Therapists in Canandaigua, NY

Photo of Sheila Marie (Newcomb) Albers, LCSW-R, ACSW, Clinical Social Work/Therapist
Sheila Marie (Newcomb) Albers
Clinical Social Work/Therapist, LCSW-R, ACSW
Verified Verified
Canandaigua, NY 14424  (Online Only)
Not accepting new clients
I have been doing therapy for 40 years. My client age range is generally 18 and over. Working with mindfulness meditation and cognitive therapy is important. Also, I bring aspects of the physical, mental, emotional and spiritual into my work with clients - for a holistic approach - treating the whole person. My practice was located in Geneva, NY from 1989 until 2016. In 2016, I decided to change my office location closer to my home area of Canandaigua.
I have been doing therapy for 40 years. My client age range is generally 18 and over. Working with mindfulness meditation and cognitive therapy is important. Also, I bring aspects of the physical, mental, emotional and spiritual into my work with clients - for a holistic approach - treating the whole person. My practice was located in Geneva, NY from 1989 until 2016. In 2016, I decided to change my office location closer to my home area of Canandaigua.
(315) 889-1937 View (315) 889-1937
Photo of Denise Leonard, LMFT, MS, BS, Marriage & Family Therapist
Denise Leonard
Marriage & Family Therapist, LMFT, MS, BS
Verified Verified
Canandaigua, NY 14424
Waitlist for new clients
If you are unfamiliar with marriage and family therapy, be assured that you don't have to be married or bring your family to therapy! Marriage and family therapists help individuals, couples, & families to view things from a systemic approach. This means how family behaviors, including our extended family, community, and other meaningful relationships, influence mental health. My experience includes assisting individuals, couples, and families suffering from trauma, sexual abuse, child and adult ADHD, depression, anxiety, relationship issues, and supporting LGBTQIA+ youth and adults.
If you are unfamiliar with marriage and family therapy, be assured that you don't have to be married or bring your family to therapy! Marriage and family therapists help individuals, couples, & families to view things from a systemic approach. This means how family behaviors, including our extended family, community, and other meaningful relationships, influence mental health. My experience includes assisting individuals, couples, and families suffering from trauma, sexual abuse, child and adult ADHD, depression, anxiety, relationship issues, and supporting LGBTQIA+ youth and adults.
(585) 440-7010 View (585) 440-7010
Photo of Elizabeth Jeffery, LCSW, Clinical Social Work/Therapist
Elizabeth Jeffery
Clinical Social Work/Therapist, LCSW
Verified Verified
Canandaigua, NY 14424  (Online Only)
Do you feel overwhelmed by life’s challenges? Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the person you are.
Do you feel overwhelmed by life’s challenges? Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the person you are.
(585) 597-7219 View (585) 597-7219
Photo of Jamie Ann Buttaccio, LMHC, Counselor
Jamie Ann Buttaccio
Counselor, LMHC
Verified Verified
2 Endorsed
Canandaigua, NY 14424
Hello and welcome! I would like to invite you to tell me about your journey. Together, we will identify, understand, and address the areas that are causing you difficulty in your life. We will work as a team to establish supports, resources and skills that will assist you in reaching your personal goals and increase the joy in your life. I enjoy my work with both adolescents and adults providing a supportive environment for you to explore your concerns and enhance your emotional wellness.
Hello and welcome! I would like to invite you to tell me about your journey. Together, we will identify, understand, and address the areas that are causing you difficulty in your life. We will work as a team to establish supports, resources and skills that will assist you in reaching your personal goals and increase the joy in your life. I enjoy my work with both adolescents and adults providing a supportive environment for you to explore your concerns and enhance your emotional wellness.
(585) 670-6279 View (585) 670-6279
Photo of Paige Gayle Blazak, LMHC, CASAC, NCC, Counselor
Paige Gayle Blazak
Counselor, LMHC, CASAC, NCC
Verified Verified
Canandaigua, NY 14424  (Online Only)
Whether you're struggling with a particular issue, or just can't shake the feeling that there should be more to life, counseling can help. Blazak Counseling provides a caring environment in which you can identify and explore those issues that may be getting in the way of a more rewarding home life, career, or relationship. My goal is to help provide you with the insights and coping strategies you need for growth and happiness. Through a combination of therapeutic techniques, I will help you create the best quality of life possible.
Whether you're struggling with a particular issue, or just can't shake the feeling that there should be more to life, counseling can help. Blazak Counseling provides a caring environment in which you can identify and explore those issues that may be getting in the way of a more rewarding home life, career, or relationship. My goal is to help provide you with the insights and coping strategies you need for growth and happiness. Through a combination of therapeutic techniques, I will help you create the best quality of life possible.
(585) 378-5751 View (585) 378-5751
The TurnAround Community, Inc
BA, CRPA
Verified Verified
Canandaigua, NY 14424
Hi! I'm Erin Pownall Burns, a licensed social worker passionate about empowering individuals to discover their inner strength and healing potential. With a holistic approach, I integrate evidence-based therapies including Internal Family Systems (IFS), Motivational Interviewing, Somatic excersizes, and Reiki to facilitate transformative change.
Hi! I'm Erin Pownall Burns, a licensed social worker passionate about empowering individuals to discover their inner strength and healing potential. With a holistic approach, I integrate evidence-based therapies including Internal Family Systems (IFS), Motivational Interviewing, Somatic excersizes, and Reiki to facilitate transformative change.
(585) 318-8520 View (585) 318-8520
Photo of Mercy R Austen, LCSW, Clinical Social Work/Therapist
Mercy R Austen
Clinical Social Work/Therapist, LCSW
Verified Verified
Canandaigua, NY 14424  (Online Only)
I am licensed in NYS & IN. I have dedicated 17 years of my career to working w/individuals who are experiencing life concerns; relationship issues, career, living situations. I specialize in supporting people managing health concerns; Reproductive, cancers, geriatric, caregiver, diabetes, cancer, heart, respiratory. Additionally, developmental (MS, MD) & acquired (head, spinal cord). I focus on helping individuals and their caregivers manage anxiety, depression & other mental health concerns which are triggered/caused by health concerns. I enjoy working w/people of faith or philosophy & those searching.
I am licensed in NYS & IN. I have dedicated 17 years of my career to working w/individuals who are experiencing life concerns; relationship issues, career, living situations. I specialize in supporting people managing health concerns; Reproductive, cancers, geriatric, caregiver, diabetes, cancer, heart, respiratory. Additionally, developmental (MS, MD) & acquired (head, spinal cord). I focus on helping individuals and their caregivers manage anxiety, depression & other mental health concerns which are triggered/caused by health concerns. I enjoy working w/people of faith or philosophy & those searching.
(585) 476-3523 View (585) 476-3523
Photo of Christa M Coffey, LMHC, Counselor
Christa M Coffey
Counselor, LMHC
Verified Verified
1 Endorsed
Canandaigua, NY 14424
My primary focus is to meet you where you are on your journey and sit with you as we explore your story and sort through the experiences that brought you here. I will support you as we process the stuff keeping you feeling stuck. My therapeutic approach is integrated as I tailor it to each individual based on your needs. I strive to ensure you will always feel heard and understood. I provide a safe, open and nonjudgmental atmosphere where we can work together to resolve your personal challenges and attain your goals.
My primary focus is to meet you where you are on your journey and sit with you as we explore your story and sort through the experiences that brought you here. I will support you as we process the stuff keeping you feeling stuck. My therapeutic approach is integrated as I tailor it to each individual based on your needs. I strive to ensure you will always feel heard and understood. I provide a safe, open and nonjudgmental atmosphere where we can work together to resolve your personal challenges and attain your goals.
(585) 412-6440 View (585) 412-6440
Photo of Kim Mossbrook, CCEP, MEd, BS
Kim Mossbrook
CCEP, MEd, BS
Verified Verified
Canandaigua, NY 14424
Core Energetics is a dynamic system for personal growth, healing, and transformation. Together we work to unblock your innate life force through the use of movement, breath, voice, and other techniques. You gain greater understanding of what makes you tick. This understanding opens up more choices about what you create in your life. When your energy is blocked, your body and personality suffer. When your energy is flowing, long standing patterns shift. You have more clarity, purpose, pleasure.
Core Energetics is a dynamic system for personal growth, healing, and transformation. Together we work to unblock your innate life force through the use of movement, breath, voice, and other techniques. You gain greater understanding of what makes you tick. This understanding opens up more choices about what you create in your life. When your energy is blocked, your body and personality suffer. When your energy is flowing, long standing patterns shift. You have more clarity, purpose, pleasure.
(585) 412-2599 View (585) 412-2599
Photo of Deborah A Lynch, LCSW, Clinical Social Work/Therapist
Deborah A Lynch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Canandaigua, NY 14424  (Online Only)
I understand that life is stressful and that it is easy to feel overwhelmed by its demands. In my practice, I offer a warm, caring, and safe place to address a wide range of challenging issues and experiences. I can help you to identify your own strengths, values, and goals, so that you can live a more fulfilling life.
I understand that life is stressful and that it is easy to feel overwhelmed by its demands. In my practice, I offer a warm, caring, and safe place to address a wide range of challenging issues and experiences. I can help you to identify your own strengths, values, and goals, so that you can live a more fulfilling life.
(585) 634-2702 View (585) 634-2702
Photo of Richard Hamling, DLitt, LMHC, DCMHS, Counselor
Richard Hamling
Counselor, DLitt, LMHC, DCMHS
Verified Verified
Canandaigua, NY 14424
Life can seem unfair or painfully lacking in richness, hindering our full potential. Therapy with me is very much growth oriented, forward moving, a collaborative process within a supportive environment. Personal needs and goals are integrated with awareness, enhanced self-worth, depth and clarity.
Life can seem unfair or painfully lacking in richness, hindering our full potential. Therapy with me is very much growth oriented, forward moving, a collaborative process within a supportive environment. Personal needs and goals are integrated with awareness, enhanced self-worth, depth and clarity.
(585) 566-1916 View (585) 566-1916
Photo of Dr. Lorna Busch (Ketamine Assisted Psychotherapy), PhD, MEd, MS, Psychologist
Dr. Lorna Busch (Ketamine Assisted Psychotherapy)
Psychologist, PhD, MEd, MS
Verified Verified
2 Endorsed
Canandaigua, NY 14424
Waitlist for new clients
I specialize in ketamine assisted psychotherapy (KAP) and believe in the healing power of nature, love, and connection to restore our inherent resiliency and wisdom. Life can jolt us out of our comfort zone when we least expect it. Tragedies come in many forms (illness, death, deception) forcing us into unfamiliar territory of uncertainty. We may question the fundamental assumptions upon which we built our lives or our capacity to move forward in search of a new normal. You have what it takes to find your path and you're not alone! If you feel like you're on a spiritual path, my approach may be a good fit.
I specialize in ketamine assisted psychotherapy (KAP) and believe in the healing power of nature, love, and connection to restore our inherent resiliency and wisdom. Life can jolt us out of our comfort zone when we least expect it. Tragedies come in many forms (illness, death, deception) forcing us into unfamiliar territory of uncertainty. We may question the fundamental assumptions upon which we built our lives or our capacity to move forward in search of a new normal. You have what it takes to find your path and you're not alone! If you feel like you're on a spiritual path, my approach may be a good fit.
(585) 440-7237 View (585) 440-7237
Photo of Jill Covert, LMSW, RYT, C-IAYT
Jill Covert
LMSW, RYT, C-IAYT
Verified Verified
Canandaigua, NY 14424
What are you looking for? What is happening that causes you to search for a therapist? Are you struggling to find happiness? What would things look like if things were just the way you want then? How would it feel if this changed? Close your eyes. Take a breath. Picture this change happening. Feel your body right now. Listen. What is your body saying right now? If it says something that you want to listen to. Call me. We can talk just for 10-15 minutes. You can find even 10 minutes to see if Yoga Therapy might be right for you. What do you have to lose? It's a big decision to start a new journey.
What are you looking for? What is happening that causes you to search for a therapist? Are you struggling to find happiness? What would things look like if things were just the way you want then? How would it feel if this changed? Close your eyes. Take a breath. Picture this change happening. Feel your body right now. Listen. What is your body saying right now? If it says something that you want to listen to. Call me. We can talk just for 10-15 minutes. You can find even 10 minutes to see if Yoga Therapy might be right for you. What do you have to lose? It's a big decision to start a new journey.
(585) 476-1818 View (585) 476-1818
Photo of Dr. Brooke A Finley, PhD, DNP, PMHNP, CARN-AP, APHN-BC
Dr. Brooke A Finley
PhD, DNP, PMHNP, CARN-AP, APHN-BC
Verified Verified
Canandaigua, NY 14424
Waitlist for new clients
Whatever challenges you face, it is my experience that you can work through them when you are motivated to explore what you don't know about yourself and have a good fit with a skilled psychotherapist who understands you. Respectively, I practice psychoanalytic psychotherapy, an approach that most therapists choose for themselves because it is so transformative. It is particularly helpful for long-term and difficult-to-change issues, providing long-lasting growth and psychic relief. While I won't give you "tools" or homework, I will help you understand yourself in new, deeper ways so you can create a satisfactory life worth living.
Whatever challenges you face, it is my experience that you can work through them when you are motivated to explore what you don't know about yourself and have a good fit with a skilled psychotherapist who understands you. Respectively, I practice psychoanalytic psychotherapy, an approach that most therapists choose for themselves because it is so transformative. It is particularly helpful for long-term and difficult-to-change issues, providing long-lasting growth and psychic relief. While I won't give you "tools" or homework, I will help you understand yourself in new, deeper ways so you can create a satisfactory life worth living.
(585) 310-8899 View (585) 310-8899
Photo of Megan Hoffman, LCSW, Clinical Social Work/Therapist
Megan Hoffman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Canandaigua, NY 14424  (Online Only)
Are you curious about your own thoughts, feelings, and behaviors? Do you feel as if you may harbor deep-seated emotional issues, have unresolved childhood conflicts, or engage in patterns of behavior that you struggle to understand and/or change? Are you simply feeling stuck? You may know what you would like to do differently, but cannot seem to make sustainable changes, or maybe you don't even know where to begin. You’re not alone. Allow me to show you how capable you are of leaving behind what no longer serves you and stepping into the highest version of yourself.
Are you curious about your own thoughts, feelings, and behaviors? Do you feel as if you may harbor deep-seated emotional issues, have unresolved childhood conflicts, or engage in patterns of behavior that you struggle to understand and/or change? Are you simply feeling stuck? You may know what you would like to do differently, but cannot seem to make sustainable changes, or maybe you don't even know where to begin. You’re not alone. Allow me to show you how capable you are of leaving behind what no longer serves you and stepping into the highest version of yourself.
(585) 575-1633 View (585) 575-1633
Photo of Dr. Ellen G Horovitz, ATR-BC, LCAT, ERYT500, C-IAYT, YACEP, Art Therapist
Dr. Ellen G Horovitz
Art Therapist, ATR-BC, LCAT, ERYT500, C-IAYT, YACEP
Verified Verified
Canandaigua, NY 14424
Waitlist for new clients
Choosing a therapist is a bit like shopping: you want a fit. With over 40 years of experience, I can offer you that comfort level to help resolve your issues. I have authored 9 books, am a licensed art therapist, certified yoga therapist, yoga teacher, EMDR trained clinician, and Ericksonian trained hypnotherapist. As an expressive art/ yoga therapist, I offer both somatic-oriented work and expressive outlets. While we will certainly talk about your issues, we clearly have other means of communication available for articulating and directing your wellness.
Choosing a therapist is a bit like shopping: you want a fit. With over 40 years of experience, I can offer you that comfort level to help resolve your issues. I have authored 9 books, am a licensed art therapist, certified yoga therapist, yoga teacher, EMDR trained clinician, and Ericksonian trained hypnotherapist. As an expressive art/ yoga therapist, I offer both somatic-oriented work and expressive outlets. While we will certainly talk about your issues, we clearly have other means of communication available for articulating and directing your wellness.
(585) 563-8525 View (585) 563-8525
Photo of Kay Loree-Pryor, LCSW-R, CASAC, Clinical Social Work/Therapist
Kay Loree-Pryor
Clinical Social Work/Therapist, LCSW-R, CASAC
Verified Verified
1 Endorsed
Canandaigua, NY 14424
Look no further, you have found your therapist! If you are seeking someone to assist you in sorting out your life stressors, I am right here! Teaching strategies for living a better quality of life is my main goal for you. I may not have all the answers, although I love to see people be successful with the right type of supports in place.
Look no further, you have found your therapist! If you are seeking someone to assist you in sorting out your life stressors, I am right here! Teaching strategies for living a better quality of life is my main goal for you. I may not have all the answers, although I love to see people be successful with the right type of supports in place.
(585) 708-1538 View (585) 708-1538
Photo of Stefan J. Patronski, LCSW, Clinical Social Work/Therapist
Stefan J. Patronski
Clinical Social Work/Therapist, LCSW
Verified Verified
Canandaigua, NY 14424  (Online Only)
As a compassionate therapist, I am dedicated to helping individuals navigate life's challenges and improve their mental well-being. For over fifteen years, I have been devoted to developing the skills and knowledge to support people who are feeling stressed and overwhelmed by life. I have seen people who thought they were broken, heal themselves through therapy. I believe that we are all doing our best, and with the appropriate support, we can find ways to better handle our stress and live happier lives. Therapy works best when you feel comfortable with your therapist. Let’s arrange a consultation and see if I’m a good fit for you.
As a compassionate therapist, I am dedicated to helping individuals navigate life's challenges and improve their mental well-being. For over fifteen years, I have been devoted to developing the skills and knowledge to support people who are feeling stressed and overwhelmed by life. I have seen people who thought they were broken, heal themselves through therapy. I believe that we are all doing our best, and with the appropriate support, we can find ways to better handle our stress and live happier lives. Therapy works best when you feel comfortable with your therapist. Let’s arrange a consultation and see if I’m a good fit for you.
(585) 476-8674 View (585) 476-8674
Photo of Barbara Raco - Barbara Raco LCSW-R, LCSW-R, Clinical Social Work/Therapist
Barbara Raco LCSW-R
Clinical Social Work/Therapist, LCSW-R
Not Verified Not Verified
Canandaigua, NY 14424  (Online Only)
Not accepting new clients
Announcement of my retirement as of August 31st, 2023: As an experienced and well-trained practitioner, over the past 35 years I have addressed a wide variety of emotional distress, including anxiety, depression, grief, indecision, work burnout and relationship difficulties and have been committed to providing a safe, serene, accepting and confidential setting conducive to healing and personal growth. However, the time has come for me to retire from my psychotherapy practice, having had the privilege of meeting and helping so many diverse individuals and couples over the years. Thank you!
Announcement of my retirement as of August 31st, 2023: As an experienced and well-trained practitioner, over the past 35 years I have addressed a wide variety of emotional distress, including anxiety, depression, grief, indecision, work burnout and relationship difficulties and have been committed to providing a safe, serene, accepting and confidential setting conducive to healing and personal growth. However, the time has come for me to retire from my psychotherapy practice, having had the privilege of meeting and helping so many diverse individuals and couples over the years. Thank you!
(585) 391-9218 View (585) 391-9218
Photo of Lina Zulick, Counselor
Lina Zulick
Counselor
Verified Verified
3 Endorsed
Canandaigua, NY 14424
I am so glad you’re here! My name is Lina and I believe therapy is a sacred place where people can come to feel safe. Therapy is different for every person who “walks through my door.” I find it very important to meet clients where they are at and use modalities that fit within what clients need at each session. I encourage my clients to tell me when things are working and when they are not working when it comes to my therapeutic style. I am very passionate about helping people achieve their goals and feeling empowered. I can serve individual's in all of New York State via telehealth or in person!
I am so glad you’re here! My name is Lina and I believe therapy is a sacred place where people can come to feel safe. Therapy is different for every person who “walks through my door.” I find it very important to meet clients where they are at and use modalities that fit within what clients need at each session. I encourage my clients to tell me when things are working and when they are not working when it comes to my therapeutic style. I am very passionate about helping people achieve their goals and feeling empowered. I can serve individual's in all of New York State via telehealth or in person!
(585) 378-5362 View (585) 378-5362
1

See more therapy options for Canandaigua

How does your Therapist compare?

Number of Therapists in Canandaigua, NY

60+

Average cost per session

$125

Therapists in Canandaigua, NY who prioritize treating:

97% Anxiety
90% Depression
82% Relationship Issues
77% Trauma and PTSD
76% Self Esteem
69% Stress
68% Grief

Average years in practice

11 Years

Top 3 insurances accepted

62% Aetna
62% Excellus BlueCross BlueShield
54% Cigna and Evernorth

How Therapists in Canandaigua, NY see their clients

68% In Person and Online
32% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Canandaigua?

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.