Therapists in Hamden, CT

Photo of Marielle Daddona, LCSW, Clinical Social Work/Therapist
Marielle Daddona
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hamden, CT 06514  (Online Only)
It is very easy to be overwhelmed by stressors when you do not have the tools to manage them. Many people never had the opportunity to learn how to understand their emotions, manage distressing situations or communicate their needs to others. Without the necessary tools even a small task can feel almost impossible. My goal is to provide you with a safe and non-judgemental environment where we can work together to help you gain the tools and confidence you need to navigate your life more effectively.
It is very easy to be overwhelmed by stressors when you do not have the tools to manage them. Many people never had the opportunity to learn how to understand their emotions, manage distressing situations or communicate their needs to others. Without the necessary tools even a small task can feel almost impossible. My goal is to provide you with a safe and non-judgemental environment where we can work together to help you gain the tools and confidence you need to navigate your life more effectively.
(475) 231-4364 View (475) 231-4364
Photo of Alisa Lovato D'Andrea, LMFT, Marriage & Family Therapist
Alisa Lovato D'Andrea
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Hamden, CT 06517
Welcome! I'm committed to providing you with support that is both empathetic and empowering. I work with adults, couples, parents and families. Life can be challenging and sometimes we need additional support to help us reach our potential. I practice through a systemic lens, exploring individual behaviors through the context of the family. My goal is to support you in processing your thoughts and feelings by creating a safe and and non-judgmental space in which you can grow and heal. I have experience working with a variety of issues including depression, anxiety, grief, ADHD, family issues and anger.
Welcome! I'm committed to providing you with support that is both empathetic and empowering. I work with adults, couples, parents and families. Life can be challenging and sometimes we need additional support to help us reach our potential. I practice through a systemic lens, exploring individual behaviors through the context of the family. My goal is to support you in processing your thoughts and feelings by creating a safe and and non-judgmental space in which you can grow and heal. I have experience working with a variety of issues including depression, anxiety, grief, ADHD, family issues and anger.
(475) 473-8765 View (475) 473-8765
Photo of Therese Baumgart - Hypnosis E.f.t., CH, EFT, BA
Therese Baumgart - Hypnosis E.f.t.
CH, EFT, BA
Verified Verified
Hamden, CT 06518
If you feel stressed, worried, overwhelmed, or negative, I can assist you to access clarity, confidence, and peace of mind & heart. If you are overweight, I can assist you in feeling comfortable and safe in your body at the weight that works for you. If you are in pain, I can guide you to release the contributing emotions and experience peace & comfort in your body. If you smoke and want to quit, I can help you. My methods harmonize conscious and subconscious mind so that your actions are congruent with your goals. Finally enjoy freedom from self-sabotage and conflicted feelings! SE HABLA ESPAÑOL.
If you feel stressed, worried, overwhelmed, or negative, I can assist you to access clarity, confidence, and peace of mind & heart. If you are overweight, I can assist you in feeling comfortable and safe in your body at the weight that works for you. If you are in pain, I can guide you to release the contributing emotions and experience peace & comfort in your body. If you smoke and want to quit, I can help you. My methods harmonize conscious and subconscious mind so that your actions are congruent with your goals. Finally enjoy freedom from self-sabotage and conflicted feelings! SE HABLA ESPAÑOL.
(203) 884-0793 View (203) 884-0793
Photo of Justin Gregory Scott - The Center for Pediatric and Family Growth, PhD, BCBA
The Center for Pediatric and Family Growth
PhD, BCBA
Verified Verified
Hamden, CT 06518
We are a full-service agency for families impacted by Autism, Disability, and relational challenges. We provide Applied Behavior Analysis services, Talk Therapy, as well as parental support and services. With over 15 years of experience, our staff can help you move beyond the challenges and stigmas of disability. We are welcoming, non-judgemental, and look to provide individual treatment and growth opportunities for all!
We are a full-service agency for families impacted by Autism, Disability, and relational challenges. We provide Applied Behavior Analysis services, Talk Therapy, as well as parental support and services. With over 15 years of experience, our staff can help you move beyond the challenges and stigmas of disability. We are welcoming, non-judgemental, and look to provide individual treatment and growth opportunities for all!
(475) 348-8312 View (475) 348-8312
Photo of Michelle A Collins-Greene, PhD, ABPP, CGP, AGPA-F, Psychologist
Michelle A Collins-Greene
Psychologist, PhD, ABPP, CGP, AGPA-F
Verified Verified
Hamden, CT 06517
Waitlist for new clients
I have openings for group psychotherapy. It includes 2 sessions of individual intakes before joining a group. I have been in private practice for 35 years treating a wide range of personal and emotional issues for professionals, artists, creative individuals, young adult women, mothers, career women, men in relationships, teenagers in stressful family relationships, parents wanting to improve parent-child relationships of all ages, and couples. I am a Certified Group therapist and Board certified in Group Psychotherapy. I have an ongoing Women's Group in the evening.
I have openings for group psychotherapy. It includes 2 sessions of individual intakes before joining a group. I have been in private practice for 35 years treating a wide range of personal and emotional issues for professionals, artists, creative individuals, young adult women, mothers, career women, men in relationships, teenagers in stressful family relationships, parents wanting to improve parent-child relationships of all ages, and couples. I am a Certified Group therapist and Board certified in Group Psychotherapy. I have an ongoing Women's Group in the evening.
(203) 405-5511 View (203) 405-5511
Photo of Sheila Hughes, MS , LPC-A, Licensed Professional Counselor
Sheila Hughes
Licensed Professional Counselor, MS , LPC-A
Verified Verified
Hamden, CT 06518
I provide a person-centered humanistic counseling approach that creates a safe place for clients to discuss their concerns such as anxiety, depression, grief, mood instability, and trauma. We would explore your thoughts, beliefs, emotional reactions, and family dynamics and collaborate to develop attainable goals that improve all areas of your life. This involves empowering you through self-awareness using Cognitive Behavioral Therapy, Schema Therapy, Family Systems and other effective therapy approaches.
I provide a person-centered humanistic counseling approach that creates a safe place for clients to discuss their concerns such as anxiety, depression, grief, mood instability, and trauma. We would explore your thoughts, beliefs, emotional reactions, and family dynamics and collaborate to develop attainable goals that improve all areas of your life. This involves empowering you through self-awareness using Cognitive Behavioral Therapy, Schema Therapy, Family Systems and other effective therapy approaches.
(203) 296-3731 View (203) 296-3731
Photo of Shayna T Sanders, LMFT, Marriage & Family Therapist
Shayna T Sanders
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Hamden, CT 06514  (Online Only)
Congratulations! You have taken the first step to sort out the confusion, chaos, frustration and uncertainty about your life and future. I am a Licensed Marriage and Family Therapist with over 15 years of experience helping courageous individuals like yourself reach their goals. I am eager to help you to gain clarity, increase your self-confidence and self-esteem as you address the challenges and barriers that may prevent you from being the best version of yourself.
Congratulations! You have taken the first step to sort out the confusion, chaos, frustration and uncertainty about your life and future. I am a Licensed Marriage and Family Therapist with over 15 years of experience helping courageous individuals like yourself reach their goals. I am eager to help you to gain clarity, increase your self-confidence and self-esteem as you address the challenges and barriers that may prevent you from being the best version of yourself.
(860) 786-1245 View (860) 786-1245
Photo of Ashley Hitchcock, MA, LADC, Drug & Alcohol Counselor
Ashley Hitchcock
Drug & Alcohol Counselor, MA, LADC
Verified Verified
Hamden, CT 06518
Hello and my sincerest compliments to you for taking the initiative to explore your options for a helping professional today! If you are searching for understanding and non-judgmental support in your journey toward wellness and change, I would love to join you. I am currently offering telehealth, in office, and in home sessions. I can be reached by clicking the links above or by calling me directly at 203-651-9539.
Hello and my sincerest compliments to you for taking the initiative to explore your options for a helping professional today! If you are searching for understanding and non-judgmental support in your journey toward wellness and change, I would love to join you. I am currently offering telehealth, in office, and in home sessions. I can be reached by clicking the links above or by calling me directly at 203-651-9539.
(203) 528-0994 View (203) 528-0994
Photo of Alexandra Marvel Miranda-Castillo, LMFT, Marriage & Family Therapist
Alexandra Marvel Miranda-Castillo
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Hamden, CT 06518
Update: Only accepting new couples and family cases for Charisma Muir and David Benya. - When you hear the word "therapist," what comes to mind? The typical therapist image might feel a bit outdated for today, and you might wonder if they really get what you’re going through. With me, therapy is compassionate, authentic, and realistic. I have faith that you are strong enough to explore into those neglected parts of you and allow them to be seen and held. As a relational and systemic therapist, we will work as a team to understand your place in the world and write a life story that taps into your power and potential.
Update: Only accepting new couples and family cases for Charisma Muir and David Benya. - When you hear the word "therapist," what comes to mind? The typical therapist image might feel a bit outdated for today, and you might wonder if they really get what you’re going through. With me, therapy is compassionate, authentic, and realistic. I have faith that you are strong enough to explore into those neglected parts of you and allow them to be seen and held. As a relational and systemic therapist, we will work as a team to understand your place in the world and write a life story that taps into your power and potential.
(203) 872-5452 View (203) 872-5452
Photo of Les R Greene, PhD, Psychologist
Les R Greene
Psychologist, PhD
Verified Verified
Hamden, CT 06517
As a Yale-educated and Yale-affiliated psychologist, I have been practicing psychotherapy for over forty years. My therapeutic aim is to help individuals and couples understand and resolve the conflicts and tensions from which they suffer. In addition to my private practice, I supervise Yale psychiatry residents and psychology trainees, as well as consult to several community mental health agencies. I have recently served as Editor of a prominent journal on mental health and psychotherapy and as President of an international psychotherapy association.
As a Yale-educated and Yale-affiliated psychologist, I have been practicing psychotherapy for over forty years. My therapeutic aim is to help individuals and couples understand and resolve the conflicts and tensions from which they suffer. In addition to my private practice, I supervise Yale psychiatry residents and psychology trainees, as well as consult to several community mental health agencies. I have recently served as Editor of a prominent journal on mental health and psychotherapy and as President of an international psychotherapy association.
(203) 562-9214 View (203) 562-9214
Photo of Natasha Barclay, Clinical Social Work/Therapist
Natasha Barclay
Clinical Social Work/Therapist
Verified Verified
Hamden, CT 06518
Waitlist for new clients
With 8+ years experience in the field, I specialize in children & families, couples counseling, anxiety, depression, ADHD, as well as addiction. I utilize an empathetic, humanistic approach with evidenced-based interventions. I can describe my approach to therapy as one that is collaborative, eclectic, and individualized to the needs of my patients. I believe that the therapeutic alliance accounts for a large percentage of positive clinical outcomes, and building a safe as well as trusting relationship with my patients is a primary aim of my work.
With 8+ years experience in the field, I specialize in children & families, couples counseling, anxiety, depression, ADHD, as well as addiction. I utilize an empathetic, humanistic approach with evidenced-based interventions. I can describe my approach to therapy as one that is collaborative, eclectic, and individualized to the needs of my patients. I believe that the therapeutic alliance accounts for a large percentage of positive clinical outcomes, and building a safe as well as trusting relationship with my patients is a primary aim of my work.
(203) 990-1212 View (203) 990-1212
Photo of Celina Gomes - Calm Guidance Therapy LLC, LCSW, Clinical Social Work/Therapist
Calm Guidance Therapy LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hamden, CT 06518  (Online Only)
Life is hard, plain and simple! Life is even more difficult when you face those challenges alone. My goal is to provide a safe environment for you to explore past concerns, current challenges, and future directions. Together, we will work on helping you realize that you have the resiliency and ability to overcome negative thoughts, problematic behavioral patterns, and emotional blocks.
Life is hard, plain and simple! Life is even more difficult when you face those challenges alone. My goal is to provide a safe environment for you to explore past concerns, current challenges, and future directions. Together, we will work on helping you realize that you have the resiliency and ability to overcome negative thoughts, problematic behavioral patterns, and emotional blocks.
(203) 894-6582 View (203) 894-6582
Photo of LaTasha Smith, PhD, LCSW, CGP, Clinical Social Work/Therapist
LaTasha Smith
Clinical Social Work/Therapist, PhD, LCSW, CGP
Verified Verified
Hamden, CT 06518
Do you seem to have it all together on the outside but feel inadequate on the inside? Have you ever thought that “if people only knew” the “real” you that they’d be shocked? Do you ever feel like an imposter and like it’s only a matter of time until people find out you really are not as —-(fill in the blank). Are you keeping it together on the outside but wish that people knew how you really felt? Do you have a “secret” struggle that feels impossible to talk about (eating concerns, an affair, drinking too much, or something else that feels shameful)? Maybe you’re not sure what the issue is but you know something doesn’t feel right.
Do you seem to have it all together on the outside but feel inadequate on the inside? Have you ever thought that “if people only knew” the “real” you that they’d be shocked? Do you ever feel like an imposter and like it’s only a matter of time until people find out you really are not as —-(fill in the blank). Are you keeping it together on the outside but wish that people knew how you really felt? Do you have a “secret” struggle that feels impossible to talk about (eating concerns, an affair, drinking too much, or something else that feels shameful)? Maybe you’re not sure what the issue is but you know something doesn’t feel right.
(475) 258-7176 View (475) 258-7176
Photo of Steven G Simon - Steven G. Simon, LCSW, LLC, LCSW, Clinical Social Work/Therapist
Steven G. Simon, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Hamden, CT 06518
As eclectic therapists, we like to work collaboratively with clients to support positve change and growth. We draw upon cognitive-behavioral, systemic, strengths-perspective and psychodynamic theories of treatment to meet each client's needs. New coping tools, including rational challenges to negative thinking, are essential elements in the treatment process.
As eclectic therapists, we like to work collaboratively with clients to support positve change and growth. We draw upon cognitive-behavioral, systemic, strengths-perspective and psychodynamic theories of treatment to meet each client's needs. New coping tools, including rational challenges to negative thinking, are essential elements in the treatment process.
(203) 350-3991 View (203) 350-3991
Photo of Tara Brierley, LCSW, Clinical Social Work/Therapist
Tara Brierley
Clinical Social Work/Therapist, LCSW
Verified Verified
Hamden, CT 06514
Seeking support can be challenging for a variety of reasons. Whatever those challenges may be, I will work to support you on your path towards healing. In my practice, I provide compassionate, open-minded therapy while working collaboratively with each client to achieve their treatment goals. I actively listen to all my clients while also providing plenty of specific feedback, skills coaching, and support. Together, we will work to help you heal from life’s challenges and stressors, develop tools for what may come your way, and experience the life you want to live.
Seeking support can be challenging for a variety of reasons. Whatever those challenges may be, I will work to support you on your path towards healing. In my practice, I provide compassionate, open-minded therapy while working collaboratively with each client to achieve their treatment goals. I actively listen to all my clients while also providing plenty of specific feedback, skills coaching, and support. Together, we will work to help you heal from life’s challenges and stressors, develop tools for what may come your way, and experience the life you want to live.
(475) 231-4295 View (475) 231-4295
Photo of Robin K Katzman, MA, LPC, CT, NCC, Licensed Professional Counselor
Robin K Katzman
Licensed Professional Counselor, MA, LPC, CT, NCC
Verified Verified
Hamden, CT 06518
Not accepting new clients
I operate from an Adlerian/Person-Centered philosophy which emphasizes an individual's exploration into identifying, exploring, and disclosing mistaken goals and faulty assumptions within the style of living. I strive toward the reeducation of a client to work toward their useful side of life. I employ my diverse training and integrate various therapeutic interventions that will generate optimum results for the individual or group presenting their concerns.
I operate from an Adlerian/Person-Centered philosophy which emphasizes an individual's exploration into identifying, exploring, and disclosing mistaken goals and faulty assumptions within the style of living. I strive toward the reeducation of a client to work toward their useful side of life. I employ my diverse training and integrate various therapeutic interventions that will generate optimum results for the individual or group presenting their concerns.
(203) 349-8760 View (203) 349-8760
Photo of Marcie Dimenstein, LCSW, Clinical Social Work/Therapist
Marcie Dimenstein
Clinical Social Work/Therapist, LCSW
Verified Verified
Hamden, CT 06518
As we age we have many challenges and transitions which affect us - some positive and some negative. What we do with these transitions are the key to finding joy in our life. Most of the time we are completely capable of navigating these stressors with our own personal resources. Sometimes a little extra support is required: whether it is obtaining insight, learning new behaviors or just having a skilled listener. My various skills learned over thirty years can do that. I can provide the support and skills that are needed.
As we age we have many challenges and transitions which affect us - some positive and some negative. What we do with these transitions are the key to finding joy in our life. Most of the time we are completely capable of navigating these stressors with our own personal resources. Sometimes a little extra support is required: whether it is obtaining insight, learning new behaviors or just having a skilled listener. My various skills learned over thirty years can do that. I can provide the support and skills that are needed.
(203) 710-0500 View (203) 710-0500
Photo of Carolyn Rende - Greater New Haven Counseling and Family Therapy, Psychologist
Greater New Haven Counseling and Family Therapy
Psychologist
Verified Verified
Hamden, CT 06517
We serve children, adolescents, individuals, couples, and families. Whether they are just starting out in life, or well established, our clients want more from life. More happiness, more love, more freedom to be the best person they can be. We help our clients accomplish this by changing unwanted behaviors and healing painful emotions from life's unexpected crises, or wounds from the past. Our psychotherapy is strength-based, solution-focused and psychodynamic.
We serve children, adolescents, individuals, couples, and families. Whether they are just starting out in life, or well established, our clients want more from life. More happiness, more love, more freedom to be the best person they can be. We help our clients accomplish this by changing unwanted behaviors and healing painful emotions from life's unexpected crises, or wounds from the past. Our psychotherapy is strength-based, solution-focused and psychodynamic.
(203) 580-6445 View (203) 580-6445
Photo of Jeroy M Smith - Strategy Counseling & Coaching LLC, MS, LPC, NBCC, Licensed Professional Counselor
Strategy Counseling & Coaching LLC
Licensed Professional Counselor, MS, LPC, NBCC
Verified Verified
Hamden, CT 06517
First and foremost, thank you for taking such a brave step as we understand that vulnerability is not easy. I commend you. Now, why are you ACTUALLY here? Often a question thought but rarely asked. Even more so, the answer is rarely discovered. Therapy is derived from the meaning "to heal". As we understand, healing looks different to everyone. Therefore on your journey, it is important to Uncover, Recover and/or Discover those parts of your wonderful self that may be lost or damaged do to actions or beliefs of others or yourself.
First and foremost, thank you for taking such a brave step as we understand that vulnerability is not easy. I commend you. Now, why are you ACTUALLY here? Often a question thought but rarely asked. Even more so, the answer is rarely discovered. Therapy is derived from the meaning "to heal". As we understand, healing looks different to everyone. Therefore on your journey, it is important to Uncover, Recover and/or Discover those parts of your wonderful self that may be lost or damaged do to actions or beliefs of others or yourself.
(203) 884-7219 View (203) 884-7219
Photo of Matt Brennan, DSW, LCSW, Clinical Social Work/Therapist
Matt Brennan
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Hamden, CT 06517
Waitlist for new clients
The magic of therapy is about crafting a stronger sense of who you are on the inside, while building sturdier bridges to satisfying work and relationships on the outside. Some clients work with me because of a short-term problem they want to improve. Others want time to slow down and sort out their hurts, dreams, and needs, and to make bigger decisions about how they want to live. In both cases, therapy is an opportunity to reclaim your life and grow forward. My goal is to support your courage in being continually more your own self while living effectively in the world.
The magic of therapy is about crafting a stronger sense of who you are on the inside, while building sturdier bridges to satisfying work and relationships on the outside. Some clients work with me because of a short-term problem they want to improve. Others want time to slow down and sort out their hurts, dreams, and needs, and to make bigger decisions about how they want to live. In both cases, therapy is an opportunity to reclaim your life and grow forward. My goal is to support your courage in being continually more your own self while living effectively in the world.
(203) 902-5337 View (203) 902-5337
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How does your Therapist compare?

Number of Therapists in Hamden, CT

200+

Average cost per session

$150

Therapists in Hamden, CT who prioritize treating:

91% Anxiety
85% Depression
80% Relationship Issues
72% Coping Skills
72% Self Esteem
67% Trauma and PTSD
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

73% Aetna
73% Cigna and Evernorth
71% HUSKY Health

How Therapists in Hamden, CT see their clients

75% In Person and Online
25% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Hamden?

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.