Therapists in 02901

Photo of Hayley Vine, Clinical Social Work/Therapist, MSW, LCDP, LICSW
Hayley Vine
Clinical Social Work/Therapist, MSW, LCDP, LICSW
Serves Area
No one can guarantee that all life’s problems will cease, however it is possible to find peace and develop skills that help us cope with our day-to-day struggles. As a Licensed Chemical Dependency Professional (LCDP) & a Licensed Clinical Social Worker (LCSW) currently working at Northeast Family Services, I am hopeful I can help you reach your desired goals. I provide a safe, secure, validating, nonjudgmental, peaceful space for people to explore and build a healthy mindset.
No one can guarantee that all life’s problems will cease, however it is possible to find peace and develop skills that help us cope with our day-to-day struggles. As a Licensed Chemical Dependency Professional (LCDP) & a Licensed Clinical Social Worker (LCSW) currently working at Northeast Family Services, I am hopeful I can help you reach your desired goals. I provide a safe, secure, validating, nonjudgmental, peaceful space for people to explore and build a healthy mindset.
(401) 556-4445 View (401) 556-4445
Photo of Noreen Shaffi, Counselor, MSc, LMHC
Noreen Shaffi
Counselor, MSc, LMHC
Serves Area
I have 29 years experience working with patients with multiple mental health issues, such as depression, grief and loss, OCD, relationship issues, anxiety, and stress management. My treatment modality is an integration of mind and body, helping clients identify their potentials and learn coping skills to live a fuller life. We are adding a nurse practitioner to IPS for medication management.
I have 29 years experience working with patients with multiple mental health issues, such as depression, grief and loss, OCD, relationship issues, anxiety, and stress management. My treatment modality is an integration of mind and body, helping clients identify their potentials and learn coping skills to live a fuller life. We are adding a nurse practitioner to IPS for medication management.
(401) 373-9108 View (401) 373-9108
Photo of Jessica Veroline - Emerald Heart Counseling LLC, Clinical Social Work/Therapist, MSW, LICSW
Emerald Heart Counseling LLC
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Serves Area
Welcome, I am glad you are here! I specialize in the treatment of complex trauma and childhood attachment wounding for adults. Office based therapy, telehealth and EquiLateral Equine-Assisted EMDR (as developed by Sarah Jenkins) therapy is available.
Welcome, I am glad you are here! I specialize in the treatment of complex trauma and childhood attachment wounding for adults. Office based therapy, telehealth and EquiLateral Equine-Assisted EMDR (as developed by Sarah Jenkins) therapy is available.
(401) 307-5468 View (401) 307-5468
Photo of Julio Filomeno, Counselor, LMHC
Julio Filomeno
Counselor, LMHC
1 Endorsed
Serves Area
I enjoy working with all age groups. In the past I worked in an elementary school for 7 years doing individual and family therapy. I have also worked in home based programs with at risk children and youth. I work very well with individuals experiencing depression,grief and loss, as well as those adjusting to a new environment. Also I work well with parents and parenting children and youth. Most of my clients say that they like that I am patient, friendly, and never give up. Many of my clients say they have received a lot of help.
I enjoy working with all age groups. In the past I worked in an elementary school for 7 years doing individual and family therapy. I have also worked in home based programs with at risk children and youth. I work very well with individuals experiencing depression,grief and loss, as well as those adjusting to a new environment. Also I work well with parents and parenting children and youth. Most of my clients say that they like that I am patient, friendly, and never give up. Many of my clients say they have received a lot of help.
(401) 830-4315 View (401) 830-4315
Photo of Emma Duffney, Pre-Licensed Professional, MS
Emma Duffney
Pre-Licensed Professional, MS
Serves Area
With personal experience as a mother, and personal experience with fertility issues, fertility treatments and miscarriages, I know first hand how hard the journey and transition to parenthood can be. The early days of new motherhood are a balancing act of learning how to care for a new baby, juggling your family, experiencing hormone shifts, recovering from birth, all while trying to care for yourself too. Having someone to support you on the journey can be invaluable.
With personal experience as a mother, and personal experience with fertility issues, fertility treatments and miscarriages, I know first hand how hard the journey and transition to parenthood can be. The early days of new motherhood are a balancing act of learning how to care for a new baby, juggling your family, experiencing hormone shifts, recovering from birth, all while trying to care for yourself too. Having someone to support you on the journey can be invaluable.
(401) 389-4947 View (401) 389-4947
Photo of Sarah E Theroux, Counselor, MA, CAGS, LMHC
Sarah E Theroux
Counselor, MA, CAGS, LMHC
4 Endorsed
Serves Area
ACCEPTING NEW CLIENTS!!!!In my private practice, I try to produce a quiet, comfortable atmosphere. I work hard to foster a relationship so that you feel comfortable sharing your personal experiences with me. I feel that I have helped many individuals through challenging life situations. I accept BCBS, United and Neighborhood insurances. I am easily located on the corner of Newman ave and Pawtucket ave in Rumford --
ACCEPTING NEW CLIENTS!!!!In my private practice, I try to produce a quiet, comfortable atmosphere. I work hard to foster a relationship so that you feel comfortable sharing your personal experiences with me. I feel that I have helped many individuals through challenging life situations. I accept BCBS, United and Neighborhood insurances. I am easily located on the corner of Newman ave and Pawtucket ave in Rumford --
(401) 371-9077 View (401) 371-9077
Photo of Gabriella Brehio, Marriage & Family Therapist, MS, LMFT
Gabriella Brehio
Marriage & Family Therapist, MS, LMFT
5 Endorsed
Serves Area
No one should have to face any of life's challenges on their own, and that is how therapy can be helpful. Creating sustainable change, helping others to feel heard and understood, and working collaboratively to meet goals are main priorities for me in the therapy process. I have worked extensively with children, adolescents/teens, adults, families, and couples to meet their individual goals and become more aware of their strengths. I have experience with many issues such as trauma, anxiety, depression, and domestic violence. I would like to provide thoughtful guidance and help facilitate you making positive changes in your life.
No one should have to face any of life's challenges on their own, and that is how therapy can be helpful. Creating sustainable change, helping others to feel heard and understood, and working collaboratively to meet goals are main priorities for me in the therapy process. I have worked extensively with children, adolescents/teens, adults, families, and couples to meet their individual goals and become more aware of their strengths. I have experience with many issues such as trauma, anxiety, depression, and domestic violence. I would like to provide thoughtful guidance and help facilitate you making positive changes in your life.
(401) 304-9563 View (401) 304-9563
Photo of Kelsey Kickbush, Clinical Social Work/Therapist, LICSW, LCSW, RYT-200
Kelsey Kickbush
Clinical Social Work/Therapist, LICSW, LCSW, RYT-200
3 Endorsed
Serves Area
Accepting new clients in California only at this time! I specialize in working at the intersection of queerness, neurodivergence, and trauma. I am passionate about working with those who belong to the LGBTQIA2S+ and neurodivergent communities, parents/those in the perinatal life stage, military/veterans, and those with complex trauma. I lead a queer- and neuro-affirming practice. Many of my clients are trans/non-binary, Autistic, ADHDers, trauma survivors, and/or living with OCD. I currently see adults, adolescents aged 13 and older, and families and partners, including those in polyamorous/CNM relationships.
Accepting new clients in California only at this time! I specialize in working at the intersection of queerness, neurodivergence, and trauma. I am passionate about working with those who belong to the LGBTQIA2S+ and neurodivergent communities, parents/those in the perinatal life stage, military/veterans, and those with complex trauma. I lead a queer- and neuro-affirming practice. Many of my clients are trans/non-binary, Autistic, ADHDers, trauma survivors, and/or living with OCD. I currently see adults, adolescents aged 13 and older, and families and partners, including those in polyamorous/CNM relationships.
(619) 789-4247 View (619) 789-4247
Photo of Cayla DiSano, Clinical Social Work/Therapist, LICSW
Cayla DiSano
Clinical Social Work/Therapist, LICSW
Serves Area
Welcome! Cayla offers trauma-informed, affirming counseling to individuals of all genders, ages 18 and up. She practices from an anti-oppressive, person-centered lens and emphasizes agency, curiosity, and collaboration while building relationships with her clients. Cayla's main areas of expertise include anxiety disorders (OCD, Panic, Generalized Anxiety Disorder, Social Anxiety, Phobias) and issues related to gender and sexuality. She has extensive experience and passion for working with the LGBTQ+ community, striving to create an inclusive space for clients of all identities and experiences to feel safe to be who they are.
Welcome! Cayla offers trauma-informed, affirming counseling to individuals of all genders, ages 18 and up. She practices from an anti-oppressive, person-centered lens and emphasizes agency, curiosity, and collaboration while building relationships with her clients. Cayla's main areas of expertise include anxiety disorders (OCD, Panic, Generalized Anxiety Disorder, Social Anxiety, Phobias) and issues related to gender and sexuality. She has extensive experience and passion for working with the LGBTQ+ community, striving to create an inclusive space for clients of all identities and experiences to feel safe to be who they are.
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Photo of Lisa M LaMontagne - Lisa LaMontagne, Confident Counseling Services, Clinical Social Work/Therapist, MSW, LCSW
Lisa LaMontagne, Confident Counseling Services
Clinical Social Work/Therapist, MSW, LCSW
5 Endorsed
Serves Area
I graduated from Rhode Island College with my bachelor’s and master’s degree in social work; as well as I am licensed in Rhode Island and Maine, as a Licensed Clinical Therapist. While I specialize with adults and couples, my experiences have also been in providing individual therapy for high-school aged students with co-occurring substance abuse and mental health challenges. I have had a vast amount of experience in the treatment of a wide variety of mental and behavioral health.
I graduated from Rhode Island College with my bachelor’s and master’s degree in social work; as well as I am licensed in Rhode Island and Maine, as a Licensed Clinical Therapist. While I specialize with adults and couples, my experiences have also been in providing individual therapy for high-school aged students with co-occurring substance abuse and mental health challenges. I have had a vast amount of experience in the treatment of a wide variety of mental and behavioral health.
(401) 312-4267 View (401) 312-4267
Photo of Theresa Wilson - Happy and Free Healing LLC, Counselor, LMHC, LICSW
Happy and Free Healing LLC
Counselor, LMHC, LICSW
2 Endorsed
Serves Area
Are you looking to explore new ways to heal and grow? Expand on traditional talk-therapy, and work with therapists who take an integrative approach for mind, body, and spirit. Utilizing holistic modalities aimed at treating the whole person, our practice hopes to help you reach your goals and explore your potential. Sometimes we all need extra support in our journey through life; we are here to offer guidance, empathy, and a safe haven to explore your thoughts, hopes, and fears. Our bilingual therapists, offering services in Haitian Creole, Spanish, and English, take an integrative approach to mind, body, and spirit.
Are you looking to explore new ways to heal and grow? Expand on traditional talk-therapy, and work with therapists who take an integrative approach for mind, body, and spirit. Utilizing holistic modalities aimed at treating the whole person, our practice hopes to help you reach your goals and explore your potential. Sometimes we all need extra support in our journey through life; we are here to offer guidance, empathy, and a safe haven to explore your thoughts, hopes, and fears. Our bilingual therapists, offering services in Haitian Creole, Spanish, and English, take an integrative approach to mind, body, and spirit.
(401) 287-7794 View (401) 287-7794
Photo of Anne M Zarlengo, Drug & Alcohol Counselor, MS, LADC I, CADCII, CANS
Anne M Zarlengo
Drug & Alcohol Counselor, MS, LADC I, CADCII, CANS
Serves Area
As a Life Coach, Therapist and Consultant, I have spent over 30 yrs assisting individuals improve their quality of lives, relationships, navigate life transitions, process trauma and grief and the challenge of having both addiction and psychiatric disorders. I have an MS in Org Dev, worked as an HR and EAP Professional, and provided consultation and training to employees, leaders, and organizations. I work with a wonderful private practice in a lovely suite in downtown New Bedford and telehealth. Visit our website www.burnsfortesconsulting. We do groups, Day Treatment, Recovery Coaches, and a Community Training Center! Call to chat!
As a Life Coach, Therapist and Consultant, I have spent over 30 yrs assisting individuals improve their quality of lives, relationships, navigate life transitions, process trauma and grief and the challenge of having both addiction and psychiatric disorders. I have an MS in Org Dev, worked as an HR and EAP Professional, and provided consultation and training to employees, leaders, and organizations. I work with a wonderful private practice in a lovely suite in downtown New Bedford and telehealth. Visit our website www.burnsfortesconsulting. We do groups, Day Treatment, Recovery Coaches, and a Community Training Center! Call to chat!
(508) 213-9215 View (508) 213-9215
Photo of Annie Lally, Clinical Social Work/Therapist, LICSW
Annie Lally
Clinical Social Work/Therapist, LICSW
Serves Area
Having the ability to express yourself freely and without judgment is an essential part of therapy, and the relationship between client and therapist is a key aspect of this. As a social worker, I recognize the importance of human relationships and the environment we live in, as well as the negative impact they have on our ability to function. I utilize a person-centered, strengths based approach to understand individuals as a whole, and work collaboratively with clients to address their challenges and reach their goals. I provide individual therapy focusing on anxiety, depression, and other mental health concerns.
Having the ability to express yourself freely and without judgment is an essential part of therapy, and the relationship between client and therapist is a key aspect of this. As a social worker, I recognize the importance of human relationships and the environment we live in, as well as the negative impact they have on our ability to function. I utilize a person-centered, strengths based approach to understand individuals as a whole, and work collaboratively with clients to address their challenges and reach their goals. I provide individual therapy focusing on anxiety, depression, and other mental health concerns.
(781) 630-5742 View (781) 630-5742
Photo of Dr. Neil Hadfield, MD
Dr. Neil Hadfield
Verified Verified
Serves Area
Connection is wellness. Stress and trauma causes us to (DYS)connect. We help people find their way back to connection so you can be whole again and be well. Most of what we call ‘psychiatric disorders’ are a form of Dis(DYS)connection. Dis(DYS)connection from our sense of self, our bodies, our beliefs, our values, our families, our social groups, our culture, our sense of purpose, our ancestry, our society. Everything is interconnected - how we connect and what we connect to will shape our experience because our nervous systems long to be connected at a fundamental level.
Connection is wellness. Stress and trauma causes us to (DYS)connect. We help people find their way back to connection so you can be whole again and be well. Most of what we call ‘psychiatric disorders’ are a form of Dis(DYS)connection. Dis(DYS)connection from our sense of self, our bodies, our beliefs, our values, our families, our social groups, our culture, our sense of purpose, our ancestry, our society. Everything is interconnected - how we connect and what we connect to will shape our experience because our nervous systems long to be connected at a fundamental level.
(508) 682-5532 View (508) 682-5532
Photo of Amy Bach DiLello, Psychologist, PhD
Amy Bach DiLello
Psychologist, PhD
Serves Area
I am a licensed clinical psychologist, trained in cognitive-behavioral therapy (CBT). I work with adults on a number of different issues, but I specialize in the treatment of anxiety, including problems such as panic disorder, excessive worry, social anxiety disorder and obsessive compulsive disorder. I frequently work with couples on relationship difficulties as well. CBT is a present-focused, skills-based approach to working on problems. Together, we identify goals for treatment and then we lay out a plan, using skills and strategies that have proven through research to be helpful for people who are working on similar issues.
I am a licensed clinical psychologist, trained in cognitive-behavioral therapy (CBT). I work with adults on a number of different issues, but I specialize in the treatment of anxiety, including problems such as panic disorder, excessive worry, social anxiety disorder and obsessive compulsive disorder. I frequently work with couples on relationship difficulties as well. CBT is a present-focused, skills-based approach to working on problems. Together, we identify goals for treatment and then we lay out a plan, using skills and strategies that have proven through research to be helpful for people who are working on similar issues.
(401) 246-7932 View (401) 246-7932
Photo of Kristina Braga, LMHC, CAGS, RYT
Kristina Braga
Verified Verified
Serves Area
Many of my clients feel caught in cycles of anxiety, intrusive thoughts, or self-doubt—wanting relief but also craving deeper, more lasting change. They may struggle with OCD, anxiety, or relationship patterns shaped by fear and uncertainty. My work focuses on helping people cultivate the courage and flexibility to live with greater ease, authenticity, and self-compassion, even in the face of anxiety or doubt.
Many of my clients feel caught in cycles of anxiety, intrusive thoughts, or self-doubt—wanting relief but also craving deeper, more lasting change. They may struggle with OCD, anxiety, or relationship patterns shaped by fear and uncertainty. My work focuses on helping people cultivate the courage and flexibility to live with greater ease, authenticity, and self-compassion, even in the face of anxiety or doubt.
(401) 389-1120 View (401) 389-1120
Catherine E Neville
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
As a psychotherapist, it is most important for me to recognize the strengths, resilience and worth of each client. Respect, compassion, warmth, genuineness, caring and an earnest desire to support and help others has always guided my practice. I have been trained in a variety of clinical psychological models and techniques. My belief that as each human being is unique, as are their problems and concerns. Therefore, I am best described as an "integrationist" weaving multiple methods to address the needs of every individual client, couple or family.
As a psychotherapist, it is most important for me to recognize the strengths, resilience and worth of each client. Respect, compassion, warmth, genuineness, caring and an earnest desire to support and help others has always guided my practice. I have been trained in a variety of clinical psychological models and techniques. My belief that as each human being is unique, as are their problems and concerns. Therefore, I am best described as an "integrationist" weaving multiple methods to address the needs of every individual client, couple or family.
(401) 341-1590 View (401) 341-1590
Photo of Dave Poland, Counselor, MS, LMHC, LCMHC, NSCA-PT, TF-CBT
Dave Poland
Counselor, MS, LMHC, LCMHC, NSCA-PT, TF-CBT
Serves Area
Life can throw a curveball or two at us sometimes that causes us to lose focus on the values that we find most important in life - leaving us feeling disconnected, anxious and depressed. Have there been or are there currently challenges in your life preventing you from managing your physical and mental well-being? In times like these it can be beneficial to work with a therapist trained to help you learn the skills to thrive in challenging times - both mentally and physically. In my practice I utilize a behavioral and acceptance-based approach not to solve all life's problems but learn strategies to thrive in challenging times.
Life can throw a curveball or two at us sometimes that causes us to lose focus on the values that we find most important in life - leaving us feeling disconnected, anxious and depressed. Have there been or are there currently challenges in your life preventing you from managing your physical and mental well-being? In times like these it can be beneficial to work with a therapist trained to help you learn the skills to thrive in challenging times - both mentally and physically. In my practice I utilize a behavioral and acceptance-based approach not to solve all life's problems but learn strategies to thrive in challenging times.
(401) 373-3847 View (401) 373-3847
Photo of Fran Kessler - Fran Kessler, LCSW, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Fran Kessler, LCSW
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Serves Area
I don't solve problems. What I do is work with clients and teach you how to problem solve!! And then we practice that skill together. No matter the age of my client nor the reason that brings them to my office, I want to be clear that this is a team approach. That having a neutral party to speak with; someone who will not judge but someone with whom you can share your concerns and issues can make all of the difference in the world in bringing about the changes that you desire.
I don't solve problems. What I do is work with clients and teach you how to problem solve!! And then we practice that skill together. No matter the age of my client nor the reason that brings them to my office, I want to be clear that this is a team approach. That having a neutral party to speak with; someone who will not judge but someone with whom you can share your concerns and issues can make all of the difference in the world in bringing about the changes that you desire.
(207) 482-0412 View (207) 482-0412
Photo of Cynthia Almonacy, Counselor, EdD, LMHC
Cynthia Almonacy
Counselor, EdD, LMHC
Serves Area
To my potential client, I look forward to hearing from you. I have been working in the human services field for over 20 years. I have started my private practice over 10 years ago. I have training in EMDR, CBT, Family Strategic and Family Structural. I am able to provide child, individual, couple and family therapy. In addition to English, I also speak French and Haitian Creole. I also provide free phone consultation. Thanks! Dr. Almonacy
To my potential client, I look forward to hearing from you. I have been working in the human services field for over 20 years. I have started my private practice over 10 years ago. I have training in EMDR, CBT, Family Strategic and Family Structural. I am able to provide child, individual, couple and family therapy. In addition to English, I also speak French and Haitian Creole. I also provide free phone consultation. Thanks! Dr. Almonacy
(401) 371-1481 View (401) 371-1481

See more therapy options for 02901

How does your Therapist compare?

Number of Therapists in 02901

100+

Average cost per session

$150

Therapists in 02901 who prioritize treating:

93% Anxiety
89% Depression
75% Trauma and PTSD
73% Relationship Issues
73% Coping Skills
72% Self Esteem
63% Stress

Average years in practice

12 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH
68% Aetna

How Therapists in 02901 see their clients

55% Online Only
45% In Person and Online

Gender breakdown

79% Female
17% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02901?

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.