Therapists in 03053

Photo of Susan Wright, Clinical Mental Health Counselor, LCMHC
Susan Wright
Clinical Mental Health Counselor, LCMHC
Online Only
I do have currently have openings. I am New Hampshire's only Certified Grief Counselor & Educator. If for any reason you are lost in Depression, Anxiety, Perpetual Sadness, I am the artist who can help. My work is dedicated to helping adult women experience high quality care in a compassionate and caring environment. I answer each phone call personally & return calls promptly - always. I invite you to look at my WebSite - White Stone Counseling of New Hampshire - for more information. Practice limited to adult women only.
I do have currently have openings. I am New Hampshire's only Certified Grief Counselor & Educator. If for any reason you are lost in Depression, Anxiety, Perpetual Sadness, I am the artist who can help. My work is dedicated to helping adult women experience high quality care in a compassionate and caring environment. I answer each phone call personally & return calls promptly - always. I invite you to look at my WebSite - White Stone Counseling of New Hampshire - for more information. Practice limited to adult women only.
(603) 718-3951 View (603) 718-3951
Photo of Jessica Leonard, Psychologist, PhD
Jessica Leonard
Psychologist, PhD
Londonderry, NH 03053
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
(888) 299-2854 View (888) 299-2854
Photo of Lauren Doyle, Clinical Social Work/Therapist, LICSW
Lauren Doyle
Clinical Social Work/Therapist, LICSW
Online Only
Not accepting new clients
You’re juggling a lot—college, motherhood, or any new stage of life—and it feels like no one really sees how much you’re holding. Maybe you’re constantly overstimulated, second-guessing yourself, or feeling disconnected from who you used to be or want to be. You might also be navigating ADHD and/or Autism and wondering how to make life work for you. You want to feel more grounded, more in control, and more like yourself again—not perfect, just real, capable, and understood. If this sounds familiar, you're not alone—and therapy can help.
You’re juggling a lot—college, motherhood, or any new stage of life—and it feels like no one really sees how much you’re holding. Maybe you’re constantly overstimulated, second-guessing yourself, or feeling disconnected from who you used to be or want to be. You might also be navigating ADHD and/or Autism and wondering how to make life work for you. You want to feel more grounded, more in control, and more like yourself again—not perfect, just real, capable, and understood. If this sounds familiar, you're not alone—and therapy can help.
(603) 369-6451 View (603) 369-6451
Photo of Alicia Hannigan, Counselor, LCMHC, PMH-C, RYT-200
Alicia Hannigan
Counselor, LCMHC, PMH-C, RYT-200
Londonderry, NH 03053
Welcome to our family-run practice! Building an authentic, compassionate, and transparent space is the cornerstone of heart-centered and productive care. I strive to help individuals work through their current stressors and improve their coping skills and confidence for wherever this unpredictable life takes them next! I have helped many children, teens, and adults find ease in their lives, and am particularly passionate about working with pregnant individuals and parents (which can feel new again at every child age!). Prioritizing our own stress management and learning new skills, can often be the best way we help our children.
Welcome to our family-run practice! Building an authentic, compassionate, and transparent space is the cornerstone of heart-centered and productive care. I strive to help individuals work through their current stressors and improve their coping skills and confidence for wherever this unpredictable life takes them next! I have helped many children, teens, and adults find ease in their lives, and am particularly passionate about working with pregnant individuals and parents (which can feel new again at every child age!). Prioritizing our own stress management and learning new skills, can often be the best way we help our children.
(603) 329-2984 View (603) 329-2984
Photo of Valerie J Mazzola, Clinical Social Work/Therapist, MSW, LICSW
Valerie J Mazzola
Clinical Social Work/Therapist, MSW, LICSW
Londonderry, NH 03053
As the founder of Clear Balance Counseling, PLLC, I am happy to announce the opening of our new office in Londonderry, NH. My passion for helping others led me to pursue a career in mental health over 33 years ago. I have had the privilege of supporting adolescents, adults, families and couples on their journey to achieving clarity, balance, and emotional well-being. I provide a safe and nonjudgmental space for people to explore their thoughts emotions, concerns, challenges, and the underlying experiences that shape them. I believe that every individual has the strength and the ability to overcome adversity.
As the founder of Clear Balance Counseling, PLLC, I am happy to announce the opening of our new office in Londonderry, NH. My passion for helping others led me to pursue a career in mental health over 33 years ago. I have had the privilege of supporting adolescents, adults, families and couples on their journey to achieving clarity, balance, and emotional well-being. I provide a safe and nonjudgmental space for people to explore their thoughts emotions, concerns, challenges, and the underlying experiences that shape them. I believe that every individual has the strength and the ability to overcome adversity.
(603) 490-5338 View (603) 490-5338
Photo of Nicole Bouchard, Pre-Licensed Professional, MA
Nicole Bouchard
Pre-Licensed Professional, MA
Londonderry, NH 03053
I bring a comprehensive understanding of mental health and a commitment to holistic wellness. I firmly believe that mental health is as vital as physical health, and through collaborative efforts, we can achieve positive change and well-being. In my practice, I utilize a diverse range of therapeutic modalities tailored to each client's unique needs. These include talk therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), art therapy, play therapy, and mindfulness techniques.
I bring a comprehensive understanding of mental health and a commitment to holistic wellness. I firmly believe that mental health is as vital as physical health, and through collaborative efforts, we can achieve positive change and well-being. In my practice, I utilize a diverse range of therapeutic modalities tailored to each client's unique needs. These include talk therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), art therapy, play therapy, and mindfulness techniques.
(603) 625-0010 View (603) 625-0010
Photo of Christine Penta, Clinical Social Work/Therapist, MSW, LICSW
Christine Penta
Clinical Social Work/Therapist, MSW, LICSW
Londonderry, NH 03053
Prior to joining LifeStance in 2018, Christine spent ten years working in community mental health. She enjoys working with adolescents and adults, and has a wide range of clinical experience treating issues that include depression, mood dysregulation, anxiety, trauma, stress, difficult life transitions, relationship challenges, difficult family dynamics, women’s issues, LGBTQ+ issues, grief and loss. Christine is bilingual in English and American Sign Language.
Prior to joining LifeStance in 2018, Christine spent ten years working in community mental health. She enjoys working with adolescents and adults, and has a wide range of clinical experience treating issues that include depression, mood dysregulation, anxiety, trauma, stress, difficult life transitions, relationship challenges, difficult family dynamics, women’s issues, LGBTQ+ issues, grief and loss. Christine is bilingual in English and American Sign Language.
(866) 681-4575 View (866) 681-4575
Photo of Karin Hovey, Psychologist, PsyD, LP
Karin Hovey
Psychologist, PsyD, LP
Londonderry, NH 03053
Karin believes in a person-centered, strengths-based treatment approach, and utilizes elements from a variety of interventions, including Person-Centered Therapy, Cognitive Behavioral Therapy, Mindfulness Based therapy, and Dialectical Behavioral Therapy. Outside of work, Karin enjoys spending time with family and friends and engaging in activities involving music, and art.
Karin believes in a person-centered, strengths-based treatment approach, and utilizes elements from a variety of interventions, including Person-Centered Therapy, Cognitive Behavioral Therapy, Mindfulness Based therapy, and Dialectical Behavioral Therapy. Outside of work, Karin enjoys spending time with family and friends and engaging in activities involving music, and art.
(833) 924-0834 View (833) 924-0834
Photo of Sarah Higgins, Counselor, LCMHC
Sarah Higgins
Counselor, LCMHC
1 Endorsed
Online Only
Not accepting new clients
Welcome to my practice. I’m glad you’re here. I am a licensed mental health counselor serving individuals in New Hampshire, Massachusetts, and Maine. Working with diverse populations, and with clients of all ages, I have been in practice since 2008. If you find yourself grappling with major life adjustments, a significant loss, or the need for transformative change, you're in the right place. Feeling overwhelmed, lost, and confused is a common experience, but you don't have to navigate it alone. Using your desire to feel better and move forward in your life, even with uncertainty as to how, is a courageous first step.
Welcome to my practice. I’m glad you’re here. I am a licensed mental health counselor serving individuals in New Hampshire, Massachusetts, and Maine. Working with diverse populations, and with clients of all ages, I have been in practice since 2008. If you find yourself grappling with major life adjustments, a significant loss, or the need for transformative change, you're in the right place. Feeling overwhelmed, lost, and confused is a common experience, but you don't have to navigate it alone. Using your desire to feel better and move forward in your life, even with uncertainty as to how, is a courageous first step.
(866) 718-4451 View (866) 718-4451
Photo of Debra LaMalfa - Debra A LaMalfa, Licensed Clinical Mental Health Counselor, MS, LCMHC
Debra A LaMalfa
Licensed Clinical Mental Health Counselor, MS, LCMHC
1 Endorsed
Londonderry, NH 03053
Waitlist for new clients
I realize that considering therapy may provoke all sorts of assumptions about the process. Reaching out can feel intimidating and you may put it off. I will provide you with an emotionally safe environment where you and I will explore your reasons for contacting me. You may be feeling sad most days or have experienced anxiety attacks that are preventing you from experiencing your best life. I understand the difficulties of trying to feel put together. We will explore the versions of what may be preventing you from experiencing inner peace while encouraging the emergence of your true self.
I realize that considering therapy may provoke all sorts of assumptions about the process. Reaching out can feel intimidating and you may put it off. I will provide you with an emotionally safe environment where you and I will explore your reasons for contacting me. You may be feeling sad most days or have experienced anxiety attacks that are preventing you from experiencing your best life. I understand the difficulties of trying to feel put together. We will explore the versions of what may be preventing you from experiencing inner peace while encouraging the emergence of your true self.
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Photo of Jill Pellegrino, Drug & Alcohol Counselor, MA, LADC
Jill Pellegrino
Drug & Alcohol Counselor, MA, LADC
1 Endorsed
Londonderry, NH 03053
Have you ever woken up thinking “I can’t keep doing this,” only to find yourself stuck in the same cycle by end of day? Breaking free from patterns like addiction, unhealthy habits, or painful relationship dynamics can feel overwhelming—but you don’t have to do it alone. I work with individuals who want to create meaningful change in their lives, recovering from substance use or improving emotional wellbeing. I tailor my methods to the individual, as each person presents with a unique personality and has different circumstances. I believe in fostering a deeply caring, non-judgmental atmosphere where you can feel heard and supported.
Have you ever woken up thinking “I can’t keep doing this,” only to find yourself stuck in the same cycle by end of day? Breaking free from patterns like addiction, unhealthy habits, or painful relationship dynamics can feel overwhelming—but you don’t have to do it alone. I work with individuals who want to create meaningful change in their lives, recovering from substance use or improving emotional wellbeing. I tailor my methods to the individual, as each person presents with a unique personality and has different circumstances. I believe in fostering a deeply caring, non-judgmental atmosphere where you can feel heard and supported.
(603) 625-0010 View (603) 625-0010
Photo of Dahlia Rizk, Counselor, MA, LCMHC
Dahlia Rizk
Counselor, MA, LCMHC
Online Only
Life has a way of throwing curveballs — the kind that can leave you overwhelmed, stuck, or wondering who you are and where you're headed. Whether you’re navigating anxiety, trauma, burnout, or trying to feel like yourself again, I'll help you move from overwhelmed, uncertain, and stressed to grounded, clear, and confident. With 17 years of experience as a Licensed Clinical Mental Health Counselor, I specialize in helping young adults, adults, mothers, parents, and postpartum, perimenopause and menopause transitions.
Life has a way of throwing curveballs — the kind that can leave you overwhelmed, stuck, or wondering who you are and where you're headed. Whether you’re navigating anxiety, trauma, burnout, or trying to feel like yourself again, I'll help you move from overwhelmed, uncertain, and stressed to grounded, clear, and confident. With 17 years of experience as a Licensed Clinical Mental Health Counselor, I specialize in helping young adults, adults, mothers, parents, and postpartum, perimenopause and menopause transitions.
(603) 819-4814 View (603) 819-4814
Photo of Maryjo McCreedy - Hudson Therapeutic Counseling llc , Counselor, MA, LCMHC, NCC
Hudson Therapeutic Counseling llc
Counselor, MA, LCMHC, NCC
Londonderry, NH 03053
Have you ever wondered how counseling can help you change behaviors, habits or symptoms you maybe experiencing that are no longer servicing you? I can help with that I offer therapy for anxiety, depression along with self esteem therapy, I specialize with women but offer help to all genders ages 18 and older. If you want the tools, skills, or guidance to over come life obstacles I'm here to help you achieve your new way of living.
Have you ever wondered how counseling can help you change behaviors, habits or symptoms you maybe experiencing that are no longer servicing you? I can help with that I offer therapy for anxiety, depression along with self esteem therapy, I specialize with women but offer help to all genders ages 18 and older. If you want the tools, skills, or guidance to over come life obstacles I'm here to help you achieve your new way of living.
(603) 461-5329 View (603) 461-5329
Photo of Charles Bussison, Counselor, MS, LCMHC, LADC
Charles Bussison
Counselor, MS, LCMHC, LADC
Londonderry, NH 03053
I have always believed that the best approach to resolving personal concerns is to maximize that individuals physical,spiritual, and psychological resources .I use an active,engaging approach to resolving your issues. Together we choose from a wide range of evidence based strategies to resolve your problems.My clients get "better" because they know I am committed to their progress.
I have always believed that the best approach to resolving personal concerns is to maximize that individuals physical,spiritual, and psychological resources .I use an active,engaging approach to resolving your issues. Together we choose from a wide range of evidence based strategies to resolve your problems.My clients get "better" because they know I am committed to their progress.
(603) 446-6749 View (603) 446-6749
Photo of Laura Whittick, Clinical Social Work/Therapist, MSW, LICSW
Laura Whittick
Clinical Social Work/Therapist, MSW, LICSW
Londonderry, NH 03053
Laura Whittick, MSW, LICSW, provides compassionate and evidence-based therapy to individuals and families in New Hampshire. She helps clients navigate life’s challenges, whether they are struggling with anxiety, depression, trauma, or major life transitions. Laura fosters a supportive and nonjudgmental environment where clients feel empowered to explore their thoughts, emotions, and behaviors while working toward meaningful change. Laura specializes in treating PTSD and trauma, obsessive-compulsive disorder (OCD), and substance use issues.
Laura Whittick, MSW, LICSW, provides compassionate and evidence-based therapy to individuals and families in New Hampshire. She helps clients navigate life’s challenges, whether they are struggling with anxiety, depression, trauma, or major life transitions. Laura fosters a supportive and nonjudgmental environment where clients feel empowered to explore their thoughts, emotions, and behaviors while working toward meaningful change. Laura specializes in treating PTSD and trauma, obsessive-compulsive disorder (OCD), and substance use issues.
(844) 645-0879 View (844) 645-0879
Photo of Danielle Michelle Viola, Counselor, MA, LCMHC
Danielle Michelle Viola
Counselor, MA, LCMHC
1 Endorsed
Londonderry, NH 03053
My ideal client would be one who is willing to put in the effort it takes to achieve a healthy and happy mental status. Not every population I see has this mindset. I believe that by building trust and rapport as well as by the client seeing their own progress, the motivation to reach their personal goals will increase. I have worked with patients as young as 2 and as old as 72 with varying issues. Although I am trained to work with most populations and feel comfortable doing so, my specialty lies with those suffering from anxiety.
My ideal client would be one who is willing to put in the effort it takes to achieve a healthy and happy mental status. Not every population I see has this mindset. I believe that by building trust and rapport as well as by the client seeing their own progress, the motivation to reach their personal goals will increase. I have worked with patients as young as 2 and as old as 72 with varying issues. Although I am trained to work with most populations and feel comfortable doing so, my specialty lies with those suffering from anxiety.
(603) 207-8932 View (603) 207-8932
Photo of Christine Penta - LifeStance Health, Clinical Social Work/Therapist, LICSW
LifeStance Health
Clinical Social Work/Therapist, LICSW
Londonderry, NH 03053
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(844) 993-2322 View (844) 993-2322
Photo of Samantha Field, Counselor, LCMHC
Samantha Field
Counselor, LCMHC
1 Endorsed
Londonderry, NH 03053
I’m a Licensed Clinical Mental Health Counselor and Clinical Supervisor with over a decade of experience supporting individuals across the lifespan. I’m currently licensed to practice in New Hampshire, Massachusetts, and Florida. My work is grounded in a deep understanding of trauma, anxiety, depression, autism, and intellectual and developmental disabilities. I’m passionate about helping clients navigate their healing journey and live a more empowered, fulfilling life. I currently see clients ages 4 and up.
I’m a Licensed Clinical Mental Health Counselor and Clinical Supervisor with over a decade of experience supporting individuals across the lifespan. I’m currently licensed to practice in New Hampshire, Massachusetts, and Florida. My work is grounded in a deep understanding of trauma, anxiety, depression, autism, and intellectual and developmental disabilities. I’m passionate about helping clients navigate their healing journey and live a more empowered, fulfilling life. I currently see clients ages 4 and up.
(866) 788-9209 View (866) 788-9209
Photo of Ashley Spinelli, Pre-Licensed Professional, MSW
Ashley Spinelli
Pre-Licensed Professional, MSW
Londonderry, NH 03053
Waitlist for new clients
Working with me means creating a compassionate space where you can safely explore what’s going on inside and develop practical tools for understanding and managing your mood. We will work together to build tools and techniques to help you manage challenges, reduce distress, build self-confidence and foster personal growth. I believe therapy should be a safe space where you can feel heard, understood, and supported in your journey of personal growth. I work collaboratively with my clients to help them understand themselves better and develop the tools they need to create meaningful change in their lives.
Working with me means creating a compassionate space where you can safely explore what’s going on inside and develop practical tools for understanding and managing your mood. We will work together to build tools and techniques to help you manage challenges, reduce distress, build self-confidence and foster personal growth. I believe therapy should be a safe space where you can feel heard, understood, and supported in your journey of personal growth. I work collaboratively with my clients to help them understand themselves better and develop the tools they need to create meaningful change in their lives.
(877) 734-1738 View (877) 734-1738
Photo of Cheryl Twombly, Clinical Social Work/Therapist, LICSW
Cheryl Twombly
Clinical Social Work/Therapist, LICSW
1 Endorsed
Londonderry, NH 03053
Cheryl Twombly is a Licensed Clinic Social Worker who has over 30 years of experience working with people through all stages of life from pregnancy to end of life in a variety of different settings. Regardless of my role, my priority has always been to ensure clients feel respected, heard, and validated during our time working together. My style brings my warmth, compassion, humor, and a direct nature together in a person-centered manner that supports clients to face their pain and deepen an understanding of their needs while enhancing awareness of their existing strengths and developing new coping strategies.
Cheryl Twombly is a Licensed Clinic Social Worker who has over 30 years of experience working with people through all stages of life from pregnancy to end of life in a variety of different settings. Regardless of my role, my priority has always been to ensure clients feel respected, heard, and validated during our time working together. My style brings my warmth, compassion, humor, and a direct nature together in a person-centered manner that supports clients to face their pain and deepen an understanding of their needs while enhancing awareness of their existing strengths and developing new coping strategies.
(888) 491-5017 View (888) 491-5017

See more therapy options for 03053

How does your Therapist compare?

Number of Therapists in 03053

100+

Average cost per session

$140

Therapists in 03053 who prioritize treating:

96% Anxiety
86% Depression
64% Trauma and PTSD
58% Grief
58% Coping Skills
58% Self Esteem
58% Stress

Average years in practice

15 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
86% Optum
85% Cigna and Evernorth

How Therapists in 03053 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 03053?

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.