clients

81% In Person and Online
19% Online Only

Gender breakdown

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

How can I find a therapist in Madison?

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.