Therapists in 15228

Photo of Kevin B. Kumpf, Licensed Professional Counselor, PhD, LPC, NCC, ACS
Kevin B. Kumpf
Licensed Professional Counselor, PhD, LPC, NCC, ACS
1 Endorsed
Mount Lebanon, PA 15228
I have learned through my work with clients that sometimes being willing to take a risk can yield positive results. Finding the willingness to participate in therapy can often feel like taking a risk; however, I am here to provide support as you look to make positive and impactful changes in your life. I am confident we can work together to develop a constructive relationship that’s in service of helping you to define, and ultimately accomplish the goals that are important you.
I have learned through my work with clients that sometimes being willing to take a risk can yield positive results. Finding the willingness to participate in therapy can often feel like taking a risk; however, I am here to provide support as you look to make positive and impactful changes in your life. I am confident we can work together to develop a constructive relationship that’s in service of helping you to define, and ultimately accomplish the goals that are important you.
(412) 847-5209 View (412) 847-5209
Photo of Vincent Reginella, Licensed Professional Counselor, LPC
Vincent Reginella
Licensed Professional Counselor, LPC
Mount Lebanon, PA 15228
I provide mental health therapy, sports performance counseling, and vocational guidance. I work with individuals who have sustained neurological trauma, including concussion and traumatic brain injury (TBI). I work alongside athletes with improving their mental health and athletic performance. I work with undergraduate and graduate students struggling with academic performance and pressure. I also work with young professionals making the transition to the workforce after school. I also specialize in coping skill development, anxiety, stress management, mood disorders caused by endocrine dysfunction, and performance enhancement.
I provide mental health therapy, sports performance counseling, and vocational guidance. I work with individuals who have sustained neurological trauma, including concussion and traumatic brain injury (TBI). I work alongside athletes with improving their mental health and athletic performance. I work with undergraduate and graduate students struggling with academic performance and pressure. I also work with young professionals making the transition to the workforce after school. I also specialize in coping skill development, anxiety, stress management, mood disorders caused by endocrine dysfunction, and performance enhancement.
(412) 634-8789 View (412) 634-8789
Photo of Madde Whitney, Licensed Professional Counselor, LPC
Madde Whitney
Licensed Professional Counselor, LPC
1 Endorsed
Pittsburgh, PA 15228
"The past affects the present, even without our being aware of it." -Francine Shapiro- Whether we are aware or not, distressing events we have experienced can be negatively affecting our day to day lives. Trauma and stress can leave us feeling alone, broken, on edge, angry, or sad. You have taken the first step towards your growth and healing by exploring therapy.
"The past affects the present, even without our being aware of it." -Francine Shapiro- Whether we are aware or not, distressing events we have experienced can be negatively affecting our day to day lives. Trauma and stress can leave us feeling alone, broken, on edge, angry, or sad. You have taken the first step towards your growth and healing by exploring therapy.
(412) 844-5560 View (412) 844-5560
Photo of Helena Garren, Pre-Licensed Professional, MA, LAPC
Helena Garren
Pre-Licensed Professional, MA, LAPC
Pittsburgh, PA 15228
I strive to create a safe space where you feel heard, understood, and empowered to grow. Before becoming a therapist, I worked extensively as a school counselor, which gave me the privilege of supporting children through challenges such as anxiety, depression, ADHD, trauma, grief, self-esteem, and family transitions. I believe that growth happens best when everyone works together. In my practice, it is vital to collaborate closely with parents and family systems to provide consistent support and lasting change.
I strive to create a safe space where you feel heard, understood, and empowered to grow. Before becoming a therapist, I worked extensively as a school counselor, which gave me the privilege of supporting children through challenges such as anxiety, depression, ADHD, trauma, grief, self-esteem, and family transitions. I believe that growth happens best when everyone works together. In my practice, it is vital to collaborate closely with parents and family systems to provide consistent support and lasting change.
(412) 844-4361 View (412) 844-4361
Photo of Cynthia A. Paul, Clinical Social Work/Therapist, LCSW
Cynthia A. Paul
Clinical Social Work/Therapist, LCSW
1 Endorsed
Pittsburgh, PA 15228
I am a State Licensed Clinical Social Worker who has been providing therapy services in the state of PA for over 30 years. I have worked in various settings and feel comfortable addressing issues related to mood difficulties, anxiety, relationship problems, trauma or transitional concerns. I enjoy working with individuals 14 and older, especially adults and women. Regardless of what difficulty you may be facing, the first step to change is awareness. My focus in therapy is to create a safe, comfortable and relaxed setting for my clients to explore their thoughts, feelings, and experiences in order to create a plan for change.
I am a State Licensed Clinical Social Worker who has been providing therapy services in the state of PA for over 30 years. I have worked in various settings and feel comfortable addressing issues related to mood difficulties, anxiety, relationship problems, trauma or transitional concerns. I enjoy working with individuals 14 and older, especially adults and women. Regardless of what difficulty you may be facing, the first step to change is awareness. My focus in therapy is to create a safe, comfortable and relaxed setting for my clients to explore their thoughts, feelings, and experiences in order to create a plan for change.
(412) 228-0967 View (412) 228-0967
Photo of Robin Witt, Licensed Professional Counselor, MS , LPC, CAADC, ICGC-II
Robin Witt
Licensed Professional Counselor, MS , LPC, CAADC, ICGC-II
Pittsburgh, PA 15228
As director of relationship dynamics at The Better Institute, Robin feels passionate about supporting and helping to improve relationships. She does this by offering individual sessions to spouses and/or family members of those suffering from substance abuse and problem gambling. In addition, she has experience supporting the unique concerns of the spouse of a first responder and the complexity of their relationship dynamics. Robin offers couples counseling and Marriage Marathons to help strengthen relationships.
As director of relationship dynamics at The Better Institute, Robin feels passionate about supporting and helping to improve relationships. She does this by offering individual sessions to spouses and/or family members of those suffering from substance abuse and problem gambling. In addition, she has experience supporting the unique concerns of the spouse of a first responder and the complexity of their relationship dynamics. Robin offers couples counseling and Marriage Marathons to help strengthen relationships.
(412) 870-4431 View (412) 870-4431
Photo of James M Hepburn, Psychologist, PhD
James M Hepburn
Psychologist, PhD
Mount Lebanon, PA 15228
I offer psychotherapy for individuals who may be feeling overwhelmed or distressed by events in life. My specializations include working with couples, victims of abuse, family conflict, loneliness, depression, anxiety, worry and grief. My goal is to help you uncover your potential and to provide the support you need to lead a life that is worth celebrating. If you would like to let go of long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life, then contact me at 412-334-6585 to schedule a confidential consultation.
I offer psychotherapy for individuals who may be feeling overwhelmed or distressed by events in life. My specializations include working with couples, victims of abuse, family conflict, loneliness, depression, anxiety, worry and grief. My goal is to help you uncover your potential and to provide the support you need to lead a life that is worth celebrating. If you would like to let go of long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life, then contact me at 412-334-6585 to schedule a confidential consultation.
(412) 229-7974 View (412) 229-7974
Photo of Beth Christiano, Psychologist, PhD
Beth Christiano
Psychologist, PhD
1 Endorsed
Mount Lebanon, PA 15228
Are you noticing an imbalance in your life, in your body, or in your emotions that makes it difficult to see your options, recognize your power, and clarify your goals? I am a Clinical Psychologist, a Registered Yoga Instructor, and an Internationally Certified Yoga Therapist with over twenty-five years of experience helping people create clarity, realize their potential, and work towards achieving their goals. I work with adolescents and adults, who experience stressful life events, illness/injury, emotions (like depression and anxiety) and behaviors (like eating disorders and additions) that lead them to feel "stuck".
Are you noticing an imbalance in your life, in your body, or in your emotions that makes it difficult to see your options, recognize your power, and clarify your goals? I am a Clinical Psychologist, a Registered Yoga Instructor, and an Internationally Certified Yoga Therapist with over twenty-five years of experience helping people create clarity, realize their potential, and work towards achieving their goals. I work with adolescents and adults, who experience stressful life events, illness/injury, emotions (like depression and anxiety) and behaviors (like eating disorders and additions) that lead them to feel "stuck".
(412) 960-4930 View (412) 960-4930
Photo of Matthew Metcalf, Pre-Licensed Professional, MS, BA
Matthew Metcalf
Pre-Licensed Professional, MS, BA
2 Endorsed
Mount Lebanon, PA 15228
My ideal client is an individual who recognizes need and is open to assistance with help in areas of self-awareness and processing skills. This client would struggle in areas of acceptance and cognitive processing and ask the question " Why am I feeling or acting this way". Their issues could range from anger management, anxiety, depression, PTSD, trauma, grief, substance use disorder, or simply understanding themselves is a healthy manner. They would be in search of ways at which they could implement small changes in their daily routine to produce sustained positive change.
My ideal client is an individual who recognizes need and is open to assistance with help in areas of self-awareness and processing skills. This client would struggle in areas of acceptance and cognitive processing and ask the question " Why am I feeling or acting this way". Their issues could range from anger management, anxiety, depression, PTSD, trauma, grief, substance use disorder, or simply understanding themselves is a healthy manner. They would be in search of ways at which they could implement small changes in their daily routine to produce sustained positive change.
(412) 504-7830 View (412) 504-7830
Photo of Amanda Talak - Center for Resilience Strategies, Licensed Professional Counselor
Center for Resilience Strategies
Licensed Professional Counselor
1 Endorsed
Pittsburgh, PA 15228
Stressed? Anxious? Unresolved trauma? Grief from loss? Relationship issues? Low self-esteem? We're here to help you make big changes in your life. CRS provides accessible, affordable, and effective mental health services in Pittsburgh and throughout Pennsylvania. CRS provides individual counseling for teens and adults, play therapy, couple and marital therapy, and family therapy. We work with multiple insurance companies and offer income-based fees for services, all provided in a private practice clinic setting or via telehealth.
Stressed? Anxious? Unresolved trauma? Grief from loss? Relationship issues? Low self-esteem? We're here to help you make big changes in your life. CRS provides accessible, affordable, and effective mental health services in Pittsburgh and throughout Pennsylvania. CRS provides individual counseling for teens and adults, play therapy, couple and marital therapy, and family therapy. We work with multiple insurance companies and offer income-based fees for services, all provided in a private practice clinic setting or via telehealth.
(412) 324-7956 View (412) 324-7956
Photo of Adriane Hall, Pre-Licensed Professional, LAPC
Adriane Hall
Pre-Licensed Professional, LAPC
1 Endorsed
Pittsburgh, PA 15228
I offer a warm, culturally responsive space for adolescents and adults navigating anxiety, trauma, and life transitions. I’m passionate about mental health and approach therapy with empathy, cultural humility, and trauma-informed care. Using tools like EMDR, Motivational Interviewing, mindfulness, value-based exploration, and ketamine therapy referrals, I help clients break unhelpful patterns and reconnect with their strengths. My goal is to support healing, clarity, and empowered decision-making.
I offer a warm, culturally responsive space for adolescents and adults navigating anxiety, trauma, and life transitions. I’m passionate about mental health and approach therapy with empathy, cultural humility, and trauma-informed care. Using tools like EMDR, Motivational Interviewing, mindfulness, value-based exploration, and ketamine therapy referrals, I help clients break unhelpful patterns and reconnect with their strengths. My goal is to support healing, clarity, and empowered decision-making.
(412) 981-2104 View (412) 981-2104
Photo of Lindsey Emerson, Licensed Professional Counselor, MA, LPC
Lindsey Emerson
Licensed Professional Counselor, MA, LPC
20 Endorsed
Mount Lebanon, PA 15228
Hello and welcome! I am glad you're here. Adjusting to the stressors that life is sending your way can feel like an isolating (and overwhelming) process. Sometimes it is hard to know what next steps to take. Sometimes it is scary to try new ways of being. Sometimes we get in our own way. And sometimes it is good to talk about these things with someone who is on your side.
Hello and welcome! I am glad you're here. Adjusting to the stressors that life is sending your way can feel like an isolating (and overwhelming) process. Sometimes it is hard to know what next steps to take. Sometimes it is scary to try new ways of being. Sometimes we get in our own way. And sometimes it is good to talk about these things with someone who is on your side.
(412) 764-8450 View (412) 764-8450
Photo of Megan Schwemmer, Licensed Professional Counselor, LPC, NCC
Megan Schwemmer
Licensed Professional Counselor, LPC, NCC
2 Endorsed
Pittsburgh, PA 15228
Hello! Thank you for taking the time to search for a therapist. It can be overwhelming selecting a therapist and I appreciate you taking the first steps to do so. I am a passionate mental health clinician seeking motivated clients who are looking for change. I have four years of experience working with children, adolescents, and families in the community mental health setting including Wrap-around services and Family-Focused mental health. It is inspiring and motivating to see clients change and become the best versions of themselves.
Hello! Thank you for taking the time to search for a therapist. It can be overwhelming selecting a therapist and I appreciate you taking the first steps to do so. I am a passionate mental health clinician seeking motivated clients who are looking for change. I have four years of experience working with children, adolescents, and families in the community mental health setting including Wrap-around services and Family-Focused mental health. It is inspiring and motivating to see clients change and become the best versions of themselves.
(412) 960-1443 View (412) 960-1443
Photo of Michael Ortenzo, Marriage & Family Therapist, LMFT
Michael Ortenzo
Marriage & Family Therapist, LMFT
1 Endorsed
Mount Lebanon, PA 15228
I am committed to helping you achieve a stronger self, relationship, and life through customized care. There are many treatment options to meet your needs including individual, couple, and family therapy. You can expect to engage in a collaborative and supportive process which delivers unique educational tools and skill building strategies for your personal and relational well-being. Pursue stronger relationships by resolving a problem, deepening connection, or preparing for a new chapter in life together. Discover comprehensive treatment methods tailored to meet your unique experiences and needs.
I am committed to helping you achieve a stronger self, relationship, and life through customized care. There are many treatment options to meet your needs including individual, couple, and family therapy. You can expect to engage in a collaborative and supportive process which delivers unique educational tools and skill building strategies for your personal and relational well-being. Pursue stronger relationships by resolving a problem, deepening connection, or preparing for a new chapter in life together. Discover comprehensive treatment methods tailored to meet your unique experiences and needs.
(412) 883-8672 View (412) 883-8672
Photo of Andrew J Eppich - Andrew J. Eppich LCSW, Clinical Social Work/Therapist, LCSW
Andrew J. Eppich LCSW
Clinical Social Work/Therapist, LCSW
1 Endorsed
Pittsburgh, PA 15228
I am an LCSW that has been in the field of counseling and social work since 1995. I am of the belief that everyone deserves help and support with dignity and respect. I specialize in addictions, gambling addiction, dual diagnosis, including trauma and PTSD, LGBTQ issues, grief and bereavement issues as well as have over 15 years experience in hospice and helping patients and their families cope with the patient's end of life journey. In addition I have expertise in group counseling for early recovery, families in recovery and grief support. I am also certified in EMDR and FLASH Technique.
I am an LCSW that has been in the field of counseling and social work since 1995. I am of the belief that everyone deserves help and support with dignity and respect. I specialize in addictions, gambling addiction, dual diagnosis, including trauma and PTSD, LGBTQ issues, grief and bereavement issues as well as have over 15 years experience in hospice and helping patients and their families cope with the patient's end of life journey. In addition I have expertise in group counseling for early recovery, families in recovery and grief support. I am also certified in EMDR and FLASH Technique.
(412) 567-3552 View (412) 567-3552
Photo of Jan Sciulli, Clinical Social Work/Therapist, LCSW
Jan Sciulli
Clinical Social Work/Therapist, LCSW
1 Endorsed
Pittsburgh, PA 15228
Are you grieving the loss of a loved one? Devastated by a traumatic event in your life? I am dedicated to helping you through your journey of bereavement and healing. I have worked with individuals and families who have experienced traumatic sudden loss resulting from incidences such as gun violence; suicide; divorce; job loss; vision loss; physical changes; progressive and terminal illness.
Are you grieving the loss of a loved one? Devastated by a traumatic event in your life? I am dedicated to helping you through your journey of bereavement and healing. I have worked with individuals and families who have experienced traumatic sudden loss resulting from incidences such as gun violence; suicide; divorce; job loss; vision loss; physical changes; progressive and terminal illness.
(412) 866-1191 View (412) 866-1191
Photo of Zach Stueve, Pre-Licensed Professional
Zach Stueve
Pre-Licensed Professional
Mount Lebanon, PA 15228
Life can leave us feeling pulled in different directions—sometimes disconnected from ourselves, sometimes weighed down by old wounds, and other times simply uncertain about the next step. I work with young adults and adults who want to feel more whole, grounded, and able to navigate the challenges of relationships, transitions, and daily life with integrity and purpose.
Life can leave us feeling pulled in different directions—sometimes disconnected from ourselves, sometimes weighed down by old wounds, and other times simply uncertain about the next step. I work with young adults and adults who want to feel more whole, grounded, and able to navigate the challenges of relationships, transitions, and daily life with integrity and purpose.
(412) 850-4106 View (412) 850-4106
Photo of Michael Anderson, Licensed Professional Counselor, MA, LPC
Michael Anderson
Licensed Professional Counselor, MA, LPC
1 Endorsed
Pittsburgh, PA 15228
Even when we feel lost, there is always a path to a more hopeful future. As your therapist, I can help you find your way forward: Toward your goals, toward self-understanding, and toward peace and satisfaction. I’ve worked with people from many walks of life successfully and focus on helping those who find their lives unmanageable or fundamentally unfulfilling, especially when it involves difficult childhoods or traumatic experiences. I make space in our sessions to give genuine human support, from philosophical soul searching to practical goal setting, with a balance of humility, humor, and psychological insights.
Even when we feel lost, there is always a path to a more hopeful future. As your therapist, I can help you find your way forward: Toward your goals, toward self-understanding, and toward peace and satisfaction. I’ve worked with people from many walks of life successfully and focus on helping those who find their lives unmanageable or fundamentally unfulfilling, especially when it involves difficult childhoods or traumatic experiences. I make space in our sessions to give genuine human support, from philosophical soul searching to practical goal setting, with a balance of humility, humor, and psychological insights.
(412) 405-6089 View (412) 405-6089
Photo of Jess Silbermann, Clinical Social Work/Therapist, LCSW, LCSW-C
Jess Silbermann
Clinical Social Work/Therapist, LCSW, LCSW-C
Pittsburgh, PA 15228
It has been said that, “change is the only constant in life” (Heraclitus). This statement may ring true for you, and it may even have led you here. Change can be exciting, AND it can also be daunting, anxiety-inducing and downright paralyzing at times. We experience many moments of transition and new stages in life, and I’m here to help you navigate these waters. I specialize in working with teens, especially those with perfectionism, young professionals, and new parents. My areas of expertise include childhood and adult trauma, perinatal and postpartum mood and anxiety disorders, grief, and supporting parents of anxious children.
It has been said that, “change is the only constant in life” (Heraclitus). This statement may ring true for you, and it may even have led you here. Change can be exciting, AND it can also be daunting, anxiety-inducing and downright paralyzing at times. We experience many moments of transition and new stages in life, and I’m here to help you navigate these waters. I specialize in working with teens, especially those with perfectionism, young professionals, and new parents. My areas of expertise include childhood and adult trauma, perinatal and postpartum mood and anxiety disorders, grief, and supporting parents of anxious children.
(412) 873-4587 View (412) 873-4587
Photo of Lauryn Kalka, Clinical Social Work/Therapist, LCSW
Lauryn Kalka
Clinical Social Work/Therapist, LCSW
2 Endorsed
Pittsburgh, PA 15228
I am a Licensed Clinical Social Worker (LCSW) with a wide background in working with children, teens, young adults, and families. I have 15 + years of experience in a variety of settings and capacities including foster care, adoption, residential treatment, wrap around, family preservation, outpatient, and school based mental health. As a therapist I have worked with individuals struggling with trauma, LGBTQ+ needs, self-harm, impulse/attention issues, anxiety/worry, foster care/adoption, and a wide range of other mental health diagnoses and needs.
I am a Licensed Clinical Social Worker (LCSW) with a wide background in working with children, teens, young adults, and families. I have 15 + years of experience in a variety of settings and capacities including foster care, adoption, residential treatment, wrap around, family preservation, outpatient, and school based mental health. As a therapist I have worked with individuals struggling with trauma, LGBTQ+ needs, self-harm, impulse/attention issues, anxiety/worry, foster care/adoption, and a wide range of other mental health diagnoses and needs.
(412) 612-2355 View (412) 612-2355

See more therapy options for 15228

How does your Therapist compare?

Number of Therapists in 15228

100+

Average cost per session

$130

Therapists in 15228 who prioritize treating:

91% Anxiety
84% Depression
75% Relationship Issues
74% Trauma and PTSD
71% Self Esteem
67% Grief
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

91% Highmark
80% Aetna
80% University of Pittsburgh Medical Center (UPMC) Hea

How Therapists in 15228 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 15228?

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.