Therapists in 01879

Photo of Hazel Navarro, Clinical Social Work/Therapist, MSW, LICSW
Hazel Navarro
Clinical Social Work/Therapist, MSW, LICSW
Tyngsborough, MA 01879
Are you a high achiever secretly struggling with stress, anxiety and relationship issues? Is this unrelenting strain leaving you feeling disconnected from yourself and others? Do you feel like an actor going through the motions worried that everything you've worked so hard to build will come crashing down? If so, know that there is help and hope. You are not alone. I see you as the real human underneath that superhero cape. If you are open to unlearning ineffective patterns and trying new skills, we may be a good fit to work together. You can find more peace and success without sacrificing your mind, body or relationships.
Are you a high achiever secretly struggling with stress, anxiety and relationship issues? Is this unrelenting strain leaving you feeling disconnected from yourself and others? Do you feel like an actor going through the motions worried that everything you've worked so hard to build will come crashing down? If so, know that there is help and hope. You are not alone. I see you as the real human underneath that superhero cape. If you are open to unlearning ineffective patterns and trying new skills, we may be a good fit to work together. You can find more peace and success without sacrificing your mind, body or relationships.
(978) 307-7753 View (978) 307-7753
Photo of Courtney Stellmach, Licensed Mental Health Counselor, LMHC
Courtney Stellmach
Licensed Mental Health Counselor, LMHC
2 Endorsed
Tyngsborough, MA 01879
Therapy can be the first step toward meaningful change - for yourself or your family. If your child is struggling with behavioral issues, anxiety, or depression, and you have tried lots of at-home approaches, but need some extra guidance, I can help! If you are an adult overwhelmed by daily pressures, I can help! I offer a warm, collaborative space where children, teens, and adults can explore emotions, strengthen relationships, and grow. I tailor each session to your unique goals and needs.
Therapy can be the first step toward meaningful change - for yourself or your family. If your child is struggling with behavioral issues, anxiety, or depression, and you have tried lots of at-home approaches, but need some extra guidance, I can help! If you are an adult overwhelmed by daily pressures, I can help! I offer a warm, collaborative space where children, teens, and adults can explore emotions, strengthen relationships, and grow. I tailor each session to your unique goals and needs.
(978) 953-3870 x100 View (978) 953-3870 x100
Photo of Emily Palmer, Pre-Licensed Professional, MSW
Emily Palmer
Pre-Licensed Professional, MSW
3 Endorsed
Tyngsborough, MA 01879
The foundation of my therapeutic work is fostering a safe, warm, and welcoming space where clients feel comfortable exploring their thoughts and feelings. I work with children, adolescents and adults, incorporating elements of mindfulness, Narrative Therapy, Creative Arts Therapy, TF-CBT, Psychodynamic Psychotherapy, and ACT. I identify as LGBTQIA+ and neurodivergent and have clinical experience within these communities. I’ve also worked extensively with anxiety, depression, trauma, and life transitions.
The foundation of my therapeutic work is fostering a safe, warm, and welcoming space where clients feel comfortable exploring their thoughts and feelings. I work with children, adolescents and adults, incorporating elements of mindfulness, Narrative Therapy, Creative Arts Therapy, TF-CBT, Psychodynamic Psychotherapy, and ACT. I identify as LGBTQIA+ and neurodivergent and have clinical experience within these communities. I’ve also worked extensively with anxiety, depression, trauma, and life transitions.
(978) 800-6237 x100 View (978) 800-6237 x100
Photo of Emily Gillotte, Counselor, LMHC
Emily Gillotte
Counselor, LMHC
Tyngsborough, MA 01879
My main goal in this work is to create a space for clients to process and overcome whatever difficulties life has sent their way. I use a diverse treatment method to support clients of all ages to accomplish the goals they have set for themselves and their families. I have worked with clients who have experienced trauma, struggle with substance use, depression, anxiety, and a wide range of other behavioral and emotional difficulties. I believe that with the right tools, we can move through whatever barriers are in our way to living a more fulfilling and genuine life.
My main goal in this work is to create a space for clients to process and overcome whatever difficulties life has sent their way. I use a diverse treatment method to support clients of all ages to accomplish the goals they have set for themselves and their families. I have worked with clients who have experienced trauma, struggle with substance use, depression, anxiety, and a wide range of other behavioral and emotional difficulties. I believe that with the right tools, we can move through whatever barriers are in our way to living a more fulfilling and genuine life.
(844) 908-0365 View (844) 908-0365
Photo of Mike Chan, Pre-Licensed Professional, MA
Mike Chan
Pre-Licensed Professional, MA
1 Endorsed
Tyngsborough, MA 01879
Hello! Thank you for visiting my profile - I'm excited for the opportunity to work with you and help you with your goals! You don't have to do this alone. If you are struggling with difficult emotions, or complicated life transitions, or having some rough patches with friends and family, therapy is a wonderful space to find new perspectives and healthier strategies. Together we will can validate and explore your current challenges. My hope is that I can help illuminate the assurance that you are capable of great things - and that you are well on your way to becoming the change you seek!
Hello! Thank you for visiting my profile - I'm excited for the opportunity to work with you and help you with your goals! You don't have to do this alone. If you are struggling with difficult emotions, or complicated life transitions, or having some rough patches with friends and family, therapy is a wonderful space to find new perspectives and healthier strategies. Together we will can validate and explore your current challenges. My hope is that I can help illuminate the assurance that you are capable of great things - and that you are well on your way to becoming the change you seek!
(978) 800-2958 x100 View (978) 800-2958 x100
Photo of Cassandra M Leclerc - Transcending Chaos Counseling, Counselor, MA, MBA, LMFT, LADC-1, MLADC
Transcending Chaos Counseling
Counselor, MA, MBA, LMFT, LADC-1, MLADC
Tyngsborough, MA 01879
With 13+ years of experience in the field of Mental Health and Addiction Treatment, I have worked with a variety of individuals and families to help problem-solve through their most difficult and complex times. Treatment specialties include Couple Therapy, Family Therapy, First Responders, Providers, Addiction, Veterans, and Family members affected by Addiction. I have worked with a variety of diagnosis such as Depression, Anxiety, OCD, ODD, Bipolar, Schizophrenia, Addictions, Substance Use, PTSD, Trauma, and Personality Disorders.
With 13+ years of experience in the field of Mental Health and Addiction Treatment, I have worked with a variety of individuals and families to help problem-solve through their most difficult and complex times. Treatment specialties include Couple Therapy, Family Therapy, First Responders, Providers, Addiction, Veterans, and Family members affected by Addiction. I have worked with a variety of diagnosis such as Depression, Anxiety, OCD, ODD, Bipolar, Schizophrenia, Addictions, Substance Use, PTSD, Trauma, and Personality Disorders.
View
Photo of Robin Risso, Marriage & Family Therapist, LMFT
Robin Risso
Marriage & Family Therapist, LMFT
Tyngsborough, MA 01879
Rather than sitting in an office, my sessions are most often outside with the inclusion of horses, mini donkeys, and mini goats. Engaging while outdoors provides opportunity for experiential growth and engaging in healing while using the sights, sounds, and yes scents of nature to help ground and center during session. Sessions often include working on healing from trauma, managing and decreasing a variety of symptoms like, depression, anxiety, frustration tolerance, relationship conflict, and attentional challenges.
Rather than sitting in an office, my sessions are most often outside with the inclusion of horses, mini donkeys, and mini goats. Engaging while outdoors provides opportunity for experiential growth and engaging in healing while using the sights, sounds, and yes scents of nature to help ground and center during session. Sessions often include working on healing from trauma, managing and decreasing a variety of symptoms like, depression, anxiety, frustration tolerance, relationship conflict, and attentional challenges.
(978) 652-3055 View (978) 652-3055
Photo of Laura McLaughlin, Counselor, LMFT, LMHC, CEIP-MH
Laura McLaughlin
Counselor, LMFT, LMHC, CEIP-MH
Tyngsborough, MA 01879
For over 25 years, I have worked with youth and adults in residential, community, home-based, outpatient, and nature based settings. My passion for helping in partnership with my love of horses led me to psychotherapy with equine interaction including models such as EMDR, DBR, SE, and IFS. Although, I value, respect, and integrate a variety of techniques, I find myself astounded by the horses' ability to ground us in the moment and reflect we need to see. Within this reflection emerges a powerful awareness that can promote new opportunities for insight, understanding and freedom from burdens and traumas previously inaccessible.
For over 25 years, I have worked with youth and adults in residential, community, home-based, outpatient, and nature based settings. My passion for helping in partnership with my love of horses led me to psychotherapy with equine interaction including models such as EMDR, DBR, SE, and IFS. Although, I value, respect, and integrate a variety of techniques, I find myself astounded by the horses' ability to ground us in the moment and reflect we need to see. Within this reflection emerges a powerful awareness that can promote new opportunities for insight, understanding and freedom from burdens and traumas previously inaccessible.
(978) 528-3316 View (978) 528-3316
Photo of Casey Tutino, Licensed Mental Health Counselor, LMHC
Casey Tutino
Licensed Mental Health Counselor, LMHC
1 Endorsed
Tyngsborough, MA 01879
I provide a safe, supportive space where you can feel heard, understood, and empowered. Whether you’re navigating anxiety, depression, trauma, grief, or life changes, I’ll walk alongside you with compassion and practical strategies. Together, we’ll build coping skills, strengthen resilience, and find new ways forward. My goal is to help you feel more balanced, confident, and connected - so you can create meaningful, lasting change in your life.
I provide a safe, supportive space where you can feel heard, understood, and empowered. Whether you’re navigating anxiety, depression, trauma, grief, or life changes, I’ll walk alongside you with compassion and practical strategies. Together, we’ll build coping skills, strengthen resilience, and find new ways forward. My goal is to help you feel more balanced, confident, and connected - so you can create meaningful, lasting change in your life.
(978) 705-9334 x100 View (978) 705-9334 x100
Photo of Katie Corcoran, Counselor, LMHC
Katie Corcoran
Counselor, LMHC
Tyngsborough, MA 01879
Are you feeling stuck, uncertain, or overwhelmed by a change in your life? Maybe you’re adjusting to a new role, relationship, or phase of life that doesn’t feel as smooth as you hoped. Transitions, whether chosen or unexpected can stir up stress, grief, anxiety, and self-doubt. I help people navigate these turning points with clarity, self-compassion, and confidence. My approach is warm, collaborative, and practical. Together, we’ll unpack what’s shifting, explore what truly matters to you, and develop strategies to help you move forward with purpose and direction.
Are you feeling stuck, uncertain, or overwhelmed by a change in your life? Maybe you’re adjusting to a new role, relationship, or phase of life that doesn’t feel as smooth as you hoped. Transitions, whether chosen or unexpected can stir up stress, grief, anxiety, and self-doubt. I help people navigate these turning points with clarity, self-compassion, and confidence. My approach is warm, collaborative, and practical. Together, we’ll unpack what’s shifting, explore what truly matters to you, and develop strategies to help you move forward with purpose and direction.
(351) 200-4260 View (351) 200-4260
Photo of Nova Carmichael - Counseling Services of Greater Boston - Tyngsboro, Counselor, LMHC, R-DMT
Taking the first step and searching for a therapist can sometimes be a little overwhelming. We are a group of dedicated therapists, all with different specialities and approaches. Please check out our website and bios for more information. If you, or a loved one is struggling, or if you need some support and guidance, please contact us to learn more about our services. We create individualized treatment plans based on your unique qualities, strengths, and challenges.
Taking the first step and searching for a therapist can sometimes be a little overwhelming. We are a group of dedicated therapists, all with different specialities and approaches. Please check out our website and bios for more information. If you, or a loved one is struggling, or if you need some support and guidance, please contact us to learn more about our services. We create individualized treatment plans based on your unique qualities, strengths, and challenges.
(978) 297-8614 x100 View (978) 297-8614 x100
Photo of Jan Price, Clinical Social Work/Therapist, LICSW
Jan Price
Clinical Social Work/Therapist, LICSW
4 Endorsed
Tyngsborough, MA 01879
Only accepting COUPLES. I work with couples who want to go beyond date nights and deciding who will take out the trash. You got together with your partner because you felt like they were "the one." But life got hard and messy, and now that spark feels distant or like it’s slipping away. Maybe there are more silent nights, angry conflicts, confusion or hurts. You both are trying to protect yourselves and the relationship in the best way that you know how. But there is a better way. I work with couples who are looking to find each other again.
Only accepting COUPLES. I work with couples who want to go beyond date nights and deciding who will take out the trash. You got together with your partner because you felt like they were "the one." But life got hard and messy, and now that spark feels distant or like it’s slipping away. Maybe there are more silent nights, angry conflicts, confusion or hurts. You both are trying to protect yourselves and the relationship in the best way that you know how. But there is a better way. I work with couples who are looking to find each other again.
(978) 704-7250 View (978) 704-7250
Photo of Kerry A Rumasuglia, Clinical Social Work/Therapist, MSW, LICSW
Kerry A Rumasuglia
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Tyngsborough, MA 01879
My desire to facilitate healthy change in others and myself is what drives my passion for the work I do. My approach to counseling involves a focus on developing coping skills, which I will personally practice with you in session. I treat adults, age 18+ for individual or couples counseling. I utilize techniques involving spirituality and mindfulness in order to develop insight into how your thoughts affect various facets of your life. I specialize in offering CBT and EMDR, although I am trained in a variety of techniques. Additionally I have a therapy dog, Toby, who provides emotional support to clients who are interested.
My desire to facilitate healthy change in others and myself is what drives my passion for the work I do. My approach to counseling involves a focus on developing coping skills, which I will personally practice with you in session. I treat adults, age 18+ for individual or couples counseling. I utilize techniques involving spirituality and mindfulness in order to develop insight into how your thoughts affect various facets of your life. I specialize in offering CBT and EMDR, although I am trained in a variety of techniques. Additionally I have a therapy dog, Toby, who provides emotional support to clients who are interested.
(978) 295-2698 View (978) 295-2698
Photo of Jillian Theberge, Clinical Social Work/Therapist, LICSW
Jillian Theberge
Clinical Social Work/Therapist, LICSW
Tyngsborough, MA 01879
I am a strengths-based therapist who works with adults, children, and adolescents. I enjoy supporting and partnering with their parents to foster growth and change for the child-parent. I also support young adults transitioning into a new phase of life at work or personally (marriage, parenting, divorce). I am solution-focused and utilize Cognitive Behavioral Therapy (CBT) and mindfulness to help my clients with regulating their emotional ups and downs as well as slowing down the stream of thoughts they often experience due to their busy, hectic lives.
I am a strengths-based therapist who works with adults, children, and adolescents. I enjoy supporting and partnering with their parents to foster growth and change for the child-parent. I also support young adults transitioning into a new phase of life at work or personally (marriage, parenting, divorce). I am solution-focused and utilize Cognitive Behavioral Therapy (CBT) and mindfulness to help my clients with regulating their emotional ups and downs as well as slowing down the stream of thoughts they often experience due to their busy, hectic lives.
(978) 540-8029 View (978) 540-8029
Photo of Lucy Paynter, Counselor, LMHC
Lucy Paynter
Counselor, LMHC
Serves Area
Lucy Paynter brings a compassionate and insightful approach to her work. With a Master’s degree in Counseling and several years of experience, Lucy is dedicated to providing a safe, supportive environment where clients can explore personal challenges, find clarity, and experience growth. Her therapeutic style combines evidence-based techniques with a warm, personalized approach, focusing on the unique needs of each individual.
Lucy Paynter brings a compassionate and insightful approach to her work. With a Master’s degree in Counseling and several years of experience, Lucy is dedicated to providing a safe, supportive environment where clients can explore personal challenges, find clarity, and experience growth. Her therapeutic style combines evidence-based techniques with a warm, personalized approach, focusing on the unique needs of each individual.
(978) 999-2165 View (978) 999-2165
Photo of Renee Thibodeau, Counselor, LMHC
Renee Thibodeau
Counselor, LMHC
Serves Area
It is normal to struggle at times throughout your life, but can be difficult to ask for help with these struggles. This is why I consider my work as a counselor a privilege, striving to treat each client with dignity, respect and humor. In my 15 years of work as a counselor, I have found most people have the strength and creativity to meet their needs and recover. Counseling is simply seeking guidance from another to gain hope and uncover this resiliency.
It is normal to struggle at times throughout your life, but can be difficult to ask for help with these struggles. This is why I consider my work as a counselor a privilege, striving to treat each client with dignity, respect and humor. In my 15 years of work as a counselor, I have found most people have the strength and creativity to meet their needs and recover. Counseling is simply seeking guidance from another to gain hope and uncover this resiliency.
(351) 300-0618 View (351) 300-0618
Photo of Melissa O'Meara, Clinical Social Work/Therapist, LICSW
Melissa O'Meara
Clinical Social Work/Therapist, LICSW
1 Endorsed
Serves Area
Life is a puzzle; sometimes, we need help finding the missing pieces. Families have many different make-ups and origin stories and can use support at various times. For over two decades, I've been empowering individuals, couples, and families to overcome life's toughest challenges. With a wealth of experience working within the adoption and foster care system, I've honed my skills in navigating complex issues such as trauma, attachment, grief, and family dynamics.
Life is a puzzle; sometimes, we need help finding the missing pieces. Families have many different make-ups and origin stories and can use support at various times. For over two decades, I've been empowering individuals, couples, and families to overcome life's toughest challenges. With a wealth of experience working within the adoption and foster care system, I've honed my skills in navigating complex issues such as trauma, attachment, grief, and family dynamics.
(978) 355-7391 View (978) 355-7391
Photo of Heather F Whitney, Clinical Social Work/Therapist, LCSW, MEd
Heather F Whitney
Clinical Social Work/Therapist, LCSW, MEd
1 Endorsed
Serves Area
Hi! I'm Heather. I work with adolescents, teens, and adults who are navigating challenges such as depression, anxiety, ADHD, and trauma. My approach is warm, supportive, and grounded in the belief that every person has the capacity to grow and heal. In our work together, I create a space where you feel safe, heard, and respected. I focus on helping you build confidence, strengthen your sense of self, and develop tools that empower you in your daily life.
Hi! I'm Heather. I work with adolescents, teens, and adults who are navigating challenges such as depression, anxiety, ADHD, and trauma. My approach is warm, supportive, and grounded in the belief that every person has the capacity to grow and heal. In our work together, I create a space where you feel safe, heard, and respected. I focus on helping you build confidence, strengthen your sense of self, and develop tools that empower you in your daily life.
(978) 643-9921 View (978) 643-9921
Photo of Xavier Quinn, Clinical Social Work/Therapist, LICSW
Xavier Quinn
Clinical Social Work/Therapist, LICSW
2 Endorsed
Serves Area
As a neurodivergent clinician, I have found myself particularly well suited to working with clients with ADHD, AuDHD, PTSD, PDA and/or who are autistic. I also have over a 15 years of experience working with trauma survivors and LGBTQ+ communities. Many of my clients found past experiences of talk therapy unhelpful or helpful only as “maintenance” while larger issues were neglected. I focus on two specific therapies, EMDR and IFS, that go deeper to address underlying issues. I also center the unique needs of neurodivergent clients and include ways to help manage distress and recognize stressors.
As a neurodivergent clinician, I have found myself particularly well suited to working with clients with ADHD, AuDHD, PTSD, PDA and/or who are autistic. I also have over a 15 years of experience working with trauma survivors and LGBTQ+ communities. Many of my clients found past experiences of talk therapy unhelpful or helpful only as “maintenance” while larger issues were neglected. I focus on two specific therapies, EMDR and IFS, that go deeper to address underlying issues. I also center the unique needs of neurodivergent clients and include ways to help manage distress and recognize stressors.
View
Photo of Sara Tarallo, Counselor, MEd, SAC, LMHC
Sara Tarallo
Counselor, MEd, SAC, LMHC
4 Endorsed
Serves Area
Feeling truly heard is where healing begins. My specialty is creating a space where you feel seen and validated. I strongly believe you are the expert on your own life. My role is to collaborate with you to identify your innate strengths and develop practical, lasting tools you can use beyond our sessions. With over 15 years of experience in counseling and special education, I have a deep understanding of the unique challenges facing students and families. My counseling style works best with clients who are looking for a collaborative, strength-based approach.
Feeling truly heard is where healing begins. My specialty is creating a space where you feel seen and validated. I strongly believe you are the expert on your own life. My role is to collaborate with you to identify your innate strengths and develop practical, lasting tools you can use beyond our sessions. With over 15 years of experience in counseling and special education, I have a deep understanding of the unique challenges facing students and families. My counseling style works best with clients who are looking for a collaborative, strength-based approach.
(978) 625-3387 View (978) 625-3387

See more therapy options for 01879

How does your Therapist compare?

Number of Therapists in 01879

40+

Average cost per session

$150

Therapists in 01879 who prioritize treating:

96% Anxiety
88% Depression
85% Trauma and PTSD
75% Relationship Issues
73% Self Esteem
71% Coping Skills
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
88% Optum
81% Harvard Pilgrim

How Therapists in 01879 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 01879?

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.