Photo of Donnamarie (Dani) Carey, Counselor in 05403, VT
Donnamarie (Dani) Carey
Counselor, LADC, LCMHC
Verified Verified
South Burlington, VT 05403  (Online Only)
Take a step forward on a positive path to empowerment, growth, and well-being. As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. We can unearth long-standing behavior patterns and negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
Take a step forward on a positive path to empowerment, growth, and well-being. As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. We can unearth long-standing behavior patterns and negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(802) 431-0084 View (802) 431-0084
Photo of Erika Jill Davis, Clinical Social Work/Therapist in 05403, VT
Erika Jill Davis
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
South Burlington, VT 05403  (Online Only)
Not accepting new clients
Are you thinking about making a change? I am ready to help facilitate that change with you and empower you with skills to see that change happen! I have more than 10 years of therapy experience and we draw on and practice skills that best suit your needs to help you become the most successful you can be.
Are you thinking about making a change? I am ready to help facilitate that change with you and empower you with skills to see that change happen! I have more than 10 years of therapy experience and we draw on and practice skills that best suit your needs to help you become the most successful you can be.
(802) 347-2496 View (802) 347-2496
Photo of Milcah Harari, Clinical Social Work/Therapist in 05403, VT
Milcah Harari
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
South Burlington, VT 05403  (Online Only)
Welcome to my psychotherapy practice, where taking that initial step toward seeking support is a courageous and vulnerable act. In my practice, I strive to create a space infused with safety, empowerment, warmth, humor, cultural humility, understanding, compassion, and ease—a space where you can begin to explore a path forward from the challenges that have led you here. My therapeutic approach integrates various styles, including psychodynamic, trauma-informed care, cognitive behavioral therapy, Acceptance and Commitment Therapy (ACT), and mindfulness-based practices.
Welcome to my psychotherapy practice, where taking that initial step toward seeking support is a courageous and vulnerable act. In my practice, I strive to create a space infused with safety, empowerment, warmth, humor, cultural humility, understanding, compassion, and ease—a space where you can begin to explore a path forward from the challenges that have led you here. My therapeutic approach integrates various styles, including psychodynamic, trauma-informed care, cognitive behavioral therapy, Acceptance and Commitment Therapy (ACT), and mindfulness-based practices.
(802) 278-0447 View (802) 278-0447
Photo of Crystal Poirier Fisher, Clinical Social Work/Therapist in 05403, VT
Crystal Poirier Fisher
Clinical Social Work/Therapist, MSW, LICSW, LADC
Verified Verified
The world renowned teacher, Pema Chodron, once said that "compassion is not a relationship between the healer and the wounded. It is a relationship between equals". This quote speaks to the heart of my clinical practice. I view therapy as a journey that we take together, one step at a time. We will travel together on this path and find ways to support a life of health and wellbeing that are meaningful to you.
The world renowned teacher, Pema Chodron, once said that "compassion is not a relationship between the healer and the wounded. It is a relationship between equals". This quote speaks to the heart of my clinical practice. I view therapy as a journey that we take together, one step at a time. We will travel together on this path and find ways to support a life of health and wellbeing that are meaningful to you.
(802) 526-2150 View (802) 526-2150
Photo of Kristin Quill, Clinical Social Work/Therapist in 05403, VT
Kristin Quill
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Waitlist for new clients
Hello! I specialize in supporting humans 18+ who are navigating perinatal mood/anxiety disorders and matrescence, though also see individuals for treatment of trauma, depression, anxiety, life transitions, young adulthood, health issues, grief, and difficulties with belonging and self-worth. I draw from various evidence-based models, prioritizing collaboration, compassion, trust, humor, and warmth.
Hello! I specialize in supporting humans 18+ who are navigating perinatal mood/anxiety disorders and matrescence, though also see individuals for treatment of trauma, depression, anxiety, life transitions, young adulthood, health issues, grief, and difficulties with belonging and self-worth. I draw from various evidence-based models, prioritizing collaboration, compassion, trust, humor, and warmth.
(802) 500-7933 View (802) 500-7933
Photo of Maria Cronyn in 05403, VT
Maria Cronyn
ND
Verified Verified
Specializing in fining the root cause of mental health problems. Comb through together to find any biological reason such as Lyme or hormone imbalance. Hormone health IS mental health! Testing and treatment with choices of natural or pharmaceutical. Medication side effects? Natural solutions to this. Children respond well to homeopathy- non pharmaceutical approach for ADHD, Anxiety, Depression, OCD, Autism, ODD. I am a Naturopathic Physician billing insurances in VT. Homeopathics, nutrients and IV's, and botanicals remedies and bio identical hormone thereapy, includes Thyroid! Let's be a team.
Specializing in fining the root cause of mental health problems. Comb through together to find any biological reason such as Lyme or hormone imbalance. Hormone health IS mental health! Testing and treatment with choices of natural or pharmaceutical. Medication side effects? Natural solutions to this. Children respond well to homeopathy- non pharmaceutical approach for ADHD, Anxiety, Depression, OCD, Autism, ODD. I am a Naturopathic Physician billing insurances in VT. Homeopathics, nutrients and IV's, and botanicals remedies and bio identical hormone thereapy, includes Thyroid! Let's be a team.
(802) 278-6075 View (802) 278-6075
Photo of Daniel Tso, Pre-Licensed Professional in 05403, VT
Daniel Tso
Pre-Licensed Professional, PsyD
Verified Verified
Are you seeking evidence-based psychotherapy to help you achieve your goals or manage your symptoms in the most effective way? If you or your child are struggling with your mood, anxiety, trauma, obsessive or unhelpful thinking patterns, chronic pain, or behaviors you wish to change, I or another qualified therapist at MindWell Psychology may be able to help you. If you would like to learn more or schedule an appointment, please visit the MindWell Center's website. www.mindwellcenter.com We can answer your questions and get you started on your way to feeling better.
Are you seeking evidence-based psychotherapy to help you achieve your goals or manage your symptoms in the most effective way? If you or your child are struggling with your mood, anxiety, trauma, obsessive or unhelpful thinking patterns, chronic pain, or behaviors you wish to change, I or another qualified therapist at MindWell Psychology may be able to help you. If you would like to learn more or schedule an appointment, please visit the MindWell Center's website. www.mindwellcenter.com We can answer your questions and get you started on your way to feeling better.
(802) 266-4961 View (802) 266-4961
Photo of David Alan Fisher, Licensed Professional Counselor in 05403, VT
David Alan Fisher
Licensed Professional Counselor, LCMHC, MAED
Verified Verified
Lao Tzu wrote, “Your own positive future begins in this moment.” This quote speaks to the heart of my clinical practice. I view therapy as a path taken together rooted in respect, humility, kindness, honesty, and perseverance. On this journey, we will develop a life of meaning and purpose grounded in your own goals and values.
Lao Tzu wrote, “Your own positive future begins in this moment.” This quote speaks to the heart of my clinical practice. I view therapy as a path taken together rooted in respect, humility, kindness, honesty, and perseverance. On this journey, we will develop a life of meaning and purpose grounded in your own goals and values.
(802) 444-8097 View (802) 444-8097
Photo of Cat Findley, Clinical Social Work/Therapist in 05403, VT
Cat Findley
Clinical Social Work/Therapist, LCSW
Verified Verified
South Burlington, VT 05403  (Online Only)
If white knuckling, self shaming, pulling yourself up by your bootstraps and putting on your big girl panties worked, you’d be “cured” a billion times over. It doesn’t. At least not for me or people whose brains are different. Our minds race and it feels impossible to turn off and rest. Sometimes we use substances or other behaviors in a harmful way just to get through the day. There’s more to life out there. A more peaceful and meaningful life is possible. We need to go deeper and get to the root of things. I’ll go with you.
If white knuckling, self shaming, pulling yourself up by your bootstraps and putting on your big girl panties worked, you’d be “cured” a billion times over. It doesn’t. At least not for me or people whose brains are different. Our minds race and it feels impossible to turn off and rest. Sometimes we use substances or other behaviors in a harmful way just to get through the day. There’s more to life out there. A more peaceful and meaningful life is possible. We need to go deeper and get to the root of things. I’ll go with you.
(802) 278-9641 View (802) 278-9641
Photo of Elizabeth Hammond, Clinical Social Work/Therapist in 05403, VT
Elizabeth Hammond
Clinical Social Work/Therapist, LICSW
Verified Verified
South Burlington, VT 05403  (Online Only)
Your relationship with food and your body has taken over your life, and you’re tired of feeling overwhelmed, disconnected, and alone. You may be fed up with the shame, tired of having no control, or sick of feeling isolated. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to leave the eating disorder behind. You want to feel confident and in control of your emotions. Most of all, you’re ready to reconnect with yourself.
Your relationship with food and your body has taken over your life, and you’re tired of feeling overwhelmed, disconnected, and alone. You may be fed up with the shame, tired of having no control, or sick of feeling isolated. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to leave the eating disorder behind. You want to feel confident and in control of your emotions. Most of all, you’re ready to reconnect with yourself.
(802) 896-8405 View (802) 896-8405
Photo of Dominique Couture-Sherman, Clinical Social Work/Therapist in 05403, VT
Dominique Couture-Sherman
Clinical Social Work/Therapist, LCSW
Verified Verified
South Burlington, VT 05403  (Online Only)
So often when talking to prospective clients, they are most worried about sitting in a session with a therapist that looks like the ones they see on TV. You know, the very stereotypical therapist, in a very sterile room, in a three-piece suit, who almost strictly takes notes and is some times hard to read. Though, I strongly believe that all therapy has a place, for me, this isn’t how I practice. In therapy, I believe there is a time for silence and a time for reflection, but I also believe there is a time for humor, laughter, and connection.
So often when talking to prospective clients, they are most worried about sitting in a session with a therapist that looks like the ones they see on TV. You know, the very stereotypical therapist, in a very sterile room, in a three-piece suit, who almost strictly takes notes and is some times hard to read. Though, I strongly believe that all therapy has a place, for me, this isn’t how I practice. In therapy, I believe there is a time for silence and a time for reflection, but I also believe there is a time for humor, laughter, and connection.
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Photo of Jeffrey J Allen, Psychologist in 05403, VT
Jeffrey J Allen
Psychologist, MACP
Verified Verified
Many of my clients are the ones who are being called to a more vivid version of their lives. They may have gotten off track with life purpose, or they may have long sensed something beyond familiar paths, but they’ve not had the support they needed to answer the invitation to a different way of doing or being. What I offer is mirroring, skillful inquiry, and spirited co-creation in creating this new life. I have been a practicing psychologist for 38 years, and I have also worked many years as a wilderness guide, facilitating explorations of life purpose, inner truth, and self-transformation.
Many of my clients are the ones who are being called to a more vivid version of their lives. They may have gotten off track with life purpose, or they may have long sensed something beyond familiar paths, but they’ve not had the support they needed to answer the invitation to a different way of doing or being. What I offer is mirroring, skillful inquiry, and spirited co-creation in creating this new life. I have been a practicing psychologist for 38 years, and I have also worked many years as a wilderness guide, facilitating explorations of life purpose, inner truth, and self-transformation.
(802) 736-6179 View (802) 736-6179
Photo of Ryan Gouvin, Pre-Licensed Professional in 05403, VT
Ryan Gouvin
Pre-Licensed Professional
Verified Verified
2 Endorsed
Waitlist for new clients
Accepting New Clients (People)! Working together my goal will be to help you become the best version of yourself. Are you ready to make a positive change? Struggling to reach a goal? Making changes often requires clarifying small attainable goals to achieve a larger goal. Need help communicating within a personal or professional relationship? Many times, our communication style may benefit from some adjustment. Having an ally to plan these goals and help provide clarity may help clear the path. People I work with can expect respect, safety, and validation when working with me. Contact me today for a free 15 minute consultation.
Accepting New Clients (People)! Working together my goal will be to help you become the best version of yourself. Are you ready to make a positive change? Struggling to reach a goal? Making changes often requires clarifying small attainable goals to achieve a larger goal. Need help communicating within a personal or professional relationship? Many times, our communication style may benefit from some adjustment. Having an ally to plan these goals and help provide clarity may help clear the path. People I work with can expect respect, safety, and validation when working with me. Contact me today for a free 15 minute consultation.
(802) 444-8512 View (802) 444-8512
Photo of Claudia E Mullin, Counselor in 05403, VT
Claudia E Mullin
Counselor, MS, LCMHC
Verified Verified
Not accepting new clients
Life can feel overwhelming amidst change and uncertainty. It can feel especially painful when we feel alone, helpless, or discouraged. My approach is collaborative, depth-oriented and humanistic. My goal is to help you connect to your heart and create a life that feels authentic, meaningful and joyful. I offer a warm, compassionate environment in which you can feel safe and deeply heard. I'm highly interactive. Using solution-focused therapies and mindfulness techniques I will work with you to explore limiting beliefs, heal pain, and deepen self-acceptance. I'm honored to join you on a path to emotional freedom.
Life can feel overwhelming amidst change and uncertainty. It can feel especially painful when we feel alone, helpless, or discouraged. My approach is collaborative, depth-oriented and humanistic. My goal is to help you connect to your heart and create a life that feels authentic, meaningful and joyful. I offer a warm, compassionate environment in which you can feel safe and deeply heard. I'm highly interactive. Using solution-focused therapies and mindfulness techniques I will work with you to explore limiting beliefs, heal pain, and deepen self-acceptance. I'm honored to join you on a path to emotional freedom.
(802) 461-4946 View (802) 461-4946
Photo of Kara DeLeonardis Kraus, Clinical Social Work/Therapist in 05403, VT
Kara DeLeonardis Kraus
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
South Burlington, VT 05403  (Online Only)
As a clinical social worker, I believe that we all have unique strengths and capacities to face the challenges in our lives. I work with my clients in a collaborative, empowering way. Through the therapy process, solutions and plans to move forward reveal themselves, as you grow more confident in your strengths, intuition and your vision for your life. Working with the stories and thoughts we carry about ourselves and the world, we work to create new ideas, beliefs and behaviors that will lead to a more fulfilling life.
As a clinical social worker, I believe that we all have unique strengths and capacities to face the challenges in our lives. I work with my clients in a collaborative, empowering way. Through the therapy process, solutions and plans to move forward reveal themselves, as you grow more confident in your strengths, intuition and your vision for your life. Working with the stories and thoughts we carry about ourselves and the world, we work to create new ideas, beliefs and behaviors that will lead to a more fulfilling life.
(802) 359-7232 View (802) 359-7232
Photo of Allie West, Clinical Social Work/Therapist in 05403, VT
Allie West
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
South Burlington, VT 05403  (Online Only)
I use somatic and brain based experiential methods, such as AEDP, brainspotting, and the therapeutic reconsolidation process to help you finally let go of feelings, behaviors, and limiting beliefs that were developed from past experiences, so you can finally feel better and enjoy the life you want to live. I'll also teach you CBT and DBT skills to cope with the things in your life that you can't change so you can stop suffering over them.
I use somatic and brain based experiential methods, such as AEDP, brainspotting, and the therapeutic reconsolidation process to help you finally let go of feelings, behaviors, and limiting beliefs that were developed from past experiences, so you can finally feel better and enjoy the life you want to live. I'll also teach you CBT and DBT skills to cope with the things in your life that you can't change so you can stop suffering over them.
(802) 625-6677 View (802) 625-6677
Photo of Sheilagh Smith, Unlicensed Psychotherapist in 05403, VT
Sheilagh Smith
Unlicensed Psychotherapist, MA
Verified Verified
Not accepting new clients
Feeling lost and disconnected? Thinking "I need help" but not sure where to begin? You're not alone and you're in the right place. Searching for help and reaching out is hard and often easier said than done. If you've made it as far as looking you've already made a small but significant win for yourself. Life is messy and we're not meant to do it alone. I enjoy helping people as a guide to take a step back and clean up their mental and emotional space to find deeper connection to themselves and within relationships. I work with young adults and adults ages 17 and up.
Feeling lost and disconnected? Thinking "I need help" but not sure where to begin? You're not alone and you're in the right place. Searching for help and reaching out is hard and often easier said than done. If you've made it as far as looking you've already made a small but significant win for yourself. Life is messy and we're not meant to do it alone. I enjoy helping people as a guide to take a step back and clean up their mental and emotional space to find deeper connection to themselves and within relationships. I work with young adults and adults ages 17 and up.
(802) 494-4249 View (802) 494-4249
Photo of Joanna Guyette, Clinical Social Work/Therapist in 05403, VT
Joanna Guyette
Clinical Social Work/Therapist, MSW , LICSW
Verified Verified
Sometimes in life we get overwhelmed, feel stuck, and need help navigating transitions, uncertainty, or loss. The bulk of my professional experience before private practice was as a hospice social worker fostering emotional comfort for people approaching end of life. It honed my ability to hold compassionate presence while growing therapeutic approaches to meet an array of needs. I have a strong understanding of the ways losses can take shape, multiply, and be disenfranchised, how trauma can lace its way through life and shape our reactions, and ways to keep yourself afloat when life keeps stirring up storms.
Sometimes in life we get overwhelmed, feel stuck, and need help navigating transitions, uncertainty, or loss. The bulk of my professional experience before private practice was as a hospice social worker fostering emotional comfort for people approaching end of life. It honed my ability to hold compassionate presence while growing therapeutic approaches to meet an array of needs. I have a strong understanding of the ways losses can take shape, multiply, and be disenfranchised, how trauma can lace its way through life and shape our reactions, and ways to keep yourself afloat when life keeps stirring up storms.
(802) 788-8431 View (802) 788-8431
Photo of Judith Vanderryn, Psychologist in 05403, VT
Judith Vanderryn
Psychologist, PhD
Verified Verified
Waitlist for new clients
I work with adults dealing with PTSD, anxiety, depression, chronic pain, and other issues. We often hit roadblocks in our relationships with ourselves or others, or have difficulty living life the way we want to live it. It takes courage to seek help from someone else to address blindspots or problematic old patterns. Maybe you need to learn and practice new skills, or perhaps earlier experiences need to be reworked. Sometimes change seems impossible; I know that it can be a daunting but wonderful journey to embark on.
I work with adults dealing with PTSD, anxiety, depression, chronic pain, and other issues. We often hit roadblocks in our relationships with ourselves or others, or have difficulty living life the way we want to live it. It takes courage to seek help from someone else to address blindspots or problematic old patterns. Maybe you need to learn and practice new skills, or perhaps earlier experiences need to be reworked. Sometimes change seems impossible; I know that it can be a daunting but wonderful journey to embark on.
(802) 651-8999 x4 View (802) 651-8999 x4
Photo of Julia Riley, Clinical Social Work/Therapist in 05403, VT
Julia Riley
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
This space is yours for reflection, processing, and making movement at your own pace. My role is to provide tools or strategies that partner with you as you make changes in your life to meet your own goals. Some reasons people seek counseling may include reducing symptoms of a mental health diagnosis, strengthening family relationships, finding balance between the many life responsibilities, improving social relationships/communication/boundary setting, exploring their identity, navigating impact of family addiction/mental health of a loved one, having a space to talk about the challenges of parenting, and many more.
This space is yours for reflection, processing, and making movement at your own pace. My role is to provide tools or strategies that partner with you as you make changes in your life to meet your own goals. Some reasons people seek counseling may include reducing symptoms of a mental health diagnosis, strengthening family relationships, finding balance between the many life responsibilities, improving social relationships/communication/boundary setting, exploring their identity, navigating impact of family addiction/mental health of a loved one, having a space to talk about the challenges of parenting, and many more.
(802) 392-9521 View (802) 392-9521

How does your Therapist compare?

Number of Therapists in 05403

200+

Average cost per session

$130

Therapists in 05403 who prioritize treating:

93% Anxiety
87% Depression
85% Relationship Issues
78% Self Esteem
69% Trauma and PTSD
67% Grief
64% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
75% Medicaid
70% MVP Health Care

How Therapists in 05403 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

69% Female
29% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 05403?

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.