Therapists in Milton, MA
![Photo of Michael Daly, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/97c0e8c3-8681-49d2-8120-b38614c6887f/3/320x400.jpeg)
Life's natural ups and downs can be hard to manage, and finding support through therapy is a courageous first step. Whether you're managing anxiety, depression, a past trauma, or a life transition, I will be right there with you as you develop new approaches in a safe environment. I will bring to each session compassion, patience, understanding, my sense of humor, and a trove of experience. If you're searching for a therapist to help you process your experiences and feelings, or to make sense of a particular moment in your life, then you've found a therapist who is ready to stand by you on this journey.
Life's natural ups and downs can be hard to manage, and finding support through therapy is a courageous first step. Whether you're managing anxiety, depression, a past trauma, or a life transition, I will be right there with you as you develop new approaches in a safe environment. I will bring to each session compassion, patience, understanding, my sense of humor, and a trove of experience. If you're searching for a therapist to help you process your experiences and feelings, or to make sense of a particular moment in your life, then you've found a therapist who is ready to stand by you on this journey.
![Photo of Christine DiPaolo, LMHC, Counselor](https://photos.psychologytoday.com/18958db6-4d86-4dbc-ae6d-9024339dc907/1/320x400.jpeg)
I am a Licensed Mental Health Counselor in the state of Massachusetts and received my master's degree in counseling in 2021. Previously, I had over 15 years of working in health care and the human services field. I am a dedicated practitioner, with a true passion for working with individuals striving to show up in life as the best and most authentic version of themselves.
I am a Licensed Mental Health Counselor in the state of Massachusetts and received my master's degree in counseling in 2021. Previously, I had over 15 years of working in health care and the human services field. I am a dedicated practitioner, with a true passion for working with individuals striving to show up in life as the best and most authentic version of themselves.
![Photo of Hope Bresnahan, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/51447aa6-7dad-4547-a76c-719f6b0f02a4/2/320x400.jpeg)
Hope Bresnahan
Clinical Social Work/Therapist, LICSW
Verified Verified
Milton, MA 02186 (Online Only)
Hi there! I’m passionate about supporting individuals with late-diagnosed or suspected ADHD, Autism, or AuDHD. Through collaborative neurodiversity-affirming therapy, I focus on addressing symptoms of anxiety, depression, chronic stress, low self-esteem, and burnout. If you battle with staying on top of daily responsibilities, negative self-beliefs, intrusive thoughts, or perfectionism, I can help you navigate these challenges. My goal is to guide you towards greater self-acceptance and growth, helping you connect with your authenticity and embrace all parts of yourself.
Hi there! I’m passionate about supporting individuals with late-diagnosed or suspected ADHD, Autism, or AuDHD. Through collaborative neurodiversity-affirming therapy, I focus on addressing symptoms of anxiety, depression, chronic stress, low self-esteem, and burnout. If you battle with staying on top of daily responsibilities, negative self-beliefs, intrusive thoughts, or perfectionism, I can help you navigate these challenges. My goal is to guide you towards greater self-acceptance and growth, helping you connect with your authenticity and embrace all parts of yourself.
![Photo of Chelsey O'Donnell, LMHC, Counselor](https://photos.psychologytoday.com/8e11a94f-4790-49ea-891e-a98e4eb9a88e/2/320x400.jpeg)
I am a Licensed Mental Health Counselor practicing in both MA & FL. Having worked in a variety of different settings throughout my career, I have greatly deepened my understanding of the mental health field and the individuals and families we get to serve. I have worked in intensive settings such as McLean-Franciscan’s Child and Adolescent inpatient unit and McLean-Franciscan’s Community-Based Acute Treatment Program (CBAT). I have also worked in schools, including the Boston Public School System and the prestigious, Milton Academy as well as having experience with crisis intervention through working at the MA DMH.
I am a Licensed Mental Health Counselor practicing in both MA & FL. Having worked in a variety of different settings throughout my career, I have greatly deepened my understanding of the mental health field and the individuals and families we get to serve. I have worked in intensive settings such as McLean-Franciscan’s Child and Adolescent inpatient unit and McLean-Franciscan’s Community-Based Acute Treatment Program (CBAT). I have also worked in schools, including the Boston Public School System and the prestigious, Milton Academy as well as having experience with crisis intervention through working at the MA DMH.
![Photo of Amanda Mezzetti-Quirk, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d2af831-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
The therapeutic relationship is a powerful vehicle for change. While building a connection, we will be able to work together to discover, create, and realize your goals. I see adolescents and adults using a variety of techniques, but all centered on building your strengths, while striving for a more balanced and harmonious life. Feel free to contact me if you are interested in setting up an appointment to see if I would be the right fit for your needs. ***CURRENTLY TAKING NEW CLIENTS FOR SHORT OR LONG TERM TREATMENT OVER TELEHEALTH BASED UPON AVAILABILITY***
The therapeutic relationship is a powerful vehicle for change. While building a connection, we will be able to work together to discover, create, and realize your goals. I see adolescents and adults using a variety of techniques, but all centered on building your strengths, while striving for a more balanced and harmonious life. Feel free to contact me if you are interested in setting up an appointment to see if I would be the right fit for your needs. ***CURRENTLY TAKING NEW CLIENTS FOR SHORT OR LONG TERM TREATMENT OVER TELEHEALTH BASED UPON AVAILABILITY***
![Photo of Kate Connolly, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/dc1296e5-a02a-466b-b908-2e8e3b9857e8/3/320x400.jpeg)
Kate Connolly
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Milton, MA 02186 (Online Only)
My experience has taught me that contemplation is an important part of the therapeutic process, and when you are ready to talk, I will listen, reflect, and provide support. I am a Licensed Independent Clinical Social Worker with over 20 years of clinical experience. I offer an authentic and collaborative approach where you can feel safe, respected, heard, and validated.
My experience has taught me that contemplation is an important part of the therapeutic process, and when you are ready to talk, I will listen, reflect, and provide support. I am a Licensed Independent Clinical Social Worker with over 20 years of clinical experience. I offer an authentic and collaborative approach where you can feel safe, respected, heard, and validated.
![Photo of Bethany Leeman-Weil, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cf0e12b9-e26b-48ee-911a-0aec7aff1aa1/1/320x400.png)
Bethany Leeman-Weil
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Milton, MA 02186 (Online Only)
Holistic Psychotherapy With Heart. Located in Boston area, licensed to provide telehealth services across Massachusetts. Seasoned Humanistic Therapist caring for LGBTQIA+, polyamorous/CNM, spirituality/metaphysics- and self-development-minded folks, people with HIV/AIDS, substance dependence, grief/loss, medical illness, fertility/peripartum concerns, trauma. Sex/kink-positive. Antiracist. Feminist. Warm, interactive, playful, wise, catalytic. Striving for humility. Trained in cultural competency. Hold all humans as equally worthy of love, safety, resources, peace, health, joy, respect, and dignity.
Holistic Psychotherapy With Heart. Located in Boston area, licensed to provide telehealth services across Massachusetts. Seasoned Humanistic Therapist caring for LGBTQIA+, polyamorous/CNM, spirituality/metaphysics- and self-development-minded folks, people with HIV/AIDS, substance dependence, grief/loss, medical illness, fertility/peripartum concerns, trauma. Sex/kink-positive. Antiracist. Feminist. Warm, interactive, playful, wise, catalytic. Striving for humility. Trained in cultural competency. Hold all humans as equally worthy of love, safety, resources, peace, health, joy, respect, and dignity.
![Photo of Chris Gallant, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5bb9d18a-2e2c-4fcd-9ca1-694fe515ec5e/2/320x400.jpeg)
I am a Licensed Independent Clinical Social Worker receiving my Graduate Degree from Boston University. I use a strength-based, person-centered approach to aid people in guiding themselves towards healing, personal growth and to their own potential. My experience has been with children, families and young adults in homes, communities and schools throughout Boston and the South Shore, along with young men across Massachusetts involved in the juvenile justice system.
I am a Licensed Independent Clinical Social Worker receiving my Graduate Degree from Boston University. I use a strength-based, person-centered approach to aid people in guiding themselves towards healing, personal growth and to their own potential. My experience has been with children, families and young adults in homes, communities and schools throughout Boston and the South Shore, along with young men across Massachusetts involved in the juvenile justice system.
![Photo of Mary Beth Scalice, MA, EdD](https://photos.psychologytoday.com/511324f9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Therapy can be a gateway for those wanting more love, less fear, more joining, less separation. We enter into a safe and sacred space to share a journey together, healing our painful and limiting beliefs, exploring our gifts and values. Old painful narratives are healed through heart-opening dialogue, trust, and deep listening. Behind fears, doubts, and limits your true self shines, waiting for acceptance and recognition.
Therapy can be a gateway for those wanting more love, less fear, more joining, less separation. We enter into a safe and sacred space to share a journey together, healing our painful and limiting beliefs, exploring our gifts and values. Old painful narratives are healed through heart-opening dialogue, trust, and deep listening. Behind fears, doubts, and limits your true self shines, waiting for acceptance and recognition.
![Photo of Andrea Butterfield, PsyD, Psychologist](https://photos.psychologytoday.com/4cb67015-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
TELEHEALTH ONLY AT THIS TIME. Beginning therapy takes bravery. If anxiety, moodiness or depression won’t let go; or if you feel trapped by patterns that you cannot break, it is a signal to seek care. I would be honored to welcome you to my practice. If you’re a teenager whose worries or moods have become overwhelming, you aren’t alone. As adults we may find ourselves stuck or overwhelmed. Perhaps life is changing, whether by design or as an intrusion to a life humming along. Perhaps you are struggling with questions of meaning and purpose. When your ability to engage in life has diminished, seeking help makes sense.
TELEHEALTH ONLY AT THIS TIME. Beginning therapy takes bravery. If anxiety, moodiness or depression won’t let go; or if you feel trapped by patterns that you cannot break, it is a signal to seek care. I would be honored to welcome you to my practice. If you’re a teenager whose worries or moods have become overwhelming, you aren’t alone. As adults we may find ourselves stuck or overwhelmed. Perhaps life is changing, whether by design or as an intrusion to a life humming along. Perhaps you are struggling with questions of meaning and purpose. When your ability to engage in life has diminished, seeking help makes sense.
![Photo of Sylvia Escoto, DSW, Pre-Licensed Professional](https://photos.psychologytoday.com/755e4699-e619-4dd6-9177-dc955b933fcc/2/320x400.jpeg)
We have immediate availability at our practice, Verge Therapy, for telehealth or appointments before 2pm. Please reach out to get connected with a provider today..... I am a Spanish speaking clinician with a Doctorate in Social Work from Simmons University. In my work I have focused on supporting the mental health and well-being of children and families while possessing a deep understanding of the unique challenges and dynamics within this population.
We have immediate availability at our practice, Verge Therapy, for telehealth or appointments before 2pm. Please reach out to get connected with a provider today..... I am a Spanish speaking clinician with a Doctorate in Social Work from Simmons University. In my work I have focused on supporting the mental health and well-being of children and families while possessing a deep understanding of the unique challenges and dynamics within this population.
15 Second Videos
Jeremiah Gibson
Joseph Doherty
Sunrise Psychotherapy Services, LLC / Dr. Valcin
Emily Miller
![Photo of Lisa Langone Berard, PhD, LMHC, LEP, NCSP, Counselor](https://photos.psychologytoday.com/a9f38530-1c69-47a1-a031-ca8afedbdffa/1/320x400.jpeg)
I have expertise in working with children and adolescents, as well as, adults. I focus my clinical work on supporting clients with addressing their needs around anxiety, depression, trauma, identity development, as well as addiction, and substance use. I have worked for years on supporting students around developing executive functioning skills. I also have extensive experience working with families addressing the interpersonal dynamics within a family system to support the family as a whole. I enjoy working with parents to do therapy and coaching for working with their children when they are presenting with challenging behavior.
I have expertise in working with children and adolescents, as well as, adults. I focus my clinical work on supporting clients with addressing their needs around anxiety, depression, trauma, identity development, as well as addiction, and substance use. I have worked for years on supporting students around developing executive functioning skills. I also have extensive experience working with families addressing the interpersonal dynamics within a family system to support the family as a whole. I enjoy working with parents to do therapy and coaching for working with their children when they are presenting with challenging behavior.
![Photo of Felicia Rodney-Osbourne, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f3756971-4d1d-45ef-8120-3735aae10c06/2/320x400.jpeg)
Felicia Rodney-Osbourne
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Milton, MA 02186 (Online Only)
Hello and Welcome! Therapy may seem like an intimidating experience, but know that it can bring calmness to your life. Everyone has a reason for engaging in therapy. Whatever the reason might be for your search for a therapist, be mindful that you have taken the most important step to work on your emotional health. Therapy can help you reach greater self-awareness and self-acceptance which in turn opens you up for experiencing your greatest intention for yourself.
Hello and Welcome! Therapy may seem like an intimidating experience, but know that it can bring calmness to your life. Everyone has a reason for engaging in therapy. Whatever the reason might be for your search for a therapist, be mindful that you have taken the most important step to work on your emotional health. Therapy can help you reach greater self-awareness and self-acceptance which in turn opens you up for experiencing your greatest intention for yourself.
![Photo of Franci Richardson, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e410687-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Accepting new clients at a new In-Person location. I am committed to a strengths-based, supportive approach to help adults, couples and families improve their quality of life. I work with clients experiencing difficulty with depression, anxiety, chronic mental illness and life transition.
Accepting new clients at a new In-Person location. I am committed to a strengths-based, supportive approach to help adults, couples and families improve their quality of life. I work with clients experiencing difficulty with depression, anxiety, chronic mental illness and life transition.
![Photo of Amanda Roberts Emdr, PhD, MA, Psychologist](https://photos.psychologytoday.com/58a0d61d-7d9e-4098-aedb-89294fd9b0c5/1/320x400.jpeg)
I have a virtual practice in several states on the East coast and am able to practice in close to 40 others. Online therapy is the new wave as a result of the pandemic and beyond. Telehealth offers not only additional safety but greater convenience in your already busy life. I studied psychology at Harvard University, Berkeley and the University of San Francisco. I earned my doctorate in Clinical Psychology from The California Institute in San Francisco.
I have a virtual practice in several states on the East coast and am able to practice in close to 40 others. Online therapy is the new wave as a result of the pandemic and beyond. Telehealth offers not only additional safety but greater convenience in your already busy life. I studied psychology at Harvard University, Berkeley and the University of San Francisco. I earned my doctorate in Clinical Psychology from The California Institute in San Francisco.
![Photo of Kendra Knauf, LMHC, Counselor](https://photos.psychologytoday.com/b085f2db-4ca8-444e-9aa4-a98ef6bcde32/1/320x400.jpeg)
My area of specialization is with the perinatal (pre-conception, pregnancy, postpartum) population, particularly supporting individuals undergoing fertility challenges. It can be isolating for a variety of reasons, which may lead to increased anxiety, depression, and anger. As a person with my own infertility experience, I offer a safe space of understanding, where I "know the language." My goal is to build an empathetic and trustworthy relationship to offer support with self-advocacy, validation, and personal challenge to ensure you have the information and calm you seek.
My area of specialization is with the perinatal (pre-conception, pregnancy, postpartum) population, particularly supporting individuals undergoing fertility challenges. It can be isolating for a variety of reasons, which may lead to increased anxiety, depression, and anger. As a person with my own infertility experience, I offer a safe space of understanding, where I "know the language." My goal is to build an empathetic and trustworthy relationship to offer support with self-advocacy, validation, and personal challenge to ensure you have the information and calm you seek.
![Photo of Patrick A. Latham, PhD, Psychologist](https://photos.psychologytoday.com/3d3a2d92-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
[**Please note that I am not taking referrals for new clients at this time.**] I work with adults, adolescents, children, and families believing that each stage of the lifespan provides unique opportunities for change and growth. I seek to help clients come to a deeper understanding of the difficulties they face and to help them devise straight-forward, practical solutions grounded in skills they can bring to their everyday lives.
[**Please note that I am not taking referrals for new clients at this time.**] I work with adults, adolescents, children, and families believing that each stage of the lifespan provides unique opportunities for change and growth. I seek to help clients come to a deeper understanding of the difficulties they face and to help them devise straight-forward, practical solutions grounded in skills they can bring to their everyday lives.
![Photo of Rachel S Pauli, MS, LMHC, Counselor](https://photos.psychologytoday.com/3c49e700-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Appointments available mon-thursday before 1:00 and monday evening... Trauma informed psychotherapy for adults. Telemedicine and office visit options available.
Appointments available mon-thursday before 1:00 and monday evening... Trauma informed psychotherapy for adults. Telemedicine and office visit options available.
![Photo of Melissa A Pinnetti, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4b84689c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My practice is comprised of individuals and families grappling with a range of issues from addiction to high conflict divorce and college transition difficulties. Many of my clients are navigating with the strain of divorce and are seeking to learn skills to co-parent young children despite high conflict with their ex-spouse. Others are parents devastated by the ravages of addiction on their child and, ultimately, their family. These clients are motivated, competent and capable, but are experiencing discomfort in their lives that requires empathic support and guidance.
My practice is comprised of individuals and families grappling with a range of issues from addiction to high conflict divorce and college transition difficulties. Many of my clients are navigating with the strain of divorce and are seeking to learn skills to co-parent young children despite high conflict with their ex-spouse. Others are parents devastated by the ravages of addiction on their child and, ultimately, their family. These clients are motivated, competent and capable, but are experiencing discomfort in their lives that requires empathic support and guidance.
![Photo of Laura Query, EdM, LMHC, Counselor](https://photos.psychologytoday.com/8bfb6318-c8a2-46ba-9d16-422d4e3739d1/1/320x400.jpeg)
Accepting New Clients! The process of finding a therapist who is a match for you can feel overwhelming. I hope I can bring more ease to this process! My approach is warm, open, and collaborative. I want to understand your needs and goals, and help you clarify them. As humans, I believe we are at our best when connected to others in a trusted manner. I also have a deep respect for the courage it takes to step into therapy and will honor that throughout our work together. My private practice is located in an inviting space in Milton, MA where I work with adults (ages 18+) for individual therapy.
Accepting New Clients! The process of finding a therapist who is a match for you can feel overwhelming. I hope I can bring more ease to this process! My approach is warm, open, and collaborative. I want to understand your needs and goals, and help you clarify them. As humans, I believe we are at our best when connected to others in a trusted manner. I also have a deep respect for the courage it takes to step into therapy and will honor that throughout our work together. My private practice is located in an inviting space in Milton, MA where I work with adults (ages 18+) for individual therapy.
See more therapy options for Milton
How does your Therapist compare?
Number of Therapists in Milton, MA
90+
Average cost per session
$150
Therapists in Milton, MA who prioritize treating:
94% | Anxiety |
86% | Depression |
72% | Relationship Issues |
72% | Trauma and PTSD |
68% | Coping Skills |
66% | Self Esteem |
63% | Grief |
Average years in practice
14 Years
Top 3 insurances accepted
93% | BlueCross and BlueShield |
62% | Optum |
59% | Harvard Pilgrim |
How Therapists in Milton, MA see their clients
62% | In Person and Online | |
38% | Online Only |
Gender breakdown
81% | Female | |
19% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Milton?
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
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.
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.
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.