Therapists in 11787

Photo of Matthew G. Campbell, Psychologist, PhD
Matthew G. Campbell
Psychologist, PhD
Smithtown, NY 11787
Choosing a therapist and getting started itself can be overwhelming. I believe that treatment must be specific to the person and the problem and be based on a broad array of available clinical modalities and interventions. These interventions are always provided with safe, supportive and professional care. I have over twenty years experience as a psychologist and as a supervisor and trainer of therapists from all of the mental health fields. I head a group private practice with many available resources for adults and children. I am a leader in the field of abuse and trauma as well as sexuality and relationships.
Choosing a therapist and getting started itself can be overwhelming. I believe that treatment must be specific to the person and the problem and be based on a broad array of available clinical modalities and interventions. These interventions are always provided with safe, supportive and professional care. I have over twenty years experience as a psychologist and as a supervisor and trainer of therapists from all of the mental health fields. I head a group private practice with many available resources for adults and children. I am a leader in the field of abuse and trauma as well as sexuality and relationships.
(631) 366-2177 View (631) 366-2177
Photo of Melissa Favaloro, Clinical Social Work/Therapist, LCSW
Melissa Favaloro
Clinical Social Work/Therapist, LCSW
2 Endorsed
Smithtown, NY 11787
Melissa graduated from Fordham University with a Masters Degree in Social Work and began her career working with children and adolescents in an acute care psychiatric hospital setting. She has continued to grow professionally and spiritually studying human behavior as well as alternative therapies through various approaches such as guided meditation and breath work. A higher education, years of experience, and positive/spiritual influences are combined and applied to each individualized healing session. All clients have a voice in their treatment and are supported with empathy in order to live life as your most authentic self.
Melissa graduated from Fordham University with a Masters Degree in Social Work and began her career working with children and adolescents in an acute care psychiatric hospital setting. She has continued to grow professionally and spiritually studying human behavior as well as alternative therapies through various approaches such as guided meditation and breath work. A higher education, years of experience, and positive/spiritual influences are combined and applied to each individualized healing session. All clients have a voice in their treatment and are supported with empathy in order to live life as your most authentic self.
(631) 527-6957 View (631) 527-6957
Photo of Jacqueline Marie Lomando - JML Mental Health Counselor PC, Counselor, LMHC
JML Mental Health Counselor PC
Counselor, LMHC
1 Endorsed
Smithtown, NY 11787
"A journey of a thousand miles begins with a single step." I am a compassionate and experienced therapist attending to the needs of children, adolescents, adults, families, and victims of relationship abuse. The goal for treatment is to keep it short term, work collaboratively as we identify the issues, set goals and monitor progress to ensure good treatment outcomes.
"A journey of a thousand miles begins with a single step." I am a compassionate and experienced therapist attending to the needs of children, adolescents, adults, families, and victims of relationship abuse. The goal for treatment is to keep it short term, work collaboratively as we identify the issues, set goals and monitor progress to ensure good treatment outcomes.
(631) 973-6036 View (631) 973-6036
Photo of Eric Neithardt, Clinical Social Work/Therapist, LCSW-R
Eric Neithardt
Clinical Social Work/Therapist, LCSW-R
Smithtown, NY 11787
Thank you for inquiring about my services. I work with clients who are struggling with anxiety, anger, mood challenges, and/or relationship difficulties, including those seeking couples counseling. I work with children, teens, adults, parents, and families to help cope with stress, improve emotional regulation, and/or enhance feelings of self worth. Located in Smithtown and also offering tele-health sessions, I help you gain practical strategies, insight, and support so you can feel calmer, more in control, and confident in managing life and relationships. I would welcome the opportunity to help you positively move forward.
Thank you for inquiring about my services. I work with clients who are struggling with anxiety, anger, mood challenges, and/or relationship difficulties, including those seeking couples counseling. I work with children, teens, adults, parents, and families to help cope with stress, improve emotional regulation, and/or enhance feelings of self worth. Located in Smithtown and also offering tele-health sessions, I help you gain practical strategies, insight, and support so you can feel calmer, more in control, and confident in managing life and relationships. I would welcome the opportunity to help you positively move forward.
(631) 600-8424 View (631) 600-8424
Photo of Lanie Chesser Terrana, Clinical Social Work/Therapist, LCSW
Lanie Chesser Terrana
Clinical Social Work/Therapist, LCSW
3 Endorsed
Smithtown, NY 11787
Life can be tough. We sometimes find ourselves feeling unfulfilled, anxious, depressed, and stressed. I work with individuals, couples, adolescents, older adults, veterans, and families. I have a broad scope of clinical experience, including supporting clients with depression, anxiety, marital conflict, career transition, and trauma. I believe healing is best accomplished by addressing challenges through a holistic lens which includes the mental, physical, emotional, and spiritual aspects of ourselves.
Life can be tough. We sometimes find ourselves feeling unfulfilled, anxious, depressed, and stressed. I work with individuals, couples, adolescents, older adults, veterans, and families. I have a broad scope of clinical experience, including supporting clients with depression, anxiety, marital conflict, career transition, and trauma. I believe healing is best accomplished by addressing challenges through a holistic lens which includes the mental, physical, emotional, and spiritual aspects of ourselves.
(631) 646-2048 View (631) 646-2048
Photo of Alyson Ryan, Clinical Social Work/Therapist, LCSW
Alyson Ryan
Clinical Social Work/Therapist, LCSW
5 Endorsed
Smithtown, NY 11787
3rd Location Opening in Smithtown! Congratulations on starting your search for a therapist! I (and my colleagues) provide a safe, reliable and professional service to help my clients achieve their personal mental health goals. You deserve to live a peaceful, rewarding, and satisfying life with confidence that you have what it takes to face life challenges. I enjoy working with a variety of issues including, anxiety and depression, postpartum and pregnancy related depression and anxiety, and those facing the quarter life crisis (young adults).
3rd Location Opening in Smithtown! Congratulations on starting your search for a therapist! I (and my colleagues) provide a safe, reliable and professional service to help my clients achieve their personal mental health goals. You deserve to live a peaceful, rewarding, and satisfying life with confidence that you have what it takes to face life challenges. I enjoy working with a variety of issues including, anxiety and depression, postpartum and pregnancy related depression and anxiety, and those facing the quarter life crisis (young adults).
(631) 479-2806 x101 View (631) 479-2806 x101
Photo of Brianna Weinstein, Clinical Social Work/Therapist, LMSW
Brianna Weinstein
Clinical Social Work/Therapist, LMSW
1 Endorsed
Smithtown, NY 11787
Hi there! I’m so glad you’re here. It is courageous to take the first step in seeking support. I’m Brianna and I am Licensed Master Social Worker. I have experience treating depressive disorders, anxiety disorders, grief and loss, and adolescents who have experienced trauma. No matter our age, circumstances or past we all have the capacity to grow and heal! I firmly believe that mental health isn’t a battle to be won but an ongoing journey.
Hi there! I’m so glad you’re here. It is courageous to take the first step in seeking support. I’m Brianna and I am Licensed Master Social Worker. I have experience treating depressive disorders, anxiety disorders, grief and loss, and adolescents who have experienced trauma. No matter our age, circumstances or past we all have the capacity to grow and heal! I firmly believe that mental health isn’t a battle to be won but an ongoing journey.
(631) 895-5026 View (631) 895-5026
Photo of Elma Pisano, Clinical Social Work/Therapist, LCSW-R
Elma Pisano
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Smithtown, NY 11787
At some point in our lives, we all run into problems that seem too big or too persistent to handle alone. With more than 10 years of experience in private practice I've helped individuals, couples and families successfully overcome life's challenges and return to a happier and peaceful lifestyle. I'll help you overcome life's difficulties by teaching you the tools you need to achieve positive growth and change.
At some point in our lives, we all run into problems that seem too big or too persistent to handle alone. With more than 10 years of experience in private practice I've helped individuals, couples and families successfully overcome life's challenges and return to a happier and peaceful lifestyle. I'll help you overcome life's difficulties by teaching you the tools you need to achieve positive growth and change.
(631) 714-2011 View (631) 714-2011
Photo of Madalina Yellico, Psychologist, PhD
Madalina Yellico
Psychologist, PhD
5 Endorsed
Smithtown, NY 11787
I am a licensed clinical psychologist in NY state with a passion for encouraging personal growth and psychological health. I am experienced in working with adults, children, adolescents, and parents. I take a whole-person approach to treatment, which creates an integration of the physical, mental, emotional, and spiritual aspects of the human condition. This focus on the many factors that effect a person creates connection, understanding, and an intervention that is tailored to the individual. As a clinician I focus on balance, which includes validation and understanding while also encouraging change and growth.
I am a licensed clinical psychologist in NY state with a passion for encouraging personal growth and psychological health. I am experienced in working with adults, children, adolescents, and parents. I take a whole-person approach to treatment, which creates an integration of the physical, mental, emotional, and spiritual aspects of the human condition. This focus on the many factors that effect a person creates connection, understanding, and an intervention that is tailored to the individual. As a clinician I focus on balance, which includes validation and understanding while also encouraging change and growth.
(631) 253-8817 View (631) 253-8817
Photo of Jessica Fanning, Clinical Social Work/Therapist, LCSW
Jessica Fanning
Clinical Social Work/Therapist, LCSW
5 Endorsed
Smithtown, NY 11787
I specialize in working with clients who are struggling with stressful life transitions, anxiety & depression, as well as intimacy and sexual issues. I also specialize in assisting women and families through navigating all phases of family planning including infertility, loss, pregnancy, and postpartum challenges. With respect, sensitivity, and expertise I will help you improve your relationships, create more meaningful connections, and help to enhance your life.
I specialize in working with clients who are struggling with stressful life transitions, anxiety & depression, as well as intimacy and sexual issues. I also specialize in assisting women and families through navigating all phases of family planning including infertility, loss, pregnancy, and postpartum challenges. With respect, sensitivity, and expertise I will help you improve your relationships, create more meaningful connections, and help to enhance your life.
(631) 832-4758 View (631) 832-4758
Photo of Steven Perline, Clinical Social Work/Therapist, LCSW-R
Steven Perline
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Smithtown, NY 11787
Whether children, adolescents, or adults, we all have life challenges that need to be addressed: from the difficulties of navigating family requirements, needs, and dynamics to the stress associated with succeeding at school, work, or other areas. These can bring on depression, anxiety, acting out behaviors, relationship troubles and loss issues. Other times, we face challenges of our own making and need to learn how to adjust our behaviors and thought patterns. Sometimes, we just need to learn how to handle changes we were not expecting, or those we've been hoping not to have to face.
Whether children, adolescents, or adults, we all have life challenges that need to be addressed: from the difficulties of navigating family requirements, needs, and dynamics to the stress associated with succeeding at school, work, or other areas. These can bring on depression, anxiety, acting out behaviors, relationship troubles and loss issues. Other times, we face challenges of our own making and need to learn how to adjust our behaviors and thought patterns. Sometimes, we just need to learn how to handle changes we were not expecting, or those we've been hoping not to have to face.
(631) 209-7634 View (631) 209-7634
Photo of John Callahan, Clinical Social Work/Therapist, LCSW-R, MSW, BS
John Callahan
Clinical Social Work/Therapist, LCSW-R, MSW, BS
Smithtown, NY 11787
John Callahan has been director of outpatient programs (Crisis and traditional outpatient mental health clinic).....for 30 years and has had extensive experience working with children and families. Treatment issues have been varied and have included various forms of abuse, school issues (including phobias), hospitalization, depression, aggression, anxiety, trauma reaction, marital discord and grief and loss. He has also worked with many couples and holds certification in couples counseling.
John Callahan has been director of outpatient programs (Crisis and traditional outpatient mental health clinic).....for 30 years and has had extensive experience working with children and families. Treatment issues have been varied and have included various forms of abuse, school issues (including phobias), hospitalization, depression, aggression, anxiety, trauma reaction, marital discord and grief and loss. He has also worked with many couples and holds certification in couples counseling.
(845) 393-0189 View (845) 393-0189
Photo of Keegan Baker, Clinical Social Work/Therapist, LCSW-R
Keegan Baker
Clinical Social Work/Therapist, LCSW-R
Smithtown, NY 11787
I am a New York State Licensed Clinical Social Worker as well as a Certified Public School Social Worker with extensive experience working with children and adolescents in foster care, public school, and private practice settings. I enjoy fostering change in the lives of youth who struggle to overcome barriers to their social, emotional, and educational goals. In addition to working with children and adolescents I have experience working with adults in the mental health, substance abuse, and private practice fields. Through these experiences I have learned to help families and individuals learn to live more fulfilling lives while addressing barriers to their success.
I am a New York State Licensed Clinical Social Worker as well as a Certified Public School Social Worker with extensive experience working with children and adolescents in foster care, public school, and private practice settings. I enjoy fostering change in the lives of youth who struggle to overcome barriers to their social, emotional, and educational goals. In addition to working with children and adolescents I have experience working with adults in the mental health, substance abuse, and private practice fields. Through these experiences I have learned to help families and individuals learn to live more fulfilling lives while addressing barriers to their success.
(631) 406-4807 View (631) 406-4807
Photo of Taylor Logerfo, Counselor, MS, LMHC
Taylor Logerfo
Counselor, MS, LMHC
2 Endorsed
Smithtown, NY 11787
Hi, I'm Taylor Logerfo, a licensed mental health counselor dedicated to creating a safe, supportive space where clients can feel heard, understood and empowered. I earned my master's degree in mental health counseling from Queens College and have years of experience supporting individuals through anxiety, depression, PTSD, relationship issues, life transitions and trauma. Whether you're looking to better understand yourself, heal, or develop healthier coping strategies, I'm here to help you move forward with warmth and compassion. Reaching out for support is a courageous first step and I am honored to walk alongside you!
Hi, I'm Taylor Logerfo, a licensed mental health counselor dedicated to creating a safe, supportive space where clients can feel heard, understood and empowered. I earned my master's degree in mental health counseling from Queens College and have years of experience supporting individuals through anxiety, depression, PTSD, relationship issues, life transitions and trauma. Whether you're looking to better understand yourself, heal, or develop healthier coping strategies, I'm here to help you move forward with warmth and compassion. Reaching out for support is a courageous first step and I am honored to walk alongside you!
(631) 250-2841 View (631) 250-2841
Photo of Cara Stamm, Counselor, LMHC, D
Cara Stamm
Counselor, LMHC, D
5 Endorsed
Smithtown, NY 11787
Imagine learning to "observe" but not obey emotions...being kind to your mind means learning to accept and manage all of your beautiful emotions. You deserve a safe space to flourish and prioritize your well-being. I can provide that space for you!
Imagine learning to "observe" but not obey emotions...being kind to your mind means learning to accept and manage all of your beautiful emotions. You deserve a safe space to flourish and prioritize your well-being. I can provide that space for you!
(631) 407-0902 View (631) 407-0902
Photo of Marjorie B Sugarman, Clinical Social Work/Therapist, LCSW-R, BCD, DCSW
Marjorie B Sugarman
Clinical Social Work/Therapist, LCSW-R, BCD, DCSW
2 Endorsed
Smithtown, NY 11787
I utilize a variety of approaches to address and resolve isues. An approach must fit the individual as well as the problem. I work with adolescents, adults and families. I am certified in Cognitive/Behavioral therapy, short term therapy, as well as numerous other modalities. I work with many diagnoses including OCD, Bipolar Disorder, depression, loss/grief, ADD, ADHD and panic disorders. Occasionally there may not be a formal diagnosis-the problem may be one of learning how to more effectively communicate. Various techniques are addressed to help people strengthen relationships through words.
I utilize a variety of approaches to address and resolve isues. An approach must fit the individual as well as the problem. I work with adolescents, adults and families. I am certified in Cognitive/Behavioral therapy, short term therapy, as well as numerous other modalities. I work with many diagnoses including OCD, Bipolar Disorder, depression, loss/grief, ADD, ADHD and panic disorders. Occasionally there may not be a formal diagnosis-the problem may be one of learning how to more effectively communicate. Various techniques are addressed to help people strengthen relationships through words.
(631) 817-4640 View (631) 817-4640
Photo of Justin DiScalfani - North Shore Behavior Consulting, Psychologist, PhD, BCBA, LBA
North Shore Behavior Consulting
Psychologist, PhD, BCBA, LBA
Smithtown, NY 11787
Many individuals and families come to us feeling unsure where to begin. Their child may have trouble with communication, social skills, or daily routines, and they want real help not a one-size-fits-all plan. They’re looking for a safe space, trusted professionals, and clear next steps. We focus on practical progress, celebrating every milestone, and helping families feel confident about their child’s future. We do the same for adults, establishing goals and steadily achieving them so they may improve in areas of life they may feel insecure about.
Many individuals and families come to us feeling unsure where to begin. Their child may have trouble with communication, social skills, or daily routines, and they want real help not a one-size-fits-all plan. They’re looking for a safe space, trusted professionals, and clear next steps. We focus on practical progress, celebrating every milestone, and helping families feel confident about their child’s future. We do the same for adults, establishing goals and steadily achieving them so they may improve in areas of life they may feel insecure about.
(631) 295-4029 View (631) 295-4029
Photo of Debby E Knapp - Contemplative Counseling & Psychotherapy, Clinical Social Work/Therapist, LCSW, marriag, couples, family, therapi
Contemplative Counseling & Psychotherapy
Clinical Social Work/Therapist, LCSW, marriag, couples, family, therapi
Smithtown, NY 11787
Within a safe, empathetic and non-judgemental environment I will collaboratively work with you to identify your needs and goals. With compassion, empathy and care for all who find themselves in need, I strive to provide the best help possible based on current research. I will journey with you as you forge new paths in your life, within your relationships. Whether you are experiencing feelings of despair, loneliness, a sense of disconnect or you have a history of significant loss, trauma, unsatisfying relationships; Intimacy issues, life long feelings of sadness, of not fitting in, belonging, unable to experience true joy,I'm here.
Within a safe, empathetic and non-judgemental environment I will collaboratively work with you to identify your needs and goals. With compassion, empathy and care for all who find themselves in need, I strive to provide the best help possible based on current research. I will journey with you as you forge new paths in your life, within your relationships. Whether you are experiencing feelings of despair, loneliness, a sense of disconnect or you have a history of significant loss, trauma, unsatisfying relationships; Intimacy issues, life long feelings of sadness, of not fitting in, belonging, unable to experience true joy,I'm here.
(631) 257-7668 View (631) 257-7668
Photo of Linda Sleszynski, Clinical Social Work/Therapist, LCSW
Linda Sleszynski
Clinical Social Work/Therapist, LCSW
Smithtown, NY 11787
Learn to treat yourself with the same kindness you so easily extend to others! You may have previously examined your childhood issues in therapy yet still struggle with your self-esteem. You may judge yourself harshly, placing your needs last. You may experience difficulties in relationships or dealing with painful transitions, or feel you have lost your sense of self. My 25 + years as a Clinician coupled with advanced training allows me to work with you on a deep, meaningful and compassionate level you have not experienced previously. Learn to appreciate your sensitivities and vulnerabilities as strengths, not weaknesses.
Learn to treat yourself with the same kindness you so easily extend to others! You may have previously examined your childhood issues in therapy yet still struggle with your self-esteem. You may judge yourself harshly, placing your needs last. You may experience difficulties in relationships or dealing with painful transitions, or feel you have lost your sense of self. My 25 + years as a Clinician coupled with advanced training allows me to work with you on a deep, meaningful and compassionate level you have not experienced previously. Learn to appreciate your sensitivities and vulnerabilities as strengths, not weaknesses.
(631) 830-0128 View (631) 830-0128
Photo of Ann L Goodstein, Clinical Social Work/Therapist, DSW, MSW, LCSW, BCD
Ann L Goodstein
Clinical Social Work/Therapist, DSW, MSW, LCSW, BCD
Smithtown, NY 11787
Are you feeling sad,anxious, angry, guilty? Do you have relationship problems? Does it seem as though your life is in limbo? Past hurts, experiences, loss, childhood trauma can affect your current day life. I can help you with these issues. In a warm, safe, compassionate setting we can explore these issues together. We can identify conflicts and patterns of behavior that get in your way, work them through, and resolve them. The first step is for you to call me.
Are you feeling sad,anxious, angry, guilty? Do you have relationship problems? Does it seem as though your life is in limbo? Past hurts, experiences, loss, childhood trauma can affect your current day life. I can help you with these issues. In a warm, safe, compassionate setting we can explore these issues together. We can identify conflicts and patterns of behavior that get in your way, work them through, and resolve them. The first step is for you to call me.
(631) 706-4615 View (631) 706-4615

See more therapy options for 11787

How does your Therapist compare?

Number of Therapists in 11787

300+

Average cost per session

$150

Therapists in 11787 who prioritize treating:

95% Anxiety
95% Social Anxiety
95% Health Anxiety
95% Driving Anxiety
89% Depression
82% Self Esteem
80% Relationship Issues

Average years in practice

13 Years

Top 3 insurances accepted

83% Aetna
75% Cigna and Evernorth
70% UnitedHealthcare UHC | UBH

How Therapists in 11787 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 11787?

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.