Therapists in Somersworth, NH

Photo of Elissa Elliott, MS, LCMHC, Counselor
Elissa Elliott
Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Somersworth, NH 03878
Not accepting new clients
XX Not Accepting New Clients XX Are you ready to make change and work towards your goals? I work with adults who are seeking to create and act out a life worth living. This may come in the form of supporting how to develop the vision, as well as learning to validate and advocate for oneself, promoting healthy boundaries, and challenging outdated ideas of self, to creating concrete action plans to achieve goals. I enjoy working with folks ready to make change for themselves to support their vision for a better life.
XX Not Accepting New Clients XX Are you ready to make change and work towards your goals? I work with adults who are seeking to create and act out a life worth living. This may come in the form of supporting how to develop the vision, as well as learning to validate and advocate for oneself, promoting healthy boundaries, and challenging outdated ideas of self, to creating concrete action plans to achieve goals. I enjoy working with folks ready to make change for themselves to support their vision for a better life.
View
Photo of Caitlin M Miftari, MSW, LICSW, MLADC, LLC, Clinical Social Work/Therapist
Caitlin M Miftari
Clinical Social Work/Therapist, MSW, LICSW, MLADC, LLC
Verified Verified
2 Endorsed
Somersworth, NH 03878  (Online Only)
Not accepting new clients
I enjoy working with adult individuals and building a safe therapeutic environment for them to explore their strengths, barriers, and potential. I assist individuals to enhance their self-esteem, self-worth, and also validate their experiences. A common practice that I utilize is guiding individuals to identify, restructure, and replace unhealthy thought patterns and behaviors with healthy empowering ones. In addition, I work with individuals on building and positively engaging with a support network, which is crucial in the recovery process.
I enjoy working with adult individuals and building a safe therapeutic environment for them to explore their strengths, barriers, and potential. I assist individuals to enhance their self-esteem, self-worth, and also validate their experiences. A common practice that I utilize is guiding individuals to identify, restructure, and replace unhealthy thought patterns and behaviors with healthy empowering ones. In addition, I work with individuals on building and positively engaging with a support network, which is crucial in the recovery process.
(603) 592-5879 View (603) 592-5879
Photo of Veronica Ulery, LICSW, MLADC, Clinical Social Work/Therapist
Veronica Ulery
Clinical Social Work/Therapist, LICSW, MLADC
Verified Verified
1 Endorsed
Somersworth, NH 03878
**Very limited daytime openings, telehealth ONLY, only seeing adult individuals** Are you looking for help cause you are struggling with your mental health? I work to meet you where you're at with a focus on your personal goals. I value one's ability/right/journey to be themselves. Helping you become comfortable in the room is a strength of mine. Topics that I like to help with are depression, anxiety, relationship issues (romantic, family, friends, workplace, and money).
**Very limited daytime openings, telehealth ONLY, only seeing adult individuals** Are you looking for help cause you are struggling with your mental health? I work to meet you where you're at with a focus on your personal goals. I value one's ability/right/journey to be themselves. Helping you become comfortable in the room is a strength of mine. Topics that I like to help with are depression, anxiety, relationship issues (romantic, family, friends, workplace, and money).
(833) 446-0785 View (833) 446-0785
Photo of Carly O’Brien-Hart - Wise Mind Counseling, PLLC, LICSW, LCSW, Clinical Social Work/Therapist
Wise Mind Counseling, PLLC
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
4 Endorsed
Somersworth, NH 03878
As human beings and humans-doing we have all faced stressors. Whatever challenge you're facing right now, the important thing is to show up and do the next right thing even if it does not feel easy or good, which is probably what you're doing for yourself by just showing up to my page. I value vulnerability, compassion, and transparency in others, and I strive to bring these skills into my work with individuals from all walks of life. I enjoy working with 18+ individuals of all identities and experiences.
As human beings and humans-doing we have all faced stressors. Whatever challenge you're facing right now, the important thing is to show up and do the next right thing even if it does not feel easy or good, which is probably what you're doing for yourself by just showing up to my page. I value vulnerability, compassion, and transparency in others, and I strive to bring these skills into my work with individuals from all walks of life. I enjoy working with 18+ individuals of all identities and experiences.
(978) 352-0604 View (978) 352-0604
Photo of Daisy Cassidy, LICSW, Clinical Social Work/Therapist
Daisy Cassidy
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Somersworth, NH 03878
I believe that one of the most important things a therapist can do is offer a place where people feel accepted for exactly who they are. When people feel accepted they are more comfortable sharing their stories, working towards change, and accepting themselves. With the support of a therapist, it is possible to gain a better understanding of one’s self, improve relationships, effectively manage stress, see things from a different perspective, and replace what is not working with what might work better. Please visit my website at www.birchhavennh.com for more information.
I believe that one of the most important things a therapist can do is offer a place where people feel accepted for exactly who they are. When people feel accepted they are more comfortable sharing their stories, working towards change, and accepting themselves. With the support of a therapist, it is possible to gain a better understanding of one’s self, improve relationships, effectively manage stress, see things from a different perspective, and replace what is not working with what might work better. Please visit my website at www.birchhavennh.com for more information.
(978) 482-7571 View (978) 482-7571
Photo of Donna M. Fredette, MA, MLADC, Drug & Alcohol Counselor
Donna M. Fredette
Drug & Alcohol Counselor, MA, MLADC
Verified Verified
Somersworth, NH 03878  (Online Only)
Are you tired of the day to day struggle of using? Is everyone around you using and you don't know how to make it all stop? Do you just want your life back? Are you afraid today could be your last day and still that won't keep you from using? I meet you where you are, in a judgment free zone, where we can identify your internal and external triggers, emotions, thoughts and addictive behaviors. Together we will create an individual roadmap to recovery that will work for you! Christian or secular counseling available.
Are you tired of the day to day struggle of using? Is everyone around you using and you don't know how to make it all stop? Do you just want your life back? Are you afraid today could be your last day and still that won't keep you from using? I meet you where you are, in a judgment free zone, where we can identify your internal and external triggers, emotions, thoughts and addictive behaviors. Together we will create an individual roadmap to recovery that will work for you! Christian or secular counseling available.
(603) 263-9087 View (603) 263-9087
Photo of Dr. Marissa A. Mosley, PhD, LMFT, Marriage & Family Therapist
Dr. Marissa A. Mosley
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Somersworth, NH 03878
You may be here because you want to be able to adapt to a new transition, acknowledge and process difficult emotions, and engage in growth. Wherever you are in the process, I will meet you where you're at to help you get to where you want to be. Therapy asks that you be vulnerable, trusting, ready for change, and willing to do the work and I am honored to be considered as your therapist.
You may be here because you want to be able to adapt to a new transition, acknowledge and process difficult emotions, and engage in growth. Wherever you are in the process, I will meet you where you're at to help you get to where you want to be. Therapy asks that you be vulnerable, trusting, ready for change, and willing to do the work and I am honored to be considered as your therapist.
(603) 413-4959 View (603) 413-4959
Photo of Shawn Teal, MS, LCMHC, Counselor
Shawn Teal
Counselor, MS, LCMHC
Verified Verified
Somersworth, NH 03878
As a cognitive behavioral therapist with over 25 years experience in the mental health field, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
As a cognitive behavioral therapist with over 25 years experience in the mental health field, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(978) 716-2989 View (978) 716-2989
Photo of Anita Remig, EdD, Psychologist
Anita Remig
Psychologist, EdD
Verified Verified
Somersworth, NH 03878  (Online Only)
Waitlist for new clients
Psychotherapy supports personal growth and emotional strength; it helps people solve problems and it builds motivation to get life-work done. I meet each person at their unique place on life's journey to discover how they want to grow. I support and promote growth. My specialty is psychotherapy with all adults. I work with people who have depression, bipolar, anxiety, insomnia, ADHD, PTSD, Eating Disorders. I have skills helping those with emotional problems, family conflict and relationship stress. A trusting relationship with a psychologist can help you know yourself better, set goals and create change. No Advantage Plans.
Psychotherapy supports personal growth and emotional strength; it helps people solve problems and it builds motivation to get life-work done. I meet each person at their unique place on life's journey to discover how they want to grow. I support and promote growth. My specialty is psychotherapy with all adults. I work with people who have depression, bipolar, anxiety, insomnia, ADHD, PTSD, Eating Disorders. I have skills helping those with emotional problems, family conflict and relationship stress. A trusting relationship with a psychologist can help you know yourself better, set goals and create change. No Advantage Plans.
(603) 605-1249 View (603) 605-1249
Photo of John Eldredge - White Birch Recovery Services, LICSW, MLADC, Drug & Alcohol Counselor
White Birch Recovery Services
Drug & Alcohol Counselor, LICSW, MLADC
Verified Verified
Somersworth, NH 03878
I am honored to be able to provide clinical services to those suffering from Substance Use Disorders. My ideal in practice is to form a strong, collaborative, therapeutic relationship with my clients. My style is empathetic, compassionate, and direct. I believe that by exploring thoughts, emotions, and maladaptive behavior patterns, we can become more insightful and understanding of ourselves. Through this vulnerable process we are able to create life-long change that will increase self esteem and the ability to form close interpersonal relationships with those we care about.
I am honored to be able to provide clinical services to those suffering from Substance Use Disorders. My ideal in practice is to form a strong, collaborative, therapeutic relationship with my clients. My style is empathetic, compassionate, and direct. I believe that by exploring thoughts, emotions, and maladaptive behavior patterns, we can become more insightful and understanding of ourselves. Through this vulnerable process we are able to create life-long change that will increase self esteem and the ability to form close interpersonal relationships with those we care about.
(603) 369-4225 View (603) 369-4225
Photo of Annie Novak, MA, MLADC, LCMHC, Counselor
Annie Novak
Counselor, MA, MLADC, LCMHC
Verified Verified
2 Endorsed
Somersworth, NH 03878
Not accepting new clients
Are you in a difficult place, struggling with mental health and/or substance use issues? Are you confused about what to do next, or how to get out of the pattern? I am here to walk with you on this journey of discovery. I believe in people's ability to change and asking for help is a brave place to be. Through counseling we learn to live a full human experience - joy and sorrow, triumph and failure, grief and connection.
Are you in a difficult place, struggling with mental health and/or substance use issues? Are you confused about what to do next, or how to get out of the pattern? I am here to walk with you on this journey of discovery. I believe in people's ability to change and asking for help is a brave place to be. Through counseling we learn to live a full human experience - joy and sorrow, triumph and failure, grief and connection.
(603) 828-6750 View (603) 828-6750
Photo of Tracey Tucker - Tradeport Counseling and Mediation Associates, LCMHC, LICSW, LMFT, Counselor
Tradeport Counseling and Mediation Associates
Counselor, LCMHC, LICSW, LMFT
Verified Verified
Somersworth, NH 03878
Currently accepting new clients. The professionals at TCMA are committed to supporting individuals and families through difficult and challenging life moments. Our treatment philosophy is that people should receive only the services most appropriate to their specific needs, personal orientation and presenting problems. We employ only those counseling approaches that adhere to the highest standards of our profession and believe the counseling process is successful only when the work is done between both the counselor and the client.
Currently accepting new clients. The professionals at TCMA are committed to supporting individuals and families through difficult and challenging life moments. Our treatment philosophy is that people should receive only the services most appropriate to their specific needs, personal orientation and presenting problems. We employ only those counseling approaches that adhere to the highest standards of our profession and believe the counseling process is successful only when the work is done between both the counselor and the client.
(603) 634-9823 View (603) 634-9823
Photo of Jennifer Laferriere - Serenity Counseling PLLC, LCSW, LICSW, Clinical Social Work/Therapist
Serenity Counseling PLLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Somersworth, NH 03878  (Online Only)
At Serenity Counseling, I understand how overwhelming anxiety, depression, and grief can feel. These emotional challenges can interfere with your ability to enjoy life, manage daily responsibilities, or maintain meaningful relationships. Whether you're struggling with persistent worry, low mood, or the pain of loss, I am here to provide a compassionate space where you can explore these feelings and begin your healing journey. My approach to therapy is rooted in creating a safe, non-judgmental environment that allows you to express your true emotions and confront unhelpful thought patterns.
At Serenity Counseling, I understand how overwhelming anxiety, depression, and grief can feel. These emotional challenges can interfere with your ability to enjoy life, manage daily responsibilities, or maintain meaningful relationships. Whether you're struggling with persistent worry, low mood, or the pain of loss, I am here to provide a compassionate space where you can explore these feelings and begin your healing journey. My approach to therapy is rooted in creating a safe, non-judgmental environment that allows you to express your true emotions and confront unhelpful thought patterns.
(603) 828-2991 View (603) 828-2991
Photo of For Appointment - Alliance Mental Health & Youth Consult Svcs
Alliance Mental Health & Youth Consult Svcs
Verified Verified
Somersworth, NH 03878
AMH has immediate openings. We are a small group practice in Barrington, NH offering psychotherapy services. Our experienced therapists can help support you in making the changes you want in your life. We believe in a person-centered, strength-based approach to helping our clients, built on a foundation of a strong therapeutic relationship. Our therapists' wide range of experiences and specialties often enables us to find a way to help almost any client, or to have the knowledge to assist a client find the help they need if we can't.
AMH has immediate openings. We are a small group practice in Barrington, NH offering psychotherapy services. Our experienced therapists can help support you in making the changes you want in your life. We believe in a person-centered, strength-based approach to helping our clients, built on a foundation of a strong therapeutic relationship. Our therapists' wide range of experiences and specialties often enables us to find a way to help almost any client, or to have the knowledge to assist a client find the help they need if we can't.
(603) 343-2166 View (603) 343-2166
Photo of Molly Vaillincourt Certified Ifs Therapist, LICSW, Clinical Social Work/Therapist
Molly Vaillincourt Certified Ifs Therapist
Clinical Social Work/Therapist, LICSW
Verified Verified
Somersworth, NH 03878
Not accepting new clients
I struggled with depression, anxiety, and ADHD, suicide ideation. I’ve had a long journey of healing. As a counselor, I now use tools I’ve learned to help others. I will help you to stop distracting and avoiding yourself, as you strive to gain a deeper understanding of the “why’s” of your feelings and behaviors. As we work together, you’ll learn to work with yourself instead of against.
I struggled with depression, anxiety, and ADHD, suicide ideation. I’ve had a long journey of healing. As a counselor, I now use tools I’ve learned to help others. I will help you to stop distracting and avoiding yourself, as you strive to gain a deeper understanding of the “why’s” of your feelings and behaviors. As we work together, you’ll learn to work with yourself instead of against.
(603) 945-8390 View (603) 945-8390

More Therapists Nearby

Photo of Chad O'Brien, LICSW, Clinical Social Work/Therapist
Chad O'Brien
Clinical Social Work/Therapist, LICSW
Verified Verified
Dover, NH 03820  (Online Only)
Life can often be challenging. I am a psychotherapist with 17 years of experinece, specializing in guiding individuals through periods of significant life changes as well as offering marital and relationship therapy. Utilizing a compassionate and client-centered approach, my goal is to help people navigate personal transitions, improve communication, and resolve conflicts in their relationships. Sessions are conducted through convenient telehealth platforms, allowing for flexible and accessible care. I am best reached via email for inquiries and appointments.
Life can often be challenging. I am a psychotherapist with 17 years of experinece, specializing in guiding individuals through periods of significant life changes as well as offering marital and relationship therapy. Utilizing a compassionate and client-centered approach, my goal is to help people navigate personal transitions, improve communication, and resolve conflicts in their relationships. Sessions are conducted through convenient telehealth platforms, allowing for flexible and accessible care. I am best reached via email for inquiries and appointments.
(844) 548-7584 View (844) 548-7584
Photo of Pilar Van Patten, LMFT, Marriage & Family Therapist
Pilar Van Patten
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Dover, NH 03820
Finding the right therapist is fundamental to the therapy process. I've been working with individuals and families for over 15 years and I love deeply connecting with clients and supporting them through their journey to wellness and clarity. I believe forming a strong bond with a client using compassion, empathy, and humor, will help them feel more comfortable to open up and explore their emotional barriers to living their most fulfilled life. I use a strengths based and holistic approach to wellness.
Finding the right therapist is fundamental to the therapy process. I've been working with individuals and families for over 15 years and I love deeply connecting with clients and supporting them through their journey to wellness and clarity. I believe forming a strong bond with a client using compassion, empathy, and humor, will help them feel more comfortable to open up and explore their emotional barriers to living their most fulfilled life. I use a strengths based and holistic approach to wellness.
(866) 954-5482 View (866) 954-5482
Photo of Natalie Sagartz, CMHC, R-DMT, Pre-Licensed Professional
Natalie Sagartz
Pre-Licensed Professional, CMHC, R-DMT
Verified Verified
1 Endorsed
Dover, NH 03820
I'm Natalie, a Mental Health Counselor and Dance/Movement Therapist. That means in addition to treating a wide range of mental health challenges, I am also trained to work through a mind/body framework. I work with older teens (16+) and adults on a range of challenges including depression, anxiety, trauma, grief, and life transitions.
I'm Natalie, a Mental Health Counselor and Dance/Movement Therapist. That means in addition to treating a wide range of mental health challenges, I am also trained to work through a mind/body framework. I work with older teens (16+) and adults on a range of challenges including depression, anxiety, trauma, grief, and life transitions.
(855) 917-4714 View (855) 917-4714
Photo of Jennifer Schirmer, LCMHC, NCC, CCTP, Counselor
Jennifer Schirmer
Counselor, LCMHC, NCC, CCTP
Verified Verified
Dover, NH 03820
Perhaps you’re down or anxious. Maybe you’re unsure about the future of a relationship or you feel as though you aren’t living the life you were meant to lead. Perhaps you’re thinking that something is getting in the way of your ability to function at work or other environments that are important to you. Life can be challenging – whether the challenges are sudden and unexpected or build up over the course of years. In sessions I promote behavioral transformation through collaborative efforts and solution-focused interventions to help you get back on track, identify and achieve your goals, and reach your greatest potential.
Perhaps you’re down or anxious. Maybe you’re unsure about the future of a relationship or you feel as though you aren’t living the life you were meant to lead. Perhaps you’re thinking that something is getting in the way of your ability to function at work or other environments that are important to you. Life can be challenging – whether the challenges are sudden and unexpected or build up over the course of years. In sessions I promote behavioral transformation through collaborative efforts and solution-focused interventions to help you get back on track, identify and achieve your goals, and reach your greatest potential.
(603) 605-8885 View (603) 605-8885
Photo of Lauren Hussar - Lauren Hussar, PsyD, PsyD, Psychologist
Lauren Hussar, PsyD
Psychologist, PsyD
Verified Verified
1 Endorsed
Dover, NH 03820  (Online Only)
You're likely sifting through therapist profiles because you feel lost, hopeless, or stuck – wanting to make a change or feel different, but not sure about how to do that, where to start, or if the kind of change you quietly wish for is possible. Maybe you are isolated and want someone to help you through an unexpected situation, or perhaps you've got a lot of support already, but want the perspective of someone who's separate from your life. It takes a lot of strength to honestly acknowledge your struggles and decide to turn inward to find a way out of them. I am honored to walk with you at whatever point you're at on this journey.
You're likely sifting through therapist profiles because you feel lost, hopeless, or stuck – wanting to make a change or feel different, but not sure about how to do that, where to start, or if the kind of change you quietly wish for is possible. Maybe you are isolated and want someone to help you through an unexpected situation, or perhaps you've got a lot of support already, but want the perspective of someone who's separate from your life. It takes a lot of strength to honestly acknowledge your struggles and decide to turn inward to find a way out of them. I am honored to walk with you at whatever point you're at on this journey.
(708) 928-8557 View (708) 928-8557

See more therapy options for Somersworth

How does your Therapist compare?

Number of Therapists in Somersworth, NH

10+

Average cost per session

$150

Therapists in Somersworth, NH who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
93% Relationship Issues
87% Stress
80% Trauma and PTSD
80% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
79% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Somersworth, NH see their clients

74% In Person and Online
26% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Somersworth?

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.