Therapists in Lyndon, VT

Photo of Jin Li Chan, MSW, LICSW, PMH-C, Clinical Social Work/Therapist
Jin Li Chan
Clinical Social Work/Therapist, MSW, LICSW, PMH-C
Verified Verified
1 Endorsed
Lyndon, VT 05849  (Online Only)
Navigating trauma, depression, anxiety, and stress can feel overwhelming, but you don’t have to face it alone. These challenges can leave lasting imprints on our emotions, thoughts, and behaviors. I work with clients to process and heal from traumatic experiences, break generational trauma, and build resilience, helping them reclaim their lives from past pain, persistent worry, and ongoing stress. My goal is to help you develop effective coping strategies so that these concerns no longer hold you back.
Navigating trauma, depression, anxiety, and stress can feel overwhelming, but you don’t have to face it alone. These challenges can leave lasting imprints on our emotions, thoughts, and behaviors. I work with clients to process and heal from traumatic experiences, break generational trauma, and build resilience, helping them reclaim their lives from past pain, persistent worry, and ongoing stress. My goal is to help you develop effective coping strategies so that these concerns no longer hold you back.
(802) 200-2416 View (802) 200-2416
Christopher Colpitts
Clinical Social Work/Therapist, LICSW
Verified Verified
Lyndon, VT 05849
For over 20 years, I have enjoyed working with children, adolescents and their families to improve relationships, overcome the effects of complex trauma, and foster healthy attachments between children and parents. I have experience working with attachment issues, as well as training in Trauma-Focused CBT. With children, a directive, supportive and playful approach is used to overcome shame and fear. I also treat adults with a range of issues, including depression, anxiety and personality disorders. Meeting clients where they are is important to healing emotional wounds and building confidence in personal decision making.
For over 20 years, I have enjoyed working with children, adolescents and their families to improve relationships, overcome the effects of complex trauma, and foster healthy attachments between children and parents. I have experience working with attachment issues, as well as training in Trauma-Focused CBT. With children, a directive, supportive and playful approach is used to overcome shame and fear. I also treat adults with a range of issues, including depression, anxiety and personality disorders. Meeting clients where they are is important to healing emotional wounds and building confidence in personal decision making.
(802) 278-9743 View (802) 278-9743

More Therapists Nearby

Photo of Cynthia Abry, LCMHC, CCATP, NCC, NCCMHC, Counselor
Cynthia Abry
Counselor, LCMHC, CCATP, NCC, NCCMHC
Verified Verified
Lyndonville, VT 05851  (Online Only)
Waitlist for new clients
My specialty is working with adolescents and adults to improve communication and facilitate healing from trauma and/or issues that are impacting life in a negative way. I have extensive experience working to address the effects of sexual and physical abuse history, PTSD, OCD, as well as anxiety and depression. I am passionate about working with women who are dealing with transitions, marital, relationship and other challenges. I focus on building a trusting relationship, identifying solutions and strengths in order to facilitate transformation. I am trained in IFS, EMDR, and Play Therapy, among other approaches.
My specialty is working with adolescents and adults to improve communication and facilitate healing from trauma and/or issues that are impacting life in a negative way. I have extensive experience working to address the effects of sexual and physical abuse history, PTSD, OCD, as well as anxiety and depression. I am passionate about working with women who are dealing with transitions, marital, relationship and other challenges. I focus on building a trusting relationship, identifying solutions and strengths in order to facilitate transformation. I am trained in IFS, EMDR, and Play Therapy, among other approaches.
(802) 529-4054 View (802) 529-4054
Photo of Dale Sickles, MA, LMHC, Counselor
Dale Sickles
Counselor, MA, LMHC
Verified Verified
East Burke, VT 05832  (Online Only)
Waitlist for new clients
Waitlist - leave detailed v-mail for call back: Bcbs of Mass. insurance and self-pay only Ty! It has been my experience that many of us become frozen by yesterday to the point that tomorrow evokes anxiety and today becomes lost. I will help you reconnect to the here and now & together we will design a treatment plan that will allow you to move past stuck and start living the life you deserve!
Waitlist - leave detailed v-mail for call back: Bcbs of Mass. insurance and self-pay only Ty! It has been my experience that many of us become frozen by yesterday to the point that tomorrow evokes anxiety and today becomes lost. I will help you reconnect to the here and now & together we will design a treatment plan that will allow you to move past stuck and start living the life you deserve!
(978) 785-8650 View (978) 785-8650
Photo of Mallory Billings-Litke, LICSW, Clinical Social Work/Therapist
Mallory Billings-Litke
Clinical Social Work/Therapist, LICSW
Verified Verified
Saint Johnsbury, VT 05819  (Online Only)
Current Openings (as of 10/3/24): Tuesdays 9, 10, 11; Wednesdays 12:30, 5:30. You will receive a quicker response if you send an email rather than leaving a voicemail. I provide counseling for individuals and couples. We will focus on problem-solving through improved communication and conflict resolution as well as goal setting through the use of cognitive behavioral therapy, mindfulness skills and traditional talk therapy. I will tailor your treatment to your specific needs. I look forward to hearing from you!
Current Openings (as of 10/3/24): Tuesdays 9, 10, 11; Wednesdays 12:30, 5:30. You will receive a quicker response if you send an email rather than leaving a voicemail. I provide counseling for individuals and couples. We will focus on problem-solving through improved communication and conflict resolution as well as goal setting through the use of cognitive behavioral therapy, mindfulness skills and traditional talk therapy. I will tailor your treatment to your specific needs. I look forward to hearing from you!
(802) 454-3767 View (802) 454-3767
Photo of Cathy W Rousse - Life Works Counseling LLC, LICSW, Clinical Social Work/Therapist
Life Works Counseling LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Saint Johnsbury, VT 05819
Welcome to Life Works Counseling! Are you having a difficult time coping, struggling at work, at home, with relationships or just feeling like you can't get out of your own way? Life is hard and the world is changing, sometimes we just need to a safe place to process what's working and what's not in our lives. At Life Works Counseling we can help with that!
Welcome to Life Works Counseling! Are you having a difficult time coping, struggling at work, at home, with relationships or just feeling like you can't get out of your own way? Life is hard and the world is changing, sometimes we just need to a safe place to process what's working and what's not in our lives. At Life Works Counseling we can help with that!
(802) 455-4558 View (802) 455-4558
Photo of Sandra Puckett, LPC, LBS, Counselor
Sandra Puckett
Counselor, LPC, LBS
Verified Verified
1 Endorsed
Saint Johnsbury, VT 05819
Obsessive compulsive disorder (OCD) is a bully, heightening your anxiety and distress. The thoughts, images, and feelings you experience inside OCD’s story don’t align with who you are. To calm the intense anxiety and discomfort you experience, you engage in behaviors, rituals, or mental review. The strategies that once helped provide a sense of relief and peace, are becoming a barrier to the things you enjoy. This doesn’t mean you’re stuck. With therapy and time, you can learn how to navigate your OCD and anxiety.
Obsessive compulsive disorder (OCD) is a bully, heightening your anxiety and distress. The thoughts, images, and feelings you experience inside OCD’s story don’t align with who you are. To calm the intense anxiety and discomfort you experience, you engage in behaviors, rituals, or mental review. The strategies that once helped provide a sense of relief and peace, are becoming a barrier to the things you enjoy. This doesn’t mean you’re stuck. With therapy and time, you can learn how to navigate your OCD and anxiety.
(484) 207-1885 View (484) 207-1885
Photo of Amanda Rose Addeo - NEK Therapeutic and Educational Services LLC, LCMHC, LSC, Counselor
NEK Therapeutic and Educational Services LLC
Counselor, LCMHC, LSC
Verified Verified
Saint Johnsbury, VT 05819
My office is a safe, relaxing, and fun space for clients. As an experienced school counselor, school based clinician, and college tutor, I have built my practice based on providing high quality care to young people in need. I'm passionate about teaching social skills and healthy coping skills in a manner that is enjoyable and values every client's uniqueness.
My office is a safe, relaxing, and fun space for clients. As an experienced school counselor, school based clinician, and college tutor, I have built my practice based on providing high quality care to young people in need. I'm passionate about teaching social skills and healthy coping skills in a manner that is enjoyable and values every client's uniqueness.
(802) 424-9587 View (802) 424-9587
Photo of Randy J Bulpin - Randy J. Bulpin Counseling and Supervision, MA, LCMHC, Licensed Professional Counselor
Randy J. Bulpin Counseling and Supervision
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Saint Johnsbury, VT 05819
Waitlist for new clients
My practice is based on the premise that the relationship is key to emotional wellbeing. Life experiences and especially trauma can lead us to distort our interpretations of both our internal and external worlds. My counseling experience began in 2007 working with young people with extensive social, emotional, and behavioral needs. This inevitably raised my awareness of the importance of the family and related support systems. I spent much of my life as a professional musician and have been able to use music in my therapeutic work, supporting the development and maintenance of sharing, self-regulation, and effective communication.
My practice is based on the premise that the relationship is key to emotional wellbeing. Life experiences and especially trauma can lead us to distort our interpretations of both our internal and external worlds. My counseling experience began in 2007 working with young people with extensive social, emotional, and behavioral needs. This inevitably raised my awareness of the importance of the family and related support systems. I spent much of my life as a professional musician and have been able to use music in my therapeutic work, supporting the development and maintenance of sharing, self-regulation, and effective communication.
(802) 242-8413 View (802) 242-8413
Photo of Sam Morrigan, MS, Registered Psychotherapist
Sam Morrigan
Registered Psychotherapist, MS
Verified Verified
Saint Johnsbury, VT 05819
Waitlist for new clients
My schedule is currently full. Please contact to be placed on the waitlist. I provide a unique experience using an eclectic client-centered approach to therapy that is deeply rooted in feministic theory and strengths-based approaches. I help (re)build self-worth, empower, and guide you to your true self. I encourage looking at life from various perspectives in order to fully understand how you can grow and become who you desire to be. You have the knowledge, I just help you sort it into a more usable format. I have experience navigating relationships/unique issues within the gaming, pop culture, and geek/nerd communities.
My schedule is currently full. Please contact to be placed on the waitlist. I provide a unique experience using an eclectic client-centered approach to therapy that is deeply rooted in feministic theory and strengths-based approaches. I help (re)build self-worth, empower, and guide you to your true self. I encourage looking at life from various perspectives in order to fully understand how you can grow and become who you desire to be. You have the knowledge, I just help you sort it into a more usable format. I have experience navigating relationships/unique issues within the gaming, pop culture, and geek/nerd communities.
(802) 745-8232 View (802) 745-8232
Photo of Kristi Zola, MS, LCMHC, Counselor
Kristi Zola
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Lyndonville, VT 05851
Do you have past trauma that you still carry around despite your best efforts to cope? This trauma could be a single event, years of smaller incidents, a negative self- statement that's been with you forever, or a loss of some kind. Sometimes talk therapy doesn't actually solve the core issue and you continue to have overwhelming feelings when it comes up for you. I use a combination of EMDR, Brainspotting, and Parts Work to work on these core issues. This can be done as a stand-alone therapy or as an adjunct to talk therapy.
Do you have past trauma that you still carry around despite your best efforts to cope? This trauma could be a single event, years of smaller incidents, a negative self- statement that's been with you forever, or a loss of some kind. Sometimes talk therapy doesn't actually solve the core issue and you continue to have overwhelming feelings when it comes up for you. I use a combination of EMDR, Brainspotting, and Parts Work to work on these core issues. This can be done as a stand-alone therapy or as an adjunct to talk therapy.
(802) 458-0092 View (802) 458-0092
Photo of Janet Givens, MA, CGP, Registered Psychotherapist
Janet Givens
Registered Psychotherapist, MA, CGP
Verified Verified
Saint Johnsbury, VT 05819
My particular areas of interest include midlife change, from divorce to widowhood and the many changes in between; substance abuse and codependency recovery; trauma; chronic illness; loss; relationships, including the one with ourself. I'm particularly interested in the power of culture on the individual.
My particular areas of interest include midlife change, from divorce to widowhood and the many changes in between; substance abuse and codependency recovery; trauma; chronic illness; loss; relationships, including the one with ourself. I'm particularly interested in the power of culture on the individual.
(802) 331-3806 View (802) 331-3806
Photo of Karen Roy, MS, LCMHC, Counselor
Karen Roy
Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Saint Johnsbury, VT 05819
Not accepting new clients
My passion is relationships; creating and building positive, lasting, healthy and satisfying relationships. I work with couples, mothers, families, young adults and adults to connect and rebuild trust with themselves and others, creating positive lasting change. I work from the belief that the client/therapist relationship is enormously important, allowing for a sincere and genuine therapeutic relationship to exist. I believe we all want to live "authentic" lives and my approach encourages clients to have the courage to be that person. I focus on a holistic approach working with the mind, body and soul to heal negative patterns of anxiety, depression, stress, and trauma.
My passion is relationships; creating and building positive, lasting, healthy and satisfying relationships. I work with couples, mothers, families, young adults and adults to connect and rebuild trust with themselves and others, creating positive lasting change. I work from the belief that the client/therapist relationship is enormously important, allowing for a sincere and genuine therapeutic relationship to exist. I believe we all want to live "authentic" lives and my approach encourages clients to have the courage to be that person. I focus on a holistic approach working with the mind, body and soul to heal negative patterns of anxiety, depression, stress, and trauma.
(802) 557-0059 View (802) 557-0059
Photo of Shannon Rodgers, MA, LADC, LCMHC, Drug & Alcohol Counselor
Shannon Rodgers
Drug & Alcohol Counselor, MA, LADC, LCMHC
Verified Verified
Saint Johnsbury, VT 05819  (Online Only)
Are you beginning to question your relationship with alcohol, drugs, or other unhealthy thoughts and behaviors? Or do you struggle with chronic relapse despite your best efforts to make changes? Has traditional substance use treatment not worked for you in the past? Often, habits and substances that once made us feel good or safe become problematic and difficult to control. Reducing or eliminating what no longer serves us maybe necessary to find balance and an improved quality of life. Making these changes and navigating recovery can be challenging and feel overwhelming, but you don't have to do it alone.
Are you beginning to question your relationship with alcohol, drugs, or other unhealthy thoughts and behaviors? Or do you struggle with chronic relapse despite your best efforts to make changes? Has traditional substance use treatment not worked for you in the past? Often, habits and substances that once made us feel good or safe become problematic and difficult to control. Reducing or eliminating what no longer serves us maybe necessary to find balance and an improved quality of life. Making these changes and navigating recovery can be challenging and feel overwhelming, but you don't have to do it alone.
(802) 521-0174 View (802) 521-0174
Photo of Jordan Timmons, MA, LPCC, Counselor
Jordan Timmons
Counselor, MA, LPCC
Verified Verified
Saint Johnsbury, VT 05819  (Online Only)
Waitlist for new clients
Maybe you’re feeling alone and disconnected from the world, like you have to hide your true self. You’ve forgotten what it’s like to be happy, are in the middle of a major transition, or need to cope with something really painful but are not sure how. You oscillate between numbness and overwhelming emotions, it’s difficult to set and maintain boundaries, or your relationships are not what you want them to be. You know you want things to be different, and you are ready to take a step toward healing with the support of a therapist who will see, hear, and understand you as a whole person (not just a bunch of symptoms) without judgment.
Maybe you’re feeling alone and disconnected from the world, like you have to hide your true self. You’ve forgotten what it’s like to be happy, are in the middle of a major transition, or need to cope with something really painful but are not sure how. You oscillate between numbness and overwhelming emotions, it’s difficult to set and maintain boundaries, or your relationships are not what you want them to be. You know you want things to be different, and you are ready to take a step toward healing with the support of a therapist who will see, hear, and understand you as a whole person (not just a bunch of symptoms) without judgment.
(802) 526-6843 View (802) 526-6843
Photo of Meghan Davis, MS, LADC, Drug & Alcohol Counselor
Meghan Davis
Drug & Alcohol Counselor, MS, LADC
Verified Verified
Saint Johnsbury, VT 05819
Asking for help can be one of the hardest decisions/actions an individual takes when they are struggling with actively using alcohol and/or substances. I also believe it is the most courageous decision/action you may make in your life. An individual who does this is allowing themselves to be vulnerable. When done with the right support can be the most rewarding and empowering experience for an individual. My goal as a counselor is to provide a safe, warm space for you as the client to explore your relationship with alcohol and/or substances.
Asking for help can be one of the hardest decisions/actions an individual takes when they are struggling with actively using alcohol and/or substances. I also believe it is the most courageous decision/action you may make in your life. An individual who does this is allowing themselves to be vulnerable. When done with the right support can be the most rewarding and empowering experience for an individual. My goal as a counselor is to provide a safe, warm space for you as the client to explore your relationship with alcohol and/or substances.
(802) 613-0015 View (802) 613-0015
Photo of Stephanie L Churchill, LMFT, MAMFT, Marriage & Family Therapist
Stephanie L Churchill
Marriage & Family Therapist, LMFT, MAMFT
Verified Verified
1 Endorsed
Saint Johnsbury, VT 05819  (Online Only)
Waitlist for new clients
Everyone in a relationship experiences bumps in the road from time to time. I enjoy working with couples and families to help them smooth out those bumps and to improve the communication and intimacy in their relationship(s). I provide a relaxed atmosphere and lots of humor to help people reconnect with the people who are important in their lives. I am focused on strengths and will focus on what is going WELL in your life!
Everyone in a relationship experiences bumps in the road from time to time. I enjoy working with couples and families to help them smooth out those bumps and to improve the communication and intimacy in their relationship(s). I provide a relaxed atmosphere and lots of humor to help people reconnect with the people who are important in their lives. I am focused on strengths and will focus on what is going WELL in your life!
(802) 731-1893 View (802) 731-1893
Photo of Alleson Christie Hamelin, MS, Pre-Licensed Professional
Alleson Christie Hamelin
Pre-Licensed Professional, MS
Verified Verified
Lyndonville, VT 05851
In my career, I have provided mental and drug counseling services to address those in need of counseling. I have worked with individuals and families dealing with anxiety, depression, anger issues, family conflict, trauma, drug abuse, physical and sexual trauma along with behavioral development. I have worked with children, adolescents and adults along with families who have experienced these issues. I believe it is important to work together to address changes in the patient and families, if needed, to create a positive outcome so the patient and their family can live a healthier and fulfilling life.
In my career, I have provided mental and drug counseling services to address those in need of counseling. I have worked with individuals and families dealing with anxiety, depression, anger issues, family conflict, trauma, drug abuse, physical and sexual trauma along with behavioral development. I have worked with children, adolescents and adults along with families who have experienced these issues. I believe it is important to work together to address changes in the patient and families, if needed, to create a positive outcome so the patient and their family can live a healthier and fulfilling life.
(802) 210-1807 View (802) 210-1807
Photo of Eva Hamm, MS, Pre-Licensed Professional
Eva Hamm
Pre-Licensed Professional, MS
Verified Verified
Saint Johnsbury, VT 05819  (Online Only)
Not accepting new clients
Eva Hamm is a Vermont rostered clinical mental health counselor. She received her bachelor's degree in psychology from the University of Georgia in 2017 and her master's degree in clinical mental health counseling from the University of Vermont. She has experience working with adults in integrated healthcare facilities and college counseling centers.
Eva Hamm is a Vermont rostered clinical mental health counselor. She received her bachelor's degree in psychology from the University of Georgia in 2017 and her master's degree in clinical mental health counseling from the University of Vermont. She has experience working with adults in integrated healthcare facilities and college counseling centers.
(802) 755-3591 View (802) 755-3591
Photo of Jessa Carpenter, LCMHC, LADC, Drug & Alcohol Counselor
Jessa Carpenter
Drug & Alcohol Counselor, LCMHC, LADC
Verified Verified
Saint Johnsbury, VT 05819
We all have our own life story. We all go through events in our lives that make holes in our hearts. Sometimes those holes heal over time, and sometimes those holes needs some extra time and attention in order to mend. I believe YOU are the experts of your own life; therefore my goal in therapy is to build a supportive relationship with you based on care, trust, empathy and genuineness when you are sharing about these sensitive struggles.
We all have our own life story. We all go through events in our lives that make holes in our hearts. Sometimes those holes heal over time, and sometimes those holes needs some extra time and attention in order to mend. I believe YOU are the experts of your own life; therefore my goal in therapy is to build a supportive relationship with you based on care, trust, empathy and genuineness when you are sharing about these sensitive struggles.
(802) 823-1045 View (802) 823-1045

See more therapy options for Lyndon

How does your Therapist compare?

Number of Therapists in Lyndon, VT

< 10

Therapists in Lyndon, VT who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Parenting
100% Trauma and PTSD
100% Family Conflict
100% Suicidal Ideation

Average years in practice

13 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Medicaid
50% Aetna

How Therapists in Lyndon, VT see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lyndon?

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.