Therapists in Johnston, RI

Photo of Kristen Peters, LICSW, Clinical Social Work/Therapist
Kristen Peters
Clinical Social Work/Therapist, LICSW
Verified Verified
Johnston, RI 02919
I provide a warm, welcoming, laid back and safe environment, which allows for a positive experience. Life faces us with many challenges, and I work with individuals to overcome those obstacles. I provide an objective view to assist you through whatever it is you are facing. I work to fit your specific needs and I empower my clients to learn and implement skills to help them through their challenges. We will work collaboratively through the entire process, as we both need to be equally invested to help drive success.
I provide a warm, welcoming, laid back and safe environment, which allows for a positive experience. Life faces us with many challenges, and I work with individuals to overcome those obstacles. I provide an objective view to assist you through whatever it is you are facing. I work to fit your specific needs and I empower my clients to learn and implement skills to help them through their challenges. We will work collaboratively through the entire process, as we both need to be equally invested to help drive success.
(401) 496-9065 View (401) 496-9065
Photo of Rachel Wence, BS, Pre-Licensed Professional
Rachel Wence
Pre-Licensed Professional, BS
Verified Verified
Johnston, RI 02919
I am a Recovery Coach and Case Manager at Ocean State Recovery Center. I have a bachelors in Psychology and am currently working on my LCDP supervision hours. I am also a person in longterm recovery and it is my passion to work others and help them in anyway I can to get back on track to a life free from drugs and alcohol.
I am a Recovery Coach and Case Manager at Ocean State Recovery Center. I have a bachelors in Psychology and am currently working on my LCDP supervision hours. I am also a person in longterm recovery and it is my passion to work others and help them in anyway I can to get back on track to a life free from drugs and alcohol.
(401) 205-8892 View (401) 205-8892
Photo of Alexia Sanford, MA, LMHC-A, Pre-Licensed Professional
Alexia Sanford
Pre-Licensed Professional, MA, LMHC-A
Verified Verified
Johnston, RI 02919
I am a compassionate and dedicated Mental Health Counselor with a focus in Solution-Focused Brief Therapy (SFBT) and Cognitive-Behavioral Therapy (CBT). I am committed to helping young adults navigate their journey towards emotional well-being. My goal is to create a safe and non-judgmental space where you can explore your thoughts, feelings, and experiences in a supportive environment. I have a passion for helping individuals by harnessing individual strengths to ensure a quality of care tailored to your unique needs and path through life.
I am a compassionate and dedicated Mental Health Counselor with a focus in Solution-Focused Brief Therapy (SFBT) and Cognitive-Behavioral Therapy (CBT). I am committed to helping young adults navigate their journey towards emotional well-being. My goal is to create a safe and non-judgmental space where you can explore your thoughts, feelings, and experiences in a supportive environment. I have a passion for helping individuals by harnessing individual strengths to ensure a quality of care tailored to your unique needs and path through life.
(401) 337-7950 View (401) 337-7950
Photo of Brian Anderson, MA, CGS, LMHC, Counselor
Brian Anderson
Counselor, MA, CGS, LMHC
Verified Verified
Johnston, RI 02919
You may be feeling overwhelmed with painful emotions, consumed by negative thoughts, or lack energy and drive you once had. Perhaps you feel stuck, stressed, scared or isolated. During these times of struggle it is important to know that you are not alone and help is available. Together we will work to you get back on track, or even build a new track to get you to where you want to be.
You may be feeling overwhelmed with painful emotions, consumed by negative thoughts, or lack energy and drive you once had. Perhaps you feel stuck, stressed, scared or isolated. During these times of struggle it is important to know that you are not alone and help is available. Together we will work to you get back on track, or even build a new track to get you to where you want to be.
(401) 214-1361 View (401) 214-1361
Photo of Lisa St. Germain, LMHC, CAGS, MA, Counselor
Lisa St. Germain
Counselor, LMHC, CAGS, MA
Verified Verified
1 Endorsed
Johnston, RI 02919
I believe therapy can be useful in navigating your life's journey. I provide a confidential and uncritical environment for people to talk about their thoughts, feelings, hopes and concerns. I will listen, question and comment to better understand the underlying issues that may cause you distress. I will assist you in gaining insight and knowledge while offering assistance in coping and making better choices to enrich your life. Treatment is based on individuals needs, whether it be internal conflicts, interpersonal issues or practical problems.
I believe therapy can be useful in navigating your life's journey. I provide a confidential and uncritical environment for people to talk about their thoughts, feelings, hopes and concerns. I will listen, question and comment to better understand the underlying issues that may cause you distress. I will assist you in gaining insight and knowledge while offering assistance in coping and making better choices to enrich your life. Treatment is based on individuals needs, whether it be internal conflicts, interpersonal issues or practical problems.
(401) 447-8265 View (401) 447-8265
Photo of Michael Ryan White, LICSW, Clinical Social Work/Therapist
Michael Ryan White
Clinical Social Work/Therapist, LICSW
Verified Verified
4 Endorsed
Johnston, RI 02919  (Online Only)
I’m a Licensed Independent Clinical Social Worker serving Rhode Island and Massachusetts with over 10 years of experience across a variety of mental health settings including Butler Hospital and Rhode Island Hospital. My passion is therapy and I’ve spent the past 6 years helping individuals to navigate life’s stressors and unlock the best version of themselves. I specialize in treating adults experiencing depression, anxiety, men’s issues, compassion fatigue, and major life transitions.
I’m a Licensed Independent Clinical Social Worker serving Rhode Island and Massachusetts with over 10 years of experience across a variety of mental health settings including Butler Hospital and Rhode Island Hospital. My passion is therapy and I’ve spent the past 6 years helping individuals to navigate life’s stressors and unlock the best version of themselves. I specialize in treating adults experiencing depression, anxiety, men’s issues, compassion fatigue, and major life transitions.
(401) 496-7948 View (401) 496-7948
Photo of Nellie A Rodriguez - Brightside Behavioral Health, MSW, LCSW, Clinical Social Work/Therapist
Brightside Behavioral Health
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Johnston, RI 02919
Hello, I'm Nellie, a licensed social worker and therapist driven by a genuine passion for helping others. With a wealth of experience, I have supported clients facing various challenges such as substance use, anxiety, depression, low self-esteem, and familial/relationship issues. My approach is to meet clients where they are, offering support, problem-solving skills, and coping techniques as they navigate their concerns and strive for personal growth and improved relationships. Authenticity and honesty are fundamental to my therapeutic style. I want my clients to feel understood, empowered, and equipped with clarity regarding
Hello, I'm Nellie, a licensed social worker and therapist driven by a genuine passion for helping others. With a wealth of experience, I have supported clients facing various challenges such as substance use, anxiety, depression, low self-esteem, and familial/relationship issues. My approach is to meet clients where they are, offering support, problem-solving skills, and coping techniques as they navigate their concerns and strive for personal growth and improved relationships. Authenticity and honesty are fundamental to my therapeutic style. I want my clients to feel understood, empowered, and equipped with clarity regarding
(401) 246-7356 View (401) 246-7356
Photo of Dawn Gonsalves - Dawn Gonsalves,LMHC, MA, CAGS, LMHC, Counselor
Dawn Gonsalves,LMHC
Counselor, MA, CAGS, LMHC
Verified Verified
1 Endorsed
Johnston, RI 02919
Life can be hard. Never give up! Are you looking for someone to help you work through anxiety, panic attacks, depression or family and relationship problems? Life's problems can not always be fixed but it helps to have someone that will help you get through it. Let's uncover your inner strength and work through the things that stand in the way of achieving your goals. As a therapist, I see my role as a supportive guide that will work along side of you to reach your goals and continue growing towards your greatest potential.
Life can be hard. Never give up! Are you looking for someone to help you work through anxiety, panic attacks, depression or family and relationship problems? Life's problems can not always be fixed but it helps to have someone that will help you get through it. Let's uncover your inner strength and work through the things that stand in the way of achieving your goals. As a therapist, I see my role as a supportive guide that will work along side of you to reach your goals and continue growing towards your greatest potential.
(401) 312-3478 View (401) 312-3478
Photo of Taylor Raposa, CADC, Drug & Alcohol Counselor
Taylor Raposa
Drug & Alcohol Counselor, CADC
Verified Verified
2 Endorsed
Johnston, RI 02919
Taylor Raposa is a Rhode Island College Alumni where she graduated cum laude with Bachelors in Psychology and Chemical Dependency/Addiction Studies. Taylor graduated in 2020 and has since obtained her Certified Alcohol and Drug Counselors license.
Taylor Raposa is a Rhode Island College Alumni where she graduated cum laude with Bachelors in Psychology and Chemical Dependency/Addiction Studies. Taylor graduated in 2020 and has since obtained her Certified Alcohol and Drug Counselors license.
(401) 812-3053 View (401) 812-3053
Photo of Michelle M Harrington, MA, LCMHC, Counselor
Michelle M Harrington
Counselor, MA, LCMHC
Verified Verified
Johnston, RI 02919
Waitlist for new clients
Are you discouraged? Do you feel confused about certain aspects of your life? Does anxiety or sadness get in the way of things you would like to do? Do you worry about things you cannot control? Do you struggle to understand relationships in your life? Have you been hurt and don't know how to resolve the pain and anger? Have you thought of talking with someone but feel you should be able to solve things on your own? Therapy can lead you to confident places in which you become empowered to make the best choices to meet your own needs.
Are you discouraged? Do you feel confused about certain aspects of your life? Does anxiety or sadness get in the way of things you would like to do? Do you worry about things you cannot control? Do you struggle to understand relationships in your life? Have you been hurt and don't know how to resolve the pain and anger? Have you thought of talking with someone but feel you should be able to solve things on your own? Therapy can lead you to confident places in which you become empowered to make the best choices to meet your own needs.
(401) 415-7080 View (401) 415-7080
Photo of Michelle L McGuire - Ocean State Counseling &Wellness Ctr- ML McGuire, MA, CAGS, LMHC, Counselor
Ocean State Counseling &Wellness Ctr- ML McGuire
Counselor, MA, CAGS, LMHC
Verified Verified
Johnston, RI 02919
Now accepting Tricare for therapy and medication management. Do you ever feel stressed, overwhelmed, or just plain stuck? Having someone to listen can help a person move to a healthier place. We offer counseling to improve mood, functioning, communication, self-esteem, and connection. Why continue to have the same argument, repeat negative behavior, or avoid interacting? We take a holistic approach to problem solving, additional offerings; DUI counseling, Emotional Support Animal Evaluations, Trainings, prof. consultations, Ear Acupuncture, Reiki,and Clinical Supervision.
Now accepting Tricare for therapy and medication management. Do you ever feel stressed, overwhelmed, or just plain stuck? Having someone to listen can help a person move to a healthier place. We offer counseling to improve mood, functioning, communication, self-esteem, and connection. Why continue to have the same argument, repeat negative behavior, or avoid interacting? We take a holistic approach to problem solving, additional offerings; DUI counseling, Emotional Support Animal Evaluations, Trainings, prof. consultations, Ear Acupuncture, Reiki,and Clinical Supervision.
(401) 566-9218 View (401) 566-9218
Photo of Elizabeth James - Better Beginnings Counseling Center , LMHC, Counselor
Better Beginnings Counseling Center
Counselor, LMHC
Verified Verified
Johnston, RI 02919
Waitlist for new clients
Welcome and thank you for taking the time to visit my profile. I have been working in the mental health field for over 25 years with experience working with all age groups who experience a variety of symptoms and diagnoses. My experience comes from working in hospital settings, outpatient clinics and group homes. Taking the first step is the hardest on your journey. I look forward to the opportunity to helping you on this journey to a better beginning.
Welcome and thank you for taking the time to visit my profile. I have been working in the mental health field for over 25 years with experience working with all age groups who experience a variety of symptoms and diagnoses. My experience comes from working in hospital settings, outpatient clinics and group homes. Taking the first step is the hardest on your journey. I look forward to the opportunity to helping you on this journey to a better beginning.
(401) 307-5721 View (401) 307-5721
Photo of Maria Dorval, BA, Pre-Licensed Professional
Maria Dorval
Pre-Licensed Professional, BA
Verified Verified
Johnston, RI 02919
I am a Recovery Coach and Case Manager at Ocean State Recovery Center. I have a bachelors in sociology and criminal justice. I enjoy seeing individuals reach their full potential by engaging in a program of recovery. I am here to assist individuals by ensuring that they have all of the resources they need to be successful throughout the treatment process.
I am a Recovery Coach and Case Manager at Ocean State Recovery Center. I have a bachelors in sociology and criminal justice. I enjoy seeing individuals reach their full potential by engaging in a program of recovery. I am here to assist individuals by ensuring that they have all of the resources they need to be successful throughout the treatment process.
(401) 205-8673 View (401) 205-8673
Photo of Antonio Aquíno - Stream Hope Counseling , PhD, Pre-Licensed Professional
Stream Hope Counseling
Pre-Licensed Professional, PhD
Verified Verified
Johnston, RI 02919  (Online Only)
Mi cliente ideal es alguien que busca claridad en su vida, está luchando con la ansiedad o la depresión y desea mejorar sus relaciones. Necesitan un ambiente seguro y de apoyo para explorar sus pensamientos y sentimientos. Sus objetivos son desarrollar resiliencia, fortalecer su autoestima y alcanzar un bienestar emocional duradero. Is someone seeking clarity in their life, struggling with anxiety or depression, and desiring better relationships. They need a safe, supportive environment to explore their thoughts and feelings. Their goals are to build resilience, improve mental well-being, and achieve personal growth.
Mi cliente ideal es alguien que busca claridad en su vida, está luchando con la ansiedad o la depresión y desea mejorar sus relaciones. Necesitan un ambiente seguro y de apoyo para explorar sus pensamientos y sentimientos. Sus objetivos son desarrollar resiliencia, fortalecer su autoestima y alcanzar un bienestar emocional duradero. Is someone seeking clarity in their life, struggling with anxiety or depression, and desiring better relationships. They need a safe, supportive environment to explore their thoughts and feelings. Their goals are to build resilience, improve mental well-being, and achieve personal growth.
(401) 251-0814 View (401) 251-0814
Photo of Jeffrey D Noll, LICSW, LCDP, Clinical Social Work/Therapist
Jeffrey D Noll
Clinical Social Work/Therapist, LICSW, LCDP
Verified Verified
Johnston, RI 02919
Not accepting new clients
I enjoy helping men and women of all ages to approach the challenges of life in helpful ways. We all experience changes in our lives, development through different stages, and the stresses of everyday life. It can be helpful to talk with a therapist to consider our thoughts, feelings, and behaviors, and choose how to go through this process of living in ways that are right for us.
I enjoy helping men and women of all ages to approach the challenges of life in helpful ways. We all experience changes in our lives, development through different stages, and the stresses of everyday life. It can be helpful to talk with a therapist to consider our thoughts, feelings, and behaviors, and choose how to go through this process of living in ways that are right for us.
(401) 722-1722 View (401) 722-1722
Photo of Courtney Imondi, MS, LMHC , Counselor
Courtney Imondi
Counselor, MS, LMHC
Verified Verified
Johnston, RI 02919
Not accepting new clients
I am a licensed mental health counselor with areas of specialization in anxiety related disorders and OCD. I begin treatment by getting to know you and explore presenting problems, symptoms and goals. I tend to be more solution focused- offering concrete skills and often encouraging clients to practice these skills in between sessions. In addition to the utilization of evidenced based techniques, I strongly believe that the ability to develop a strong therapeutic relationship is of utmost importance and that this lays the foundation for positive treatment outcomes.
I am a licensed mental health counselor with areas of specialization in anxiety related disorders and OCD. I begin treatment by getting to know you and explore presenting problems, symptoms and goals. I tend to be more solution focused- offering concrete skills and often encouraging clients to practice these skills in between sessions. In addition to the utilization of evidenced based techniques, I strongly believe that the ability to develop a strong therapeutic relationship is of utmost importance and that this lays the foundation for positive treatment outcomes.
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Photo of Lisa M Rocchio - Lisa M. Rocchio, Ph.D. & Associates, Inc., PhD, Psychologist
Lisa M. Rocchio, Ph.D. & Associates, Inc.
Psychologist, PhD
Verified Verified
1 Endorsed
Johnston, RI 02919
Lisa M. Rocchio, Ph.D. & Associates, Inc. is a multi-disciplinary mental-health practice providing psychotherapy to adults, children, couples and families. Since 1997, Dr. Lisa Rocchio and a dedicated staff of experienced, licensed clinicians have offered professional outpatient mental health services to help clients improve their quality of life, health, relationships and interpersonal skills. Clinicians work collaboratively with clients to develop personalized strategies and solutions uniquely suited to their individual needs. They balance an active, problem-solving approach with an emphasis on the societal and familial context of a person's distress.
Lisa M. Rocchio, Ph.D. & Associates, Inc. is a multi-disciplinary mental-health practice providing psychotherapy to adults, children, couples and families. Since 1997, Dr. Lisa Rocchio and a dedicated staff of experienced, licensed clinicians have offered professional outpatient mental health services to help clients improve their quality of life, health, relationships and interpersonal skills. Clinicians work collaboratively with clients to develop personalized strategies and solutions uniquely suited to their individual needs. They balance an active, problem-solving approach with an emphasis on the societal and familial context of a person's distress.
(401) 262-0419 View (401) 262-0419
Photo of Tami M Verduchi, LCSW, Clinical Social Work/Therapist
Tami M Verduchi
Clinical Social Work/Therapist, LCSW
Verified Verified
Johnston, RI 02919  (Online Only)
I specialize in providing personalized and effective therapy services to clients facing a wide range of challenges. Whether you're struggling with anxiety, depression, relationship issues, or feeling stuck in life, I am here to support you every step of the way. My approach towards therapy is rooted in the belief that each client is unique, and I tailor my techniques to meet your specific needs. By creating a non-judgmental space, I ensure you will feel safe to express yourself openly and honestly. Together, we will explore your thoughts, emotions, and behaviors while developing strategies towards positive change.
I specialize in providing personalized and effective therapy services to clients facing a wide range of challenges. Whether you're struggling with anxiety, depression, relationship issues, or feeling stuck in life, I am here to support you every step of the way. My approach towards therapy is rooted in the belief that each client is unique, and I tailor my techniques to meet your specific needs. By creating a non-judgmental space, I ensure you will feel safe to express yourself openly and honestly. Together, we will explore your thoughts, emotions, and behaviors while developing strategies towards positive change.
(401) 240-1559 View (401) 240-1559
Photo of Innovative Counseling Llc, LICSW, Clinical Social Work/Therapist
Innovative Counseling Llc
Clinical Social Work/Therapist, LICSW
Verified Verified
Johnston, RI 02919
If you are reading this, you have taken the first, the most difficult step to obtaining the help you have been looking for. Trusting someone new and making changes to your life are also difficult. Here you will find a safe space where you can be yourself, judgement free, and process what it is that might be a barrier in your life. My passion in life is helping others find and live to their fullest potential. To find their true self within and find happiness, by processing emotions, past trauma/present trauma, depression, anxiety, managing ADHD, or managing life transitions. I work with children, adolescents, adults, & older adult.
If you are reading this, you have taken the first, the most difficult step to obtaining the help you have been looking for. Trusting someone new and making changes to your life are also difficult. Here you will find a safe space where you can be yourself, judgement free, and process what it is that might be a barrier in your life. My passion in life is helping others find and live to their fullest potential. To find their true self within and find happiness, by processing emotions, past trauma/present trauma, depression, anxiety, managing ADHD, or managing life transitions. I work with children, adolescents, adults, & older adult.
(401) 271-5227 View (401) 271-5227
Photo of Erin White, LADCII, Drug & Alcohol Counselor
Erin White
Drug & Alcohol Counselor, LADCII
Verified Verified
Johnston, RI 02919
I believe in the power of a positive rapport building experience for all patients struggling with addiction and alcohol issues. I offer strength-building and self-empowerment approaches to client-centered care while addressing self-management skills. Clients learn how to become encouraged and motivated to believe in their own capacity for successful outcomes and attainable goals, while addressing Substance Use Disorder and subsequent complexities throughout the treatment process.
I believe in the power of a positive rapport building experience for all patients struggling with addiction and alcohol issues. I offer strength-building and self-empowerment approaches to client-centered care while addressing self-management skills. Clients learn how to become encouraged and motivated to believe in their own capacity for successful outcomes and attainable goals, while addressing Substance Use Disorder and subsequent complexities throughout the treatment process.
(401) 208-2997 View (401) 208-2997
1

See more therapy options for Johnston

How does your Therapist compare?

Number of Therapists in Johnston, RI

50+

Average cost per session

$107

Therapists in Johnston, RI who prioritize treating:

95% Anxiety
89% Depression
76% Self Esteem
75% Coping Skills
69% Relationship Issues
62% Trauma and PTSD
56% Grief

Average years in practice

10 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
92% UnitedHealthcare UHC | UBH
67% Neighborhood Health Plan of RI

How Therapists in Johnston, RI see their clients

91% In Person and Online
9% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Johnston?

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.