Therapists in 01824
![Photo of Sean Waldron - Minds and Motion LLC, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d6f078ce-3e5f-4a34-9b46-a323fb03cdb6/2/320x400.jpeg)
Minds and Motion LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Chelmsford, MA 01824
Immediate openings are available! I find that children do their best when they are allowed to move and play when discussing issues that may bother them. I create an environment where kids feel comfortable talking about their problems through movement. I like to work collaboratively with caregivers to help kids thrive at home and school. Sessions are outdoors to give them the space to move while talking. I use Cognitive Behavioral Therapy and mindfulness to help kids work through anxiety, depression, school refusal, and difficulties with transitions. He is a parent of 3 boys and enjoys coaching baseball in his free time.
Immediate openings are available! I find that children do their best when they are allowed to move and play when discussing issues that may bother them. I create an environment where kids feel comfortable talking about their problems through movement. I like to work collaboratively with caregivers to help kids thrive at home and school. Sessions are outdoors to give them the space to move while talking. I use Cognitive Behavioral Therapy and mindfulness to help kids work through anxiety, depression, school refusal, and difficulties with transitions. He is a parent of 3 boys and enjoys coaching baseball in his free time.
![Photo of Paul Gould, PhD, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/680d40a2-f1b5-4432-b18c-de0ddd9db409/2/320x400.jpeg)
Your life is complicated, and you are doing your best to keep all the pieces organized. Some aspects of your life are out of alignment and causing distress, anxiety, and leaving you unfulfilled. Maybe some experiences have stripped away your sense of control, self-worth, and dignity. It’s hard to admit that. My clients are motivated to improve the quality of their lives. They may not know exactly how to make this happen when we begin working together, but they know they want to be healthier and happier. In addition, many of my clients identify as LGBTQ+ and prefer to work with someone that is part of the community.
Your life is complicated, and you are doing your best to keep all the pieces organized. Some aspects of your life are out of alignment and causing distress, anxiety, and leaving you unfulfilled. Maybe some experiences have stripped away your sense of control, self-worth, and dignity. It’s hard to admit that. My clients are motivated to improve the quality of their lives. They may not know exactly how to make this happen when we begin working together, but they know they want to be healthier and happier. In addition, many of my clients identify as LGBTQ+ and prefer to work with someone that is part of the community.
![Photo of Edward Micu - Think Counseling Services, LMHC, CAGS, MEd, Counselor](https://photos.psychologytoday.com/3cd51726-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Utilizing a straight forward, positive and structured approach in working with clients with ADHD, Anxiety, Depression and Panic and Stress related physical ailments, I assist clients in developing strategies and goals for achieving success in all areas of their life. In addition to working clinically with adults, couples, adolescents and their families, I am a licensed Massachusetts public school teacher and offer extensive experience supporting parents, setting expectations and working with adolescent behavior concerns in and out of the educational setting. I offer all my clients and families a unique perspective and experience including crisis management and substance abuse.
Utilizing a straight forward, positive and structured approach in working with clients with ADHD, Anxiety, Depression and Panic and Stress related physical ailments, I assist clients in developing strategies and goals for achieving success in all areas of their life. In addition to working clinically with adults, couples, adolescents and their families, I am a licensed Massachusetts public school teacher and offer extensive experience supporting parents, setting expectations and working with adolescent behavior concerns in and out of the educational setting. I offer all my clients and families a unique perspective and experience including crisis management and substance abuse.
![Photo of Gordon Bailey, MEd, LMHC, Counselor](https://photos.psychologytoday.com/3d7dd7f9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Specialist in ADHD and/or behavioral issuses in children, teenagers or adults. Male or female. Grief/loss and Couples therapy. Visit my website at gordonbaileylmhc. Explore the reasons the same things keep happening to you or happening in your family. Why your children act the way they do? Why you find yourself being disrespected? Call now for help finding the answers.
Specialist in ADHD and/or behavioral issuses in children, teenagers or adults. Male or female. Grief/loss and Couples therapy. Visit my website at gordonbaileylmhc. Explore the reasons the same things keep happening to you or happening in your family. Why your children act the way they do? Why you find yourself being disrespected? Call now for help finding the answers.
![Photo of John Choquette, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ec933ee4-6380-43e7-916c-e34a7fe46298/3/320x400.jpeg)
John Choquette
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Chelmsford, MA 01824 (Online Only)
Now Accepting New Clients! I have over 17 years of experience as an Outpatient Therapist. I Specialize in working with Adults, teens, and tweens treating Anxiety, Depression, Bipolar Depression Grief and Loss Issues, Addictions / Dual-Diagnosis and Anger Management difficulties. I make it a priority to attempt to schedule new clients within about a week's time once a request for services has been made.
Now Accepting New Clients! I have over 17 years of experience as an Outpatient Therapist. I Specialize in working with Adults, teens, and tweens treating Anxiety, Depression, Bipolar Depression Grief and Loss Issues, Addictions / Dual-Diagnosis and Anger Management difficulties. I make it a priority to attempt to schedule new clients within about a week's time once a request for services has been made.
![Photo of Jim Petipas, MFT, MHC, CLC, Pre-Licensed Professional](https://photos.psychologytoday.com/a158a303-8bd8-469c-8455-94ac3ef41665/2/320x400.jpeg)
I help teenagers, young adults and families going through difficult times to move towards better health and harmony. I can help you find the strength and strategies you need to move forward better. My passion and the majority of my experience is in helping teenagers and families work through struggles, emotional challenges or to set and reach personal life goals. I consider my approach to be relational, empathetic, and solution-focused. While difficult circumstances of the past can't be changed, we can work together to better understand, and redeem difficult challenges, and change course in your future.
I help teenagers, young adults and families going through difficult times to move towards better health and harmony. I can help you find the strength and strategies you need to move forward better. My passion and the majority of my experience is in helping teenagers and families work through struggles, emotional challenges or to set and reach personal life goals. I consider my approach to be relational, empathetic, and solution-focused. While difficult circumstances of the past can't be changed, we can work together to better understand, and redeem difficult challenges, and change course in your future.
![Photo of Sarah Anyanwu, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/786975c8-6e78-4b55-bf40-ec31412db923/1/320x400.png)
Sarah Anyanwu
Clinical Social Work/Therapist, LICSW
Verified Verified
Chelmsford, MA 01824 (Online Only)
Waitlist for new clients
I have enjoyed my extensive work with individuals that have struggled with substance misuse and/or poly substance use, in addition to various mental health concerns such as depression, anxiety and PTSD. I genuinely look up to my clients as they are open to implementing new skills and ideas into their already established perspectives in life. It is my belief that the opposite of addiction is connection to healthy individuals, as we are social beings by nature. We long to be wanted, loved and needed, and sometimes seek that longing through maladaptive ways that end up hurting us.
I have enjoyed my extensive work with individuals that have struggled with substance misuse and/or poly substance use, in addition to various mental health concerns such as depression, anxiety and PTSD. I genuinely look up to my clients as they are open to implementing new skills and ideas into their already established perspectives in life. It is my belief that the opposite of addiction is connection to healthy individuals, as we are social beings by nature. We long to be wanted, loved and needed, and sometimes seek that longing through maladaptive ways that end up hurting us.
![Photo of Paul Robert O'Brien, EdD, Psychologist](https://photos.psychologytoday.com/48a2ed5c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have been in clinical practice for more than 30 years. Over that time, I have worked with a wide variety of people experiencing different kinds of distress. That range of experience allows me to feel confident that I could work with many different types of problems. Over the years, I have received specific evaluations from many of my patients. They have described me as an excellent listener, down to earth and having a more active response style.
I have been in clinical practice for more than 30 years. Over that time, I have worked with a wide variety of people experiencing different kinds of distress. That range of experience allows me to feel confident that I could work with many different types of problems. Over the years, I have received specific evaluations from many of my patients. They have described me as an excellent listener, down to earth and having a more active response style.
![Photo of Cathy Henderson, MEd, LMHC, Counselor](https://photos.psychologytoday.com/4518128c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Cathy Henderson
Counselor, MEd, LMHC
Verified Verified
Chelmsford, MA 01824
Not accepting new clients
With over 20 years experience,I offer a supportive,highly interactive approach to helping people understand and overcome the obstacles that interfere with their living happier, fuller, more satisfying lives. I see myself as a creative collaborator and believe that the client/therapist connection is key to a successful therapy outcome.
With over 20 years experience,I offer a supportive,highly interactive approach to helping people understand and overcome the obstacles that interfere with their living happier, fuller, more satisfying lives. I see myself as a creative collaborator and believe that the client/therapist connection is key to a successful therapy outcome.
![Photo of Taramatie Lachmenar, LMHC, Counselor](https://photos.psychologytoday.com/edb0bf3e-b400-4f62-b781-9426336c8c7a/1/320x400.jpeg)
Are you looking for a better life balance? I have worked with people who are going through life transitions, having experiences with anxiety and depression and ultimately looking to improve their life quality. Clients come to me to help talk through aspects of their life that they want to “clean up”.
Are you looking for a better life balance? I have worked with people who are going through life transitions, having experiences with anxiety and depression and ultimately looking to improve their life quality. Clients come to me to help talk through aspects of their life that they want to “clean up”.
![Photo of Sandra E Fontes, LCMHC, Counselor](https://photos.psychologytoday.com/c407e7c6-bdca-4319-a777-950b2d381875/1/320x400.jpeg)
It takes effort to make that first step to go to therapy and I understand the hesitation to open up your personal life to a stranger. I want my clients to feel safe in my care and to feel they can be open and share the dark and unwanted realities of their lives. I am not here to judge, I am here to help. Therapy is a partnership and I am here to help on the journey to a healthier life. I hope for each and every one of you to find the therapist that is right for you. Sandra
It takes effort to make that first step to go to therapy and I understand the hesitation to open up your personal life to a stranger. I want my clients to feel safe in my care and to feel they can be open and share the dark and unwanted realities of their lives. I am not here to judge, I am here to help. Therapy is a partnership and I am here to help on the journey to a healthier life. I hope for each and every one of you to find the therapist that is right for you. Sandra
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![Photo of Erika A Caulfield, LMHC, Counselor](https://photos.psychologytoday.com/3df23d28-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My goal is to provide quality and professional service to individuals that would like to improve their mind, bodies, and spirits through behavioral changes and healthy lifestyle habits.
My goal is to provide quality and professional service to individuals that would like to improve their mind, bodies, and spirits through behavioral changes and healthy lifestyle habits.
![Photo of John Choquette, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6ea77908-5a56-429e-ac39-3292c70b6823/1/320x400.jpeg)
John Choquette
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Chelmsford, MA 01824 (Online Only)
Now Accepting New Clients! I have over 17 years of experience as an Outpatient Therapist. I Specialize in working with Adults, teens, and tweens treating Anxiety, Depression, Bipolar Depression Grief and Loss Issues, Addictions / Dual-Diagnosis and Anger Management difficulties. I make it a priority to attempt to schedule new clients within about a week's time once a request for services has been made.
Now Accepting New Clients! I have over 17 years of experience as an Outpatient Therapist. I Specialize in working with Adults, teens, and tweens treating Anxiety, Depression, Bipolar Depression Grief and Loss Issues, Addictions / Dual-Diagnosis and Anger Management difficulties. I make it a priority to attempt to schedule new clients within about a week's time once a request for services has been made.
![Photo of Brooke Pessinis, LMHC, LADC, MEd, Counselor](https://photos.psychologytoday.com/c3333243-3be2-44ee-9098-38a84c8ed56e/1/320x400.jpeg)
Brooke Pessinis
Counselor, LMHC, LADC, MEd
Verified Verified
Chelmsford, MA 01824 (Online Only)
Not accepting new clients
There is room for growth in every person! There is always a new goal you want to accomplish or something you want overcome. Cognitive Behavioral Therapy makes it possible to reduce stress, anxiety and depression tremendously in your life. I hope to be your support and your guide in reaching any goals you set for yourself. Counseling is meant to be a freeing and safe space, I hope to be the person to create that for you.
There is room for growth in every person! There is always a new goal you want to accomplish or something you want overcome. Cognitive Behavioral Therapy makes it possible to reduce stress, anxiety and depression tremendously in your life. I hope to be your support and your guide in reaching any goals you set for yourself. Counseling is meant to be a freeing and safe space, I hope to be the person to create that for you.
![Photo of Baylee Stone- Renew Outpatient Counseling, LMHC, Counselor](https://photos.psychologytoday.com/81a03673-2339-41ab-af41-f6e324dc1e6e/3/320x400.jpeg)
Baylee Stone- Renew Outpatient Counseling
Counselor, LMHC
Verified Verified
1 Endorsed
Chelmsford, MA 01824 (Online Only)
Experience a therapeutic environment that is compassionate, empathetic and safe at Renew Outpatient Counseling LLC. Seeking the right therapist can be daunting and stressful. Here at Renew, I provide online mental health counseling that will allow for a flexible space to unlock your full potential. The work intends to support and guide you towards your mental health goals. You will see growth in the way you think, feel and respond to stressors. Therapy aims to help improve your concerns and increase your daily functioning. My clinical approach contains collaboration on strength-based tasks with a client-centered focus.
Experience a therapeutic environment that is compassionate, empathetic and safe at Renew Outpatient Counseling LLC. Seeking the right therapist can be daunting and stressful. Here at Renew, I provide online mental health counseling that will allow for a flexible space to unlock your full potential. The work intends to support and guide you towards your mental health goals. You will see growth in the way you think, feel and respond to stressors. Therapy aims to help improve your concerns and increase your daily functioning. My clinical approach contains collaboration on strength-based tasks with a client-centered focus.
![Photo of Ashley Marchal, LMHC, CLMHC, LSWA](https://photos.psychologytoday.com/86bfddf7-47be-4b2b-8d78-e31f16208c2c/1/320x400.jpeg)
I find that clients that desire change are the most likely to make achieve the outcomes they seek. I enjoy working with clients who allow themselves to be vulnerable and are willing to engage in a collaborative partnership to meet their goals.
I find that clients that desire change are the most likely to make achieve the outcomes they seek. I enjoy working with clients who allow themselves to be vulnerable and are willing to engage in a collaborative partnership to meet their goals.
![Photo of Carl Torrice, Carl To, MEd, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/399e606b-54d8-4f82-9040-aacece3db783/2/320x400.jpeg)
Carl Torrice
Clinical Social Work/Therapist, Carl To, MEd, LICSW
Verified Verified
Chelmsford, MA 01824 (Online Only)
Telehealth only. Psychotherapy is a unique opportunity to develop awareness, gain hope, and create the opportunity for change in one's life. Therapy begins with a relationship between the clinician and the client. The first and foremost element of change is the clinician's enthusiasm, personality and competency. That relationship allows change to begin. Researchers have described the dimensions of an ideal therapeutic personality as one who is genuine, authentic, accepting and open. Feedback from my clients is that I demonstrate those ideal qualities.
Telehealth only. Psychotherapy is a unique opportunity to develop awareness, gain hope, and create the opportunity for change in one's life. Therapy begins with a relationship between the clinician and the client. The first and foremost element of change is the clinician's enthusiasm, personality and competency. That relationship allows change to begin. Researchers have described the dimensions of an ideal therapeutic personality as one who is genuine, authentic, accepting and open. Feedback from my clients is that I demonstrate those ideal qualities.
![Photo of Laura McLaughlin - North Star Guidance Center, Inc., LMFT, LMHC, Counselor](https://photos.psychologytoday.com/43fa73a7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
At North Star Guidance Center, is a virtual behavioral group practice. We maintain an unwavering commitment to building strong, healthy relationships between caretakers, supportive community resources and service providers. Our group provides individual, group, couples, family therapy. We work collaboratively to provide a comprehensive continuum of care that will best serve both individuals and families. As a group, we encourage integrated approaches to healing and offer a variety of trauma informed services to match particular needs.
At North Star Guidance Center, is a virtual behavioral group practice. We maintain an unwavering commitment to building strong, healthy relationships between caretakers, supportive community resources and service providers. Our group provides individual, group, couples, family therapy. We work collaboratively to provide a comprehensive continuum of care that will best serve both individuals and families. As a group, we encourage integrated approaches to healing and offer a variety of trauma informed services to match particular needs.
![Photo of Susan N Hollis, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/46fea791-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Susan N Hollis
Clinical Social Work/Therapist, LICSW
Verified Verified
Chelmsford, MA 01824
Waitlist for new clients
At this time I have a waiting list generating. I apologize for the inconvenience. LICSW with over 30 years of Clinical Experience in an out patient setting. My practice has a focus on individuals with Chronic Health Conditions, Depression, Anxiety, and Addictions. Also work with families and caregivers of individuals with chronic health problems, dementia, addictions, mental illness and developmental/ intellectual challenges. I have some ability to converse in ASL, though my proficiency has decreased over time. I work a hybrid schedule, both in person and virtually.
At this time I have a waiting list generating. I apologize for the inconvenience. LICSW with over 30 years of Clinical Experience in an out patient setting. My practice has a focus on individuals with Chronic Health Conditions, Depression, Anxiety, and Addictions. Also work with families and caregivers of individuals with chronic health problems, dementia, addictions, mental illness and developmental/ intellectual challenges. I have some ability to converse in ASL, though my proficiency has decreased over time. I work a hybrid schedule, both in person and virtually.
![Photo of Cassandra M Leclerc - Transcending Chaos Counseling, LLP, MA, MBA, LMFT, LADC-1, Counselor](https://photos.psychologytoday.com/8fb0932b-ad26-46a6-9a7a-b92acb6fd52a/1/320x400.jpeg)
Transcending Chaos Counseling, LLP
Counselor, MA, MBA, LMFT, LADC-1
Verified Verified
Chelmsford, MA 01824 (Online Only)
With 12+ years of experience in the field of Mental Health and Addiction Treatment, I have used my skills and knowledge to help individuals and families problem-solve through their most difficult times through Cognitive Restructuring and Narrative approaches. I offer specialized treatment for First Responders, Active Military, Veterans, and their families. Treatment specialties also include: Couple Therapy, Family Therapy, individuals who are struggling with family members with Addiction, Depression, Anxiety, OCD, ODD, Bipolar, Schizophrenia, Addiction/ Substance Use, and Personality Disorders.
With 12+ years of experience in the field of Mental Health and Addiction Treatment, I have used my skills and knowledge to help individuals and families problem-solve through their most difficult times through Cognitive Restructuring and Narrative approaches. I offer specialized treatment for First Responders, Active Military, Veterans, and their families. Treatment specialties also include: Couple Therapy, Family Therapy, individuals who are struggling with family members with Addiction, Depression, Anxiety, OCD, ODD, Bipolar, Schizophrenia, Addiction/ Substance Use, and Personality Disorders.
See more therapy options for 01824
How does your Therapist compare?
Number of Therapists in 01824
100+
Average cost per session
$150
Therapists in 01824 who prioritize treating:
94% | Anxiety |
85% | Depression |
77% | Self Esteem |
72% | Relationship Issues |
72% | Stress |
70% | Coping Skills |
62% | Grief |
Average years in practice
17 Years
Top 3 insurances accepted
93% | BlueCross and BlueShield |
72% | Harvard Pilgrim |
71% | Optum |
How Therapists in 01824 see their clients
72% | In Person and Online | |
28% | Online Only |
Gender breakdown
82% | Female | |
18% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 01824?
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
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.
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.
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.