Therapists in Harrison City, PA

Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Licensed Professional Counselor
Christian Counseling Associates of Western PA
Licensed Professional Counselor
Verified Verified
Harrison City, PA 15636
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(724) 384-6054 View (724) 384-6054
Photo of Angela Angiolieri Career Counselor, EMDR, Licensed Professional Counselor
Angela Angiolieri Career Counselor
Licensed Professional Counselor, EMDR
Verified Verified
2 Endorsed
Harrison City, PA 15636  (Online Only)
Are you a woman seeking clarity and purpose in your career? Whether you're at the early stages of your professional journey, struggling in a toxic work environment, returning to work after having a baby or any extended break, exploring a side gig, contemplating a second career in mid-life, thinking about returning to school to pursue new passions, or redefining your life after the empty nest stage or retirement, I am here to offer dedicated support and guidance tailored to your unique goals and aspirations. Let's work together to unlock your full potential and create a fulfilling career path!
Are you a woman seeking clarity and purpose in your career? Whether you're at the early stages of your professional journey, struggling in a toxic work environment, returning to work after having a baby or any extended break, exploring a side gig, contemplating a second career in mid-life, thinking about returning to school to pursue new passions, or redefining your life after the empty nest stage or retirement, I am here to offer dedicated support and guidance tailored to your unique goals and aspirations. Let's work together to unlock your full potential and create a fulfilling career path!
(412) 790-2043 View (412) 790-2043
Photo of Heather Scherf, MS, LPC, Licensed Professional Counselor
Heather Scherf
Licensed Professional Counselor, MS, LPC
Verified Verified
Harrison City, PA 15636
One of my specialties is family therapy with adolescents and their parents. I enjoy supporting the bridge of communication between the generational differences, and helping each family member feel heard and seen. I work with the philosophy that we don't have to agree with one another to have compassion for one other. I see individuals, couples and families. In the past I have worked with children as young as three (yet currently only see kids 14 and older). If you are seeking parenting support for your child/children, I offer a blended approach to supporting you based on where each specific child is in their development.
One of my specialties is family therapy with adolescents and their parents. I enjoy supporting the bridge of communication between the generational differences, and helping each family member feel heard and seen. I work with the philosophy that we don't have to agree with one another to have compassion for one other. I see individuals, couples and families. In the past I have worked with children as young as three (yet currently only see kids 14 and older). If you are seeking parenting support for your child/children, I offer a blended approach to supporting you based on where each specific child is in their development.
(412) 223-3759 View (412) 223-3759
Photo of Joseph A Talamo, PhD, Psychologist
Joseph A Talamo
Psychologist, PhD
Verified Verified
Harrison City, PA 15636
I am always available and ready to help anyone, regardless of issue or age, except you must be 14+ and preferably an adult. Most major insurances are accepted, but I am not trained or qualified to work with drug/alcohol specific or transgender patients. My website is josephatalamo.com.
I am always available and ready to help anyone, regardless of issue or age, except you must be 14+ and preferably an adult. Most major insurances are accepted, but I am not trained or qualified to work with drug/alcohol specific or transgender patients. My website is josephatalamo.com.
(724) 213-3567 View (724) 213-3567
Photo of Tiffany Hornak, LPC, NCC
Tiffany Hornak
LPC, NCC
Verified Verified
1 Endorsed
Harrison City, PA 15636
Tiffany’s experience includes working as an addiction’s counselor, a caseworker, a TSS, and also includes work as a group care counselor in an adolescent group home all ranging between the years of 2010 to present. Tiffany has experience working with a variety of mental health needs including depression, anxiety, and grief. She is available for individual counseling with adults, teens, and children ages 8 and up. Tiffany desires to help client's meet their goals for treatment and help them take steps in their lives as they work through the events of their past and present.
Tiffany’s experience includes working as an addiction’s counselor, a caseworker, a TSS, and also includes work as a group care counselor in an adolescent group home all ranging between the years of 2010 to present. Tiffany has experience working with a variety of mental health needs including depression, anxiety, and grief. She is available for individual counseling with adults, teens, and children ages 8 and up. Tiffany desires to help client's meet their goals for treatment and help them take steps in their lives as they work through the events of their past and present.
(412) 725-0209 View (412) 725-0209

More Therapists Nearby

Photo of Theresa M. Lee, MSCP, LPC, Licensed Professional Counselor
Theresa M. Lee
Licensed Professional Counselor, MSCP, LPC
Verified Verified
Murrysville, PA 15668
Waitlist for new clients
Not accepting new clients at this time. It is my professional and personal belief that individuals do not heal in an environment of shame and guilt. For this reason, I strive to create a non-judgmental atmosphere where clients feel safe to discuss their issues in an open and productive way. My specialty areas are substance use disorders (addictions) and trauma. Guilt and shame are two feelings that are frequently felt by those who struggle with addictive issues, and for those who have experienced trauma. My goal is to help clients and their families understand their issues and work toward a better life.
Not accepting new clients at this time. It is my professional and personal belief that individuals do not heal in an environment of shame and guilt. For this reason, I strive to create a non-judgmental atmosphere where clients feel safe to discuss their issues in an open and productive way. My specialty areas are substance use disorders (addictions) and trauma. Guilt and shame are two feelings that are frequently felt by those who struggle with addictive issues, and for those who have experienced trauma. My goal is to help clients and their families understand their issues and work toward a better life.
(878) 205-0582 View (878) 205-0582
Photo of Elizabeth Dorosh, LPC, Licensed Professional Counselor
Elizabeth Dorosh
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Murrysville, PA 15668
Anxiety is everywhere these days. We're all making our way through a sea of unknowns, and our children are along for the ride. I believe that YOU, a parent or caregiver, have been doing the very best that you can for your child. I also know that with limited resources, a lack of external support or your own mental health strain, supporting a struggling child often feels impossible. If you’ve exhausted a list of ideas to help your child with little progress, let me join you. Together we can redistribute that emotional weight you’re carrying and give your child a big wide space to heal and grow.
Anxiety is everywhere these days. We're all making our way through a sea of unknowns, and our children are along for the ride. I believe that YOU, a parent or caregiver, have been doing the very best that you can for your child. I also know that with limited resources, a lack of external support or your own mental health strain, supporting a struggling child often feels impossible. If you’ve exhausted a list of ideas to help your child with little progress, let me join you. Together we can redistribute that emotional weight you’re carrying and give your child a big wide space to heal and grow.
(724) 607-8051 View (724) 607-8051
Photo of Dody A Wellock - Namaste Holistic Counseling, RN, LPC, NCC, Licensed Professional Counselor
Namaste Holistic Counseling
Licensed Professional Counselor, RN, LPC, NCC
Verified Verified
Export, PA 15632  (Online Only)
Not accepting new clients
I view each client as I believe God sees them, created in God’s image with infinite worth and dignity. I respect each person’s world and life view, and do my best to try to understand their world from their framework. No matter how hopeless, anxious, wounded, or down on yourself, or pleased with yourself you may be, I respect the courage you have to decide to pick up the phone to make an appointment. I provide a safe place where you can be heard and accepted before we form a path forward together. YOU are the ONLY expert of your experience. I have some education and professional experience, but together we work toward your goals.
I view each client as I believe God sees them, created in God’s image with infinite worth and dignity. I respect each person’s world and life view, and do my best to try to understand their world from their framework. No matter how hopeless, anxious, wounded, or down on yourself, or pleased with yourself you may be, I respect the courage you have to decide to pick up the phone to make an appointment. I provide a safe place where you can be heard and accepted before we form a path forward together. YOU are the ONLY expert of your experience. I have some education and professional experience, but together we work toward your goals.
(724) 997-3889 View (724) 997-3889
Photo of Jackie Helm, MS, NCC, LPC, Licensed Professional Counselor
Jackie Helm
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Irwin, PA 15642
“Anything that’s human is mentionable, and anything that is mentionable can be more manageable” - Fred Rogers Sometimes we all need someone to help process through every day struggles, whether it be struggles with relationships, identity, work, or school. I work primarily from a cognitive behavioral therapy, person-centered and dialectical behavioral therapy approach and work to figure out the “why” behind emotions, help build awareness to emotions, reframe faulty thinking and find positive solutions to every day problems.
“Anything that’s human is mentionable, and anything that is mentionable can be more manageable” - Fred Rogers Sometimes we all need someone to help process through every day struggles, whether it be struggles with relationships, identity, work, or school. I work primarily from a cognitive behavioral therapy, person-centered and dialectical behavioral therapy approach and work to figure out the “why” behind emotions, help build awareness to emotions, reframe faulty thinking and find positive solutions to every day problems.
(724) 564-6973 View (724) 564-6973
Photo of Seema Chaubey, MA, LPC, NCC, Licensed Professional Counselor
Seema Chaubey
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
North Huntingdon, PA 15642  (Online Only)
As a counselor I have 20+ years of experience working with adults and children. I treat my clients in a compassionate and professional manner and my approach is usually eclectic as I choose them according to the needs of my client. Techniques used by me are CBT, REBT, ACT, Motivational, Gestalt approach, meditation, relaxation and guided imagery. My expertise is in mood disorders such as depression, bipolar disorders, and on anxiety disorders such as OCD, panic disorder, and phobias. Anger management in relationships and marriage and relationship therapy are also my interest areas as well as resolution of trauma issues, whether acute or chronic. I have and continue to treat dually diagnosed substance abuse clients.
As a counselor I have 20+ years of experience working with adults and children. I treat my clients in a compassionate and professional manner and my approach is usually eclectic as I choose them according to the needs of my client. Techniques used by me are CBT, REBT, ACT, Motivational, Gestalt approach, meditation, relaxation and guided imagery. My expertise is in mood disorders such as depression, bipolar disorders, and on anxiety disorders such as OCD, panic disorder, and phobias. Anger management in relationships and marriage and relationship therapy are also my interest areas as well as resolution of trauma issues, whether acute or chronic. I have and continue to treat dually diagnosed substance abuse clients.
(609) 778-1512 View (609) 778-1512
Photo of Rachael Ananian, LMFT, CEDS, Marriage & Family Therapist
Rachael Ananian
Marriage & Family Therapist, LMFT, CEDS
Verified Verified
Monroeville, PA 15146
I am a HAES oriented clinician who is passionate about helping others improve their relationship with food and body image. I specialize in providing treatment for those 14 and older struggling with an eating disorder, and will work with your team to ensure individualized care. My goal is collaborate with you to create an individualized plan of treatment, knowledge, and, most importantly, support for experiencing a better quality of life.
I am a HAES oriented clinician who is passionate about helping others improve their relationship with food and body image. I specialize in providing treatment for those 14 and older struggling with an eating disorder, and will work with your team to ensure individualized care. My goal is collaborate with you to create an individualized plan of treatment, knowledge, and, most importantly, support for experiencing a better quality of life.
View
Photo of Brittany Edge - Family Matters Center for Relational Therapy, MA, LMFT, Marriage & Family Therapist
Family Matters Center for Relational Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Greensburg, PA 15601
We all struggle in the relationships that are important to us and need help some of the time to develop skills to strengthen these relationships. We lose connection and have difficulty communicating with our partners or spouses; we get stuck in conflict with our children; we lose track of who we are; we dread going to work because it feels hostile or unsafe; we question our faith; we have trouble expressing needs at school; and we neglect our bodies and our health. The relationships we have with ourselves and others are always evolving and we need to change with them.
We all struggle in the relationships that are important to us and need help some of the time to develop skills to strengthen these relationships. We lose connection and have difficulty communicating with our partners or spouses; we get stuck in conflict with our children; we lose track of who we are; we dread going to work because it feels hostile or unsafe; we question our faith; we have trouble expressing needs at school; and we neglect our bodies and our health. The relationships we have with ourselves and others are always evolving and we need to change with them.
(724) 705-0569 View (724) 705-0569
Photo of Diane Kanczes, LCSW, Clinical Social Work/Therapist
Diane Kanczes
Clinical Social Work/Therapist, LCSW
Verified Verified
Greensburg, PA 15601
I have been providing treatment to children, adolescents and adults for over 20 years. I believe therapy should be designed to meet each persons specific needs and goals. Positive change works best in the context of a trusting, genuine, and nonjudgmental therapeutic relationship. I will help you achieve growth by utilizing treatment methods that are best suited to your specific issues and personality.
I have been providing treatment to children, adolescents and adults for over 20 years. I believe therapy should be designed to meet each persons specific needs and goals. Positive change works best in the context of a trusting, genuine, and nonjudgmental therapeutic relationship. I will help you achieve growth by utilizing treatment methods that are best suited to your specific issues and personality.
(724) 620-4726 View (724) 620-4726
Photo of David J. Kemerer, MA, LPC, Licensed Professional Counselor
David J. Kemerer
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Greensburg, PA 15601
Life is a journey...have you wondered lately how your journey is working out? How would you know if you are headed in the best direction? Maybe you have a good idea of what you need to change you've just never done it before, or need help getting started. At True North Vitality, we want to partner with those looking to invest in their journey to live life to the fullest! Are you ready for transformation? Let us help you get on the best course and find your True North!
Life is a journey...have you wondered lately how your journey is working out? How would you know if you are headed in the best direction? Maybe you have a good idea of what you need to change you've just never done it before, or need help getting started. At True North Vitality, we want to partner with those looking to invest in their journey to live life to the fullest! Are you ready for transformation? Let us help you get on the best course and find your True North!
(412) 328-2819 View (412) 328-2819
Photo of Khalilah Yadullah, LPC , Licensed Professional Counselor
Khalilah Yadullah
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601  (Online Only)
Welcome everyone! My name is Khalilah Yadullah. I am a psychotherapist. I believe in providing each person with a safe and judgement-free space, when in a therapeutic session. I use techniques from different therapeutic schools of thought to assist in the therapeutic journey with each person. I am grounded in DBT. I believe in providing each person with a safe and judgement-free space, when in a therapeutic session. I will validate your feelings, challenge cognitive distortions, encourage and explore physical wellness, and set SMART goals for each troubled area identified.
Welcome everyone! My name is Khalilah Yadullah. I am a psychotherapist. I believe in providing each person with a safe and judgement-free space, when in a therapeutic session. I use techniques from different therapeutic schools of thought to assist in the therapeutic journey with each person. I am grounded in DBT. I believe in providing each person with a safe and judgement-free space, when in a therapeutic session. I will validate your feelings, challenge cognitive distortions, encourage and explore physical wellness, and set SMART goals for each troubled area identified.
(717) 539-3057 View (717) 539-3057
Photo of Zack Byam, LPC, Licensed Professional Counselor
Zack Byam
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146  (Online Only)
Are you “stuck”—either on something that’s changed in your life, in the world around us, or just in general? Maybe something just feels strange or unsettling. Change is intimidating, even when we take it one step at a time, and often we can’t see the full picture without stepping away from the lens for a wider view. Sometimes, you just need another perspective - one that's neutral and doesn't "take sides." Your situation, just like you, is unique, and I can help you through it. I’m here to honor your struggle and help you build on the skills you have. I can help you respect or heal past decisions and help you to define new ones.
Are you “stuck”—either on something that’s changed in your life, in the world around us, or just in general? Maybe something just feels strange or unsettling. Change is intimidating, even when we take it one step at a time, and often we can’t see the full picture without stepping away from the lens for a wider view. Sometimes, you just need another perspective - one that's neutral and doesn't "take sides." Your situation, just like you, is unique, and I can help you through it. I’m here to honor your struggle and help you build on the skills you have. I can help you respect or heal past decisions and help you to define new ones.
(724) 964-4202 View (724) 964-4202
Photo of Mark Walthofer, LCSW, Clinical Social Work/Therapist
Mark Walthofer
Clinical Social Work/Therapist, LCSW
Verified Verified
Greensburg, PA 15601
My name is Mark Walthofer. I am a Licensed Clinical Social Worker for the State of Pennsylvania and have been in Social Survives in one form or another for the last 40 years. I have worked with everyone from children to seniors, in services such as wrap-around, drug and alcohol, group homes hospitals, and medical practices. clinical and private mental health practices. I have experience working with adults. including young adults ages 8 to 25, seniors adolescents, and families and children parodically.
My name is Mark Walthofer. I am a Licensed Clinical Social Worker for the State of Pennsylvania and have been in Social Survives in one form or another for the last 40 years. I have worked with everyone from children to seniors, in services such as wrap-around, drug and alcohol, group homes hospitals, and medical practices. clinical and private mental health practices. I have experience working with adults. including young adults ages 8 to 25, seniors adolescents, and families and children parodically.
(717) 930-2080 View (717) 930-2080
Photo of Mary Radaker, LPC, Licensed Professional Counselor
Mary Radaker
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
Hello. My name is Mary Radaker, and I am a Licensed Professional Counselor. I have 18 years of experience in the counseling field and am competent in many treatment approaches. I value my clients' input into the therapeutic process and work to create a safe and relaxed environment which clients feel comfortable in. My areas of expertise are trauma, Addictions, Anxiety, Depression as well as Grief and Loss.
Hello. My name is Mary Radaker, and I am a Licensed Professional Counselor. I have 18 years of experience in the counseling field and am competent in many treatment approaches. I value my clients' input into the therapeutic process and work to create a safe and relaxed environment which clients feel comfortable in. My areas of expertise are trauma, Addictions, Anxiety, Depression as well as Grief and Loss.
(717) 699-8970 View (717) 699-8970
Photo of Andrew Nocita, LCP, Licensed Professional Counselor
Andrew Nocita
Licensed Professional Counselor, LCP
Verified Verified
Greensburg, PA 15601
Hello, I'm Andrew Nocita. I am a licensed psychologist and a Certified Allied Addiction Practitioner (CAAP), in practice since 1988. I received my doctorate in Clinical Psychology from Miami University in Oxford, Ohio, and my addiction certification from the Pennsylvania Certification Board in 1994.
Hello, I'm Andrew Nocita. I am a licensed psychologist and a Certified Allied Addiction Practitioner (CAAP), in practice since 1988. I received my doctorate in Clinical Psychology from Miami University in Oxford, Ohio, and my addiction certification from the Pennsylvania Certification Board in 1994.
(717) 523-9471 View (717) 523-9471
Photo of Dana Nicholson, PsyD, Psychologist
Dana Nicholson
Psychologist, PsyD
Verified Verified
Murrysville, PA 15668  (Online Only)
Our mission is to provide the highest quality clinical services that empower you to find your inner strengths and reach your greatest potential. We create a safe, compassionate and caring environment for you to explore your strengths and utilize your gifts to your fullest potential. Life’s challenges can be overwhelming at times and we are here to help you overcome these while becoming stronger and healthier in the process. Love, peace, joy and harmony are possible in your life and we are here to help you elevate to your highest potential. As Christian counselors, we believe that no challenge is too big or pain too deep
Our mission is to provide the highest quality clinical services that empower you to find your inner strengths and reach your greatest potential. We create a safe, compassionate and caring environment for you to explore your strengths and utilize your gifts to your fullest potential. Life’s challenges can be overwhelming at times and we are here to help you overcome these while becoming stronger and healthier in the process. Love, peace, joy and harmony are possible in your life and we are here to help you elevate to your highest potential. As Christian counselors, we believe that no challenge is too big or pain too deep
(724) 200-8403 View (724) 200-8403

See more therapy options for Harrison City

How does your Therapist compare?

Number of Therapists in Harrison City, PA

< 10

Therapists in Harrison City, PA who prioritize treating:

100% Anxiety
100% Parenting
100% Family Conflict
100% Peer Relationships
80% Depression
80% Grief
80% School Issues

Average years in practice

17 Years

Top 3 insurances accepted

80% Aetna
80% Highmark
80% Optum

How Therapists in Harrison City, PA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Harrison City?

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.