Therapists in 19547

Photo of Lisa Young, Clinical Social Work/Therapist, MSW, LCSW
Lisa Young
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
This modern world isn’t built for ADHDers like you and me. When success is measured by productivity and general “adulting” abilities, it can leave us feeling like total failures. It’s so confusing: we can be remarkably skilled and knowledgeable in some areas… but then lose our keys every other day. Others think it’s because we’re not trying or don’t care… or that we’re selfish or lazy. They give us advice like, “Just (insert unhelpful advice here).” But you’ve done all those things. And nothing works – at least not for more than a couple of weeks. It’s demoralizing, and at this point, you’re probably tired of trying.
This modern world isn’t built for ADHDers like you and me. When success is measured by productivity and general “adulting” abilities, it can leave us feeling like total failures. It’s so confusing: we can be remarkably skilled and knowledgeable in some areas… but then lose our keys every other day. Others think it’s because we’re not trying or don’t care… or that we’re selfish or lazy. They give us advice like, “Just (insert unhelpful advice here).” But you’ve done all those things. And nothing works – at least not for more than a couple of weeks. It’s demoralizing, and at this point, you’re probably tired of trying.
(610) 646-5443 View (610) 646-5443
Photo of Janina Strouse - Strouse Counseling and Wellness LLC, Licensed Professional Counselor, LPC
Strouse Counseling and Wellness LLC
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
We are a group counseling practice in Boyertown offering services for children, adolescents, and adults. We help clients navigate anxiety, depression, trauma, and stress-related challenges at work, school, and in relationships. You can expect a welcoming, client-centered environment focused on understanding your needs and providing effective, compassionate care. Taking the first step can be hard, but support is here when you're ready for it. If you'd like to learn more about our therapists, services, or how to get started, come check out our website for more information (see link on this website)!
We are a group counseling practice in Boyertown offering services for children, adolescents, and adults. We help clients navigate anxiety, depression, trauma, and stress-related challenges at work, school, and in relationships. You can expect a welcoming, client-centered environment focused on understanding your needs and providing effective, compassionate care. Taking the first step can be hard, but support is here when you're ready for it. If you'd like to learn more about our therapists, services, or how to get started, come check out our website for more information (see link on this website)!
(610) 595-4992 View (610) 595-4992
Photo of Lissa Elliott St. Clair, Licensed Professional Counselor, MS, LPC, CTRTC
Lissa Elliott St. Clair
Licensed Professional Counselor, MS, LPC, CTRTC
Serves Area
Have you been telling yourself it's time to call someone because you're feeling tense, anxious, or overwhelmed? Struggling to cope with a traumatic experience or painful past? Feeling numb & disconnected from your body? Or feel like you're on an emotional rollercoaster ride? If so, please call me and you can decide if I'm the one you're ready to call.
Have you been telling yourself it's time to call someone because you're feeling tense, anxious, or overwhelmed? Struggling to cope with a traumatic experience or painful past? Feeling numb & disconnected from your body? Or feel like you're on an emotional rollercoaster ride? If so, please call me and you can decide if I'm the one you're ready to call.
(484) 346-0627 View (484) 346-0627

More Therapists Nearby

Photo of Gwenn Prinbeck, Clinical Social Work/Therapist, LCSW, MS, MSS, PCC
Gwenn Prinbeck
Clinical Social Work/Therapist, LCSW, MS, MSS, PCC
5 Endorsed
Serves Area
Developing a contemplative and compassionate relationship with ourselves is fundamental to healing and well-being. Inequity, trauma and feeling alone or not understood can unsettle this fundamental relationship. What’s more, when we’re struggling to love ourselves, often we're also struggling in relationships with others. I offer therapeutic support drawing on a variety of approaches to promote a stronger sense of connection with self and others. I offer a safe and accepting space to all identities. I aim to be an actively engaged, warm, and a mindfully attuned collaborator in the therapeutic process.
Developing a contemplative and compassionate relationship with ourselves is fundamental to healing and well-being. Inequity, trauma and feeling alone or not understood can unsettle this fundamental relationship. What’s more, when we’re struggling to love ourselves, often we're also struggling in relationships with others. I offer therapeutic support drawing on a variety of approaches to promote a stronger sense of connection with self and others. I offer a safe and accepting space to all identities. I aim to be an actively engaged, warm, and a mindfully attuned collaborator in the therapeutic process.
(610) 890-8252 View (610) 890-8252
Photo of Valerie Morales-Kendrick, Clinical Social Work/Therapist, MSW, LCSW
Valerie Morales-Kendrick
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Bethlehem, PA 18018
Are you feeling lost? Do you feel as though you don't know what direction your life is taking you? Are you having trouble adjusting to change? Whatever may be going on in your life, I am here to work through those various issues with you. Together, we will re-direct your thinking towards a happier and brighter future. No matter the circumstance, it's never too late to change, and I am willing to help you take that first step.
Are you feeling lost? Do you feel as though you don't know what direction your life is taking you? Are you having trouble adjusting to change? Whatever may be going on in your life, I am here to work through those various issues with you. Together, we will re-direct your thinking towards a happier and brighter future. No matter the circumstance, it's never too late to change, and I am willing to help you take that first step.
(484) 935-3506 View (484) 935-3506
Photo of Greg D. Dreibelbis, Clinical Social Work/Therapist
Greg D. Dreibelbis
Clinical Social Work/Therapist
1 Endorsed
Denver, PA 17517
Do you often feel weighed down by feelings of anxiety, stress, trauma, or depression? Have you lost a sense of meaning and purpose in your life? Do you find it difficult to manage your relationships with your partner, friends, or family? Together, we will work on finding strategies and coping skills to help you manage your day-to-day life and help to make you and better you. I graduated from Kutztown University with a Bachelor's in Clinical Psychology and from Widener University with a Master of Social Work. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) and accepting clients seeking treatment for trauma.
Do you often feel weighed down by feelings of anxiety, stress, trauma, or depression? Have you lost a sense of meaning and purpose in your life? Do you find it difficult to manage your relationships with your partner, friends, or family? Together, we will work on finding strategies and coping skills to help you manage your day-to-day life and help to make you and better you. I graduated from Kutztown University with a Bachelor's in Clinical Psychology and from Widener University with a Master of Social Work. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) and accepting clients seeking treatment for trauma.
(717) 990-7642 View (717) 990-7642
Photo of Laura Chandler - Eagles Counseling , Licensed Professional Counselor, PhD, LPC, MA
Eagles Counseling
Licensed Professional Counselor, PhD, LPC, MA
1 Endorsed
Downingtown, PA 19335
Hi, I am Laura Chandler. I specialize in providing therapy to adults, children, and couples with mental health and neurodivergent challenges such as anxiety, depression, ADHD, trauma, bipolar disorder, psychotic disorders, self-harming, suicidal ideation, and co-occurring addiction issues. I believe in providing a high quality of care that you cannot find with other therapists. I believe in providing you with a safe space and meeting you where are at. I believe in not just treating the symptoms but getting to the root causes of your problems.
Hi, I am Laura Chandler. I specialize in providing therapy to adults, children, and couples with mental health and neurodivergent challenges such as anxiety, depression, ADHD, trauma, bipolar disorder, psychotic disorders, self-harming, suicidal ideation, and co-occurring addiction issues. I believe in providing a high quality of care that you cannot find with other therapists. I believe in providing you with a safe space and meeting you where are at. I believe in not just treating the symptoms but getting to the root causes of your problems.
(610) 535-7304 View (610) 535-7304
Photo of Kruti Quazi At Moodrx, Licensed Professional Counselor, MA, LPC, NCC, CCTP, C-DBT
Kruti Quazi At Moodrx
Licensed Professional Counselor, MA, LPC, NCC, CCTP, C-DBT
Malvern, PA 19355
I offer therapy for individuals 13+, couples, seniors, and families. If you're struggling with negative thinking patterns, relationship issues, parent/child issues, school related issues, anxiety, stress, or past trauma, know that you're not alone. I specialize in helping individuals who are navigating these difficulties and seeking a more fulfilling life. My personalized approach blends DBT, CBT, mindfulness, emotional understanding, and practical solutions to address the unique needs and goals of each client.
I offer therapy for individuals 13+, couples, seniors, and families. If you're struggling with negative thinking patterns, relationship issues, parent/child issues, school related issues, anxiety, stress, or past trauma, know that you're not alone. I specialize in helping individuals who are navigating these difficulties and seeking a more fulfilling life. My personalized approach blends DBT, CBT, mindfulness, emotional understanding, and practical solutions to address the unique needs and goals of each client.
(484) 260-0234 View (484) 260-0234
Photo of Kate Walsh, Licensed Professional Counselor, MEd, LPC
Kate Walsh
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Serves Area
Are you struggling to live your best life? Let's work together to help you find the person you want to be and become that truest version of yourself. Don't suffer alone any longer. I offer help in a compassionate non-judgmental environment. We can find a way through to a life that provides you with much more freedom to thrive.
Are you struggling to live your best life? Let's work together to help you find the person you want to be and become that truest version of yourself. Don't suffer alone any longer. I offer help in a compassionate non-judgmental environment. We can find a way through to a life that provides you with much more freedom to thrive.
(484) 742-3676 View (484) 742-3676
Photo of Rachel Little, Clinical Social Work/Therapist, MSW, LCSW
Rachel Little
Clinical Social Work/Therapist, MSW, LCSW
Breinigsville, PA 18031
Change is hard, in that it challenges us to be resilient. If you find yourself struggling with life stressors and the changes that we rarely see coming, I look forward to hearing your story. We'll work together to develop adaptive coping strategies that can help you through the most difficult of moments, and help you to build a vision of the life that you can picture yourself happy within.
Change is hard, in that it challenges us to be resilient. If you find yourself struggling with life stressors and the changes that we rarely see coming, I look forward to hearing your story. We'll work together to develop adaptive coping strategies that can help you through the most difficult of moments, and help you to build a vision of the life that you can picture yourself happy within.
(610) 421-1269 View (610) 421-1269
Photo of Heather Jacoby, Clinical Social Work/Therapist, LCSW
Heather Jacoby
Clinical Social Work/Therapist, LCSW
Serves Area
I am a Licensed Clinical Social Worker specializing in trauma, CPTSD, eating disorders, anxiety LGBTQIA, depression, mindfulness practices and work with neurodiverse and special needs individuals. I am also a yoga teacher and life long learner who believes healing is not linear but a unique journey for each individual.
I am a Licensed Clinical Social Worker specializing in trauma, CPTSD, eating disorders, anxiety LGBTQIA, depression, mindfulness practices and work with neurodiverse and special needs individuals. I am also a yoga teacher and life long learner who believes healing is not linear but a unique journey for each individual.
(610) 624-2070 View (610) 624-2070
Photo of Danielle Lusty - Thriveworks Counseling & Psychiatry Bethlehem, Counselor
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(610) 632-1031 View (610) 632-1031
Photo of Morgan Fallon, MA, Pre-LPC
Morgan Fallon
Verified Verified
1 Endorsed
Serves Area
Are you feeling overwhelmed, anxious, find yourself snapping over small things, withdrawing, or feel like you’re constantly on edge? As a parent, you love your children, but might also feel burnt out, guilty, or lost. You might wonder, “Why am I so angry? Why can't I just enjoy this?” You are not alone—and there is nothing wrong with you. I aim to help clients navigate the emotional rollercoaster of caregiving, identity shifts, and life transitions. Whether you're adjusting to new roles, juggling the demands of work-life balance, or feeling pressure to do it all, therapy can help you feel more grounded, present, and connected.
Are you feeling overwhelmed, anxious, find yourself snapping over small things, withdrawing, or feel like you’re constantly on edge? As a parent, you love your children, but might also feel burnt out, guilty, or lost. You might wonder, “Why am I so angry? Why can't I just enjoy this?” You are not alone—and there is nothing wrong with you. I aim to help clients navigate the emotional rollercoaster of caregiving, identity shifts, and life transitions. Whether you're adjusting to new roles, juggling the demands of work-life balance, or feeling pressure to do it all, therapy can help you feel more grounded, present, and connected.
(570) 682-5515 View (570) 682-5515
Photo of Mia-Megan Foo, Counselor, MA, LAPC
Mia-Megan Foo
Counselor, MA, LAPC
2 Endorsed
Serves Area
Whether you’re facing a major life transition—such as adjusting to a chronic illness, navigating cultural changes, or managing anxiety, depression, and self-esteem struggles, I aim to create a supportive, collaborative space where practical tools and compassion help clients feel grounded, empowered, and ready to move forward.
Whether you’re facing a major life transition—such as adjusting to a chronic illness, navigating cultural changes, or managing anxiety, depression, and self-esteem struggles, I aim to create a supportive, collaborative space where practical tools and compassion help clients feel grounded, empowered, and ready to move forward.
(717) 864-5223 View (717) 864-5223
Photo of Leslie Chellew, Clinical Social Work/Therapist, LCSW
Leslie Chellew
Clinical Social Work/Therapist, LCSW
2 Endorsed
Collegeville, PA 19426
Life can feel heavy when stress, difficult relationships, or past experiences begin to weigh you down. You might feel stuck in old patterns or overwhelmed by grief, even if you’re trying your best to keep everything together. I work with adults from all walks of life who are looking for a way to move past just "getting by." Whether you are navigating a major life change, managing daily anxiety, or healing from a difficult past, you don’t have to carry it alone. Together, we will look at what's holding you back and build a practical path forward—one that helps you regain clarity, confidence, and a sense of peace in your daily life.
Life can feel heavy when stress, difficult relationships, or past experiences begin to weigh you down. You might feel stuck in old patterns or overwhelmed by grief, even if you’re trying your best to keep everything together. I work with adults from all walks of life who are looking for a way to move past just "getting by." Whether you are navigating a major life change, managing daily anxiety, or healing from a difficult past, you don’t have to carry it alone. Together, we will look at what's holding you back and build a practical path forward—one that helps you regain clarity, confidence, and a sense of peace in your daily life.
(484) 394-8238 View (484) 394-8238
Photo of Sandra Klos, Psychologist, PhD
Sandra Klos
Psychologist, PhD
Paoli, PA 19301
Working with anxious children, from preschool to middle school ages, has been my particular specialty (and joy) in a long career on the Main Line. I work with parents and children together in a behavioral framework to set goals and achieve them. Kids learn how to manage their anxiety and control their anxious thoughts, giving them skills for the rest of their lives. I use EMDR to address trauma and resolve past problems, and to give insight into present ones. My work tends to be short term, with progress shown in a relatively short time. Behavior management and learning difficulties are other specialties.
Working with anxious children, from preschool to middle school ages, has been my particular specialty (and joy) in a long career on the Main Line. I work with parents and children together in a behavioral framework to set goals and achieve them. Kids learn how to manage their anxiety and control their anxious thoughts, giving them skills for the rest of their lives. I use EMDR to address trauma and resolve past problems, and to give insight into present ones. My work tends to be short term, with progress shown in a relatively short time. Behavior management and learning difficulties are other specialties.
(484) 255-8311 View (484) 255-8311
Photo of Kristina Peary, Licensed Professional Counselor, MS, LPC, NBCC, LMT
Kristina Peary
Licensed Professional Counselor, MS, LPC, NBCC, LMT
Serves Area
Are you needing change but find yourself experiencing the same painful things? Maybe you live in a body or in systems that are depressed, anxious, traumatized, addicted or ill. I can help you address the patterns holding you back and grow a peaceful & strong relationship with yourself so you can take on the challenges and enjoy life more. Interventions for body, mind, your stronger presence and compassion include somatic regulation, IFS therapy & EMDR and KAP: Ketamine Assisted Psychotherapy and Heartmath Biofeedback. Let's help you become a person you want to spend the rest of your life with.
Are you needing change but find yourself experiencing the same painful things? Maybe you live in a body or in systems that are depressed, anxious, traumatized, addicted or ill. I can help you address the patterns holding you back and grow a peaceful & strong relationship with yourself so you can take on the challenges and enjoy life more. Interventions for body, mind, your stronger presence and compassion include somatic regulation, IFS therapy & EMDR and KAP: Ketamine Assisted Psychotherapy and Heartmath Biofeedback. Let's help you become a person you want to spend the rest of your life with.
(272) 435-8166 View (272) 435-8166
Photo of Aimee Stiefel, Licensed Professional Counselor, MA, LPC, LCMHC, NCC
Aimee Stiefel
Licensed Professional Counselor, MA, LPC, LCMHC, NCC
Serves Area
Do you feel mentally drained and long for calm and clarity? Struggling with anxiety, Adult ADHD, depression or relationships? Getting older and anxious about what the next phase of life looks like? Are you now in the care-taking role for a parent? I blend evidence-based strategies with a laid-back, empathetic approach. Together we work to improve your mental health and emotional well-being. Seeking support is a courageous first step. I’m currently accepting new clients for in‑person or virtual sessions in West Chester, PA and virtually in NC. Schedule directly on our website, just click on our client portal or call our office today.
Do you feel mentally drained and long for calm and clarity? Struggling with anxiety, Adult ADHD, depression or relationships? Getting older and anxious about what the next phase of life looks like? Are you now in the care-taking role for a parent? I blend evidence-based strategies with a laid-back, empathetic approach. Together we work to improve your mental health and emotional well-being. Seeking support is a courageous first step. I’m currently accepting new clients for in‑person or virtual sessions in West Chester, PA and virtually in NC. Schedule directly on our website, just click on our client portal or call our office today.
(484) 218-0571 View (484) 218-0571
Photo of Evelyn Lopez-Parciak, Licensed Professional Counselor, LPC, NCC
Evelyn Lopez-Parciak
Licensed Professional Counselor, LPC, NCC
Serves Area
Many people come to therapy feeling stuck in patterns that feel hard to change or weighed down by emotions that don’t always make sense. You don’t have to figure it all out on your own. My role is to help you gently unpack what feels overwhelming, confusing, or messy, and to make sense of it together. In my practice, I enjoy working with adolescents and emerging adults as they navigate challenges in school, college, and the transition into the working world. I also support individuals dealing with body image concerns and eating disorders, family conflict, anxiety, and addiction.
Many people come to therapy feeling stuck in patterns that feel hard to change or weighed down by emotions that don’t always make sense. You don’t have to figure it all out on your own. My role is to help you gently unpack what feels overwhelming, confusing, or messy, and to make sense of it together. In my practice, I enjoy working with adolescents and emerging adults as they navigate challenges in school, college, and the transition into the working world. I also support individuals dealing with body image concerns and eating disorders, family conflict, anxiety, and addiction.
(267) 380-2738 View (267) 380-2738
Photo of Jonathan Bittner, MS, LAPC, CTP
Jonathan Bittner
Verified Verified
2 Endorsed
Serves Area
Many of the people I work with feel stuck in survival mode. You may find yourself constantly on edge, unable to relax, replaying difficult experiences, or feeling emotionally disconnected from others. These reactions are common for individuals who have experienced trauma or prolonged stress. I specialize in working with veterans, first responders, and individuals recovering from traumatic experiences. Many of my clients struggle with PTSD, hypervigilance, chronic stress, or difficulty feeling safe and grounded again.
Many of the people I work with feel stuck in survival mode. You may find yourself constantly on edge, unable to relax, replaying difficult experiences, or feeling emotionally disconnected from others. These reactions are common for individuals who have experienced trauma or prolonged stress. I specialize in working with veterans, first responders, and individuals recovering from traumatic experiences. Many of my clients struggle with PTSD, hypervigilance, chronic stress, or difficulty feeling safe and grounded again.
(484) 214-2301 View (484) 214-2301

See more therapy options for 19547

How does your Therapist compare?

Number of Therapists in 19547

< 10

Therapists in 19547 who prioritize treating:

100% Depression
100% Anxiety
67% Child
67% Trauma and PTSD
67% Divorce
67% Self Esteem
67% Women's Issues

Average years in practice

22 Years

Top 3 insurances accepted

100% Aetna
100% Optum
50% AmeriHealth

How Therapists in 19547 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 19547?

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.