Photo of Kristen Corbran, LMHC, Counselor
Kristen Corbran
Counselor, LMHC
Verified Verified
West Seneca, NY 14224
Hey there! I first want to congratulate you on taking the first step in reaching out for help. I have worked in a variety of treatment centers including residential, outpatient and inpatient treatment. I am currently serving adolescents, adults and couples. My experience includes working with clients who have trauma, anxiety, depression, attachment issues, and relationship conflict. My goals are to help you get to the root of your distress, manage your symptoms better, and to provide you a safe place to express yourself without judgment.
Hey there! I first want to congratulate you on taking the first step in reaching out for help. I have worked in a variety of treatment centers including residential, outpatient and inpatient treatment. I am currently serving adolescents, adults and couples. My experience includes working with clients who have trauma, anxiety, depression, attachment issues, and relationship conflict. My goals are to help you get to the root of your distress, manage your symptoms better, and to provide you a safe place to express yourself without judgment.
(716) 296-4687 View (716) 296-4687
Photo of Mary Daly, LMHC, Counselor
Mary Daly
Counselor, LMHC
Verified Verified
2 Endorsed
West Seneca, NY 14224
Waitlist for new clients
Are you struggling with a major life change? A loss of a loved one or an end to a relationship? During these times it is critical to seek guidance and support to work through this process. It can be easy to lose sight of your goals when experiencing depression. And all to often our anxieties can lead to self doubt and avoidance.
Are you struggling with a major life change? A loss of a loved one or an end to a relationship? During these times it is critical to seek guidance and support to work through this process. It can be easy to lose sight of your goals when experiencing depression. And all to often our anxieties can lead to self doubt and avoidance.
(716) 272-1741 View (716) 272-1741
Photo of Paul Dennis Pasternak - Bright Side Therapy and Wellness, LMHC, Counselor
Bright Side Therapy and Wellness
Counselor, LMHC
Verified Verified
Buffalo, NY 14224
Sometimes things arise in someone's life that seem insurmountable. When talking to friends and family doesn't help it may seem like there is no way through a situation. Speaking to a trained therapist may be the best way to bring about the change you need. This can be difficult and uncomfortable at times but with hard work change is not only possible but inevitable. Anxiety, depression, relationship issues can be treated with strength-based, client-focused treatment.
Sometimes things arise in someone's life that seem insurmountable. When talking to friends and family doesn't help it may seem like there is no way through a situation. Speaking to a trained therapist may be the best way to bring about the change you need. This can be difficult and uncomfortable at times but with hard work change is not only possible but inevitable. Anxiety, depression, relationship issues can be treated with strength-based, client-focused treatment.
(716) 354-3280 View (716) 354-3280
Photo of Jill D Hilburger, LCSW-R, Clinical Social Work/Therapist
Jill D Hilburger
Clinical Social Work/Therapist, LCSW-R
Verified Verified
West Seneca, NY 14224
Variety Counseling of WNY. Offering Teletherapy and VideoTherapy as needed. We are today where our thoughts have brought us. As a licensed psychiatric social worker for over 25 years, I have specialized in Cognitive/Behavioral, Individual, Child/Family, Sand/Play, Self-esteem building, Relaxation, Spiritual, EMDR/Trauma, Brief Solution therapy, Mindfulness, parenting/women, using trusting/empathetic bonding, lots of handouts and coaching techniques, I help people find their highest degree of happiness and peacefulness.
Variety Counseling of WNY. Offering Teletherapy and VideoTherapy as needed. We are today where our thoughts have brought us. As a licensed psychiatric social worker for over 25 years, I have specialized in Cognitive/Behavioral, Individual, Child/Family, Sand/Play, Self-esteem building, Relaxation, Spiritual, EMDR/Trauma, Brief Solution therapy, Mindfulness, parenting/women, using trusting/empathetic bonding, lots of handouts and coaching techniques, I help people find their highest degree of happiness and peacefulness.
(716) 790-6360 View (716) 790-6360
Photo of Tricia Buchwald, PhD
Tricia Buchwald
PhD
Verified Verified
Buffalo, NY 14224
As a Doctor, Business Owner, and fellow human being, I've witnessed firsthand how life can present unexpected challenges that often derail our plans. Through my professional and personal experiences, I've come to understand the power of our minds in shaping our realities and limiting our potential. That's why I am excited to introduce a tailored program aimed at helping individuals break free from the barriers that our minds often impose. Whether you're feeling stuck in your personal or professional life, this program is designed to provide the support, tools, and resources you need to overcome obstacles and thrive.
As a Doctor, Business Owner, and fellow human being, I've witnessed firsthand how life can present unexpected challenges that often derail our plans. Through my professional and personal experiences, I've come to understand the power of our minds in shaping our realities and limiting our potential. That's why I am excited to introduce a tailored program aimed at helping individuals break free from the barriers that our minds often impose. Whether you're feeling stuck in your personal or professional life, this program is designed to provide the support, tools, and resources you need to overcome obstacles and thrive.
(716) 869-6244 View (716) 869-6244
Photo of Tammy Lyn Davis - Tammy Lyn Davis, LMHC, PhD, LMHC, Counselor
Tammy Lyn Davis, LMHC
Counselor, PhD, LMHC
Verified Verified
2 Endorsed
West Seneca, NY 14224  (Online Only)
My approach includes being that "someone" that can assist you on your journey toward a happier and mentally healthier future; including realizing your own potential, coping with life's many stressors, and working productively toward contributing to relationships and your community. In a safe and respectful environment we can journey together to identify and work through past and present experiences that cause distress, irrational thinking, and unstable mood. Together we can work to develop awareness and insight to promote healing.
My approach includes being that "someone" that can assist you on your journey toward a happier and mentally healthier future; including realizing your own potential, coping with life's many stressors, and working productively toward contributing to relationships and your community. In a safe and respectful environment we can journey together to identify and work through past and present experiences that cause distress, irrational thinking, and unstable mood. Together we can work to develop awareness and insight to promote healing.
(716) 261-2413 View (716) 261-2413
Photo of Margaret Root, Clinical Social Work/Therapist
Margaret Root
Clinical Social Work/Therapist
Verified Verified
West Seneca, NY 14224
I work with individuals and couples of all ages and backgrounds. Experience as a therapist includes community mental health & work with children, teens & parents (primarily in school settings). My therapy focus is on wholeness regardless of the problem, but to provide a context, the work I do addresses residual post-trauma effects, ADD, grief and loss, chronic depression, social (and other forms of) anxiety, and self-integration needs following separation and/or divorce. A therapeutic fit with a good counselor is a huge relief; it helps us recover an inner resilience we either lost or never knew we possessed.
I work with individuals and couples of all ages and backgrounds. Experience as a therapist includes community mental health & work with children, teens & parents (primarily in school settings). My therapy focus is on wholeness regardless of the problem, but to provide a context, the work I do addresses residual post-trauma effects, ADD, grief and loss, chronic depression, social (and other forms of) anxiety, and self-integration needs following separation and/or divorce. A therapeutic fit with a good counselor is a huge relief; it helps us recover an inner resilience we either lost or never knew we possessed.
(716) 325-1488 View (716) 325-1488
Photo of Kathy Jeffries-Coppola, LMFT, RN, Marriage & Family Therapist
Kathy Jeffries-Coppola
Marriage & Family Therapist, LMFT, RN
Verified Verified
West Seneca, NY 14224
Do you feel like you want to make some changes in your life but just don't know where to begin. You are certainly not alone to feel overwhelmed, stressed, sad and hopeless or lost. My approach is simple, direct, and focuses on trying to help you reduce conflicts and make you feel more secure with your decisions which ultimately helps improve your happiness and peace in life. Clients say they appreciate my warm and accepting approach and my diverse background. I believe therapy is a powerful experience involving trust which I take very seriously. I enjoy working with adolescents, families, couples, and individuals.
Do you feel like you want to make some changes in your life but just don't know where to begin. You are certainly not alone to feel overwhelmed, stressed, sad and hopeless or lost. My approach is simple, direct, and focuses on trying to help you reduce conflicts and make you feel more secure with your decisions which ultimately helps improve your happiness and peace in life. Clients say they appreciate my warm and accepting approach and my diverse background. I believe therapy is a powerful experience involving trust which I take very seriously. I enjoy working with adolescents, families, couples, and individuals.
(716) 309-5306 View (716) 309-5306
Photo of Sandra L Swartwout, MSEd, LMHC, EMDR, Counselor
Sandra L Swartwout
Counselor, MSEd, LMHC, EMDR
Verified Verified
West Seneca, NY 14224  (Online Only)
Waitlist for new clients
"I believe that wellness includes our physical, emotional and mental being. My focus in counseling is to help you work through the road blocks that are affecting your well-being. Together we will help you to achieve wellness. I look forward to assisting you in becoming your best self. I offer a Mindfulness Based Therapy along with a variety of other therapeutic tools. I am a certified EMDR therapist working with clients who have experienced all forms of trauma."
"I believe that wellness includes our physical, emotional and mental being. My focus in counseling is to help you work through the road blocks that are affecting your well-being. Together we will help you to achieve wellness. I look forward to assisting you in becoming your best self. I offer a Mindfulness Based Therapy along with a variety of other therapeutic tools. I am a certified EMDR therapist working with clients who have experienced all forms of trauma."
(585) 714-9336 View (585) 714-9336
Photo of Catherine Broom, LMHC, Counselor
Catherine Broom
Counselor, LMHC
Verified Verified
1 Endorsed
West Seneca, NY 14224  (Online Only)
Women and teen girls. Struggling with challenges related to anxiety, depression, stress, self-esteem, adjustment issues and relationship conflict. Looking to explore your habits, patterns, lifestyle choices and mindset. Wanting to heal from trauma and resolve barriers, improve self esteem/self confidence, identify and follow through with goals and future planning, overcome anxiety and depression. Open to a holistic and whole person approach to therapy to help you to generate real change!
Women and teen girls. Struggling with challenges related to anxiety, depression, stress, self-esteem, adjustment issues and relationship conflict. Looking to explore your habits, patterns, lifestyle choices and mindset. Wanting to heal from trauma and resolve barriers, improve self esteem/self confidence, identify and follow through with goals and future planning, overcome anxiety and depression. Open to a holistic and whole person approach to therapy to help you to generate real change!
(716) 800-4116 View (716) 800-4116
Photo of Eric Todd - Eric Todd, LCSW, LCSW, Clinical Social Work/Therapist
Eric Todd, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
West Seneca, NY 14224
Not accepting new clients
Sometimes our lives can seem out of balance. Our relationships may feel strained or stuck. We may notice our thoughts racing. Maybe we are confused about who we are and where we fit in. When this happens, we may turn to unhealthy ways of coping.
Sometimes our lives can seem out of balance. Our relationships may feel strained or stuck. We may notice our thoughts racing. Maybe we are confused about who we are and where we fit in. When this happens, we may turn to unhealthy ways of coping.
(716) 281-5657 View (716) 281-5657
Photo of Marissa Raskin, LMHC, Counselor
Marissa Raskin
Counselor, LMHC
Verified Verified
Buffalo, NY 14224
Hi there! My name is Marissa Raskin, a Licensed Mental Health Counselor in New York with over 12-plus years of experience working as a counselor/therapist. I received my undergrad in Criminal Justice and Psychology from the University at Albany and hold a dual Master Degree from John Jay College of Criminal Justice in Forensic Psychology and Forensic Mental Health Counseling. My therapy style is warm, empathetic, supportive and inclusive. I believe in treating anyone and everyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels.
Hi there! My name is Marissa Raskin, a Licensed Mental Health Counselor in New York with over 12-plus years of experience working as a counselor/therapist. I received my undergrad in Criminal Justice and Psychology from the University at Albany and hold a dual Master Degree from John Jay College of Criminal Justice in Forensic Psychology and Forensic Mental Health Counseling. My therapy style is warm, empathetic, supportive and inclusive. I believe in treating anyone and everyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels.
(332) 262-6944 View (332) 262-6944
Photo of Alison Lesakowski, MA, CASAC, Drug & Alcohol Counselor
Alison Lesakowski
Drug & Alcohol Counselor, MA, CASAC
Verified Verified
1 Endorsed
West Seneca, NY 14224
Maybe you have already tried traditional talk therapy and wish to explore and know yourself on a deeper level. Maybe you feel like you are carrying past burdens and have a desire to be free from the burdens and traumas of the past. Others may desire a need to identify patterns in behavior and relationships, understand difficult emotions, or challenges that arise with partners, family, or at work. If any of this sounds familiar and if you desire to gain clarity in any of these areas, Internal family systems may be a good fit for you.
Maybe you have already tried traditional talk therapy and wish to explore and know yourself on a deeper level. Maybe you feel like you are carrying past burdens and have a desire to be free from the burdens and traumas of the past. Others may desire a need to identify patterns in behavior and relationships, understand difficult emotions, or challenges that arise with partners, family, or at work. If any of this sounds familiar and if you desire to gain clarity in any of these areas, Internal family systems may be a good fit for you.
(716) 592-6453 View (716) 592-6453
Photo of Andrew Wilton, LCSW, Clinical Social Work/Therapist
Andrew Wilton
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
West Seneca, NY 14224  (Online Only)
Life comes with struggle and triumph, pain and possibility. I’m here to walk with you on an empowering journey of growth and discovery to break the chains of anxiety, depression, and stress, navigate life transitions, cope with grief and loss, craft healthy relationships, and come into your best self for life’s present chapter. Individual therapy provides a supportive environment to process thoughts and feelings, realize your strength, and step into a life worth living. This is a place for explorers, deep thinkers, hard workers, and wandering souls. You're welcome here.
Life comes with struggle and triumph, pain and possibility. I’m here to walk with you on an empowering journey of growth and discovery to break the chains of anxiety, depression, and stress, navigate life transitions, cope with grief and loss, craft healthy relationships, and come into your best self for life’s present chapter. Individual therapy provides a supportive environment to process thoughts and feelings, realize your strength, and step into a life worth living. This is a place for explorers, deep thinkers, hard workers, and wandering souls. You're welcome here.
(716) 261-3603 View (716) 261-3603
Photo of Alexandrea Wallgren, LMHC, MS, Counselor
Alexandrea Wallgren
Counselor, LMHC, MS
Verified Verified
West Seneca, NY 14224  (Online Only)
Waitlist for new clients
We may experience things in our lives that feel like they change who we are and our view of the world. As a result, we may feel loneliness, distrust, anger, sadness, numbness, shame, and guilt. We may not allow ourselves to experience the wide range of human emotions and limit our connection with others as a way to protect ourselves. I believe that people are resilient, able to heal from trauma, and can reconnect with their authentic, genuine selves.
We may experience things in our lives that feel like they change who we are and our view of the world. As a result, we may feel loneliness, distrust, anger, sadness, numbness, shame, and guilt. We may not allow ourselves to experience the wide range of human emotions and limit our connection with others as a way to protect ourselves. I believe that people are resilient, able to heal from trauma, and can reconnect with their authentic, genuine selves.
(716) 321-2137 View (716) 321-2137
Photo of Stephanie G Hall, LMSW
Stephanie G Hall
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
West Seneca, NY 14224
Hello! My name is Stephanie. I am an LMSW and psychotherapist with experiences working with mental health and substance use. I approach therapy from a holistic mind/ body perspective. I utilize evidenced based practices such as; Eye Movement Desensitization and Reprocessing Therapy (EMDR), Dialectical Behavioral Therapy (DBT), as well as attachment/ abandonment recovery therapies (and several other modalities listed below). I am additionally a level (2) reiki practitioner, and offer reiki services for ongoing healing and relaxation.
Hello! My name is Stephanie. I am an LMSW and psychotherapist with experiences working with mental health and substance use. I approach therapy from a holistic mind/ body perspective. I utilize evidenced based practices such as; Eye Movement Desensitization and Reprocessing Therapy (EMDR), Dialectical Behavioral Therapy (DBT), as well as attachment/ abandonment recovery therapies (and several other modalities listed below). I am additionally a level (2) reiki practitioner, and offer reiki services for ongoing healing and relaxation.
(716) 321-5769 x156 View (716) 321-5769 x156
Photo of Anne L Petti, LCSW, Clinical Social Work/Therapist
Anne L Petti
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
West Seneca, NY 14224
Waitlist for new clients
A client that works with me may struggle with substance abuse, dual diagnosis (mental health and substance abuse), anxiety, depression, family issues, adjustment issues, ADHD, chronic pain and other concerns. Many times clients will struggle with panic, feelings of being overwhelmed in their current situations and need support, feel lack of motivation, are using substances that interrupt their goals/cause issues in relationships. Other concerns may include having a hard time managing daily life expectations, going through a break up, relationship issues. These clients are looking for a solution and skills to manage these concerns.
A client that works with me may struggle with substance abuse, dual diagnosis (mental health and substance abuse), anxiety, depression, family issues, adjustment issues, ADHD, chronic pain and other concerns. Many times clients will struggle with panic, feelings of being overwhelmed in their current situations and need support, feel lack of motivation, are using substances that interrupt their goals/cause issues in relationships. Other concerns may include having a hard time managing daily life expectations, going through a break up, relationship issues. These clients are looking for a solution and skills to manage these concerns.
(716) 457-7951 View (716) 457-7951
Photo of Richard Neil Rutherford - RNR Counseling Services LCSW, PLLC, LCSW, Clinical Social Work/Therapist
RNR Counseling Services LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
West Seneca, NY 14224
My name is Rich Rutherford, LCSW therapist and owner of RNR Counseling Services. I am available in the evening Mon-Thurs and on Sat and Sun if needed for sessions. I have provided therapy to both children and adults in my career with great success. I enjoy working with children on self-esteem and bullying issues as well as working with children to improve school performance and overall family functioning. I enjoy helping adults process trauma and develop coping skills. I now take Aetna, Cigna and now Univera insurances with more to come
My name is Rich Rutherford, LCSW therapist and owner of RNR Counseling Services. I am available in the evening Mon-Thurs and on Sat and Sun if needed for sessions. I have provided therapy to both children and adults in my career with great success. I enjoy working with children on self-esteem and bullying issues as well as working with children to improve school performance and overall family functioning. I enjoy helping adults process trauma and develop coping skills. I now take Aetna, Cigna and now Univera insurances with more to come
(716) 567-8303 View (716) 567-8303
Photo of Caitlyn Beilman, LMHC, Counselor
Caitlyn Beilman
Counselor, LMHC
Verified Verified
Buffalo, NY 14224
Not accepting new clients
Call or text (716) 380-2129 for questions and intake information! "The curious paradox is that when I accept myself just as I am, then I can change"- Carl Rogers. Hello! I'm Caitlyn, I have been working as a mental health counselor since 2011 with individuals ages 7 and older. I help individuals manage their mental health concerns involving anxiety, depression, post-traumatic stress disorder, obsessive-compulsive disorder, borderline personality disorder, stress management, phase of life issues, parenting concerns, self-esteem and many other issues.
Call or text (716) 380-2129 for questions and intake information! "The curious paradox is that when I accept myself just as I am, then I can change"- Carl Rogers. Hello! I'm Caitlyn, I have been working as a mental health counselor since 2011 with individuals ages 7 and older. I help individuals manage their mental health concerns involving anxiety, depression, post-traumatic stress disorder, obsessive-compulsive disorder, borderline personality disorder, stress management, phase of life issues, parenting concerns, self-esteem and many other issues.
(716) 325-1544 View (716) 325-1544
Photo of Carmen Cremeno Lcsw, LCSW, Clinical Social Work/Therapist
Carmen Cremeno Lcsw
Clinical Social Work/Therapist, LCSW
Verified Verified
West Seneca, NY 14224
The decision to enter therapy is a significant first step towards the healing process. Therapy can help improve areas in your life that is causing you distress. I use a person centered approach to provide a space where you can feel safe, heard and supported while working through challenging and overwhelming emotions. My goal is to help you identify your needs, work towards self awareness, and to improve your emotional health and well being.
The decision to enter therapy is a significant first step towards the healing process. Therapy can help improve areas in your life that is causing you distress. I use a person centered approach to provide a space where you can feel safe, heard and supported while working through challenging and overwhelming emotions. My goal is to help you identify your needs, work towards self awareness, and to improve your emotional health and well being.
(716) 325-4452 x2 View (716) 325-4452 x2
1

How does your Therapist compare?

Number of Therapists in 14224

80+

Average cost per session

$120

Therapists in 14224 who prioritize treating:

91% Anxiety
88% Depression
84% Self Esteem
77% Stress
73% Coping Skills
72% Relationship Issues
71% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

68% Aetna
60% Cigna and Evernorth
60% Independent Health

How Therapists in 14224 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 14224?

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.