Therapists in Holliston, MA

Photo of Courtney Ann Romanowski, LMHC, R-DMT, Counselor
Courtney Ann Romanowski
Counselor, LMHC, R-DMT
Verified Verified
6 Endorsed
Holliston, MA 01746
Not accepting new clients
APRIL 2024 - I am NOT accepting new clients. I offer counseling for adults with mood and anxiety related symptoms. I am genuine, honest, and enthusiastic in my care. My hope is to help you with positive change and growth. I am willing to be an active team member as long as you too are honest, open minded, and willing.I graduated from Lesley University 2014 with a Master’s Degree in Expressive Therapies: Dance Therapy with a specialization in Mental Health Counseling.
APRIL 2024 - I am NOT accepting new clients. I offer counseling for adults with mood and anxiety related symptoms. I am genuine, honest, and enthusiastic in my care. My hope is to help you with positive change and growth. I am willing to be an active team member as long as you too are honest, open minded, and willing.I graduated from Lesley University 2014 with a Master’s Degree in Expressive Therapies: Dance Therapy with a specialization in Mental Health Counseling.
(774) 450-6096 View (774) 450-6096
Photo of Gambit Counseling Coaching - Gambit Counseling & Coaching, MA, LMHC, Counselor
Gambit Counseling & Coaching
Counselor, MA, LMHC
Verified Verified
Holliston, MA 01746
We are a group of therapists who promote awareness, provide high-quality education, and support to individuals with mental health and substance use needs. We actively promote skills for self-improvement and methods for continued lifelong self-cultivation. Because of years of emergency team experience, we can work with ages of 8 to 88 who are looking for practical, easy to implement plans to address acute and chronic issues currently impacting their daily lives. We seek to assist these individuals in regaining a sense of control over their own lives and help them develop the skills necessary to live fulfilling lives.
We are a group of therapists who promote awareness, provide high-quality education, and support to individuals with mental health and substance use needs. We actively promote skills for self-improvement and methods for continued lifelong self-cultivation. Because of years of emergency team experience, we can work with ages of 8 to 88 who are looking for practical, easy to implement plans to address acute and chronic issues currently impacting their daily lives. We seek to assist these individuals in regaining a sense of control over their own lives and help them develop the skills necessary to live fulfilling lives.
(508) 590-9897 View (508) 590-9897
Photo of Julie DiCicco, LICSW, Clinical Social Work/Therapist
Julie DiCicco
Clinical Social Work/Therapist, LICSW
Verified Verified
5 Endorsed
Holliston, MA 01746
Hello fellow human. Please be proud of yourself for taking steps toward improving your life experience. As the founder of Sapphire Counseling, I am dedicated to creating a trusting and comfortable environment where we can work together in identifying and hopefully, achieve your desired outcomes. I pride myself on being authentic, empathetic and skillful at building solid therapeutic relationships with my clients. I will work with you and do my best to make you feel at ease. While I will meet you where you're at in your process, I will also assist you in challenging yourself. Change is scary and so is feeling stuck.
Hello fellow human. Please be proud of yourself for taking steps toward improving your life experience. As the founder of Sapphire Counseling, I am dedicated to creating a trusting and comfortable environment where we can work together in identifying and hopefully, achieve your desired outcomes. I pride myself on being authentic, empathetic and skillful at building solid therapeutic relationships with my clients. I will work with you and do my best to make you feel at ease. While I will meet you where you're at in your process, I will also assist you in challenging yourself. Change is scary and so is feeling stuck.
(508) 306-8679 View (508) 306-8679
Photo of Bill Dwinnells, LMHC, NCC, CCMHC, Counselor
Bill Dwinnells
Counselor, LMHC, NCC, CCMHC
Verified Verified
2 Endorsed
Holliston, MA 01746  (Online Only)
With over two decades of unwavering commitment to the field of mental health, I am a seasoned and compassionate counselor. I have extensive experience and diverse skill set that has empowered countless individuals to navigate life's challenges. I help have helped many people through life stage transitions, such as graduating school and transitioning into adulthood.
With over two decades of unwavering commitment to the field of mental health, I am a seasoned and compassionate counselor. I have extensive experience and diverse skill set that has empowered countless individuals to navigate life's challenges. I help have helped many people through life stage transitions, such as graduating school and transitioning into adulthood.
(508) 456-6485 View (508) 456-6485
Photo of Larissa James, Intern, Pre-Licensed Professional
Larissa James
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Holliston, MA 01746  (Online Only)
As a graduate student intern and co-pilot in the therapeutic process, I acknowledge that you are the expert on you and work to create a judgement-free safe atmosphere where individuals can honestly speak to and address what is troubling them. There are no miracle cures, but I am here to do my best to understand you help you get unstuck and clarify what a path forward could look like. My work will be done by telehealth.
As a graduate student intern and co-pilot in the therapeutic process, I acknowledge that you are the expert on you and work to create a judgement-free safe atmosphere where individuals can honestly speak to and address what is troubling them. There are no miracle cures, but I am here to do my best to understand you help you get unstuck and clarify what a path forward could look like. My work will be done by telehealth.
(508) 980-2940 View (508) 980-2940
Photo of Nicole Kindler, LICSW, Clinical Social Work/Therapist
Nicole Kindler
Clinical Social Work/Therapist, LICSW
Verified Verified
Holliston, MA 01746  (Online Only)
Waitlist for new clients
Have you not been feeling yourself lately? Do you want to make changes to your life, but aren't sure how or where to start? I help individuals who feel called to make positive changes in their lives and learn new ways to cope with anxiety, depression, and life transitions. Together, we can identify what isn't working and support you in finding balance again.
Have you not been feeling yourself lately? Do you want to make changes to your life, but aren't sure how or where to start? I help individuals who feel called to make positive changes in their lives and learn new ways to cope with anxiety, depression, and life transitions. Together, we can identify what isn't working and support you in finding balance again.
(978) 737-7017 View (978) 737-7017
Photo of Kristen Patrice Flaven, MA, LMHC, Counselor
Kristen Patrice Flaven
Counselor, MA, LMHC
Verified Verified
Holliston, MA 01746
Not accepting new clients
Greetings! I am a licensed clinical professional counselor. I have supported children and families as a consultant for over 30 years and enjoy working with a variety of different circumstances. In my practice with children, my focus is play therapy centered, along with family therapy. I seek to align with the caregiver in the best interest of their child. In my practice with adults, I seek to listen, respect and value each person's personal story and collaborate with them to promote positive changes.
Greetings! I am a licensed clinical professional counselor. I have supported children and families as a consultant for over 30 years and enjoy working with a variety of different circumstances. In my practice with children, my focus is play therapy centered, along with family therapy. I seek to align with the caregiver in the best interest of their child. In my practice with adults, I seek to listen, respect and value each person's personal story and collaborate with them to promote positive changes.
(978) 643-9467 View (978) 643-9467
Photo of Michele Lareau-Alves, MA, LMHC, CST, Counselor
Michele Lareau-Alves
Counselor, MA, LMHC, CST
Verified Verified
8 Endorsed
Holliston, MA 01746
My clients come to me looking for clarity, healing and hope that things can get better. Couples counseling is so worth the time and money when you choose to work on your relationship by actively engaging, being consistently present and make the time to find your way back to what matters. Embarking on this journey can help to illuminate the strengths and confront the challenges towards more effective communication, and discovering what repair can look like in your relationship. And if sometimes the journey heads in a different direction, we can explore those pathways as well.
My clients come to me looking for clarity, healing and hope that things can get better. Couples counseling is so worth the time and money when you choose to work on your relationship by actively engaging, being consistently present and make the time to find your way back to what matters. Embarking on this journey can help to illuminate the strengths and confront the challenges towards more effective communication, and discovering what repair can look like in your relationship. And if sometimes the journey heads in a different direction, we can explore those pathways as well.
(508) 955-5272 View (508) 955-5272
Photo of Lindsay R. Maxwell, LMHC, Counselor
Lindsay R. Maxwell
Counselor, LMHC
Verified Verified
Holliston, MA 01746  (Online Only)
Day openings on Tue and Thurs. Life can be unpredictable. When you compound the everyday stress with a person's experience of trauma, relationship challenges, financial burdens, moves or career changes, it can feel overwhelming and at times, unbearable. You are not alone. We can work together to help you navigate these difficulties and ultimately create the life you envision for yourself. I have fifteen years of experience working in a variety of settings including, rape crisis counseling, community mental health, college counseling and private practice. I enjoy working with young adults, adults, and couples.
Day openings on Tue and Thurs. Life can be unpredictable. When you compound the everyday stress with a person's experience of trauma, relationship challenges, financial burdens, moves or career changes, it can feel overwhelming and at times, unbearable. You are not alone. We can work together to help you navigate these difficulties and ultimately create the life you envision for yourself. I have fifteen years of experience working in a variety of settings including, rape crisis counseling, community mental health, college counseling and private practice. I enjoy working with young adults, adults, and couples.
(774) 209-5222 View (774) 209-5222
Photo of Kathryn Cumming, MA, CAGS, LMHC, Cert, EMDR, Counselor
Kathryn Cumming
Counselor, MA, CAGS, LMHC, Cert, EMDR
Verified Verified
Holliston, MA 01746
Waitlist for new clients
Sometimes your own thoughts are your biggest challenge. Anxiety, depression, negative thinking, feeling stuck or confused, trouble finding motivation, these and other feelings can be managed, even overcome. Let's work together and collaboratively help you to feel better. With support you can tackle issues and create change. We find and focus on your strengths to unearth the answers. We tailor therapy that challenges you and your comfort level at a way that fosters progress in a safe environment.
Sometimes your own thoughts are your biggest challenge. Anxiety, depression, negative thinking, feeling stuck or confused, trouble finding motivation, these and other feelings can be managed, even overcome. Let's work together and collaboratively help you to feel better. With support you can tackle issues and create change. We find and focus on your strengths to unearth the answers. We tailor therapy that challenges you and your comfort level at a way that fosters progress in a safe environment.
(508) 374-9851 View (508) 374-9851
Photo of Cynthia L Meeske, LICSW, Clinical Social Work/Therapist
Cynthia L Meeske
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Holliston, MA 01746
I specialize in trauma and am certified in Eye Movement Desensitization and Reprocessing (EMDR) . I offer both hourly and intensive formats. My typical client is a survivor of childhood abuse, domestic violence, or sexual trauma. I love helping people to heal their old wounds and feel relief and the ability to move into the healthiest and happiest versions of themselves. I work with adults only. I work most frequently with women and members of the LGBTQ+ population.
I specialize in trauma and am certified in Eye Movement Desensitization and Reprocessing (EMDR) . I offer both hourly and intensive formats. My typical client is a survivor of childhood abuse, domestic violence, or sexual trauma. I love helping people to heal their old wounds and feel relief and the ability to move into the healthiest and happiest versions of themselves. I work with adults only. I work most frequently with women and members of the LGBTQ+ population.
(774) 573-1644 View (774) 573-1644
Photo of Harry Pappas, LICSW, Clinical Social Work/Therapist
Harry Pappas
Clinical Social Work/Therapist, LICSW
Verified Verified
Holliston, MA 01746  (Online Only)
I am a Licensed Independent Clinical Social Worker (LICSW) with over 8 years of experience working with youth, the elderly, and adult populations who are dealing with anxiety, stress, depression, life transitions, and alcohol and drug abuse. I utilize a variety of modalities tailored to each individual and their needs. I practice psychotherapy with an emphasis on Strengths Based and Solution Focused principles. My approach incorporates CBT, DBT, and Mindfulness as well as other concrete tools to help you achieve your goals.
I am a Licensed Independent Clinical Social Worker (LICSW) with over 8 years of experience working with youth, the elderly, and adult populations who are dealing with anxiety, stress, depression, life transitions, and alcohol and drug abuse. I utilize a variety of modalities tailored to each individual and their needs. I practice psychotherapy with an emphasis on Strengths Based and Solution Focused principles. My approach incorporates CBT, DBT, and Mindfulness as well as other concrete tools to help you achieve your goals.
(508) 978-1349 View (508) 978-1349
Photo of Maegan Visconti, LMHC, BC-DMT, Counselor
Maegan Visconti
Counselor, LMHC, BC-DMT
Verified Verified
1 Endorsed
Holliston, MA 01746
Not accepting new clients
Not accepting New Patients at this time (5/13/2024). Will update moving forward. Anxious? Experiencing a new upcoming change or life transition? Trying to manage everything in the midst of a pandemic? What if I told you that you can manage all of those feelings and experiences and come out on the other side feeling confident, empowered, and at peace. My role is to be a nonjudgmental and supportive, and to hold the space for you to express, feel, and grow. If you are motivated to take the first step towards healing and seeking that person to be your support, we may be a good fit.
Not accepting New Patients at this time (5/13/2024). Will update moving forward. Anxious? Experiencing a new upcoming change or life transition? Trying to manage everything in the midst of a pandemic? What if I told you that you can manage all of those feelings and experiences and come out on the other side feeling confident, empowered, and at peace. My role is to be a nonjudgmental and supportive, and to hold the space for you to express, feel, and grow. If you are motivated to take the first step towards healing and seeking that person to be your support, we may be a good fit.
(508) 593-7104 View (508) 593-7104
Photo of Sarah Donohue, LICSW, Clinical Social Work/Therapist
Sarah Donohue
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Holliston, MA 01746  (Online Only)
Do you feel overwhelmed, disconnected, and insecure? Has your relationship been wounded or lost its spark? Are you feeling dissatisfied or stuck with some aspect of your life and not sure how to make a shift? Has becoming or being a parent turned your world upside down? Life is full of transitions and stressors and it’s hard to stay in tune with ourselves, our partners, and our family members as we grow, change, and deal with stress. Sometimes we all need a safe space to process, reconnect, and heal – to speak our pain, communicate what we need, and be supported as we tap back into love and connection.
Do you feel overwhelmed, disconnected, and insecure? Has your relationship been wounded or lost its spark? Are you feeling dissatisfied or stuck with some aspect of your life and not sure how to make a shift? Has becoming or being a parent turned your world upside down? Life is full of transitions and stressors and it’s hard to stay in tune with ourselves, our partners, and our family members as we grow, change, and deal with stress. Sometimes we all need a safe space to process, reconnect, and heal – to speak our pain, communicate what we need, and be supported as we tap back into love and connection.
(774) 217-7608 View (774) 217-7608
Photo of Steve Bisson, MA, LMHC, Counselor
Steve Bisson
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Holliston, MA 01746
My trainee will be starting in May and will be taking on new clients. Honesty, Authenticity, Reality. This is how I would define my style of counseling. I received my specialty training in cognitive-behavioral therapy and Eye Movement Desensitization and Reprocessing (EMDR). I have developed a style that is down to earth, which focuses on working with the skills that an individual already possesses, while developing the abilities they need to bring them to the next level. I address the "here and now" while working on other skills that can/should be develop in the future. Reaching out can be hard to do but it is important.
My trainee will be starting in May and will be taking on new clients. Honesty, Authenticity, Reality. This is how I would define my style of counseling. I received my specialty training in cognitive-behavioral therapy and Eye Movement Desensitization and Reprocessing (EMDR). I have developed a style that is down to earth, which focuses on working with the skills that an individual already possesses, while developing the abilities they need to bring them to the next level. I address the "here and now" while working on other skills that can/should be develop in the future. Reaching out can be hard to do but it is important.
(508) 928-9041 View (508) 928-9041
Photo of Bretton Torkelson, PsyD, MA, Psychologist
Bretton Torkelson
Psychologist, PsyD, MA
Verified Verified
Holliston, MA 01746
Are you a preteen, teenager, or young adult dealing with the challenges of growing up? Do you feel exhausted and undone by navigating all the pressure, uncertainty, and demands? Or are you a parent wanting the best for your child but unsure of how to support them during these critical years? Would you like your family to get along better or feel stronger together? Youth and parents looking for help in managing complex mental health issues, family discord, parenting challenges and the stressors of growing up will benefit from working with an experienced psychologist who specializes in child/adolescent and family wellness.
Are you a preteen, teenager, or young adult dealing with the challenges of growing up? Do you feel exhausted and undone by navigating all the pressure, uncertainty, and demands? Or are you a parent wanting the best for your child but unsure of how to support them during these critical years? Would you like your family to get along better or feel stronger together? Youth and parents looking for help in managing complex mental health issues, family discord, parenting challenges and the stressors of growing up will benefit from working with an experienced psychologist who specializes in child/adolescent and family wellness.
(508) 893-4252 View (508) 893-4252
Photo of Katherine Cunningham, MSW, LICSW, Clinical Social Work/Therapist
Katherine Cunningham
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Holliston, MA 01746
I provide individual mental health treatment services to adults experiencing emotional distress due to relationships, parenting, life stressors, and women's health concerns. I also work with people experiencing symptoms of depression, anxiety, trauma and adjustment disorder, as well as the sober curious. I offer SPACE Treatment which stands for Supportive Parenting for Anxious Childhood Emotions. It is a parent-based treatment program for children and adolescents with anxiety, OCD, and related problems.
I provide individual mental health treatment services to adults experiencing emotional distress due to relationships, parenting, life stressors, and women's health concerns. I also work with people experiencing symptoms of depression, anxiety, trauma and adjustment disorder, as well as the sober curious. I offer SPACE Treatment which stands for Supportive Parenting for Anxious Childhood Emotions. It is a parent-based treatment program for children and adolescents with anxiety, OCD, and related problems.
(508) 978-1896 View (508) 978-1896
Photo of Rebecca Morgan, MSW, LICSW, Clinical Social Work/Therapist
Rebecca Morgan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Holliston, MA 01746  (Online Only)
My approach is humanistic and existential, addressing both immediate and ultimate concerns of living. If you're feeling stuck and want real change in your life, for conditions such as depression, anxiety or resolving a past trauma, there's no way around taking risks and challenging established behaviors and belief systems. By moving out of your comfort zone, going deep inside yourself and far into the larger global community, I can help you. Using a variety of complementary techniques--you can learn to undo long-standing, maladaptive actions/reactions or negative perceptions that stand in the way of a more rich and meaningful life.
My approach is humanistic and existential, addressing both immediate and ultimate concerns of living. If you're feeling stuck and want real change in your life, for conditions such as depression, anxiety or resolving a past trauma, there's no way around taking risks and challenging established behaviors and belief systems. By moving out of your comfort zone, going deep inside yourself and far into the larger global community, I can help you. Using a variety of complementary techniques--you can learn to undo long-standing, maladaptive actions/reactions or negative perceptions that stand in the way of a more rich and meaningful life.
(508) 619-4171 View (508) 619-4171
Photo of Becca Harrington, LICSW, Clinical Social Work/Therapist
Becca Harrington
Clinical Social Work/Therapist, LICSW
Verified Verified
Holliston, MA 01746  (Online Only)
Do you have a history of trauma? Do you feel disconnected from yourself and others? Do you lose time and forget things you did or said? Do you feel distressed and out of control with no clear reason? You might be experiencing trauma-related dissociation, your body's way of coping with emotionally overwhelming events. My name is Becca and I specialize in healing complex trauma and dissociative disorders, including DID.
Do you have a history of trauma? Do you feel disconnected from yourself and others? Do you lose time and forget things you did or said? Do you feel distressed and out of control with no clear reason? You might be experiencing trauma-related dissociation, your body's way of coping with emotionally overwhelming events. My name is Becca and I specialize in healing complex trauma and dissociative disorders, including DID.
(508) 978-1236 View (508) 978-1236
Photo of Shane MacDonald - Shane MacDonald, LICSW, New Inspiration LLC, LICSW, Clinical Social Work/Therapist
Shane MacDonald, LICSW, New Inspiration LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Holliston, MA 01746  (Online Only)
When you improve your relationship with yourself and your relationships with others, you are “on the path” to a happier, healthier life. I’d like to help you along that path. Together, we can explore a range of approaches: whatever works. But – so you know where I’m coming from – in the end, it’s always about relationships. I’d like to meet you.
When you improve your relationship with yourself and your relationships with others, you are “on the path” to a happier, healthier life. I’d like to help you along that path. Together, we can explore a range of approaches: whatever works. But – so you know where I’m coming from – in the end, it’s always about relationships. I’d like to meet you.
(617) 675-2000 View (617) 675-2000

How does your Therapist compare?

Number of Therapists in Holliston, MA

30+

Average cost per session

$150

Therapists in Holliston, MA who prioritize treating:

95% Anxiety
86% Depression
62% Trauma and PTSD
62% Self Esteem
59% Grief
59% Coping Skills
57% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
74% UnitedHealthcare UHC | UBH
61% Optum

How Therapists in Holliston, MA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

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

How can I find a therapist in Holliston?

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.