Photo of James Carleton Marston, Counselor in 03825, NH
James Carleton Marston
Counselor, MA, LCMHC
Verified Verified
Barrington, NH 03825
I have immediate availability for adults with daytime availability and a waitlist for minors . To get started, complete our screening form found on our website at www.alliancementalhealth.org. In my practice, I have worked with a wide range of clients, from adults to children, including couples and families. I'm trained in a wide range of therapeutic techniques and styles, but feel most at home using a combination of client-centered and cognitive-behavioral therapy. I believe that at its core, therapy is forming a positive relationship, and then using that relationship to motivate and reinforce healing and change.
I have immediate availability for adults with daytime availability and a waitlist for minors . To get started, complete our screening form found on our website at www.alliancementalhealth.org. In my practice, I have worked with a wide range of clients, from adults to children, including couples and families. I'm trained in a wide range of therapeutic techniques and styles, but feel most at home using a combination of client-centered and cognitive-behavioral therapy. I believe that at its core, therapy is forming a positive relationship, and then using that relationship to motivate and reinforce healing and change.
(603) 343-2166 View (603) 343-2166
Photo of Meredith J Hamel, Drug & Alcohol Counselor in 03825, NH
Meredith J Hamel
Drug & Alcohol Counselor, LCMHC, MLADC, IDSP
Verified Verified
Barrington, NH 03825
Office phone: 603-335-7070 Please call this number. Telehealth and In-person available. We offer hope, education and trauma informed treatment for people in all phases of decision making around substance use; or other mental health concerns. Psychoeducation, treatment and support on reducing anxiety, depression and stress symptoms, while building confidence, resiliency and balance. Services include: recovery support, Big Emotion/anger management groups; Resiliency Groups; individual, couples, families and teen therapy. We are an IDSP Provider for DWI aftercare; we work with the courts and probation/parole system.
Office phone: 603-335-7070 Please call this number. Telehealth and In-person available. We offer hope, education and trauma informed treatment for people in all phases of decision making around substance use; or other mental health concerns. Psychoeducation, treatment and support on reducing anxiety, depression and stress symptoms, while building confidence, resiliency and balance. Services include: recovery support, Big Emotion/anger management groups; Resiliency Groups; individual, couples, families and teen therapy. We are an IDSP Provider for DWI aftercare; we work with the courts and probation/parole system.
(603) 261-2365 View (603) 261-2365
Photo of Alliance Mental Health & Youth Consult Svcs in 03825, NH
Alliance Mental Health & Youth Consult Svcs
Verified Verified
Barrington, NH 03825
AMH has immediate openings for adults with daytime availability and a short wait for minors. We are a small group practice in Dover, NH offering psychotherapy services. Our experienced therapists can help support you in making the changes you want in your life. We believe in a person-centered, strength-based approach to helping our clients, built on a foundation of a strong therapeutic relationship. Our therapists' wide range of experiences and specialties often enables us to find a way to help almost any client, or to have the knowledge to assist a client find the help they need if we can't.
AMH has immediate openings for adults with daytime availability and a short wait for minors. We are a small group practice in Dover, NH offering psychotherapy services. Our experienced therapists can help support you in making the changes you want in your life. We believe in a person-centered, strength-based approach to helping our clients, built on a foundation of a strong therapeutic relationship. Our therapists' wide range of experiences and specialties often enables us to find a way to help almost any client, or to have the knowledge to assist a client find the help they need if we can't.
(603) 343-2166 View (603) 343-2166
Photo of Julie Sichelstiel, Clinical Social Work/Therapist in 03825, NH
Julie Sichelstiel
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Barrington, NH 03825  (Online Only)
Do things sometimes look pretty good from the outside, but on the inside there is a lot of stress and uncertainty? Are you worried about your kids, what they might be facing and the pressures they are experiencing? Maybe you’re struggling with the story of your life not being what you imagined. If the symptoms you are experiencing are getting in the way of the quality of life you deserve, reaching out for therapy is an important step to healing.
Do things sometimes look pretty good from the outside, but on the inside there is a lot of stress and uncertainty? Are you worried about your kids, what they might be facing and the pressures they are experiencing? Maybe you’re struggling with the story of your life not being what you imagined. If the symptoms you are experiencing are getting in the way of the quality of life you deserve, reaching out for therapy is an important step to healing.
(603) 377-8971 View (603) 377-8971
Photo of Meg Paul, Clinical Social Work/Therapist in 03825, NH
Meg Paul
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
3 Endorsed
Barrington, NH 03825
Life often does not go as planned or how we expect it to go. As a Licensed Independent Clinical Social Worker in NH and ME, I enjoy partnering with teens, young adults, and adults to support and work through the challenges they are experiencing. You can count on me to be present and work with you in sessions in a curious, direct, and understanding way. I will help you to develop goals and direction for the work we will do together.
Life often does not go as planned or how we expect it to go. As a Licensed Independent Clinical Social Worker in NH and ME, I enjoy partnering with teens, young adults, and adults to support and work through the challenges they are experiencing. You can count on me to be present and work with you in sessions in a curious, direct, and understanding way. I will help you to develop goals and direction for the work we will do together.
(603) 377-8117 View (603) 377-8117
Photo of Adrienne Pierce, Clinical Social Work/Therapist in 03825, NH
Adrienne Pierce
Clinical Social Work/Therapist, LICSW
Verified Verified
Barrington, NH 03825
I have some limited availability for adult clients. To get started please complete our screening form found on our website at alliancementalhealth.org. I am a Licensed Independent Clinical Social Worker and I consider myself a "person centered" therapist who believes that the key to having a successful professional relationship is building a strong rapport with my clients. Since obtaining my Master's Degree in Social Work from Boston College in 1996, my career work settings has included community mental health centers, hospital based gero-psychiatric units, emergency services, private practice and residential treatment centers.
I have some limited availability for adult clients. To get started please complete our screening form found on our website at alliancementalhealth.org. I am a Licensed Independent Clinical Social Worker and I consider myself a "person centered" therapist who believes that the key to having a successful professional relationship is building a strong rapport with my clients. Since obtaining my Master's Degree in Social Work from Boston College in 1996, my career work settings has included community mental health centers, hospital based gero-psychiatric units, emergency services, private practice and residential treatment centers.
(603) 343-2166 View (603) 343-2166
Photo of Jessalyn Hobson, Clinical Social Work/Therapist in 03825, NH
Jessalyn Hobson
Clinical Social Work/Therapist, MS, LICSW
Verified Verified
3 Endorsed
Barrington, NH 03825  (Online Only)
Accepting help can be scary, but I believe it is a courageous and vulnerable step. I am a licensed clinical social worker in NH and MA who specializes in working with adolescents and complex family systems after over 10 years of experience working in a wide-variety of adolescent treatment settings. I’m passionate about helping young people develop a strong sense of self, and empowering them to find direction and happiness in their lives. My approach incorporates evidence based practices focused on developing skills, personal insight and healing. I have experience working with neurodivergent and LGBTQ+ youth and their families.
Accepting help can be scary, but I believe it is a courageous and vulnerable step. I am a licensed clinical social worker in NH and MA who specializes in working with adolescents and complex family systems after over 10 years of experience working in a wide-variety of adolescent treatment settings. I’m passionate about helping young people develop a strong sense of self, and empowering them to find direction and happiness in their lives. My approach incorporates evidence based practices focused on developing skills, personal insight and healing. I have experience working with neurodivergent and LGBTQ+ youth and their families.
(603) 377-8024 View (603) 377-8024
Leslie D Trueman
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Barrington, NH 03825  (Online Only)
I offer both short and long term psychotherapy to adults ages 18 and up. Psychotherapy can improve your relationships and help you become more aware of your inner life, releasing you from repetitive patterns and anxiety.
I offer both short and long term psychotherapy to adults ages 18 and up. Psychotherapy can improve your relationships and help you become more aware of your inner life, releasing you from repetitive patterns and anxiety.
(855) 734-6271 View (855) 734-6271
Photo of Katie Pagnotta, Counselor in 03825, NH
Katie Pagnotta
Counselor, MA, LCMHC
Verified Verified
Barrington, NH 03825
I work with children of all ages, families, parents, and female adults who are seeking to better manage life. My clients come to me seeking support to manage stress, anxiety, ADHD and ASD. I work with families of young children to build emotion regulation skills and anxiety management skills. I work with teens on navigating the stress of high school and college prep. I work with parents on how to co-parent in ways that are supportive of their unique child. And I work with female adult clients who are looking for support to juggle their many responsibilities and find joy simultaneously.
I work with children of all ages, families, parents, and female adults who are seeking to better manage life. My clients come to me seeking support to manage stress, anxiety, ADHD and ASD. I work with families of young children to build emotion regulation skills and anxiety management skills. I work with teens on navigating the stress of high school and college prep. I work with parents on how to co-parent in ways that are supportive of their unique child. And I work with female adult clients who are looking for support to juggle their many responsibilities and find joy simultaneously.
(603) 945-8095 View (603) 945-8095
Photo of Linda Handley, Pre-Licensed Professional in 03825, NH
Linda Handley
Pre-Licensed Professional, MACMHC
Verified Verified
Barrington, NH 03825
I have immediate availability for adults with daytime availability and a short wait for minors and clients who need late afternoon appointments. To get started, complete our screening form found on our website at www.alliancementalhealth.org. I've worked with a variety of clients mostly focused on younger adults and children. I spent a year before coming to AMH working as a Substance Abuse Counselor and have worked with clients to address anxiety, depression, and trauma. I hope to provide a comfortable place for you so we can go on the journey that is therapy together.
I have immediate availability for adults with daytime availability and a short wait for minors and clients who need late afternoon appointments. To get started, complete our screening form found on our website at www.alliancementalhealth.org. I've worked with a variety of clients mostly focused on younger adults and children. I spent a year before coming to AMH working as a Substance Abuse Counselor and have worked with clients to address anxiety, depression, and trauma. I hope to provide a comfortable place for you so we can go on the journey that is therapy together.
(603) 343-2166 View (603) 343-2166
Photo of Kimberly A Godfrey, Counselor in 03825, NH
Kimberly A Godfrey
Counselor, MS, LCMHC
Verified Verified
Barrington, NH 03825
I have immediate availability for adolescents and adults. To get started, complete our screening form found on our website at www.alliancementalhealth.org. Your journey starts here. I believe in a relaxed atmosphere where people are able to focus on themselves and achieve their goals. My commitment to you as my client, is to help you to grow in an atmosphere that is safe and supportive. I support my clients in committing to change with compassion and care.
I have immediate availability for adolescents and adults. To get started, complete our screening form found on our website at www.alliancementalhealth.org. Your journey starts here. I believe in a relaxed atmosphere where people are able to focus on themselves and achieve their goals. My commitment to you as my client, is to help you to grow in an atmosphere that is safe and supportive. I support my clients in committing to change with compassion and care.
(603) 343-2166 x1 View (603) 343-2166 x1
Photo of Julie Marsden, Psychologist in 03825, NH
Julie Marsden
Psychologist, PsyD
Verified Verified
2 Endorsed
Barrington, NH 03825  (Online Only)
Not accepting new clients
Welcome to my practice! I provide individual psychotherapy to adults via online teletherapy. My areas of special interest and expertise include: sexual orientation and gender identity issues, anxiety disorders, trauma recovery, healing from grief and loss, and managing family/relationship challenges. I believe in a collaborative approach to psychotherapy that establishes a safe environment for exploration, healing, & growth. My approach is purposefully eclectic and focuses on helping you to achieve your stated goals and feel empowered to make positive changes in your life.
Welcome to my practice! I provide individual psychotherapy to adults via online teletherapy. My areas of special interest and expertise include: sexual orientation and gender identity issues, anxiety disorders, trauma recovery, healing from grief and loss, and managing family/relationship challenges. I believe in a collaborative approach to psychotherapy that establishes a safe environment for exploration, healing, & growth. My approach is purposefully eclectic and focuses on helping you to achieve your stated goals and feel empowered to make positive changes in your life.
(603) 379-6370 View (603) 379-6370
Photo of Hannah Jalovick, Pre-Licensed Professional in 03825, NH
Hannah Jalovick
Pre-Licensed Professional, MSc
Verified Verified
Barrington, NH 03825
Hannah Jalovick is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2016. She has an MS in Counseling from Cairn University and a Post-Masters Certificate in Clinical Mental Health Counseling from Antioch University. Hannah offers warmth, personal connection, and a nonjudgmental space while counseling. It is her highest priority to cultivate emotional safety with her clients. Hannah utilizes CBT, DBT, person centered, and IFS, in order for her client to get well and achieve their goals. Hannah has 3.
Hannah Jalovick is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2016. She has an MS in Counseling from Cairn University and a Post-Masters Certificate in Clinical Mental Health Counseling from Antioch University. Hannah offers warmth, personal connection, and a nonjudgmental space while counseling. It is her highest priority to cultivate emotional safety with her clients. Hannah utilizes CBT, DBT, person centered, and IFS, in order for her client to get well and achieve their goals. Hannah has 3.
(603) 392-7343 View (603) 392-7343
Photo of Chelsea Mayo, Clinical Social Work/Therapist in 03825, NH
Chelsea Mayo
Clinical Social Work/Therapist, LICSW
Verified Verified
Barrington, NH 03825
Chelsea Mayo is a Licensed Independent Clinical Social Worker in New Hampshire who has over 5 years of experience working in the mental health field. She obtained a Master of Social Work (MSW) from the University of New Hampshire in 2019. During this time, she completed internships at an intensive outpatient program for addiction recovery and a community mental health center. She continued to work in community mental health until beginning at Lifestance in 2023.
Chelsea Mayo is a Licensed Independent Clinical Social Worker in New Hampshire who has over 5 years of experience working in the mental health field. She obtained a Master of Social Work (MSW) from the University of New Hampshire in 2019. During this time, she completed internships at an intensive outpatient program for addiction recovery and a community mental health center. She continued to work in community mental health until beginning at Lifestance in 2023.
(603) 803-4813 View (603) 803-4813
Photo of Daniel Williams, Psychologist in 03825, NH
Daniel Williams
Psychologist, PsyD
Verified Verified
Barrington, NH 03825
Having a sound education is crucial to successful treatment therapies. This is why I have spent years dedicated to my education. This way I have more to offer you, more tools to help you rebuild your life, more information to help you access your own emotions, and overall, more experience to draw from. Trusted to Lead: It was an honor to be selected by two governors as an expert in my field. As a state appointee, I worked with others to propose new legislation for our field, and I coauthored many documents that are now standard guidelines for psychologists in our state.
Having a sound education is crucial to successful treatment therapies. This is why I have spent years dedicated to my education. This way I have more to offer you, more tools to help you rebuild your life, more information to help you access your own emotions, and overall, more experience to draw from. Trusted to Lead: It was an honor to be selected by two governors as an expert in my field. As a state appointee, I worked with others to propose new legislation for our field, and I coauthored many documents that are now standard guidelines for psychologists in our state.
(603) 836-9790 View (603) 836-9790
Photo of Hollie Crosbie, Clinical Social Work/Therapist in 03825, NH
Hollie Crosbie
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Barrington, NH 03825
Hollie Crosbie is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 1998. Hollie brings many years of experience in providing therapy in the office setting as well as practical experience being in the field. She has spent many years working with a multitude of diverse situations and populations. This has put her in a beneficial position as we come out of a most taxing time in our country and all individuals having experienced the pandemic and anxieties that have come along side of this.
Hollie Crosbie is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 1998. Hollie brings many years of experience in providing therapy in the office setting as well as practical experience being in the field. She has spent many years working with a multitude of diverse situations and populations. This has put her in a beneficial position as we come out of a most taxing time in our country and all individuals having experienced the pandemic and anxieties that have come along side of this.
(603) 207-8753 View (603) 207-8753
Photo of Cathy Allen, Pre-Licensed Professional in 03825, NH
Cathy Allen
Pre-Licensed Professional, MA
Verified Verified
Barrington, NH 03825
Cathy Allen has been working in the mental health field spanning over 20 years in a variety of settings. She earned her Master's in Clinical Mental Health Counseling from Antioch University, where she also studied Applied Behavior Analysis therapy. She has found success working with adults and Teenagers diagnosed with anxiety disorders, depression, attention disorders, Autism Spectrum Disorder, learning disorders, and trauma utilizing a person-centered, strength-based approach, and employing Cognitive Behavioral Therapy, and Dialectical Behavior Therapy.
Cathy Allen has been working in the mental health field spanning over 20 years in a variety of settings. She earned her Master's in Clinical Mental Health Counseling from Antioch University, where she also studied Applied Behavior Analysis therapy. She has found success working with adults and Teenagers diagnosed with anxiety disorders, depression, attention disorders, Autism Spectrum Disorder, learning disorders, and trauma utilizing a person-centered, strength-based approach, and employing Cognitive Behavioral Therapy, and Dialectical Behavior Therapy.
(833) 721-1863 View (833) 721-1863
Photo of Hannah Noel, Counselor in 03825, NH
Hannah Noel
Counselor, LCMHC
Verified Verified
Barrington, NH 03825
Hannah Noel is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2020. She has a Master of Arts in Counseling and Psychological Services from St Mary's University of Minnesota. Hannah helps clients with identifying, problemsolving, and addressing barriers that prevent them from achieving their goals whether they are academic, personal, or vocational. Outside of work, Hannah enjoys spending time with her family, playing with her two cats, playing video games, spending time outside, and doing yarn crafts such as knitting and crochet.
Hannah Noel is a Licensed Clinical Mental Health Counselor in New Hampshire who has been practicing since 2020. She has a Master of Arts in Counseling and Psychological Services from St Mary's University of Minnesota. Hannah helps clients with identifying, problemsolving, and addressing barriers that prevent them from achieving their goals whether they are academic, personal, or vocational. Outside of work, Hannah enjoys spending time with her family, playing with her two cats, playing video games, spending time outside, and doing yarn crafts such as knitting and crochet.
(877) 664-1993 View (877) 664-1993
Photo of Susan Bullivant, Pre-Licensed Professional in 03825, NH
Susan Bullivant
Pre-Licensed Professional
Verified Verified
Barrington, NH 03825
Susan Bullivant, Therapist, is a dedicated and compassionate clinician who creates a safe, nonjudgmental space to partner with you on your healing journey. With a Ph.D. in Psychology and a Master's in Social Work, she offers a unique blend of expertise. Her therapeutic approach is integrative, drawing from evidence-based practices such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy, while tailored to meet the unique needs of each client. She is certified in Brainspotting, Trauma-Informed Cognitive-Behavioral Therapy, and Psychosynthesis, a spiritual psychology.
Susan Bullivant, Therapist, is a dedicated and compassionate clinician who creates a safe, nonjudgmental space to partner with you on your healing journey. With a Ph.D. in Psychology and a Master's in Social Work, she offers a unique blend of expertise. Her therapeutic approach is integrative, drawing from evidence-based practices such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy, while tailored to meet the unique needs of each client. She is certified in Brainspotting, Trauma-Informed Cognitive-Behavioral Therapy, and Psychosynthesis, a spiritual psychology.
(877) 651-3528 View (877) 651-3528
Photo of Kevan Walker, Marriage & Family Therapist in 03825, NH
Kevan Walker
Marriage & Family Therapist, LMFT
Verified Verified
Barrington, NH 03825
Kevan Walker is a Licensed Marriage and Family Therapist originally from Alaska who has been practicing since 2008. Kevan sees all people in relationships, not only with other people, but also in relationships to their society's expectations, values, and ways of seeing things. Because of this, Kevan treats people who come to consult him as the experts they are in their own lives, and prides himself on being good at questions that draw out that expertise.
Kevan Walker is a Licensed Marriage and Family Therapist originally from Alaska who has been practicing since 2008. Kevan sees all people in relationships, not only with other people, but also in relationships to their society's expectations, values, and ways of seeing things. Because of this, Kevan treats people who come to consult him as the experts they are in their own lives, and prides himself on being good at questions that draw out that expertise.
(603) 697-7496 View (603) 697-7496

See more therapy options for 03825

How does your Therapist compare?

Number of Therapists in 03825

20+

Average cost per session

$140

Therapists in 03825 who prioritize treating:

95% Anxiety
90% Depression
71% Trauma and PTSD
57% Grief
52% Family Conflict
48% Life Transitions
43% ADHD

Average years in practice

15 Years

Top 3 insurances accepted

76% Anthem | Elevance
71% BlueCross and BlueShield
71% Optum

How Therapists in 03825 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

85% Female
15% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 03825?

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.