Photo of Stephen Levy, Psychologist in 10960, NY
Stephen Levy
Psychologist, PhD
Verified Verified
Nyack, NY 10960  (Online Only)
I have spent 50 years in the treatment fields of alcoholism, drug addiction and mental illness. I have been in private practice since 1977 providing individual and couples therapy for adults. I have taught in six colleges and two medical schools and am the author of three books and the editor of another. I am a founding member of the non-profit Emergency Assist Team of Rockland County. NY since 1990 providing support for first responders and military personnel. I am the Clinical Supervisor of the Therapy staff at Rockland Jewish Family Service. For further information consult my personal website at: rocklandpsych.net.
I have spent 50 years in the treatment fields of alcoholism, drug addiction and mental illness. I have been in private practice since 1977 providing individual and couples therapy for adults. I have taught in six colleges and two medical schools and am the author of three books and the editor of another. I am a founding member of the non-profit Emergency Assist Team of Rockland County. NY since 1990 providing support for first responders and military personnel. I am the Clinical Supervisor of the Therapy staff at Rockland Jewish Family Service. For further information consult my personal website at: rocklandpsych.net.
(845) 250-6495 View (845) 250-6495
Photo of Dominique Fickling, Art Therapist in 10960, NY
Dominique Fickling
Art Therapist, LCAT, BC-DMT, MS
Verified Verified
Nyack, NY 10960  (Online Only)
Great to meet you! I am a Dance/Movement Psychotherapist, my eyes are trained to see what our words cannot express...and that's where the magic happens. DMT is a powerful modality combines the art of dance and the science of psychology to unlock your potential for healing and self-expression. By engaging in movement and dance, you will tap into the wisdom of your body, accessing emotions and memories that may be difficult to verbalize. Through this process, you will discover new insights, release tension, and cultivate a stronger mind-body connection.
Great to meet you! I am a Dance/Movement Psychotherapist, my eyes are trained to see what our words cannot express...and that's where the magic happens. DMT is a powerful modality combines the art of dance and the science of psychology to unlock your potential for healing and self-expression. By engaging in movement and dance, you will tap into the wisdom of your body, accessing emotions and memories that may be difficult to verbalize. Through this process, you will discover new insights, release tension, and cultivate a stronger mind-body connection.
(845) 412-9785 View (845) 412-9785
Photo of Hudson Valley Mental Health Counseling, PLLC in 10960, NY
Hudson Valley Mental Health Counseling, PLLC
LMHC, LPC
Verified Verified
Nyack, NY 10960
My ideal client is ready to try something new in the face of OCD and anxiety challenges. If you are a parent of a child or adolescent struggling with OCD, or struggling with OCD or anxiety yourself, it can be overwhelming to find the specialized support and guidance that you are looking for.
My ideal client is ready to try something new in the face of OCD and anxiety challenges. If you are a parent of a child or adolescent struggling with OCD, or struggling with OCD or anxiety yourself, it can be overwhelming to find the specialized support and guidance that you are looking for.
(845) 241-3857 View (845) 241-3857
Photo of Julie Buffington, Clinical Social Work/Therapist in 10960, NY
Julie Buffington
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
You will find me to be warm, engaging, compassionate , comfortable to connect with, and a very solid and experienced professional. As a clinical social worker with over 35 years experience, I am able to hear not only what your challenges are now, but what themes and patterns you carry with you as part of your life story. My approach is active and collaborative: together we will identify what you need help with and develop an approach accordingly. I am flexible and creative and I will listen and learn to help you explore the challenges you are facing.
You will find me to be warm, engaging, compassionate , comfortable to connect with, and a very solid and experienced professional. As a clinical social worker with over 35 years experience, I am able to hear not only what your challenges are now, but what themes and patterns you carry with you as part of your life story. My approach is active and collaborative: together we will identify what you need help with and develop an approach accordingly. I am flexible and creative and I will listen and learn to help you explore the challenges you are facing.
(845) 554-3658 View (845) 554-3658
Photo of Anthony A Thomas, Counselor in 10960, NY
Anthony A Thomas
Counselor, MA, LMHC
Verified Verified
Nyack, NY 10960
I'm a skilled, compassionate, empathetic and solutions-oriented mental health practitioner dedicated to providing exceptional care and implementing effective treatment for adolescents and adults experiencing emotional problems or exposed to drug and alcohol abuse. I have demonstrated a track record of success working with diverse client populations in one-on-one, couples and group settings. I'm an effective motivator, communicator, and advocate with an inherent ability to manage all types of personalities, diffuse stressful situations, resolve issues and help you achieve challenging objectives. Lastly, I have an innate ability to establish a rapport, build trust, and relate too individuals on all levels.
I'm a skilled, compassionate, empathetic and solutions-oriented mental health practitioner dedicated to providing exceptional care and implementing effective treatment for adolescents and adults experiencing emotional problems or exposed to drug and alcohol abuse. I have demonstrated a track record of success working with diverse client populations in one-on-one, couples and group settings. I'm an effective motivator, communicator, and advocate with an inherent ability to manage all types of personalities, diffuse stressful situations, resolve issues and help you achieve challenging objectives. Lastly, I have an innate ability to establish a rapport, build trust, and relate too individuals on all levels.
(845) 397-1229 View (845) 397-1229
Photo of Myriam Barenbaum, Clinical Social Work/Therapist in 10960, NY
Myriam Barenbaum
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Nyack, NY 10960
Would you like to feel more alive, and more at home inside yourself? Are you struggling with relationship patterns connected with your past that no longer serve you, but are difficult to change? Would you like to learn ways to understand yourself more deeply, and to develop greater self-compassion? Therapy is a collaborative and creative process where we will explore together what is happening in your life. Through discovering "where it hurts," and finding ways to release old pain and embrace your life in the present, we will travel to new places and reveal new possibilities together.
Would you like to feel more alive, and more at home inside yourself? Are you struggling with relationship patterns connected with your past that no longer serve you, but are difficult to change? Would you like to learn ways to understand yourself more deeply, and to develop greater self-compassion? Therapy is a collaborative and creative process where we will explore together what is happening in your life. Through discovering "where it hurts," and finding ways to release old pain and embrace your life in the present, we will travel to new places and reveal new possibilities together.
(845) 203-3318 View (845) 203-3318
Photo of Kate Nowicki, Clinical Social Work/Therapist in 10960, NY
Kate Nowicki
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
In a caring and supportive environment you are invited to begin a journey of healing and change. I will teach you new and effective ways to deal with the challenges in your life. You can change destructive and unsatisfying relationships into positive, fulfilling relationships. You can learn to take control of your emotions, your anger, and your self-destructive thinking. Anxiety and depression will be relieved.
In a caring and supportive environment you are invited to begin a journey of healing and change. I will teach you new and effective ways to deal with the challenges in your life. You can change destructive and unsatisfying relationships into positive, fulfilling relationships. You can learn to take control of your emotions, your anger, and your self-destructive thinking. Anxiety and depression will be relieved.
(845) 818-3057 View (845) 818-3057
Photo of Louise Temple, Clinical Social Work/Therapist in 10960, NY
Louise Temple
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
My goal, through Source Therapy, is to help you develop an awareness of your unique inner resources - creative, spiritual, intellectual and emotional - to bring your inner life into harmony with your outer world experiences, and to heal psychological wounding. Whether you are 18 or 80, your quest for meaning and self-expression will guide the treatment process and help you to deepen your relationship with your life and sense of self. It is my hope that in the safety of the treatment space, you will find the trust to release that which no longer serves your life's purpose.
My goal, through Source Therapy, is to help you develop an awareness of your unique inner resources - creative, spiritual, intellectual and emotional - to bring your inner life into harmony with your outer world experiences, and to heal psychological wounding. Whether you are 18 or 80, your quest for meaning and self-expression will guide the treatment process and help you to deepen your relationship with your life and sense of self. It is my hope that in the safety of the treatment space, you will find the trust to release that which no longer serves your life's purpose.
(917) 719-2295 View (917) 719-2295
Photo of Christine Vargo, Clinical Social Work/Therapist in 10960, NY
Christine Vargo
Clinical Social Work/Therapist, LCSW, CDWF
Verified Verified
6 Endorsed
Nyack, NY 10960  (Online Only)
I am the Co-founder of Full Expression: The Human Condition, LLC. My partner in life and business and I created a company that is your single source for all your mental health needs. We offer a curated approach to mental health. Whether you need therapy, coaching, or to work on your relationship(s). We are here to help you dig deep in your inner growth work. Our specially designed offerings cater to helping individuals and partnerships develop awareness, curiosity, self-trust, discernment, and self-compassion, whether you're working through past trauma or designing a plan to switch careers - we believe we grow better together!
I am the Co-founder of Full Expression: The Human Condition, LLC. My partner in life and business and I created a company that is your single source for all your mental health needs. We offer a curated approach to mental health. Whether you need therapy, coaching, or to work on your relationship(s). We are here to help you dig deep in your inner growth work. Our specially designed offerings cater to helping individuals and partnerships develop awareness, curiosity, self-trust, discernment, and self-compassion, whether you're working through past trauma or designing a plan to switch careers - we believe we grow better together!
(845) 630-1847 View (845) 630-1847
Photo of Justine Girard, Art Therapist in 10960, NY
Justine Girard
Art Therapist, MPS, LCAT, ATR-BC, SEP
Verified Verified
1 Endorsed
Nyack, NY 10960
I am a Psychotherapist, LCAT & a certified SEP in private practice in Nyack, NY.  Through the tools of the Creative Arts & Somatic Experiencing we will be creating the capacity in your being to expand process & regulate the complexities of the transitions of life relationships and at times the difficulties of just being alive. Together we will build a therapeutic relationship that elicits access to trust, coping skills & healthy ways to express yourself both verbally & emotionally. I invite individuals couples & families to reconnect to their own vitality through somatic experiencing the creative process & personal expression.
I am a Psychotherapist, LCAT & a certified SEP in private practice in Nyack, NY.  Through the tools of the Creative Arts & Somatic Experiencing we will be creating the capacity in your being to expand process & regulate the complexities of the transitions of life relationships and at times the difficulties of just being alive. Together we will build a therapeutic relationship that elicits access to trust, coping skills & healthy ways to express yourself both verbally & emotionally. I invite individuals couples & families to reconnect to their own vitality through somatic experiencing the creative process & personal expression.
(845) 834-4453 View (845) 834-4453
Photo of Nisa Rauschenberg, Art Therapist in 10960, NY
Nisa Rauschenberg
Art Therapist, MS, ATR-BC, LCAT, CCTP
Verified Verified
1 Endorsed
Nyack, NY 10960  (Online Only)
Art therapy uses the creative process to identify and resolve thoughts, attitudes, and feelings that present obstacles to emotional and cognitive growth. Art is a language of symbols-the same language of symbols that our subconscious uses in dreams. At Creative Arts Therapy Studio, PLLC, artwork is created to give *voice* to the subconscious allowing patients to deepen insight, increase well-being and build the lives they want to live.
Art therapy uses the creative process to identify and resolve thoughts, attitudes, and feelings that present obstacles to emotional and cognitive growth. Art is a language of symbols-the same language of symbols that our subconscious uses in dreams. At Creative Arts Therapy Studio, PLLC, artwork is created to give *voice* to the subconscious allowing patients to deepen insight, increase well-being and build the lives they want to live.
(845) 284-1284 View (845) 284-1284
Photo of Beth Wish, Psychologist in 10960, NY
Beth Wish
Psychologist, PhD
Verified Verified
Nyack, NY 10960
I provide a warm and supportive environment for you to feel safe, accepted, and nurtured. I view myself as an emotional guide. My intent is to follow your unique experience of thoughts, sensations, and feelings; help you deepen your understanding of yourself; and, support your inner wisdom as it leads you toward healing.
I provide a warm and supportive environment for you to feel safe, accepted, and nurtured. I view myself as an emotional guide. My intent is to follow your unique experience of thoughts, sensations, and feelings; help you deepen your understanding of yourself; and, support your inner wisdom as it leads you toward healing.
(845) 262-6220 View (845) 262-6220
Photo of Maria Becchere, Counselor in 10960, NY
Maria Becchere
Counselor, MA, LMHC
Verified Verified
Nyack, NY 10960  (Online Only)
I am a licensed mental health counselor with over ten years of clinical experience. In my practice, I work with adults and couples of diverse backgrounds. I am a sex-positive therapist and familiar with LGBTQA issues. I have experience working with depression, anxiety, trauma and PTSD, cultural and immigration difficulties, identity issues as well as relational difficulties and conflicts.
I am a licensed mental health counselor with over ten years of clinical experience. In my practice, I work with adults and couples of diverse backgrounds. I am a sex-positive therapist and familiar with LGBTQA issues. I have experience working with depression, anxiety, trauma and PTSD, cultural and immigration difficulties, identity issues as well as relational difficulties and conflicts.
(347) 603-1647 View (347) 603-1647
Photo of John W Spaw, Counselor in 10960, NY
John W Spaw
Counselor, LMHC, CASAC
Verified Verified
Nyack, NY 10960  (Online Only)
Book with me now by clicking on my website! I believe understanding who we are and why we do things is a fundamental part of self-growth and exploration. My goal is to work together to help you gain self-awareness and balance by using evidence-based practice in therapy. I take into account your unique personality traits and culture to help tailor my approach to working with you. My style is client centered and collaborative in nature. I draw from cognitive-behavioral, existential, and mindfulness-based approaches in therapy. Using this integrative approach helps me to form a strong therapeutic bond with you.
Book with me now by clicking on my website! I believe understanding who we are and why we do things is a fundamental part of self-growth and exploration. My goal is to work together to help you gain self-awareness and balance by using evidence-based practice in therapy. I take into account your unique personality traits and culture to help tailor my approach to working with you. My style is client centered and collaborative in nature. I draw from cognitive-behavioral, existential, and mindfulness-based approaches in therapy. Using this integrative approach helps me to form a strong therapeutic bond with you.
(845) 605-7361 View (845) 605-7361
Photo of Christina Wright, Clinical Social Work/Therapist in 10960, NY
Christina Wright
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Nyack, NY 10960
Not accepting new clients
Having a safe place to explore and share your concerns is essential. The experience of being heard, seen and validated without judgment offers the possibility for real change. You are not alone, and sharing in connection will enable you to move on and to put obstacles, which may seem overwhelming, into perspective. I offer intuitive, empathic and interactive therapy using an eclectic approach informed by training in psychodynamic, relational, somatic mind body therapies and the use of expressive arts (art, movement, role-play, sound/music).
Having a safe place to explore and share your concerns is essential. The experience of being heard, seen and validated without judgment offers the possibility for real change. You are not alone, and sharing in connection will enable you to move on and to put obstacles, which may seem overwhelming, into perspective. I offer intuitive, empathic and interactive therapy using an eclectic approach informed by training in psychodynamic, relational, somatic mind body therapies and the use of expressive arts (art, movement, role-play, sound/music).
(646) 257-5056 View (646) 257-5056
Photo of Miriam Nicoll, Clinical Social Work/Therapist in 10960, NY
Miriam Nicoll
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Nyack, NY 10960
In addition to my other extensive qualifications and training, I am licensed through NY State with Psychotherapy privilege. Specifically, I have over 30 years experience as a Psychotherapist and Board Certified Diplomate, working with individuals, couples and families in Rockland County, with an office in Nyack, NY. I treat clients dealing with depression, anxiety, panic attacks, relationship issues, divorce, post traumatic stress disorder, obesity and eating disorders. In addition, I also provide marital counseling and life coaching.
In addition to my other extensive qualifications and training, I am licensed through NY State with Psychotherapy privilege. Specifically, I have over 30 years experience as a Psychotherapist and Board Certified Diplomate, working with individuals, couples and families in Rockland County, with an office in Nyack, NY. I treat clients dealing with depression, anxiety, panic attacks, relationship issues, divorce, post traumatic stress disorder, obesity and eating disorders. In addition, I also provide marital counseling and life coaching.
(845) 818-3068 View (845) 818-3068
Photo of Kathy Keefe-Cooperman, Psychologist in 10960, NY
Kathy Keefe-Cooperman
Psychologist, PsyD
Verified Verified
Nyack, NY 10960
My goal is to help you achieve balance and wellness in your life. We work collaboratively using proven treatment approaches. I work with adults, young adults, and school-age children (ages 4 to 12) who are faced with a difficulty that impacts quality of life. When I work with children, I collaborate with parents as well. My goal is to help people understand the complexities of mental health and develop healthy strategies to improve their lives. Change is hard, and we work together to make that happen.
My goal is to help you achieve balance and wellness in your life. We work collaboratively using proven treatment approaches. I work with adults, young adults, and school-age children (ages 4 to 12) who are faced with a difficulty that impacts quality of life. When I work with children, I collaborate with parents as well. My goal is to help people understand the complexities of mental health and develop healthy strategies to improve their lives. Change is hard, and we work together to make that happen.
(845) 412-8179 View (845) 412-8179
Photo of Dorothy Whitton in 10960, NY
Dorothy Whitton
RN, MSN, CHT
Verified Verified
Nyack, NY 10960
I'm a compassionate listener in helping you achieve a relaxed, easier, happier healthier life through holistic therapies. Skills : hypnosis, guided imagery, visualizing new life patterns, regression therapy, Reiki, energy modalities plus nutrition that will generate more energy, vitality and less stress in your life. We will work together in getting you healthier, happier with new changes in mind and body. I will guide you with meditation and help you to gain confidence and live the life you are now meant to live in your unique life style. You can be free of pain and live a well life without chronic diseases. You will achieve.
I'm a compassionate listener in helping you achieve a relaxed, easier, happier healthier life through holistic therapies. Skills : hypnosis, guided imagery, visualizing new life patterns, regression therapy, Reiki, energy modalities plus nutrition that will generate more energy, vitality and less stress in your life. We will work together in getting you healthier, happier with new changes in mind and body. I will guide you with meditation and help you to gain confidence and live the life you are now meant to live in your unique life style. You can be free of pain and live a well life without chronic diseases. You will achieve.
(845) 818-0243 View (845) 818-0243
Jamie D Shumake
Counselor, LMHC
Verified Verified
Nyack, NY 10960
I am a Dialectical Behavior Therapy (DBT) therapist. I have been a practicing Licensed Mental Health Counselor since 2007. In 2008 I completed by Advanced Intensive DBT Training directly with Dr. Marsha M. Linehan who developed DBT. I am the founder and Consultation Team Leader of DBT Associates of Nyack. Together, my colleagues at DBT Associates of Nyack and I provide Dr. Linehan's model of DBT treatment to patients as young as 10, as old as 70 and every age in between.
I am a Dialectical Behavior Therapy (DBT) therapist. I have been a practicing Licensed Mental Health Counselor since 2007. In 2008 I completed by Advanced Intensive DBT Training directly with Dr. Marsha M. Linehan who developed DBT. I am the founder and Consultation Team Leader of DBT Associates of Nyack. Together, my colleagues at DBT Associates of Nyack and I provide Dr. Linehan's model of DBT treatment to patients as young as 10, as old as 70 and every age in between.
(845) 506-4128 View (845) 506-4128
Photo of Shari B Meyer, Clinical Social Work/Therapist in 10960, NY
Shari B Meyer
Clinical Social Work/Therapist, LCSW, CEAP
Verified Verified
Nyack, NY 10960  (Online Only)
Waitlist for new clients
As a clinical social worker I have worked with clients from all walks of life. No matter how difficult or seemingly hopeless the situation. I work in a collaborative atmosphere to cultivate untapped resources in individuals and couples. I specialize in a broad spectrum of psychological issues. These I approach from an attitude of possibility. My style is active, and I believe in working towards solutions to problems to help move people forward when they feel stuck, overwhelmed, anxious or depressed. My approach focuses on insight and action. I aim to rekindle and affirm positive aspects of each unique individual.
As a clinical social worker I have worked with clients from all walks of life. No matter how difficult or seemingly hopeless the situation. I work in a collaborative atmosphere to cultivate untapped resources in individuals and couples. I specialize in a broad spectrum of psychological issues. These I approach from an attitude of possibility. My style is active, and I believe in working towards solutions to problems to help move people forward when they feel stuck, overwhelmed, anxious or depressed. My approach focuses on insight and action. I aim to rekindle and affirm positive aspects of each unique individual.
(845) 456-8171 View (845) 456-8171

How does your Therapist compare?

Number of Therapists in 10960

100+

Average cost per session

$160

Therapists in 10960 who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
75% Self Esteem
68% Grief
66% Trauma and PTSD
63% Family Conflict

Average years in practice

17 Years

Top 3 insurances accepted

65% Aetna
54% UnitedHealthcare UHC | UBH
52% Cigna and Evernorth

How Therapists in 10960 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 10960?

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.