Photo of Alissa J Rubin, Clinical Social Work/Therapist in 02114, MA
Alissa J Rubin
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02114  (Online Only)
Hello and welcome! I'm Alissa, a compassionate and dedicated therapist committed to creating a safe and supportive space for your personal growth and healing journey. My therapeutic approach centers around putting you, the client, first, ensuring that your unique needs and experiences guide our collaborative work.
Hello and welcome! I'm Alissa, a compassionate and dedicated therapist committed to creating a safe and supportive space for your personal growth and healing journey. My therapeutic approach centers around putting you, the client, first, ensuring that your unique needs and experiences guide our collaborative work.
(781) 609-3593 View (781) 609-3593
Photo of Elizabeth K Stout, Psychologist in 02114, MA
Elizabeth K Stout
Psychologist, PhD
Verified Verified
3 Endorsed
Boston, MA 02114  (Online Only)
Not accepting new clients
When you entrust your healing to my care, it is my sincere hope to help you feel seen, accepted, & valued. My practice is rooted in values of compassion, justice, & empowerment. I believe in the power of connection and relationship to help individuals move through their journey to their ideal self. I integrate body liberation and identity affirmation principles into a relational approach. I work well with folx who identify as larger-bodied , queer , and/or trans-, non-binary, and gender non-conforming. I also work well with individuals who are struggling to navigate a range of relationships, depression/anxiety, and trauma.
When you entrust your healing to my care, it is my sincere hope to help you feel seen, accepted, & valued. My practice is rooted in values of compassion, justice, & empowerment. I believe in the power of connection and relationship to help individuals move through their journey to their ideal self. I integrate body liberation and identity affirmation principles into a relational approach. I work well with folx who identify as larger-bodied , queer , and/or trans-, non-binary, and gender non-conforming. I also work well with individuals who are struggling to navigate a range of relationships, depression/anxiety, and trauma.
(978) 991-8795 View (978) 991-8795
Photo of Pamela Aulis, Counselor in 02114, MA
Pamela Aulis
Counselor, LMHC
Verified Verified
Boston, MA 02114
I enjoy working with people who are experiencing life transitions, changing careers, going through grief or loss, experiencing anxiety, looking for support with trauma, developing coping skills, or just seeking support with the messiness of life. I want to work with clients who are motivated to engage in self-reflection and make a commitment to creating space for themselves to work through their current patterns that are no longer serving them. I meet the person where they are at and understand what ways they would like to make changes in their life.
I enjoy working with people who are experiencing life transitions, changing careers, going through grief or loss, experiencing anxiety, looking for support with trauma, developing coping skills, or just seeking support with the messiness of life. I want to work with clients who are motivated to engage in self-reflection and make a commitment to creating space for themselves to work through their current patterns that are no longer serving them. I meet the person where they are at and understand what ways they would like to make changes in their life.
(617) 741-9103 View (617) 741-9103
Photo of Matthew Sullivan, Psychologist in 02114, MA
Matthew Sullivan
Psychologist, PhD
Verified Verified
1 Endorsed
Boston, MA 02114  (Online Only)
I believe that an effective therapist should help to organize our understanding of our strengths, our ways of thinking and acting, and the impact our social and cultural context has on us. This work helps us to better understand the sources of our distress and guides our selection from among a broad range of useful therapeutic approaches for coping. I believe that therapeutic change is heavily dependent on each client’s goals and motivation, and it is the job of a therapist to create a safe and trusting space in which to inspire and encourage this change.
I believe that an effective therapist should help to organize our understanding of our strengths, our ways of thinking and acting, and the impact our social and cultural context has on us. This work helps us to better understand the sources of our distress and guides our selection from among a broad range of useful therapeutic approaches for coping. I believe that therapeutic change is heavily dependent on each client’s goals and motivation, and it is the job of a therapist to create a safe and trusting space in which to inspire and encourage this change.
(617) 826-5974 View (617) 826-5974
Photo of Lynda Ketcham, Clinical Social Work/Therapist in 02114, MA
Lynda Ketcham
Clinical Social Work/Therapist, LICSW, MSW, MDiv
Verified Verified
Boston, MA 02114  (Online Only)
I am accepting new clients at this time! If you are struggling with stress, or are unhappy with where your life is going, you may be looking for a therapist who can help. Issues such as feelings of depression, or anxiety (for example) are emotions that hold us back to a fullfilling life. You may have health problems, or experiencing a loss that bring up feelngs of fear and anger. You could also suffer from grief. You may find a need to resolve a particular challenge or need to make a difficult decision, or you may want to make change and don't know where to begin, seeing a therapist can help you.
I am accepting new clients at this time! If you are struggling with stress, or are unhappy with where your life is going, you may be looking for a therapist who can help. Issues such as feelings of depression, or anxiety (for example) are emotions that hold us back to a fullfilling life. You may have health problems, or experiencing a loss that bring up feelngs of fear and anger. You could also suffer from grief. You may find a need to resolve a particular challenge or need to make a difficult decision, or you may want to make change and don't know where to begin, seeing a therapist can help you.
(239) 341-6836 View (239) 341-6836
Photo of Christina Psaros, Psychologist in 02114, MA
Christina Psaros
Psychologist, PhD
Verified Verified
2 Endorsed
Boston, MA 02114  (Online Only)
I am a clinical psychologist with over 15 years of experience delivering high quality psychotherapy to a variety of populations. I have specialized training in Behavioral Medicine (fellowship at MGH/Harvard Medical School) and have a deep appreciation for the degree to which mental health contributes to overall and physical wellbeing. My approach to psychotherapy is client centered, leverages evidence-based strategies, and is grounded in compassion. As a cognitive-behavioral therapist (CBT), I will work with you to identify your individual goals and the ways in which patterns of thoughts and behaviors may impede those goals.
I am a clinical psychologist with over 15 years of experience delivering high quality psychotherapy to a variety of populations. I have specialized training in Behavioral Medicine (fellowship at MGH/Harvard Medical School) and have a deep appreciation for the degree to which mental health contributes to overall and physical wellbeing. My approach to psychotherapy is client centered, leverages evidence-based strategies, and is grounded in compassion. As a cognitive-behavioral therapist (CBT), I will work with you to identify your individual goals and the ways in which patterns of thoughts and behaviors may impede those goals.
(617) 977-5298 View (617) 977-5298
Photo of Lena Wright, Clinical Social Work/Therapist in 02114, MA
Lena Wright
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Boston, MA 02114
I have experience working with Individuals, Couples, and Families of First responders and marginalized communities struggling with the challenges of complex trauma impacting mental health, including Anxiety, Depressive disorders, PTSD, and substance use disorders.
I have experience working with Individuals, Couples, and Families of First responders and marginalized communities struggling with the challenges of complex trauma impacting mental health, including Anxiety, Depressive disorders, PTSD, and substance use disorders.
(781) 355-9506 View (781) 355-9506
Photo of Afreen Nizami, Pre-Licensed Professional in 02114, MA
Afreen Nizami
Pre-Licensed Professional
Verified Verified
Boston, MA 02114
Afreen Nizami is a Licensed Mental Health Counselor (LMHC) with over 5 years experience in the mental health field. She is passionate about helping children, adolescents, young adults, and adults, and couples address their unique challenges and live more fulfilled lives. Afreen specializes in depression, anxiety, PSTD, grief, trauma, school stress, relationship problems, and life transitions.
Afreen Nizami is a Licensed Mental Health Counselor (LMHC) with over 5 years experience in the mental health field. She is passionate about helping children, adolescents, young adults, and adults, and couples address their unique challenges and live more fulfilled lives. Afreen specializes in depression, anxiety, PSTD, grief, trauma, school stress, relationship problems, and life transitions.
(781) 399-4744 View (781) 399-4744
Photo of Dr. Jasper S. Lee, Psychologist in 02114, MA
Dr. Jasper S. Lee
Psychologist, PhD, MS
Verified Verified
3 Endorsed
Boston, MA 02114  (Online Only)
You deserve to receive the highest quality, evidence-based care available. As a dedicated Cognitive Behavioral Therapist who specializes in health psychology and behavioral medicine (coping with chronic illnesses, injuries, and diseases), we will work together to identify and change unhelpful thoughts and behaviors to improve your emotional well-being and quality of life. These methods have been shown to work, and I tailor our work to your specific needs. Using a compassionate, person-centered approach, I work with clients to achieve their unique goals for therapy. I am fully licensed in MA and telehealth licensed in FL.
You deserve to receive the highest quality, evidence-based care available. As a dedicated Cognitive Behavioral Therapist who specializes in health psychology and behavioral medicine (coping with chronic illnesses, injuries, and diseases), we will work together to identify and change unhelpful thoughts and behaviors to improve your emotional well-being and quality of life. These methods have been shown to work, and I tailor our work to your specific needs. Using a compassionate, person-centered approach, I work with clients to achieve their unique goals for therapy. I am fully licensed in MA and telehealth licensed in FL.
(857) 575-2901 View (857) 575-2901
Photo of Catherine Harvey, Clinical Social Work/Therapist in 02114, MA
Catherine Harvey
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Boston, MA 02114
My ideal client would be someone who is ready and willing to participate in treatment. I am comfortable with an array of different diagnoses and struggles. Their needs would include working towards tangible goals that we are able to breakdown in the treatment setting. They may want to work on self-esteem, depression, anxiety, PTSD symptoms etc. They would want to minimize their symptoms and improve everyday functioning. The goal would ultimately be to no longer need treatment as they have reached their goals.
My ideal client would be someone who is ready and willing to participate in treatment. I am comfortable with an array of different diagnoses and struggles. Their needs would include working towards tangible goals that we are able to breakdown in the treatment setting. They may want to work on self-esteem, depression, anxiety, PTSD symptoms etc. They would want to minimize their symptoms and improve everyday functioning. The goal would ultimately be to no longer need treatment as they have reached their goals.
(617) 812-8770 View (617) 812-8770
Photo of Jacob Rusczek, Psychologist in 02114, MA
Jacob Rusczek
Psychologist, PhD
Verified Verified
2 Endorsed
Boston, MA 02114  (Online Only)
Everyone comes to psychotherapy with a unique set of concerns; thus, every course of psychotherapy is different. Part of my role is learning how I can be helpful to you in particular. In general, I view therapy as a place for increasing self-awareness. Often, we don't fully understand why we go about our lives as we do - and why we have the difficulties that we have. Without adequate self-awareness, we tend to unwittingly repeat the same patterns. It is only when we understand ourselves as we truly are that we become free to choose new possibilities.
Everyone comes to psychotherapy with a unique set of concerns; thus, every course of psychotherapy is different. Part of my role is learning how I can be helpful to you in particular. In general, I view therapy as a place for increasing self-awareness. Often, we don't fully understand why we go about our lives as we do - and why we have the difficulties that we have. Without adequate self-awareness, we tend to unwittingly repeat the same patterns. It is only when we understand ourselves as we truly are that we become free to choose new possibilities.
(802) 392-3624 View (802) 392-3624
Photo of Henry Anne Velysia, Clinical Social Work/Therapist in 02114, MA
Henry Anne Velysia
Clinical Social Work/Therapist, MA, LICSW
Verified Verified
Boston, MA 02114
My ideal client is an individual facing challenges such as life transitions, stress, anxiety, or depression, who seeks guidance and support in navigating their emotions and relationships. They may be grappling with self-esteem or identity issues and are motivated to better understand their needs and feelings. Their goals include building resilience, enhancing mental well-being, fostering healthy connections with others, and finding a sense of purpose and fulfillment in life. They are open to have their believes be challenged, self-help, self-reflection, and are committed to personal growth in order to develop.
My ideal client is an individual facing challenges such as life transitions, stress, anxiety, or depression, who seeks guidance and support in navigating their emotions and relationships. They may be grappling with self-esteem or identity issues and are motivated to better understand their needs and feelings. Their goals include building resilience, enhancing mental well-being, fostering healthy connections with others, and finding a sense of purpose and fulfillment in life. They are open to have their believes be challenged, self-help, self-reflection, and are committed to personal growth in order to develop.
(339) 237-3986 View (339) 237-3986
Photo of Tori Noordhoek, Clinical Social Work/Therapist in 02114, MA
Tori Noordhoek
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02114  (Online Only)
Not accepting new clients
Do you feel overwhelmed by anxiety? Do you find yourself avoiding your emotions, treating yourself harshly or struggling to offer yourself compassion? I specialize in collaborating with young adult women (trans & non-binary inclusive) to help them grow in self-compassion and gain freedom from anxiety and trauma. I particularly enjoy supporting grad students, young professionals and queer and questioning women as well as helping people of faith process changes in their beliefs and/or religious trauma. My approach is collaborative, trauma-informed and centered on your lived experience.
Do you feel overwhelmed by anxiety? Do you find yourself avoiding your emotions, treating yourself harshly or struggling to offer yourself compassion? I specialize in collaborating with young adult women (trans & non-binary inclusive) to help them grow in self-compassion and gain freedom from anxiety and trauma. I particularly enjoy supporting grad students, young professionals and queer and questioning women as well as helping people of faith process changes in their beliefs and/or religious trauma. My approach is collaborative, trauma-informed and centered on your lived experience.
(617) 579-8028 View (617) 579-8028
Photo of Hannah Elliott, Clinical Social Work/Therapist in 02114, MA
Hannah Elliott
Clinical Social Work/Therapist, LCSW
Verified Verified
Boston, MA 02114
Hannah Elliott is a Licensed Clinical Social Worker in Massachusetts who has been practicing since 2019. She has a Bachelor of Arts in Psychology from the University of Tampa and a Master of Social Work from Boston College. Hannah believes in providing a non-judgmental, strengths-based, and client-centered approach to treatment. She strives to partner with the client to formulate a treatment plan that utilizes their strengths and supports. In her spare time, Hannah enjoys going to the Cape, crafting, reading, traveling, and spending time with loved ones.
Hannah Elliott is a Licensed Clinical Social Worker in Massachusetts who has been practicing since 2019. She has a Bachelor of Arts in Psychology from the University of Tampa and a Master of Social Work from Boston College. Hannah believes in providing a non-judgmental, strengths-based, and client-centered approach to treatment. She strives to partner with the client to formulate a treatment plan that utilizes their strengths and supports. In her spare time, Hannah enjoys going to the Cape, crafting, reading, traveling, and spending time with loved ones.
(617) 396-3873 View (617) 396-3873
Photo of Christine Fitzgerald, Clinical Social Work/Therapist in 02114, MA
Christine Fitzgerald
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Boston, MA 02114  (Online Only)
Not accepting new clients
Have you found yourself wishing you had someone to turn to when life’s challenges seem to be piling up? I have experience working with a variety of clients of all different backgrounds, but particularly with professionals and older adults managing life transitions. I am an advocate for those that need their voices heard, and may feel invisible. Additionally, I have experience working with clients on the Autism spectrum, and welcome any clients seeking Cognitive Behavioral Therapy skills to help them with their life goals. Accepting: Aetna, and all MassHealth plans, including Tufts Public, MBHP & Beacon Health Strategies.
Have you found yourself wishing you had someone to turn to when life’s challenges seem to be piling up? I have experience working with a variety of clients of all different backgrounds, but particularly with professionals and older adults managing life transitions. I am an advocate for those that need their voices heard, and may feel invisible. Additionally, I have experience working with clients on the Autism spectrum, and welcome any clients seeking Cognitive Behavioral Therapy skills to help them with their life goals. Accepting: Aetna, and all MassHealth plans, including Tufts Public, MBHP & Beacon Health Strategies.
(888) 454-2439 View (888) 454-2439
Photo of Rob Jordan, Clinical Social Work/Therapist in 02114, MA
Rob Jordan
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Boston, MA 02114  (Online Only)
Are you feeling tired of trying to navigate difficult emotions and life decisions? Life can be a challenging journey, and sometimes, we need a helping hand to navigate its twists and turns. If you're having difficulties related to past traumas, current anxiety (including headaches and other somatic symptoms) or life transitions (new job, new relationship or starting college), I’m able to help you navigate your healing journey. Whether you're located in Connecticut, Massachusetts, New York, or North Carolina, I am here to support your unique needs with our virtual therapy services.
Are you feeling tired of trying to navigate difficult emotions and life decisions? Life can be a challenging journey, and sometimes, we need a helping hand to navigate its twists and turns. If you're having difficulties related to past traumas, current anxiety (including headaches and other somatic symptoms) or life transitions (new job, new relationship or starting college), I’m able to help you navigate your healing journey. Whether you're located in Connecticut, Massachusetts, New York, or North Carolina, I am here to support your unique needs with our virtual therapy services.
(339) 209-0206 View (339) 209-0206
Photo of Costenah Ward, Licensed Professional Counselor in 02114, MA
Costenah Ward
Licensed Professional Counselor, LPC, MA
Verified Verified
Boston, MA 02114
My ideal client is prepared to initiate changes in their life to promote wellness. They are prepared to process internal and external contributors to their mood, discuss options for improvement, and practice healthier skills that will assist in achieving their personal goals. My ideal client is internally motivated and desires emotional balance from concerns such as anxiety, depression, impaired self-esteem, trauma, and interpersonal conflict. They arrive to treatment with goals in mind, and will actively work to experience relief of distressing symptoms.
My ideal client is prepared to initiate changes in their life to promote wellness. They are prepared to process internal and external contributors to their mood, discuss options for improvement, and practice healthier skills that will assist in achieving their personal goals. My ideal client is internally motivated and desires emotional balance from concerns such as anxiety, depression, impaired self-esteem, trauma, and interpersonal conflict. They arrive to treatment with goals in mind, and will actively work to experience relief of distressing symptoms.
(617) 766-1047 View (617) 766-1047
Photo of Sophie Hans, Clinical Social Work/Therapist in 02114, MA
Sophie Hans
Clinical Social Work/Therapist, LSW
Verified Verified
Boston, MA 02114
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerne as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerne as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
(617) 882-7795 View (617) 882-7795
Photo of Brianna Atkins, Counselor in 02114, MA
Brianna Atkins
Counselor, LMHC, NCC
Verified Verified
Boston, MA 02114
Due to my experience working in under-serviced mental health communities, my ideal clients would be those who are hindered from moving forward in life due to traumatic experiences or who have been unable to manage day-to-day functioning due to the many curve balls that life throws their way. I would like to assist those who would like to return to their own version of normal functioning to improve their quality of life.
Due to my experience working in under-serviced mental health communities, my ideal clients would be those who are hindered from moving forward in life due to traumatic experiences or who have been unable to manage day-to-day functioning due to the many curve balls that life throws their way. I would like to assist those who would like to return to their own version of normal functioning to improve their quality of life.
(617) 446-5317 View (617) 446-5317
Photo of Kirsten Lowell, Clinical Social Work/Therapist in 02114, MA
Kirsten Lowell
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02114
Kirsten Lowell is a Licensed Independent Clinical Social Worker (LICSW). Kirsten’s early work centered around helping adolescents and young adults with visual impairments and additional disabilities to learn and apply social and emotional skills. She encouraged clients to foster independent living skills such as self-advocacy, personal safety, and executive functioning.
Kirsten Lowell is a Licensed Independent Clinical Social Worker (LICSW). Kirsten’s early work centered around helping adolescents and young adults with visual impairments and additional disabilities to learn and apply social and emotional skills. She encouraged clients to foster independent living skills such as self-advocacy, personal safety, and executive functioning.
(617) 533-0973 View (617) 533-0973

How does your Therapist compare?

Number of Therapists in 02114

200+

Average cost per session

$160

Therapists in 02114 who prioritize treating:

92% Anxiety
89% Depression
71% Self Esteem
70% Relationship Issues
69% Coping Skills
69% Stress
65% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
79% Aetna
72% UnitedHealthcare UHC | UBH

How Therapists in 02114 see their clients

54% Online Only
46% In Person and Online

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02114?

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.