Therapists in 44080

Photo of Dr. Marsha E Ferrick - Marsha E Ferrick, PhD, BCC, Psychologist, PhD, BCC
Marsha E Ferrick, PhD, BCC
Psychologist, PhD, BCC
Online Only
This is your journey. I work within a clinical framework that I hold lightly to support the process, always considering whether this is the right level of care for you. Together we explore what skills may be missing or have been forgotten, what unprocessed experiences or trauma may still be influencing your life, and what you want your life to look like moving forward. You should know that I am validating, honest, and sometimes a bit irreverent. My clients and I often laugh and cry together. I support your growth and your journey—not my own agenda. My hope is that when you leave therapy, you trust your own knowing. no one else's.
This is your journey. I work within a clinical framework that I hold lightly to support the process, always considering whether this is the right level of care for you. Together we explore what skills may be missing or have been forgotten, what unprocessed experiences or trauma may still be influencing your life, and what you want your life to look like moving forward. You should know that I am validating, honest, and sometimes a bit irreverent. My clients and I often laugh and cry together. I support your growth and your journey—not my own agenda. My hope is that when you leave therapy, you trust your own knowing. no one else's.
(928) 437-1932 View (928) 437-1932

More Therapists Nearby

Photo of Yvette Suzanne Williams - Yvette The Coach M.A., CMLC | Narcissistic Abuse , MA, CMLC, CDC, CHC
Narcissistic emotional abuse, high conflict, & IPV! Dealing with an abusive, hostile, high conflict personality, high-profile professional, threatening the entire ecological system of yr life? Your partner, spouse, boss, co-worker, family member? Putting you down &/or threatening you & in the next breath telling you how much they love you? Are you drained, devalued, debilitated to exhaustion? Trivial demands? Isolation? Smothered? Hair falling out? Adrenals pumping? Are you denied sleep? Devouring yr will is what the abuser wants so they can control. You must not have any space or feel emotion in the relationship: especially anger.
Narcissistic emotional abuse, high conflict, & IPV! Dealing with an abusive, hostile, high conflict personality, high-profile professional, threatening the entire ecological system of yr life? Your partner, spouse, boss, co-worker, family member? Putting you down &/or threatening you & in the next breath telling you how much they love you? Are you drained, devalued, debilitated to exhaustion? Trivial demands? Isolation? Smothered? Hair falling out? Adrenals pumping? Are you denied sleep? Devouring yr will is what the abuser wants so they can control. You must not have any space or feel emotion in the relationship: especially anger.
(216) 284-6178 View (216) 284-6178
Photo of Kendra Kay Esser, Clinical Social Work/Therapist, LISW
Kendra Kay Esser
Clinical Social Work/Therapist, LISW
1 Endorsed
Richmond Heights, OH 44143
I believe the therapeutic relationship is at the heart of a successful therapy experience. It is my sincere desire to support you to uncover and manifest your potential and empower you to learn the skills to take action to bring about a positive change in your life. My intention is to really listen to what is troubling you and offer you honest guidance to help you find the most growthful path through to the resolution you are seeking. I believe there is a deeper/higher meaning behind any issue facing you and will assist you to find this New Perspective.
I believe the therapeutic relationship is at the heart of a successful therapy experience. It is my sincere desire to support you to uncover and manifest your potential and empower you to learn the skills to take action to bring about a positive change in your life. My intention is to really listen to what is troubling you and offer you honest guidance to help you find the most growthful path through to the resolution you are seeking. I believe there is a deeper/higher meaning behind any issue facing you and will assist you to find this New Perspective.
(216) 452-8464 x1 View (216) 452-8464 x1
Photo of Jordan Leigh Rhodes, Clinical Social Work/Therapist, MSW , LISW-S
Jordan Leigh Rhodes
Clinical Social Work/Therapist, MSW , LISW-S
Serves Area
A therapy journey starts with you. I listen to tailor our work to your needs. I find it can be beneficial to explore root causes and challenges that create current behavior patterns. Our behaviors and reactions typically meet one of our needs- even if that strategy is no longer a healthy outlet for us. By utilizing an integrative approach, psychodynamic to examine interpersonal relationships, psychoanalytic &, solution focused and the classic cognitive behavioral therapy; I create a pathway for our work together. Therapy is not a “one size fits all” solution. I utilize everything in my mental health toolbox to benefit my clients.
A therapy journey starts with you. I listen to tailor our work to your needs. I find it can be beneficial to explore root causes and challenges that create current behavior patterns. Our behaviors and reactions typically meet one of our needs- even if that strategy is no longer a healthy outlet for us. By utilizing an integrative approach, psychodynamic to examine interpersonal relationships, psychoanalytic &, solution focused and the classic cognitive behavioral therapy; I create a pathway for our work together. Therapy is not a “one size fits all” solution. I utilize everything in my mental health toolbox to benefit my clients.
(330) 597-8858 View (330) 597-8858
Photo of Jessica M Wiener - Jessica Wiener, Counselor, MEd, LPCC-S, PhD
Jessica Wiener
Counselor, MEd, LPCC-S, PhD
10 Endorsed
Mentor, OH 44060
Now accepting new clients! No longer a wait list. I believe therapy should be tailored to each client because everyone has different needs. It's exciting to get to know each client and how I can be of help to them. I enjoy working with clients of all ages, and have a special interest in women's issues, young adults and couples. I have experience treating a variety of issues, including anxiety, depression, OCD, postpartum depression, and relationship issues. I am committed to upholding the highest ethical and legal standards, as well as participating in professional development to keep up-to-date with the best practices in the field of mental health counseling.
Now accepting new clients! No longer a wait list. I believe therapy should be tailored to each client because everyone has different needs. It's exciting to get to know each client and how I can be of help to them. I enjoy working with clients of all ages, and have a special interest in women's issues, young adults and couples. I have experience treating a variety of issues, including anxiety, depression, OCD, postpartum depression, and relationship issues. I am committed to upholding the highest ethical and legal standards, as well as participating in professional development to keep up-to-date with the best practices in the field of mental health counseling.
(440) 328-4415 View (440) 328-4415
Photo of Christina Vaclav, Licensed Professional Counselor, LPC
Christina Vaclav
Licensed Professional Counselor, LPC
Serves Area
Whether you’re struggling with anxiety, depression, trauma, or navigating big life changes, I offer a compassionate, non-judgmental space where you can feel comfortable being yourself, heard, and supported. Everyone’s journey is unique, so I tailor my approach to fit your needs and goals. I’m here to help you feel more in control of your story and confident about your future.
Whether you’re struggling with anxiety, depression, trauma, or navigating big life changes, I offer a compassionate, non-judgmental space where you can feel comfortable being yourself, heard, and supported. Everyone’s journey is unique, so I tailor my approach to fit your needs and goals. I’m here to help you feel more in control of your story and confident about your future.
(330) 661-1623 View (330) 661-1623
Photo of Bonnie Miller Ladds, Clinical Social Work/Therapist, LISW, LCSW, CDC
Bonnie Miller Ladds
Clinical Social Work/Therapist, LISW, LCSW, CDC
2 Endorsed
Chagrin Falls, OH 44023
Are you feeling overwhelmed? Afraid of the future? Are you stuck or spinning? Don't know what to do first? You don't need to go at it alone. Please don't. I get it, all the fears, but more importantly, the hope. Get support from a qualified, experienced professional and gain the confidence and ability to handle the complex decisions in your life. Welcome to Focus Forward Therapy & Coaching.
Are you feeling overwhelmed? Afraid of the future? Are you stuck or spinning? Don't know what to do first? You don't need to go at it alone. Please don't. I get it, all the fears, but more importantly, the hope. Get support from a qualified, experienced professional and gain the confidence and ability to handle the complex decisions in your life. Welcome to Focus Forward Therapy & Coaching.
(888) 320-2522 View (888) 320-2522
Photo of Sarah Chessar-Tirpak, Psychologist, PsyD
Sarah Chessar-Tirpak
Psychologist, PsyD
Hudson, OH 44236
Have you ever found your child or yourself saying “It’s okay; I’ll be fine” when it actually isn’t okay and it is far from fine? Does anxiety or depression get in the way of accomplishing goals or make you second-guess everything? Let’s talk. It doesn’t have to be this hard and you don’t have to go it alone. I help clients go from stuck and struggling to secure and thriving. I work with clients from middle school to mid-life, predominantly addressing anxiety and depression. I have interests in perfectionism, test anxiety, ADHD, and school-related concerns for K-12 as well as college students. I am available for ADHD assessments.
Have you ever found your child or yourself saying “It’s okay; I’ll be fine” when it actually isn’t okay and it is far from fine? Does anxiety or depression get in the way of accomplishing goals or make you second-guess everything? Let’s talk. It doesn’t have to be this hard and you don’t have to go it alone. I help clients go from stuck and struggling to secure and thriving. I work with clients from middle school to mid-life, predominantly addressing anxiety and depression. I have interests in perfectionism, test anxiety, ADHD, and school-related concerns for K-12 as well as college students. I am available for ADHD assessments.
(330) 525-2228 View (330) 525-2228
Photo of Bethany Rose Ghattas, Licensed Professional Clinical Counselor, MEd, LPCC
Bethany Rose Ghattas
Licensed Professional Clinical Counselor, MEd, LPCC
1 Endorsed
Beachwood, OH 44122
Many people come to therapy feeling overwhelmed, stuck, or exhausted from carrying burdens on their own for far too long. I work with adults and older adolescents experiencing anxiety, depression, OCD, trauma, relationship difficulties, life transitions, low self-esteem, and challenges related to identity and belonging. Many of my clients have spent years prioritizing the needs of others, navigating unhealthy relationship patterns, or struggling to understand the impact that past experiences continue to have on their present lives.
Many people come to therapy feeling overwhelmed, stuck, or exhausted from carrying burdens on their own for far too long. I work with adults and older adolescents experiencing anxiety, depression, OCD, trauma, relationship difficulties, life transitions, low self-esteem, and challenges related to identity and belonging. Many of my clients have spent years prioritizing the needs of others, navigating unhealthy relationship patterns, or struggling to understand the impact that past experiences continue to have on their present lives.
(216) 584-9441 x1 View (216) 584-9441 x1
Photo of Jordan Frederick, Licensed Professional Counselor, LPC, MEd
Jordan Frederick
Licensed Professional Counselor, LPC, MEd
Stow, OH 44224
My primary experience is within the work of anxiety-related disorders, OCD, body dysmorphia, trauma, depression, relationship difficulties, and adjustments ranging within childhood through adulthood.
My primary experience is within the work of anxiety-related disorders, OCD, body dysmorphia, trauma, depression, relationship difficulties, and adjustments ranging within childhood through adulthood.
(234) 271-4240 View (234) 271-4240
Photo of Tamar Cooper, Clinical Social Work/Therapist, LISW-S, LICDC
Tamar Cooper
Clinical Social Work/Therapist, LISW-S, LICDC
1 Endorsed
Chagrin Falls, OH 44023
Tamar Cooper is both a licensed independent social worker and licensed independent chemical dependency counselor. She completed her master’s degree from Case Western Reserve University and has spent 35 years in the social work field, focusing her clinical and administrative skills to advocate for and address the mental health needs of people ranging from young adults to people in the later stages of their lives. Ms. Cooper has assisted her clients in learning how to work and heal through issues related to life changes such as aging, adjusting to illness, end-of-life issues, grief and loss, and the demands of being a caregiver.
Tamar Cooper is both a licensed independent social worker and licensed independent chemical dependency counselor. She completed her master’s degree from Case Western Reserve University and has spent 35 years in the social work field, focusing her clinical and administrative skills to advocate for and address the mental health needs of people ranging from young adults to people in the later stages of their lives. Ms. Cooper has assisted her clients in learning how to work and heal through issues related to life changes such as aging, adjusting to illness, end-of-life issues, grief and loss, and the demands of being a caregiver.
(440) 635-3106 View (440) 635-3106
Photo of Grace Wallace - Grace Wallace at Revive Counseling and Wellness, Counselor, LPC
Hi, I’m Grace. I believe that healing happens in safe, supportive relationships, and I’m here to walk alongside you as you navigate life’s challenges. Whether you're feeling overwhelmed, stuck, or simply unsure where to begin, I offer a compassionate space where you can be heard without judgment. I work with individuals from all backgrounds and life experiences, and I’m passionate about helping people reconnect with their strengths, find clarity, and move toward the version of themselves they want to become.
Hi, I’m Grace. I believe that healing happens in safe, supportive relationships, and I’m here to walk alongside you as you navigate life’s challenges. Whether you're feeling overwhelmed, stuck, or simply unsure where to begin, I offer a compassionate space where you can be heard without judgment. I work with individuals from all backgrounds and life experiences, and I’m passionate about helping people reconnect with their strengths, find clarity, and move toward the version of themselves they want to become.
(216) 714-1577 View (216) 714-1577
Photo of Nicholas Rossy, Clinical Social Work/Therapist, MSW, LISW
Nicholas Rossy
Clinical Social Work/Therapist, MSW, LISW
Beachwood, OH 44122
Nick Rossy is a licensed Social worker with eight years of mental health treatment experience. He has three years experience with a crisis amp suicide hotline, five years experience with outpatient mental health counseling. Nick utilizes principles from Acceptance and Commitment therapy to help you learn to handle painful thoughts and feelings that can get in the way of pursuing the life you want to live. He has utilized talk therapy, play therapy, and exercises in session such as thought experiments, visualizations, and mindfulness meditation to help clients better understand themselves and develop strategies to find success.
Nick Rossy is a licensed Social worker with eight years of mental health treatment experience. He has three years experience with a crisis amp suicide hotline, five years experience with outpatient mental health counseling. Nick utilizes principles from Acceptance and Commitment therapy to help you learn to handle painful thoughts and feelings that can get in the way of pursuing the life you want to live. He has utilized talk therapy, play therapy, and exercises in session such as thought experiments, visualizations, and mindfulness meditation to help clients better understand themselves and develop strategies to find success.
(216) 600-1186 View (216) 600-1186
Photo of Justin Monty, Clinical Social Work/Therapist, LISW
Justin Monty
Clinical Social Work/Therapist, LISW
Cleveland, OH 44124
I make my best effort to build a connection with each of my clients. Our rapport is one of the most important parts of creating a successful therapeutic partnership. That takes time and it's my job to build that trust through empathy. When there is a strong connection, therapy can be a lot more helpful.
I make my best effort to build a connection with each of my clients. Our rapport is one of the most important parts of creating a successful therapeutic partnership. That takes time and it's my job to build that trust through empathy. When there is a strong connection, therapy can be a lot more helpful.
(216) 516-0135 View (216) 516-0135
Photo of Thomas V Gigliotti, Clinical Social Work/Therapist, LCSW, LISW-S, ACHT, ACSW
Thomas V Gigliotti
Clinical Social Work/Therapist, LCSW, LISW-S, ACHT, ACSW
Lyndhurst, OH 44124
My clients come from all Walks of life and are willing to work on learning new skills to advance the overall wellness of mind body and psychology. I am especially able to connect with college students.
My clients come from all Walks of life and are willing to work on learning new skills to advance the overall wellness of mind body and psychology. I am especially able to connect with college students.
(951) 501-4011 View (951) 501-4011
Photo of Anita Minkin, Clinical Social Work/Therapist, PhD, LCSW
Anita Minkin
Clinical Social Work/Therapist, PhD, LCSW
South Euclid, OH 44121
Someone you love has died, and your world feels like it is falling apart. Nothing is the same anymore. One day follows the next, leaving you behind. You lay in bed at night, missing your loved one with a pain that is unbearable. If only you had one more day to spend with them-to say good-bye, to say all the things you wish you had said, but didn't. Regrets and memories flood your mind, keeping you from sleep. Your heart is breaking and you feel so alone. If only things could return to the way they were. But you know they have changed forever, and you wonder how you'll be able to go on.
Someone you love has died, and your world feels like it is falling apart. Nothing is the same anymore. One day follows the next, leaving you behind. You lay in bed at night, missing your loved one with a pain that is unbearable. If only you had one more day to spend with them-to say good-bye, to say all the things you wish you had said, but didn't. Regrets and memories flood your mind, keeping you from sleep. Your heart is breaking and you feel so alone. If only things could return to the way they were. But you know they have changed forever, and you wonder how you'll be able to go on.
(216) 238-2906 View (216) 238-2906
Photo of Jessica Fisher Cross, Clinical Social Work/Therapist, LISW-S
Jessica Fisher Cross
Clinical Social Work/Therapist, LISW-S
Orwell, OH 44076
If therapy hasn't worked for you before, you're not broken, you just haven't found the right fit. I'm Jess, an LISW-S with 8+ years working with teens and adults through trauma, anxiety, depression, ADHD, and life transitions. My approach is real, collaborative, and zero-fluff. I see clients in-person in Orwell, OH and virtually across Ohio and Pennsylvania. I accept some Medicaid, most major insurance, and private pay. If you're ready to stop surviving and start actually living, let's talk. Free 15-min consult available.
If therapy hasn't worked for you before, you're not broken, you just haven't found the right fit. I'm Jess, an LISW-S with 8+ years working with teens and adults through trauma, anxiety, depression, ADHD, and life transitions. My approach is real, collaborative, and zero-fluff. I see clients in-person in Orwell, OH and virtually across Ohio and Pennsylvania. I accept some Medicaid, most major insurance, and private pay. If you're ready to stop surviving and start actually living, let's talk. Free 15-min consult available.
(440) 577-5646 View (440) 577-5646
Photo of Selina Lynne Mathur, Counselor, MEd, LPCC
Selina Lynne Mathur
Counselor, MEd, LPCC
1 Endorsed
Beachwood, OH 44122
Are you or your child struggling with worries or fears at school or home? Do people around you tell you that you appear sad, hopeless or defeated? Maybe you feel angry or irritable, struggling to get through each day. If you identify with any of these feelings you are not alone! I have over 15 years experience working in with children in the schools as both a teacher and a school counselor. In addition, I have worked several years as a clinical counselor in private practice where I have assisted children and adolescents with developing coping skills to handle various mental health issues such as Anxiety, Depression and ADHD.
Are you or your child struggling with worries or fears at school or home? Do people around you tell you that you appear sad, hopeless or defeated? Maybe you feel angry or irritable, struggling to get through each day. If you identify with any of these feelings you are not alone! I have over 15 years experience working in with children in the schools as both a teacher and a school counselor. In addition, I have worked several years as a clinical counselor in private practice where I have assisted children and adolescents with developing coping skills to handle various mental health issues such as Anxiety, Depression and ADHD.
(440) 316-4259 View (440) 316-4259
Photo of Stacey Hanna, Licensed Professional Counselor, MA, LPC
Stacey Hanna
Licensed Professional Counselor, MA, LPC
2 Endorsed
Mentor, OH 44060
Are you feeling stuck, overwhelmed, or disconnected? Do you carry a quiet belief that you’re never good enough—no matter how hard you try? You’re not alone—and you don’t have to keep carrying it by yourself. I work with adults navigating anxiety, depression, relationship issues, and major life transitions. I have a special focus on supporting women through the emotional challenges of menopause, postpartum concerns, and healing from domestic violence. I also help clients manage caregiving stress, divorce, and the transition to an empty nest.
Are you feeling stuck, overwhelmed, or disconnected? Do you carry a quiet belief that you’re never good enough—no matter how hard you try? You’re not alone—and you don’t have to keep carrying it by yourself. I work with adults navigating anxiety, depression, relationship issues, and major life transitions. I have a special focus on supporting women through the emotional challenges of menopause, postpartum concerns, and healing from domestic violence. I also help clients manage caregiving stress, divorce, and the transition to an empty nest.
(440) 797-3885 View (440) 797-3885
Photo of Joeanna Ruiz, Clinical Social Work/Therapist, LSW
Joeanna Ruiz
Clinical Social Work/Therapist, LSW
Streetsboro, OH 44241
My training and passion center around providing children, adults, adolescents, and families who feel emotionally overwhelmed, depressed, or disconnected, from carrying life’s challenges alone. Many come to me seeking support for anxiety, trauma, relationship struggles, stress, grief, or personal growth. I provide a compassionate, trauma-informed space where we focus on healing and clients feel heard, supported, and empowered. Through therapy, psychoeducation, and practical coping tools, we help clients build healthier relationships, improve emotional wellness, and gain mental clarity to move forward with confidence and hope.
My training and passion center around providing children, adults, adolescents, and families who feel emotionally overwhelmed, depressed, or disconnected, from carrying life’s challenges alone. Many come to me seeking support for anxiety, trauma, relationship struggles, stress, grief, or personal growth. I provide a compassionate, trauma-informed space where we focus on healing and clients feel heard, supported, and empowered. Through therapy, psychoeducation, and practical coping tools, we help clients build healthier relationships, improve emotional wellness, and gain mental clarity to move forward with confidence and hope.
(330) 946-8188 View (330) 946-8188

How does your Therapist compare?

Number of Therapists in 44080

< 10

Therapists in 44080 who prioritize treating:

100% Relationship Issues
100% Life Coaching
100% Parenting
100% Trauma and PTSD
100% Testing and Evaluation
100% Divorce
100% Family Conflict

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Medica

How Therapists in 44080 see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 44080?

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.