Therapists in 12801

Photo of Stephanie O'Hanlon, Marriage & Family Therapist, PhD-C, LMFT, MA, CST, RN-BSN
Stephanie O'Hanlon
Marriage & Family Therapist, PhD-C, LMFT, MA, CST, RN-BSN
3 Endorsed
Glens Falls, NY 12801
I'm a Licensed Marriage and Family Therapist who specializes in working with couples and individuals looking to increase connection, promote effective communication, find personal growth and reduce stress and anxiety. I have a strength-based approach and truly believe we all have strengths and resources waiting to be discovered that allow us to solve problems and move through life transitions such as relationships, separation, chronic illness as well as stress to find healing, happiness and new meaning in life. I am a level 3 Gottman Couples therapist and a certified sex therapist currently working on my PhD in Clinical Sexology.
I'm a Licensed Marriage and Family Therapist who specializes in working with couples and individuals looking to increase connection, promote effective communication, find personal growth and reduce stress and anxiety. I have a strength-based approach and truly believe we all have strengths and resources waiting to be discovered that allow us to solve problems and move through life transitions such as relationships, separation, chronic illness as well as stress to find healing, happiness and new meaning in life. I am a level 3 Gottman Couples therapist and a certified sex therapist currently working on my PhD in Clinical Sexology.
(518) 896-8905 View (518) 896-8905
Photo of Mark Gagnon, Clinical Social Work/Therapist, MSW, LICSW, LADC, LCSW-R
Mark Gagnon
Clinical Social Work/Therapist, MSW, LICSW, LADC, LCSW-R
3 Endorsed
Glens Falls, NY 12801
Feeling worried, sad, stressed out or having challenges in your relationships can be difficult to cope with. Sometimes feeling unhappy or unsatisfied with life can become unbearable. In situations where alcohol or drug use is involved issues can get worse quickly. Or maybe there is something else going on for you? When faced with challenges that can feel overwhelming counseling can help. Choosing a therapist is an important decision. I understand that seeking help can be tough and feeling comfortable in therapy is critical. I believe that treating my clients with the upmost respect and understanding comes first.
Feeling worried, sad, stressed out or having challenges in your relationships can be difficult to cope with. Sometimes feeling unhappy or unsatisfied with life can become unbearable. In situations where alcohol or drug use is involved issues can get worse quickly. Or maybe there is something else going on for you? When faced with challenges that can feel overwhelming counseling can help. Choosing a therapist is an important decision. I understand that seeking help can be tough and feeling comfortable in therapy is critical. I believe that treating my clients with the upmost respect and understanding comes first.
(518) 547-4148 View (518) 547-4148
Photo of Shelby Closson, Counselor, LMHC-D
Shelby Closson
Counselor, LMHC-D
2 Endorsed
Glens Falls, NY 12801
Hi There! Are you feeling overwhelmed, lost, confused, hopeless or directionless? Do you have racing thoughts, anxiety or panic symptoms? Are you having trouble identifying how you feel? Do you feeling exhausted or burned out? My name is Shelby and these are things we can work on together. My approach is gentle and warm, creating space for all, so we can collaborate with quality privacy measures, and authentic presence. Discover your inner self, inner strength and inner peace with me at Inner Works Mental Health Counseling, PLLC.
Hi There! Are you feeling overwhelmed, lost, confused, hopeless or directionless? Do you have racing thoughts, anxiety or panic symptoms? Are you having trouble identifying how you feel? Do you feeling exhausted or burned out? My name is Shelby and these are things we can work on together. My approach is gentle and warm, creating space for all, so we can collaborate with quality privacy measures, and authentic presence. Discover your inner self, inner strength and inner peace with me at Inner Works Mental Health Counseling, PLLC.
(518) 757-9961 View (518) 757-9961
Photo of Bryan A Flowers, Counselor, LMHC-D, NCC, CASAC
Bryan A Flowers
Counselor, LMHC-D, NCC, CASAC
7 Endorsed
Glens Falls, NY 12801
Change becomes possible when you’re ready to leave how things have been. That moment opens the door to examine thoughts, beliefs, and patterns that no longer serve you and to replace them with practical, sustainable ways of living. With targeted support you can move beyond conversation into measurable change. Oakwise Counseling offers a different path: an integrative, body-aware approach that meets your thinking and your nervous system for truly holistic growth. Directive sessions teach skills that foster insight, strengthen resilience, and encourage lasting wellness in ways casual talk therapy often does not.
Change becomes possible when you’re ready to leave how things have been. That moment opens the door to examine thoughts, beliefs, and patterns that no longer serve you and to replace them with practical, sustainable ways of living. With targeted support you can move beyond conversation into measurable change. Oakwise Counseling offers a different path: an integrative, body-aware approach that meets your thinking and your nervous system for truly holistic growth. Directive sessions teach skills that foster insight, strengthen resilience, and encourage lasting wellness in ways casual talk therapy often does not.
(518) 490-9473 View (518) 490-9473
Photo of Carly Samach, Licensed Mental Health Counselor, LMHC
Carly Samach
Licensed Mental Health Counselor, LMHC
7 Endorsed
Glens Falls, NY 12801
Hi, I’m Carly—a licensed clinical therapist based in NY and the founder of HopePath: Mental Health Counseling. I specialize in treating OCD and related anxiety disorders for individuals of all ages using evidence-based approaches, including Exposure and Response Prevention (ERP). My work is also deeply rooted in the belief that hope can be a powerful tool in treatment—helping clients find meaning, resilience, and a path forward even in the midst of uncertainty. In addition to my work, I also supervise interns who's work is grounded in the same evidence-based care and emphasizes meaning-making and self-discovery.
Hi, I’m Carly—a licensed clinical therapist based in NY and the founder of HopePath: Mental Health Counseling. I specialize in treating OCD and related anxiety disorders for individuals of all ages using evidence-based approaches, including Exposure and Response Prevention (ERP). My work is also deeply rooted in the belief that hope can be a powerful tool in treatment—helping clients find meaning, resilience, and a path forward even in the midst of uncertainty. In addition to my work, I also supervise interns who's work is grounded in the same evidence-based care and emphasizes meaning-making and self-discovery.
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Photo of Turning Leaf Couneling, Counselor, LMHC
Turning Leaf Couneling
Counselor, LMHC
2 Endorsed
Glens Falls, NY 12801
Hello, I am Krystal Gleason, LMHC representing Turning leaf counseling Services. PLLC.. We have several clinicians available and offer telehealth or in-person counseling services in two locations for children, teens, adults, families and couples. We assist each client to develop goals and treatment plans that support prevention, wellness, and resilience. We utilize evidence based counseling treatment modalities that are best suited to fit each client's needs. We are passionate about delivering individualized and holistic counseling to help people live a better life.
Hello, I am Krystal Gleason, LMHC representing Turning leaf counseling Services. PLLC.. We have several clinicians available and offer telehealth or in-person counseling services in two locations for children, teens, adults, families and couples. We assist each client to develop goals and treatment plans that support prevention, wellness, and resilience. We utilize evidence based counseling treatment modalities that are best suited to fit each client's needs. We are passionate about delivering individualized and holistic counseling to help people live a better life.
(518) 338-3117 View (518) 338-3117
Photo of Robyn Spencer, Clinical Social Work/Therapist, LCSWR
Robyn Spencer
Clinical Social Work/Therapist, LCSWR
1 Endorsed
Glens Falls, NY 12801
Welcome! You are courageous to begin this journey. In our time together, my hope is that you will find therapy a warm and supportive environment where you can feel safe to explore your thoughts, feelings, and aspirations. Your goals and challenges are important, let's navigate them together. I am fortunate to bring 18 years of experience as a clinician and supervisor in outpatient mental health clinics, I have a deep commitment to supporting both adults and adolescents/children as they work toward positive change.
Welcome! You are courageous to begin this journey. In our time together, my hope is that you will find therapy a warm and supportive environment where you can feel safe to explore your thoughts, feelings, and aspirations. Your goals and challenges are important, let's navigate them together. I am fortunate to bring 18 years of experience as a clinician and supervisor in outpatient mental health clinics, I have a deep commitment to supporting both adults and adolescents/children as they work toward positive change.
(518) 656-8774 View (518) 656-8774
Photo of Bryce Colvin, Counselor, LMHC
Bryce Colvin
Counselor, LMHC
1 Endorsed
Glens Falls, NY 12801
I use an eclectic, person-centered approach to treatment, personalizing my approach to best fit each individual and their goals. I work with individuals seeking counseling for various different reasons. So what do sessions look like with me? I value building strong therapeutic relationships with clients to help them feel comfortable and heard as they share their lives with me. I am a compassionate and empathetic counselor, and I truly care about the well-being of my clients. I find that support and collaborative skill building are extremely valuable to help others achieve their life goals, whatever they may be.
I use an eclectic, person-centered approach to treatment, personalizing my approach to best fit each individual and their goals. I work with individuals seeking counseling for various different reasons. So what do sessions look like with me? I value building strong therapeutic relationships with clients to help them feel comfortable and heard as they share their lives with me. I am a compassionate and empathetic counselor, and I truly care about the well-being of my clients. I find that support and collaborative skill building are extremely valuable to help others achieve their life goals, whatever they may be.
(518) 240-1714 View (518) 240-1714
Photo of Natalli Amato, Pre-Licensed Professional, MAMFT
Natalli Amato
Pre-Licensed Professional, MAMFT
Glens Falls, NY 12801
Do the experiences of your past keep you from enjoying a fulfilling present and believing in a vibrant future? As an EMDR therapist, I help clients safely reprocess past traumas so they no longer feel overwhelming or defining. EMDR (Eye Movement Desensitization and Reprocessing) therapy allows the nervous system to integrate what happened in the past and create lasting shifts in how you see yourself and relate to others.
Do the experiences of your past keep you from enjoying a fulfilling present and believing in a vibrant future? As an EMDR therapist, I help clients safely reprocess past traumas so they no longer feel overwhelming or defining. EMDR (Eye Movement Desensitization and Reprocessing) therapy allows the nervous system to integrate what happened in the past and create lasting shifts in how you see yourself and relate to others.
(518) 543-7939 View (518) 543-7939
Photo of Nancy Lee Dunn, Clinical Social Work/Therapist, LCSW, PLLC
Nancy Lee Dunn
Clinical Social Work/Therapist, LCSW, PLLC
Glens Falls, NY 12801
Are you struggling with anxiety, depression, trauma, ADHD or PTSD? Have you suffered infidelity or betrayal trauma? Are you the victim of narcissistic abuse? Are you and your partner struggling with poor communication, constant disagreements over finances, parenting, intimacy issues or unresolved past hurts? Has your partner been unfaithful? Are you struggling with a substance use disorder, sex or porn addiction? Are you the victim of a person in your life who gaslights, sabotages you, emotionally or psychologically manipulates you? Do you find that you have to walk on eggshells with this person? There is help. Please call.
Are you struggling with anxiety, depression, trauma, ADHD or PTSD? Have you suffered infidelity or betrayal trauma? Are you the victim of narcissistic abuse? Are you and your partner struggling with poor communication, constant disagreements over finances, parenting, intimacy issues or unresolved past hurts? Has your partner been unfaithful? Are you struggling with a substance use disorder, sex or porn addiction? Are you the victim of a person in your life who gaslights, sabotages you, emotionally or psychologically manipulates you? Do you find that you have to walk on eggshells with this person? There is help. Please call.
(518) 873-7958 View (518) 873-7958
Photo of Anna Doran - Anna Doran, M.S., LMHC, Counselor, MS, LMHC
Anna Doran, M.S., LMHC
Counselor, MS, LMHC
2 Endorsed
Glens Falls, NY 12801
I am a Holistic Counselor, and recognize the importance of working with each client as an entire human being. Life experiences, the effects of presenting symptoms and issues on the mind and body, as well as the healing potential of the human spirit are all taken into consideration for assessment and treatment purposes. My main goals are to help optimize each individual's overall well-being, and to strengthen the assets that already lie within.
I am a Holistic Counselor, and recognize the importance of working with each client as an entire human being. Life experiences, the effects of presenting symptoms and issues on the mind and body, as well as the healing potential of the human spirit are all taken into consideration for assessment and treatment purposes. My main goals are to help optimize each individual's overall well-being, and to strengthen the assets that already lie within.
(518) 532-4031 View (518) 532-4031
Photo of Marisa Fountain, Pre-Licensed Professional, MFT
Marisa Fountain
Pre-Licensed Professional, MFT
Glens Falls, NY 12801
Marriage and Family Therapist Intern Passionate about helping individuals, couples, and families navigate life's challenges. Empathy, growth, and healing are at the heart of my practice Committed to creating a safe and supportive space for all.
Marriage and Family Therapist Intern Passionate about helping individuals, couples, and families navigate life's challenges. Empathy, growth, and healing are at the heart of my practice Committed to creating a safe and supportive space for all.
(518) 660-7957 View (518) 660-7957
Photo of Michelle Mann-Saumier, Mental Health Counselor, MS, LMHC
Michelle Mann-Saumier
Mental Health Counselor, MS, LMHC
3 Endorsed
Glens Falls, NY 12801
So you're struggling with your mood. You notice that it's getting harder to do simple tasks, there's an endless stream of racing thoughts, and you're unable to find happiness. Some days you just want to switch your brain off and disappear. You can't figure out why things feel so difficult, why you constantly need to be busy, or how you're supposed to manage. Or maybe you're in a difficult relationship and need help finding ways to communicate your needs. Perhaps you've always wanted help but are intimidated by the traditional models you've seen in the media. This is where I step in.
So you're struggling with your mood. You notice that it's getting harder to do simple tasks, there's an endless stream of racing thoughts, and you're unable to find happiness. Some days you just want to switch your brain off and disappear. You can't figure out why things feel so difficult, why you constantly need to be busy, or how you're supposed to manage. Or maybe you're in a difficult relationship and need help finding ways to communicate your needs. Perhaps you've always wanted help but are intimidated by the traditional models you've seen in the media. This is where I step in.
(518) 662-1806 View (518) 662-1806
Photo of Steven Borden, Marriage & Family Therapist, LMFT
Steven Borden
Marriage & Family Therapist, LMFT
Glens Falls, NY 12801
I’m a licensed marriage and family therapist with a master’s degree in psychology, concentrating in mental health counseling and marriage and family therapy from Springfield College. I provide counseling to children, adolescents, adults, and families in various settings. My approach is person-centered, and I believe people are experts on themselves. With skilled therapeutic guidance, individuals can discover solutions that lead to meaningful, positive change.
I’m a licensed marriage and family therapist with a master’s degree in psychology, concentrating in mental health counseling and marriage and family therapy from Springfield College. I provide counseling to children, adolescents, adults, and families in various settings. My approach is person-centered, and I believe people are experts on themselves. With skilled therapeutic guidance, individuals can discover solutions that lead to meaningful, positive change.
(929) 723-3269 View (929) 723-3269
Photo of Eileen Betts, Counselor, LMHC
Eileen Betts
Counselor, LMHC
Glens Falls, NY 12801
Challenges in life can be met with an open mind, courage and confidence. I am offering a safe, nurturing environment without judgement. I believe a positive therapeutic relationship is essential and base my approach on the specific needs of my clients. It is my goal that individuals gain hope and clarity.
Challenges in life can be met with an open mind, courage and confidence. I am offering a safe, nurturing environment without judgement. I believe a positive therapeutic relationship is essential and base my approach on the specific needs of my clients. It is my goal that individuals gain hope and clarity.
(518) 217-0992 View (518) 217-0992
Photo of Donna Susan Sauer-Jones, Clinical Social Work/Therapist, LCSW-R
Donna Susan Sauer-Jones
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Glens Falls, NY 12801
My ideal client would be open to more than talk therapy to resolve their trauma, anxiety, depression, adjustment disorders and attachment adaptations. They would be willing to begin to lower their unconscious defenses in their body as well as their minds, work with regressed parts to improve self-regulation and self love which will improve their abilities to be more relational with their friends and family. My client could also be going through a transition and need support or an added resource to help them get through a difficult time where indecision is blocking them from moving forward.
My ideal client would be open to more than talk therapy to resolve their trauma, anxiety, depression, adjustment disorders and attachment adaptations. They would be willing to begin to lower their unconscious defenses in their body as well as their minds, work with regressed parts to improve self-regulation and self love which will improve their abilities to be more relational with their friends and family. My client could also be going through a transition and need support or an added resource to help them get through a difficult time where indecision is blocking them from moving forward.
(518) 310-4573 View (518) 310-4573
Photo of Chelsea M Bolles, Counselor, LMHC-D
Chelsea M Bolles
Counselor, LMHC-D
3 Endorsed
Glens Falls, NY 12801
Hello! I am passionate about utilizing movement based interventions to help clients improve their mental health. As a Certified RunWalkTalk(R) Therapist, I encourage the use of movement, such as walking, running, or hiking in therapy sessions instead of the traditional in-office sit down sessions. I work with my clients on bike paths, trail systems, and in parks. I also offer Telehealth as an option for clients in NY and FL who prefer the flexibility of video or phone sessions.
Hello! I am passionate about utilizing movement based interventions to help clients improve their mental health. As a Certified RunWalkTalk(R) Therapist, I encourage the use of movement, such as walking, running, or hiking in therapy sessions instead of the traditional in-office sit down sessions. I work with my clients on bike paths, trail systems, and in parks. I also offer Telehealth as an option for clients in NY and FL who prefer the flexibility of video or phone sessions.
(518) 425-9361 View (518) 425-9361
Photo of Monica C Hemmett, Clinical Social Work/Therapist, RN, LCSW-R
Monica C Hemmett
Clinical Social Work/Therapist, RN, LCSW-R
Glens Falls, NY 12801
I am a registered nurse as well as a licensed clinical social worker with over 25 years in practice. My clients include individuals as well as couples. I am currently using the Gottman method for treating relationship issues and am certified as a level two counselor. Now accepting only private pay clients for this method as more time is required for this to be successful. Please feel free to research John and Julia Gottman‘s method of couple counseling .My approach to treating anxiety and depression is eclectic and tailored to the needs of the individual. Included in there. I have many years of treating eating disorders, as well.
I am a registered nurse as well as a licensed clinical social worker with over 25 years in practice. My clients include individuals as well as couples. I am currently using the Gottman method for treating relationship issues and am certified as a level two counselor. Now accepting only private pay clients for this method as more time is required for this to be successful. Please feel free to research John and Julia Gottman‘s method of couple counseling .My approach to treating anxiety and depression is eclectic and tailored to the needs of the individual. Included in there. I have many years of treating eating disorders, as well.
(518) 754-4416 View (518) 754-4416
Photo of Lisa A Ferretti, LMSW
Lisa A Ferretti
Verified Verified
Glens Falls, NY 12801
I see therapy as a shared journey—one where we work side by side with honesty, respect, and a real commitment to your growth. For over 20 years, I have supported adults and couples through moments of change, uncertainty, healing, and hope. Whether you’re navigating a transition, living with anxiety or depression, healing from trauma, grieving, or wanting to strengthen your relationships, I’m here to help you reconnect with your resilience and sense of possibility. Hope starts here.
I see therapy as a shared journey—one where we work side by side with honesty, respect, and a real commitment to your growth. For over 20 years, I have supported adults and couples through moments of change, uncertainty, healing, and hope. Whether you’re navigating a transition, living with anxiety or depression, healing from trauma, grieving, or wanting to strengthen your relationships, I’m here to help you reconnect with your resilience and sense of possibility. Hope starts here.
(518) 662-3697 View (518) 662-3697
Photo of Zachary Bishop, Counselor, LMHC
Zachary Bishop
Counselor, LMHC
1 Endorsed
Serves Area
Starting therapy can feel like a daunting and overwhelming experience. With so many different approaches and therapists to choose from, it’s natural to feel uncertain. I’ve trained in a variety of therapeutic methods to ensure I can provide the most effective support for a wide range of individuals and challenges. In our work together, we’ll collaborate to identify your unique goals, and I’ll guide you through tailored strategies designed to help you move forward and live the life you deserve. My priority is to offer compassionate, client-centered care that empowers you to make meaningful progress at your own pace.
Starting therapy can feel like a daunting and overwhelming experience. With so many different approaches and therapists to choose from, it’s natural to feel uncertain. I’ve trained in a variety of therapeutic methods to ensure I can provide the most effective support for a wide range of individuals and challenges. In our work together, we’ll collaborate to identify your unique goals, and I’ll guide you through tailored strategies designed to help you move forward and live the life you deserve. My priority is to offer compassionate, client-centered care that empowers you to make meaningful progress at your own pace.
(518) 840-0630 View (518) 840-0630

See more therapy options for 12801

How does your Therapist compare?

Number of Therapists in 12801

80+

Average cost per session

$150

Therapists in 12801 who prioritize treating:

90% Anxiety
85% Depression
79% Self Esteem
78% Relationship Issues
76% Trauma and PTSD
74% Stress
62% Grief

Average years in practice

14 Years

Top 3 insurances accepted

77% Aetna
61% CDPHP
53% Cigna and Evernorth

How Therapists in 12801 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 12801?

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.