Therapists in Essex County, NY

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Photo of Kit Morgan, LCSW, Clinical Social Work/Therapist
Kit Morgan
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lake Placid, NY 12946  (Online Only)
I help people find understanding after feeling deeply misunderstood and liberation after experiencing religious trauma, LGBTQIA+ minority stress, and generational trauma by creating tailored treatments to meet my clients' needs. Each person's story is unique, and I would like to know yours!
I help people find understanding after feeling deeply misunderstood and liberation after experiencing religious trauma, LGBTQIA+ minority stress, and generational trauma by creating tailored treatments to meet my clients' needs. Each person's story is unique, and I would like to know yours!
(518) 217-2871 View (518) 217-2871
Photo of Twila Quaid, LMHC, LCSW, Counselor
Twila Quaid
Counselor, LMHC, LCSW
Verified Verified
Elizabethtown, NY 12932
Twila Are you falling apart? Or did you try to put yourself back together and have left over pieces? Either way may make you feel vulnerable . It can be uncomfortable, unsettling, and anxiety-provoking. I’m more of a holistic counselor which means I am not quick to assume you need medicine. That might mean we talk about food, sleep, spirituality, mindfulness, music, and moving your body.
Twila Are you falling apart? Or did you try to put yourself back together and have left over pieces? Either way may make you feel vulnerable . It can be uncomfortable, unsettling, and anxiety-provoking. I’m more of a holistic counselor which means I am not quick to assume you need medicine. That might mean we talk about food, sleep, spirituality, mindfulness, music, and moving your body.
(518) 333-7530 View (518) 333-7530
Photo of Nancy Holm Dawson - Dawson & Associates, LMHC, PsyD, Counselor
Dawson & Associates
Counselor, LMHC, PsyD
Verified Verified
1 Endorsed
Elizabethtown, NY 12932
Psychological evaluations, screening instruments and or testing help the therapist and clients identify areas of concern in four domains, that is, biological, psychological, social and spiritual. Based on findings, recognizing the primary area of concern and setting and achieving goals is critical in reducing mental health symptoms that are most debilitating to the client. Specialties are treating people with addiction and underlying disorders such as brain impairment, ADHD, depression, anxiety and trauma.
Psychological evaluations, screening instruments and or testing help the therapist and clients identify areas of concern in four domains, that is, biological, psychological, social and spiritual. Based on findings, recognizing the primary area of concern and setting and achieving goals is critical in reducing mental health symptoms that are most debilitating to the client. Specialties are treating people with addiction and underlying disorders such as brain impairment, ADHD, depression, anxiety and trauma.
(518) 593-9446 View (518) 593-9446
Photo of Susan Hart, Clinical Social Work/Therapist
Susan Hart
Clinical Social Work/Therapist
Verified Verified
Lake Placid, NY 12946
I treat anxiety, depression, narcissism, grief, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
I treat anxiety, depression, narcissism, grief, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
(518) 989-0983 View (518) 989-0983
Photo of Sara Hurlburt, LCSW, Clinical Social Work/Therapist
Sara Hurlburt
Clinical Social Work/Therapist, LCSW
Verified Verified
Willsboro, NY 12996
Waitlist for new clients
I am currently licensed to work with people residing in NY and VT. Welcome! People come to therapy for many different reasons. As your counselor, I offer a compassionate, safe, and supportive place in which to explore your concerns. I work collaboratively with curiosity and non-judgment as we create a path toward the changes you wish to make. I have been working in the mental health field for almost 10 years in a variety of capacities including school settings, inpatient mental health, and outpatient mental health clinics. I offer both in person and Telehealth options.
I am currently licensed to work with people residing in NY and VT. Welcome! People come to therapy for many different reasons. As your counselor, I offer a compassionate, safe, and supportive place in which to explore your concerns. I work collaboratively with curiosity and non-judgment as we create a path toward the changes you wish to make. I have been working in the mental health field for almost 10 years in a variety of capacities including school settings, inpatient mental health, and outpatient mental health clinics. I offer both in person and Telehealth options.
(518) 897-3657 View (518) 897-3657
Photo of Hadley Adams, LCSW, Clinical Social Work/Therapist
Hadley Adams
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake Placid, NY 12946
Not accepting new clients
Coping mechanisms that run amok, anxiety that does not relent, challenges in prioritizing yourself at least as highly as you do those you love most; these are some of the challenges that intrude and overwhelm. Therapy is a way to develop and use a trusting, collaborative and caring relationship toward decreased distress and increased peace. My goal is to empower you by guiding you toward growth, change, confidence and calm. We do this with a value for the strengths, values and goals that you bring with you to therapy.
Coping mechanisms that run amok, anxiety that does not relent, challenges in prioritizing yourself at least as highly as you do those you love most; these are some of the challenges that intrude and overwhelm. Therapy is a way to develop and use a trusting, collaborative and caring relationship toward decreased distress and increased peace. My goal is to empower you by guiding you toward growth, change, confidence and calm. We do this with a value for the strengths, values and goals that you bring with you to therapy.
(518) 901-2414 View (518) 901-2414
Photo of Emily Furman, MSW, MST, LCSW, Clinical Social Work/Therapist
Emily Furman
Clinical Social Work/Therapist, MSW, MST, LCSW
Verified Verified
Elizabethtown, NY 12932
I came to therapy as a client and became passionate about the benefits of therapy because of the changes I experienced in my own life. I am a fellow traveler along the path to healing who knows suffering. It is a great honor to help people reduce unnecessary suffering and improve pleasure, wellness, and ease in their lives. Learning about ourselves is a life-long process as we are constantly exposed to new experiences. There is always room to improve our relationships and the rewards are real.
I came to therapy as a client and became passionate about the benefits of therapy because of the changes I experienced in my own life. I am a fellow traveler along the path to healing who knows suffering. It is a great honor to help people reduce unnecessary suffering and improve pleasure, wellness, and ease in their lives. Learning about ourselves is a life-long process as we are constantly exposed to new experiences. There is always room to improve our relationships and the rewards are real.
(518) 532-3472 View (518) 532-3472
Photo of Marcia J dareff Wenn - Marci Wenn, LCSW-R, Clinical Social Work/Therapist
Marci Wenn
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Jay, NY 12941
Are you bothered by stress or anxiety, a sadness or grief? Would you like to be happier and express yourself more creatively in your life? I am an LCSW and a Creativity Coach who enjoys working with adults and youth who are feeling "stuck" and are seeking ways in which they can feel better and cope with life's challenges. Learning new ways of exploring personal goals, increasing emotional, physical and social well-being are opportunities for a more fulfilling life. I can offer you the space to reflect upon your life in a safe, respected and confidential environment.
Are you bothered by stress or anxiety, a sadness or grief? Would you like to be happier and express yourself more creatively in your life? I am an LCSW and a Creativity Coach who enjoys working with adults and youth who are feeling "stuck" and are seeking ways in which they can feel better and cope with life's challenges. Learning new ways of exploring personal goals, increasing emotional, physical and social well-being are opportunities for a more fulfilling life. I can offer you the space to reflect upon your life in a safe, respected and confidential environment.
(518) 240-1967 View (518) 240-1967
Photo of Jeanne Brown, LMHC, RPT-S, CATP, Counselor
Jeanne Brown
Counselor, LMHC, RPT-S, CATP
Verified Verified
Elizabethtown, NY 12932
I have over 30 years of experience working with children, adolescents, parents, adults, families and groups in many different roles. My passion is working with adults, adolescents and children and adolescents with substance use issues, anxiety, depression, anger, and defiant behaviors. The relationship between therapist and the individual is one of common choice exploring human needs and goals culminating in the wellness of the person. The individual remains the central priority in the counseling relationship.
I have over 30 years of experience working with children, adolescents, parents, adults, families and groups in many different roles. My passion is working with adults, adolescents and children and adolescents with substance use issues, anxiety, depression, anger, and defiant behaviors. The relationship between therapist and the individual is one of common choice exploring human needs and goals culminating in the wellness of the person. The individual remains the central priority in the counseling relationship.
(518) 412-7842 View (518) 412-7842
Photo of Andrea Johnston, LCSW-R, Clinical Social Work/Therapist
Andrea Johnston
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Bloomingdale, NY 12913
Not accepting new clients
I have 25 + years experience providing counseling and psychotherapy. My professional goal is to work together with you in a warm, accepting, and non-judgemental style to help you cope with and move beyond changes, symptoms, and stressors you are experiencing. I use treatment approaches in ways that best fit for you. We will find solutions that will help you to feel you are not alone and are understood.
I have 25 + years experience providing counseling and psychotherapy. My professional goal is to work together with you in a warm, accepting, and non-judgemental style to help you cope with and move beyond changes, symptoms, and stressors you are experiencing. I use treatment approaches in ways that best fit for you. We will find solutions that will help you to feel you are not alone and are understood.
(518) 767-1504 View (518) 767-1504
Photo of Darry A Roberts, MS, LMHC, NCC, Counselor
Darry A Roberts
Counselor, MS, LMHC, NCC
Verified Verified
Elizabethtown, NY 12932
Unmanaged stress can negatively effect how we cope with the challenges we face in life. Anxiety and depression are just a couple of the most common effects of stress whether that stress is experienced in the present or past. Stress can also interfere with our ability to function in relationships by inhibiting our ability to process emotions. By working with a counselor you are taking the first important step in overcoming your challenges. Your journey in addressing these challenges is important to me and I look forward to working together with you in achieving improved emotional health and functioning.
Unmanaged stress can negatively effect how we cope with the challenges we face in life. Anxiety and depression are just a couple of the most common effects of stress whether that stress is experienced in the present or past. Stress can also interfere with our ability to function in relationships by inhibiting our ability to process emotions. By working with a counselor you are taking the first important step in overcoming your challenges. Your journey in addressing these challenges is important to me and I look forward to working together with you in achieving improved emotional health and functioning.
(518) 621-0697 View (518) 621-0697
Photo of Rivka Cilley, LCSW, Clinical Social Work/Therapist
Rivka Cilley
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake Placid, NY 12946
The heart of my practice is creating a safe compassionate space and present space for my clients to awaken to their true nature, love themselves completely and express their uniqueness. I believe that each of us holds the truth and wisdom within. My role as facilitator is to help you listen deep within to your souls guidance. I do this by using mindfulness, meditation, connecting with nature, ancient yoga practices, and energy balancing techniques. My specialty is helping people in transition such as with relationships, loss through death, career, and health issues.
The heart of my practice is creating a safe compassionate space and present space for my clients to awaken to their true nature, love themselves completely and express their uniqueness. I believe that each of us holds the truth and wisdom within. My role as facilitator is to help you listen deep within to your souls guidance. I do this by using mindfulness, meditation, connecting with nature, ancient yoga practices, and energy balancing techniques. My specialty is helping people in transition such as with relationships, loss through death, career, and health issues.
(518) 303-5078 View (518) 303-5078
Photo of Ken Bezio, LMHC , EMDR, Counselor
Ken Bezio
Counselor, LMHC , EMDR
Verified Verified
Lake Placid, NY 12946
Hello, my name is Ken Bezio. We are currently accepting new patients.Adults only. I was born and raised in the North Country. I am a New York State Licensed Mental Health Counselor(LMHC). Throughout my career I have had the privilege to consult and collaboratively work with health professionals and behavioral organizations for many years within the North Country including but not limited to school settings I have an array of experience treating individuals across the lifespan.I provide an array of psychoanalytical theoretical approaches including but not limited to EMDR as a means of resolving past trauma to enhance mental wellbeing
Hello, my name is Ken Bezio. We are currently accepting new patients.Adults only. I was born and raised in the North Country. I am a New York State Licensed Mental Health Counselor(LMHC). Throughout my career I have had the privilege to consult and collaboratively work with health professionals and behavioral organizations for many years within the North Country including but not limited to school settings I have an array of experience treating individuals across the lifespan.I provide an array of psychoanalytical theoretical approaches including but not limited to EMDR as a means of resolving past trauma to enhance mental wellbeing
(518) 500-4127 View (518) 500-4127
Photo of Maryellen Leger, LMHC, Counselor
Maryellen Leger
Counselor, LMHC
Verified Verified
Ticonderoga, NY 12883
Hello, my name is MaryEllen Leger. I am a Licensed Mental Health Counselor. I would love to help you find your answers. Together we can utilize various therapy techniques that are best suited to you so that you can find your peace and happiness. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you, such as stress, anxiety, and self-esteem issues. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
Hello, my name is MaryEllen Leger. I am a Licensed Mental Health Counselor. I would love to help you find your answers. Together we can utilize various therapy techniques that are best suited to you so that you can find your peace and happiness. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you, such as stress, anxiety, and self-esteem issues. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(914) 221-1833 View (914) 221-1833
Photo of Amy Jones, LCSW, Clinical Social Work/Therapist
Amy Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake Placid, NY 12946
My name is Amy Lucia Jones, LCSW. I have experience dealing with issues such as depression, anxiety, sexual abuse, trauma, relationship concerns, anger management, and loss. I am trained in CBT, Motivational Interviewing, Dialectical Behavioral Skills, Trauma Informed Care, and a wide range of other modalities. My treatment style is eclectic and utilizes a broad spectrum of various styles and skills. I enjoy working with clients ages 13 and up, individuals and couples. I am also LGBTQ+-affirming.
My name is Amy Lucia Jones, LCSW. I have experience dealing with issues such as depression, anxiety, sexual abuse, trauma, relationship concerns, anger management, and loss. I am trained in CBT, Motivational Interviewing, Dialectical Behavioral Skills, Trauma Informed Care, and a wide range of other modalities. My treatment style is eclectic and utilizes a broad spectrum of various styles and skills. I enjoy working with clients ages 13 and up, individuals and couples. I am also LGBTQ+-affirming.
(929) 242-4321 View (929) 242-4321
Photo of Pavla Berry, LCSW-R, Clinical Social Work/Therapist
Pavla Berry
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Lake Placid, NY 12946
I focus on providing clinical support to clients who would like to achieve higher potential in their life, career, sports and overall life balance. Sometimes people feel stuck in old patterns of behavior and weighed down by previous negative experiences. I utilize several psychotherapeutic modalities that are based on individual needs and goals; allowing clients to move forward in a more positive and fulfilling way. I incorporate nutrition and active life style, if needed, to provide the best results for clients.
I focus on providing clinical support to clients who would like to achieve higher potential in their life, career, sports and overall life balance. Sometimes people feel stuck in old patterns of behavior and weighed down by previous negative experiences. I utilize several psychotherapeutic modalities that are based on individual needs and goals; allowing clients to move forward in a more positive and fulfilling way. I incorporate nutrition and active life style, if needed, to provide the best results for clients.
(518) 952-0011 View (518) 952-0011
Photo of Brianne Rehac, LMHC, Counselor
Brianne Rehac
Counselor, LMHC
Verified Verified
4 Endorsed
Lake Placid, NY 12946
In a world full of AI, sometimes you need to talk to a real person. We are so busy with work, scrolling, and trying to keep up with the news cycle. It can be exhausting. I help people who are used to being able to juggle all of it learn what they can set down and how to do it without feeling guilty. Some of my clients are moms, others are bosses (some are boss moms!). I work with athletes, artists, and entrepreneurs. The common thread between them all seems to be stress, anxiety, and exhaustion.
In a world full of AI, sometimes you need to talk to a real person. We are so busy with work, scrolling, and trying to keep up with the news cycle. It can be exhausting. I help people who are used to being able to juggle all of it learn what they can set down and how to do it without feeling guilty. Some of my clients are moms, others are bosses (some are boss moms!). I work with athletes, artists, and entrepreneurs. The common thread between them all seems to be stress, anxiety, and exhaustion.
(716) 265-4652 View (716) 265-4652
Photo of Dianette Colon (Oliva), LMHC, Counselor
Dianette Colon (Oliva)
Counselor, LMHC
Verified Verified
Willsboro, NY 12996
Hello! I am Dianette Oliva, a Licensed Mental Health Counselor. I have worked with adults, teens and children with various concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, addiction, trauma, and emotional abuse. My therapeutic approaches are Person-centered, CBT, Christian counseling, and couples counseling. I am a laid-back and dedicated therapist who wants to see you be successful. I look forward to partnering with you to achieve all your goals.
Hello! I am Dianette Oliva, a Licensed Mental Health Counselor. I have worked with adults, teens and children with various concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, addiction, trauma, and emotional abuse. My therapeutic approaches are Person-centered, CBT, Christian counseling, and couples counseling. I am a laid-back and dedicated therapist who wants to see you be successful. I look forward to partnering with you to achieve all your goals.
(914) 758-1121 View (914) 758-1121
Photo of Carol J Merrihew, MSW, LCSW-R, Clinical Social Work/Therapist
Carol J Merrihew
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
Lake Placid, NY 12946  (Online Only)
I have over 30 years of clinical social work experience providing services to adolescents, adults and families in a variety of inpatient and outpatient settings. My current practice mainly focuses on treating adjustment and mood disorders, recovery from trauma, stress reduction, couple therapy, life transition and aging issues. I favor a holistic approach and use a variety of therapeutic modalities. I enjoy working closely with primary care providers and prescribers to achieve best possible outcomes. I favor a strength based, positive approach using compassionate care.
I have over 30 years of clinical social work experience providing services to adolescents, adults and families in a variety of inpatient and outpatient settings. My current practice mainly focuses on treating adjustment and mood disorders, recovery from trauma, stress reduction, couple therapy, life transition and aging issues. I favor a holistic approach and use a variety of therapeutic modalities. I enjoy working closely with primary care providers and prescribers to achieve best possible outcomes. I favor a strength based, positive approach using compassionate care.
(518) 900-1572 View (518) 900-1572
Photo of Jennifer Matthews, LMHC, Counselor
Jennifer Matthews
Counselor, LMHC
Verified Verified
Olmstedville, NY 12857  (Online Only)
My name is Jennifer Matthews and I am a Licensed Mental Health Counselor. I take an eclectic approach to therapy, utilizing my vast knowledge of theory to provide quality care to each of my clients on an individual basis. I am trained and certified in CBT, DBT, ACT, CPT, and PE. I have spent most of my career assisting individuals to gain power and freedom back over their lives. There is nothing more rewarding than the client who can smile during and after the storm knowing they have created the skills necessary to not only survive but thrive.
My name is Jennifer Matthews and I am a Licensed Mental Health Counselor. I take an eclectic approach to therapy, utilizing my vast knowledge of theory to provide quality care to each of my clients on an individual basis. I am trained and certified in CBT, DBT, ACT, CPT, and PE. I have spent most of my career assisting individuals to gain power and freedom back over their lives. There is nothing more rewarding than the client who can smile during and after the storm knowing they have created the skills necessary to not only survive but thrive.
(347) 751-6825 View (347) 751-6825
1

See more therapy options for Essex County

How does your Therapist compare?

Number of Therapists in Essex County, NY

40+

Average cost per session

$125

Therapists in Essex County, NY who prioritize treating:

90% Anxiety
86% Depression
74% Coping Skills
71% Stress
60% Relationship Issues
60% Trauma and PTSD
60% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

85% UnitedHealthcare UHC | UBH
85% Optum
82% Aetna

How Therapists in Essex County, NY see their clients

70% In Person and Online
30% Online Only

Gender breakdown

85% Female
13% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Essex County?

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.