Therapists in 44053

Photo of Yasmeen Prince, Clinical Social Work/Therapist, MSW, LSW
Yasmeen Prince
Clinical Social Work/Therapist, MSW, LSW
Lorain, OH 44053
Are you ready to make a life changing decision? Have you been silently battling depression, anxiety, or unresolved trauma that continues to weigh on you? Are you tired of just merely existing as you navigate everyday life feeling alone and misunderstood? Have you tried almost everything to deal with the pain and disappointment of yourself and others? You are probably wondering if therapy is even worth it, and it is because you absolutely matter and deserve happiness. You don't have to go through this alone, let me walk alongside you with compassion and guidance as you begin your journey toward healing and a more fulfilling life.
Are you ready to make a life changing decision? Have you been silently battling depression, anxiety, or unresolved trauma that continues to weigh on you? Are you tired of just merely existing as you navigate everyday life feeling alone and misunderstood? Have you tried almost everything to deal with the pain and disappointment of yourself and others? You are probably wondering if therapy is even worth it, and it is because you absolutely matter and deserve happiness. You don't have to go through this alone, let me walk alongside you with compassion and guidance as you begin your journey toward healing and a more fulfilling life.
(440) 597-3086 View (440) 597-3086
Photo of Kelsey Ardner, Licensed Social Worker, LSW
Kelsey Ardner
Licensed Social Worker, LSW
3 Endorsed
Lorain, OH 44053
“Healing doesn’t mean that the damage never existed. It means the damage no longer controls your life.” (Akshay Dubey) A safe space is a healing space, and growth happens when you feel right at home. Kelsey Ardner is passionate about cultivating this safety with her clients through an open, trusted relationship that builds one step at a time. As a driven, empathetic, and committed provider, Kelsey will always go the extra mile for her clients, providing them with the support, advocacy and empowerment they need on their journey of lasting change.
“Healing doesn’t mean that the damage never existed. It means the damage no longer controls your life.” (Akshay Dubey) A safe space is a healing space, and growth happens when you feel right at home. Kelsey Ardner is passionate about cultivating this safety with her clients through an open, trusted relationship that builds one step at a time. As a driven, empathetic, and committed provider, Kelsey will always go the extra mile for her clients, providing them with the support, advocacy and empowerment they need on their journey of lasting change.
(440) 280-1287 View (440) 280-1287
Photo of Beth Logan, Licensed Professional Clinical Counselor, MEd, LPCC
Beth Logan
Licensed Professional Clinical Counselor, MEd, LPCC
Lorain, OH 44053
Are you seeking a safe place to feel heard, explore who you are, and grow into who you want to be? Working together, we can navigate life's big and small moments, build confidence, and improve daily functioning - because you are more than just a diagnosis, and you deserve to feel well. No matter what phase of life, recovery, or identity you find yourself in, I look forward to helping you work on what's most important to you. Supportive of disability, race, identity, and sexuality.
Are you seeking a safe place to feel heard, explore who you are, and grow into who you want to be? Working together, we can navigate life's big and small moments, build confidence, and improve daily functioning - because you are more than just a diagnosis, and you deserve to feel well. No matter what phase of life, recovery, or identity you find yourself in, I look forward to helping you work on what's most important to you. Supportive of disability, race, identity, and sexuality.
(440) 616-7822 View (440) 616-7822
Photo of Jessica Micheletti, Licensed Social Worker, LSW
Jessica Micheletti
Licensed Social Worker, LSW
Lorain, OH 44053
Everything can be taken from a person but one thing: the freedom to choose one's attitude in any circumstance (Viktor Frankl). Jessica is a warm, collaborative social worker who believes healing happens through connection. She offers a compassionate, judgment-free space for clients navigating anxiety, trauma, grief, neurodivergence, relationship difficulties, health-related stress, caregiver stress, self-esteem concerns, and major life transitions.
Everything can be taken from a person but one thing: the freedom to choose one's attitude in any circumstance (Viktor Frankl). Jessica is a warm, collaborative social worker who believes healing happens through connection. She offers a compassionate, judgment-free space for clients navigating anxiety, trauma, grief, neurodivergence, relationship difficulties, health-related stress, caregiver stress, self-esteem concerns, and major life transitions.
(440) 261-5293 View (440) 261-5293
Photo of Melissa Counts, Clinical Social Work/Therapist, MSW, LISW
Melissa Counts
Clinical Social Work/Therapist, MSW, LISW
2 Endorsed
Lorain, OH 44053
Therapy offers a supportive, nonjudgmental space for healing, growth, and self-discovery. I take a relational, trauma-informed, and culturally sensitive approach because trust and connection are key to meaningful change. As a certified EMDR therapist trained in the Flash technique, I often integrate mindfulness and awareness of how the body responds to stress. My background spans victim advocacy, community mental health, and college counseling, with extensive experience helping trauma survivors, first responders, and those managing anxiety, depression, or grief.
Therapy offers a supportive, nonjudgmental space for healing, growth, and self-discovery. I take a relational, trauma-informed, and culturally sensitive approach because trust and connection are key to meaningful change. As a certified EMDR therapist trained in the Flash technique, I often integrate mindfulness and awareness of how the body responds to stress. My background spans victim advocacy, community mental health, and college counseling, with extensive experience helping trauma survivors, first responders, and those managing anxiety, depression, or grief.
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Photo of Edward Magistie - Allied Behavioral Health Services, Clinical Social Work/Therapist, LSW
Allied Behavioral Health Services
Clinical Social Work/Therapist, LSW
Lorain, OH 44053
Accessible Care: Allied Behavioral Health Services, Incorporated offers day, evening, and weekend appointments. Our experienced staff is comprised of clinicians who have broad and varied expertise in treating a full range of mental health and substance abuse problems, and working with diverse populations of clients.
Accessible Care: Allied Behavioral Health Services, Incorporated offers day, evening, and weekend appointments. Our experienced staff is comprised of clinicians who have broad and varied expertise in treating a full range of mental health and substance abuse problems, and working with diverse populations of clients.
(440) 372-8655 View (440) 372-8655
Photo of Jeffrey S Berman, Clinical Social Work/Therapist, MEd, MSW, LISW-S
Jeffrey S Berman
Clinical Social Work/Therapist, MEd, MSW, LISW-S
Lorain, OH 44053
I received a Master of Social Work from Tulane University, a Master of Education in Curriculum and Instruction from the University of New Orleans, and a Bachelor of Arts degree in English Writing Arts from State University of New York at Oswego. I have worked in both community-based mental health as well as private practice. Before counseling, I taught in schools in New Orleans and Boston, working with students with disabilities. I am located in Ohio and am also licensed to practice virtually in Florida.
I received a Master of Social Work from Tulane University, a Master of Education in Curriculum and Instruction from the University of New Orleans, and a Bachelor of Arts degree in English Writing Arts from State University of New York at Oswego. I have worked in both community-based mental health as well as private practice. Before counseling, I taught in schools in New Orleans and Boston, working with students with disabilities. I am located in Ohio and am also licensed to practice virtually in Florida.
(216) 910-5179 View (216) 910-5179
Photo of Kristen Ashenbach, Counselor, LPCC
Kristen Ashenbach
Counselor, LPCC
1 Endorsed
Lorain, OH 44053
“What we call human nature in actuality is human habit.” —Jewel. Our lives are a summation of moment to moment decisions. As such, they can become slightly to severely complicated. I specialize in EMDR work but take a holistic approach to ensure my clients are “living their best life” by making great choices to thrive and become autonomous in their own lives. Sometimes mental health problems are merely just bad choices problems. I strive to help clients "get out of their own way" and make choices most conducive to allowing the human experience heal and progress, by re-aligning with nature via lifestyle choices!
“What we call human nature in actuality is human habit.” —Jewel. Our lives are a summation of moment to moment decisions. As such, they can become slightly to severely complicated. I specialize in EMDR work but take a holistic approach to ensure my clients are “living their best life” by making great choices to thrive and become autonomous in their own lives. Sometimes mental health problems are merely just bad choices problems. I strive to help clients "get out of their own way" and make choices most conducive to allowing the human experience heal and progress, by re-aligning with nature via lifestyle choices!
(440) 271-3740 View (440) 271-3740
Photo of Felicia Densmore, Licensed Social Worker, MSW, LSW
Felicia Densmore
Licensed Social Worker, MSW, LSW
1 Endorsed
Serves Area
Hello, my name is Felicia Densmore, MSW, LSW, and I am a Behavioral Health Therapist at Lorain County Health & Dentistry, a community health center serving individuals and families across Lorain County. I work with children, adolescents, and adults (ages 7–50) who are navigating Attention-Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Post-Traumatic Stress Disorder (PTSD), anxiety, depression, and related challenges. I have a strong focus on supporting individuals with ADHD and ASD, including those experiencing co-occurring concerns.
Hello, my name is Felicia Densmore, MSW, LSW, and I am a Behavioral Health Therapist at Lorain County Health & Dentistry, a community health center serving individuals and families across Lorain County. I work with children, adolescents, and adults (ages 7–50) who are navigating Attention-Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Post-Traumatic Stress Disorder (PTSD), anxiety, depression, and related challenges. I have a strong focus on supporting individuals with ADHD and ASD, including those experiencing co-occurring concerns.
(440) 577-5442 View (440) 577-5442
Photo of Avril Charlette Sargeant - Restored Minds, Counselor, MA, LPCC-S
Restored Minds
Counselor, MA, LPCC-S
Serves Area
We are a diverse group of clinicians with a wide variety of specialties. We are accepting new clients at this time! Our multicultural approach allows our clinicians to understand various backgrounds, beliefs and attitudes. Our focus is healing and helping individuals on there mental wellness journey and reaching their personal goals.
We are a diverse group of clinicians with a wide variety of specialties. We are accepting new clients at this time! Our multicultural approach allows our clinicians to understand various backgrounds, beliefs and attitudes. Our focus is healing and helping individuals on there mental wellness journey and reaching their personal goals.
(216) 616-8296 View (216) 616-8296
Photo of Ethan Lindell Kiser, Counselor, LPCC
Ethan Lindell Kiser
Counselor, LPCC
1 Endorsed
Serves Area
Feeling overwhelmed by anxiety, depression, trauma, or a major life change? You don’t have to figure it out on your own. I work with adolescents and adults who are ready for a supportive space to process what they’re going through and start feeling more grounded and in control. I use evidence-based approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based strategies. Together, we’ll identify patterns that may be keeping you stuck and build practical tools to help you manage emotions, cope with stress, and move forward with confidence.
Feeling overwhelmed by anxiety, depression, trauma, or a major life change? You don’t have to figure it out on your own. I work with adolescents and adults who are ready for a supportive space to process what they’re going through and start feeling more grounded and in control. I use evidence-based approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based strategies. Together, we’ll identify patterns that may be keeping you stuck and build practical tools to help you manage emotions, cope with stress, and move forward with confidence.
(440) 276-4034 View (440) 276-4034
Photo of Ava Spataro, Counselor, LPCC
Ava Spataro
Counselor, LPCC
3 Endorsed
Serves Area
Hi, I am so glad you are here! Life can feel busy, overwhelming, and ever-changing. When we do not pause to connect with our minds, bodies, and spirits along the way, it is easy to feel burnt out, resentful, or disconnected from the more meaningful and colorful parts of life. My goal as a clinician is to help you take time for yourself to slow down, regulate your nervous system, and begin to notice the light around you again. I believe this kind of growth happens when we create space to process life experiences, set goals for meaningful change, and give ourselves permission to receive support.
Hi, I am so glad you are here! Life can feel busy, overwhelming, and ever-changing. When we do not pause to connect with our minds, bodies, and spirits along the way, it is easy to feel burnt out, resentful, or disconnected from the more meaningful and colorful parts of life. My goal as a clinician is to help you take time for yourself to slow down, regulate your nervous system, and begin to notice the light around you again. I believe this kind of growth happens when we create space to process life experiences, set goals for meaningful change, and give ourselves permission to receive support.
(440) 732-4355 View (440) 732-4355
Photo of Oswaldo Jose Perez, Counselor, MS, LMHC, QS
Oswaldo Jose Perez
Counselor, MS, LMHC, QS
Serves Area
My ideal client is someone who feels overwhelmed by emotional challenges but is willing to seek support and work toward change. They may struggle with anxiety, depression, addiction, mood instability, or relationship difficulties. Many feel stuck, discouraged, or uncertain about their direction in life, yet they still have the desire to improve their well-being. These individuals often need a safe, supportive, and nonjudgmental environment where they can openly explore their thoughts, emotions, and behaviors. They are looking for practical tools to better understand themselves, manage stress, and develop healthier coping strategies
My ideal client is someone who feels overwhelmed by emotional challenges but is willing to seek support and work toward change. They may struggle with anxiety, depression, addiction, mood instability, or relationship difficulties. Many feel stuck, discouraged, or uncertain about their direction in life, yet they still have the desire to improve their well-being. These individuals often need a safe, supportive, and nonjudgmental environment where they can openly explore their thoughts, emotions, and behaviors. They are looking for practical tools to better understand themselves, manage stress, and develop healthier coping strategies
(407) 606-7750 View (407) 606-7750
Photo of Laura Wheeler, Marriage & Family Therapist, MA Ed, LPCC-S, IMFT-S
Laura Wheeler
Marriage & Family Therapist, MA Ed, LPCC-S, IMFT-S
Serves Area
Do you feel stuck—emotionally drained, anxious, or caught in patterns you can’t seem to break? Maybe you’re grieving a loss, struggling in your relationship, or feeling overwhelmed by family stress. I work with individuals and couples who want help understanding what’s really going on beneath the surface and finding steadier, healthier ways to cope and connect. Therapy with me is a calm, supportive space where you can speak openly, feel understood, and begin making meaningful changes. I offer individual and couples counseling in a quiet, private setting. My work is collaborative, nonjudgmental, and grounded in respect for each per
Do you feel stuck—emotionally drained, anxious, or caught in patterns you can’t seem to break? Maybe you’re grieving a loss, struggling in your relationship, or feeling overwhelmed by family stress. I work with individuals and couples who want help understanding what’s really going on beneath the surface and finding steadier, healthier ways to cope and connect. Therapy with me is a calm, supportive space where you can speak openly, feel understood, and begin making meaningful changes. I offer individual and couples counseling in a quiet, private setting. My work is collaborative, nonjudgmental, and grounded in respect for each per
(440) 485-3591 View (440) 485-3591
Photo of Nicole Holt, Counselor, MA, LPCC-S, CDCA
Nicole Holt
Counselor, MA, LPCC-S, CDCA
1 Endorsed
Serves Area
I am a Licensed Professional Clinical Counselor with experience in community mental health and Christian private practice settings. My lived experiences, identity as a follower of Christ, and training in clinical mental health counseling have well prepared me to provide therapeutic support to you from a compassionate, client-centered lens. I strive to provide warm, holistic, and empathetic support to clients through life's many challenges. Outside of work, you can find me spending time with my family, gardening, hanging out with my Springer Spaniels, or reading a good book.
I am a Licensed Professional Clinical Counselor with experience in community mental health and Christian private practice settings. My lived experiences, identity as a follower of Christ, and training in clinical mental health counseling have well prepared me to provide therapeutic support to you from a compassionate, client-centered lens. I strive to provide warm, holistic, and empathetic support to clients through life's many challenges. Outside of work, you can find me spending time with my family, gardening, hanging out with my Springer Spaniels, or reading a good book.
(440) 664-1869 View (440) 664-1869
Photo of Nicole Horn, Licensed Professional Clinical Counselor, LPCC
Nicole Horn
Licensed Professional Clinical Counselor, LPCC
1 Endorsed
Serves Area
Waitlist for new clients
Seeking support for your mental health or daily stressors can feel hard and vulnerable. I work to try to make this process as comfortable for you as possible through accommodations, empathy and building trust. I specialize in working with anxiety, ADHD, CPTSD/PTSD, autism and LGBTQ+ populations. I have extensive experience in trauma based work, specializing in anxiety, PTSD/trauma, life transitions, and depression. I am highly successful in working with individuals on emotional regulation, self esteem, boundary setting, executive functioning skills related to ADHD/Autism and relational issues.
Seeking support for your mental health or daily stressors can feel hard and vulnerable. I work to try to make this process as comfortable for you as possible through accommodations, empathy and building trust. I specialize in working with anxiety, ADHD, CPTSD/PTSD, autism and LGBTQ+ populations. I have extensive experience in trauma based work, specializing in anxiety, PTSD/trauma, life transitions, and depression. I am highly successful in working with individuals on emotional regulation, self esteem, boundary setting, executive functioning skills related to ADHD/Autism and relational issues.
(440) 613-8084 View (440) 613-8084
Photo of Andrea D Turner, Licensed Professional Clinical Counselor, M.A.Ed, LPCC-S
Andrea D Turner
Licensed Professional Clinical Counselor, M.A.Ed, LPCC-S
Online Only
Welcome—I'm so glad you're here. My name is Andrea Turner, and I am a Licensed Professional Clinical Counselor with Supervisor designation (LPCC-S) with over 10+ years of combined experience supporting individuals through life’s most difficult and transformative moments. I founded Intentional Footsteps LLC with one purpose in mind: to create a safe, empowering space where healing begins and growth is intentional.
Welcome—I'm so glad you're here. My name is Andrea Turner, and I am a Licensed Professional Clinical Counselor with Supervisor designation (LPCC-S) with over 10+ years of combined experience supporting individuals through life’s most difficult and transformative moments. I founded Intentional Footsteps LLC with one purpose in mind: to create a safe, empowering space where healing begins and growth is intentional.
(440) 396-5409 View (440) 396-5409
Photo of Tasha Ford, Clinical Social Work/Therapist, LISW
Tasha Ford
Clinical Social Work/Therapist, LISW
Online Only
Greetings and thank you for stopping to review my profile. Let me first say that it takes moxie to decide to connect with someone for support. Congratulations on your decision to take this first step into your wellness. I am a Psychotherapist (LISW-S ), Certified as an Aromatherapist, Mindfulness & Meditation Instructor and Integrative Mental Health Professional and I have worked in my field for over 20 years, 15 as a licensed professional.
Greetings and thank you for stopping to review my profile. Let me first say that it takes moxie to decide to connect with someone for support. Congratulations on your decision to take this first step into your wellness. I am a Psychotherapist (LISW-S ), Certified as an Aromatherapist, Mindfulness & Meditation Instructor and Integrative Mental Health Professional and I have worked in my field for over 20 years, 15 as a licensed professional.
(440) 493-1256 View (440) 493-1256
Photo of Michael A Wyant, Clinical Social Work/Therapist, MSW, LISW, LICDC
Michael A Wyant
Clinical Social Work/Therapist, MSW, LISW, LICDC
Online Only
I'm a Licensed Independent Social Worker with over 10 years of experience helping adults work through some of life's hardest moments — from anxiety and depression to substance use, relationship strain, and the stress that builds up when life feels out of control. I earned my Master's in Social Work from the University of Akron and have spent my career in behavioral health learning what actually moves the needle for people. My approach is practical, honest, and built around your real life — not a textbook.
I'm a Licensed Independent Social Worker with over 10 years of experience helping adults work through some of life's hardest moments — from anxiety and depression to substance use, relationship strain, and the stress that builds up when life feels out of control. I earned my Master's in Social Work from the University of Akron and have spent my career in behavioral health learning what actually moves the needle for people. My approach is practical, honest, and built around your real life — not a textbook.
(440) 643-4710 View (440) 643-4710
Photo of Demetria L Lee, Clinical Social Work/Therapist, MSW, LSW
Demetria L Lee
Clinical Social Work/Therapist, MSW, LSW
Online Only
You are not alone in your struggles. Whether you’re a young person navigating life’s uncertainties, a woman balancing responsibilities while managing anxiety or depression, or a family working through transitions, I see you. You may be feeling overwhelmed, stuck, or unsure of how to move forward—but healing is possible.
You are not alone in your struggles. Whether you’re a young person navigating life’s uncertainties, a woman balancing responsibilities while managing anxiety or depression, or a family working through transitions, I see you. You may be feeling overwhelmed, stuck, or unsure of how to move forward—but healing is possible.
(440) 305-5275 View (440) 305-5275

See more therapy options for 44053

How does your Therapist compare?

Number of Therapists in 44053

20+

Average cost per session

$125

Therapists in 44053 who prioritize treating:

100% Depression
100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
91% Trauma and PTSD
91% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
80% Cigna and Evernorth
80% Anthem

How Therapists in 44053 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 44053?

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.