Therapists in West Newton, PA

Photo of Donald Sharbaugh, LPC, NCC, Licensed Professional Counselor
Donald Sharbaugh
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
West Newton, PA 15089
"We all need a little help sometimes" With the chaoticness of life, there can be numerous problems that a person can be carrying with them whether it is issues with anxiety, depression, anger, trauma, etc. and when having these problems it can make it more difficult to function in our day-to-day lives. This is why I believe that everybody should have somebody in their life that they are able to process these issues with. I am trained in Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT) and Acceptance and Commitment Therapy (ACT).
"We all need a little help sometimes" With the chaoticness of life, there can be numerous problems that a person can be carrying with them whether it is issues with anxiety, depression, anger, trauma, etc. and when having these problems it can make it more difficult to function in our day-to-day lives. This is why I believe that everybody should have somebody in their life that they are able to process these issues with. I am trained in Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT) and Acceptance and Commitment Therapy (ACT).
(724) 558-8278 View (724) 558-8278
Photo of Frank Krawiec, MSW, LCSW, Clinical Social Work/Therapist
Frank Krawiec
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
West Newton, PA 15089
Is your life lacking that "sunshine" needed to be your best self? I am a Licensed Clinical Social Worker (LCSW) and co-owner of Good Day Sunshine Counseling LLC who has 25 plus years' experience working adults, adolescents, children, and families in an array of settings including Community Mental Health/Drug and Alcohol, School Settings and Private Practice. I believe in providing support that is unique to each individual to help choose the best treatment approach.
Is your life lacking that "sunshine" needed to be your best self? I am a Licensed Clinical Social Worker (LCSW) and co-owner of Good Day Sunshine Counseling LLC who has 25 plus years' experience working adults, adolescents, children, and families in an array of settings including Community Mental Health/Drug and Alcohol, School Settings and Private Practice. I believe in providing support that is unique to each individual to help choose the best treatment approach.
(724) 617-4932 View (724) 617-4932
Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Counselor
Christian Counseling Associates of Western PA
Counselor
Verified Verified
West Newton, PA 15089
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) 216-0332 View (724) 216-0332
Photo of Martha J Slagy, LPC, NCC, Licensed Professional Counselor
Martha J Slagy
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
West Newton, PA 15089
I've worked with children and adults having a hard time living authentically or finding joy, questioning their identity, living with overwhelming guilt or shame, unable to find "forgiveness", battling assorted addictions, not performing their sport at expected level, other people's judgment weighing them down, can't concentrate on work or class, lacking motivation, grieving a loss of someone or something, Covid fatigue, chronic illness, heavy secrets, winter blues, frustrating political atmosphere... These are just some examples of what people battled who have found freedom in talk therapy/counseling with me.
I've worked with children and adults having a hard time living authentically or finding joy, questioning their identity, living with overwhelming guilt or shame, unable to find "forgiveness", battling assorted addictions, not performing their sport at expected level, other people's judgment weighing them down, can't concentrate on work or class, lacking motivation, grieving a loss of someone or something, Covid fatigue, chronic illness, heavy secrets, winter blues, frustrating political atmosphere... These are just some examples of what people battled who have found freedom in talk therapy/counseling with me.
(412) 207-3454 View (412) 207-3454

More Therapists Nearby

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
North Huntingdon, PA 15642
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 Nancy A. Hamilton, MS, NCC, LPC, Licensed Professional Counselor
Nancy A. Hamilton
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
North Huntingdon, PA 15642
I treat adult clients with a range of concerns, including life adjustments, mood disorders, trauma history, anxiety, personality disorders, stress, dual diagnosis (MH/D&A), dual diagnosis (MH/ID), as well as individuals who wish to maximize their full potential. The nature of the therapeutic relationship is the bedrock from which trust develops and is the key to improve upon all other relationships, including with one's self. I assist individuals to discover and build upon inner strengths, skills, and abilities to better adapt to the challenges that a fulfilling life presents.
I treat adult clients with a range of concerns, including life adjustments, mood disorders, trauma history, anxiety, personality disorders, stress, dual diagnosis (MH/D&A), dual diagnosis (MH/ID), as well as individuals who wish to maximize their full potential. The nature of the therapeutic relationship is the bedrock from which trust develops and is the key to improve upon all other relationships, including with one's self. I assist individuals to discover and build upon inner strengths, skills, and abilities to better adapt to the challenges that a fulfilling life presents.
(412) 254-8953 View (412) 254-8953
Photo of Andrea Unglaub, MS Ed, LPC, Licensed Professional Counselor
Andrea Unglaub
Licensed Professional Counselor, MS Ed, LPC
Verified Verified
1 Endorsed
Irwin, PA 15642
Currently accepting new clients for openings Monday, Tuesday and Friday between 10am and 5pm. Utilizing techniques from cognitive behavioral therapy, mindfulness training, strength based and person centered approaches, my approach to therapy is tailored to each of my client's needs. My goal is to make sure you feel safe and comfortable to share in the therapeutic process.
Currently accepting new clients for openings Monday, Tuesday and Friday between 10am and 5pm. Utilizing techniques from cognitive behavioral therapy, mindfulness training, strength based and person centered approaches, my approach to therapy is tailored to each of my client's needs. My goal is to make sure you feel safe and comfortable to share in the therapeutic process.
(724) 552-8892 View (724) 552-8892
Photo of Carissa Atkinson, MS, LPC, Licensed Professional Counselor
Carissa Atkinson
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
North Huntingdon, PA 15642  (Online Only)
My clinical experience began in general private practice, and I later moved on to develop a more specialized treatment approach through an internship with The Center for OCD and Anxiety in August 2020. From there, I transitioned into my roles as Associate Therapist, Intake Manager, and Caregiver Support Group Leader until February 2024. As I believe that effective therapy includes an appropriate balance of empathy, humor, active listening, and proper guidance rooted in evidence-based practices, I utilize an eclectic mix of therapeutic modalities (listed below) to tailor treatment according to the specific needs of each individual.
My clinical experience began in general private practice, and I later moved on to develop a more specialized treatment approach through an internship with The Center for OCD and Anxiety in August 2020. From there, I transitioned into my roles as Associate Therapist, Intake Manager, and Caregiver Support Group Leader until February 2024. As I believe that effective therapy includes an appropriate balance of empathy, humor, active listening, and proper guidance rooted in evidence-based practices, I utilize an eclectic mix of therapeutic modalities (listed below) to tailor treatment according to the specific needs of each individual.
(724) 294-5846 View (724) 294-5846
Photo of Jackie Straub - Jackie Straub-Owner Irwin Counseling, MS, LPC, NCC, Licensed Professional Counselor
Jackie Straub-Owner Irwin Counseling
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
6 Endorsed
Irwin, PA 15642
Individuals who seek Psychodynamic Psychotherapy from me are looking for lasting relief from a range struggles. I listen to your story so that I can assist you gain insight into how your troubles with relationships, life transitions, feelings of inadequacy, or bothersome patterns of behavior are influenced by underlying emotional pain, trauma, grief, and unconscious conflicts. You may be suffering from anxiety, depression, or episodes of panic. We will work together to help you develop new pathways for coping. The transformations made with Psychodynamic Therapy bring peace and contentment and are life changing.
Individuals who seek Psychodynamic Psychotherapy from me are looking for lasting relief from a range struggles. I listen to your story so that I can assist you gain insight into how your troubles with relationships, life transitions, feelings of inadequacy, or bothersome patterns of behavior are influenced by underlying emotional pain, trauma, grief, and unconscious conflicts. You may be suffering from anxiety, depression, or episodes of panic. We will work together to help you develop new pathways for coping. The transformations made with Psychodynamic Therapy bring peace and contentment and are life changing.
(724) 863-0760 View (724) 863-0760
Photo of Elysia Groschwitz, LPC, Licensed Professional Counselor
Elysia Groschwitz
Licensed Professional Counselor, LPC
Verified Verified
Youngwood, PA 15697
For over 13 years, I have worked with a wide range of individuals with various diagnoses and concerns including anxiety, OCD, panic, major depression, trauma, suicidal ideation, non-suicidal self-injury, life transitions, stress, ADHD, peer and relationship issues, grief and loss, family conflict, bipolar, SPMI, and chronic health issues.
For over 13 years, I have worked with a wide range of individuals with various diagnoses and concerns including anxiety, OCD, panic, major depression, trauma, suicidal ideation, non-suicidal self-injury, life transitions, stress, ADHD, peer and relationship issues, grief and loss, family conflict, bipolar, SPMI, and chronic health issues.
(724) 571-2954 View (724) 571-2954
Photo of Bethany L Ackerman- Enlightening Hope Counseling, PhD, LPC, Licensed Professional Counselor
Bethany L Ackerman- Enlightening Hope Counseling
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
North Huntingdon, PA 15642
I have worked in a variety of mental health settings throughout my career and I have extensive experience working with children, teens, and adults with a wide range of mental health disorders. I have several years of experience working with individuals with drug and alcohol addictions, including those who use medication-assisted therapies. I enjoy working with clients with a variety of diagnoses including depression, anxiety, and personality disorders. I believe there is hope for any mental health challenge.
I have worked in a variety of mental health settings throughout my career and I have extensive experience working with children, teens, and adults with a wide range of mental health disorders. I have several years of experience working with individuals with drug and alcohol addictions, including those who use medication-assisted therapies. I enjoy working with clients with a variety of diagnoses including depression, anxiety, and personality disorders. I believe there is hope for any mental health challenge.
(724) 948-0902 View (724) 948-0902
Photo of Karen L Miller, MA, NCC, LPC, LLC, Licensed Professional Counselor
Karen L Miller
Licensed Professional Counselor, MA, NCC, LPC, LLC
Verified Verified
4 Endorsed
North Huntingdon, PA 15642
I believe caring, encouragement, and humor need to be combined with knowledge and skills. I want to make you feel confident that all will be well. You may need someone to listen or you may need a counselor trained in diagnosing and treating mental health concerns. I try to provide others with what I would want from a counselor. I will give you honesty and commitment to help you be happier in your daily life. We will work together in a non judgmental environment. Caring and support are balanced with a goal oriented style to help you meet your goals.
I believe caring, encouragement, and humor need to be combined with knowledge and skills. I want to make you feel confident that all will be well. You may need someone to listen or you may need a counselor trained in diagnosing and treating mental health concerns. I try to provide others with what I would want from a counselor. I will give you honesty and commitment to help you be happier in your daily life. We will work together in a non judgmental environment. Caring and support are balanced with a goal oriented style to help you meet your goals.
(724) 807-1248 View (724) 807-1248
Photo of Steven Reinoehl, MA, LPC, Counselor
Steven Reinoehl
Counselor, MA, LPC
Verified Verified
North Huntingdon, PA 15642
Above all, people need to know that you care, and that you know how to help them. I provide both of these, by building solid rapport with my clients, to show them what is perhaps the most important aspect of counseling- that they have a therapist who is someone who wilI truly listen to them, show them empathy, and be a sincere partner in helping them reach their counseling goals. My motto is "Anyone can be helped, after they realize that you truly care, and that they can trust in you." I provide treatment for a wide variety of mental health problems, including trauma, anxiety, depression, and mood disorders.
Above all, people need to know that you care, and that you know how to help them. I provide both of these, by building solid rapport with my clients, to show them what is perhaps the most important aspect of counseling- that they have a therapist who is someone who wilI truly listen to them, show them empathy, and be a sincere partner in helping them reach their counseling goals. My motto is "Anyone can be helped, after they realize that you truly care, and that they can trust in you." I provide treatment for a wide variety of mental health problems, including trauma, anxiety, depression, and mood disorders.
(610) 590-9044 View (610) 590-9044
Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Licensed Professional Counselor
Christian Counseling Associates of Western PA
Licensed Professional Counselor
Verified Verified
Irwin, PA 15642
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 Liz Bittner, MS, NCC, Pre-Licensed Professional
Liz Bittner
Pre-Licensed Professional, MS, NCC
Verified Verified
North Huntingdon, PA 15642
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
(724) 604-5520 View (724) 604-5520
Photo of Jasmine Naccarato - Jasmine Counseling and Wellness, LLC, MS, NCC, LPC, Licensed Professional Counselor
Jasmine Counseling and Wellness, LLC
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Monessen, PA 15062  (Online Only)
Email, text or call for scheduling options! You don’t need to face the challenges of life alone. My goal is to help you embrace your unique strengths and find a balance in all facets of your life. As a licensed professional counselor, I have helped individuals work through a variety of experiences (grief, trauma, life transitions, improved emotional regulation and coping, and more). I believe that everyone deserves to have a safe place to help them become the best version of themselves.
Email, text or call for scheduling options! You don’t need to face the challenges of life alone. My goal is to help you embrace your unique strengths and find a balance in all facets of your life. As a licensed professional counselor, I have helped individuals work through a variety of experiences (grief, trauma, life transitions, improved emotional regulation and coping, and more). I believe that everyone deserves to have a safe place to help them become the best version of themselves.
(724) 558-8515 View (724) 558-8515
Photo of Amanda Merola, Amanda Merola, LCSW, Clinical Social Work/Therapist
Amanda Merola
Clinical Social Work/Therapist, Amanda Merola, LCSW
Verified Verified
Irwin, PA 15642  (Online Only)
Hello! My main priority with clients is to create a safe space that is free from judgment or criticism. I help clients explore their emotions, life events and goals in a supportive and collaborative environment. I strive to empower my clients to take an active role in their treatment. I use a CBT focused approach. I enjoy sharing and educating clients on resources and tools to help best support them. I welcome you to contact me via phone or email to setup an initial consultation to determine if we will be a good fit.
Hello! My main priority with clients is to create a safe space that is free from judgment or criticism. I help clients explore their emotions, life events and goals in a supportive and collaborative environment. I strive to empower my clients to take an active role in their treatment. I use a CBT focused approach. I enjoy sharing and educating clients on resources and tools to help best support them. I welcome you to contact me via phone or email to setup an initial consultation to determine if we will be a good fit.
(724) 860-3685 View (724) 860-3685
Photo of Joyce Kuczma, MA, LMFT, Marriage & Family Therapist
Joyce Kuczma
Marriage & Family Therapist, MA, LMFT
Verified Verified
North Huntingdon, PA 15642
Because I believe initiating therapy is a courageous and admirable movement toward improving a person's life and relationships, I strive to provide an atmosphere of respect, security, acceptance-- and above all... hope! I am committed to creating an experience in which clients feel empowered through coaching, modeling, and multi-media education that makes learning new concepts understandable and easily incorporated into everyday life. (Please scroll down to view accepted insurance plans.)
Because I believe initiating therapy is a courageous and admirable movement toward improving a person's life and relationships, I strive to provide an atmosphere of respect, security, acceptance-- and above all... hope! I am committed to creating an experience in which clients feel empowered through coaching, modeling, and multi-media education that makes learning new concepts understandable and easily incorporated into everyday life. (Please scroll down to view accepted insurance plans.)
(412) 307-5776 View (412) 307-5776
Photo of Quentin Hampton, LPC, MA, Licensed Professional Counselor
Quentin Hampton
Licensed Professional Counselor, LPC, MA
Verified Verified
Irwin, PA 15642
Working through the Grace Wellness Center in Western Pennsylvania, I am here for any individual who is motivated to find change in their lives. I believe that our daily thinking and beliefs contribute to many issues that we face. By being willing to uncover and explore your thinking and past experiences, problematic thoughts and feelings can find healing for the future.
Working through the Grace Wellness Center in Western Pennsylvania, I am here for any individual who is motivated to find change in their lives. I believe that our daily thinking and beliefs contribute to many issues that we face. By being willing to uncover and explore your thinking and past experiences, problematic thoughts and feelings can find healing for the future.
(412) 910-1681 View (412) 910-1681
Photo of Maggie Vaughan, LCSW, Clinical Social Work/Therapist
Maggie Vaughan
Clinical Social Work/Therapist, LCSW
Verified Verified
Irwin, PA 15642  (Online Only)
I work with individuals, couples and families. I practice psychotherapy, which involves a range of treatments that can help with adjustment problems, emotional challenges and mental health issues. My overall intention is that of support, relief and to help one understand their feelings through talking and education resulting in an improved quality of life.
I work with individuals, couples and families. I practice psychotherapy, which involves a range of treatments that can help with adjustment problems, emotional challenges and mental health issues. My overall intention is that of support, relief and to help one understand their feelings through talking and education resulting in an improved quality of life.
(878) 208-4653 View (878) 208-4653

See more therapy options for West Newton

How does your Therapist compare?

Number of Therapists in West Newton, PA

< 10

Therapists in West Newton, PA who prioritize treating:

75% Relationship Issues
75% Depression
75% Anxiety
75% School Issues
75% Stress
50% Addiction
50% Child

Average years in practice

22 Years

Top 3 insurances accepted

100% Aetna
100% University of Pittsburgh Medical Center (UPMC) Hea
75% BlueCross and BlueShield

How Therapists in West Newton, PA see their clients

100% In Person and Online

Gender breakdown

66% Male
34% Female
FAQs - About Therapy and Counseling

How can I find a therapist in West Newton?

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.