Therapists in 10940

Photo of Deja Harford, Counselor, LMHC
Deja Harford
Counselor, LMHC
3 Endorsed
Middletown, NY 10940
I am a licensed mental health counselor and have advanced Certification in Family Counseling with over 15 years of experience. I have dedicated myself to truly understanding the unique challenges individuals and families face. Throughout my journey in this field, I've gathered a diverse range of skills and insights, allowing me to genuinely support clients as they navigate through relationship struggles and life's various stressors. I aim to provide personalized and collaborative treatment, tailored to enhance your overall quality of life. I'm here to empower and support you on your journey.
I am a licensed mental health counselor and have advanced Certification in Family Counseling with over 15 years of experience. I have dedicated myself to truly understanding the unique challenges individuals and families face. Throughout my journey in this field, I've gathered a diverse range of skills and insights, allowing me to genuinely support clients as they navigate through relationship struggles and life's various stressors. I aim to provide personalized and collaborative treatment, tailored to enhance your overall quality of life. I'm here to empower and support you on your journey.
(347) 389-7512 View (347) 389-7512
Photo of Carrie V Fuller, Clinical Social Work/Therapist, LCSWR
Carrie V Fuller
Clinical Social Work/Therapist, LCSWR
Middletown, NY 10940
Our practice aims to empower individuals of all ages, backgrounds and experiences to improve quality of life and livelihood. We counsel children, teens, couples and families. I work in a strengths based model. We practice in a judgement free zone and meet each client just where you are at. I strive or the best personal outcome. Come meet and see what a difference an empathic counselor can mean in your world. I know humor is good for the soul and heals so I use it in my practice often. I hope to have the opportunity to be the catalyst for change in your life.
Our practice aims to empower individuals of all ages, backgrounds and experiences to improve quality of life and livelihood. We counsel children, teens, couples and families. I work in a strengths based model. We practice in a judgement free zone and meet each client just where you are at. I strive or the best personal outcome. Come meet and see what a difference an empathic counselor can mean in your world. I know humor is good for the soul and heals so I use it in my practice often. I hope to have the opportunity to be the catalyst for change in your life.
(914) 331-8032 View (914) 331-8032
Photo of Lionela Jean, Pre-Licensed Professional, MSW, MBA
Lionela Jean
Pre-Licensed Professional, MSW, MBA
1 Endorsed
Middletown, NY 10940
You may be overwhelmed by stress, trauma, infidelity, or the heavy work of breaking generational cycles. You might feel isolated, questioning your worth, or stuck in painful patterns you desperately want to change. Whether you’re carrying the burden of betrayal, struggling with ADHD, battling anxiety, or healing deep emotional wounds, you don’t have to do it alone. I work with adolescents, adults, couples, and families who are ready to move from survival mode to truly living - and I’m here to walk with you every step of your journey.
You may be overwhelmed by stress, trauma, infidelity, or the heavy work of breaking generational cycles. You might feel isolated, questioning your worth, or stuck in painful patterns you desperately want to change. Whether you’re carrying the burden of betrayal, struggling with ADHD, battling anxiety, or healing deep emotional wounds, you don’t have to do it alone. I work with adolescents, adults, couples, and families who are ready to move from survival mode to truly living - and I’m here to walk with you every step of your journey.
(845) 415-1782 View (845) 415-1782
Photo of Brandon Chevere, Mental Health Counselor, LMHC
Brandon Chevere
Mental Health Counselor, LMHC
1 Endorsed
Middletown, NY 10940
Feeling anxious all the time is such a crippling feeling and can feel like there is no escaping it. Just when one anxious thought starts to go away, another one shows up and takes its place. It can feel like an endless cycle of racing thoughts, worry, and fear about anything and everything. It’s hard to know when the anxiety will be over especially living in an anxiety-inducing world that is constantly changing which in turn leads to more anxiety. If this sounds like you, you're not alone!
Feeling anxious all the time is such a crippling feeling and can feel like there is no escaping it. Just when one anxious thought starts to go away, another one shows up and takes its place. It can feel like an endless cycle of racing thoughts, worry, and fear about anything and everything. It’s hard to know when the anxiety will be over especially living in an anxiety-inducing world that is constantly changing which in turn leads to more anxiety. If this sounds like you, you're not alone!
(929) 445-2107 View (929) 445-2107
Photo of Patricia R DeJesus - Second Chance Counseling PLLC-Dr. Patricia DeJesus, Clinical Social Work/Therapist, DSW, LCSW-R
Second Chance Counseling PLLC-Dr. Patricia DeJesus
Clinical Social Work/Therapist, DSW, LCSW-R
5 Endorsed
Middletown, NY 10940
Dr. Patricia DeJesus received her Doctorate degree from Capella University & Master’s from Fordham University. She is the owner & founder of Second Chance Counseling. She has over 30 years of experience as a social worker in various settings. She has worked for behavioral health, human services, & OCFS. Dr. DeJesus has worked with adults, children, couples, teens, young adults, seniors, and siblings. Her specialty practice is working with anxiety, depression, eating disorders, personality disorders, low self-esteem, family issues, grief/loss, domestic violence, sexual assault, suicidal ideations, & obsessive-compulsive disorders.
Dr. Patricia DeJesus received her Doctorate degree from Capella University & Master’s from Fordham University. She is the owner & founder of Second Chance Counseling. She has over 30 years of experience as a social worker in various settings. She has worked for behavioral health, human services, & OCFS. Dr. DeJesus has worked with adults, children, couples, teens, young adults, seniors, and siblings. Her specialty practice is working with anxiety, depression, eating disorders, personality disorders, low self-esteem, family issues, grief/loss, domestic violence, sexual assault, suicidal ideations, & obsessive-compulsive disorders.
(845) 237-3756 View (845) 237-3756
Photo of Patricia Smith, Clinical Social Work/Therapist, LCSW
Patricia Smith
Clinical Social Work/Therapist, LCSW
Middletown, NY 10940
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” (Anais Nin). I celebrate your efforts to take stock of your life, to take a deep breath, and to take the risk to reach out. Emotional, mental, physical, and spiritual pain gives us an opportunity for healing, learning, and growth. Often what feels like something overwhelming and upsetting is about to give you Clarity. I provide a safe environment for openness, self-exploration, and movement forward. I am happy to partner with you in this work.
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” (Anais Nin). I celebrate your efforts to take stock of your life, to take a deep breath, and to take the risk to reach out. Emotional, mental, physical, and spiritual pain gives us an opportunity for healing, learning, and growth. Often what feels like something overwhelming and upsetting is about to give you Clarity. I provide a safe environment for openness, self-exploration, and movement forward. I am happy to partner with you in this work.
(845) 640-5560 View (845) 640-5560
Photo of Darcie M Horne, Licensed Master Social Worker, LMSW
Darcie M Horne
Licensed Master Social Worker, LMSW
Middletown, NY 10940
Life can feel overwhelming at times, and you don’t have to navigate it alone. By offering a safe space to talk openly about challenges, I help individuals gain clarity and see their experiences from a different perspective. This process can open the door to meaningful coping skills and strategies that support personal growth and goal attainment. I have worked with individuals facing grief and loss, trauma, anxiety, depression, and everyday stressors. My goal is to provide a warm, supportive, and judgment-free space where clients feel comfortable sharing their stories.
Life can feel overwhelming at times, and you don’t have to navigate it alone. By offering a safe space to talk openly about challenges, I help individuals gain clarity and see their experiences from a different perspective. This process can open the door to meaningful coping skills and strategies that support personal growth and goal attainment. I have worked with individuals facing grief and loss, trauma, anxiety, depression, and everyday stressors. My goal is to provide a warm, supportive, and judgment-free space where clients feel comfortable sharing their stories.
(845) 622-8741 View (845) 622-8741
Photo of Charlene E Dones, Clinical Social Work/Therapist, LCSW-R, PLLC
Charlene E Dones
Clinical Social Work/Therapist, LCSW-R, PLLC
3 Endorsed
Middletown, NY 10940
Finding a therapist who truly listens while also offering practical solutions can be challenging. With over 29 years of counseling experience, my goal is to support clients in navigating difficult life situations and developing meaningful, lasting change.
Finding a therapist who truly listens while also offering practical solutions can be challenging. With over 29 years of counseling experience, my goal is to support clients in navigating difficult life situations and developing meaningful, lasting change.
(845) 570-9651 View (845) 570-9651
Photo of Robert A Ferrer, Pastoral Counselor, MA
Robert A Ferrer
Pastoral Counselor, MA
1 Endorsed
Middletown, NY 10940
Many of the men I work with appear fine on the outside but are overwhelmed internally. They’re carrying stress from work, family, relationships, and expectations, and it’s beginning to show as anger, emotional shutdown, or distance from the people they care about. They want clarity, relief, and a way to regain control before things spiral further, but don’t want long-term therapy or to feel judged.
Many of the men I work with appear fine on the outside but are overwhelmed internally. They’re carrying stress from work, family, relationships, and expectations, and it’s beginning to show as anger, emotional shutdown, or distance from the people they care about. They want clarity, relief, and a way to regain control before things spiral further, but don’t want long-term therapy or to feel judged.
(845) 209-0541 View (845) 209-0541
Photo of Scott David Gibson, Clinical Social Work/Therapist, LCSW
Scott David Gibson
Clinical Social Work/Therapist, LCSW
Middletown, NY 10940
Welcome! I’m a psychiatric social worker with over 40 years of experience helping adults navigate life’s challenges. I specialize in senior mental health, depression treatment, anxiety counseling, and mood disorder therapy. I also provide compassionate support during life transitions such as retirement, grief, and major changes. My approach is warm, collaborative, and focused on helping you feel better, regain balance, and build tools to manage life’s ups and downs.
Welcome! I’m a psychiatric social worker with over 40 years of experience helping adults navigate life’s challenges. I specialize in senior mental health, depression treatment, anxiety counseling, and mood disorder therapy. I also provide compassionate support during life transitions such as retirement, grief, and major changes. My approach is warm, collaborative, and focused on helping you feel better, regain balance, and build tools to manage life’s ups and downs.
(845) 379-2021 View (845) 379-2021
Photo of Lisa Hendrickson, Clinical Social Work/Therapist, LCSW
Lisa Hendrickson
Clinical Social Work/Therapist, LCSW
Middletown, NY 10940
As a Licensed Clinical Social Worker, I provide a sophisticated and supportive therapeutic experience tailored to your unique needs. My approach is grounded in a deep sense of empathy and professionalism, creating a serene and welcoming environment where clients feel heard and understood. I integrate a thoughtful balance of warmth and subtle humor to ease the process, fostering a relationship built on trust, confidentiality, and respect. My goal is to ensure that every individual feels not only at ease but empowered to navigate their journey of healing with confidence and clarity, free from any sense of intimidation or judgment.
As a Licensed Clinical Social Worker, I provide a sophisticated and supportive therapeutic experience tailored to your unique needs. My approach is grounded in a deep sense of empathy and professionalism, creating a serene and welcoming environment where clients feel heard and understood. I integrate a thoughtful balance of warmth and subtle humor to ease the process, fostering a relationship built on trust, confidentiality, and respect. My goal is to ensure that every individual feels not only at ease but empowered to navigate their journey of healing with confidence and clarity, free from any sense of intimidation or judgment.
(845) 539-0894 View (845) 539-0894
Photo of Kelly-Ann Monique Fairweather - Therapist Without Borders, Clinical Social Work/Therapist, CST, LCSW, LCSW-R
Therapist Without Borders
Clinical Social Work/Therapist, CST, LCSW, LCSW-R
Middletown, NY 10940
One of the most challenging thing to do is to make a commitment, and to stick to it! Despite this challenge, we are asking you to make a commitment to yourself! If you have realize you are not ok, and don't want to stay in that not okay space, let us help. Therapist Without Borders boast a passionate staff, who are all about helping and committed to walking with you on your journey. We sit with open minds, heart, and hands to welcome you. We know what we are asking of you, but we believe in you, in spite of your fears. We are here, lets start your work now.
One of the most challenging thing to do is to make a commitment, and to stick to it! Despite this challenge, we are asking you to make a commitment to yourself! If you have realize you are not ok, and don't want to stay in that not okay space, let us help. Therapist Without Borders boast a passionate staff, who are all about helping and committed to walking with you on your journey. We sit with open minds, heart, and hands to welcome you. We know what we are asking of you, but we believe in you, in spite of your fears. We are here, lets start your work now.
(845) 513-3070 View (845) 513-3070
Windsor Counseling West
Clinical Social Work/Therapist, LCSWR
Middletown, NY 10940
Windsor Counseling West's licensed professionals provide caring and compassionate counseling services for adults, children, adolescents, couples, and families coping with a wide variety of issues and concerns, including: anxiety, depression, life partner issues, phase of life challenges, adolescent mood and behavioral issues, divorce, co-parenting, ADHD, school related issues, life stressors, employment / career related stressors, and interpersonal conflicts. Today life can be complex and challenging, and everyone at some point can benefit from therapeutic support and guidance. Whether struggling with parenting, marriage, career or family, or experiencing symptoms of common mental health concerns, we are here to help.
Windsor Counseling West's licensed professionals provide caring and compassionate counseling services for adults, children, adolescents, couples, and families coping with a wide variety of issues and concerns, including: anxiety, depression, life partner issues, phase of life challenges, adolescent mood and behavioral issues, divorce, co-parenting, ADHD, school related issues, life stressors, employment / career related stressors, and interpersonal conflicts. Today life can be complex and challenging, and everyone at some point can benefit from therapeutic support and guidance. Whether struggling with parenting, marriage, career or family, or experiencing symptoms of common mental health concerns, we are here to help.
(845) 764-8089 View (845) 764-8089
Photo of David Paul Birmingham, Counselor, LCMHC, LPN
David Paul Birmingham
Counselor, LCMHC, LPN
Middletown, NY 10940
Making the decision to start a therapy process can be a major step…. Potentially life changing. Rather than a rigid one size fits all approach I work hard to create an individualized therapy specific to each client, and ask you to partner with me in the process. If you are motivated for positive growth & looking for a dedicated professional therapist who uses modern measurement based and scientific evidence based approaches while building a personal connection in a safe calming environment reach out we may be a great team.
Making the decision to start a therapy process can be a major step…. Potentially life changing. Rather than a rigid one size fits all approach I work hard to create an individualized therapy specific to each client, and ask you to partner with me in the process. If you are motivated for positive growth & looking for a dedicated professional therapist who uses modern measurement based and scientific evidence based approaches while building a personal connection in a safe calming environment reach out we may be a great team.
(845) 683-5203 View (845) 683-5203
Photo of Brittany Gordon, Pre-Licensed Professional, MSW
Brittany Gordon
Pre-Licensed Professional, MSW
Middletown, NY 10940
I work with children, teens, and young adults facing emotional, behavioral, or mental health challenges, including anxiety, depression, trauma, and difficulties at home or school. Families seeking guidance and support are also welcome. Clients come to this practice looking for a safe, supportive space to explore their feelings, develop coping skills, and overcome obstacles that affect daily life. At Second Chance Counseling PLLC, we provide individualized, compassionate care, using evidence-informed strategies to help clients build resilience, improve emotional regulation, strengthen relationships, and move forward with confidence.
I work with children, teens, and young adults facing emotional, behavioral, or mental health challenges, including anxiety, depression, trauma, and difficulties at home or school. Families seeking guidance and support are also welcome. Clients come to this practice looking for a safe, supportive space to explore their feelings, develop coping skills, and overcome obstacles that affect daily life. At Second Chance Counseling PLLC, we provide individualized, compassionate care, using evidence-informed strategies to help clients build resilience, improve emotional regulation, strengthen relationships, and move forward with confidence.
(914) 256-1589 View (914) 256-1589
Photo of Jasmine N Ortiz, Clinical Social Work/Therapist, LCSW
Jasmine N Ortiz
Clinical Social Work/Therapist, LCSW
4 Endorsed
Middletown, NY 10940
Do you need someone to talk to? I am accepting new patients both in-person and via Telehealth. I have over 15 years of experience as a social worker and have worked in Behavioral Health Centers, Department of Corrections, Board of Education, and Forensic settings for over ten years. I work with children, adolescents, adults, couples, and families. My experience includes working with children and adults diagnosed with ADHD, ODD, Intermittent Explosive Disorder, Conduct Disorder, PTSD, Depression, Anxiety, Obsessive-Compulsive Disorders, Suicidal/Homicidal Ideation, and Personality Disorders.
Do you need someone to talk to? I am accepting new patients both in-person and via Telehealth. I have over 15 years of experience as a social worker and have worked in Behavioral Health Centers, Department of Corrections, Board of Education, and Forensic settings for over ten years. I work with children, adolescents, adults, couples, and families. My experience includes working with children and adults diagnosed with ADHD, ODD, Intermittent Explosive Disorder, Conduct Disorder, PTSD, Depression, Anxiety, Obsessive-Compulsive Disorders, Suicidal/Homicidal Ideation, and Personality Disorders.
(845) 579-7916 View (845) 579-7916
Photo of Erin Dudek, Counselor, LMHC
Erin Dudek
Counselor, LMHC
1 Endorsed
Middletown, NY 10940
Robert Frost once said, "The best way out is always through." It is my belief that by changing the thought patterns that keep us stuck, we can become our most authentic selves and live happier, healthier, and fuller lives. My hope is to create a space where therapy can be a positive, client lead experience that leads to growth and change. In my 5 years of experience, I have gained a variety of tools and skills to help aid in making those changes. I am a therapist with Cross the Bridge Counseling. We offer a group play therapy program for ages 3-17, individual sessions for ages 11-17, adult sessions, and couples counseling.
Robert Frost once said, "The best way out is always through." It is my belief that by changing the thought patterns that keep us stuck, we can become our most authentic selves and live happier, healthier, and fuller lives. My hope is to create a space where therapy can be a positive, client lead experience that leads to growth and change. In my 5 years of experience, I have gained a variety of tools and skills to help aid in making those changes. I am a therapist with Cross the Bridge Counseling. We offer a group play therapy program for ages 3-17, individual sessions for ages 11-17, adult sessions, and couples counseling.
(845) 393-3239 View (845) 393-3239
Photo of Bridgette Coppola-Simmons - Cross the Bridge Counseling/Play Therapy, Clinical Social Work/Therapist, LCSW-R
Cross the Bridge Counseling/Play Therapy
Clinical Social Work/Therapist, LCSW-R
Middletown, NY 10940
I am a strengths-based therapist who builds my clients up so that they can face any challenge. Rather than giving them a fish, I teach them to fish! I use cognitive-behavioral therapy to help my clients reach success!
I am a strengths-based therapist who builds my clients up so that they can face any challenge. Rather than giving them a fish, I teach them to fish! I use cognitive-behavioral therapy to help my clients reach success!
(845) 839-4050 View (845) 839-4050
Photo of Lourdes Villanueva-Cruz, Clinical Social Work/Therapist, LMSW, MAR
Lourdes Villanueva-Cruz
Clinical Social Work/Therapist, LMSW, MAR
1 Endorsed
Middletown, NY 10940
We all face situations throughout life that can make us feel overwhelmed and in need of support, encouragement, planning. This may involve family life transitions, a parent-child relationship, peer groups, marriage, divorce, social issues, or behavioral issues. I am a bilingual Social Worker/therapist and pastoral counselor, and I specialize in working with adolescents, young adults, adults and families. I am experienced in working with youth diagnosed with a variety of behavioral and emotional issues. I am also experienced in working with adults experiencing life stressors.
We all face situations throughout life that can make us feel overwhelmed and in need of support, encouragement, planning. This may involve family life transitions, a parent-child relationship, peer groups, marriage, divorce, social issues, or behavioral issues. I am a bilingual Social Worker/therapist and pastoral counselor, and I specialize in working with adolescents, young adults, adults and families. I am experienced in working with youth diagnosed with a variety of behavioral and emotional issues. I am also experienced in working with adults experiencing life stressors.
(845) 460-0696 View (845) 460-0696
Photo of Emily R Jollie, LMSW
Emily R Jollie
Verified Verified
Middletown, NY 10940
Finding someone to connect with and speak about challenges can be difficult. Whether you’re navigating anxiety, depression, relationship challenges, or simply feeling stuck, I offer a safe, nonjudgmental space where we can work together to explore your concerns and develop practical tools for managing life’s difficulties.
Finding someone to connect with and speak about challenges can be difficult. Whether you’re navigating anxiety, depression, relationship challenges, or simply feeling stuck, I offer a safe, nonjudgmental space where we can work together to explore your concerns and develop practical tools for managing life’s difficulties.
(845) 957-7635 View (845) 957-7635

See more therapy options for 10940

How does your Therapist compare?

Number of Therapists in 10940

100+

Average cost per session

$142

Therapists in 10940 who prioritize treating:

88% Anxiety
79% Depression
77% Relationship Issues
73% Self Esteem
72% Trauma and PTSD
70% Stress
60% Family Conflict

Average years in practice

15 Years

Top 3 insurances accepted

96% Aetna
86% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in 10940 see their clients

54% Online Only
46% In Person and Online

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10940?

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.